Yintoni isifo seCeliac, kutheni isenzeka? Iimpawu kunye noNyango

isifo se-celiac Kukwaliwa kokutya okunzulu. Kukuphazamiseka kwe-autoimmune okubangelwa kukungenisa i-gluten, uhlobo lweprotheyini efumaneka kwiindidi zokutya ezifana nebhali, ingqolowa kunye ne-rye.

Ngokutsho kweCeliac Disease Foundation, i-100 kwi-1 yabantu emhlabeni jikelele inesifo se-celiac. Esi sifo saqala  Kwachazwa iminyaka eyi-8.000 edlulileyo ngugqirha ongumGrike owayengazi ukuba le ngxaki yayiluhlobo lwe-autoimmune reaction to gluten. 

Abo banesifo se-celiacinika iimpendulo ezingalunganga kwiikhompawundi ezifumaneka kwigluten. Xa isistim somzimba sokuzivikela sisabela ngokugqithisileyo kwi-gluten, oku kunokubangela i-malabsorption. 

isifo se-celiacimeko yobomi bonke ngenxa yokusabela kwegluten. isifo se-autoimmuneIlori. Ekuphela konyango lwale meko kukutya okungenagluten ubomi bonke.

"Yintoni i-celiac, ingaba iyabulala", "ziziphi izizathu kunye neempawu ze-celiac", "izigulane ze-celiac kufuneka zidle ntoni", "izigulane ze-celiac kufuneka zingadli njani", "izigulane ze-celiac kufuneka zidle njani"? Nazi iimpendulo zemibuzo...

Ziziphi iimpawu zeSifo seCeliac?

Urhudo

Ilindle elixengaxengayo, elinamanzi lixhaphakile kubantu abaninzi. ukuxilongwa kwesifo se-celiac Yenye yeempawu zokuqala azifumanayo phambi kokuba ahlale. Kwisifundo esincinci, izigulane celiacI-79% yezigulane ngaphambi kokuba unyango urhudo uxele ukuba uyaphila. Emva konyango, kuphela i-17% yezigulane eziye zaqhubeka nesifo sohudo esingapheliyo.

Uphononongo lwabantu abangama-215 lufumanise ukuba urhudo alunyangwanga. isifo se-celiacyachaza ukuba yayiyeyona mpawu ixhaphakileyo 

Kwizigulana ezininzi, urhudo lwehla phakathi kweentsuku ezimbalwa zonyango, kodwa ixesha eliphakathi lokugqiba ukusonjululwa kweempawu ziiveki ezine.

Ukudumba

Ukudumba, izigulane celiacOlunye uphawu oluqhelekileyo olufunyanwa yi Esi sifo sinokubangela ukudumba kwindlela yokwetyisa, nto leyo enokubangela ukuqunjelwa kunye neminye imiba engalunganga yokugaya ukutya.

kunye nesifo se-celiac Uphononongo lwabantu abadala be-1,032 bachonge ukudumba njengenye yeempawu eziqhelekileyo. Olu phawu lwakhululeka ngempumelelo emva kokususa i-gluten ekudleni kwabo.

Abanyolukile isifo se-celiac Isenokubangela iingxaki zokwetyisa ezifana nokudumba kwabantu abangenayo. Kwisifundo esinye isifo se-celiac Iingxaki zokugaya ukutya ezifunyanwa ngabantu abangama-34 abangenayo i-gluten-free diet iphuculwe.

igesi

igesi egqithisileyo, isifo se-celiac esinganyangwanga Yingxaki eqhelekileyo yokwetyisa efunyanwa ngabo bane Kwisifundo esincinci, igesi, isifo se-celiac Yayiyenye yezona mpawu zixhaphakileyo ezibangelwa kukusetyenziswa kwe-gluten kwabo banayo

kumantla eIndiya kunye nesifo se-celiac Uphononongo lwabantu abadala be-96 babike igesi egqithisileyo kunye nokuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhayonila le-9.4% yamatyala.

Nangona kunjalo, kukho izizathu ezininzi zengxaki yegesi. Olunye uphononongo luvavanye abantu abayi-150 abanengxaki yegesi eyongeziweyo kwaye bafumanisa ezimbini kuphela zokuvavanya ukuba banayo isifo se-celiac.

Ezinye izizathu eziqhelekileyo zerhasi ziquka ukuqhina, ukungagayeki, ukunganyamezeli kwelactose ve i-irritable bowel syndrome (IBS) kukho iimeko ezinjalo.

ukukhathala

Ukunciphisa inqanaba lamandla nokudinwa abo banesifo se-celiacyenye yeempawu. 51 isifo se-celiac Olunye uphononongo lwafumanisa ukuba abo bakwi-gluten-free diet babeneengxaki zokudinwa kakhulu kunezo zikukutya okungenagluten.

Kwesinye isifundo, isifo se-celiac Kwafunyaniswa ukuba abo baye banengxaki yokungalali nto leyo enokubangela ukudinwa.

Kwakhona, ukunganyangwa isifo se-celiac inokonakalisa amathumbu amancinci, okubangela ukunqongophala kweevithamini kunye neeminerali ezinokubangela ukudinwa.

Abanye oonobangela bokudinwa kukusulelwa zizifo, iingxaki zedlala lengqula, ukudandatheka kunye neanemia.

Ukunciphisa umzimba

Ukwehla kobunzima ngesiquphe ubukhulu becala isifo se-celiacziimpawu zokuqala ze Oku kubangelwa kukuba amandla omzimba okufunxa izondlo awanelanga, nto leyo ekhokelela ekungondlekiyo nokuncipha komzimba.

isifo se-celiac Kuphononongo lwabathathi-nxaxheba be-112 abane-diabetes mellitus, kwafunyaniswa ukuba ukulahlekelwa kwesisindo kuchaphazela i-23% yezigulane kwaye enye yeempawu eziqhelekileyo emva kohudo, ukukhathala kunye nentlungu yesisu.

isifo se-celiac Olunye uphando oluncinci olujonga izigulane ezikhulileyo ezifunyanwe nesifo zinqume ukuba ukulahleka kwesisindo ngenye yeempawu eziqhelekileyo.

Njengomphumo wonyango, iimpawu zixazululwe ngokupheleleyo kwaye abathathi-nxaxheba bafumana umyinge we-7,75 kg.

I-anemia ngenxa yokungabikho kwentsimbi

isifo se-celiackunokuphazamisa ukufunxwa kwezondlo kwaye kukhokelela kwianemia yokunqongophala kwesinyithi, nto leyo ebangelwa kukungabikho kweeseli ezibomvu zegazi emzimbeni. 

ukunqongophala kwe-iron anemiaIimpawu ziquka ukudinwa, ubuthathaka, intlungu yesifuba, intloko ebuhlungu, kunye nesiyezi.

isifundo isifo se-celiac wajonga abantwana abangama-34 abane-anemia yokusilela kwesinyithi, kwaye bafumanisa ukuba malunga ne-15% yabo babene-anemia yokusilela kwesinyithi.

Kuphononongo lwabantu abangama-84 abane-anemia yokunqongophala kwesinyithi yesizathu esingaziwayo, i-7% isifo se-celiac yabhaqwa. Amanqanaba e-iron anyuke kakhulu emva kokutya okungekho gluten.

727 isifo se-celiacKolunye uphononongo, i-23% kubo kuxelwe ukuba bane-anemia. Ukongeza, abo bane-anemia isifo se-celiacBabenamathuba aphindwe kabini okuba nethambo eliphantsi kunye nomonakalo omkhulu kumathumbu amancinci abangelwa

Ukuqunjelwa

isifo se-celiac, nangona inokubangela isifo sohudo kwabanye abantu, ukuqhina kutheni inokuba njalo. isifo se-celiacyonakalisa i-intestinal villi, eyingqikelelo efana neminwe kumathumbu amancinci anoxanduva lokufunxa izondlo.

Njengoko ukutya kuhamba ngendlela yokugaya, i-intestinal villi ayikwazi ukufunxa ngokupheleleyo izondlo kwaye inokufunxa ukufuma okongeziweyo kwisitulo. Oku kubangela ukuqina kwesitulo kwaye kubangela ukuqhina.

Nangona kunjalo, kunye nokutya okungqongqo kwe-gluten, kunye nesifo se-celiac Kunzima ukuba abantu bakhuphe ukuqhina.

Oku kungenxa yokuba ukutya okungenagluten-gluten kunqumla ukutya okunefayibha ephezulu okufana neenkozo, okukhokelela ekuncitshisweni kokutya kwefayibha, okukhokelela ekunciphiseni ukuphindaphindeka kwesitulo. Ukungasebenzi komzimba, ukuphelelwa ngamanzi emzimbeni, kunye nokutya okungekho mthethweni nako kunokubangela ukuqhina.

Uxinzelelo

isifo se-celiackunye neempawu zayo ezininzi zomzimba, ukudakumba Iimpawu zengqondo nazo zixhaphakile. Uhlalutyo lwezifundo ezingama-29 zafumanisa ukuba ukudakumba kwakuxhaphake kakhulu kunoluntu ngokubanzi. kunye nesifo se-celiac yafumanisa ukuba ixhaphakile kwaye ibukhali kubantu abadala.

Olunye uphononongo oluncinci olunabathathi-nxaxheba abangama-48, isifo se-celiac bafumanisa ukuba abo baneempawu zokudakumba banokuba neempawu zokudakumba kuneqela lolawulo olusempilweni.

Ukurhawuzelela

isifo se-celiackunokubangela i-dermatitis herpetiformis, ekhula njengokurhawuzelelwa, ukugqabhuka kwesikhumba kwingqiniba, emadolweni, okanye ezimpundu.

Izigulana zeCeliacMalunga ne-17% yabantu bafumana le rash kwaye yenye yeempawu ezikhokelela kuxilongo.

Abanye abantu ngokuqhelekileyo isifo se-celiac inokukhula olu rhashalala ngaphandle kwezinye iimpawu zokwetyisa ezenzekayo

isifo se-celiacKunye nezi mpawu zingentla, kukho ezinye iimpawu ezinokuthi zingaphumi kancinci:

– Iicramps kunye neentlungu zesisu

-Ingxaki yokugxila okanye ukudideka kwengqondo

– Ukuphazamiseka kokulala okufana nokungalali

-Ukunqongophala kwezondlo ngenxa yeengxaki zokufunxa kwinkqubo yokugaya (ukungondleki)

– Iintloko ezingapheliyo

– Intlungu edibeneyo okanye yethambo

– Ukuntyiloza ezandleni nasezinyaweni 

– ukuxhuzula

-Amaxesha angaqhelekanga, ukungazali okanye ukuphunyelwa sisisu okuphindaphindiweyo

– Izilonda zomhlaza emlonyeni

– Ukucuthwa kwemisonto yeenwele kunye nokudumba kolusu

– Ianemia

– Type I Diabetes

– Multiple sclerosis (MS)

- I-Osteoporosis

Iimeko ze-neurological ezifana ne-epilepsy kunye ne-migraine

– Umhlaza wamathumbu

– Iingxaki zokukhula ebantwaneni ngenxa yokungafuntshwa ngokwaneleyo kwezondlo

Iimpawu zesifo seCeliac kubantwana nakwiintsana

Abantwana kunye neentsana banokuba neengxaki ezifana norhudo, iingxaki zamathumbu, ukucaphuka, ukusilela ekukhuleni okanye ukulibaziseka kokukhula.

Ngokuhamba kwexesha, abantwana banokufumana ukwehla kobunzima bomzimba, umonakalo kwi-enamel yezinyo, kunye nokulibaziseka kokufikisa.

Iimbangela zeSifo seCeliac

isifo se-celiac Kukuphazamiseka komzimba. kunye nesifo se-celiac Xa umntu etya i-gluten, iiseli zabo kunye ne-immune system ziyasebenza, zihlasela kwaye zonakalise amathumbu amancinci.

isifo se-celiacKule meko, i-immune system ihlasela ngephutha i-villi emathunjini amancinci. Ezi zinto ziyadumba kwaye zinokunyamalala. Amathumbu amancinci akasakwazi ukufunxa izondlo ngokufanelekileyo. Oku kunokukhokelela kwiingozi ezininzi zempilo kunye neengxaki.

Abantu abanokuba nesifo se-celiac baquka:

- Abantu abanesinye isifo esizimele, njengohlobo lwe-1 yeswekile, i-rheumatoid arthritis, isifo esizimelayo esichaphazela i-thyroid okanye isibindi.

isifo sofuzo esifana ne-Down syndrome okanye i-Turner syndrome

– Ilungu losapho elinesifo

Sifunyaniswa njani isifo seCeliac?

Ukuxilongwa, okokuqala, ukuhlolwa komzimba kwenziwa.

Ugqirha uya kuqhuba iimvavanyo ezahlukeneyo ukunceda ukuqinisekisa ukuxilongwa. Abantu abanesifo se-celiac bahlala benamazinga aphezulu e-antiendomysium (EMA) kunye ne-anti-tissue transglutaminase (tTGA) antibodies. Ezi zinokubonwa ngovavanyo lwegazi. Iimvavanyo zithembeke kakhulu xa zenziwe ngelixa i-gluten isasetyenziswa.

Uvavanyo lwegazi oluqhelekileyo lubandakanya:

• Ubalo lwegazi olupheleleyo (CBC)
• Uvavanyo lomsebenzi wesibindi
• uvavanyo lwe-cholesterol
• uvavanyo lwenqanaba le-alkaline phosphatase
• Uvavanyo lwe-albumin yeSerum

Unyango lweNdalo lweSifo seCeliac

Ukutya okusimahla kweGluten

imeko ye-autoimmune engapheliyo isifo se-celiac Alukho unyango olwaziwayo lwesi sifo, ngoko ke kukho iindlela zokunciphisa iimpawu kunye nokunceda ukuvuselela amajoni omzimba. 

Ngaphambi kwayo nantoni na, isifo se-celiacUkuba unesifo seswekile, kuyimfuneko ukuba ulandele ukutya okungenayo i-gluten ngokupheleleyo, ukuphepha zonke iimveliso eziqukethe ingqolowa, ibhali okanye i-rye. I-Gluten yenza malunga neepesenti ze-80 zeprotheyini ezifumaneka kwezi zintathu, kodwa zikwafumaneka kwezinye iimveliso ezininzi. 

Ekubeni ipesenti enkulu yokutya kwethu ngoku ixhomekeke kukutya okupakishweyo, kuhlala kukho umngcipheko omkhulu wokudibana ne-gluten.

iindlela zanamhlanje zokulungisa ukutya kunye ungcoliseko olunqamlezayo Ngenxa yoko, nezinye iinkozo ezingenayo i-gluten, ezifana nombona okanye i-oats-free-oats, ziqulethe i-gluten.

Ngoko ke, kuyimfuneko ukufunda iilebhile zokutya ngononophelo.

ukutya okungenayo gluten Ukuwusebenzisa ngokuqinileyo kuya kuvumela amajoni omzimba ukuba azilungise, nto leyo eya kuthintela iimpawu ekugqabhukeni. Nantsi into ongayidla kunye nento ongayityi kwi-gluten-free diet: 

Yintoni ekufuneka iSigulana seCeliac sitye

Iziqhamo kunye nemifuno

Iziqhamo kunye nemifuno zisisiseko sokutya okunempilo kwaye azinagluten ngokwendalo. Babonelela ngezondlo ezixabisekileyo, i-fiber kunye ne-antioxidants ukunyusa ukusebenza komzimba.

iiprotheni ezibhityileyo

Ezi zibonelela ngeprotheni, i-omega 3 amafutha kunye neeminerali ezinciphisa ukuvuvukala. Imithombo yeprotheyini ebhityileyo ibandakanya amaqanda, intlanzi (ebanjwe endle), iinkukhu, inyama yenkomo, i-offal, okunye ukutya okuneprotheyini, kunye nokutya okuqulethe i-omega 3.

amafutha enempilo

Ibhotolo, ioyile yeeavokhado, ioyile yekhokhonathi enyulu, ioyile yembewu yomdiliya, ioyile yomnquma enyulu, ioyile yeflaxseed, ioyile yehemp ngamafutha asempilweni.

Amandongomane kunye nembewu

Iialmonds, iiwalnuts, imbewu yeflakisi, imbewu ye-chia, ithanga, isesame kunye nembewu yejongilanga

Ubisi (oluphilayo kunye nokukrwada kokona kulungileyo)

Ubisi lwebhokhwe kunye neyogathi, ezinye iiyogathi ezivundisiweyo, itshizi yebhokhwe okanye yeegusha kunye nobisi olukrwada

Iimbotyi, iimbotyi, kunye neenkozo ezingenagluten

Iimbotyi, irayisi emdaka, i-oats engenagluten, ibuckwheat, iquinoa, kunye ne-amaranth

Umgubo ongenaGluten

Oku kubandakanya umgubo werayisi omdaka, iitapile okanye umgubo wombona, umgubo wequinoa, umgubo wealmond, umgubo wekhokhonathi, umgubo we-chickpea, kunye nezinye i-gluten-free blends. Soloko uthenge iimveliso eziqinisekisiweyo ezingenagluten ukuze zikhuseleke.

umhluzi wamathambo 

icollagen enkulu, iglucosamine kunye nomthombo wee-amino acids.

Ezinye i-gluten-free seasonings, iziqholo, kunye nemifuno

Ityuwa yolwandle, i-cocoa, i-apile cider iviniga, imifuno entsha kunye neziqholo (ezibhalwe i-gluten-free), ubusi obuluhlaza. 

Yintoni izigulane zeCeliac ezingafanele zitye

Zonke iimveliso eziqukethe ingqolowa, ibhali, i-rye

Funda iileyibhile zezithako ngononophelo kwaye uphephe iimveliso eziqulathe naluphi na uhlobo lwengqolowa, i-couscous, i-semolina, i-rye, irhasi, okanye i-oats.

Ukutya okucutshungulwayo kwecarbohydrate

Ezi zikholisa ukwenziwa ngomgubo wengqolowa osulungekisiweyo. Imizekelo yeecarbohydrates ezicutshungulwayo ekufuneka ziphetshwe ziquka isonka, ipasta, iikuki, iikeyiki, iisnack bars, iicereals, iidonuts, umgubo wokubhaka, njl. ifunyenwe.

Uninzi lweentlobo zomgubo

Umgubo osekelwe kwingqolowa kunye neemveliso ziquka i-bran, umgubo we-brominated, umgubo we-durum, umgubo ophuculweyo, umgubo we-phosphate, umgubo ongenanto kunye nomgubo omhlophe.

Ibhiya kunye ne-malt utywala

Ezi zenziwe ngerhasi okanye ingqolowa.

Kwezinye iimeko, iinkozo ezingenayo i-gluten

Ngenxa yokungcoliseka okunqamlezayo ngexesha lokwenziwa, iinkozo ezingenagluten ngamanye amaxesha zinokuqulatha izixa ezincinci zegluten. Umntu kufuneka alumke malunga noku kuba ibinzana elithi "ingqolowa ikhululekile" ayithethi "i-gluten-free". 

Iicondiments ezisebhotileni kunye neesosi

Kuyimfuneko ukufunda iilebhile zokutya ngononophelo kwaye ugweme iimveliso ezenziwe ngezongezo eziqulethe ixabiso elincinci le-gluten.

Ingqolowa ngoku iguqulwa ngokwekhemikhali ibe zizigcini, izizinzi kunye nezinye izongezo ezisetyenziswa nakwimveliso yolwelo.

Inokufumaneka phantse kuzo zonke iimveliso zomgubo, isosi yesoya, izinxibo zesaladi okanye nasiphi na isinongo esenziwe ngama-marinades, imalts, syrups, dextrin kunye nesitatshi.

Iioli ezicutshungulwayo

Ezi zioli ze-hydrogenated kunye nenxalenye ye-hydrogenated, amafutha trans kunye neoli yemifuno eyandisa ukudumba, kuquka ioli yombona, ioli yeembotyi zesoya, neoli yecanola.

Kukho uluhlu olude lokutya okwenziwa ngokufihlakeleyo nge gluten: 

– ikofu eyenziwe creamer

-I-Malt (ngendlela ye-malt extract, isiraphu ye-malt, incasa ye-malt kunye neviniga ye-malt enesalathisi sebhali)

– Iisosi zepasta

- Isosi yesoyi

-Bouillon

– Iifrentshi ezikhenkcezisiweyo

– Ukunxitywa kwesaladi

– Brown irayisi isiraphu

-Seitan kunye nezinye iindlela zenyama

– IHamburger enemifuno ekhenkcezisiweyo

- Candy

– Ukulinganisa ukutya kwaselwandle

-Inyama elungisiweyo okanye amanxeba abandayo (njengezinja ezishushu)

- Igum yokuhlafuna

– Ezinye izinongo zomhlaba

– Iitapile okanye iitshiphusi zengqolowa

– Ketchup kunye neesosi zetumata

– Imostade

-Mayonnaise

– Isitshizi sokupheka imifuno

– Ikofu ekhandiweyo ngoko nangoko

– Iti ezinencasa

Ukunqongophala okuchanekileyo kwezondlo

kunye nesifo se-celiac abantu abaninzi kufuneka bathathe izongezo zokuphucula iimpawu ezibangelwa yi-malabsorption. Oku kunokuba ngamavithamini kunye neeminerali ezifana nentsimbi, i-calcium, i-vitamin D, i-zinc, i-B6, i-B12 kunye ne-folate.

Izigulana zeCeliacEkubeni inkqubo yokugaya yonakaliswa kwaye ukuvuvukala kwenzeka, ayikwazi ukufunxa izondlo, kwimeko enjalo kunye nokutya okuqhelekileyo kunye nokutya okunokulinganisela kuthetha ukuba kukho ukungabikho kwezondlo. 

Kule meko, ugqirha wakho uya kuvavanya ukufumanisa ukunqongophala kwezondlo kwaye acebise ngezongezo eziyimfuneko zesondlo.

Gwema ezinye iimveliso zekhaya okanye zokuthambisa ezenziwe ngegluten

Akunjalo nje ukutya okune-gluten okufuneka kuphetshwe kubomi bemihla ngemihla. Zininzi iimveliso ezingezizo ukutya ezinokuqulatha igluten kunye neempawu ezibangela:

- Intlama yamazinyo

- Umgubo wokuvasa

-Iglosi yomlomo kunye ne-lip balm

-I-lotion yomzimba kunye ne-sunscreen

- Izithambiso

– Amayeza kagqirha kunye ne-counter-the-counter

- Dlala intlama

-Ishampu

– Iisepha

– IiVithamini

Fumana Uncedo lobuNgcali

Ukutya i-gluten-free kunokuba nzima kwabanye abantu. Qhagamshelana nengcali yezokutya ukuze uncede wenze ukutya okungenagluten okusempilweni ngokwenene. ekwaziyo ukunika isikhokelo isifo se-celiac Kukwakho namaqela enkxaso.

Ngenxa yoko;

isifo se-celiacsisifo esiyingozi esizisebenzelayo apho ukungeniswa kwegluten kubangela umonakalo kumathumbu amancinci.

Iimpawu zeCeliac ukuqunjelwa, ukuqaqanjelwa kunye neentlungu zesisu, urhudo okanye ukuqunjelwa, ingxaki yokugxila, ukuphazamiseka kwemizwelo, utshintsho lobunzima, ukuphazamiseka kokulala, ukunqongophala kwezondlo, kunye nokunye.

Ngoku isifo se-celiacAkukho unyango lwe-shingles, kodwa ukuphepha i-gluten kunokunciphisa iimpawu kwaye kuvumele amathumbu ukuba azilungise.