Abanye abantu abane-IBD bazizwa bengenalo i-gluten engcono.
Izifo ze-Celiac, ukungazweli kwe- gluten non-celiac nesifo sofuba ( IBD ) sonke sithinta uhlelo lwakho lokugaya. Kodwa lezi zimo ezintathu zihlobene kanjani? Uma unesifo se-celiac noma ubuzwe obuningi be-gluten, ingabe lokho kusho ukuthi izinkinga zakho zokuba nesifo sofuba zikhudlwana? Futhi, ukudla okungenalutho kwe-gluten kungasiza yini izimpawu zakho ze-IBD ngisho noma ungenayo isifo se-celiac?
Ukucwaninga okuningi mayelana nokuthi lezi zimo zingase zihambelane kanjani zamuva kakhulu, kanti ezinye zazo aziqinisekisiwe yizilingo ezinkulu zemilenze eyenzelwe kahle.
Noma kunjalo, izifundo ezimbalwa nemibiko yocala kubonisa ukuthi abantu abanesifo soCrohn kanye nesifo sokulonda (izifo ezimbili eziyinhloko zesifo sofuba) kungase kube nomthelela wokuhlola ama-antibodies kumaprotheni, kungakhathaliseki ukuthi bane-celiac izifo. Futhi kwezinye izimo, ukudla okungenalutho kwe-gluten kuye kwasiza abantu abanezifo zesifuba esivuvukalayo bazizwa bengcono, nakuba laba bantu bengenayo isifo se-celiac.
Nakhu esikuziyo (nokuthi yini esingazi) mayelana nezixhumanisi ezikhona phakathi kwesifo se-celiac, ukuzwela okungenayo i-celiac gluten, nesifo sofuba esibhubhisayo.
Izimpawu ezifanayo ku-Celiac, Gluten Sensitivity, ne-IBD
Isifo se-Celiac senzeke lapho umzimba wakho uphoqa amaprotheni e -gluten ngokolweni, ibhali, ne-rye ukuze umonakalo wangaphandle, okwenza isimiso sakho somzimba sokuzivikela sikwazi ukuhlaselwa emathunjini akho amancane.
Izimpawu zesifo se-celiac zingahlukahluka (empeleni zikhona ezingaphezu kwekhulu, kufaka phakathi eziningi ezingabandakanyi uhlelo lwakho lokugaya ukudla), kodwa abantu abaningi abane-celiac bahlushwa yisifo sohudo noma ukuqothulwa , ubuhlungu besisu, ukukhathala , nokuphelelwa yisifo semvelo .
Izimpawu zokungazweli kwe-gluten okungenayo i-celiac zingafanisa nezifo ze-celiac-zombili izimo zihlanganisa izinhlobo ezifanayo zokukhathazeka kokugaya.
Kodwa labo abanokuzwela kwe-gluten, kubonakala sengathi banesifo esibuhlungu kanye nezinye izimpawu zezinzwa, ezifana nokulimala kwesibindi okubangela umuzwa we "izikhonkwane nezinaliti" ezandleni nasemilenzeni, kunelabo abanesifo se-celiac.
Okokugcina, izimpawu zesifo sofuba esifubeni ziyahlukahluka kuye ngokuthi yisiphi isimo esithile esinaso (isifo sikaCrohn noma isifo sofuba). Kokubili i-Crohn's ne-ulcerative colitis ingabangela ubuhlungu besisu, i-cramping, isifo sohudo esinamandla (ngezinye izikhathi).
Ukutshela umehluko phakathi kwezimo
Ngokusobala, kunamafutha amaningi phakathi kwezimpawu zesifo se-celiac, ukungazweli okungenayo i-celiac gluten, nesifo sofuba esivuvukalayo, futhi lokho kungenza ukutholakala okunembile kunzima kakhulu.
Odokotela basebenzisa ukuhlolwa kwegazi ukuze bahlolwe isifo se-celiac (nakuba kungenjalo wonke umuntu onesimo sokuhlolwa kwesimo esihle), futhi uqinisekise ukuxilongwa nge- endoscopy ne-biopsy ukuze ubheke ngqo emgodini wezinambuzane zakho ezincane ukuze ubone ukuthi limele yini.
Ukuze uhlolele isifo sikaCrohn noma isifo sofuba, udokotela wakho cishe uzokwenza i-colonoscopy kanye / noma i-endoscopy ukufuna izibonakaliso ezithile, ezingafani nezesifo se-celiac. Akekho uvivinyo lwegazi lwegazi lesifo sofuba, nakuba ukuhlolwa okuningi kwegazi-njengokwesikrini sokunakekela i-anemia-kunganikeza ulwazi oluthe xaxa.
Okokugcina, ayikho uhlolo lwezokwelapha olwamukelwe lwe-non-celiac gluten ukuzwela (akuwona wonke odokotela abavuma ukuthi ukhona). Indlela kuphela yokwazi ukuthi unayo yini ukulandela ukudla okungafani ne-gluten ngokuqinile futhi ubone ukuthi uzizwa ungcono yini. Kodwa ngisho nalokhu akushoyo: ungase uzizwe ungcono ngoba unciphise noma ususe ukudla okungenamsoco ekudleni kwakho kanye ne-gluten, isibonelo, noma nje umqondo wokuthi wenza okuthile okuhle empilweni yakho kungasiza ekunciphiseni izimpawu zakho. Noma kunjalo, ucwaningo lubonisa ukuthi abanye abantu benza sengathi babhekana nezinhlamvu ze-gluten ezinezimpawu ezifana nesifo se-celiac, nakuba laba bantu bengenaso isifo se-celiac.
Yiziphi Izingosi Ezingenzeka Eziphakathi Kwe-Celiac ne-IBD?
Ezinye izifundo zakuqala zathola ukuthi abantu abanesifo esibucayi babesengozini enkulu kakhulu-okungenzeka ukuthi bephezulu kakhulu ekukhuleni kwengozi ephindwe ngu-10-yokuthola ukuthi kukhona nesifo sikaCrohn noma isifo se-ulcerative colitis. Kodwa-ke, ucwaningo lwamuva luye lwabonisa ukuthi labo abane-IBD banezilinganiso zesifo se-celiac ezifana nalabo abantu abaningi.
Noma kunjalo, kubonakala sengathi kukhona ubudlelwane phakathi kwezimo ezimbili, futhi izakhi zofuzo zingase zichaze ingxenye yalowo mhlangano. Ucwaningo lwamuva lwezakhi zofuzo luye lwathola ukuthi isifo se-celiac nesifo sikaCrohn sinezakhi zofuzo ezine ezibonakala ziphakamisa ingozi yazo zombili izimo. Ngaphezu kwalokho, abacwaningi baye babona izakhi zofuzo ezibonakala ziphakamisa ingozi kokubili kwe-celiac kanye ne-ulcerative colitis.
Zombili izifo ze-IBD ne-celiac zibhekwa njengezifo ezizimele , okusho ukuthi zihilela ukuhlaselwa okungalungile kwesistimu yakho yomzimba emzimbeni wakho. Zombili lezi zimo zibonakala zifaka nezinguquko ezinzima emzimbeni wakho wamathumbu (amabhaktheriya ahlala emathunjini akho amakhulu), angabangela noma asekele ukuvuvukala.
Ukuzwela kwe-IBD ne-Gluten Kungase Kube Ngokuvamile Ngokuhlobene
Ukuzwela okungenayo i-celiac gluten kungase kube naphezu kwesifo se-celiac kubantu abanesifo sikaCrohn noma isifo sofuba, izifundo eziningana zibonisa.
Isibonelo, iqembu labodokotela e-Italy nase-United Kingdom lihlolisise iziguli zabo ezigulayo zesifo sofuba futhi bathola ukuthi u-28% wabo babecabanga ukuthi banomzwelo we-gluten, okusho ukuthi izimpawu zabo zibonakala ziba zimbi nakakhulu uma bedla ukudla okuqukethe i-gluten. Ngamaphesenti ayisithupha kuphela kulaba bantu babelandela ukudla okungekho gluten ngesikhathi sokuhlola. Abacwaningi baphinde bathola ukuthi okuthiwa "ukuzwela okungeyona-celiac gluten ukuzwela" okwahlanganiswa nakho kwakuhlobene nesifo esibi kakhulu sikaCrohn, futhi bacela izifundo ezengeziwe ukuze banqume ukuthi ukudla okungekho gluten kuzosiza yini kulezi zimo.
Ngombiko wezi-2014, odokotela baseJapane (lapho isifo se-celiac singavamile) sabonisana nabantu abangu-172 ababenesifo sokukhukhumeza izifo zamagciwane ukuze bahlolisise ngegazi, bese beqhathanisa nalabo bantu kuya kwezihloko ezingu-190 zokulawula. Bathole ukuthi u-13% walabo abanesifo sofuba esifubeni nabo bahlolwe kahle ngama anti-gluten antibodies. Kodwa-ke, kuphela abathathu kulabo bantu abaphethe enye yezinhlobo ezimbili eziyinhloko zesifo se-celiac , futhi akekho noyedwa owawunobungozi emathunjini abo amancane, ngakho-ke akekho kubo owaba nesifo se-celiac.
Yize kunjalo, abayisishiyagalombili kulabo abanesifo sofuba esivuvukalayo ababuye bahlola ukuthi kukhona ama-antibodies ayenayo i-gluten baqala ukudla okungekho gluten (abanye abantu abayisishiyagalombili besuka eqenjini elifanayo balandela ukudla okuqukethe i-gluten, futhi bakhonza njengezihloko zokulawula). Ngemuva kwezinyanga eziyisithupha ekudleni okungenalo i-gluten, labo bantu abayisishiyagalombili babe nezimpawu ezimbalwa-ikakhulukazi isifo sohudo-kunezihloko zokulawula, isifundo sabikezelwa. Akekho emkhakheni owodwa owahlakulela isifo se-celiac.
Ngakho-ke ukudla okunama-Gluten-Free kungasiza ku-IBD?
Mhlawumbe kungenzeka, ngisho noma ungenayo isifo se-celiac. Ezimweni eziningana (kubandakanya ezifundweni ezingenhla), odokotela baye baphawula ukuthi ukudla okungenalutho kwe-gluten kwathuthukisa noma kwaxazululwa izimpawu zesifo sofuba, ngisho nakubantu ababengenayo isifo se-celiac. Abantu abanesifo sikaCrohn cishe babezuza.
Ngokwesibonelo, ocwaningweni lwendaba olwanyatheliswa ngo-2013, uDkt. David Perlmutter (udumo lweGrain Brain ) wabika ngesiguli esitholwe ukuthi unesifo sikaCrohn, futhi ngubani ongakutholi kangcono ngemithi ejwayelekile ye-Crohn's. Ngokusekelwe ekuhloleni kwegazi okwakubonisa ukuthi umzimba wakhe ubhiqiza ama-antibodies kuphrotheni ye-gluten nakwezinye izingxenye zekolweni, ibhali, ne-rye, lo mtholampilo wathola ukuthi unobuthi obunamakhemikhali obungenayo i-celiac futhi waqala ukudla okungekho gluten.
Lokhu "kwaholela ngemva kwamasonto ayisithupha ekupheleni kokuphela kwesifo sohudo," kusho odokotela. "Ekuhambeni kokudla okungenayo i-gluten, akukhona nje ukuthi isisindo se-stool sijwayelekile, kepha isiguli saqala nokuthola isisindo. Ngolandelelwano ngonyaka owodwa kamuva isiguli sabuyela esimweni esivamile futhi sathola ngaphezulu kuka-80% isisindo esilahlekile. " Isifo sakhe se-Crohn sifikile ekuxoxweni kokudla okungenalutho kwe-gluten.
Abacwaningi abavela eNyuvesi yaseNorth Carolina bathola izinzuzo ezifanayo (uma zikhona kancane kancane) lapho bebuza abantu abangu-1,647 abanezifo zesibindi sokuvuvukala ngokuthi ngabe bazama ukudla okungekho gluten. Abangu-19% bathi bayilinga ngaphambili, kanti abangu-8% bathi basasebenzisa ukudla. Ngokuvamile, cishe izingxenye ezimbili kwezintathu zalabo abaye bazame ukudla i-gluten-free bathi ukudla kwakwenza ngcono izimpawu zokugaya ukudla, futhi ama-28% abike ama-IBD ambalwa noma angaphansi kakhulu. Ngaphezu kwalokho, labo ababelandela ukudla ngesikhathi sokucwaninga bathi kusize kakhulu ukukhathala kwabo.
Abacwaningi bathi kungenzeka ukuthi ama-non-gluten amakhemikhali akhona ezinhlameni ze-gluten (ngokungafani neprotheyini ye-gluten ngokwayo) angabangela ukuvuvukala kwamathumbu kubantu abane-IBD, nokudla okungenayo i-gluten kungasiza ekunciphiseni ukuvuvukala (kanye nezimpawu ezihambisana nayo ). Bathi ukutadisha kwabo "kusikisela ngokuqinile ukuthi kungenzeka ukuthi lokhu kudla" kwezinye iziguli ze-IBD, kodwa ukuthi ucwaningo olwengeziwe luyadingeka ukuze kutholakale ukuthi ubani ongazuza kakhulu.
Ngakho-ke, kungenzeka ukuthi ukudla okungenamsoco okungakusiza kungasiza ekunciphiseni izimpawu zesifo sofuba esifubeni, ngisho nabantu abangenayo isifo se-celiac. Uma uzibuza ukuthi ungase uzuze, khuluma nodokotela wakho mayelana nokuzama ukudla.
Imithombo
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