Isifo seCeliac , esibizwa ngezinye izihlandlo njenge-celiac sprue okanye sprue, yintlupheko yokuzimela ehlasele iiseli ezifaka emathumbu. Olu hlaselo luyindlela yokusabela kwi-gluten, iprotheyini efunyenwe ngqolowa, i-rye, nebhaley. Ukutya oku kukubangela ukuvuvukala, okwenza kube nzima ukuba umzimba uthathele izondlo ngokutya.
Isifo seCeliac yonakalisa intlungu encinane. Abantu abanesifo esiqhekezayo abanakudla i-gluten, iprotheni efunyenwe ngqolowa, ibhalley, neer rye.
Ezinye zeempawu eziqhelekileyo zezifo ezingapheliyo ziquka ezi zilandelayo:
- Ubunzima bamazinyo
- Isisu esiswini kunye nentlungu
- I sizathu
- Gesi
- Uhudo
- Ukutyunjwa
- Ukukhathala
- Intlungu ehlangeneyo
- Ukuxinezeleka
- Ukuxhalabisa
- I-peripheral neuropathy (ukulinganisa, ukuphazamiseka okanye intlungu ezandleni zakho nasezinyaweni)
- Ixesha lokungena kwexesha elichanekileyo
- Ukungenzi lutho
- Ukuphuphuma kwesisu ngokuphindaphindiweyo
- Ukukhwabanisa kwesikhumba esibizwa ngokuba yi-dermatitis herpetiformis
- Iintlungu ezihlangeneyo / izihlunu kunye namaqatha
- Ingqungquthela yobomi
- Iimbuzi
Ngokutsho kweZiko leSizwe leSifo seswekile kunye ne-Digestive ne-Kidney Diseases, izifo ze-celiac zikwazi ukuqhuba kwiintsapho, kwaye malunga ne-10 kuya kwi-20 ekhulwini zezilwanyana eziseduze zabantu abanezifo ezinjalo zichaphazelekayo.
Abanye abaphengululi bathi ukungafani kofuzo kunokubangela umntu ukuba abe neengxaki kwiprotheni ye-gluten. Emva koko, umzimba uphenduka ngokukhawuleza, ukhulula umxube emathunjini emathumbu emagqabini, kudala umonakalo emathunjini.
Isifo seCeliac saziwa kwakhona ukuba sishukunyiswa ngabantu abanokukhulelwa ngokukhulelwa, uxinzelelo olunzulu okanye ukukhathazeka ngokomzimba. Izifo zeCeliac nazo ziqhelekileyo phakathi kwabantu abanesifo seswekile kunye nezinye iimeko ezizimeleyo, kuquka nesifo se-thymune.
Ngokomphandi, kukho ubudlelwane obucacileyo phakathi kwesifo se-celiac kunye nesifo se-thyroid.
- Isifo se-Celiac sitholakala kwi-2 ukuya kwi-5 ekhulwini yezigulane ezinezifo ze-thyroid.
- Izigulane ezinezifo ezingapheliyo ziphindwe kathathu ukuba zibe nesifo se-thyroid.
Ngenxa yokuba le mngcipheko, ezinye iingcali zivakalelwa ukuba izigulane ezinezifo ze-thyroid zimele zihlolwe izifo ezingenazo zifo, kwaye abo abanezifo eziqhenqileyo kufuneka bahlolwe isifo se-thyroid.
Impembelelo kwizigulane ze-Thyroid
Iimpendulo eziqhelekileyo kwizigulane zegciwane le-thyroid zizenzele ukuba akukho nto enokuyenza ukuze ukunciphisa amanqanaba omntu, okanye ukujongana okanye ukuphatha imeko "ye-autoimmune" yeemeko zabo ze- thyroid .
Kodwa-ke, abanye oogqirha bacebisa ukutya okungekho i-gluten ukuya kwizigulane ze-thyroid. Ngokuthakazelisayo, ezinye iingcaphephe zibonise ukuba i-thyroid antibodies iyancipha okanye yanyamalala emva kweenyanga ezi-3 ukuya kwezi-6 ze-gluten-free food.
Ukuchonga nokuPhatha izifo eziCeliac
Ukuxilonga isifo se-celiac, ugqirha wakho angenza ukuhlolwa kwegazi ukulinganisa amanqanaba e-antibodies ukuba abe ne gluten. Ezi zikhuhlane zibizwa ngokuthi i-antigliadin, anti-endomysium, kunye ne-antitireticulin. Ukuxilongwa kwesifo se-celiac kunokuqinisekiswa yintsholongwane yamathumbu.
Ukunyangwa kokwenene kwimeko yesifo esiqhotyoshelweyo kukunyanzelisa ngokungqongqo kwi-100% ye-gluten-free food for life.
Ukulandela ukutya okungahambisani ne-gluten kunokukhusela phantse zonke iingxaki ezibangelwa sisifo. Ukutya okungekho gulen kuthethwa kukuphepha into enayo ingqolowa, i-rye kunye nebhali, okanye nayiphina imveliso.
Ukutya okunokudliwa kwi-gluten-free diet kuquka:
- Ukutya okulungileyo, intlanzi kunye neenkukhu
- Ubisi kunye neentshizi ezingapheliyo
- Ubhontshisi obomileyo
- Faka izithelo kunye nemifuno enqabileyo
- Ummbi kunye nerayisi
- Izilwanyana ezingenasiphelo seGluten, i-pasta kunye nezinye iimveliso zengqolowa ezingenanto
- I-Potato, i-soy, i-amaranth, i-quinoa, i-buckwheat, kunye nefotyi yefotyi esikhundleni somgubo wengqolowa.
Ukutya okunqatshelwe kwi-gluten-free food:
- Nasiphi isonka, ukotya okanye enye ukutya eyenziwe ngqolowa, i-rye, ibhali kunye ne-oat flours okanye izithako kunye nemveliso eyenziwa ngalawo maqhekeza.
- Ukutya okucwangcisiweyo okuqule ngqolowa, i-gluten-derivatives, okanye i-thickeners. Ezi zokutya zibandakanya izinja ezishushu, i-ayisikrimu, izambatho zesaladi, iisobho ezinamathanga, i-mix mix soups, i-cream-non-milkers, i-cheeses ezicutshungulwayo, i-sauces ze-cream, kunye namakhulu okutya okuqhelekileyo.
Ukuba ulandela ukutya okungahambisani ne-gluten, kufuneka uqaphele enye imithombo efihliweyo ye-gluten, kuquka:
- imithi, iivithamini, amaminerali kunye nezongezelelo zondlo
- imithi yonyango
- amayeza angaphezulu kwamayeza
- iziqhumiso, isicwebezelo somlomo kunye ne-lip balm
- iimveliso zokucoceka ngomlomo, ezifana ne-toothpaste kunye nokuhlamba umlomo
Kwezinye iimeko, iimvavanyo azibonisi ukuxilongwa ngokucacileyo kwezifo ze-celiac, kodwa isigulane sinokufumana ezininzi iimpawu. Kule meko, ukuba iimpawu zixazulula ngokutya okungahambisani ne-gluten, le meko ibizwa ngokuba yi-non-celiac gluten senitivity (NCGS) okanye ubuninzi beengqolowa (non-celiac sensitivity) (NCWS), okanye ngokubanzi ngokubanzi, ukunyamezelana kwe-gluten.
Impembelelo kwizigulane ze-Thyroid
Nazi ezinye izisisiseko ezisisiseko zokukunceda uqonde isixhumanisi phakathi kwe-gluten kunye nesifo se-thyroid:
> Imithombo:
> Ch eng, CL, kunye. al. "Izifo zeCeliac kunye nezifo ze-Thyroid." Uphando lweMpilo noPhando. 2007; 5 (3): 184-192. i-doi: 10.3121 / cmr.2007.738.
> Metso S, kunye. al. "Ukutya okungekho i-gluten kunye ne-autoimmune thyroiditis kwizigulane ezinezifo ezingenakuqhafaza. I-Scandinavian Journal yeGastroenterology. 2012 uJan; 47 (1): 43-8. i-doi: 10.3109 / 00365521.2011.639084. 2011
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Ulwazi lwezeMpilo: Izifo eziCeliac. Juni 2016. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/celiac-disease/Pages/overview.aspx
> Roy, A, kunye. al. "Ukuxhaphaka kwezifo zeCeliac kwizigulane ezineSifo seTyroid ngokuzenzekelayo: I-Meta-Analysis." Thyroid. 2016 Jul; 26 (7): 880-90. i-doi: 10.1089 / yakho.2016.0108.