Ukusukela ekungeneni kolukhuni ukunyamekela ukulandelelana, nantsi oku kufuneka ukwazi
Xa umntwana wakho okanye umfana wakho ufumanisa ukuba unesifo se-celiac , unokuvakalelwa ngeemeko ezahlukeneyo. Unokuziva ukhululekile ukuba ekugqibeleni uyayiqonda ingxaki yonyango (kwaye iyaphiliswa), ukudabuka ukuba umntwana wakho uya kukhishwa "ukutya okuqhelekileyo" kwaye kufuneka alandele ukutya okungekho konke okutyayo, kunye nokuxhalabisa ekuxhaseni ukuguqula ubomi obunzima. .
Zonke ezi mvakalelo ziqhelekileyo-ukukhulisa umntwana kunzima, kwaye ukukhulisa umntwana onesi sifo sinzima nakakhulu. Uya kufuneka ujamelane nokutya okunzima, ukulawula imiba yesikolo kunye nokunyamekela ulondolozo, kwaye qinisekisa ukuba umntwana wakho uyazi ukuba uyodla xa ungekho.
Kodwa kukho iindaba ezilungileyo, kwakhona: unokufumana ukuba umntwana wakho uziva ngcono, unamandla amaninzi, kwaye ukhula ngokukhawuleza ngoku afunyanwe. Kwaye ukulawula ukutya kukugqitywa kukunika amandla umntwanakho njengoko efunda ukuhamba ngeemeko zentlalo.
Nantsi oku kufuneka ukwazi ukujamelana nesifo sengqondo somntwana wakho, ukususela ekuphunyezweni kokutya okungekho-gluten ekunakekeleni ukunakekelwa okufunekayo.
Ukutya i-Gluten-Free ekhaya
Nangona kukho imithi emininzi ekuphuhliseni, kukho kuphela unyango olukhoyo lwangoku kwesifo esiqhekezayo: isidlo esingenamsoco esingahlali ubomi. Xa umntwana wakho efunyaniswa ukuba ene-celiac, uya ku funeka ahambe angenayo i-gluten.
Ukutya okungahambisani ne-gluten kuyinkimbinkimbi, kwaye kulula ukwenza iimpazamo, ngakumbi ekuqaleni. Ukunceda iintsapho ziqonde kwaye ziphumeze ukutya okungahambisani ne-gluten, uHilary Yeriko, MD, uprofesa oncedisayo wezilwanyana kwiYunivesithi yaseMicrosoft Medicine, uncoma ukuba bathethe nomdla wesondlo oyingcali yokutya.
UDkt. Jeriko ubhekisela kwizigulane zakhe ezizimeleyo kunye neentsapho zabo kwisondlo sokutya, kwaye ikholelwa ukuba inceda kakhulu.
Ezinye iintsapho-ingakumbi abo banamalungu angaphantsi kwelinye ilungu lonyango-bathatha isigqibo sokuba benze ikhitshi yonke indlu ne-gluten. UDkt. Jeriko uthi unokunceda, kodwa akusoloko ifunekayo: "Ukuthatha nje ukutya okunzulu kwaye wenze konke okufuneka ukwenze ekhitshini kwenza umntwana azi ukuba yimeko yangempela," utsho.
Ukuba ngaba abazali banquma ukuba yonke indlu ayifuni ukuba i-gluten-free, kuyakufuneka ibeke imimiselo yomntu wonke kufuneka ayilandele ukuze avumele umntu ngesifo esiqhekezayo ukuba abelane ngekhitshi nalabo banokudla i-gluten. Oku kuya kufuna ukudibanisa kumacala omabini. Ukongezelela, abancinci abapheka umntwana onqwenelayo kufuneka baqinisekise ukuba basebenzisa izitya kunye neepane ezizinikezelweyo zeGlututen, kwaye balinde ngokucokisekileyo ukuchithwa kwe-gluten ekhitshini.
Izikolo nezeNtlalo
Abantwana kunye nentsha eneengxaki ze-celiac zijongene nemiba esikolweni nakwiziganeko zentlalo. Izikolo ezininzi-ngokukodwa kwizikolo zaseprayimari-zibambe imithendeleko yokutya, kwaye amaqela abantwana avelise ikhekhe lokuzalwa okanye ezinye i-gluten-y.
Kulo nyaka, abantwana bafuna ukungenelela, bengagxothi-kodwa banokutya okuhlukileyo kunokuba oontanga babo benza ukuba banamathele ngendlela enkulu, uDkt. Jeriko uthi.
"Kungaba nzima kakhulu kwaye kunzima kubantwana-abafuni ukuba ngumntu ongaphandle," uyongezelela.
Ukuba isikolo sakho sinomhlengikazi wesikolo okanye unondlo ozimisele ukusebenzisana nawe, kunokwenzeka ukuba ulungiselele isidlo se-gluten-free school for child your ceacac. Ukuqhelana nesidlo sasemini, ungabuza ukuba ukutya okuluncedo okungekho kwintlalo egqityiweyo kungenziwa kwiindawo zokutyela. Kuthetha okungaphezulu-okungaphezulu kunokuba ungayiqonda-ngomntwana ongenakho ukuba akwazi ukuyalela into ethile kwiziko lokutya lokutya.
Kubalulekile, ngakumbi kubantwana abancinci, kubazali ukuba banikele unyango abanokuyonwabela kwintlalontle-ngokomzekelo, isahluko sekhekhe okanye ikhefu abangayidla kwixesha lomhla wokuzalwa lomhlobo okanye umkhosi wesikolo.
Kubazali abanalo ixesha, ukubonelela unyango olubukeka lufana noko abanye abantwana baya kudla ngokusemandleni banokukunceda ngokwenene umntwana ongeyena uvalelwe. Oku kuya kubandakanya ukubiza phambili ukuze ubone ukuba imikhosi iya kuba yintoni, kwaye iphinda iphindezele oko.
Kwabancinci, kunokubanceda ukuba bafundise iimveliso ezikhuselekileyo zokutya ezingabambelela ekuhambeni, njengama-chips-gluten-free and other snacks. Ukongeza, kubafundi abasele bekhulile, ukukhetha ukutya okukhawulezayo apho banokufumana khona into yokutya i-gluten inokukunceda xa bonke abahlobo babo befuna ukumisa nokufumana into yokutya.
Abazali bamancinci abantwana abancinci nabo kufuneka baqonde ukuba ezinye iiprojekthi zeeklasini zisebenzise ufulawa (umgubo womoya ungabangela ukusabela kubantu abantu abanesifo esiqhekezayo), kunye nezinye izinto zobugcisa, ezifana ne-fingerprint kunye ne-PlayDoh, ziqule ngqolowa. Unokudinga ukucebisa okanye ufumane nezinye iindlela, nokuba ngumntwana wakho okanye kwigumbi lokufundela.
Inkathalo yokuLandela
Umntwana wakho okanye umfana kufuneka athole unyango olulandelayo lokunyamekela kumgqirha onolwazi ngesifo se-celiac, mhlawumbi isifo sakho segastroenterologist. Ezi zikhundla zokulandelelana ziya kukunceda ukujongana nayiphi na ingxaki ephakama, njengempawu ezixilisayo.
Abantwana abanesifo esiqhekezayo kufuneka bafumane iimvavanyo zegazi ngexesha elinokuthi bancede banqume ukuba bahambelana nokutya okungahambisani nokutya. Ezi mvavanyo ziyakubonisa kuphela ingxaki ukuba umntwana wakho ufumana i-gluten eninzi ekudleni kwakhe , kodwa iingcali zithi zinokukunceda ukuba zibone umcimbi. Thetha ugqirha wengane yakho malunga nokuba kufuneka uvavanyo kangakanani.
Ekubeni abantu abanezifo eziqhekezayo basemngciphekweni wokunqongophala okunokondlo kunye nokuba nobunzima obukhulu okanye ubuncinane , iingcali zincoma ukuba oogqirha bahlole ubude, ubunzima, kunye nesicatshulwa somzimba (i-BMI, enceda ukucacisa ukuba umntu ukhuluphele) ngexesha lokutyelela.
Ukongezelela, iingcali zincoma ukuba abantwana abanezifo ezinqabileyo bathathe i-multivitamin. Izifo ze-Celiac zingakhokelela ekubhathatheni kwizityalo ezininzi ezibalulekileyo. Nangona kungekho zifundo zenziwe kule nto, iingcali zikholelwa ukuba i-multivitamin inokukunceda ukukhuseleka kokunqongophala kwezondlo.
Imiba yezoNyango
Abantwana abanesi sifo esingabonakaliyo banokuziva ngathi abanalo amandla, kwaye banokuba bafutshane kunontanga yabo . Xa sele bafumene i-diagnosti kwaye baqala ukulandela ukutya okungekho-gluten, ezi ngxaki ziza kuguqula ngokwazo-ungase ubone ukukhula okuqinileyo .
Nangona kunjalo, abanye abantu abanesifo esiqhekezayo-kuquka abantwana kunye nentsha-banomdla wokugaya ukutya xa befumaniswe. Kwezinye iimeko, ezi zimpawu zibangelwa ukufihla i-gluten ekudleni, kodwa kwezinye, zingabonisa imeko ehlukile, njenge- gastroesophageal reflux . Udokotela wengane yakho unokukunceda uqonde ukuba kwenzekani.
UDkt Jeriko ubukele ukuxhalabisa nokudandatheka kwizigulane zakhe ezincinci. Ukuxinezeleka kuqhelekileyo kubantwana abanesifo se-celiac , nangona ukulandela ukutya okugqithisileyo kwe-gluten kubonakala kunciphisa iimpawu. Imiba yokuziphatha, njengengxaki yokungabikho kwengqondo-ingxaki yokuxhatshazwa kwempilo , nayo ibonakala iyinto eqhelekileyo.
Abantwana Abalwa Nesidlo
Abantu abaselula bayaphilisa ngokukhawuleza kwisifo se-celiac, kwaye bavame ukwenza kakuhle. Nangona kunjalo, umntwana wakho akayi kuyiphilisa ukuba akayi kulandela ukutya okungahambisani ne-gluten. Nangona ininzi yabantwana kunye nentsha ilandelelana ngokutya ngokukhawuleza, abambalwa abakwenziyo, uDkt. Jeriko uthi.
Abantwana abaselula kakhulu kulula ukutshintshela kwi-gluten-free diet, kuba abanalo amava amaninzi anokutya okunokutya kwe-gluten kwaye kunokulula ukulawula ukutya kwabo, uDkt. Jeriko uthi. Ukubangela ukuba abantwana abathandana nokutya kubaluleke kakhulu kunokuba nzima kakhulu, kwaye oku kubaluleke kakhulu kubantwana abaselula abakwaziyo ukubona iimpawu xa bedla i-gluten, uthi.
Akuqhelekanga kumntwana okanye umntwana osemva engenazo iimpawu ukuba afunyanwe ukuba nesifo se-celiac ngenxa yokuba isihlobo esisondeleyo-umzali okanye umntakwabo-unayo iimpawu kwaye wavavanywa waza wafunyaniswa nesimo, uDkt. Jeriko uthi. Isifo seCeliac sihamba kwiintsapho , kwaye izikhokelo zezokwelapha zibiza ukuba izihlobo eziseduze zihlolwe xa umntu efunyenwe.
Nabani na ovavanyo lwegazi lwe-celiac egazini kwaye uneziphumo ze-endoscopy ezibonisa umonakalo onxulumene ne-celiac kufuneka zihambe zingabi naso-gluten, uthi, nangona loo mntu engenazo iimpawu. Kodwa ukuba i-kati okanye i-adolescence ene-celiac ayifumana iimpawu xa idla i-gluten, akunakuncitshiswa kakhulu ukunamathela kwisondlo. "Yisoloko imfazwe," kusho uDkt. Jeriko.
Usebenzisa iinkcazelo ezininzi ngezigulane zakhe ukubonisa ukubaluleka kokutya okungafaniyo kweguten, kwaye uthi abazali bangasebenzisa iindlela ezifanayo kunye nabantwana babo. Ngokomzekelo, abantu abanesifo esingenakuqhelana nesondlo basengozini yokulahleka kwethambo kunye namathambo aphukile , uthi: "Ndiyathetha nabo malunga nokuba akukho mntu ufuna ukwenza umdlalo kwaye ngokukhawuleza unomphulo womlenze ngaphandle kwesizathu . "
UDkt Jeriko uphawula ukuba i- anemia- leyo ingabangela ubuthathaka kunye nobunzima-ingozi kubantu abanezifo ezinjalo kodwa bengenalo i-gluten. Utshela abantwaba abathathi-ntliziyo kunye nabaselula ukuba abanakho amandla amaninzi okukhuphisana kwimidlalo okanye ukuthatha inxaxheba kwezinye izinto kunye nabahlobo babo.
Ekugqibeleni, uchazela emantombazaneni ukuba izifo ezingenasifo esibuhlungu zingalimaza i-future fertility if they do not follow the diet. "Ndiya kubaxelela ngelinye ilanga, phantsi kwendlela, bafuna ukuqala intsapho, kwaye ukuba bayaqhubeka besidla i-gluten, banokuba neengxaki."
Ukukhuthaza isimo sengqondo esifanelekileyo
Enye yezona zinto zibaluleke kakhulu umzali onokuzenza ukuze ancede umntwana enezifo ezinqwenelekayo kukukhuthaza umntwana ukuba azive kakuhle malunga nokuba nesimo. "Ungasebenzisi amagama adimazayo," kusho uDkt. Jeriko. "Yibize 'ukutya okukhethekileyo' komntwana kwaye uzama ukubeka ixesha elihle kakhulu kuyo.
Kwiimeko apho umntwana engenakho into ekhonzwa kwabanye, abazali kufuneka baqinisekise ukuba banomlinganiselo olinganayo okanye olungcono esikhundleni. Ukuba kukho abantakwabo abangenayo i-gluten-free, ke qiniseka ukuba "wonke umntu unokhathalelo lwakhe olukhethekileyo," oko kuthetha ukuba umntwana ongenalusi-gawu akayi kulwabelana naye kunye nomntakwabo ongekho-gluten, nokuba kunjalo.
Esikolweni, inkcazelo encinane malunga nesifo se-celiac eklasini ingahamba ixesha elide. UDkt Jeriko uye wacetyiswa kubafundi basezikolweni eziprayimari ukuba bavelise inkcazo kwiiklasi zabo kwimeko kunye ne-gluten-free food. Abo baye benza oko banandipha amava, kwaye babone inkxaso kunye nokuqonda kwabo bafunda nabo ekwenyuka, uthi.
UDkt. Jeriko uthi: "Izihlandlo, abantu baya kuhlekisa baze bahlekise ngezinto abaziqondiyo." "Ubuninzi bokuba abantwana bengaqondi ukuba kwenzekani." Ukunikezela ngolwazi kwiklasi yonke kwisifo se-celiac kunye nokutya okungekho gulen kunika abantwana amandla, kwaye kunceda abo bafunda nabo ukuba baqonde, uthi.
ILizwi
Ukunyamekela umntwana okanye umntwana osemtsha kunye nesifo esingenayo isingeni kunoma yimuphi umzali, kodwa uya kubona ukuba kulufanele umzabalazo njengoko ubona umntwana wakho eqala ukukhula kakuhle. Akukho mbuzo ukuba ukutya okungekho gluten kunomphunga wokufunda.
Nangona kunjalo, uya kufumana ukuba wena kunye nomntwana wakho nithathe ngokukhawuleza ngokukhawuleza, ingakumbi ukuba uncedo olusuka kwisondlo sezondlo endleleni. Ekugqibeleni, ukuba nesifo esiqhekezayo sinokuxhobisa abantwana kunye nentsha njengoko befunda ukuzimela baze bancede bafundise abo bafunde nabo ngemeko.
> Umthombo:
> Snyder J et al. Iingcebiso-IiNkcazo eziNaziweyo zoLondolozo lweSifo seCeliac kwaBantwana. Pediatrics . 2016 Sep; 138 (3).