Izimpawu ezifanayo zingaholela ekutholeni izifo ezingalungile
Uma unesihlungu samathumbu noma isifo se- IBS, izimpawu zakho zokugaya zingadlala umdlalo we-diarrhea ukuya ekuqothulweni, futhi mhlawumbe kufaka ukuhlukunyezwa, ubuhlungu kanye nesisu esiswini.
Uma ujwayele izimpawu zesifo se-celiac nezibonakaliso zokungazweli kwe-non-celiac gluten , lolo hlu lubonakala lujwayele ngempela ... ngakho akumangazi ukuthi kunzima ukutshela izimo ezintathu ngaphandle.
Eqinisweni, ucwaningo oluningi luye lwabonisa ukuthi amacala amaningi okuthiwa ahlaselwe isifo sofuba isifo se-celiac esikufihlekile. Ngaphezu kwalokho, abanye abantu abaye batshelwe ukuthi banayo i-IBS bathola impumuzo lapho beqeda izithelo ze-gluten ezidlweni zabo, nakuba behlolwe kabi ngesifo se-celiac.
Ngakho-ke: isifo se-celiac, ukuzwela kwe-gluten, noma i-IBS?
Izifo Zama-Celiac Zithinta I-intestine Encane, i-IBS ithinta i-Colon
I-irritable bowel syndrome kucatshangwa ukuthi ifinyelele ku-15% wabantu. Abantu abane-IBS bangase babe nesifo sohudo oluphuthumayo, ukuqothulwa, noma ukuhlanganiswa kokubili, ngaphezu kwamanye izimpawu zamathumbu, njengegesi nokuvuvukala.
I-IBS ihilela ikakhulukazi emathunjini akho amakhulu, eyaziwa nangokuthi ikholoni yakho. Njengoba ukudla kudlula, ikholoni yakho "iyathukuthela" (ngakho-ke igama lesimo) futhi iyakwenza. Ayikho imbangela eyaziwayo ye-IBS futhi ayikho ikhambi, nakuba ungayiphatha ngemithi kadokotela noma ngaphezulu kwemithi, kanye nezinguquko zendlela yokuphila.
Nakuba kungabangela izimpawu ezingathandeki futhi ngezinye izikhathi ezibuhlungu, isifo esiswini esilulayo asibangeli umonakalo emgodleni wakho wamathumbu. Iyaziwa ngokuthi "isifo sokusebenza," lapho isimiso sakho sokugaya sisasebenza kabi kepha empeleni asimele.
Ngokungafani nezifo ze-Celiac, Asikho Isivivinyo se-IBS
Odokotela abavivinye i-IBS; Kunalokho, zilawula ezinye izifo kuqala bese zicubungula ukuthi izimpawu zakho ze- IBS zihlangabezana yini nezimo zesimo.
Futhi yilapho ukuxilongwa okungalungile kungangena khona. Uma udokotela wakho engekho osesikhathini ucwaningo lwesifo se-celiac lwakamuva - isibonelo, uma ekholelwa ngokungafanele ukuthi abantu abanesifo se-celiac abakwazi ukukhuluphala ngokweqile noma babe nokuqothulwa njengesifo sabo sokuqala sokugaya - kungenzeka ukuthi angeke acabange ukuhleleka ukuhlolwa kwezifo ze-celiac ngaphambi kokukuthola nge-IBS.
Ngokudabukisayo, lokhu kuyinkinga evamile kakhulu. Abacwaningi abaye bahlola iziguli ze-IBS zesifo se-celiac baye bathola phakathi kuka-4% no-10% kulabo abagulayo be-IBS empeleni babe ne-celiac, okusho ukuthi ukudla okungenayo i-gluten kufanele kusize ekuthuthukiseni noma ekuqedeni izimpawu zabo ze-IBS.
I-Gluten noma Ubuthi Ukuzwela Kungase Kudlale Indima ku-IBS
Kungenzeka nokuthi ezinye iziguli ze-IBS ezihlolwe isifo se-celiac futhi zikhuphukile zingase zizuze ekudleni okungenalutho kwe-gluten . Ucwaningo luye lwathola ukuthi i-subset yabantu abane-IBS, kodwa ngaphandle kwesifo se-celiac, bahlushwa ukuzwela okungenayo i-celiac gluten futhi babone izimpawu zabo ze-IBS zithuthukisa noma zicacile uma zidla i-gluten-free.
Ucwaningo olulodwa, abacwaningi bathatha iziguli ezingu-34 ze-IBS ezibonisa izimpawu ze-IBS ekudleni okungenayo i-gluten futhi zanikezela ezingu-19 zazo ukudla i-gluten (izingcezu ezimbili zesinkwa ne-muffin) nsuku zonke amasonto ayisithupha.
Eminye engu-15 yayidla isinkwa esine-gluten esinezinkukhu nama-muffin. Ngemuva kwesonto elilodwa, lezo ziguli ze-IBS ezidla ukudla kwe-gluten zabika ubuhlungu obukhulu kakhulu, ukuqhaqhaza, ukukhathala, ukuqotshwa, nokuhuda kuneqembu elilawulayo, okubonisa ukuthi izimpawu zalesi sigungu sezifo ze-IBS zenziwa okungenani ingxenye yingxenye ye-gluten.
Olunye ucwaningo lwenza izivivinyo zesifo se-celiac zezifo zofuzo kanye nokuhlolwa kwegazi okunye kwe-IBS kubantu abane-IBS uphawu lwabo oluyinhloko oluyisifo sohudo bese bebenza balandele ukudla okungenalutho kwe-gluten izinyanga eziyisithupha. Ingqikithi yezingu-60% zalezo ziguli ze-IBS ezazitholela isifo sofuzo se-celiac nasesivivinyweni segazi, kanye no-12% walabo abangazange baphathe isakhi sofuzo futhi bathola imiphumela emibi ekuhlolweni kwegazi, bathole izimpawu zabo ze-IBS zithuthukisiwe noma ukuxazululwa ngokuphelele ekudleni okungenalutho kwe-gluten.
Ingabe Inkinga Ingaba Yinto Enye Ngokolweni?
Kungenzeka. Ukucwaninga kubonisa ukuthi cishe abantu abane-quarters yabantu abathintekayo abane-IBS babone ukukhululeka ezinkalweni zabo kulokho okubizwa ngokuthi ukudla okuphansi kwe-FODMAP. Lokhu kudla kugxila ekuqedeni ukudla nge-carbohydrate ethile eyinkimbinkimbi, ngoba lokhu kudla kutholakala emathunjini amakhulu, okungabangela ukubhuqa, ubuhlungu nezinye izimpawu ze-IBS.
Manje, i-gluten okusanhlamvu kakolweni, ibhali, ne-rye iqukethe uhlobo lwe-FODMAP ebizwa ngokuthi i-fructans. Ukolweni, ikakhulukazi, kuvinjelwe ngokuvamile ekudleni okuphansi kwe-FODMAP, nakuba abanye ochwepheshe ekudleni bathi ungadla ngobuncane.
Kungenzeka ukuthi abanye kulabo abakholelwa ukuthi bangabantu abano-gluten-sensitive empeleni basabela kuma-FODMAP ekudleni kwabo - isifundo esisodwa samuva sifinyelele lesi siphetho. Kodwa-ke, ezinye izifundo ziye zabonisa ukuthi abanye abantu abakholelwa ukuthi banokuzizwa kahle nge-gluten empeleni basabela ku-gluten ehlanzekile. Futhi, kukhona ukucabangela ukuthi ezinye izingxenye kakolweni nezinye izithelo ze-gluten zingabamba iqhaza kuzo zonke izifo zeliliac nokuzwela kwe-gluten.
Kukhona ucwaningo oluningi olwenziwe ngaphambi kokuba sifunde izimpendulo zale mibuzo.
Thola i-Test for Celiac noma Zama Ukudla Okungenayo Kwe-Gluten
Uma uthola ukuthi unesifo sofuba esingamangala kepha ungahloliswanga ngesifo se-celiac, kufanele ukhulume nodokotela wakho ngokuhleleka ukuhlolwa kwegazi le- celiac .
Uma ngabe uhloliwe kodwa wehla kabi ngenxa ye-celiac, ungase uthande ukucabangela isilingo sokudla okungenalutho lwe-gluten noma kunjalo. Njengamanje, azikho izivivinyo zokwelashwa ezamukelwe ukuxilonga ukuzwela kwe-gluten, ngakho-ke kuphela indlela yokuthola ukuthi unayo yini ukususa i-gluten ekudleni kwakho futhi ubone ukuthi izimpawu zakho zicacile yini.
Futhi ungazama ukudla okuphansi kwe-FODMAP ukubona ukuthi lokho kusiza izimpawu zakho. Izindlela zokupheka eziningi eziphansi ze-FODMAP nazo zingenalo i-gluten, ngakho-ke kulula kakhulu ukulandela kokubili ukudla okufanayo ngesikhathi esisodwa.
Yiqiniso, kungenzeka ukuthi bobabili izifo ze-IBS nesifo se-celiac, futhi abantu abaningi abanesifo se-celiac bathola ukuthi banezinkinga zokugaya okuphakathi. Ezimweni eziningi (kodwa hhayi konke), ungakwazi ukulandelela lezo zinkinga zokugaya ukuguqulwa kwe-gluten. Kodwa uma uqhubeka unenkinga ngisho nangemva kokuqeda konke okungase kube khona gluten efihlekile ekudleni kwakho, ungase ufune ukukhuluma nodokotela wakho ngezindlela ezinhle zokuphatha i-IBS yakho.
Imithombo:
Biesiekierski J. et al. I-Gluten ibangela izimpawu zamathumbu ezifundweni ezingenazo izifo ze-celiac: isilingo esilawuliwe se-placebo esilawulwa ngokungahleliwe. I-American Journal ye-Gastroenterology. 2011 Mar; 106 (3): 508-14.
Biesiekierski J et al. Ayikho imiphumela ye-gluten ezigulini ezinokubika okungekho-celiac kwe-gluten ngemuva kokunciphisa kokudla kwe-carbohydrate engasebenzi kahle, engaxhunyiwe, emfushane. I-Gastroenterology . 2013 Aug; 145 (2): 320-8.e1-3.
Biesiekierski J et al. Ukuzwela okungenayo i-celiac gluten: ukuhlanganisa iphazili ndawonye. I-United Kingdom Gastroenterology Journal . 2015 Ngo-Apr; 3 (2): 160-5.
U-Elli L et al. Ubufakazi bokuthi ubukhona be-Non-Celiac Gluten Ukuzwela kweziguli ezinezimpawu zokusebenza kwamathumbu: Imiphumela evela ku-Gluten Challenge Control-Blind Double-Blind Placebo Blinden. Amakhemikhali . 2016 Feb 8; 8 (2). i-pii: E84.
I-Ford A. et al. Ukukhiqizwa kwezivivinyo zokuthola izifo ze-Celiac Izifo ngabanye abanezibonakaliso Ukusikisela kwe-Irritable Bowel Syndrome: Ukubuyekezwa kwesistimu nokuhlaziywa kwe-Meta. I-Archives of Medicine yangaphakathi. Ngo-Ephreli 13, 2009, uMq. 169 No. 7.
Wahnschaffe U. et al. Izifo ze-Celiac-zifana nokungajwayelekile ezingxenyeni zeziguli ezine-syndrome ezicasulayo. I-Gastroenterology. 2001 Dec; 121 (6): 1329-38.
Wahnschaffe U. et al. Izibikezelo zempendulo yemitholampilo ekudleni okungenalutho kwe-gluten ezigulini ezitholakalayo ezine-diarrhea-eyimbangela yokucasula isifo sofuba. I-Gastroenterology Clinic ne-Hepatology. 2007 Jul; 5 (7): 844-50.