Ayikho imikhiqizo engaphezu kweyomthengi emakethe njengamanje isiqinisekisiwe ukukuvikela ekukhusheni okumbi uma kwenzeka ngephutha noma ngenhloso yokugcoba, kungakhathaliseki ukuthi unesifo se-celiac noma ubuzwe obuningi be- gluten .
Kodwa-ke, abacwaningi abahlukahlukene baphenya izinhlobo ezahlukene ze-enzyme yokugaya njengezokwelapha izidakamizwa zesifo se-celiac, ngakho-ke kungenzeka ukuthi ekugcineni singabona umkhiqizo kadokotela noma umkhiqizo owedlula zonke osebenzisa lezi zinkimbinkimbi ukuze ziphule i-gluten ngokwanele ukuze akuthinti wena (noma okungenani hhayi njengokubi).
Ezinye ze-OTC Digestive Imikhiqizo Enzyme Dumisa kusuka ku-Autism Market
Eminyakeni embalwa eyedlule, imikhiqizo eminingi iye yadayiswa njengama-supplements angaphezu kwe-counter okukhomba ukuvumela abantu abathola izimpawu ezivela ekugqibeleni kwe-gluten ukuba badle i-gluten - noma okungenani ukudla okungahambisani ne-gluten - ngaphandle kokuthola izimpawu eziningi ezivamile.
Ekuqaleni, la ma-enzyme athengiswa ikakhulukazi emphakathini we-autism , lapho abanye abazali basebenzisa khona ukudla okungenalutho lwe-gluten-free (GFCF) ukuphatha izingane zabo ze-autistic.
Kodwa-ke, njengoba ukuqwashisa kwezifo ze-celiac kanye nokuzwela kwe-gluten kuye kwanda, okwenza kube nesithakazelo esikhulu ekudleni okungenalutho kwe-gluten , laba abakhiqizi baqala ukukhomba ukuthengiswa kwemikhiqizo ye-celiac / gluten kanye nemakethe yokudla ye-GFCF.
Izimangalo ze-Enzyme Ungafaki Ukwelashwa Kwama-Celiac
Le mikhiqizo ayifuni ngokuqondile ukuthi iyayiphatha isifo se-celiac - ihamba ngokulandela imithetho yase-US Yokudla Nezidakamizwa ezilawula ukumaketha kwezidakamizwa ezingavunyelwe uma zenza.
Kodwa-ke, bathi bayanikela nge-enzyme evumela umzimba wakho ukuba uhlehle ukuphulula iphrotheni ye-gluten, futhi iveza ukuthi kungenzeka ukuvumela ukuthi udle "ukudla okuningi."
Imithetho ye-FDA ayivimbeli abathengi ukuthi bangalandeli izinzuzo ezikhona zalawo ma-enzyme wokugaya ukudla emaqenjini angama-celiac / gluten angaxolisi namaqembu ezingxoxo, futhi lokho kubhekiswa (futhi bakhuthazwa) kakhulu.
Akekho Ubufakazi Okhona Kulezi-Enzyme Ezivimbela Izimpawu ZamaGlututen
I-enzyme yokugaya ihlelwe futhi idayiswe ngokukhethekile ukusiza abantu bemba i-gluten base isayensi yabo emcimbini wokuthi izimpawu zomphumela omuhle uma umzimba wakho uhluleka ukuphula amaprotheni ngendlela efanele.
Ukwengeza izinhlobo ezithile ze-enzyme - ama-enzyme umzimba wakho angase noma awunaswele - uvumela ukugaya okuphelele, futhi kuzosiza ukuvimbela izimpawu zokungabekezelelani kokudla, ngokusho kwezinto zokuthengisa ze-enzymes.
Kodwa nakuba kunobunye ubufakazi bokuthi le mbono ingase iphele, akukhokho ubufakazi bokuthi ama-enzyme athengiswe ngaphezu kwe-counter okwamanje anezinhlobo ezithile zesenzo esikhethekile ngokumelene ne-gluten. Khumbula ukuthi lezi zinkimbinkimbi zizodinga ukuthi zibe ngaphezulu kuka-99% ekuphumeleleni ekuqedeni i-gluten ukuze ziphendulele ukusabela kubantu abaningi njengoba abaningi bamukela izilinganiso ezincane kangaka .
Abacwaningi Basebenzisa Ama-Enzyme njengendlela Yokunakekelwa Kwe-Celiac
Ososayensi bahlola ukuthi kungenzeka yini ukusebenzisa ama-enzyme njengokwelashwa kwe-celiac.
I-Alvine Pharmaceuticals 'eholela ekukhiqizeni umkhiqizo, i-ALV003, ingxube ye-enzyme emibili engakwazi ukuphula i-gluten ibe yizicucu ezincane kakhulu ezingabangela ukusabela. Lo mkhiqizo unikezwe isimo esithi "Track Fast" isimo se-US Food and Drug Administration, okusho ukuthi singavunyelwa ngokushesha uma siphumelela ekuvivinyweni kwemitholampilo (manje eqhubekayo).
Ososayensi e-Stanford University benza ucwaningo lokuqala kulezi zinkimbinkimbi, kanti i-Alvine inelayisensi ekhethekile emhlabeni jikelele yamalungelo obunikazi.
Abanye abacwaningi, ikakhulukazi uDkt. Frits Koning eLeiden University Medical Centre e-Netherlands, bahlola umqondo we-enzyme yokugaya izifo ezitholakala kulesi sifo.
Ekugcineni, ososayensi eYunivesithi yaseWashington basungula i-enzyme yokugaya engase bayithengise ngaphezu kwe-counter. Le enzyme, eyaziwa ngokuthi i-KumaMax, kuthiwa iphula 99.97% ye-gluten ekudleni kungakapheli imizuzu engama-30. (Qaphela, noma kunjalo, ukuthi ngisho nesilinganiso sokudiliza esingu-99.97% angeke sikwanele ukuvikela ngokumelene nokusabela kwabanye abantu.)
Ingabe Kufanele Uzame Ama-Enzyme OTC Digestive?
Ngiyavuma ukuthi ngithengile ku-hype ezungeze ama-enzyme yokugaya ukudla ngaphambilini, futhi ngizame ngomzamo wokuvimbela ezinye zezimpawu ezingcolile zokungcoliswa kwe- gluten enginayo lapho ngidla ngaphandle.
Abazange benze okuthile kimi. Indlela kuphela engayilahla ngayo izimpawu kwakuwukufunda indlela yokugwema i-gluten lapho ngidla.
Abanye abantu bathi banenhlanhla kangcono nabo, kodwa ngingathatha ubufakazi babo ngobuningi obukhulu kasawoti -kulula ukuzicabangela ukukholwa into ethize isebenze, ikakhulukazi uma izimpawu zakho ziqhamuka futhi ufuna ngempela ukusebenza.
Kuyingozi kakhulu ukucabanga ukuthi ungasebenzisa ama-enzyme wokugaya ukudlala ukudla okungekho gluten njengendlela yokwelapha isifo se-celiac. Ukukopela ekudleni okungenayo i-gluten kungathwala imiphumela embi kakhulu emgwaqeni.
Ngifisa sengathi kwakukhona iphilisi esheshe futhi elula ukuthatha ukugwema izimpawu ze-gluten, kodwa ayikho ... okwamanje. Kuze kube khona ukwelashwa okugunyaziwe kwe-FDA emakethe - esekelwe enzyme noma cha - kuzodingeka sibambelele ekudleni okungenalutho kwe-gluten.
Imithombo:
Ehren, J. et al. Ukudla-Ibanga le-Enzyme Ukulungiswa ngezindawo ezizithobayo ze-Gluten Detoxification Properties. PLoS ONE. 2009; 4 (7): e6313.
UGass J. et al. Ukwelashwa kwe-enzyme yokuhlanganiswa kwe-gastric digestion ye gluten yokudla ezigulini ezine-celiac sprue. I-Gastroenterology. 2007 Aug; 133 (2): 472-80. Epub 2007 Meyi 21.