Hukama Huripo Pakati Pesainzi Yezvekudya Nezvirwere Zvemuviri
Zvirwere zve autoimmune iboka rezvirwere umo masoja emuviri, ayo anofanirwa kuchengetedza muviri, anoona zvisizvo nyama dzemuviri senjodzi odzirwisa. Dambudziko iri rinogona kukonzera kuzvimba kusingaperi uye zviratidzo zvakasiyana-siyana, kubva pakurwadziwa kwemajoini uye kuneta kunogara kusvika kuzvirwere zvekugaya uye matambudziko eganda kusvika pakushanda zvisina kunaka kwenhengo dzemuviri. Mienzaniso inozivikanwa yezvirwere zve autoimmune inosanganisira lupus (SLE), rheumatoid arthritis, psoriasis, chirwere checeliac, multiple sclerosis, uye zvirwere zve inflammatory bowel (IBD) zvakaita seCrohn's ne ulcerative colitis. Pakati pekuoma kwezvikonzero uye kurapwa kwazvo, kudya kunovaka muviri kunoita basa rakakosha mukutsigira hupenyu hwakanaka, kubatsira kudzora kuzvimba, uye kuderedza njodzi yekudzokazve.
Kunzwisisa midzi yezvinetso zve autoimmune: majini, nharaunda, uye mararamiro
Kukura kwezvirwere zve autoimmune kunowanzo sanganisira musanganiswa wezvinhu zvemajini uye zvinhu zvinokonzera nharaunda. Munhu anogona kunge aine "kubatwa" nemajini, asi chirwere ichi chinongobuda chete kana paine chinhu chakadai sehutachiona, kushushikana kwenguva refu, kusvuta fodya, kusagadzikana kwekurara, shanduko dzemahormone, kana kudya kunokurudzira kuzvimba. Apa ndipo panopinda sainzi yezvekudya: chikafu hachisiricho chega chinokonzera chirwere che autoimmune, asi chinogona kukanganisa masoja emuviri, mazinga ekuzvimba, kuenzana kwemahormone, uye kunyange kuumbwa kwe microbiota yemudumbu, iyo yakabatana zvakanyanya nemhinduro yemasoja emuviri.
Basa rekuzvimba uye kudya: kuderedza "mafuta" ekuzvimba
Zvirwere zvakawanda zve autoimmune zvinoonekwa nekuzvimba kwemuviri kana kwemunzvimbo munyama dzakati. Kudya kwakawanda shuga yakawedzerwa, hupfu hwakacheneswa, mafuta e trans, chikafu chakagadziriswa zvakanyanya, uye chisina fiber zvinowanzobatanidzwa nekuwedzera kuzvimba. Izvi zvinogona kuwedzera zviratidzo kune vamwe vane autoimmune—sekurwadziwa, kuzvimba, kuomarara, kana kuneta.
Kusiyana neizvi, kudya kunorwisa kuzvimba —kwakapfuma mumiriwo, michero, nzungu, zviyo zvakakwana, mapuroteni emhando yepamusoro, uye mafuta ane hutano—kunogona kubatsira kuderedza zviratidzo zvekuzvimba mune vamwe vanhu. Kunyange zvazvo isiri "mushonga" wechirwere che autoimmune, nzira yakakodzera yekudya inowanzobatsira kugadzirisa mhinduro yekurapwa kwemishonga, kuvandudza simba rezuva nezuva, uye kutsigira kupora kwenyama.
Dumbu microbiota: hukama hwakakosha pakati pekudya kunovaka muviri nekudzivirira hutachiona
Ura harisi nhengo yekugaya chete, asiwo inzvimbo yekudzivirira muviri: masero mazhinji ekudzivirira muviri anogara mudumbu. Kuumbwa kwe microbiota yedumbu kunokonzerwa zvakanyanya nekudya. Kudya kusina fiber yakawanda uye kudya kwakawanda kwakagadziriswa kunogona kuderedza kusiyana kwehutachiona, nepo kudya kwakawanda nefiber kubva mumiriwo, michero, nzungu, uye zviyo zvese zvinowanzowedzera mabhakitiriya anogadzira ma "short-chain fatty acids" (SCFAs), akadai se butyrate, anozivikanwa nekudzivirira kuzvimba uye anochengetedza hutano hwedumbu.
Mune zvimwe zvirwere zve autoimmune, kuwedzera kwekupinda kwemudumbu mudumbu (kunowanzonzi "leaky gut") kunofungidzirwa, zvichibvumira zvimwe zvikamu kuti zvikonzere kupindura kwakanyanya kwekudzivirira muviri. Kunyange zvazvo izwi iri rinozivikanwa richiwanzorerutswa zvakanyanya, nesainzi, pfungwa yekuti mudumbu mudumbu munogona kukuvadza kuzvimba. Sainzi yezvekudya inoita basa guru mukuchengetedza hutano hwemudumbu mudumbu kuburikidza nekudya fiber, prebiotics, mamwe ma probiotics, uye zvinovaka muviri zvinotsigira kugadziriswa kwenyama.
Zvinovaka muviri zvakakosha zvinowanzo shandiswa muzvirwere zve autoimmune
1. Vitamini D
Vhitamini D ine basa guru mukugadzirisa mashandiro emuviri. Kushaikwa kwevhitamini D kwakajairika uye kwakabatanidzwa mune zvimwe zvidzidzo nenjodzi kana mashandiro ezvirwere zvemuviri zvinorwisa muviri. Manyuko evhitamini D anosanganisira kuratidzwa kwezuva, hove dzine mafuta, mazai, uye chikafu chakasimbiswa. Zvisinei, vanhu vazhinji vanoda kuongororwa kwemazinga uye mazano ekuwedzera kubva kune nyanzvi yehutano.
2. Omega-3 (EPA neDHA)
Mafuta eOmega-3 anobva muhove (salmon, sardines, mackerel) ane simba rekudzivirira kuzvimba. Muzvirwere zvakaita serheumatoid arthritis, omega-3s inogona kubatsira kuderedza kuomarara kwemajoini nekurwadziwa mune vamwe vanhu. Omega-3s inotsigirawo hutano hwemwoyo, izvo zvakakosha nekuti vamwe varwere vane autoimmune vane njodzi yakakura yekurwara nemoyo nekuda kwekuzvimba kwenguva refu.
3. Faibha yekudya
Fiber inobatsira kudzora shuga yeropa, inoderedza kuzvimba kuburikidza ne microbiota, uye inotsigira hutano hwekugaya. Kudya fiber yakakwana kubva mumiriwo, michero, nzungu, uye zviyo zvakakwana kunogona kubatsira kuchengetedza immune system yakaringana. Zvisinei, panguva yekubuda kwezvirwere zvemudumbu, vamwe varwere vangangoda kugadzirisa kudya kwavo fiber (semuenzaniso, kusarudza fiber iri nyore kutsungirira).
4. Mishonga inorwisa ma oxidants uye phytonutrients
Michero nemiriwo ine mavara akasiyana-siyana (michero, madomasi, sipinachi, broccoli, makarotsi) ine vhitamini C, vhitamini E, carotenoids, uye polyphenols, izvo zvinobatsira kuderedza oxidative stress. Oxidative stress inowanzoenderana nekuzvimba uye inogona kuwedzera kukuvara kwenyama.
5. Iron, vhitamini B12, folate uye zinc
Kuneta muvarwere vane autoimmune hakungoitiki nekuda kwechirwere chete, asi kunogona kunge kwakabatana nekushomeka kweanemia kana micronutrient. Semuenzaniso, varwere vane chirwere checeliac kana IBD vari panjodzi yekusakwana kwekudya kunovaka muviri. Kuongororwa kwemurabhoritari uye kuronga zvekudya kwakakosha kudzivirira kushomeka kunogona kukanganisa hupenyu hwemunhu.
Kubvisa chikafu: kudiwa kwekungwarira uye humbowo hwakavakirwa pauchapupu
Vanhu vazhinji vane zvirwere zve autoimmune vanoedza kubvisa gluten, mukaka wemombe, shuga, kana mamwe mapoka ezvekudya vachitarisira kugadzirisa zviratidzo zvavo. Mune zvimwe zviitiko, kubvisa gluten kunodiwa—semuenzaniso, muchirwere checeliac, uko gluten inofanira kudziviswa kweupenyu hwese. Zvisinei, mune zvimwe zvirwere zve autoimmune, mhinduro yacho ndeyako. Kudya kwe autoimmune pasina gwara kunogona kutungamira mukushomeka kwezvekudya, hukama hwakakanganisika nechikafu, uye kudzikira uremu zvakanyanya.
Kana uchida kuedza kudya kwekubvisa zvinhu zvinokuvadza (semuenzaniso, kuderedza chikafu chakabikwa zvakanyanya, shuga yakawedzerwa, kana kuyedza kuti unokwanisa kushivirira zvigadzirwa zvemukaka), zvakanaka kuzviita nenzira yakarongeka: nyora zviratidzo, zviite kwenguva yakatarwa, wozozvidzosera zvishoma nezvishoma kuti uongorore mhinduro yako. Kubvunzana nenyanzvi yezvekudya kunokurudzirwa zvikuru kuti uve nechokwadi chekuti zvinodiwa pakudya zvinosangana nezvinodiwa.
Kuchengetedza uremu uye metabolism: chinhu chinowanzo kanganwika
Kuzvimba kwenguva refu, kushandisa corticosteroids, uye kusaita maekisesaizi akawanda zvinogona kukanganisa huremu. Kufuta kunogona kuwedzera kuzvimba uye kuwedzera kuomerwa pamapfundo, ukuwo kushoma kunogona kuwedzera njodzi yekushaya chikafu chakakwana uye kuderedza kutsungirira. Sainzi yezvekudya inobatsira kugadzira nzira dzakakodzera dzesimba nemapuroteni, kusanganisira kugadzirisa zvinodiwa panguva yekumuka kwechirwere, kupora, kana kana zvimwe zvekudya zvikarambidzwa.
Kudya kunokurudzirwa kazhinji: tarisa pane kunaka kwechikafu
Hapana kudya kwemuviri kunoenderana ne "autoimmune diet" kwakafanana nekwese. Zvisinei, mamwe maitiro ekudya anowanzobatanidzwa nekubatsira kwekudzivirira kuzvimba anosanganisira:
– Kudya kweMediterranean: kwakapfuma mumiriwo, michero, hove, mafuta emuorivhi, nzungu, zviyo zvese; chikafu chisina kugadzirwa zvakanyanya.
– Kudya kwakavakirwa pakudya kwese: kunokoshesa chikafu chisina kugadzirwa zvakanyanya uye chine fiber yakawanda.
- Nzira yakaderera yeFODMAP (kunyanya yekunyunyuta nezveIBS, kwete kune ese mamiriro ekudzivirira muviri, uye kazhinji kwenguva pfupi).
Chinokosha hachisi mafambiro ezvinhu, asi kugara kwenguva refu, kudya kwakakwana, uye kugadzirisa mamiriro ehutano hwemunhu wega wega.
Kushanda pamwe chete nekurapa: kudya kunovaka muviri semubatsiri, kwete chinotsiva
Varwere vane autoimmune system vanowanzoda mishonga inodzvinyirira immune system, mishonga inorwisa kuzvimba, kana biologic therapy. Kudya kunovaka muviri hakutsivi mishonga, asi kunogona kuva rutsigiro rwakakosha: kubatsira kudzora migumisiro yakaipa (yakadai sekuwedzera kweshuga muropa kana kuwedzera huremu kubva kuma steroids), kuchengetedza huwandu hwemapfupa nekudya calcium nevhitamini D, uye kudzivirira kushaya chikafu zvinovaka muviri nekuda kwekusakwanisa kunwa.
Mhedziso
Hukama huripo pakati pekudya kunovaka muviri nezvirwere zve autoimmune hwakasimba nekuti kudya kunokanganisa kuzvimba, microbiota yemudumbu, mamiriro e micronutrient, uye metabolism. Nzira yakanaka yekudya inogona kubatsira kuderedza zviratidzo, kuderedza njodzi yekusakwana, uye kuvandudza hupenyu—kunyange zvazvo isingagari ichibvisa chirwere ichi. Nzira yakanakisisa kudya kwakaringana, kunodzivirira kuzvimba kwakagadzirirwa rudzi rwechirwere che autoimmune, danho rechirwere, uye mamiriro emunhu. Nekushandira pamwe pakati pevarwere, vanachiremba, nenyanzvi dzezvekudya, kurapwa kwe autoimmune kunogona kunangwa zvakanyanya, kwakachengeteka, uye kunogara kwenguva refu.
