Izimpawu zesifo seCeliac, ukungezwani komzimba kukolweni, nokuzwela kwe-Gluten okungenayo i-Celiac: Yikuphi?

-Delile

• Izimpawu zokungezwani komzimba nokolweni
• Izimpawu zesifo se-celiac
• Izimpawu ze-non-celiac gluten sensitivity
• Ukubonana nodokotela nini
• Ukuxilongwa
• Ukuphila impilo engenalo igluten noma engenakolweni
• Ukudla okudlela endlini

Abantu abaningi babhekana nezinkinga zokugaya ukudla nezempilo ezibangelwa ukudla i-gluten noma ukolweni. Uma wena noma ingane yakho nibhekana nokungabekezelelani ne-gluten noma ukolweni, kunezimo ezintathu zezokwelapha ezihlukene ezingachaza ukuthi kwenzekani: isifo se-celiac, ukungezwani nokolweni, noma ukuzwela kwe-gluten okungenayo i-celiac (NCGS).

I-Gluten yiprotheni kukolweni, ibhali, ne-rye. Ukolweni uhlamvu olusetshenziswa njengesithako kwizinkwa, i-pastas, ne-cereal. Ukolweni uvame ukuvela ekudleni okufana nesobho nokugqokwa kwesaladi. Ibhali livame ukutholakala kubhiya nasekudleni okuqukethe imithombo. I-rye ivame ukutholakala kusinkwa se-rye, kubhiya we-rye nakwezinye izinhlamvu.

Qhubeka ufunda ukuze ufunde izimpawu ezivamile nezimbangela zesifo se-celiac, ukungezwani kakolweni, noma i-NCGS ukuze uqale ukuqonda ukuthi yiziphi kulezi zimo ongahle ube nazo.

Izimpawu zokungezwani komzimba nokolweni

Ukolweni ungomunye wama-allergen wokudla aphezulu ayisishiyagalombili e-United States. Ukungezwani komzimba nokolweni kuyindlela yokuphendula omzimba kunoma yimaphi amaprotheni akhona kukolweni, kufaka phakathi kepha kungagcini ku-gluten. Kuvame kakhulu ezinganeni. Cishe amaphesenti angama-65 ezingane ezinenkinga yokungezwani nokwelashwa kukakolweni ziyikhula ngeminyaka eyi-12.

Izimpawu zokungezwani komzimba nokolweni zifaka:

• isicanucanu nokuhlanza
• isifo sohudo
• ukucasuka komlomo wakho nomphimbo
• isifuba nokuqubuka
• ukuminyana kwamakhala
• ukucasuka kweso
• ukuphefumula kanzima

Izimpawu ezihlobene nokungezwani komzimba nokolweni imvamisa zizoqala kungakapheli nemizuzu eminingi kudliwe ukolweni. Kodwa-ke, zingaqala kuze kufike emahoreni amabili ngemuva kwalokho.

Izimpawu zokungezwani komzimba nokolweni zingahluka zisuke komoya omnene ziye kwezisongela impilo. Ukuphefumula kanzima, okwaziwa ngokuthi i-anaphylaxis, kwesinye isikhathi kungavela. Udokotela wakho kungenzeka anikeze i-epinephrine auto-injector (njenge-EpiPen) uma kutholakala ukuthi une-allergies kakolweni. Ungakusebenzisa lokhu ukuvimbela i-anaphylaxis uma ngephutha udla ukolweni.

Umuntu ongezwani nokolweni angahle ahileleke noma angalungeki kwezinye izinhlamvu ezifana nebhali noma i-rye.

Izimpawu zesifo se-celiac

Isifo seCeliac yisifo sokuzilimaza lapho amasosha akho omzimba ephendula ngokungajwayelekile ku-gluten. I-Gluten ikhona kukolweni, ibhali, ne-rye. Uma unesifo se-celiac, ukudla i-gluten kuzodala ukuthi amasosha omzimba wakho abhubhise i-villi yakho. Lezi yizingxenye ezinjengomunwe zamathumbu akho amancane ezibhekene nokumunca izakhamzimba.

Ngaphandle kwe-villi enempilo, ngeke ukwazi ukuthola umsoco owudingayo. Lokhu kungadala ukungondleki. Isifo seCeliac singaba nemiphumela emibi yezempilo, kufaka phakathi ukulimala kwamathumbu unomphela.

Abantu abadala nezingane bavame ukuhlangabezana nezimpawu ezihlukile ngenxa yesifo se-celiac. Izingane zivame ukuba nezimpawu zokugaya ukudla. Lokhu kungafaka:

• ukuqunjelwa kwesisu kanye negesi
• uhudo olungamahlalakhona
• ukuqunjelwa
• isitulo esiphaphathekile, esinuka kabi
• ubuhlungu besisu
• isicanucanu nokuhlanza

Ukwehluleka ukuncela izakhamzimba phakathi neminyaka ebucayi yokukhula nentuthuko kungaholela kwezinye izinkinga zempilo. Lokhu kungafaka:

• ukwehluleka ukuchuma ezinganeni
• ukubambezeleka kokuthomba ebusheni
• isiqu esifushane
• ukucasuka kwemizwa
• ukuncipha komzimba
• ukukhubazeka koqweqwe lwamazinyo

Abantu abadala bangaba nezimpawu zokugaya ukudla uma benesifo se-celiac. Noma kunjalo, abantu abadala banamathuba amaningi okuthola izimpawu ezifana nalezi:

• ukukhathala
• i-anemia
• ukudana nokukhathazeka
• ukukhumuzeka kwamathambo
• ubuhlungu obuhlangene
• ikhanda
• izilonda zomphimbo emlonyeni
• ukungazali noma ukuphuphuma kwesisu kaningi
• uphuthelwe yizikhathi zokuya esikhathini
• ukuluma ezandleni nasezinyaweni

Ukuqaphela isifo se-celiac kubantu abadala kungaba nzima ngoba izimpawu zaso zivame ukubanzi. Zihlangana nezinye izimo eziningi ezingalapheki.

Izimpawu ze-non-celiac gluten sensitivity

Kunobufakazi obandayo besimo esihlobene ne-gluten esibangela izimpawu kubantu abangenaso isifo se-celiac futhi abangaphikisani nokolweni. Abaphenyi basazama ukuthola imbangela yangempela yesimo salesi sifo, esaziwa nge-NCGS.

Akunakho ukuhlolwa okungakuxilonga nge-NCGS. Kutholakala kubantu abahlangabezana nezimpawu ngemuva kokudla i-gluten kodwa bahlole ukuthi bane-allergy kakolweni nesifo se-celiac. Njengoba abantu abaningi beya kudokotela wabo bebika izimpawu ezingathandeki ngemuva kokudla i-gluten, abacwaningi bazama ukuveza lezi zimo ukuze i-NCGS iqondakale kangcono.

Izimpawu ezivame kakhulu ze-NCGS yilezi:

• ukukhathala kwengqondo, okwaziwa nangokuthi "inkungu yobuchopho"
• ukukhathala
• igesi, ukuqunjelwa, nobuhlungu besisu
• ikhanda

Ngoba alukho uvivinyo lwe-laboratory olukhona lwe-NCGS, udokotela wakho uzofuna ukusungula ukuxhumana okucacile phakathi kwezimpawu zakho nokusetshenziswa kwakho kwe-gluten ukukuxilonga nge-NCGS. Bangakucela ukuthi ugcine iphephabhuku lezokudla nezimpawu ukunquma ukuthi i-gluten iyimbangela yezinkinga zakho. Ngemuva kokuthi lesi sizathu sesisunguliwe futhi izivivinyo zakho zibuya ngokujwayelekile kokungezwani nokolweni nesifo se-celiac, udokotela wakho angakweluleka ukuthi uqale ukudla okungenalo i-gluten. Kukhona ukuhlobana phakathi kokuphazamiseka okuzenzakalelayo nokuzwela kwe-gluten.

Ukubonana nodokotela nini

Uma ucabanga ukuthi ungahle uhlupheke ngesimo esihlobene ne-gluten- noma ukolweni, ngakho-ke kubalulekile ukuthi ukhulume nodokotela wakho ngaphambi kokuzihlola noma uqale noma yikuphi ukwelashwa uwedwa. I-allergenist noma i-gastroenterologist ingaqhuba izivivinyo futhi ixoxe ngomlando wakho nawe ukusiza ukufinyelela ekuxilongweni.

Kubaluleke kakhulu ukubona udokotela ukuze unqande isifo se-celiac. Isifo seCeliac singaholela ezinkingeni ezinkulu zempilo, ikakhulukazi ezinganeni.

Ngoba kunengxenye yezakhi zofuzo yesifo se-celiac, ingasebenza emindenini. Lokhu kusho ukuthi kubalulekile ukuthi uqinisekise ukuthi unesifo se-celiac ukuze ukwazi ukweluleka abantu obathandayo ukuthi nabo bahlolwe. Bangaphezu kwamaphesenti angama-83 abantu baseMelika abanesifo se-celiac abangatholakali futhi abazi ukuthi banaso lesi simo, ngokusho kweqembu lezokugqugquzela iBeyond Celiac.

Ukuxilongwa

Ukuthola isifo se-celiac noma ukungezwani nokolweni, udokotela wakho uzodinga ukwenza ukuhlolwa kwegazi noma kwesikhumba. Lezi zivivinyo zincike ebukhoneni be-gluten noma ukolweni emzimbeni wakho ukuze usebenze. Lokhu kusho ukuthi kubalulekile ukuthi ungaqali ukudla okungenayo i-gluten noma ukolweni ngokwakho ngaphambi kokubona udokotela. Ukuhlolwa kungabuya kungalungile nge-negative negative, futhi ngeke ube nokuqonda okufanelekile kokuthi yini ebangela izimpawu zakho. Khumbula, i-NCGS ayinakho ukuxilongwa okusemthethweni.

Ukuphila impilo engenalo igluten noma engenakolweni

Ukwelashwa kwesifo se-celiac kunamathela ekudleni okuqinile okungenayo i-gluten. Ukwelashwa kokungezwani nokwelashwa kukakolweni ukuhambisana nokudla okuqinile okungadli kakolweni. Uma une-NCGS, izinga odinga ngalo ukususa i-gluten endleleni yakho yokuphila kuncike ebukhulwini bezimpawu zakho nasezingeni lakho lokubekezelela.

Izindlela eziningi ezingenayo i-gluten nokolweni ngaphandle kokudla okuvamile ziyatholakala njengesinkwa, ipasta, okusanhlamvu kanye nezimpahla ezibhakiwe. Qaphela ukuthi ukolweni ne-gluten kungatholakala ezindaweni ezithile ezimangazayo. Ungaze uzibone ngo-ayisikhilimu, isiraphu, amavithamini, nezithako zokudla.Qiniseka ukuthi ufunda amalebula wezithako zokudla neziphuzo oziphuzayo ukuze uqiniseke ukuthi aziqukethe ukolweni noma i-gluten.

I-allergenist yakho, i-gastroenterologist, noma udokotela wokunakekelwa okuyisisekelo angakweluleka ukuthi yiziphi izinhlamvu nemikhiqizo ephephile ongayidla.

Ukudla okudlela endlini

Ukwelashwa kukakolweni, isifo se-celiac, ne-NCGS kunokufana okuningi kwizimbangela nasezimpawu zabo. Ukuqonda ukuthi yisiphi isimo ongaba naso kubalulekile ukuze ugweme ukudla okufanele futhi ulandele izincomo zokwelashwa ezifanele. Uzokwazi nokwazisa abantu obathandayo mayelana nokuthi bangaba sengozini yesimo esifanayo