Yintoni Ebangela Isibindi Esinamafutha, Silungele ntoni? Iimpawu kunye noNyango

isibindi esinamafuthaIya ixhaphaka ngakumbi kwihlabathi liphela, ichaphazela malunga nama-25% abantu kwihlabathi liphela.

Le meko, enxulumene nokutyeba, uhlobo lwe-2 yeswekile kunye nokunganyangeki kwe-insulin, kunokubangela ezinye iziphazamiso. Ukuba isibindi esinamafutha asiphathwanga, sinokumema izifo zesibindi ezinzulu kunye nezinye iingxaki zempilo.

Yintoni iFatty Liver?

isibindi esinamafutha; Kwenzeka xa amafutha amaninzi aqokelelana kwiiseli zesibindi. Nangona inani elincinci lamafutha kwezi seli liqhelekile, ukuba ngaphezulu kwe-5% yesibindi sinamafutha, isibindi esinamafutha ithathwa njenge.

ukusetyenziswa kotywala kakhulu isibindi esinamafutha Ngelixa ezinye izinto ezininzi zinokudlala indima kule meko. 

Uninzi lwemeko yesibindi kubantu abadala kunye nabantwana isifo sesibindi esinganxiliyoyi. NAFLD ngoko isifo sesibindi esinamafutha angasinxilisayolinqanaba lokuqala kunye nokuguqulwa kwesifo sesibindi. 

Ngelishwa, idla ngokungafunyaniswanga ngeli xesha. Ngokuhamba kwexesha, i-NAFLD inokukhula ibe yimeko enzima yesibindi eyaziwa ngokuba yi-nonalcoholic steatohepatitis okanye i-NASH.

I-NASH ithetha ukuqokelelwa kwamafutha amaninzi kunye nokudumba okonakalisa iiseli zesibindi. Oku kunokubangela i-fibrosis, okanye izicubu ezibomvu, njengoko iiseli zesibindi zonzakala ngokuphindaphindiweyo kwaye zife.

isibindi esinamafuthaKunzima ukuqikelela ukuba iya kuqhubela phambili kwi-NASH; Oku kwandisa umngcipheko we-cirrhosis kunye nomhlaza wesibindi.

NAFLD; Kwakhona kwandisa ingozi yezinye izifo ezifana nesifo senhliziyo, isifo seswekile kunye nesifo sezintso. 

Iintlobo zesibindi esinamafutha

Isifo sesibindi esinamafutha e-nonalcoholic (NAFLD)

isifo sesibindi esinamafutha angenatywala (NAFLD) kwenzeka xa amanqatha aqokelelana esibindini sabantu abangaseli utywala.

I-steatohepatitis engeyiyo utywala (NASH)

I-nonalcoholic steatohepatitis (NASH) luhlobo lwe-NAFLD. Kwenzeka xa ukuqokelela kwamafutha amaninzi kwisibindi kuhamba kunye nokuvuvukala kwesibindi.

Ukushiywa kungaphathwanga, i-NASH inokubangela ukulimala kwesibindi. Kwiimeko ezinzima, oku kunokukhokelela kwi-cirrhosis kunye nokungaphumeleli kwesibindi.

Isibindi esinamafutha abukhali wokukhulelwa (AFLP)

I-Acute fatty liver yokukhulelwa (AFLP) yinto enqabileyo kodwa enzima yokukhulelwa. Oyena nobangela akaziwa.

I-AFLP idla ngokuvela kwi-trimester yesithathu yokukhulelwa. Ukuba ayinyangwa, ibeka ingozi enkulu kwimpilo kumama nakumntwana okhulayo.

Isifo sesibindi esibangelwa butywala (ALFD)

Ukusela utywala kakhulu kusonakalisa isibindi. Xa sonakalisiwe, isibindi asikwazi ukuqhekeza amanqatha ngokufanelekileyo. Oku kunokubangela ukwanda kwamafutha, okwaziwa njengesibindi esinamafutha enziwe ngotywala.

Isifo sesibindi esinxulumene notywala (ALFD) sisigaba sokuqala sesifo sesibindi esinxulumene notywala.

I-Alcohol steatohepatitis (ASH)

I-Alcoholic steatohepatitis (ASH) luhlobo lwe-AFLD. Kwenzeka xa ukuqokelela ngokugqithiseleyo kwamafutha kwisibindi kuhamba kunye nokuvuvukala kwesibindi. Oku kwaziwa ngokuba yi-alcohol hepatitis.

Ukuba ayiphathwanga kakuhle, i-ASH inokubangela ukulimala kwesibindi.

Iimbangela zesibindi esinamafutha

isibindi esinamafuthaIkhula xa umzimba uvelisa amanqatha amaninzi okanye awukwazi ukugawula amanqatha ngokufanelekileyo ngokwaneleyo. Amafutha amaninzi agcinwe kwiiseli zesibindi, apho isibindi esinamafutha kubangela izifo.

Izinto ezahlukeneyo zinokubangela oku kufumba kwamafutha. Umzekelo, ukusela utywala kakhulu kunokubangela isifo sesibindi esinamafutha.

Kubantu abangaseli kakhulu utywala, unobangela wesibindi esinamafutha ayicacanga kangako. Enye okanye ngaphezulu kwezi zinto zilandelayo zinokudlala indima kule meko:

Yintoni Ebangela Isibindi Esinamafutha?

Ukutyeba kakhulu

Ukutyeba kakhulu kuququzelela ukuqokelelana kwamafutha esibindini kwaye kubangela ukudumba okukumgangatho ophantsi. Kuqikelelwa ukuba i-30-90% yabantu abadala abatyebe kakhulu bane-NAFLD, kwaye iyanda ebantwaneni ngenxa yobhubhani wokutyeba kwabantwana. 

Amafutha amaninzi esiswini

Abantu abaphethe amanqatha amaninzi esinqeni banokuhlakulela isibindi esinamafutha, nokuba banobunzima obuqhelekileyo.

ukumelana ne-insulin

ukumelana ne-insulin kunye namanqanaba aphezulu e-insulin anyusa ukugcinwa kwamafutha kwisibindi kubantu abanesifo sikashukela sohlobo lwe-2 kunye nesifo se-metabolic syndrome.

Ukutya okuphezulu kwe-carbohydrates ecocekileyo

Icarbohydrates esulungekisiweyo kukutya okuphulukene noninzi okanye konke okunesondlo kunye nomxholo wefiber enempilo, kubandakanya umgubo omhlophe, iswekile emhlophe, irayisi emhlophe, kunye nepasta emhlophe. I-carbohydrates ecocekileyo ine-index ye-glycemic ephezulu kwaye ibangela i-spikes kwiswekile yegazi.

Ukusetyenziswa rhoqo kwe-carbohydrates ecocekileyo kubangela ukuqokelelwa kwamafutha esibindi, ngakumbi kubantu abakhulu kakhulu okanye abanokumelana ne-insulin. 

Ukusetyenziswa kweziselo ezineswekile

Iziselo ezinoshukela kunye neziselo eziswiti, ezifana nesoda kunye neziselo zamandla, ziqulethe izixa eziphezulu zefructose, ngaloo ndlela zibangela ukuqokelelana kwamafutha esibindi kubantwana nakubantu abadala. 

Ukuwohloka kwempilo yamathumbu 

Uphando olutshanje lubonisa ukuba ukungalingani kwiibhaktheriya zamathumbu, umsebenzi we-gut barrier (i-leaky gut), okanye eminye imiba yempilo yamathumbu inokufaka isandla ekuphuhliseni i-NAFLD.

IFactors yesibindi esinamafutha

Kwezi meko zilandelayo isibindi esinamafuthaUnokuba semngciphekweni omkhulu woku:

– ukuba nesidudla

-Ukuba nokumelana ne-insulin

– Uhlobo lwesi-2 seswekile

- Polycystic ovary syndrome

- Ukuba ukhulelwe

- Imbali yosulelo oluthile olufana ne-hepatitis C

-Ukuba namanqanaba aphezulu e-cholesterol

-Ukuba namanqanaba aphezulu e-triglyceride

– Ukuba namaqondo aphezulu eswekile yegazi

-Metabolic syndrome

Ziziphi iimpawu zesibindi esinamafutha?

isibindi esinamafuthaUmhlaza uneempawu ezahlukeneyo kunye neempawu, kodwa ayinguye wonke umntu onesibindi esinamafutha oya kuba nazo zonke iimpawu. Usenokungaqondi nokuba isibindi sakho sinamafutha.

isibindi esinamafuthaIimpawu zezi zilandelayo:

– Ukudinwa kunye nobuthathaka

– Intlungu encinci okanye ukudumba kwisisu esisekunene okanye esiphakathi

- Ukunyuka kwamanqanaba e-enzyme yesibindi, kuquka i-AST kunye ne-ALT

-Ukonyuka kwamanqanaba e-insulin

-Amanqanaba aphezulu e-triglyceride 

Ukuba isibindi esinamafutha siqhubela phambili kwi-NASH, ezi mpawu zilandelayo zinokuvela:

– ukulahlekelwa ngumdla wokutya

– Isicaphucaphu nokugabha

– Iintlungu zesisu eziphakathi ukuya kweziqatha

– ukutyheli kwamehlo nolusu

Yintoni unyango lwesibindi esinamafutha?

isibindi esinamafuthaNgokuqhelekileyo ayinyangwa ngamayeza kodwa ngokutshintsha kwendlela yokuphila njengokuyeka utywala, ukunciphisa umzimba, kunye nokutya okunamafutha. Kwinqanaba eliphambili, ukhetho olunje ngamayeza kunye notyando lusenokungena.

ngoku "ukutya kwesibindi esinamafutha" ve “Ukutya okulungele isibindi esinamafutha” Makhe siyihlolisise.

Indlela yokunciphisa isibindi esinamafutha?

Njengokunciphisa umzimba kunye nokusika i-carbs isibindi esinamafuthaKukho utshintsho oluthile lwezondlo olufanele lusetyenziswe ukulahla isifo. 

yehla emzimbeni

Ukuba utyebe kakhulu okanye utyebe kakhulu, nciphisa umzimba isibindi esinamafutha Yenye yeendlela ezilungileyo zokuyibuyisela umva.

Ukudibanisa ukutya kunye nokuzivocavoca ukunciphisa umzimba kuye kwafunyaniswa ukukhuthaza ukulahleka kwamafutha esibindi kubantu abadala abane-NAFLD nangona ukulahlekelwa kwesisindo kuhlulekile.

Kuphononongo lweenyanga ezintathu lwabantu abadala abatyebe kakhulu ngokunciphisa iikhalori ezingama-500, i-8% yobunzima bomzimba yalahleka kwaye isibindi esinamafuthaukuphucuka okubonakalayo kuye kwabonwa. Amafutha esibindi kunye novelwano lwe-insulin luphuculwe ngokulahleka kwesisindo.

Ukunciphisa i-carbohydrates, ngakumbi i-carbohydrates ecocekileyo

isibindi esinamafuthaKusenokubonakala ngathi eyona ndlela isengqiqweni yokunciphisa amanqatha okutya kukunciphisa amanqatha ekutyeni. Nangona kunjalo, uphando lubonise ukuba abantu abane-NAFLD ioli yesibindiibonisa ukuba kuphela i-16% yeoli ivela kwioli.

Kunoko, amaninzi amaninzi esibindi avela kwi-fatty acids, kwaye malunga ne-26% yamafutha esibindi akhiwa ngenkqubo ebizwa ngokuba yi-DNL.

Ngexesha le-DNL, i-carbohydrates engaphezulu iguqulwa ibe ngamafutha. Isiganeko se-DNL sinyuka ngokusetyenziswa okuphezulu kokutya okutyebileyo kwe-fructose kunye neziselo.

Kolunye uphononongo, abantu abadala abatyebe kakhulu abondliwa kakhulu ngeekhalori kunye neekhabhohayidrethi ezisulungekileyo kangangeeveki ezintathu bafumana ukonyuka okuphakathi kwamafutha esibindi ngama-2%, nanjengoko ubunzima babo bunyuke nge-27% kuphela.

Uphando luye lwabonisa ukuba ukusetyenziswa okuphantsi kwe-carbohydrates ecocekileyo kunokunceda ukuguqula i-NAFLD. Ukutya okune-carb ephantsi, ukutya kweMeditera kunye nokutya okuphantsi kwe-glycemic index, isibindi esinamafutha iya kufaneleka

ISondlo sesibindi esinamafutha

Ukongeza ekunciphiseni ukuthathwa kwe-carbohydrate, unokugqamisa oku kulandelayo ukutya kunye namaqela okutya ukukhusela ukuthathwa kweekhalori ezigqithisileyo.

Amafutha e-monounsaturated: Uphando lubonisa ukuba ukutya ukutya okutyebileyo kwi-monounsaturated fatty acids, njengeoli yeoli, i-avocados, kunye ne-peanuts, kunokukhuthaza ukulahleka kwamafutha esibindi.

Iprotein yewhey: Iprotheni ye-Whey iye yabikwa ukunciphisa amafutha esibindi ukuya kuthi ga kwi-20% kubasetyhini abatyebileyo. Ukongeza, inokunceda amanqanaba asezantsi e-enzyme yesibindi kwaye ibonelele ngezinye izibonelelo kubantu abanesifo sesibindi esiphezulu.

Iti eluhlaza: Olunye uphando lwafumanisa ukuba i-antioxidants ebizwa ngokuba yi-catechin efumaneka kwiti eluhlaza inokufumaneka kubantu abane-NAFLD. ioli yesibindiKufunyaniswe ukuba kunciphisa intlungu kunye nokudumba.

Ifayibha enyibilikayo: Olunye uphando luchaza ukuba ukutya i-10-14 grams yefiber e-soluble ngosuku kunokunceda ukunciphisa amafutha esibindi, amanqanaba aphantsi e-enzyme yesibindi kunye nokuphucula ukuvakalelwa kwe-insulin.

Ukuzivocavoca okunokunceda ukunciphisa amanqatha esibindi

umsebenzi womzimba ioli yesibindiYenye yeendlela ezisebenzayo zokunciphisa

Uphononongo lubonise ukuba ukunyamezela ukunyamezela okanye ukuxhathisa ukuqeqeshwa ngamaxesha amaninzi ngeveki kunokunciphisa kakhulu inani lamafutha agcinwe kwiiseli zesibindi, kungakhathaliseki ukuba ubunzima bunjani.

Kuphononongo lweeveki ezine, abantu abadala be-30 abatyebileyo abane-NAFLD abasebenzisa imizuzu ye-60-18 iintsuku ezintlanu ngeveki bafumana ukuncipha kwe-10% kumafutha esibindi nangona ubunzima bomzimba wabo buhlala buzinzile.

Uqeqesho lwexeshana eliphezulu (HIIT) ioli yesibindiKwakhona kuye kwaboniswa ukuba kunenzuzo ekunciphiseni

Kuphononongo lwabantu abangama-2 abanesifo sikashukela sohlobo lwe-28, ukwenza i-HIIT kwiiveki ze-12 kubangele ukuncipha kwe-39% kumafutha esibindi.

IiVithamini ezilungileyo kwisibindi esinamafutha

Iziphumo ezivela kwizifundo ezininzi zibonisa ukuba ezinye iivithamini, imifuno, kunye nezinye izongezo ioli yesibindiIbonisa ukuba inokunciphisa umngcipheko wokuqhubela phambili kwesifo sesibindi kunye nokunciphisa umngcipheko wokuqhubela phambili kwesifo sesibindi.

Nangona kunjalo, kwiimeko ezininzi, iingcali zithi uphando oluninzi kufuneka lwenziwe ukuqinisekisa oku. Ukongezelela, kubalulekile ukudibana nodokotela ngaphambi kokuba uthathe naziphi na izongezo, ngakumbi ukuba uthatha iyeza.

Inkunzane

Inkunzane okanye i-silymarin, imifuno eyaziwayo ngemiphumo yokukhusela isibindi. Olunye uphando lufumene ukuba i-milk thistle, yodwa okanye idibene ne-vitamin E, inokunceda ukunciphisa ukunyanzeliswa kwe-insulin, ukuvuvukala, kunye nokulimala kwesibindi kubantu abane-NAFLD.

isibindi esinamafutha Kuphononongo lweentsuku ezingama-90 zabantu abanesifo seswekile, iqela elisebenzisa isongezelelo se-silymarin-vitamin E kwaye lilandele ukutya okunekhalori ephantsi xa kuthelekiswa neqela elatyayo ngaphandle kwezongezo. ioli yesibindibafumana ukucutha kabini I-dose ye-milk thistle extract esetyenziswe kwezi zifundo yayingu-250-376 mg ngosuku.

umchebi wakho

umchebi wakho Isityalo sesityalo esiye saboniswa ukunciphisa kakhulu iswekile yegazi, i-insulin, kunye namanqanaba e-cholesterol, kunye nezinye iimpawu zempilo.

Izifundo ezininzi zikwabonisa ukuba kunokunceda abantu abanesibindi esinamafutha.

Kwisifundo seveki ye-16, abantu be-184 abane-NAFLD banciphisa i-calorie yabo kwaye basebenzise ubuncinane imizuzu ye-150 ngeveki. Elinye iqela lafumana i-berberine, elinye lathatha ichiza elenza i-insulin, kwaye elinye iqela alizange linikwe naziphi na izongezo okanye amayeza.

Abo bathatha i-500 mg ye-berberine kathathu ngosuku ngokutya bafumana i-52% yokunciphisa amafutha esibindi kunye nokuphucula okukhulu kwi-insulin sensitivity kunye nezinye iingxaki zempilo kunamanye amaqela.

Nangona ezi ziphumo zikhuthazayo, uphando oluninzi luyafuneka ukuze kuqinisekiswe ukusebenza kwe-berberine ye-NAFLD, abaphandi bathi.

Omega 3 fatty acids

Omega 3 iiasidi ezinamafutha Iyaziwa ngeenzuzo zayo ezininzi zempilo. Amafutha e-long-chain omega 3, i-EPA kunye ne-DHA, afumaneka kwiintlanzi ezinamafutha ezifana ne-salmon, i-sardines, i-herring, kunye ne-mackerel.

Izifundo ezininzi zibonise ukuba ukuthatha i-omega 3 kuphucula impilo yesibindi kubantu abadala kunye nabantwana abanesibindi esinamafutha.

Kuphononongo olulawulwayo lwe-51 yabantwana abakhulu kakhulu abane-NAFLD, iqela elithatha i-DHA line-53% yokunciphisa amafutha esibindi; ngokuchaseneyo, kukho ukuncipha kwe-22% kwiqela le-placebo. Iqela le-DHA lalahlekelwa ngamafutha amaninzi ajikeleze intliziyo.

Kwakhona, isibindi esinamafutha Kuphononongo lwabantu abadala abangama-40 abane Ioli yeentlanzi I-50% yabasebenzisi ioli yesibindikwabakho ukuncipha.

I-dose ye-omega 3 fatty acids esetyenziswe kwezi zifundo yayingu-500-1000 mg ngosuku kubantwana kunye ne-2-4 grams ngosuku kubantu abadala.

Ukutya Okulungileyo kwisibindi esinamafutha

Pisces

Iintlanzi ezinamafutha ziqulethe i-omega 3 fatty acids, ezinceda ukunciphisa ukuvuvukala kunye nokunceda ukunciphisa umzimba. Iingcali zenzululwazi zicebisa ukuba ukutya iintlanzi ezityebileyo kwi-omega 3 fatty acids amafutha esibindini zibonakalise ukunceda ukunciphisa

namafutha omnquma

namafutha omnquma, iphucula iprofayili ye-lipid yegazi, inyusa i-glucose metabolism kunye nokuziva kwe-glucose. Ioyile yomnquma ngumthombo we-monounsaturated fatty acids ezinceda izigulane ze-NAFLD ziphucule imeko yazo.

avocado

Esi siqhamo sinencasa kancinci sibonelela nge-monounsaturated fatty acids (MUFAs). I-MUFAs inceda ukunciphisa ukuvuvukala kunye nokuzuza ubunzima obunxulumene nokuvuvukala, ukunciphisa i-cholesterol embi (i-LDL) kunye ne-triglycerides egazini, kwaye iphakamisa i-cholesterol enhle (i-HDL cholesterol).

Kuba, avokado Iphelele ekulahlekeni kwesisindo. Kwaye xa ulahlekelwa ubunzima ngokubanzi, amafutha esibindini nayo iyancipha.

Walnut

uphando lwenzululwazi walnutIbonakalise ukuba ngumthombo omkhulu we-antioxidants kunye namafutha anempilo. Inceda ukunciphisa i-triglycerides yesibindi kunye nokuvuvukala, ukuphucula ukuvakalelwa kwe-insulin. 

Imifuno kunye neziqhamo

Ukutya imifuno kunye neziqhamo imihla ngemihla kunokunceda ukunciphisa ipesenti yamanqatha, leyo amafutha esibindini inikeza unciphiso. 

Iti eluhlaza

Iti eluhlazaSesinye seziselo ezingcono kakhulu ezinokuthi zisetyenziswe ukunciphisa umzimba. Le tea ehlaziyayo yindawo yokugcina i-antioxidants enceda ukunciphisa ukuvuvukala kwesibindi, ukunciphisa amafutha esibindi, kunye nokunciphisa amanqanaba e-enzyme yesibindi ekhoyo kwizigulane ze-NAFLD.

igalikhi

igalikhiI-allicin compound kwi-tachi i-antioxidant enamandla, inokukhusela kwizifo ezahlukahlukeneyo, kubandakanywa nesibindi esinamafutha esinxilisayo kunye ne-non-alcoholic. Isebenza ngokunciphisa ukuvuvukala, ukucoca i-toxins kunye nokunciphisa ubunzima bamafutha emzimbeni.

Oat

I-oats edibeneyoKukutya okudumileyo kwelahleko njengoko kungumthombo omkhulu wefiber yokutya kunye ne-omega 3 fatty acids. Ukutya i-oatmeal rhoqo kunceda ukubuyisela i-NAFLD ngokunceda ukulahlekelwa ngamafutha amaninzi.

broccoli

broccoliYimifuno e-cruciferous etyebileyo kwi-antioxidants. Ukutya i-broccoli rhoqo kunokunceda ukunciphisa amafutha omzimba kunye nokukhupha i-toxins. Iingcali zenzululwazi ziye zafumanisa ukuba i-broccoli inceda ukunciphisa i-hepatic triglycerides kunye ne-hepatic macrophages, ngaloo ndlela ikhusela impilo yesibindi.

Ukutya okufuneka uphephe kwi-Fatty Liver

alcohol

Ukusetyenziswa kotywala ngokugqithisileyo kukhokelela kwi-hepatic steatosis, enokukhokelela kwi-cirrhosis kunye nomhlaza. Into yokuqala ekufuneka uyenzile kukuyeka utywala.

sugar

Iswekile inokuba ngumlutha kwaye inegalelo ekufumaneni ubunzima kunye nokuxhathisa i-insulin. Kwakhona, kunokukhokelela kwi-NAFLD.

Ngoko ke, kuyimfuneko ukunciphisa okanye ukuphepha ukusetyenziswa kweshukela ecocekileyo. Endaweni yoko, sebenzisa i-sweetener yendalo njengobusi kuba iqulethe umkhondo wee-antioxidants kwaye inyusa amanqanaba eswekile yegazi ngaphantsi kweswekile.

Isonka esimhlophe

Isonka esimhlophe kukutya okuphezulu kwe-glycemic index kwaye igaywe ngokukhawuleza. Ngoko ke, kulula kakhulu ukutya isonka esimhlophe ngaphandle kokuqaphela.

Ngenxa yoko, amafutha aqokelelana kwiindawo ezahlukeneyo zomzimba. Ukuba ayigcinwanga phantsi kolawulo, isibindi esinamafuthakunokukhokelela kwi. 

Inyama ebomvu

Ukutya inyama ebomvu ngokugqithisileyo kubeka impilo ye-cardiovascular emngciphekweni, njengoko inamafutha amaninzi kwaye inokubangela ukwanda kwe-triglycerides kunye ne-LDL cholesterol.

Amafutha eTrans

Amafutha eTrans ifumaneka kukutya okuninzi okuqhotsiweyo, iibhiskithi kunye neecrackers. Ukusetyenziswa ngokugqithisileyo koku kutya kunokukhokelela ekutyebeni, isifo sikashukela kunye ne-NAFLD.

ityuwa

Ityuwa eninzi inokuthintela i-glucose metabolism emzimbeni, ibangele ukugcinwa kwamanzi, okunokubangela ukutyeba, isifo seswekile kunye isibindi esinamafuthakunokukhokelela kwi. Ke ngoko, sebenzisa ubuncinci betyuwa ekutyeni kwakho ukukhusela isibindi sakho.