Ukuzwela kwe-Gluten kungabangela izimpawu zokugaya, ukukhathala, nezinye izinkinga
Ukuzwela okungenayo i -celiac gluten kungathinta cishe zonke izinhlelo emzimbeni wakho, nezimpawu ezibandakanya imiphumela yokugaya, izinkinga zesikhumba ezinjengobuchopho, ubuchopho bubuchopho, ubuhlungu obuhlangene kanye nobunzima emiphakathini yakho, ngokusho odokotela abacwaninga lesi simo esingenasiphakamiso.
Uma ucabanga ukuthi lezo zimpawu zizwakala kakhulu njengezimpawu zesifo se-celiac , uqinisile.
Eqinisweni, akunakwenzeka ukuhlukanisa ukuzwela kwe-gluten nesifo se-celiac ngesisekelo sezimpawu zodwa -lezi zimo ezimbili zinezimpawu eziseduze, ochwepheshe be-gluten sensitivity bathi.
Ukwenza izinto zidideke nakakhulu, izifo ze-celiac kanye non-celiac ukuzwela ukuzwela akuzona kuphela izinhlobo " gluten imithi " kungenzeka ukuba. Kukhona, empeleni, izinhlobo ezinhlanu ezihlukahlukene ze "gluten allerergy," kanye nezibonakaliso ezihlukahlukene ezibonisa ukuthi unenkinga ye-gluten .
Kuyini Ngempela Ukuhlonipha I-Gluten?
Emuva ekuzweleni kwe-gluten okungenayo i-celiac: kusukela ucwaninga kulesi simo kusemncane, akuwona wonke odokotela abawamukele njengesimo "sangempela". Ngenxa yalokho, akubona bonke abazohlinzeka ngeziguli ezixilongwa ngokuzwela kwe-gluten. Lezo zisebenzi ezizozihlola lesi sifo zizohlola ukuhlolwa kwesifo se-celiac futhi ziqale ngaphandle kwe-celiac kuqala.
Noma kunjalo, ucwaningo lwamuva lwezokwelapha ngozwela lwe-gluten luye lwaqinisa inkolelo yokuthi yisimo esihlukile kwesifo se-celiac.
I-Celiac ibangelwa ukusabela komzimba wakho kumaprotheni we- gluten athola ukolweni, ibhali kanye ne-rye.
Akucaci ukuthi yikuphi okubangela ukuzwela kwe-gluten-empeleni, kungase kube ingxenye engeyona gluten kakolweni kanye nezinye izithelo ze-gluten (ezingenza "ukuzwela koroyi okungelona uketshezi" igama elingcono). Noma kunjalo, abacwaningi abaningi bezokwelapha bayaqhubeka bebhekisela esimweni ngokuthi "ukuzwela kwe-gluten okungenayo i-celiac," okungenani okwamanje.
Ukuze uthole isithombe esingcono sezimpawu ezivame ukutholakala kokuzwela kwe-gluten, ngikhulume nabacwaningi abathathu odokotela abaye bachitha isikhathi esiningi becwaninga lesi simo: uDkt. Alessio Fasano, uDkt. Kenneth Fine noDkt. Rodney Ford. Laba bathathu bakhuluma nami mayelana nokuhlangenwe nakho kwabo emtholampilo okubandakanya iziguli ezinokuzwela kwe-gluten. Kumele kuqashelwe ukuthi kwezinye izimo, imibono yabo ayizange iqinisekiswe ekucwaningweni okushicilelwe noma eyamukelwa umphakathi wezokwelapha kabanzi.
Izimpawu zokuzwela kwe-Gluten zifaka izimbonakaliso eziningi zokugaya
Izimpawu zokunakekelwa kwe-gluten yokuzwela zivame kakhulu, ngokusho odokotela abaye bacwaninga futhi baphatha iziguli ngesimo.
Isibonelo, uDkt. Fasano, ophethe i-Massachusetts General Center yeCeliac Research futhi owashicilela iphephandaba lokuqala elichaza izimo zamakhemikhali ze-gluten ukuzwela, uthi abantu abano-gluten-sensitive ngokuvamile banezimpawu "ze-IBS-like", kuhlanganise nesifo sohudo kanye " isisu esibuhlungu." (Yiqiniso, kunamafutha amaningi phakathi kwesifo samathumbu nesifo se-celiac , futhi.)
UDkt Fine, owasungula uhlelo lwe- Enterolab nolwazi lwe-gluten lokuhlola ukuzwela , uthi abantu abaningi abathola ukuthi unomzwelo we-gluten "unezimpawu ezithile ze-GI - noma yikuphi okusuka enhliziyweni kuya ekuqotheni.
I-diarrhea iyingqayizivele, futhi i-bloating is classic, [futhi] igesi edlula iyinto evamile. "
Izinkinga Neurological Kungaba I Gluten Enhle Ukuzwela Isibonakaliso
Njengoba nje ngesifo se-celiac, ukuzwela kwe-gluten kungabangela ukukhathala, ubuchopho nobuchopho nezinye izinkinga zokucabangela, kuhlanganise ne- gluten-ukunakekelwa okuhlobene nokulahlekelwa-ukugula okubangelwa yi-hyperactivity disorder , odokotela. I-Fasano ne-Fine claim.
UDkt. Fasano uthi ubona ikhanda (kubandakanya i -migraines-gluten-induced-migrated ) kanye nobuchopho buchopho cishe engxenyeni yesithathu yabantu abaye bafumana ukungazweli okungenayo i-celiac gluten ... kakhulu kunesifo se-celiac. Abantu abatholakala benokuzwela kwe-gluten futhi babika imizwa yokucindezeleka okubangelwa i-gluten nokukhathazeka, kanti empeleni imiphumela yocwaningo yayisixhasa umqondo wokuthi gluten angenza ube ecindezelekile uma unesifo esibucayi kodwa ungenayo isifo se-celiac.
(Ukucindezeleka nokukhathazeka nakho kuye kwaxhunyaniswa nesifo se-celiac.)
UDkt. Rodney Ford, u-Christchurch, udokotela wezingane waseNew Zealand nomlobi weThe Gluten Syndrome , nguye owokuqala ukucabangela ukuthi ukuzwela kwe-gluten ngokuyinhloko kuyisimo senhliziyo . "Kusobala ukuthi nge gluten, enye yezinhlobonhlobo zayo ezisemqoka izicubu ze-neural," kusho uDkt. Ford.
Izimpawu Zezikhumba, Izifo Ezikuphela Kwe-Endocrine, Ubuhlungu Ohlangene Buvame Ukuzwela Kwe-Gluten
I-Dermatitis herpetiformis (DH) yisimo sesikhumba esivame ukuhlotshaniswa nesifo se-celiac (uma une-dermatitis herpetiformis, unaso nesifo se-celiac uma unemiphumela emihle yokuhlola igazi ). Kodwa-ke, abantu abanokuzwela kwe-gluten bavame ukukhombisa ukuhlukumeza okuhlukahlukene kanye nezinye izimo zesikhumba ezicacile uma zihamba zingenalo gluten, ngokusho kocwaningo lwabacwaningi.
UDkt. Fasano uthi ubonakele izikhumba eziningi kubantu abanokuzwela okungenalo i-celiac gluten. "Akuyona i-DH-yinto efana ne-eczema," kuchaza. Empeleni, kukhona ubufakazi bokuthi ukudla i-gluten-free kungasiza nge-eczema , ngisho nakubantu abangenayo isifo se-celiac.
Bobabili uDkt. I-Ford ne-Fine bayavuma ukuthi isikhumba sakho singakwazi ukuhlupheka uma u-gluten-sensitive, ne-rashes nezinye izimpawu zesikhumba. Izimpawu ziyanyamalala lapho umuntu elandela ukudla okungenayo i-gluten futhi aphinde abuyele esimweni sokuhluma .
Njengesifo se-celiac, ukuzwela kwe-gluten kungabangela izimpawu ezihilela uhlelo lwakho lwe-endocrine, njengokungabantwana nokugula kwesifo , uDkt Fine uthi. Ubuye abone i- gluten-eyabangela isifo sokuphefumula kwabanye abantu abanokuzwela kwe-gluten. Ngaphezu kwalokho, odokotela. Kuhle, u-Fasano no-Ford bonke bhala ukuthi abantu abaningi banesifo semfuyo yegazi, ubuhlungu obuhlangene kanye nokugubha / ukungena emkhawulweni wabo kusukela ekungeneni kwe-gluten. Zombili nazo ziyizimpawu ezivamile zesifo se-celiac.
Ukucwaninga Ngezibonakaliso Zokuzwela kweGluten Okuqhubekayo
Yiqiniso, ukuqaphela ukuzwela kwe-gluten njengesimo esingafani ngokuhlukile kwesifo se-celiac kanye nesifo sofuba sithukuthele kakhulu, futhi akekho ucwaningo olukhulu lokuxhumanisa noma yiziphi izimpawu ezibalulwe ngenhla ngokuzizwa komzwelo (ngisho nocwaningo lokucindezeleka alukaze iphindaphindiwe). Odokotela abaningi bashicilela imibiko ye-non-celiac gluten ukuzwela, futhi bazotshela iziguli zabo ukuthi abanenkinga ne gluten uma behlola okungenayo isifo se-celiac.
Akukho futhi incazelo yokuthi kungani izimpawu zobuthakathaka be-gluten nezifo ze-celiac zibonisana ngokuqondile. Kodwa-ke, uDkt Ford unombono wokuthi: Ukholelwa ukuthi izimpawu zobuthakathaka be-gluten nezifo ze-celiac ziyafana ngoba i-gluten ibangela izimpawu ngqo kulawo maqembu amaqembu abantu, nokuthi ukulimala kwamathumbu akubambe iqhaza elikhulu ekwenzeni izimpawu.
Ngamanye amazwi, yize ama-celiacs athola i-atrophy enonya futhi abantu abanobucayi be-gluten abakholelwa, ukholelwa ukuthi lawo maqembu amabili athola izimpawu eziqondile ezivela ku-gluten ezingahlobene nomonakalo emathunjini.
"I-atrophy eyinhlamba iyilinga lokuhlola izicubu ze-celiac, kodwa alinandaba kakhulu nezimpawu ozithola uma udla i-gluten," kusho uDkt. Ford. "I-Gluten sensibility ngokuyinhloko isifo se-neurologic. Izimpawu zamathumbu zibangelwa ukucasuka kwisimiso sezinzwa ezizimele-yiloluhlelo oluzimele oluthinta inhliziyo yakho, amaphaphu kanye namathumbu. Uma ungena ngokweqile kusuka ku-gluten, uthola lezo zimpawu. "
Akekho kulolu lwazi mayelana nezimpawu ezingenayo i-gliten ye-gluten ezibonakalisiwe ezifundweni zemitholampilo njengamanje; okwamanje, limelela nje imibono yodokotela abacwaninga ngesihloko. Kodwa-ke, njengoba ucwaningo luqhubeka, sizobe sifuna ukufunda okwengeziwe ngalezi zimpawu nokuthi ubani ongase abe nengozi kakhulu kubo.
Imithombo:
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