Kufanele kube lula: uthola ukuthi unesifo se-celiac noma u-sensibleness we-non-celiac we- gluten , uya ku-gluten-free, futhi uqeda inkinga - uzizwa uphinde futhi, kungekho izimpawu eziqhubekayo.
Ngeshwa, kuvame ukuba kude nalokhu kulula. Izifundo kanye nobufakazi be-anecdotal bubonisa ukuthi amaphesenti aphakeme kakhulu abantu abanomzwelo we-celiac ne-gluten - akucaci ukuthi ukuphakama, kodwa mhlawumbe ngaphezulu kwesigamu - kuyaqhubeka nokuba nezimpawu ngisho noma bakholelwa ukuthi balandela ukudla okunamandla okungenalo i-gluten .
Lokhu kungahle kudikibele, futhi kuvame ukuholela abantu ukuba bakholelwe ukuthi bayeke ukungalaleli ukudla okunye okunye (soy ngokuvamile uhola uhlu, ngommbila nezinye izinhlamvu ezingekho ngemuva). Kodwa-ke, okungenani ucwaningo olulodwa olubandakanya iziguli ze-celiac lubonisa ukuthi iningi ngempela libhekene nemiphumela yokufaka ukungena kwe-gluten - hhayi "ukungaxhasi okungeziwe" kokudla okuhlukahlukene, noma enye inkinga.
Kungani Kunzima Kakhulu Ukuba Ngokwemvelo I-Gluten-Free?
I-Gluten ikhona yonke indawo, futhi kubantu abanomzwelo we-celiac ne-gluten abasabelayo ngemali encane kakhulu, kungase kube nzima ukugwema. Ingakwazi ukufihla ezindaweni ongazilindele, ezifana nemithi kadokotela kanye nezidakamizwa (bheka okuningi ngalokhu kuZingozi Zokudla ZamaGluten). Kungabuye kubonakale kumanani okulandelana kokudla okubonakala kungabikho gluten ngezinhlu zabo zokudla.
Ezimweni eziningi, imikhiqizo ebizwa ngokuthi "gluten-free" esekelwe okusanhlamvu yiwona osolwa kakhulu.
Isibonelo, ucwaningo lwe-gluten lwama-2010 "olune-gluten-free" oluthola uketshezi oluhamba phambili lwe-gluten ngamanani asukela ekungabonakali (cishe izingxenye ezingu-5 kuya kwezigidi) kuze kube ngu-3,000 izingxenye ngesigidi (okwanele ukubangela ukugaya okwesibhakabhaka ).
Ochwepheshe bezokwelapha eCeliac, kuhlanganise noPeter Green, MD, umqondisi weCeliac Disease Centre e-Columbia University, uthi ukusiza iziguli ezinomsoco oqhubekayo naphezu kokudla ngokucophelela okungekho gluten kuyinto ebaluleke kakhulu.
Ngo-2011, uDkt Green uthe isidakamizwa esenzelwe ukunciphisa imiphumela yokungahambisani nomzimba kungaba yindlala enkulu yeziguli ezingenawo izimo eziqhubekayo.
Ngakho Bangaki Abantu Abathintekayo Ngokuqhubeka Nezibonakaliso?
Lokhu akucaci, nakuba kunezici ezithile ezincwadini zezokwelapha kubantu abanesifo se-celiac. (Azikho izifundo ezithinta ukuzwela kwe-gluten, kodwa ubufakazi obuningi bokuthi bubonisa ukuthi abaningi kulabo bantu banezimo eziqhubekayo.)
Esifundweni sango-2003 eshicilelwe kuyi- American Journal of Gastroenterology , abacwaningi bafunda iqembu labantu abadala abadala ababengenalo i-gluten phakathi kweminyaka eyisishiyagalombili kuya kweyishumi nambili. Bathole lezi zihloko ngesifo se-celiac babika "izimpawu ezingokomzimba kakhulu kunabantu abaningi," kuhlanganise nokuhlushwa, isifo sohudo, ukuqothulwa, ubuhlungu besisu, ne-reflux.
Eqinisweni, abangaba ngu-60% kulabo baqhamuka befunda izimpawu ezivamile, uma kuqhathaniswa ne-29% yabantu bonke. Abesifazane babevame ukwenza okubi kunamadoda.
Esinye isifundo "sezimpawu zesifo sofuba" esivela kubantu abaye bathola ukuthi banezinkinga ze-celiac ngonyaka odlule noma ngaphezulu bathola ukuthi abangaphezu kuka-23% bahlupheka ngokuqhubeka nezimpawu zamathumbu ezazingathí sina ngokwanele ukuze zihlangabezane nemigomo yesifo sofuba (IBS) , futhi abaningi bafuna usizo lwezimpawu zabo.
Labo abanezibonakaliso ze-IBS babengase babe besifazane futhi baphambuke ngezikhathi ezithile ekudleni okungenalutho kwe-gluten, isifundo sathola.
Kulolu cwaningo, abantu abanezibonakaliso ze-IBS nabo babe nethuba lokuba "nesifo sengqondo esingaba khona," njengoba kunqunywe yi-questionnaire efuna izimpawu zokukhathazeka nokucindezeleka. Kodwa-ke, kufanele kuqashelwe ukuthi abantu abaningi abanesifo se-celiac babika izimpawu zokukhathazeka nokucindezeleka lapho bedla ubuncane be-gluten; ukuze uthole okwengeziwe kulokhu, bheka i- Gluten nokucindezeleka .
Olunye ucwaningo lwabheka iziguli ezingu-112 ezibhekiswe esibhedlela saseLondon ngesifo esingenasiphenduli se-celiac (abangu-12 kubo, abavele bengenalo isifo se-celiac ngemuva kwakho konke).
Kubantu abayi-100 abasalele, isifundo sathola ukuthi 45% "ayengahambisani ngokufanele nokudla okuqinile okubangelwa gluten," okungaphezu kwengxenye yalabo abangenayo i-gluten engafakazi futhi kancane ngaphansi kokukopela ngokuzithandela.
Okokugcina, isifundo esingashicilelwe esinikezwe i-Alvine Pharmaceuticals emhlanganweni wezokwelapha wezi-2012 sithole ukuthi amaphesenti "amakhulu" (kodwa angacacisiwe) alabo abatholakalayo abatholakale bezwa izimpawu naphezu kokunamathela ekudleni okungenamthetho kwe-gluten.
Lezo zimpawu ezibalwe yizihloko zocwaningo lwe-Alvine zizwakala njengehlu lokuhlanza izikhalazo ezivamile zelesiliva: ubuhlungu besisu, ubuhlungu besisu, ukukhathala, ukuvinjelwa, isifo sohudo, ukuqothulwa, isicashu, ubuchopho obuchopho, ikhanda lokukhwabanisa nokukhwabanisa isikhumba. Baye bavame ukudumazeka: 90% kulabo abacwaningweni bathi babenomunye usuku olulodwa lwezimpawu ngesikhathi sesonto, kanti 44% bathi babe nezibonakaliso eziyisihlanu kuya kwezingu-10 ngesonto.
Yini Ongayenza Uma Usenayo Izibonakaliso?
Isinyathelo sakho sokuqala kufanele kube ukucabangela uhambo oluya kudokotela wakho ukuze uqiniseke ukuthi awunakunakwa. Kwesinye sezifundo engibhala ngenhla, 11% kulabo abanesifo se-celiac ethola izimpawu eziqhubekayo abazange babe nesifo se-celiac nhlobo! Abanye bangase babe nezifo ezimbili ze-celiac kanye nesinye isimo esibangela izimpawu zabo zokuqhubeka. Khumbula-ke ukuthi ngisho noma ungatholakalanga kahle ngesifo se-celiac, usengabhekana nokuzwela kwe-gluten. Ukwelashwa kuyafana kokubili: ukudla okunamandla okungenayo kwe-gluten.
Uma une-gluten enokuzethemba kuyinkinga yakho, mhlawumbe udinga ukuhlola ukudla kwakho ukuze uthole i-gluten efihliwe. Qala nabathengi abaphezulu abhalwe kuhlu lwami Lokungcola Lokungalungi Lokudla Nge-Gluten (isixhumanisi ngenhla).
Uma ungadli noma yikuphi kulabo, cabanga ngokubukeka kokunye kokudla kwakho: ukudla okudla, ukudla okuningi okucutshungulwa (ngisho noma kubhalwe ngokuthi "i-gluten-free") nokuningi-kokuningi kwe- "gluten- mahhala "imikhiqizo yokusanhlamvu ingase ikuholele ekutheni ulandele i-gluten engaphezu komzimba wakho ongayisebenzisa. Khokha ngokukhethekile amazinga wokuhlola wezintandokazi zakho ze-"gluten-free" -imikhiqizo ebekiwe - ungase udinga ukudla kuphela imikhiqizo eqinisekisiwe ye-gluten noma ukugwema okusanhlamvu okuningi ngoba zivame ukungcola kakhulu ne-gluten.
Nazi ezinye izinsiza ekuqedeni i-gluten yokulandelela ekudleni kwakho:
- I-gluten Ingangenza Ngigule Kangakanani?
- Ukudla Okukhethiwe 'Okungenayo I-Gluten' Kungase Kuqukethe I-Gluten Enye
- Isizathu Sokuba Ungadla I-Gluten-Free futhi Sisathola Izimpawu
- Kungani Izingxenye Zama-Gluten Free-Parts Ngama-Million Izinombolo Kubalulekile
Kwezinye izimo, kungase kudingeke ubheke ukuthi usabela kanjani ekudleni ngaphandle kwe-gluten - kuvamile kubantu abanesifo se-celiac ukuba nabo babe nokungabekezeki kwe-lactose, isibonelo, futhi abantu abaningi babika ukusabela okuhlukile ngokuhlukile kwe-soy nommbila, kokubili ukudla okune-allergenic ngokwabo. Ezimweni eziningi, ukuqeda amazinga aphansi okuthiwa i-gluten kuzokwenza ukukhohlisa.
Uma konke okunye kungaphumeleli, ungase uthande ukucabangela ukubonisana nomuntu odla ukudla okudlayo owazi kahle ekudleni okungenalo i-gluten - lowo muntu angakwazi ukubona izinkinga okungenzeka uzilahleke, njengokungcola okungahambi kahle okubangelwa ukwabiwa ikhishi, noma ukuchayeka emsebenzini.
Ngaphezu kwakho konke, ungaqali ukwesaba ukudla - ekuhlangenwe nakho kwami (futhi nginomthelela kakhulu ukulandelela i-gluten), kungenzeka ukuthi udle ukudla okuhlukahlukene nokuthakazelisayo okuqeda izimpawu cishe ngokuphelele.
Imithombo:
I-Alvine Pharmaceuticals Ihlinzeka Izifo Zama-Celiac Symptom Frequency and Effect Study Results ku-2012 American College of Gastroenterology Meeting. Ukukhishwa kwezindaba, ngo-Okthoba 24, 2012.
Dewar DH et al. Izifo ze-Celiac: Ukuphathwa Kwezimpawu Eziqhubekayo Ezigulini Ezokudla Okungenayo I-gluten. I-World Journal ye-Gastroenterology. 2012 Mar 28; 18 (12): 1348-56.
UHauser W. et al. Izibikezelo ze-Irritable Bowel-Type Symptoms kanye Nokufuna Ukunakekelwa KwezeMpilo Phakathi Kwabantu Abadala abanezifo ezibucayi. Medicine Psychosomatic. 2007 Meyi; 69 (4): 370-6. Epub 2007 Apr 30.
I-Midhagen G. Izinga Eliphakeme Lamazimbonyo Emathunjini Eziguli Ezigulayo Ezihlala Ekudleni Okungenalo I-Gluten: Isifundo Esilawulwayo. I-American Journal ye-Gastroenterology. 2003 Sep; 98 (9): 2023-6.