Siyini Isifo Se-Celiac, Kungani Kwenzeka? Izimpawu Nokwelashwa

isifo se-celiac Kuwukwaliwa ukudla okungathi sína. Kuyisifo esizimele esibangelwa ukungeniswa kwe-gluten, uhlobo lwamaprotheni atholakala ekudleni okuhlukahlukene njengebhali, ukolweni, nerye.

Ngokusho kwe-Celiac Disease Foundation, umuntu oyedwa kwabayi-100 emhlabeni wonke unesifo se-celiac. Lesi sifo saqala  Kwachazwa eminyakeni engu-8.000 edlule udokotela ongumGreki owayengazi ukuthi lesi sifo sasiwuhlobo lokusabela okuzenzakalelayo ku-gluten. 

Labo abanesifo se-celiacinikeza izimpendulo ezingezinhle kumakhompiyutha atholakala ku-gluten. Lapho amasosha omzimba esabela ngokweqile ku-gluten, lokhu kungabangela i-malabsorption. 

isifo se-celiacisimo sempilo yonke ngenxa yokusabela kwe-gluten. isifo se-autoimmuneIloli. Ukuphela kwendlela yokwelapha lesi simo ukudla okungenalo i-gluten impilo yonke.

"Iyini i-celiac, ingabe iyabulala", "ziyini izimbangela nezimpawu ze-celiac", "iziguli ze-celiac okufanele zidle", "yini okufanele iziguli ze-celiac zingadli", "iziguli ze-celiac kufanele zidle kanjani"? Nazi izimpendulo zemibuzo...

Yiziphi Izimpawu Zesifo Se-Celiac?

Uhudo

Indle exekethile, enamanzi ijwayelekile kubantu abaningi. ukuxilongwa kwesifo se-celiac Kungezinye zezimpawu zokuqala ahlangabezana nazo ngaphambi kokuhlala phansi. Esifundweni esincane, iziguli ze-celiacU-79% weziguli ngaphambi kokwelashwa uhudo wabika ukuthi uyaphila. Ngemva kokwelashwa, iziguli ezingu-17% kuphela eziqhubekile nesifo sohudo esingamahlalakhona.

Ucwaningo olwenziwa kubantu abangu-215 luthole ukuthi isifo sohudo asilashwa. isifo se-celiacwathi kwakuwuphawu oluvame kakhulu lwe 

Ezigulini eziningi, isifo sohudo sancipha phakathi nezinsuku ezimbalwa zokwelashwa, kodwa isikhathi esijwayelekile sokuqeda ukuxazululwa kwezimpawu kwakungamasonto amane.

Ukuvuvukala

Ukuvuvukala, iziguli ze-celiacKungolunye uphawu oluvamile olutholwa yi Lesi sifo singabangela ukuvuvukala emgudwini wokugaya ukudla, okungabangela ukuqunjelwa kanye nezinye izinkinga eziningi ezingezinhle zokugaya ukudla.

ngesifo se-celiac Ucwaningo lwabantu abadala abangu-1,032 luhlonze ukuqunjelwa njengezinye zezimpawu ezivame kakhulu. Lesi sibonakaliso sakhululeka ngokuphumelelayo ngemva kokukhipha i-gluten ekudleni kwabo.

gluten isifo se-celiac Kungadala nezinkinga zokugaya ukudla njengokuqunjelwa kubantu abangenawo. Kwesinye isifundo isifo se-celiac Izinkinga zokugaya ukudla ezitholwa abantu abangu-34 ababengenayo i-gluten-free diet zaba ngcono.

igesi

igesi eyeqile, isifo se-celiac esingalashwa Kuyinkinga evamile yokugaya ukudla ababhekana nayo Esifundweni esincane, igesi, isifo se-celiac Kwakungenye yezimpawu ezivame kakhulu ezibangelwa ukusetshenziswa kwe-gluten kulabo abanayo

enyakatho yeNdiya ngesifo se-celiac Ucwaningo lwabantu abadala abangama-96 lubike igesi eningi kanye nokuqunjelwa ku-9.4% wamacala.

Nokho, kunezizathu eziningi zenkinga yegesi. Ucwaningo olulodwa lwahlola abantu abangu-150 abahlushwa igesi eyanda futhi bathola ababili kuphela ukuhlola ukuthi bane-celiac isifo.

Ezinye izimbangela ezivamile zegesi zihlanganisa ukuqunjelwa, ukungagayeki kahle kokudla, ukungabekezelelani kwe-lactose ve irritable bowel syndrome (IBS) akhona amacala anjalo.

ukukhathala

Ukuncipha kwezinga lamandla nokukhathala abanesifo se-celiacingenye yezimpawu. 51 isifo se-celiac Olunye ucwaningo lwathola ukuthi labo abadla ukudla okungenagluten babenezinkinga zokukhathala kakhulu kunalezo ezidla ukudla okungenagluten.

Kolunye ucwaningo, isifo se-celiac Abakwenzile kwatholakala ukuthi banamathuba amaningi okuthi babe nezinkinga zokulala ezingase zibe nomthelela ekukhathaleni.

Futhi, engelashiwe isifo se-celiac kungalimaza amathumbu amancane, okubangele ukuntuleka kwamavithamini namaminerali okungaholela ekukhathaleni.

Ezinye izimbangela zokukhathala zihlanganisa izifo, izinkinga zegilo, ukucindezeleka, kanye ne-anemia.

Ukulahlekelwa isisindo

Ukuncipha kwesisindo kungazelelwe kakhulu isifo se-celiacizimpawu zakuqala ze Lokhu kungenxa yokuthi amandla omzimba okumunca imisoco ayanele, okuholela ekungondlekeni nasekuncipheni kwesisindo somzimba.

isifo se-celiac Ocwaningweni lwabahlanganyeli abangu-112 abanesifo sikashukela, kutholakale ukuthi ukuncipha kwesisindo kuthinta iziguli ezingama-23% futhi kwakungenye yezimpawu ezivame kakhulu ngemuva kohudo, ukukhathala nobuhlungu besisu.

isifo se-celiac Olunye ucwaningo oluncane olubheka iziguli esezikhulile ezitholakale zinalesi sifo lunqume ukuthi ukuncipha kwesisindo kungenye yezimpawu ezivame kakhulu.

Ngenxa yokwelashwa, izimpawu zixazululwe ngokuphelele futhi ababambiqhaza bathola isilinganiso se-7,75 kg.

I-anemia ngenxa yokuntuleka kwe-iron

isifo se-celiackungakhinyabeza ukumuncwa kwezakhamzimba futhi kuholele ekubeni ne-anemia yokuntuleka kwensimbi, okubangelwa ukuntuleka kwamangqamuzana abomvu egazi emzimbeni. 

ukuntuleka kwe-iron anemiaIzimpawu zihlanganisa ukukhathala, ubuthakathaka, ubuhlungu besifuba, ikhanda elibuhlungu, nesiyezi.

isifundo isifo se-celiac wabheka izingane ezingu-34 ezine-anemia yokuntuleka kwe-iron emaphakathi kuya komaphakathi, futhi wathola ukuthi cishe u-15% wazo une-anemia yokuntuleka kwensimbi emaphakathi kuya komaphakathi.

Ocwaningweni lwabantu abangama-84 abane-anemia yokuntuleka kwensimbi yembangela engaziwa, ama-7% isifo se-celiac kutholiwe. Amazinga e-iron anda kakhulu ngemva kokudla okungenalo i-gluten.

727 isifo se-celiacKolunye ucwaningo, u-23% wabo kubikwe ukuthi une-anemia. Ngaphezu kwalokho, labo abane-anemia isifo se-celiacBabenamathuba aphindwe kabili okuba nesisindo esiphansi samathambo kanye nokulimala okukhulu emathunjini amancane okubangelwa

Ukuqunjelwa

isifo se-celiac, nakuba kungase kubangele isifo sohudo kwabanye abantu, ukuqunjelwa kungani kungaba njalo. isifo se-celiaclimaza i-intestinal villi, okufana nomunwe emathunjini amancane abhekene nokumunca imisoco.

Njengoba ukudla kuhamba emgudwini wokugaya ukudla, i-intestinal villi ayikwazi ukumunca imisoco ngokugcwele futhi ingase imunce umswakama owengeziwe esitulweni. Lokhu kubangela ukuqina kwendle futhi kubangela ukuqunjelwa.

Kodwa-ke, ngisho nokudla okuqinile okungenalo i-gluten, ngesifo se-celiac Kunzima ukuthi abantu basuse ukuqunjelwa.

Lokhu kungenxa yokuthi ukudla okungenalo i-gluten kunciphisa ukudla okune-fiber ephezulu okufana nezinhlamvu, okuholela ekunciphiseni kokudla kwe-fiber, okuholela ekunciphiseni kokuhlala kwezihlalo. Ukungawuvivinyi umzimba, ukuphelelwa amanzi emzimbeni, nokudla okungenamsoco nakho kungabangela ukuqunjelwa.

Ukucindezeleka

isifo se-celiackanye nezimpawu zayo eziningi zomzimba, ukucindezeleka Izimpawu ezingokwengqondo nazo zivamile. Ukuhlaziywa kwezifundo ezingama-29 kwathola ukuthi ukucindezeleka kwakuvame kakhulu kunomphakathi jikelele. ngesifo se-celiac wathola ukuthi kwakuvamile futhi kubi kakhulu kubantu abadala.

Olunye ucwaningo oluncane olunabahlanganyeli abangama-48, isifo se-celiac bathole ukuthi labo abanezimpawu zokucindezeleka babevame ukuba nezimpawu zokucindezeleka kuneqembu lokulawula elinempilo.

Ukulunywa

isifo se-celiacingabangela i-dermatitis herpetiformis, eqala njengokuluma, ukuqubuka kwesikhumba ezindololwaneni, emadolweni, noma ezinqeni.

Iziguli zeCeliacCishe u-17% wabantu uba nalokhu kuqubuka futhi kungenye yezimpawu eziholela ekuxilongweni.

Abanye abantu ngokuvamile isifo se-celiac ingase ibe nokuqubuka kwesikhumba ngaphandle kwezinye izimpawu zokugaya ezenzekayo

isifo se-celiacKanye nalezi zimpawu ezingenhla, kunezinye izimpawu okungenzeka mancane ukuba zivele:

– Amajaqamba nobuhlungu besisu

- Inkinga yokugxilisa ingqondo noma ukudideka kwengqondo

– Ukuphazamiseka kokulala njengokuqwasha

- Ukushoda kwezakhi zomzimba ngenxa yezinkinga zokumuncwa ohlelweni lokugaya ukudla (ukungondleki)

– Ubuhlungu bekhanda obungapheli

– Ubuhlungu bamalunga noma amathambo

– Ukuluma ezandleni nasezinyaweni 

– ukuquleka

- Izikhathi ezingajwayelekile, ukungazali noma ukuphuphuma kwesisu okuphindaphindiwe

– Izilonda zomdlavuza emlonyeni

– Ukuncipha kwezintambo zezinwele kanye nokufiphala kwesikhumba

- I-anemia

– Type I Diabetes

- I-Multiple sclerosis (MS)

- I-Osteoporosis

Izimo ze-neurological ezifana nesifo sokuwa kanye ne-migraine

– Umdlavuza wamathumbu

– Izinkinga zokukhula kwezingane ngenxa yokungamuncwa ngokwanele kwezakhamzimba

Izimpawu Zesifo Se-Celiac Ezinganeni Nezinsana

Izingane nezinsana zingaba nezinkinga ezifana nesifo sohudo, izinkinga zamathumbu, ukucasuka, ukwehluleka ukukhula kahle noma ukukhula kancane kancane.

Ngokuhamba kwesikhathi, izingane zingase zibe nokuncipha kwesisindo, ukulimala koqweqwe lwazo lwamazinyo, nokulibaziseka kokuthomba.

Izinkinga ze-Celiac Disease

isifo se-celiac Kuyisifo sokuzivikela komzimba. ngesifo se-celiac Uma umuntu edla i-gluten, amangqamuzana abo namasosha omzimba ayasebenza, ahlasele futhi alimaze amathumbu amancane.

isifo se-celiacKulokhu, amasosha omzimba ahlasela ngephutha i-villi emathunjini amancane. Lezi ziyavuvuka futhi zingase zinyamalale. Ithumbu elincane alisakwazi ukumunca imisoco ngendlela efanele. Lokhu kungaholela ezingozini eziningi zempilo kanye nezinkinga.

Abantu abangase babe nesifo se-celiac bahlanganisa:

- Abantu abanesinye isifo sokuzivikela komzimba, njengesifo sikashukela sohlobo 1, isifo samathambo, isifo esizimele esithinta indlala yegilo noma isibindi.

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

– Ilungu lomndeni elinalesi sifo

Isifo Se-Celiac Sitholakala Kanjani?

Ukuxilongwa, okokuqala, ukuhlolwa ngokomzimba kwenziwa.

Udokotela uzophinde enze ukuhlolwa okuhlukahlukene ukusiza ukuqinisekisa ukuxilongwa. Abantu abanesifo se-celiac bavame ukuba namazinga aphezulu e-antiendomysium (EMA) kanye nama-anti-tissue transglutaminase (tTGA) amasosha omzimba. Lokhu kungatholwa ngokuhlolwa kwegazi. Ukuhlolwa kuthembeke kakhulu uma kwenziwa ngenkathi i-gluten isadliwa.

Ukuhlolwa kwegazi okujwayelekile kuhlanganisa:

• Isibalo segazi esiphelele (CBC)
• Ukuhlolwa kokusebenza kwesibindi
• ukuhlolwa kwe-cholesterol
• ukuhlolwa kwezinga le-alkaline phosphatase
• Ukuhlolwa kwe-serum albumin

Ukwelashwa Kwemvelo Kwezifo Ze-Celiac

I-Gluten Free Diet

isimo se-autoimmune esingamahlalakhona isifo se-celiac Alikho ikhambi elaziwayo lalesi sifo, ngakho-ke kunezindlela zokunciphisa izimpawu nokusiza ukwakha kabusha amasosha omzimba. 

Ngaphambi kwanoma yini enye, isifo se-celiacUma unesifo sikashukela, kuyadingeka ukulandela ukudla okungenalo i-gluten ngokuphelele, ukugwema yonke imikhiqizo equkethe ukolweni, ibhali noma i-rye. I-Gluten yenza cishe amaphesenti angu-80 weprotheyini etholakala kulezi zinhlamvu ezintathu, kodwa iyatholakala nakweminye imikhiqizo eminingi. 

Njengoba iphesenti elikhulu lokudla kwethu manje lithembele ekudleni okupakishiwe, kuhlale kunengozi enkulu kakhulu yokuhlangana ne-gluten.

izindlela zesimanje zokucubungula ukudla kanye ukungcola okuphambene Ngenxa yalokhu, ngisho nezinye izinhlamvu ezingenalo i-gluten, njengommbila noma i-oat-free oats, ziqukethe iminonjana ye-gluten.

Ngakho-ke, kuyadingeka ukufunda amalebula okudla ngokucophelela.

ukudla okungenayo gluten Ukuwusebenzisa ngokuqinile kuzovumela isimiso somzimba sokuzivikela ezifweni ukuba sizilungise, okuzovimbela izimpawu ekuqubukeni. Nakhu okufanele ukudle nokungafanele ukudle ekudleni okungenalo i-gluten: 

Okufanele Ukudle Isiguli Se-Celiac

Izithelo nemifino

Izithelo nemifino kuyisisekelo sokudla okunempilo futhi akunagluten ngokwemvelo. Banikeza izakhi ezibalulekile ezibalulekile, i-fiber kanye nama-antioxidants ukuqinisa umsebenzi wokuzivikela komzimba.

amaprotheni amancane

Lokhu kunikeza amaprotheni, amafutha e-omega 3 namaminerali anciphisa ukuvuvukala. Imithombo yamaprotheni angenalutho ihlanganisa amaqanda, inhlanzi (ebanjwe zasendle), izinkukhu, inyama yenkomo, i-offal, okunye ukudla okunamaphrotheni, nokudla okuqukethe i-omega 3.

amafutha anempilo

Ibhotela, amafutha kakotapheya, amafutha kakhukhunathi ayintombi nto, amafutha embewu yamagilebhisi, amafutha omnqumo engeziwe, amafutha e-flaxseed, amafutha e-hemp angamafutha anempilo.

Amantongomane kanye nembewu

Ama-alimondi, ama-walnuts, imbewu yefilakisi, imbewu ye-chia, ithanga, i-sesame nembewu ye-sunflower

Ubisi (okuphilayo nokuluhlaza kungcono kakhulu)

Ubisi lwembuzi neyogathi, amanye amayogathi abilisiwe, ushizi wembuzi noma wezimvu nobisi oluluhlaza

Okusanhlamvu, ubhontshisi, kanye nezinhlamvu ezingenayo i-gluten

Ubhontshisi, irayisi elinsundu, i-oat-free oats, i-buckwheat, i-quinoa, ne-amaranth

Ufulawa ongenayo i-gluten

Lokhu kufaka ufulawa werayisi onsundu, ufulawa wamazambane noma wommbila, ufulawa wequinoa, ufulawa we-alimondi, ufulawa kakhukhunathi, ufulawa we-chickpea, nezinye izingxube ezingenayo i-gluten. Thenga njalo imikhiqizo ene-gluten-free ukuze iphephe.

umhluzi wamathambo 

i-collagen enkulu, i-glucosamine kanye nomthombo wama-amino acid.

Amanye ama-seasonings angenayo i-gluten, izinongo, namakhambi

Usawoti wolwandle, ukhokho, uviniga we-apula cider, amakhambi amasha nezinongo (ezibhalwe ukuthi ayinagluten), uju oluluhlaza 

Yini Iziguli Ze-Celiac Okungafanele Zidle

Yonke imikhiqizo equkethe ukolweni, ibhali, rye

Funda amalebula esithako ngokucophelela futhi ugweme imikhiqizo equkethe noma yiluphi uhlobo lukakolweni, i-couscous, i-semolina, i-rye, ibhali, noma i-oats.

Imikhiqizo ye-carbohydrate egayiwe

Ngokuvamile lezi zenziwa ngofulawa kakolweni ocolisisiwe. Izibonelo zamacarbohydrate agayiwe okumele uwagweme zihlanganisa isinkwa, ipasta, amakhukhi, amakhekhe, amasnack bars, okusanhlamvu, ama-donuts, ufulawa wokubhaka, njll. iyatholakala.

Izinhlobo eziningi zikafulawa

Ufulawa osekelwe kukolo kanye nemikhiqizo ihlanganisa bran, ufulawa we-brominated, ufulawa we-durum, ufulawa ocebile, ufulawa we-phosphate, ufulawa ongenalutho kanye nofulawa omhlophe.

Ubhiya kanye ne-malt alcohol

Lezi zenziwa ngebhali noma ukolweni.

Kwezinye izimo, okusanhlamvu okungenayo i-gluten

Ngenxa yokungcoliswa okuphambanayo ngesikhathi sokukhiqizwa, okusanhlamvu okungenayo i-gluten kwesinye isikhathi kungaqukatha amanani amancane e-gluten. Umuntu kufanele aqaphele ngalokhu ngoba inkulumo ethi “ukolweni mahhala” ayisho ukuthi “i-gluten ayinayo”. 

Ama-condiments asebhodleleni namasoso

Kuyadingeka ukufunda amalebula okudla ngokucophelela futhi ugweme imikhiqizo eyenziwe ngezithasiselo eziqukethe amanani amancane e-gluten.

Ukolweni manje uguqulwa ngamakhemikhali ube yizinto ezilondolozayo, iziqinisi nezinye izithasiselo ezisetshenziswa ngisho nasemikhiqizweni ewuketshezi.

Ingatholakala cishe kuyo yonke imikhiqizo kafulawa, isoso yesoya, isaladi yokugqoka noma yisiphi isinongo esenziwe ngama-marinades, ama-malts, isiraphu, i-dextrin nesitashi.

Amafutha acutshunguliwe

Lawa amafutha ane-hydrogenated kanye nengxenye ye-hydrogenated, amafutha e-trans namafutha emifino akhulisa ukuvuvukala, okuhlanganisa amafutha ommbila, uwoyela wesoya, namafutha e-canola.

Kunohlu olude lokudla okwenziwa ngokuyimfihlo nge-gluten: 

– Artificial coffee creamer

I-Malt (iyindlela yokukhipha i-malt, isiraphu ye-malt, ukunambitheka kwe-malt kanye noviniga we-malt onenkomba yebhali)

- I-pasta sauces

- I-soy sauce

– Bouillon

– Afriziwe ama-french

– Ukugqoka isaladi

– Brown rice isiraphu

– I-Seitan nezinye izinhlobo zenyama

– I-Hamburger enemifino eqandisiwe

- Uswidi

– Ukulingisa ukudla kwasolwandle

- Inyama elungisiwe noma ukusikeka okubandayo (njengezinja ezishisayo)

- Ushingamu

– Ezinye izinongo zomhlabathi

– Amazambane noma ama-grain chips

– Iketchup kanye lamatamatisi amasoso

– Isinaphi

- Imayonnaise

– Isifutho sokupheka imifino

– Ikhofi elimnandi elisheshayo

– Itiye elimnandi

Ukuntuleka komsoco okulungile

ngesifo se-celiac abantu abaningi badinga ukuthatha izithasiselo ukuze bathuthukise izimpawu ezibangelwa malabsorption. Lokhu kungaba amavithamini namaminerali afana nensimbi, i-calcium, i-vitamin D, i-zinc, i-B6, i-B12 ne-folate.

Iziguli zeCeliacNjengoba isimiso sokugaya ukudla sonakalisiwe futhi kwenzeka ukuvuvukala, asikwazi ukumunca izakhi, esimweni esinjalo ngisho nokudla okuvamile nokulinganisela kusho ukuthi kungase kube khona ukuntuleka kwezakhi. 

Kulokhu, udokotela wakho uzohlola ukuze anqume ukushoda kwezakhi futhi atuse izithasiselo ezidingekayo zokudla okunomsoco.

Gwema eminye imikhiqizo yasendlini noma yezimonyo eyenziwe nge-gluten

Akukhona nje ukudla okune-gluten okufanele kugwenywe ekuphileni kwansuku zonke. Kukhona nemikhiqizo eminingi engeyona eyokudla engase ibe ne-gluten kanye nezimpawu zokuqala:

- Inhlama yamazinyo

- Impushana yokuwasha

- I-lip gloss kanye ne-lip balm

- I-lotion yomzimba kanye ne-sunscreen

- Izimonyo

– Imithi kadokotela kanye ne-over-the-counter

- Dlala inhlama

- I-shampoo

– Insipho

- Amavithamini

Thola Usizo Lochwepheshe

Ukudla i-gluten-free kungaba nzima kwabanye abantu. Xhumana nochwepheshe wezokudla ukuze usize ukudala ukudla okunempilo ngempela okungenalo i-gluten. ukwazi ukunikeza isiqondiso isifo se-celiac Akhona namaqembu okusekela.

Ngenxa yalokho;

isifo se-celiackuyisifo esibi kakhulu se-autoimmune lapho ukungenisa i-gluten kubangela ukulimala emathunjini amancane.

Izimpawu ze-Celiac ukuqunjelwa, ukuqunjelwa kanye nobuhlungu besisu, isifo sohudo noma ukuqunjelwa, ukugxilisa ingqondo enkingeni, ukuphazamiseka kwemizwelo, ukushintsha kwesisindo, ukuphazamiseka kokulala, ukuntula izakhi zomzimba, nokunye.

Khona manje isifo se-celiacAlikho ikhambi le-shingles, kodwa ukugwema i-gluten kunganciphisa izimpawu futhi kuvumele amathumbu ukuthi azilungise.