Ubisi lulungisiwe futhi lukhethekile ezinganeni ezinokungezwani nokudla noma ukungabekezelelani kwe-lactose

Amaprotheni obisi lwenkomo aphakathi kwezinto ezivame kakhulu ezingezwani nokudla. Lena inkinga enkulu ezinganeni ezincela ubisi lwebhodlela ngoba ubisi lwenziwe ngobisi lwenkomo noma lwembuzi. Ukungabekezelelani kwe-lactose ezinsaneni kuhluke ngokuphelele ekungangeni kokudla obisini (okuthiwa i-protein diathesis) futhi kudinga ukwelashwa okuhlukile. Ezinganeni ezinazo zombili izinhlobo zezimo, kukhona okukhethekile esikhundleni sobisi okuvame ukwaziwa ngokuthi "okukhethekile" okuthatha indawo yobisi.

 dr n. ipulazi. UMaria Kaspshak

Qaphela! Lo mbhalo ngowezinjongo zokufundisa kuphela futhi awuthathi indawo yeseluleko sezokwelapha! Esimweni ngasinye se-malaise enganeni, kuyadingeka ukuthi uthintane nodokotela ozohlola isiguli futhi atuse ukwelashwa okufanele.

Ngaphambi kokungezwani komzimba - ubisi lwe-hypoallergenic ukuvimbela amabala amaprotheni

Ukuthambekela kokungezwani komzimba kungase kuzuzwe njengefa, ngakho-ke uma kukhona ukungezwani komzimba emndenini wengane esanda kuzalwa, ingozi yokuthi ingane izophinde iguliswe ibalulekile. Uma okungenani omunye wabazali noma izingane zakubo zomntwana engezwani namaprotheni obisi, khona-ke - uma umama engakwazi ukuncelisa - kufanelekile ukucabangela ukunikeza ingane okuthiwa ubisi lwe-hypoallergenic, olumakwe ngophawu. HA. Lolu bisi olwezingane eziphile saka ezingakayitholi i-allergies futhi lusetshenziselwa ukwehlisa amathuba okuba ne-allergies. Iprotheyini ebisi lwe-HA i-hydrolyzed kancane futhi ngenxa yalokho izakhiwo zayo ze-allergenic ziyancipha, kodwa aziqedi ngokuphelele. Uma ingane yakho ine-allergy yamaprotheni obisi, ngokusho kukadokotela, uzodinga ukushintshela kumafomula akhethekile wezingane ezintula amaprotheni.

Ingabe ubisi lwembuzi lubafanele abantu abangezwani nezinto ezithile?

Cha. Amafomula obisi lwembuzi aqukethe amaprotheni afana kakhulu namaprotheni obisi lwenkomo kangangokuthi cishe njalo izingane ezingezwani nobisi lwenkomo nazo zizongezwani nobisi lwembuzi. Kuyafaneleka ukubuza udokotela wakho ukuthi izingane ezinempilo zingakhetha ubisi lwezimbuzi esikhundleni sobisi lwe-HA ukuze kuncishiswe ingozi yokungezwani namaprotheni obisi lwenkomo. Nokho, nakulokhu, akufanele wenze isinqumo esinjalo uwedwa. Izingane ezine-allergies esezitholakele (isici samaprotheni), uma zingaluphuzi ubisi lukamama, kufanele zithole amalungiselelo akhethekile aklanyelwe zona ngqo.

Ukuntuleka kwamaprotheni ngesikhathi sokuncelisa

Enganeni ene-allergies, kungcono kakhulu uma umama encelisa, njengoba ubisi lukamama alubangeli ukungezwani komzimba. Kodwa-ke, abanye omama bathola ukuthi izingane zabo ezincelisayo ziba nezimpawu zokungezwani komzimba - ukuqubuka, ukuqunjelwa, ubuhlungu besisu nokunye. Kungase kwenzeke ukuthi ezinye izingxenye zokudla kukamama zingene obisini lwakhe futhi zibangele ukungezwani komzimba ezinganeni. Kungcono ukuhlola ukuthi yikuphi ukudla okudliwa ngumama, ngemva kwalokho umntwana waqala ukuzizwa engathandeki, futhi akhiphe lokhu kudla ekudleni ngesikhathi sokuncelisa. Omama bezingane abanokungezwani komzimba nobisi amaprotheni, amaqanda, noma amantongomane kufanele bakugweme lokhu kudla kuze kube yilapho belunyulwa. Kodwa-ke, uma ingane ingenayo i-allergies, khona-ke ukugwema le mikhiqizo "uma kwenzeka" akudingekile. Umama oncelisayo kufanele adle ukudla okuhlukahlukene ngangokunokwenzeka futhi ethule indlela yokuqeda lapho kudingekile kuphela. Ukuze uthole iseluleko esinokwethenjelwa, kufanele uvakashele udokotela ozokwenza ukuxilongwa okulungile futhi achaze ukuthi ukugula kwengane kuhlobene ngempela nokungezwani komzimba noma isizathu singenye into.

Ubisi oluthatha indawo yezingane ezine-allergies

Lapho udokotela enquma ukuthi ingane yakho ayizwani namaprotheni obisi, kufanele uyinikeze amafomula aklanyelwe ngokukhethekile ukungezwani komzimba okuncane. Ukuze kuncishiswe kakhulu i-allergenicity yamaprotheni, angaphansi kwe-hydrolysis enwetshiwe, okungukuthi, ngamanye amazwi, ama-molecule awo asikwa abe yizicucu ezincane kakhulu ezingafani namaprotheni okuqala asesimweni kangangokuthi awabonwa ngama-microorganisms. umzimba njenge-allergener. Ku-90% wezingane ezine-allergies, ukuthatha le mithi kwanele ukukhulula izimpawu futhi wenze ingane izizwe ingcono. Imikhiqizo yamaprotheni ane-hydrolyzed kakhulu ngokuvamile ayinayo i-lactose, kodwa hlola ulwazi ngomkhiqizo othile noma uthintane nodokotela ngaphambi kokuyinikeza izingane ezine-lactose-contraindication. Kukhona ukuguqulwa okuhlukahlukene kwezidakamizwa ezinjalo - isibonelo, eziqukethe izithako ze-probiotics noma amafutha e-MCT.

Ukudla okuyisisekelo okusekelwe kuma-amino acids mahhala

Ngezinye izikhathi kwenzeka ukuthi usana lunokungezwani kokudla okuqinile kangangokuthi ngisho namaprotheni e-hydrolyzed abangela izimpawu zesifo ngezinga elikhulu. Kwesinye isikhathi awuzwani namaprotheni ahlukahlukene noma ezinye izakhamzimba, okungenzeka kube ngenxa yokuphazamiseka kokugaya ukudla nokumuncwa. Khona-ke isilwane esincane sidinga ukuhlinzekwa ngokudla okungadingeki ukuba kugaye, kodwa ungakwazi ngokushesha ukufaka izakhi ezenziwe ngomumo. Le mithi ibizwa nge-amino acid yamahhala (AAF - Amino Acid Formula) imikhiqizo noma "ukudla okuyisisekelo". Igama livela eqinisweni lokuthi ama-amino acid ayizingqimba eziyisisekelo zokwakha amaprotheni. Ngokuvamile, amaprotheni agaywa, i.e. zihlukaniswa zibe ama-amino acid amahhala, futhi yilawa ma-amino acid kuphela angena egazini. Amalungiselelo okudla okuyisisekelo akuvumela ukuthi udlule inqubo yokugaya amaprotheni. Ngenxa yalokhu, umzimba wengane udla ukudla okugayeka kalula nokungeyona i-allergenic. Amalungiselelo anjalo ngokuvamile awaqukethe i-lactose, isiraphu ye-glucose kuphela, mhlawumbe isitashi noma i-maltodextrin. Lezi zingxube ezikhethekile kakhulu zingenziwa kuphela ngaphansi kokuqondisa kodokotela.

Amalungiselelo angenalo ubisi asekelwe kuphrotheni yesoya

Ezinganeni ezingezwani namaphrotheni obisi, kodwa ezingaguli ku-soy noma amanye amaprotheni, kunezinye ezithatha indawo yobisi ezisekelwe kuphrotheni yesoya. Angase amakwe ngophawu SL (lat. sine lac, ngaphandle kobisi) futhi ngokuvamile futhi i-lactose-free. Uma kungumuthi kadokotela, kukhona ukubuyiselwa kwemali, kepha uma kungekho mbuyiselo, ingxube enjalo ishibhile kune-hydrolyzate noma ukudla okuyisisekelo.

Ngokungabekezelelani kwe-lactose enganeni - i-galactosemia kanye nokuntuleka kwe-lactase

I-Lactose iyisakhi esibaluleke kakhulu ekukhuleni kwengane yakho. Akufanele kugwenywe ngokungadingekile, kodwa kunezikhathi lapho kufanele kukhishwe ekudleni kwengane. I-Lactose (kusuka ku-Latin lac - ubisi) - i-carbohydrate ekhona obisini - i-disaccharide, ama-molecule aqukethe izinsalela ze-glucose ne-galactose (kusuka egameni lesiGreki elithi gala - ubisi). Ukuze umzimba uthole lawa ma-carbohydrate, i-molecule ye-lactose kufanele igaywe, i.e. zihlukaniswa zibe i-glucose ne-galactose - kuphela zimuncwa egazini emathunjini amancane. I-enzyme lactase isetshenziselwa ukugaya i-lactose, etholakala ezilwaneni ezincelisayo ezincane, kuhlanganise nezinsana. Ezilwaneni nakwabanye abantu, umsebenzi wale enzyme uyancipha ngokukhula, ngoba emvelweni, izilwane ezindala azinalo ithuba lokuphuza ubisi. Nokho, ukuntuleka kwe-lactose ezinsaneni kuyivelakancane kakhulu futhi kuyisifo sofuzo. Uma lokhu kwenzeka, i-lactose engagayekile ivutshelwa emathunjini, okuholela kugesi, isifo sohudo, nokungakhululeki okukhulu. Umntwana onjalo akufanele anceliswe ibele noma anceliswe ubisi lwebhodlela.

Okwesibili, ukuphikisana okuphelele ekunceliseni ingane ibele - ngisho nobisi lwebele - kungesinye isifo sofuzo esibizwa ngokuthi i-galactosemia. Lesi simo esingavamile cishe senzeka kanye kuzo zonke izingane ezizalwayo ezingama-40-60. Nge-galactosemia, i-lactose ingagaywa futhi imunce, kodwa i-galactose ekhishwa kuyo ayigaywanga futhi inqwabelana emzimbeni. Lokhu kungase kubangele izimpawu ezingathi sína: ukwehluleka kwesibindi, ukukhula buthaka, ukukhubazeka kwengqondo, ngisho nokufa. Okuwukuphela kwensindiso yosana ukudla okuvamile okungenalactose. Ingane enalesi sifo inganikezwa kuphela izidakamizwa ezikhethekile, umenzi wazo othi zenzelwe izingane ezihlushwa i-galactosemia. Abantu abane-galactosemia kufanele bahlale begwema i-lactose ne-galactose kukho konke ukuphila kwabo.

I-Bibliography

1. Ukondleka kwezinsana nezingane ezincane. Imithetho yokuziphatha ekudleni okuhlangene. Umsebenzi ohlelwe nguGalina Weker noMarta Baransky, Warsaw, 2014, Isikhungo Somama Nengane: http://www.imid.med.pl/images/do-pobrania/Zykieta_niemowlat_www.pdf (kufinyelelwe 9.10.2020/XNUMX/XNUMX Okthoba XNUMX G .)
2. Incazelo ye-galactosemia kusizindalwazi se-Orphanet Rare Disease: https://www.orpha.net/data/patho/PL/Galaktozemiaklasyczna-PLplAbs11265.pdf (kufinyelelwe 9.10.2020/XNUMX/XNUMX)

Ubisi lukamama luyindlela engcono kakhulu yokondla izingane. Ubisi oluguquliwe lwengeza ekudleni kwezingane, ngenxa yezizathu ezihlukahlukene, ezingakwazi ukuncelisa.