Njengamanje kunesimo esidinga ukulinganisela ngokucophelela mayelana nokufaneleka kwe-erythritol kubantu abanezifo zenhliziyo nemithambo yegazi: inezinzuzo ezibalulekile ezingaba khona, kodwa kukhona nocwaningo olubalulekile oluyimpikiswano olukhomba ubungozi obungase bube khona (okungakacaciswanga ngokuphelele). Okulandelayo ukuhlaziya okuphelele:

Izinzuzo ezingaba khona (ukusekela uhlangothi lokusebenzisa)
Ukungakhuphuli ushukela wegazi ne-insulin:

Lena inzuzo enkulu. Iziguli ezinezifo zenhliziyo nemithambo yegazi zivame ukuhlotshaniswa nesifo sikashukela, ukumelana ne-insulin noma i-metabolic syndrome. I-Erythritol cishe ayinawo umthelela kushukela wegazi namazinga e-insulin, futhi ibalulekile ekulawuleni ushukela wegazi. Ukulawula kahle ushukela wegazi ngokwako kungasiza ukunciphisa ingozi yenhliziyo nemithambo yegazi.
Ikhalori enguziro/ikhalori ephansi kakhulu:

Isiza ukulawula isisindo kanye nokudla okuphelele kwekhalori. Ukukhuluphala kuyisici esibalulekile esiyingozi senhliziyo nezifo ze-cerebrovascular. Ukushintsha i-sucrose ngayo kunganciphisa ukudla okungadingekile kwekhalori futhi kube lula ukulawula isisindo.
Ayibangeli i-caries yamazinyo:

Kukhona ukuhlobana phakathi kwempilo yomlomo kanye nempilo iyonke (kuhlanganise nempilo yenhliziyo) (isifo se-periodontal singesinye sezici eziyingozi zesifo senhliziyo).
Faka esikhundleni sikashukela onekhalori ephezulu:

Ukudla ngokweqile ushukela owengeziwe (ikakhulukazi i-sucrose nesiraphu ye-fructose) kuqashelwa njengesici esibalulekile esiholela ekukhuluphaleni, isifo sikashukela kanye ne-dyslipidemia (njenge-hypertriglyceride), okwandisa ngokuqondile ingozi yezifo zenhliziyo nemithambo yegazi. I-Erythritol inikeza ukunambitheka okumnandi okwanelisayo futhi iyithuluzi elisebenzayo lokunciphisa ukumuncwa koshukela owengeziwe.
Izingxabano ezinkulu kanye nezingozi ezingaba khona (uhlangothi oluqaphile)
Isexwayiso esivela kucwaningo lwe-Nature Medicine lwango-2023:

Okutholakele okungumongo wocwaningo:
Amazinga aphezulu e-erythritol egazini ahlotshaniswa ngokuphawulekayo nengozi eyengeziwe yezenzakalo ezimbi ezinkulu zenhliziyo (njenge-myocardial infarction, unhlangothi, nokufa) phakathi neminyaka engu-3 elandelayo kubantu abasengozini enkulu yesifo senhliziyo kanye nalabo abahlolwa inhliziyo.
Ukuhlolwa kwe-in vitro nezilwane kubonise ukuthi i-erythritol ingase ikhuthaze ukuhlangana kwe-platelet (ama-platelet angamangqamuzana ayinhloko okwakhiwa kwe-thrombus) futhi isheshise ukwakheka kwe-thrombus.
Imikhawulo namaphuzu ayimpikiswano ocwaningo (kubaluleke kakhulu!):
Ucwaningo lokubheka, ubufakazi obungeyona imbangela: Lolu cwaningo lungabonisa kuphela ukuthi amazinga aphezulu e-erythritol egazini ahlotshaniswa nengozi eyengeziwe yezenzakalo zenhliziyo, kodwa ayikwazi ukufakazela ukuthi ukuthathwa kwe-erythritol kuholela ngokuqondile ezenzakalweni zenhliziyo. Amazinga aphezulu e-erythritol egazini angase abe kuphela uphawu noma umphumela wengozi enkulu yesifo senhliziyo (isibonelo, ukuphazamiseka kwe-metabolic kungase kuholele ekwandeni kokukhiqizwa kwe-erythritol engapheli), kunokuba imbangela.
Izihloko ezikhethekile: ucwaningo luhloselwe kakhulu abantu abasengozini yezifo zenhliziyo (njengesifo sikashukela, umfutho wegazi ophakeme, isifo sokuqina kwemithambo yegazi) noma abahlolwa inhliziyo. Imiphumela ayikwazi ukunwetshwa ngokuqondile kubantu abaningi abanempilo yenhliziyo nemithambo yegazi.
Umthombo wegazi awuhlukaniswa ngokucacile: i-erythritol eningi engenisiwe imuncwa ngokushesha futhi ikhishwe ngezinso, ibe nesikhathi esifushane sokuhlala egazini (isiqongo samahora angama-1-2 ngemuva kokuthatha, sisuswe emahoreni ambalwa). Ocwaningweni, amasampula egazi elizila ukudla ngokuvamile ayalinganiswa, futhi amazinga e-erythritol awo maningi amathuba okuba abonise amazinga akhiqizwa i-endogenous metabolism emzimbeni, kunokuba abonise ngokuqondile ukudla okuvamile. Abacwaningi ngokwabo baphinde baveza ukuthi ucwaningo olwengeziwe luyadingeka ukuze kutholakale ukuthi ukudla okudlayo kuthinta amazinga egazi wesikhathi eside.
Udaba lwethamo: Ukugxiliswa kwegazi ocwaningweni kuphakeme kakhulu kunokugxila okuphezulu kwesikhashana okungafinyelelwa ngemva kokusetshenziswa okuvamile kwe-erythritol equkethe ukudla neziphuzo. Ukugxiliswa okusetshenziselwa ukuhlolwa kwe-vitro nakho kuphezulu kakhulu.
Ucwaningo olulodwa: Lesi yisikhathi sokuqala ukuthi le nhlangano ibikwe kubantu abaningi futhi ayizange iphindwe kabanzi ngezinye izifundo ezizimele.
Isimo sengqondo samanje se-FDA/JECFA nezinye izikhungo:

Njengamanje, ama-ejensi amakhulu okulawula emhlabeni wonke (i-FDA, i-EFSA, i-JECFA, i-China National Health Commission) azizange ziguqule iziphetho zazo ngokuphepha kwe-erythritol njengesengezo sokudla ngenxa yalolu cwaningo. Bakholelwa ukuthi ubufakazi obukhona abanele ukuketula ukuhlola kwangaphambilini, kodwa basazoqapha ngokucophelela ucwaningo olulandelayo.
Izikhungo ezigunyaziwe ngokuvamile zikholelwa ukuthi ucwaningo oluqondiswe kakhulu (ikakhulukazi uhlolo olulawulwa ngokungahleliwe lwekhwalithi ephezulu kanye nezifundo zokubuka zesikhathi eside) luyadingeka ukuze kuqinisekiswe lokhu kuhlotshaniswa nokuhlola ubudlelwano obuyimbangela.
Iziphakamiso zabantu abanezifo zenhliziyo nemithambo yegazi (isiqondiso esisebenzayo ngemva kokukala)
Ungathuki, kodwa qaphela: Ngokusekelwe ebufakazini bamanje, akunconywa kubantu abasengozini enkulu abanezifo zenhliziyo nemithambo yegazi ukuze bethuke ngokuphelele futhi bagweme i-erythritol, kodwa kufanele baqaphe kakhulu kunabantu abanempilo.
Umgomo wokulinganisa ubalulekile:
Lawula ngokuqinile ukuphuza: Ngisho notshwala obushukela obebubhekwa njengophephile ngaphambili bungase bubangele ukungakhululeki (njengohudo) uma buphuzwe ngokweqile. Ngokusekelwe ocwaningweni olusha, kunconywa ukulawula ngokuqinile ukuthathwa kwabantu abanezifo zenhliziyo nemithambo yegazi. Gwema ukudla okukodwa noma isikhathi eside kakhulu kokudla neziphuzo ezine-erythritol.
Funda amalebula okudla: Naka izithako ze-sweetener ekudleni okungenashukela futhi uqonde okuqukethwe yi-erythritol.
Beka kuqala iphethini yokudla okuphelele: Isihluthulelo sempilo yenhliziyo nemithambo yegazi sisephethini yokudla enempilo iyonke (njengokudla kwe-DASH, ukudla kwaseMedithera), okugcizelela izithelo, imifino, okusanhlamvu okuphelele, amaprotheni ekhwalithi ephezulu (inhlanzi, izinkukhu, ubhontshisi), amafutha anempilo (amafutha omnqumo, amantongomane), ukunciphisa amafutha agcwele, ama-trans fats kanye nawo wonke amafomu e-sodium, kanye noshukela ongeziwe (crose). Ungayinaki yonke ikhwalithi yokudla kwakho ngenxa nje yokuthi usebenzisa izinto ezithatha indawo kashukela.
Ukuxhumana nomuntu ngamunye nodokotela noma izazi zokudla:
Uma uyisiguli esinesifo senhliziyo noma iqembu eliyingozi kakhulu (njenge-atherosclerosis enzima, umlando we-myocardial infarction noma unhlangothi, isifo sikashukela esinezinkinga ze-vascular, njll.), kunconywa kakhulu ukuthi uthintane nodokotela wakho oya khona noma udokotela wezokudla obhalisiwe.
Bangakunikeza iseluleko somuntu siqu ngokusekelwe esimweni sakho esithile (njengokusebenza kwe-platelet, isimo sokuhlangana), ukusetshenziswa kwemithi (ikakhulukazi izidakamizwa ze-antiplatelet/anticoagulant), kanye nemikhuba yokudla, ukuhlola ubuhle nobubi bokusebenzisa i-erythritol esimweni sakho.
Cabangela ezinye izithako ezinoshukela: Uma kunokukhathazeka, kungabekwa kuqala ezinye izishukela zemvelo ezinamarekhodi amade okuphepha kanye nocwaningo olunobungane kakhulu lwengozi yenhliziyo nemithambo yegazi njengezinye izindlela, ezifana nalezi:
I-Stevioside: ekhishwe ezitshalweni, i-zero ikhalori, ayithinti ushukela wegazi. Ucwaningo oluningi lusekela ukuphepha kwayo futhi lungase lube nemiphumela engathathi hlangothi noma enenzuzo encane kumapharamitha wenhliziyo nemithambo yegazi njengomfutho wegazi.
I-Siraitia grosvenorii glycoside: efana ne-stevia, isitshalo esikhishwe, i-zero calorie, ayithinti ushukela wegazi, futhi inokunambitheka okuhle.
(Qaphela: Noma iyiphi i-sweetener kufanele isetshenziswe ngokulinganisela)
finyeza
Kubantu abanezifo zenhliziyo kanye ne-cerebrovascular, ukufaneleka kwe-erythritol kuyindaba edinga ukucatshangelwa ngokucophelela:

Izinzuzo zicacile: ayinyusi ushukela futhi inama-calories angu-zero, okwenza kube yisinqumo esihle sokushintsha ushukela oyingozi owengeziwe, okuzuzisa kakhulu ukulawula ushukela wegazi nokulawula isisindo.
Ingozi iyangabazeka kodwa idinga ukuthathwa ngokungathi sína: Ucwaningo lwango-2023 luphakamisa izingozi ezingaba khona ze-thrombosis nezehlakalo zenhliziyo nemithambo yegazi. Nakuba izinga lobufakazi lilinganiselwe futhi ubudlelwano bembangela akucaci, izihloko zocwaningo ziyilesi sibalo sabantu, ngakho-ke kufanele siqaphe kakhulu.
Isiphakamiso samanje:
Umkhawulo oqinile: nciphisa kakhulu ukudla futhi ugweme ukudla ngobuningi.
Ukubonisana okubalulekile kwamaqembu asengozini enkulu: Kulabo abanesifo esinzima senhliziyo nemithambo yegazi noma abasengozini enkulu, kuyadingeka ukuthi uthintane nodokotela noma isazi sezokudla ngaphambi kokusetshenziswa.
Gxila ekudleni okuphelele: Iphethini yokudla okunempilo ihlale iwumongo.
Cabangela ezinye izindlela: i-stevioside, i-siraitin, njll. ingakhethwa njengamanye ama-sweeteners.
Kuze kube yilapho izifundo ezengeziwe zekhwalithi ephezulu, ikakhulukazi izifundo ezizoba khona kanye nezivivinyo zomtholampilo eziqondiswe ezigulini zenhliziyo nemithambo yegazi, zifinyelela eziphethweni ezicacile, kuwukuhlakanipha kakhulu ukwamukela isu "lomkhawulo wokuqapha" we-erythritol kubantu abanezifo zenhliziyo nemithambo yegazi. Naka kakhulu izibuyekezo zokuhlola ezilandelayo ezivela ezikhungweni ezigunyaziwe njenge-FDA kanye neKhomishini Yezempilo Kazwelonke.