Izimpawu Ezisabekayo Zokugula Kweguluten

Ngakho uzizwa ukhathele futhi uhamba nekhanda, futhi isimiso sakho sokugaya sisusiwe okwesikhashana. Mhlawumbe unezinye izimpawu ezinjenge-rash noma umuzwa wansuku zonke ukuthi ubuchopho bakho bubukhuni.

Uzwile nge- gluten noma ukudla okungenamsoco we-gluten, futhi uyazi ukuthi abantu abaningi abahamba nge-gluten, futhi uqala ukuzibuza ukuthi ungaba ne-gluten allergies.

Kukhona impela izinhlobo ezinhlanu ezahlukene ze-gluten allergies , futhi ngayinye ineqoqo layo elihlukile lezimpawu nezimpawu. Noma kunjalo, kunezimo eziningi eziningana phakathi kwezimo ezinhlanu, futhi eziningi zezimpawu zazo zibandakanya izinhlobo zezinkinga ezithile ezingacacile ezibalwe ngenhla: izinkinga zokugaya ukudla, izinkinga zesikhumba, nezinkinga zezinzwa.

Yiqiniso, akuwona wonke umuntu onalezi zimpawu azoba ne-gluten yokungezwani komzimba, njengoba kunezinye izimbangela eziningi ezenzekayo. Kodwa kungenzeka ukuthi kufanele ukucabangela ukuthi wena nodokotela wakho ngeke nikwazi ukubona ezinye izizathu ezingase zibe yizinkinga zakho.

Ngalokho, ukuba nezimpawu eziyisishiyagalombili noma ngaphezulu kungabonisa ukuthi i-gluten allerergy. Isinyathelo esilandelayo esivela lapho sihlolelwa i-gluten yokungezwani komzimba noma ukukhuluma nodokotela wakho mayelana nokuvivinywa kokudla okungenalutho kwe-gluten .

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Ukuchithwa okungasebenzi

Akuwona wonke umuntu onenkinga ehlobene ne-gluten enezinkinga zokugaya ukudla, kodwa abantu abanele banalo lolu daba ukuze lwenze inombolo eyodwa ohlwini lwethu.

Lezi okuthiwa "izinkinga" zokugaya umzimba zingabandakanya ukuhuda, ukuqothulwa, reflux, noma ubuhlungu besisu nje, futhi zivame ukubonakala uma unesinye sezinhlobo ezimbili ezivame kakhulu zokungezwani komzimba: isifo se-celiac kanye nokuzwela kwe-gluten okungenayo i -celiac. Lezi zimpawu zingase zivele nje zicasule ukuba ziphele amandla ngokuphelele.

Ngaphezu kwalokho, kwezinye izimo, abantu abaye babhekwa ukuthi bane-syndrome ekhukhumezekile basuke benesimo se-gluten, futhi uma beyeka ukudla i-gluten, i-IBS yabo iyancipha noma ihamba ngokuphelele.

Kubalulekile ukucacisa ukuthi akudingeki ube nezimpawu zokugaya ukuze ube ne-gluten allergies. Eqinisweni, abantu abaningi banolunye lwezinkinga ezikulolu hlu njengampawu zabo eziyinhloko. Kodwa uma une-digestion engasebenzi, kungenzeka ukuthi i-gluten iyimbangela.

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Okubomvu, ukuqhuma kwe-Itchy

Abantu abanesifo se-celiac ne-non-celiac gluten ukuzwela babhekene nezinhlobo ezihlukahlukene zokweqa isikhumba.

Mhlawumbe owaziwa kakhulu (futhi ozwakalayo futhi ohlukumezeka kakhulu) kulezi ziqhumane ngumzimba wesikhumba ngokuzenzakalelayo owaziwa ngokuthi i- dermatitis herpetiformis , noma "i-DH" emfushane. I-DH (enye yezinhlobo zethu ezinhlanu zokuhlukunyezwa kwe-gluten) kwenzeka ngokuhambisana nesifo se-celiac. Kuyinto yokuqhaqhazela okukhulu okuvame ukushisa futhi "ukugunda" futhi kubonakale njengamabhomu abomvu, agcwele amanzi.

Izindaba ezinhle ukuthi ukuqhuma okungahambi kahle kungaphathwa kahle ngokuhlanganiswa kwemithi ebizwa ngokuthi i-dapsone nokudla okungenalutho kwe-gluten.

Ngaphandle kwe-dermatitis herpetiformis, kunezinye iziqhumane ezihlobene nesifo se-celiac (noma izifo ezihlobene no-gluten), nakuba inhlangano ingabonakali ngokwesayensi, njengoba kuhambisana ne-DH. Izibonelo zalezi zinhlayiya zihlanganisa:

• I-Psoriasis
• I-urticaria engapheli (imihlathi)
• Aermic dermatitis

Isithombe esikhulu lapha ukuthi akuwona wonke ama-rash obangelwa i-gluten. Kodwa uma unamahlumela abomvu angeke asuke kungakhathaliseki ukuthi wenzani, ungase uthande ukucabangela ukudla kwakho njengesizathu esithile.

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I-Foggy Brain

Ukuba nengqondo ebuchopho kusho ukuthi uvame ukuba nobunzima ukugxila, noma ukubhekana nokuyeka ukukhumbula isikhashana. Ungase uzithole ulahlekelwa isicoco sakho somcabango ezingxoxweni noma uma ubhala, futhi ngezinye izikhathi ungase udideke noma udideke.

Inkungu yobuchopho iyisimpawu esiphezulu kulezi zintathu ezinhlobonhlobo eziyisihlanu ze-gluten. Ngamanye amazwi, abantu abanesifo se-celiac, ukungazweli kwe-gluten okungewona i-celiac, nesifo sengqondo sobuchopho i- gluten ataxia yonke umbiko unamazinga ahlukene obuchopho obuchopho.

Yiqiniso, ukuba nenkungu yobuchopho akuyona inkomba ye-slam dunk une-gluten ye-allergies. Kukhona ukubulawa kweminye imibandela ehlanganisa ubuchopho bobuchopho njengesifo, kufaka phakathi i-fibromyalgia nesifo esingapheliyo sokukhathala.

Kodwa uma unezinyopho zobuchopho (okungenzeka zihlangene nezinye zalezo ezinye izimpawu), ungase uthande ukucabangela ukuhlolwa kwesifo esihlobene ne-gluten.

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Ukushaya ikhanda

Iningi labantu lithola ikhanda njalo njalo. Kodwa abantu abanezinkinga ze-gluten, ikakhulukazi labo abanezinzwa ezingenayo i-celiac gluten, futhi kancane kancane, labo abanesifo se-celiac, kubonakala sengathi bayathandwa kakhulu. Ngaphezu kwalokho, i-migraines ingabangela i-gluten.

Ukusekela lokhu, ukutadisha ngo-2013 ku- Headache kutholakale ukuthi amaphesenti angu-56 abantu abanokuzwela kwe-gluten, namaphesenti angu-30 alabo abanesifo se-celiac, babhekene nezikhwama ezingapheli uma kuqhathaniswa namaphesenti angu-14 ebandleni lokulawula. Amaphesenti angaba ngu-23 alabo abanesifo sofuba esifubeni nabo babika ukuphathwa ikhanda elingapheli.

Lapho abacwaningi babheka ngokuqondile abantu abanekhanda le-migraine, bathola imithi ye-migraines yaba ngamaphesenti angu-21 abantu abanesifo se-celiac kanye namaphesenti angu-14 alabo abanesifo sofuba. (Abanye abantu abane- IBD bazizwa beba ngcono uma balandela ukudla okungenamsoco we-gluten .)

Ngakho-ke, njengoba ukudla okunye kungabangela ikhanda futhi kugxilile kulabo abathintekayo, kunengqondo kuphela ukucabangela ukuthi i-gluten iyisimo esingaba khona.

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Izikhonkwane nezinaliti

Kuhle kakhulu ukuba unyawo lwakho noma isandla "ulale" njalo kanyekanye, kodwa abantu abanokuhlukunyezwa kwe-gluten bangaba "nezikhonkwane nezinaliti" ezingunaphakade ezandleni zabo, emilenzeni noma ezinyaweni zabo.

Lezi zikhonkwane nezinkinga zezinaliti ezandleni nasezinyaweni zakho kuthiwa yi-peripheral neuropathy. Uma une-neuropathy ye-peripheral, ungase uhlangane noma uhlale unyakaza emkhawulweni wakho noma uboshike njengoba umonakalo wesibindi uqhubeka.

I-peripheral neuropathy ibonakala ngamaphesenti angu-50 alabo abanesifo se-celiac se-gluten yokungezwani komzimba, futhi iningi lalabo abane-gluten ataxia. Akucaci ukuthi bangaki abantu abane-senutomy non-celiac ne-neutrality, kodwa odokotela abaphatha abantu abanezimo babika ukuthi kuyinto evamile kakhulu.

Yiqiniso, ukumane nje ulale ngeso lengqondo akusho ukuthi une-gluten allergies. Empeleni, i-peripheral neuropathy ijwayelekile. Isibonelo, sisondelene kakhulu nesifo sikashukela. Kungabuye kubangelwa ukulimala, izinkinga zezinso, kanye nokuntuleka kwevithamini, phakathi kwezinye izimo.

Kuzo zonke, uma ungenayo enye incazelo engase ibe yinkinga yakho ye-neuropathy, ungase ufune ukukhuluma nodokotela wakho ukuthi ingabe ibangelwa i-gluten. Umonakalo wezinzwa kungaba nzima ukuphulukisa, kodwa ezinye izifundo (akuzona zonke) zibonisa ukuthi ungakwazi ukuphuza noma ukuyeka umonakalo ngokulandela ukudla okungekho gluten.

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Ukukhathazeka-Ukulahlekelwa Ukukhubazeka Kwengqondo

Ucwaningo lubonisa ukuthi abantu abanezifo ezintsha ze-celiac ezitholakale zikhona cishe kunezibalo zokuthi bahlushwa yizimpawu ze-ADHD , futhi lezo zimpawu zivame ukuthuthukisa noma zinyamalale ngokuphelele lapho umuntu eqala ukudla ukudla okungenayo i-gluten.

Akucaci ukuthi ngabe abantu abanezinzwa ezingenayo i-celiac gluten bangase babe nezimpawu ze-ADHD ezikhululekile ekudleni okungenalutho kwe-gluten, njengoba ucwaningo lwezokwelapha lungakaxazululanga lowo mbuzo. Abazali abaningi babika impumelelo uma besusa gluten emidlalweni yabo ye-ADHD-etholakalayo, kungakhathaliseki ukuthi ucwaningo luni (noma alukho) olubonisiwe.

Kodwa lokhu kuvele kungenxa yokuqedwa kokudla okunomsoco, okungeyona okunomsoco okusetshenzisiwe, iningi labo elenzeke ukuba ne-gluten kuwo.

Okubalulekile ukuthi ukuphuma kwe-gluten kungasiza i-ADHD yakho uma unesifo se-celiac, futhi ingasiza izibonakaliso zakho uma unesisindo senhliziyo (noma mhlawumbe olunye uhlobo lwe-gluten allerergy).

Nakuba ukusetshenziswa kokudla ukuphatha i-ADHD kuyinkinga (kanti ezinye izifundo zakamuva azange zibonise inzuzo), kungase kudingeke ukhulume nodokotela wakho ngokuthi ngabe ukuqeda i-gluten kungasiza.

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Ukucindezeleka Nokukhathazeka

Ukucindezeleka nokukhathazeka yizinkinga ezivamile zengqondo. Eqinisweni, cishe amaphesenti angu-18 abantu abaningi ase-US abanabantu abadala abanenkinga yokukhathazeka futhi cishe amaphesenti angu-7 abantu abadala base-United States banezinkinga ezinkulu zokucindezeleka. Kodwa ingabe lezi zifo ezimbili zixhunyaniswa nezinhlobo ezahlukene ze-gluten allerergy?

Ungamangala uma ufunda ukuthi izifundo eziningi ziye zathola ukuxhumana phakathi kwesifo se-celiac, ukucindezeleka, nokukhathazeka , kokubili kubantu abadala nakwabasebasha. Kungase kube khona ukuxhumana phakathi kwalezi zimo kanye ne-acute gluten, ukungezwani kwempilo ye-gluten ye-neurological ngokuyinhloko okubandakanya ukulahlekelwa kwamakhono emoto.

Futhi abantu abanokuzwela kwe-non-celiac gluten nabo babika izinga lokucindezeleka nokukhathazeka okubonakala sengathi liphakeme kunelabahlali jikelele, nakuba kungakabikho ucwaningo lwesayensi lokuvuselela lawo mbono.

Ngakho konke lokhu kusho ukuthini? Njengamanye ezinye izinkinga zempilo kuhlu lwethu lwezimpawu ze-gluten ze-allergies, kungase kungasho lutho. Kodwa uma unesifo sokucindezeleka noma ukukhathazeka, akukwazi ukulimaza ukukhuluma nodokotela wakho ukuthi ingabe enye yezinhlobo ze-gluten yokungezwani komzimba ingase ibe icala.

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Ukungabi nalutho nokuThola Izinkinga

Kukhona uxhumano oluqinile phakathi kwesifo sofuba nesifo se-celiac, okungenzeka mhlawumbe uhlobo olwamukelekile kakhulu lwe-gluten allergies.

Bobabili abesifazane nabesilisa abaye bathola ukuthi banesifo se-celiac bayaziwa ukuthi balwe nokuhlukunyezwa. Kungenzeka ukuthi ukungondleki okuhlobene nalolu cala kungadlala indima kulo mzabalazo, kodwa odokotela abaqiniseki ngokuphelele ukuthi empeleni kubangela ukungabi namuntu kubantu abanesifo se-celiac.

Uma kuziwa ekuzweleni okungenayo i-celiac gluten, isithombe siwubugebengu. Ngisho noma abanye abahlinzeki bezempilo bekholelwa ukuthi baxhumekile, kunomane nje akusilo ucwaningo olunzulu lwezokwelapha ngaleli fomu le-gluten yokungezwani komzimba nokungabi nabantwana.

Izindaba ezinhle ukuthi uma uthola ukuthi unesifo se-celiac, ukuphuma kwe-gluten kungakusiza ukuba ukhulelwe, njengoba izifundo zibonise ukuthi ukudla okungekho gluten kusiza ngokuzala kokubili kokubili amadoda nabesifazane.

Uma une-gluten-senitivity engeyona i-celiac, ukudla okungekho kwe-gluten kungakusiza wena nomlingani wakho ukuba nicabange, kodwa abukho ubufakazi obuqinile bokusekela okwamanje. Kunoma yikuphi, kungase kudingeke ukuxoxisana ngokuthi kungenzeka nge-OB-GYN yakho.

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Ungase Ube Ne-Gluten Yokuzifola Kwegazi-Yini Okwamanje?

Okokuqala, kufanele ubone udokotela wakho ukuze ukhulume ngezimpawu zakho nomlando womndeni ( isifo se-celiac nakanjani i-genetic ). Udokotela wakho angase ancome ukuthi uhlolwe isifo se-celiac, futhi ukuze wenze lokho, kuzodingeka uqhubeke udla gluten kuze kube konke ukuhlolwa kwakho kuqedile.

Uma une-rash efana nalezi zithombe ze- dermatitis herpetiformis , ungase ufune ukubona i-dermatologist kanye naye. Angakwazi ukuhlola ukushayeka ukuze abone ukuthi ibangelwa yini ngempela yi-gluten.

Ukuthola i-ataxia ye-gluten akuyona into eqondile, kanti ezinye izazi zezinzwa azizange zamukele lesi simo. Uma uhlola okungenayo isifo se-celiac ne-dermatitis herpetiformis kodwa unezimpawu ze-adutroxut gluten, udokotela wakho angancoma ukuthi uzame ukudla okungekho gluten ukuze ubone ukuthi izimpawu zakho ziyathuthuka.

Okokugcina, akusekho ukuhlolwa kokuhlolwa kokutholwa kwe-non-celiac ye-gluten ukuzwela. Noma kunjalo, abacwaningi basebenza ukuthuthukisa eyodwa. Ngakho-ke, okwamanje ukuxilongwa kokukhipha, okusho ukuthi udokotela wakho ngeke akhiphe ezinye izimo ezikhona (kubandakanya isifo se-celiac) ngaphambi kokucabangela ukuzwela kwe-gluten.

Izwi elivela

Ukuhlolwa okuphelele kwazo zonke izinhlobo ze-gluten allergies kuyoba impendulo yakho ekudleni okungenalutho kwe-gluten. Uma izimpawu zakho zicacile, lokho kuyinkomba enhle kakhulu ukuthi i-gluten yinkinga kuwe.

Okokugcina, kubalulekile ukuqaphela ukuthi ukunamathela ekudleni okungenalutho kwe-gluten kungaba yinkimbinkimbi ekuqaleni, kodwa kuyenzeka ngokuphelele. Xoxa nodokotela wakho mayelana nokubona udokotela wezinsuku ongakusiza ukuba ukhethe ukudla kanye nokupheka okungagcini nje kuphela i-yummy kepha iphilile futhi ikhululekile i-gluten.

> Imithombo:

> Biesiekierski J. et al. I-Gluten ibangela izibonakaliso zomzimba ezifundweni ngaphandle kwezifo ezibucayi: i-Double-blind Blinded Placebo-Controled Trial. I-American Journal ye-Gastroenterology. 2011 Mar; 106 (3): 508-14; imibuzo 515.

> Caproni M, Bonciolini V, D'Errico A, Antiga E, izifo ze-Fabbri P. Celiac nezibonakaliso ze-dermatologic: Inqwaba yesikhumba sokuveza ukungenwa kwe-gluten-sensitive. I-Gastroenterol Res Pract . 2012; 2012: 952753.

> I-Niederhofer H. Inhlangano yokukhathazeka-ukulahlekelwa / ukugula nokugula kwesifo se-celiac: umbiko omfushane. I-Prim Care Companion CNS Disord. 2011; 13 (3).

> I-Sapone A et. al. I-spectect yezinkinga ezihlobene ne-gluten: ukuvumelanisa ngokuchazwa kwamagama okusha nokuhlukaniswa. BMC Medicine. 2012 Feb 7; 10: 13.

> Volta U, Bardella MT, Calabró A, Troncone R, Corazza GR, Iqembu Lokutadisha le-Non-Celiac Gluten Ukuzwela. Ucwaningo oluthile lwe-Italy olulandelwa ngamathambo amaningi ezigulini ezisolakala ukuthi zinezinzwa ezingenayo i-celiac gluten. BMC Med . 2014; 12: 85.