Abantu abaningi bavivinywa ngemuva kokungena-gluten
Udokotela wakho mhlawumbe wasebenzisa ukuhlolwa kwegazi le-celiac njengengxenye yokuhlola kwakho konke ukuhlolwa kwe-celiac . Odokotela abaningi (futhi abaningi emphakathini wesifo se-celiac) nabo bakholelwa ukuthi kungenzeka ukusebenzisa lezi zivivinyo ezifanayo zegazi ukuqapha ukuthi ulandela kahle kanjani ukudla okungekho gluten ,
Ngeshwa, lokhu kusebenza kahle kuphela lapho uthola khona inani elikhulu le-gluten ekudleni kwakho njalo.
Nakhu amaqiniso kulokhu kuhlolwa okungaqondakali kahle.
Yini Ukuhlolwa Kwegazi Elingqayizivele?
Ukuhlolwa kwegazi kungabonakalisa abantu abajwayele ukukopela ekudleni okungenayo i-gluten, noma abantu abangayiqondi izindawo eziningi i-gluten ingafihla, futhi-ke ngubani ongaqapheli ukuthi uyadla ukudla okuningi.
Kodwa ukuhlolwa kwegazi akunakwenzeka ukubonisa uma usathola amanani amancane we gluten. Ucwaningo oluthile lwezokwelapha lubonisa ukuthi abantu abanezikhathi ezithile zokudla okungenalutho lwe-gluten baphela - ngisho nokuphelelwa isikhathi okuholela ekubonakalisweni okungenakukhathazeka - kusengenzeka babe nokuhlolwa kwegazi okungalungile naphezu kwalezo eziphelelwa yisikhathi.
Isibonelo, ocwaningweni olulodwa ollanyelwe ukunquma umkhawulo "ophephile" wokulandelela i-gluten, abantu abangu-26 abanezifo ze-celiac eziqinisekisiwe zithole ama-10mg noma ama-50mg we-gluten usuku ngalunye ngezinsuku ezingu-90. Abanye babantu babenempawu, kepha akekho obenokuhlolwa kwegazi elihle elilandela le nselele ye-gluten, eholele abacwaningi ukuthi baphendule ukuthi ukuhlolwa kwegazi akukwenzeki ukutholakala la mazinga okulandelela okungahambisani nomzimba.
Olunye isifundo lusetshenziselwa ukulinganisa okuphezulu kakhulu kwe-gluten yansuku zonke: kufika ku-5 amagremu (noma cishe ingxenye eyodwa yesigamu sesinkwa esisekelwe ku-gluten). Kulolu cwaningo, olubandakanya abantu abangu-21 abanesifo se-celiac abadla i-gluten cishe izinyanga ezintathu, izingxenye ezimbili kwezintathu zezihloko zalezi zinkinga zine-gluten-eyabangela ukulimala kwamathumbu emathunjini, kodwa kuphela ayisishiyagalolunye kunesimo sokuhlolwa kwegazi elihle le-celiac ngemuva kwezinselelo zabo ze-gluten.
Noma kunjalo, abantu abangu-15 kulabo abangu-21 ocwaningweni babika izimpawu zomzimba ezincane kuya ezilinganisweni ngesikhathi sokutadisha.
Okokugcina, isifundo sesithathu sasihlanganisa nabantu abayisishiyagalombili abanezifo ezingenamkhawulo owadla ama-gramu angu-10 we-gluten ngosuku (noma isigamu sesinkwa esisekelwe ku-gluten) amasonto amathathu. Akekho obonise ushintsho emiphumeleni yokuhlolwa kwegazi, yize noma ayisishiyagalombili kwabayisishiyagalombili banesifo sohudo ngosuku lwe-15.
Izivivinyo zegazi futhi ngeke zibonise uma uphilisile
Ezinye izifundo zibonisa ukuthi imiphumela emibi yokuhlolwa kwegazi akusho ukuthi i-vil yakho yemathumbu ibuye ithole, noma kunjalo.
Ngokwesibonelo, ocwaningweni olwenziwe eNyakatho ye-Ireland, abacwaningi basebenzisa i-celiac yegazi test EMA-IgA - bacubungula ukuhlolwa okucacile ukuze babone i-atrophy enesihluku esichaza isifo se-celiac - ukuqapha iziguli.
Kulabo bantu abangu-53 ababenemibuzo emihle ye-EMA-IgA, 87% babe nemiphumela emibi ye-EMA-IgA ngemva konyaka owodwa ngemuva kokudla okungenalutho kwe-gluten. Kodwa-ke, labo abangu-32 kulabo bantu babesenalo i-atrophy enyantisayo emva kokuqala konyaka ekudleni.
Kungani Kufanele Ubuyele Konke?
Ukuphinda ukuhlolwa kwegazi kungabonisa uma umuntu enganaki ukudla okungenayo i-gluten, engasiza odokotela ukubona abantu abangase badinge usizo olungaphezulu (noma isikhuthazo).
Esifundweni esivela eNyakatho ye-Ireland, abantu abane kwabahlanu ababesenemizamo yokuhlolwa e-EMA-IgA emihle ngonyaka owodwa ngemuva kokuxilongwa kwaba yilokho abacwaningi ababiza ngokuthi "ukuthobela okuncane kokudla."
Ngaphezu kwalokho, ukuphinda ukuhlolwa kwegazi kungasiza ukuqapha intuthuko yakho ekudleni ngonyaka wokuqala noma ngokulandela ukuxilongwa; izinombolo zokuhlolwa kwegazi kumele zihambe kancane kancane, ngisho noma zingafinyeleli uhla olubi ngokushesha.
Kodwa uma ulandela ukudla okuqinile iminyaka eminingi, ukuphindaphinda ukuhlolwa kwegazi cishe ngeke kukunikeze imininingwane eyengeziwe yokwenza kwakho. Uma ukhathazekile (noma uma uqhubeka unezibonakaliso), ungase ufune ukucela udokotela wakho ukuthunyelwa kumculi wezilwane onamakhono okudubula izinkinga zokudla okungenalutho.
Imithombo:
I-Catassi C. et al. Isivivinyo esilawulwa yi-doublebo blind, esiyi-doublebo blind, esilungele ukubeka isilwane esiphephile se-gluten yeziguli ezine-celiac isifo. I-American Journal of Nutrition Clinic. 2007 Jan; 85 (1): 160-6.
UDickey W. et al. Ukwehlukana kwamagciwane okuphela kwesifo esibelethwe yisifo se-celiac akubonakali ukutakula kwakhe. I-American Journal ye-Gastroenterology. 2000 Mar; 95 (3): 712-4.
Lähdeaho M. et al. Izinguquko ezincane ze-mucosal kanye nezimpendulo ze-antibody emva kwenselele ye-gluten ephansi futhi elinganiselayo enkingeni ye-celiac. BMC Gastroenterology. 2011 Nov 24; 11: 129. i-doi: 10.1186 / 1471-230X-11-129.
Pyle G. et al. Inselelo ye-gluten ephansi e-cliac crue: izimpendulo ze-malabsorptive ne-antibody. I-Gastroenterology Clinic ne-Hepatology. 2005 ngoJulayi; 3 (7): 679-86.
Zanchi C. et al. I-rapid anti-transglutaminase i-assay kanye nengxoxo yegulane yokuqapha ukulandelwa kokudla kwezifo ze-celiac. I-Scandinavia Journal of Gastroenterology. 2013 Apr 5. [Epub ngaphambi kokuphrinta]