Momwe Mungayambitsire Osowa Pambuyo Panthawi Yanu Musanapite Kumalo Opanda Gluten
Ngati mwaganiza kuti musayambe kusamalidwa musanayese matendawa, koma tsopano mwaganiza kuti muyesedwe, dokotala wanu angakulimbikitseni kuti mukhale ndi vuto la gluten. Izi zikutanthauza kuti mudye zakudya zamatenda ... zomwe zingakhale zambiri .
Momwemo, mudzakhala "ovuta" dongosolo lanu la gluten, komwe ndikoti "vuto la gluten" limayambira.
Muyenera kudya gluteni kuti muyesetse kuti matendawa akhale oyenera. Izi ndizo chifukwa mayesero - omwe akuphatikizapo kuyesa magazi ndi mapeto osakaniza kuti awononge matumbo anu - makamaka kuyang'ana momwe thupi lanu limayendera kwa gluten.
Ngati simukudya chakudya chokwanira cha gluteni, simungasokoneze, ngakhale muli ndi celiac. Pamene anthu omwe ali ndi matendawa amatha kusasuka, amagazi awo amatha kuwonongeka ndipo matumbo awo amachiza, kutanthauza kuti mayesero sangasonyeze chirichonse.
Cholinga ndi Mapindu
Madokotala amalimbikitsa kuti aliyense woganizira zakudya zopanda thanzi ayesedwe ku matenda a leliac asanayambe kusuta. Koma ngakhale malangizowo, anthu ambiri amatha kukhala opanda tholita popanda kuyesedwa chifukwa amamva kuti angawapangitse kukhala omasuka, kapena chifukwa amakhulupirira kuti ikhoza kukhala njira yabwino yodyera.
Komabe, popanda zotsatira zowononga matendawa, anthuwa sadziwa ngati ali pangozi ya mavuto a kolera, kuphatikizapo matenda otupa matenda komanso kusowa kwa zakudya .
Kawirikawiri, mungathe kusunga mavutowa mwa kutsatira zakudya zopanda thanzi, koma anthu omwe sanawadziwitse mwina sangagwiritsidwe ntchito kuti asamawononge zakudya za gluten monga munthu amene watulukira.
Pali chifukwa china chomwe nthawi zambiri chimatchulidwa ndi anthu omwe ali ndi vuto la gluten: kulimbikitsa kulimbikitsa abambo kuti ayesedwe kachilombo koliac.
Zotsatira zamankhwala zamakono zimayendera kuyesa kwa achibale onse apamtima kamodzi wina m'banja amapezeka kuti ali ndi celiac.
Momwe Mungachitire
Vuto la gluten limaphatikizapo kudya zakudya zowonongeka pokhapokha mutakhala wopanda mimba kwa kanthawi. Koma kodi mukuyenera kudya chakudya chotani, komanso kwa nthawi yaitali bwanji?
Mwamwayi, palibe njira zowonjezera zachipatala zomwe zimayambitsa vuto la gluten, ngakhale kuti kafukufuku wochepa pa nkhaniyi akuwonetsa kuti zambiri zowonjezera nthawi zambiri zidzakupatsani mwayi woyenera wa zotsatira zoyesera.
Madokotala ochepa amanena kuti kudya tsiku ndi tsiku (kagawo ka mkate wokhazikika kapena awiri) kwa sabata kapena masiku khumi kudzakhala kokwanira kuti thupi lanu likhale ndi ma antibodies ndikupanga zowawa za m'mimba zomwe dokotala wanu adzaziwone zojambulazo. Mwatsoka, kafukufuku akuwonetsa kuti pafupifupi ndithudi sizingakhale zotalika kuti zisawonongeke.
Kafukufuku wasonyeza kuti mavuto omwe amakhala ndi masabata atatu omwe amatha kukhala ndi masewera olimbitsa thupi omwe amawoneka ngati ofanana ndi magawo atatu kapena atatu a mkate tsiku ndi tsiku sali okwanira kuti apangitse ma antibodies ndi kutaya kwa m'mimba mwazidzidzi omwe amadziwa kuti ali ndi zakudya zopanda thanzi.
Madokotala ambiri amalimbikitsa vuto la gluten la masabata asanu ndi limodzi mpaka asanu ndi atatu, momwe muyenera kudyetsera magawo awiri a mkate wodzaza ndi gluten tsiku lililonse.
Koma palibe kufufuza kwenikweni komwe kumasonyeza kuti ndikwanira, mwina.
Kufufuza kwa zochepa zofukufuku zachipatala zomwe zachitika pa nkhaniyi zikusonyeza kuti pakati pa 70% ndi 100% ya ana adzakhala ndi zotsatira zabwino zoyesa magazi m'mwezi itatu pamene akudyera gluten. Kwa akuluakulu, pakati pa 50% ndi 100% adzawonetsa zotsatira zowonetsera zabwino mkati mwa miyezi itatu.
Zizindikiro
Ngati mupeza zizindikiro za matenda a leliac kuchokera kumalo osungunuka modetsa nkhaŵa pamene mukudya zakudya za gluten, mukhoza kuyembekezera kupeza zizindikiro zavuto la gluten. Komabe, sizikuwonekeratu kuti zizindikiro zanu zingakhale zotani pamapeto pa vuto lanu.
Anthu ena amawona kubwerera ku zizindikiro zoopsa nthawi yomweyo - mkati mwa tsiku limodzi kapena awiri - ndipo pitirizani kukhala ndi zizindikiro zoipa ngati adya gluteni. Ndamvanso za anthu omwe thanzi lawo lonse limawonongeka kwambiri pavuto la gluten.
Ena amatha kumva kuti akudwala kwambiri kumayambiriro kwa vutoli, koma sazindikira zizindikiro zambiri pamene akupitiriza kudya zakudya zowonongeka. Ndipo, anthu ena sangazindikire zizindikiro zilizonse kuchokera ku jekeseni yawo.
Ngati muli ndi zizindikiro zoopsa, kuphatikizapo kunyowa ndi kusanza, kutsegula m'mimba, chizungulire kapena kupweteka kwa m'mimba, muyenera kuyankhula ndi dokotala wanu ngati mukufuna kupitirizabe ndi vuto lanu la gluten.
Njira Zina
Chomvetsa chisoni n'chakuti palibe njira yodziwiratu kuti matendawa ndi oterewa kwa munthu amene amadwala panopa - ndicho chifukwa chake madokotala amalimbikitsira anthu omwe amadya zakudya zopanda thanzi kuti ayesedwe koyamba.
Komabe, pali njira ziwiri zomwe zingayambitse vuto la gluten. Sipadzakupatseni "zilembo za golidi", koma mungasankhe (mutatha kuonana ndi dokotala wanu) kuti simukusowa chidziwitso chovomerezeka.
Ngati mukufuna kudziwa ngati mungakhale ndi celiac, mungaganizire za matendawa .
Izi sizingakuuzeni ngati muli ndi celiac (ambiri mwa anthu ali ndi majeremusi a matenda a celiac). Koma zidzakuuzeni ngati n'zotheka kuti mukhale ndi celiac.
Mukhozanso kuganizira zolepheretsa vuto la gluten komanso kuyesa kwathunthu ndikupitirizabe kudyetsa. Ili ndilo lingaliro lachidziwikire kwa anthu omwe amapeza zizindikiro zoopsa za kuwonongeka kwa guden mwangozi.
Komabe, ngati mutasankha kukhalabe wosasuka popanda kuyesedwa, muyenera kudzipereka kuti muzitsatira mwatsatanetsatane, chifukwa ngati muli ndi celiac, mudzakhala ndi mavuto akuluakulu (kuphatikizapo zochitika zina zowonongeka kapena ngakhale kawirikawiri, khansa) ngati mumanyenga.
Zotsatira:
Beth Israel Deaconess Medical Center. "Zizindikiro za Seramu mu Gluten Challenge." Kusinthidwa Jan. 20, 2011.
Kumayambitsa MJ Kuyankha kwachipatala kuvuto la gluten: kubwereza mabuku. Mavitamini. 2013 Nov 19; 5 (11): 4614-41.
C. Pyle et al. Gluten Low-Dose Challenge mu Celiac Sprue. Clinical Gastroenterology ndi Hepatology, July 2005.