Indlela Yokuthola I-Celiac Ngemuva Kokuthi Usuvele Uhambe U-Gluten-Free
Uma unqume ukungena gluten-mahhala ngaphambi kokuba uhlolwe isifo se-celiac kodwa manje uye wanquma ukuhlolwa, udokotela wakho angase ancome ukuthi ungenele inselelo ye-gluten. Lokhu kusho ukuthi kuzodingeka udle gluten ... okungenzeka ukuthi ukhulule .
Empeleni, uzoba "inselele" uhlelo lwakho ne-gluten, okuyilapho igama elithi "inselele ye-gluten" livela khona.
Kudingeka udle i-gluten yokuhlolwa kwesifo se-celiac ukuze ulungile. Kungenxa yokuthi izivivinyo - ezibandakanya ukuhlolwa kwegazi kanye ne- endoscopy ukubuka umonakalo emathunjini wakho - empeleni ubuke ukusabela komzimba wakho ku-gluten.
Uma ungadli ukudla okugcwala okugcwala okwe-gluten, ngeke ube nomonakalo, ngisho noma une-celiac. Lapho abantu abanama-celiac behamba bengenalo i-gluten, ama-antibodies abo e-gluten ayanyamalala futhi umonakalo wabo wamathumbu uphulukisa, okusho ukuthi izivivinyo ngeke zibonise noma yini.
Inhloso nezinzuzo
Odokotela batusa ukuthi noma ubani ocabangela ukudla okungenamsoco we-gluten ahlolwe isifo se-celiac ngaphambi kokuphuma ngaphandle kwe-gluten. Kodwa naphezu kwalokhu kunconywa, abantu abaningi baya ku-gluten-ngaphandle kokuhlola ngoba sebezwile kungenza bazizwe beba ngcono, noma ngenxa yokuthi bakholelwa ukuthi kungaba yindlela enempilo yokudla.
Kodwa-ke, ngaphandle kwemiphumela yokuhlolwa yesifo se-celiac, labo bantu abazi ukuthi basengozini yezinkinga ze-celiac, kuhlanganise nokuphelelwa yisifo sofuba nokungondleki .
Ngokujwayelekile, ungagcina lezi zinkinga zihamba ngokulandela ukudla okungenalutho kwe-gluten, kodwa abantu abangenaso ukuxilongwa kungenzeka bangashukunyiswa ukuba bangakhohlisi ekudleni okungenalutho kwe-gluten njengomuntu otholwe.
Kunesinye isizathu esivame ukushiwo ngabantu ababhekene nenselele ye-gluten: sebenzisa ukugqugquzela amalungu omndeni ukuba ahlolwe isifo se-celiac.
Imikhombandlela yezokwelapha yamanje idinga ukuhlolwa kwazo zonke izihlobo eziseduze uma othile emndenini etholakala nge-celiac.
Indlela yokwenza
Inselele ye-gluten ihilela ukudla i-gluten kuphela ngemva kokuba ungenayo i-gluten isikhashana. Kodwa ingabe udinga ukudla okungakanani, futhi kungakanani?
Ngeshwa, ayikho imikhombandlela yezokwelapha esungulwe yokwenza inselele ye-gluten, nakuba ucwaningo oluthile olukulesi sihloko lubonisa ukuthi i-gluten eningi isikhathi esiningi izokunika izilinganiso ezingcono zemiphumela yokuhlolwa enembile.
Odokotela abambalwa bathi ukudla i-gluten encane ngosuku (isinkwa sesinkwa esivamile noma amabili) ngesonto noma izinsuku ezingu-10 kuyokwanela ukukhuthaza umzimba wakho ukukhiqiza amakhemikhali bese udala uhlobo lomonakalo emathunjini udokotela wakho azobukeka i-endoscopy. Ngeshwa, ucwaningo lubonisa ukuthi ngokuqinisekile ngeke kube isikhathi eside ngokwanele ukuba umonakalo kwenzeke.
Ucwaningo luye lwabonisa ukuthi izinselele ze-gluten ezinamasonto amathathu ezibandakanya okulingana nesisindo esisodwa kuya kwezintathu zesinkwa ngosuku akwanele ukukhiqiza amantombazane kanye nokulimala kwamathumbu kuma-celiacs awaziwayo abelokhu elandela ukudla okungekho gluten.
Odokotela abaningi bancoma inselele ye-gluten yezinyanga eziyisithupha kuya kweyisishiyagalombili, lapho okuzodinga khona ukudla amaqatha amabili wezinkwa ezigcwele gluten usuku ngalunye.
Kodwa akekho ucwaningo lwangempela olubonisa ukuthi lwanele, noma kunjalo.
Ukuhlaziywa kwezifundo ezimbalwa zezokwelapha ezenziwe kule nkinga kubonisa ukuthi phakathi kuka-70% nezingane eziyi-100% kuzokwakha imiphumela emihle yokuhlolwa kwegazi ngaphakathi kwezinyanga ezintathu ngenkathi bedla i-gluten. Kubantu abadala, phakathi kuka-50% no-100% bazobonisa imiphumela emihle yokuhlolwa ezinyangeni ezintathu.
Izimpawu
Uma uthola izimpawu zesifo se-celiac kusuka ekungeneni kwe-gluten engozini ngenkathi udla i-gluten-free, ungalindela ukuthola izimpawu kusuka kunselelo ye-gluten. Kodwa-ke, akucaci ukuthi izimpawu zakho zingase zibe nzima kanjani ekuhambeni kwenselelo yakho.
Abanye abantu babona ukubuya ezimpawu ezinzima ngokushesha - kungakapheli usuku noma ezimbili - futhi baqhubeke beba nezimpawu ezimbi uma nje bedla gluten. Ngiphinde ngizwe ngabantu abanempilo yabo jikelele ehla kakhulu ngokweqile ngenkathi inselelo ye-gluten.
Abanye bangase bazizwe bebuhlungu ekuqaleni kwenkinga, kepha bangaboni izimpawu eziningi njengoba beqhubeka nokudla i-gluten. Futhi, abanye abantu bangase bangaboni noma yiziphi izimpawu kusukela ekungeneni kwabo kwe-gluten.
Uma uhlangabezana nezibonakaliso ezinzima, kuhlanganise nokucwenga nokuhlanza, uhudo olunzima, isizungu noma ubuhlungu besisu, kufanele ukhulume nodokotela wakho ukuthi kufanele uqhubeke yini nenselele yakho ye-gluten.
Ezinye izindlela
Ngokudabukisayo, ayikho indlela yokuthola ukuthi isifo se-celiac sifike kanjani ngokuqondile kumuntu ongadli gluten okwamanje - kungesinye isizathu esenza odokotela banxuse labo abacabangela ukudla okungenalutho kwe-gluten ukuze bahlolwe kuqala.
Noma kunjalo, kunezinye izindlela ezimbili zokubhekana nenselelo ye-gluten. Futhi ngeke ikunikeze "ukuhlolwa okujwayelekile kwegolide", kodwa ungase uthathe isinqumo (ngemva kokubonisana nodokotela wakho) ukuthi awudingi lokho okuhloswe ngokusemthethweni.
Uma ufuna ezinye izinkomba zokuthi ungaba ne-celiac, ungacabangela ukuhlolwa kofuzo lwe-celiac .
Lokhu ngeke kukutshele ukuthi une-celiac (iphesenti elikhulu labantu liphethe izakhi zofuzo zesifo se-celiac). Kodwa kuzokutshela ukuthi kungenzeka yini ukuthi ube ne-celiac.
Futhi ungacabangela ukweqa inselelo ye-gluten nokuhlolwa ngokuphelele nokuqhubeka nokudla okungenayo i-gluten. Lesi yisinqumo esivamile kubantu abathola izimpawu ezimbi kusukela ekungeneni kwe-gluten engozini.
Kodwa-ke, uma unquma ukuhlala ungenalo i-gluten ngaphandle kokuhlolwa, kufanele uzibophezele ekulandeleni ukudla ngokuqinile, ngoba uma unayo i-celiac, uzobe usengozini enkulu (kubandakanya izimo ezengeziwe zokuzimela noma ngisho nokungajwayelekile, umdlavuza) uma ukhohlisa.
Imithombo:
I-Beth Israel i-Deaconess Medical Centre isaziso sokuhlolwa kwezempilo emtholampilo. "Abakaki beSerum eGluten Challenge." Kubuyekezwe uJan 20, 2011.
I-Bruins MJ Impendulo yomtholampilo inselelo ye-gluten: ukubuyekezwa kwezincwadi. Amakhemikhali. 2013 Nov 19; 5 (11): 4614-41.
C. Pyle et al. I-Gluten ephansi-i-Gluten Challenge ku-Celiac Sprue. I-Gastroenterology Clinic ne-Hepatology, ngoJulayi 2005.