Ka hoʻomanawanui ʻole ʻana i ka lactose

ʻO ka Lactose kahi ʻano kō i loaʻa i ka waiū a me nā huahana hana waiū ʻē aʻe. ʻO kahi enzyme i kapa ʻia ʻo lactase ka mea e pono ai ke kino e hoʻoulu i ka lactose.

Hoʻolālā ka hoʻomanawanui ʻole o Lactose ke lawa ʻole ka ʻōpū liʻiliʻi o kēia enzyme.

Hana nā kino o nā pēpē i ka enzyme lactase i hiki iā lākou ke ʻānai i ka waiū, me ka waiū umauma.

• ʻO nā pēpē i hānau mua ʻia (premature) i kekahi manawa ʻaʻole i loaʻa ka lactose intolerance.
• ʻAʻole hōʻike nā keiki i hānau ʻia i ka manawa piha i nā hōʻailona o ka pilikia ma mua o ko 3 mau makahiki.

Lactose intolerance mea maʻamau i nā mākua. ʻAʻole hiki ke makaʻu. Ma kahi o 30 miliona mau mākua ʻAmelika i loaʻa i kekahi kekelē o ka lactose intolerance e nā makahiki 20.

• I ka poʻe keʻokeʻo, hoʻomohala pinepine ka lactose intolerance i nā keiki ma mua o ka makahiki 5. ʻO kēia ka makahiki e hiki ai i ko mākou kino ke hoʻopau i ka hana ʻana i ka lactase.
• I nā ʻAmelika ʻApelika, hiki ke pilikia i ka makahiki 2.
• ʻO ka maʻi maʻamau loa i waena o nā mākua me nā hoʻoilina ʻĀsia, ʻApelika, a ʻōiwi ʻAmelika paha.
• ʻAʻole liʻiliʻi ia i ka poʻe o ka ʻaoʻao ʻākau a komohana paha o ʻEulopa, akā hiki nō paha.

ʻO kahi maʻi e hoʻopili a ʻeha paha i kou ʻōpū liʻiliʻi e hoʻoliʻiliʻi i ka hana ʻana o ka lactase enzyme. ʻO ka mālama ʻana i kēia mau maʻi e hoʻomaikaʻi ai i nā ʻōuli o ka hoʻomanawanui ʻole o ka lactose. Pākuʻi ʻia kēia mau mea:

• ʻOki kino o ka ʻōpū liʻiliʻi
• Nā maʻi i loko o ka ʻōpū liʻiliʻi (ʻike pinepine ʻia kēia i nā keiki)
• Nā maʻi e hōʻino ai i nā ʻōpū liʻiliʻi, e like me ka celiac sprue a i ʻole ka maʻi Crohn
• ʻO nā maʻi e hiki ai ke palahō

Hānau ʻia paha nā pēpē me kahi kīnā kūlohelohe a ʻaʻole hiki iā lākou ke hana i kekahi o ka lactase enzyme.

Kū pinepine nā ʻōuli he 30 mau minuke i 2 mau hola ma hope o ka loaʻa ʻana o nā huahana waiū. Hiki ke ʻoi aku ka maikaʻi o nā ʻōuli ke hoʻopau ʻoe i ka nui.

ʻO nā hōʻailona me:

• ʻŌpū ʻōpū
• Pākuʻi ʻōpū
• Pohā
• Kinoea (flatulence)
• Nusea

ʻO nā pilikia ʻōpū ʻē aʻe, e like me ka maʻi huhū o ka bowel, hiki ke kumu i nā ʻōuli e like me ka hoʻomanawanui ʻole o ka lactose.

ʻO nā hoʻāʻo e kōkua i ke kuhi ʻana i ka hoʻomanawanui ʻole o lactose me:

• Hōʻike hanu Lactose-hydrogen
• Hōʻike hoʻomanawanui ʻo Lactose
• PH noho

ʻO kekahi ʻano hana e ʻaʻa aku ai i ka mea maʻi me 25 a 50 mau lema i ka wai. A laila loiloi ʻia nā ʻōuli ma ka hoʻohana ʻana i kahi nīnau nīnau.

ʻO ka hoʻāʻo ʻana he 1 a 2 mau pule o ka papaʻai ʻaina lactose ʻole ʻole i kekahi manawa e hoʻāʻo ʻia.

ʻO kaʻoki ʻana i kāu lawe ʻana i nā huahana waiū i loaʻa ka lactose mai kāu papaʻai pinepine ka hoʻomaʻemaʻe i nā hōʻailona. E nānā pū i nā lepili meaʻai no nā kumuwaiwai huna o ka lactose i nā huahana nonmilk (me kekahi mau pia) a pale i kēia mau mea.

ʻO ka hapa nui o ka poʻe me ka pae lactase haʻahaʻa hiki ke inu a hiki i hoʻokahi hapalua kīʻaha o ka waiū i hoʻokahi manawa (2 a 4 auneke a i ʻole 60 a 120 mau milliliter) me ka loaʻa ʻole o nā ʻōuli. ʻO nā lawelawe ʻoi aku ka nui (ʻoi aku ma mua o 8 auneke a i ʻole 240 mL) e hoʻopilikia i nā poʻe me ka hemahema.

ʻO nā huahana waiū e ʻoi aku ka maʻalahi o ka hoʻowili pū ʻana:

• ʻO ka waiūpaka a me nā tīhi (ʻo kēia mau mea ʻai liʻiliʻi ka lactose ma mua o ka waiū)
• Nā huahana waiū fermented, e like me ka yogurt
• Waiū o kao
• ʻO nā paʻi paʻi paʻakikī
• ʻO ka waiū Lactose-ʻole a me nā huahana waiū
• ʻO ka waiū bipi i mālama ʻia e Lactase no nā keiki nui a me nā mākua
• Nā formula soya no nā pēpē ma mua o 2 mau makahiki
• Soy a i ʻole ka waiū laiki no nā kamaliʻi liʻiliʻi

Hiki iā ʻoe ke hoʻohui i nā enzyme lactase i ka waiū maʻamau. Hiki iā ʻoe ke lawe i kēia mau enzyme ma ke ʻano he capsules a i ʻole nā ​​papa nāu. Nui a hewahewa hoʻi nā huahana waiū lactose-ʻole i loaʻa.

ʻO ka loaʻa ʻole o ka waiū a me nā huahana hana waiū ʻē aʻe i kāu papaʻai hiki ke alakaʻi i ka hemahema o ka puna, ka wikamina D, riboflavin, a me ka protein. Pono ʻoe i ka 1000 i ka 1,500 mg o ka calcium i kēlā me kēia lā ke kaukaʻi ʻia i kou makahiki a me ka wahine. ʻO kekahi mau mea hiki iā ʻoe ke hana e loaʻa hou ai ka calcium i kāu papaʻai:

• E lawe i nā mea hoʻoliʻiliʻi calcium me ka Vitamin D. E kamaʻilio i kāu kahu mālama ola e pili ana i kahi e koho ai.
• ʻAi i nā meaʻai i loaʻa ka nui o ka calcium (e like me nā lau ʻōmaʻomaʻo, nā ʻōtio, sardine, ka salemona kēpau, ʻōpala, a me nā broccoli).
• E inu i ka wai ʻalani me ka puna kō.

Hele pinepine nā ʻōuli ke lawe ʻoe i ka waiū, nā huahana waiū ʻē aʻe, a me nā kumuwaiwai ʻē aʻe o ka lactose mai kāu papaʻai. Me ka loli ʻole o ka papaʻai, pilikia pilikia paha nā pēpē a mau keiki paha.

Inā ka lactose intolerance i hoʻokumu ʻia e kahi maʻi diarrheal wā pōkole, e hoʻi nā pae o ka lactase enzyme i ka maʻamau i loko o kekahi mau pule.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe kahi pēpē ʻōpio ma mua o 2 a 3 mau makahiki i loaʻa nā ʻōuli o ka hoʻomanawanui ʻole o ka lactose.
• Ke ulu lohi nei kāu keiki ʻaʻole hoʻi e loaʻa ana ka kaumaha.
• Loaʻa iā ʻoe a ʻo kāu keiki paha nā ʻōuli o ka hoʻomanawanui ʻole o ka lactose a pono ʻoe i ka ʻike e pili ana i nā meaʻai.
• E hele a maikaʻi ʻole kāu mau ʻōuli a hoʻomaikaʻi ʻole paha me ka lāʻau.
• Hoʻokumu ʻoe i nā ʻōuli hou.

ʻAʻohe ala i ʻike ʻia e pale aku ai i ka hoʻomanawanui ʻole o ka lactose. Hiki iā ʻoe ke pale i nā ʻōuli ma ka hōʻalo ʻana i nā meaʻai me ka lactose.

Ka nele o Lactase; Ka hoʻomanawanui ʻole ʻana i ka waiū; Ka hemahema Disaccharidase; Ka hoʻomanawanui ʻana i ka huahana waiū; Palapala - lactose intolerance; Bloating - lactose intolerance

• Diarrhea - he aha e nīnau aku ai i kāu kauka - keiki
• Diarrhea - he aha e nīnau aku ai i kāu kahu mālama ola - makua

• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Höegenauer C, Hammer HF. Maldigestion a me malabsorption. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 104.

Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. Ka wehewehe a me nā ʻoiaʻiʻo no ka hoʻomanawanui lactose. www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/definition-fact. Hoʻohou i Pepeluali 2018. Loaʻa iā Mei 28, 2020.

Semrad CE. Hele i ka mea maʻi me ka maʻi pākī a me ka malabsorption. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 131.