Kusukela ekungeneni kwe-gluten-free ukunakekelwa-up, nansi okudingayo ukwazi
Lapho ingane yakho noma ingane yakho isencane isifo sesifo se-celiac , ungase uzizwe unemizwa ehlukahlukene. Ungase uzizwe ukhululekile ukuthi ekugcineni uyayiqonda inkinga yezokwelapha (nokuthi iyaphathwa), ukudabuka ukuthi ingane yakho iyophikwa "ukudla okujwayelekile" futhi kumele ilandele ukudla okungenamsoco okungapheli konke, nokukhathazeka ekutheni kusetshenziswe ukuguqulwa kokuphila okunzima .
Yonke yale mizwelo ijwayelekile-ukukhulisa ingane kuyinkimbinkimbi, futhi ukukhulisa ingane enesifo se-celiac kuyinkimbinkimbi nakakhulu. Kuzodingeka ubhekane nokudla okunzima, ukuphatha izinkinga zesikole nokunakekelwa kokulandelela, futhi uqiniseke ukuthi ingane yakho iyazi ukuthi yini ongayidla uma ungekho.
Kodwa kunezindaba ezinhle, futhi: ungase uthole ukuthi ingane yakho izwa kangcono, inamandla amaningi, futhi ikhula ngokushesha manje njengoba itholakale. Futhi ukulawula ekudleni ekugcineni kungase kube nokunika amandla ingane yakho njengoba ifunda ukuhamba ngezimo zomphakathi.
Nakhu okudingeka ukwazi ukuthi ubhekane nokuxilongwa kwesifo somntwana we-celiac yakho, kusukela ekusetshenzisweni kokudla okungekho gluten ekunakekeleni okudingekayo okulandelwayo.
Ukudla i-Gluten-Free ekhaya
Nakuba kunezidakamizwa eziningana ekuthuthukiseni, kunomuthi owodwa kuphela wamanje wesifo se-celiac: ukudla okungenampilo kokudla okungenamsoco. Uma ingane yakho ithola ukuthi ikhona ne-celiac, kuzodingeka ihambe ngaphandle kwe-gluten.
Ukudla okungenayo i-gluten kuyinkimbinkimbi, futhi kulula ukwenza amaphutha, ikakhulukazi ekuqaleni. Ukuze usize imindeni iqonde futhi isebenzise ukudla okungenayo i-gluten, uHilary Jeriko, MD, uprofesa osizayo wezingane zokwelapha eYunivesithi yaseChicago Medicine, uncoma ukuthi bakhulume nomuntu onomsoco owaziyo ekudleni.
UDkt. Jeriko ubhekisela iziguli zakhe eziphethwe yi-celiac kanye nemindeni yazo kumuntu onomsoco, futhi ukholelwa ukuthi kuyasiza kakhulu.
Eminye imindeni-ikakhulukazi labo abanamalungu angaphezu kweyodwa emndenini abaxilongwe-banquma ukwenza yonke indawo yekhitshi neyendlu gluten. UDkt. Jeriko uthi kungasiza, kodwa akudingeki ngaso sonke isikhathi: "Ukuthatha ukudla okubaluleke kakhulu futhi ukwenza konke okudingayo ukwenze ekhishini kwenza umntwana azi ukuthi isimo sangempela," usho kanje.
Uma abazali benquma ukuthi yonke indlu ayidingi ukuba i-gluten-free, kuzodingeka ukuthi bafake imithetho lapho wonke umuntu kufanele alandele ukuze avumele umuntu ngesifo se-celiac ukuthi abelane ngekhishi nalabo abangadla i-gluten. Lokhu kuzodinga ukulingana ezinhlangothini zombili. Ngaphezu kwalokho, abanakekeli abapheka ingane ephethwe yi-celiac kudingeka baqiniseke ukuthi basebenzisa izitsha kanye namapanethi azinikezele nge-gluten, futhi balinde ngokucophelela ukungcoliswa kwe-gluten ekhishini.
Izenzakalo zeSikole nezeNhlalakahle
Izingane kanye nezinsizwa ezinezifo eziphethwe yi-celiac zibhekana nezinkinga esikoleni nasemibuthanweni yomphakathi. Izikole eziningi-ikakhulukazi ezikoleni zasemqoka-zigcina imikhosi ephathelene nokudla, futhi amaqembu ezingane azibandakanya ikhekhe lokuzalwa noma amanye ama-gluten-y.
Kule minyaka yobudala, izingane zifuna ukungenelela, hhayi ukunamathela ngaphandle-kodwa ukudla okuhlukile kunezontanga zabo kwenza ukuba zihlale zihamba ngendlela enkulu, kusho uDkt. Jeriko.
"Kungaba nzima kakhulu futhi kubangele izingane-azifuni ukuba umfokazi," esho.
Uma isikole sakho sinomhlengikazi wesikole noma umsoco ozimisele ukusebenza nawe, kungenzeka ukuthi uhlele izinsuku zokudla zesikole ezingenalo gluten kumntwana wakho we-celiac. Ukuvimbela ukudla kwasekuseni okuphelele, ungase ucele ukuthi ukudla okulula okulondoloziwe ngaphambilini kungatholakali ekudleni. Kusho okuningi-okungaphezulu kwalokho ongase uqaphele-kumntwana we-celiac ukuze akwazi ukuhleleka okuthile emgqeni wokudlela wesikole.
Kubalulekile, ikakhulukazi ezinganeni ezincane, ukuthi abazali banikeze ukwelashwa abangakujabulela emphakathini-ngokwesibonelo, ucezu lwekhekhe noma ikhekhe abangadla emcimbini wokuzalwa lomngane noma umkhosi wesikole.
Abazali abanesikhathi, ukunikeza ukwelashwa okubukeka sengathi izinto ezinye izingane zizobe bedla ngangokunokwenzeka kungasiza ngempela ingane enecalaac ukuba izwe ifakiwe. Lokhu kuzobandakanya ukushayela phambili ukuze ubone ukuthi abanikazi bezempi bazobe bekhonza, bese bephindaphinda lokho.
Kwabancane, kungasiza ekufundiseni imikhiqizo ephephile engabamba kuyo, njengama-chips angenama-gluten kanye nezinye ukudla okulula. Ngaphezu kwalokho, kubantu abasha asebekhulile, ukukhomba ukudla okusheshayo lapho kutholakala khona ukudla okungenayo i-gluten kungasiza uma bonke abangane babo befuna ukumisa futhi bathole okuthile okuzodla.
Abazali bezingane ezincane ezinama-celiac kudingeka futhi bazi ukuthi amanye amaphrojekthi amakhono okufundela asebenzisa ufulawa (ufulawa olusuka emoyeni lungabangela ukusabela kubantu abanezifo ezingenalo i-celiac), futhi ezinye izinto zokwenza izinto, njenge-fingerpaint ne-PlayDoh, ziqukethe ukolweni. Kungase kudingeke ukuncoma noma ngisho unikeze ezinye izindlela, mhlawumbe ngomntanakho noma kulo lonke ekilasini.
Ukunakekelwa Okulandelwayo
Ingane yakho noma ingane yakho kufanele ithole ukunakekelwa okujwayelekile okulandelwayo kusuka kudokotela onolwazi ngesifo se-celiac, okungenzeka ukuthi isisu sakho sezingane esisodwa. Lawa ma-aphoyintimenti okulandelwayo azosiza ukubhekana nanoma yiziphi izinkinga eziphakama, njengezimpawu eziqhubekayo.
Izingane ezinesifo se-celiac nazo kufanele zithole ukuhlolwa kwegazi ngezikhathi ezithile ezingasiza ekunqumeni ukuthi zihambisana nokudla okuqinile okungekho gluten. Lezi zivivinyo cishe zizobonisa kuphela inkinga uma ingane yakho ithola i-gluten eningi ekudleni kwayo , kodwa ochwepheshe bathi bangasiza ekuboneni inkinga engenzeka. Khuluma nodokotela wengane yakho ukuthi kufanele ahlole kaningi kangakanani.
Njengoba abantu abanesifo se-celiac basengozini yokuntuleka kokudla okunomsoco futhi kungenzeka ukuthi bangaphezu kokuqhathanisa ngokweqile noma ngaphansi kwesisindo somzimba , ochwepheshe nabo batusa ukuthi odokotela bahlole ukuphakama, isisindo, nesimo somzimba womzimba (i-BMI, okusiza ukunquma ukuthi kukhona umuntu okhuluphele kakhulu) ekuhambeleni kwakhe ngalunye.
Ngaphezu kwalokho, izazi zincoma ukuthi izingane ezinezifo eziqhamukayo zithatha i-multivitamin. Isifo se-Celiac singabangela ukungapheleli kwezakhi eziningana ezibalulekile. Nakuba kungekho zifundo ezenziwe ngalokhu, ochwepheshe bakholelwa ukuthi i-multivitamin ingase isize ukuvimbela ukuphuleka komsoco.
Izinkinga zezokwelapha
Izingane ezinesifo se-celiac ezingatholakali zingase zibe nomuzwa wokuthi azikwazi amandla, futhi zingase zibe mfushane kunezontanga zabo . Uma sezixilongwa futhi ziqala ukulandela ukudla okungekho gluten, lezi zinkinga cishe zizoziphendulela-ungase ubone ngisho nokukhula okuqinile .
Kodwa-ke, abanye abantu abanesifo se-celiac-kuhlanganise nezingane kanye nentsha-banezimpawu zokugaya isikhathi eside lapho bexilongwe. Kwezinye izimo, lezi zimpawu zibangelwa i-gluten efihliwe ekudleni, kodwa kwezinye, zingabonisa isimo esihlukile, njengesifo se-reflux se-gastroesophageal . Udokotela wengane yakho angakusiza ukuba uhlole ukuthi kwenzekani.
UDkt. Jeriko futhi ubukele ukukhathazeka nokucindezeleka ezigulini zakhe ezincane ezingenamkhawulo. Ukucindezeleka kuvame kakhulu kubantu abasha abanesifo se-celiac , nakuba ukulandela ukudla okunamandla okungenalutho kubonakala kunciphisa izimpawu. Izinkinga zokuziphatha, njengokunakekelwa kokungabi nalutho-ukugula kwengqondo , nazo zibonakala zivame kakhulu.
Izingane Ezilwa Nokudla
Abantu abasha ngokuvamile baphulukisa masinyane ezifweni ze-celiac, futhi bavame ukwenza kahle kakhulu. Kodwa-ke, ingane yakho ngeke iphulukise uma ingeke ilandele ukudla okungenalutho kwe-gluten. Nakuba iningi lezingane kanye nentsha lilandela ukudla ngokuqinile, abambalwa abenzi, uDkt. Jericho uthi.
Izingane ezincane kunazo zonke zilula ukushintshela ekudleni okungenalutho lwe-gluten, ngoba abanalo ulwazi oluningi lokudla okune-gluten futhi kungaba lula ukulawula ukudla kwazo, kusho uDkt. Jericho. Ukuphishekela intsha elandela ukudla ibalulekile ingaba yinselele nakakhulu, futhi lokhu kuyinkinga kakhulu kwabasakhulayo abangatholi izimpawu ezibonakalayo lapho bedla gluten, uthi.
Akuyona into engavamile ukuba ingane noma intsha engenazo izimpawu zitholakale zitholakala ngesifo se-celiac ngoba isihlobo esiseduze-umzali noma umntakwethu-sinezibonakaliso futhi sahlolwa futhi sitholwa nesimo, kusho uDkt. Jeriko. Isifo se-Celiac sisebenza emindenini , futhi iziqondiso zezokwelapha zibiza izihlobo eziseduze ukuthi zihlolwe uma othile ebonwa.
Noma ubani onokuhlolwa kwesifo se-celiac esiphundu futhi une-endoscopy imiphumela ebonisa umonakalo ohlobene ne-celiac kufanele ahambe engenama-gluten, uthi, noma ngabe lowo muntu akanalo izimpawu. Kodwa uma ophakathi noma osemusha ene-celiac engatholi izimpawu lapho edla i-gluten, akanamathuba amaningi okunamathela ekudleni. "Kuyinto impi njalo," kusho uDkt.
Usebenzisa iziguli zakhe izincazelo eziningana ukuze abonise ukubaluleka kokudla okungenamsoco, futhi uthi abazali bangasebenzisa amasu afanayo nezingane zabo. Isibonelo, abantu abanesifo se-celiac abangalandeli ukudla bangengozi yokulahlekelwa amathambo namathambo aphukile , uthi: "Ngixoxa nabo ngokuthi akekho umuntu ofuna ukwenza umdlalo futhi ngokuzumayo abe nekhefu lomlenze ngaphandle kwesizathu . "
UDkt. Jeriko uphawula ukuthi ukuphazamiseka kwegazi- okungabangela ubuthakathaka nokubandlulula-kuyingozi kubantu abanesifo se-celiac kodwa abangekho gluten. Utshela abantu abayishumi nambili abasabekayo ukuthi bangenalo amandla amaningi okuncintisana emdlalweni noma ukubamba iqhaza eminye imisebenzi nabangani babo.
Ekugcineni, uchazela amantombazane ukuthi isifo se-celiac singalimaza ukuzala kwabo esikhathini esizayo uma bengalandeli ukudla. "Ngitshela ukuthi ngelinye ilanga, phansi komgwaqo, bangase bafune ukuqala umndeni, futhi uma beqhubeka bedla i-gluten, bangase babe nezinkinga ngalokho."
Ukukhuthaza isimo sengqondo esihle
Enye yezinto ezibaluleke kakhulu umzali angayenza ukusiza ingane ngesifo se-celiac ukukhuthaza ingane ukuba ijabule ngokuba nesimo. "Ungasebenzisi amagama aqeda amandla," kusho uDkt. "Yibize ngokuthi 'ukudla okukhethekile' kwengane futhi uzame ukubeka isikhathi eside ngaso sonke isikhathi. Qinisekisa ukuba njalo ingane izwa ikhethekile."
Ezimweni lapho ingane ingenakho into ekhonjiswa kwabanye, abazali kufanele baqiniseke ukuthi babe nesandla esilingana noma esingcono esikhundleni sabo. Uma kukhona izingane zakini ezingezona i-gluten-free, ke qinisekisa ukuthi "wonke umuntu unokwelapha okhethekile," okusho ukuthi ingane engenalo i-gluten ngeke ihlanganyele ngayo ne-siblings yayo engeyona gluten-free.
Esikoleni, ulwazi oluthile mayelana nesifo se-celiac ekilasini lingahamba ngendlela ende. UDkt. Jeriko uphakamise izingane ezingeni lesikoleni samabanga aphansi ukuthi zakha isethulo emakilasini abo esimweni kanye nokudla okungenalutho kwe-gluten. Labo abaye benza lokho baye bakujabulela lokho okuhlangenwe nakho, futhi babone ukwesekwa nokuqonda okuvela kubalingani babo ekilasini ukwanda, uthi.
UDkt. Jeriko uthi: "Ngokuvamile, abantu bazohleka futhi bahlekise ngezinto abaziqondi." "Ukuphila okuningi izingane aziqondi ukuthi kwenzekani." Ukunikeza ulwazi ekilasini lonke ngesifo se-celiac futhi ukudla okungenamsoco kwe-gluten kunika izingane amandla, futhi kusiza abafundi babo ekilasini baqonde, uthi.
Izwi elivela
Ukunakekela ingane noma intsha enesifo se-celiac kungaba inselele kunoma imuphi umzali, kodwa uzobona ukuthi kuwufanelekile umzabalazo njengoba ubona ingane yakho iqala ukukhula ngaphandle kwe-gluten. Akukho umbuzo wokuthi ukudla okungenalutho kwe-gluten kunemikhakha yokufunda ephakeme.
Kodwa-ke, cishe uzothola ukuthi wena nomntanakho niyithathe ngokushesha, ikakhulukazi uma ninomsizi othile wesondlo endleleni. Okokugcina, ukuba nesifo se-celiac kungaba ukunika amandla izingane kanye nentsha njengoba zifunda ukuzimela futhi zisize ukufundisa izingane ezifunda nabo ngesimo.
> Umthombo:
> Snyder J et al. Izincomo Zama-Expert Informed for the Management of Celiac Disease In Children. Izingane zokwelapha . 2016 Sep; 138 (3).