Ingabe Ubisi Luyakunciphisa Isilungulela?

-Delile

• Ingabe ukuphuza ubisi kungasinciphisa isilungulela?
• ICalcium inganikela ngezinzuzo ezithile
• Amaprotheni angasiza
• Kungenza isilungulela sibe sibi kakhulu
• Ngabe abangena esikhundleni bangcono?
• Okubalulekile

Isilungulela, esibizwa nangokuthi i-acid reflux, yisifo esivamile sesifo se-gastroesophageal reflux (GERD), esithinta cishe ama-20% wabantu base-US (1).

Kwenzeka lapho okuqukethwe yisisu sakho, kufaka phakathi i-gastric acid, kubuyela emuva esophagus yakho, kukunikeze umuzwa ovuthayo esifubeni sakho ().

Abanye abantu bathi ubisi lwenkomo luyikhambi lemvelo lesilungulela, kanti abanye bathi sisenza sibe sibi lesi simo.

Lo mbhalo uhlaziya ukuthi ubisi luyasiqeda yini isilungulela.

Ingabe ukuphuza ubisi kungasinciphisa isilungulela?

Kunobunye ubufakazi obukhombisa ukuthi okuqukethwe ubisi lwe-calcium namaprotheni kungasiza ekunciphiseni isilungulela.

ICalcium inganikela ngezinzuzo ezithile

I-calcium carbonate ivame ukusetshenziswa njengesengezo se-calcium, kepha futhi njenge-antacid ngenxa yomphumela wayo wokunciphisa i-asidi.

Inkomishi eyodwa (245 ml) yobisi lwenkomo inikeza u-21-23% we-Daily Value (DV) we-calcium kuye ngokuthi iphelele noma ayinamafutha amancane (,).

Ngenxa yokuqukethwe kwayo okuphezulu kwe-calcium, abanye bathi kuyikhambi lemvelo lesilungulela.

Eqinisweni, ucwaningo olwenziwe kubantu abangu-11,690 lunqume ukuthi ukudla kakhulu i-calcium yokudla kuhlotshaniswa nengozi encishisiwe ye-reflux emadodeni (,).

I-calcium nayo iyiminerali ebalulekile yethoni yemisipha.

Abantu abane-GERD bavame ukuba nobuthakathaka obuphansi be-esophageal sphincter (LES), isicubu esivame ukuvimbela okuqukethwe yisisu sakho ukuthi kungabuyi.

Ucwaningo kubantu abangu-18 abanesilungulela lwathola ukuthi ukuthatha i-calcium carbonate kubangele ukwanda kwethoni yemisipha ye-LES kuma-50% wamacala. Le miphumela iphakamisa ukuthi ukuthatha lesi sithasiselo ukuthuthukisa ukusebenza kwemisipha kungaba enye indlela yokuvimbela isilungulela ().

Amaprotheni angasiza

Ubisi luwumthombo omuhle kakhulu wamaprotheni, uhlinzeka ngama-gramu ayi-8 ngenkomishi eyodwa (245 ml) (,).

Ucwaningo olwenziwe kubantu abangama-217 abanesilungulela lwathola ukuthi labo abadle amaprotheni amaningi bebencane amathuba okuthi babe nezimpawu ().

Abaphenyi bakholelwa ukuthi amaprotheni angasiza ekwelapheni isilungulela ngoba kuvusa uketshezi lwe-gastrin.

I-Gastrin iyi-hormone ephinde inyuse ukusikwa kwe-LES futhi ikhuthaze ukukhishwa kokuqukethwe kwesisu sakho, esaziwa nangokuthi ukukhipha isisu. Lokhu kusho ukuthi kuncane ukudla okutholakalayo ukubuyela emuva.

Kodwa-ke, i-gastrin nayo iyabandakanyeka ekusithekeni kwe-asidi yesisu, engagcina ikhulisa umuzwa ovuthayo esifubeni sakho ().

Ngakho-ke, akucaci ukuthi ngabe amaprotheni asebisini avimbela noma aqinise isilungulela.

Ubisi lunothile nge-calcium namaprotheni, okungaba nemiphumela emihle esiza ekunciphiseni isilungulela.

Kungenza isilungulela sibe sibi kakhulu

Inkomishi eyodwa (245 ml) yobisi lonke ipakisha ama-gramu ayi-8 amafutha, kanti ucwaningo lukhombisa ukuthi ukudla okunamafutha kuyimbangela ejwayelekile yokushiswa yinhliziyo (,,).

Ukudla okunamafutha aphezulu kukhulula imisipha ye-LES, kwenze kube lula kokuqukethwe kwesisu sakho ukuphinda wenze isipele ().

Futhi, njengoba amafutha ethatha isikhathi eside ukugaya kunamaprotheni kanye ne-carbs, ayabambezela ukukhipha isisu. Lokhu kusho ukuthi isisu sikuthulula konke okuqukethwe kukho ngezinga elihamba kancane - inkinga esevele ijwayelekile kubantu abanesilungulela (12,).

Ukuphela kokukhishwa kwesisu kuye kwahlotshaniswa nokuchayeka kokuqhuma kwesisu ku-gastric acid kanye nomthamo ophakeme wokudla otholakalayo ukubuyela emuva esophagus. Lezi zinto zingenza isilungulela sibe sibi kakhulu ().

Uma ungafuni ukuyeka ubisi lokuphuza, ungahamba ngenketho yamafutha ancishisiwe. Lokhu kungaqukatha amagremu angu-0-2.5 wamafutha, kuya ngokuthi kunamafutha acijile noma anamafutha amancane (,).

Okuqukethwe kwamafutha obisi kungenza isilungulela sibe sibi kakhulu, njengoba ikhulula i-LES futhi ibambezele ukukhipha isisu.

Ngabe abangena esikhundleni bangcono?

Wonke umuntu wehlukile, futhi ukuphuza ubisi kungenza noma kungabi kubi kakhulu ukushaya kwenhliziyo.

Abanye abantu basikisela ukushintshela obisini lwembuzi noma ubisi lwe-alimondi ukuze kutholakale isilungulela. Noma kunjalo, abukho ubufakazi obanele besayensi bokuxhasa lezi zincomo.

Ngakolunye uhlangothi, ubisi lwembuzi luhlotshaniswa nokugayeka okungcono kunobisi lwenkomo, futhi ucwaningo lukhombisa ukuthi inezinto ezilwa nokuvuvukala neziphikisana neguliswa, ezingaba yinzuzo empilweni yakho yonke (,,).

Kodwa-ke, iphakeme kancane emafutheni, okungazenza zibe zimbi izimpawu zakho. Inkomishi eyodwa (245 ml) yobisi lwembuzi ipakisha amagremu ayi-11 amafutha, uma kuqhathaniswa nama-gramu ayi-8 okuhanjiswa okufanayo kobisi lwenkomo lonke ().

Ngakolunye uhlangothi, ubisi lwe-alimondi kukholelwa ukuthi linciphisa izimpawu zokushiswa yinhliziyo ngenxa yemvelo yalo ene-alkaline.

I-asidi noma i-alkalinity yokudla ilinganiswa yizinga le-pH, elingaba kusuka ku-0 kuye ku-14. I-pH engu-7 ithathwa njengengathathi hlangothi ngenkathi yonke into engaphansi kuka-6.9 ine-asidi, futhi konke okungaphezu kuka-7.1 kuyi-alkaline.

Ngenkathi ubisi lwenkomo lune-pH engu-6.8, ubisi lwe-alimondi lunolunye luka-8.4. Ngakho-ke, abanye bakholelwa ukuthi kungasiza ukunciphisa ama-acid esiswini, kepha kudingeka olunye ucwaningo ukuqinisekisa lesi simangalo ().

Yize lezi ezinye izindlela ezimbili zingase zigaywe kangcono kunobisi lwenkomo, ngenxa yokushoda kobufakazi besayensi ongadinga ukuthi uzihlole ukuthi ubekezelela enye ingcono yini kunenye.

Abanye abantu basikisela ukuthi basuke ebisini lobisi lwenkomo baye kwenye esikhundleni sokunciphisa isilungulela. Noma kunjalo, akukho lucwaningo olwanele ukuxhasa lesi sincomo.

Okubalulekile

Ubisi lunezinzuzo nobubi balo uma kukhulunywa ngokuqeda isilungulela.

Ngenkathi amaprotheni ne-calcium evela ebisini olusikiwe kungaphazamisa ama-acid esiswini, ubisi olunamafutha agcwele lungakhuphula izimpawu zokushiswa yinhliziyo.

Noma kunjalo, unganikeza amafutha aphansi noma uzame, noma ushintshele endaweni yobisi uma ubona sengathi izokufanela kangcono.