Txhua leej niam mob siab txog kev noj qab haus huv ntawm nws tus menyuam. Yog li ntawd, nws yog ib qho tseem ceeb heev rau nws kom ua tib zoo saib xyuas tus me nyuam txhawm rau txhawm rau txheeb xyuas cov tsos mob tseem ceeb ntawm cov kab mob pathologies thiab pib kho lawv raws sijhawm. Nws yog qhov tsawg heev, tab sis nws suav hais tias yog ib qho mob txaus ntshai rau tus menyuam - kev tsis haum xeeb rau lactose thaum cev xeeb tub, thaum tus menyuam tsis tuaj yeem nqus niam mis. Cov menyuam yaus uas muaj tus kabmob no xav tau kev noj zaub mov tshwj xeeb. Vim tias lawv tsis tuaj yeem haus cov khoom noj siv mis, lawv yuav tsum xyuas kom meej tias lub cev tsis muaj zog nqus cov vitamins D thiab calcium kom txaus rau lwm txoj hauv kev.
Lactose deficiency yuav tau tham kom ntxaws hauv kab lus no.
Kev piav qhia ntawm pathology
Lactose intolerance yog ib qho pathology, vim tias tus menyuam lub cev tsis tuaj yeem nqus tau cov protein uas muaj hauv cov mis nyuj. Qhov kev kuaj mob no yog tsim nyob rau hauvthawj lub hlis ntawm tus me nyuam lub neej, txij li thaum tus me nyuam tsuas pub mis niam thaum lub sij hawm no. Koj yuav tsum paub tias cov cim qhia tau pom tseeb dua, txhua yam nyob ntawm cov mis nyuj - yog tias muaj ntau, ces qhov tshwm sim ntawm cov khoom noj khoom haus no nyuaj dua rau dais. Lactose deficiency tuaj yeem txuas ntxiv mus rau cov neeg laus.
Y Lactase, lactose thiab lactose intolerance yog dab tsi? Lactase yog ib qho enzyme tshwj xeeb uas tsim los ntawm cov hnyuv. Nws yog nws leej twg tuaj yeem rhuav tshem lactose, uas yog cov khoom tseem ceeb hauv cov mis nyuj ntawm ntau lub hauv paus. Lactase yuav tsum zom cov suab thaj nyuaj rau hauv cov yooj yim kom lawv sai sai absorbed rau hauv plab hnyuv phab ntsa ntawm tus me nyuam. Cov no yog cov hu ua galactose thiab qabzib. Qab zib yog ib qho tseem ceeb heev rau peb lub cev - nws yog ib qho tseem ceeb ntawm lub zog. Thaum muaj cov lactose me me hauv cov hnyuv, los yog lactose synthesis tau nres tag nrho, cov mis nyuj uas tsis tau noj thaum kawg ua rau raws plab. Nyob rau hauv xws li ib tug milky ib puag ncig, cov kab mob yog ib txwm cog, uas, tsim cov khoom pov tseg, tsim gases - lub ntsiab ua rau tsam plab thiab colic.
Lactose intolerance cais li cas?
Los ntawm hom, lactose deficiency muab faib ua thawj thiab theem nrab.
thawj saib
Hauv qhov no, lactase yog tsim nyob rau hauv cov hnyuv, nws qhov ntau yog nyob rau hauv kev txiav txim, tab sis nws cov hauj lwm zoo yog nyob rau hauv ib tug txo, qhov no yog lub ntsiab yog vim li cas mis nyuj tsis absorbed los ntawm lub cev. Muaj tsawg zaus thaum xws li ib qho enzyme tsis tsim tag nrho
UThawj hom ntawm lactose tsis muaj peev xwm muaj ib qho subspecies - ib ntus. Nws yog feem ntau pom nyob rau hauv cov menyuam mos ntxov ntxov thiab tej zaum yuav yog vim li cas lactase pib tsim los ntawm 37 lub lis piam, thiab nyob rau lub sij hawm ntawm 34 lub lis piam, xws li ib tug enzyme yog nyuam qhuav pib tsim los ntawm lub cev. Hom kev tsis txaus no feem ntau ploj mus sai li ob peb lub lis piam tom qab yug me nyuam, thaum tus me nyuam loj hlob thiab muaj zog.
Dab tsi yog lactose intolerance?
Secondary insufficiency
Nrog rau hom lactase tsis txaus, enterocytes raug cuam tshuam, nws yog vim li no tias kev tsim cov enzyme raug cuam tshuam. Feem ntau, qhov ua rau ntawm tus kab mob no yog kev tsis haum tshuaj nyob rau hauv cov hnyuv, nrog rau ntau yam inflammatory txheej txheem. Txoj hauv kev raws sijhawm rau kev kho mob thiab kuaj mob tuaj yeem tiv tau qhov mob zoo.
Cov tsos mob ntawm lactose deficiency
Tus kab mob tshwm sim li cas? Cov cim hauv qab no tuaj yeem ua tau:
- Ntxiv rau qhov tsam plab, feem ntau rumbling hauv plab, roj thiab seething.
- mob plab vim cua hauv plab hnyuv.
- Qhov pom pom ntawm tus kab mob no yog mob plab heev tom qab noj mov.
- Tus me nyuam yuav hnov mob thaum lub plab zom mov.
- Yuav tsum xyuam xim rau tus menyuam cov quav. Muaj ib tug tsw ntawm qaub mis nyuj los ntawm quav. Yog tias qhov no yog daim ntawv thib ob, ces tus menyuam cov quav yuav ntsuab, tej zaum yuav muaj pob thiab hnoos qeev. Qhov no yog ib qho tsos mob ntawm lactose intolerance hauv cov menyuam yaus hnub nyoog qis dua ib xyoos.
- Qee zaum, tus me nyuam tuaj yeemfights tshwm sim, qhov no yog tsis yooj yim sua kom nco. Tus me nyuam ua heev capricious, pib squirm thoob plaws. Nws yuav pib sim rub nws txhais ceg mus rau nws lub plab thiab quaj ntau heev.
- Tus me nyuam ntuav txhua lub sijhawm thiab ntuav ntau zaus.
- Lub cev qhuav dej hnyav heev hauv tus menyuam. Daim paib no pib tshwm sim thawj hnub, yog tias peb tab tom cuam tshuam nrog qhov tsis muaj lactose.
- Tus me nyuam coj tus cwj pwm qeeb heev thiab tsis muaj kev txaus siab rau lub ntiaj teb ib puag ncig nws.
- Tus me nyuam pw tsis tsaug zog.
Txawm hais tias cov tsos mob saum toj no, lactose deficiency hauv cov menyuam yaus tsis muaj kev cuam tshuam rau kev qab los noj mov. Tus me nyuam yuav nplawm nws lub hauv siab nrog kev mob siab rau, tab sis tom qab ib pliag nws yuav pib quaj thiab rub nws txhais ceg rau nws lub plab tib lub sijhawm.
Nyob rau hauv thawj hnub, lactose deficiency yuav luag tsis tshwm sim nws tus kheej nyob rau hauv txhua txoj kev - cov paib yog cumulative thiab tshwm nyob rau hauv sawv. Ua ntej tshaj plaws, tsam plab ua rau nws tus kheej hnov, ces tus me nyuam pib hnov mob hauv plab, thiab nyob rau theem kawg, cov quav tau tawg. Cov tsos mob ntawm lactose deficiency hauv cov menyuam yaus hnub nyoog qis dua ib xyoos yuav tsum paub rau txhua tus niam txiv.
Tseem ceeb heev: yuav luag tag nrho cov cim qhia no yog tus yam ntxwv hauv thawj qhov chaw thaum thawj lactose intolerance. Secondary insufficiency, ntxiv rau cov cim qhia, feem ntau yog tshwm sim nyob rau hauv lub xub ntiag ntawm cov quav ntsuab, hnoos qeev thiab pob hauv cov quav.
Qhov kev kuaj rau lactose deficiency?
Kev kuaj kab mob
Tsis txausqee cov cim qhia ntawm tus kab mob txhawm rau txhawm rau kuaj tus kab mob kom raug. Rau kev kuaj mob kom raug thiab kev kho mob tsim nyog, yuav tsum muaj ntau yam kev kuaj mob. Tus kws kho mob feem ntau muab kev xa mus rau qhov kev kuaj tsim nyog.
Kev tsom xam Carbohydrate ntawm quav
Yuav tsum tau txiav txim siab qhov concentration ntawm carbohydrates. Qhov no yog qhov ceev tshaj plaws, yooj yim tshaj plaws, thiab pheej yig tshaj txoj hauv kev kom paub tias muaj pes tsawg carbohydrate nyob hauv koj cov quav. Raws li cov txiaj ntsig no, nws tuaj yeem txiav txim siab seb lactose puas tau zom zoo. Cov ntsiab lus ntawm carbohydrates hauv cov menyuam yaus hnub nyoog qis dua 1 xyoos tsis ntau tshaj 0.25. Qhov sib txawv me me ntawm 0.5% yog cov qauv, tab sis yog tias tus lej no ntau dua 1%, qhov no yuav yog qhov teeb meem loj. Kuj tseem muaj qhov tsis zoo rau qhov kev tshuaj ntsuam no - raws li cov txiaj ntsig, nws muaj peev xwm txheeb xyuas qhov muaj cov lactose intolerance, tab sis nws tsis tuaj yeem nrhiav pom qhov ua rau ntawm cov kab mob no.
Yuav ua li cas thiaj kuaj tau lactose deficiency?
Biopsy ntawm txoj hnyuv mucosa
Qhov kev tshuaj ntsuam no yuav txiav txim siab seb cov lactase nquag nyob rau hauv kev ua ntawm lub plab zom mov. Qhov no yog ib txoj hauv kev yooj yim rau kev kuaj xyuas cov mis nyuj tsis muaj protein ntau.
Kev tshuaj xyuas cov quav rau dysbacteriosis
Yog xav tias muaj tus kab mob tsis haum xeeb ntawm tus menyuam tus mob, tus menyuam yuav raug xa mus kuaj ntshav ntxiv.
Dr. Komarovsky ua cov txheeb cais, thaum lub sijhawm nws pom tias 18% ntawm tag nrho cov menyuam yug tshiab raug kev txom nyem los ntawm lactose intolerance. Qhov no yog yuav luag txhua tus menyuam thib tsib uas yug hauv peb lub tebchaws. Nrog tus kab mob noCov neeg laus tuaj yeem tiv taus tus kab mob no yooj yim, vim lawv tsis tas yuav haus mis nyuj nkaus xwb, thiab lawv muaj sijhawm mus noj zaub mov uas yuav tsis suav nrog lactose. Nrog rau cov menyuam yaus, txoj kev no yuav tsis ua haujlwm, vim tias niam cov kua mis rau lawv yog lub hauv paus ntawm kev noj haus. Yog li, nws yog qhov zoo dua los kuaj xyuas tus kab mob thiab siv txhua txoj hauv kev tsim nyog kom sai li sai tau kom tus menyuam muaj sijhawm hloov kho.
Kev kuaj kab mob rau lactose deficiency
Kev kuaj kab mob caj ces rau kev ua rau muaj kev tsis txaus lactase yog qhov tseem ceeb hauv kev kuaj mob. Kev tsom xam yuav pab tau qhov kev kuaj mob sib txawv ntawm qhov ua rau lactose malabsorption thiab xaiv cov khoom noj uas tsim nyog.
Kev kho mob
Yog qhov kuaj pom tus menyuam tseem paub tseeb, qhov no tseem tsis tau txhais hais tias koj yuav tsum tso niam mis rau hauv nws cov zaub mov. Niam kuj tseem tuaj yeem pub mis ntxiv rau tus menyuam kom nyab xeeb, thaum muab nws cov tshuaj uas muaj lactase ua ntej pub mis ("Lactase Enzyme" thiab "Lactase Baby"). Cov kab mob zoo li no yuav tsum tau kho sai li sai tau, yog li ntawd, nws yuav muaj peev xwm tiv thaiv cov teeb meem yav tom ntej.
koob tshuaj los ntawm kws kho mob yog nruj me ntsis rau tus kheej. Raws li cov enzymatic system ntawm tus menyuam mos pib tsim, koob tshuaj yuav maj mam txo. Koj yuav tsum ua dab tsi thiaj li npaj cov tshuaj ua ntej noj:
- Txawm yog hom tshuaj twg koj yuav, cov kauj ruam feem ntau yog tib yam. Yuav tsum tau qhia ib co mis nyuj - heevtxog 10-15 yuav txaus.
- Pho cov hmoov zoo rau hauv cov mis nyuj. Nws yuav tsum tau nco ntsoov tias Lactase Baby yog sai dua thiab yooj yim dua rau dilute hauv kua dua Lactase Enzyme.
- Nws yog ib qho tsim nyog yuav tsum cia cov sib tov brew kom fermentation tshwm sim, nws yuav siv sij hawm li 3-5 feeb. Lub sijhawm no, lactase yuav zom cov mis nyuj carbohydrates uas muaj nyob rau hauv kua foremilk.
- Muab mis rau koj tus menyuam npaj ua ntej pub mis, thiab mam li pub nws li qub.
- Muab tshuaj rau menyuam yaus diluted hauv mis ua ntej pub mis.
Cov khoom noj ntxiv
Cov menyuam yaus uas hloov cov quav uas tsis muaj lactose tau qhia cov khoom noj ua ntej me ntsis. Nyob rau tib lub sijhawm, nws yuav tsum ua kom ntseeg tau tias cov khoom noj muaj ntau thiab sib npaug ntawm cov as-ham.
Kuv yuav pub dabtsi rau kuv tus menyuam?
Nws yog ib qho tseem ceeb heev rau kev npaj cov cereals thiab mashed zaub yam tsis muaj mis nyuj, siv diluted lactose-free mixes rau qhov no.
Cov kua txiv hmab txiv ntoo thiab cov txiv hmab txiv ntoo tuaj yeem muab tau thaum ntxov li 6 lub hlis, tab sis nws tseem ceeb heev uas yuav tsum tau saib xyuas qhov tshwm sim ntawm kev tsis haum tshuaj. Nws yuav muaj peev xwm ntxiv ntau yam khoom siv mis nyuj me me, xws li cheese, yogurts nyob.
Mis thiab lwm yam khoom siv mis nyuj noj hauv cov menyuam yaus hnub nyoog qis dua ib xyoos yuav tsum tau hloov cov zaub mov uas tsis muaj lactose. Yog tias lawv tsis tuaj yeem tau, ces koj tuaj yeem muab rau tus menyuam mos lactase capsules.
Yog tias muaj mis tsis haum cov protein ntau, tus menyuam yuav tsum tsis txhob noj cov zaub mov uasmuaj condensed mis nyuj thiab lwm yam mis nyuj fillers. Thiab koj yuav tsum tsis nco qab txog ntau yam khoom qab zib.
Lactose deficiency yuav tsum tau kho nyob rau hauv kev saib xyuas kev kho mob xwb.
Yuav ua li cas tshem tawm ntawm kev noj haus?
Yuav tsum txo qis lossis tshem tawm kev noj:
- caffeine. Tsis txhob haus tshuaj yej thiab kas fes, lawv muaj cov tshuaj no;
- sugar;
- baking;
- tsis txhob haus cawv ua ib daim ntawv thiab lub zog;
- koj yuav tsum ua tib zoo nyeem cov ntawv sau ntawm cov khoom hauv khw, tsis txhob noj cov khoom uas muaj cov xim thiab cov khoom khaws cia (qhov no yuav nyuaj heev, vim tias cov khoom tseem ceeb ntawm cov khw muag khoom muaj cov tshuaj no);
- zaub mov nrog cov ntsiab lus kub ntawm cov txuj lom, pickles - dib, nceb thiab lwm yam;
- txawm tias nws yuav tsis txaus noj cov tais diav uas tsis muaj seasoning - tab sis nws tsim nyog thaum pub niam mis;
- tsis txhob noj tej yam uas yuav ua rau tus menyuam tsis haum, piv txwv li, ntau yam txiv hmab txiv ntoo los yog txiv hmab txiv ntoo, thiab koj tsis tuaj yeem noj zaub liab;
- tsis txhob noj poov xab;
- legumes;
- grapes.
Kev noj zaub mov rau lactose intolerance tseem ceeb heev.
Koj noj dab tsi?
Koj yuav tsum ua raws li cov lus pom zoo hauv qab no:
- tus cwj pwm zoo yog feem ntau haus cov compotes los ntawm qhuav apricots los yog prunes (nws yog qhov zoo dua los pib nrog prunes, vim apricots qhuav tuaj yeem ua xua);
- zaub tshiab thiab txiv hmab txiv ntoo (tsis suav cov tshuaj tsis haum los ntawm lawv), zaubtuaj yeem noj boiled, stewed thiab raw;
- noj ntau ntau li ntau tau, txoj hauv kev zoo yog noj germinated nplej germinated;
- yog tias koj xav tau ib yam dab tsi qab, koj tuaj yeem noj almonds, jelly lossis marshmallow, tab sis tsis txhob tsim txom;
- Txij li rau lub hlis koj tuaj yeem pib noj cov txiv hmab txiv ntoo txawv me me, koj tuaj yeem noj cov qhob noom xim kasfes thaum sawv ntxov, tab sis tsuas yog dub, vim nws muaj mis nyuj tsawg;
- thaum tus menyuam muaj rau lub hlis, koj tuaj yeem maj mam rov qab mus rau cov zaub mov kib, tab sis tsuas yog nrog cov roj zaub me me xwb.
Khoom noj rau lactose intolerance yuav tsum tau ua tib zoo xaiv.
Kev rov ua tiav zoo feem ntau nyob ntawm kev noj zaub mov ntawm tus menyuam thiab niam, nrog rau kev noj tshuaj uas muaj cov lactase zoo.
