Ngaba isidlo se-Gluten-Free sasiza i-IBS?
Ezinye izigulane eziye zafumanisa ukuba zinesifo esilumkileyo esiswini (IBS) zibika ukuncipha kweempawu xa zilandela ukutya okubangelwa i-gluten . Kwaye nangona uphando oluphezulu lube luncitshisiwe, i-American College yeGastroenterology iphetha ukuba ukutya okungahambisani ne-gluten kubambe isithembiso esithile kwizigulane ze-IBS. Nangona kunjalo, ngaphambi kokuba uzibeke kwisidlo esingqongqo esingaba luncedo okanye singenakunceda, kubalulekile ukufundiswa malunga nokuba yintoni eyaziwayo malunga naluphi na ukungahlali phakathi kwe-IBS, isifo se- celiac kunye nobutyebi be-gluten .
Yintoni i-Gluten?
I-Gluten iyinxalenye yeprotheni efunyenwe kwezi zilandelayo:
- Ibhali
- Rye
- Ngqolowa
UGluten ukhona kwizinto ezininzi esizidlayo. Oku kuya kubonakala ngokubandakanya amaninzi okusanhlamvu, isonka kunye nezinye izinto eziphekiweyo, kodwa i-gluten iphinda isetyenziswe rhoqo njengesongezelelo sokutya kwimveliso eyahlukeneyo.
IBS kunye neCeliac Disease
Isifo seCeliac yimeko yempilo apho ukusetyenziswa kwe gluten kubangela ukulimala emathunjini amancinci . Lo monakalo ukhokelela ekubhubiseni izibilini ezibalulekileyo, ezinokubangela ezinye iingxaki zempilo ezinzulu. Izimpawu zesisu ezinxulumene nesifo se-celiac zijonge kakhulu njengabo badibene ne-IBS:
Uqikelelo lophando malunga nomngcipheko wesifo se-celiac kwizigulane ze-IBS ezibangelwa nengozi engakumbi kwiingxelo ezithi izigulane ze-IBS zinamaxesha angama-7 ngaphezulu kunokuba umntu oqhelekileyo ahlupheke ngenxa yesifo se-celiac.
Ngenxa yolu hlobo olubonakalayo olunokwenzeka, izikhokelo zolawulo lwezokwelapha zangoku ze-IBS zicebisa ukuhlolwa rhoqo kwesifo se-celiac kuzo zonke i-IBS (i-IBS-A) kunye ne- diarrhea ebalulekileyo kwizigulane ze- IBS (IBS-D). Ukuze uthole ulwazi oluthe xaxa bonani ukuhlolwa kwesifo se-celiac .
Xa isifo sesifo se-celiac senziwe, kubalulekile ukuba ulandele ukutya okungahambisani ne-gluten.
Uphando lubonisile ukuba izigulane ze-IBS eziye zabonwa njengezifo eziphethwe yi-celiac zibona ukunciphisa kakhulu impawu zokugaya emva kokusetyenziswa kwe-gluten-free food. Kukho ikhona inokwenzeka, ngenxa yenani elincinci labantu, ukuba banokuhlupheka ngenxa ye-IBS ngaphezu kweso sifo, kwaye ngoko ke iimpawu zingaphikelela nokusetyenziswa kwe-gluten-free food.
I-IBS ne-Gluten Sensitivity
Ngaba kunokwenzeka ukuvavanya i-negative for pesticulence and still has a sensitivity gluten? Oku kujoliswe ngokutsha kubaphandi. Ububele obunjalo abuyi kubandakanya umonakalo emathunjini amancinci afana nesifo esiqhekezayo, kodwa kusekho isistim somzimba esingahle sisebenze kwi-foods containing gluten. Kucatshangelwa ukuba ukusetyenziswa okunjalo kungabangela ukuba isisu esiswini kunye neempawu ezongezelelweyo zamathumbu , njengemilenze ye-migraine okanye ingxaki yokunqongophala. Izifundo eziphambili zibonise ubungqina bokuba "ubuzwe obunjalo" bukhona, kodwa uphando olungakumbi lufuneka luqhutywe phambi kokuba naziphi na izigqibo eziqinileyo zingathathwa.
Ngaba kunokwenzeka ukuba ezinye iziganeko ze-IBS ngokwenene "zizizwe zakwa-gluten?" Abaphengululi baye bathi i-subset ethile ye-IBS izigulane ezinokuthi zibonakaliswe zizibonakaliso zentsholongwane ye-gluten.
Kwiincwadi zonyango, oku ngoku kuthiwa yi-non-celiac gulen senitivity (NCGS) kunye nophando kulo mmandla luqhubeka.
Okuthakazelisayo kukuba abaphandi baye benza ingqalelo ukuba ingqolowa iqukethe i- fructans- uhlobo lwe-carbohydrate echongwe njenge- FODMAP- edibeneyo negalelo kumpawu zokugaya. Oku kuphakamisa ukuba izigulane ze-IBS ezibonakala zijongene ne-gluten zinokuthi ziphendule kwiifructans ezifunyenwe ngqolowa, ngokuchasene ne- gluten . Kukhuthaza ukuba umsebenzi kulo mhlaba uqhutywe kwaye sonke siya kulinda ngokukhawuleza ukufumana iziphumo.
Ngaba Unokuzama Ukutya Okungenanto KweGluten?
Ukuba uyakrokrela ukuba unobulunga obunzima, into yokuqala kufuneka uyenze ukuthetha nogqirha wakho kwaye uvavanywe kwisifo se-celiac.
Ukuze uvavanyo luchaneke, kufuneka usebenzise ukutya okuqulethe i-gluten. Ukuba uvavanyo lubuyela kumbi, ncokola nodokotela wakho malunga nokutya kokuphelisa ixesha eliphakathi kwenyanga enye ukuvavanya umphumo wezo zibonakaliso ze-IBS.
Ukuba isifo se-illiac siphumelelwe ngokupheleleyo, ugqirha unokuncoma ukuba uqale ukutya ukutya kunye ne-gluten ekupheleni kwenyanga yesilingo ukuze ubone ukuba iimpawu zakho ziyavela ngaphambi kokufika kwisigqibo sokuba unelungelo lokuxhamla. Kuze kubekho iimvavanyo zegazi ezichanekileyo ngokuchonga ukunyamezela kwe-gluten, ezi nyathelo zibaluleke kakhulu ukukhusela umqobo ongenakuyimfuneko wokutya kwakho.
> Imithombo
> Ford, A., ne.al. "I-American College ye-Gastroenterology Monograph kwi-Management of Irritable Bowel Syndrome kunye ne-Chronic Idiopathic Constipation" I- American Journal ye-Gastroenterology 2014 109: iS2-S26.
> Inkcitho, B. et.al. "Ubuninzi bezifo ezibucayi phakathi kwezigulane ezingekho phantsi kwee-Irritable Bowel Syndrome zifana nezolawulo" I- Gastroenterology 2011 141: 1187-1193.
> Ford, A., ne.al. "Ukuveliswa kwezilingo zokuxilongwa kwezifo zeCeliac kwiBantu ngabanye abanezibonakaliso Ukuxhaswa kwe-Irritable Bowel Syndrome" Iingxelo zoLondolozo lweMpilo yangaphakathi 2009 169: 651-658.
> Sapone, A., et.al. "Ukutshatyalaliswa kwamathambo okubonakalayo kunye nokubonakaliswa kwamagciwane omzimba we-immunologist kwiimpawu ezimbini ezinxulumene ne-gluten: isifo se-celiac kunye nobutyebi buka gluten" I- BMC Medicine 2011 9:23.