Yintoni Ukunganyamezeli kweGluten, Kutheni kusenzeka? Iimpawu kunye noNyango

ukunganyamezeli gluten Yimeko entle eqhelekileyo. Iimpendulo ezingathandekiyo zenzeka ngokuchasene negluten, iprotheni efumaneka kwingqolowa, ibhali kunye nerye.

isifo se-celiac, ukunganyamezeli glutenLolona hlobo luqatha. Sisifo se-autoimmune esichaphazela malunga ne-1% yabemi kwaye sinokubangela umonakalo kwinkqubo yokugaya.

Nangona kunjalo, i-0.5-13% yabantu banokuba ne-non-celiac gluten sensitivity, uhlobo olubi kakhulu lwe-gluten allergy.

Isicelo ukunganyamezeli gluten Izinto ekufuneka uzazi malunga…

Yintoni Ukunganyamezeli kweGluten?

I-Gluten ikwahlulahlulwe njengeprotheni yodwa ngenxa yefomu yayo ekhethekileyo ye-elastic.

Uphononongo oluninzi lubonise ukuba iingxaki zempilo ezibuhlungu ze-gluten kwaye eziyingozi kakhulu zibangelwa yimveliso yeekhemikhali zeprotheni.

ukunganyamezeli glutenUkusabela kweekhemikhali kwenzeka kwi-immune system yomntu onesifo seswekile ngenxa yokuba isistim somzimba saloo mntu siyayibona into engeyiyo iprotheni kodwa njengenxalenye yetyhefu, ebangela ukusabela okungathandekiyo okuphazamisa amajoni omzimba.

ukunganyamezeli gluten Esinye sezizathu eziphambili zokuba abantu abanesifo sikashukela bacebise ukuba batshintshele kwi-gluten-free diet kukuba ukusabela kweekhemikhali okubangelwa yiprotheni akuchaphazeli nje isisu, kodwa kubangela utshintsho olungachazwanga kwiindawo ezahlukeneyo zomzimba.

Olu tshintsho lunokubangela ukusabela okungaqhelekanga kwesistim somzimba kwiindidi ezahlukeneyo zokutya kunye ne-allergener, ebangela iziphumo ezibi kakhulu zempilo kunye neengxaki.

ukunganyamezeli gluten, nto leyo echasene ne-immune system kwi-gluten-rich rich foods ukunganyamezeli igluten non-celiac Kwakhona kuthiwa.

Iimbangela zokunganyamezeli kweGluten

Izizathu zokunganyamezeli kwe gluten phakathi isondlo esiqhelekileyo kunye nokuxinana kwezondlo zomntu, umonakalo kwizityalo zamathumbu, isimo somzimba sokuzivikela, izinto zofuzo kunye nokulinganisela kwehomoni.

Inyaniso yokuba i-gluten ibangela iimpawu ezahlukeneyo kubantu abaninzi ngokuyinhloko ihambelana nemiphumo yayo kwinkqubo yokugaya kunye namathumbu.

I-Gluten ithathwa njenge "i-antinutrient" kwaye ngoko ke kunzima ukugaya phantse bonke abantu, kunye okanye ngaphandle kokunyamezela i-gluten.

I-Antinutrients zezinye izinto ezifumaneka ngokwemvelo kukutya kwezityalo, kubandakanywa iinkozo, iimbotyi, amandongomane kunye nembewu. 

Izityalo ziqulethe i-antinutrients njengendlela yokukhusela eyakhelwe-ngaphakathi; Njengabantu kunye nezilwanyana, banomthwalo webhayoloji ukuze baphile kwaye bavelise kwakhona. 

Ngenxa yokuba izityalo zingakwazi ukuzikhusela kumarhamncwa ngokubaleka, zavela ukuze zikhusele iintlobo zazo ngokuthwala "iityhefu" eziqhubekayo.

IGluten luhlobo lwe-antinutrient efumaneka kwiinkozo ezineziphumo ezilandelayo xa zityiwa ngabantu: 

– Inokuphazamisana nokugaya okuqhelekileyo kwaye ibangele ukuqunjelwa, igesi, ukuqunjelwa kunye nesifo sohudo ngenxa yempembelelo yayo kwiibhaktheriya ezihlala emathunjini.

– Kwezinye iimeko, ngokonakalisa umgangatho wangaphakathi wamathumbu.i-leaky gut syndromena” kwaye inokubangela ukusabela kwe-autoimmune.

– Ibophelela kwezinye ii-amino acids (iiprotheyini), iivithamini eziyimfuneko kunye neeminerali, zenze ukuba zingafunxanga.

Ziziphi iimpawu zokunganyamezelani kweGluten?

Ukudumba

Ukudumbakukudumba kwesisu emva kokutya. Oku akuncedi. Ukuqunjelwa kuxhaphake kakhulu kwaye nangona kuneengcaciso ezininzi, kukwanjalo ukunganyamezeli glutenInokuba luphawu lwe

Ukudumba, ukunganyamezeli glutenSesinye sezona zikhalazo zixhaphakileyo ngokuchaseneyo Olunye uphononongo lubonise ukuba i-87% yabantu abarhanelwa ukuba i-gluten i-non-celiac sensitivity baba nokudumba.

Urhudo kunye nokuQina

ngamaxesha athile urhudo ve ukuqhina Yinto eqhelekileyo, kodwa ukuba iyenzeka rhoqo inokuba ngunobangela wokukhathazeka. Zikwaluphawu oluqhelekileyo lokunganyamezeli igluten.

Abantu abanesifo se-celiac bafumana ukudumba emathunjini emva kokutya igluten.

Oku kuyonakalisa intyantyambo yamathumbu kwaye kukhokelela ekufunxeni kakubi kwezondlo, kuvelise ukungakhululeki okubalulekileyo kokutya kunye norhudo okanye ukuqhina.

Nangona kunjalo, i-gluten inokubangela iimpawu zokugaya ukutya kwabanye abantu abangenaso isifo se-celiac. Ngaphezu kwe-50% yabantu abangeva yigluten rhoqo bafumana urhudo kwaye ama-25% bafumana ukuqhina.

Kwakhona, abantu abanesifo se-celiac banokufumana izitulo eziluhlaza, ezinuka kakubi ngenxa yokungafumani izondlo.

Kunokubangela iingxaki ezinkulu zempilo, ezinjengorhudo rhoqo, ukulahlekelwa yi-electrolyte, ukuphelelwa ngamanzi emzimbeni, nokudinwa.

Isisu esibuhlungu

Intlungu zesisu Ixhaphake kakhulu kwaye inokubonelela ngeengcaciso ezininzi zolu phawu. Nangona kunjalo, nayo ukunganyamezeli glutenLolona phawu luxhaphakileyo lwe Abo banokunganyamezeli i-glutenI-83% yabantu bafumana intlungu yesisu kunye nokungahambi kakuhle emva kokutya i-gluten.

Intloko ebuhlungu

Abantu abaninzi bafumana intloko ebuhlungu okanye i-migraines. Migraine, yimeko eqhelekileyo abantu abaninzi abazifumana rhoqo. Izifundo, ukunganyamezeli gluten Kuye kwaboniswa ukuba abantu abane-migraine banokuthi bathambekele ngakumbi kwi-migraine kunabanye.

Ukuba unentloko eqhelekileyo okanye i-migraines ngaphandle kwesizathu esicacileyo, unokuba novelwano kwi-gluten.

Ukuziva Udiniwe

ukukhathala Kuxhaphake kakhulu kwaye ngokuqhelekileyo akukho ngenxa yaso nasiphi na isifo. Nangona kunjalo, ukuba uhlala uziva udiniwe kakhulu, kusenokubakho unobangela osisiseko.

ukunganyamezeli gluten Abantu abanesifo seswekile baziva bediniwe, ngakumbi emva kokutya ukutya okunegluten. Uphononongo lubonise ukuba i-60-82% yabantu abanokunyamezela i-gluten bafumana ukudinwa kunye nobuthathaka.

Kwakhona, ukunganyamezeli gluten Kwakhona kunokubangela i-iron yokunqongophala kwe-anemia, ebangela ukudinwa okungaphezulu kunye nokulahlekelwa kwamandla.

Iingxaki zolusu

ukunganyamezeli gluten Inokuchaphazela ulusu. Imeko yolusu olugqabhukileyo ebizwa ngokuba yi-dermatitis herpetiformis kukubonakaliswa kwesikhumba sesifo se-celiac.

Wonke umntu onesifo une-gluten-sensitive, kodwa ngaphantsi kwe-10% yezigulane zineempawu zokugaya ezibonisa isifo se-celiac.

Kwakhona, ezinye iimeko zesikhumba zibonise ukuphucuka emva kokulandela ukutya okungekho gluten. Ezi zifo zezi: 

I-Psoriasis (i-psoriasis)

Sisifo sokuvuvukala kwesikhumba esibonakaliswe ngokunciphisa kunye nobomvu kwesikhumba.

Alopecia areata

Sisifo se-autoimmune esibonwa njengokulahleka kweenwele ngaphandle kokulimala.

urticaria engapheliyo

Isimo solusu esibonakaliswa ngokuphindaphindiweyo, ukurhawuzelelwa, izilonda ezipinki okanye ezibomvu ezineziko eliluthuthu.

Uxinzelelo

Uxinzelelo Ichaphazela malunga ne-6% yabantu abadala ngonyaka.

Abantu abanemiba yokwetyisa babonakala bethambekele ngakumbi kuzo zombini ixhala kunye nokudakumba xa kuthelekiswa nabantu abasempilweni.

Oku kuqhelekileyo phakathi kwabantu abanesifo se-celiac. ukunganyamezeli glutenKukho iingcamango ezininzi malunga nokuba ukudakumba kunokubangela njani ukudakumba:

Amanqanaba e-serotonin angaqhelekanga

I-Serotonin yi-neurotransmitter evumela iiseli ukuba zinxibelelane. Ngokuqhelekileyo kwaziwa njengenye yeehomoni "zolonwabo". Izixa ezincitshisiweyo zinxulunyaniswa nokudakumba.

I-Gluten exofins

Ezi peptides zenziwa ngexesha lokwetyisa ezinye iiproteni zegluten. Banokuphazamisa inkqubo ye-nervous central, enokunyusa umngcipheko wokudakumba.

Utshintsho kwizityalo zamathumbu

Ukunyuka kweebhaktheriya ezinobungozi kunye nezixa ezincitshisiweyo zeebhaktheriya ezincedo zinokuchaphazela inkqubo ye-nervous central kunye nokwandisa umngcipheko wokudakumba.

Izifundo ezininzi zizixelile ukunganyamezeli gluten Abantu abadandathekileyo abaneengxaki zempilo yengqondo bafuna ukugcina ukutya okungekho gluten ukuze bazive bengcono nokuba iimpawu zabo zokwetyisa azisonjululwanga.

Yona, ukunganyamezeli glutenOku kuphakamisa ukuba isifo se-celiac ngokwaso sinokubangela ukuvakalelwa kokudakumba, kungakhathaliseki iimpawu zokugaya.

Ukwehla kobunzima obungachazwanga

Ukutshintsha kobunzima obungalindelekanga kudla ngokuba yinkxalabo. Nangona kunokubangelwa yizizathu ezahlukahlukeneyo, ukulahleka kwesisindo esingachazwanga sisiphumo esiqhelekileyo sesifo se-celiac esingafumanekiyo.

Kolunye uphononongo lwezigulane ezinesifo se-celiac, isibini kwisithathu salahlekelwa ubunzima kwiinyanga ezintandathu. Ukuncipha kobunzima kunokuchazwa ngeempawu ezahlukeneyo zokwetyisa ezidityaniswa nokufunxwa kakuhle kwezondlo.

I-anemia ngenxa yokunqongophala kwentsimbi

I-anemia ngenxa yokungabikho kwentsimbiyeyona nto ixhaphakileyo yokunqongophala kwezondlo ehlabathini. Ukunqongophala kwe-iron kubangela iimpawu ezinjengomthamo wegazi eliphantsi, ukudinwa, ukuphefumla, isiyezi, intloko ebuhlungu, ulusu oluluthuthu, kunye nobuthathaka.

Kwisifo se-celiac, ukufunxwa kwezondlo kuphazamiseka emathunjini, okubangelwa ukuhla kwexabiso lentsimbi efunyenwe ekudleni. I-anemia ngenxa yokunqongophala kwentsimbi ingaba phakathi kweempawu zokuqala zesifo se-celiac ingxelo kagqirha.

Uphando lwakutsha nje lubonisa ukuba ukusilela kwentsimbi kunokubaluleka kubantwana nakubantu abadala abanesifo se-celiac.

Ixhala

Ixhalainokuchaphazela i-3-30% yabantu kwihlabathi jikelele. Kubandakanya iimvakalelo zokuxhalaba, ukucaphuka, ukungazinzi, kunye nokuphazamiseka. Ngaphezu koko, idla ngokunxulunyaniswa ngokusondeleyo nokudandatheka.

ukunganyamezeli gluten Abantu abanengxaki yokuxhalaba kunye nexhala babonakala bethambekele ngakumbi ekubeni nexhala kunye nokuphazamiseka koxinzelelo kunabantu abasempilweni.

Ukongeza, isifundo sizixelile ukunganyamezeli glutenKuye kwatyhilwa ukuba i-40% yabantu abanesifo seswekile bafumana ixhala rhoqo.

Iziphazamiso ze-Autoimmune

Isifo seCeliac sisifo esizimelayo esenza amajoni omzimba ahlasele inkqubo yakho yokugaya ukutya emva kokutya igluten.

Ukuba nesi sifo sikwenza ube lula kwezinye izifo ezizimelayo, ezinje nge-autoimmune thyroid disease.

Ngaphezu koko, ukuphazamiseka kwe-thyroid gland kunokuba ngumngcipheko wokuphuhlisa ukuphazamiseka ngokweemvakalelo kunye noxinzelelo. 

Oku kwakhona uhlobo 1 seswekileOku kwenza isifo se-celiac sixhaphake ngakumbi kubantu abanezinye izifo ezizimelayo, ezifana nezifo zesibindi ezizimele kunye nesifo sesibindi esivuthayo.

Iintlungu ezidibeneyo kunye nezihlunu

Kukho izizathu ezininzi zokuba umntu unokufumana intlungu edibeneyo kunye nemisipha. Kukho ingcamango yokuba abantu abanesifo se-celiac banenkqubo ye-nervous sensitive genetically.

Ke ngoko, kunokubakho imibundu esezantsi yokuvula i-neurons ye-sensory ebangela intlungu kwimisipha kunye namalungu. 

Kwakhona, ukuvezwa kwe-gluten kunokubangela ukuvuvukala kubantu abanovelwano lwe-gluten. Ukuvuvukala kunokubangela intlungu ebanzi, kubandakanywa kumalungu kunye nezihlunu.

Umlenze okanye iArm Numbness

ukunganyamezeli glutenOlunye uphawu olumangalisayo lwe-rheumatoid arthritis yi-neuropathy kunye ne-numbness okanye ukubetha kweengalo kunye nemilenze.

Le meko ixhaphakile kubantu abanesifo seswekile kunye nokusilela kwe-vitamin B12. Kwakhona kunokubangelwa yityhefu kunye nokusela utywala.

Nangona kunjalo, abantu abanesifo se-celiac kunye nokunganyamezeli kwe-gluten kubonakala benomngcipheko ophezulu wokufumana ingalo kunye nomlenze wemilenze xa kuthelekiswa namaqela okulawula okunempilo.

Nangona esona sizathu singaziwa, abanye basenokuba nolu phawu. ukunganyamezeli gluten ezinxulumene nobukho bamajoni athile omzimba.

Inkungu yobuchopho

“Inkungu yobuchopho” ibhekisa kwimvakalelo yokubhideka kwengqondo. Ukulibala kuchazwa njengobunzima bokucinga okanye ukudinwa engqondweni.

Ukuba nenkungu yengqondo ukunganyamezeli glutenLuphawu oluqhelekileyo lwe-GERD kwaye luchaphazela i-40% yabantu abanganyamezeliyo i-gluten.

Olu phawu lusenokubangelwa kukusabela kwizilwa-buhlungu ezithile kwigluten, kodwa oyena nobangela ayaziwa.

Iingxaki eziNgapheliyo zokuphefumla

Ukukhwehlela okugqithisileyo, i-rhinitis, iingxaki zokuphefumla, i-otitis kunye nomqala obuhlungu ukunganyamezeli gluten kutheni inokuba njalo.

ukunganyamezeli gluten kunye neengxaki zokuphefumla, ezibonisa ukuba abantu abanesifo se-celiac banomngcipheko ophindwe kabini we-asthma xa kuthelekiswa nabo bangenayo ingxaki. kwiJenali ye-Allergy kunye ne-Clinical Immunology iphawulwe kwingxelo ka-2011.

Unyango

Ukutya ukutya okune-gluten kunye neemveliso kunokuba kubi kwi-immune system, enokukhokelela kwiingxaki ezininzi zonyango kunye nokuphendula kwamajoni omzimba.

Amajoni omzimba asebenza ukukhusela umzimba kwizinto eziyityhefu neziyingozi ngokusabela kwisoyikiso se-antigens.

Iiprotheyini ezenziwe yi-immune system zaziwa ngokuba zii-antigens.

Zifumaneka kumphezulu wangaphakathi weeseli kunye neendawo zentsholongwane, ibhaktheriya kunye nefungi.

I-Antigens iya kusabela kuphela xa ingaphumeleli ukuchonga nokususa i-antigen-containing substance, kwaye iya kuqala ukuhlasela iiseli eziphilileyo.

 Iingxaki zamazinyo

Ngokophononongo lophando kunye nenqaku elapapashwa ngo-2012, i-gluten yayizimisele ukwenza ukuba umzimba usabele ngendlela engafanelekanga komnye wemithombo ephambili yeprotheyini exhasa ukuveliswa kwe-enamel yezinyo kuba iprotein inamathela emazinyweni ngokulula kwaye iba yindawo yokufihla iintsholongwane. . 

Ukungalingani kumanqanaba eHormone

ingakumbi kwabasetyhini ukunganyamezeli gluten Yinto eqhelekileyo ebangela ukungalingani kwehomoni. Oku kwenzeka ngenxa yegliadin, iprotheni efumaneka kwiinkozo ezahlukeneyo ezinegluten.

Ubudlolo

ukunganyamezeli gluten kunokubangela iingxaki ezahlukeneyo zokungachumi, ukuphuphuma kwesisu kunye nokuya exesheni okungaqhelekanga; oku kwenzeka ikakhulu ngenxa yokuba i-gluten inokuphazamisa ibhalansi yehomoni.

I-Anaphylaxis

Kwezinye iimeko ezinqabileyo nezinzima kakhulu, ukunganyamezeli gluten Abantu abanembali yokugula banokufumana i-anaphylaxis ebulalayo kunye nephindaphindayo, ebangelwa ikakhulu buvakalelo kwi-gliadin.

Ngokweengxelo zophando ezipapashwe liSebe leDermatology kwiYunivesithi yaseHelsinki, i-gliadin, into enyibilikayo yeprotheyini efumaneka kwi-allergener kunye nengqolowa, ukunganyamezeli gluten Kwagqitywa ekubeni kunokubangela i-anaphylaxis kubantu abane

Indlela yokuchonga ukunganyamezeli kweGluten?

ukunganyamezeli glutenUkuxilongwa ngokuchanekileyo kubaluleke kakhulu.

Uvakalelo lweGluten lubonakaliswa xa isistim somzimba sokuzivikela sinesifo esingaqhelekanga okanye esingalunganga kwi-gluten, sivelisa izilwa-buhlungu zokulwa neprotheyini eyaziwa ngokuba yi-gliadin.

Ezi zithinteli-zifo zinokuchongwa ngovavanyo lwegazi kunye novavanyo lwesitulo.

Ukusabela kwe-immune system ekutyeni kwenzeka ikakhulu kwi-intestinal tract, kwaye ukuhamba kwamathumbu yindlela yodwa yokususa ukutya kwi-intestinal tract, ngoko ke ukuhlolwa kwesitulo kuchaneka ngakumbi xa kuvavanywa isifo se-celiac.

Inokwenzeka ukunganyamezeli gluten Ukuba umsebenzi wegazi lomntu awuzivezi izilwa-buhlungu ezikhankanywe ngasentla, kunokwenzeka ukuba umgudu wabo wamathumbu uneentsalela ze-gliadin, ngoko oogqirha baya kuqala ba-odole uvavanyo lwesitulo ukuze baqinisekise nakuphi na ukuxilongwa.

ukuhlolwa kwesitulo

Immunological kubo bonke abantu ngovavanyo lwegazi ukunganyamezeli gluten ayikwazi ukuxilongwa.

Ngamanye amaxesha uvavanyo lwegazi lunokukhokelela kwi-misdiagnosis, enokukhokelela kwezinye iingxaki ezininzi zempilo ngokunjalo.

Ngokwengxelo yophando lwezenzululwazi, isitulo somntu sisetyenziselwa ukuchonga imikhondo ye-antigliadin antibodies uphawu lokunganyamezeli igluten kwaye inokusetyenziswa ngokufanelekileyo kwi-gliadin nokuba iqala ukubonisa iimpawu zayo.

Iiseli zomzimba zesisu zikhusela kwaye zilungelelanise ubunzima obukhulu bomzimba wakho wezicubu zangaphakathi.

Esi sihlunu sisebenza njengekhaka ngokuchasene neebhaktheriya, iintsholongwane kunye nabahlaseli bangaphandle, abakwabizwa ngokuba zii-antigens.

Ukhuseleko oluphambili lwamajoni omzimba ngokuchasene nezi antigens lukwimo ye-IgA secretion kwi-lumen yamathumbu, indawo engenanto esiswini sakho apho izilwa-buhlungu eziveliswa yi-immune system zidibanisa ukuphelisa abahlaseli bamanye amazwe.

Ekubeni ezi zilwa-buhlungu azinakuze ziphinde zifakwe ngumzimba, zikhutshwa ngokukhutshwa kwamathumbu, nto leyo esisiseko sokuhlolwa kwesitulo.

I-Biopsy yamathumbu

ingxelo yegazi yesifo se-celiac okanye ukunganyamezeli gluten Xa ibonisa ukuba unayo, isinyathelo esilandelayo kukwenza i-biopsy ye-intestinal tract ukuqinisekisa umsebenzi wegazi, kodwa ukunganyamezeli glutenkunokurhanelwa kuphela ukuba ukwaliwa kwengqolowa kunye nesifo se-celiac kuyaliwa.

Kunyangwa Njani Ukunganyangeki kweGluten?

Olona nyango lulungileyo nolulodwa olukhoyo kubantu abane-gluten-sensitive kukuphepha ukutya okunegluten ngokupheleleyo.

ukunganyamezeli gluten Kukuphazamiseka kwe-autoimmune kwaye akukho nyango. Inokulawulwa kuphela ngokuphepha ukutya okanye iimveliso ezinegluten.

Ukufumanisa ukunganyamezeli kwegluten Umntu oye wafunyaniswa kufuneka alandele ukutya okungekho gluten okugqitywe ngugqirha.

Ukutya okufuneka ugweme ukunyamezela iGluten

ukunganyamezeli gluten Ukongeza ekuphepheni iinkozo ezifana nengqolowa, i-rye kunye nerhasi, ukutya okungalindelekanga okunokuthi kuqulethe i-gluten kufuneka kugwenywe, ngoko jonga iilebhile zokutya:

– Iisuphu ezinkonkxiweyo

-Ibhiya kunye neziselo zemalt

-Iitshiphusi ezinencasa kunye neecrackers

– Izinxibo zesaladi

– Imixube yesuphu

– Iisosi ezithengwa evenkileni

- Isosi yesoyi

– Deli / inyama ecoliweyo

– Iziqholo zomhlaba

– Ezinye izongezo

Yintoni Enokutya Ngokunganyamezeli kweGluten?

Okunye ukutya okungekho gluten ngokwendalo okutyebileyo kwizondlo kubandakanya:

- IQuinoa

– Buckwheat

- Irayisi emdaka

– Amazimba

–Teff

– I-oats engenagluten

– Millet

– Amandongomane kunye nembewu

- Iziqhamo kunye nemifuno

– Iimbotyi kunye nemifuno

– Umgangatho ophezulu wenyama yendalo kunye neenkukhu

– Ukutya kwaselwandle kwasendle

-Imveliso yobisi eluhlaza / enegwele njenge-kefir

ukunganyamezeli glutenMusa ukuzama ukuzixilonga.

Ukuba ucinga ukuba unomdla kwi-gluten, umzekelo ukuba ufumana iimpawu kunye neempawu, bona ugqirha ngokukhawuleza.

Ngenxa yezi zizathu zilandelayo ukunganyamezeli gluten Kufuneka ubone ugqirha malunga:

- Ukuba unengxaki yesisu esingapheliyo esifana nesifo sohudo, cinga ukuba ulahlekelwa ngumzimba, okanye unesihlungu, intlungu yesisu. Zonke ezi zinto, ukunganyamezeli glutenziimpawu ezibalulekileyo.

- Ukuba unesifo se-celiac kwaye sishiywe singaphathwanga, sinokubangela ukusilela kwezondlo kunye neevithamini ezininzi kwaye konakalise amathumbu amancinci.

- ilungu lentsapho elinesifo se-celiac okanye ukunganyamezeli gluten Ukuba unesifo, yiya kugqirha ngokukhawuleza.

Ngaba unokunganyamezeli igluten? Ziziphi iimeko ojamelana nazo? Sazise iingxaki odibana nazo njengezimvo.