Ingabe ukudla okunama-Gluten-Free kuzosiza i-IBS?
Ezinye iziguli eziye zatholakala ukuthi zinesifo sofuba esisodwa (IBS) zibika ukwehlisa izimpawu lapho zilandela ukudla okungenalutho kwe-gluten . Futhi nakuba izifundo ezinhle zekhwalithi zilinganiselwe, i-American College of Gastroenterology iphetha ngokuthi ukudla okungenayo i-gluten kuthatha isithembiso esithile kubaguli be-IBS. Kodwa-ke, ngaphambi kokuba uzibeke ekudleni okunomkhawulo okungase kube usizo noma okungeke kuwusizo, kubalulekile ukuba ufundiswe ngokuthi yini eyaziwayo mayelana nanoma yikuphi ukuqhuma phakathi kwe-IBS, isifo se-celiac nokuzwela kwe-gluten .
Yini i-Gluten?
I-Gluten iyinhlanganisela yamaprotheni etholakala kulezi zilimo ezilandelayo:
- Ibhali
- Rye
- Ngokolweni
I-Gluten ikhona ezintweni eziningi esizidlayo. Lokhu kubonakala sengathi kufaka phakathi okusanhlamvu okuningi, isinkwa, nezinye izinto eziphekwe, kepha i-gluten iphinda isetshenziswe kaningi njengesithako sokudla semikhiqizo ehlukahlukene.
I-IBS ne-Celiac Disease
Isifo se-Celiac yisimo sempilo lapho ukusetshenziswa kwe-gluten kubangela ukulimala emathunjini amancane . Lo monakalo uholela ekubhubhiseni izakhi ezibalulekile, ezingabangela ezinye izinkinga zempilo ezimbi. Izimpawu zamathumbu ezihlobene nesifo se-celiac zibukeka zifana nalabo abahlotshaniswa ne-IBS:
Izilinganiso zokucwaninga mayelana nobungozi besifo se-celiac ezigulini ze-IBS zingabi nengozi eyengeziwe ekukhulumeni ukuthi iziguli ze-IBS zinamathuba amane kuya kwesikhombisa ngaphezulu kunomuntu ovamile okumele ahlupheke ngesifo se-celiac.
Ngenxa yalokhu kubonakala kungenzeka, iziqondiso zamanje zokwelapha ze-IBS zincoma ukuhlolwa kwesifo se-celiac ukuze zonke izinhlobo ezihlukile ze-IBS (IBS-A) nezihudo ezibaluleke kakhulu zeziguli ze- IBS (IBS-D). Ukuze uthole olunye ulwazi bheka ukuhlolwa kwesifo se-celiac .
Uma isifo sesifo se-celiac senziwa, kubalulekile ukuthi ulandele ukudla okungenamsoco we-gluten.
Ucwaningo luye lwabonisa ukuthi iziguli ze-IBS ezitholakala ukuthi zinesifo se-celiac zivame ukubona ukunciphisa okuphawulekayo izimpawu zabo zokugaya emva kokusetshenziswa kokudla okungekho gluten. Kukhona okungenzeka ukuthi, ngenxa yenani elincane labantu, ukuthi bangabhekana ne-IBS ngaphezu kwesifo se-celiac, ngakho-ke izimpawu zingase ziqhubeke nokusetshenziswa kokudla okungekho gluten.
I-IBS ne-Gluten Ukuzwela
Kungenzeka yini ukuhlola okungalungile ngesifo se-celiac kodwa nokho unomzwelo ku-gluten? Lokhu kugxile kakhulu kubacwaningi. Ukuzwela okunjalo ngeke kuhileleke umonakalo emathunjini amancane njengesi sifo se-celiac, kodwa kusekhona isimiso somzimba sokuzivikela esingahle sisebenze ngokudla okuqukethe gluten. Kucatshangwa ukuthi ukufana okunjalo kungabangela kokubili amathumbu emathunjini kanye neminye emathunjini amathumbu , njengemilenze ye-migraine noma ukukhathazeka kokulahleka kokunakwa. Izifundo zokuqala zibonise ubufakazi obuningi bokuthi "kukhona ukuzwela" kwe-gluten, kepha ucwaningo oluningi luzodingeka luqhutshwe ngaphambi kokuba iziphi iziphetho eziqinile zingadonselwa.
Kungenzeka yini ukuthi ezinye izimo ze-IBS empeleni zibe "ukuzwela kwe-gluten?" Abacwaningi baveze ukuthi kungase kube khona i-subset ethile yegciwane le-IBS okungenzeka ukuthi izimpawu zazo zibangelwa ukuzwela kwe-gluten.
Ezincwadini zezokwelapha, lokhu sekubizwa ngokuthi ukungazweli kwe-gluten okungenayo i-celiac (NCGS) nokucwaninga kule ndawo kuyaqhubeka.
Ngokuthakazelisayo, abacwaningi baye baveza ukuthi ukolweni uqukethe i- fructans- uhlobo lwe-carbohydrate ebizwa ngokuthi i- FODMAP- ehlobene nokufaka izimpawu zokugaya ukudla. Lokhu kusikisela ukuthi iziguli ze-IBS ezibonakala zingenandaba ne-gluten zingase ziphenduke emahlathini athola ukolweni, ngokungafani ne- gluten . Kuyakhuthaza ukuthi umsebenzi kule ndawo uqhutshwa futhi sonke sizolindela ngokulangazela ukuthola okucacile.
Ingabe Kufanele Uzame Ukudla Okungenakho Kwe-Gluten?
Uma usola ukuthi unokubekezelelana kwe-gluten, into yokuqala okufanele uyenze ukuxhumana nodokotela wakho futhi uhlolwe isifo se-celiac.
Ukuze uvivinyo lube olunembile, udinga ukudla ukudla okuqukethe gluten. Uma ngabe ukuhlolwa kungabuyeli kahle, xoxisana nodokotela wakho mayelana nokuthi kungenzeka ukuthi uhlanganyele ekudleni kokudliwa isikhathi esingangenyanga eyodwa ukuhlola umphumela walokho kuzimpawu zakho ze-IBS.
Uma isifo se-celiac siphelelwe ngokuphelele, udokotela wakho angancoma ukuthi uqale ukudla ukudla ne gluten ekupheleni kwenyanga yesilingo esisodwa ukuze ubone ukuthi izimpawu zakho ziphinde zivame ngaphambi kokufika esiphethweni sokuthi ungeke ubekezelele. Kuze kube khona ukuhlolwa kwegazi olunembile ngokukhomba ukungahambisani kwe-gluten, lezi zinyathelo zibaluleke kakhulu ukugwema ukuvinjelwa okungadingekile kokudla kwakho.
> Imithombo
> Ford, A., etal. "I-American College of Gastroenterology Monograph ekuphathweni kwe-Irritable Bowel Syndrome ne-Chronic Idiopathic Constipation" I- American Journal of Gastroenterology 2014 109: S2-S26.
> Cash, B. et.al. "Ukusabalala Kwezifo Ezibucayi Phakathi kweziguli ezine-Irritable Bowel Syndrome ezingekho ngaphansi kocansi Kuyafana Nezilawuli" I- Gastroenterology 2011 141: 1187-1193.
> Ford, A., etal. "Ukukhiqizwa Kwezilingo Zokuthola Izifo Zama-Celiac Ngabantu Abanye Ngezibonakaliso Ukusikisela kwe-Irritable Bowel Syndrome" I- Archives of Medical Internal 2009 169: 651-658.
> Sapone, A., et.al. "Ukuphazamiseka kokugwinya kwamagciwane kanye nomzimba we-immunosity mucosal ezimweni ezimbili ezihambisana ne-gluten: isifo se-celiac ne-gluten ukuzwela" I- BMC Medicine 2011 9:23.