Gluten vs. Irritable Bowel Syndrome (IBS)

Zizindikiro zofananazi zingayambitse matenda osadziwika

Mukadwala matenda a m'mimba kapena IBS, zizindikiro zanu za m'mimba zimatha kuyambitsa matenda otsegula m'mimba mpaka kumimba, ndipo mwina mumakhala kupweteka, kupweteka komanso kupweteka m'mimba.

Ngati mumadziƔa bwino zizindikiro za matenda a chilliyali ndi zizindikiro za kutsekemera kosaleta kameneka , mndandanda umenewo umawoneka bwino kwambiri ... kotero n'zosadabwitsa kuti ndizovuta kunena zinthu zitatuzo mopatula.

Ndipotu, kafukufuku wambiri wasonyeza kuti matenda ambiri omwe ali ndi matendawa amachititsa kuti matendawa asadziwikire. Kuonjezera apo, anthu ena omwe auzidwa kuti ali ndi IBS amapeza mpumulo pamene amachotsa mbewu za gluten pa zakudya zawo, ngakhale kuti ayesa matenda odwala matendawa.

Nanga ndi chiyani: matenda a leliac, kutengeka kwa gluten, kapena IBS?

Matenda a Celiac Amakhudza Mtumbo Wamtumbo, IBS Amakhudza Colon

Matendawa amachititsa kuti anthu 15 peresenti ya anthu azidwala matendawa. Anthu omwe ali ndi IBS akhoza kutsegula m'mimba mwamsanga, kudzimbidwa, kapena kuphatikizapo zonsezi, kuphatikizapo zizindikiro zina za m'mimba, monga gasi ndi kuphulika.

IBS imaphatikizapo matumbo anu akulu, omwe amadziwikanso ngati colon wanu. Pamene chakudya chikudutsa, coloni yanu imakhala "yokwiyitsa" (motero dzina lachikhalidwe) ndikuchita. Palibe chifukwa chodziwikiratu cha IBS ndipo palibe mankhwala, ngakhale mutha kuchiza ndi mankhwala kapena mankhwala owonjezera, komanso kusintha kwa moyo wanu.

Ngakhale kuti zingayambitse zizindikiro zosasangalatsa komanso nthawi zina zovuta, matendawa amachititsa kuti thupi lanu lisapweteke. Amadziwika kuti "matenda osokoneza bongo," omwe thupi lanu limagwira ntchito molakwika koma silinayambe kuonongeka.

Mosiyana ndi matenda a Celiac, Palibe Kuyesedwa kwa IBS

Madokotala samayesa IBS; M'malo mwake, amathetsa mavuto ena poyamba ndikuwone ngati zizindikiro zanu za IBS zikugwirizana ndi chikhalidwe.

Ndipo ndipamene matenda opatsirana amatha kulowa mkati. Ngati dokotala wanu sakufika pafupipafupi pa kafukufuku wamachilombo wamakono - mwachitsanzo, ngati akulakwitsa amakhulupirira kuti anthu omwe ali ndi matendawa samakhala olemera kwambiri kapena amakhala ndi chizindikiro choyambirira cha kugaya - ndizotheka kuti sangaganize kuti ayambe kuyesa matendawa kuti asagwiritsidwe ntchito ndi IBS.

N'zomvetsa chisoni kuti izi ndizovuta kwambiri. Ochita kafukufuku amene anayezetsa matenda a IBS kwa matenda oopsa apeza kuti pakati pa 4% ndi 10% mwa odwala a IBS omwe ali ndi celiac, kutanthauza kuti zakudya zopanda thanzi ziyenera kuwongolera kapena kuthetsa zizindikiro zawo za IBS.

Gluten kapena Tirigu Sensitivity Angagwire Ntchito mu IBS

N'zotheka kuti odwala ena a IBS omwe adayesedwa matenda odwala matendawa ndipo amayamba kukhala osapindula angapindule ndi zakudya zopanda thanzi . Kafukufuku apeza kuti gulu la anthu omwe ali ndi IBS, koma alibe matendawa, amavutika ndi mphamvu zowonongeka zowononga komanso amawona zizindikiro zawo za IBS zikuwongolera kapena kumveka bwino akamadya zakudya zopatsa thanzi.

Mu kafukufuku wina, ofufuza anatenga odwala 34 a IBS omwe zizindikiro za IBS zimayang'aniridwa pa zakudya zopanda chakudya ndipo anawapatsa 19 kuti azidya zakudya zowonjezera (magawo awiri a mkate ndi mufini) tsiku lililonse kwa milungu isanu ndi umodzi.

Ena 15 adadya mkate wosakhala ndi gluteni komanso mufini. Patadutsa sabata imodzi, odwala a IBS omwe amadya zakudya zamtundu wa gluten, amamva kupweteka, kupweteka, kutopa, kudzimbidwa, ndi kutsekula m'mimba kusiyana ndi gulu lolamulira, zomwe zimasonyeza kuti zizindikiro zagulu la IBSzi zimayambitsa mbali imodzi ndi gluten.

Kufufuza kwina kunayambitsa mayeso achibadwa a matenda a chibadwa ndi kuyesa magazi kwa anthu omwe ali ndi IBS omwe ali ndi chizindikiro choyambirira ndi kutsegula m'mimba ndipo anawatsata chakudya cha gluten kwa miyezi isanu ndi umodzi. Ambiri mwa anthu 60 alionse a IBS omwe anali ndi vuto la matenda a leliac komanso magazi, komanso 12% mwa iwo omwe sanatengere jini ndipo adalandira zotsatira zoipa pa kuyezetsa magazi, anapeza kuti zizindikiro zawo za IBS zakula bwino. kapena kuthetsedwa kwathunthu pa zakudya zopanda chakudya cha gluten.

Kodi Vutoli Lingakhale Bwino Kwambiri Tirigu?

N'zotheka. Kafukufuku amasonyeza kuti pafupifupi anthu atatu mwa anthu atatu aliwonse omwe amapezeka ndi IBS amawatsitsimutsa ku zizindikiro zawo pa zomwe zimatchedwa zakudya zochepa za FODMAP. Zakudyazi zimaphatikizapo kuthetseratu zakudya ndi zakudya zovuta, chifukwa zakudya izi zimapanga m'mimba yaikulu, zomwe zingayambitse kupweteka, kupweteka ndi zizindikiro zina za IBS.

Tsopano, mbewu za gluten tirigu, balere, ndi rye zili ndi mtundu wa FODMAP wotchedwa fructans. Tirigu, makamaka, kawirikawiri amaletsedwa pa zakudya zochepa za FODMAP, ngakhale akatswiri ena pa zakudya amanena kuti mungadye pang'onopang'ono.

N'kutheka kuti ena mwa iwo omwe amakhulupirira kuti ali otukuka kwenikweni amakhala akuchitapo kanthu ku ma FODMP mu chakudya chawo - kufufuza kochepa kumene kunafika pamapeto. Komabe, kafukufuku wina wasonyeza kuti anthu ena amene amakhulupirira kuti ali odzisunga amamvadi ngati ali ndi guden wangwiro. Ndipo, pali zongoganiza kuti zigawo zina za tirigu ndi mbewu zina za gluten zikhonza kuthandizira matenda onse a leliac ndi mphamvu ya gluten.

Pali zofukufuku zambiri zomwe tiyenera kuzichita tisanaphunzire mafunso awa.

Pezani Kuyesedwa kwa Zakudya Zopanda Gluten kapena Zayesero

Ngati mwapezeka kuti muli ndi matenda opweteketsa thupi koma simunayesedwe matenda a celiac, muyenera kuyankhula ndi dokotala wanu kuti muyambe kukonzekera kuyesera magazi .

Ngati mwayesedwa koma munabwera zoipa kwa celiac, mungafunike kuganizira za mayesero opanda zakudya za gluten. Pakalipano, palibe mayeso ochiritsidwa omwe amavomerezedwa kuti azindikire kutengeka kwa gluten, choncho njira yokhayo yodziwira ngati muli nayo ndiyo kuchotsa gluten ku zakudya zanu ndikuwona ngati zizindikiro zanu zikuwonekera.

Mukhozanso kuyesa chakudya chochepa cha FODMAP kuti muwone ngati izo zimathandiza zizindikiro zanu. Maphikidwe ambiri otsika kwambiri a FODMAP amakhalanso opanda gluten, choncho ndizosangalatsa kwambiri kutsatira zakudya zonse panthawi yomweyo.

Zoonadi, n'zotheka kukhala ndi matenda a IBS ndi okhaokha, ndipo anthu ambiri omwe ali ndi matendawa amapezeka kuti ali ndi vuto lakumadya. Nthawi zambiri (koma osati zonse), mungathe kuzindikira kuti vutoli limakhala lopweteka kwambiri. Koma ngati mukupitirizabe kukhala ndi mavuto ngakhale mutatha kuchotsa zakudya zowonongeka, mungathe kuyankhula ndi dokotala wanu za njira zabwino zothetsera IBS.

Zotsatira:

Biesiekierski J. et al. Gluten amachititsa m'mimba zizindikiro m'zinthu zopanda matenda a celiac: mayesero amodzi omwe amachititsa kuti pakhale vutoli. American Journal of Gastroenterology. 2011 Mar; 106 (3): 508-14.

Biesiekierski J et al. Palibe zotsatira za gluten kwa odwala omwe amadzipangitsa kuti asamveke bwino chifukwa cha zakudya zowonjezera m'mimba, pambuyo pa kuchepetsa zakudya za fermentable, zakudya zosakanizika, zochepa. Gastroenterology . 2013 Aug; 145 (2): 320-8.e1-3.

Biesiekierski J et al. Zosamalitsa zowonongeka: Zosakaniza pamodzi. United European Gastroenterology Journal . 2015 Apr; 3 (2): 160-5.

Elli L et al. Umboni Wakuti Kukhalapo kwa Magulu Osagwirizana ndi Gluten Kuzindikira kwa Odwala Ndi Ogwira Ntchito Ogwira Mimba Zizindikiro: Zotsatira kuchokera ku Multicenter Randomized Gluten Challenge Double-Blind Placebo-Controled Challenge. Mavitamini . 2016 Feb 8; 8 (2). pii: E84.

Ford A. et al. Kulimbana ndi Matenda Odziwitsa Matenda a Kachilombo mwa Anthu Omwe Ali Ndi Zizindikiro Zokuthandizani Kuthandizira Irritable Bowel Syndrome: Kukonzekera Mwadongosolo ndi Kusanthula Meta. Archives of Internal Medicine. April 13, 2009, Vol. 169 Ayi.

Wahnschaffe U. et al. Matenda a Celiac-ngati osowa m'gulu la odwala omwe ali ndi matenda opweteka. Gastroenterology. 2001 Dec; 121 (6): 1329-38.

Wahnschaffe U. et al. Zomwe zimayambitsa matenda opatsirana ndi gluteni kwa odwala omwe ali ndi matenda otsegula m'mimba-omwe amachititsa kuti matenda a m'mimba asasokonezeke. Clinical Gastroenterology ndi Hepatology. 2007 Jul; 5 (7): 844-50.