Uhlolojikelele lwe-Gluten Ukuzwela
Kuze kube maduzane, abantu abanemiphumela emibi ekuhlolweni kwegazi kanye ne- biopsy yamathumbu asetshenziselwa ukuxilonga isifo se-celiac batshelwe ukuba badle noma yini ababeyifunayo-gluten kwakungeyona inkinga yabo.
Kodwa-ke, iningi lalabo bantu lazama ukudla okungekho gluten- noma ukudla okuqeda konke ukudla okwakuhlanganisa ne-gluten okusanhlamvu kakolweni, ibhali kanye ne-rye-futhi kubika ukuthi bazizwa beba ngcono kakhulu. Izimpawu zabo (ezihlanganisa ukukhathala, izikhalazo zokugaya ukudla, nezinkinga zezinzwa) zisuswe uma zidla ngaphandle kwe-gluten.
Abaningi balaba bantu babecabanga ukuthi babengazweli noma banganaki amaprotheni we-gluten , nakuba ukuhlolwa kubonisa ukuthi abanalo isifo se-celiac. Kwezinye izimo, odokotela bazo bavumelana nokuhlolwa kwabo futhi bavuma ukuthi akufanele badle gluten. Kwezinye izimo, baqhubeka begwema gluten ngaphandle isibusiso udokotela.
Manje, abacwaningi abaningi (nakuba kungenabo bonke) bakholelwa ukuthi isimo esinjalo esihilela inkinga ngalawo makhudlwana (isifo esingesiyo isifo se-celiac) sikhona.
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Izimpawu Ezimangalisa Ungaba Nesifo Esithathelwana Ngesifo Se-gluten
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Uma ukuzwela kweGlututen Kungokoqobo, Bangaki Abantu Ababe Nayo?
Bayibiza ngokuthi "ukuzwela kwe-gluten," "ukuzwela kwe-gluten okungenayo i-celiac (NCGS)," "ukuzwela kokukolweni okungelona uketshezi," " ukubekezelelana kwe-gluten ," noma ngisho nokuthi " ukungezwani komzimba kwe-gluten ".
Kodwa-ke, ukuhlala komzimba akukaze kuboniswe ngokucacile, futhi njengoba kungakabikho incazelo yokuthi kungani kwenzeka futhi ukuthi ingahlobene kanjani nesifo se-celiac. Ayikho igama elivunyelwe emhlabeni wonke, nakuba iningi labachwepheshe abasensimini liye lahlanganisa "ukuzwela kwe-gluten okungenayo i-celiac" noma "ukuzwela kokukolweni okungewona uketshezi."
Akucaci nokuthi ngabe yini iphrotheni enokolweni, ibhali, ne-rye edala izimpawu zesimo.
Eqinisweni, abacwaningi baye bathola ezinye izinhlanganisela ukolweni, ikakhulukazi, bathi bangaba nomthwalo wemfanelo . Ezinye zalezi zinhlanganisela, ezaziwa ngokuthi i-FODMAPS, zitholakala kwezinye ukudla, njenge-garlic no-anyanisi, kanye nokolweni.
Ngaphezu kwalokho, isifundo esashicilelwe ngoJulayi 2016 sibonisa ukuthi umlandu we-non-celiac gluten / ukolweni ukuzwela kungenzeka empeleni kube umuthi ovulekile. Ucwaningo oluqhutshwa abacwaningi e-Columbia University Medical Center, lathola ukuthi labo abanokuzwela ukolweni babenezimpawu zokuzivikela ezimasosha ezikhombisa ukuthi "ukuvuselelwa kwe-immune system".Imiphumela yocwaningo iphakamisa ukuthi lokhu kusetshenziselwa ukuvikela amasosha omzimba kwenzeka ngoba ama-microbes kanye namaprotheni okudla awela umgoqo wamathumbu emsakazweni wegazi, okwenza ukuvuvukala kwande.
Okokugcina, naphezu kwezifundo ezimbalwa zamuva ezibonisa ukuzwela kwe-gluten kungenzeka, odokotela abaningi abakavumelani ukuthi isimo sangempela sezokwelapha, futhi akukho ukuhlolwa kwezokwelapha okumukelweyo. Ucwaningo luqhubeka lufuna iqiniso mayelana nosizi / ukwakhiwa kwekhiteni, futhi njengoba kunezinye imiphumela ezilindelekile, udokotela wakho angase abe ngesikholwa kakhudlwana esimweni.
Izimpawu ze-Gluten Senensity
Izimpawu ezihlobene nomsindo we- gluten wokuzwela ngokuphawulekayo kufana nalabo abahambisana nesifo se-celiac: izinkinga zokugaya ukudla, ukubhuqa nokukhathala .
Izinkinga ezifana nesifo sohudo, ukuqothulwa, nobuhlungu besisu kwenzeka njalo kulabo abaye bathola ukuthi banokuzwela kwe-gluten. Zibuye zivame kulabo ababika ukugula ngenxa yokudla kwe-gluten, kodwa abangenaso ukuxilongwa.
Ubuhlungu obuhlangene , ubuhlungu bekhanda nobuchopho buyizimpawu eziqashelwa njalo, futhi kukhona isifundo esisodwa esincane esathola ukuthi i- gluten ingabangela ukucindezeleka kubantu abangenayo isifo se-celiac .
Akucaci ukuthi lezi zimpawu zikhombisa ukulimala kwangempela kumasistimu omzimba wakho, noma ngabe zivele nje ukuthi udlile okuthile okungavumelani nawe. Abanye abacwaningi bathi abantu abanobuhlungu benhliziyo bangakwazi ukulimala kwezinye izitho nezinhlelo, ikakhulukazi izinhlelo zabo zezinzwa, kodwa lokhu akuzange kuboniswe ucwaningo lwesayensi.
Ukuzwela kweGluten ngokumelene nezifo ezibucayi
Uma uthola ukuthi unesifo se-celiac , ngokuvamile kusho ukuthi uhlangabezane nezimiso eziqinile zezokwelapha- unomonakalo emathunjini wakho emathumbu (okubizwa ngokuthi i- villous atrophy ) eyabangelwa ukusabela okuzenzakalelayo ku-gluten ekudleni kwakho.
Isifo se-Celiac sithinta cishe umuntu ngamunye kubantu abangu-133 e-US, okwenza kube isimo esivamile.
Abantu abaningi abonisa izimpawu zesifo se-celiac abanalo isimo, kodwa abanye balaba bantu bathola ukukhululeka ezibonweni zabo ekudleni okungenalutho, futhi-ke banakho ukuzwela kwe-gluten.
Odokotela badinga ukulawula izifo ezingavamile ngaphambi kokuba baxilise ukuzwela kwe-gluten . Ngokuvamile kusho ukuthi uzodinga ukuhlolwa kwegazi le-celiac bese (mhlawumbe) i-endoscopy, inqubo odokotela abasebenzisa ukubuka ngqo emathunjini akho amancane. Uma lezi zivivinyo zingabonakali izibonakaliso zesifo se-celiac, khona-ke wena nodokotela wakho ningacabangela ukuxilongwa okunye, kuhlanganise nokuzwela kwe-gluten.
Izinketho zokuhlola for Gluten Ukuzwela Hlala Unproven
Njengoba abacwaningi abaningi bengavumelani ukuthi ubuzwe be-gluten bukhona, abukho uhlolo oluvotelwe lokuthola lesi simo . Ngakho yini ongayenza ukuze uvivinye uma ucabanga ukuthi lokhu kungaba inkinga yakho?
Uma wena nodokotela wakho behlulile isifo se-celiac, unezinketho ezimbalwa zokuhlolwa kwe-gluten ukuzwela.
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Izinhlobo ezi-5 ezihlukene ze-Gluten Allerggies
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Ngine-Gluten Ukuzwela - Ngingabe Ngengozi Ephakeme Kakhulu?
Kodwa-ke, kufanele wazi kahle ukuthi ayikho enye yalezo zikhetho ezingakaqinisekiswa ngocwaningo lwezokwelapha.
Isibonelo, abanye odokotela bazosebenzisa imiphumela emihle ekuhlolweni kwegazi elithile- izivivinyo ezibukeka ngqo ngamagciwane e-gluten egazini lakho- ukusiza ukuxilonga ukuzwela kwe-gluten. Abanye abambalwa bayothola ukuthi uyayisabela ekuphenduleni kwakho ekudleni okungenalutho-ngamanye amazwi, uma ususa i-gluten futhi uzizwa ungcono, u-gluten-sensitive.
Futhi unenketho yokuphishekela ukuhlolwa kwe-gluten yokuzwela ukuzwela ngokuqondile ngokusebenzisa i-EnteroLab -qaphela ukuthi indlela yokuhlola esetshenziswe yilebhu ayitholakalanga noma ayamukelwa odokotela abaningi.
Imibuzo eminingi engaphenduliwe ku-Gluten Ukuzwela
Kungenzeka ukuthi ukuzwela kwe-gluten nesifo se-celiac kubonisa izici ezihlukile zesimo esifanayo, kodwa kungenzeka ukuthi zimelela izimo ezihlukene ngokuphelele. Njengoba abacwaningi bengavumelani nencazelo yokuzwela kwe-gluten, asikwazi ukusho ukuthi kungani kungase kwenzeke nokuthi kungase kuhlobana kanjani nesifo se-celiac.
Ngaphezu kwalokho, kungenzeka ukuthi akuwona wonke umuntu ogwema i-gluten okudingeka akwenze. Uma uphonsa i-gluten ekudleni kwakho futhi uzizwa ungcono, ungase uzwele noma ungaxolisi ku-gluten. Kodwa kungenzeka kube nezinye izincazelo zokuguqula impilo yakho.
Isibonelo, abanye abantu bangase bazizwe bangcono ngoba nje badla ukudla okunempilo-ngokusika i-gluten, futhi uhlukanisa izinhlobo eziningi zokudla okucutshungulwayo kanye nokudla okungenamsoco. Eqinisweni, lokhu kuyingxenye yokucabanga ngemuva kokudla okudumile "okuhlanjululwa kwe-gluten" okukhuthazwa yizigameko ezihlukahlukene, futhi kungaba isizathu sokuthi abanye abantu baphelelwe isisindo lapho behamba bengenawo gluten .
Kungenzeka futhi ukuthi uzizwa ungcono nje ngoba ukholelwa ukuthi wenza okuthile okuhle empilweni yakho, okungukuthi, ukuzizwa kangcono ekudleni okungenalutho kwe-gluten kubonisa umphumela we-placebo esenzweni.
Angisho lokhu kalula-esikhathini esedlule, odokotela abaningi kakhulu baye bahlupha futhi baxosha izimpawu ezingenzeka ezivela ku-gluten, futhi "konke okusemakhanda" wakho kusaphila ezindaweni ezithile zomphakathi wezokwelapha, naphezu kwentuthuko yokuqwashisa. Kodwa kuyiqiniso ukuthi abanye abantu abakholelwa ukuthi abakwazi ukubekezelela i-gluten bangase bakwazi ukubekezelela kahle, njengoba kuboniswe ukuthi abanye abantu abathi bangabantu abanobucayi bangakwazi "ukukopela" ekudleni ngaphandle kwempawu ecacile.
Eqinisweni, ucwaningo oluthile luye lwabona ukuthi abanye abantu abakholelwa ukuthi bangabheki-gluten abathandani ne-gluten ehlanzekile, noma okusanhlamvu okuqukethe i-gluten, lapho bedla lezo zinto esifundweni esiyimpumputhe. Kodwa abanye basabela ngokunikeza ubufakazi bokuthi isimo sikhona.
Ukwelapha Ukuzwela Ukuzwela: I-Gluten-Free Diet
Njengesifo se-celiac, ukwelashwa okwamanje kwamanje kwe-gluten ukuzwela kungukudla okungekho gluten .
Kukhona impikiswano eningi mayelana nokuthi ukudla okunzima okudingekile kube komuntu okungenzeka ukuthi "kuphela" abe ne-gluten-sensitive. Abanye odokotela bazokutshela ukuthi uqhubeke nokukopela ngezikhathi ezithile, kanti abanye bayakuncoma ukudla okunamandla kakhulu kwe-gluten.
Akucaci ukuthi ukulandela ukudla okungekho gluten kungakunika izinzuzo zezempilo ngaphesheya kwalokho othola ekuzizwa uzizwe kangcono, noma ngabe ukudla okusanhlamvu kwe-gluten uma uzwela kubandakanya izingozi zempilo . Njengoba ngishilo ekuqaleni, kube nokucwaninga okuncane okubonisa ukuthi uthola ukulimala ngokomzimba kusuka ku-gluten (kungakhathaliseki ukuthi izimpawu ozizwayo zingajabulisi kangakanani). Kodwa akekho nocwaningo olubonisa ukuthi awunamonakalo. Lena yindawo abacwaningi abaqala ukuyihlola.
Njengazo zonke ezibandakanya ukuzwela kwe-gluten, kunezifundo ezimbalwa kuphela ezihlinzeka noma yikuphi ukuqonda, kanti olunye ucwaningo lwezokwelapha kuze kube yimanje luphikisana. Ekugcineni, ososayensi banethemba lokunikeza izimpendulo ezengeziwe. Okwamanje, uma uthola ukuthi unesisindo somzimba we-gluten, kuzodingeka uzenzele isinqumo-ngokubonisana nodokotela wakho-ukuthi ulandela ngokucophelela kanjani ukudla okungekho gluten.
Imithombo:
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Biesiekierski J et al. Ayikho imiphumela ye-gluten ezigulini ezinokubika okungekho-celiac kwe-gluten ngemuva kokunciphisa kokudla kwe-carbohydrate engasebenzi kahle, engaxhunyiwe, emfushane. I-Gastroenterology . 2013 Aug; 145 (2): 320-8.e1-3.
U-Elli L et al. Ubufakazi bokuthi ubukhona be-Non-Celiac Gluten Ukuzwela kweziguli ezinezimpawu zokusebenza kwamathumbu: Imiphumela evela ku-Gluten Challenge Control-Blind Double-Blind Placebo Blinden. Amakhemikhali . 2016 Feb 8; 8 (2). i-pii: E84.
Fasano 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, 9:23. i-doi: 10.1186 / 1741-7015-9-23.
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. Kushicilelwe: 7 Februwari 2012
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