Ukutya kwe ketogenic, okanye i-keto, i-carb ephantsi kakhulu, i-fat-fat diet eboniswe ukuba ibonelele ngeenzuzo ezininzi zempilo.
Kwiminyaka yakutshanje, umdla ukhule ekusebenziseni ukutya kwe-keto ukunceda ukulawula iimeko ezithile zempilo kubantwana, kubandakanya isifo sokuwa kunye nomhlaza wengqondo.
Nangona ukutya kwe-keto kukhuselekile xa kuthelekiswa nabantu abadala, oku akunakuba njalo kubantwana nakwishumi elivisayo ngaphandle kokuba kumiselwe yingcali yezempilo ngezizathu zonyango.
Eli nqaku livavanya ukhuseleko lokutya kwe-keto kubantwana kunye nolutsha, kunye nokusetyenziswa kwayo kunye nokulimala.
Ukusetyenziswa kwe-keto diet kubantwana
Ukusukela ngeminyaka yoo-1920, ibisetyenziswa ukunyanga abantwana kunye nabakwishumi elivisayo abanesithuthwane esinganyangekiyo-isifo sokuxhuzula.
Isifo sokuxhuzula sichazwa njengobuxhakaxhaka xa unyango ngamachiza amabini esintu alwa nokuxhuzula aluphumelelanga.
Kwizifundo ezininzi kubantwana abanale meko, ukulandela ukutya kwe-keto kunciphise ukuxhaphaka kokuxhuzula ukuya kuthi ga kwi-50% ().
Iziphumo zokuchasana nokuxhuzula kwi-keto yokutya zicingelwa ukuba ziziphumo zezinto ezininzi (, , ):
- ukunciphisa ukonwaba kwengqondo
- ukuphuculwa kwamandla e-metabolism
- iziphumo ze-antioxidant zobuchopho
Le ndlela yokutya iye yasetyenziswa ngokubambisana nechemotherapy yendabuko ukunceda ukunyanga iintlobo ezithile zomhlaza wengqondo kubantu abadala kunye nabantwana (, , , , ).
Phantse onke amathumba axhomekeke kwicarbohydrates (iglucose) ukuze abe namandla. Ukutya kwe-keto kuthiwa kukuhlutha iiseli zethumba kwi-glucose abayidingayo, inceda ukunciphisa ubungakanani bethumba xa zidityaniswa nezinye iindlela zonyango ().
Ngelixa izifundo ezininzi zezilwanyana zenziwe kwaye kuqhutywa izifundo zabantu, idatha eyongezelelweyo iyafuneka ukuseka ukusebenza kwexesha elide lokutya kwe-keto ukunyanga umhlaza wobuchopho ebantwaneni.
Kwiminyaka engama-20 edlulileyo, iinguqulelo ezintsha zokutya kwe-keto ziye zavela, ezinye zazo ezingathinteli kangako kodwa zibonelela ngobuninzi. Oku kubandakanya ukutya okulungisiweyo kwe-Atkins ().
Ngelixa ukutya kwe-keto yonyango kuthintela iikhalori, i-carbs, kunye neprotheni, ukutya okuguquliweyo kwe-Atkins kunenkululeko ngakumbi xa kufikwa kwiikhalori, ulwelo kunye neprotheni. Oku kuvumela ukuguquguquka ngakumbi ngelixa ubonelela ngeenzuzo ezifanayo (,).
Ukutya kwe-Keto kuLawulo lweSithuthwane
Xa ukuphumeza ukutya kwe-keto ukunceda ukulawula ukuxhuzula kubantwana, ukutya okuthe ngqo kulandelwa ukuqinisekisa iziphumo ezihambelanayo. Ukutya ngokuqhelekileyo kulawulwa phantsi kweliso likagqirha, umongikazi obhalisiweyo, kunye ne-dietitian.
Phambi kokuba uqalise ukutya, kudityanwa nengcali yezokutya ebhalisiweyo ukuze ibone iimfuno zesondlo somntwana kwaye iseke a. Ngokwesiko, ukutya kuqukethe i-90% yamafutha, i-6-8% yeprotheyini, kunye ne-2-4% ye-carbohydrates ().
Inkqubo idla ngokuqala esibhedlele okanye kwizigulana ezingalaliswanga kwisithuba esi-1 ukuya kwiiveki ezi-2. Ngosuku lokuqala, enye yesithathu yenjongo yekhalori iyonke ifikeleleke, ilandelwa yisibini kwisithathu ngosuku lwesibini kunye ne-100% ngosuku lwesithathu ().
Kwimeko yeklinikhi, zonke iifomyula eziqulethe izondlo eziyimfuneko zingasetyenziselwa ukuqalisa ukutya kwe-keto kwiveki yokuqala, emva koko ukutya okugcweleyo kuphinda kubuyiselwe ().
Umntwana nabazali baxelelwe kakuhle malunga nokutya kunye nezibonelelo eziyimfuneko zibonelelwa ngaphambi kokuba babuyele ekhaya.
Ukutya ngokuqhelekileyo kulandelwa malunga neminyaka emibini, apho kuyayekwa okanye kutshintshelwe kwisondlo esilungisiweyo ukuvumela ukuguquguquka okungaphezulu ().
Uphononongo luye lwabonisa ukuba ukutya kwe-keto kunokukhuseleka kwaye kusebenze kwiintsana kunye nabantwana abaselula abane-refractory epilepsy (,,).
Nangona kunjalo, ngenxa yokuba aba bantu basengozini kakhulu, isigqibo sokusebenzisa oku kutya kufuneka senziwe ngumntu ngamnye ngugqirha.
isishwankathelo Ukutya kwe-keto kusetyenziswa kubantwana nakwishumi elivisayo phantsi kweliso elibukhali likagqirha, ngokuyintloko ukunceda ukunyanga ukuxhuzula kunye nomhlaza wobuchopho.
Imiphumo enokubakho
Njengakuluphi na uhlobo lokutya oluthintela elinye okanye amaqela okutya amaninzi, ukutya kwe-keto kunokubakho.
Umngcipheko weziphumo ebezingalindelekanga uyanda ebantwaneni nakwishumi elivisayo kuba imizimba yabo ekhulayo inovakalelo.
Iziphumo eziphambili ezinokubakho ezinxulumene nokutya kwe-keto kubantwana zezi (, ):
- ukuphelelwa ngamanzi emzimbeni
- iingxaki zokwetyisa, ezifana nesicaphucaphu, ukugabha, urhudo, nokuqhinwa
- cholesterol ephezulu yegazi
- i-hypoglycemia
- ukuncipha kokukhula
Kwimeko yonyango, amanyathelo afanelekileyo athatyathwa ukuze kuncitshiswe imiphumo emibi.
Iingcebiso zonyango ziyafuneka xa ukutya kwe-keto kusetyenziselwa ukunyanga isifo sokuwa okanye umhlaza kubantwana nakwishumi elivisayo. Ngaphandle kwayo, umngcipheko weziphumo ebezingalindelekanga ezimandundu uyanda, ukodlula iinzuzo ezinokuthi zibekho.
isishwankathelo Ngenxa yobume obuthintelweyo bokutya kwe-keto, amandla okuba neziphumo ezibi aphezulu kubantwana nakwishumi elivisayo. Ezinye zezona ziphumo ziphambili kukungabikho kwamanzi, i-hypoglycemia kunye nokuphazamiseka kokukhula.
Ngaba ikhuselekile kubantwana abasakhulayo?
Abantwana bakwinqanaba lobomi babo apho bakhula ngesantya esongeziweyo, ngelixa besakhula.
Ngeli xesha libalulekileyo, ukutya okwaneleyo kubalulekile. Ukunciphisa ukutya okudliwayo kwamaqela athile okutya okanye i-micronutrients kakhulu, njengoko kunjalo ngokutya kwe-keto, kunokuchaphazela ukukhula kunye nempilo yonke.
Ukulandela ukutya kwe-keto kuya kuchaphazela amava enkcubeko yomntwana wakho xa esitya noontanga kunye nosapho.
Xa kujongwa amazinga aphezulu okutyeba kwabantwana, abantwana abaninzi banokuzuza ekuncitshisweni kokutya kwecarbohydrate. Nangona kunjalo, ukutya kwe-keto kuthintele kakhulu kumndilili osempilweni, okhulayo umntwana ().
isishwankathelo Ngenxa yobume bemiqathango yokutya kwe-keto, kunye nemiphumo enokubakho ekukhuleni nasekufundiseni ukutya, akukhuthazwa kubantwana abaphilileyo.
Ngaba kufuneka kusetyenziswe ukutya kwe-keto ukukhuthaza ukunciphisa umzimba kubantwana nakwishumi elivisayo?
Abakwishumi elivisayo bakwixesha apho inkangeleko yomzimba inokubaluleka ngakumbi kubo.
Ukubambelela ekutyeni okunemiqathango kakhulu kunokukhokelela ekuziphatheni ngendlela engafanelekanga kwaye kuchaphazele kakhulu ubudlelwane babo nokutya.
Oku kunokubangela ukuziphatha okungenampilo, okuqhelekileyo kubantu abafikisayo (, ).
Nangona olunye uphando lubonisa ukuba ukutya kwe-keto kunokusebenza, ezinye iindlela ezininzi zokutya azithinteli kwaye zilula ukulandela ixesha elide, ezifana nokutya okupheleleyo (, , ).
Ingcamango efanayo iyasebenza nakubantwana. Nangona ukutya kwe-keto kunokunceda ekunciphiseni ubunzima, ezinye iindlela zokutya zifuna izithintelo ezimbalwa kwaye azithwali iingozi ezinxulumene nokutya kwe-keto ().
Ngaphandle kokuba ukutya kwe-keto kunconywa kwaye kukhokelwa ngugqirha ngeenjongo zonyango, akufanelekanga kuninzi lwabantwana kunye nabaselula.
isishwankathelo Ukulandela ukutya okunemiqathango efana ne-keto kunokukhokelela ekuziphatheni okungenampilo malunga nokutya kwaye kunokuchaphazela ukukhula kwabantwana kunye nolutsha. Ngoko ke, ukutya kwe-keto akukhuthazwa ukulahlekelwa kwesisindo kulo luntu.
Okubalulekileyo
Ukutya kwe-keto kusetyenziswa ecaleni konyango lwesintu ukunyanga abantwana kunye nolutsha olunesifo sokuwa kunye nomhlaza wobuchopho.
Iingcebiso zonyango zinyanzelekile kwaye zinokunceda ukunciphisa iziphumo ezibi njengeengxaki zokugaya.
Ngenxa yobume bayo obunemiqathango, ukutya akufanelekile kwaye akukhuselekanga kuninzi lwabantwana abasempilweni kunye nolutsha olufikisayo.
