Anzanga, ndikufuna kugawana nanu nkhani yolembedwa ndi dotolo wodziwa zamtima,Dr. Dwight Landell, amene amalemba za zomwe zimayambitsa matenda a mtima. Sindinganene kuti m'nkhaniyi "adapeza America", akatswiri ambiri a zakudya ndi madokotala amalemba ndi kuyankhula za zomwe Dr. Landell. Koma kuchokera pakamwa pa katswiri wa zamtima, zonsezi zikuwoneka ngati zovomerezeka, mwa lingaliro langa. Makamaka kwa anthu okalamba, monga abambo anga, mwachitsanzo, omwe akhala akulimbana ndi cholesterol yambiri kwa zaka zambiri, adutsa maopaleshoni awiri ndipo akupitirizabe kukhala ndi mankhwala.
Nkhani yamutu wakuti “Dokotala wa opaleshoni ya mtima amalengeza za chimene kwenikweni chimayambitsa matenda a mtima” njosangalatsa chabe kwa awo amene sanali okondweretsedwa kwambiri ndi mavuto a kuyamba kwa matenda amene amapha anthu oposa miliyoni imodzi chaka chirichonse. Russia. Tangoganizani: 62% yaimfa mu 2010 idayambitsidwa ndendende ndi matenda amtima !!! (zambiri pa izi m'nkhani yanga chifukwa chake timamwalira msanga)
Ndifotokozanso mwachidule zomwe zili m'nkhaniyi. Dr. Dwight Landell * anafotokoza kuti mafuta a m’thupi ndi mafuta a m’thupi si zinthu zimene zimadwalitsa anthu, monga mmene anzake ambiri akukhulupirira kwa nthawi yaitali. Kafukufuku wasonyeza kuti matenda amtima amapezeka chifukwa cha kutupa kosatha kwa makoma a mitsempha. Ngati kutupaku kulibe, ndiye kuti cholesterol sichidzaunjikana m'mitsuko, koma imatha kuzungulira momasuka.
Timayambitsa kutupa kosatha, choyamba, pogwiritsa ntchito zakudya zopanda malire komanso zoyengedwa, makamaka shuga ndi chakudya; chachiwiri, kudya kwambiri masamba amafuta, zomwe zimabweretsa kusalinganika kwa omega-6 ndi omega-3 fatty acids (kuchokera ku 15: 1 mpaka 30: 1 kapena kuposerapo - m'malo mwa chiŵerengero choyenera kwa ife 3: 1). (Ndidzalemba nkhani yokhudza kuopsa ndi ubwino wa mafuta osiyanasiyana sabata yamawa.)
Choncho, kutupa kwa mitsempha ya m'mitsempha, yomwe imayambitsa matenda a mtima ndi zikwapu, sizimayambitsidwa ndi kudya kwambiri kwa mafuta, koma ndi zakudya zodziwika bwino komanso "zovomerezeka" zomwe zimakhala ndi mafuta ochepa komanso mafuta ambiri a polyunsaturated ndi ma carbohydrate. Tikukamba za mafuta a masamba, olemera mu omega-6 (soya, chimanga, mpendadzuwa) ndi zakudya zokhala ndi chakudya chosavuta chokonzekera (shuga, ufa ndi zinthu zonse zopangidwa kuchokera kwa iwo).
Tsiku lililonse, kangapo patsiku, timadya zakudya zomwe zimayamba kuvulaza pang'ono, kenako kuvulala koopsa kwa mitsempha, komwe thupi limakumana ndi kutupa kosatha, komwe kumabweretsa ma depositi a cholesterol, ndiyeno - kugunda kwa mtima kapena sitiroko.
Mapeto a dokotala: pali njira imodzi yokha yothetsera kutupa - kudya zakudya mu "mawonekedwe achilengedwe". Perekani m'malo mwa zakudya zopatsa thanzi (monga zipatso ndi ndiwo zamasamba). Chepetsani kudya kwamafuta olemera a omega-6 ndi zakudya zokonzedwa ndi iwo.
Monga nthawi zonse, ndamasulira nkhaniyi kwa iwo omwe amakonda kuwerenga m'Chirasha, ndipo ndimapereka ulalo wapachiyambi cha chinenero cha Chingerezi kumapeto kwa malembawo.
Dokotala wa opaleshoni ya mtima amalankhula za zomwe zimayambitsa matenda a mtima
Ife, madokotala ophunzitsidwa bwino, chidziwitso ndi ulamuliro, nthawi zambiri timadzidalira kwambiri, zomwe zimatilepheretsa kuvomereza kuti tikulakwitsa. Iyi ndiye mfundo yonse. Ndikuvomereza poyera kuti ndikulakwitsa. Monga dokotala wa opaleshoni ya mtima yemwe ali ndi zaka 25, yemwe wachita maopaleshoni otsegula mtima oposa 5, lero ndiyesera kukonza cholakwika chokhudzana ndi mfundo imodzi yachipatala ndi sayansi.
Kwa zaka zambiri, ndaphunzitsidwa limodzi ndi madokotala ena odziwika amene “akupanga mankhwala” masiku ano. Mwa kufalitsa nkhani m’mabuku asayansi, kupezeka nthaŵi zonse m’misonkhano ya maphunziro, takhala tikuumirira mosalekeza kuti nthenda ya mtima yangokhala chotulukapo cha kuchuluka kwa cholesterol m’mwazi.
Chithandizo chokhacho chovomerezeka chinali kupatsidwa mankhwala ochepetsa cholesterol ndi zakudya zomwe zimaletsa kwambiri kudya mafuta. Zomalizirazo, ndithudi, tinatsimikizira, zinali kuchepetsa mafuta a kolesterolini ndi kupewa matenda a mtima. Kupatuka kwa malangizowa kunkaonedwa ngati mpatuko kapena chifukwa cha kunyalanyaza kwachipatala.
Palibe mwa izi chimagwira ntchito!
Malingaliro onsewa salinso olungama mwasayansi komanso mwamakhalidwe. Zaka zingapo zapitazo, kutulukira kunapangidwa: chifukwa chenicheni cha matenda a mtima ndi kutupa kwa khoma la mitsempha. Pang'onopang'ono, kupezeka kumeneku kumabweretsa kusintha kwa lingaliro lolimbana ndi matenda a mtima ndi matenda ena aakulu.
Malangizo a kadyedwe omwe amatsatiridwa kwa zaka mazana ambiri awonjezera mliri wa kunenepa kwambiri ndi matenda a shuga, zomwe zotsatira zake zimaphimba mliri uliwonse ponena za imfa, kuzunzika kwa anthu ndi zotsatira zake zachuma.
Ngakhale kuti 25% ya anthu (USA - Liveup!) amatenga mankhwala okwera mtengo a statin, ngakhale kuti tadula mafuta m'zakudya zathu, chiwerengero cha Achimereka omwe adzafa ndi matenda a mtima chaka chino ndi apamwamba kuposa kale lonse.
Ziwerengero za American Heart Association zikuwonetsa kuti anthu aku America 75 miliyoni pakadali pano ali ndi matenda amtima, 20 miliyoni ali ndi matenda ashuga, ndipo 57 miliyoni ali ndi prediabetes. Matendawa "amakula" chaka chilichonse.
Mwachidule, ngati mulibe kutupa m’thupi, cholesterol sichingaunjikane m’chipupa cha mtsempha wa mwazi ndipo motero kumayambitsa matenda a mtima ndi sitiroko. Ngati palibe kutupa, cholesterol imayenda momasuka m'thupi, monga momwe idapangidwira mwachilengedwe. Ndi kutupa komwe kumayambitsa kutsika kwa cholesterol.
Kutupa si kwachilendo - ndi chitetezo chachilengedwe cha thupi ku "adani" akunja monga mabakiteriya, poizoni kapena ma virus. Kuzungulira kotupa kumateteza thupi lanu kwa omwe akuukira mabakiteriya ndi ma virus. Komabe, ngati nthawi zonse timayika matupi athu ku poizoni kapena kudya zakudya zomwe sangathe kuzigwira, vuto lotchedwa kutupa kosatha kumachitika. Kutupa kosatha ndi kovulaza monga momwe kutupa koopsa kumachiritsa.
Ndi munthu wanzeru uti amene amangokhalira kudya chakudya kapena zinthu zina zomwe zimavulaza thupi? Mwina anthu osuta fodya, koma anasankha zimenezi mosamala kwambiri.
Enafe tinkangotsatira zakudya zomwe zimalimbikitsidwa komanso zomwe zimalimbikitsidwa kwambiri ndi mafuta ochepa kwambiri, mafuta a polyunsaturated ndi ma carbohydrate, osadziwa kuti mobwerezabwereza tikuvulaza mitsempha yathu ya magazi. Kuvulala kobwerezabwerezaku kumayambitsa kutupa kosatha, komwe kumayambitsa matenda amtima, sitiroko, shuga, ndi kunenepa kwambiri.
Ndiroleni ndibwereze: kupwetekedwa mtima ndi kutupa kwa mitsempha yathu yamagazi kumayambitsidwa ndi zakudya zopanda mafuta zomwe zimalimbikitsidwa ndi mankhwala achikhalidwe kwa zaka zambiri.
Zomwe zimayambitsa kutupa kosatha ndi chiyani? M'mawu osavuta, ndiko kumwa mopitirira muyeso zakudya zomwe zili ndi chakudya chosavuta (shuga, ufa, ndi zonsezi), komanso kudya kwambiri mafuta a masamba a omega-6, monga soya, chimanga, ndi mpendadzuwa, zomwe zimapezeka muzakudya zambiri zokonzedwa.
Tengani kamphindi ndikuwona zomwe zimachitika ngati mupaka khungu lofewa ndi burashi lolimba kwa kanthawi mpaka litakhala lofiira kwambiri, ngakhale kuvulaza. Tangoganizani kuchita zimenezi kangapo patsiku, tsiku lililonse kwa zaka zisanu. Ngati mutapirira ululu umenewu, pangakhale magazi, kutupa kwa malo okhudzidwawo, ndipo nthawi iliyonse chovulalacho chimakula. Iyi ndi njira yabwino yowonera mchitidwe wotupa womwe ungakhale ukuchitika m'thupi lanu pakali pano.
Mosasamala kanthu komwe njira yotupa imachitikira, kunja kapena mkati, imapitirira mofanana. Ndawona zikwi zikwi za mitsempha kuchokera mkati. Mtsempha wamagazi womwe uli ndi matenda umawoneka ngati wina watenga burashi ndipo nthawi zonse amadzipaka pamakoma a mtsempha. Kangapo patsiku, tsiku lililonse, timadya zakudya zomwe zimayambitsa kuvulala pang'ono, zomwe zimasandulika kuvulala koopsa, zomwe thupi limakakamizika kuyankha nthawi zonse komanso mwachibadwa ndi kutupa.
Tikamamva kukoma kokoma kwa bun, thupi lathu limachita mantha, ngati kuti kwabwera munthu wobwera kudzalengeza nkhondo. Zakudya zokhala ndi shuga wambiri komanso chakudya chosavuta, komanso zakudya zomwe zimakonzedwa kuti zisungidwe kwa nthawi yayitali ndi mafuta a omega-6, zakhala zoyambira kwambiri ku America kwazaka makumi asanu ndi limodzi. Mankhwalawa anali kupha aliyense pang'onopang'ono.
Ndiye kodi bun lotsekemera lingayambitse bwanji kutupa komwe kumatidwalitsa?
Tangoganizani kuti madzi atayika pa kiyibodi, ndipo muwona zomwe zikuchitika mkati mwa selo. Tikamadya zakudya zosavuta monga shuga, shuga m'magazi athu amakwera mofulumira. Poyankha, kapamba amatulutsa insulini, cholinga chake chachikulu ndikunyamula shuga m'maselo aliwonse momwe amasungidwira mphamvu. Ngati selo lili lodzaza ndipo silifuna shuga, silitenga nawo gawo popewa kudzikundikira kwa shuga wambiri.
Maselo anu amafuta akakana shuga wochulukirachulukira, shuga m'magazi amakwera, insulin yambiri imapangidwa, ndipo glucose amasinthidwa kukhala masitolo amafuta.
Kodi zonsezi zikukhudzana bwanji ndi kutupa? Miyezo ya shuga m'magazi imakhala yopapatiza kwambiri. Mamolekyu owonjezera a shuga amamangiriridwa ku mapuloteni osiyanasiyana, omwe amawononga makoma a mitsempha ya magazi. Kuwonongeka kobwerezabwerezaku kumasanduka kutupa. Mukakweza shuga lanu lamagazi kangapo patsiku, tsiku lililonse, zimakhala ndi zotsatira zofanana ndi kupaka sandpaper pamakoma a mitsempha yamagazi yosalimba.
Ngakhale simungachiwone, ndikukutsimikizirani kuti chilipo. Kwa zaka 25, ndawona izi mwa odwala oposa 5 zikwi zomwe ndinachita opaleshoni, ndipo onsewa amadziwika ndi chinthu chomwecho - kutupa kwa mitsempha.
Tiyeni tibwerere ku bun lokoma. Zakudya zowoneka ngati zosalakwa zili ndi zambiri kuposa shuga: bun amawotcha pogwiritsa ntchito mafuta ambiri a omega-6, monga soya. Chips ndi zokazinga za ku France zoviikidwa mu mafuta a soya; Zakudya zokonzedwa zimapangidwa pogwiritsa ntchito omega-6s kuti ziwonjezere moyo wa alumali. Ngakhale kuti ma omega-6s ndi ofunikira m'thupi - ndi gawo la nembanemba iliyonse yomwe imayang'anira zonse zomwe zimalowa ndi kutuluka mu selo - ziyenera kukhala muyeso yoyenera ndi omega-3s.
Ngati mulingo ukusintha kupita ku omega-6s, nembanemba ya cell imatulutsa mankhwala otchedwa ma cytokines omwe amayambitsa kutupa.
Zakudya zaku America masiku ano zimadziwika ndi kusalinganika kwakukulu kwamafuta awiriwa. Kusalinganika kumayambira 15: 1 mpaka 30: 1 kapena kupitilira apo mokomera omega-6. Izi zimapangitsa kuti pakhale kuchuluka kwa ma cytokines omwe amayambitsa kutupa. Chiyerekezo choyenera komanso chathanzi m'malo amakono azakudya ndi 3: 1.
Kuti zinthu ziipireipire, kunenepa kwambiri komwe mumapeza kuchokera kuzakudyazi kumapangitsa kuti maselo amafuta azichulukana. Amatulutsa mankhwala oletsa kutupa omwe amawonjezera kuvulaza komwe kumachitika chifukwa cha shuga wambiri m'magazi. Njira yomwe idayamba ndi bun lokoma imasandulika kukhala bwalo loyipa pakapita nthawi, lomwe limayambitsa matenda amtima, kuthamanga kwa magazi, shuga, ndipo, pomaliza, matenda a Alzheimer's, pomwe kutupa kumapitilira ...
Tikamadya kwambiri zakudya zokonzedwa komanso zopangidwa, m'pamenenso timayambitsa kutupa, pang'onopang'ono, tsiku ndi tsiku. Thupi laumunthu silingathe kukonza zakudya zomwe zili ndi shuga wambiri komanso zophikidwa mu mafuta omega-6 - sizinapangidwe kuti zitheke.
Pali njira imodzi yokha yochotsera kutupa, ndiyo kusinthira ku zakudya zachilengedwe. Idyani zomanga thupi zambiri kuti mumange minofu. Sankhani zakudya zopatsa thanzi monga zipatso ndi ndiwo zamasamba zamitundu yowala. Chepetsani kapena kuchotsani mafuta omega-6 omwe amayambitsa kutupa monga chimanga ndi mafuta a soya ndi zakudya zokonzedwa ndi iwo.
Supuni imodzi ya mafuta a chimanga imakhala ndi 7280 milligrams ya omega-6; soya ili ndi 6940 milligrams ya omega-6. M'malo mwake, gwiritsani ntchito mafuta a azitona kapena batala wopangidwa kuchokera ku mkaka wa ng'ombe wodyetsedwa ndi zomera.
Mafuta a nyama amakhala ndi omega-20 ochepera 6% ndipo samayambitsa kutupa kuposa mafuta omwe amati athanzi otchedwa "polyunsaturated." Iwalani "sayansi" yomwe yakhomeredwa m'mutu mwanu kwazaka zambiri. Sayansi yomwe imati mafuta odzaza okha amayambitsa matenda a mtima si sayansi ayi. Sayansi yoti mafuta odzaza amakweza cholesterol m'magazi nawonso ndi ofooka kwambiri. Chifukwa tsopano tikudziwa motsimikiza kuti cholesterol sichimayambitsa matenda amtima. Kudetsa nkhawa za mafuta okhuta kumakhala kopanda nzeru kwambiri.
Lingaliro la cholesterol lidatsogolera ku malingaliro amafuta ochepa, zakudya zamafuta ochepa, zomwe zidapangitsa kuti pakhale zakudya zomwe zikuyambitsa mliri wa kutupa. Mankhwala apamwamba adalakwitsa kwambiri pamene adalangiza anthu kuti asiye mafuta odzaza ndi zakudya zomwe zili ndi omega-6 mafuta. Panopa tikukumana ndi mliri wa kutupa kwa mitsempha yomwe imatsogolera ku matenda a mtima ndi ena opha mwakachetechete.
Choncho, ndi bwino kusankha zakudya zonse zomwe agogo athu ankagwiritsa ntchito, osati zomwe amayi athu adagula m'masitolo ogulitsa zakudya zodzaza ndi chakudya cha fakitale. Pochotsa zakudya zotupa komanso kuwonjezera zakudya zopatsa thanzi kuchokera ku zakudya zatsopano, zosasinthidwa ku zakudya zanu, mumayamba kulimbana ndi kuwonongeka komwe zakudya zamtundu wa ku America zawononga mitsempha yanu ndi thupi lanu lonse pazaka zambiri.
* Dr. Dwight Lundell ndi mkulu wakale wa Ogwira ntchito ndi Chief of Surgery ku Banner Heart Hospital, Mesa, Arizona. Chipatala chake chapayekha, Cardiac Care Center, chinali mumzinda womwewo. Dr. Landell posachedwapa anasiya opaleshoni kuti aganizire za kuchiza matenda a mtima kudzera mu zakudya. Iye ndi amene anayambitsa bungwe la Healthy Humans Foundation, lomwe limalimbikitsa anthu kukhala ndi thanzi labwino. Kugogomezera ndikuthandizira makampani akuluakulu kukonza thanzi la ogwira ntchito. Ndiyenso mlembi wa The Heart Disease Cure ndi The Great Cholesterol Deception.
Nkhani yoyambirira: PANO