Ngaba i-Gluten-Free Free Diet isebenza kwiGluten Ataxia?
Kwiingcamango, kufuneka ukwazi ukuphatha iingxaki ze- gluten i-ataxia ngokuphelisa i-gluten ekudleni kwakho.
Uphando olwenziweyo kwi-acuttaxia ye gluten (ngokuyininzi nguDkt. Marios Hadjivassiliou, i-neurologist engumcebisi kwi-Royal Hallamshire Hospital eSheffield, eNgilani oye waphanda ngokuphandle ingcamango ye-gluten ataxia) ibonisa ukuba oku kuyinyaniso - unokuthi unqande umonakalo wakho Inkqubo yegazi ngokulandela ukutya okungekho nto yokutya .
Nangona kunjalo, ubuncinane olunye uphando olwenziwe kwizigulane ezine-gluten ataxia alilindelekanga - ayizange ifumaneke ukuphucula okuphawulekayo kwiimpawu ze-ataxia kwizigulane ezilandela ukutya okungahambisani ne-gluten (nangona idatha iqhubekile kulolu hlobo).
Ingqungquthela kaDkt. Hadjivassiliou kukuba ukutya kudinga ukunyanzeliswa kakhulu ukuze kube nefuthe elihle kule ngxaki ye-neurological. Oko kubandakanya ukususa i-gluten ngokubanzi ngokunokwenzeka kunye nokutya okubonakalayo kwe-gluten.
Le ngcamango - ukuba kufuneka ukhiphe ukutya kwakho ngokupheleleyo kwe-gluten, kwanokuba i- gluten ilandelwa ngokutya kwi-gluten-free-label- backed up by reports of anecdotal ngabantu abane gluten ataxia kunye nezinye iimeko ze-neurological. Ezi zimpawu ze-neurological related-gluten zibonakala zithatha ixesha elide kuneempawu zesisu zokuphucula, kwaye zibonakala ziphucula ekudleni okungenasifo se-gluten.
Nangona kunjalo, akukho uphando lwezogqirha njengoko kungasayi kubuyiselwa le ngqungquthela, kwaye ke akubona bonke oogqirha abathengayo kwingcamango yokusebenzisa ukutya okungekho gulen ukuphatha i-ataxia.
I-Gluten Ataxia ibonakalisa ukuphendula ngokuzenzekelayo kwiGluten
I-gluten ataxia ibonakaliswe ngumonakalo wengqondo obangela iingxaki malunga neengxaki zakho, izitho kunye namaso.
Umonakalo uyaqhubeka, kwaye iimpawu zengxaki zidla ngokubonakalayo phakathi kwe-50s, ngokutsho komqulu ovumelweyo ngo-2012 opapashwe kwi- BMC Medicine .
Iimpawu ziquka ukungazinzi kwiinyawo zakho, ukuxhamla, kunye neengxaki ezihambayo, utshintsho kwintetho kunye nobunzima bokugwinya. Ukuxilonga kuyinkathazo kuba akukho vavanyo lwezokwelapha olwamkelekileyo lwe-gluten ataxia.
Nangona kungabikho bonke oogqirha abavuma ngokukholelwa kwe-gluten ataxia, ixwebhu lokuvumelana lichaza imeko njengendlela yokuphendula ngokuzenzekelayo ku-gluten "kwintsapho" efanayo kunye nesifo se-celiac (esibandakanya intula encinci) kunye ne- dermatitis herpetiformis (ebandakanya isikhumba).
Ngaba i-Gluten-Free Free Diet isiza uGluten Ataxia?
Izifundo ezimbini kuphela zijonge imiphumo yokutya okungekho i-gluten ngokukodwa kwizigulane ezinobungozi begazi. Omnye waphetha ngelithi ukutya kukunceda ekunciphiseni iimpawu zegazi, ngelixa elinye liqukumbele ukuba ubungqina baloo mpawu abukho.
Kwisifundo sokuqala, esenziwa nguDkt. Hadjivassiliou kunye noogxa, abaphandi babhekise kwimiphumo yokutya okungafaniyo kwe-gluten kubantu abangama-43 abane-gluten ataxia. Ezinye zezi zi gulane zinesifo esiyingozi esiyifumene nesifo se-celiac kwaye abanye abazange bakwenze, kodwa ukutya kwakubonakala kunceda wonke umntu owalandela ngokuthe ngqo.
Kulo cwaningo, izigulane ezingama-26 zihambelana ngokuthe ngqo ekudleni, njengoko kuboniswe ziziphumo zokuhlolwa kwegazi ezingekho kwi-anti-gluten antibodies. Ezinye izigulane ezili-14 zenqaba ukulandela ukutya kwaye ke zasebenza njengeqela lolawulo.
Ngaphambi kokuqalisa isifundo, abathathi-nxaxheba bonke babenomsebenzi ofanayo kwiimvavanyo ze-ataxia. Nangona kunjalo, unyaka omnye kwisifundo, iimpawu zeqela lezokwelapha ze-ataxia ziye zaphucula kakhulu xa zifaniswa neqela lolawulo. Ukuphuculwa kweempawu zeengqondo zenzekile nokuba ngaba umntu olandela ukutya okungahambisani ne-gluten wayene-atrophy enobudlova kwaye wayefumene ukuba unesifo se-celiac okanye cha.
Ukuhlolwa kwe-neurophysiological ye-peripheral function function in izigulane nge-gluten ataxia kunye ne-peripheral neuropathy kwabonisa ukuphucula, ukuxhasa ukuxabana kwethu ukuba ukuphucula kwiqela elihambelanayo nokutya okungekho gluten kwakwenene, "abaphengululi baphetha.
Kwakhona, uphuculo lwenzekile kungakhathaliseki ukuba izigulane zenzeke ixesha elingakanani kwi-ataxia, kwaye ezinye izigulane ezandulwelwe ngokutsha zilahlekile zonke iimpawu ze-ataxia kwaye zabuyela kwimeko elandelayo yonyango kunye nokutya okungekho gulen, abaphandi bathi.
ISifundo sesiBini siphumelele ukufumana umphumo wokutya
Kwisifundo sesibini, eshicilelwe ngo-2011, iqela labaphandi be-Clinical Mayo lilandele izigulane ezingama-57 ezine-acute gliten-acetylene kunye ne-peripheral neuropathy, abanye babo babenemivavanyo yegazi ene-anti-gluten kwaye abanye babo babenempilo emihle yesi sifo.
Phantse kwisiqingatha sezigulane ezithatyathwa ngokutya okungekho i-gluten, ngelixa esinye isiqingatha asizange. Kuzo izigulane ekudleni okungenanto, iimpawu zeengqondo zithuthukisiwe kwi-16%, zahlala zizinzile kwi-37%, kwaye zazingama-47%. Kwiqela elingazange lilandele ukutya, i-9% iphuculwe, i-18% yahlala isigxina kwaye i-73% yenzeke ngakumbi. Nangona kunjalo, ezo ntlukwano azizange zifikelele ekubalulekeni kwamanani.
Abaphenyi babhala bathi: "Kubonakala ukuba iimpawu ze-neuropathic [oko kukuthi, ukubethelela emaphethelweni] kwizigulane ezingenakunokuthi zinokufumana ithuba elingcono lokubuyisela (ukuba kukho) kwi-gluten-free diet". "Asizange sibone ukuphuculwa kwe-ataxia kunye ne-gluten-free food in the patient's celiac or in non-celiacs."
Abaphandi baphetha ngelithi "ubungqina obukholisayo bokuba inzuzo ngokwemigqaliselo ye-neurologic isasweleka."
Kwakhona kukho iingxelo ezininzi zeengxelo ezibonisa ukuba ukutya okungahambisani ne-gluten kunokusombulula iimpawu ezinxulumene neengxaki kunye nezinye iimpawu zesifo somzimba kubantu abanesi sifo, nangona kule mibiko, abaphandi babenomdla kakhulu kwiimpawu zesisu kwaye abazange bagxininise kwiimpawu ze-ataxia .
UDkt. Hadjivassiliou: I-Gluten-Free Food kufuneka ibe nzima
Ukuze usebenze njengonyango lwe-ataxia ye-gluten, ukutya okungekho gluten kufuneka kube ngqongqo: Awukwazi ukukopela kwi-gluten-free food at all , kwaye ungadinga ukuphelisa "i-gluten-free" yeemveliso ezikhoyo ezincinci iimali zokulandelela i-gluten, ngokutsho kukaDkt. Hadjivassiliou.
Oku kunokuba kukutya okungqongqo kunokuba kuyimfuneko ukuphelisa umonakalo wamathumbu emathunjini, uyaphawula. "Kunyanzelekile ... ukuba iliso elisoloko lwenziwa kunye nokusetyenziswa kwee-antitigliadin antibodies [oko kukuthi, iimvavanyo zegazi leliacac ] kunye nokuphononongwa kwe-dietetic ukuqinisekisa ukuthobela ngokuthe ngqo ukutya," kusho uDkt. Hadjivassiliou kunye nabalobi bezobambiswano.
Ukuba akukho phuculo emva konyaka ngokutya okugqithisileyo kwe-gluten, isifundo sicebisa ukuba unyango kunye namayeza kunye nezinye iimichiza zifanelekile.
Imithombo:
Fasano A. et. al. Isibuko seengxaki ezinxulumene ne-gluten: ukuvumelana malunga nokutyunjwa kwamagama omtsha kunye nokuhlelwa. BMC Medicine. 2012, 10:13 i-doi: 10.1186 / 1741-7015-10-13. Ishicilelwe: 7 Februwari 2012.
Hadjivassiliou M. et al. Utyando lwezonyango lwe-gluten ataxia . I-Journal ye-Neurology, i-Neurosurgery kunye ne-Psychiatry. 2003 uSept; 74 (9): 1221-4.
Hadjivassiliou M. et al. Gluten Ataxia. I-Cerebellum. 2008; 7 (3): 494-8.
Rashtak S. et. al. I-Serology yesifo se-celiac kwi-atxia-gluten-sensitive sensitive or neuropathy: indima ye-antiamidal gliadin antibody. Journal of Neuroimmunology. NgoJan 2011; 230 (1-2): 130-4. Epub 2010 NgoNovemba 6.