Yini ngempela 'i-gluten allerergy,' noma kunjalo?
Kuyinto evamile kakhulu kulezi zinsuku ukuzwa abantu ezindaweni zokudlela nezitolo bethi bane-gluten-allergies "ngakho-ke badinga imikhiqizo engenayo i-gluten, kodwa inkinga ukuthi akuyona into enjenge-gluten yokungezwani komzimba: isayensi yezokwelapha ayisebenzisi i-term, futhi ukusabela okuningi kwe-gluten akubandakanyi ukusabela kwangempela kwe-allergenic.
Ngakho-ke abantu bathini uma bethi bane-gluten allergies?
Yebo, kungenzeka ukuthi basebenzisa leli gama njenge-shorthand ngesinye sezimo zezokwelapha eziqaphele ezibandakanya ukusabela kwesimiso ku-gluten. Nazi ezinye izimo ezinhlanu (kanye negama elilodwa elisetshenziswe ngokungafani namanye amanye) alingana nalo mthethosivivinywa:
Izifo zeCeliac
Lokhu kungase kube yindlela eyaziwa kakhulu ye "gluten allerergy," nakuba kungenjalo akuyona into yokungezwani. Isifo se-Celiac (ngezinye izikhathi esibizwa nangokuthi "i-celiac sprue") yisifo esibi kakhulu sokuzibulala okwamanje okuwukuphela kokugwema konke ukudla okuqukethe i-gluten.
Uma unesifo se-celiac bese udla i- gluten (iphrotheni etholakala engqolowini yebhali, i-hare, ne-rye), i-gluten ibangela isimiso sakho somzimba sokuvikela omzimba ukuba sihlasele ubhedu bomathumbu wakho omncane , ekugcineni sidle ukuthi ubhedu kuhlelo olubizwa ngokuthi i-atrophy enamandla . Isimo ngokuvamile sibangele izimpawu zesimiso sakho sokugaya kodwa singathinta nezinye izingxenye zomzimba wakho, futhi.
Abangu-1% baseMelika banesifo se-celiac .
Ukuzwela okungenayo i-Celiac Gluten
Ukuzwela kwe-gluten, eyaziwa nangokuthi "ukungazweli kwe-gluten okungenayo i-celiac," yiyona kid entsha ebhodini: uma umuntu ongenayo isifo se-celiac ethi "une-gluten yokungezwani komzimba," kungcono ukuthi kusho ukuthi akanalo i-celiac ukuzwela kwe-gluten.
Izifo ze-Celiac ne-gluten ukuzwela akuyona into efanayo . Isayensi yezokwelapha isandaqala ukuqaphela ukuthi abanye abantu abanezifo ezingenalo i-celiac nakanjani bayazibona izimpawu ezimbi lapho bedla ukudla okuqukethe gluten. Kodwa-ke, lesi simo singasilingisa ngokucophelela isifo se-celiac, okwenza ukuba ukuhlonza okunembile kuyinkinga ethile.
Okwamanje, ayikho indlela eyamukelekile yokuxilonga ukuzwela okungenayo i-celiac gluten (nakuba abacwaningi besebenza kuso). Ayikho futhi indlela enembile yokukwazi ukuthi bangaki abantu abanokuzwela kwe-gluten . Kodwa uma ososayensi bethola indlela engcono kakhulu yokuhlolisisa lesi simo, abanye odokotela bakholelwa ukuthi inani labantu abanalolu hlobo "lwe-gluten allerergy" luzokwenza inani le-flial ne-celiac isifo se- gluten .
Nakulokhu, njengesifo se-celiac, ukwelashwa kwamanje kuphela kwe-non-celiac gluten ukuzwela ukugwema ngokuphelele i-gluten.
Ukubekezeleliswa kweGluten
Leli yigama elisetshenziswe ngokungafani nabanye abanye. Ngesinye isikhathi, abantu bathi babenokungabekezelelani kwe-gluten uma bevivinywa ngesifo se-celiac kodwa bebathole bengakudli ukudla okune-gluten. "Ngingumlutha-angizange ngidle i-gluten!" bamemezela, futhi igama elithi "gluten ukubekezelelana" lakhula ngokuvelele (futhi nakanjani ekusesheni kwe-Google).
Kwezinye izimo, leli gama lisetshenziselwa ukusho "isifo se-celiac" (futhi ngokuqinisekile kusho "gluten allerergy"), okwenza nje izinto zidideke kakhulu. Kodwa kulezi zinsuku, abacwaningi nabahlengikazi basebenzisana ngokusetshenziswa kwegama elithi "non-celiac gluten sensitivity" esikhundleni sokuthi "ukungabi nokubekezelelana kwe-gluten" kubantu abangenayo isifo se-celiac, kodwa ngubani obhekene nezimpawu ze-gluten. Ekugcineni, igama elithi "ukubekezelelana kwe-gluten" cishe kuzokwehluka ngokuphelele.
I-Dermatitis Herpetiformis
Yilokho owaziwa ngokuthi "i-gluten rash." I-Dermatitis herpetiformis iyisibhakabhaka esibomvu, esinqabileyo esikhukhulayo esenzeka uma udla i-gluten.
Njengoba abantu abaningi behlobanisa izidakamizwa, akuyona indlela elula lapho abantu bebiza ngokuthi i-dermatitis herpetiformis ifomu elithi "gluten allerergy," nakuba kungezona ukungezwani komzimba - njengesifo se-celiac, i-dermatitis herpetiformis ihamba ngokuzenzakalelayo emvelo (ekhombisa ukuhlasela kwakho amasosha omzimba ngokuphendula ukungenisa kwe-gluten ).
Uma une-dermatitis herpetiformis ukuxilongwa kanye nokuhlolwa kwegazi okuyi-positive, ucatshangwa ukuthi unesifo se-celiac . Kungakhathaliseki, ukuxilongwa kwe- dermatitis herpetiformis kusho ukuthi udinga ukugwema i-gluten ukugcina ukuqhuma kwakho kulawulwa.
I-Gluten Ataxia
I-gluten ataxia, isimo se-autoimmune, ihilela ukuhlaselwa yisistimu yakho yokuvikela omzimba ebuchosheni bakho kanye nesistimu yezinzwa ekuphenduleni kokusetshenziswa kokudla okuqukethe i-gluten - izinto eziyingozi kakhulu. Ngenhlanhla, i- gluten ataxia ayiyona into engavamile (nakuba ingase ikhule ngokusakazeka), kodwa iwela ngaphansi kwesambulela "gluten allerergy" jikelele.
Abantu abane-gluten ataxia kudingeka balandele ukudla okungenalutho kwe-gluten ukugwema ukulimala okuqhubekayo kwegazi.
Ukolweni Wokudla
Ukolweni ngokweqile empeleni kuyingozi yokungezwani komzimba, kodwa ngenkathi abanye abantu bebhekisela kulo "njengendlela yokuluthwa kwe-gluten," ukusabela okweqile kuhilela okungenani izingxenye eziningi zekolweni kunokuphela kweprotheyini ye-gluten . Ukukhubazeka kuvame kakhulu ezinganeni kunabantu abadala.
Abantu abaphikisana nekolweni badinga ukugwema lokho okusanhlamvu, kepha ngokuvamile bangadla ibhali kanye ne-rye, ezinye izithelo ezimbili ze-gluten.
Ungubani Lona?
Njengoba ubona, umuntu othi uphethe "i-gluten allergies" empeleni angase abe nesinye sezimo ezihlukile. Noma kunjalo, kunesici esisodwa sokuhlanganiswa kuwo wonke amahlanu kulezi zindlela zokuluthwa kwezilwane: ukwelashwa ngokuvamile kuhilela ukugwema ukudla nokukolweni kuwo.
Ukuze uthole uhlu lokuhlola olungakusiza uqhathanise izimpawu zemibandela ehlukene (futhi ucabange ukuthi iziphi izimpawu zakho zingawela), bheka: I- Gluten Isifo Sezifo Zomzimba
Umthombo:
ULudvigsson J. et al. Izincazelo ze-Oslo zesifo se-celiac nemigomo ehlobene. Gut. 2013 Jan; 62 (1): 43-52. i-doi: 10.1136 / gutjnl-2011-301346. I-Epub 2012 Feb 16.