Yintoni ukunyamezelana kwelactose? Kuchazwa oonobangela kunye neempawu

Imfundo yezeMpilo

Ukuba wakha wanesisu esibuhlungu emva kokutya itshizi okanye i-ayisikhrim, usenokunganyamezelani ne-lactose. Siswekile esifumaneka ebisini nakwezinye iimveliso zobisi. Inkqubo ye- I-FDA uqikelela ukuba ama-30 ukuya kuma-50 ezigidi zabantu eUnited States abakwazi ukuyetyisa ngokufanelekileyo. Nantsi oko kuthetha ntoni kuwe.

Yintoni ilactose?

I-Lactose yimolekyulu enkulu yeswekile yobisi efumaneka kwiimveliso zobisi. Yenza i-2% ukuya kwi-8% yobisi-kwaye ifunyenwe nakwamanye amayeza.I-Lactose yi-disaccharide (iswekile ephindwe kabini) yokuba umzimba uyekelele kwiswekile elula kunye negalactose. Umzimba ungawasebenzisa la mandla eswekile kwizinto ezininzi njengokulungisa iiseli, ukwakha izihlunu, kunye nokwenza izinto zemihla ngemihla.

Yintoni ukunyamezelana kwelactose?

Ukunganyamezelani kweLactose (ekwabizwa ngokuba yi-lactose malabsorption) kukungakwazi ukugaya i-lactose. Abantu abanokunganyamezelani kwe-lactose abanayo i-enzyme eyaneleyo ye-lactase emzimbeni wabo, nto leyo efunekayo yokwetyisa i-lactose. Ngaphandle kwe-lactase, i-lactose ayinakuqhekeka iye kwiiyunithi zayo ezincinci, oko kuthetha ukuba umzimba awukwazi ukufikelela kwezo molekyuli zeswekile zibalulekileyo.

Esi sifo sokugaya sichaphazela malunga neepesenti ezingama-36 zabemi base-US. Imiba yomngcipheko Ukuphucula ukunganyamezelani kwe-lactose kubandakanya ukuba ngowama-Afrika aseMelika, amaNdiya aseMelika, amaAsia, okanye inzala yamaSpanishi; ukuba mdala; okanye ukuzalwa ngaphambi kwexesha.

Yimeko enganyangekiyo okwangoku engenanyango. Kuyenzeka ukuba unganyamezelani ne-lactose ngesiquphe ukuba enye imeko yonyango-enje nge-gastroenteritis-okanye ukuyeka ixesha elide kubisi kubangela umzimba. Kuqhelekile ukuphulukana nokunyamezela i-lactose njengoko uneminyaka yobudala.

Izinto ezibangela ukunganyamezelani kwe-lactose

Zimbini iintlobo zokunganyamezelani kwe-lactose ezaziwa ngoososayensi: ukunganyamezelani kwe-lactose yokuqala kunye neyesibini. Ukunganyamezelani kwe-lactose ephambili kubangelwa kukusilela kwe-lactase okanye ukunciphisa imveliso ye-lactase eya ixhaphake kakhulu kubudala.

Iingxaki kumathumbu amancinci, zikhokelela ekunciphiseni kwemveliso ye-lactase, ibangela ukunganyamezelani kwe-lactose yesibini. Ukugula, ukonzakala, usulelo, okanye isifo se-celiac kunokubangela ezi ngxaki.

Zombini ezi ntlobo zokunganyamezelani zinento yokwenza nokungakwazi ukugaya i-lactose ngenxa yamanqanaba asezantsi e-lactase. Ukunganyamezelani kwe-lactose ephambili kuxhaphake kakhulu kunokunyamezelana kwe-lactose yesibini. EMntla Melika, ama-79% amaMerika aseMelika, ama-75% ama-Afrika aseMelika, ama-51% amaHispanics, kunye nama-21% abantu baseCaucasus Ukunganyamezelani kwe-lactose .

Ukufumana ukusilela kwe-lactase kunokwenzeka. Kule meko, abantu bafumana ukunganyamezelani kwe-lactose njengoko bekhula.

Iimpawu zokunganyamezelani kwe-lactose

Ukunganyamezelani kweLactose kubangela ezinye iimpawu ezibonakalayo ngokulula. Ukuba ukhe watya iimveliso zobisi kwaye unazo naziphi na ezi mpawu zilandelayo kwisithuba semizuzu engama-30 ukuya kwiiyure ezimbini emva kokutya, unokuba unganyamezelani ne-lactose.

1. Ukuqhawula
2. Ukuqunjelwa sisisu
3. Urhudo
4. Isicaphucaphu
5. Ukuhlanza
6. Ukuxinana esiswini
7. Ukutya
8. Ukucwina

Zonke ezi mpawu zenzeka ngenxa yokuba ithumbu elincinci alikwazi ukucola kakuhle iswekile kwiimveliso zobisi. Ngenxa yoko, iibhaktheriya ezikwi-colon zibila i-lactose engagaywanga, ibangele igesi kunye namanzi. Abantu abadala kunye abantwana baya kufumana uninzi lweempawu ezifanayo ukuba abanyamezelani ne-lactose. Kuyinto engaqhelekanga kakhulu kodwa kusenokwenzeka ukuba iintsana zinganyamezelani ne-lactose.

Kubantwana nabantwana, zombini ubisi lwebele kunye neefomula ezisekwe kubisi ziqulathe i-lactose. Ukuba abazali bakholelwa ukuba usana lunokuba nokunganyamezelani kwe-lactose, kuya kufuneka babonane nodokotela babo kwaye baqwalasele ukuphelisa ubisi ekudleni (ukuba ukuncancisa) okanye ukutshintshela kwifomula yobisi engeyiyo yobisi. Abazali kufuneka baxoxe ngeenkxalabo zabo kunye nogqirha wabantwana ngaphambili ukuphelisa ukutya ekutyeni kwabantwana babo ukuqinisekisa isondlo esaneleyo kunye nokukhula.

Ngamanye amaxesha ukunganyamezelani kwe-lactose kuyabhideka ngenxa yokungabikho kobisi kubantwana abancinci, kodwa ukwaliwa lubisi yinto eyahlukileyo. Abantwana abanobisi bokungalungeli ubisi banokuphuhlisa iinyosi, ukuvutha kwempumlo, impumlo egudileyo, urhudo, okanye isusu esiswini.

Ukunyamezelwa kwelactose kufunyaniswa njani?

Ukunganyamezelani kwe-Lactose kuhlala kuxilongwa, kodwa uninzi lweempawu zokunganyamezelani kwe-lactose ziyafana nesifo sengqondo samathumbu kunye nobisi. Keukuba ukrokrela ukuba awunyamezeli, kubalulekile ukuba uxoxe ngako nomboneleli wakho wokuqala wokuqinisekisa ukuba azikho ezinye iinkxalabo zonyango okanye zesondlo.

Olunye uvavanyo lwezonyango lunokunceda ekuchongeni imeko ngokuchanekileyo ukuze abantu bazinyange ngokufanelekileyo iimpawu zabo. A Uvavanyo lokuphefumla i-hydrogen Elawulwa yingcali ye-gastroenterology, ilinganisa ukuba ingakanani i-hydrogen esemoyeni emva kokutya iimveliso zobisi. Ivavanya i-hydrogen kuba umzimba ujika i-lactose engafakwanga i-hydrogen.

Uvavanyo lwegazi lolunye uhlobo lovavanyo lwaselebhu olunokunceda ekuchongeni ukunganyamezelani kwe-lactose. Uvavanyo lwegazi lujonga amanqanaba eglucose egazi aphakamileyo emva kokuba isigulana sisebenzise isixa esisezantsi se-lactose. Ukuba amanqanaba eswekile yegazi akhuphuki, oku kuthetha ukuba umzimba awophuli i-lactose ibe yiglucose.

Ukuba umntu unokunganyamezelani kwe-lactose yemfuza, baya kuqhubeka nokuba neempawu ngaphandle kokuba bahlala kude neemveliso zobisi. Ukunganyamezelani kwe-lactose yesibini kunokuhamba emva kokuba indlela yamathumbu iphilile kwaye iqale ukusebenza ngesiqhelo kwakhona, enokuthatha iiveki okanye iinyanga. Nangona kunjalo, nje ukuba i-lactose ikhutshwe ekudleni, amandla omzimba okuvelisa i-enzyme ye-lactase iyancipha, okubangela ukukwazi ukunciphisa i-lactose.

Unyango lwe-Lactose yokunganyamezelani

Ukulawula oku kunganyamezeli kuhlala kuyinto yokwenza utshintsho kwindlela otya ngayo, kodwa amanye amayeza anokuba luncedo.

Ukutshintsha kokutya

Oogqirha abaninzi bayavuma ukuba eyona ndlela yokunyanga ukunganyamezelani kukuphepha ukusebenzisa i-lactose ukuqala. I-Lactose ikwiimveliso zobisi kwaye iimveliso ezingezizo ezobisi, ke ukufunda iilebheli zokutya kunye namayeza kubalulekile.

Ukutya okuphezulu kwi-lactose kubandakanya:

• Ubisi lweenkomo
• Ubisi lweebhokhwe
• Ubisi lwebele kunye nobisi olusekwe kubisi
• Ucwambu lomkhenkce
• Isiqingatha nesiqingatha
• Enye iyogathi (iyogurt yamaGrike ineelactose encinci)
• Umgubo wobisi owomileyo, ubisi obomeleleyo, kunye neemveliso zobisi
• I-Cheese, ngakumbi i-cheeses ezithambileyo (iParmesan, iSwitzerland, kunye ne-cheddar zine-lactose encinci)
• Icwambu lesonka samasi
• Isonka samasi se-Cottage
• Ikrimu enzima
• Ibhotolo yobisi
• Ubisi olunamanzi
• USherbert
• Iikhofi zekofu
• Ibhotolo
• Ghee
• Whey

Imithombo engeyiyo yobisi ye-lactose:

• Amayeza
• Ukutya kwangoko
• Imajarini
• Ukunxitywa kwesaladi
• Iinkozo ezilungisiweyo

Ukujonga iilebheli zokutya yeyona ndlela ilungileyo yokubona ukuba into yokutya epakishiweyo okanye amayeza ane-lactose kuyo-ileyibhile ayizukufunda ngobisi okanye i-lactose-free. Nokuba izixa ezincinci zinokuba nzima ukwetyisa, kwaye okunye ukutya kunokubangela iimpawu ezingaphezulu kwezinye.

UBarry Sears, Ph.D., umbhali we Indawo iyafa t uthotho luthi okunye ukutya kune-lactose encinci kuzo kunezinye. Kubantu abangenako ukunyamezela nayiphi na i-lactose ekudleni kwabo, uGqirha Sears ucebisa iimveliso zobisi ezingenasosi njengomthombo weprotein ekumgangatho ophezulu. Iivenkile zokutya ezempilo zihlala zithwala ezi ntlobo zokutya, kwaye iivenkile zokutya rhoqo ziqala ukugcina izinto ezinje ngobisi olungena-lactose njengoko iimfuno zabathengi zinyuka. Ababambeleyo baye baba zihamba kakuhle . Kwibala lobisi, unokufumana isoya, irayisi, iamangile, ikhokhonathi, imacadamia, kunye nezinye iindlela zobisi lwe-oat.

Ukuba unenkxalabo yokuba ukuthatha iimveliso zobisi ekudleni kwakho kuya kuthetha ukuba awufumani vithamini D okanye ikhalsiyam eyaneleyo, ungazama ukongeza okunye ukutya ekutyeni kwakho. Ubisi aluyimfuneko ngaphandle kobusana, ngoko kunokwenzeka kakhulu ukuxhaswa kunye nezinye iimveliso. Iintlanzi ezinamafutha, amaqanda, amakhowa, imifuno eluhlaza kunye namandongomane yonke imithombo yecalcium kunye nevithamin D.

Kwabanye, ukutya iyogathi kuphantsi ngokwaneleyo kwi-lactose ukuba kungabinangxaki, utshilo uSears. I-cheese enzima iphantsi kakhulu kwi-lactose, kwaye iimveliso zobisi ezingenayo i-lactose azikho i-lactose. Eyona ndlela yokujonga ukuba kukuphi ukutya okubangela eyona ngxaki kuwe kukususa yonke imithombo yelactose iveki okanye ezimbini, emva koko ubongeze ibe nye ngexesha.

Amayeza

Amanye amayeza anceda inkqubo yokwetyisa inkqubo yelactose. Amaconsi kunye neetafile eziqukethe i-lactase zinokunceda ekucoleni ukutya. Ukongeza amathontsi e-lactase kubisi ngaphambi kokusela, okanye ukuthatha ithebhulethi ngaphambi kokutya iimveliso zobisi kunokwenza umahluko omkhulu.

Ilactase sisithako esisebenzayo kwiimveliso ezinje ILactaid kwaye I-Lac-Dose kunye nezinto zabo. Sisongezo se-enzyme isigulana esinganyamezelaniyo ekufuneka siyithathe ngaphambi kokutya nantoni na ene-lactose kuyo. Olu hlobo lonyango lusebenza kakuhle kwabanye abantu, kodwa alunyangi.

Ukunganyamezelani kwe-Lactose ngekhe kuphele kwaphela kulowo ufuzisela imfuza. Kuyenzeka ukuba ulawule iimpawu, kwaye abantu abaninzi bafumanisa ukuba iimpawu zabo ziyahamba kwiintsuku nje ezimbalwa emva kokuphelisa iimveliso zobisi ekudleni kwabo. Eyona ndlela ifanelekileyo yokufunda ngakumbi malunga nokunganyamezelani kwe-lactose kunye nendlela yokunyanga kukuthetha nomntu otya ukutya okanye umboneleli wezempilo.