Uninzi lwabantu luvavanywa emva kokuba luye lwangena-gluten
Ugqirha wakho mhlawumbi wasebenzisa iimvavanyo zegazi ezinje njengenxalenye yesifo sakho sovavanyo lwe-celiac . Oogqirha abaninzi (kunye nabaninzi kwimimandla yesifo se-celiac) bakholelwa ukuba kunokwenzeka ukusebenzisa okufanayo iimvavanyo zegazi ukujonga indlela olandela ngayo ukutya okubangelwa i-gluten ,
Ngelishwa, oku kuphela kusebenza kakuhle kwiimeko apho ufumene umlinganiselo omkhulu we gluten ekudleni kwakho rhoqo.
Nazi iinyaniso kulolu vavanyo olungaqhelekanga.
Iimvavanyo Zigazi Elingqalileyo Zembulani?
Iimvavanyo zegazi zingabonakalisa abantu abahlala bekopela ekudleni okungenanto, okanye abantu abangayiqondi indawo ezininzi abanokuzifihla, kwaye ngubani ke ongadluliyo ngokutya amaninzi.
Kodwa iimvavanyo zegazi akunakwenzeka ukubonisa xa usenokufumana inani elincinci le-gluten. Ucwaningo oluninzi lwezonyango lubonisa ukuba abantu abanokutya okungekho gulen ngexesha elidluleyo bayeke ukuphela-mhlawumbi ukuyeka ukukhokelela kwiimpawu ezingenakunqwenelekayo - kuya kuba novavanyo lwegazi olubi nangona kunjalo.
Ngokomzekelo, kwelinye uphando olwenzelwe ukufumana umgca "okhuselekileyo" wokulandelela i-gluten exposure, abantu abangama-26 abaqinisekisile isifo se-celiac ezifunyenwe ngu-10mg okanye 50mg ye-gluten nganye imihla ngemihla engama-90. Abanye babantu babenempawu, kodwa akukho naluphi uphando lwegazi oluxakekileyo lulandelayo kule mngeni mngcipheko we-gluten, ekhokela abaphandi ukuba bagqibe ukuba iimvavanyo zegazi azixhamli ngokwaneleyo ukuba zifumanise amanqanaba okulandelelana okungahambisani ne-gluten.
Olunye uphando lusetyenziswa kakhulu kwi-gluten yansuku zonke: ukuya kuma-5 amagremu (okanye malunga nekota enye yesonka se-gluten-based bread). Kulo pho nonongo, okubandakanya abantu abangama-21 abanezifo ezingapheliyo ezidlile i-gluten malunga neenyanga ezintathu, i-sibini yesithathu yezifundo yayinomonakalo wamathumbu emathunjini, kodwa kuphela ezithoba zineengxaki zegazi eziluncedo emva kweengxaki zabo ze-gluten.
Nangona kunjalo, abantu abayi-15 kwabangama-21 kwisifundo bavakalisa izimpawu zesisu esiswini kuya kuyingqinisiso ngexesha lokufunda.
Ekugqibeleni, isifundo sesithathu sasiquka abantu abalisibhozo abanezifo ezingapheliyo ezidla i-10 grams ye-gluten ngosuku (okanye isiqingatha sesonka se-gluten-based bread) kwiiveki ezintathu. Akukho bani wabonisa nayiphi na utshintsho kwiziphumo zabo zokuvavanya igazi, nangona ezintandathu ezisibhozo zine-diarrhea ngosuku lwe-15.
Iimvavanyo zeGazi kwaye Awuyi Kubonisa Ukuba Uphilise
Olunye uphando lubonisa ukuba iziphumo zokuhlolwa kwegazi ezingekho phantsi kwegazi azithethi ukuba i-intestinal villi yakho ifumaneke, nokuba kunjalo.
Ngokomzekelo, kwelinye uphando olwenziwa eNyakatho ye-Ireland, abaphandi basebenzisa uvavanyo lwegazi lwe-celiac EMA-IgA - bacinga ukuba uvavanyo olunzulu kakhulu ukufumanisa i -atrophy enobungozi obulwelwe isifo se-celiac - ukubeka iliso kwizigulane.
Kubantu abangama-53 abaqala ukuvavanya uvavanyo lwe-EMA-IgA, ama-87% ayenemiphumo emibi ye-EMA-IgA emva konyaka owodwa emva kokutya okungahambisani ne-gluten. Nangona kunjalo, abangama-32 kulabo bantu babesenalo i-atrophy ekhohlakeleyo emva komnyaka wokuqala wokutya.
Ngako Kutheni Kufuneka Ubuyele Konke?
Ukuphinda kwakhona iimvavanyo zegazi kunokubonisa xa umntu engayinaki ukutya okungenanto, oku kunokukunceda oogqirha abone abantu abanokufuna uncedo olungakumbi (okanye isikhuthazo).
Kwisifundo esivela eNyakatho ye-Ireland, abantu abane kwabangamahlanu ababenemiphumo emihle yokuhlolwa kwe-EMA-IgA ngonyaka owodwa emva kokuxilongwa kwakunokuthi abaphandi bathi "ukuthotyelwa kokutya okungafanelekanga."
Ukongezelela, ukuphinda iimvavanyo zegazi kunokukunceda ukujonga inkqubela phambili ekudleni kunyaka wokuqala okanye emva kokuxilongwa; Amanani okuvavanya igazi kufuneka ahambe ngokuthe gqolo, nangona afikelelanga uluhlu olubi.
Kodwa ukuba ulandele ukutya okungqongqo iminyaka, phinda ukuhlolwa kwegazi kunokwenzeka ukuba akuyi kunika nayiphi na inkcazelo engaphezulu malunga nendlela oyenzayo. Ukuba ukhathazeke (okanye ukuba uqhubeka unempawu), unokufuna ukubuza ugqirha wakho ukuba uthunyelwe kumculi wezilwanyana onobuchule ekujongeni inkathazo ekudleni okungenanto yokutya.
Imithombo:
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UDickey W. et al. Ukungafuneki kwamagciwane okuphela kwesifo ekuphefumulweni kwesifo se-celiac akubonakali ukubuyiswa kwengqondo yakhe. I-American Journal yeGastroenterology. 2000 uMar; 95 (3): 712-4.
Lähdeaho M. et al. Iinguqu ezincinci ze-mucosal kunye neempendulo ze-antibody emva komngeni we-gluten we-low-and moderate. BMC Gastroenterology. Ngo-2011 uNgo-24; 11: 129. i-doi: 10.1186 / 1471-230X-11-129.
UPyle G. et al. Umngeni we-gluten we-Low-sput inselele ye-celiac: ama-malabsorptive kunye nama-antibody response. I-Clinical Gastroenterology kunye neHepatology. 2005 Julayi; 3 (7): 679-86.
Zanchi C. et al. I-assid anti-transglutaminase i-assay kunye nodliwano-ndlebe lwegulane ukujonga ukuthotyelwa kokutya kwisifo se-celiac. I-Scandinavian Journal yeGastroenterology. 2013 ngoMatshi 5. [I-epub phambi kokuprinta]