Ukuhlolisisa iMida phakathi kweZifo eziZimayo kunye ne-Autism
Ukusetyenziswa kwe -gluten-free-food in autism yinto engqubuzanayo (ezininzi izifundo zezobugqirha azichazi nayiphi na inzuzo). Kodwa abanye abazali bagcina ukuba ukutya (ngokukodwa ukuhluka kwaso okuphelisa iimveliso zobisi) kuye kwabanceda abantwana babo. Ingaba ukutya kunokusebenza ngenxa yokuba abo banabantwana banesifo se-celiac , nge-celiac ebangela iimpawu zabo ze-autism?
Kwimeko eninzi yamatyala, ngelanga alikho imeko, kwaye ukuhamba-gama kungenakukunceda i-autism yakho. Nangona kunjalo, uphando olutshanje lubonisa ukuba kukho izixhumanisi-mhlawumbi phakathi koomama abanezifo ezingapheliyo (ezibangela ukugaya kunye nezinye iimpawu) kunye nabantwana babo abane-autism (ingxaki yokuphuhliswa kwengxaki). Ukongezelela, kunokwenzeka ukuba ukungahloniphi kwe- gluten -non-celiac--meko engacaciswanga kakuhle-inokudlala indima ethile kwi-autism.
Yonke le uphando malunga nokuqhagamshelana phakathi kwesifo se-celiac, ukungahloniphi kwe-gluten, kunye ne-autism yinto yokuqala, kwaye ngelanga liniki ithemba elikhulu kubazali abafuna uncedo kwangoku. Kodwa ekugqibeleni, kunokubonelela ngezinye izikhombisi zokufumana unyango lwe-autism kubantwana abathile, kunye neendlela zokukhusela i-autism ekuhlaleni kwindawo yokuqala.
Yintoni i-Autism?
I-Autism i-disorder disorder (ASD), apho i-US Centers for Disease Control and Prevention inokholo ithintela omnye kwabafundi abangama-68, ikhokelela ekuchasaneni kwezakhono zentlalo, ulwimi kunye noqhagamshelwano.
Iimpawu ze-autism zivela ngokubanzi xa umntwana ephakathi kweminyaka emibini nantathu, nangona kungabonakala kwangaphambili.
Njengoko unako ukuqokelela ukususela kwixesha elithi "i-spectrum," i-autism disorder disorder iquka uluhlu lweempawu kunye nokukhubazeka. Umntu onomoya obunzima unokuba neengxaki zokubambisana kunye kwaye unokubonakala engenalo uvelwano, kodwa uya kuba nomsebenzi, agcine ubudlelwane bakhe, aze aphile ubomi obupheleleyo.
Okwangoku, umntu ophethe i-autism eyingozi (ebizwa ngokuba yi-autism esebenzayo) angenako ukuthetha okanye aphile ngokuzimela njengomntu omdala.
Abaphandi bonyango abakholelwa ukuba kukho enye imbangela enye ye-autism . Kunoko, bakholelwa ukuba ukudibanisa imfuza kunye nemeko yendalo yikhokelela abantwana abathile ukuba bahlakulele imeko. I-Autism i-disorder disorder isebenza kwiintsapho, ezibonisa izixhumanisi ze-genetic, kodwa ezinye izinto-kuquka kuquka nabazali abadala kunye nokuzalwa kungekudala-kwandisa ingozi.
Akukho nonyango ye-autism. Unyango oluye lwaboniswa ukunciphisa iimpawu lubandakanya unyango wokuziphatha kunye namayeza. Kodwa unyango oluqhelekileyo olusetyenziswa rhoqo ngabazali -ukutya okungenayo i-gluten, i-casin-free (GFCF) yokutya- ehlobene ngokusondeleyo nokutya okungekho -gluten esetyenziselwa ukunyanga isifo se-celiac. Oku kukhokelela kumbuzo malunga nokuba le miba mibili inxulumene njani.
Isifo seCeliac sisifo esingenasisigxina apho ukutya kokutya okuqulethe i-protein ye-gluten (efunyenwe ngqolowa, ibhalley, ne rye rye) kwenza ukuba isistim somzimba sakho sisebenzise isifo samathumbu amancinci . Ukuphela kwonyango okwangoku kwesoliac kukutya okungekho-gluten, okuyekelela ukuhlaselwa kwe-immune system ngokuphelisa i-trigger yayo, gluten.
Autism kunye neGluten-Free, ukutya kwe-Casin-Free
Abazali baye basebenzisa i-gluten-free, i-casin-free-diet njengokwelashwa kwe-autism ubuncinane ubuncinci emashumi amabini (i-casin iprotheni efumaneka kubisi efana ne-gluten).
Ingcamango engqubuzanayo emva kokonyango kukuba abantwana abane-disism disorder disorder "bane- gut leaky " evumela iinqununu zamaprotheni amakhulu ukuba aphule emaphepheni abo okugaya. I-gluten ne-casin iiprotheni.
Ngokwale ngqungquthela, iiproteni ze-gluten kunye ne-casin-xa ziphuma kwi-digestive tract-zinefuthe ngendlela efana ne-opioids ekukhuleni kwengqondo yomntwana.
Ukongezelela, abaninzi abantwana kwi-autism spectrum (ngaphezulu kwama-80 ekhulwini kwiphando elilodwa) baneempawu zokugaya ezinjenge-diarrhea, ukugqithwa, iintlungu zesisu, okanye i-reflux, engqondweni yabazali iqinisa le nxaxheba kwindlela ethile yokungenelela kokutya.
Nangona kunjalo, inyaniso ayikho ubungqina obuncinane bokuxhasa le nkatho: ukuphononongwa kwezifundo eziphambili kwi-GFCF yokutya kwi-autism kufumaneke umphumo omncinane kwiimpawu ze-autistic. Sekunjalo, abanye abazali bagcina ukuba ukutya kwe-GFCF kuye kwabanceda abantwana babo (ngamanye amaxesha ngokukrakra), kwaye ezinye iingcali eziqhubekayo zincoma. Oku kuye kwabangela abanye ukuba bacacise ngoxhumo olunokwenzeka kwisifo se-celiac.
Izifo zeCeliac kwaBantwana abane-Autism
Ngaba abanye abantwana abane-autism nabo banokuba nesifo se-celiac, kwaye ngaba oko kuchaza impumelelo ngabazali abambalwa babika ukuba bane-gluten-free, casin-free food? Izifundo zixutywe kule ngongoma, nangona kukho ubuncinane ibhokisi elilodwa lombhalo we-autistic child ehlaziya kwi-autism emva kokufunyaniswa ngesifo se-celiac kwaye iqala ukutya okungekho guten.
Umntwana ogunyazisiweyo obuye wabuya emva kokufunyaniswa ukuba une-celiac ne-gluten-free wayeneminyaka emihlanu ubudala ngexesha lokuxilongwa kwakhe. Oogqirha abajongene nokunyamekela kwakhe babhala ukuba ukungaphumeleli kokutya okunomsoco ngenxa yokulimala kwamathumbu emathunjini kungase kubekho uxanduva lweempawu zakhe ze-autistic.
Nangona kunjalo, akukho ubungqina obongezelelweyo kwiincwadi zonyango malunga neengxaki zesifo se-celiac ezizingela njenge-autism. Isifundo esikhulu kunamhlanje, esenziwa eSweden ngokusebenzisa i-registry yezempilo yelizwe kazwelonke, safumanisa ukuba abantu abane-disism disorder disorder babengenakukwazi ukufumana ukuxilongwa kwezifo ze-celiac (ezifuna i-endoscopy ukubonisa umonakalo emathunjini amancinci).
Nangona kunjalo, uphando lufumanise ukuba abantu abane-autism babenokuba kathathu amathuba okuba bafumane iimvavanyo zegazi ezinokuthi-ezibonisa indlela yokuphendula amajoni kwi-gluten-kodwa akukho monakalo emathunjini abo amancinci (oku kuthetha ukuba babengenayo isifo seliliac).
Ababhali bacacise ukuba abantu abanokuziphendulela kwi-immune system kwi-gluten kodwa ngeemvavanyo ezimbi zesifo se-celiac banokungabikho komzwelo ongeyena-celiac, imeko engacaciswanga kakuhle kodwa ngaba abaphandi ababalwayo baye badibana neengxaki zengqondo ezifana ne-schizophrenia .
Enyanisweni, olunye uhlolisiso, olukhokelwa ngabaphandi e-Columbia University, lugqiba ukuba amajoni omzimba omzimba onabantwana abane-autism abonakala ephendula kwi-gluten, kodwa kungekho ngendlela efanayo ukuba amasosha omzimba wabantu abanesifo esiqhwabayo asabela kwi-gluten. Abaphengululi banxuse ukuqwalasela ngeziphumo, bethetha ukuba iziphumo azibonakalisi uvakalelo ku-gluten kulabo bantwana, okanye ukuba i-gluten ibangela okanye igalelo kwi-autism. Nangona kunjalo, bathetha ukuba uphando lwexesha elizayo lunokubakhokelela kwizicwangciso zonyango kubantu abane-autism kwaye le mpendulo ibonakala ku gluten.
Autism kunye ne-Autoimmunity
Ingaba kukho olunye udibaniso phakathi kwe-autism kunye ne-gluten ehambisana nezifo zesifo se-celiac? Ingayiyo. Uphando lwezonyango lubonisa ukuba kunokukho unxibelelwano phakathi kweemeko ezizimeleyo ngokubanzi kunye ne-autism, ngokukodwa phakathi koomama abaneemeko ezizimeleyo (kubandakanywa nesifo se-celiac) kunye ne-autism kubantwana babo.
Uphando lubonisile ukuba abantu abaneembali zentsapho yeemeko ezizimeleyo (khumbula, isifo se-celiac yisimo esizimeleyo) ziyakwazi ukuxilongwa nge-autism. Olunye uphando lwafumanisa ukuba oomama abanesifo se-celiac babenomngcipheko oqhelekileyo wokuba nomntwana nge-autism. Akucaci ukuba kutheni oku kunjalo; ababhali bacacise ukuba iizakhi ezithile zineendlela zokubeka ityala, okanye mhlawumbi ukuba abantwana babonakaliswe kwiintsholongwane zoomama ngexesha lokukhulelwa.
Ekugqibeleni, ukuba inzululwazi ingachaneka ngokuchanekileyo i-subset yabasetyhini abasengozini yokubeletha umntwana ongu-autistic ngenxa yamanqwanqwa e-antibodies, abaphandi banokuhlola iindlela zokuzikhumbuza iimpendulo zamanqanaba omzimba ngexesha lokukhulelwa kwaye mhlawumbi zikhusele ezinye iimeko ze-autism. Nangona kunjalo, sisondele kuloo miphumo kwangoku.
ILizwi
I-Autism yimeko ephazamisayo, kwaye kuyaqondakala ukuba abazali bafuna ukwenza konke abakwaziyo ukunceda abantwana babo. Kodwa ngoxa ubungqina obubhekiselele kumpendulo yendlela yokuzivikela yintsholongwane ku-gluten kubantwana abathile banomdla, kubaluleke kakhulu ukuba kunikezelwe naziphi na izicwangciso zonyango lwenene.
Ukuba umntwana wakho unempawu zokugaya (njengabantwana abaninzi abane-autism benza), ugqirha wengane yakho inokubakhokelela kwizizathu ezinokuthi zenzeke kwaye zonyango. Ukuba isifo se-celiac siphelela kwintsapho yakho kwaye umntwana wakho ogunyaziwe unempawu ze-celiac zezifo, unokuqwalasela ukuhlolwa kwesifo se-celiac. Ngeli xesha, ngelishwa, akukho vavanyo olutholakalayo lwentlupheko engeyi-celiac, kodwa xa ucinga ukuba ukutya okungekho gluten kunokunceda umntwana wakho, uxoxe ngeziphumo kunye nokutya kokutya kunye nogqirha wakho.
> Imithombo:
> Atladóttir HO et al. Imbali Yengxelo Yentsapho Yezifo Ezizenzekelayo kunye ne-Autism Spectrum Disorders. Pediatrics. 2009 Aug; 124 (2): 687-94.
> Brinberg L et al. I-Brain-Acact AcG Correlates nge-Autoimmunity kuMama woNyana nge-Autism Spectrum Disorder. I-Molecular Psychiatry. 2013 Nov; 18 (11): 1171-7.
> Lao MN et al. AbaMakishi beSifo seCeliac ne-Gluten Sensitivity kubantwana abane-Autism. PLoS One. 2013 Juni 18; 8 (6): e66155.
> Ludvigsson JF et al. Isifundo Sobuzwe Bomncinci Bamathambo Abancinci kunye Neengozi Zengxaki Zemibala Ye-Autistic. JAMA Psychiatry. 2013 Nov; 70 (11): 1224-30.
> Piwowarczyk A et al. I-Gluten- ne-Casein-Free Simahla yokutya kunye ne-Autism Spectrum Disorders kwaBantwana: Uhlolo lokuHlola. IYurophu yeNgxelo yeZondlo. 2017 Juni 13. (epub phambi kokuprinta)