Dangane da manufarta, Hukumar Edita ta MedTvoiLokony tana yin kowane ƙoƙari don samar da ingantaccen abun ciki na likita wanda ke da goyan bayan sabon ilimin kimiyya. Ƙarin tuta “Abin da aka Duba” yana nuna cewa likita ne ya duba labarin ko kuma ya rubuta kai tsaye. Wannan tabbacin mataki biyu: ɗan jarida na likita da likita ya ba mu damar samar da mafi kyawun abun ciki daidai da ilimin likita na yanzu.
An yaba da sadaukarwarmu a wannan yanki, da dai sauransu, ta Ƙungiyar 'Yan Jarida don Lafiya, wadda ta ba Hukumar Edita ta MedTvoiLokony lambar girmamawa ta Babban Malami.
Za mu iya karantawa a cikin wallafe-wallafen da yawa cewa jan giya, wanda aka sha a matsakaici, yana inganta lafiya, musamman lafiyar zuciya. Wannan abin sha yana ƙunshe da mahadi masu fa'ida da yawa waɗanda a zahiri ke tallafawa aikin sa. Amma shin gaskiya ne ko kuma tallace-tallacen da aka ɓoye a cikin wayo na barasa ba a yarda da shi a hukumance ba? Muna tambayar prof. n. med. Krzysztof J. Filipiak, likitan zuciya da masanin giya.
- Ƙananan ruwan inabi na iya aiki da kyau ga zuciya da lafiyar jini. Wannan shi ne saboda polyphenols da ke cikin wannan abin sha
- Farfesa Filipiak ya ce wane nau'in nau'in nau'in nau'in nau'in nau'in nau'in nau'in nau'in nau'in nau'in nau'in nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i nau'i-nau'i).
- Masanin ya kuma bayyana ko jan giya ne kawai ke da tasiri a zuciya
- – Yi la'akari da matsakaicin amfani. Likitan zuciya ya ba da shawarar giya, yawanci ja, ko da yaushe bushe - in ji farfesa a wata hira da Medonet
- Duba lafiyar ku. Amsa waɗannan tambayoyin kawai
- Kuna iya samun ƙarin irin waɗannan labaran akan shafin gida na TvoiLokony
Monika Zieleniewska, MedTvoiLokony: A fili, ko da likitoci sun ce gilashin ruwan inabi tare da abincin dare ba ya cutar da lafiyar jiki. Kuma Farfesa?
Farfesa Dr. habba. med. Krzysztof J. Philippines: Akwai binciken da ya nuna cewa ko da karamin adadin barasa yana da illa, kuma tabbas shansa yana da alaƙa da haɗarin cutar cirrhosis, wasu cututtukan daji ko cututtukan zuciya na paroxysmal, amma ana tambayar hanyoyin waɗannan karatun. Ga likitan likitanci, abu mafi mahimmanci shine sanin ko yawan shan barasa yana taimakawa ga yawan mace-mace. Kuma a nan ya nuna cewa ba ya ƙara yawan mace-mace, kuma watakila ma ya rage shi kadan.
An yi hasashen cewa barasa na taimakawa wajen haɓakar hanta da wasu cututtukan daji, amma a maimakon haka yana rage haɗarin bugun zuciya, atherosclerosis, da mutuwar jijiyoyin jini. Wataƙila wannan shine dalilin da ya sa likitocin zuciya ke kallon 'yan kaɗan na barasa a cikin giya tsawon shekaru, kuma masu ilimin gastrologists da masu ilimin hanta suna da ra'ayi mai mahimmanci game da shi.
- Duba kuma: Menene likitan hanta ba zai ci ba? Ga kayayyakin da suka fi cutar da hantar mu
Don haka wane irin giya masu ilimin zuciya zasu iya jurewa kuma me yasa ja?
Wataƙila bari mu fara da ma'anar abin da ruwan inabi ya fara. Wine samfurin ne da aka samo daga barasa fermentation na gaskiya na Vitis vinifera inabi, wanda ya ƙunshi mafi ƙarancin 8,5%. barasa.
Lalle ne, sha'awar mu na shekaru da yawa ya mayar da hankali ga jan giya, saboda yana dauke da abubuwa masu kariya da yawa na zuciya. Suna fitowa daga ruwan inabin da kansa, kuma akwai ƙarin su a cikin jajayen bawo mai duhu na berry fiye da namansa. Don haka, jajayen inabi, waɗanda aka yi daga jajayen inabi, da alama sun fi kare zuciya.
Muna magana shekaru da yawa game da nau'in ruwan inabi wanda ya ƙunshi musamman polyphenols mai yawa kuma yana da kyau a ba da shawarar anan: Cannonau di Sardegna - inabin inabi na Sardegna, wanda manoma na gida suka bugu a al'ada, kuma a yau - ta yawan jama'ar Sardiniya, watau mutanen da suke cikin su. yawancin masu shekaru XNUMX suna rayuwa a nahiyarmu. Sabbin nau'ikan nau'ikan duniya kuma sun cancanci ba da shawarar - Shiraz na Australiya, Malbec na Argentine, Tannat Uruguayan, Pinotage na Afirka ta Kudu, waɗanda ke ƙunshe da adadin polyphenols masu yawa kuma, ƙari, ana shuka su a cikin Kudancin Kudancin, inda iska ba ta da ƙazanta fiye da arewacin kogin.
Rarraba duniyar ruwan inabi a cikin amfanin gona na Tsohon Duniya - rawaya, ruwan inabi na Turai, al'adun Rum da Sabuwar Duniya, da kore - ƙasashe inda noman inabi ya yadu a cikin karni na XNUMX; taswirar tana nuna yadda iskoki ke kama da duniyarmu (jajayen kibau) dauke da gurbacewar iska; Sai kawai a yankin kudancin wannan yanayi yana faruwa a cikin ƙasashe masu ƙarancin gurɓataccen iska;
Taswirar da prof. Krzysztof J. Philippines
Don haka giya na Turai na iya zama mafi cutarwa?
Har ila yau, nau'ikan Turai suna ba mu mamaki da sabbin abubuwan da aka gano na rigakafin zuciya. Alal misali, Apulian, wato, giya na kudancin Italiya irin su Negroamaro, Susumaniello ko Primitivo, suna da tasirin anti-mai kumburi da antioxidant; Nauyin Balkan na Refosco yana kwatanta babban jikewa na musamman tare da wani nau'in polyphenol - furaneol, kuma ana la'akari da wannan nau'in tare da haɓaka ƙididdigar jini. Wani jauhari na kudancin Italiya - baƙar fata Aliagnico - ya ƙunshi dozin da aka gano mahadi daga rukunin polyphenols tare da abubuwan antiatherosclerotic da anti-inflammatory. A cikin mafi kyau - kuma ana horar da su a Poland - nau'in nau'in nau'in Pinot noir, babban abin da ake kira orange anthocyanin - callistefin, wanda aka samo a cikin rumman, strawberries da masara baki.
Komawa ga tambayar da ta gabata, ya kamata mu bar farin giya?
Ina da albishir ga mutanen da suke son su. A cikin Sicilian Zibibbo, ban da terpenes da aka yi karatu har yanzu (linalool, geraniol, nerol), an gano abubuwan cyanidin masu ban sha'awa masu ban sha'awa tare da tasirin antioxidant mai ƙarfi, anti-cancer da anti-inflammatory (chrysanthemine). Wannan fili ɗaya ne wanda yanayi ke ba mu da yawa a cikin baƙar fata currants.
A cikin ruwan inabi masu yawa da yawa: Sauvignon Blanc, Gewurztraminerach, Reslingach, mun sami yawancin mahadi tare da kasancewar ƙungiyoyin sulfhydryl - SH, watau abubuwa masu karfi da antioxidant ko ma abubuwan da ke lalata, saboda suna ɗaure ƙarfe masu nauyi. Kamar yadda farfesa na ilimin zuciya ke gaya mani cikin raha - masu son giya daga Italiya, wannan shine dalilin da ya sa dole ne ku sha ruwan inabi tare da gurɓataccen abincin teku da kifi.
Ba kowa ba ne ya san cewa mahadi na pyrazine suna da alhakin halayen halayen guzberi, musamman a cikin New Zealand Sauvignon Blanc da na fi so. Ana iya samun irin waɗannan mahadi a cikin magungunan rigakafin tarin fuka da aka saba amfani da su da kuma a cikin bortezomib - sabon magani don myeloma da yawa.
A cikin ƙasashe masu sauyin yanayi mai sanyi, abin da ake kira matashin ciki yana dauke da mahimman mahaɗan da ke aiki da kwayoyin halittar da ke tallafawa ayyukan kimiyyar jiki. Ina tunanin abubuwan da ake kira fatty acid lalata kayayyakin - hexanal, hexanol, hexenal, hexenol, da abubuwan da suka samo asali - waɗannan bi da bi suna da yawa a cikin nau'in da ake girma a Poland - Marshal Foch. Abin da ake kira sunadarai na giya yana da ban sha'awa sosai.
Sa’ad da muke tattauna tasirin ruwan inabi a jikinmu, an ambaci zuciya da farko. Menene sakamakon salutary giya?
Wannan shi ne yafi saboda ci gaba da fadada ilimin game da tasirin barasa - Ina so in sake jaddadawa, cinyewa akai-akai a cikin ƙananan ƙananan - akan ayyukan endothelium na jijiyoyin jini da platelets. Barasa da ke ƙunshe a cikin ruwan inabi yana da ɗan ƙaramin tasirin anti-platelet, yana rage haɓakar ƙwanƙwasa jini (tasirin thrombin), yana inganta bayyanar abubuwan abubuwan da ke cikin jini na jini (yana shafar fibrinolysis na endogenous), yana rage oxygenation na mummunan LDL cholesterol da ke yawo a cikin jini, yana ƙara yawan ƙwayar cholesterol mai kyau na HDL, yana ƙara samar da nitric oxide a cikin ƙwayoyin endothelial kuma yana rage samar da fibrinogen. Don haka a takaice da saukakawa.
Gabaɗaya, ba a yanke shawarar ko abubuwan da ke cikin giya ko barasa da kansu sun fi mahimmanci a nan. Da alama aikin gamayya ne. Yana da wuya a gudanar da irin wannan bincike daidai, domin ruwan inabi yana da ƙananan kashi, ruwan inabin inabi mai daraja, wanda ya ƙunshi ɗaruruwan mahaɗan sinadarai na rawar da ba a sani ba. Bugu da ƙari, kowane nau'in innabi nau'in nau'i ne na musamman, tare da nau'i daban-daban, kuma an kwatanta dubban dubban su.
An ambaci kalmar polyphenols sau da yawa. Menene waɗannan alaƙa?
Don sanya shi a sauƙaƙe, polyphenols rukuni ne na mahadi na phenolic tare da tasirin antioxidant mai ƙarfi, sabili da haka yana iya rage haɗarin cututtukan cututtukan zuciya da ciwon daji. Ana iya ƙara polyphenols zuwa tannins (esters na gallic acid da saccharide) da flavonoids na musamman a gare mu.
Flavonoids launuka ne da aka ƙirƙira ta yanayi, alhakin launukan duk kyaututtukan yanayi - 'ya'yan itatuwa da kayan marmari. Har ila yau, suna taka muhimmiyar rawa - antioxidants, kwari, fungicides, saboda haka ana adana su ne musamman a cikin sassan jikin kwayoyin halitta, suna ba su launi mai tsanani. Mun dawo ga fahimtar dalilan da ya sa muke sha'awar yin magana game da ja, maimakon fari ko ruwan hoda, lokacin da muke tunanin waɗannan alaƙa. Flavonoids sune sunan gama gari na mahaɗan da yawa waɗanda aka ƙara rarraba su azaman flavonols, flavones, flavanones, flavanonols, isoflavones, catechins da anthocyanidins.
An yi rubutu da yawa game da resveratrol ba da daɗewa ba. Shin flavonoids ne wanda ke da mahimmanci musamman ga lafiyar ku?
Resveratrol yana daya daga cikin fiye da dubu takwas. flavonoids ya bayyana, amma a gaskiya mun san kusan 500 daga cikin waɗannan mahadi. Resveratrol yana daya daga cikin na farko, amma bincike na yanzu bai nuna shi ne Grail mai tsarki na flavonoids ba. Da alama kawai haɗin halitta na ɗaruruwan flavonoids yana ba da cikakken tasirin antioxidant. Yawancin ayyuka masu ban sha'awa da yawa a halin yanzu ana buga su, misali akan quercetin.
- Kuna iya siyan kari na abinci tare da resveratrol a Kasuwar Medonet
To ta yaya za ku tantance adadin barasa da ke da amfani ga lafiyar ku?
Muna da matsala da hakan. Haɓaka shaye-shaye, musamman a yankinmu na Turai, inda ya zuwa yanzu yawan shan barasa ya mamaye, abu ne da ba za a amince da shi ba. A matsayinmu na likitoci, dole ne mu yi aiki don canza halayen marasa lafiyarmu, kada mu tilasta musu su sha barasa, amma kuma mu nuna fa'idar shan matsakaiciyar ruwan inabi a matsayin wani ɓangare na abinci na Bahar Rum.
Lokacin da na rubuta bita na littafin "Wine yana da kyau ga zuciya" ta manyan likitocin zuciya da ke magance ruwan inabi a Poland - prof. Władysław Sinkiewicz, kalaman kalamai marasa daɗi a shafukan sada zumunta sun faɗo kaina. Dole ne a tabbatar da 'yancin yin magana game da wannan. A matsayina na matashin likita, na taba shirya wani aikin bincike wanda muka tantance tasirin nau'ikan jan giya daban-daban akan fadada endothelial. Kwamitin nazarin halittu na Jami'ar Likita ta Warsaw a wancan lokacin bai yarda da halinsa ba, ta yin amfani da dokar Poland game da tarbiyyar hankali. Na daukaka kara game da shawarar da ta yanke ga kwamitin nazarin halittu a Ma'aikatar Lafiya kuma wannan kwamiti bai yarda da wani binciken da dalibai - masu aikin sa kai za su sha 250 ml na ruwan inabi mai ruwan inabi ba kuma a yi musu gwaje-gwaje marasa cin zarafi na aikin endothelial na jijiyoyin jini. Farfesan likitancin na wannan kwamiti ya yi tambaya cikin firgita ko za mu ba wa daliban da aka yi gwajin hutun jinya daga azuzuwa gobe. Binciken bai yi tasiri ba, kuma bayan ƴan shekaru sai na sami wani ɗan Amurka mai kama da shi a cikin wata jarida mai kyau ta kimiyya.
Ƙarshe don haka ɗaya ce - kada mu la'anci ilimin binciken giya da ruwan inabi. A gefe guda, muna da ƙayyadaddun jagororin dandalin Yaren mutanen Poland don rigakafin cututtuka na zuciya: "duk wani shawarwari game da farawa ko ƙarfafa shan barasa, da nufin cimma tasirin kiwon lafiya mai amfani, ba a ba da shawarar ba", a daya - yana nufin. zuwa "farawa" da "ƙarfafa". Don haka ga mutanen da suka sha ruwan inabi tare da abincin dare, yana da daraja kawai canza nau'insa, kashinsa, da haɓaka ilimi game da zaɓin iri. Wannan ita ce fassarara.
Ban da haka, tun da ruwan inabi yana tare da abinci, bai kamata mu mai da hankali ga abincin ba?
Ka yi la’akari da abin da muke sha, abin da muke haɗa ruwan inabi da wane irin abinci ne, ko muna cin kayan lambu da ’ya’yan itace da yawa, ko rage kitsen dabbobi da jan nama. Wataƙila yana da kyau a sha gilashin giya maimakon kayan zaki mai caloric cike da sukari da mai? Yau ba mu da shakku a kai. Na yarda cewa lokacin da majiyyaci ya shiga ofishin kuma a cikin kalmomin farko na hirar ya yi alfahari da cewa bai taba "shan taba ko sha ba", Ina mamakin yadda ilimi marar zurfi yake a Poland, tun da shan taba sigari ya zama daidai a cikin zukatan. na marasa lafiya da shan giya.
Na karanta cewa ruwan inabi yana kuma inganta lafiyar masu ciwon hauka, nau'in ciwon sukari na 2, yana hana damuwa, yana tallafawa tsawon rayuwa da kwayoyin cuta masu kyau a cikin hanji. Shin duka gaskiya ne?
Tambayoyi da yawa don hira ɗaya… Ina komawa ga littafin na prof. Władysław Sinkiewicz. Farfesa na shekaru da yawa ya jagoranci Cibiyar Nazarin Cardiology na Jami'ar Nicolaus Copernicus a Bydgoszcz, a yau, ya yi ritaya, mai yiwuwa yana da lokaci mai yawa don magance wannan batu kuma saboda haka rubutun farko na Poland akan wannan batu. Wani likitan zuciya (irin wannan kalma - neologism - yana jaddada dangantakar dake tsakanin ilimin kiwo da ilimin zuciya) kuma yana aiki a kudancin Poland - prof. Grzegorz Gajos daga Krakow. Kuma a halin yanzu ina shirya takarda a kan kurangar inabi da wasu fuskokin giya na cardioprotective.
A taƙaice, me za a yi don hana sauran gaɓoɓin lalacewa godiya ga gilashin da aka bugu da zuciya?
Sama da duka, riko da matsakaicin amfani. Akwai matsaloli tare da ma'anarsa, amma yawanci muna nufin aƙalla sha ɗaya ga mace a rana kuma a sha 1-2 ga namiji. Abin sha shine adadin 10-15 g na barasa mai tsabta, don haka adadin da ke cikin 150 ml na ruwan inabi. Wannan daidai yake da 330 ml na giya ko 30-40 ml na vodka, ko da yake a cikin na biyu na biyu, wallafe-wallafen da ke tabbatar da tasirin cardioprotective yana da yawa.
Don haka, likitan zuciya yana ba da shawarar giya, yawanci ja, koyaushe bushe.
Shan duk wani nau'in barasa mai dadi yana kara haɗarin kamuwa da ciwon sukari, don haka dole ne mu goyi bayan masu ilimin ciwon sukari ta wannan fanni. Wataƙila zan yi keɓance ga busassun ciders na Yaren mutanen Poland - abin tausayi ne cewa Poland tana tsaye tare da barasa mai ƙarfi kuma ba ta goyi bayan masu girbin 'ya'yan itace da ingantattun apples na Poland. Wataƙila mu ba ƙasar da ke da al'adun sha na calvados (apple distillate, shekaru a cikin ganga itacen oak), amma cider - za mu iya.
Muhimmiyar kalma tana ƙunshe a cikin shawarwarin rigakafin Turai waɗanda ƙungiyar mu ta likitan zuciya ta buga. Suna magana game da rage yawan shan barasa, don haka matsakaicin 7 - 14 allurai na barasa a kowane mako ga maza, 7 ga mata, amma sun yi gargaɗin cewa waɗannan allurai ba dole ba ne a tara su! Don haka gilashin giya tare da abincin dare a kowace rana - a nan za ku je. Wani samfurin - Ba na sha a cikin mako, karshen mako yana zuwa kuma na kama - ba. Wannan salon shan yana da alaƙa da haɗarin haɓakar hawan jini, arrhythmias na zuciya, da bugun jini.
Mun yi magana da yawa game da cututtukan cututtukan zuciya na polyphenols - ga mutanen da ba sa shan barasa kwata-kwata, Ina kuma da labari mai daɗi: ana samun polyphenols iri ɗaya a cikin sabbin kayan lambu na zamani, 'ya'yan itatuwa, kofi mai kyau, cakulan baki da koko.
Me yasa waɗannan matsakaicin ƙa'idodin sha suka bambanta ga maza da mata?
A gaskiya ma, jinsi ba shi da mahimmanci a nan kuma nauyin jiki ya fi mahimmanci. Kawai, a cikin nazarin cututtukan cututtuka, an canza magungunan barasa a kowace kilogiram na nauyin jiki, kuma maza sun fi girma a yawan jama'a kuma suna auna nauyi - saboda haka sakamakon binciken da shawarwarin da suka biyo baya.
Ashe, bai kamata wanda ya yi wa jaraba ya sha ruwan inabi ba, har da zuciyarsa?
Yana da kyau a yarda da wannan, ko da yake a nan ina magana ne akan masana ilimin halayyar dan adam da masu tabin hankali. Gabaɗaya, bari mu tuna cewa za ku iya shagala da kowane abu, kuma kada mu yi gaggawar hukunta ruwan inabi. Amma wataƙila Louis Pasteur ya yi gaskiya sa’ad da ya ce: “Gin inabi shine abin sha mafi lafiya da tsafta.” Kuma maxim na Latin "In vino veritas" ya sami karin saƙo na duniya a tsawon lokaci - akwai gaskiya a cikin ruwan inabi, watakila gaskiyar game da lafiya.
likitan zuciya ne, likitan zuciya, likitan hawan jini da likitan magunguna na asibiti. Kwanan nan, ya zama shugaban jami'ar likitanci ta Maria Skłodowskiej-Curie a Warsaw, kuma a asirce yana da sha'awar ilimin kimiyyar ilmin halitta, watau kimiyyar giya, da ampelography - kimiyyar da ta shafi kwatantawa da rarraba vines. A kan kafofin watsa labarun (IG: @profkrzysztofjfilipiak) za mu iya samun ainihin laccoci na farfesa akan nau'in giya.
Wannan na iya sha'awar ku:
- Yawancin 'yan sanda suna mutuwa da shi. Likitan zuciya ya gaya muku abin da ake buƙatar canzawa nan da nan
- Waɗannan alamomin suna hasashen bugun zuciya watanni kafin lokaci
- Menene likitan zuciya ba zai ci ba? "Black list". Yana cutar da zuciya