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Khetha Ikhasi

I-Gastro Intestinal Health

Ithimba Le-Back Clinic Gastro Intestinal Health Functional Medicine. Ipheshana lesisu noma (GI) lenza okungaphezu kokugaya ukudla. Inomthelela ezinhlelweni nemisebenzi yomzimba ehlukahlukene. UDkt. Jimenez ubheka izinqubo ezidalwe ukusiza ukusekela impilo nomsebenzi wepheshana le-GI, kanye nokukhuthaza ibhalansi ye-microbial. Ucwaningo lubonisa ukuthi umuntu oyedwa kwabangu-1 e-US unezinkinga zesisu noma zamathumbu ezinzima kangangokuthi ziphazamisa imisebenzi yabo yansuku zonke nendlela yokuphila.

Izinkinga zamathumbu noma zokugaya zibizwa ngokuthi yi-Gastrointestinal (noma i-GI) Disorders. Umgomo uwukuthola ukuphila kahle kokugaya ukudla. Lapho uhlelo lokugaya ukudla olusebenza kahle lusebenza kahle, kuthiwa umuntu unempilo enhle. Ipheshana le-GI livikela umzimba ngokukhipha ubuthi obuhlukahlukene nokubamba iqhaza ezinqubweni ze-immunological noma lapho amasosha omzimba esebenzisana nama-antibodies nama-antigen. Lokhu kuhlangene nokusekela ukugayeka kokudla kanye nokumuncwa kwezakhamzimba ekudleni komuntu.

Thuthukisa Izimpawu Zokuqunjelwa Ngokuhamba Ngokushesha

Thuthukisa Izimpawu Zokuqunjelwa Ngokuhamba Ngokushesha

by | I-Gastro Intestinal Health, Ukuqeqeshwa Kwezempilo

Kubantu ababhekene nokuqunjelwa njalo ngenxa yemithi, ukucindezeleka, noma ukuntuleka kwe-fiber, ingabe ukuzivocavoca umzimba kungakusiza ukukhuthaza ukunyakaza kwamathumbu njalo?

Thuthukisa Izimpawu Zokuqunjelwa Ngokuhamba Ngokushesha

Ukuhamba Ngosizo Lokuqunjelwa

Ukuqunjelwa kuyisimo esivamile. Ukuhlala kakhulu, imithi, ingcindezi, noma ukungatholi i-fiber eyanele kungaholela ekunyakazeni kwamathumbu okungajwayelekile. Ukulungiswa kwendlela yokuphila kungalawula izimo eziningi. Enye yezindlela eziphumelela kakhulu ukuhlanganisa ukuvivinya umzimba okusesilinganisweni okuvamile, ukukhuthaza imisipha yamathumbu ukuba ifinyele ngokwemvelo (U-Huang, R., et al., 2014). Lokhu kuhlanganisa ukugijima, i-yoga, i-water aerobics, namandla noma ukuhamba ngokushesha ukuze kuncishiswe ukuqunjelwa.

Ucwaningo

Ucwaningo luhlaziye abesifazane abakhuluphele abaneminyaka ephakathi nendawo ababenokuqunjelwa okungapheli esikhathini esingamaviki ayi-12. (Tantawy, SA, et al., 2017)

  • Iqembu lokuqala lalihamba nge-treadmill izikhathi ezingu-3 ngesonto imizuzu engu-60.
  • Iqembu lesibili alizange lihlanganyele kunoma yimuphi umsebenzi womzimba.
  • Iqembu lokuqala laba nokuthuthuka okukhulu ezimpawu zabo zokuqunjelwa kanye nekhwalithi yokuhlola impilo.

Ukungalingani kwamagciwane emathunjini nakho kuhlotshaniswa nezinkinga zokuqunjelwa. Olunye ucwaningo lwalugxile emphumeleni wokuhamba ngokushesha uqhathanisa nokuzivocavoca okuqinisa imisipha ewumgogodla njengamapulangwe ekubunjweni kwe-microbiota yamathumbu. (Morita, E., et al., 2019) Imiphumela yabonisa ukuthi izivivinyo ze-aerobic ezifana namandla/ukuhamba ngokushesha kungasiza ukukhulisa amathumbu Ama-bacterium, ingxenye ebalulekile yamagciwane amathumbu anempilo. Ucwaningo lubonise umphumela omuhle lapho abantu behlanganyela okungenani imizuzu engu-20 yokuhamba ngokushesha nsuku zonke. (Morita, E., et al., 2019)

Ukuzivocavoca Kungasiza Ukunciphisa Izingozi Zomdlavuza Wamakholomu

Ukuzivocavoca umzimba kungaba isici esibalulekile sokuvikela ekwehliseni umdlavuza wekoloni. (I-National Cancer Institute. 2023) Abanye balinganisela ukuncishiswa kwengozi ku-50%, futhi ukuvivinya umzimba kungasiza ngisho nokuvimbela ukuphinda kwenzeke ngemva kokuxilongwa komdlavuza wekoloni, futhi u-50% kwezinye izifundo zeziguli ezinomdlavuza wekholoni wesigaba II noma isigaba III. (I-Schoenberg MH 2016)

  • Imiphumela emihle kakhulu itholwe ngokuzivocavoca okunamandla okumaphakathi, okufana namandla/ukuhamba ngokushesha, cishe amahora ayisithupha ngeviki.
  • Ukufa kwehliswe ngo-23% kubantu abebezivocavoca okungenani imizuzu engama-20 izikhathi ezimbalwa ngesonto.
  • Iziguli ezinomdlavuza wekholoni ezingasebenzi ezaqala ukuvivinya umzimba ngemva kokuxilongwa kwazo ziye zaba nemiphumela engcono kakhulu kunabantu abahlala bodwa, okubonisa ukuthi akukephuzi kakhulu ukuqala ukujima.(I-Schoenberg MH 2016)
  • Iziguli ezikhuthele kakhulu zaba nemiphumela engcono kakhulu.

Ukuvimbela Uhudo Oluhlobene Nokuzivocavoca

Abanye abagijimi nabahamba ngezinyawo baba nekholoni esebenza ngokweqile, okuholela esihudo esihlobene nokuzivocavoca noma indle exekethile, eyaziwa ngokuthi ama-runner's trots. Abasubathi abangafika kwabangu-50% baba nezinkinga zesisu ngesikhathi sokuzivivinya kanzima. (de Oliveira, EP et al., 2014) Izinyathelo zokuvimbela ezingathathwa zihlanganisa.

  • Ukungadli emahoreni amabili okuzivocavoca.
  • Gwema i-caffeine noketshezi olufudumele ngaphambi kokuzivocavoca.
  • Uma uzwela ku-lactose, gwema imikhiqizo yobisi noma usebenzise i-Lactase.
  • Qinisekisa ukuthi umzimba unamanzi amaningi ngaphambi kokuzivocavoca.
  • Ukukhipha amanzi ngesikhathi sokuzivocavoca.

Uma uzivocavoca ku- ekuseni:

  • Phuza cishe izinkomishi ezingu-2.5 zoketshezi noma isiphuzo sezemidlalo ngaphambi kokulala.
  • Phuza cishe izinkomishi ezingu-2.5 zoketshezi ngemva kokuvuka.
  • Phuza ezinye izinkomishi eziyi-1.5 - 2.5 zoketshezi imizuzu engama-20-30 ngaphambi kokuzivocavoca.
  • Phuza ama-ounces angu-12-16 njalo ngemizuzu engu-5-15 ngesikhathi sokuzivocavoca.

If ukuzivocavoca imizuzu engaphezu kwengama-90:

  • Phuza isixazululo se-fluid-ounce esingu-12 - 16 esiqukethe amagremu angu-30-60 we-carbohydrates, i-sodium, i-potassium, ne-magnesium njalo ngemizuzu engu-5-15.

Usizo Lobungcweti

Ukuqunjelwa ngezikhathi ezithile kungase kuxazululwe ngokulungisa indlela yokuphila njengokunyuka kokudla kwefayibha, ukuvivinya umzimba, noketshezi. Abantu ababhekene nendle enegazi noma i-hematochezia, abasanda kulahlekelwa ngamakhilogremu angu-10 noma ngaphezulu, bane-anemia yokuntuleka kwensimbi, banokuhlolwa okuqondile kwe-fecal/igazi elifihliwe, noma abanomlando womndeni womdlavuza wekoloni badinga ukubonana nomhlinzeki wezempilo noma uchwepheshe ukuze enze okuthile. ukuhlola ukuze kuqinisekiswe ukuthi azikho izinkinga eziwumsuka noma izimo ezibucayi. (Jamshed, N. et al., 2011) Ngaphambi kokuhamba ngezinyawo ukuze bathole usizo lokuqunjelwa, abantu kufanele bathintane nomhlinzeki wabo wezempilo ukuze babone ukuthi kuphephile yini kubo.

Ku-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic, izindawo zethu zokuzijwayeza zihlanganisa Wellness & Nutrition, Pain Chronic, Ukulimala Komuntu, Ukunakekelwa Kwezingozi Ezizenzakalelayo, Ukulimala Komsebenzi, Ukulimala Emuva, Ubuhlungu Be-Low Back, Ubuhlungu Bentamo, Ikhanda Lekhanda Le-Migraine, Ukulimala Kwezemidlalo, Okunzima Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Pain Chronic, Complex Injuries, Stress Management, Functional Medicine Treatments, kanye ne-in-scope care protocols. Sigxila kulokho okukusebenzelayo ukuze ufinyelele imigomo yokuthuthukisa nokudala umzimba othuthukisiwe ngezindlela zocwaningo nezinhlelo zempilo ephelele. Uma kudingeka okunye ukwelashwa, abantu bazothunyelwa emtholampilo noma kudokotela ofaneleka kakhulu ukulimala kwabo, isimo, kanye/noma ukugula kwabo.

Ukuhlolwa Kwendle: Yini? Kungani? futhi Kanjani?

Okubhekwayo

U-Huang, R., Ho, SY, Lo, WS, & Lam, TH (2014). Umsebenzi womzimba nokuqunjelwa entsheni yaseHong Kong. I-PloS eyodwa, 9(2), e90193. doi.org/10.1371/journal.pone.0090193

Tantawy, SA, Kamel, DM, Abdelbasset, WK, & Elgohary, HM (2017). Imiphumela yomsebenzi womzimba ohlongozwayo nokulawulwa kokudla ukulawula ukuqunjelwa kwabesifazane abakhuluphele abaneminyaka ephakathi. Isifo sikashukela, i-metabolic syndrome kanye nokukhuluphala: okuhlosiwe kanye nokwelashwa, i-10, 513-519. doi.org/10.2147/DMSO.S140250

Morita, E., Yokoyama, H., Imai, D., Takeda, R., Ota, A., Kawai, E., Hisada, T., Emoto, M., Suzuki, Y., & Okazaki, K. (2019). Ukuqeqeshwa kwe-Aerobic Exercise With Brisk Walking Kwenyusa Ama-Bacteroides Amathumbu Kwabesifazane Asebekhulile Abanempilo. Izakhamzimba, 11(4), 868. doi.org/10.3390/nu11040868

I-National Cancer Institute. (2023). I-Colorectal Cancer Prevention (PDQ(R)): Inguqulo Yesiguli. Ku-PDQ Cancer Information Summaries. www.cancer.gov/types/colorectal/patient/colorectal-prevention-pdq
www.ncbi.nlm.nih.gov/pubmed/26389376

I-Schoenberg MH (2016). Umsebenzi Womzimba Nokudla Okunomsoco Ekuvimbeleni Okuyisisekelo NasesiPhakathi KweCancer Colorectal. Umuthi we-Visceral, 32(3), 199-204. doi.org/10.1159/000446492

de Oliveira, EP, Burini, RC, & Jeukendrup, A. (2014). Izikhalazo zamathumbu ngesikhathi sokuzivocavoca: ukusabalala, i-etiology, kanye nezincomo zokudla okunomsoco. Umuthi wezemidlalo (Auckland, NZ), 44 Suppl 1(Suppl 1), S79–S85. doi.org/10.1007/s40279-014-0153-2

Jamshed, N., Lee, ZE, & Olden, KW (2011). Indlela yokuxilonga yokuqunjelwa okungapheli kubantu abadala. Udokotela womndeni waseMelika, 84(3), 299-306.

Ukuphazamiseka Kwe-Functional Gastrointestinal: Odinga Ukukwazi

Ukuphazamiseka Kwe-Functional Gastrointestinal: Odinga Ukukwazi

by | Umuthi Osebenzayo, I-Gastro Intestinal Health, I-Viscerosomatic Reflex

Abantu abanezinkinga zokugaya ukudla okungenakutholakala ukuthi banenkinga yokungasebenzi kahle kwe-gastrointestinal. Ingabe ukuqonda izinhlobo kungasiza ekwakheni izinhlelo zokwelapha ezisebenzayo?

Ukuphazamiseka Kwe-Functional Gastrointestinal: Odinga Ukukwazi

Izifo Ezisebenzayo Zamathumbu

Ukuphazamiseka okusebenzayo kwesisu, noma ama-FGD, ukuphazamiseka kwesimiso sokugaya ukudla lapho ukuba khona kokungahambi kahle kwesakhiwo noma kwezicubu kungakwazi ukuchaza izimpawu. Izinkinga zesisu ezisebenzayo azinazo izimpawu ezibonakalayo futhi zitholwa ngokusekelwe ezimpawini. (UChristopher J. Black, et al., 2020)

Imibandela YaseRoma

Ama-FGD asebenzise ukuxilonga kokungabandakanyi, okusho ukuthi angatholwa kuphela ngemuva kokuthi isifo esiphilayo/esihlonzwa sikhishwe. Kodwa-ke, ngo-1988, iqembu labacwaningi nabahlinzeki bezempilo bahlangana ukuze bahlele izindlela eziqinile zokuxilongwa kwezinhlobo ezahlukene zama-FGD. Inqubo yaziwa ngokuthi i-Rome Criteria. (UMax J. Schmulson, Douglas A. Drossman. 2017)

Ama-FGD

Uhlu olubanzi njengoba luchazwe yi-criteria ye-Rome III (U-Ami D. Sperber et al., 2021)

I-Functional Esophageal Disorders

  • Isilungulela senhliziyo esisebenzayo
  • Ubuhlungu besifuba obusebenzayo okukholakala ukuthi bomsuka wommizo
  • I-dysphagia esebenzayo
  • imbulunga

Izinkinga ze-Gastroduodenal ezisebenzayo

  • Ukubhodla ngokweqile okungashiwongo
  • I-dyspepsia esebenzayo - ihlanganisa i-postprandial distress syndrome kanye ne-epigastric pain syndrome.
  • Isicanucanu esingamahlalakhona se-idiopathic
  • I-Aerophagia
  • Ukuhlanza okusebenzayo
  • I-Cyclic vomiting syndrome
  • I-Rumination syndrome kubantu abadala

Ukuphazamiseka Kwamathumbu Okusebenzayo

  • I-Irritable bowel syndrome - IBS
  • Ukuqunjelwa okusebenzayo
  • Uhudo olusebenzayo
  • Ukuphazamiseka kwamathumbu okusebenzayo okungacacisiwe

I-Functional Abdominal Pain Syndrome

  • Ubuhlungu obusebenzayo besisu - FAP

I-Functional Gallbladder kanye ne-Sphincter ye-Oddi Disorders

  • Ukuphazamiseka kwe-gallbladder okusebenzayo
  • I-Sphincter ye-biliary esebenzayo ye-Oddi disorder
  • I-Functional pancreatic Sphincter ye-Oddi disorder

I-Functional Anorectal Disorders

  • Ukusebenza kwe-fecal incontinence
  • I-Functional Anorectal Pain - ihlanganisa i-proctalgia engapheli, i-Levator ani syndrome, ubuhlungu obusebenzayo obungacacisiwe be-anorectal, kanye ne-proctalgia fugax.
  • I-Functional Defecation Disorders - ihlanganisa i-dyssynergic defecation kanye nokungaphumeleli kwe-defecatory propulsion.

I-Childhood Functional GI Disorders

Usana/Ujahidada (UJeffrey S. Hyams et al., 2016)

  • I-colic yengane
  • Ukuqunjelwa okusebenzayo
  • Uhudo olusebenzayo
  • I-Cyclic vomiting syndrome
  • Ukuvuselelwa kwezinsana
  • I-Infant Rumination Syndrome
  • I-dyschezia yengane

Izinkinga ze-GI ezisebenzayo ebuntwaneni:

Ingane/Intsha

  • Ukuphalaza kanye ne-Aerophagia - i-cyclic vomiting syndrome, i-adolescent rumination syndrome, kanye ne-aerophagia
  • I-Abdominal Pain-Related Functional GI Disorders zihlanganisa:
  1. i-dyspepsia esebenzayo
  2. IBS
  3. I-migraine yesisu
  4. Ubuhlungu besisu obusebenza ebuntwaneni
  5. I-Childhood functional pain syndrome yesisu
  • Ukuqunjelwa - ukuqunjelwa okusebenzayo
  • I-Incontinence - ukungahambi kahle kwe-fecal

Sifo

Nakuba indlela yaseRoma ivumela ukuhlonzwa kwe-FGDs ukuthi kusekelwe ezimpawini, umhlinzeki wezokunakekelwa kwezempilo angase enze izivivinyo zokuxilonga ezijwayelekile ukuze akhiphe ezinye izifo noma abheke izinkinga zesakhiwo ezibangela izimpawu.

Ukwelashwa

Nakuba zingekho izimpawu ezibonakalayo zesifo noma izinkinga zesakhiwo ezingase zibonakale njengezibangela izimpawu, akusho ukuthi azizona iyalapheka futhi iyalawuleka. Kubantu abasola ukuthi kungenzeka ukuthi bane-gastrointestinal disorder noma bake batholakala benesifo esisebenzayo, kuzobaluleka ukusebenzisana nomhlinzeki wezempilo ohlelweni olusebenzayo lokwelashwa. Izinketho zokwelapha zingabandakanya: (U-Asma Fikree, uPeter Byrne. 2021)

  • Ukwelapha ngokomzimba
  • Ukulungiswa kokudla okunomsoco kanye nokudla
  • Ukucindezeleka ukuphathwa
  • Ezengqondo
  • Imithi
  • I-Biofeedback

Ukudla Ngokufanele Ukuze Uzizwe Ungcono

Okubhekwayo

Black, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Ukuphazamiseka okusebenzayo kwe-gastrointestinal: intuthuko ekuqondeni nasekulawuleni. Lancet (London, England), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2

Schmulson, MJ, & Drossman, DA (2017). Yini Okusha eRoma IV. Ijenali ye-neurogastroenterology kanye ne-motility, i-23 (2), i-151-163. doi.org/10.5056/jnm16214

Sperber, AD, Bangdiwala, SI, Drossman, DA, Ghoshal, UC, Simren, M., Tack, J., Whitehead, WE, Dumitrascu, DL, Fang, X., Fukudo, S., Kellow, J., Okeke , E., Quigley, EMM, Schmulson, M., Whorwell, P., Archampong, T., Adibi, P., Andresen, V., Benninga, MA, Bonaz, B., … Palsson, OS (2021). Ukuvama Komhlaba Wonke kanye Nomthwalo Wezinkinga Ezisebenzayo Zesisu, Imiphumela ye-Rome Foundation Global Study. I-Gastroenterology, 160(1), 99–114.e3. doi.org/10.1053/j.gastro.2020.04.014

Hyams, JS, Di Lorenzo, C., Saps, M., Shulman, RJ, Staiano, A., & van Tilburg, M. (2016). Izinkinga Zokusebenza: Izingane Nentsha. I-Gastroenterology, S0016-5085(16)00181-5. Thuthukisa ukushicilelwa kwe-inthanethi. doi.org/10.1053/j.gastro.2016.02.015

U-Fikree, A., & Byrne, P. (2021). Ukuphathwa kwezinkinga ezisebenzayo ze-gastrointestinal. Imithi yokwelapha (London, England), 21(1), 44–52. doi.org/10.7861/clinmed.2020-0980

I-Nutrition Enconyiwe Yokuqunjelwa

I-Nutrition Enconyiwe Yokuqunjelwa

by | I-Gastro Intestinal Health, Amathumbu kanye Nempilo Yamathumbu

Uhlelo lokugaya ukudla luhlakaza ukudla okudliwe ukuze umzimba ukwazi ukumunca umsoco. Ngesikhathi sokugaya, izingxenye ezingadingekile zalokhu kudla ziguqulwa zibe imfucuza/indle, ekhishwa ngesikhathi sokuphuma kwamathumbu. Lapho uhlelo lokugaya luyeka ukusebenza ngendlela efanele ngenxa yezici ezinjengokushintsha kokudla, ukudla ukudla okungenamsoco, ukuntuleka kokuzivocavoca umzimba/ ukuvivinya umzimba, imithi, kanye nezimo ezithile zempilo, kungabangela ukuqunjelwa. Ukuqunjelwa kwenzeka lapho umzimba ungakwazi ukuba nokukhipha amathumbu okuvamile. I-distention, igesi, ukuqunjelwa kanye nokungakwazi ukunyakaza kwamathumbu kubangela ukucasuka nokucindezeleka, okungase ukuqunjelwa kubi. Ukufaka ukudla okunconyiwe kungasiza ukubuyisela ukunyakaza kwamathumbu okujwayelekile nokusebenza kwamathumbu.

I-Nutrition Enconyiwe Yokuqunjelwa

I-Nutrition Enconyiwe Yokuqunjelwa

Izimpawu ezinjengobuhlungu besisu, ukuqunjelwa, nokuphuma kanzima kwamathumbu zivamile. Ukudla kanye ne-hydration efanele kunendima ebalulekile empilweni yokugaya ukudla, ikakhulukazi ekudambiseni nasekuvimbeleni ukuqunjelwa. Ukudla okune-fiber ephezulu, prebiotic, kanye ne-hydration eyanele ekudleni naseziphuzweni kubalulekile ekunyakazeni kwamathumbu okunempilo.

  • I-fibre itholakala kuzinhlamvu, isitashi, izithelo nemifino.
  • Ifayibha encibilikayo nengancibiliki ibalulekile empilweni yokugaya ukudla.
  • Ukugxila ekufakeni izithelo ezine-fiber ephezulu, imifino, nokusanhlamvu.
  • Ukudla okunothe ngama-prebiotics njengokudla okubilile kuyanconywa uma uqunjelwe.

Ukudla okunconyiwe kokuqunjelwa, ngokusho kochwepheshe bokudla kuhlanganisa.

ukwatapheya

  • Ukotapheya ungabhangqwa nanoma yini nje futhi ugcwele izakhamzimba nefiber.
  • Ukwatapheya owodwa uqukethe cishe amagremu angu-13.5 wefayibha.
  • Ukwatapheya owodwa uzohlinzeka cishe uhhafu wezidingo zefiber zansuku zonke.
  • Ezinye izithelo ezine-fiber ephezulu: amapomegranati, amagwava, ama-raspberries, amajikijolo amnyama, nesithelo sothando.

Amakhiwane

  • Amakhiwane angadliwa esemasha futhi omisiwe.
  • Amakhiwane athathwa njenge-laxative futhi aboniswe ukwelapha nokunciphisa ukuqunjelwa.
  • Aqukethe ama-antioxidants, ama-polyphenols, ama-polyunsaturated fatty acids, namavithamini.
  • Ezinye izithelo ezifana nomkhiwane: amabhilikosi omisiwe, ama-prunes, nama-plums.

Ama-Plums

  • Ama-plums, ama-plums omisiwe agcwele i-fiber kanye nama-prebiotics anomphumela wemvelo we-laxative.
  • sorbitol – ushukela otholakala kuma-plums kanye nama-prunes, usebenza njenge- i-osmotic laxative egcina amanzi.
  • I-H2O eyengeziwe yenza izihlalo zithambe futhi kube lula ukudlula.
  • Amajusi wezithelo zemvelo, njengepheya, i-apula, noma i-prune ngokuvamile anqunyelwe ukuqunjelwa.
  • Ezinye izithelo ezisiza ekunyakazeni kwamathumbu: amapentshisi, amapheya, nama-apula.

I-Kefir

  • Ukudla okuvutshiwe like kefir zicebile kumabhaktheriya anenzuzo asebenza ukugcina impilo yesistimu yokugaya ukudla.
  • Ingadliwa iyodwa noma isetshenziswe kuyo ama-smoothies, ukupheka, nokubhaka zokupheka.
  • Okunye ukudla okuvutshiwe: i-kombucha, iyogathi, i-sauerkraut, i-kimchi, i-miso, kanye tempeh.

I-Oat Bran

  • I-oat bran i-oatmeal engakaze ibe nayo ummbila isusiwe.
  • I-bran iqukethe izakhi eziwusizo ezihlanganisa i-fiber, i-antioxidants, amavithamini, namaminerali.
  • I-Oat bran iqukethe i-fiber e-soluble ne-insoluble, kanye i-beta-glucan/ama-polysaccharides angenasitashi.
  • Konke kuthuthukisa ukwakheka kwama-bacteria amathumbu futhi kukhuthaze ukunyakaza kwamathumbu okunempilo.
  • Okunye okusanhlamvu okuzuzisayo: i-oatmeal, i-wheat bran, i-rye, nebhali.

Ukufaka Ukudla Okunenzuzo Yamathumbu

Ungakufaka kanjani ukudla okunconyiwe okusiza amathumbu kumenyu evamile:

Smoothie

  • Sebenzisa i-kefir noma iyogathi njengesisekelo bese ubhalansisa nezithelo ezinothe njengemango, amajikijolo aluhlaza kanye nekiwi.

Snacks

  • Hlanganisa ukudla okulula ngepuleti le-fiber nama-prebiotics.
  • Amantongomane, ushizi, ama-crackers, izithelo, neyogathi noma idiphu likakotapheya.

oatmeal

  • Zama i-oat bran ukwandisa i-fiber.
  • Fafaza isitsha se-flaxseeds, imbewu ye-chia, noma imbewu ye-hemp ukuze uthole i-fiber eyengeziwe kanye namafutha anempilo.

ephelele

  • I-yoghurt parfaits ingakhulisa izakhamzimba, ukunambitheka, kanye nokwakheka endishini.
  • Beka iyogathi oyintandokazi nge-granola, amantongomane, izithelo, nembewu.

Isitsha sokusanhlamvu

  • I-fibre etholakala kuzinhlamvu eziphelele kanye nembewu njengebhali, i-farro, ne-quinoa, isiza ukukhuthaza ukugayeka kokudla okunempilo.
  • Yenza indishi nge isisekelo sokusanhlamvu, bese ufaka iphrotheni, imifino emisha noma eyosiwe, ukwatapheya, nokugqoka.

Khuluma nochwepheshe wezokudla obhalisiwe noma omunye umhlinzeki wezempilo ukuze nixoxe ngezinketho zohlelo lokudla okunconyiwe.

Ukulinganisa Umzimba kanye Ne-Metabolism

Okubhekwayo

Arce, Daisy A et al. "Ukuhlolwa kokuqunjelwa." Udokotela womndeni waseMelika vol. 65,11 (2002): 2283-90.

Bharucha, Adil E. “Constipation.” Ukwenza okuhle nocwaningo. I-Clinical gastroenterology vol. 21,4 (2007): 709-31. doi:10.1016/j.bpg.2007.07.001

Gray, James R. “Kuyini ukuqunjelwa okungamahlalakhona? Incazelo kanye nokuxilongwa. " Ijenali yaseCanada yeGastroenterology = Ijenali Canadien de Gastroenterology vol. 25 Suppl B, Suppl B (2011): 7B-10B.

Jani, Bhairvi, Elizabeth Marsikano. "Ukuqunjelwa: Ukuhlola Nokuphatha." Missouri umuthi vol. 115,3 (2018): 236-240.

Naseer, Maliha, et al. "Imiphumela Yokwelapha Ye-Prebiotics Ekuqunjelweni: Ukubuyekezwa Okuhlelekile." I-Clinical Pharmacology yamanje vol. 15,3 (2020): 207-215. doi:10.2174/1574884715666200212125035

National Institute of Diabetes and Digestive and Kidney Diseases. Izimpawu Nezimbangela Zokuqunjelwa.

National Institute of Diabetes and Digestive and Kidney Disease. Uhlelo Lwakho Lokugaya nokuthi Lusebenza Kanjani.

Sinclair, Marybetts. "Ukusetshenziswa kwe-massage yesisu ukwelapha ukuqunjelwa okungapheli." Ijenali ye-bodywork and movement Therapies vol. 15,4 (2011): 436-45. doi:10.1016/j.jbmt.2010.07.007

Ukuqonda Ukuxhumana Kwe-Metabolic Nezifo Ezingamahlalakhona (Ingxenye 2)

Ukuqonda Ukuxhumana Kwe-Metabolic Nezifo Ezingamahlalakhona (Ingxenye 2)

by | I-Chiropractic, Ubuhlungu obungapheliyo, Izimo zenziwe, I-Gastro Intestinal Health, Amathumbu kanye Nempilo Yamathumbu, Impilo, Ukwelashwa, Ividiyo, I-Viscerosomatic Reflex, Ubuhle

Isingeniso

UDkt. Jimenez, DC, wethula ukuthi ukuxhumana okungapheli kwe-metabolic njengokuvuvukala nokumelana ne-insulin kubangela ukusabela kweketango emzimbeni kulolu chungechunge lwezingxenye ezi-2. Izinto eziningi zivame ukuba nendima empilweni nasempilweni yethu. Esethulweni sanamuhla, sizoqhubeka ngokuthi lezi zifo ezingamahlalakhona ze-metabolic zithinta kanjani izitho ezibalulekile nezitho zomzimba. Kungaholela ezicini eziyingozi ezeqinayo ezihlobene nezimpawu ezinjengobuhlungu emisipha, amalunga, nezitho ezibalulekile. Ingxenye 1 ihlole ukuthi amaphrofayili engozi agqagqene njengokumelana ne-insulin nokuvuvukala kuwuthinta kanjani umzimba futhi kubangele izimpawu ezinjengobuhlungu bemisipha namalunga. Sikhuluma ngeziguli zethu kubahlinzeki bezokwelapha abaqinisekisiwe abahlinzeka ngemithi yokwelapha etholakalayo kubantu abahlushwa yizimo ezingamahlalakhona ezihlobene nokuxhumeka kwe-metabolic. Sikhuthaza isiguli ngasinye uma kufaneleka ngokusidlulisela kubahlinzeki bezokwelapha abahlobene ngokusekelwe ekuxilongweni kwaso noma ezidingweni zaso. Siyaqonda futhi siyakwamukela ukuthi imfundo iyindlela emangalisayo lapho sibuza imibuzo ebalulekile yabahlinzeki bethu ngokwesicelo sesiguli kanye nokwazisa. UDkt. Alex Jimenez, DC, usebenzisa lolu lwazi njengenkonzo yezemfundo. Disclaimer

 

Indlela Isibindi Esihlotshaniswa Ngayo Nezifo Ze-Metabolic

Ngakho-ke singabheka esibindini ukuze sithole izimpawu zangaphambili zengozi yenhliziyo nemithambo yegazi. Singakwenza kanjani lokho? Hhayi-ke, ake siqonde i-biochemistry yesibindi. Ngakho-ke ku-hepatocyte yesibindi enempilo, lapho ukhuphule i-insulin ekhiqizwa ngenxa yokuthi kwakukhona ukudla okwakudinga ukuthi i-glucose imunce, okulindele uma i-insulin receptor isebenza ukuthi i-glucose izongena. Khona-ke i-glucose izoba ne-oxidized futhi yaphenduka amandla. Kodwa nansi inkinga. Uma i-hepatocyte inama-insulin receptors angasebenzi, unayo leyo insulin ngaphandle, futhi i-glucose ayizange ingene. Kodwa futhi okwenzeka ngaphakathi kwe-hepatocyte kwakucatshangwa ukuthi i-glucose izokwehla ngena. Ngakho-ke ekwenzayo ukucisha i-asidi enamafutha, icabange, “Madoda, asikho isidingo sokushisa ama-acid ethu anamafutha. Sine-glucose engena."

 

Ngakho-ke lapho i-glucose ingekho, futhi ungawashisi ama-acids anamafutha, kuvame kakhulu ukuthi abantu bazizwe bekhathele ngoba akukho lutho olushisa amandla. Kodwa nansi i-sequela yesibili; ayaphi wonke lawo ma-acids anamafutha, akunjalo? Nokho, isibindi singase sizame ukuwapakisha kabusha njengama-triglyceride. Ngezinye izikhathi, bahlala ku-hepatocyte noma bakhishwe esibindini baye egazini njenge-VLDL noma i-low-density lipoprotein. Ungakubona njengokushintshwa okuphezulu kwe-triglyceride kuphaneli ye-lipid ejwayelekile. Ngakho-ke, lapho sonke sikhuluma ngokuthola izinga le-triglyceride lifinyelele cishe ku-70 njengomgomo wakho ongu-8+, lapho ngiqala ukubona ama-triglycerides enyuka, siyalinda aze abe ngu-150, nakuba lokho kuwukunqamuka kwamalebhu ethu. Uma siyibona ku-150, siyazi ukuthi ikhipha ama-triglycerides esibindi.

 

Ngakho-ke lokho kuzokwenzeka izikhathi eziningi ngaphambi kokuthi sithole i-glucose yokuzila ekhubazekile. Ngakho-ke bheka ama-triglycerides akho, i-triglycerides yokuzila ukudla, njenge-biomarker evelayo noma yokuqala yokungasebenzi kahle kwe-insulin. Ngakho-ke lona omunye umdwebo othi uma ama-triglycerides enziwa ngenxa yokuthi ama-fatty acids enziwa i-oxidized, angahlala esibindi. Bese lokho kwenza i-steatosis noma isibindi esinamafutha, noma zingaphushelwa ngaphandle, bese ziphenduka ama-lipoprotein. Sizokhuluma ngalokho ngomzuzwana nje. Umzimba ufana nokuthi, "Sizokwenzenjani ngalawa ma-acids anamafutha?" Ngeke sizame ukubahlohla ezindaweni ngoba akekho ozifunayo. Kulelo qophelo, isibindi sifana nokuthi, “Angizifuni, kodwa ngizozigcinela ezinye.” Noma isibindi sasingathutha la ma-acids anamafutha futhi anamathele ezindongeni zemithambo yegazi.

 

Bese kuthi-ke imithambo yegazi nemithambo kufana nokuthi, “Awu, angikufuni; Ngizowafaka ngaphansi kwe-endothelium yami.” Futhi ngaleyo ndlela uthola i-atherogenesis. Imisipha ifana nokuthi, “Angiyifuni, kodwa ngizoyithatha.” Ngaleyo ndlela uthola ama-fatty streaks emisipha yakho. Ngakho-ke lapho isibindi sigcwala i-steatosis, ukuvuvukala kwenzeka emzimbeni futhi kukhiqiza lo mjikelezo wokuya phambili ngaphakathi kwe-hepatocyte, okulimaza isibindi. Uthola ukufa kwamangqamuzana; uthola i-fibrosis, okuwukunwebeka nje kwalokho okwenzekayo lapho singazixazululi izinkinga eziyinhloko zesibindi esinamafutha: ukuvuvukala nokungazweli kwe-insulin. Ngakho-ke, sibheka ukukhuphuka okucashile ku-AST, ALT, ne-GGT; khumbula ukuthi iyi-enzyme esekelwe esibindini.

 

Ama-Hormone Enzymes & Ukuvuvukala

Ama-enzyme e-GGT esibindini ayizitholi zentuthu futhi asitshele ukuthi kungakanani ingcindezi ye-oxidative eqhubekayo. Ingabe sizobheka i-HSCRP ne-APOB ukuze sibone ukuphuma kwalesi sibindi? Ingabe iqala ukulahla ama-acid anamafutha amaningi nge-VLDL, i-APOB, noma i-triglycerides? Futhi ukuthi ukhetha kanjani lokho kuwufuzo nje, ngokweqiniso. Ngakho ngibheka omaka besibindi ukuze bangitshele ukuthi kwenzekani esibindini njengophawu lwalokho okwenzeka yonke indawo. Ngenxa yokuthi lokho kungase kube indawo ebuthakathaka yofuzo lomuntu, abanye abantu basengozini ngokofuzo ngokuya ngamaphrofayili abo e-lipid. Kulelo qophelo, singabheka okuthile okubizwa ngokuthi i-metabolic dyslipidemia. Uyazi lokhu njengama-triglycerides aphezulu kanye ne-HDL ephansi. Ungabheka ngokuqondile isilinganiso; ibhalansi elilungile kuthathu nangaphansi. Iqala ukusuka kokuthathu kuye kweyisihlanu bese kuthi emihlanu iye kweyisishiyagalombili, njengesishiyagalombili icishe ibe yi-pathognomonic yokumelana ne-insulin. Usufinyelela ekungazweni ne-insulin ngokwandayo.

 

Njengoba inombolo ikhula kuleyo trig ngaphezu kwesilinganiso se-HDL, leyo yindlela elula, elula yokuhlolelwa ukumelana ne-insulin. Manje abanye abantu babheka i-3.0 kulokhu kodwa basenakho ukumelana ne-insulin. Ngakho kukhona ezinye izivivinyo ozenzayo. Lena indlela yokuthola labo abakhombisa ukumelana ne-insulin ngama-lipids. Futhi khumbula, wonke umuntu uhlukile. Abesifazane abane-PCOS bangaba nama-lipids amangalisayo kodwa bangaveza ukwanda noma ukuncipha kwamahomoni ahlobene ne-insulin, i-estrogen, nokuvuvukala. Ngakho-ke bheka okuthile ngaphandle kokuhlola okukodwa noma isilinganiso ukuze ubonise ukuthi bakutholile yini. Ubheke ukubona ukuthi iyiphi indawo lapho sizothola khona umkhondo.

 

Ngakho-ke masisebenzise igama elithi impilo. Umuntu ophile kahle une-VLDL ebukeka ingusayizi ovamile onempilo emizimbeni yakhe, futhi une-LDL ne-HDL evamile. Kepha manje bheka ukuthi kwenzekani lapho uthola ukumelana ne-insulin. Lawa ma-VLDL ls aqala ukupompa ama-triglycerides. Yingakho bekhuluphala. I-lipotoxicity. Ngakho-ke uma uqala ukubheka izinombolo ezintathu ze-VLDL kuphrofayili ye-lipoprotein, uzobona ukuthi lelo nani liyakhasa, futhi ziningi, futhi ubukhulu bazo bukhulu. Manje nge-LDL, okwenzekayo ukuthi inani le-cholesterol ngaphakathi nangaphansi liyafana. Uma ngikhipha wonke lawa mabhaluni amanzi, yinani elifanayo le-cholesterol ye-LDL. Kodwa-ke, lelo nani le-cholesterol ye-LDL ekumelaneni ne-insulin liphinde lipakishwe ku-LDL encane eminyene.

 

Imithi Esebenzayo Idlala Kanjani Ingxenye Yayo?

Manje sesiyaqonda ukuthi kungenzeka ukuthi kukhona abanye benu abangakwazi noma abangakwazi ukufinyelela kulokhu kuhlolwa, noma iziguli zenu azikwazi ukukukhokhela, yingakho siphendule imibuzo futhi sabheka eminye imikhondo yokumelana ne-insulin futhi selaphe umsuka we-insulin. ezithinta umzimba. Bheka izimpawu zokuvuvukala namanye amaphrofayili agqagqene wokumelana ne-insulin. Inombolo yezinhlayiyana iphezulu uma iphikisana ne-insulin. Ngakho-ke i-cholesterol iyafana, kuyilapho inombolo yezinhlayiyana iphakeme kakhulu, futhi i-LDL encane eminyene i-atherogenic. Yelaphe ngoba kungakhathaliseki ukuthi uyakwazi noma cha ukwazi izinhlayiyana ze-LDL, kufanele kube nokuthile ekhanda lakho okusho ukuthi, “Ndoda, nakuba i-cholesterol ye-LDL yalomuntu ibonakala iyinhle, banamathani okuvuvukala kanye nokumelana ne-insulin; Anginaso isiqiniseko sokuthi abanayo inombolo ephezulu yezinhlayiyana.” Ungase ucabange ukuthi benza lokhu ukuze nje baphephe.

 

Enye into eyenzekayo ekumelaneni ne-insulin ukuthi i-HDL noma i-cholesterol enempilo ivame ukuba yincane. Ngakho-ke lokho akukuhle kakhulu ngoba umthamo we-efflux we-HDL uyancipha uma umncane. Ngakho-ke sithanda i-HDL enkulu, uma uthanda. Ukufinyelela kulezi zivivinyo kuzokunikeza inkomba eqinile yokuthi kwenzakalani ngesiguli sakho ngokombono we-cardiometabolic.

 

Uma kukhulunywa ngalokhu kuhlolwa, kubalulekile ukuzisebenzisa ukuze kutholwe umugqa wesikhathi wesiguli uma sinokuvuvukala noma ukumelana ne-insulin emizimbeni yaso, okuthinta izinga lempilo yaso. Kodwa-ke, abantu abaningi bavame ukuveza ukuthi lezi zivivinyo ziyabiza futhi zizohambisana nezinga legolide lokuhlola ukuze bakwazi ukuthengeka futhi bakwazi ukunquma ukuthi kuyafaneleka yini ukwenza ngcono impilo nempilo yabo.

 

Bheka Amaphethini Engozi Ye-Cardiometabolic

Ngakho-ke uma kukhulunywa ngamaphethini we-cardiometabolic risk factor, sibheka isici se-insulin nokuthi sihlobana kanjani nokungasebenzi kahle kwe-mitochondrial okuhambisana nokungazweli kwe-insulin nokuvuvukala. Isihloko socwaningo sisho ukuthi ukungasebenzi kahle kwe-mitochondrial kungawuthinta kanjani umzimba. Kulungile, ake sikhulume ngodaba lokuqala, okuwudaba lwenani. Okukodwa kungaba ama-endotoxin esihlangana nawo endaweni yethu, noma amabili; kungadluliselwa ngofuzo kusuka esizukulwaneni kuya kwesinye. Ngakho-ke lezi zinhlobo ezimbili zingakhombisa ukuthi awunayo i-mitochondria eyanele. Ngakho-ke leyo yinkinga yenani. Enye inkinga ukuthi inkinga yekhwalithi. Unenqwaba yazo; azisebenzi kahle, ngakho-ke azinawo umphumela ophezulu noma okungenani imiphumela evamile. Manje lokhu kudlala kanjani emzimbeni? Ngakho-ke emaphethelweni, izicubu zakho, ama-adipocyte, nesibindi, une-mitochondria kulawo maseli, futhi kuwumsebenzi wawo ukunika amandla lowo khiye nokunyakazisa. Ngakho-ke uma i-mitochondria yakho isenomboloni elungile, unokuningi ongakunika amandla isikhiya se-insulin ye-cascade kanye nokunyakaza.

 

Kuyathakazelisa, akunjalo? Ngakho-ke nakhu ngamafuphi, uma ungenayo i-mitochondria eyanele, okuyinkinga endaweni ezungezile, uthola ukumelana ne-insulin ngoba ukukhiya nokugegetheka akusebenzi kahle. Kodwa uma ungenayo i-mitochondria esebenza kahle kumanyikwe, ikakhulukazi kuseli ye-beta, awukhiphi i-insulin. Ngakho-ke usathola i-hyperglycemia; awunaso isimo se-insulin esiphezulu. Uma lokhu kwenzeka, siyazi ukuthi ubuchopho bakho kufanele bube buhlungu, kodwa ngethemba ukuthi buzohlangana kancane.

 

Esinye isihloko sithi sixhumanisa ukungasebenzi kahle kwe-mitochondrial nesifo sikashukela sohlobo lwesibili, futhi ukungondleki kahle komama kungakusiza. Lona ukhuluma ngokuthi isibindi esinamafutha sihlotshaniswa kanjani ne-lipotoxicity, akunjalo? Yilokho ukwanda okunamafutha acid, kanye nokucindezeleka okwenziwe nge-oxidative, okuyinto, khumbula, kungumphumela wokuvuvukala. Ukuncipha kwe-ATP kanye nokungasebenzi kahle kwe-mitochondrial. Uma lokhu kwenzeka, kungathinta isibindi, esibe sesiphenduka isibindi esinamafutha, futhi singahlotshaniswa nokungasebenzi kahle kwamathumbu, okuholela ekuvuvukeni okungapheli, ukumelana ne-insulin ephakeme, ukungasebenzi kahle kwe-mitochondrial, nokunye okuningi. Lezi zifo ezingapheli ze-metabolic zixhumene, futhi kunezindlela zokunciphisa lezi zimpawu ekuthinteni umzimba.

 

Isiphetho

Lapho zixoxa nodokotela bazo, iziguli eziningi ziyazi ukuthi abashayeli abafanayo bathinta inqwaba yezinye izinhlobo ze-phenotype, zonke ezivame ukubangelwa ukuvuvukala, i-insulin nobuthi. Ngakho-ke lapho abantu abaningi beqaphela ukuthi lezi zici ziyimbangela eyinhloko, odokotela bazosebenza nabahlinzeki bezokwelapha abaningi abahlobene ukuze benze izinhlelo zokwelashwa ezisebenzayo eziqondene nomuntu. Ngakho-ke khumbula, ngaso sonke isikhathi kufanele usebenzise umugqa wesikhathi kanye ne-matrix uhlobo lokusiza ukuthi wazi ukuthi uqala kuphi ngalesi siguli, futhi kwabanye abantu, kungenzeka ukuthi uzoshintsha kancane indlela yokuphila ngoba konke bakwenza. Ukushintsha isibalo semizimba yabo. Ngakho-ke kungenye yezibusiso zomuthi osebenzayo ukuthi sikwazile ukuvala ukuvuvukala emathunjini, okusiza ukwehlisa umthelela onobuthi osinda esibindini. Iphinde ivumele umuntu ukuthi athole ukuthi yini esebenzayo noma engasebenzi ngemizimba yakhe futhi athathe lezi zinyathelo ezincane zokuthuthukisa impilo yakhe.

 

Sithemba ukuthi unamehlo amasha mayelana nokuvuvukala, i-insulin, kanye nobuthi nokuthi kumsuka kanjani wezimo eziningi iziguli zakho ezibhekene nazo. Futhi kanjani ngokusebenzisa indlela yokuphila elula kakhulu nephumelelayo kanye nokungenelela kokudla okunomsoco, ungashintsha lokho kusayina futhi uguqule inkambo yezimpawu zabo namuhla kanye nezingozi abanazo kusasa.

 

Disclaimer

Ukuqonda Ukuxhumana Kwe-Metabolic Nezifo Ezingamahlalakhona (Ingxenye 2)

Ukuxhumana Kwe-Metabolic Phakathi Kwezifo Ezingamahlalakhona (Ingxenye 1)

by | I-Chiropractic, Ubuhlungu obungapheliyo, Izimo zenziwe, I-Gastro Intestinal Health, Amathumbu kanye Nempilo Yamathumbu, Impilo, Ukwelashwa, Ividiyo, I-Viscerosomatic Reflex, Ubuhle

Isingeniso

UDkt Alex Jimenez, DC, wethula ukuthi ukuxhumana kwe-metabolic kubangela kanjani ukusabela kweketanga ezifweni ezinkulu ezingapheli kulolu chungechunge lwezingxenye ezimbili. Izinto eziningi zivame ukuba nendima empilweni nasempilweni yethu. Kungaholela ezicini eziyingozi ezeqinayo ezihlobene nezimpawu ezinjengobuhlungu emisipha, amalunga, nezitho ezibalulekile. Ingxenye 2 izoqhubeka nesethulo mayelana nokuxhumana kwe-metabolic nezifo ezinkulu ezingamahlalakhona. Sikhuluma ngeziguli zethu kubahlinzeki bezokwelapha abaqinisekisiwe abahlinzeka ngemithi yokwelapha etholakalayo kubantu abahlushwa yizimo ezingamahlalakhona ezihlobene nokuxhumeka kwe-metabolic. Sikhuthaza isiguli ngasinye uma kufaneleka ngokusidlulisela kubahlinzeki bezokwelapha abahlobene ngokusekelwe ekuxilongweni kwaso noma ezidingweni zaso. Siyaqonda futhi siyakwamukela ukuthi imfundo iyindlela emangalisayo lapho sibuza imibuzo ebalulekile yabahlinzeki bethu ngokwesicelo sesiguli kanye nokwazisa. UDkt. Jimenez, DC, usebenzisa lolu lwazi njengenkonzo yokufundisa. Disclaimer

 

Ukuthi Ukuvuvukala Kuwuthinta Kanjani Umzimba

UDkt. Alex Jimenez, DC, wethula: Ngakho-ke lapha uneqoqo lama-adipocyte azacile ngakwesobunxele, bese kuthi lapho eqala ukugcwala ngesisindo esengeziwe samangqamuzana, ungabona lawoma-macrophage, ama-boogies aluhlaza eza ebuka, ethi, “Heyi, kwenzekani lapha? Akubukeki kulungile.” Ngakho bayaphenya, futhi lokhu kubangela ukufa kwamangqamuzana endawo; kuyingxenye nje ye-cascade evuthayo. Ngakho kukhona futhi enye indlela eyenzekayo lapha. Lawo ma-adipocyte awagcini nje ngokuwohloka ngengozi; kuvame ukuhlobana ne-calorie surfette. Ngakho-ke lokhu kugcwala kwezakhamzimba kulimaza i-endoplasmic reticulum, okuholela ekuvuvukeni okwengeziwe. Lokho amangqamuzana nama-adipocyte azama ukukwenza ukuzivikela ku-glucose kanye ne-lipo toxicity.

 

Futhi lonke ingqamuzana, ingqamuzana le-adipocyte, lidala lezi zikepisi ezizama ukuthi, “Ngicela niyeke, ngeke sisakwazi ukuthatha i-glucose, ngeke sisakwazi ukuthatha amanye ama-lipids.” Kuyindlela yokuvikela eyaziwa ngokuthi ukumelana ne-insulin. Akuyona nje into ethize eyenzekayo. Kuyindlela yomzimba yokuzama ukuvimbela i-glucose kanye ne-lipotoxicity. Manje njengoba i-alamu yokuvuvukala yenzeka ngaphezu nje kwe-adipocyte, iqala ukuhleleka. Ezinye izicubu nezitho seziqala ukuzwa umthwalo ofanayo we-calorie surfette, okubangela ukuvuvukala nokufa kwamaseli. Ngakho-ke i-glucose kanye ne-lipotoxicity kubukeka njengesibindi esinamafutha uma usebenza nesibindi. Futhi ungaba nayo njengoba nje isibindi esinamafutha siqhubekela ku-cirrhosis nokufa kwe-hepatocyte. Indlela efanayo eyenzekayo kumaseli emisipha. Ngakho-ke amangqamuzana ethu emisipha yamathambo abona ngokuqondile ukufa kweseli ngemva kokuvuvukala futhi abone ukufakwa kwamafutha.

 

Indlela engcono kakhulu yokucabanga ngakho, isibonelo, izinkomo ezikhuliselwe ukudliwa kanye nendlela ezifakwe ngayo imabula. Ngakho-ke lokho kubeka amafutha. Futhi kubantu, ungacabanga ukuthi abantu baba kanjani i-sarcopenic njengoba beya ngokuya bengezwani ne-insulin. Kuyinto efanayo lapho izicubu zomzimba zizama ukuzivikela ku-glucolipotoxicity, okubangela impendulo yendawo yokuvuvukala. Iba impendulo ye-endocrine lapho iqala ukukhomba ezinye izicubu ezisezindaweni ezizungezile, kungakhathaliseki ukuthi isibindi, imisipha, ithambo, noma ubuchopho; yinoma yini eyenzekayo; baku-visceral adipocyte okungenzeka kwezinye izicubu. Ngakho-ke lowo umphumela wakho we-paracrine. Futhi-ke kungaba yigciwane, uma uthanda.

 

Ukuvuvukala Okuhlobene Nokumelana Ne-insulin

UDkt. Alex Jimenez, DC, wethula: Uthola le mpendulo yasendaweni neyesistimu evimbela ukuvuvukala ehambisana nokumelana ne-insulin, ubuyela kule ndlela yokuvikela ngokumelene neglucose kanye ne-lipotoxicity. Lapha ubona ukuthi imithambo yegazi emithanjeni yethu ibambeka kanjani ku-loop yokufa kwamafutha kanye nokufa kwamangqamuzana. Ngakho-ke uzobona imithambo yegazi evuzayo kanye namadiphozithi anamafutha, futhi uzobona umonakalo kanye ne-pro-atherogenesis. Manje, lena into esiyichazile ku-AFMCP yemojula ye-cardiometabolic. Futhi leyo yi-physiology ngemuva kwe-insulin receptor. Lokhu kwaziwa ngelesu lokukhiya kanye ne-jiggle. Ngakho-ke kufanele ube ne-insulin ekhiyelwe ku-insulin receptor phezulu phezulu., eyaziwa ngokuthi isikhiya.

 

Bese kuba khona i-phosphorylation cascade ebizwa ngokuthi i-jiggle ebese idala lokhu kugeleza okubangela ukuthi imigudu ye-glucose-4 ivule ama-glucose-4 receptors ukuthi angene engqamuzaneni ukuze kube yi-glucose, esuke isetshenziselwa amandla. ukukhiqizwa kwe-mitochondria. Kunjalo, ukumelana ne-insulin yilapho leyo receptor inganamatheli noma ingasabeli. Futhi ngakho-ke awugcini nje ngokuhluleka ukufaka i-glucose engqamuzaneni ukuze ukhiqize amandla, kodwa futhi unikeza isimo se-hyperinsulini emaphethelweni. Ngakho-ke uthola i-hyperinsulinemia kanye ne-hyperglycemia kule nqubo. Pho singenzani ngalokho? Nokho, imisoco eminingi ikhonjisiwe ithuthukisa ukukhiya kanye nokunyakazisa izinto ezingathuthukisa izithuthi ze-glucose-4 eziza ngasemaphethelweni.

 

Izithako Ezilwa Nokuvuvukala Zehlisa Ukuvuvukala

UDkt. Alex Jimenez, DC, wethula: Ubona lezi ezibalwe lapha: i-vanadium, i-chromium, isinamoni i-alpha lipoic acid, i-biotin, nomunye umdlali osanda kuqhathaniswa, i-berberine. I-Berberine iyi-botanical engadambisa zonke izimpawu eziyinhloko zokuvuvukala. Ngakho-ke yini eyandulela lezi zinto ezihambisanayo kaningi kanye nokungasebenzi kahle kwe-insulin. Yebo, yini eyandulela ukungasebenzi kahle kwe-insulin izikhathi eziningi? Ukuvuvukala noma ubuthi. Ngakho-ke uma i-berberine isiza udaba lokuqala lokuvuvukala, izobhekana nokumelana ne-insulin engezansi kanye nazo zonke izifo ezingenzeka. Ngakho-ke cabangela i-berberine njengenketho yakho. Ngakho-ke futhi, lokhu kukubonisa ukuthi uma unganciphisa ukuvuvukala phezulu lapha phezulu, unganciphisa imiphumela eminingi ye-cascade ezansi nomfula. I-Berberine ibonakala isebenza ngokukhethekile kungqimba lwe-microbiome. Ilungisa i-gut microbiota. Kungase kudale ukubekezelelana kwamasosha omzimba, ngakho-ke kunganikezeli ukuvuvukala okungako.

 

Ngakho-ke bheka i-berberine njengelinye lamathuluzi ongawasebenzisa ukusekela ukungasebenzi kahle kwe-insulin kanye nezifo ezihambisana nokumelana ne-insulin. I-Berberine ibonakala inyusa ukubonakaliswa kwe-insulin receptor, ngakho-ke ukukhiya nokusebenza kahle kakhulu futhi kuthuthukise i-cascade ngezithuthi ze-glucose-4. Leyo yindlela eyodwa ongaqala ngayo ukuthola umsuka wezimo eziningi esixoxile ngazo lapho ubona i-paracrine kanye nobuthi be-endocrine glucose, ukulimala kwesitho se-lipotoxicity. Manje enye indlela okufanele uyicabangele ukusebenzisa i-NF kappa B. Ngakho-ke umgomo uwukugcina i-NF kappa B iqinile ngoba inqobo nje uma ingagudluki, izimpawu eziningi zokuvuvukala azibangeli.

 

Ngakho inhloso yethu wukugcina iNF kappa B iqinile. Singakwenza kanjani lokho? Nokho, singasebenzisa ama-NF kappa B inhibitors. Ngakho-ke kulesi sethulo sezinketho zokwelapha zanoma yiziphi izifo ezihambisana nokungasebenzi kahle kwe-insulin, kunezindlela eziningi zokunciphisa lezi zimo ezeqayo ezithinta imizimba yethu. Ngakho-ke ungathinta ngokuqondile ukumelana ne-insulin ngokusebenzisa izithasiselo ezilwa nokuvuvukala noma usize ngokungaqondile ukumelana ne-insulin noma ukungasebenzi kahle kwe-insulin ngokufaka izinto ngokumelene nokuvuvukala. Imbangela uma ukhumbula, ukungasebenzi kahle kwe-insulin yikho okubangela zonke lezo zinkinga. Kepha okubangela ukungasebenzi kahle kwe-insulin ngokuvamile ukuvuvukala noma ubuthi. Ngakho-ke inhloso yethu wukubhekana nezinto ezikhuthaza ukuvuvukala. Ngoba uma singakwazi ukubhekana nezinto ezivusa ukuvuvukala futhi sinciphise ukungasebenzi kahle kwe-insulin kuhlumela, singanqanda wonke umonakalo wesitho esingezansi noma ukungasebenzi kahle kwesitho.

 

Ukunciphisa Ukuvuvukala Emzimbeni

UDkt. Alex Jimenez, DC, wethula: Masiqhubekele esigabeni esilandelayo ongasisebenzisa noma unciphise ukuvuvukala nokulimala kwesobho le-insulin uma uthanda, ukuthi izakhi zofuzo zigeze emzimbeni. Lona ozovame ukuzwa kuphrezentheshini yethu, futhi lokho kungenxa yokuthi, empeleni, emithini esebenzayo, sisiza ukulungisa amathumbu. Ngokuvamile yilapho udinga ukuya khona. Futhi lena yi-pathophysiology yokuthi kungani sikwenza lokho emuthini we-cardiometabolic. Ngakho-ke uma unokudla okungekuhle noma okudabukisayo, lokho kudla kwesimanje kwasentshonalanga okunamafutha amabi, kuzolimaza ngqo i-microbiome yakho. Lolo shintsho ku-microbiome lunganikeza ukwanda kwamathumbu emathunjini. Futhi manje ama-lipopolysaccharides angadlulisela noma avuze egazini. Kulelo qophelo, amasosha omzimba athi, “Hhayi-ke, mngane. Akufanele ube lapha.” Unalawa ma-endotoxins lapho, futhi manje kunempendulo yasendaweni nesistimu yokuvuvukala yokuthi ukuvuvukala kuzoqhuba ukungasebenzi kahle kwe-insulin, okuzodala ukuphazamiseka kwe-metabolic okuza ngemuva kwalokho.

 

Noma ngabe yini umuntu athambekele kuyo ngokofuzo, ichofozwa ku-epigenetically. Ngakho-ke khumbula, uma ukwazi ukuqeda ukuvuvukala ku-microbiome, okusho ukuthi udale le microbiome ebekezelela futhi eqinile, unganciphisa ithoni yokuvuvukala yomzimba wonke. Futhi uma unciphisa lokho, kubonisiwe ukuthi ibeka ukuzwela kwe-insulin. Ngakho-ke lapho ukuvuvukala kuphansi, kuyanda ukuzwela kwe-insulin okuhlobene ne-microbiome. Ngokumangazayo, kukhonjisiwe ukuthi ama-probiotics ahlotshaniswa nokuzwela kwe-insulin okuthuthukisiwe. Ngakho-ke ama-probiotics alungile azodala ukubekezelelana komzimba. Amandla e-Microbiome nokuguquguquka kwenzeka ngama-probiotics. Ngakho-ke ukuzwela kwe-insulin kuyalondolozwa noma kutholwa kabusha ngokuya ngokuthi ukuphi. Ngakho-ke sicela ucabangele lokho njengenye indlela engaqondile noma inketho yokwelapha yokuthuthukisa impilo ye-cardiometabolic ezigulini.

 

probiotics

UDkt. Alex Jimenez, DC, wethula: Ngakho-ke uma kuziwa kuma-probiotics, sizowasebenzisa kumuntu okungenzeka ngesikhathi esifanayo abe nesifo samathumbu esicasulayo noma ongawamukeli ukudla. Singase sikhethe ama-probiotics ngaphezu kwama-NF kappa B inhibitors uma nawo anezinkinga zokumelana ne-insulin. Kodwa uma benezinkinga eziningi ze-neurocognitive, singase siqale nge-NF kappa B. Ngakho, yileyo ndlela onganquma ngayo ukuthi yiziphi ongakhetha. Manje, khumbula, lapho ukhuluma neziguli, kubalulekile ukuxoxa ngokuthi imikhuba yazo yokudla ibangela kanjani ukuvuvukala emizimbeni yazo. Kubalulekile futhi ukuqaphela ukuthi akuyona nje ingxoxo yekhwalithi; kuyingxoxo yobuningi kanye nengxoxo yokuzivikela komzimba.

 

Lokhu kukukhumbuza ukuthi uma ulungisa amathumbu ngokuwondla kahle futhi unciphisa ithoni yawo yokuvuvukala, uthola inqwaba yezinye izinzuzo zokuvimbela; uyeka noma okungenani unciphise amandla okungasebenzi kahle. Futhi uyabona ukuthi, ekugcineni kunganciphisa ingozi enqwabelanayo yokukhuluphala, isifo sikashukela, kanye nesifo se-metabolic. Sizama ukufundisa ukuthi i-metabolic endotoxemia, noma ukuphatha nje i-microbiome, iyithuluzi elinamandla lokusiza iziguli zakho ezingazweli ku-insulin noma ze-cardiometabolic. Idatha eningi isitshela ukuthi asikwazi nje ukwenza ingxoxo mayelana nokudla ngendlela efanele kanye nokuzivocavoca.

 

Kungaphezu kwalokho. Ngakho-ke lapho singakwazi ukuthuthukisa i-gut microbiota, singashintsha izimpawu zokuvuvukala ngokudla okufanele, ukuvivinya umzimba, ukulawula ukucindezeleka, ukulala, zonke ezinye izinto ebesikhuluma ngazo, nokulungisa izinsini namazinyo. Uma ukuvuvukala kunciphile, kuyancipha ukungasebenzi kahle kwe-insulin futhi, ngakho-ke, yonke leyo miphumela yezifo ezansi nomfula iyancipha. Ngakho-ke esifuna ukuqiniseka ukuthi uyakwazi ukuya emathunjini futhi uqiniseke ukuthi i-gut microbiome ijabule futhi iyabekezelela. Kungenye yezindlela ezinamandla kakhulu zokuthonya i-cardiometabolic phenotype enempilo. Futhi eceleni, nakuba bekuyinto enkulu eminyakeni eyishumi edlule, amaswidi okwenziwa angewona amakhalori enza njengoba engase angabi nawo ama-calorie. Futhi ngakho-ke abantu bangahle bakhohliswe ukuthi bacabange ukuthi ushukela onguziro.

 

Kodwa nansi inkinga. Lawa ma-sweeteners okwenziwa angaphazamisa ukwakheka kwe-microbiome enempilo futhi afake izinhlobo ezimbili ze-phenotypes. Ngakho-ke, noma ucabanga ukuthi uthola inzuzo ngaphandle kwama-calories, uzokwandisa ingozi yakho yesifo sikashukela ngomphumela waso ku-gut microbiome. Kulungile, Sesiphumelele kunhloso eyodwa. Ngethemba ukuthi ufunde ukuthi i-insulin, ukuvuvukala, i-adipokines, nazo zonke ezinye izinto ezenzeka ekuphenduleni kwe-endocrine zithinta izitho eziningi. Ngakho-ke manje ake siqale ukubheka izimpawu zobungozi ezivelayo. Kulungile, sikhulume kancane nge-TMAO. Futhi, lowo kusengumqondo ofanelekile lapha wokulwa namathumbu kanye nokumelana ne-insulin. Ngakho-ke sifuna ukwenza isiqiniseko sokuthi ubheka i-TMAO hhayi njengokuphela konke kodwa njengenye i-biomarker evelayo engakunikeza umkhondo mayelana nempilo ye-microbiome ngokujwayelekile.

 

Ifuna Omaka Abavuvukalayo

UDkt. Alex Jimenez, DC, wethula: Sibheka i-TMAO ephakeme ukusiza isiguli siqaphele ukuthi sishintshe imikhuba yaso yokudla. Isikhathi esiningi, sisiza iziguli ukunciphisa amaprotheni ezilwane ezingenampilo futhi zandise imisoco yazo esekelwe ezitshalweni. Ngokuvamile ukuthi bangaki odokotela abayisebenzisayo ekusebenzeni kwezokwelapha okujwayelekile. Kulungile, manje enye i-biomarker evelayo, kulungile, futhi kuzwakala kuhlekisa ukuyibiza ngokuthi ivela ngoba ibonakala isobala, futhi leyo yi-insulin. Izinga lethu lokunakekela liphakathi nendawo phakathi kwe-glucose, i-glucose yokuzila, ku-glucose yethu yangemva kokudla i-A1C njengesilinganiso sikashukela. Siyi-glucose emaphakathi kakhulu futhi sidinga i-insulin njenge-biomarker evelayo uma sizama ukuvikela nokuthatha isinyathelo ngokushesha.

 

Futhi njengoba ukhumbula, izolo sikhulume ukuthi i-insulin yokuzila ukudla ezansi kwekota yokuqala yereferensi ye-insulin ezila ukudla ingaba lapho ofuna ukuya khona. Futhi kithi e-US, lokho kuvame ukuba phakathi kwesihlanu nesikhombisa njengeyunithi. Ngakho-ke qaphela ukuthi lokhu kuyi-pathophysiology yohlobo lwesibili lwesifo sikashukela. Ngakho-ke uhlobo lwesibili lwesifo sikashukela singenzeka ngenxa yokumelana ne-insulin; kungase futhi kwenzeke kusukela ezinkingeni ze-mitochondrial. Ngakho-ke i-pathophysiology yohlobo lwesibili lwesifo sikashukela kungenzeka ukuthi amanyikwe akho awakhiqizi i-insulin eyanele. Ngakho-ke futhi, lena yilowo 20% omncane esikhuluma ngawo iningi labantu abathola isifo sikashukela sohlobo lwesibili; ibangelwa ukumelana ne-insulin, njengoba singasola, enkingeni ye-hyper insulin. Kepha kukhona leli qembu labantu elilimaze i-mitochondria, futhi alikhiphi i-insulin.

 

Ngakho-ke ushukela wabo wegazi uyakhuphuka, futhi bathola isifo sikashukela sohlobo lwesibili. Kulungile, khona-ke umbuzo uwukuthi, uma kunenkinga ngamaseli e-pancreatic beta, kungani kunenkinga? Ingabe i-glucose iyenyuka ngenxa yokuthi izicubu azikwazi ukumelana ne-insulin, ngakho-ke ayikwazi ukuthatha futhi ilethe i-glucose? Ngakho-ke ingabe yisibindi esimelana ne-insulin esibindini esingakwazi ukufaka i-glucose ukuze sibe namandla? Kungani le glucose igijima egazini? Yilokho okushiwo yilokhu. Ngakho indima yokunikela, kufanele ubheke ama-adipocyte; kufanele ubheke i-visceral adiposity. Kufanele ubone ukuthi ingabe lo muntu uyisisusa esikhulu sokuvuvukala kwesisu. Yini esingayenza ukuze sinciphise lokho? Ingabe ukuvuvukala kuvela ku-microbiome?

 

Isiphetho

UDkt. Alex Jimenez, DC, wethula: Ngisho nezinso zingabamba iqhaza kulokhu, akunjalo? Njengokuthi mhlawumbe izinso zikhuphule ukumuncwa kabusha kweglucose. Kungani? Kungenzeka yini ukuthi kungenxa yengcindezi ye-oxidative efike ezinso, noma kungaba ku-axis ye-HPA, i-hypothalamus pituitary adrenal axis lapho uthola khona le mpendulo ye-cortisol kanye nale mpendulo yesistimu yezinzwa enozwela edala ukuvuvukala futhi ishayele i-insulin yegazi futhi ukuphazamiseka kashukela egazini? Engxenyeni yesi-2, sizokhuluma lapha ngesibindi. Isidlali esivamile kubantu abaningi, ngisho noma bengenaso isifo sesibindi esinamafutha; ngokuvamile isidlali esicashile nesivamile kubantu abanenkinga ye-cardiometabolic. Ngakho-ke khumbula, sine-visceral adiposity ebangela ukuvuvukala kanye nokungazweli kwe-insulin nge-atherogenesis, futhi isibindi sifana nalesi sibukeli esingenacala esibanjwe emdlalweni. Kwenzeka ngaphambi kokuba ngezinye izikhathi i-atherogenesis iqale.

 

Disclaimer

Inqubo Yokugaya: Umtholampilo Osebenzayo Osemuva Wemithi

Inqubo Yokugaya: Umtholampilo Osebenzayo Osemuva Wemithi

by | I-Gastro Intestinal Health, Amathumbu kanye Nempilo Yamathumbu

Umzimba udinga ukudla okuphehla uphethiloli, amandla, ukukhula nokulungisa. Inqubo yokugaya ihlukanisa ukudla kube uhlobo umzimba ongalumunca bese ulisebenzisela uphethiloli. Ukudla okuphukile kungena egazini kusuka emathunjini amancane, bese imisoco iyiswa kumaseli kuwo wonke umzimba. Ukuqonda ukuthi izitho zomzimba zisebenzisana kanjani ukuze kugaywe ukudla kungasiza ngezinjongo zempilo kanye nempilo iyonke.Inqubo Yokugaya: I-Chiropractic Functional Medicine Clinic

Inqubo Yokugaya

Izitho zohlelo lokugaya ukudla yilezi ezilandelayo:

  • Mouth
  • I-Esophagus
  • Isisu
  • I-Pancreas
  • Isibindi
  • I-Gallbladder
  • Amathumbu amancane
  • Amathumbu amakhulu
  • U-Anus

Inqubo yokugaya iqala ngokulindela ukudla, kushukumisa izindlala emlonyeni ukuba zikhiqize amathe. Imisebenzi eyinhloko yesistimu yokugaya ukudla ihlanganisa:

  • Ukuxuba ukudla
  • Ukuhambisa ukudla ngomgudu wokugaya ukudla - i-peristalsis
  • Ukuhlukaniswa kwamakhemikhali kokudla kube izingxenye ezincane ezimuncayo.

Uhlelo lokugaya ukudla luguqula ukudla kube amafomu ako alula, ahlanganisa:

  • IGlucose - ushukela
  • Amino acid - amaprotheni
  • Amafutha acids - amafutha

Ukugaya ngendlela efanele kukhipha izakhamzimba ekudleni naseziphuzweni ukuze kugcinwe impilo nokusebenza ngendlela efanele. Izakhamzimba zihlanganisa:

  • carbohydrate
  • Amaprotheni
  • Amafutha
  • Vitamins
  • Minerals
  • Water

Umlomo kanye nomgudu

  • Ukudla kugaywa ngamazinyo bese kumanziswa ngamathe ukuze ukugwinye kalula.
  • Amathe abuye abe ne-enzyme ekhethekile yamakhemikhali eqala ukuphula ama-carbohydrate abe ushukela.
  • Ukufinyela kwezicubu zomphimbo kubhucunga ukudla kungene esiswini.

Isisu

  • Ukudla kudlula ngendandatho encane yomsipha kuya esiswini.
  • Ihlanganiswa namakhemikhali e-gastric.
  • Isisu sinyakazisa ukudla ukuze sikuhlephule.
  • Ukudla bese kukhanywa engxenyeni yokuqala yamathumbu amancane, i i-duodenum.

ukukala amandlajubane

  • Uma sekuse-duodenum, ukudla kuhlangana nama-enzyme amaningi okugaya avela kumanyikwe kanye bile kusukela esibindini.
  • Ukudla kudlulela ezingxenyeni ezingezansi zamathumbu amancane, okuthiwa i ijejunum futhi ileum.
  • Izakhamzimba zimuncwa ku-ileum, zifakwe izigidi ze-villi noma iminwe efana nentambo eyenza ukumuncwa kube lula.
  • I-villus ngayinye ixhunywe ku-mesh ye ama-capillaries, okuyindlela imisoco emuncwa ngayo egazini.

I-Pancreas

  • I-pancreas ingenye yezindlala ezinkulu kakhulu.
  • Ikhiqiza amajusi okugaya ukudla kanye nehomoni ebizwa ngokuthi i-insulin.
  • I-insulin isiza ukulawula inani likashukela egazini.
  • Izinkinga ngokukhiqizwa kwe-insulin kungaholela ezimeni ezifana nesifo sikashukela.

Isibindi

Isibindi sinezindima eziningana ezahlukene ezihlanganisa:

  • Yephula amafutha ngokusebenzisa i-bile egcinwe ku-gallbladder.
  • Icubungula amaprotheni nama-carbohydrate.
  • Izihlungi futhi zicubungule ukungcola, imithi, nobuthi.
  • Ikhiqiza i-glucose yamandla esikhashana kusuka kumakhompiyutha afana ne-lactate nama-amino acid.

Ithumbu Elikhulu

  • I-reservoir enkulu yamagciwane kanye namagciwane anempilo ahlala emathunjini amakhulu futhi adlala indima ebalulekile ekugayeni ukudla okunempilo.
  • Uma imisoco isimuncwa, imfucuza idluliselwa emathunjini amakhulu noma emathunjini.
  • Amanzi ayakhishwa, futhi imfucuza igcinwa ku-rectum.
  • Bese iphuma emzimbeni ngendunu.

Impilo Yesistimu Yokugaya

Izindlela zokugcina uhlelo lokugaya ukudla kanye nenqubo yokugaya inempilo zihlanganisa:

Phuza Amanzi Engeziwe

  • Amanzi asiza ukudla ukuthi kugeleze kalula ohlelweni lokugaya ukudla.
  • Amanani aphansi amanzi/ukuphelelwa amanzi emzimbeni yizimbangela ezivamile zokuqunjelwa.

Engeza i-Fiber eyengeziwe

  • I-fiber inenzuzo ekugayeni ukudla futhi isiza ekukhipheni amathumbu njalo.
  • Hlanganisa kokubili i-fiber encibilikayo nengancibiliki.
  • I-fiber encibilikayo zincibilika emanzini.
  • Njengoba i-soluble fiber incibilika, idala ijeli engathuthukisa ukugaya.
  • I-soluble fiber inganciphisa i-cholesterol yegazi noshukela.
  • Isiza umzimba wakho ukuba uthuthukise ukulawulwa kweglucose egazini, okungakusiza ekwehliseni amathuba okuba nesifo sikashukela.
  • I-fiber engafakwanga ayincibiliki emanzini.
  • I-Insoluble fiber idonsela amanzi esitulweni, ikwenze ithambe futhi kube lula ukudlula ngaphandle kobunzima obuncane emathunjini.
  • I-Insoluble fiber ingasiza ukukhuthaza impilo yamathumbu kanye nokujwayelekile futhi isekele ukuzwela kwe-insulin okungasiza ekwehliseni ubungozi besifo sikashukela.

Ukudla Okunomsoco

  • Yidla izithelo nemifino nsuku zonke.
  • Khetha okusanhlamvu okuphelele kunezinhlamvu ezigayiwe.
  • Gwema ukudla okugayiwe ngokujwayelekile.
  • Khetha izinkukhu nenhlanzi ngaphezu kwenyama ebomvu futhi unciphise inyama egayiwe.
  • Yehlisa ushukela.

Yidla Ukudla Okunama-Probiotic noma Sebenzisa Izithasiselo Ze-Probiotic

  • Ama-probiotics ama-bacteria anempilo asiza ukulwa namagciwane angenampilo emathunjini.
  • Baphinde bakhiqize izinto ezinempilo ezondla amathumbu.
  • Sebenzisa ama-probiotics ngemva kokuthatha ama-antibiotic avame ukubulala wonke amagciwane emathunjini.

Yidla Ngokuqonda Futhi Hlafuna Ukudla Kancane Kancane

  • Ukuhlafuna ukudla kahle kusiza ukuqinisekisa ukuthi umzimba unamathe anele okugaya ukudla.
  • Ukuhlafuna ukudla kahle nakho kwenza kube lula ukumunca ukudla okunomsoco.
  • Ukudla kancane kunikeza umzimba isikhathi sokugayeka kahle.
  • Iphinde ivumele umzimba ukuthi uthumele izimpawu zokuthi kugcwele.

Indlela Uhlelo Lokugaya Olusebenza Ngayo

Okubhekwayo

GREENGARD, H. “Isistimu yokugaya ukudla.” Ukubuyekezwa konyaka kwe-physiology vol. 9 (1947): 191-224. doi:10.1146/annurev.ph.09.030147.001203

Hoyle, T. “Isimiso sokugaya ukudla: ukuxhumanisa ithiyori nokusebenza.” Ijenali yaseBrithani yobunesi (Mark Allen Publishing) vol. 6,22 (1997): 1285-91. doi:10.12968/bjon.1997.6.22.1285

www.merckmanuals.com/home/digestive-disorders/biology-of-the-digestive-system/overview-of-the-digestive-system

www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-works

Martinsen, Tom C et al. "Umsebenzi we-Phylogeny kanye ne-Biological of Gastric Juice-Microbiological Consequences of Remoding Gastric Acid." Ijenali yamazwe ngamazwe yesayensi yamangqamuzana vol. 20,23 6031. 29 Nov. 2019, doi:10.3390/ijms20236031

URamsay, uPhilip T, no-Aaron Carr. "I-acid ye-gastric kanye ne-digestive physiology." Imitholampilo Yokuhlinza yaseNyakatho Melika vol. 91,5 (2011): 977-82. doi:10.1016/j.suc.2011.06.010

Izinzuzo Zezempilo Zetiye Elivutshiwe le-Kombucha: Umtholampilo Wasemuva

Izinzuzo Zezempilo Zetiye Elivutshiwe le-Kombucha: Umtholampilo Wasemuva

by | Umuthi Osebenzayo, probiotics

Kombucha iyitiye elibilisiwe osekuyiminyaka engaba ngu-2,000 20 ikhona. Yaqala ukuthandwa eYurophu ekuqaleni kwekhulu lama-XNUMX. Inezinzuzo zezempilo ezifanayo njengetiye, icebile kuma-probiotics, iqukethe ama-antioxidants, futhi ingabhubhisa amagciwane ayingozi. Ukuthengiswa kwe-Kombucha kuyakhula izitolo ngenxa yezinzuzo zayo zezempilo namandla.

Izinzuzo Zezempilo Zetiye Elivutshiwe ze-Kombucha

Kombucha

Ngokuvamile kwenziwa ngetiye elimnyama noma eliluhlaza, ushukela, amagciwane anempilo, nemvubelo. Inambitheka ngokufaka izinongo noma izithelo etiyeni ngenkathi ibila. Ibiliswa isikhathi esingangesonto, lapho kukhiqizwa amagesi, amaphesenti angu-0.5 otshwala, amagciwane awusizo ne-acetic acid. Inqubo yokuvutshelwa yenza itiye liphumelele kancane. Iqukethe Amavithamini B, ama-antioxidant nama-probiotics, kodwa okuqukethwe okunomsoco kuzohluka kuye ngokuthi uphawu kanye nokulungiswa kwalo.

Izinzuzo

Izinzuzo zifaka:

  • Ukugaya okuthuthukisiwe okuvela eqinisweni lokuthi ukuvutshelwa kwenza ama-probiotics.
  • Isiza ngohudo kanye ne-irritable bowel syndrome/IBS.
  • Ukususwa kobuthi
  • Amandla akhula
  • Ukuthuthukisa impilo yamasosha omzimba
  • Ukwehla kwesisindo
  • Isiza ngomfutho wegazi ophezulu
  • Isifo senhliziyo

I-Kombucha, eyenziwe green tea, kufaka phakathi izinzuzo:

probiotics

Amagciwane anenzuzo aziwa ngokuthi ama-probiotics. Lawa ma-probiotics afanayo atholakala kwezinye ukudla okubilisiwe, njengeyogathi kanye i-sauerkraut. Ama-probiotics asiza ukugcwalisa amathumbu ngamabhaktheriya anempilo asiza ukugaya, ukunciphisa ukuvuvukala, futhi akhiqize amavithamini B no-K abalulekile. Ama-probiotics athuthukisa ukuhanjiswa kwamathumbu futhi adambise isicanucanu, ukuqunjelwa, nokuqunjelwa.

Antioxidants

Izinzuzo ze-antioxidants kanye ne-polyphenols zihlanganisa:

  • Ukwenyuka kwezinga le-metabolic
  • Umfutho wegazi owehlisiwe
  • Yehlisa i-cholesterol
  • Ukusebenza kwengqondo okuthuthukisiwe
  • Ukuncipha kwengozi yezifo ezingamahlalakhona - isifo senhliziyo, uhlobo lwesifo sikashukela sohlobo 2, kanye nomdlavuza othile.

Izakhiwo Ezilwa Namagciwane

  • Inqubo yokuvutshelwa iyakhiqiza i-acetic acid ebhubhisa amagciwane ayingozi njengamabhaktheriya ahlaselayo kanye nemvubelo, kuvimbele ukutheleleka.
  • Umphumela we-anti-bacterial nawo ugcina amabhaktheriya anenzuzo.

Ukukhipha Ubuthi Besibindi

  • Ingasiza ekukhipheni ubuthi esibindini, okuthi:
  • Ithuthukisa impilo yesikhumba jikelele
  • Ithuthukisa ukusebenza kwesibindi
  • Yehlisa ukuqunjelwa kwesisu nobuhlungu
  • Ithuthukisa ukugaya nokusebenza kwesinye

Ukusekelwa kwe-Pancreatic

  • Ingathuthukisa ukusebenza kwe-pancreatic, engasiza ukuvikela umzimba ezifweni nasezifweni ezifana nalezi:
  • I-reflux ye-Acid
  • Ama-spasms esiswini
  • Ubumbulu
  • Umdlavuza we-Pancreatic

Ukusekelwa Okuhlangene

  • The itiye iqukethe izinhlanganisela ezifana ne-glucosamines eziye zaboniswa ukuthuthukisa impilo yamalunga futhi zidambise ubuhlungu obuhlangene.
  • I-Glucosamines yandisa i-hyaluronic acid, igcoba amalunga, esiza ukuwavikela nokuwaqinisa.

Ukwanelisa Ukulangazelela Soda

  • Izinhlobonhlobo zama-flavour kanye ne-carbonation yemvelo kunganelisa ukulangazelela i-soda noma ezinye iziphuzo ezingenampilo.

I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic ihlanganisa izici zomuthi ohlanganisayo futhi ithatha indlela ehlukile empilweni nokuphila kahle.. Ochwepheshe bathatha umbono obanzi ngempilo yomuntu, bebona isidingo sohlelo lokwelapha lomuntu siqu ukuze basize ekuboneni okudingekayo ukuze ube nempilo. Ithimba lizodala icebo elenziwe ngendlela oyifisayo elifanelana neshejuli nezidingo zomuntu ngamunye.

Udokotela Wezokudla Kuchaza u-Kombucha

Okubhekwayo

Cortesia, Claudia et al. I-Acetic Acid, ingxenye esebenzayo kaviniga, iyisibulala-magciwane esisebenzayo sofuba. mBio vol. 5,2 e00013-14. 25 Feb. 2014, doi:10.1128/mBio.00013-14

Costa, Mirian Aparecida de Campos et al. "Umphumela wokudla kwe-kombucha ku-gut microbiota kanye ne-comorbidities ehlobene nokukhuluphala: Ukubuyekezwa okuhlelekile." Ukubuyekezwa okubalulekile kusayensi yokudla nokudla, 1-16. 26 Okthoba 2021, doi:10.1080/10408398.2021.1995321

Gaggìa, Francesca, et al. "Isiphuzo se-Kombucha esivela ku-Green, Black and Rooibos Teas: Ucwaningo Lokuqhathanisa Olubheka I-Microbiology, Chemistry kanye Nomsebenzi Wokulwa Ne-Antioxidant." Izakhamzimba vol. 11,1 1. 20 Dec. 2018, doi:10.3390/nu11010001

UKapp, uJulie M, noWalton Sumner. "I-Kombucha: ukubuyekezwa okuhlelekile kobufakazi obunamandla benzuzo yempilo yabantu." Izibalo ze-epidemiology vol. 30 (2019): 66-70. doi:10.1016/j.annepidem.2018.11.001

Villarreal-Soto, Silvia Alejandra, et al. "Ukuqonda Ukuvutshelwa Kwetiye le-Kombucha: Ukubuyekezwa." Ijenali yesayensi yokudla vol. 83,3 (2018): 580-588. doi:10.1111/1750-3841.14068