Ngoko uziva ukhathele kwaye uhamba nekhanda, kwaye inkqubo yakho yokugaya isilaphukile. Mhlawumbi unezinye iimpawu ezinjenge-rash okanye ukuvakalelwa rhoqo ukuba ubuchopho bakho bubunobuncwane.
Uvile nge gluten okanye gluten-free-food, kwaye uyazi ukuba abantu abaninzi banokungena-gluten, kwaye uqala ukuzibuza ukuba unokukwazi ukufumana i-gluten allergies.
Kukho ngokwenene iintlobo ezinhlanu ezahlukeneyo ze-gluten allergies , kwaye nganye ineziqulatho zayo ezihlukeneyo neempawu. Sekunjalo, kukho izinto ezininzi phakathi kwezi zimo ezintlanu, kwaye ezininzi iimpawu zabo zibandakanya iintlobo ngezinye iingxaki ezingenakucaciswa ezichazwe ngasentla: imiba yokutya, imiba yesikhumba, kunye nemiba yengqondo.
Kakade, akubona bonke abantu abaneempawu eziza kuba ne-gluten allergies, njengoko kuninzi nezinye izizathu ezibangelwa nganye. Kodwa kulungele ukuba ucinge ukuba wena kunye nogqirha wakho awukwazi ukufumana ezinye izizathu ezinokubangela iingxaki zakho.
Ngaloo nto, ukuba neyodwa okanye ngaphezulu kwezi zimpawu ezisibhozo zingabonisa i-gluten allergies. Isinyathelo esilandelayo ukusuka apho kuhlolwe i-gluten allergies okanye ukuthetha nogqirha wakho malunga nesilingo sokutya okungekho gulen .
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UkuSigxina okungasebenziAkunabo bonke abaneengxaki ezinxulumene ne-gluten abaneengxaki zokugaya, kodwa abantu abanelungelo lokufumana le nto ukuba benze inombolo eluhlu lwethu.
Ezi zibizwa ngokuthi "ingxaki" zingabandakanya ukuhanjiswa, ukuzithemba, ukuhlambalaza, ukuxubusha, okanye ubuhlungu besisu kuphela, kwaye zidlalwa rhoqo xa unesibini kwiintlobo eziqhelekileyo zezinto ezibangelwa yi-gluten: isifo se-celiac kunye nobuthakathaka be- gluten . Ezi zimpawu zinokuthi zithinteke kuphela ekudakaleni ukuba ziphelise ngokupheleleyo.
Ukongezelela, kwezinye iimeko, abantu abaye bafumanisa ukuba banesifo sengqondo sesifo esilumkileyo, banesifo se-gluten, kwaye xa beyeka ukudla ukutya, i-IBS yabo iyancipha okanye ihamba ngokupheleleyo.
Kubalulekile ukucacisa ukuba akudingeki ukuba ube neempawu zokutya ukuze ube ne-gluten allergies. Enyanisweni, abantu abaninzi banomnye wemicimbi eluhlu njengoluphawu oluphambili. Kodwa ukuba unesigxina esingasebenzi, kunokwenzeka ukuba i-gluten yimbangela.
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Iibomvu, iibhampu zokuhlambaAbantu abanesifo esiqhekezayo kunye nobuthakathaka be-gluten non-celiac baxhomekeke kwiindidi ezahlukeneyo zesikhumba.
Mhlawumbi owaziwa kakhulu (kwaye owona mkhulu kwaye osizi kakhulu) wale miqhekeza ngumzimba wesikhumba ngokuzenzekelayo obizwa ngokuba yi- dermatitis herpetiformis , okanye "DH" efutshane. I-DH (enye yeendlela ezinhlanu ezahlukeneyo ze-gluten-allergies) iyenzeka ngokubambisana nesifo se-celiac. Ingqungquthela ephazamisayo edla "ishisa" kwaye "iqhuma" kwaye ibonakala njengobomvu obunzima, obuzaliswa ngamanzi.
Iindaba ezilungileyo kukuba ukugqithwa okungahambi kakuhle kungaphathwa kakuhle ngokudibanisa imithi ebizwa ngokuthi i-dapsone kunye ne-gluten-free food.
Ngaphandle kwentsholongwane ye-herpetiformis, kukho ezinye izidumbu ezinxulumene nezifo ze-celiac (okanye izifo ezinxulumene ne-gluten), nangona iqumrhu lingabonakali ngokwenzululwazi, njengokuba ku-DH. Imizekelo yale mibala iquka:
- Psoriasis
- I-urticaria engapheliyo (imihlathi)
- Aermic dermatitis
Umfanekiso omkhulu apha kukuba akuyiyo yonke into eyenziwayo eyenziwa yi-gluten. Kodwa ukuba unemibhobho ebomvu engayi kuhamba nantoni na enokwenzayo, unokufuna ukucinga ngokutya kwakho njengesizathu esinokwenzeka.
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Boggy BrainUkuba neengqondo zengqondo kuthetha ukuba kunzima ukugxilwa, okanye ukufumana imemori yexesha elifutshane. Unokufumanisa ukuba ulahlekelwe ngumzila wakho wengcamango xa uthetha okanye xa ubhala, kwaye ngezinye amaxesha ungadideka okanye udideke.
Inkohlakalo yobunongo ibonakaliso ephezulu kwiintlobo ezintathu kwiintlobo ezahlukeneyo ze-gluten. Ngamanye amagama, abantu abanezifo eziqhwabalalayo, ubuninzi be-gluten uzwela, kunye neengxaki zengqondo ze- gluten ataxia zonke zichaza iindidi ezahlukahlukeneyo zobunko bobuchopho.
Ewe, ukuba inkohlakalo yengqondo ayiyiyo i-slam dunk isalathisi unayo uhlobo lwe-gluten allergies. Kukho ukubetha kwezinye iimeko ezibandakanya inkohlakalo yengqondo njengempawu, kubandakanya i-fibromyalgia kunye nesifo esingapheliyo.
Kodwa ukuba unobungozi beengqondo (mhlawumbi udibaniswe nezinye zezinye izibonakaliso), unokufuna ukucinga ukuba uvavanyo lweengxaki ezinxulumene ne-gluten.
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Ukunyuka kwentlokoUninzi lwabantu luba neentloko rhoqo rhoqo. Kodwa abantu abane-gluten-allergies, ngakumbi abo abanomdla wokungabikho komlenze we-gliten, kunye nabancinci, abo banesifo esiqhekezayo, kubonakala ngathi baxhomekeke kubo. Ukongeza, i-migraines inokubangela i-gluten.
Ukusixhasa ngoku, okokufunda ngo-2013 kwiNtloko yafumanisa ukuba ama-56 eepesenti yabantu abane-gluten-sensitive, kunye ne-30 ekhulwini labo abanesifo esiqhekezayo, abanesifo esibuhlungu besifo esiphathekayo xa befaniswa nama-14 ekhulwini labantu kwiqela elilawulayo. Phantse iipesenti ezingama-23 zalabo abanezifo eziguguzelayo zibuye zithi ziba nezikhwebu ezingapheliyo.
Xa abaphandi babecinga ngokucacileyo abantu abane-headaches, bafumana i-migraines yenzeka kuma-21 eepesenti yabantu abanezifo eziqhekezayo kunye neepesenti ezili-14 zalabo abanezifo zesisu. (Abanye abantu abane- IBD baziziva bebe bhetele xa belandela ukutya okungenanto kwe-gluten .)
Ngoko, ekubeni ukutya okuthile kunokubangela intloko kunye ne-migraines kulabo abanomdla, kuyinto engqiqweni ukucinga ukuba i-gluten yinto enokubangela.
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Iipaliti kunye neenalitiKuqhelekile ukuba unyawo lwakho okanye isandla sakho "silale" rhoqo emva kwexeshana, kodwa abantu abanomdlavuza we-gluten banokuhlala banokusisigxina "izikhonkwane kunye neenaliti" kwiingalo zabo, imilenze okanye iinyawo.
Lezi zikhonkwane kunye neengxaki zeenaliti ezandleni zakho nasezinyaweni zibizwa ngokuba yi-peripheral neuropathy. Xa unesiphelo se-neuropathy, unokuba neengxaki eziphambeneyo okanye ezihlala zihlala kwimida yakho okanye udibanise njengokuba umonakalo wentsholongwane uqhubeka.
I-peripheral neuropathy iqhutyelwa kuma-50 ekhulwini kulabo abanesifo se-celiac ye-gluten, kunye nabaninzi balabo abane-gluten ataxia. Akucaci ukuba bangaphi abantu abanomdla wokungabonakali kwe-gluten abanomdla we-peripheral neuropathy, kodwa oogqirha abaphatha ngayo le nkalo baxela ukuba kunjalo.
Ngokuqinisekileyo, ukuba nje unyawo lwakho lulele ngethuba linye aluthetha ukuba unayo i-gluten allergies. Enyanisweni, i-peripheral neuropathy iqhelekile. Ngokomzekelo, unxulumene kakhulu nesifo sikashukela. Inokubangelwa nokulimala, ukuphazamiseka kweengso, kunye nokungaphumeleli kwe-vitamin, phakathi kwezinye iimeko.
Konke kuzo zonke, ukuba awunayo enye ingcaciso malunga ne-neuropathy yakho, ungase ufune ukuthetha nodokotela wakho malunga nokuba ingaba ibangelwa yi-gluten. Umonakalo wemisipha unokuba nzima ukuphilisa, kodwa ezinye izifundo (kungekhona zonke) zibonisa ukuba unokukwazi ukucotha okanye ukuyeka umonakalo ngokulandela ukutya okungahambisani ne-gluten.
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Ukukhathazeka-Ukulahleka kweengxaki zokungabikho kwengqondoUphando lubonisa ukuba abantu abanesifo esasandul 'ukufumana isifo se-celiac banokuthi baninzi kunokuba bafumane ubunzima bokuvela kwiimpawu ze-ADHD , kwaye ezo zimpawu zivame ukuphucula okanye zinyamalale xa umntu eqala ukudla ukutya kwe-gluten.
Akucaci ukuba ngaba abantu abanengqondo ye-gluten engeyi-celiac bangenayo impawu ze-ADHD ezikhutshwa yi-gluten-free-diet, njengoko uphando lwezokwelapha aluzange lulungise loo mbuzo. Abazali abaninzi bayabela impumelelo xa besusa i-gluten kwizidlo zabo ze-ADHD-diagnostic children, kungakhathaliseki ukuba yintoni uphando (okanye alukho) oluboniswayo.
Kodwa le mphumo ingaba nje ngenxa yokupheliswa kokutya okuninzi okunomsoco, okungekho okunomsoco, ubuninzi bezinto ezenzeka ukuba zibe ne gluten kubo.
Umgca wenyani kukuba ukungena-gluten kunokunceda i-ADHD yakho ukuba unesi sifo se-celiac, kwaye sinokukunceda iimpawu zakho ukuba unobuninzi bentlobo (gliten) okanye mhlawumbi olunye uhlobo lwe-gluten allergies).
Nangona ukusetyenziswa kokutya ukunyanga i-ADHD kukuphikisana (kwaye ezinye iifundo zandululwazi azange zibonise inzuzo), kunokufanelekile ukuthetha nodokotela wakho malunga nokuba ukuphelisa i-gluten kunokunceda.
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Ukuxinezeleka nokuxhalabisaUkuxinezeleka kunye nokuxhalaba ziimeko eziqhelekileyo zengqondo. Enyanisweni, malunga neepesenti ezili-18 zabantu bonke abadala base-US banenkinga yokuxhalaba kunye neepesenti ezi-7 zabantu abadala base-US banenkinga enkulu yokudandatheka. Kodwa ngaba ezi zimbini ziintlupheko zidibene neendlela ezahlukeneyo ze-gluten allergies?
Unokumangaliswa xa ufumanisa ukuba uphando oluninzi lufumene izixhumanisi phakathi kwesifo se-celiac, ukuxinezeleka, kunye nokuxhalaba , kokubili kubantu abadala nakwishumi. Kukho kwakhona unxibelelwano phakathi kwezi meko kunye ne-gluten ataxia, i-neurological gluten allergies ngokubanzi ngokubandakanya ukulahlekelwa kwezakhono zamandla.
Kwaye abantu abanengqondo engekho-celiac gluten banika ingxelo yokudakumba kunye nexhala elibonakala liphezulu kunelo lonke uluntu, nangona kunjalo kungabikho uphando lwezenzululwazi ukubuyisela loo mbono.
Ngoko oko kuthetha ukuthini? Ewe, njengakanye nezinye iingxaki zempilo kwiluhlu lwethu lweempawu zokuguqulwa kwe-gluten, akunakuthi nantoni na. Kodwa ukuba unesixinzelelo okanye uxhalabe, akunakulimaza ukuthetha nodokotela wakho malunga nokuba enye yeentlobo ze-gluten-allergies ingaba ityala.
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Ukungabikho kokuSingatha kunye nokuThola iingxakiKukho uxhulumano oluqinileyo phakathi kokusweleka kwesifo kunye nesifo esiqhekezayo, mhlawumbi sisona sihlobo esilungileyo se-gluten.
Bobabini abasetyhini kunye nabesilisa abaye bafumanisa ukuba banesifo se-celiac bayaziwa ukuba balwe nobunzima. Kungenzeka ukuba ukungondleki okunxulumene neloliac kungadlala indima ethile kulo mzabalazo, kodwa oogqirha abaqinisekanga ngokupheleleyo ukuba yintoni eyenza abantu bangenasifo kubantu abanesi sifo.
Xa kuziwa kumntu ongeyena celiac gluten uzwela, umfanekiso ugoli. Nangona abanye ababoneleli bezempilo bekholelwa ukuba baxhunyiwe, kukho nje kuphela uphando olunzulu lwezokwelapha kule fom ye-gluten andergy.
Iindaba ezilungileyo kukuba ukuba ufumene ukuba unesifo se-celiac, ukuphuma kwe-gluten kunokunceda ukhulelwe, njengoko uphando lubonise ukuba ukutya okuluncedo kwe-gluten kunceda ekuveleni kubini nababhinqa.
Ukuba unomdla wokungabonakaliyo we-gluten, ukutya okungahambisani ne-gluten kunokukunceda wena kunye nomlingane wakho ukuba ukhulelwe, kodwa akukho bungqina obuchanileyo bobungqina bokuxhasa oku okwamanje. Nasiphi na isiganeko, kunokufanelekile ukuxoxa nge-OB-GYN yakho.
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Unokuba no-Gluten -ergy What's Now?Okokuqala, kufuneka ubone ugqirha ukuze ukwazi ukuthetha ngeempawu zakho kunye nembali yengane ( isifo se-celiac ngokuqinisekileyo sezofuzo ). Ugqirha wakho unokuncoma ukuba uvavanywe kwisifo se-celiac, kwaye wenze njalo, kuya kufuneka uqhubeke udla i-gluten de ukuvavanywa kwakho konke.
Ukuba unokugqithisa okubonakala ngathi kwezi zithombe ze-dermatitis herpetiformis , unokufuna ukubona i-dermatologist ngokunjalo. Uyakwazi ukuvavanya ukukhawuleza ukubona ukuba ngaba kubangelwa yi-gluten.
Ukufumanisa i-ataxia ye-gluten ayifani ngqo, kwaye ezinye izaziso ze-neurologists azizange zamkele imeko. Ukuba uvavanya ingxaki yesifo se-celiac kunye ne-dermatitis herpetiformis kodwa unempawu ze-adutroxus gluten, ugqirha wakho unokuncoma ukuba uzame ukutya okungahambisani ne-gluten ukuze ubone ukuba iimpawu zakho ziphucula.
Ekugqibeleni, akukho mvavanyo yokuhlola i-diagnostic ye-non-celiac ye-gluten. Nangona, abaphandi bazama ukuphuhlisa enye. Ngoko okwangoku, ukuxilongwa kokukhutshwa, oko kuthetha ukuba ugqirha uya kubandakanyeka kwezinye iimeko ezikhoyo (kubandakanywa nesifo se-celiac) ngaphambi kokuqwalasela ubuninzi be-gluten.
ILizwi
Uvavanyo olugqithiseleyo kuzo zonke iintlobo ze-gluten-allergies ziya kuba yindlela yakho yokuphendula kwisidlo esingenanto. Ukuba iimpawu zakho zicacile, yile ncoko enhle kakhulu ukuba i-gluten yinkinga kuwe.
Ekugqibeleni, kubalulekile ukuqaphela ukuba ukunamathela kwi-gluten-free food kungakhohlisa ekuqaleni, kodwa kuyenzeka ngokupheleleyo. Thetha nogqirha wakho malunga nokubona umculi wezilwanyana onokukunceda ukhethe ukutya kunye neendlela zokupheka ezingagcini nje ngeyummy kodwa ziphilile kwaye zikhululekile nge gluten.
> Imithombo:
> Biesiekierski J. et al. Iinjongo zeGluten Iimpawu zoBuncwane kwiZifundo ezingekho phantsi kwezifo ezi-Celiac: I-Trial-Blind i-Randomized Trial-Controled Trial. I-American Journal yeGastroenterology. 2011 Mar; 106 (3): 508-14; Imibuzo 515.
> Caproni M, Bonciolini V, D'Errico A, Antiga E, Fabbri P. Izifo zeCeliac kunye nembonakaliso ye-dermatologic: Inkcazelo eninzi yolusu yokuvelisa i-gluten-sensitive sensopathy. Gastroenterol Res Pract . 2012; 2012: 952753.
> Niederhofer H. Umbutho wokunakekelwa kwengqalelo / ukungabikho kokugula kunye nesifo se-celiac: ingxelo emfutshane. I-Prim Care Companion I-CNS Disord. 2011; 13 (3).
> Sapone A et. al. Isibuko seengxaki ezinxulumene ne-gluten: ukuvumelana malunga nokutyunjwa kwamagama omtsha kunye nokuhlelwa. BMC Medicine. 2012 Feb 7; 10: 13.
> Volta U, Bardella MT, iCalabró A, iTroncone R, iCorazza GR, Iqela loFundo lwe-Non-Celiac Gluten Sensitivity. Ucwaningo lwaseNtaliyane oluza kuhlola ngokubanzi kwizigulana ezikhankanywe ngokuba ne-senicity non-celiac ye-gluten. BMC Med . 2014; 12: 85.