Sizodziwikiratu kuti zamoyo zamtundu wa gluten zimayambitsa matendawa
Poyankhula za umoyo umene madokotala ambiri tsopano akuwatcha " chisamaliro cha " gluten ", ndizosavuta kuganizira kwambiri puloteni ya gluten . Ndipotu ndi gluten yomwe imachititsa kuti m'mimba muwonongeke m'mimba , ndipo kotero sizikuwoneka ngati kutambasula kwakukulu, pamene chikhalidwe chatsopanochi chinayambika, kuti adziwe kuti guden ndi mlandu wa zizindikiro apa, komanso.
Koma nanga bwanji ngati vuto limene likuchititsa zizindikiro za "kutengeka kwa gluten" si gluten? Bwanji ngati, mmalo mwake, ndi mankhwala ena - kapena mankhwala ambiri - omwe amapezeka m'magulu a gluten tirigu, balere, ndi rye, komanso mwina zakudya zina, nawonso?
Awa ndi lingaliro lomwe likuyang'anitsitsa. Mavuto omwe amapezeka mumbewuyi ndi fructans (mavitamini omwe amachititsa kuti anthu azidwala matenda a m'mimba) ndi amylase trypsin inhibitors (omwe ali mapuloteni), kuphatikizapo mapuloteni a gluten.
Izi ndi zomwe kafukufuku amasonyeza pazigawo zonse zitatu, komanso momwe angagwirizanitsire ndi mphamvu zowonongeka zopanda mphamvu.
Chilonda Ndicho Chofunika Kwambiri
Ichi ndi chigawo cha mbewu zomwe anthu ambiri amaganizira. Gluteni ndi mapuloteni omwe mbewu zimagwiritsira ntchito kusungirako zakudya m'mibadwo yotsatira ya zomera. Amapezeka mu mbewu za tirigu zomera - gawo la zomera zomwe timaganizira, ndikugwiritsa ntchito, monga chakudya.
Kafufuzidwe koyambirira pa zokhudzidwa zowononga, zomwe zatuluka mu 2011, zowonongeka zowonongeka monga vuto mu chikhalidwe chatsopano. Kafukufukuyo anati gluten inachititsa matumbo a anthu kukhala otupa komanso opsa popanda kuchititsa matenda enaake. Ofufuzawa adatsiriza anthuwa kuti ayambe kugwiritsira ntchito zakudya zopatsa thanzi.
Kuyambira pachiyambi choyamba, pakhala pali maphunziro ochulukirapo omwe amagwiritsira ntchito kasupe wa tirigu woyera kuti ayesetse ndikuwonetsa zizindikiro mwa anthu omwe amakhulupirira kuti ali otupa. Izi zakhala ndi zotsatira zosiyana.
Mwachitsanzo, kafukufuku wina adachotsa zakudya zonse za chakudya cha gluten kuchokera ku chakudya cha sukulu 37, kenako anadyetsa ndi tirigu gluten (omwe sankadziwa kuti adya gluten komanso akudya placebo). Anthu omwe ali mu phunziroli sanaone zizindikiro za kugaya pamene adya gluten yeniyeni, koma ena a iwo adadwala .
Phunziro lina linagwiritsanso ntchito njira yomweyi pofuna "kutsutsa" anthu omwe amati ndi otupa ndi gluten ndipo adapeza kuti ena mwa iwo adayanjanitsidwa ndi gluten. Phunzirolo, anthu 101 adanena kuti zizindikiro zawo za m'mimba zimapindulitsa pamene akudya zakudya zopanda thanzi, ndipo 14 peresenti yazo zimakhala zoipitsitsa pamene iwo sakudziwa mowa mwauchidzidzi ngati gawo la phunzirolo.
Mfundo yofunika kwambiri: Anthu ena amene amanena kuti ali ndi nyemba za gluten amawoneka kuti akutsutsana ndi gluten, koma ena ambiri samachita ngati adya chakudya chodziletsa mosadziwika. Kufufuza kwambiri pa izi kumafunika.
FODMAPs Ndizovuta mu IBS
N'zotheka kuti vuto ndi tirigu ndi fructans. Ndicho chimodzi mwa maphunziro atsopano omwe amachititsa kumva mphamvu za gluten - omwe ali ndi anthu 37 omwe sanalandire zizindikiro za kugaya kuchokera ku gluten yangwiro - anamaliza.
Fructans ndi mavitamini ovuta omwe amachititsa m'matumbo anu akuluakulu, omwe amachititsa kuti mpweya, kupweteka, kupweteka, kupweteka, kutsegula m'mimba, ndi kudzimbidwa. Maphunzirowa amaphatikiza FODMAP (fermentable, oligo-, di-, monosaccharides ndi polyols), zomwe zimapezeka mu tirigu wa tirigu ndi zakudya zina zambiri pamene anthu omwe akuphunzirawo sanaone zizindikiro zawo za m'mimba zimawonjezereka ndi gluten yoyera.
Mfundo yofunika kwambiri: Ma FODMAP amawoneka kuti amachititsa kuti anthu ambiri azidwala matenda a m'mimba, ndipo chakudya chochepa cha FODMAP chimatsimikiziridwa kuchepetsa zizindikiro pafupifupi pafupifupi magawo atatu a anthu omwe ali ndi IBS.
Koma sizikudziwikiratu ngati vuto la "kuthamanga kwa gluten" kwenikweni ndi FODMAPs, ndipo ngati njirayi ndi chakudya chochepa cha FODMAP, osati chakudya cha gluten. Apanso, kufufuza kwina kumafunikira.
Mazira a Amylase Akuyambitsa Mafupa
Pali gawo limodzi mwa magawo atatu a mbewu zamakono zomwe asayansi amadziwona kuti ndizovuta: amylase trypsin inhibitors. Mapuloteni awa ndi enieni ophera tizilombo - amapangidwa ndi zomera kuti adziteteze ku tizilombo.
Amayirase trypsin inhibitors mu mbewu za gluten zimapangitsa kuti zikhale zovuta kapena zosatheka kuti mbozi izichepetse njala ya tirigu. Tirigu wamakono wapangidwa kuti akhale ndi mapuloteni ambiri.
Vuto ndiloti, amylase trypsin inhibitors mu tirigu (ndipo mwina mbewu zina za gluten) zikuwoneka kuti zimayambitsa kutupa kwa anthu ena, m'matumbo awo ndi kwina kulikonse m'matupi awo. Ochita kafukufuku amapanga mapuloteniwa kuti amatha kugwira ntchito mu matenda a leliac, m'maganizo osalimba a gluten, ndipo mwinamwake muzinthu zina zomwe zimayendetsedwa ndi kutupa.
Mfundo yofunika kwambiri: Amaylase trypsin inhibitors angapangitse kapena kutengera zomwe anthu amazitcha kuti sizinthu zamadzi. Komabe, pakalipano ali osaphunzira pang'ono pazifukwa zitatu zomwe zingatheke.
Ndi Zotani Zomwezo?
Zilibe pafupi pomwepa tsopano zomwe zingayambitse vuto limene tikuliitana "kutengeka kwaukhondo kosadziwika bwino." Zimatha kukhala gluten, FODMAPs, amylase trypsin inhibitors, kuphatikizapo atatu, kapena china chirichonse.
Ngati gluten sichiimba mlandu koma chinthu china mu mbewu za gluten, ndiye anthu omwe ali ndi chikhalidwe choyenera kutsata zakudya zopanda zigawo zonse za tirigu, balere, ndi rye ... osati osati gluten.
Kafufuzidwe pa zaka zingapo zotsatira ziyenera kutiuza zambiri za zomwe zimayambitsa kutengeka kwazitsulo zopanda thanzi ndi anthu angati. Izi, ziyenera kutithandizanso kudziwa m'mene tingadziwire ndi kuchiza.
Zotsatira:
Biesiekierski J et al. Gluten Zimayambitsa Zisonyezo za M'mimba M'magulu Opanda Matenda Odziwika: Kachilombo kawiri kamene kamakhala kosawerengeka. American Journal of Gastroenterology. Idasindikizidwa pa intaneti Jan. 11, 2011. doi: 10.1038 / ajg.2010.487.
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.
Fasano an et al. Kusokonezeka kwa matumbo kumapangidwe ndi ma genetic immune mucosal m'maganizo awiri ogwirizanitsa: matenda a celiac ndi mphamvu ya gluten. BMC Medicine 2011, 9:23. lembani: 10.1186 / 1741-7015-9-23.
Fasano A. et. al. Matenda okhudzana ndi umoyo wa gluten: mgwirizanowu pa dzina latsopano ndi mndandanda. BMC Medicine. BMC Medicine 2012, 10:13 chiku: 10.1186 / 1741-7015-10-13. Lofalitsidwa: 7 February 2012
Junker Y et al. Tirigu amylase trypsin inhibitors amayendetsa m'mimba kutupa kudzera mwa kulumikizidwa kwa mapepala a receptor 4. Journal of Experimental Medicine . 2012 Dec 17; 209 (13): 2395-408.
Schuppan D et al. Tirigu amylase trypsin inhibitors monga owonetsa thanzi la chitetezo cha innate. Matenda Osokoneza Bongo (Basel, Switzerland) . 2015; 33 (2): 260-3.