Ngaba ubisi luyasinciphisa isilungulela?

Umxholo

• Ngaba ukusela ubisi kungasinciphisa isitshisa?
• I-calcium inokubonelela ngezibonelelo ezithile
• Iiprotheni zinokuba luncedo
• Unokwenza ukuba isilungulela sibe mbi ngakumbi
• Ngaba ababambeleyo bangcono?
• Umgca wezantsi

Isilungulela, esibizwa ngokuba yi-acid reflux, luphawu oluqhelekileyo lwesifo se-gastroesophageal reflux (GERD), esichaphazela malunga ne-20% yabemi base-US (1).

Kwenzeka xa imixholo yesisu sakho, kubandakanya i-asidi yesisu, ubuyela umva uye kwi-esophagus yakho, ikunike ukutsha kwesifuba ().

Abanye abantu bathi ubisi lweenkomo lulungiso lwendalo lwentlungu, ngelixa abanye besithi iyenza mandundu imeko.

Eli nqaku lihlalutya ukuba ingaba ubisi luyasinciphisa isilungulela.

Ngaba ukusela ubisi kungasinciphisa isitshisa?

Kukho ubungqina obubonisa ukuba umxholo wobisi wekhalsiyam kunye nomxholo weprotheni unokunceda ekunciphiseni ukutsha.

I-calcium inokubonelela ngezibonelelo ezithile

I-calcium carbonate ihlala isetyenziswa njengesongezo se-calcium, kodwa njenge-antacid ngenxa yempembelelo yayo ye-asidi.

Ikomityi enye (245 ml) yobisi lwenkomo inikezela nge-21-23% yeXabiso lemihla ngemihla (DV) yecalcium ngokuxhomekeke ekubeni iphelele okanye ayinamafutha (,).

Ngenxa yomxholo wecalcium ephezulu, bambi bathi sisiyobisi sendalo sokuqunjelwa.

Ngapha koko, uphononongo kubantu abayi-11,690 bafumanisa ukuba ukutya kakhulu ikhalsiyam yokutya kunxulunyaniswa nomngcipheko omncinci we-Reflux emadodeni (,).

I-calcium ikwayimfuneko yamaminerali kwithoni yemisipha.

Abantu abane-GERD bahlala benesifo esibuthathaka esophageal sphincter (LES), isihlunu esihlala sithintela isisu sakho ukuba singabuyi.

Uphononongo kubantu abali-18 abanesifo sokuqaqamba kwentliziyo bafumanisa ukuba ukuthatha i-calcium carbonate kubangele ukwanda kwethoni yemisipha ye-LES kwi-50% yamatyala. Ezi ziphumo zibonisa ukuba ukuthatha le nyuselo ukuphucula ukusebenza kwemisipha kunokuba yenye indlela yokuthintela ukutsha kwentliziyo ().

Iiprotheni zinokuba luncedo

Ubisi ngumthombo ogqwesileyo weprotheni, ukubonelela malunga ne-8 gram kwikomityi enye (245 ml) (,).

Isifundo kubantu abangama-217 abanesifo sokuqaqamba kwentliziyo bafumanise ukuba abo batya iiprotheyini ezininzi babengenamathuba okuba neempawu ().

Abaphandi bakholelwa ukuba iprotein inokunceda ekunyangeni isitshisa kuba ivuselela i-gastrin secretion.

I-Gastrin yihomoni ekonyusa ukusikwa kwe-LES kwaye ikhuthaze ukukhutshwa kwesisu sakho, ekwabizwa ngokuba kukususa isisu. Oku kuthetha ukuba ukutya okuncinci kuyafumaneka ukubuyela umva.

Nangona kunjalo, i-gastrin ikwabandakanyeka ekusithekeni kwesisu esiswini, esinokuphelisa ukonyusa imvakalelo evuthayo esifubeni sakho ().

Ke ngoko, akucaci nokuba ngaba iprotein yobisi iyathintela okanye isiba mandundu.

Ubisi lutyebile kwi-calcium kunye neprotein, enokuba neziphumo eziluncedo ezikunceda ekunciphiseni ukutsha.

Unokwenza ukuba isilungulela sibe mbi ngakumbi

Ikomityi enye (245 ml) yobisi ipakisha yonke i-8 gram yamafutha, kwaye uphononongo lubonisa ukuba ukutya okunamafutha yinto eqhelekileyo yokubangela isitshisa (,,).

Ukutya okunamafutha aphezulu kuyayiphumlisa imisipha ye-LES, isenza ukuba kube lula ukuba imixholo yesisu sakho iphinde ibuye ().

Kananjalo, kuba amafutha athatha ixesha elide ukwetyisa kuneeproteni kunye neikhabhohay, ziyalibazisa ukuphuma kwesisu. Oku kuthetha ukuba isisu sikhupha konke okukuyo ngesantya esisezantsi - umba osele uqhelekile phakathi kwabantu abanesifo sentliziyo (12,).

Ukucothisa ukukhutshwa kwesisu kunxulunyaniswa nokwanda kokuvezwa kwesisu kwi-gastric acid kunye nomthamo ophezulu wokutya okhoyo ukubuyela umva kwi-esophagus. Ezi zinto zinokubangela ukuhla kwentliziyo ngakumbi ().

Ukuba awufuni ukuyeka ukusela ubisi, ungaya kukhetho olunamafutha ancitshisiweyo. Oku kunokuqulatha i-0-2.5 gram yeoyile, kuxhomekeke ekubeni i-skimmed okanye i-fat-fat (,).

Umxholo wamanqatha obisi unokwenza ukuba ukubola kuqhume ngakumbi, njengoko ibuyisa i-LES kwaye ilibazise ukukhupha isisu.

Ngaba ababambeleyo bangcono?

Wonke umntu wahlukile, kwaye ukusela ubisi kunokwenza okanye kungabi mandundu ngakumbi ukubetha kwentliziyo yakho.

Abanye abantu bacebisa ukutshintshela kubisi lweebhokhwe okanye ubisi lweamangile ngesiqabu. Nangona kunjalo, abukho ubungqina benzululwazi obaneleyo bokuxhasa ezi ngcebiso.

Kwelinye icala, ubisi lweebhokhwe lunxulunyaniswa nokucoleka okungcono kunobisi lwenkomo, kwaye uphononongo lubonisa ukuba inezinto ezichasayo ezichasayo nezichasayo, ezinokuba luncedo kwimpilo yakho iyonke (,,).

Nangona kunjalo, iphezulu kancinci kumanqatha, anokuzenza mandundu iimpawu zakho. Ikomityi enye (i-245 ml) yobisi lweebhokhwe ipakisha i-gram ezili-11 zamafutha, xa kuthelekiswa neegram ezisibhozo zokuhambisa ubisi lwenkomo luphela ().

Kwelinye icala, ubisi lweamangile kukholelwa ukuba luzinciphisa iintlungu ngenxa yohlobo lwealkaline.

I-asidi okanye i-alkalinity yokutya ilinganiswa ngenqanaba le-pH yayo, enokuthi isuke kwi-0 iye kwi-14. I-pH yesi-7 ithathwa njengengathathi cala ngelixa yonke into engaphantsi kwe-6.9 ine-asidi, kwaye yonke into engaphezulu kwe-7.1 yi-alkaline.

Ngelixa ubisi lweenkomo lune-pH eyi-6.8, ubisi lweamangile lunenye ye-8.4. Ke, abanye bakholelwa ukuba inokunceda ekunciphiseni iiasidi zesisu, kodwa uphando oluthe kratya luyafuneka ukuqinisekisa eli bango ().

Ngelixa ezi ndlela zimbini zinokugaywa ngcono kunobisi lwenkomo, ngenxa yokunqongophala kobungqina benzululwazi kungafuneka uzivavanye ngokwakho ukuba uyanyamezela enye ibhetele kunenye.

Abanye abantu bacebisa ukuba batshintshe kubisi lwenkomo baye endaweni yokuphungula isitshisa. Nangona kunjalo, akukho phando lwaneleyo ukuxhasa le ngcebiso.

Umgca wezantsi

Ubisi lunezinto ezilungileyo nezingalunganga xa kufikwa ekupheliseni ukutsha kwentliziyo.

Ngelixa iprotein kunye necalcium evela kubisi olunqunqiweyo zinokuphazamisa iiasidi zesisu, ubisi olunamafutha apheleleyo lunokunyusa iimpawu zokutsha.

Nangona kunjalo, unokunika amanqatha asezantsi okanye uzame, okanye utshintshele endaweni yobisi ukuba uziva ngathi iya kukulungela ngcono.