Ingqwalasela ye-Gluten Sensitivity
Kuze kube kutshanje, abantu abanemiphumo emibi kwiimvavanyo zegazi kunye ne- intestinal biopsy esetshenziselwa ukuxilonga isifo se-celiac baxelelwe ukuba badle nantoni na ababeyifuna-i-gluten yayingeyona ingxaki yabo.
Nangona kunjalo, abaninzi balabo bantu bazama ukutya okungekho-gluten nantoni-ukutya okuphelisa ukutya konke okubandakanya i-gluten okusanhlamvu kwengqolowa, ibhalley, kunye ne-rye-kwaye babika ukuba beziva ngcono. Izimpawu zabo (ezibandakanya ukukhathala, izikhalazo zokugaya, kunye neengxaki ze-neurological) xa zidla i-gluten-free.
Abaninzi bala bantu babecinga ukuba babenomdla okanye abanamdla kwiprotheni ye gluten , nangona ukuvavanya kubonisa ukuba abanalo isifo se-celiac. Kwezinye iimeko, oogqirha babo bavumelana nokuvavanya kwabo kwaye bavuma ukuba akufanele batye i-gluten. Kwezinye iimeko, baqhubeka bephephe i-gluten ngaphandle kwintsikelelo yonyango.
Ngoku, abaphandi abaninzi (nangona bangenabo bonke) bakholelwa ukuba imeko enjalo echaphazela ingxaki ngalawo maqhekeza aphezulu (ingxaki engesiyo isifo se-celiac) ikhona.
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8 Iimpawu eziqathayo Unokuba no-Gluten Allergia
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Ukuba i-Gluten Sensitivity Yinyani, Bangaphi Abantu Abantu Banayo?
Bayibiza ngokuthi "uvelwano lwama-gluten," "ukungahloniphi kwe-gluten sensitivity (NCGS)," "ukukhathazeka kwengqolowa engekhoyo," " ukunyamezelana kwe-kraten ,
Nangona kunjalo, ubukho bendawo abukabonakalwanga ngokuqinisekileyo, kwaye njengokuba kunjalo akukho nto ichaza ukuba kutheni kwenzeka kwaye ingaba inxulumene njani nesifo se-celiac. Ayikho igama eliye lavunyelwa yihlabathi lonke, nangona ininzi yeengcali ezisemasimini ziye zadibanisa "ubuzwe obungabonakaliyo bunobuncwane" okanye "ukukhathazeka kwengqolowa engekhoyo."
Akwacaci nokuba ngaba iprotheni yengqolowa, ibhalley, kunye neergu ebangela iimpawu zemo.
Enyanisweni, abaphandi baye bafumanisa ezinye iimveliso zengqolowa, ngokukodwa, zithi ziba noxanduva . Ezinye zalezi zixhobo, ezibizwa ngokuba yi-FODMAPS, zifumaneka kwezinye ukutya, njengegalikhi kunye no-anyanisi, kunye nengqolowa.
Ukongezelela, isifundo esashicilelwe ngoJulayi 2016 sibonisa ukuba umgwebi ongeyena-celiac gluten / uvelwano lwengqolowa unokuba ngumthombo ovuzayo. Uphononongo olwenziwa ngabaphengululi kwi-Columbia University Medical Centre, lwafumanisa ukuba abo abanomdla wokhuhlane babenamanqaku omzimba omzimba abonisa "ukusetyenziswa kwe-immune system".Iziphumo zolu cwaningo zibonisa ukuba ukusetyenziswa kwe-immune system kwenzeka ngenxa yokuba iiphilisi kunye neeprotheni zokutya ziyawela umqobo wamathumbu emgodleni, kubangela ukuvuvukala okubanzi.
Ekugqibeleni, nangona uphando olutshanje lunokubonisa ukuba nobutyebi buka gluten bukhona, oogqirha abaninzi abavumi ukuba imeko yonyango ngokwenene, kwaye akukho luvavanyo lwezokwelapha olwamkelweyo. Uphando luyaqhubeka lufuna inyaniso malunga nengqolowa / ubuncwane be-gluten, kwaye ezinye iziphumo zilindele, ugqirha wakho unokuba ngumntu ongakholelwa kwimeko.
Iimpawu zeGlutut senensity
Iimpawu ezinxulumene nesandi se- gluten isandi ngokuphawulekayo njengazo zihambelana nesifo esiqhekezayo: iingxaki zokugaya ukutya, ukubetha kunye nokukhathala .
Iingxaki ezinjenge-diarrhea, ukuqothula, kunye neentlungu zesisu zisenzeka rhoqo kulabo baye bafumanisa ukuba bane-sensibleness gluten. Baqhelekile kwabo bavakalisa ukugula ngenxa yokutya kwe-gluten, kodwa abangenayo i-diagnostic.
Intlungu ehlangeneyo , intloko kunye nenkohlakalo yengqondo zibonakaliswa rhoqo, kwaye kukho olunye uphando oluncinane olufumene i-gluten lunokubangela ukudakumba kubantu abangenayo isifo se-celiac .
Akucaci ukuba ngaba ezi zimpawu zibonisa umonakalo owenziwe kwiisistim zomzimba wakho, nokuba ngaba zibonisa nje ukuba udlile into engavumelani nawe. Abanye abaphandi bathi abantu abanobuqhetseba be-gluten banokwenzakalisa ezinye izitho kunye neenkqubo, ingakumbi iinkqubo zabo zobuchopho, kodwa oku akuzange kuboniswe uphando lwezenzululwazi.
I-Gluten Sensitivity vs. Izifo eziCeliac
Xa ufumene ukuba unesifo se- celiac , ngokuqhelekileyo kuthetha ukuba uye wadibana neendlela ezichanekileyo zonyango- umonakalo kwi-intestinal villi yakho (eyaziwa ngokuba yi -atrophy ).
Isifo seCeliac sichaphazela malunga nanye kubantu abayi-133 base-US, okwenza kube yinto efanayo.
Uninzi lwabantu ababonisa iimpawu zesifo se-celiac asinayo imeko, kodwa abanye balaba bantu bafumana ukukhululeka kwiimpawu zabo kwi-gluten-free-food, kwaye ngoko ke banakho ukuveliseka kwe-gluten.
Oogqirha badinga ukulawula izifo ezingenayo ngaphambi kokuba bafumane ukuqonda ukukhathazeka kwe-gluten . Oku kuthetha ukuba uzakufuneka ufumane iimvavanyo zegazi ezingapheliyo kwaye (mhlawumbi) i-endoscopy, inkqubo yoogqirha isebenzisa ukujonga ngqo kumathumbu akho amancinci. Ukuba le mvavanyo ingabonakali iimpawu zesifo se-celiac, ngoko wena kunye nogqirha wakho unokuqwalasela ezinye iindlela zokuxilonga, kubandakanywa noveliso lwe-gluten.
Izinketho zokuvavanya i-Gluten senensitive Uhlala ungavumelekanga
Ekubeni abaphandi abaninzi abavumelani ukuba ubuninzi be-gluten bukhona, akukho vavanyo oluvakalayo lokufumanisa imeko . Ngoko ke unokwenza ntoni ukuvavanya ukuba ucinga ukuba le nto ingaba yingxaki yakho?
Xa wena kunye nogqirha wakho uye wagqithisa isifo se-celiac, unayo inketho ezimbalwa zokuhlola uvavanyo lwe-gluten.
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Iintlobo ezi-5 zohlobo lwe-Gluten Allergies
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NdineGuluten Ukuqonda - Ngaba Ndingumngcipheko Ophezulu weCarcer?
Nangona kunjalo, kufuneka uqaphele ukuba akukho nanye yalezo zikhetho ezingagunyazisiweyo ngophando lwezocwangciso.
Ngokomzekelo, abanye oogqirha baya kusebenzisa iziphumo ezintle kwiimvavanyo ezithile zegazi- iimvavanyo ezijongene ngqo ne-guten antibodies egazini lakho- ukuncedisa ukufumanisa ukuzwela kwe-gluten. Abanye abambalwa baya kukuxilonga ngokusekelwe kwimpendulo yakho kwi-gluten-free-in other words, ukuba unqanda i-gluten kwaye uzive ungcono, unobungqingili.
Kananjalo unakho ukhetho lokuphinda uvavanyo lwe-gluten uvavanyo lwe-gluten uvavanyo lwe-gluten ngokusebenzisa i-EnteroLab -qaphela ukuba indlela yokuvavanya isetyenzisiweyo yilebhu ayizange ifakwe okanye ifumaneke ngamagqirha amaninzi.
Imibuzo engaphenduliweyo kwi-Gluten Sensitivity
Kungenzeka ukuba ukukhathazeka kwe-gluten kunye nesifo se-celiac kubonisa imiba eyahlukileyo yemeko efanayo, kodwa kunokwenzeka ukuba iimeko ezihlukeneyo ngokupheleleyo. Ekubeni abaphandi bengavumelani nentsingiselo yobuthakathaka be-gluten, asikwazi ukusho ngokuqinisekileyo ukuba kutheni kwenzeka kwaye ingafanelana njani nesifo se-celiac.
Ukongeza, mhlawumbi akusiyo wonke umntu ophepha iguluten kufuneka enze njalo. Ukuba ulahla i-gluten ekudleni kwakho kwaye uzive ungcono, unokuba nobuhlungu okanye unganelisekanga kwi gluten. Kodwa kunokukho nezinye iinguqu zokuguqula impilo yakho.
Ngokomzekelo, abanye abantu banokuziva bebhetele nje ngokuba badla ukutya okunempilo-ngokucoca i-gluten, ukwaphula ezininzi iindlela zokutya kunye nokutya okungenamsoco. Enyanisweni, le nxalenye yeengcamango emva kokuthi "i-gluten-free-clean" iyayicoca "izidlo ezikhuthazwa ngabantu abahlukahlukeneyo, kwaye mhlawumbi sizathu sokuba abanye abantu baphelelwe isisindo xa behamba bengenawo .
Kwakhona kunokwenzeka ukuba uzive ungcono nje ngokuba ukholelwa ukuba wenza into enhle kwimpilo yakho, oko kukuthi, ukuziva ulunge ngakumbi ekudleni okungenanto kwe-gluten kubonisa impembelelo ye-placebo kwisenzo.
Andiyathethi oku kancinane-kwixesha elidlulileyo, oogqirha abaninzi banqabile kwaye baxotha iimpawu ezivela kwi-gluten, kwaye "konke okusemandleni akho" i-mantra isaphila kwiindawo zonyango loluntu, nangona ziqhubela phambili ekuqapheliseni. Kodwa yinyani ukuba abanye abantu abakholelwa ukuba abanako ukunyamezela i-gluten banako ukunyamezela ngokufanelekileyo, njengoko kubonakaliswe kukuba abanye abantu abathi bathebileyo bangakwazi "ukukopela" ekudleni ngaphandle kwempawu ezicacileyo.
Enyanisweni, uphando oluthile lufumene ukuba abanye abantu abakholelwa ukuba bano-gluten-sensitive are reaction to gluten ecocekileyo, okanye kwi-graut-containing containing, xa zidla ezo zinto kwisifundo esiyimfama. Kodwa abanye basabela njani, nangona kunjalo, obone ubungqina bokuba imeko ikhoyo.
Ukwelashwa kwe-Gluten Ukukhathazeka: I-Gluten-Free Food
Njengoko isifo esiqhekezayo, ukuphela kwonyango lwangoku kwintlungu ye gluten yinto yokutya-gluten-free .
Kukho impikiswano eninzi malunga nokutya okungqongqo kufuneke kube ngumntu onokuthi "kuphela" abe ne-gluten-sensitive. Abanye oogqirha baya kukuxelela ukuba uqhube phambili ukukopela ngethuba, kanti abanye baya kuncomela ukutya okulunzulu koluhlaza.
Akucaci ukuba ukulandela ukutya okungahambisani ne-gluten kunokukunceda ngezibonelelo zempilo ngaphaya kwale nto ufumanayo ekubeni uzive ungcono, okanye ukuba ukutya ukutya kwe-gluten xa unesifo kukubandakanya iingozi zempilo . Njengoko ndatshilo kwangaphambili, kukho uphando oluncinane olubonisa ukuba unobungozi obungokwemvelo ukusuka kwi-gluten (kungakhathaliseki ukuba ungeyantlukwano iimpawu ozifumanayo unokuba nazo). Kodwa akukho phando olubonisa ukuba awunamonakalo. Le ngingqi abaphandi baqala ukuyihlola.
Njengoko konke okubandakanya uvelwano lwe-gluten, zifundo ezimbalwa kuphela ezibonelela ngenye ingqiqo, kwaye olunye uphando lwezokwelapha ukuya kumhla luphikisana. Ekugqibeleni, izazinzulu zithemba ukunika iimpendulo ezingaphezulu. Okwangoku, ukuba ufumene unyango lwe-gluten, kuya kufuneka uzenzele isigqibo-ngokubonisana nodokotela wakho-ukuba ulandele ngokukhawuleza ukutya okungahambisani ne-gluten.
Imithombo:
Biesiekierski J et al. Iinjongo zeGluten Iimpawu zoBuncwane kwiZifundo ezingekho phantsi kwezifo ezi-Celiac: I-Trial-Blind i-Randomized Trial-Controled Trial. I-American Journal yeGastroenterology. Ishicilelwe kwi-intanethi ngoJan. 11, 2011. i-doi: 10.1038 / ajg.2010.487.
Biesiekierski J et al. Akukho miphumo ye-gluten kwizigulane ezinokwenziwa kwengqondo engekho-celiac yoluttensibility emva kokunciphisa kokutya okunokutsha, okwenziwe ngokukhawulezileyo, okwi-carbohydrate emfutshane. Gastroenterology . Ngo-Agasti wama-2013; 145 (2): 320-8.e1-3.
Elli L et al. Ubu bungqina boBukhona be-Non-Celiac Ubutyebi bobubele kwizigulane ezineMpawu zoMzimba ezisisisombululo: Iziphumo ezivela kwi-Gluten Challenge. Amanzi . 2016 Feb 8; 8 (2). pii: E84.
Fasano A et al. Ukutshatyalaliswa kwamathambo okubonakalayo kunye ne-mucosal gene gene expression) kwiimeko ezimbini ezinxulumene ne-gluten: isifo se-celiac kunye nobutyebi be-gluten. I-BMC Medicine 2011, 9:23. i-doi: 10.1186 / 1741-7015-9-23.
Fasano A et al. Isibuko seengxaki ezinxulumene ne-gluten: ukuvumelana malunga nokutyunjwa kwamagama omtsha kunye nokuhlelwa. BMC Medicine . I-BMC Medicine 2012, 10:13 i-doi: 10.1186 / 1741-7015-10-13. Ishicilelwe: 7 Februwari 2012
Uhde M et al. Ukulimala kwamathambo emathunjini kunye nokusebenza komzimba ngokusesikweni kuBantu abaBikayo ukuBonakala kwiBanga ngokungabikho kwezifo zeCeliac. Gut . 2016. Ithenda: 10.1136 / gutjnl-2016-311964.