Parizvino pane mamiriro ezvinhu anoda kunyatsogadziriswa maererano nekukodzera kwe erythritol kune vanhu vane chirwere chemoyo uye cerebrovascular: ine zvakakosha zvinogona kubatsira, asi pane zvakare yakakosha ongororo yenharo inoratidza njodzi dzinogona kuitika (idzo dzisati dzanyatsotsanangurwa). Izvi zvinotevera ongororo yakazara:

Zvinogona kubatsira (kutsigira rutivi rwekushandisa)
Kwete kusimudza shuga yeropa uye insulini:

Uku ndiko kunakisa kukuru. Varwere vane chirwere chemoyo uye cerebrovascular vanowanzobatanidzwa nechirwere cheshuga, insulin resistance kana metabolic syndrome. Erythritol inenge isina mhedzisiro pashuga yeropa uye insulin mazinga, uye yakakosha pakudzora shuga yeropa. Kuzvidzora kweshuga yeropa pachayo kunogona kubatsira kuderedza njodzi yemwoyo.
Zero calorie/yakanyanya kuderera koriori:

Inobatsira kudzora uremu uye yakazara calorie kudya. Kufutisa chinhu chakakosha chenjodzi yemoyo uye cerebrovascular zvirwere. Kutsiva sucrose nayo kunogona kuderedza zvisina kufanira macalorie kudya uye kufambisa huremu huremu.
Kwete kukonzera dental caries:

Pane kuwirirana pakati pehutano hwemukanwa uye hutano hwese (kusanganisira hutano hwemwoyo) (periodontal chirwere chimwe chezvipingamupinyi zvehutano hwemwoyo).
Tsiva high calorie yakawedzerwa shuga:

Kunyanya kudya kweshuga yakawedzerwa (kunyanya sucrose uye fructose syrup) inozivikanwa sechinhu chinokosha chinokonzera kufutisa, chirwere cheshuga uye dyslipidemia (yakadai se hypertriglyceride), iyo inowedzera zvakananga njodzi yehutano hwemwoyo uye cerebrovascular. Erythritol inopa kuravira kunogutsa uye chishandiso chinoshanda chekudzikisa kudyiwa kweshuga yakawedzerwa.
Nharo huru uye njodzi dzinogona kuitika (kungwarira divi)
Yambiro kubva ku2023 Natural Medicine kudzidza:

Tsvagiridzo yakakosha zvakawanikwa:
Nhamba yepamusoro ye erythritol muropa inobatanidzwa zvakanyanya nehuwandu hwehuwandu hwezviitiko zvakakomba zvemwoyo (zvakadai semyocardial infarction, sitiroko, uye rufu) mukati memakore matatu anotevera muhuwandu hwehuwandu hwehutachiona hwechirwere chemwoyo uye avo vari kuongorora mwoyo.
In vitro uye kuyedza kwemhuka kwakaratidza kuti erythritol inogona kukurudzira kuunganidzwa kweplatelet (maplatelet ndiwo maseru akakosha ekuumbwa kwethrombus) uye kukurumidza kuumbwa kwethrombus.
Zvipingamupinyi uye nharo dzenharo dzekutsvaga (zvakakosha!):
Observational study, non causal evidence: Ichi chidzidzo chinogona kungoratidza kuti mazinga akakwirira erythritol muropa akabatanidzwa nehuwandu hwezviitiko zvemoyo, asi haigoni kuratidza kuti erythritol kutora zvakananga kunotungamirira kune zviitiko zvemwoyo. Yakakwira erythritol muropa inogona kungova chiratidzo kana mhedzisiro yengozi yakakura yechirwere chemoyo (somuenzaniso, kusagadzikana kwemetabolism kunogona kukonzera kuwedzera endogenous erythritol kugadzirwa), pane chikonzero.
Zvidzidzo zvakakosha: chidzidzo chacho chinonyanya kunangana nevanhu vane njodzi dzechirwere chemoyo (seshuga, hypertension, atherosclerosis) kana kuti vari kuongororwa moyo. Mhedzisiro haigone kuwedzerwa zvakananga kune huwandu hwevanhu vane hutano hwemoyo.
Ropa reropa harina kunyatsosiyaniswa: yakawanda ye erythritol yakabatwa inokurumidza kunyura uye inobudiswa kuburikidza neitsvo, ine nguva pfupi yekugara muropa (peak 1-2 maawa mushure mekudya, yakacheneswa mukati maawa mashomanana). Mukutsvaga, masampu eropa ekutsanya anowanzo kuyerwa, uye iwo erythritol mazinga anowanzo kuratidza mazinga anogadzirwa ne endogenous metabolism mumuviri, pane kuratidza zvakananga kudya kwekunze. Vatsvakurudzi pachavo vakaratidzawo kuti tsvakurudzo yakawanda inodiwa kuti uone kana kudya kwekudya kunokanganisa mazinga eropa kwenguva refu.
Dose nyaya: Kuiswa kweropa muchidzidzo kwakakwira zvakanyanya kupfuura kupfupika kwepamusoro-kwenguva pfupi kunogona kuwanikwa mushure menguva dzose kushandiswa kweerythritol ine chikafu nezvinwiwa. Iko kusungirirwa kunoshandiswa mu vitro kuyedza zvakare kwakakwira zvakanyanya.
Chidzidzo chimwechete: Aka ndekekutanga sangano iri richitaurwa muhuwandu hwevanhu uye harina kudzokororwa zvakanyanya nezvimwe zvidzidzo zvakazvimirira.
Mafungiro azvino eFDA/JECFA nemamwe masangano:

Parizvino, masangano makuru anodzora pasi rese (FDA, EFSA, JECFA, China National Health Commission) havana kushandura mhedziso yavo pamusoro pekuchengetedza erythritol sechikafu chekuwedzera nekuda kwechidzidzo ichi. Vanotenda kuti humbowo huripo hahuna kukwana kupidigura ongororo yapfuura, asi vachiri kunyatsoongorora tsvakiridzo inotevera.
Masangano ane chiremera anowanzo tenda kuti tsvakiridzo yakanangwa (kunyanya yemhando yepamusoro-randomized inodzorwa miedzo uye zvidzidzo zvenguva refu-yekutarisa) inodiwa kuratidza kushamwaridzana uku uye kuongorora hukama hwechikonzero.
Mazano kune vanhu vane chirwere chemoyo uye cerebrovascular (kutungamira kunoshanda mushure mekuyera)
Usavhunduka, asi svinura: Kubva pane humbowo huripo, hazvikurudzirwe kune vanhu vane njodzi yakakura vane chirwere chemoyo uye cerebrovascular kuvhunduka zvachose uye kudzivirira erythritol, asi vanofanirwa kungwarira kupfuura vanhu vane hutano.
Nheyo yekuenzanisa yakakosha:
Kunyatsodzora kunwa: Kunyange madoro eshuga aimboonekwa seakachengeteka anogona kukonzera kusagadzikana (zvakadai semanyoka) kana akanwiwa zvakanyanya. Zvichienderana netsvagiridzo nyowani, zvinokurudzirwa kunyatso kudzora kudya kune vanhu vane moyo uye cerebrovascular zvirwere. Dzivisa kudyiwa kwenguva refu kana kwenguva refu kwechikafu uye zvinwiwa zvine erythritol.
Verenga mavara echikafu: Teerera kune zvinotapira zvinwiwa mune shuga isina chikafu uye unzwisise zvirimo erythritol.
Isa pamberi pemaitiro ekudya kwese: Chinokosha kuhutano hwemoyo uye cerebrovascular huri muhutano hwehutano hwehutano (zvakadai seDASH kudya, kudya kweMediterranean), kusimbisa michero, miriwo, zviyo zvakakwana, mapuroteni emhando yepamusoro (hove, huku, bhinzi), mafuta ane utano (mafuta omuorivhi, nzungu), kuderedza mafuta akazara, mafuta emafuta, zvidimbu zveshuga, uye cro substitute shuga, uye cro- suga (sero , uye cro- suga). Usaregeredza hutano hwese hwekudya kwako nekuda kwekuti unoshandisa zvinotsiva shuga.
Kubvunzurudzwa kwega kwega navanachiremba kana vezvekudya:
Kana iwe uri murwere ane chirwere chemwoyo kana boka rinotyisa (zvakadai seatherosclerosis yakaoma, nhoroondo yemyocardial infarction kana sitiroko, chirwere cheshuga chine vascular complications, nezvimwewo), zvinokurudzirwa zvakasimba kuti ubvunze chiremba wako anouya kana chiremba akanyoreswa.
Vanogona kupa mazano emunhu zvichienderana nemamiriro ako chaiwo (sekushanda kweplatelet, coagulation status), kushandiswa kwemishonga (kunyanya antiplatelet / anticoagulant zvinodhaka), uye tsika dzekudya, kuongorora zvakanakira nekuipira kwekushandisa erythritol mumamiriro ako ezvinhu.
Funga nezvezvimwe zvinotapira: Kana paine zvinonetsa, zvakakosha zvinogona kupihwa kune zvimwe zvinotapira zvechisikigo zvine marekodhi ekuchengetedza akareba uye zvine hushamwari zvakanyanya kutsvagisa njodzi yemoyo sedzimwe nzira, dzakadai se:
Stevioside: yakatorwa kubva muzvirimwa, zero calorie, haikanganisi shuga yeropa. Zvidzidzo zvakawanda zvinotsigira kuchengetedzeka kwayo uye zvinogona kunge zvisina kwazvakarerekera kana zvinyoro zvinobatsira pamwoyo midziyo yakadai seBP.
Siraitia grosvenorii glycoside: yakafanana ne stevia, mbeu yemiti, zero calorie, haikanganisi shuga yeropa, uye ine kuravira kwakanaka.
(Cherechedza: Chero sweetener inofanira kushandiswa zvine mwero)
pfupikisa
Kune vanhu vane chirwere chemoyo uye checerebrovascular, kukodzera kwe erythritol inyaya inoda kunyatsotariswa:

Mabhenefiti akajeka: haawedzere shuga uye ane zero macalorie, zvichiita kuti ive sarudzo yakanaka yekutsiva inokuvadza yakawedzera shuga, kunyanya inobatsira pakudzora shuga yeropa uye kutonga uremu.
Ngozi ine mubvunzo asi inoda kutorwa zvakanyanya: Chidzidzo che2023 chinoratidza njodzi dzinogona kuitika dze thrombosis uye zviitiko zvemoyo. Kunyangwe nhanho yehumbowo ishoma uye hukama hwechikonzero husina kujeka, zvidzidzo zvekutsvagisa ndizvo chaizvo huwandu uhu, saka inofanirwa kuve yakangwarira zvakanyanya.
Zvazvino zano:
Muganho wakasimba: kuderedza zvakanyanya kudya uye kudzivirira kudya muhuwandu hukuru.
Kunyanya kubvunzana kumapoka ane njodzi huru: Kune avo vane chirwere chemoyo chakanyanya kana njodzi yakanyanya, zvinodikanwa kubvunza chiremba kana nyanzvi yezvekudya usati washandisa.
Tarisa pakudya kwese: Maitiro ekudya ane hutano anogara ari musimboti.
Funga dzimwe nzira: stevioside, siraitin, nezvimwewo inogona kusarudzwa seimwe nzira yekutapira.
Kusvikira zvimwe zvidzidzo zvemhando yepamusoro, kunyanya vangangove zvidzidzo uye miedzo yekiriniki yakanangana nevarwere vemoyo, inosvika pamhedziso dzakajeka, zvine hungwaru kutora zano re "kungwarira muganhu" re erythritol muhuwandu hwevanhu vane chirwere chemoyo uye cerebrovascular. Nyatsoteerera kune inotevera ongororo yekuvandudza kubva kune ane chiremera masangano akadai seFDA neNational Health Commission.