Kodi Zakudya Zopanda Gluten Zidzathandiza IBS?
Odwala ena amene apezeka ndi matenda opweteka a m'mimba (IBS) amafotokoza kuchepa kwa zizindikiro pamene amatsatira zakudya zopanda thanzi . Ndipo ngakhale kuti maphunziro abwino kwambiri ali ochepa, American College of Gastroenterology imatsimikizira kuti zakudya zopanda thanzi zimagwira lonjezo kwa odwala a IBS. Komabe, musanayambe kudya zakudya zopanda malire zomwe zingakhale zothandiza kapena zosathandiza, nkofunika kuphunzitsidwa zomwe zimadziwika kuti zilipo pakati pa IBS, matenda a Celiac ndi mphamvu ya gluten .
Kodi Gluten N'chiyani?
Gluten ndi gulu la mapuloteni omwe amapezeka mu mbewu zotsatirazi:
- Balere
- Rye
- Tirigu
Gluten alipo muzinthu zambiri zomwe timadya. Izi zikuwoneka kuti zikuphatikizapo tirigu wambiri, mkate, ndi zina zotengedwa, koma gluten imagwiritsidwanso ntchito monga zakudya zowonjezera zosiyanasiyana.
IBS ndi Celiac Disease
Matenda a Celiac ndi thanzi limene limayambitsa kugwidwa kwa m'mimba . Kuwonongeka kumeneku kumapangitsa kuti anthu asasokoneze zakudya zofunika kwambiri, zomwe zingayambitse matenda ena aakulu. Zizindikiro za m'mimba zogwirizana ndi matenda a leliac zimawoneka mofanana ndi omwe amagwirizana ndi IBS:
Kafukufuku wokhudza kafukufuku wokhudzana ndi chiopsezo cha matenda a celiac omwe ali m'magulu a IBS alibe chiwopsezo chowonjezeka kwa mawu omwe odwala a IBS amakhala nawo nthawi zinayi mpaka kasanu ndi kawiri kusiyana ndi munthu wamba omwe amavutika ndi matenda a celiac.
Chifukwa cha zomwe zikuoneka kuti zikutheka, njira zamakono zothandizira zachipatala za IBS zimapereka chithandizo choyesera cha matenda a celiac onse omwe amachititsa mtundu wa IBS (IBS-A) ndi otsekula m'mimba kwambiri omwe ali ndi IBS (IBS-D) odwala. Kuti mudziwe zambiri, yesani kuyesedwa kwa matendawa .
Kamodzi kokha matenda a celiac akupangidwa, ndikofunikira kuti muthe kudya zakudya zopanda thanzi.
Kafukufuku wasonyeza kuti odwala a IBS amene amadziwika kuti ali ndi matenda a celiac amatha kuchepetsa kuchepa kwa zizindikiro zawo za m'mimba pogwiritsa ntchito zakudya zopanda thanzi. Palibenso mwayi, chifukwa cha anthu ang'onoang'ono, kuti atha kuvutika ndi IBS kuwonjezera pa matenda a celiac, motero zizindikiro zingapitirire ngakhale pogwiritsa ntchito zakudya zopanda thanzi.
IBS ndi Gluten Sensitivity
Kodi n'zotheka kuyesa nthendayi ku matenda a leliac koma adakali ndi mphamvu ya gluten? Izi ndizo zatsopano kwa ochita kafukufuku. Kukhudzidwa kotero sikungaphatikizepo kuwonongeka kwa matumbo aang'ono monga matenda a celiac, komabe pali njira zina zowonongeka zowonongeka kwa zakudya zomwe zili ndi gluten. Zikuganiza kuti reactivity yotere ingabweretse m'mimba onse zizindikiro ndi zozizwitsa za m'mimba , monga mutu wa mutu wa migraine kapena chisokonezo chakumvetsetsa. Maphunziro oyambirira awonetsa umboni wakuti "kutengeka kwa" gluten "kulipo, koma kufufuza kwina kuyenera kuchitidwa musanafikepo mfundo iliyonse yomveka.
Kodi n'zotheka kuti machitidwe ena a IBS kwenikweni ndi "kutengeka kwa gluten?" Ochita kafukufuku apeza kuti pangakhale odwala ena a IBS omwe zizindikiro zawo zimakhala zochititsa chidwi chifukwa cha kuchepa kwa gluten.
M'buku lachipatala, izi tsopano zimatchedwa kuti si-celiac zowonongeka (NCGS) ndipo kafukufuku m'derali akupitirirabe.
N'zochititsa chidwi kuti ofufuza apeza kuti tirigu ali ndi fructans -mtundu wa makhabohydrate wotchedwa FODMAP -omwe amathandizira kuti zikhale ndi zizindikiro za kugaya. Izi zikusonyeza kuti odwala IBS omwe amawoneka kuti ali ndi vuto la gluten angakhale akuchita ndi tirigu omwe amapezeka tirigu, mosiyana ndi a gluten . N'zolimbikitsa kuti ntchitoyi ikuchitika ndipo tonse tikuyembekezera mwachidwi kupeza zotsatira.
Kodi Muyenera Kuyesa Zakudya Zakudya za Gluten?
Ngati mukuganiza kuti mulibe kusamvana, chinthu choyamba muyenera kuchita ndi kukambirana ndi dokotala wanu kuti muyesetse matenda a celiac.
Kuti mayesero akhale olondola, muyenera kudya zakudya zomwe zili ndi gluten. Ngati mayesowa abwereranso, kambiranani ndi dokotala za momwe mungathe kudya zakudya zowonjezera kwa mwezi umodzi kuti muone ngati zotsatira zake zimakhala zotani.
Ngati matenda a chililiyake sakuwoneka bwino, dokotala wanu angakulimbikitseni kuti mupitirize kudya zakudya ndi gluten kumapeto kwa mayesero amwezi umodzi kuti muwone ngati zizindikiro zanu zimabweranso musanafike pozindikira kuti ndinu wosasamala. Kufikira apo pali mayeso oyenerera a magazi pozindikira kusagwirizana kwa gluten, izi ndizofunikira kwambiri kuti muteteze kukanika kosafunikira kwa zakudya zanu.
> Zosowa
> Ford, A., etal. "American College of Gastroenterology Monograph pa Ulamuliro wa Irritable Bowel Syndrome ndi Chronic Idiopathic Constipation" American Journal of Gastroenterology 2014 109: S2-S26.
> Cash, B. et.al. "Kufala Kwa Matenda Omwe Amakhala Odwala Pakati pa Odwala Amene Ali ndi Matenda Osavomerezeka Osavomerezeka Amakhala Ofanana ndi Olamulira" Gastroenterology 2011 141: 1187-1193.
> Ford, A., etal. "Kugonjetsedwa kwa Mayeso Odziŵa Matenda a Kachilombo mwa Anthu Omwe Ali Ndi Zizindikiro Zokuthandizani Kuthana ndi Irritable Bowel Syndrome" Archives of Internal Medicine 2009 169: 651-658.
> Sapone, A., et.al. "Kusokonezeka kwa matumbo kumatenda komanso ma genetic mucosal m'maganizo awiri okhudzana ndi ma gluten: matenda a leliac ndi mphamvu ya gluten" BMC Medicine 2011 9:23.