Malabsorbtia fructozei - alimente permise + interzise

8/9/2019 Malabsorbtia fructozei - alimente permise + interzise

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FODMAP-Intolerance(Fructose Malabsorption – se corecteaza cu glucoza in fructe

Varianta Paleo

Grupa

mancareSigure Ai grija Evita

Legume

Lucernă

Muguri Bambus

Muguri Fasole

Ardei grasi

Bok choy? (varza??)

Morcov

Rosii cherry

Arpagic

Castraveti

Andive

Ghimbir

Fasole verdeNap

Salata

Masline

Păstârnac

Castraveti murati (fara zahar)

Alge marine

Spanac

Ceapa verde (doar ce-i verde)

Frunze sfecla??

Rosii

Zucchini

Avocado

Sfecla rosie

Broccoli

Varza Bruxelles

Dovleac placintar

ConopidaTelina

Fenicul bulb

Mazare boaba

Guacamole

Ciupeci

Anghinare

Sparanghel (=Asparagus)

Varza

Usturoi

Trufa alba(=jerusalem artichoke)

PrazOkra?

Ceapa

Șalotă

Mazare fasole

Sugar snap peas

Cicoare

Pasta tomate

Fructe

Banane coapte

Coacăze

Pepene galben

Grapefruit

Pepene alb

Kiwi

Lamaie

Mandarine

Portocale

Papaya

Fructul pasiunii

Ananas

Zmeura

Rubarbă

Banane necoapte

Longan

Lychee

Rambutan

Struguri 15

Mango

Nectarine

Piersici

Pere

Persimmon?

Prune

Pepene rosu


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Amidon

Cartofi Albi

Plantain verde

Nap turcesc

Taro?

Manioc (=> tapioca)

Yuca

Orez Alb

Cartofi dulci x

Oleaginoase xMajoritatea

+ untul lor

Fistic

Migdale (Almond)

Alune de padure

Lactate

Unt

Unt lichid (= Ghee)

Smantana

Branza imbatranita

Branza proaspata

Lapte

Iaurt

Proteine

Carne

Pasari

Peste

Oua

Bacon

x Atentie cu ce suntcombinate!

Grasimi

Ulei cocos

Unt lichid (=Ghee)Unt

Smantana

Untura

Ulei masline

Macadamia (un fruct…)

Maioneza de casa

Masline

Ulei usturoi infuzat?

Avocado

Guacamole

Sosuri pt. salate/

Dressing-uri etc.

“Rasfat” X

Best to be avoided for a

little while

Cocos uscat

Zahar din cocos

Sirop artar

Lapte/Smantana/Unt de

cocos

Faina cocos

Ciocolata neagra

Cacao

Siropuri cu nivel

ridicat de fructoza

Sirop Agave

Miere

Dulciuri fara zahar

Indulcitori artificiali


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Condimente

Sare + Piper

Ierburi proaspete

Ierburi uscate

Ghimbir

Ulei usturoi infuzat?

Lamaie

Mirodenii (evita cu usturoi)

Oteturi?

Asafetida?

Alge de mare

Ceva de masline…

Rosii uscate la soare

Guacamole

Cicoare

Oligozaharide (care-s?)

Inulina

Prebiotice

Pudra ceapa/usturoi

Stabilizatori/Gelatine

Alcool Zaharat

(manitol, sorbitol,

xylitol, izomal…)

Suplimente medicale

Bauturi

+Alcool

Apa

Ceai (verde, negru,

rooibos…) Piftie (Bone broth)

Ceaiuri de fructe

“nesigure”

Vinuri seciCafea

Vinuri dulci, Lichior

Bere

Sucuri, Bauturi carb.

* Iaurtul si chefirul – nu sunt dulci, dar au probiotice. => rele in gastrita!!!

* low-fat/fat free in cazul gastritei(pb la digerarea grasimii/ ajuta controlul producerii aciditatii in stomac

Evita smantana – prea grasa

De asemenea, fara rosii/suc de rosii.

Ardei, ceapa, usturoi

Portocale, Graef, Smochine, Fructe de padure, Fructe uscate.

Legumele crude baloneaza???


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Grupa

mancareSigure

Ai

grijaEvita

Carne Carne rosie, porc, pui, curcanCremvursti, mezeluri sau orice

aliment care contine fructoza

CerealeOrice produs care nu contine fructoza sau

zahar.

Produse indulcite cu zahar,

fructoza sau sorbitol.

Fructe

Toate fructele, sucurile de fructe,

fructe deshidratate, produse care

contin fructe.

Indulcitori Glucoza, dextrina,maltoza Fructoza, sucroza (, zahar), sorbitol

GrasimiUnt, margarina,ulei,maioneza facuta in

casa, dresinguri pentru salate fara zahar

Maioneza, mustar, dresinguri si

sosuri care contin zahar

Oua Orice fel de oua

Lactate Orice tipNu se recomanda lactatele care

contin zahar

Alune,nuci Orice tip Nuci, alune glazurate

PaineOrice tip de paine care nu contine zahar,

fructoza sau sorbitol

Orice produs de panificatie care

contine ca indulcitori zahar,

fructoza sau sorbitol

Cartofi Orice tip de cartofi Cartofii dulci

Paste Macaroane,spagetti, orez

Peste Orice tipo de peste proastapPeste procesat care contine

zaharuri


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DesertIaurt natural, inghetata, prajituri care nu

contin zahar

Orice desert care contine zahar,

fructoza, sorbitol

Branzeturi Orice tip

LegumeSparanghel, conopida, ardei gras, salata

verde, telina, radacinoase

Morcovi, rosii, legume conservate

care contin zahar

AlteleCafea, ceai, supe vegetale, cacao,

condimente, sucuri 0 calorii

Miere, sucurile indulcite, jeleuri,

marmelade, gemuri, fructe

conservate

Asocierea fructoza – glucoza

Glucoza favorizeaza – in cazul celor mai multi pacienti – absorbtia fructozei in intestinul subtire. Este

recomandat sa ingerati o cantitate mai mare de glucoza decat cea de fructoza intrucat absorbtia glucozei

este mult mai rapida si la un raport glucoza:fructoza de 1:1 in intestin raman neabsorbite cantitati mai

mari de fructoza care pot declansa simptomele specifice.

Xylose isomeraza: o enzima utila in intoleranta la fructoza

Aceasta enzima converteste fructoza din intestinul subtire in glucoza care ulterior va fi absorbita incirculatia sanguina.

Asa cum am mentionat malabsorbtia fructozei se datoreaza deficitului transportorului GLUT-5 .

Administrarea xylose izomerazei inainte de a consuma alimente bogate in fructoza va determina

conversia fructozei in glucoza care va fi absorbita din intestinul subtire sistemul de transport responsabil

in acest caz fiind GLUT-2

Intrebati medicul dumneavoastra curant

Care este diferenta intre malabsorbtia fructozei si intoleranta ereditara la fructoza?

Care este incidenta malabsorbtiei fructozei?

Este posibil sa sufar de malabsorbtie a fructozei?

Cum am dobandit-o?

Care sunt complicatiile?

Care este tratamentul acestei afectiuni?

Cum se diagnosticheaza intoleranta la fructoza?

Care sunt simptomele malabsorbtiei fructozei?

Ce alimente si bauturi contin fructoza?


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ethnic groups are known to be at high risk of lactose intolerance as they produce low levels of lactase, including

those of Asian, African and Mediterranean backgrounds.

Diagnosis of lactose intolerance does not necessarily require a dairy free diet. Depending on the severity of your

condition, you may only need to reduce your intake of these foods, or you may require further restriction. This should

be discussed with your dietitian. With the increasing availability of lactose free dairy products and the naturally low

level of lactose in many dairy foods, managing lactose intolerance is easy and it doesn’t have to affect calcium intake.

Fructose Malabsorption

Fructose is known as the ‘fruit sugar’, but it is also found in some vegetables and honey. Fructose malabsorption is

likely to occur due to an impairment of absorption in the small intestine. It is not fully understood why some people

malabsorb the sugar, but if you have an underlying gastrointestinal condition such as IBS, Crohn’s disease or suffer

symptoms of bloating, wind, abdominal cramps and altered bowel habits, breath testing for fructose will help to

identify whether this is a trigger for your symptoms.

Diagnosis of fructose malabsorption does not necessarily require a fruit free diet. There are many fruits you can have

such as bananas and kiwifruit, although the overall quantity of fruit may need to be adjusted. Patients with fructosemalabsorption can absorb fructose in certain conditions, e.g. if there is glucose present in a food. Your tolerance to

fructose and the degree of dietary restriction you require can be defined by your dietitian. Many people are now

searching the internet for food lists in this area, but be aware that the research into this condition continues, with food

lists changing frequently. As such we recommend specialist dietetic advice.

Sucrose Malabsorption

Sucrose is traditional table sugar used most commonly in Australian commercial products and in the household.

Malabsorption of sucrose is caused by a reduced production of sucrase enzyme (sucrase-isomaltase deficiency)

which is required to digest sucrose.

A low sucrose diet aims to reduce dietary sucrose and sucrose loading in soft drinks, cordials and sweets. The

degree of restriction required will depend on your symptoms and the level of sucrose in your current diet. This can be

assessed by consulting your dietitian.

Sorbitol Malabsorption

Sorbitol is a type of sugar found naturally in fruits such as stone fruits, and also used as an artificial sweetener in

sugar free gums and mints. Sorbitol is poorly absorbed in the small intestine by everyone, and a sorbitol breath test

will determine your ability to absorb a small load of sorbitol which will then determine whether dietary restriction of the

sugar is required to improve gastrointestinal symptoms.

It is very useful to undertake a sorbitol breath test in conjunction with a fructose test. Many of the fruits safe on a low

fructose diet are high in sorbitol, for example stone fruits, so it is important to understand your tolerance to both

sugars.

=> nu am indentificat pb la sucroza si sorbitol?
http://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.html

Malabsorbtia fructozei - alimente permise + interzise

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