Okwangoku kukho imeko efuna ukulungelelaniswa ngononophelo malunga nokufaneleka kwe-erythritol kubantu abane-cardiovascular and cerebrovascular disease: ineenzuzo ezibalulekileyo ezinokubakho, kodwa kukwakho uphando olubalulekileyo oluphikisanayo olubonisa ubungozi obunokubakho (obungekacaciswanga ngokupheleleyo). Olu lulandelayo luhlalutyo olubanzi:

Iinzuzo ezinokwenzeka (ukuxhasa icala lokusetyenziswa)
Ukunganyusi iswekile yegazi kunye ne-insulin:

Le yeyona nzuzo inkulu. Izigulane ezine-cardiovascular and cerebrovascular disease zihlala zihambelana nesifo seswekile, ukunganyangeki kwe-insulin okanye isifo se-metabolic syndrome. I-Erythritol phantse ayinasiphumo kwiswekile yegazi kunye namanqanaba e-insulin, kwaye ibalulekile ekulawuleni iswekile yegazi. Ukuzilawula kakuhle iswekile yegazi ngokwako kunokunceda ukunciphisa umngcipheko we-cardiovascular risk.
Iikhalori eziziro/ikhalori ephantsi kakhulu:

Unceda ukulawula ubunzima kunye nokutya kwekhalori ngokubanzi. Ukutyeba ngokugqithiseleyo ngumngcipheko obalulekileyo wezifo zentliziyo kunye ne-cerebrovascular. Ukutshintsha i-sucrose kunye nayo kunokunciphisa ukuthathwa kwekhalori engadingekile kwaye kube lula ukulawula ubunzima.
Ayibangeli i-caries yamazinyo:

Kukho ulungelelwaniso phakathi kwempilo yomlomo kunye nempilo yonke (kubandakanywa nempilo ye-cardiovascular) (isifo se-periodontal sesinye semingcipheko yesifo senhliziyo).
Thatha indawo yeswekile enekhalori ephezulu:

Ukugqithiswa kweswekile eyongezelelweyo (ingakumbi i-sucrose kunye ne-fructose isiraphu) ibonwa njengento ebalulekileyo ekhokelela ekutyebeni, isifo sikashukela kunye ne-dyslipidemia (efana ne-hypertriglyceride), eyandisa ngokuthe ngqo umngcipheko we-cardiovascular and cerebrovascular disease. I-Erythritol ibonelela ngencasa emnandi eyanelisayo kwaye sisixhobo esisebenzayo sokunciphisa ukuthathwa kweeswekile ezongeziweyo.
Iimpikiswano eziphambili kunye nemingcipheko enokubakho (icala elilumkileyo)
Isilumkiso esivela kuphononongo lwe-Nature Medicine luka-2023:

Iziphumo eziphambili zophando:
Amanqanaba aphezulu e-erythritol egazini anxulunyaniswa kakhulu nomngcipheko onyukayo weziganeko ezimbi kakhulu ze-cardiovascular (ezifana ne-myocardial infarction, stroke, kunye nokufa) kwiminyaka eyi-3 ezayo kubantu abasengozini enkulu yesifo senhliziyo kunye nabo bavavanywa kwintliziyo.
Uvavanyo lwe-in vitro kunye nezilwanyana lubonise ukuba i-erythritol inokukhuthaza ukuhlanganiswa kweplatelet (iiplatelets ziyiseli eziphambili zokwakheka kwe-thrombus) kunye nokukhawulezisa ukubunjwa kwe-thrombus.
Imida kunye neengongoma eziphikisanayo zophando (kubaluleke kakhulu!):
Uphononongo lokuqwalasela, ubungqina obungenasizathu: Olu pho nonongo lunokubonisa kuphela ukuba amanqanaba aphezulu e-erythritol egazini adibaniswa nomngcipheko okhulayo weziganeko ze-cardiovascular, kodwa ayikwazi ukubonisa ukuba i-erythritol intake ngokuthe ngqo ikhokelela kwiziganeko ze-cardiovascular. Amanqanaba aphezulu e-erythritol egazini anokuba ngumqondiso kuphela okanye umphumo womngcipheko ophezulu wesifo senhliziyo (umzekelo, ukuphazamiseka kwe-metabolic kunokukhokelela ekunyuseni kwemveliso ye-erythritol engapheliyo), kunokuba isizathu.
Izifundo ezikhethekileyo: uphando lujolise ikakhulu kubantu abanobungozi besifo senhliziyo (njengesifo sikashukela, uxinzelelo lwegazi, i-atherosclerosis) okanye bavavanywa kwintliziyo. Iziphumo azikwazi ukwandiswa ngokuthe ngqo kuluntu jikelele olunempilo ye-cardiovascular health.
Umthombo wegazi awucaciswanga ngokucacileyo: ininzi ye-erythritol edibeneyo ixutywe ngokukhawuleza kwaye ikhutshwe ngeentso, kunye nexesha elifutshane lokuhlala egazini (i-peak 1-2 iiyure emva kokungena, ihlanjululwe kwiiyure ezimbalwa). Kuphando, iisampulu zegazi lokuzila ukutya zidla ngokulinganiswa, kwaye amanqanaba e-erythritol abo banokubonisa amanqanaba aveliswa yi-endogenous metabolism emzimbeni, kunokuba abonise ngokuthe ngqo ukutya okuphuma ngaphandle. Abaphandi ngokwabo babonisa ukuba uphando olongezelelweyo lufunekayo ukuze kuqinisekiswe ukuba ukutya okutyayo kuchaphazela amanqanaba egazi elide.
Umba we-dose: Uxinzelelo lwegazi kwisifundo luphezulu kakhulu kunogxininiso lwexesha elifutshane elinokuthi liphunyezwe emva kokusetyenziswa ngokuqhelekileyo kwe-erythritol equkethe ukutya kunye neziphuzo. Ugxininiso olusetyenziswa kwiimvavanyo ze-vitro nalo luphezulu kakhulu.
Isifundo esisodwa: Eli lixesha lokuqala lo mbutho uxelwe kuluntu oluninzi kwaye awuzange uphindwe ngokubanzi ngezinye izifundo ezizimeleyo.
Isimo sengqondo sangoku se-FDA/JECFA kunye namanye amaziko:

Okwangoku, ii-arhente ezinkulu ezilawulayo emhlabeni jikelele (i-FDA, i-EFSA, i-JECFA, iKhomishoni yezeMpilo yeSizwe yaseTshayina) ayitshintshanga izigqibo zabo malunga nokhuseleko lwe-erythritol njengesongezo sokutya ngenxa yolu phononongo. Bakholelwa ukuba ubungqina obukhoyo abanelanga ukubhukuqa uvavanyo lwangaphambili, kodwa basaza kubeka iliso elibukhali kuphando olulandelayo.
Amaziko agunyazisiweyo akholelwa ngokubanzi ukuba uphando olujoliswe ngakumbi (ingakumbi ulingo oluphezulu olulawulwa ngokungahleliwe kunye nezifundo zokuqwalasela ixesha elide) ziyafuneka ukuze kuqinisekiswe lo mbutho kwaye kuphononongwe ubudlelwane be-causal.
Iingcebiso kubantu abane-cardiovascular and cerebrovascular disease (isikhokelo esisebenzayo emva kobunzima)
Musa ukothuka, kodwa qaphela: Ngokusekelwe kubungqina bangoku, akukhuthazwa ukuba abantu abasemngciphekweni omkhulu abanesifo sentliziyo kunye ne-cerebrovascular boyike ngokupheleleyo kwaye baphephe i-erythritol, kodwa kufuneka balumke ngakumbi kunabantu abasempilweni.
Umgaqo wokumodareyitha ubalulekile:
Lawula ngokungqongqo ukusela: Kwanotywala beswekile obebugqalwa bukhuselekile ngaphambili bunokubangela ukungonwabi (njengorhudo) ukuba busetyenziswe ngokugqithisileyo. Ngokusekwe kuphando olutsha, kuyacetyiswa ukuba kulawulwe ngokungqongqo ukuthathwa kwabantu abane-cardiovascular and cerebrovascular disease. Kuphephe ukutya okukodwa okanye ixesha elide lokutya kunye neziselo ezine-erythritol.
Funda iilebhile zokutya: Nika ingqalelo kwizithako ze-sweetener ekutya okungenaswekile kwaye uqonde umxholo we-erythritol.
Beka phambili indlela yokutya ngokubanzi: Isitshixo sempilo ye-cardiovascular and cerebrovascular pattery yokutya okunempilo (njengokutya kwe-DASH, ukutya kweMeditera), kugxininisa iziqhamo, imifuno, i-grains epheleleyo, iprotheni ephezulu (intlanzi, iinkukhu, iimbotyi), amafutha enempilo (ioli yeoli, i-nuts), ukunciphisa amafutha agcweleyo, i-trans fats, i-sugar-substituting ye-sugars, kunye ne-substitute ye-sodium, kunye ne-substitute ye-sugar substitute (i-substitute ye-sodium). Sukutyeshela umgangatho opheleleyo wokutya kwakho ngenxa yokuba usebenzisa izinto ezithatha indawo yeswekile.
Uthethwano lomntu ngamnye noogqirha okanye iingcali zokutya:
Ukuba unesigulane esinesifo senhliziyo okanye iqela elinobungozi obukhulu (njenge-atherosclerosis enzima, imbali ye-myocardial infarction okanye i-stroke, isifo seswekile esineengxaki ze-vascular, njl.), Kucetyiswa kakhulu ukuba udibane nodokotela wakho ohambayo okanye i-dietitian ebhalisiweyo.
Banokubonelela ngeengcebiso zomntu ngokusekelwe kwimeko yakho ethile (efana nokusebenza kweplatelet, isimo se-coagulation), ukusetyenziswa kweyeza (ingakumbi i-antiplatelet / anticoagulant drug), kunye nemikhwa yokutya, ukuvavanya iinzuzo kunye neengxaki zokusebenzisa i-erythritol kwimeko yakho.
Qwalasela ezinye izimuncumuncu: Ukuba kukho iinkxalabo, kuqala kunokunikwa ezinye izimuncumuncu zendalo ezinerekhodi ezinde zokhuseleko kunye nophando olunobuhlobo ngakumbi lwengozi yentliziyo njengezinye iindlela, ezinje:
I-Stevioside: ikhutshwe kwizityalo, i-calorie ye-zero, ayichaphazeli iswekile yegazi. Uphononongo oluninzi luxhasa ukhuseleko lwayo kwaye lunokuba nefuthe elingathathi hlangothi okanye elithambileyo kwiiparamitha ze-cardiovascular ezifana noxinzelelo lwegazi.
I-Siraitia grosvenorii glycoside: ifana ne-stevia, isicatshulwa sesityalo, i-calorie ye-zero, ayichaphazeli iswekile yegazi, kwaye inokunambitheka okulungileyo.
(Qaphela: Nasiphi na isimuncumuncu kufuneka sisetyenziswe ngokumodareyitha)
shwankathela
Kubantu abanesifo senhliziyo kunye ne-cerebrovascular, ukufaneleka kwe-erythritol ngumcimbi ofuna ukuqwalaselwa ngononophelo:

Izibonelelo zicacile: ayinyusi iswekile kwaye ineekhalori zero, iyenza ibe lukhetho olufanelekileyo lokuthatha indawo yeswekile eyongeziweyo eyingozi, iluncedo ngakumbi kulawulo lweswekile yegazi kunye nolawulo lobunzima.
Umngcipheko uyathandabuzeka kodwa kufuneka uthathwe ngokungathí sina: Uphononongo luka-2023 lubonisa ingozi enokubakho ye-thrombosis kunye neziganeko ze-cardiovascular. Nangona inqanaba lobungqina lilinganiselwe kwaye ubudlelwane be-causal ayicacanga, izifundo zophando zichanekile eli labemi, ngoko kufuneka liphapheme kakhulu.
Ingcebiso yangoku:
Umda ongqongqo: ukunciphisa kakhulu ukutya kwaye ugweme ukutya ngobuninzi obukhulu.
Ukubonisana okuphambili kumaqela asemngciphekweni omkhulu: Kwabo banesifo esibi senhliziyo okanye umngcipheko ophezulu, kuyimfuneko ukudibana nogqirha okanye isondlo sokutya ngaphambi kokusetyenziswa.
Gxininisa ekutyeni ngokubanzi: Indlela yokutya enempilo ihlala ingundoqo.
Cinga ngezinye iindlela: i-stevioside, i-siraitin, njl.
Kude kube ngamaphononongo akumgangatho ophezulu ngakumbi, ngakumbi izifundo ezilindelekileyo kunye nolingo lwezonyango olujolise kwizigulana zentliziyo, lufikelela kwizigqibo ezicacileyo, kububulumko ukwamkela isicwangciso "sobulumko" se-erythritol kubantu abanesifo sentliziyo kunye ne-cerebrovascular. Nika ingqalelo kuhlaziyo olulandelayo lovavanyo oluvela kumaziko agunyazisiweyo afana ne-FDA kunye neKomishoni yezeMpilo yeSizwe.