Kudyidzana Kwemishonga Nekudya
Kudyidzana kwemishonga nechikafu kunoitika kana zvimwe zvekudya, zvinwiwa, kana zvinovaka muviri zvichikanganisa mashandiro emushonga mumuviri. Mhedzisiro yacho inogona kusiyana: mushonga wacho hauchashandi zvakanaka, mhedzisiro yawo inova yakasimba zvakanyanya, kana njodzi yemigumisiro inowedzera. Nekuti mishonga inoshanda kuburikidza nekupinza, kupararira, metabolism, uye kubviswa, zvatinodya zvinogonawo "kuchinja" nzira dzemishonga iyi. Kunzwisisa kudyidzana uku kwakakosha, kunyanya kune vanhu vanogara vachitora mishonga, vakwegura, vakadzi vane pamuviri, uye varwere vane zvirwere zvisingaperi.
Sei chikafu chingakanganisa mushonga?
Kana mushonga ukatorwa, muviri unofanira kutanga waupinza kuburikidza nenzira yekugaya. Chikafu chinogona kunonotsa kana kukurumidzisa kubuda kwemudumbu, kuchinja mwero weacidity, kukanganisa maenzyme ekugaya, uye kusangana zvakananga nezvinhu zvinoshanda zvemushonga. Uyezve, zvimwe zvekudya zvinokanganisa maenzyme echiropa (akadai seCYP450 enzyme system) ane basa rekugadzirisa mishonga, zvichiita kuti mwero weropa ukwire kana kudzikira. Uyezve, mishonga inogonawo kukanganisa kutorwa kwezvimwe zvinovaka muviri, zvichikonzera kushomeka kwemavhitamini kana mamineral nekushandiswa kwenguva refu.
Mhando dzekudyidzana kwemishonga nekudya
Kazhinji, kudyidzana kwemishonga nekudya kunogona kuiswa mumapoka akati wandei:
1. Kudyidzana kunokanganisa kunyudzwa kweropa
Zvimwe zvekudya zvinogona kusunga mishonga mudumbu kana kuchinja mamiriro emudumbu nemudumbu kuitira kuti mushonga usanyurwe zvakanaka.
2. Kudyidzana kunokanganisa kugaya chikafu
Zvekudya zvinogona kumisa kana kuwedzera mashandiro ema enzymes echiropa. Nekuda kweizvozvo, mishonga inogona kuramba iri mumuviri kwenguva yakareba kana kuti inobviswa nekukurumidza isati yatanga kushanda.
3. Kudyidzana kunokanganisa mhedzisiro yemishonga (pharmacodynamics)
Chikafu chinogona kusimbisa kana kuderedza simba remishonga, semuenzaniso kuburikidza nemhedzisiro yayo paBP, kugwinha kweropa, kana huwandu hweshuga.
4. Kudyidzana kunokanganisa mamiriro ekudya
Mimwe mishonga inoderedza kunwa kwemavhitamini/maminerari, kana kukonzera shanduko mukudya, izvo zvinozokanganisa hutano.
Mienzaniso yekudyidzana kwemishonga nekudya kunowanzoitika
1. Muchero wemazambiringa nemimwe mishonga
Muchero weGrapefruit unozivikanwa nekukanganisa kushandiswa kwemishonga yakawanda nekudzivisa enzyme yeCYP3A4 muura. Nekuda kweizvozvo, huwandu hwemushonga muropa hunogona kuwedzera, zvichikonzera migumisiro ine njodzi. Mienzaniso inosanganisira mimwe mishonga inoderedza cholesterol (mamwe mastatins), mimwe mishonga yeBP, mishonga yezvirwere zvemoyo, uye mimwe mishonga yekudzivirira kuzvidya mwoyo. Nekuti mhedzisiro yegrapefruit inogona kugara kwenguva refu, kuidzivisa kazhinji ndiyo sarudzo yakachengeteka kana yakanyeverwa nachiremba kana wemishonga.
2. Mukaka, calcium, uye mamwe maantibiotics
Zvigadzirwa zvemukaka necalcium zvinogona kusunga mishonga inorwisa mabhakitiriya yetetracycline (semuenzaniso, doxycycline) uye fluoroquinolones (semuenzaniso, ciprofloxacin), zvichideredza kunyudzwa kwayo. Izvi zvinogona kuita kuti mishonga inorwisa mabhakitiriya isashande zvakanaka uye zvinoita kuti hutachiona huome kurapa. Zvinokurudzirwa kuti munhu agare kwemaawa akati wandei pakati pekutora mishonga nekushandisa mukaka kana mishonga inorwisa mabhakitiriya yakaita secalcium, magnesium, kana iron.
3. Vhitamini K iri mumiriwo yakasvibira uye muwarfarin
Warfarin mushonga unobvisa ropa rakawanda unokanganiswa zvakanyanya nekudya vhitamini K. Muriwo wegirini wakaita sespinachi, kale, broccoli, uye mustard greens une vhitamini K yakawanda, izvo zvinogona kuderedza migumisiro yewarfarin, zvichiwedzera njodzi yekugwamba kweropa. Izvi hazvirevi kuti varwere vanofanira kurega kudya miriwo, asi kugara kwenguva refu kwakakosha: kudya vhitamini K kunofanira kugara kwakafanana zuva nezuva kuitira kuti mushonga ugadziriswe nemazvo.
4. Caffeine nemimwe mishonga
Caffeine iri mukofi, tii, uye zvinwiwa zvinopa simba inogona kuwedzera simba remuviri, kuwedzera kurova kwemoyo, kana kukonzera kuzvidya mwoyo kana ikatorwa nemimwe mishonga. Mune vamwe vanhu, caffeine inokanganisawo mishonga yeasthma (yakadai setheophylline) kana mimwe mishonga inotonhora ine mishonga inobvisa kudzimbira mumuviri. Uyezve, caffeine inogona kukanganisa hope, kunyangwe mimwe mishonga ichida kuzorora zvakakwana kuti munhu apore.
5. Doro nemarudzi akawanda emishonga
Doro ndeimwe ye "mishonga inowanzo shandiswa" pakurapa. Doro rinogona kuwedzera simba rekurapa rinoita semishonga yekare inorwisa mabhakitiriya, mapiritsi ekurara, mishonga yekuzvidya mwoyo, uye mimwe mishonga inorwadza, zvichiwedzera njodzi yetsaona nematambudziko ekufema. Doro rinoitawo kuti chiropa chiremerwe; kana rikabatanidzwa nemishonga inogadziriswa muchiropa, njodzi yekukuvara kwechiropa inogona kuwedzera. Muvanhu vane chirwere cheshuga, doro rinogonawo kukonzera hypoglycemia kana rikabatanidzwa ne insulin kana mimwe mishonga.
6. Zvekudya zvine munyu wakawanda uye mishonga yeBP
Mimwe mishonga yeBP inoshanda nekubatsira muviri kubvisa sodium nemvura, kana nekuzorodza tsinga dzeropa. Kunwa munyu wakawanda kunoita kuti BP iome kudzora, uye mishonga ingaratidzika seisingashande zvakanaka. Kune varwere vane BP, kuchinja zvekudya kunowanzo dikanwa kuti pave nekurapwa kwakakodzera.
7. Mabhanana, maranjisi, nemishonga inowedzera potassium
Mimwe michero ine potassium yakawanda. Kune vanhu vanotora mishonga inogona kuwedzera potassium (semuenzaniso, mimwe mishonga yeBP yakaita seACE inhibitors kana potassium-sparing diuretics), kudya potassium yakawanda kunogona kuwedzera njodzi ye hyperkalemia. Zviratidzo zvinogona kusanganisira kushaya simba, kuda kurutsa, uye kunyange kusagadzikana kwemoyo. Izvi hazvirevi kuti usadye michero zvachose, asi zvinoda kutariswa uye kupiwa mazano ekurapwa.
Mitemo mikuru: inwa usati wadya, wapedza, kana kuti panguva yekudya?
Vanhu vazhinji vanovhiringidzika kuti vanofanira kunwa riini mushonga. Kazhinji:
– "Mudumbu musina chinhu" zvinowanzoreva awa imwe usati wadya kana maawa maviri mushure mekudya. Izvi zvinoita kuti mushonga upindwe zvakanaka uye zvinodzivirira kukanganiswa kwechikafu.
– “Mushure mekudya” inowanzo kurudzirwa pamishonga inogona kutsamwisa dumbu kana kukonzera kuda kurutsa. Chikafu chinobatsira kuchengetedza dumbu.
– “Nechikafu” zvinogona kureva kuti mushonga uyu unonyudzwa zviri nani kana paine mafuta kana zvimwe zvekudya, kana kuderedza migumisiro yemudumbu.
Zvisinei, mitemo iyi inosiyana zvichienderana nerudzi rwemushonga. Usavimba nepfungwa dzakanaka; verenga zviri papepa uye bvunza murapi wemishonga.
Mapoka anofanirwa kungwarira zvakanyanya
Kudyidzana kwemishonga nekudya kune njodzi huru mu:
– Vakwegura, nekuda kwekusashanda zvakanaka kwechiropa neitsvo uye kunwa mishonga yakawanda kakawanda (polypharmacy).
- Varwere vane zvirwere zvisingaperi zvakaita seBP, chirwere cheshuga, matambudziko emwoyo, chirwere cheitsvo, uye matambudziko echiropa.
– Madzimai ane pamuviri neanoyamwisa, nekuti shanduko dzemuviri dzinogona kukanganisa huwandu hwemishonga uye kuchengetedzeka kwemwana ari mudumbu/mwana.
– Vanhu vanotora mishonga yekuwedzera yakaita seginkgo, ginseng, kana St. John's wort (mune dzimwe nyika). Kunyangwe iri "yechisikigo," mishonga yekuwedzera inogona kuramba ichishanda zvakanyanya nemishonga.
Maitiro ekudzivirira kusangana kwemishonga nekudya
Matanho anoshanda anogona kutorwa:
1. Verenga chinyorwa chemishonga nepepa reruzivo: kazhinji pane yambiro pamusoro pezvikafu/zvinwiwa zvinofanira kudziviswa.
2. Nyora pasi mishonga yese nezvinovaka muviri zvauri kutora, kusanganisira mavhitamini, mishonga yemiti, nezvinovaka muviri. Ratidza chiremba wako/mufemesi.
3. Bvunza zvakananga kuti: "Mushonga uyu unogona kunwiwa nemukaka here? Kofi? Tii? Doro here? Unofanira kutorwa usati wadya kana kuti wapedza kudya?"
4. Ramba uchidya nguva dzose, kunyanya kana uchitora mishonga inokonzeresa zvimwe zvinovaka muviri (semuenzaniso, warfarin).
5. Ipa nguva kana zvichidikanwa, semuenzaniso pakati pemishonga inorwisa mabhakitiriya nemamwe mishonga yemukaka kana yemaminerari.
6. Tarisa zviratidzo zvisingawanzoitiki: dzungu rakawandisa, kuda kurutsa kwakanyanya, mapundu, kurova kwemoyo, kubuda ropa, kana kuchinja kukuru kweBP/shuga.
7. Usarega kutora chero mushonga usina kupiwa zano nachiremba, kunyangwe kana uchifungidzira kuti mushonga wacho ungakanganisa.
Penutup
Kudyidzana kwemishonga nekudya inyaya chaiyo inogona kukanganisa kubudirira kwekurapwa uye kuchengetedzeka kwevarwere. Kudyidzana kumwe kunoita kuti mishonga isashande zvakanaka, nepo kumwe kuchikonzera migumisiro yakaipa. Chinokosha ruzivo rwakarurama, tsika dzekushandisa nguva dzose, uye kutaurirana nachiremba wako nemutengesi wemishonga. Nekunzwisisa zvinogona uye zvisingagone kunwiwa nemishonga, tinogona kuwedzera mabhenefiti ekurapwa uku tichideredza njodzi dzisingadiwe.
Kana muchida, ndinogona kugadzirisa chinyorwa chino kuti chive chakanyatsojeka, semuenzaniso mishonga yeBP, chirwere cheshuga, mishonga inorwisa mabhakitiriya, kana kuti fomati yeblog yehutano ine misoro midiki mipfupi uye mapoinzi makuru.
