i-ketosis yesifo sokuwa

Eminyakeni yamuva, ukudla kwe-ketogenic kanye nokusetshenziswa kwe-ketosis kuya ulahlekelwe isisindongcono impilo jikelele kanye nokwanda ukucaca kwengqondo yandisa inzalo yayo. Kodwa-ke, abalandeli abaningi bokudla kwe-ketogenic bayamangala ukuthola ukuthi ukudla ekuqaleni kwakuklanyelwe inani elithile labantu: labo abanesifo sokuwa. Kulesi sihloko, sizofaka omunye umlando we-ketosis wesifo sokuwa, ukuthi isetshenziswa kanjani ekwelapheni, kanye nezizathu ezingaba zokuthi kungani i-ketosis iphumelele kule ndawo.

Umlando we-ketosis yesithuthwane

La Ukudla kwe-ketogenic yasungulwa okokuqala ngeminyaka yawo-1920 njengokudla kokwelapha abantu abanesifo sokuwa. Isifo sokuwa yisifo sezinzwa esingalapheki esidala ukuquleka okungalindelekile phakathi kwezinye izinkinga zempilo. Isifo sokuwa sihlasela abantu bayo yonke iminyaka, futhi izinhlobo zokuquleka ziyahlukahluka kumuntu nomuntu.

ukuzila, okuholela ku ketosis emzimbeni, isetshenziswe njengendlela yokwelapha isithuthwane kusukela ngo-500 BC, futhi ukudla kwe-ketogenic kwadalwa njengenye indlela. Labo abayilandelayo basengazuza izinzuzo ze-ketosis yesithuthwane ngaphandle kokugodla ukudla.

Izimbangela zesithuthwane

Abantu abadala baseMelika abangaba yizigidi ezingu-2.3 kanye nezingane ezicishe zibe ingxenye yesigidi banesifo sokuwa. Cishe abantu abangu-150,000 XNUMX abanesifo sokuwa batholakala unyaka ngamunye e-United States.

Ukuxilongwa okuningi kwesithuthwane akunazo izimbangela zangempela ezibonakalayo. Nokho, kunezinye izimo ezengeziwe ezingaholela ekubeni yisithuthwane, okuhlanganisa izifo, ukulimala ekhanda, ukushaywa unhlangothi, namathumba ebuchosheni.

Okubalulekile uma kukhulunywa nge-ketosis kanye nesifo sokuwa yizindlela lapho ukudla kwe-ketogenic kusiza ukukhulula ukuquleka kulabo abanalesi sifo esingapheli. Ake sibheke eminye imibono yokuthi kungani iphumelele kwezinye iziguli ezinesifo sokuwa.

Isebenza kanjani

Una Ukudla kwe-ketogenic Kuwukudla okunamafutha amaningi, amaprotheni aphakathi nendawo nama-carbohydrate aphansi kakhulu. Lokhu kulinganisela kwama-macronutrients kubangela ukuthi umzimba ushintshe ekusebenziseni i-glucose ukuze ube uphethiloli uye ekusebenziseni amafutha, okuholela ekwakhekeni kwama-ketone njengoba amafutha ephukile.

Akuqondakali ngokugcwele ukuthi kungani ukudla kwe-ketogenic kusebenza, nakuba ukudla sekuyisikhathi eside kunqunyelwe, ikakhulukazi ezinganeni ezingaphenduli emithini yokubamba. Yilokhu esikwaziyo:

Ithiyori evame kakhulu yokuthi kungani ukudla kwe-ketogenic (ngakho-ke i-ketosis) kuthuthukisa ukulawulwa kwesithuthwane ukuba khona okuphezulu ama-ketones emzimbeni. Imizimba ye-ketone eyenziwayo idala ushintsho kumetabolism, okuyilokho okungase kubangele umphumela we-anticonvulsant kubantu abanesithuthwane ( ¹ ).

Ezinye izifundo zezilwane zibonisa ukuthi ama-ketones angase abe nokulawula ukuqhubeka kwesithuthwane ( ² ).

Eminye imibono iphakamisa ukuthi i-ketosis yesikhathi eside ingakhawulela ukudalwa kwe izinhlobo ezisebenzayo I-oksijini, ikhuphule ukwakheka kwe-GABA (i-neurotransmitter ebuchosheni futhi inciphise ubumnandi bamaseli), futhi ikhulise ukukhiqizwa kwamandla ezicutshini zobuchopho ( ³ ).

I-Ketosis Yezinhlobo Zokuquleka

Ukudla kwe-ketogenic kuvame ukunconywa kubantwana abanesifo sokuwa abangazange baphendule kahle emithini yokubamba. Kunezigaba ezimbili eziyinhloko zokuquleka ezenzeka kubantu abanesifo sokuwa:

• Ukubanjwa okujwayelekile (okubuye kubizwe ngokuthi okwasendaweni): kukhiqizwa ngamandla kagesi ebuchosheni bonke.
• Ukuquleka okuyingxenye (okubizwa nangokuthi ukugxila): ekhiqizwa amandla kagesi engxenyeni encane yobuchopho.

Ukunciphisa ukuthuthumela nge-ketosis

Ngokusho Isithuthwane.comIzingane ezingaphezu kwesigamu ekudleni kwe-ketogenic zibona ukuncipha kwe-50% noma ngaphezulu kwenani lokubanjwa ezinakho. Cishe i-10-15% yezingane ku-ketosis izoyeka ngisho nokuba nokuquleka ngokuphelele.

Lokhu kuyiqiniso ikakhulukazi ezinganeni ezine-Lennox-Gastaut syndrome, uhlobo lwesithuthwane lapho isiguli sinezinhlobo eziningana zokuquleka. Nakuba i-ketosis iboniswe ukuthi iwusizo kakhulu kulabo abanesifo sokuwa okuvamile, ukudla kwe-ketogenic nakho kuye kwazuzisa izingane ezinesifo sokuwa.

Izimo ezihlobene nesifo sokuwa

Ucwaningo oluncane lubonise ukudla kwe-ketogenic ukuthi kube usizo kulezi zimo ezilandelayo ezihlobene nesifo sokuwa:

• I-Rett syndrome: okungajwayelekile, ukuphazamiseka kwezakhi zofuzo ezimpunga zobuchopho ezakha ngemva kokuzalwa. Kufika ku-80% weziguli ezine-Rett syndrome ziba nokuquleka.
• Ama-spasms wezingane: isifo sokuwa esibonakala kubantu bayo yonke iminyaka, kuhlanganise nezinsana, ngokuvamile ezenzeka phakathi kwezinyanga ezi-3 neziyi-12 ngemva kokuzalwa. Iziguli zithola izigaba ezintathu zokuquleka, ngokuvamile kanye kanye.
• I-Dravet syndrome: ukukhubazeka kobuchopho besifo sokuwa okungavamile kofuzo oluqala phakathi nonyaka wokuqala wokuzalwa.
• I-Tuberous sclerosis complex: isifo sofuzo lapho kwakheka khona izimila emehlweni, ubuchopho, izinso, amaphaphu, nesikhumba. Izimila zobuchopho zingadala izinkinga eziningi, kuhlanganise nokuquleka.
• I-GLUT1 deficiency syndrome: ukuphazamiseka okuvamise ukuhlanganisa ukuquleka okuvamile okuqala phakathi nezinyanga ezimbalwa zokuqala ngemva kokuzalwa.
• I-Doose syndrome: i-myoclonic-atonic seizures (uhlobo lokuquleka okujwayelekile) okwenzeka phakathi kwezinyanga eziyisikhombisa neminyaka eyisithupha ubudala.

Ukwengeza, izimo zokuqwashisa okwengeziwe kanye nentuthuko ekukhuthazeleni, amazinga omsebenzi nokunaka kuyatholwa ( ⁵ ) ezigulini ezinesifo sokuwa ezilandela ukudla kwe-ketogenic.

Ucwaningo lwe-ketosis kubantu abadala abanesifo sokuwa lubonisa ukuthi lusebenza kahle, nakuba esimweni sasesibhedlela, i-ketosis ibonakala inqunywe kaningi ezinganeni. Lokhu kubonakala kubangelwa ngokuyinhloko ukuthi ukudla ekuqaleni kwakubhekwa njengokukhawulela kakhulu abantu abadala nokuthi izifo eziningi zokuwa ziqala ebuntwaneni.

Inqubo Yokwelapha: Ukudla Kwe-Ketogenic Kwesithuthwane

Lapho ingane iqhubeka nokudla kwe-ketogenic ngezimpawu zayo zesithuthwane, ngokuvamile iqala ngokuzila ukudla okulandelwa ukuqala ukudla esibhedlela. Lokhu kuvumela abasebenzi bezokwelapha ukuthi baqinisekise ukuthi akukho ukwanda kokuquleka lapho beqala ukudla, bafundise amalungu omndeni ngokudla, futhi baqinisekise ukuthi yonke imithi esetshenziswayo ayinawo ama-carbohydrate.

Ifomula yokudla ye-ketogenic ingase isetshenziselwe izinsana nezingane ezondliwa ngeshubhu le-gastrostomy.

Noma kunjalo ukuzila akudingekile ukungena ku-ketosis, isheshisa inqubo futhi ivame ukusetshenziswa ngenxa yalesi sizathu.

Nakuba iziguli zisadla imishanguzo yokubamba ngesikhathi sokudla kwe-ketogenic, ezinye iziguli ziye zakwazi ukuthatha imithamo emincane ngemva kokwenza ukudla. Kodwa-ke, lokhu kungaba yingozi ezinganeni, njengoba kulula kakhulu ukuxoshwa ku-ketosis, ngisho nokudla. Kungase kube nzima nakubazali ukuthi bahlale beqapha yonke into edliwa izingane zabo usuku lonke.

susa umyalezo

Nakuba singazazi izindlela eziqondile i-ketosis ewusizo ngazo kubantu abanesifo sokuwa, siyazi ukuthi iye yaba usizo ekwehliseni noma ekuqedeni ukuquleka, ikakhulukazi ezinganeni, njengoba kwakushiwo okokuqala cishe eminyakeni eyishumi edlule. Kuphinde kusinikeze ukuqonda okunamandla kwamandla jikelele we-ketosis ukuthuthukisa izimo ezihlukahlukene.