Muri iki gihe hari ikibazo kigomba guhuzwa neza ku bijyanye n’uburyo bukwiye bwa erythritol ku baturage barwaye indwara zifata umutima n’umutima n’ubwonko: bifite inyungu zikomeye zishobora kubaho, ariko hari n’ubushakashatsi bukomeye butavugwaho rumwe bugaragaza ingaruka zishobora kubaho (zitaramenyekana neza). Ibikurikira nisesengura ryuzuye:

Inyungu zishoboka (gushyigikira uruhande rwo gukoresha)
Kutazamura isukari mu maraso na insuline:

Iyi ninyungu nini. Abarwayi bafite indwara z'umutima n'imitsi n'ubwonko bakunze guhura na diyabete, kurwanya insuline cyangwa syndrome de metabolike. Erythritol nta ngaruka igira ku isukari yo mu maraso no mu rwego rwa insuline, kandi ni ingenzi mu kugenzura isukari mu maraso. Kugenzura isukari mu maraso ubwabyo birashobora gufasha kugabanya ibyago byumutima.
Calorie ya zeru / calorie nkeya cyane:

Ifasha kugenzura ibiro hamwe no gufata kalori muri rusange. Umubyibuho ukabije ni ikintu gikomeye gishobora gutera indwara z'umutima n'imitsi. Gusimbuza sucrose hamwe nabyo birashobora kugabanya intungamubiri za calorie bitari ngombwa no koroshya gucunga ibiro.
Kudatera uburwayi bw'amenyo:

Hariho isano hagati yubuzima bwo mu kanwa nubuzima muri rusange (harimo nubuzima bwumutima nimiyoboro y'amaraso) (indwara ya parontontal nimwe mubitera indwara z'umutima-damura).
Simbuza karori nyinshi yongeyeho isukari:

Kunywa cyane isukari yongeyeho (cyane cyane supe ya sucrose na fructose) bizwi nkikintu cyingenzi kiganisha ku mubyibuho ukabije, diyabete na dyslipidemiya (nka hypertriglyceride), ibyo bikaba byongera ibyago by’indwara zifata umutima ndetse n’ubwonko. Erythritol itanga uburyohe bushimishije kandi nigikoresho cyiza cyo kugabanya isukari yongeyeho.
Impaka nyamukuru ningaruka zishobora kubaho (uruhande rwitonde)
Iburira kuva mu 2023 ubushakashatsi ku buvuzi bwa Kamere:

Ubushakashatsi bwibanze:
Umubare munini wa erythritol mu maraso ufitanye isano cyane no kwiyongera kwingaruka zikomeye ziterwa nindwara zifata umutima (nka infiyite myocardial infarction, stroke, nurupfu) mugihe cyimyaka 3 iri imbere mubantu bafite ibyago byinshi byindwara z'umutima n'imitsi ndetse n'abipimisha umutima.
Mu bushakashatsi bwa vitro n’inyamaswa bwerekanye ko erythritol ishobora guteza imbere gukusanya platine (platine ni selile zingenzi zo gushinga trombus) kandi byihutisha imitsi ya trombus.
Imipaka n'ingingo zitavugwaho rumwe mubushakashatsi (ni ngombwa cyane!):
Ubushakashatsi bwakozwe, ibimenyetso simusiga: Ubu bushakashatsi bushobora kwerekana gusa ko urugero rwinshi rwa erythritol mu maraso ruba rufite ibyago byinshi byo kwandura indwara zifata umutima, ariko ntibishobora kwerekana ko gufata erythritol bitera indwara zifata umutima. Umubare munini wa erythritol mu maraso ushobora kuba ikimenyetso gusa cyangwa ingaruka ziterwa n’indwara nyinshi zifata umutima (urugero, indwara ziterwa na metabolike zishobora gutuma umusaruro wa endogenous erythritol wiyongera), aho kuba impamvu.
Amasomo yihariye: ubushakashatsi bwibanze cyane cyane kubantu bafite ibyago byindwara zifata umutima (nka diyabete, hypertension, atherosclerose) cyangwa barimo kwisuzumisha kumutima. Ibisubizo ntibishobora kwerekezwa kubaturage muri rusange bafite ubuzima bwumutima.
Inkomoko yamaraso ntabwo itandukanijwe neza: ibyinshi muri erythritol yinjiye byinjira vuba kandi bigasohoka mu mpyiko, hamwe nigihe gito cyo gutura mumaraso (impinga nyuma yamasaha 1-2 nyuma yo gufata, bigasukurwa mumasaha make). Mu bushakashatsi, gupima amaraso y’igisibo mubisanzwe bipimwa, kandi urugero rwa erythritol rushobora kwerekana urugero rwatewe na metabolism ya endogenous mu mubiri, aho kwerekana mu buryo butaziguye gufata indyo yuzuye. Abashakashatsi ubwabo bagaragaje kandi ko hakenewe ubushakashatsi bwinshi kugira ngo hamenyekane niba gufata indyo yuzuye bigira ingaruka ku maraso maremare.
Ikibazo cya Dose: Amaraso yibanze mubushakashatsi ararenze cyane kurenza urugero rwigihe gito gishobora kugerwaho nyuma yo kunywa bisanzwe erythritol irimo ibiryo n'ibinyobwa. Ubwinshi bwakoreshejwe mubushakashatsi bwa vitro nabwo buri hejuru cyane.
Ubushakashatsi bumwe: Ni ku nshuro ya mbere iri shyirahamwe rivugwa mu baturage benshi kandi ntirigizwe cyane n’ubundi bushakashatsi bwigenga.
Imyitwarire iriho ya FDA / JECFA nizindi nzego:

Kugeza ubu, ibigo bikomeye bigenzura isi yose (FDA, EFSA, JECFA, Komisiyo y’ubuzima y’Ubushinwa) ntabwo byahinduye imyanzuro y’umutekano wa erythritol nk'inyongeramusaruro kubera ubu bushakashatsi. Bizera ko ibimenyetso bihari bidahagije kugira ngo bahoshe isuzuma ryabanje, ariko bazakomeza gukurikiranira hafi ubushakashatsi bwakurikiyeho.
Inzego zemewe muri rusange zemeza ko hakenewe ubushakashatsi bugamije (cyane cyane ibizamini byo mu rwego rwo hejuru byateganijwe kandi bigakorwa igihe kirekire) kugira ngo hamenyekane iri shyirahamwe no gucukumbura isano itera.
Ibyifuzo kubantu barwaye indwara zifata umutima nimiyoboro yubwonko (ubuyobozi bufatika nyuma yo gupima)
Ntugahagarike umutima, ariko ube maso: Ukurikije ibimenyetso biriho ubu, ntabwo byemewe ko abantu bafite ibyago byinshi bafite indwara zifata umutima nimiyoboro yubwonko nubwonko bwubwoba bakirinda erythritol, ariko bagomba kwitonda kuruta abantu bafite ubuzima bwiza.
Ihame ryo gushyira mu gaciro ni ngombwa:
Igenzura cyane gufata: Ndetse na alcool ya alukoro yabonwaga ko ifite umutekano irashobora gutera ikibazo (nka diyare) iyo ikoreshejwe birenze. Hashingiwe ku bushakashatsi bushya, birasabwa kugenzura byimazeyo gufata abantu bafite indwara zifata umutima ndetse n’ubwonko. Irinde gufata kimwe cyangwa igihe kirekire gufata ibiryo n'ibinyobwa birimo erythritol.
Soma ibirango byibiribwa: Witondere ibintu biryoshye mubiribwa birimo isukari kandi wumve ibirimo erythritol.
Shyira imbere uburyo rusange bwimirire: Urufunguzo rwubuzima bwimitsi yumutima nimiyoboro yubwonko biri muburyo rusange bwimirire yubuzima bwiza (nkimirire ya DASH, indyo ya Mediterraneane), ushimangira imbuto, imboga, ibinyampeke byose, proteine nziza cyane (amafi, inkoko, ibishyimbo), amavuta meza (amavuta ya elayo, imbuto), kugabanya amavuta yuzuye, isukari yuzuye, isukari hamwe na sukari, sodium. Ntukirengagize ubuziranenge bwimirire yawe kuberako ukoresha insimburangingo.
Kugisha inama kugiti cyawe nabaganga cyangwa inzobere mu mirire:
Niba uri umurwayi ufite indwara z'umutima-damura cyangwa itsinda rifite ibyago byinshi (nka atherosklerose ikabije, amateka yindwara ya myocardial cyangwa stroke, diyabete ifite ibibazo byamaraso, nibindi), birasabwa cyane ko wagisha inama umuganga witabye cyangwa umuganga w’imirire yanditswe.
Bashobora gutanga inama yihariye ukurikije imiterere yawe yihariye (nk'imikorere ya platel, imiterere ya coagulation), gukoresha imiti (cyane cyane imiti igabanya ubukana bwa antiplatelet / imiti igabanya ubukana), hamwe nimirire yimirire, gusuzuma ibyiza nibibi byo gukoresha erythritol mubihe byawe.
Tekereza ubundi buryoheye: Niba hari impungenge, harashobora gushyirwa imbere kubindi biryoshye bisanzwe bifite inyandiko ndende z'umutekano hamwe nubushakashatsi bwinshuti bwumutima-damura nkubundi buryo, nka:
Stevioside: yakuwe mu bimera, zeru zeru, ntabwo bigira ingaruka ku isukari mu maraso. Ubushakashatsi bwinshi bushigikira umutekano wabwo kandi bushobora kugira ingaruka zidafite aho zibogamiye cyangwa zoroheje ku bipimo byumutima nimiyoboro yumutima nkumuvuduko wamaraso.
Siraitia grosvenorii glycoside: isa na stevia, ibimera bivamo ibihingwa, calorie zero, ntabwo bigira ingaruka kumasukari yamaraso, kandi bifite uburyohe bwiza.
(Icyitonderwa: Ibiryo byose bigomba gukoreshwa mugihe gito)
incamake
Ku bantu barwaye indwara zifata umutima nimiyoboro yubwonko, ubwiza bwa erythritol nikibazo gisaba kubitekerezaho neza:

Inyungu zirasobanutse: ntabwo yongera isukari kandi ifite karori zeru, bigatuma ihitamo neza gusimbuza isukari yongeyeho, cyane cyane ifasha kugenzura isukari yamaraso no gucunga ibiro.
Ibyago birashidikanywaho ariko bigomba gufatanwa uburemere: Ubushakashatsi bwakozwe mu 2023 bwerekana ingaruka zishobora guterwa na trombose hamwe nindwara z'umutima. Nubwo urwego rwibimenyetso ari ruto kandi isano itera ntisobanutse, amasomo yubushakashatsi ni aba baturage rwose, agomba rero kuba maso cyane.
Igitekerezo kiriho:
Imipaka ikaze: kugabanya cyane gufata no kwirinda kurya byinshi.
Inama yibanze kumatsinda afite ibyago byinshi: Kubafite uburwayi bukomeye bwumutima nimiyoboro cyangwa ibyago byinshi, birakenewe kubaza umuganga cyangwa inzobere mu mirire mbere yo kuyikoresha.
Wibande ku ndyo rusange: Uburyo bwiza bwo kurya burigihe.
Reba ubundi buryo: stevioside, siraitin, nibindi birashobora gutoranywa nkibindi bisosa.
Kugeza ubwo ubushakashatsi bwujuje ubuziranenge, cyane cyane ubushakashatsi buteganijwe hamwe n’igeragezwa ry’amavuriro byibasira abarwayi b'umutima n'imitsi, bigera ku myanzuro isobanutse, ni byiza ko hajyaho ingamba zo "kwitondera imipaka" kuri erythritol mu baturage bafite indwara z'umutima n'imitsi n'ubwonko. Witondere cyane ivugururwa ryakozwe nyuma yinzego zemewe nka FDA na komisiyo yigihugu yubuzima.