Lactose tsankho - Zizindikiro ndi mawonetseredwe mwa ana ndi akulu, matenda ndi zakudya

Lactose tsankho ndi kulephera kwamatumbo kuti apange enzyme. M'malo mwake, tsankho la lactose ndilo chizindikiro chachikulu cha kuchepa kwa lactase, ndiko kuti, kuchepa kwa ntchito ya kukokoloka kwa lactose m'matumbo.

Lactose ndiye chakudya chofunikira kwambiri chopezeka mkaka. Amakhala ndi glucose komanso galactose. Lactose ikasweka, enactme lactase imasungidwa. Kuperewera kwa lactase m'thupi ndi chifukwa chachikulu cha tsankho la lactose.

Izi mwa mwana zitha kutsimikiziridwa mwa chibadwa, ndiye kuti, cholowa. Nthawi zambiri zimawonedwa mwa ana obadwa nthawi isanakwane, komanso mwa makanda osakwanira kulemera.

Kwa ana okulirapo, kusagwirizana kwa lactose nthawi zambiri kumachitika chifukwa cha matenda osachiritsika kapena odwala. Zoyambitsa tsankho zingakhale:

  • matenda am'mimba
  • ziwengo ku protein ya mkaka wa ng'ombe,
  • kutupa m'mimba
  • celiac.

Chifukwa chake, kuchuluka kwa zinthu zomwe zimayambitsa chitukuko cha vutoli ndikuphatikizapo:

  • fuko
  • cholowa
  • kubadwa msanga
  • zotupa zomwe zimakhudza matumbo ang'ono, momwe njira ya kukokoloka kwa lactose ndi kapangidwe kake imachitikira.

Zizindikiro za tsankho la lactose mwa ana aang'ono nthawi zambiri zimawonetsedwa ngati mpando. Imakhala ndi fungo wowawasa komanso madzi osasintha. Mu makanda, matendawa amadziwonetseranso m'njira yowonjezera pafupipafupi komanso yamphamvu, kubwezeretsa, kusinthasintha pakudya, kukana bere kapena botolo.

Nthawi zambiri, ana okulirapo amakhalanso ndi anzawo akamakula: amakula bwino ndipo sawonjezera kulemera. Kuphatikiza apo, amatha kutsika kamvekedwe ka minofu komanso kukomoka.

Mawonetseredwe azachipatala a lactose tsankho kwa ana okulirapo amaphatikizaponso kugunthira pamimba komanso kusangalala. Nthawi zina, kupweteka kumawonekera m'dera lachiwombolo: ndi spasmodic.

Lactose tsankho lingathe, mwa zina, kuyambitsa kukwiya, kusinthasintha kwa mankhwalawa komanso kuwonjezeka kwa kutopa kwa mwana.

Matenda a lactose tsankho kwa mwana

Lactose tsankho kwa ana amapezeka pamaziko a matenda awonetsero. Ngati ndi kotheka, mwana amapatsidwa njira zina zowonjezera, mwachitsanzo, kuti adziwe matenda omwe adatsitsa izi.

Monga lamulo, diagnostics a zakudya amagwiritsidwa ntchito, pomwe zinthu zomwe zimakhala ndi lactose sizimachotsedwa pakudya kwa mwana. Pambuyo pake, amayang'ana chithunzichi ndikuwunika ndowe. Ngati Zizindikiro zikuchepa, ndipo pH ya ndowe ndiyokwera komanso kukwera, ndiye kuti mwana ali ndi kuchepa kwa lactase.

Komanso, kafukufuku wa chromotagrophic amatha kulembedwera ana, omwe amakupatsani mwayi wosankha chakudya choyenera.

Mavuto

Kuperewera kwachiwiri kwa lactase kulibe zotsatira. Popita nthawi, thupi la mwana liyamba kuyamwa bwino mkaka uliwonse wama mkaka. Pambuyo pa miyezi 6 mpaka 6, tsankho la lactose lidzatha.

Ndi matenda oyambira, tsankho kwa zinthu zomwe zili ndi lactose limakhalabe moyo. Koma kusalolera kwathunthu kwa lactase sikofunikira, chifukwa ana omwe ali ndi matendawa amatha kumwa mkaka wambiri. Zizindikiro zamatenda am'mimba zimayamba kuwonekera pokhapokha ngati zachuma zikuchulukitsidwa. Zimatsimikiziridwa payekhapayekha paliponse.

Nthawi zina kusalolera kwakukulu kwa lactose kumaphatikizidwa ndi yachiwiri. Pankhaniyi, boma la microflora yamatumbo liyenera kuyang'aniridwa nthawi zonse.

Mungatani

Makolo a ana omwe ali ndi vuto la lactose ayenera kusamalira zakudya zapadera za mwana. Iyenera kukhala ndi zakudya zotsika lactose, muzoyenerera zomwe zimayenera kwa mwana malinga ndi msinkhu wake. Komanso, mankhwala a lactic acid amatha kuphatikizidwa ndi zakudya: nthawi zambiri ana omwe ali ndi vuto la lactase amalekerera bwino.

Simungathe kugwiritsa ntchito mkaka wokhala ndi mafuta kapena mkati mwa mankhwala, omwe lactose ilipo. Ngati zizindikiro za matendawo zikuwonekera, muyenera kumusonyeza dotolo yemwe adzayesa ndi kupereka chithandizo chokwanira.

Kodi adotolo amatani?

Mu vuto lactose tsankho limayamba ngati yachiwiri matenda, dokotala amathandizira matenda oyamba. Poterepa, mwanayo amapatsidwa zakudya zapadera. Ngati chikhululukiro kapena kuchira zitheka, nthawi zambiri amayamba pang'onopang'ono kuwonjezera mndandanda wazinthu zomwe zimaphatikizidwa muzakudya. Potere, chithunzithunzi cha matenda chimayang'aniridwa nthawi zonse, ndipo kuyesedwa koyenera kumachitika.

Ndi tsankho lactose, ana amapatsidwa zakudya zomwe ayenera kudya mpaka moyo wawo wonse. Chakudya choterocho, malinga ndi ntchito zamankhwala, sichimabweretsa zovuta zilizonse.

Ana omwe ali ndi chaka chopitilira amalangizidwa kuti asinthe mkaka ndi mkaka wotsika ndi mkaka wowawasa. Zogulitsa za Confectionery ndi mkaka filimu sizikuphatikizidwanso mu chakudya. Nthawi zina, ana amapatsidwa mankhwala okhala ndi enzyme ya lactose, yomwe amatengedwa limodzi ndi mkaka.

Kupewa

Pali njira zingapo zodzitetezera zomwe zingaletse kukula kwa lactose tsankho kwa ana. Pakati pawo:

  • munthawi yake mankhwala aliwonse amatumbo ndi matenda am'mimba thirakiti,
  • ukhondo
  • kudyetsa koyenera kwa akhanda.

Njira zachiwiri zodzitetezera zimaphatikizapo kutsatira zakudya zochokera pakudya zamagulu omwe alibe kapena lactose wotsika. Izi zimapewa kupezeka kwa zizindikiro za kuchepa kwa lactase.

Pazakudya zambiri zomwe zimakhala ndi lactose sizitha kuphatikizidwa ndi chakudya, chifukwa izi zimachepetsa kuchuluka kwa calcium kulowa thupi la mwana.

Kodi tsankho lactose ndi chiyani?

Uku ndikuphwanya ntchito pantchito yokugaya chakudya, yodziwika ndi kusazindikira kwathunthu kwa lactose, chifukwa chosowa enzyme yomwe imayambitsa chimbudzi cha mkaka (chinthu chotchedwa "lactase"). Zizindikiro zoyambira za matenda am'mawonekedwe zimawonekera pakukula komanso unyamata. Mwa makanda, kuchepa kwa ntchito ya lactase m'matumbo ndikosowa kwambiri. Alactasia (dzina lina la kusalolera mkaka) imatha kuchitika chifukwa cha zinthu zosiyanasiyana, kuphatikizapo cholowa, matenda am'mimba, ndi zina zambiri.

Ubwino wa lactose kwa thupi

Zakudya zopatsa mphamvu zamafuta m'mkaka, zomwe zimapanga kuphwanya kwa galactose ndi glucose, zimatchedwa lactose (aka "shuga mkaka"). Ndiwowona mphamvu zambiri zofunika pakukula, kukulitsa ndi kukonza magwiridwe antchito amthupi. Zopindulitsa zomwe lactose ndi:

  • thandizirani kukulitsa minofu,
  • kutenga nawo mbali calcium
  • kupewa chitukuko cha matenda amanjenje,
  • kulimbitsa khoma lamitsempha yamagazi, potero kuchepetsa chiopsezo chopanga matenda a mtima
  • kukhalabe wathanzi matumbo microflora, popeza lactase imakhala malo oyenera amoyo wa lactobacilli.

Zomwe Zimalepheretsa Zinthu Zamkaka

Pali hypolactasia yoyamba (yachilendo) komanso yachiwiri (yotenga). Poyamba, matendawa amakula patangotha ​​kumene kudyetsa mwana wakhanda ndi mkaka wa m'mawere kapena mwana wakhanda. Ndi yachiwiri lactose tsankho, Zizindikiro zamatenda zimatha kuchitika pa msinkhu uliwonse mothandizidwa ndi zinthu zosiyanasiyana. Kutengera kwa chibadwa kwa hypolactasia ndi matenda omwe zifukwa zake za kukula sizimamveka bwino.

Madokotala akukhulupirira kuti kuyanjana kwamunthu kumatenga gawo lofunikira: mwachitsanzo, kuchuluka kwamatenda a enzyme kumawonedwa pakati pa okhala ku Africa ndi Asia, Ayuda, ndi anthu akumwera. Nthawi zambiri pamakhala anthu omwe samapeza enzyme yomwe imaphwanya lactose, ndipo milandu ngati imeneyi imalembedwa kokha mwa nzika zaku North America.

Kuphatikiza pa majini, kubadwa mwanjira ina kumathandizanso kukulira kwatsopano kwa tsankho. Mwayi wokhala ndi mwana wokhala ndi ziwonetsero zamafuta a mkaka ndiwambiri kwambiri ngati kholo limodzi kapena onse ali ndi matenda. Gulu lamavuto limaphatikizaponso makanda obadwa pasadakhale. Zina zomwe zimayambitsa tsankho la lactose ndi:

  1. Matenda a Celiac. Izi matenda amadziwika ndi kuwonongeka kwa yaying'ono yamatumbo villi ndi gluten - gawo la chakudya cha phala. Malinga ndi lingaliro lina, chifukwa cha kuperewera kwa michere yapadera, puloteni iyi imadziunjikira mucous membrane wa chiwalo, nkumagwira moopsa. Malinga ndi chiphunzitso cha immunological, chimodzi mwazinthu zomwe zimapangidwa ndi gluten (gliadin) chimayambitsa kupangika kwa immunological reaction, zotsatira zake ndi hypolactasia.
  2. Matenda a Crohn. Matendawa amathanso kukhudza mbali iliyonse yamatumbo. M'malo otupa, zilonda zimawonekera, microflora amasokonezeka, mavuto amtundu wa m'mimba amayamba. Poyerekeza ndi maziko a ziwengo, ma enterocytes (matumbo a epithelial maselo) amawonongeka ndi ma immunoallergic complexes. Zimakhazikika pamatumbo, zimapangitsa kuchepa kwa mphamvu ya maselo ofiira achulukane.
  3. Kuchuluka kwa mapuloteni amkaka. Nthawi zambiri kupatuka kumene kumachitika mwa makanda. Kuchuluka kwa michere mkaka wa munthu imasiyanasiyana kumayambiriro ndi kumapeto kwa kudya. Mu ma seva oyambawa, mumakhala lactose yambiri, motero mwana amalandira mwachangu kuchuluka kwa zinthuzi. M'matumbo ake sikuti nthawi zonse amatha kugaya lactose yambiri, zomwe zimapangitsa kuti pakhale zizindikiro zosakhalitsa za alactasia.

Zomwe zimathandizira pakukula kwa hypolactasia

Matenda amkati (kamwazi, chifuwa cham'mimba, salmonellosis) ndizomwe zimayambitsa kuchepa kwa kupanga lactase yofunikira pakulimbitsa mapuloteni amkaka. Matendawa amapezeka chifukwa cha dysbiosis, momwe mumakhala kusiyana pakati pa microflora yabwino ndi yoyipa. Njira ina yothandizira matenda omwe akukhudza matumbo aang'ono ndi chifukwa cha kuwonongeka kwa maselo ofiira am'magazi. Komanso, kuwopsa kwa hypolactasia kumatengera kuchuluka kwa mabakiteriya ndi mavairasi. Zomwe zimayambitsa ngozi zakukula kwa matenda:

  • zaka (anthu okhwima ndi okalamba amakonda kupatsa chidwi cha lactose),
  • mankhwala a radiation (odwala omwe adwala radiotherapy achepetsa chitetezo chamthupi, zomwe zingayambitse alactasia),
  • mafuko (Afirika, anthu aku Asia ali ndi chiopsezo chowonjezeka cha matendawa),
  • kubadwa musanakwane (makanda obadwa kale ali pachiwopsezo, koma kudziwitsidwa koyambirira ndi chithandizo choyenera nthawi zambiri zimapereka zotsatira zabwino.

Mitundu ya hypolactasia

Mankhwala amakono amasiyanitsa mitundu iwiri yayikulu ya matenda omwe amaphatikizidwa ndi kulephera kwa thupi kupukusa bwino kapena pang'ono pang'ono mapuloteni amkaka. Alactasia imatchulidwa motere:

  1. Mtundu wobadwa nawo. Mtundu wofala kwambiri wamatenda omwe umapezeka mwa anthu opitilira zaka 20.
  2. Zachangu (zopezeka). Amayamba motsutsana ndi maziko azovuta zamatumbo ang'onoang'ono (chakudya chosasinthasintha, ntchito yam'matumbo, zilonda zam'mimba, matenda a Crohn, matenda a celiac, gastroenteritis, chemotherapy.

Congenital

Zomwe zimapangitsa kuti pakhale tsankho la lactose ndikusintha kwa majini. Ichi ndichinthu chachilendo kwambiri chomwe chizindikiritso cha matenda chimapezeka mwa mwana chimadziwoneka chokhachokha pambuyo pobadwa. Mitundu ya kobadwa nako hypolactasia imaphatikizapo:

  1. Alactasia yatsopano. Matendawa ndi ovuta, amafunikira kutsatira kwambiri zakudya. Chimodzi mwazifukwa ndi kusakhazikika kwa dongosolo la enzyme, chifukwa chomwe mwana akulephera kugaya mapuloteni amkaka. Lactase ndiyosagwira ntchito kwathunthu.
  2. Kulephera kobadwa nako chifukwa cha kuchedwa. Chimawonekera pambuyo pake. Nthawi zina, zizindikiro zoyambirira zimapezeka mwa ana kuyambira zaka 5, koma nthawi zambiri matendawa amakula pambuyo pa zaka 20. Congenital hypolactasia poyambira imayamba kufatsa poyerekeza ndi mitundu ina.
  3. Kulephera kwakanthawi kwa makanda osabereka. Zimachitika mwa ana omwe adabadwa kale kuposa tsiku lomaliza. Chachilendo cha matendawa ndichikhalidwe chosakhalitsa. Pamene mapuloteni amkaka alowa mthupi, zinyenyeswazi zimatha kukhala ndi metabolic acidosis - kuchepa kwa magazi pH. Kuphwanya malamulo kumachitika chifukwa cha kusakhazikika kwa mphamvu ya makulidwe a khanda.

Wopeza (wachiwiri)

Kukhazikika kwa matendawa kumalumikizidwa ndi matenda omwe amawononga zimagwira ntchito zam'matumbo aang'ono. Izi zimaphatikizapo dialkia, vuto la matumbo osavomerezeka. Kuphatikiza apo, hypolactasia yachiwiri imatha kuchitika chifukwa cha kupezanso kwamatumbo ang'onoang'ono. Njira yamtunduwu imawonekera chifukwa cha kugonjetsedwa kwa ma enterocytes, nthawi yomweyo pamakhala kuphwanya kaphatikizidwe ka sucrose ndi trehalose - ma enzyme ofunikira kuti atsimikizire chimbudzi.

Chiwopsezo chotenga alactasia mwachilengedwe chimawonjezeka ndi zaka. Nthawi zina m'makalasi a ana asukulu, kuyanjana kwa mkaka kumachitika popanda kuchitapo kanthu, ndikuchepa kwa lactase pansipa yovomerezeka. Acact lactose tsankho limawonekera chifukwa cha chimodzi kapena zingapo zoyipa:

  • matenda am'mimba
  • kupsinjika
  • kuperewera kwa zakudya m'thupi
  • matumbo dysbiosis,
  • ulcerative formations
  • nyongolotsi
  • kumwa mkaka nthawi yayitali, makamaka akadzakula.

Zimawoneka bwanji

Lactose tsankho limagawidwa kwathunthu kapena pang'ono: mawonekedwe zimatengera kuchuluka kwa kupanga enactme ya lactase. Ndi kuthekera kwathunthu kwa thupi kugaya mapuloteni amkaka, mawonekedwe onse a matendawa amawonekera, ndi gawo la hypolactasia, zizindikiro zake sizowonjezera. Zizindikiro zimatha kuchitika ndi ma pathologies ena angapo, popeza alibe mawonekedwe enaake. Komabe, ngati amawonekera atatha kudya mkaka, ndiye kuti palibe kukayikira za kukhalapo kwa tsankho la lactose.

Zizindikiro za lactose tsankho mwa akuluakulu

Kukula kwa chiwonetsero cha chithunzi cha chipatala kumatengera kuchuluka kwa kupanga kwa lactase m'thupi la munthu. Monga lamulo, zizindikiro za matendawa zimadziwika mkati mwa mphindi 30-120 mutatha kudya mkaka. Khalidwe la akulu chizindikiro cha lactose tsankho ndi:

  • zimbudzi zotayirira (koma osati pafupipafupi, ngati ndi m'mimba),
  • kutulutsa, kugudubuza pamimba,
  • kudzimbidwa
  • kusanza, kusanza,
  • kubwatula
  • kusapeza bwino, kupweteka kwa peritoneum,
  • zopweteka (ndi alactasia mtheradi),
  • chisangalalo
  • kusowa kwa chakudya
  • kupezeka kwa ndowe za ntchofu,
  • tachycardia.

Zizindikiro mu makanda

Matendawa amafotokozedwa mosiyanasiyana, kutengera kuchuluka kwa michere yomwe yatulutsa komanso momwe thupi limafunira. Motere, ana omwe ali ndi hypolactasia amagawidwa m'magulu angapo:

  1. Ana omwe amatha kudya kapu imodzi ya mkaka patsiku popanda zotsatirapo zoyipa, pomwe amadya mkaka popanda mavuto.
  2. Ana omwe salola mkaka ndipo amatha kudya mkaka wowotchera zinthu zochepa.
  3. Makanda omwe dongosolo lawo la m'mimba limakhudzanso mkaka ndi mkaka.
  4. Ana omwe zizindikiro za alactasia zimachitika ngakhale akamadya zakudya ndi mkaka wochepa.

Zizindikiro zakuchepa kwa lactase zimawonekera kwa ana kuyambira masiku oyamba amoyo.Zizindikiro zimawonetsedwa poyamwitsa kapena kugwiritsa ntchito mkaka wa ana. Matendawa amapezeka ndi zizindikiro zotsatirazi:

  • Kutupa kwa mwana kwatupa, makulidwe (izi zimawonekera pakamayesedwa ndi pakhungu),
  • kuchuluka kwa gasi (chifukwa cha kusunthika kumachitika, mwana amataya chidwi chake, amalira, amakhala ndi nkhawa),
  • Kusasinthasintha kwamatumbo kumakhala konyowa, kotupa, kununkhira kwa chopondacho ndi acidic, pali zosafunika za ntchofu,
  • kuchuluka kwa mayendedwe a matumbo kumawonjezeka kapena kudzimbidwa kumachitika (chizindikiro chomaliza ndi cha makanda okhala ndi chakudya chamagulu),
  • kulavulira pambuyo kudya
  • popeza zakudya zambiri zomwe zimadyedwa sizimamwa, makanda kulemera kumacheperachepera,
  • mwana akhoza kuzunzidwa ndi colic, nseru, kusanza,
  • zotupa pa khungu, kutupa kwa mucous nembanemba.

Lactose tsankho

Palibe njira zomwe zingachiritsiretu munthu matendawa, chifukwa chake, alactasia chithandizo ndicholinga chofuna kuthetseratu kapena kuchotseratu chizindikiro chake. Pachifukwa ichi, wodwalayo amamulembera zakudya zomwe zimachepetsa kapena kuthetseratu mkaka wama protein onse. Kuphatikiza apo, adokotala amatha kukupatsirani mankhwala oti muimitse chiwonetsero cha matenda, matenda a vitamini. Chithandizo chimasankhidwa payekha kwa wodwala aliyense, poganizira:

  • zaka
  • chibadwa
  • kuchuluka kwa mphamvu ya enzyme.

Zakudya zamankhwala

Maziko a alactasia Therapy ndiye kupatula kwathunthu kapena pang'ono kwa zakudya zomwe zimakhala ndi lactulose kuchokera pamenyu ya wodwala. Kutengera ndi kuopsa kwa zizindikirazi, wodwalayo akulangizidwa kuti akane mkaka kapena zinthu zonse zokhala ndi mkaka (kefir, tchizi, tchizi cha kanyumba, ayisikilimu, yogati, chokoleti cha mkaka, ndi zina). Mndandanda wa zakudya zoletsedwa mulinso:

  • Kuphika batala
  • zinthu monga soseji, masoseji, nyama, soseji yophika,
  • maswiti okongola
  • sauces (ketchup, mayonesi, mpiru),
  • chakudya chofulumira
  • chakudya chofulumira - mbatata zosenda, msuzi, Zakudyazi, mafuta odzola m'matumba,
  • nyama Offal (ubongo, impso, chiwindi),
  • ufa wa cocoa
  • okometsa.

Zakudyazo ziyenera kukhala zabwino, motero ndikofunikira kuti wodwalayo awone momwe thupi lake limayendera ku chinthu china, kuti asatenge zakudya zopatsa thanzi zomwe zimaloledwa. Monga lamulo, kusiyanitsidwa kwathunthu ndi zinthu mkaka wowawasa mu zakudya sikufunika, ndipo munthu yemwe ali ndi hypolactase akhoza kudya 100-150 ml ya kefir pasabata popanda zotsatira. Komanso, osati kuchuluka kwa servings komwe kumachitika, komanso nthawi yanthawi yogwiritsa ntchito mkaka. Kuti zisamalire kwambiri zakudya, muyenera kukhala ndi buku lazodyera.

Popeza zamkaka zimakhala ndi zinthu zambiri zofunikira, ndikofunikira kubwezeretsanso kuchuluka kwawo koyenera ndi ma lactose osalowa m'malo. Pankhaniyi, tchizi tofu, mkaka wa soya ndi tchizi chokoleti adzapulumutsa. Zinthu za soya ndi za hypoallergenic ndipo zimakhala ndi mapuloteni ambiri az masamba. Ndi tsankho lactose, kuwonjezera, amaloledwa kugwiritsa ntchito:

  • nsomba, nsomba, squid, zakudya zam'nyanja zina,
  • nyama yophika, yophika (nkhuku, ng'ombe, nkaka, kalulu),
  • mafuta a masamba (azitona, chimanga, zopendekera, mpendadzuwa),
  • mkate wa rye, tirigu, chinangwa,
  • masamba, zipatso, zakumwa zachilengedwe,
  • mafuta, uchi, kupanikizana, shuga,
  • chokoleti chowawa chakuda
  • nguluwe, mpunga, pasitala,
  • mtedza
  • mazira
  • nyemba
  • khofi, tiyi, zakudya zonunkhira, compote.

Zolemba za khanda lazakudya

Mukuvutikira kwa mwana, nkhani yosintha kuchokera mkaka wa amayi kupita mkaka wopanda mkaka wa lactose imaganiziridwa. Ndi zovuta zakuchepa kwa zizindikiro za kuchepa kwa lactase, mayi woyamwitsa amamulembera zakudya zovomerezeka. Ngati mayi akana kudya zakudya zamafuta ambiri mkaka, kuchuluka kwa lactose mkaka wake kumachepa, ndipo katundu amene ali m'matumbo a mwana amachepetsa kwambiri.

Pozindikira ma pathologies mu makanda, amasinthidwa kukhala osakanikirana ndi mankhwala ochepa a lactose kapena popanda iwo konse. Maphala oterewa ali ndi zinthu zonse zofunikira pakukula ndi chitukuko, chifukwa chake, makolo sayenera kukhala ndi zifukwa zodera nkhawa. M'tsogolomo, mutakambirana ndi katswiri, mutha kuyesa pang'onopang'ono kuphatikiza pang'ono zosakanikirana ndi zakudya zomwe zimakhala ndi mkaka muzakudya za mwana.

Kumwa mankhwala okhala ndi lactase enzyme

Mankhwala othandizira alactasia amalembedwa ngati zakudya sizinabweretse zabwino, ndipo wodwalayo sanakhazikike. Kusalolera kwa lactose mwa akulu ndi chifukwa chofotokozera mankhwala omwe amasintha chimbudzi, amathandizira kupanga lactase, kapena okhala ndi enzyme iyi. Mtundu wotsiriza wamankhwala umapezeka mu mawonekedwe amadzimadzi kapena makapisozi. Zotsatirazi ndizopatsa mkaka mapuloteni m'matumbo osavuta:

  • Lactase ndi Lactase khanda (la ana),
  • Tilactase
  • Pancreatin
  • Lactrase.

Gawo lachiwiri la chithandizo limaphatikizidwa ndi kuyamwa kwamatumbo omwe ali ndi maluwa ofunikira kuti akhazikitse muyeso wa zinthu zofunika pakubowoleza bwino. Kuti izi zitheke, dokotalayo amatipatsa mankhwala omwe amapezeka ndi lactobacilli (Mlingo ndi nthawi yovomerezeka amasankhidwa payekha). Amapanikiza mabakiteriya okhala ndi tizilombo, amathandizira kugaya chakudya. Kuphatikiza apo, mankhwalawa amathandizira kuti mayamwidwe a lactose, amalepheretsa kupanga ndi kudziunjikira kwa mpweya m'matumbo.

Ndi kuchepa kwa ma enzymes pakuchepa kwa lactose, matumbo amafunikira kwambiri, kotero wodwalayo amawonetsedwa kumwa mankhwala omwe amasintha microflora yake. Zichita:

  • Linex
  • Bifidum Bug,
  • Acipola
  • Bifidumbacterin,
  • Hilak forte.

Zizindikiro mankhwala a m'mimba kukhumudwa chifukwa cha hypolactasia

Kuti athetse kapena kuchepetsa kukula kwa zizindikiro zosasangalatsa, wodwalayo amapatsidwa mapiritsi otsegula m'mimba kapena kudzimbidwa, omwe amasintha ntchito yam'mimba ndi matumbo motility. Kuphatikiza apo, kuti muchepetse mavuto obwera chifukwa cha matenda am'mimba ndikuchotsa kuchepa kwa mavitamini komwe kumachitika, njira yomwe imatenga mavitamini a mineral mineral ikuchitika. Kukonzekera kwa Vitamini D ndi calcium nthawi zambiri kumayikidwa.

Ndi matenda otsekula m'mimba (pafupipafupi, chopondapo chopondera), chomwe ndi chimodzi mwa zizindikiro za kusagwirizana kwa lactose, amatsatirawa:

  1. Loperamide. Mankhwala amachepetsa kamvekedwe ka minofu ya m'matumbo, amachepetsa ndikumapumitsa peristalsis. Nthawi yomweyo, Loperamide imayendetsa gawo la anal, ikupereka zotsatira zoyipa. Mankhwalawa amatengedwa m'mapiritsi awiri kamodzi, kwa ana ochepera zaka 12 ndizoletsedwa.
  2. Diosmectite. Imakhala ndi zotsekemera kwambiri, ndikuchotsa madzi ochulukirapo ku colon, imakhazikitsa mkhalidwe wa mucous nembanemba. Akuluakulu, mankhwalawa amathandizidwa ndi magawo atatu patsiku, kwa ana mpaka chaka - 1 sachet, kwa ana okulirapo - 2 waukulu.
  3. Attapulgite. Chidacho chimakulitsa zomwe zili m'matumbo, kuthetsa kutsekula m'mimba. Kuphatikiza apo, Attapulgat, monga antispasmodic, amachepetsa ululu. Mankhwalawa amagwiritsidwa ntchito pamapiritsi awiri pambuyo poyenda matumbo amtundu uliwonse mpaka chopondacho chitakhazikika. Ana akuwonetsedwa theka.

Kuchulukirachulukira ndiko kuyambitsa kupweteka kwambiri komanso kusapeza bwino pamimba ndi kuchepa kwa lactose. Mwa makanda, chizindikiro ichi chimayambitsa matumbo colic. Mankhwala omwe amagwiritsidwa ntchito popuwala ndi awa:

  1. Mwana Kalm Amathandizira kuchotsa mpweya m'matumbo, umatha kupumitsa minofu ya ziwalo zam'mimba, potero kumachotsa colic. Chidacho chimaperekedwa kwa makanda musanadyetse madontho 10.
  2. Espumisan. Amagwiritsidwa ntchito kuchepetsa mapangidwe a gasi ndi 2 tsp. kwa akuluakulu ndi 1 tsp. - kwa ana.

Ululu ululu wolekerera wa lactose ndikuchitika chifukwa cha kuchuluka kwa matumbo, kuphipha kwa minofu ndi mpweya, motero, mankhwala omwe ali ndi vuto la kupuma kwa minyewa (antispasmodics) amagwiritsidwa ntchito kuti athetse. Alatasia amatha kuthandizidwa ndimankhwala otsatirawa:

  1. Palibe-shpa. Amatsitsimutsa matumbo, ndikuchotsa kukokana. Ana a zaka zaunyamata akuwonetsedwa 180 mg tsiku lililonse, kwa ana osakwana zaka 12 - 80 mg, Mlingo wachikulire ndi wochokera pa 120 mpaka 240 mg.
  2. Spasmodic. Imachepetsa kamvekedwe ka m'mimba, potero kuchotsa ululu. Akuluakulu amatenga kapisozi wa Spasmomen 1 katatu patsiku, amatsutsana ndi ana.

Kodi tsankho lactose ndi chiyani

Mu mkaka ndi zinthu zina zingapo, mumakhala lactose, yemwe ndi shuga wovuta. Mthupi lathanzi, pakudya chimbudzi, limasweka mosavuta kukhala ndi mashuga osavuta (glucose ndi galactose) ndi enactme lactase ndipo imalowa m'magazi.

Lactose tsankho (hypolactasia) akuwonetsedwa ngati kusakhazikika kwa thupi kwathunthu kugaya lactose. Nthawi zambiri, chifukwa cha izi ndi kusowa kwa michere - lactase.

Kutengera mtundu wa thanzi komanso kuchuluka kwa lactase wopangidwa ndi thupi, matendawa amatha kufotokozedwa mwamphamvu kapena osamveka konse. Zizindikiro za kuleza mtima zimatha kuonekera mukangobadwa kumene kapena mukadzakula.

Acolired hypolactasia amawonedwa mwa akulu okha, chifukwa kupanga kwa enzyme kumachepera chaka chilichonse pazifukwa zachilengedwe. Pamaso pa zinthu zomwe zimawonetseratu, matendawa amatha kukhazikika pakanthawi kochepa ndikudwala kuchokera kwakanthawi.

Kusalolera kwa lactose, zomwe zimafanana ndi matenda ena am'mimba kapena chimfine, zimatha kutsagana ndi moyo wake wonse kapena kutha kwathunthu pambuyo panjira ya chithandizo ndikuchotsa zomwe zimayambitsa mawonekedwe ake. Matenda oterewa samakhudza kugwira ntchito kwa chiwalo chonse, koma kuwonekera kwakanthawi kwa zizindikiro kungayambitse zotsatira zoyipa.

Zimayambitsa Lactose Intolerance

Choyambitsa chachikulu cha lactose tsankho ndi chibadwa chamunthu. Pobadwa, cholembera cha chibadwa cha C1391OT chimapezeka m'magazi a ana akhanda, zomwe zimawonetsa kuchepa kwa kupanga lactase popanda kuwonongeka m'matumbo.

Mkati mwa genotype iyi, ma genomes atatu ali ndi pakati:

  • SS (kwa anthu omwe ali ndi tsankho lactose lathunthu),
  • ST (m'menemu mumapangidwa michere),
  • TT (lactose ikamamwa mwachizolowezi).

Zizindikiro za kusagwirizana kwa lactose pamtundu wamtundu wa maselo zimawonekera pambuyo pa kudya koyamba, kapena nthawi zina kupanga kwa enzyme kumayamba kugwa pambuyo pa zaka zitatu. Chaka chilichonse, zizindikiro za matendawa zimakulirakulira, ndipo sizotheka kukwaniritsa kuchira kwathunthu.

Kuchepetsa mulingo wa lactase wopangidwa ndi thupi kumatengera mkhalidwe waumoyo.

Kupanga kwa enzyme ya lactase kumachitika m'maselo a rectum. Matenda aliwonse otupa (kutsegula m'mimba, chimfine cha m'matumbo) zimawononga kwambiri kupanga kwa lactase, chifukwa maselo amawonongeka ndi mabakiteriya okhala ndi tizilombo, tizilombo tating'onoting'ono kapena zina. Maonekedwe a lactose tsankho pamaso pa zoyambitsa ndi zomwe zimayambitsa vuto limatchedwa yachiwiri hypolactasia.

Zotsatirazi zimathandizira kuti pakhale hypolactasia yachiwiri:

  • kutupa m'matumbo (matenda a Crohn, colitis, zilonda zam'mimba),
  • maopareshoni osiyanasiyana m'matumbo ndi m'mimba,
  • matenda opatsirana, kuphatikiza omwe samakhudzana ndi matumbo (kamwazi, rotavirus, matenda am'mimba, chimfine),
  • kuvulala kwam'mimba komwe kunakhudza magwiridwe antchito amkati,
  • Kugwiritsa ntchito mankhwala kwa nthawi yayitali kapena pafupipafupi. M'malo mwake, kuphatikiza kwa lactase kumatha kuchepa kapena kusiya,
  • matenda ndi ma pathologies omwe amalumikizidwa ndi atrophy of the villi of the intestine yaying'ono (gastroenteritis, giardiasis, celiac matenda),
  • chifuwa chachikulu, pakapangika michere ndi kapamba ndimisempha,
  • chakudya ziwonetsero zimakwiyitsa lactose tsankho chifukwa cha immunological anachita padziko rectal mucosa,
  • chiwonetsero cha radiation, komanso chemotherapy, pomwe mankhwala osokoneza bongo kapena kuyatsidwa kumapha maselo amoyo athupi.
  • kuchuluka kwa lactose (kugwiritsidwa ntchito kwa mkaka wama protein ambiri) kumayambitsa hypolactasia,
  • kusokonezeka kwa mahomoni kumakhudzanso kuchuluka kwa synthesized lactase.

Zina mwazifukwa, komanso kuphatikiza kwawo, kumatha kuyambitsa tsankho la lactose, komwe kungatsimikizidwe ndi zizindikiro zoyambirira komanso zachiwiri. Kuphatikiza apo, ndi mtundu womwe wadwala matendawa, munthu angadalire kuchira kwathunthu, chifukwa atachotsa zomwe zimayambitsa, maselo omwe ali m'matumbo amabwezeretseka, ndipo kupanga enzyme sikutanthauza.

Zizindikiro zoyambirira za tsankho

Lactose tsankho, zizindikilo zake zomwe zimawoneka chifukwa cha kusatheka kwa chala cham'mimba kwambiri, chikuwonetsedwa kuti ndi zovuta kuzizindikira. Pambuyo podya zinthu zokhala ndi mapuloteni amkaka, chosatsegulacho sichilowa m'matumbo akulu, momwe mungapindulitsire michere yamavuto.

Mothandizidwa ndi iwo, lactose imagwera hydrogen, kaboni dioksidi, madzi ndi lactic acid, zomwe zimayambitsa zizindikiro zazikulu zofanana ndi matenda am'mimba.

Adanenedwa:

    ulemu (kuchulukira kwachulukidwe, kutulutsa ndi kung'ung'udza m'mimba),

Kusalolera wa lactose kumakhala ndi zizindikiro zosiyanasiyana. Flatulence ndi amodzi mwa iwo.

  • kupindika, kulemera ndi kupweteka kwam'mimba, zomwe zimakhalapo mwachilengedwe,
  • nseru
  • zimbudzi zotayirira, momwe zinthu zopanda chakudya zimapezekera,
  • kusowa kwathunthu kapena kusowa chakudya.
  • Zizindikiro zakuchedwa

    Ndi chitukuko chopitilira matendawa komanso kubwereza-bwereza kwa zizindikiro, zizindikiro zowopsa kwambiri zimapezeka zomwe zimayambitsa thanzi labwino.

    Zizindikiro zake ndi izi:

    • Ndi zimpando zotayirira mwadongosolo, odwala amayamba kutulutsa madzi am'mimba, zomwe zimayambitsa mutu, kugona. Kutopa kwambiri kumatha kuyambitsa kupweteka komanso kuwonjezeka kwa kutentha.
    • Poyerekeza ndi maziko am'madzi, kufooka kwathunthu kumawonekera. Kuchuluka kwa mavitamini m'magazi amatsika kwambiri, zomwe zimapangitsa kuchepa kwambiri kwa chitetezo chathupi. Khungu limakulirakulira, misozi imawoneka, mabala ang'onoang'ono osachiritsika.
    • Ndi nthawi yayitali ya matenda popanda mankhwala a akatswiri, kuwonda kumayamba. Zonsezi zimatha kuchedwetsa kukula ndi kukula muubwana ndi unyamata.
    • Kuchepa kwa madzi ndi kupweteka kwam'mimba mwadongosolo kumayambitsa mavuto ndi kugona, nkhawa zimawoneka. Munthu amayamba kumva kutopa kosalekeza. Kusintha kwachisoni kumalamulira, kupangitsa kukwiya.
    • Acidosis imayamba pakapita nthawi, pomwe mulingo wa asidi-wofunikira m'thupi umasunthira kukakhala acidity yayikulu. Kuwonjezeka kwa acidity kumakhudza mkhalidwe wamitsempha yamagazi ndi masomphenya.
    • Kupweteka kwam'mimba ndi mseru, komanso matenda am'mimba, kumayambitsa vuto mu mtima, kumayambitsa tachycardia kapena kusokonezeka. Matenda a mtima wa wodwalayo atha kukulira.

    Kutengera ndi kuchuluka kwa kapangidwe kake ka lactase ndi thupi komanso mkhalidwe waumoyo, zizindikiro zimatha kudziwoneka mosiyanasiyana mosiyanasiyana kapena mwamtundu wofatsa.

    Chithandizo cha lactose tsankho akulu ndi ana

    Pambuyo poti mayeso athunthu atha kupezeka ndi kupezeka kwa mankhwalawo. Nthawi yomweyo, kubadwa kwatsopano kwa lactose sikungathe kuthandizidwa, chifukwa cha kusintha kwa majini.

    Pankhani ya matenda omwe mwapeza, mwayi wochira umakulirapo komanso njira zosiyanasiyana zochizira:

    • Mankhwalawa, zomwe zimapangitsa kuti matendawa ayambike zimachotsedwa. Chifukwa chake ngati matenda akudwala matumbo kapena chimfine, mankhwala osokoneza bongo (Cytavir, Anaferon, Kagocel) kapena ma antibayotiki (Amikacin, Sumomed) ndi mankhwala.
    • Monga gwero lactase, zakudya zowonjezera zakudya (Lactazar, Lactase) zimagwiritsidwa ntchito, zomwe zimagwiritsidwa ntchito popititsa patsogolo chakudya.
    • Nthawi yomweyo, kukonzekera kwa enzymatic kumayikidwa (Festal, Pancreatin).
    • Njira ya prebiotic imathandizira kubwezeretsanso matumbo microflora (Acipol, Linex, Bifiform, Bifidumbacterin).
    • Mankhwala amalimbikitsidwa kuti athetse zisonyezo za hypolactasia ndikuchepetsa zonse zomwe zimachitika.
    • Mankhwala omwe adalembedwa kuti abwezeretse calcium, kuphatikizapo omwe ali ndi mavitamini ambiri (calcium D3 Nycomed, calcium gluconate, Compllevit calcium D3).
    • Monga mankhwala oyamba, zakudya zopanda lactose kapena chakudya chochepa cha lactose kwa akulu ndi ana zimavomerezeka.

    Kodi chitha kusintha zinthu zamkaka ndi vuto la tsankho lactose ndi chiyani?

    Mapuloteni amkaka samapezeka kokha mumkaka ndi mkaka, komanso m'masoseji, masoseji, katundu wam'chitini, makeke, zakumwa. Kusiya kwathunthu zinthu zotere, zomwe sizokoma zokha, komanso zili ndi michere yambiri, kumatanthauza kuchepetsa malire a mavitamini ndi michere yazakudya.

    Komabe, kulowa mkaka kumatha kupezekabe:

    • Njira ina ikhoza kukhala mkaka wa kokonati. Nayo mutha kuphika mbewu monga chimanga. Koma ndikofunikira kumwa mkaka watsopano wowuma, chifukwa zomwe zamzitini zimaphatikizapo okhazikika ndi chingamu, zomwe zimayambitsa zizindikiro zofanana ndi hypolactasia.
    • Wolemera mu calcium ndi vitamini D, mkaka wa peanut. Mutha kugula kapena kuphika nokha. Kuti muchite izi, tengani mtedza uliwonse wa peeled. Nthawi zambiri, ma almond kapena ma cashews amagwiritsidwa ntchito. Chotsani khungu lakuda kwa iwo. Mtedza umayikidwa mu mbale ya blender ndipo 2 nthawi yambiri madzi amawonjezeredwa. Kenako osakaniza amamenyedwa kwathunthu kwa mphindi 5 ndikusefa kudzera mu sume yabwino kuti muchotse tinthu tambiri. Mkaka wa Walnut umakhala wopanda kununkhira ndi kukoma kosangalatsa. Mkaka wa Walnut umakwaniritsa mbale iliyonse, chinthu chachikulu ndikuugwedeza musanagwiritse ntchito.
    • Mkaka wopanda lactose umapangidwa kuchokera ku mpunga. Chifukwa chaichi, 200 g wa mpunga wowiritsa, 2 tbsp. madzi, 2 tbsp madzi a mpunga ndi supuni 1 wowuma mpunga umasakanizidwa ndi blender ndikubwera kwa chithupsa pamoto wochepa. Kusakaniza kuyenera kupitilizidwa ndikutsukidwa. Zotsatira zake ndi mkaka wofanana womwe sulekana ndipo umakhala ndi kukoma. Mkaka wamphesa umawonjezeredwa khofi, tiyi, zakudya kapena zakudya monga chimanga.
    • Momwemonso, mkaka wa oat wakonzedwa, ndikusintha madziwo ndi shuga. Kuphatikiza pa calcium ndi vitamini D, mkaka wa oat uli ndi vitamini E, folic acid, komanso ulinso ndi fiber.

    Zizindikiro zomwe zimayenderana ndi lactose tsankho zimadalira kwambiri pakudya ndipo zimatha kutha ndikusintha mkaka. Mkaka wopanda lactose ulibe lactose kokha, komanso cholesterol. Mutha kuphatikiza ndi mtundu uliwonse wamalonda.

    Ndiwopepuka komanso wokoma. Ndikulimbikitsidwa kugwiritsa ntchito zomwe zimayamwa mkaka zochuluka momwe zingathandizire kuchuluka kwa mavitamini m'thupi ndipo, pamodzi ndi zakudya zoyenera, chithandizo, zimachira.

    Kapangidwe kake: Lozinsky Oleg

    Kodi lactose ndi chifukwa chiyani chikufunika?

    Lactose (shuga mkaka) ndi gawo lapadera lama carbohydrate gulu la saccharide, lomwe ndi gawo lazinthu zonse zamkaka. Mphamvu ndi mankhwala a lactose ndiwakuti samatengeka ndi thupi la munthu momwe adapangidwira kale, koma amagawika ma mamolekyulu a shuga osavuta - glucose ndi galactose.

    Njira yachibadwa ya njirayi imaperekedwa ndi lactase, enzyme yapadera yomwe imapangidwa ndi makhoma a matumbo ang'ono.

    Phindu lalikulu la lactose ndikuti limatenga nawo gawo muzinthu zambiri za metabolic zomwe zimachitika m'thupi la munthu, zimasinthasintha ndikulimbikitsa njira yawo.

    Kuphatikiza apo, shuga mkaka amathandizira magwiridwe oyenera a m'mimba, mtima, chitetezo chamthupi komanso mantha.

    Kuvulaza kwa lactose kwa thupi kumadziwonekera pokhapokha ngati pakumwa kwambiri mkaka (makamaka kwa anthu odwala matenda ashuga).

    Ma monosaccharides omwe amapezeka mu lactose pa mlingo uliwonse amachititsa kutulutsa kwa insulin m'magazi, komwe kumadetsa thanzi la munthu.

    Gulu lina la anthu lomwe likuyenera kusamala kwambiri ndi zinthu zokhala ndi shuga wa mkaka ndi omwe ali ndi vuto lobadwa nalo - lomwe limalephera kuyamwa lactose.

    Zolinga zakukula kwa matenda amisala

    Lactose tsankho (hypolactasia) ndimatenda am'mimba omwe amapezeka m'mimba, omwe amasonyezedwa kwathunthu kapena pang'ono pokha pang'ono osavomereza shuga mkaka ndi thupi.

    Chomwe chimapangitsa izi ndizosowa kapena kusowa kwa enactme ya lactase yomwe imayambitsa kuphwanya koyenera kwa gawo lama carbohydrate.

    Lactose tsankho ikhoza kukhala yoyamba (yobadwa nayo) kapena yachiwiri (yotenga).

    Poyambirira, matenda am'mimba amatsimikizika kuti: matumbo aumunthu sangathe kupanga enzyme yomwe mukufuna kuchokera kubadwa, chifukwa chake, zinthu zomwe zimakhala ndi lactose, zikagwiritsidwa ntchito, zimayambitsa zovuta zingapo kuchokera mthupi. Kusintha kwa mtunduwu sikofala - anthu 5-6% okha.

    Vuto lomwe limafala nthawi zambiri ndilo kusalolera kwa shuga mkaka. Amayamba chifukwa cha matenda am'matumbo kapena matenda am'mimba, motsutsana ndi machitidwe a matupi awo kapena kumwa mankhwala, omwe ali ndi vuto la celiac kapena vuto la kapamba.

    Njira zamtunduwu zimadutsa, kuti atipangitse kupanga lactase, ndikofunikira kuti zithetse zomwe zidakhudza njirayi.

    Chakudya chopanda lactose: zakudya ziti zomwe zimaloledwa

    Ndizovuta kuyankha funso lomwe zopangidwa ndi lactose; mndandanda ukhale wautali. Zachidziwikire, mkaka ndiye cholembera zakudya zamatumbo, kuphatikiza apo, lactose ili ndi:

    • mu kanyumba tchizi
    • yogati
    • tchizi
    • batala
    • margarine ndi makeke potengera izi,
    • masoseji
    • buledi
    • maswiti
    • zinthu zina zambiri.

    Pamaso pa hypolactasia, chakudya chimayenera kusankhidwa mosamala kwambiri.

    Mkaka ndi mkaka zimapereka thupi ndi calcium, chifukwa chake ngati ndizofunikira kuzikana kwathunthu kapena pang'ono, ndikofunikira kuti musiyanitse zakudyazo ndi zakudya zomwe zili ndi zinthuzi.

    Mwachitsanzo, muyenera kuphatikiza pazosankha:

    • broccoli
    • tchizi wopanda soya,
    • nsomba zamzitini, nsomba, sardines,
    • mkaka wopanda lactose (kuchokera soya, kokonati, ma almond),
    • zinthu zina mkaka wopanda lactose.

    Ndi hypolactasia, kuti iwonjezere kuchepa kwa mavitamini ndi michere, tikulimbikitsidwa kugwiritsa ntchito mankhwala a lactose opanda mankhwala nthawi zonse:

    • mazira
    • nsomba
    • mafuta a masamba
    • zipatso ndi masamba
    • nyemba
    • Mkate ndi pasiti wopanda tsitsi.

    Anthu ambiri amakhulupirira kuti ndi hypolactasia, mkaka wa ng'ombe umatha kusinthidwa ndi mkaka wa mbuzi, popeza mkaka wa lactose mumkaka wambuzi sulephera kukwiya.

    M'malo mwake, lingaliro ili ndilolakwika: kuchuluka kwa shuga kwamkaka kulikonse komwe kungakhalepo pakusokonezeka pakupanga ma enzymes kumapangitsa kuti pakhale vuto lactose losagwirizana mwa anthu.

    Mofananamo, lactose imagwira ntchito ku kefir, kanyumba tchizi ndi zinthu zina zamkaka, zomwe zimawerengedwa kuti "zili bwino" kwa iwo omwe akuvutika ndi hypolactasia.

    Makampani ogulitsa zakudya amakhala akusintha komanso kuyankha mwachangu pakusintha kwa zosowa za anthu.

    Iwo omwe, pazifukwa zina, samapatula shuga mkaka muzakudya, m'masitolo akuluakulu ndi m'masitolo apadera masiku ano ali okonzeka kupereka zakudya zosiyanasiyana zogwirizana:

    • Kwa ana - mkaka wokonzekera wopaka popanda lactose,
    • Osewera - Mapuloteni opanda lactose
    • okonda maswiti - ayisikilimu wopanda lactose ndi zina zambiri.

    Sinthani mwachangu ophika kapena wopanga yogati

    Yogati yaulere yopanda lactose imapangidwa ndi mkaka wa amondi kapena coconut. Kuti mupeze zogulitsa zathanzi komanso zathanzi, muyenera kugula ku pharmacy kapena kuyitanitsa kudzera pa intaneti ndi mkaka wopanda mkaka wopanda mkaka.

    • mkaka wopanda lactose - 1 l.,
    • wowawasa - 5 g.,
    • choyezera kutentha kwa mkaka.

    1. Sterilize yogurt mitsuko.
    2. Thirani mkaka mu saucepan.
    3. Preheat mpaka 82 ° C,
    4. Lolani kuziziritsa mpaka 42-44 ° С.
    5. Thirani 100 ml pachidebe chaching'ono. mkaka.
    6. Tizizirira pang'ono.
    7. Onjezani wowawasa.
    8. Sumutsani madzi ndi whisk.
    9. Thirani mkaka ndi wowawasa mu beseni lalikulu mkaka.
    10. Dzazani mitsukoyo mkaka.
    11. Tumizani kwa wopanga yogati kapena wophika pang'onopang'ono ndi ntchito yoyenera kwa maola 10-12.

    Yogurt yokonzekera kupatsa mphamvu zochulukirapo imachotsedwa mufiriji kwa maola angapo.

    Zakudya za Lactose Cake Chaulere

    Chakudya chabwino komanso chopatsa thanzi ichi chimakonzedwa popanda mkaka komanso ndi ufa wa mpunga, chifukwa chake chimagwiritsidwa ntchito ngakhale ndi anthu omwe nthawi yomweyo amawaletsa gluten ndi lactose pazifukwa zachipatala.

    • 4 azungu azira
    • 70 g shuga
    • 100 g ufa wa mpunga
    • 0,5 supuni ya mandimu zest,
    • uzitsine mchere.

    • 1 tbsp. madzi
    • 4 mazira a mazira
    • 35 g wa wowuma chimanga
    • 45 g wokondedwa
    • 0,5 supuni ya mandimu zest,
    • kotala ya vanilla pod
    • uzitsine mchere.

    1. Menya agologolo mpaka thonje.
    2. Onjezani shuga, mchere ndi zest kwa iwo.
    3. Pitilizani kumenya mpaka nsonga zolimba.
    4. Sanjani ufa.
    5. Thirani mu protein yambiri.
    6. Sakanizani modekha mpaka yosalala.
    7. Mafuta ophika mbale ndi mafuta.
    8. Kuwaza ufa pang'ono.
    9. Ikani keke yofukiziramo.
    10. Kuphika biscuit mu uvuni pa 180 ° C kwa mphindi 25.
    11. Pomwe maziko akuphika, wiritsani madzi.
    12. Sakanizani yolks ndi wowuma, vanila, zest ndi mchere.
    13. Thirani kusakaniza ndi madzi otentha ndi mtsinje woonda, ndikusunthira chilichonse ndi whisk.
    14. Finyani madzi mumphika.
    15. Valani moto pang'ono.
    16. Pezani kirimuyo kuti mukhale wokonzeka, woyambitsa nthawi zonse.
    17. Ikazizira pang'ono, onjezani uchi.
    18. Anamaliza biscuit kudula kutalika mu makeke awiri.
    19. Opaka ndi zonona.
    20. Lumikizanani.

    Asanayambe kudya, keke yokhala ngati wopanda lactose imakongoletsedwa ndi magawo a zipatso zatsopano kapena zamzitini, ngati angafune.

    Mtsutsano wokhudza zoopsa ndi mapindu a lactose zakhala zikuchitika kwa zaka zambiri, ndipo pakadali pano othandizira ena pakufunika kwa chakudya chamafuta awa kwa anthu kuposa otsutsa.

    Komabe, anthu ena amakakamizika kusiya kugwiritsa ntchito zinthu zamkaka osati pa chifukwa chilichonse, koma pazifukwa zamankhwala: chifukwa cha kubadwa kwa lactose kapena kusaloledwa kwa lactose.

    Koma ngakhale zamatsenga lero sizingathe "kuwononga" moyo wa munthu ngati atayandikira mosamala komanso mwaubwino pakapangidwe kadyedwe kake.

    Werengani za tsankho la gluten ndi zovulaza apa.

    Zizindikiro

    Pankhaniyi, chiwonetsero cha chithunzi cha chipatala ndi kulimba kwake zimatengera kuchuluka kwa kupanga kwa lactase. Nthawi zambiri, zizindikiro za kusagwirizana kwa lactose zimawonekera mkati mwa mphindi 30 - maola 2 mutatha kudya mkaka.

    Zizindikiro za lactose tsankho ndi motere:

    • zimbudzi zotayirira
    • kung'ung'udza ndi kutulutsa,
    • zovuta zonse
    • nseru, nthawi zambiri ndikusanza,
    • kupweteka ndi kukokana (mosalolera mpaka lactose).

    Kukula kwa mawonetseredwe a chithunzi cha chipatalachi kumadalira kuchuluka kwa tsankho la lactose mwa akulu kapena ana. Kuphatikiza apo, ziyenera kumvetsedwa kuti zochita za nyama zotere zamkaka zitha kukhala chifukwa cha chinthu chopanda phindu, kusagwirizana kwa zinthu, ndi zina zotero. Ngati chithunzichi chawoneka nthawi iliyonse mukatha kudya mkaka ndi zinthu zomwe zili nazo, muyenera kufunsa dokotala kuti akupatseni malangizo.

    Lactose tsankho mu ana akhoza kuthandizidwa ndi izi:

    • kusanza mutatha kudya
    • kusinthasintha
    • kusowa kwa chakudya.

    Monga lamulo, zizindikiro zimawonekera mukangodya chakudya.

    Kusiya Ndemanga Yanu