Ibali olivayo rhoqo: Kukho umntu onokufumanisa ukuba unesifo se- celiac , unikezele iiphamflethi malunga nendlela yokuhamba ngayo ngaphandle kwe-gluten, kwaye uthumele endleleni yabo ngaphandle kokukhankanya kakhulu ukuba ufuna ukulandelwa koogqirha okanye ukuvavanywa.
Kukhona ingqiqo ethile kule nto, kuba ukuphela kwonyango lwangoku kwisifo se-celiac yi -gluten-free diet (kwaye leyo ayifuni imithi).
Ukongezelela, abantu abaninzi (kodwa kungekhona bonke) bazive bephucule ngokukhawuleza xa beqala ukutya ukutya okungenayo i-gluten, ngoko bavakalelwa ngathi ingxaki yabo ilungisiwe.
Kodwa iingcali ezisendle zincoma ukuba abo banesifo esiqhekezayo bafumane unyango olulandelayo emva koogqirha babo, bobabini ukujonga zonke iingxaki ngokuqhubekayo iimpawu, kwaye ngenxa yokuba i-celiac ixhomekeke kakhulu kwiimeko ezininzi ezizimeleyo. Nantsi ingqungquthela yento ezo iingcali zicebisa.
Iimvavanyo Zokuba Uqala Ukuxilongwa Nezifo Zama-Celiac
Xa uqale ufumene ukuba unesifo se-celiac , ugqirha wakho unokuncoma iimvavanyo eziliqela ukuze ubone indlela imeko yakho ifuthe ngayo umzimba wakho.
Ngokomzekelo, unokuncoma ukuba uvavanywe ukusilela kwondlo , eziqhelekileyo ngenxa yokuba umonakalo wakho wesithambiso samathambo uthetha ukuba awukwazi ukufumana izondlo ekudleni kwakho. Oku kunokubandakanya uchungechunge lwegazi lwezondlo ezifana ne-vitamin B-12, i-folate, kunye ne-vitamin D.
Unokuphinda ucebise ukuba uhlolwe i-anemia, ukuba awuhlolwanga kakade njengenxalenye yesifo sakho (abaninzi abantu baya kuhlolwe i-anemia ngaphambi kokuba baxilongwe). Kuqhelekile ukubona i- anemia enezifo eziqhekezayo , kwaye kunokuncedisa nayiphi na imvakalelo yokukhathala ojongene nayo.
Ngokuqhelekileyo, i-anemia iphucula okanye iyanyamalala xa uqala ukuyidla ngaphandle kwe-gluten kwaye iimbilini zakho zamathumbu ziqala ukuphilisa.
Ekugqibeleni, ugqirha wakho unokucela ukuba uhlolwe ukuba ubone ukuba isifo se-celiac sichaphazele amandla akho emathambo kunye nobukhulu . Ngelishwa, ukunqongophala kwesondlo esifana ne-celiac kunokukhokelela kwi-osteoporosis okanye i-osteopenia, iimeko apho amathambo akho aphantsi kakhulu kwaye athathaka kunokuqhelekileyo. Ukubona ukuba unayo le ngxaki, uzakufuna oko kubizwa ngokuba yi-DEXA ukuskena, oluhlobo lwe-x ray.
Musa ukutyhaxwa kuyo yonke le vavanyo-kunokwenzeka ukuba unganayo nayiphi na le ngxaki. Nangona iimvavanyo zivula umbandela, kufuneka uqale ukucombulula xa uhamba ungenayo i-gluten. Ukongezelela, ugqirha wakho unokunikezela unyango olongezelelweyo, olunjengezondlo zokuncedisa nayiphi na i-vitamin okanye i-mineral deficiencies, okanye amayeza ukuphatha unyameko lwenthambo.
Ukudibanisa neNjululwazi ye-Gluten-Free Dietitian
Ukutya okungenayo i-gluten kulukhuni ukulandela, ngokukhawuleza ukufunda. Abantu bavame ukwenza iimpazamo kwiinyanga zabo zokuqala i-gluten-free, kwaye ngelishwa, bahlala behlawula loo mpazamo ngeempawu ezimbi zokulumala .
Abanye abantu bafumana iingxaki zokutya kwabo bonke.
Kodwa akukho mbuzo ukuba kwabanye, uncedo lwenkcenkceshelo yezondlo kwi-gluten-free diet izokubasindisa ekuxhaseni kwaye mhlawumbi bancede baphilise ngokukhawuleza.
Ngelishwa, ugqirha wakho akakwazi ukuzalisa le nxaxheba yenzuliso yondlo. Enyanisweni, i-American College ye-Gastroenterology (ACG) iyavuma ukuba abaninzi oogqirha abazi nto ngokwaneleyo ngokutya okungekho gluten ukufumana isiluleko ngokwaneleyo abantu kulo. Yingakho iqela licebisa ukuba wonke umntu ofunyanwe ukuba unesifo se-celiac uhanjiswe kwi-dietitian ebhalisiwe owaziyo ngesifo se-celiac.
I-dietitian inokukunceda ukufumanisa nayiphi na isondlo esondlo kwisondlo sakho esiqhelekileyo, kwaye sinokunceda ekufundiseni malunga nokuba i-gluten ingafihla kuloo ndlo.
I-dietitian nayo inokukunceda ekwenzeni ukutya okungenamsoco onokuphefumula okunokuphelisa, ngokubhekiselele kwizinto eziphathekayo ezifana ne-fiber, folate, ne-calcium, edlalayo.
Akunabo bonke abadli bezilwanyana abayingcali kwi-gluten-free food. Ugqirha wakho unokucebisa umntu ukuba abone, okanye kufuneka ufune ukuzihlola.
Ukunyamekela kwexesha elide kwiCeliac
Nangona iingcali zesifo se-celiac zincoma ukutyelela ngokulandelelana kwabo bafunyanwe benesifo se-celiac, kungekhona wonke umntu olandela ezi ngcebiso. Uphononongo olulodwa olubandakanya abantu abangama-113 lubonise ukuba kuphela enye engaphezulu kweyesithathu yalandelwa izikhokelo ze-ACG zokunyamekela ukulandelwa.
Ngoko ke kunconywa ukuthini ukunyamekela ukulandelelana kubantu abanesifo esiqhwaba?
Izikhokelo ze-ACG zibiza ukuba zijonge rhoqo ngugqirha owaziyo ngesifo esiqwengileyo . Oku kunokwenzeka-okanye mhlawumbi kungabikho-ugqirha wakho oyintloko. Kungenzeka ukuba ube ngumdla wakho wegastroenterologist.
Izikhokelo azichazi ukuba ufanele ubone ugqirha wakho kangangoko, kodwa ezinye iingcali zincoma ukubona ugqirha onokufumanisa ukuba unecala emva kokuba ungenayo i-gluten-free malunga neenyanga ezintathu ukuya ezintandathu, kwaye emva koko emva konyaka. Oku kuya kukunika ithuba lokuthetha nodokotela wakho malunga nendlela ovakalelwa ngayo, nokuba unayo nayiphi na impawu.
Ukuba unobunzima bokutya okungahambisani ne-gluten, ugqirha wakho unokuncoma ukuba ubone isidlo sokutya. Oku kunokuba luncedo nangona ufumene enye xa ufunyanwe okokuqala-isicatshulwa sezakhono sinobuchule singakwazi ukuphawula indawo apho ungafumani khona i-gluten ekudleni kwakho.
Abanye oogqirha banqwenela ukusebenzisa iimvavanyo zegazi ze-celiac ukujonga indlela ongekho ngayo i-gluten . Ngelishwa, le mvavanyo mhlawumbi iya kubonisa ukuba udla ukutya okuninzi kwezinto ezinokutya; awanako ukuqonda ukuba umzimba wakho uphendule njani kumanani amancinci ekungcoliseni kwe-gluten ekhaya, umzekelo.
Ugqirha wakho unokufuna ukuqhuba ezinye iimvavanyo zegazi jikelele, eziza kunika izikhokelo kwizinga lakho lezempilo.
Ngamanye amaxesha, ugqirha wakho unokukucebisa ukuba uphinde uphinde uphinde uphinde uphecopy ukuze ubone indlela yakho yokugoma ngayo emathunjini . Esi sincomo sinokuthi xa ubika ingxelo eqhubekayo, nangona ulandela ngokutya ngokutya-gluten. I-endoscopy inokuvumela ugqirha wakho ukuba afune ezinye iinkalo zonyango ezinokuthi zibe negalelo kwiimpawu zakho.
Ukujonga iimeko ezihambelanayo
Isifo seCeliac esibizwa ngokuba yisifo sokuzimela , oku kuthetha ukuba kubandakanya ukuhlaselwa kwelinye inxalenye yomzimba wakho (kulo mzekelo, isilwanyana sakho esincinci samathumbu) ngamasosha akho omzimba.
Xa unesifo se-celiac, usengozini ephezulu kwezinye iimeko ezizimeleyo, eziquka isifo se-thyroid , uhlobo lwesifo sikashukela , kunye nendlela yokulahleka kweenwele ezibizwa ngokuba yi-alopecia areata .
Nangona abaphandi abazange baqinisekise ubungqina obuqinileyo phakathi kweelliac kunye nezinye izimo ezizimeleyo, kuquka ukubola kwesibindi , akukho nto inokuthi imeko eyodwa iphakamisa umngcipheko wakho wokuphuhlisa ezinye iimeko ezizimeleyo. Ngoko ke, yinto efanelekileyo ukuthetha nodokotela wakho malunga nomngcipheko oqhelekileyo wezinye izifo ezizimele, kwaye ubike naziphi iimpawu onokuzifumana.
Ngaphantsi
Uninzi lwabantu abafunyaniswa ukuba banesifo se-celiac baziva bebhetele xa beye bengenawo gulen . Ukutyelela rhoqo ugqirha wakho, kunye naluphina uvavanyo olulandelayo olucebisayo, lunokudlala indima ebalulekileyo ekuqinisekiseni ukuba ugcina izinga lakho elifanelekileyo lempilo, kwaye ujongane nazo naziphi na iiphambuka ezisendleleni xa zivela.
Imithombo:
Herman ML et al. Izigulane ezinezifo ezingapheliyo zilandelwa ngokwaneleyo. I-Clinical Gastroenterology kunye neHepatology . Ngo-Agasti ka-2012; 10 (8): 893-899.e1.
Rubio-Tapia A et al. Ikholeji yase-American College of Gastroenterology izikhokelo zekliniki: Ukuchonga nokuphathwa kwezifo zeliliac. I-American Journal yeGastroenterology . 2013 ngoMeyi; 108 (5): 656-76.