Kungenzeka ungakaze uzwe nge-" syndrome ", kodwa yilapho kufanele ukhathalele ngalesi simo sempilo esingaqondakali: lokhu kusho ukuthi usemngciphekweni ophezulu wezinkinga ezinkulu ezifana nesifo senhliziyo nesifo sikashukela.
Abacwaningi baye babheka ukuthi kukhona ukuxhumana phakathi kwesifo se-metabolic nesifo se-celiac ngemiphumela ehlanganisiwe, nakuba isifundo esisodwa sibonisa ukuthi ukuphuma kwe-gluten kuphakamisa ingozi ye-syndrome ye-metabolic.
Ngakho-ke, uma leso sifundo siboniswa ngocwaningo oluzayo, lokhu kungase kubaluleke kakhulu.
Ngakolunye uhlangothi, esinye isifundo sathola isifo esincane se-syndrome phakathi kwabantu abanesifo se-celiac kunabantu abafanayo abangenayo i-celiac. Ngakho-ke akucaci ukuthi kunjalo kanjani ukuthi le-celiac ithinta ingozi yakho ye-syndrome ye-metabolic, nokuthi ngabe ukudla okungeyona i-gluten kudlala yini indima.
Yini Ekhona Emhlabeni I-Metabolic Syndrome?
I-metabolic syndrome akuyona ngempela isifo-kunalokho, yigama linikezwa odokotela eqenjini lezinto ezibeka ingozi, lapho zitholakala ndawonye, zandisa amathuba okuhlupheka ngesifo senhliziyo, isifo sohlangothi noma isifo sikashukela.
Kukhona empeleni ezinhlanu zalezi zingozi ezihilelekile, nakuba udinga kuphela ukuthi ezintathu zazo zitholakale ukuthi zine-syndrome ye-metabolic. Ngokusho kweNational Institutes of Health, omunye umuntu onesifo somzimba usuke cishe amathuba okuba nesifo senhliziyo futhi izikhathi ezinhlanu amathuba okuthuthukisa isifo sikashukela njengomuntu ongenalo.
Izici zengozi ye-syndrome ye-metabolic zihlanganisa:
- I-waistline enkulu. Abantu abane-syndrome ye-metabolic bavame ukuba namafutha eduze nendawo lapho amabhande abo ewa khona, futhi amanoni kule ndawo ayingozi kunamafutha, athi, izinkalo zakho.
- Izinga eliphezulu le-triglyceride. I-Triglycerides, uhlobo lwamafutha olujikeleza egazini, lilinganiselwa njengengxenye yokuhlolwa kwe-cholesterol.
- Izinga eliphansi okuthiwa "okuhle" i-HDL cholesterol (futhi, kulinganiswa njengengxenye yokuhlolwa kwe-cholesterol).
- Umfutho wegazi ophezulu.
- Ushukela ophezulu wegazi lokuzila ukudla.
Uma unemithi yokwelapha noma yikuphi kulezi zinkinga, zisalokhu zibheke engozini yakho ye-syndrome ye-metabolic.
Ngakho Kwenzeka Kanjani Kuzifo Ezibucayi?
Njengoba ngishilo ngenhla, ucwaningo luye lwahlanganiswa ngokuthi ngabe abantu abanesifo se-celiac banomkhuhlane ophakeme noma ophansi we-syndrome ye-metabolic, ngokwesilinganiso. Noma kunjalo, isifundo samanje ngeshwa asiqukethe izindaba ezinhle.
Ucwaningo olwanyatheliswa ngo-2015 kumagazini wezokwelapha I- Alimentary Pharmacy & Therapeutics , lubheke ukuthi bangaki abantu abanesifo se-celiac babe nesifo se-metabolism ngesikhathi sokuxilongwa kwabo, futhi babuyele emuva ukuze babone ukuthi bangaki abanesifo samathambo ngonyaka owodwa emva kokuqala ukudla okungenalutho kwe-gluten.
Abacwaningi ekugcineni balandela abantu abangu-98 abanezifo ezintsha ezingatholakali. Ezimbili zazo zagcwalisa indlela yokuxilonga ye-syndrome ye-metabolic ngenkathi zifunyanwa, kodwa ngemva kwezinyanga ezingu-12 bedla ngaphandle kwe-gluten, abantu abangu-29 babhekwa ukuthi bane-syndrome ye-metabolic.
Ngaphezu kwalokho, inani lama-celiacs ogama lakhe lalisengozini enkulu ye-syndrome ye-metabolic yavela kubantu abangu-48 abaxilongwa kuze kube ngu-72 ngonyaka ngemva kokuphuma ngaphandle kweguluten.
Inani labantu abanekhono eliphakeme legazi eliphindwe kabili, kusukela kulesine kuya ku-18, kanye nenani elineshukela ephakeme lokugaya igazi elingaphezu kwesithathu, kusukela ku-7 kuya ku-25. Labo abaphethe i-triglycerides ephakeme kabili, kusukela kuyisikhombisa lapho behlushwa kuze kube ngu-16 ngonyaka.
Ngenhlanhla, ukuxilongwa kwe-celiac nokudla okungenalutho kwe-gluten akuzange kubonakale kuthinta amazinga we-HDL ye-cholesterol kakhulu-abantu abangu-32 babe ne-HDL ephansi lapho bexilongwa, kanti abangu-34 babe nakho ngonyaka. Kodwa ezinye izilinganiso zezinto eziyingozi zithuthelwa ngokuqondile endleleni engafanele.
Ingabe Lokhu Kusho Ukudla Okungenamsoco KaGluten Kungenempilo?
Cha, hhayi ngempela-futhi-ke, uma unesifo se-celiac kufanele ube ne-gluten-free, ngoba yindlela kuphela yokuvimbela ukulimala okuqhubekayo emathunjini akho emathumbu .
Ngokuvamile, ingxenye eyodwa kwezintathu kubo bonke abantu abadala base-US bane-syndrome ye-metabolic, ngakho-ke lolu cwaningo (oluqhutshwa e-Italy, lapho amazinga we-metabolic syndrome asezingeni eliphezulu eliphezulu lama-20) libonisa ukuthi ama-celiacs asuka engozini ephansi lapho ehlolisiswa khona engozini ngonyaka .
Noma kunjalo, noma ngabe isifo se-metabolic sivamile kulezi zinsuku, awudingi ukuba khona ... futhi isifundo sibonise ukuthi amanye ama-celiac ayenayo ngemuva kokudla okungenamnyaka we-gluten.
Abacwaningi kulolu cwaningo bathi abazi ukuthi kungukudla okungekho gluten ngokwayo okubangela ekuthuthukiseni isisindo esiningi kubantu ababhekene ne-celiac, noma ngabe kungenye into. Kodwa kuveza isidingo esicacile sokuqaphela ukuthi yini oyidlayo nokuthi kungenzeka yini ukuthi ithinte isimo sakho sonke sempilo, hhayi nje emathunjini akho amancane.
Ucwaningo oluthile lubonise ukuthi ukudla okungejwayelekile "kwe-gluten-free" (okugcwele izakhi ezibhalwe nge-gluten-free labels for food containing containers ezifana nesinkwa, amakhukhi, okusanhlamvu nokudla okudla) kungase kungabi nokulinganisela okunempilo ngoba ukudla okungenalutho kwe-gluten aziqiniswa ngamavithamini namaminerali kaningi njengamalungu abo agcwele izakhi.
Imihlahlandlela Yokufundwa Ka-2013 Inengozi Enciphiselwe Yama-Celiacs
Njengoba ngishilo ekuqaleni, ucwaningo ngalolu daba luxutshwe. Eqinisweni, isifundo esivela eBeet Israel Deaconess Medical Center eBoston eshicilelwe encwadini yezokwelapha i- Gastroenterology ngo-2013 sathola ukuthi ama-celiacs ayenesilinganiso esincane kakhulu se-metabolic syndrome kanye nohlobo lwesibili lwesifo sikashukela uma kuqhathaniswa nabantu abanjalo ngaphandle kwesifo se-celiac.
Lelo cwaningo, olwakubandakanya abantu abangu-840 abanezifo ezingenalo i-celiac, bathola amaphesenti angu-3.1 kuphela ababenesifo sikashukela sohlobo lwesibili, uma kuqhathaniswa namaphesenti angaba ngu-10 abantu abafanayo ngaphandle kwe-celiac. Kwatholakala nokuthi amaphesenti angu-3.5 kuphela we-celiacs ayene-syndrome ye-metabolic, uma kuqhathaniswa namaphesenti angu-13 okulawula.
Ingxenye yengozi ephansi ibonakala ingenxa yezicathulo ezingezansi zalabo abanesifo se-celiac, abalobi abatholile. Kodwa ngisho nangemva kokubheka ukuhluka kwesisindo, abantu abanesifo se-celiac babe nesifo esincane se-metabolic syndrome kunabantu abafanayo ngaphandle kwesimo sokugaya.
Ngakho ngesifundo esisodwa sithi ingozi ye-celiacs ye-syndrome ye-metabolic yanyuka ngonyaka olandela ukuxilongwa, kanti enye ekhombisa ukuthi ama-celiacs anesilinganiso esincane se-metabolic syndrome kunabantu abafanayo ngaphandle kwe-celiac, kusho ukuthini lokhu konke?
Lokhu akucaci, futhi kuyinto yokucwaninga yesikhathi esizayo ukuhlola. Kodwa uma udokotela wakho ekutshela ukuthi une-syndrome ye-metabolic noma ukuthi usengozini yokuyihlakulela, ungase uthande ukucabangela ukubonisana nomsoco wokudla. Eqinisweni, abalobi bezincwadi zika-2015 batusa ukuthi babone ukudla okunomsoco, kokubili uma uthola ukuthi unesifo se-celiac futhi ngemva kwezinyanga ezimbalwa, ukuqinisekisa ukuthi uthola zonke izakhi ozidingayo ngenkathi ungakhulisi ingozi yakho ye-syndrome ye-metabolic syndrome.
Imithombo:
I-Kabbani TA et al. Iziguli ezinesifo se-celiac zinomthelela ophansi we-non-insulin oxhomeke ekukhulisweni kwesifo sikashukela kanye nesifo se-metabolic syndrome. I-Gastroenterology . 2013 Meyi; 144 (5): 912-917.e1. doi: 10.1053 / j.gastro.2013.01.033. Epub 2013 Jan 24.
I-National Heart, I-Lung ne-Blood Institute ethi sheet. Kuyini I-Metabolic Syndrome? Ngo-Ephreli 26, 2016.
Tortora R et al. I-metabolic syndrome ezigulini ezinesifo se-celiac ekudleni okungenalutho kwe-gluten. I-Journal of Pharmacy Alimentary & Therapeutics . 2015 Feb; 41 (4): 352-9. i-doi: 10.1111 / apt.13062. Epub 2015 Jan 8.