... Noma kokubili?
Kuthiwani uma owesifazane osemncane ophumelelayo owakhathalelayo, mhlawumbe esikoleni esiphakeme noma umfundi wekolishi, uthi akafuni ukudla? Uyindlela encane kakhulu, kodwa uthi akalambile, futhi uyazi ukuthi uhlanza ngemuva kokudla. Eqinisweni, ubonisa ezinye zezibonakaliso zesifo sokudla esinjengesi-anorexia nervosa noma i-bulimia. Ungacabanga ukuthi mhlawumbe unesifo sokudla, noma isifo se-celiac ...
noma kokubili?
Ekolishi eFlorida, abaqeqeshi babhekene nale nkinga nje. Ngesikhathi sokuhlelwa kwesandulela ngculaza, omunye wabagijimi bawo abakhulu, i-National Collegiate Athletics Association Division I umdlali we-volleyball wesifazane, waqala ukulahlekelwa isisindo esikhulu. Walahlekelwa isifiso sakhe futhi wayenesifo sohudo nokuhlanza. Wakhulelwa kakhulu. Walala ekudleni, eqenjini lebhasi noma ebhasini, futhi ngaphambi nangesikhathi esingazange ahlanganyele ngaso. Ukusebenza kwakhe kwezemidlalo kwahlupheka. Wayebhekene nokukhathala ngesikhathi samakilasi akhe futhi waqala ukuyeka ukuzibandakanya komphakathi.
Ngenxa yokuthi lo mdlali wayebhekene nokucindezelwa okuningi okuvela kumqeqeshi wakhe, abalingani bakhe, kanye nabo ukuthuthukisa amakhono akhe, abasebenzi abaqeqeshwayo bakholelwa ukuthi kungenzeka azame ukwandisa ukuqina nokusebenza kwakhe ngaphandle kokulindela okujwayelekile, nokuthi ube nesifo sokudla njengokubalekela ekucindezelweni kanye nomzamo wokuhlangabezana nalokhu okulindelwe.
Eqinisweni, abagijimi banesisindo esiphakeme sokudla okungaphezu komphakathi jikelele.
Kodwa ukuqagela ngani? Wayenalo i-anorexia nervosa noma i-bulimia - wayenesifo se-celiac. Ngenhlanhla kuye, abaqeqeshi bamthumelela ku-gastroenterologist, owaqaphela ngokushesha isifo sakhe se-celiac. Ngemuva kokuqala kokudla okungenamsoco, ukudla kwakhe kwathuthuka, waqala isisindo, futhi wajoyina iqembu le-volleyball.
Ngokusho kwabaqeqeshi bakhe nabalingani beqembu, ukusebenza kwakhe kwezemidlalo kuthuthukile futhi kwadlula ngisho nesimo sakhe sangaphambi kokugula.
Njengoba kunjalo, le ntombazane yayingenayo isifo sokudla - kodwa isifo se-celiac nokukhathazeka kokudla kungahle kube khona umuntu ofanayo kaningi kunabantu abaqaphelayo. UDkt. Daniel Leffler kanye nosebenza nabo abavela e-The Celiac Centre eBeth Israel-Deaconess Medical Centre eBoston bathicilela umbiko ngalesi sihloko. Eminyakeni engama-5 ubudala, ama-2.3% weziguli zesifazane abaphatha ngazo noma ngabe babe nesifo se-celiac kanye nesifo sokudla, noma babe nesifo se-celiac esasiziqhenya njengesifo sokudla.
Odokotela baseBoston bachaza ngokugcwele imininingwane yeziguli ezingu-10 ezinjalo. Esikhathini esisodwa isiguli esazi ukuthi ukuhlolwa nokuphatha lesi sifo se-celiac kuholela ekuthuthukiseni ngokuqondile ukuphazamiseka kokudla. Kwabanye, imingcele yokudla okungenayo i-gluten yenza kube nzima (kodwa kungenakwenzeka) odokotela ukuphatha isifo sokudla. Kwezinye iziguli, ukuthola ukuthi banesifo se-celiac kanye nokuthola isisindo ekudleni okungenalutho kwe-gluten kwaholela ekudleni kwabo ukugula kwesifo. Futhi ekugcineni, kwenzeka ukuthi isiguli esisodwa sasingenaso isifo sokudla nhlobo - ukulahlekelwa isisindo sakhe kanye nesifiso esibi sasingenxa yesifo se-celiac kuphela.
Ngakho-ke, eziningi zeziguli, kwakukhona ukuxhumana okubalulekile phakathi kwesifo sabo se-celiac nesifo sabo sokudla. Eqenjini elincane leziguli uDkt. Leffler kanye nosebenza nabo babika ukuthi, 80% bakwazi ukufeza noma ukugcina ukukhululwa kwesifo sabo se-celiac kanye nesifo sabo sokudla.
Okubalulekile? Izifo ze-Celiac kanye nokuphazamiseka kokudla ngezinye izikhathi kunzima ukuhlukanisa. Iziguli ezinezimo zombili noma zombili izimo kudingeka zihlolwe ngezindlela ezihlukahlukene: ukunakekelwa okuyinhloko, isisu somzimba, isondlo, kanye nesifo sengqondo / kwengqondo. Yileyo ndlela kuphela yokuqinisekisa ukuthi lowo muntu akabheki nokusebenzisana okunzima phakathi kwezinkinga zempilo yengqondo nezengqondo.
Imithombo:
Lindsey E Eberman noMichelle A Cleary. Izifo ze-Celiac ku-Athlete Amathimba Eqoqo Lamaqoqo Eqoqo Labafundi: I-Case Case. Journal of Training Athletic 2005 Okthoba-Dec; 40 (4): 360-364.
Leffler DA et al. Ukuxhumana phakathi kwezifo zokudla kanye nesifo se-celiac: ukuhlolwa kwamacala angu-10. I-European Journal ye-Gastroenterology & Hepatology 2007; 19: 251-255.