Kufuneka kube lula: ufumene ukuba unesifo se- celiac okanye u-non-celiac u- sensitivity , ungena-gluten-free, kunye nokuphela kwengxaki - uzive ukhulu kwakhona, ungenayo impawu.
Ngelishwa, ngokuqhelekileyo kude kulula ukuba kulula. Izifundo kunye nobungqina obunobuncwane bubonisa ukuba ipesenteji ephakamileyo yabantu abanobuqili obunemifanekiso kunye ne-gluten - akucaci kakuhle indlela ephezulu ngayo, kodwa mhlawumbi ngaphezulu kwesigamu - iyaqhubeka ibe neempawu nangona zikholelwa ukuba zilandela ukutya okungahambisani nokutya okungenayo i-gluten .
Oku kunokubangela ukuphazamiseka ngokukhawuleza, kwaye ngokuqhelekileyo kubakhokelela abantu ukuba bakholelwe ukuba bangenelungelo lokutya kwezinye izinto ezininzi (i-soy ihlala ibeka uluhlu, ingqolowa kunye nezinye iinkozo ezingasemva). Nangona kunjalo, ubuncinci olunye olubandakanya izigulane ze-celiac lubonisa ukuba ininzi ngokwenene ibandezeleka yimiphumo yokungena kwe-gluten - kungekhona "ukunyanzeliswa okongeziweyo" kwiindawo ezahlukeneyo zokutya, okanye enye ingxaki.
Kutheni Kuthathaka Kangako Ukuba Ulungeleleneyo I-Gluten-Free?
I-Gluten ikhona yonke indawo, kwaye kubantu abanomdla obuninzi kunye nobutshongo obunokuthi basabela njani kumanani amancinci, kunokuba kunzima ukuphepha. Ingakwazi ukufihla kwiindawo ongazilindeleyo, ezifana nemithi yokugonywa kunye nemveliso yegourmet (jonga ngakumbi malunga nale nto kwiiHluten-Free Free Diet Dangers). Kananjalo kungabonakala kwimilinganiselo yokutya ekubonakalweni kwe-gluten ngaphandle kwintlobo yezithako zabo.
Kwiimeko ezininzi, izityalo ezisekelwe kubhokhwe "i-gluten-free" ziphezulu.
Ngokomzekelo, uphando lwe-gluten lwama-2010 kwi-"gluten-free" yamanhlamvu afunyenwe ukungahlambuluki kwe-gluten kwixabiso elivela kwizinto ezingabonakaliyo (malunga ne-5 izingxenye kwisigidi) ukuya kuma-3,000 kwicandelo ngalinye kwisigidi (ngokwaneleyo ukuba kubangele i-epic glutening ).
Iingcali zesifo seCeliac, kuquka noPeter Green, MD, umlawuli weCeliac Disease Centre e-Columbia University, uthi ukunceda abagulane abaneempawu eziqhubekayo nangona ukutya okuluncedo kwe-gluten kubaluleke kakhulu.
Ngo-2011, uDkt Green uthe isilwanyana esilungiselelwe ukunciphisa imiphumo yokungcoliswa kwamanzi kuya kuba yinto enkulu kwiigulane ezingenayo iimpawu eziqhubekayo.
Ngoko Bangaphi Abantu Abachaphazelekayo Ngokuqhubekayo?
Oku akucacileyo, nangona kukho iingcebiso kwiincwadi zonyango kubantu abanesifo esiqhekezayo. (Akukho zifundo ezichaphazela ukukhathazeka kwe-gluten, kodwa ubungqina be-anecdot bubonisa ukuba abaninzi balabo bantu baneengxaki eziqhubekayo.)
Kwiphononongo ka-2003 eshicilelwe kwi- American Journal ye-Gastroenterology , abaphandi bafunda iqela labantu abadala abadala abazange babe ne-gluten ephakathi kweminyaka eyisibhozo ne-12. Bafumene izifundo ngeengxaki zeliliac babika "iimpawu ezinomdla kakhulu kunabo bonke abantu," kubandakanywa ukuhlengahlengiswa, isifo sohudo, ukugqithwa, ubuhlungu besisu, kunye ne-reflux.
Enyanisweni, ama-60% abo bantu bafundela iimpawu eziqhelekileyo, xa kuthelekiswa ne-29% yabantu bonke. Abasetyhini babehlala bebi kakhulu kunamadoda.
Olunye uhlolisiso "lweempawu zesifo sezilonda ezinomsindo" kubantu abaye bafumanisa ukuba banezifo ezingapheliyo kunyaka odlulileyo okanye ngaphezulu bafumanisa ukuba ngaphezu kwe-23% yabandezelekayo ngokuqhubekayo iimpawu zesilonda esinesisindo esaneleyo sokuhlangabezana nemigqaliselo yesifo sengqondo sesifo soxilongo (IBS) , kwaye uninzi lwafuna uncedo lweempawu zabo.
Abo babenempawu ze-IBS babenokuba ngamabhinqa kwaye baphazamise ngezinye izihlandlo kwi-gluten-free-food, okufunyenweyo.
Kulo pho nonongo, abantu abaneempawu ze-IBS nabo banakho amathuba okuba "neengxaki zengqondo," njengoko zichongiwe ngumbuzo okhangela iimpawu zokuxhalabisa nokuxinezeleka. Nangona kunjalo, ku funeka kuqatshelwe ukuba abantu abaninzi abanezifo ezingapheliyo babonisa iimpawu zokuxhalaba kunye nokuxinezeleka xa bethetha inani elincinci le-gluten; ukwenzela oku ngakumbi kule ndawo, jonga iGluten kunye nokuPhukisa .
Olunye uphando lubhekise kwizigulane eziyi-112 ezibhekiswe kwisibhedlele saseLondon ngesifo esingaphenduliyo (12 kubo, kwavela, babengenayo isifo se-celiac emva kwayo yonke into).
Kubantu abayi-100 abasalayo, uphando lubone ukuba i-45% "ayengahambelani ngokwaneleyo ukutya okuluncedo kwe-gluten," ngokungaphantsi kwesigamu salabo abangenakudla ngokugcoba i-gluten kunye ncinane ngaphantsi kwesiqingatha sokukhohlisa.
Ekugqibeleni, isifundo esingapapashwa ngokunyatheliswa ngu-Alvine Pharmaceuticals kwintlanganiso yezokwelapha ka-2012, yabona ukuba ipesenteji "ezinkulu" (kodwa ezingachazwanga) ze-celiacs ezixilongwa ziqhubeka zifumana iimpawu nakuba zikhokelela ekudleni okungenasiphelo kwe-gluten.
Lezo zibonakaliso zidweliswe zifundo kwi-Alvine yophando zivakala njengoluhlu lokuhlambulula izikhalazo eziqhelekileyo: i-flatulence, intlungu yesisu, ukukhathala, ukuqhaqha, isifo sohudo, ukunqunyulwa, isisongulu, inkohlakalo yengqondo, intloko yesifo kunye neengqumbo zesikhumba. Bahlala bexhalabisa ngokuphindaphindiweyo: i-90% yalabo bafundela bathi babenomhla omnye wempawu kwixesha leveki, kwaye 44% bathi bafumana iimpawu ezahlukileyo ezihlanu ukuya kwe-10 ngeveki.
Yintoni Ongayenza Ukuba Unayo Izibonakaliso?
Isinyathelo sakho sokuqala sifanele sibe ngolu hlobo ukuya kogqirha wakho ukuqinisekisa ukuba awuzange uphawule. Kwenye yezifundo ndibhale ngasentla, i-11% yabani abane-diagnosis ye-celiac kwaye iimpawu eziqhubekayo zingagqithanga ukuba zinezifo ezingenazo zonke! Abanye banokuba nesifo sesibini kunye nezinye izimo ezibangele iimpawu zabo eziqhubekayo. Kodwa ke, khumbula, ukuba nangona ungazange ufumaneke kakuhle nge sifo esiqhekezayo, usenokuba nobunzima be-gluten. Unyango luyafana nantoni zombini: ukutya okunomdla okugqithisileyo.
Ukuba unesiqiniseko se-gluten ingxaki yakho, mhlawumbi kufuneka uhlolisise ukutya kwakho kwi-gluten efihliweyo. Qala kunye nabasemagqabini abakhulu abadweliswe kwi-Ingqungquthela yamaHlengi e-Gluten-Free Yokutya (ikhonkco ngasentla).
Ukuba awunakudli nantoni na, jonga ngolu hlobo lokutya kwakho: ukutya kokutya, ezininzi zokutya (nangona zibizwa ngokuthi "i-gluten-free") kunye nobuninzi be "gluten- ukukhululeka "iimveliso zeenkozo kunokukukhokelela ekugqithiseni ngakumbi i-gluten kunokuba umzimba wakho unako ukuwenza. Nika ingqalelo kumanqanaba okuvavanya okuthandayo "i-gluten-free" -imveliso ebhaliweyo - ungadinga ukutya kuphela iimveliso ezingenamveliso ye-gluten okanye ukukhusela ubuninzi bee-grains kuba zivame ukungcola nge gluten.
Nazi ezinye izixhobo ekupheliseni i-gluten ekudleni kwakho:
- Njani I-Gluten Ingangenza Ndigula?
- Ukutya okubhaliweyo 'I-Gluten-Free' isenokuhlala iqulethe i-Gluten
- Kutheni Unako Ukutya I-Gluten-Simahla kwaye Usenokufumana Izibonakaliso
- Kutheni Iimveliso Zama-Gluten-Free Simahla kwiMillion Matter Matter
Kwezinye iimeko, unokwenza ukuba ukhangele ukuba uyasabela njani kukutya ngaphandle kwe-gluten-iyaqhelekile ukuba abantu abanesifo esingenayo i-lactose, kunye nabantu abaninzi banokuphendula ngokungafaniyo kwindlela yokutya kunye ne-soy kunye nengqolowa, zombini ukutya okugqithisileyo ngokuzenzekelayo. Kwiimeko ezininzi, ke, ukuphelisa amanqanaba aphantsi e-gluten kuya kwenza inkohliso.
Ukuba zonke ezinye izinto zihluleka, unokufuna ukuqwalasela ukuthetha kunye nomdlathi owazi kakuhle ukutya okungekho-gluten - loo mntu unokukwazi ukubona iingxaki onokungaziphosi, ezifana nokungahlambuluki kokungahambi kakuhle okubangelwa kulwabiwo ikhitshini, okanye ukutyhila emsebenzini.
Ngaphezu kwakho konke, ungaqali ukwesaba ukutya - kumava am (kwaye ndiyakhathazeka kakhulu ukulandelela i-gluten), kunokwenzeka ukuba udle ukutya okuninzi kunye nokuthakazelisayo okuphelisa kwakhona iimpawu ngokupheleleyo.
Imithombo:
I-Alvine Pharmaceuticals Ihambisa ii-Celiac Disease Symptom UkuFundiswa koMbane kunye neziphumo zoPhando kwi-College yase-American ye-Gastroenterology. Ukukhutshwa kweendaba, Oktobha 24, 2012.
Dewar DH et al. Izifo zeCeliac: Ulawulo lweMpawu eziqhubekayo kwizigulane kwiDatut Free-Diet. I-World Journal yeGastroenterology. 2012 uMatshi 28; 18 (12): 1348-56.
Hauser W. et al. Iziqulatho ze-Irritable Bowel-Type Symptoms and Health-Seeking behavior Among Among adults with Celiac Disease. Iingcali zengqondo. 2007 ngoMeyi; 69 (4): 370-6. Epub 2007 ngoMatshi 30.
I-Midhagen G. Iqondo eliphezulu leMpawu zoBuncwane kwii-Celiac Izigulane Ezihlala kwi-Diet ye-Gluten-free Study. I-American Journal yeGastroenterology. 2003 Sep; 98 (9): 2023-6.