Ingabe Ukuhlola Ukukhathazeka Ukudla Ukunikeza Ulwazi Olubalulekile?
Ngine-arthritis ye- rheumatoid iminyaka engaba ngu-40. Ngathola ukuthi ngisengumqeqeshi wasekolishi. Khuluma ngokuthi inqola yakho ye-apula iphenduke phezulu. Ngibonile isabelo sami odokotela - odokotela abakhulu, abahlengikazi bama- rheumatologists , odokotela bamazinyo, abaphathi bezinhlungu , ngisho ne-neurologist. Ngithathe isabelo sami samaphilisi, nginezijovo eziningi kanye nokuhlinza okungaphezu kwalokho engikwazi ukukubala, futhi ngigxila imithi yokwelashwa ngezikhathi ezithile ukusiza ukuphatha lesi sifo.
Kuzo zonke izigqoko nezinsizakalo, ngingasho ngokuthembeka ukuthi ngiye ngaba yisiguli esivumelanayo njalo. Ngangazi ukuthi odokotela bami banginika ukudubula okungcono kunabo bonke ekuhlungeni ubuhlungu (akukho phini okuhlosiwe), ngakho ngangizizwa ukuthi kubalulekile ukuba ngivumelane.
Muva nje, udokotela wami wokunakekelwa okuyinhloko wayala ukuhlolwa kwegazi ngokuzwela kokudla. Anginazo izinkinga zokugaya ukudla, ngakho ngangingaqiniseki ukuthi kungani ngihlolwa, kodwa kwakubonakala kungenabungozi. Imiphumela yabonisa ukuzwela okukhulu ku-gluten nozwela obumnene kwezinye izinto eziningana; ubisi, ushokoledi, utamatisi, amaqanda amhlophe. Ngifunde ngombiko ovela ebhokisatri ukuthi ukuhlolwa kuyisiqondiso kodwa akufanele kusetshenziselwe ukuxilonga ukudla okubangelwa ukudla noma isimo sezokwelapha. Ngabuza udokotela ngalokhu. Udokotela wami uthe i-FDA izosho ukuthi lezi zivivinyo zihlolwa kepha udokotela wagcizelela umphumela wami wokuzwela kwe-gluten kwakuphakeme kakhulu. Ngangididekile kakhulu. Uma imiphumela engazange isetshenziselwe izinhloso zokuxilonga futhi bengingenazo izimpawu zokugaya ukudla, bekuyini iphuzu lokukwazi lokhu?
Sasikhulume isikhathi eside futhi ngaphandle kwe "gluten-free", ngezwa amagama afana nokuthi "ukudla okusebenzayo" nokuthi " ukuvuza okungenalutho" -amazwi we-buzz angamaphutha avela ukuthi athathe "i-carb ephansi" futhi "engenamafutha". Ngatshelwa ukuthi kukhona ukuhlolwa okubanzi (okubizayo) okubanzi (okungabizi) okungalinganisa igazi lami ngokuzwela kokudla okuyi-154.
Umphumela uzobonisa ukuthi yikuphi ukudla okwakungalungile noma okubi emzimbeni wami. Ukuthambekela kwami kokuqala kwakuwukukwenza futhi ukuthola ukuthi "okuhle" ukudla. Kodwa, ngenza ucwaningo oluthe xaxa futhi ngathola ukuthi ngidla ukudla okungu-11 kuphela kokungu-154 njengoba kunjalo!
Ngesikhathi ngangizizwa ngidekile lapho ngifika ekhaya ngivela kudokotela, ngangingaqiniseki ukuthi yini engqondweni yami eyayihamba ngayo. Ngisho, ngiyazi ukuthi ngidla ukudla kwami okungenamsoco. Ngiyazi ukuthi ukudla okulwa nokuvuvukala kunempilo kunoma ubani. Ngiyazi mayelana nokudla kokuqeda abantu abasolwa ukuthi banokuzwela kokudla noma ukungezwani komzimba. Kodwa, kungani, emva kwayo yonke le minyaka sibheke ngokungazelelwe ku-gluten, ugumbane oluvulekile, nokudla okusebenzayo? Kungani bezizwa sengathi ububanzi nokuqondiswa kokunakekelwa kwami kwakushintsha? Ukwengeza ekudidekeni kwami, udokotela wami wavuma ukuthi ukuhlolwa kwakhe kwegazi kubonisa ukuzwela okukhulu ku gluten kodwa wenza isinqumo sokungahambi kahle. Ngakho-ke, kungani kuphuthuma kangaka kimi? Mhlawumbe, uma ngabe ngisanda kutholakala, ngizobe ngilalela eduze. Kodwa, iminyaka engama-38 kuwo, ukusikisela nje ukuthi ngigweme ukudla okuthandayo engikuthandayo kwakuyinkimbinkimbi. Ngathi ngizoxoxa ngomphumela wokuhlolwa nge-rheumatologist kodwa udokotela wami oyinhloko udangele ngoba "i-rheumatologist ayinandaba nokudla okusebenzayo."
Ngaleso sikhathi, ngangazi ukuthi ngifuna nje ipuleti le-spaghetti, ama-dinner rolls, ne-chocolate eningi!
Kodwa ngokungathí sina, ingabe kugcizelelwa kakhulu ekungeneni kwe-gluten? Noma, ingabe lokhu bekuyisixhumanisi esingekho kuwo yonke le minyaka? Nganquma ukwenza ucwaningo lwami ku-inthanethi futhi ngibone ukuthi yiziphi izinsiza ezihlonishwa kakhulu ezikushoyo mayelana ne-gluten ne-rheumatoid arthritis.
I-Buzz Mayelana Nokudla OkungenakuGluten
I-Gluten: Izinto Ezinhlanu Okudingeka Uzazi (CNN.com)
Isizathu Sokuba Sinezigidi Amabhiliyoni Ekudleni Okungenakho Kwe-Gluten. (Time.com)
Ingabe i-Gluten-Ayikho Indlela Yokuphila Noma Isidlo? (USA Today)
Umfana Onomuncu Ezingxenyeni Zakhe. (I-New York Times)
I-Gluten: Okungazi Nakho Kungakubulala (I-Huffington Post)
Ulwazi olubalulekile Mayelana nokuzwela kweGluten nokuhamba okungenakuGluten
Ukukhathazeka kwe-Gluten Health Health and Links to Other Conditions. (Ukwelashwa kwezifo ze-Celiac & Gluten,)
Ukuzwela kweGluten. (Ukwelashwa kwezifo ze-Celiac & Gluten,)
Ukuvivinya ukuzwela kwe-Gluten. (Ukwelashwa kwezifo ze-Celiac & Gluten,)
Kungani Angihambi NeG Gluten? (Ukufuna ukuhlola okufunayo)
Indlela Yokuya I-Gluten-Free. (Ukwelashwa kwezifo ze-Celiac & Gluten,)
Ukukhipha i-Gluten. (I-Harvard Health Publications)
Ukufundwa Kokucwaninga NgeGluten ne-Rheumatoid Arthritis
I-Gluten-Free Vegan Diet Induces Yehlisa izinga le-LDL ne-OXidized LDL Level kanye ne-Aisedroprotective Natural Antibodies Against Phosphorylcholine kwiziguli ezine-Arthritis ye-Rheumatoid. (I-Arthritis Research & Therapy)
Ukudla kwe-Vegan Free of Gluten Kuthuthukisa Izimpawu Nezibonakaliso Ze-Rheumatoid Arthritis: Imiphumela Ye-Arthritis Correlate Nokunciphisa Ama-antibodies kuma-Antigens okudla. (I-Rheumatology)
I-Gluten ne-intestine encane ku-Rheumatoid Arthritis. (Journal of the American Medical Association)
Okubalulekile
Izihloko engizitshengise ukuthi ziyizampula zengcebo yolwazi mayelana nokuzwela kwe-gluten engatholakala ku-intanethi. Ukucaphuna okulandelayo kusuka kubhulogi likaHuffington Post kwangena nami. UMark Hyman, MD uthe, "Ngenxa yokucwaninga okusha ezingozini zokuzwela kwe-gluten ngaphandle kwesifo esibuhlungu se-celiac esigcwele, ngibheka noma yikuphi ukuphakama kwama-antibodies okuphawulekayo futhi okufanelekile ukuvivinywa kokuqedwa kwe-gluten. Odokotela abaningi bacabangela ukulwa okukhulu kwamagciwane e-anti-gliadin ukungabi khona kwe-biopsy emathunjini emihle ekhombisa ukulimala ukuba kube "amaphutha amanga." Lokhu kusho ukuthi ukuhlolwa kubonakala kunembile kodwa akuyona into ephawulekayo. Asinakusho lokho. Okuhle kunomqondo omuhle futhi, njengawo wonke ukugula, kukhona ukuqhubeka of izifo, kusukela uzwela gluten ubumnene kuya nesifo esiqhelile esigcwele. Uma antibodies zakho ziphakanyisiwe, kufanele uhambe gluten kanye nokuhlola ukuze ubone ukuthi kuholela izinkinga zempilo yakho. "
Izinto ezintathu ziqinisekile. Okokuqala, ukuhamba-gluten-free kuthatha ukuzibophezela. Okwesibili, kufanele ugcine okulindelekile okuyiqiniso. Okwesithathu, kufanele uthintane nodokotela wakho ngaphambi kokwenza izinguquko ezibalulekile zokudla. Angikaze ngizibophezele, kepha uma ngenza, ngizobika ngemiphumela - ikakhulukazi uma ukuphuma kwe-gluten kungenzuzo.