Low-Carb Diet vs. Bariatric Surgery kuvanhu vane chirwere cheshuga

Imwe shure-iyo-nhepfenyuro chaiyo chengetedza pamusoro pekudzivirira kuyananisa masarudzo

Nhaurwa yaSeptember 2016 muThe New York Times yakadana kuedzwa kwezvokudya zvakaderera-carb vasati vaenda kubhizinesi ye-bariatric. Izvi zvine pakarepo, kukumbira zvikuru kune avo isu takazvipira kune mararamiro semishonga. Hezvino kune mishonga mukicheni, panzvimbo yekamuri yekushandisa! Zvinosuruvarisa, zvakadaro, kudzokorora uku kuri kutsausa. Hapana chikonzero chekusarudza kusarura kwezvokudya zvakaderera-carb; ivo vanenge vava kukwanisa kushanda munguva shoma uye vanokundikana kwenguva, sevamwe.

Kunyange zvazvo kune huwandu hwakanaka hwekudya uye hutano kunze uko, pane zvakawanda zvinopfuurira pfungwa dzisina kururama uye dzisina kururama; hazvizogoni kuvabata vose pano. Asi iyi imwe nyanzvi yeNew York Times inokosha yekuongorora nekujekesa, kunyanya nekuda kwehurukuro huru, inokosha inokurudzira.

Garth Davis, MD, inhengo yeChristin Health Initiative uye iyo inonyatsokwanisa kuratidza kuti vanyori venyaya ino vakaratidza sei basa rekuvhiyiwa kwekureruka, izvo zvinoshanda chaizvo kana zvichishandiswa zvine njere. Anoshandisa kurapa uye kurasikirwa kwekurema muHouston, uko iye ari chiremba wezvehutano hwekurehwa kwekureruka paChirangaridzo City Hospital. Iyewo ndiye munyori webhuku rinonzi Proteinaholic: Sei Kufungisisa Kwedu Nezvokudya Kunotiuraya, uye Muongorori Wakaongorori Wekurerura Kurasikirwa Kwekurasikirwa .

Dr. Davis anotarisa kubva kumusoro uye anopa cheki chaiyo pamusoro pemitambo yezvokudya yakavimbika zvikuru uye inogadziriswa inobatanidza kurarama kwenguva refu yehuremu uye kukurudzira kwehupenyu hwose.

Maonero AUvhiya Anosara Kurasikirwa: Garth Davis, MD

Sezvo chirwere chechiremba chinorema uye nyanzvi yekutora zviuru zvevarwere vanopfuura makore gumi nemashanu, ndakashamiswa neveNew York Times maonero epfungwa, "Usati Waita $ 26,000 Pamusoro Pokuvhiya Kweutoro, Ita Izvi." Chikamu chacho chakazara nezvisina kururama zvandinoda kutaura.

Kutanga: Vanyori vanoreva kuti kuvhiya kurasikirwa kunorema.

Kubudirira kwekureruka kwekureruka kwakagadziriswa kwemakore mazhinji neongororo huru. Kunyange zvazvo vanyori vachikwanisa kutora mapepa akawanda ekutsvakurudza, vose vakaitwa kwenguva pfupi. Zvadaro vanyori vanoedza kuenzanisa chirwere chokurasikirwa kwekurema kusvika kune-lowb dieting. Zvakare, havagoni kuita zvakarurama kuenzanisa. Kutsvakurudza kwenguva refu kwezvokudya zvakaderera-carb zvinoshaikwa nokuti vanhu havakwanise kumira navo nekuda kwemigumisiro.

Mhedziso dzenguva pfupi dzemakadekari ezvishoma-zvingasanganisira kuvhiringidzwa, kushaya simba, mutsipa, kurwadziwa musoro, kuvhiringidzika, kurwadziwa kwepamuviri, kusuruvara, kushungurudza, kusuruvara, kuora mwoyo, kuora mwoyo, uye kushungurudzika kwemisumbu.

Nguva yakareba migumisiro yemaodzanyemba-carb dieting inogona kusanganisira yakakura cholesterol, chirwere chepfungwa, mazvo matombo, kurasikirwa kwefupa, erectile kusagadzikana, kusagadzikana, uye kuwedzerwa kungozi yekenza.

Vanyori vanotaura nezvepepa rinotevera varwere gumi kwevhiki mbiri. Zvidzidzo izvi zviduku, uye zvakaitwa kwenguva shoma shoma, usatipa dheti rakakwana yekuita zvirevo zvakanyanya.

Sekubata vanhu nezvose zvakaderera-carb uye uye nechingwa zvakaputika, zvigumisiro hazvigoni kuenzaniswa.

Ndinoona 80 muzana kusvika 85 kubva muzana yemuviri wangu anenge achirapa vanorwara mishonga yavo yechirwere cheshuga makore mashanu gare gare, iyo inofadza zvikuru. Hakune zvidzidzo zvemakore mashanu pamakadekari ezvishoma-carb nokuti vanhu vazhinji havakwanise kuramba kwenguva refu pavari.

Chechipiri: Vanyori vanoita sevanofunga kuti varwere vanoona vanachiremba vairatric havana kumboedza kudya.

Muzvokwadi, vatano vedu vese vanoedza kumira kurasikirwa kudya, kakawanda. Vakawanda vakadya kubvira "mazana emafuta" sevana. Nhamba imwe inodya varwere vedu vanoedza ndiyo yekudya kweAtkins (inozivikanwa yakaderera-carb approach), kazhinji kazhinji, ichiita kuti utye makhahydrates.

Hapana anoenda mukuvhiyiwa asina kupa simba rakasimba pakudya. Kune makambani akawanda einishuwarenzi, kuedza kushandiswa pakuedza kudya kunotarisirwa, uye ndinoziva vashoma vanovhiya vanozoshanda kune murwere asina kumboedza kurerutsa uremu.

Chechitatu : Vanyori vanoratidza kusashaiwa kwezivo sokuti midzi inokonzera chirwere cheshuga.

Vanoratidzika sokufunga kuti chirwere cheshuga chinongova chigumisiro cheshuga yepamusoro yeropa , apo chaizvoizvo shuga yakakura ndiyo chiratidzo, kwete chikonzero, cheshuga cheshuga. Kudyidzana kwemugidhihydrate kunoderedza shuga yeropa, asi haikwanise kugadzirisa dambudziko guru-muviri haugone kushandiswa ne carbs.

Chaizvoizvo, chirwere cheshuga chinokonzerwa nekudyiwa kwemafuta mumasero emasumbu uye eropa. Izvi zvinoita kuti muviri usakwanisa kugadzira insulin receptors, uye pasina insulin receptors, shuga haigone kupinda muchitokisi. Iyo yakadyiwa-carb diet inoderedza shuga yeropa, asi haigoni kugadzirisa dambudziko guru re insulin rinopikisa .

Yechina: Vanyori vanoita sevari kuratidza kuti kudya kwakaderedza-carb ndiyo yaifarira uye yega kudya kwechirwere cheshuga kusvika munguva pfupi yapfuura.

Izvi zvinongova zvenhema. Zvechokwadi, paDuke University muma1940, Walter Kempner, MD, akarwara chirwere cheshuga nekubudirira neRir Diet.

Rakomized clinical trials starting in 1976 pamwe chete inoratidza kushanda kwezvokudya zvakasimwa mune chirwere cheshuga. Uye zviongorori zvenguva pfupi zvakabhadharwa neNational Institutes of Health (NIH) zvakatiratidza kuti zvikafu zvinogadzirwa nemiti zvinoshanda zvakanyanya kudarika chirongwa chekudya chechiAmerican Diabetes Association (ADA). Somugumisiro, ADA inosanganisira mbeu-kudya kudya maitiro sekugadzirira-kudya chirongwa mumagariro avo ezvekudya kune vanhu vane chirwere cheshuga.

Zvechokwadi, kudya chero kupi zvako kwekakori kuchave nekubatsira kune kuronga shuga yeropa.

Chechipiri: Vanyori vanotaura kuti kudya kwakadzika kwecarb kwakave kusina kukanganisa uye kunofanira kudzorerwa zvakare.

Mhedziso ndeyekuti kudya kwakadzika-carb kwakashanda asi "pasi-fat fat" nguva isati yasvika, uye zvisina kufanira, kwakagumisa kudururwa kwezvinyorwa zvidhi-carb. Kudya-carb zvikafu zvave zviripo kubva kuma1800s. Iko kwakange kune mabhuku akawanda akatengesa zvikuru kuburikidza nemakore achiita zvishoma-carb dieting sechitsvene cheiri. Asi, kudya kunowanzopererwa, kwete nekuda kwechikwata chemafuta mashoma, asi nokuti migumisiro yakaita kuti irege kushandiswa kwenguva yakareba.

Ndapinda kuAmerica Society yeBariatric Physicians (yava kunzi OMA) musangano wegore negore; Kudya-carb kudya kwakange kuri kona yekona yerapi ye sangano iri. Vakaramba vachishandisa chikafu ichi, kwete kuchisiya sezvakanyorwa nevanyori.

Mubvunzo wangu ndewokuti, kana kudya kwakanyanya-carb kunoshandiswa nehuwandu hwevarwere vangu kazhinji, uye hunoshandiswa nehuwandu hwechiremba mukuedza kurapa chirwere cheshuga nekurema , saka sei tichiri nechinetso chakadai? Zviri pachena, kudya kwakaderera-carb hakushandisi sechinhu chinogara kwenguva refu. Apo ini ndinoudza varwere vangu, "Kana iwe ukaita zvawakaita nguva dzose, uchawana izvo zvawagara uine."

Kuudza mumwe munhu ane chirwere chinorwara cheshuga kuti aende kune imwezve kudya-carb yakaderera ndeyekunyadzisa uye inonyanya kukodzera kutarisira chirwere ichi.

Iwe Unogona Sei Kuzvidzivirira Kupfuura uye Kudzokorora Rudzi rwechipiri rweShuga?

Zvibvunze mubvunzo uyu: Ndeapi mapoka munyika muno ane hutano husingaperi hutano uye ine chirwere cheshuga chakanyanya kuderera? Nzvimbo dzeNational Geographic Blue Zones dzakawana nzvimbo dzakawanda munyika dzine utano hwakanaka uye nhamba huru yezana remakore rimwe nerimwe. Zvokudya zvevanhu ava vanosiyana zvakasiyana-siyana zvine tsvimbo yakawanda-iyo yose inotungamirirwa nehove yehydrohydrates-rich.

Vanhu vekuAsia vakagara vachidya carbs zvakadai semupunga uye mbatatata sechikafu. Uye kunyange zvazvo chirwere cheshuga muAsia chakanga chisina kumbovapo, China uye dzimwe nyika dzeAsia dziri kutanga kuona kuwedzera kwematenda echirwere-kwete nekuda kwecarbs, asi nekuda kwenyama inenge ichinyanya kukosha muzvokudya.

Sezvo vhidhiyo ichiri kuramba ichidhinda zvakanyanyisa, kazhinji ruzivo rwakashata pamusoro pezvokudya zvakaderera-carb, vaverengi vanoita nekutya kukuru kwe carbs. Izvo kutya kunotungamirira kushandiswa kwakanyanya kwezvinhu zvemhuka. Izvi zvakanyanya kuwedzerwa nyama zvinoshungurudza, sezvo zvingaita kuti zvive nehuwandu hwehutachiona uye hutano hwepfungwa paunowedzera dambudziko rako rekenza.

Ndinobvumirana nevanyori kuti tinogona kubvisa kudiwa kwekuvhiyiwa kune vamwe vanhu kuburikidza nekudya, asi kudya kwakadaro kunofanira kunge kwakanyanya muzvibereko, miriwo, maruva, uye mbeu yose. Mazano angu kuvarwere vanobata nokuneta uye chirwere cheshuga ndechokuti vadye zvakanyanya zvokudya zvakakwana, kudya kwezvokudya uye kushandiswa. Vanofanira kurega kuparara / fad kudya uye kutarisa kune zvakakosha zvekudya zvekudya zvakachengetedza vanhu vakawanda vanogara hutano hwakanaka uye husina zvirwere.

Kana kuneta kana rudzi rwechipiri chirwere cheshuga chiri chakakomba, kuvhiyiwa inzira inoshanda zvikuru. Hapana mishonga inenge iine pedo nehunobudirira hwekuvhiyiwa, uye munguva ino yemazuva ano, kuvhiyiwa inzira yakachengeteka. Izvozvo zvichiti, chigadziro chinofanira kushandiswa kuchinjira kune mararamiro ahupenyu, uye kwete semagumo mukati maro.