Ukungabekezelelani kwe-Lactose

I-Lactose wuhlobo lukashukela olutholakala obisini nakweminye imikhiqizo yobisi. I-enzyme ebizwa nge-lactase iyadingeka emzimbeni ukugaya i-lactose.

Ukungabekezelelani kwe-Lactose kwenzeka lapho amathumbu amancane engenzi okwanele ngaleli enzyme.

Imizimba yabantwana yenza i-enzyme ye-lactase ukuze ikwazi ukugaya ubisi, kufaka phakathi ubisi lwebele.

• Izingane ezizalwa kusenesikhathi (ngaphambi kwesikhathi) kwesinye isikhathi zinokungabekezelelani kwe-lactose.
• Izingane ezizalwe ngesikhathi esigcwele ngokuvamile azikhombisi izimpawu zenkinga ngaphambi kokuba zibe neminyaka emithathu ubudala.

Ukungabekezelelani kwe-Lactose kuvame kakhulu kubantu abadala. Akuvamile ukuba yingozi. Cishe abantu abadala baseMelika abangaba yizigidi ezingama-30 banesilinganiso esithile sokungezwani ne-lactose ngeminyaka engama-20.

• Kubantu abamhlophe, ukungabekezelelani kwe-lactose kuvame ukukhula ezinganeni ezindala kuneminyaka engu-5. Lona unyaka lapho imizimba yethu ingayeka ukwenza i-lactase.
• E-Afrika yaseMelika, inkinga ingenzeka lapho uneminyaka yobudala engu-2.
• Lesi simo sivame kakhulu kubantu abadala abanegugu lase-Asia, i-Afrika, noma lamaMelika Omdabu.
• Akuvamile kakhulu kubantu besizinda esenyakatho noma esentshonalanga yeYurophu, kepha kusengenzeka.

Ukugula okubandakanya noma ukulimaza amathumbu akho amancane kungadala ukuthi kwenziwe i-enzyme encane ye-lactase. Ukwelashwa kwalezi zifo kungathuthukisa izimpawu zokungabekezelelani kwe-lactose. Lokhu kungafaka:

• Ukuhlinzwa kwamathumbu amancane
• Ukutheleleka emathunjini amancane (lokhu kuvame ukubonwa ezinganeni)
• Izifo ezilimaza amathumbu amancane, njenge-celiac sprue noma isifo seCrohn
• Noma yikuphi ukugula okubangela isifo sohudo

Izingane zingazalwa zinokukhubazeka kofuzo futhi azikwazi ukwenza noma iyiphi i-enzyme ye-lactase.

Izimpawu zivame ukuvela emizuzwini engama-30 kuye emahoreni amabili ngemuva kokuba nemikhiqizo yobisi. Izimpawu zingase zibe zimbi kakhulu uma udla amanani amakhulu.

Izimpawu zifaka:

• Ukuqunjelwa kwesisu
• Amajaqamba esiswini
• Uhudo
• Igesi (ukuqumba)
• Isicanucanu

Ezinye izinkinga zamathumbu, ezinjenge-irritable bowel syndrome, zingadala izimpawu ezifanayo nokungabekezelelani kwe-lactose.

Izivivinyo zokusiza ukuxilonga ukungabekezelelani kwe-lactose zifaka:

• Ukuhlolwa kokuphefumula kwe-Lactose-hydrogen
• Ukuhlolwa kokubekezelelana kwe-Lactose
• Isihlalo pH

Enye indlela kungaba ukuphonsela inselelo isiguli ngamagremu angama-25 kuye kwangama-50 e-lactose emanzini. Izimpawu ziyahlolwa kusetshenziswa uhlu lwemibuzo.

Isivivinyo seviki elilodwa kuya kwamabili sokudla okungenayo i-lactose ngokuphelele kwesinye isikhathi siyazama.

Ukunciphisa ukudla kwakho imikhiqizo yobisi equkethe i-lactose ekudleni kwakho kuvame ukunciphisa izimpawu. Bheka futhi amalebula okudla emithombo efihlekile ye-lactose emikhiqizweni engeyona eyebisi (kufaka phakathi ezinye ubhiya) bese ukugwema lokhu.

Iningi labantu abanezinga eliphansi le-lactase lingaphuza inkomishi yobisi engafika kuhafu ngasikhathi sinye (ama-ounces amabili kuya kwama-4 noma ama-milliliters angama-60 kuye kwayi-120) ngaphandle kokuba nezimpawu. Izinsizakalo ezinkulu (ngaphezu kwama-ounces ayisishiyagalombili noma ama-240 mL) zingadala izinkinga kubantu abanenkinga.

Imikhiqizo yobisi okungaba lula ukugaya ifaka:

• Ubisi lwebhotela noshizi (lokhu kudla kuqukethe i-lactose encane kunobisi)
• Imikhiqizo yobisi evutshiwe, njengeyogathi
• Ubisi lwezimbuzi
• Ushizi onzima osekhulile
• Imikhiqizo yobisi nemikhiqizo yobisi engenalo i-Lactose
• Ubisi lwenkomo oluphathwe nge-Lactase ezinganeni ezindala nakubantu abadala
• Amafomula weSoy ezinsana ezingaphansi kweminyaka emibili
• Ubisi lweSoy noma lwelayisi lwezingane ezisacathula

Ungangeza ama-enzyme e-lactase obisini olujwayelekile. Ungathatha futhi la ma-enzyme njengama-capsule noma amaphilisi ahlafunwayo. Kukhona nemikhiqizo eminingi yobisi engena-lactose etholakalayo.

Ukungabi nobisi neminye imikhiqizo yobisi ekudleni kwakho kungaholela ekushodeni kwe-calcium, uvithamini D, i-riboflavin, namaprotheni. Udinga i-calcium engaba ngu-1 000 kuya ku-1,500 we-calcium usuku ngalunye kuya ngeminyaka yakho nobulili bakho. Ezinye izinto ongazenza ukuthola i-calcium eningi ekudleni kwakho yilezi:

• Thatha izithasiselo ze-calcium ezine-Vitamin D. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi ikuphi okufanele ukhethe.
• Yidla ukudla okune-calcium eningi (njengemifino enamaqabunga, ama-oysters, ama-sardine, i-salmon ekheniwe, imfanzi, ne-broccoli).
• Phuza ijusi lewolintshi nge-calcium eyengeziwe.

Izimpawu zivame ukuphela lapho ususa ubisi, eminye imikhiqizo yobisi, neminye imithombo ye-lactose ekudleni kwakho. Ngaphandle kwezinguquko ekudleni, izinsana noma izingane zingaba nezinkinga zokukhula.

Uma ukungabekezelelani kwe-lactose kubangelwe yisifo sohudo sesikhashana, amazinga e-enzyme ye-lactase azobuyela kokujwayelekile emasontweni ambalwa.

Shayela umhlinzeki wakho uma:

• Unengane engaphansi kweminyaka emibili noma emithathu ubudala enezimpawu zokungabekezelelani kwe-lactose.
• Ingane yakho ikhula kancane noma ingatholi isisindo.
• Wena noma ingane yakho unezimpawu zokungabekezelelani kwe-lactose futhi udinga ulwazi mayelana nokudla okungangena esikhundleni sokudla.
• Izimpawu zakho ziba zimbi kakhulu noma azithuthuki ngokwelashwa.
• Uba nezimpawu ezintsha.

Ayikho indlela eyaziwayo yokuvimbela ukungabekezelelani kwe-lactose. Ungavimba izimpawu ngokugwema ukudla nge-lactose.

Ukushoda kwe-Lactase; Ukungabekezelelani kobisi; Ukushoda kwe-Disaccharidase; Ukungabekezelelani komkhiqizo wobisi; Uhudo - ukungabekezelelani kwe-lactose; Ukuqhakaza - ukungabekezelelani kwe-lactose

• Uhudo - yini ongayibuza udokotela - ingane yakho
• Uhudo - yini ongayibuza umhlinzeki wakho wezokunakekelwa kwempilo - umuntu omdala

• Izitho zohlelo lokugaya ukudla

IHöegenauer C, iHammer HF. I-Maldigestion kanye ne-malabsorption. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 104.

I-National Institute of Diabetes kanye newebhusayithi yezifo zeDigestive and Kidney. Incazelo namaqiniso okungabekezelelani kwe-lactose. www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/definition-facts. Kubuyekezwe uFebhuwari 2018. Kufinyelelwe kuMeyi 28, 2020.

USemrad CE. Sondela esigulini ngesifo sohudo kanye ne-malabsorption. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 131.