Ndi nkhani yomwe mumamva kawirikawiri: Wina amapezeka ndi matenda a celiac , amapereka timapepala tomwe tingayende pang'onopang'ono, ndipo timatumizira ulendo wawo popanda kutchula momwe tingafunikire kuti tizitsatira dokotala kapena kuyesedwa.
Pali lingaliro lina, chifukwa chithandizo chokha cha pakali pano cha matenda a celiac ndi zakudya zopanda chakudya , (ndipo izo sizikufuna mankhwala).
Kuonjezera apo, anthu ambiri (koma osati onse) amamva bwino mwamsanga pamene ayamba kudya zakudya zopanda thanzi, kotero amamva ngati vuto lawo lakonzedwa.
Koma akatswiri m'munda amalimbikitsanso anthu omwe ali ndi matenda a leliac kupeza chithandizo chotsata kuchokera kwa asing'anga awo, kuti awone mavuto alionse ndi zizindikiro zowonjezereka, ndipo chifukwa choliac chikugwirizana kwambiri ndi zikhalidwe zina zambiri. Pano pali phokoso la zomwe akatswiri amalangiza.
Mayesero kwa Pamene Mukuyamba Kudziwa Ndi Matenda a Celiac
Pamene mukupezeka kuti muli ndi matenda a celiac , dokotala wanu angakulimbikitseni mayesero angapo kuti awone momwe matenda anu adakhudzira thupi lanu.
Mwachitsanzo, angakulimbikitseni kuti muyesedwe kuti mukhale ndi vuto la zakudya , zomwe zimakhala zachilendo chifukwa kuwonongeka kwa m'mimba mwanu kukutanthauza kuti simungakhoze kutenga zakudya m'zakudya zanu. Izi zingaphatikizepo mayeso osiyanasiyana a magazi a zakudya monga vitamini B-12, folate, ndi vitamini D.
Angalimbikitsenso kuti muyambe kufufuza magazi, ngati simunayesedwe kale monga gawo lanu (anthu ambiri ayesedwa kuti asatuluke magazi). Zimakhala zachilendo kuona kuperewera kwa magazi m'thupi ndi matenda a celiac , ndipo kungakhale kuwonjezera kukumva kulikonse komwe mukukumana nawo.
Kawirikawiri, kuchepa kwa magazi m'thupi kumawongolera kapena kumatheratu mukangoyamba kudya zakudya za gluten ndipo matumbo anu amkati amayamba kuchiritsa.
Pomalizira, dokotala wanu angakufunseni kuti muyesedwe kuti muwone ngati matenda a chilondawa asokoneza mphamvu ndi fupa lanu . Mwamwayi, kuchepa kwa zakudya zomwe zimapezeka ndi celiac kungayambitse matenda osteoporosis kapena osteopenia, zomwe zimakhala kuti mafupa anu ndi ochepa kwambiri komanso ochepa kuposa omwe aliwonse. Kuti muwone ngati muli ndi vuto ili, mufunikira chomwe chimatchedwa DEXA scan, yomwe ndi mtundu wa x-ray.
Musadabwe ndi kuyesedwa konse-ndiko kotheka kuti musakhale ndi mavuto awa. Ngakhale mayesero atabvumbulutsa vutoli, ayenera kuyambanso kuthetsa ukapanda kusuta. Kuonjezera apo, dokotala wanu angapereke mankhwala owonjezera, monga zakudya zowonjezereka kwa vitamini kapena kuperewera kwa mchere, kapena mankhwala kuti azitha kuchepa.
Kukumana ndi Katswiri Wopatsa Dietitian Gluten
Zakudya za gluten ndizovuta kutsatira, ndi mphepo yophunzira kwambiri. Nthawi zambiri anthu amalakwitsa m'miyezi yawo yoyamba, osasuka, komanso mwatsoka, nthawi zambiri amalipira zolakwitsazo ndi zizindikiro zowononga .
Anthu ena amadziwa zovuta za zakudya zokhazokha.
Koma palibe funso kuti kwa ena, chithandizo cha katswiri wathanzi mu zakudya zopanda chakudya cha gluten chidzawapulumutsa iwo kuti asatope ndipo mwinamwake kuwathandiza kuti achiritse mwamsanga.
Tsoka ilo, dokotala wanu mwinamwake sangathe kukuthandizani ntchitoyi. Ndipotu, American College of Gastroenterology (ACG) imavomereza kuti madokotala ambiri sakudziwa mokwanira za zakudya zopanda thanzi kuti alangize mokwanira anthu omwe alipo. Ndicho chifukwa chake gululi limalimbikitsa kuti aliyense yemwe ali ndi matenda a celiac apite kwa odwala omwe amalembedwa. Amene amadziwa bwino matendawa.
Munthu wodya zakudya angathandize kudziwa kuti pali zakudya zina zomwe mungathe kuzidya, ndipo zingakuthandizeni kudziwa komwe amadya chakudyacho.
Munthu wodya zakudya akhoza kukuthandizani kupanga zakudya zopanda thanzi zowonjezereka bwino, ndipo mumakhala ndi zakudya zamtundu winawake monga fiber, folate, ndi calcium, zomwe nthawi zambiri zimasowa.
Sikuti anthu onse odyera zakudya ndi akatswiri pa zakudya zopanda thanzi. Dokotala wanu angakulimbikitseni wina kuti awone, kapena muyenera kudzifufuza nokha.
Kusamalira Panthaŵi Yakale kwa Celiac
Ngakhale matenda amtenderewa amavomereza maulendo obwereza omwe amapezeka ndi matenda a celiac, si onse omwe amatsata izi. Kafukufuku wina omwe anaphatikizapo 113 anthu amasonyeza kuti pokhapokha gawo limodzi mwa magawo atatu akutsatira malangizo a ACG a chithandizo chotsata.
Nanga ndi chiyani chomwe chilimbikitsidwa pokhudzana ndi chidziwitso cha anthu omwe ali ndi matendawa?
Mndandanda wa ACG umayitanitsa kawirikawiri ndi dokotala yemwe amadziwa za matenda a celiac . Izi zikhoza-kapena mwina zisakhale dokotala wanu wamkulu. N'zotheka kukhala gastroenterologist wanu.
Zotsatirazo sizikutchula nthawi zambiri momwe muyenera kuwonera dokotala wanu, koma akatswiri ena amalimbikitsa kuti muwone dokotala amene akupeza kuti muli ndi celiac mutatha kukhala osasuka kwa miyezi itatu kapena isanu ndi umodzi, ndipo kachiwiri pambuyo pa chaka. Izi zidzakupatsani mwayi wokambirana ndi dokotala wanu momwe mumamvera, komanso ngati muli ndi zizindikiro zochepa.
Ngati mukulimbana ndi zakudya zopanda thanzi, dokotala wanu angakulimbikitseni kuti muone odyetsa. Izi zingakhale zothandiza ngakhale mutachiwona pamene mutangoyamba kupezeka-wodzitetezera wodziŵa bwino amatha kudziwa malo omwe mumapeza zakudya zam'madzi mwanu.
Madokotala ena amakonda kugwiritsa ntchito mayeso a magazi a leliac kuti awone momwe muliri wopanda gluten . Mwamwayi, mayeserowa mwina angasonyeze ngati mukudya chakudya chambiri chokhala ndi gluteni; iwo sali omveka mokwanira kuti adziwe ngati thupi lanu likuchitapo kanthu kuzing'onong'ono koyambitsa matenda a gluten kunyumba, mwachitsanzo.
Dokotala wanu angayesetsenso kuyesa mayeso ena, omwe amawunikira, omwe angapereke chitsimikizo pa umoyo wanu wonse.
Nthaŵi zina, dokotala wanu angakulimbikitseni kuti mupite mobwerezabwereza kuti mupitirize kupuma ndi matumbo kuti muwone momwe matumbo anu amatha kukhalira . Malangizowa ndi owoneka ngati mukufotokoza zizindikiro zowonjezereka, ngakhale kuti mukutsatira mosamala zakudya zopanda thanzi. Kachilomboka kameneka kangalole kuti dokotala wanu ayang'anire zina zomwe zingatheke kuti azitha kuchipatala.
Kuwona Zokhudzana Zokhudzana
Matenda a Celiac ndi omwe amachititsa kuti thupi lanu likhale ndi matenda omwe amachititsa kuti thupi lanu likhale ndi matenda.
Mukakhala ndi matenda a celiac, mumakhalanso ndi chiopsezo chachikulu cha matenda ena, kuphatikizapo matenda a chithokomiro , mtundu wa shuga , ndi mtundu wa tsitsi wotchedwa alopecia areata .
Ngakhale kuti ofufuza sanawonetsetse kuti pali zizindikiro zolimba pakati pa ma leliac ndi zina zowonongeka, kuphatikizapo multiple sclerosis , mosakayikira kuti kukhala ndi chikhalidwe chimodzi chokha kumadzetsa chiopsezo chanu chokhazikitsa zinthu zina zomwe zimangokhalapo. Choncho, ndibwino kukambirana ndi adokotala za chiopsezo chachikulu cha matenda ena, ndikufotokozera zizindikiro zilizonse zomwe mukukumana nazo.
Mfundo Yofunika Kwambiri
Anthu ambiri amene amapezeka ndi matenda a celiac amamva bwino atakhala opanda gluten . Kupitanso kwa dokotala wanu nthawi zonse, kuphatikizapo kuyezetsa kulikonse kumene akuyambitsa, akhoza kuthandizira kwambiri kuti mukhale ndi thanzi labwino, ndikuyang'anizana ndi mavuto omwe akuyenda mumsewu.
Zotsatira:
Herman ML et al. Odwala omwe ali ndi matendawa samayendetsedwa mokwanira. Clinical Gastroenterology ndi Hepatology . 2012 Aug; 10 (8): 893-899.e1.
Rubio-Tapia A et al. Buku Lopatulika la American College of Gastroenterology: Kuzindikira ndi kusamalira matenda a celiac. American Journal of Gastroenterology . 2013 May; 108 (5): 656-76.