Indlela yokuchonga i-Celiac emva kokuba sele uhambe u-Gluten-Free
Ukuba uthe wagqiba ekubeni ungagqirha ngaphambi kokuvavanywa kwisifo se-celiac kodwa ngoku uye wagqiba ekubeni uhlolwe, ugqirha wakho unokuncoma ukuba ungene kumngeni we-gluten. Oko kuthetha ukuba kuya kufuneka udle i-gluten ... mhlawumbi uninzi .
Ngokwenene, uya kuba "umngeni" wakho kwinkqubo nge gluten, apho apho igama elithi "umngeni we-gluten" livela.
Kufuneka udle i-gluten yokuvavanya isifo se-illiac ukuze uchaneke. Kungenxa yokuba iimvavanyo-ezibandakanya iimvavanyo zegazi kunye ne- endoscopy ukujonga umonakalo emathunjini akho - ngokwenene khangela indlela umzimba wakho usabela ngayo kwi gluten.
Ukuba awuyidli isondlo egcweleyo ye-gluten, awuyi kuba nomonakalo, nangona unayo i-celiac. Emva kokuba abantu abangenawo u-gliten bengahlali, ama-antibodies abo aphethwe yi-gluten aphelile kwaye umonakalo wabo wamathumbu uphulukisa, oku kuthetha ukuba iimvavanyo aziyi kubonakalisa nantoni na.
Injongo kunye neNzuzo
Oogqirha bancoma ukuba nabani na abajongene nokutya okungahambisani ne-gluten bavavanyelwe isifo se-celiac ngaphambi kokungena kwi-gluten. Kodwa nangona eso sincomo, abantu abaninzi baya ku-gluten ngaphandle kokuvavanya kuba bakuvile oko kunokubenza bazive bebhetele, okanye ngenxa yokuba bakholelwa ukuba ingaba yindlela ephilileyo yokutya.
Nangona kunjalo, ngaphandle kwemiphumo yokuvavanya yesifo esiqhekezayo, abo bantu abazi ukuba basengozini yokuxhatshazwa kwe-celiac, kubandakanywa ne- osteoporosis nokungondleki .
Ngokuqhelekileyo, unako ukugcina ezi ngxaki zikhutshwa ngokulandela ukutya okungekho nto yokutya, kodwa abantu abangenakho ukuxilongwa abanakho ukukhuthazwa ukuba bangakhohlisi ekudleni okungenanto yokutya njengomntu ofunyenwe.
Kukho esinye isizathu esoloko sichazwe ngabantu abajongene nomngeni we-gluten: umgangatho wokubongoza amalungu omndeni ukuba ahlolwe isifo se-celiac.
Izikhokelo zonyango zangoku zifuna ukuvavanywa kwazo zonke izihlobo ezisondeleyo xa omnye umntu kwintsapho efunyaniswa ukuba ene-celiac.
Indlela yokwenza
Umngeni we-gluten uphathelene nokutya i-gluten kuphela emva kokuba ungenayo i-gluten-free for a while. Kodwa unokutya okungakanani ukotya, kwaye ixesha elingakanani?
Ngelishwa, akukho zikhokelo zonyango ezisisiseko zokwenza umngeni we-gluten, nangona uphando oluncinane kulo mbandela lubonisa ukuba i-gluten eninzi ixesha elide liza kunika iziphumo ezingcono kwimiphumo yokuvavanya.
Oogqirha abambalwa bathi ukutya i-gluten encinane ngosuku (isonka sesonka esiqhelekileyo okanye ezimbini) ngeveki okanye kwiintsuku ezili-10 kuya kukwanela ukuvuselela umzimba wakho ukuvelisa izikhuhlane kunye nokudala uhlobo lomonakalo emathunjini oza kugqirha ugqirha wakho i-endoscopy. Ngelishwa, uphando lubonisa ukuba ngokuqinisekileyo akuyi kubakho ixesha elide lokonakalisa ukulimala.
Uphando luye lwabonisa ukuba imingeni emithathu yee-gluten ezinzima ezibandakanya ukulingana kwesinye kwisithathu sezonka ngosuku akwanele ukuvelisa iintsholongwane kunye nomonakalo emathunjini kwi-celiacs eyaziwayo elandele ukutya okungekho guten.
Unogqirha abaninzi bancomela umngeni we-gluten weveki ezisibhozo ukuya kwezi-ezisibhozo, apho kuya kufuneka udle ezimbini iinketyambo zesonka esinesigxina ngasinye ngosuku.
Kodwa akukho uphando lwangempela olubonisa ukuba lwanele, nokuba njalo.
Uhlalutyo lwezifundo ezimbalwa zezokwelapha eziye zenziwa kule ngxaki zibonisa ukuba phakathi kwe-70% kunye ne-100% yabantwana baya kuphuhlisa iziphumo zokuhlolwa kwegazi ezingapheliyo kwiinyanga ezintathu xa besidla i-gluten. Kubantu abadala, phakathi kwama-50% kunye ne-100% baya kubonisa iziphumo ezivakalayo zokuvavanya kwiinyanga ezintathu.
Iimpawu
Ukuba ufumana izibonakaliso zesifo se-celiac ekungeneni kwe-gluten ngokukhawuleza ngelixa udla i-gluten-free, ungalindela ukufumana iimpawu kwi-guten umngeni. Nangona kunjalo, akucaci ukuba unzima kangakanani iimpawu zakho ezingaphezu kwexesha lakho lomngeni.
Abanye abantu babona ukubuyela kwiimpawu ezinzima ngokukhawuleza-ngaphakathi kweentsuku okanye ezimbini-kwaye baqhubeke benemiqondiso embi nje ngokuba badla i-gluten. Ndandiva ngabantu abanempilo yabo yonke ihlahloka ngokugqithiseleyo kwinqanaba lomngeni we-gluten.
Abanye banokuziva begula xa beqala kumngeni, kodwa ke bangaqapheli iimpawu ezininzi njengoko beqhubeka bedla i-gluten. Kwaye, abanye abantu abanakho ukuphawula nayiphi na impawu kwi-gluten ingestion.
Ukuba unamava amaninzi, kuquka isicathulo kunye nokuhlanza, isifo sohudo, isisu okanye intlungu embi, kufuneka uthethe ugqirha wakho malunga nokuba ufanele uqhubeke nomngeni wakho we-gluten.
Ezinye iindlela
Ngokudabukisayo, ayikho indlela yokufumanisa ngokucacileyo isifo se-celiac kumntu ongadliyo okwangoku ngokutya i-gluten-sesinye isizathu sokuba amayeza atshabalaze abo bacinga ukutya okungekho gulen ukuze bahlolwe kuqala.
Nangona kunjalo, kukho iindlela ezimbini zokujongana nomngeni we-gluten. Akunakukubonelela nge-"standard standard" yokuxilongwa, kodwa ungagqiba isigqibo (emva kokubonisana nodokotela wakho) ukuba awuyidingi loo ngxaki.
Ukuba ufuna esinye isalathiso sokuba ngaba unakho, ungaqwalasela ukuhlolwa kweengxaki zesifo somzimba .
Oku akuyi kukuxelela ukuba unayo i-celiac (ipesenteji enkulu yabemi ithatha izifo zesifo se-celiac). Kodwa kuya kukuxelela ukuba kungenzeka ukuba ube neliacac.
Kananjalo ungacinga ukukrazula umngeni we-gluten kunye nokuvavanya ngokupheleleyo kwaye uqhubeke udla i-gluten-free. Esi sigqibo esivamile kubantu abafumana iimpawu ezinobungozi ngokungena ngengozi kwe-gluten.
Nangona kunjalo, ukuba unquma ukuhlala ungenayo i-gluten ngaphandle kokuvavanya, kufuneka uzinikele ekulandeleni ukutya ngokucokisekileyo, kuba ukuba unayo i-celiac, uza kuba yingozi kwimingcipheko enzima (kuquka iimeko ezongezelelweyo zokuzimela okanye mhlawumbi, umhlaza) ukuba ukukopela.
Imithombo:
IBheteli yakwa-Deaconess Medical Centre isaziso se-clinical trial. "Abamakishi beSerum kwiGluten Challenge." Ukuhlaziywa ngoJan. 20, 2011.
I-Bruins MJ Impendulo yekliniki kumngeni we-gluten: ukuhlaziywa kweencwadi. Amanzi. 2013 uNgo-19; 5 (11): 4614-41.
C. Pyle et al. I-Low-Dose Gluten Challenge kwiCeliac Sprue. I-Clinical Gastroenterology kunye neHepatology, ngoJulayi 2005.