Yona yintoni nje 'i-gluten allergies'?
Kuqhelekile le mihla ukuva abantu kwiindawo zokutyela kunye neevenkile zithi "zinezinto ezibangelwa yi-gluten-allergies" kwaye ngoko zifuna iimveliso ezingenanto ye-gluten, kodwa ingxaki kukuba akukho nto injalo into enjenge-gluten allergy: isayensi yezobugcisa ayisebenzisi Ixesha, kwaye iimpendulo ezininzi ze-gluten azibandakanyi ukusabela okwenyaniso.
Ngoko abantu bathetha ntoni xa bethetha ukuba bane-gluten allergies?
Ewe, mhlawumbi basebenzisa eli gama njengesihluthulelo sezinye zeemeko zonyango eziqaphelayo ezibandakanya ukuphendula komzimba kwi-gluten. Nazi ezinye iimeko ezihlanu (kunye nekota elilodwa elisetyenziselwa ukuxhatshazwa kunye nabanye abanye) oluhambelana nalo mthetho-mali:
Izifo zeCeliac
Le nto ingaba yinto eyaziwayo kakhulu ye "gluten allergies," nangona ngokuqinisekileyo ayiyiyo ingxaki. Isifo seCeliac (ngamanye amaxesha esibizwa nangokuthi "i-ecliac sprue") sisifo esiyingozi esiyingozi esinoko kuphela yonyango olukuphelayo lokupheka konke okutya kwe-gluten.
Xa unesifo se-celiac kwaye udla i- gluten (iproteni efunyenwe ngqolowa, ibhalley, ne rye rye), i-gluten ibangela isistim somzimba sakho sokuhlasela umlenze we- intestine yakho encinane , ekugqibeleni uyidle i-lining in a known manner asrophy . Iimeko zidla ngokubangela iimpawu kwisistim sakho sokutya kodwa zingathintela ezinye iindawo zomzimba wakho, nazo.
Phantse i-1% yamaMerika anesifo se-celiac .
Ubuninzi bobuNtu boLuntu
Ubuninzi be-Gluten, owaziwa ngokuba yi-"non-celiac gulen sensitivity", yintsana entsha kwi-block: xa umntu ongenayo isifo se-celiac uthi "unobulunga obuthakathaka," kunokwenzeka ukuba uthetha ukuba akanalo-celiac nobutyebi be gluten.
Izifo zeCeliac kunye nobutyebi bukaGlututen abuyinto efanayo . Inzululwazi yezokwelapha sele iqalisa ukuqonda ukuba abanye abantu abanalo isifo se-celiac ngokuqinisekileyo bafumana iimpawu ezimbi xa badla ukutya okuqulethe i-gluten. Nangona kunjalo, le meko iyakwazi ukulinganisa isifo se-celiac, okwenza uvavanyo oluchanekileyo lube ngumngeni.
Okwangoku, akukho ndlela eyamkelweyo yokuxilonga ubuninzi bentlobo (ngaphandle kokuba abaphandi basebenza kulo). Akukho ndlela echanekileyo yokukwazi ukuba bangaphi abantu abanobuncwane be-gluten . Kodwa xa izazinzulu zisebenza ngendlela engcono yokuxilonga imeko, ezinye iiklinikhi zikholelwa ukuba inani labantu abanolo hlobo "gluten allerergy" luya kufutshane nenani ngesifo se-celiac se " gluten allerergy ."
Kwakhona, njengengxaki yesifo esiqhekezayo, ukuphela kwonyango okwangoku kwe-non-celiac gulen sensitivity kukugwema u-gluten ngokupheleleyo.
Ukunyamezela kukaGluten
Leli gama elisetyenziswe ngokuthe ngqo kunye nabanye. Ngesinye isikhathi, abantu bathi "banokunyamezeliswa kwe-gluten" xa bevavanyelwe izifo ezingenazifo kodwa bafumanisa ukuba abanakuyidla ukutya okunokudla. "Ndiyintlungu-andiyi-gluten - andinakuyidla i-gluten!" bavakalise, kwaye igama elithi "ukunyamezelana kwe-gluten" landa ngokugqwesa (kwaye kunjalo kwi-Google yokusesha).
Kwezinye iimeko, eli gama lisetyenzisiwe lithetha "isifo se-celiac" (kwaye ngokuqinisekileyo sithetha "i-gluten allerergy"), eyenza izinto zidideke. Kodwa le mihla, abaphandi kunye neekliniki badibanisa ukusetyenziswa kwegama elithi "ubunengqondo obungenalo celiac gluten" esikhundleni sokuba "ukunyamezelana kwe-gluten" kubantu abangenayo isifo se-celiac, kodwa bafumana iimpawu ezivela kwi-gluten. Ekugqibeleni, igama elithi "ukunyamezelana kwe-gluten" kuya kuvela kwimfashini ngokupheleleyo.
Dermatitis Herpetiformis
Oku kuyaziwa ngokuba yi "gluten rash." I-dermatitis herpetiformis ibomvu elincinci, elincinci elikhuphayo xa lidla i- gluten.
Ekubeni abantu abaninzi badibanisa ukuxhalaba, akusiyo ilanga elide xa abantu bebiza i-dermatitis herpetiformis ifomu le "gluten allergies," nangona kungenjalo ukunyuka kwezilwanyana - njenge-celiac isifo, i-dermatitis herpetiformis iyimvelo yendalo (ibonisa ukuhlaselwa kwakho umzimba womzimba ekuphenduleni i- gluten ingestion ).
Ukuba une-dermatitis herpetiformis ukuxilongwa kunye nokuvavanywa kwegazi elifanelekileyo, ucinga ukuba unesifo se-celiac ngokunjalo. Kungakhathaliseki ukuba, ukuxilongwa kwe- dermatitis herpetiformis kuthetha ukuba kufuneka ugweme i-gluten ukuze uhlale ulawulwa phantsi.
Gluten Ataxia
I-gluten ataxia, imeko ehamba ngokuzenzekelayo, iquka ukuhlaselwa ngumzimba wakho wokuzivikela kwisifo sakho sengqondo kunye neenkqubo ze-neurological ekuphenduleni ukusetyenziswa kwezinto ezinokutya kwe-gluten-izinto eziyingozi kakhulu. Ngethamsanqa, i- gluten ataxia ayinqabile (nakuba ingaba yanda kakhulu), kodwa iyawa phantsi kwe-"gluten allerergy".
Abantu abane-gluten ataxia kufuneka balandele ukutya okungekho-gluten ukukhusela umonakalo owenziwe ngegazi.
Ngqolowa yokutya
Ingqolowa yokunyuka kwezilwanyana ngokwenene yinto yokunyaniseka, kodwa ngelixa abanye abantu bebhekisela kuyo ngokuthi "i-gluten allergies," ukuphendulwa komzimba kubangelwa oko kuninzi kwengqolowa kunokuba iprotheni ye gluten . Ukunyuka kwezilwanyana kudla kakhulu kubantwana kunabantu abadala.
Abantu abachasene nengqolowa kufuneka baphephe loo ngqolowa, kodwa badla ngokutya iarley kunye neer rye, ezinye iimbini ze-gluten.
Yiyiphi na yona?
Njengoko unako ukubona, umntu obika ukuba unayo "gluten allergies" ngokwenene unokufumana nayiphi na iqela leemeko ezahlukeneyo. Sekunjalo, kukho enye into edibeneyo kuzo zonke ezi zintlanu zalezi zilwanyana ezibonakalayo: ukunyango kubandakanya ukuphepha ukutya kunye nengqolowa kubo.
Kuluhlu lokutshekisha olunokukunceda uqhathanise iimpawu zeemeko ezahlukeneyo (kwaye uqwalasele apho iimpawu zakho ziwela khona), jonga: I- Gluten Iimpawu Zobuthathaka
Umthombo:
ULudvigsson J. et al. Iinkcazo ze-Oslo zesifo se-celiac kunye nemigangatho ehambelanayo. Gut. 2013 Jan; 62 (1): 43-52. i-doi: 10.1136 / gutjnl-2011-301346. Epub 2012 Feb 16.