Kusagwirizana kwa Lactose

Lactose ndi mtundu wa shuga womwe umapezeka mkaka ndi zinthu zina zamkaka. Enzyme yotchedwa lactase imafunika ndi thupi kupukusa lactose.

Kulekerera kwa Lactose kumachitika m'matumbo ang'onoang'ono osakwanira enzyme iyi.

Matupi a ana amapanga mavitamini a lactase kuti athe kugaya mkaka, kuphatikizapo mkaka wa m'mawere.

• Ana obadwa mofulumira kwambiri (asanakwane) nthawi zina amakhala ndi tsankho la lactose.
• Ana omwe amabadwa nthawi yokwanira nthawi zambiri samawonetsa zovutazo asanakwanitse zaka zitatu.

Kusalolera kwa Lactose kumakhala kofala kwambiri kwa akulu. Sizowopsa kawirikawiri. Pafupifupi anthu 30 miliyoni aku America amakhala ndi vuto lodana ndi lactose pofika zaka 20.

• Kwa azungu, kulekerera kwa lactose nthawi zambiri kumayamba mwa ana okulirapo kuposa zaka 5. Uwu ndi m'badwo womwe matupi athu amatha kusiya kupanga lactase.
• Ku Africa America, vutoli limatha kuchitika ali ndi zaka 2.
• Vutoli ndilofala pakati pa achikulire omwe ali ndi cholowa ku Asia, Africa, kapena Native American.
• Ndizochepa kwambiri kwa anthu akumpoto kapena kumadzulo kwa Europe, komabe zimatha kuchitika.

Matenda omwe amaphatikizapo kapena kuvulaza m'matumbo anu ang'onoang'ono amachititsa kuti mavitamini a lactase asapangidwe. Chithandizo cha matendawa chitha kusintha zizindikiritso za lactose. Izi zingaphatikizepo:

• Opaleshoni ya m'matumbo ang'onoang'ono
• Matenda m'matumbo ang'onoang'ono (izi zimawoneka kwambiri mwa ana)
• Matenda omwe amawononga matumbo ang'onoang'ono, monga celiac sprue kapena matenda a Crohn
• Matenda aliwonse omwe amayambitsa kutsegula m'mimba

Ana amatha kubadwa ali ndi vuto lobadwa nawo ndipo sangathe kupanga mavitamini a lactase.

Zizindikiro nthawi zambiri zimachitika mphindi 30 kapena 2 mutakhala ndi mkaka. Zizindikiro zitha kukhala zoyipa mukamadya zambiri.

Zizindikiro zake ndi izi:

• Kutupa m'mimba
• Kupweteka m'mimba
• Kutsekula m'mimba
• Mpweya (flatulence)
• Nseru

Mavuto ena am'mimba, monga matumbo opsa mtima, amatha kuyambitsa zofananira ndi kusagwirizana kwa lactose.

Mayeso othandiza kuzindikira kuti kusagwirizana kwa lactose ndi awa:

• Kuyesa kwa Lactose-hydrogen
• Mayeso a kulolerana kwa Lactose
• Chimbudzi pH

Njira ina ingakhale yotsutsa wodwala ndi magalamu 25 mpaka 50 a lactose m'madzi. Zizindikiro zimayesedwa pogwiritsa ntchito mafunso.

Kuyesa kwamlungu 1 mpaka 2 kwa zakudya zopanda lactose nthawi zina kumayesedwanso.

Kuchepetsa kudya kwa mkaka komwe mumakhala ndi lactose pazakudya zanu nthawi zambiri kumachepetsa zizindikilo. Onaninso malembedwe azakudya pazinthu zobisika za lactose muzinthu zosagwiritsa ntchito mkaka (kuphatikiza mowa wina) ndipo pewani izi.

Anthu ambiri omwe ali ndi vuto lochepa la lactase amatha kumwa kapu imodzi ya mkaka nthawi imodzi (ma ola awiri kapena anayi kapena mamililita 60 mpaka 120) osakhala ndi zizindikiro. Kukula kwakukulu (ma ola opitilira 8 kapena 240 mL) kumatha kubweretsa mavuto kwa anthu omwe akusowa.

Zakudya zamkaka zomwe zingakhale zosavuta kukumba ndi izi:

• Buttermilk ndi tchizi (zakudya izi zimakhala ndi lactose yocheperapo kuposa mkaka)
• Zopangira mkaka, monga yogurt
• Mkaka wa mbuzi
• Tchizi tachikulire tolimba
• Mkaka wopanda mkaka ndi zopangira mkaka
• Mkaka wa ng'ombe wothandizidwa ndi Lactase kwa ana okalamba ndi akulu
• Mitundu ya Soy ya makanda ochepera zaka ziwiri
• Mkaka wa soya kapena mpunga kwa ana ang'onoang'ono

Mutha kuwonjezera michere ya lactase mkaka wokhazikika. Muthanso kutenga ma enzyme awa ngati makapisozi kapena mapiritsi otafuna. Palinso zinthu zambiri zamkaka zopanda mkaka zomwe zilipo.

Kusakhala ndi mkaka ndi zina mkaka mu zakudya zanu kumatha kubweretsa kuchepa kwa calcium, vitamini D, riboflavin, ndi protein. Mufunika kashiamu 1,000 mpaka 1,500 mg tsiku lililonse kutengera msinkhu wanu komanso kugonana. Zinthu zina zomwe mungachite kuti mupeze calcium yambiri pazakudya zanu ndi izi:

• Tengani zowonjezera calcium ndi Vitamini D. Lankhulani ndi wothandizira zaumoyo wanu za zomwe mungasankhe.
• Idyani zakudya zomwe zili ndi calcium yambiri (monga masamba obiriwira, oyster, sardine, nsomba zamzitini, shrimp, ndi broccoli).
• Imwani madzi a lalanje ndi calcium yowonjezera.

Zizindikiro nthawi zambiri zimatha mukachotsa mkaka, zinthu zina za mkaka, ndi zinthu zina za lactose pazakudya zanu. Popanda kusintha zakudya, makanda kapena ana atha kukhala ndi mavuto akukula.

Ngati kusagwirizana kwa lactose kumayambitsidwa ndi matenda otsekula m'mimba kwakanthawi, milingo ya enzyme ya lactase ibwerera mwakale mkati mwa milungu ingapo.

Itanani omwe akukuthandizani ngati:

• Muli ndi mwana wakhanda wosakwana zaka ziwiri kapena zitatu yemwe ali ndi zizindikilo zosagwirizana ndi lactose.
• Mwana wanu akukula pang'onopang'ono kapena sakulemera.
• Inu kapena mwana wanu muli ndi zizindikiro za kusagwirizana kwa lactose ndipo muyenera kudziwa zambiri za omwe amalowa m'malo mwa chakudya.
• Zizindikiro zanu zimaipiraipira kapena sizikusintha ndi mankhwala.
• Mumakhala ndi zizindikilo zatsopano.

Palibe njira yodziwika yopewera kusagwirizana kwa lactose. Mutha kupewa zizindikiro popewa kudya ndi lactose.

Kusowa kwa Lactase; Tsankho; Disaccharidase kusowa; Tsankho la mkaka; Kutsekula m'mimba - kusagwirizana kwa lactose; Kuphulika - kusagwirizana kwa lactose

• Kutsekula m'mimba - zomwe mungafunse dokotala - mwana
• Kutsekula m'mimba - zomwe mungafunse wothandizira zaumoyo wanu - wamkulu

• Zakudya zam'mimba ziwalo

Höegenauer C, Hammer HF. Maldigestion ndi malabsorption. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 104.

National Institute of Diabetes ndi tsamba la Digestive and Impso Diseases. Tanthauzo & zowona zakusagwirizana kwa lactose. www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/definition-facts. Idasinthidwa mu February 2018. Idapezeka pa Meyi 28, 2020.

Semrad CE. Yandikirani wodwalayo ndi kutsekula m'mimba komanso kusowa kwa malabsorption. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 131.