... okanye zombini?
Kuthekani ukuba umfazi omncinci ophumelelayo onokumkhathalela, mhlawumbi esikolweni esiphakeme okanye umfundi wekholeji, uthi makangabi nesidlo? Uyindlela encinci, kodwa uthi akalambile, kwaye uyazi ukuba uhlamba emva kokutya. Enyanisweni, ubonisa ezinye iimpawu zesifo sokutya ezifana ne-anorexia nervosa okanye i-bulimia. Ngaba ubungacinga ukuba mhlawumbi unesifo sokutya, okanye isifo se-celiac ...
okanye zombini?
Kwikholeji yaseFlorida, abaqeqeshi babhekene nale ngxaki. Ngethuba leprogram ye-preseason conditioning, omnye wabadlali bezemidlalo, i-National Collegiate Athletics Association Division I-volleyball yamfazi wesifazane, yaqala ukulahlekelwa ubunzima obukhulu. Ulahlekelwe ngumdla wakhe kwaye wayenomhudo kunye nokuhlanza. Watshatisa kakhulu. Walala ekudleni, kwiqela lebha okanye ibhasi, kwaye ngaphambi nangenkqubela engazange athathe inxaxheba. Ukuphumelela kwakhe kwezemidlalo. Kwakhona wayenengxaki yokukhathala ngexesha leklasi kwaye waqala ukukhutshwa kwiintlangano zentlalo.
Ngenxa yokuba le mbaleki yayingaphantsi kwengcinezelo eninzi evela kumqeqeshi wakhe, iqela lakhe, kunye nabo ngokwabo ukuphucula izakhono zakhe, abasebenzi baqeqeshelwa ukuba unokuzama ukwandisa ukuqina kwakhe kunye nokusebenza ngaphezu kokulindela okuqhelekileyo, kwaye wayenomdla wokutya njengokusinda kwixinzelelo kunye nokuzama ukuhlangabezana nale miba.
Enyanisweni, abagijimi banomlinganiselo ophezulu wokutya kwezidlo kunabantu bonke.
Kodwa ucinga ntoni? Wayengenayo i-anorexia nervosa okanye i-bulimia-wayenesi sifo se-celiac. Ngenhlanhla kuye, abaqeqeshi bamthumelela kwi-gastroenterologist, ngokukhawuleza waqonda isifo sakhe esiqhekezayo. Emva kokuba aqale ukulandela ukutya okubangelwa i-gluten, ukutya kwakhe kwaphucuka, waba nesisindo, waza wajoyina iqela le-volleyball.
Ngokuya kubaqeqeshi bakhe kunye neqela lakwabadlali, ukusebenza kwakhe kwezemidlalo kuphuculwe kwaye kwagqithisa nakwimo ye-pre-illness status.
Njengoko kwavela, le ntombazana yayingenaso isifo sokutya - kodwa izifo ezingenakunzima kunye nokuphazamiseka kokutya zingabakho ngokufanayo kumntu omnye ngokuqhelekileyo kunokuba abantu baqaphele. UDkt. Daniel Leffler kunye noogxa abavela kwiCeliac Centre eBheteli yakwa-Israel-I-Deaconess Medical Centre eBoston yashicilele ingxelo malunga nesi sihloko. Ngaphezulu kweminyaka engama-5, i-2.3% yezigulane zabesifazane abaphatha ngazo okanye banesifo se-celiac kunye nesifo sokutya, okanye babenesi sifo esiqhekezayo njengento yokutya.
Oogqirha baseBoston bachaza izigulane ezili-10 ngokubanzi. Kwisigulane esisodwa kuphela esaziwayo nokunyanga isifo se-celiac siphumelele ekuphuculeni ngokucacileyo kwisifo sokutya. Kwabanye, imingcele yokutya okungekho gulen yenza kube nzima (kodwa kungenakwenzeka) oogqirha ukuphatha ingxaki yokutya. Kwezinye izigulane, ukufumanisa ukuba banesifo se-celiac kunye nokufumana isisindo kwi-gluten-free diet kwakwenza ukuba ingxaki yabo yokutya ibe nzima. Kwaye, ekugqibeleni, kwaba nesigulane esasingenanto yokutya kuyo yonke into - ukulahleka kwakhe kwesisindo kunye nesondlo esingenasiphelo kwakungenxa kuphela kwisifo se-celiac.
Ngaloo ndlela, ezininzi kwizigulane, kukho ukusebenzisana okubalulekileyo phakathi kwesifo sabo se-celiac kunye nesifo sabo sokutya. Kwiqela elincinane lezigulane uDkt. Leffler kunye nabalingane bakhe babika, ama-80% akwazi ukufezekisa okanye ukugcina ukuxolelwa kwisifo sabo se-celiac kunye nesifo sabo sokutya.
Umgca wezantsi? Izifo zeCeliac kunye nokukhathazeka kokutya ngezinye izihlandlo kunzima ukuhlula. Izigulane ezinezimbini okanye zombini izimo kufuneka zihlolwe kwiindlela ezahlukeneyo: ukunakekelwa okuphambili, isifo sokutya, isondlo, kunye neengqondo / iingqondo. Leyo yodwa indlela yokuqinisekisa ukuba umntu akahluphekanga ekusebenzisaneni okunzima phakathi kweengxaki zempilo yengqondo nengqondo.
Imithombo:
ULindsey E Eberman kunye noMichelle A Cleary. Izifo zeCeliac kwi-Athlete ye-Voliteball ye-Volgiball ye-Collegiate: I-Report Report. I-Journal ye-Athletic Training 2005-Oct-Dec; 40 (4): 360-364.
Leffler DA kunye no-al. Ukusebenzisana phakathi kweengxaki zokutya kunye nesifo se-celiac: ukuhlolisiswa kwamatyala ayi-10. I-European Journal yeGastroenterology & Hepatology 2007; 19: 251-255.