Uyini umehluko phakathi kwezimo ezimbili?
Izifo ze-Celiac kanye ne-non-celiac gluten ukuzwela kuhilela izimpendulo ezimbili ezihlukene kumaprotheni we-gluten , atholakala ku-okusanhlamvu, ibhali, ne-rye. Kodwa-ke, izimpawu zombili lezi zimo zifana kakhulu noma zifana ncamashi, okwenza kube nzima ukucacisa ukuthi ungubani (uma ukhona) ngaphandle kokuhlolwa kwezokwelapha.
Izifo ze-Celiac zibandakanya ukusabela okuzenzakalelayo ku-Gluten
Isifo se-Celiac senziwa lapho i-gluten iqhuma isimiso somzimba wakho sokuvikela omzimba ukuze ihlasele ibhande lomathumbu wakho omncane . Ukulimala emathunjini okubangelwa emathunjini, okuthiwa i-atrophy evuthayo , kungabangela ukungondleki kanye nezimo ezinjenge-osteoporosis. Kungenzeka futhi kungabangela umdlavuza ezimweni ezingavamile.
Isimo sizenzekelayo ngokwemvelo, okusho ukuthi i-gluten ayibangeli umonakalo ngqo; Kunalokho, ukusabela komzimba wakho wamagciwane kumaphrotheni we-gluten kuqhuma amangqamuzana akho amhlophe egazi ukuze ahlasele ngephutha amakhemikhali akho amathumbu omzimba. Isifo se-Celiac siphinde sithinte nezinye izimo ezizimele , kufaka phakathi isifo se-autoimmune nesifo sikashukela sohlobo 1.
Isifo se-Celiac sithinta umuntu oyedwa ku-133 noma eduze namaphesenti angu-1 wabantu. Kodwa-ke, bambalwa abantu - ukulinganisela okunye okumbalwa njengamaphesenti angu-5 ephelele - bayazi ukuthi banesimo.
Ukuzwela kweGlututen Kubonakala Kuvela Ehlukile Kwendlela Yokubhekana Ne-Immune System
Ukuzwela kwe-Gluten, eyaziwa nangokuthi u-sentivity non-celiac ukuzwela noma ngezinye izikhathi i-gluten ukungaboni ngaso sonke isikhathi, isanda kubonakala njengesimo sokumisa yedwa umphakathi wezokwelapha, futhi kusekhona iningi lokuphikisana elikuzungezile.
Akuwona wonke odokotela abavumelanayo ukuthi ukhona, futhi ucwaningo oluncane lwenziwe ngezimbangela, izimpawu, nemiphumela.
Ithimba labacwaningi e-University of Maryland Centre for Celiac Research liveza umbono oqinisekisiwe okwamanje ukuthi ngo-2011 ukuthi ukuzwela kwe-gluten kuhilela ukusabela kwesimiso sokuzivikela komzimba kunesifo se-celiac.
Ithimba, eliholwa ngumqondisi wesikhungo uDkt. Alessio Fasano, lithemba ukuthi umuntu onokuzwela kwe-gluten uyasabela ngokuqondile ku-gluten - okungukuthi, umzimba wakho ubheka iphrotheni njengesihlaseli futhi uyilwa ngokuvuvukala ngaphakathi nangaphandle kwendlela yakho yokugaya.
Esifweni se-celiac, okwamanje, isimiso sakho somzimba sokuvikela omzimba asihambisani nokuhlaselwa okuqondile ne-gluten; Kunalokho, ukungenisa kwe-gluten kubangela isimiso sakho somzimba sokuvikela omzimba ukuba sihlasele izicubu zakho, ngendlela yokugqoka emathunjini akho emathunjini.
Akucaci nokho ukuthi ukuzwela kwe-gluten kuphakamisa ingozi yakho kwezinye izimo, kufaka phakathi izimo ezizenzakalelayo - abanye abacwaningi bakholelwa ukuthi kuyakwenza, kanti abanye bathi akusho. Akucaci ukuthi ngabe ukulimaza umzimba wakho noma ezinye izicubu, noma ngabe kubangele izimpawu ngaphandle kokulimaza.
Akucaci namanje ukuthi bangaki abantu abangaba nokuzwela kwe-gluten. Ithimba likaDkt. Fasano lilinganisela ukuthi lesi simo sithinta amaphesenti angu-6 kuya kumaphesenti angu-7 wabantu (abazungeze umuntu oyedwa kwabahlanu), kodwa abanye abacwaningi (nabameli) babeka inombolo ephakeme kakhulu-mhlawumbe njengamaphesenti angama-50 abantu.
Ukunquma ukuthi unayo yini ukuzwela kweGlututen noma izifo ezibandayo?
Njengoba akuzona zonke odokotela abavuma ukuthi ukuzwela kwe-gluten kukhona, akukho ukuvumelana okwamanje mayelana nendlela yokuyihlola.
Kodwa-ke, ocwaningweni olwanyatheliswa ngoFebruwari 2012, uDkt. Fasano kanye neqembu lakhe batusa i-algorithm yokuxilonga enganquma ukuthi unayo noma enye.
Ngokuqondile, ngokusho kwe-algorithm yabo ephakanyisiwe, wena nodokotela wakho uzoqala ukulawula isifo se- celiac ngokusebenzisa ukuhlolwa kwegazi le-celiac . Uma lezo zimbi, khona-ke uzongenela inselele ye-gluten , uqale ukuqeda i-gluten ekudleni kwakho ukuze ubone ukuthi izimpawu zakho zisusiwe yini, bese "uphikisa" noma ukubuyiselwa ekudleni kwakho, ukuze ubone ukuthi izimpawu zibuya yini.
Ngokweqikithi, uma ubona izimpawu lapho ukudla kwakho kuqukethe gluten, kodwa lezo zimpawu zicacile lapho ulandela ukudla okungenamsoco , ungase utholakale unomzwelo we-gluten, ngokusho kukaDkt. Fasano.
Imithombo:
UFasano A. et al. Ukuphazamiseka kokugwinya kwamagciwane kanye nomzimba wegciwane lomzimba we-immunosity mucosal ngezimo ezimbili ezihlobene nezilwanyana: isifo se-celiac ne-gluten ukuzwela. BMC Medicine. 2011.
Fasano A. et. al. I-spectect yezinkinga ezihlobene ne-gluten: ukuvumelanisa ngokuchazwa kwamagama okusha nokuhlukaniswa. BMC Medicine. BMC Medicine 2012, 10:13 ini: 10.1186 / 1741-7015-10-13. 2012.