Kupa uchapupu pamusoro pezvokudya zvakaitwa uye IBD
Mubvunzo: Ko "Zvokudya Zvisina Mwero" Chinokonzera Kupisa Zvirwere Zvirwere (IBD) ?
A: Kwakave nekukwira kwe1% muzviitiko zveBD (Crohn's disease uye ulcerative colitis) zvichiita kupindira muchipatara pakati pevechidiki muUnited Kingdom pamusoro pemakore pakati pa2003 na2014. Kuwedzera kwakakonzera kukanganisa pamusoro peizvi shure kwayo, uye kana pane chimwe chinhu chiri mumamiriro ezvinhu chiri kuita kuti kuve nekurwisana kwezvirwere izvi.
Tinokwanisa kuisa maoko edu kumativi ose edambudziko, asi, kuisa pachena, masayendisiti achiri kuziva kuti chii chinokonzera IBD.
Zvatinodzidza
IBD iri mumagariro edu - kuti tive nemafuta anopfuura 100 ave akaonekwa sekutamba chimwe chikamu mukugadzirwa kweBD. Chinhu chatinoshaya ndicho chinotyisa: chinhu kana zvinhu zviri mumamiriro ezvinhu "inotenderera" IBD.
Mumwe chiremba muUnited Kingdom akatorwa neBBC achitaura kuti kudya "zvakawanda zvezvokudya zvisina kuchena" kunogona kuwedzera njodzi yekuvandudza IBD. (Multiple courses of antibiotics yakapiwawo sechikonzero chekuwedzera kwekugamuchira chipatara kune IBD.) Chiremba gare gare akasunungura chirevo chichitsanangurira kuti akanga asingadi kuti chirevo chake chiratidze kuti IBD yakanga ichitonga. Pakanga pasina kujekeswa pane tsanangudzo chaiyo ye "kudya zvisina kudya."
Izvozvo Zvinorevei - "Zvokudya Zvisina Mwero"?
Vakawanda vari munharaunda yevarwere yeBD vakatsamwiswa nekutaura kwekuti vanhu vane IBD havana kudya zvakanaka, uye kuti kudya kwakashata ndiko kwakakonzera IBD yavo.
Vamwe varwere vakakurumidza kuratidza kuti vakadya kudya kwakanaka - kunyange vegan kana yemidziyo - vasati vaongororwa. Vamwe vaishamisika nezvevana vaduku zvikuru, kunyange vacheche, avo vakaonekwa vane IBD uye avo vangadai vasati vava nemakore akawanda vachidya zvokudya zvisina kunaka.
Apo mumwe anofunga nezve "kudya kwechingwa," zvimwe zvokudya zvinouya mupfungwa: mbatatisi chips, soda pop, ice cream, uye zvimwe zvekudya zvakakosha mumafuta uye hazvina, kana kuti zvishomanana, zvinokosha zvekudya.
Izvi zvinowanzofungidzirwa sezvokudya zvekuMadokero, uye ndezvechokwadi kuti vanhu vasiri nyika dzekuMadokero vave vachidya zvakawanda zvekudya izvi mumakore achangopfuura.
Zvakadini Ne "Zvokudya Zvakatorwa"?
"Zvokudya zvisina kuchena" ishoko risina kujeka uye hazvina kunyatsozivikanwa kuti chii chairehwa neshoko iroro maererano nekugadzirwa kweBD. Izwi rinonyanya kushandiswa pakurukura nezvekudya uye utano kunogona kuva "zvokudya zvinogadzirwa." Zvisinei, kunyange izwi iroro rinogona kutsausa nokuti hazvisi izvo zvose zvinogadzirwa zvinenge zvisina kunaka. Mishonga yakasvibirira uye yogurt, somuenzaniso, mienzaniso yezvokudya zvakagadzirwa izvo zvichiri kuonekwa sezvokudya zvine utano (kana zvichishandiswa zvisina zvimwe zvinowedzera). Zvokudya nezvimwe zvinowedzera zvinonzi "zvakanyanya" zvinoshandiswa, asi miriwo yakawanda-yechando kana majisi matsva angave achinzi "minimally" inoshandiswa.
Nhengo dzejeri dzichiri kunze kwekunge zvikafu zvakakonzerwa zvakanyanya zvinogona kubatsira pakuvandudza kweBD. Zvokudya zvinokonzera maitiro zvinogona, zvinonzwisisika, zvinoonekwa sezvokudya zvakashandiswa zvikuru. Imwe pepa rakabudiswa muna 2012 inoratidza kuwedzera kwekushandisa kwezvinotapira zvinokonzerwa ne saccharin uye sucralose sechikonzero chinokonzera kukwira kweBD diagnosti. Mhedzisiro yezvinonhuwira izvi pamabhakitiriya anowanikwa mudumbu remukumbo inofungidzirwa kuti ndiyo nzira yekuita.
Chiitiko chekudzidzira chakaitwa muStockholm, Sweden mumakore makumi mapfumbamwe nemakumi matatu yakatarisa vanhu vane IBD uye kudya kwavo kwemakore mashanu. Vanyori vakaona kuti mukudzidza kwavo, varwere vaidya 55 gmm kana zvimwe zve sucrose (tafura yegafura) pazuva kana avo vaidya "kudya kwakakurumidza" kanopfuura kaviri pavhiki kwaive nehuwandu hwakawanda hwekuvandudza IBD. Nhoroondo yavo yakaratidzawo kuti inopfuura 15 gramu ye fiber zuva rega rega yaibatanidzirwa nehutachiwana hwehuwandu hwekuvandudza IBD. (Iyi yakadanwa seyakakwirira ye fiber nevanyori, asi Institute of Medicine inokurudzira kuti varume vatore magiramu makumi matatu nemasere nemasere fiber pazuva, uye vakadzi vari pakati pe21 ne25 gm.) Chimwe chidzidzo chediki (87 varwere) yakaitwa muIsrael yakaratidzawo kushamwaridzana pakati pekudya kwakanyanya kwe sucrose uye nekuvandudzwa kweBD.
The Bottom Line
Izvo zvisati zviripo kubvumirana pamusoro pekuti zvokudya zvinowedzera sei, zvokudya zvisina kudya, kana kudya zvakanyanyisa zvakagadzirisa zvinogona kukonzera kukura kweBD kana kuti yeBDD. Chikafu chakakosha chinokosha kuvanhu vose - uye chinonyanya kukosha kune vanhu vane IBD uye avo vangave vari pangozi yekushaya zvokudya zvinovaka muviri kana kushaya zvakakwana mavhithamini nemaminera kubva kuzvokudya. Zvakanaka kutaura kuti kudya zvakagadzikana kudya kunobatsira kunobatsira zvikuru mukudzivirira zvirwere zvakawanda, uye kunogona kubatsira kuvandudza mararamiro emamwe mararamiro. Hazvina mhosva kuti chii chinopedzisa kuguma pamusoro pekukanganisa kwe "zvokudya zvisina kudya" paBD kana zvimwe zvirwere, zvakakosha kuyeuka kuti vanhu vane IBD havauyise chirwere chavo pachavo.
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