Zvinoenderana nebasa rayo, Iyo Edhiyo Bhodhi yeMedTvoiLokony inoedza neparinogona napo kupa yakavimbika zvekurapa zvemukati zvinotsigirwa neruzivo rwazvino rwesainzi. Mureza wekuwedzera "Zvakatariswa Zvemukati" zvinoratidza kuti chinyorwa chakaongororwa kana kunyorwa zvakananga nachiremba. Iyi nhanho-mbiri yekusimbisa: mutori wenhau wezvekurapa uye chiremba anotitendera kuti tipe zvemhando yepamusoro zvemukati zvinoenderana neruzivo rwekurapa rwazvino.
Kuzvipira kwedu munharaunda iyi kwakaongwa, pakati pevamwe, neSangano reVatori venhau vehutano, iro rakapa iyo Editorial Board yeMedTvoiLokony ine zita rekuremekedza reMudzidzisi Mukuru.
Tinogona kuverenga mumabhuku akawanda akakurumbira kuti waini tsvuku, inonwiwa ine mwero, inosimudzira utano, kunyanya utano hwemwoyo. Ichi chinwiwa chine akawanda anobatsira makomisheni ayo anogarotsigira basa rayo. Asi ichokwadi here kana kuti ishambadziro yakavanzika yedoro isingabvumirwi zviri pamutemo kusimudzira? Tinokumbira Prof. n. med. Krzysztof J. Filipiak, cardiologist uye nyanzvi yewaini.
- Zvishoma zvewaini zvinogona kushanda zvakanaka kune moyo uye hutano hwekutenderera. Izvi zvinokonzerwa nema polyphenols ari muchinwiwa ichi
- Prof. Filipiak vanoti ndedzipi mhando dzine zvinhu zvinodzivirira mwoyo zvakanyanya
- Nyanzvi inotsanangurawo kana waini tsvuku chete ine simba rakanaka pamwoyo
- - Funga kushandisa zvine mwero. Iyo cardiologist inokurudzira waini, kazhinji yakatsvuka, inogara yakaoma - anodaro purofesa mubvunzurudzo neMedonet
- Tarisa hutano hwako. Ingopindura mibvunzo iyi
- Unogona kuwana dzimwe nyaya dzakadai paTvoiLokony peji repamba
Monika Zieleniewska, MedTvoiLokony: Sezviri pachena, kunyange vanachiremba vanoti girasi rewaini nekudya kwemanheru harikuvadzi uye rinobatsira hutano. Uye purofesa?
Prof. Dr. hab. med. Krzysztof J. Filipiak: Pane zvidzidzo zvinoratidza kuti kunyange doro shoma rinokuvadza, uye kunwa kwaro kunobatanidzwa nekuwedzera kwengozi ye cirrhosis, mamwe kenza kana paroxysmal cardiac arrhythmias, asi nzira yezvidzidzo izvi inobvunzwa. Kumurapi, chinhu chinonyanya kukosha ndechekuona kana kunwiwa kwedoro shoma kuchikonzera kufa kwese. Uye pano zvinoitika kuti hazviwedzere kufa uku, uye zvichida kunyange zvishoma kunoderedza.
Zvinofungidzirwa kuti doro rinokonzera kuwedzera kwechiropa cirrhosis uye mamwe magomarara, asi mukudzoka kunoderedza njodzi yechirwere chemoyo, atherosclerosis, uye kufa kwemoyo. Ichi ndicho chikonzero nei vanachiremba vemoyo vanga vachitarisa zvakasununguka pazvishoma doro muwaini kwemakore, uye gastrologists uye hepatologists vane maitiro akanyanya kutsoropodza pazviri.
- Onawo: Chii chisingadyiwe nehepatologist? Heano zvigadzirwa zvinokuvadza chiropa chedu zvakanyanya
Saka rudzi rwewaini runogona kushivirira cardiologists uye nei rutsvuku?
Pamwe ngatitangei nekutsanangura kuti waini yekutanga chii. Waini chigadzirwa chinowanikwa kubva mukuvirisa doro kwemazambiringa echokwadi eVitis vinifera, ane hushoma hwe8,5%. doro.
Zvechokwadi, kufarira kwedu kwemakore akawanda kwakatarisa pawaini tsvuku, nokuti ine zvinhu zvakawanda zve cardioprotective. Ivo vanobva mumuto wemazambiringa pachawo, uye kune akawanda awo mune dzvuku, rima peel remuzambiringa bheri kupfuura munyama yayo. Nokudaro, mazambiringa matsvuku, akagadzirwa kubva kumazambiringa matsvuku, anoita seanodzivirira mwoyo.
Tave nemakore tichitaura nezve mazambiringa ewaini ane mapolyphenols akawanda uye zvakakodzera kurumbidza pano: Cannonau di Sardegna - mazambiringa emuSardegna, anowanzo kunwiwa nevarimi veko, uye nhasi - nevanhu veSardinian, kureva vanhu pakati pavo. vakawanda vane makore zana vanogara mukondinendi yedu . Nhepfenyuro dzeNyika Itsva dzinofanirwawo kurumbidza - Australian Shiraz, Argentine Malbec, Uruguayan Tannat, South African Pinotage, iyo ine mapolyphenols akawanda uye, nekuwedzera, inokura kumaodzanyemba kwehemisphere, uko mhepo haina kusvibiswa zvishoma kupfuura kuchamhembe kwehemisphere.
Kukamurwa kwenyika yewaini muzvirimwa zveNyika Yekare - yero, waini yeEurope, Mediterranean uye New World tsika, uye girinhi - nyika uko kurimwa kwemazambiringa kwakapararira muzana ramakore rechiXNUMX; mepu inoratidza kutenderera kwemhepo dzakafanana nepasi redu (miseve yakatsvuka) inotakura kusvibiswa kwemhepo; Kumaodzanyemba chete ndiko kutenderera uku kunoitika munyika dzine kusvibiswa kwemhepo kwakaderera;
Mepu yakagadzirwa naProf. Krzysztof J. Filipiak
Saka waini dzeEurope dzinogona kukuvadza zvakanyanya?
Marudzi eEurope anotishamisawo neawo achangowanikwa cardioprotective properties. Semuenzaniso, Apulian, kureva, mazambiringa eItaly mazambiringa akadai Negroamaro, Susumaniello kana Primitivo, ane yakafara anti-kuzvimba uye antioxidant effect; Balkan strain yeRefosco inotsanangura kunyanya kuzara neine polyphenol - furaneol, uye rudzi urwu runonziwo nekuvandudza kuverengwa kweropa. Chimwe chishongo chekumaodzanyemba kweItari - dema Aliagnico - ine akati wandei akacherechedzwa makomisheni kubva muboka repolyphenols ane antiatherosclerotic uye anti-kuzvimba zvivakwa. Mune yakanakisa - zvakare inorimwa muPoland - mhando dzePinot noir mhando, chiitiko chikuru cheiyo inonzi orange anthocyanin - callistefin, inowanikwawo mumapomegranati, sitirobheri uye chibage chitema.
Kudzokera kumubvunzo wapfuura, tinofanira kusiya waini chena here?
Ndine mashoko akanaka kuvanhu vanoafarira. MuSicilian Zibibbo, kuwedzera kune ichiri kudzidza terpenes (linalool, geraniol, nerol), inonakidza zvikuru cyanidin derivatives ine yakasimba antioxidant, anti-cancer uye anti-inflammatory effects (chrysanthemine) yakaonekwa. Uyu ndiwo musanganiswa wakafanana uyo zvisikwa zvinotipa muhuwandu mu black currants.
Mumazambiringa machena akawanda: Sauvignon blanc, Gewurztraminerach, Reslingach, tinowana akawanda makomisheni ane kuvapo kwemapoka e sulfhydryl - SH, kureva zvinhu zvine simba re antioxidant kana kunyange detoxifying properties, nokuti zvinosunga simbi dzinorema. Sezvo mapurofesa e cardiology anondiudza achiseka - vanoda waini kubva kuItaly, ichi ndicho chikonzero iwe unofanirwa kunwa mazambiringa machena ane zvakawanda uye zvakasvibiswa zvekudya zvegungwa nehove.
Haasi munhu wese anoziva kuti pyrazine makomisheni inokonzera hunhu manotsi gooseberry, kunyanya muyandinoda New Zealand Sauvignon blanc. Mishonga yakafanana inogona kuwanikwa mumishonga inowanzoshandiswa inorwisa-tuberculosis uye mu bortezomib - mushonga mutsva we multiple myeloma.
Munyika dzine mamiriro ekunze anotonhora, anonzi mahybrid strains ane akawanda makemikari anoshanda makomisheni anotsigira physiological process. Ndiri kufunga nezvezvinonzi fatty acid degradation products - hexanal, hexanol, hexenal, hexenol, uye zvinobva kwavari - izvi zvakare zvakawanda mumatambudziko akarimwa muPoland - Marshal Foch. Iyo inonzi chemistry yewaini inonakidza chaizvo.
Pakukurukura nezvesimba rakanaka rewaini pamuviri wedu, mwoyo unotaurwa pakutanga. Ndeipi mhedzisiro yewaini inonaka?
Izvi zvinonyanya kukonzerwa neruzivo runoramba ruchiwedzera pamusoro pesimba redoro - ndinoda kusimbisa zvakare, inopedzwa nguva dzose mune zviduku zvishoma - pane basa revascular endothelium uye maplatelet. Doro riri muwaini rine zvishoma anti-platelet effect, rinoderedza kugadzirwa kweropa (thrombin effect), inovandudza matauriro ezvinhu zviri natural clot solvents (inokanganisa endogenous fibrinolysis), inoderedza oxygenation yeLDL yakaipa cholesterol inotenderera muropa. ropa, rinowedzera kuwanda kweyakanaka HDL cholesterol, inowedzera kugadzirwa kwenitric oxide mumasero endothelial uye inoderedza kugadzirwa kwefibrinogen. Saka muchidimbu uye kurerutsa.
Kazhinji, hazvina kusarudzwa kana zvinhu zviri muwaini kana doro pacharo zvakakosha zvikuru pano. Zvinoita sekuita kweboka. Zvakaoma kuita tsvakiridzo yakadaro nemazvo, nekuti waini ishoma-muzana, yakaviriswa muto wemuzambiringa wakanaka, une mazana emakemikari emusanganiswa webasa risingazivikanwe. Uyezve, mazambiringa ega ega rudzi rwakasiyana, ane chimiro chakasiyana, uye makumi ezviuru zvawo akatsanangurwa.
Izwi rokuti polyphenols rakataurwa kakawanda. Hukama uhwu ndehupi?
Kutaura zviri nyore, polyphenols iboka re phenolic compounds ine simba re antioxidant effect, uye naizvozvo inogona kuderedza dambudziko rezvirwere zvemwoyo uye kenza. Polyphenols inogona kuverengerwazve kuita tannins (esters of gallic acid uye saccharides) uye flavonoids inonyanya kufarira kwatiri.
Flavonoids mavara akaumbwa nemasikirwo, ane mutoro wemavara ezvipo zvose zvechisikigo - michero nemiriwo. Ivo zvakare vanoita basa rakakosha - antioxidants, zvipembenene, fungicides, saka ivo vanochengetwa zvakanyanya mumatanho epamusoro emiti yezvirimwa, zvichivapa ruvara rwakanyanya. Tinodzoka pakunzwisisa zvikonzero nei tichinyanya kuda kutaura pamusoro pezvitsvuku, pane chena kana pink, patinofunga nezvehukama uhwu. Flavonoids izita remubatanidzwa remakomponi mazhinji anotsanangurwa seflavonols, flavones, flavanones, flavanonols, isoflavones, makatechini uye anthocyanidins.
Pakave nezvakawanda zvekunyora nezve resveratrol kwete kare. Iyo flavonoid inonyanya kukosha kune hutano hwako?
Resveratrol imwe yevanopfuura zviuru zvisere. yakatsanangura flavonoids, asi isu takasvika pakuziva nezve 500 yemakomponi aya. Resveratrol yaive imwe yekutanga, asi tsvakiridzo yazvino hairatidze kuti ndiyo Holy Grail yeflavonoids. Zvinoita sekunge kusanganisa kwechisikigo kwemazana eflavonoids kunopa iyo yakazara antioxidant mhedzisiro. Mamwe mabasa mazhinji anonakidza ari kuburitswa parizvino, semuenzaniso pa quercetin.
- Unogona kutenga chikafu chekuwedzera ne resveratrol paMedonet Market
Saka unoona sei chiyero chedoro chinobatsira kuhutano hwako?
Tine dambudziko nazvo. Kusimudzirwa kwedoro, kunyanya munharaunda yedu yeEurope, uko kunwa doro rakasimba kusvika zvino kwave kuchitonga, hazvibvumirwi. Sevanachiremba, tinofanira kushanda kuti tichinje mafungiro evarwere vedu, tisambovanyengetedza kuti vanwe doro, asi zvakare kuratidza zvakanakira kunwa zvine mwero zvewaini tsvuku sechikamu chekudya kweMediterranean.
Pandakanyora ongororo yebhuku "Waini yakanaka kune moyo" nevakuru vecardiologists vanobata newaini muPoland - prof. Władysław Sinkiewicz, mafungu emashoko asingafadzi mumasocial network akawira pandiri. Rusununguko rwokutaura pamusoro paikoku runofanira kuva nechokwadi. Sezvo ndiri chiremba wechidiki, ndakambogadzirira chirongwa chekutsvagisa umo takaongorora mhedzisiro yemhando dzakasiyana dzewaini tsvuku pakuwedzera endothelial. Komiti yebioethics yeMedical University yeWarsaw panguva iyoyo haina kubvumirana nemaitiro ayo, ichishandisa mutemo wePoland wekurera mukudzikama. Ndakakwidza pamusoro pechisarudzo chake kukomiti yebioethics muBazi reHutano uye komiti iyi haina kubvumirana nekudzidza umo vadzidzi - vanozvipira vaifanira kunwa 250 ml yewaini tsvuku uye kuiswa pasi pekuongororwa kusingapindi kwevascular endothelial function. Purofesa wezvemishonga wedare iri akabvunza achitya kana taizopa vadzidzi vakaongororwa zororo rokurwara kubva mumakirasi mangwana acho. Chidzidzo chacho hachina kubudirira, uye makore mashomanana gare gare ndakawana imwe yeAmerica yakafanana mumagazini yakanaka yesayenzi.
Mhedziso saka imwe - ngatirege kushora ruzivo rwewaini newaini yekutsvaga. Kune rumwe rutivi, tine mazano akajeka ePolish Forum for the Prevention of Cardiovascular Diseases: "chero mazano ane chokuita nekutanga kana kuwedzera kwekunwa doro, chinangwa chekuwana hutano hunobatsira, hazvikurudzirwi", kune imwe - inoreva. ku "kutanga" uye "kuwedzera". Saka kune vanhu vanonwa waini nekudya kwemanheru, zvinongofanirwa kugadzirisa mhando yayo, dhigirii, uye kusimudzira ruzivo nezve kusarudzwa kwekunetsa. Uku ndiko kududzira kwangu.
Kunze kwezvo, sezvo waini ichiperekedzwa nezvokudya, hatifaniri here kupa ngwariro kuzvokudya?
Funga zvatinonwa, zvatinobatanidza newaini, chii chekudya, kana tichidya miriwo yakawanda nemichero, kana kuderedza mafuta emhuka uye nyama tsvuku. Zvichida zviri nani kunwa girazi rewaini panzvimbo yekoriori dessert yakazara neshuga nemafuta? Nhasi hatina kupokana nezvazvo. Ndinobvuma kuti kana murwere achipinda muhofisi uye mumashoko ekutanga emubvunzurudzo anotaura achizvikudza kuti haambo "svuta kana kunwa", ndinoshamisika kuti dzidzo isina kudzika sei muPoland, sezvo kupindwa muropa kunouraya kwekusvuta kwave kwakaenzana mupfungwa. yevarwere vanonwa waini.
Ndakaverenga kuti waini inovandudzawo hutano hwevanhu vane dementia, mhando ye2 chirwere cheshuga, inodzivirira kuora mwoyo, inotsigira hupenyu hurefu uye mabhakitiriya akanaka mumatumbo. Zvose ndezvechokwadi here?
Mibvunzo yakawandisa pabvunzurudzo imwe… ndinoreva bhuku raProf. Władysław Sinkiewicz. Purofesa kwemakore akawanda akatungamirira Cardiology Clinic yaNicolaus Copernicus University muna Bydgoszcz, nhasi, pamudyandigere, zvichida ane nguva yakawanda kubata nyaya iyi uye saka wokutanga Polish monograph panyaya iyi. Imwe enocardiologist (izwi rakadaro - neologism - kusimbisa hukama pakati peoenology uye cardiology) inoshandawo kumaodzanyemba kwePoland - prof. Grzegorz Gajos anobva kuKrakow. Uye ini parizvino ndiri kugadzirira bepa pamazambiringa uye mamwe ma cardioprotective zviso zvewaini.
Kupfupisa, chii chekuita kudzivirira dzimwe nhengo kuti dzisakuvadzwa nekuda kwegirazi rakadhakwa nemoyo mundangariro?
Kupfuura zvese, tevedzera kunwa zvine mwero. Kune matambudziko netsanangudzo yaro, asi kazhinji tinoreva kunwa kamwe chete pazuva kumukadzi uye 1-2 zvinwiwa zvemurume. Chinwiwa chiyero che 10-15 g yewaini yakachena, saka chiyero chiri mu 150 ml yewaini. Izvi zvakaenzana ne 330 ml yedoro kana 30-40 ml yevodka, kunyange munyaya yevaviri vekupedzisira, mabhuku anoratidza cardioprotective effect ishoma.
Nokudaro, cardiologist inokurudzira waini, kazhinji yakatsvuka, inogara yakaoma.
Kunwa chero mhando yedoro rinotapira kunowedzera njodzi yechirwere cheshuga, saka tinofanira kutsigira diabetologists panyaya iyi. Zvimwe ndingaite kusarudzika kuPolish yakaoma cider - zvinonzwisa tsitsi kuti Poland inomira nedoro rakasimba uye haitsigire varimi vayo vemichero uye maapuro akakwana echiPolish. Zvichida isu hatisi nyika ine calvados kunwa tsika (apuro distillate, akwegura muoki mbiya), asi cider - taigona.
Mazwi akakosha ari muEuropean ekudzivirira kurudziro yakaburitswa nesangano redu remoyo. Vanotaura nezvekuderedza kunwiwa kwedoro, saka huwandu hwe7 - 14 madosi edoro pasvondo kuvarume, 7 kuvakadzi, asi vanoyambira kuti madosi aya haafanire kuunganidzwa! Saka girazi rewaini nechisvusvuro zuva rega rega - pano iwe unoenda. Imwe modhi – ini handinwe mukati mesvondo, kupera kwesvondo kunouya uye ndinobata – handife. Iyi nzira yekunwa yakabatana nenjodzi yekuwedzera kweBP, cardiac arrhythmias, uye sitiroko.
Takataura zvakawanda nezve cardioprotective mhedzisiro ye polyphenols - kune vanhu vasinganwi doro zvachose, ini ndinewo nhau dzakanaka: ma polyphenols akafanana anowanikwa mumwaka mutsva miriwo, michero, yakanaka yekofi, dema chokoreti uye cocoa.
Nei iyi mipimo yokunwa ine mwero yakasiyana kune varume nevakadzi?
Kutaura zvazviri, hutano husina kukosha pano uye uremu hwemuviri hunonyanya kukosha. Zviri nyore, mune epidemiological zvidzidzo, doro redoro rakashandurwa pakirogiramu yehuremu hwemuviri, uye kuti varume vakakura muhuwandu uye vanorema zvakanyanya - nekudaro mhedzisiro yekutsvagisa uye kurudziro dzinotevera.
Ko, munhu asingatani kupindwa muropa haafaniri kunwa waini nomwoyo wose here?
Zvakanaka kubvumirana neizvi, kunyange pano ndiri kutaura kune vepfungwa uye vanachiremba vepfungwa. Kazhinji, ngatirangarirei kuti unogona kupindwa muropa nechinhu chiri chose, uye ngatirege kutsoropodza waini nokukurumidza. Asi zvichida Louis Pasteur akanga akarurama paakati: “Waini ndicho chinwiwa chine utano uye chine utsanana zvikurusa.” Uye chirevo chechiLatini "In vino veritas" chakawana shoko repasi rose nekufamba kwenguva - pane chokwadi muwaini, zvichida chokwadi pamusoro pehutano.
ari cardiologist, internist, hypertensiologist uye kiriniki pharmacologist. Munguva pfupi yapfuura, akave rector weMedical University yeMaria Skłodowskiej-Curie muWarsaw, uye pachivande ane shungu neoenology, kureva sainzi yewaini, uye ampelography - sainzi inobata nekutsanangura nekuisa mitsara yemizambiringa. Pasocial media (IG: @profkrzysztofjfilipiak) tinogona kuwana hurukuro dzepakutanga dzapurofesa pamhando dzewaini.
Izvi zvinogona kukufadza:
- Mapore mazhinji anofa nazvo. Iyo cardiologist inokuudza izvo zvinoda kuchinjwa nekukurumidza
- Izvi zviratidzo zvinofanotaura kurova kwemoyo mwedzi isati yasvika
- Chii chisingazodye cardiologist? "Black list". Zvinorwadza moyo