Lactose kusagadzikana

Lactose imhando yeshuga inowanikwa mumukaka nezvimwe zvinogadzirwa nemukaka. Enzyme inonzi lactase inodiwa nemuviri kugaya lactose.

Kusagadzikana kweLactose kunoitika kana ura mudiki husingaite yakakwana yeiyo enzyme.

Miviri yevacheche inogadzira iyo enzyme yelactase kuitira kuti vagone kuchera mukaka, kusanganisira mukaka wemuzamu.

• Vacheche vanozvarwa nekukurumidza kwazvo (nguva isati yakwana) dzimwe nguva vane kusagamuchirwa kwe lactose.
• Vana vanozvarwa panguva yakazara kazhinji havaratidze zviratidzo zvechinetso vasati vava nemakore matatu.

Kusagadzikana kweLactose kwakanyanya kune vanhu vakuru. Hauwanzo kuva nenjodzi. Vanenge makumi matatu emamiriyoni vakuru veAmerica vane imwe nhanho yekusagadzikana kwe lactose nezera ramakumi maviri.

• Muvanhu vachena, kusagadzikana kwerakisi kunowanzoitika muvana vakura kupfuura zera re5. Ino ndiyo nguva iyo miviri yedu ingamire kugadzira lactase.
• MuAfrican America, dambudziko rinogona kuitika pakutanga kwezera rechipiri.
• Mamiriro acho akajairika pakati pevakuru vane Asia, Africa, kana Native American nhaka.
• Izvo hazvisi zvakajairika muvanhu vekuchamhembe kana kumadokero kweEuropean mamiriro, asi zvakadaro zvinogona kuitika.

Chirwere chinosanganisira kana kukuvadza ura hwako hudiki hunogona kukonzera mashoma enzyme yelactase kuti iitwe. Kurapa kwezvirwere izvi kunogona kuvandudza zviratidzo zvekusagadzikana kweracose. Izvi zvinogona kusanganisira:

• Kuvhiya kwemukati mudumbu
• Zvirwere mumudumbu mudiki (izvi zvinowanzoonekwa muvana)
• Zvirwere zvinokanganisa hutumbu hudiki, senge celiac sprue kana chirwere cheCrohn
• Chero chirwere chinokonzera manyoka

Vacheche vanogona kuzvarwa vaine hurema uye havagone kugadzira chero enzayeti yelactase.

Zviratidzo zvinowanzoitika maminetsi makumi matatu kusvika kumaawa maviri mushure mekuita zvigadzirwa zvemukaka. Zviratidzo zvinogona kunge zvakanyanyisa kana iwe ukadya yakawanda.

Zviratidzo zvinosanganisira:

• Kubuda mudumbu
• Dumbu rinorwadza
• Manyoka
• Gasi (flatulence)
• Nausea

Mamwe matambudziko emudumbu, akadai seanosemesa bowel syndrome, anogona kukonzeresa zvakafanana zviratidzo sekusavhiringidzika kweractose.

Miedzo yekubatsira kuongorora lactose kusagadzikana inosanganisira:

• Lactose-hydrogen mweya wekufema
• Lactose kushivirira bvunzo
• Chitsiko pH

Imwe nzira ingave yekupokana murwere ne25 kusvika 50 magiramu e lactose mumvura. Zviratidzo zvinozoongororwa pachishandiswa bhuku remibvunzo.

A 1 kusvika 2 vhiki kuyedzwa kwechikafu chakazara chisina-lactose zvakare dzimwe nguva kunoedzwa.

Kucheka kudya kwako kwemukaka zvigadzirwa zvine lactose kubva pane chako chikafu zvinowanzorerutsa zviratidzo. Uyezve tarisa zvinyorwa zvekudya zvezvinhu zvakavanzika zveractose mune zvigadzirwa zvisiri zvemukaka (kusanganisira zvimwe doro) uye dzivisa izvi.

Vanhu vazhinji vane yakaderera lactase level vanogona kunwa kusvika hafu yekapu yemukaka panguva imwechete (2 kusvika ku4 maunzi kana 60 kusvika 120 mamirilita) vasina zviratidzo. Makuru ma servings (anopfuura maawa masere kana 240 mL) anogona kukonzera matambudziko kune vanhu vane kushomeka.

Zvigadzirwa zvemukaka zvinogona kuve nyore kugaya zvinosanganisira:

• Buttermilk uye cheeses (izvi zvekudya zvine lactose shoma pane mukaka)
• Zvigadzirwa zvemukaka zvakaviriswa, senge yogati
• Mukaka wembudzi
• Akakwegura chizi dzakaomarara
• Lactose-isina mukaka uye zvigadzirwa zvemukaka
• Lactase-inobatwa mukaka wemombe wevakuru vana nevakuru
• Soy mafomula evacheche ari pasi pemakore maviri
• Soy kana mukaka wemupunga wevacheche

Iwe unogona kuwedzera lactase enzymes kune wenguva mukaka. Iwe unogona zvakare kutora ma enzymes semacapsule kana mapiritsi anotsemuka. Kune zvekare kune akawanda mahara-asina mairi zvigadzirwa zvemukaka zviripo.

Kusava nemukaka uye zvimwe zvigadzirwa zvemukaka mukudya kwako zvinogona kukonzera kushomeka kwecalcium, vitamini D, riboflavin, uye mapuroteni. Iwe unoda chiuru kusvika chiuru chimwe nemazana mashanu emurigamu wecalcium zuva rega rega zvichienderana nezera rako uye bonde. Zvimwe zvinhu zvaunogona kuita kuti uwane yakawanda calcium mukudya kwako ndeizvi:

• Tora macalcium ekuwedzera ane Vitamin D. Taura nemupi wako wezvehutano nezve izvo zvaunosarudza.
• Idya chikafu chine calcium yakawanda (senge mashizha ane mashizha, maoysters, sardines, salmon yemumagaba, shrimp, uye broccoli).
• Inwa jisi reranjisi ine yakawedzera calcium.

Zviratidzo zvinowanzoenda kana iwe uchibvisa mukaka, zvimwe zvigadzirwa zvemukaka, uye zvimwe zvinobva kune lactose kubva pane chako chikafu. Pasina shanduko yekudya, vacheche kana vana vanogona kuve nematambudziko ekukura.

Kana kusagadzikana kwe lactose kwakakonzerwa nechirwere chemanyoka chenguva pfupi, mwero weiyo enzyme yelactase inodzokera kune yakajairwa mukati memavhiki mashoma.

Fonera mupiki wako kana:

• Iwe une mucheche ari pasi pemakore maviri kana matatu ane makore ane zviratidzo zvekusavhiringidzika kwelactose.
• Mwana wako ari kukura zvishoma nezvishoma kana kusawedzera uremu.
• Iwe kana mwana wako mune zviratidzo zvekusavhiringidzika kwelasise uye iwe unoda ruzivo nezvevamiririri vechikafu.
• Zviratidzo zvako zvinowedzera kuwedzera kana kusavandudza nemushonga.
• Unovandudza zviratidzo zvitsva.

Iko hakuna inozivikanwa nzira yekudzivirira lactose kusagadzikana. Unogona kudzivirira zviratidzo nekudzivirira chikafu chine lactose.

Lactase kushomeka; Kusashivirira kwemukaka; Disaccharidase kushomeka; Dairy chigadzirwa kusagadzikana; Dhairrhea - kusagamuchirwa kwe lactose; Bloating - lactose kusashivirira

• Dhairrhea - chii chekubvunza chiremba wako - mwana
• Dhairrhea - chii chekubvunza chako chekuchengetedza hutano - mukuru

• Digestive system nhengo

Höegenauer C, Hammer HF. Maldigestion uye malabsorption. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 104.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Tsananguro & chokwadi cheiyo lactose kusagadzikana. www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/definition-facts. Yakagadziridzwa Kukadzi 2018. Yakasvika May 28, 2020.

Semrad CE. Kusvika kumurwere nedhara uye malabsorption. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 131.