Ukuhlola Izibopho Phakathi Kwezifo Ezizimele Ne-Autism
Ukusetshenziswa kwe -gluten-free-free in autism kuyinkinga (izifundo eziningi zezokwelapha azibikezeli noma yiziphi izinzuzo). Kodwa abanye abazali balondoloza ukuthi ukudla (ngokuyinhloko okuhlukile kulowo okuqeda imikhiqizo yobisi) kuye kwasiza izingane zabo ze-autistic. Ukudla kungasebenza yini ngoba lezo zingane zinezifo eziphethwe yi-celiac, nge-celiac ezibangela izimpawu zabo ze-autism?
Ezingxenyeni eziningi, lokho ngeshwa akunjalo, futhi ukungena mahhala ngeke kusize i-autism yengane yakho. Kodwa-ke, ucwaningo lwakamuva lubonisa ukuthi kungenzeka kube nezinye izixhumanisi-mhlawumbe phakathi koomama abanesifo se-celiac (okubangela ukugaya nezinye izimpawu) kanye nezingane zabo ezine-autism (isifo esiyingozi esingathuthukisa). Ngaphezu kwalokho, kungenzeka ukuthi ukuzwela okungenalo -celiac gluten -isimo esingaqondakali kahle-kungadlala indima ku-autism.
Konke lokhu kucwaninga ngezixhumanisi phakathi kwesifo se-celiac, ukungazweli kwe-gluten okungenayo i-celiac, futhi i-autism yinto yokuqala, futhi ngeshwa ayinikeli ithemba elikhulu kubazali abafuna usizo okwamanje. Kodwa ekugcineni, kungase kuhlinzekele ezinye izici zokwelashwa okungenzeka zibe yi-autism zezingane ezithile, ngisho nezindlela zokuvimbela i-autism ekukhuleni kuqala.
Kuyini i-Autism?
I-Autism spectrum disorder (ASD), okuyinto i-US Centers for Disease Control and Prevention ekukholelwa kuyo ithinta eyodwa kwezingu-68 ezinganeni, iholela ekuhlukeni kwamakhono omphakathi, ulimi nokuxhumana.
Izimpawu ze-autism zivame ukuvela lapho umntwana ephakathi kweminyaka emibili nantathu, nakuba kungenzeka ukuthi abonakale ngaphambili.
Njengoba ungase ubuthe kusukela kulesi sihloko esithi "i-spectrum," i-autism spectrum disorder ihlanganisa izimpawu eziningi nokukhubazeka. Umuntu onomoya obumnene angase abe nenkinga yokubheka amehlo futhi angase abonakale engenalo uzwela oluncane, kodwa angakwazi ukubamba umsebenzi, alondoloze ubuhlobo bomuntu siqu, futhi aphile ngokugcwele.
Phakathi naleso sikhathi, umuntu onamandla amakhulu okuthiwa i-autism (obizwa nangokuthi "i-autism esebenzayo") kungenzeka ukuthi akakwazi ukukhuluma noma aphile ngokuzimela njengomuntu omdala.
Abacwaningi bezokwelapha abakholelwa ukuthi kukhona isizathu esisodwa se-autism . Esikhundleni salokho, bakholelwa ukuthi inhlanganisela yezakhi zofuzo nezimo eziphilayo zenza izingane ezithile zithuthukise isimo. I-Autism spectrum disorder iqhutshwa emindenini, ekhombisa izixhumanisi zofuzo, kodwa ezinye izici-kuhlanganise nabazali asebekhulile nokuzalwa ngaphambi kwesikhathi-nazo zandisa ingozi.
Ayikho ikhambi ye-autism. Ukwelashwa okuye kwaboniswa ukunciphisa izimpawu kubandakanya ukwelashwa kokuziphatha kanye nemithi. Kodwa ukwelashwa okulodwa ngokuvamile okusetshenziselwa abazali -ukudla okungekho gluten, freein-free (GFCF) yokudla- okuhlobene eduze nokudla okungenalo gluten okusetshenziselwa ukwelapha isifo se-celiac. Lokhu kuholela emibutheni mayelana nokuthi lezi zimo ezimbili zingahle zihlobene kanjani.
Isifo se-Celiac yisifo esizimele lapho ukusetshenziswa kokudla okuqukethe amaprotheni gluten (okutholakala ngotshani, ibhali kanye ne-rye) okususa amasosha omzimba wakho ukuhlasela isisu sakho esincane . Ukuphela kokwelashwa kwamanje kwe-celiac yikudla okungekho gluten, okuvimbela isimiso somzimba sokuzivikela ngomzimba ngokuqeda inhlanzi yayo, gluten.
I-Autism ne-Gluten-Free, Diet Casein-Free
Abazali bebelokhu bebenzisa ukudla okungenakudla kwe-gluten, okungekho-casin njengokwelashwa kwe-autism okungenani amashumi amabili eminyaka (casein yiprotheni etholakala ebisi efana ne-gluten).
Imfundiso ephikisanayo yokwelapha yukuthi izingane ezine-autism spectrum disorder zinomzimba " ovulekile " ovumela izingxenye zamaprotheni amakhulu ukuba aphule emaphepheni abo okugaya. I-Gluten ne-casein yizinhlelo zamaprotheni.
Ngokwale mbono, amaprotheni gluten kanye ne-casin-uma ephuma emgodleni wokugaya-anethonya ngendlela efana ne-opioids ekuthuthukiseni kwengqondo yengane.
Ngaphezu kwalokho, izingane eziningi ezise-autism spectrum (ezingaphezu kwamaphesenti angu-80 ocwaningweni owodwa) zinezimpawu zokugaya ezifana nesifo sohudo, ukuqothulwa, ubuhlungu besisu, noma i-reflux, engqondweni yabazali iqinisa icala lokungenelela kokudla.
Noma kunjalo, iqiniso alikho ubufakazi obuncane bokusekela lesi sonyango: ukubuyekezwa kwezifundo ezinkulu ekudleni kwe-GFCF ku-autism kutholile kuphela umphumela omncane ezimpawu ze-autistic. Noma kunjalo, abanye abazali balondoloza ukuthi ukudla kwe-GFCF kuye kwasiza izingane zabo (kwezinye izimo ngendlela ephawulekayo), kanti abanye abasebenza ngokuqhubekayo bayaqhubeka beyincoma. Lokhu kuye kwaholela abanye ukuba bacabangele ngokuxhumeka okungenzeka kulesi sifo se-celiac.
Izifo ezibucayi ezinganeni ezine-Autism
Ingabe ezinye izingane ezine-autism nazo zingaba nesifo se-celiac, futhi ingabe lokho kungachaza impumelelo abazali abambalwa ababika ukuthi bane-gluten-free, casin-free diet? Ucwaningo luye lwaxubana ngalolu phuzu, nakuba kunesinye isigameko esibhalwe phansi somntwana we-autistic ophulukisa kusuka ku-autism ngemva kokuthola ukuthi unesifo se-celiac futhi uqala ukudla okungenamsoco we-gluten.
I-autistic ingane eyabuyiselwa ngemuva kokuthola ukuthi i-celiac neya-gluten-free yayineminyaka emihlanu ngenkathi ixilongwa. Odokotela abanakekelayo babhala ukuthi ukwehluleka kokudla okunomsoco okubangelwa ukulimala emathunjini emathunjini angama-celiac kungenzeka ukuthi kwakubhekene nezimpawu zakhe ze-autistic.
Kodwa-ke, akukho ubufakazi obengeziwe emibhalweni yezokwelapha ngenxa yezifo zesifo se-celiac eziqhathaniswa njenge-autism. Ucwaningo olunzulu kakhulu kuze kube manje, oluqhutshwa eSweden olusebenzisa ukubhalisa kwezempilo ezweni lonke, litholakala ukuthi abantu abane-autism spectrum disorder bebengasakwazi ukuthola ukutholakala kwesifo se-celiac kamuva (okudinga i-endoscopy ukuthi ibonise umonakalo emathunjini amancane).
Kodwa-ke, lolu cwaningo lwathola nokuthi abantu abane-autism babenamathuba amathathu okuba nokuhlolwa kwegazi okungama-celiac-okubonisa ukuthi amasosha omzimba asabela ku-gluten-kodwa akukho ukulimala emathunjini abo amancane (okusho ukuthi babengenayo isifo se-celiac).
Abalobi babecabanga ukuthi abantu abane-immune system respond to gluten kodwa ngezivivinyo ezingalungile zesifo se-celiac bangase babe nokuzwela okungenayo i-celiac gluten, isimo esingacaciswanga kahle kodwa ukuthi abacwaningi bayaphawula yini kuhlotshaniswe nezifo zengqondo ezifana nesifo schizophrenia .
Eqinisweni, olunye ucwaningo, oluholwa abacwaningi e-Columbia University, lwaphetha ngokuthi amasosha omzimba wabantwana abanye abane-autism abonakala sengathi ayasabela ku-gluten, kodwa hhayi ngendlela efanayo amasosha omzimba wabantu abanesifo se-celiac asabela ku-gluten. Abacwaningi bakhuthaza ngokuqaphela lokho, bethi imiphumela ayikhombisi ukuzwela ku-gluten kulawo bantwana, noma ukuthi i-gluten ibangela noma ibambe iqhaza kwi-autism. Kodwa-ke, bathi ukucwaninga kwesikhathi esizayo kungase kubhekisele kumasu okwelapha abantu abane-autism futhi lokhu kusebenza okubonakalayo ku-gluten.
I-Autism ne-Autoimmunity
Kungabe kubekhona nezinye izixhumanisi phakathi kwe-autism ne-gluten ehlobene nezimo ezihambisana nesifo se-celiac? Kungenzeka. Ucwaningo lwezokwelapha lubonisa ukuthi kungenzeka kube nokuxhumana phakathi kwezimo ezizimele ngokujwayelekile kanye ne-autism, ikakhulukazi phakathi koomama abanezimo ezizimele (kuhlanganise nesifo se-celiac) ne-autism ezinganeni zabo.
Ucwaningo luye lwabonisa ukuthi abantu abanomlando womndeni wezimo ezizimele (khumbula, isifo se-celiac yisimo sokuzenzakalela) cishe kunesifo sokuthi i-autism ixilongwa. Ucwaningo olulodwa lwathola ukuthi omama ababenesifo se-celiac babenezinkinga ezintathu zokuba nengane ene-autism. Akucaci ukuthi kungani lokhu kwakunjalo; abalobi babecabanga ukuthi izakhi ezithile zezakhi zofuzo zingase zibekwe icala, noma kungenzeka ukuthi izingane zivezwe emanzini omama ngesikhathi sokukhulelwa.
Ekugcineni, uma isayensi ingakwazi ukukhomba ngokunembile i-subset yabesifazane abasengozini yokubeletha umntwana we-autistic ngenxa yamagciwane anqunyiwe, abacwaningi bangase bahlole izindlela zokuzolalisa izimpendulo zamasosha omzimba ngesikhathi sokukhulelwa futhi mhlawumbe ngisho nokuvimbela ezinye izimo ze-autism. Noma kunjalo, siseduze nomphumela onjalo okwamanje.
Izwi elivela
I-Autism yisimo esibucayi, futhi kuyaqondakala ukuthi abazali bafuna ukwenza konke abakwaziyo ukusiza izingane zabo. Kodwa ngenkathi ubufakazi obukhomba ukuthi amasosha omzimba angasabela kanjani ku-gluten kwezinye izingane kuyathakazelisa, kuyisiqalo kakhulu ukunikeza noma yimaphi amasu wokwelashwa wangempela emhlabeni.
Uma ingane yakho inezimpawu zokugaya (njengabantwana abaningi abane-autism), udokotela wengane yakho angabhekisela ezimbangela kanye nemithi engaba khona. Uma isifo se-celiac sihamba emndenini wakho futhi ingane yakho ye-autistic inezimpawu zesifo se-celiac, ungacabangela ukuhlolwa kwesifo se-celiac. Ngalesi sikhathi, ngeshwa, akukho ukuhlolwa okutholakala ukuzwela okungenayo i-gluten, kodwa uma ucabanga ukuthi ukudla okungekho gluten kungasiza ingane yakho ye-autistic, xoxa ngezinzuzo nokudla kokudla nodokotela wakho.
> Imithombo:
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> Ludvigsson JF et al. Isifundo Somhlaba Wonke Sokubambisana Kwamathumba Amancane Omzimba Namathuba Okungavumelani Nezimo Eziphazamisayo Ze-Autistic Spectrum Disorders. I-JAMA Psychiatry. 2013 Nov; 70 (11): 1224-30.
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