Pakali pano pali vuto lomwe liyenera kulinganizidwa mosamala ponena za kuyenera kwa erythritol kwa anthu omwe ali ndi matenda a mtima ndi cerebrovascular: ili ndi phindu lalikulu, koma palinso kafukufuku wofunikira wotsutsana wosonyeza zoopsa zomwe zingatheke (zomwe sizinatsimikizidwebe motsimikiza). Zotsatirazi ndikuwunika kwathunthu:

Zothandiza (zothandizira mbali yogwiritsira ntchito)
Kuchulukitsa shuga m'magazi ndi insulin: +

Uwu ndiye mwayi waukulu. Odwala omwe ali ndi matenda amtima ndi cerebrovascular nthawi zambiri amalumikizidwa ndi matenda ashuga, insulin kukana kapena metabolic syndrome. Erythritol ilibe mphamvu pa shuga wamagazi ndi insulini, ndipo ndiyofunikira pakuwongolera shuga wamagazi. Kuchita bwino kwa shuga m'magazi kungathandize kuchepetsa chiopsezo cha mtima.
Zopatsa mphamvu / zopatsa mphamvu kwambiri:

Imathandiza kuchepetsa kulemera ndi kudya kwa calorie yonse. Kunenepa kwambiri ndi chiopsezo chachikulu cha matenda amtima ndi ubongo. Kusintha sucrose ndi izo kumachepetsa kudya kwa calorie kosafunikira komanso kumathandizira kuchepetsa thupi.
Osayambitsa caries mano:

Pali mgwirizano pakati pa thanzi la mkamwa ndi thanzi labwino (kuphatikizapo thanzi la mtima) (matenda a periodontal ndi chimodzi mwa zifukwa zomwe zimayambitsa matenda a mtima).
M'malo mwa shuga wowonjezera wa calorie wowonjezera:

Kudya kwambiri shuga wowonjezera (makamaka sucrose ndi madzi a fructose) kumadziwika kuti ndi chinthu chofunikira kwambiri chomwe chimayambitsa kunenepa kwambiri, matenda a shuga ndi dyslipidemia (monga hypertriglyceride), zomwe zimawonjezera mwachindunji chiopsezo cha matenda amtima ndi cerebrovascular. Erythritol imapereka kukoma kokoma kokhutiritsa ndipo ndi chida chothandizira kuchepetsa kudya kwa shuga wowonjezera.
Mikangano yayikulu ndi zoopsa zomwe zingachitike (mbali yochenjera)
Chenjezo kuchokera ku kafukufuku wa Nature Medicine wa 2023:

Zotsatira zazikulu za kafukufuku:
Kuchuluka kwa erythritol m'magazi kumagwirizanitsidwa kwambiri ndi chiopsezo chowonjezeka cha zochitika zazikulu za mtima (monga infarction ya myocardial, sitiroko, ndi imfa) mkati mwa zaka 3 zotsatira m'magulu omwe ali pachiopsezo chachikulu cha matenda a mtima ndi omwe akuyesedwa ndi mtima.
Kuyesa kwa in vitro ndi nyama kwawonetsa kuti erythritol imatha kulimbikitsa kuphatikizika kwa mapulateleti (mapulateleti ndi maselo ofunikira kuti apange thrombus) ndikufulumizitsa mapangidwe a thrombus.
Zochepa ndi zotsutsana za kafukufuku (zofunika kwambiri!):
Kafukufuku wowona, umboni wosakhala woyambitsa: Kafukufukuyu angangowonetsa kuti kuchuluka kwa erythritol m'magazi kumalumikizidwa ndi chiopsezo chowonjezereka cha zochitika zamtima, koma sikungatsimikizire kuti kudya kwa erythritol kumayambitsa mwachindunji zochitika zamtima. Kuchuluka kwa erythritol m'magazi kungakhale chizindikiro kapena zotsatira za chiopsezo chachikulu cha matenda a mtima (mwachitsanzo, kusokonezeka kwa kagayidwe kachakudya kungayambitse kuwonjezeka kwa erythritol), osati chifukwa chake.
Mitu yapadera: phunziroli makamaka limayang'ana anthu omwe ali ndi chiopsezo cha matenda a mtima (monga matenda a shuga, matenda oopsa, atherosclerosis) kapena akuyesedwa ndi mtima. Zotsatira sizingaperekedwe mwachindunji kwa anthu ambiri omwe ali ndi thanzi la mtima.
Magwero a magazi samasiyanitsidwa momveka bwino: erythritol yambiri yomwe imalowetsedwa imalowetsedwa mwachangu ndikutulutsidwa kudzera mu impso, ndikukhala kwakanthawi kochepa m'magazi (pamwamba pa maola 1-2 mutatha kudya, kutsukidwa mkati mwa maola angapo). Pofufuza, zitsanzo zamagazi osala kudya nthawi zambiri zimayesedwa, ndipo milingo yawo ya erythritol imatha kuwonetsa milingo yomwe imapangidwa ndi kagayidwe kachakudya m'thupi, m'malo mongowonetsa momwe amadyera kunja. Ofufuzawo adawonetsanso kuti kafukufuku wochulukirapo akufunika kuti adziwe ngati kudya zakudya kumakhudza nthawi yayitali ya magazi.
Nkhani ya Mlingo: Kuchuluka kwa magazi mu phunziroli ndikwambiri kuposa kuchuluka kwanthawi yayitali komwe kungapezeke mutamwa mwachizolowezi erythritol yokhala ndi zakudya ndi zakumwa. Kukhazikika komwe kumagwiritsidwa ntchito mu vitro kuyesanso ndikokwera kwambiri.
Phunziro limodzi: Aka ndi koyamba kuti gululi lizidziwika ndi anthu ambiri ndipo silinafotokozedwe mozama ndi maphunziro ena odziyimira pawokha.
Makhalidwe apano a FDA/JECFA ndi mabungwe ena:

Pakalipano, mabungwe akuluakulu olamulira padziko lonse lapansi (FDA, EFSA, JECFA, China National Health Commission) sanasinthe maganizo awo pa chitetezo cha erythritol monga chowonjezera cha chakudya chifukwa cha kafukufukuyu. Amakhulupirira kuti umboni womwe ulipo ndi wosakwanira kugwetsa kuunika koyambirira, komabe adzayang'anitsitsa kafukufuku wotsatira.
Mabungwe ovomerezeka amakhulupirira kuti kafukufuku wofuna kwambiri (makamaka mayesero oyendetsedwa mwachisawawa ndi maphunziro a nthawi yayitali) akufunika kuti atsimikizire mgwirizanowu ndi kufufuza maubwenzi oyambitsa.
Malingaliro kwa anthu omwe ali ndi matenda amtima ndi cerebrovascular (chitsogozo chothandiza pambuyo poyezera)
Osachita mantha, koma khalani tcheru: Kutengera umboni womwe ulipo, sikovomerezeka kuti anthu omwe ali pachiwopsezo chachikulu omwe ali ndi matenda amtima ndi cerebrovascular achite mantha kwathunthu ndikupewa erythritol, koma ayenera kukhala osamala kuposa anthu athanzi.
Mfundo yodziletsa ndiyofunika kwambiri:
Yesetsani kuti musamwe mowa kwambiri: Ngakhale zakumwa zoledzeretsa zomwe poyamba zinkaganiziridwa kuti n'zotetezeka zingayambitse mavuto (monga kutsekula m'mimba) ngati zitamwa mopitirira muyeso. Kutengera kafukufuku watsopano, tikulimbikitsidwa kuti tiziwongolera mosamalitsa kudya kwa anthu omwe ali ndi matenda amtima ndi cerebrovascular. Pewani kudya kamodzi kapena kwanthawi yayitali zakudya ndi zakumwa zomwe zili ndi erythritol.
Werengani zolemba zazakudya: Samalani zosakaniza zotsekemera muzakudya zopanda shuga ndikumvetsetsa zomwe zili mu erythritol.
Ikani patsogolo pazakudya zonse: Chinsinsi cha thanzi la mtima ndi cerebrovascular chili muzakudya zabwino zonse (monga DASH zakudya, zakudya zaku Mediterranean), kutsindika zipatso, ndiwo zamasamba, mbewu zonse, mapuloteni apamwamba (nsomba, nkhuku, nyemba), mafuta athanzi (mafuta a azitona, mtedza), kuchepetsa mafuta odzaza, mafuta a trans, mitundu yonse ya shuga, ndi shuga wowonjezera (sodium, ndi zina). Musanyalanyaze zakudya zanu zonse chifukwa chakuti mumagwiritsa ntchito zowonjezera shuga.
Kukambirana payekha ndi madokotala kapena akatswiri azakudya:
Ngati ndinu wodwala matenda a mtima kapena gulu lachiwopsezo chachikulu (monga matenda oopsa a atherosclerosis, mbiri ya matenda a myocardial infarction kapena sitiroko, matenda a shuga omwe ali ndi vuto la mitsempha, etc.), ndikulimbikitsidwa kuti mufunsane ndi dokotala yemwe akupezekapo kapena olembetsa zakudya.
Atha kukupatsirani upangiri wamunthu malinga ndi momwe mulili (monga momwe mapulateleti amagwirira ntchito, momwe thupi lanu limagwirira ntchito), kugwiritsa ntchito mankhwala (makamaka antiplatelet/anticoagulant drugs), ndi kadyedwe kake, kuwunika ubwino ndi kuipa kwa kugwiritsa ntchito erythritol munthawi yanu.
Ganizirani zotsekemera zina: Ngati pali zodetsa nkhawa, zotsekemera zina zachilengedwe zomwe zili ndi mbiri yayitali yachitetezo komanso kafukufuku wochezeka wamtima wamtima ngati njira zina, monga:
Stevioside: yotengedwa ku zomera, ziro calorie, sikukhudza shuga magazi. Kafukufuku wambiri amathandizira chitetezo chake ndipo atha kukhala ndi zotsatirapo zosalowerera kapena zochepa zopindulitsa pamayendedwe amtima monga kuthamanga kwa magazi.
Siraitia grosvenorii glycoside: ofanana ndi stevia, Tingafinye zomera, ziro kalori, sizimakhudza shuga magazi, ndipo ali ndi kukoma kwabwino.
(Zindikirani: Chotsekemera chilichonse chiyenera kugwiritsidwa ntchito moyenera)
fotokoza mwachidule
Kwa anthu omwe ali ndi matenda amtima ndi cerebrovascular, kuyenera kwa erythritol ndi nkhani yomwe imafuna kuganiziridwa mozama:

Ubwino wake ndi wodziwikiratu: sichimawonjezera shuga ndipo imakhala ndi zero zopatsa mphamvu, zomwe zimapangitsa kukhala chisankho chabwino m'malo mwa shuga wowonjezera woyipa, makamaka wopindulitsa pakuwongolera shuga m'magazi ndikuwongolera kulemera.
Chiwopsezocho ndi chokayikitsa koma chiyenera kuganiziridwa mozama: Kafukufuku wa 2023 akuwonetsa kuopsa kwa thrombosis ndi zochitika zamtima. Ngakhale kuti chiwerengero cha umboni ndi chochepa ndipo chiyanjano choyambitsa sichidziwika bwino, nkhani zofufuza ndizo zenizeni za anthuwa, choncho ziyenera kukhala tcheru kwambiri.
Malingaliro aposachedwa:
Malire okhwima: kuchepetsa kwambiri kudya komanso kupewa kudya mochuluka.
Kukambirana kofunikira kwa magulu omwe ali pachiwopsezo chachikulu: Kwa omwe ali ndi matenda oopsa amtima kapena omwe ali pachiwopsezo chachikulu, ndikofunikira kukaonana ndi dokotala kapena katswiri wazakudya musanagwiritse ntchito.
Yang'anani pazakudya zonse: Njira yodyera yathanzi nthawi zonse imakhala pachimake.
Ganizirani njira zina: stevioside, siraitin, etc. zitha kusankhidwa ngati zotsekemera zina.
Mpaka maphunziro apamwamba kwambiri, makamaka omwe akuyembekezeka komanso mayeso azachipatala omwe akutsata odwala amtima, afika pazidziwitso zomveka bwino, ndikwanzeru kutengera njira "yosamala" ya erythritol mwa anthu omwe ali ndi matenda amtima ndi cerebrovascular. Yang'anirani kwambiri zosintha zowunikira kuchokera ku mabungwe ovomerezeka monga FDA ndi National Health Commission.