Ziyenera kukhala zophweka: mumapezeka kuti muli ndi matenda a celiac kapena osalimba a gluten , omwe mumakhala opanda gluten, ndi kutha kwa vuto - mumamva bwino, opanda zizindikiro zochepa.
Tsoka ilo, nthawi zambiri limakhala losavuta. Kafukufuku ndi umboni wosonyeza kuti anthu ambiri ali ndi mphamvu zowonjezereka komanso za gluten - sizikudziwikiratu momwe mkulu, koma mwina kuposa theka - akupitirizabe kukhala ndi zizindikiro ngakhale amakhulupirira kuti akutsatira zakudya zopanda mphamvu za gluten .
Izi zikhoza kukhala zofooketsa kwambiri, ndipo nthawi zambiri zimatsogolera anthu kuti akhulupirire kuti asakanikirana ndi zakudya zina zambiri (soy nthawi zambiri amalemba mndandanda, ndi chimanga ndi mbewu zina zoseri). Komabe, kafukufuku umodzi wophatikizapo odwala okhawo amasonyeza kuti ambiri makamaka akuvutika chifukwa cha kusungunuka kosalekeza kowonjezera - osati "kusagwirizana" kwa zakudya zosiyanasiyana, kapena vuto lina.
N'chifukwa Chiyani Ndizovuta Kwambiri Kukhala Wopanda Ulemerero?
Gluten ali paliponse, ndipo mwa anthu omwe ali ndi mphamvu yochepetsetsa komanso ya gluten omwe amachitira zinthu zochepa, zingakhale zosatheka kupeĊµa. Ikhoza kubisala kumalo omwe simukuyembekezera, monga mankhwala olembera mankhwala ndi zakudya zopatsa thanzi (onani zambiri za izi mu Zowopsa za Zakudya Zakudya za Gluten). Zingathenso kuwonetsera mwa zakudya zomwe zimawonekere kuti ndizosauka chifukwa cha mndandanda wa zosakaniza.
Kawirikawiri, mankhwala opangidwa ndi "gluten-free" ndiwo mbewu zamakono.
Mwachitsanzo, kafukufuku wina wa 2010 wa gluten mu "gluten-free" anapeza kuwonongeka kwa mtenda wa gluten m'zinthu zosaoneka bwino (pafupifupi magawo asanu pa milioni) mpaka pafupifupi 3,000 magawo milioni (zokwanira kuti zikhale zokongola ).
Akatswiri a matenda a Celiac, kuphatikizapo Peter Green, MD, mtsogoleri wa Celiac Disease Center ku Columbia University, akunena kuti kuthandiza odwala omwe ali ndi zizindikiro zowonjezereka ngakhale kuti zakudya zopanda thanzi ndizofunika kwambiri.
Mu 2011, Dr. Green ananena kuti mankhwala omwe amachititsa kuchepetsa zotsatira za kusokonezeka kwapadera angakhale chithandizo chachikulu kwa odwala omwe ali ndi zizindikiro.
Ndiye Ndi Anthu Angati Amene Amakhudzidwa Ndi Kupitiriza Zizindikiro?
Izi sizowoneka, ngakhale pali zowonjezera m'mabukhu a zachipatala kwa anthu omwe ali ndi matenda a celiac. (Palibe maphunziro aliwonse okhudzidwa ndi mphamvu ya gluten, koma umboni wosonyeza kuti ambiri mwa iwo omwe ali ndi vutoli amakhalanso ndi zizindikiro zowonjezereka.)
Mu kafukufuku wa 2003 wofalitsidwa mu American Journal of Gastroenterology , ofufuza anafufuza gulu la akuluakulu a laliacs omwe anali opanda gluteni kwa zaka zisanu ndi zitatu ndi zisanu ndi ziwiri. Anapeza kuti matendawa ndi "zizindikiro za m'mimba kwambiri kuposa chiwerengero cha anthu," kuphatikizapo kutsekula m'mimba, kutsegula m'mimba, kudzimbidwa, kupweteka m'mimba komanso reflux.
Ndipotu, ena mwa makumi asanu ndi awiri (60%) a celiacs adaphunzira zizindikiro zowonongeka, poyerekeza ndi 29 peresenti ya anthu ambiri. Akazi amayamba kuipa kuposa amuna.
Kafukufuku wina wa "zizindikiro zowawa za m'mimba" mwa anthu omwe anapezeka kuti ali ndi matenda a leliac chaka chapitacho kapena kuposa anapeza kuti oposa 23% amavutika ndi zizindikiro za m'mimba zomwe zinali zovuta kwambiri kuti zithetse vuto la matenda a m'mimba (IBS) , ndipo ambiri amafuna kuthandizira zizindikiro zawo.
Anthu omwe ali ndi zizindikiro za IBS amakhala ochepa ndipo nthawi zina amadya zakudya zopanda thanzi, phunzirolo linapezeka.
Phunzirolo, anthu omwe ali ndi zizindikiro za IBS nawonso amakhala ndi "matenda osokonezeka maganizo," omwe atsimikiziridwa ndi mafunso omwe amawoneka kuti ali ndi zizindikiro za nkhawa ndi kupsinjika maganizo. Komabe, ziyenera kukumbukira kuti anthu ambiri omwe ali ndi matenda a chililili amaonetsa zizindikiro za nkhawa ndi kupsinjika pamene akudya zakudya zochepa zedi; Kuti mudziwe zambiri, onani Gluten ndi Depression .
Phunziro lina linayang'ana odwala 112 omwe adatchulidwa ku chipatala cha London ndi matenda osakanikirana (12 omwe mwa iwo, adapezeka kuti alibe matenda a Celiac pambuyo pake).
Pa anthu 100 otsalirawo, kafukufukuyu anapeza kuti 45% "sanagwiritse ntchito mokwanira kudya zakudya zopanda thanzi," ndipo osachepera theka la iwo amamwa mowa mwachangu komanso pang'ono mochepa mwachinyengo.
Pomaliza, maphunziro osasindikizidwa omwe Alvine Pharmaceuticals apeza pamsonkhano wa zachipatala wa 2012 adapeza kuti "ambiri" (koma osadziwika) omwe amapezeka kuti ali ndi zizindikirozi ngakhale akupitirizabe kudya zakudya zopanda thanzi.
Zizindikiro zotchulidwa ndi maphunziro a Alvine zimamveka ngati ndondomeko yochapa zovala zomwe zimakhala zodandaula izi: kukhumudwa, kupweteka kwa m'mimba, kutopa, kuphulika, kutsekula m'mimba, kudzimbidwa, kunyoza, ubongo, mutu ndi zikopa za khungu. Amakhalanso okhumudwa kawirikawiri: 90% mwa ophunzirawo adanena kuti anali ndi tsiku limodzi la zizindikiro mu nthawi ya sabata, ndipo 44% adanena kuti ali ndi zizindikiro zosiyana zisanu ndi zisanu mu sabata.
Kodi Mungatani Ngati Mudakali Ndi Zizindikiro?
Gawo lanu loyamba liyenera kukhala ndikuganizira za ulendo wopita kuchipatala kuti mutsimikizire kuti simunadziwe bwinobwino. Mmodzi mwa maphunzirowa ndinalemba zapamwamba, 11% mwa anthu omwe ali ndi matenda a celiac omwe amapezeka ndikupitirizabe kusonyeza kuti alibe matendawa. Ena akhoza kukhala ndi matenda a chiliyli ndi chikhalidwe china chimene chikuyambitsa zizindikiro zawo. Kumbukirani, ngakhale kuti simunawone kuti muli ndi matenda a leliac, mungathebe kukhala ndi mphamvu zowonongeka. Mankhwalawa ndi ofanana kwa onse: zakudya zopanda mphamvu za gluten.
Ngati muli ndi vuto loti gluten ndi vuto lanu, ndiye kuti mukuyenera kuyesa zakudya zanu kuti mukhale ndi gluten obisika. Yambani ndi olakwira pamwamba omwe adatchulidwa m'nkhani yanga yoopsa ya Zakudya Zakudya (kulumikiza pamwambapa).
Ngati simukudya chilichonse mwa iwo, yang'anirani zakudya zanu zonse: zakudya zodyera, zakudya zambiri zogwiritsidwa ntchito (ngakhale zitatchulidwa kuti "zopanda thanzi") komanso "gluten- zaulere "zopangidwa ndi tirigu zingakupangitseni kuti mukhale osakaniza kwambiri kuposa thupi lanu. Onetsetsani kwambiri mayeso oyesera omwe mumawakonda "opanda gluten" -zogulitsidwa mankhwala - mungadye zakudya zokhazokha zosagwiritsidwa ntchito za gluten kapena kupewa mbewu zambiri chifukwa zimakhala zowonongeka ndi gluten.
Nazi zina zowonjezera pofuna kuthetseratu kusuta kwa zakudya zowonongeka:
- Kodi Gluten Ingandidwale Bwanji?
- Zakudya Zosakanizidwa 'Zopanda Utoto' Zingakhalebe ndi Gluten
- Chifukwa Chake Mungadye Gluten-Free ndipo Mudakali ndi Zizindikiro
- Chifukwa Chake Zamagetsi Zopanda Gluten Mbali Zambiri Milili Nkhani
Nthawi zina, mungafunikire kuyang'ana ngati mukuchita zakudya zopanda gluten - zimakhala zachilendo kwa anthu omwe ali ndi matenda a leliac kuti asakhalenso ndi vuto la lactose, mwachitsanzo, ndipo anthu ambiri amafotokoza mosiyana mosiyana ndi ma soy ndi chimanga, onse awiri zakudya zowopsa kwambiri. Komabe, nthawi zambiri, kuthetseratu kuchepa kwa gluten kudzachita chinyengo.
Ngati zina zonse zikulephera, mungafunike kuganizira zokambirana ndi munthu wodzinso yemwe amadziwa bwino zakudya zopanda thanzi - munthu ameneyo angathe kuona mavuto amene mwakhala mukusowa, monga kusokonezeka kwapadera komwe kumachokera kugawidwa khitchini, kapena kuwonetsetsa kuntchito.
Koposa zonse, musayambe kuopa chakudya - pazochitika zanga (ndipo ndine wokhudzidwa kwambiri kuti ndizitsata zamatenda), ndizotheka kudya zakudya zosiyanasiyana komanso zosangalatsa zomwe zimathetseratu zizindikiro zonse.
Zotsatira:
Alvine Mankhwala Akuyambitsa Matenda a Celiac Chizindikiro Chakumayambiriro ndi Kukhwima Zopindulitsa Ku Phunziro la 2012 la American College of Gastroenterology. Kusindikizidwa, October 24, 2012.
Dewar DH et al. Matenda a Celiac: Ulamuliro wa Zizindikiro Zopitirira kwa Odwala pa Zakudya Zakudya za Gluten. World Journal of Gastroenterology. 2012 Mar 28; 18 (12): 1348-56.
Hauser W. et al. Zotsatila za zizindikiro za mtundu wa Irritable-Chizindikiro ndi Kufunafuna Zaumoyo Pakati pa Akuluakulu Odwala Matenda Omwe Akudwala. Mankhwala a Psychosomatic. 2007 May; 69 (4): 370-6. Epub 2007 Apr 30.
Midhagen G. Chiwerengero Chachikulu cha Zizindikiro za M'mimba mwa Odwala Omwe Akudya Zakudya Zopanda Gluten: Phunziro Lolamulidwa. American Journal of Gastroenterology. 2003 Sep; 98 (9): 2023-6.