Kuchokera kumalo osungulumwa kuti asamalangize, izi ndi zomwe muyenera kudziwa
Mwana wanu kapena mwana wanu atapezeka kuti ali ndi matenda a celiac , mukhoza kumverera mosiyanasiyana. Mutha kumverera bwino kuti potsiriza mumvetsetsa vuto lachipatala (ndilo lachiritsidwa), chisoni chimene mwana wanu adzakanidwe "chakudya" chachilendo ndipo ayenera kutsatira chakudya chosasunthika chamoyo chonse, ndi mantha poyembekezera njira yovuta yamoyo .
Zonsezi ndizochibadwa-kulera mwana n'kovuta, ndipo kulera mwana yemwe ali ndi matenda a celiac ndi ovuta kwambiri. Muyenera kuthana ndi zakudya zovuta, kusamalira nkhani za sukulu ndi kusamalidwa, ndipo onetsetsani kuti mwana wanu akumvetsa zomwe mungadye pamene simukukhala.
Koma palinso uthenga wabwino: mungapeze kuti mwana wanu akumva bwino, ali ndi mphamvu zowonjezera, ndipo akukula mofulumira tsopano kuti apezeka. Ndipo kuyang'anira zakudyazo pamapeto pake kungakhale kulimbikitsa mwana wanu pamene akuphunzira kuyendayenda.
Pano pali zomwe muyenera kudziwa kuti mupirire matenda a mwana wamaliseche a mwanayo, kuchokera kumagwiritsidwe ntchito kosadya kwa gluten ku chisamaliro chofunikira chotsata.
Kudya Free Gluten Kunyumba
Ngakhale kuti pali mankhwala ambirimbiri opanga chithandizo, pali mankhwala amodzi okha omwe alipo panopa kwa matenda a leliac: zakudya zowononga moyo wonse. Kamwana wanu atapezeka kuti ali ndi celiac, amafunika kuti asakhale ndi mimba.
Zakudya za gluten n'zovuta, ndipo n'zosavuta kulakwitsa, makamaka pachiyambi. Kuti athandize mabanja kumvetsa ndi kugwiritsa ntchito zakudya zopanda thanzi, Hilary Jericho, MD, pulofesa wothandizira wa ana pa yunivesite ya Chicago Medicine, amalimbikitsa kuti alankhulane ndi katswiri wokhudzana ndi zakudya zomwe ali katswiri pa zakudya.
Dr. Jericho akutchula odwala okhaokha ndi mabanja awo kwa odyetsa zakudya, ndipo amakhulupirira kuti zimathandiza kwambiri.
Mabanja ena-makamaka omwe ali ndi mamembala angapo omwe amapezeka nawo-amasankha kupanga kanyumba kanyumba kanyumba ndi kanyumba ka gluten. Dr. Jericho akunena kuti zingathandize, koma nthawi zonse sizowoneka kuti: "Kungotenga zakudyazo mwakuya ndikuchita zonse zomwe mukufunikira kuti muchite kukhitchini kumathandiza kuti mwanayo adziwe kuti ndizofunikira kwenikweni," akutero.
Ngati makolo asankha kuti nyumba yonseyo isakhale yodetsedwa, amafunika kukhazikitsa malamulo omwe aliyense ayenera kutsatira kuti amulandire matendawa kuti athe kugawana kakhitchini ndi anthu omwe angadye zakudya zowonongeka. Izi zidzafuna kusemphana kumbali zonse. Kuonjezera apo, osamalira ophika kuphika kwa mwana wamtambo ayenera kuonetsetsa kuti akugwiritsa ntchito zida zopanda mphamvu za gluteni komanso mapepala, ndipo samayang'anitsitsa kuwonongeka kwa gwireni ku khitchini.
Zochitika za Sukulu ndi Zachuma
Ana ndi achinyamata omwe ali ndi matenda a celiac amakumana ndi mavuto kusukulu komanso pazochitika zamasewera. Masukulu ambiri, makamaka sukulu zapulayimale-amachita chikondwerero cha zakudya, ndipo maphwando a ana amakhala ndi phwando la kubadwa kapena zina zomwe zimakhala ndi gluten-y.
Pazaka izi, ana amafuna kuti alowemo, osati kumangokhala kunja-koma kukhala ndi zakudya zosiyana ndi anzawo anzawo zomwe zimawapangitsa kuti asamangidwe kwambiri, Dr. Jericho akuti.
"Zingakhale zovuta komanso zovuta kwa ana-samafuna kuti azikhala akunja," akuwonjezera.
Ngati sukulu yanu ili ndi namwino wa sukulu kapena wathanzi amene akufuna kukugwira ntchito, zingakhale zotheka kuti mupange chakudya chamasukulu chosamalidwa ndi gluten kwa mwana wanu wamkazi. Pakutha chakudya chamadzulo chonse, mungapemphe kuti zakudya zopanda chotupa zowonongeka zisanafike pakhomopo. Zimatanthawuza zambiri-kuposa momwe mungadziwire-kuti mwana wolephereka kuti alamulire chinachake mu mzere wa chakudya cha sukulu.
Ndikofunika, makamaka kwa ana ang'onoang'ono, kuti makolo athe kupereka chithandizo chimene angakondwere nawo pachithunzi-mwachitsanzo, chidutswa cha keke kapena chikho chimene angadye pa phwando la phwando la bwenzi lawo kapena phwando la kusukulu.
Kwa makolo omwe ali ndi nthawi, kupereka mankhwala omwe amawoneka ngati omwe ana ena akudya monga momwe angathere akhoza kumuthandiza mwanayo kuti azidziphatika. Izi zikuphatikizapo kuyang'ana kutsogolo kuti muwone zomwe eni ake akutumikira, ndiyeno ndikuzibwereza.
Kwa achinyamata, ikhoza kuwathandiza kuti aziwathandiza zakudya zomwe angathe kuzigwiritsa ntchito, monga mapulogalamu a gluten komanso zakudya zina. Kuonjezera apo, kwa achinyamata achikulire, kuzindikira malo odyera mwamsanga kumene angapeze chinachake chopanda thanzi chingathe kuthandiza pamene mabwenzi awo akufuna kuima ndi kupeza chakudya.
Makolo a ana aang'ono ochepa amayenera kudziwa kuti ntchito zina zamakono zimagwiritsa ntchito ufa (kutentha kwapadera kungayambitse anthu omwe ali ndi matenda a celiac), ndipo zina zamatsenga, monga chala ndi PlayDoh, zili ndi tirigu. Mungafunike kulangiza kapena kupereka njira zina, kaya kwa mwana wanu kapena m'kalasi lonse.
Kusamalira Kutsata
Mwana wanu kapena wachinyamata ayenera kulandira chisamaliro chotsatira nthawi zonse kuchokera kwa dokotala yemwe amadziŵa za matenda a celiac, mwinamwake adokotala wanu gastroenterologist. Otsatira otsatirawa akuthandizani kuthana ndi mavuto omwe amabwera, monga zizindikiro zowonongeka.
Ana omwe ali ndi matenda a chililili amayenera kulandira mayesero a magazi omwe angathandize kudziwa ngati akutsatira zakudya zopanda thanzi. Mayeserowa angakhale akuwonetsa vuto ngati mwana wanu akupeza zakudya zambiri , koma akatswiri amanena kuti angathe kuthana ndi vutoli. Lankhulani ndi dokotala wa mwana wanu momwe angayesere kuyesa nthawi zambiri.
Popeza anthu omwe ali ndi matendawa ali pachiopsezo chosowa zakudya zinazake komanso akhoza kukhala olemera kwambiri kapena ochepa kwambiri , akatswiri amalimbikitsanso kuti madokotala ayang'ane kutalika, kulemera, ndi chiwerengero cha thupi (BMI, yomwe imathandiza kudziwa ngati wina ali wolemera kwambiri) paulendo uliwonse.
Kuwonjezera pamenepo, akatswiri amalangiza kuti ana omwe ali ndi matenda a chililichi amatenga multivitamin. Matenda a Celiac angapangitse kufooka kwa zakudya zambiri zofunika. Ngakhale kuti palibe maphunziro omwe athandizidwa pa izi, akatswiri amakhulupirira kuti multivitamin ingathandize kuthetsa kufooka kwa zakudya.
Matenda Achipatala
Ana omwe ali ndi matenda osadziwika omwe amadziwa kuti alibe matendawa amamva ngati alibe mphamvu, ndipo akhoza kukhala achidule kusiyana ndi anzawo . Akawapeza ndikuyamba kutsatira zakudya zopanda thanzi, mavutowa angadzitembenuze okha-mwina mungaone kukula kwakukulu .
Komabe, anthu ena omwe ali ndi matenda a leliac-kuphatikizapo ana ndi achinyamata-amakhala ndi zizindikiro zochepa za kugaya kamodzi atapezeka. Nthaŵi zina, zizindikirozi zimachokera ku zobisika za gluten mu zakudya, koma kwa ena, zingasonyeze vuto linalake, monga matenda a reflux a gastroesophageal . Dokotala wa mwana wanu angakuthandizeni kuzindikira zomwe zikuchitika.
Dr. Jericho amayang'ananso nkhawa ndi nkhawa pakati pa odwala ake ochepa. Kuvutika maganizo kumakhala kofala kwambiri kwa achinyamata omwe ali ndi matenda a celiac , ngakhale kuti kudya zakudya zopanda thanzi kumawoneka kuti kuchepetsa zizindikiro. Zovuta za khalidwe, monga kuchepa kwachisokonezo-matenda osokoneza maganizo , amawoneka ngati ofala kwambiri.
Ana Amene Amalimbana ndi Zakudya
Achinyamata amachiza msanga matendawa, ndipo amatha kuchita bwino kwambiri. Komabe, mwana wanu sangachiritse ngati sangatsatire zakudya zopanda thanzi. Ngakhale kuti ana ndi achinyamata ambiri amatsata zakudyazo mochepa, Dr. Jericho akunena.
Ana aang'ono kwambiri ndi ophweka kwambiri kuti asamuke ku zakudya zopanda thanzi, popeza alibe chidziwitso chochuluka cha zakudya zokhudzana ndi gluten ndipo zingakhale zosavuta kuti azidyetsa zakudya zawo, Dr. Jericho akuti. Kuwongolera achinyamata omwe akutsatira zakudya ndizovuta kwambiri, ndipo izi ndizovuta kwambiri kwa achinyamata omwe sakhala ndi zizindikiro zodziwika akamadya zakudya zowononga.
Si zachilendo kwa mwana kapena wachinyamata yemwe alibe zizindikiro kuti adziwe kuti ali ndi matenda a celiac chifukwa wachibale-wachibale kapena m'bale wake- anali ndi zizindikiro ndipo anayesedwa ndikuyesedwa ali ndi vutoli, Dr. Jericho akuti. Matenda a Celiac amayamba m'mabanja , ndipo malangizo azachipatala amayenera kuti achibale awo apitirize kuyesedwa kamodzi akapezeka.
Aliyense yemwe ali ndi vuto labwino la magazi laliliac ndipo ali ndi zotsatira za endoscopy zomwe zimasonyeza kuwonongeka koliyake ziyenera kukhala zopanda thanzi, akuti, ngakhale kuti munthuyo alibe zizindikiro. Koma ngati pakatikati kapena mwana wachinyamata yemwe ali ndi laliac samapeza zizindikiro pamene adya gluteni, sangathe kumamatira kudya. "Ndi nthawi zonse nkhondo," akutero Dr. Jericho.
Amagwiritsa ntchito zifukwa zambiri ndi odwala ake kuti afotokoze kufunika kwa zakudya zopanda thanzi, ndipo amati makolo angathe kugwiritsa ntchito njira zomwezo ndi ana awo. Mwachitsanzo, anthu omwe ali ndi matendawa omwe satsatira chakudya amakhala pangozi ya mafupa komanso amathyola mafupa . Iye akuti: "Ndimayankhula nawo za momwe palibe aliyense akufuna kuchita masewerawa ndipo mwadzidzidzi amakhala ndi phazi popanda chifukwa . "
Dr. Jericho amanenanso kuti kuchepa kwa magazi, komwe kungayambitse kufooka ndi kumutu, ndio ngozi kwa anthu omwe ali ndi matendawa koma alibe gluten. Amauza achinyamata khumi ndi awiri kuti asakhale ndi mphamvu zambiri zopikisana nawo masewera kapena kuchita nawo zinthu zina ndi anzawo.
Potsirizira pake, akufotokozera atsikana kuti matenda oopsawa akhoza kuvulaza tsogolo lawo ngati satsatira chakudya. "Ndikuwauza kuti tsiku lina, pamsewu, iwo angafune kuyamba banja, ndipo ngati apitiriza kudya zakudya zowonongeka, angakhale ndi mavuto ndi izo."
Kulimbikitsa Mtima Wosangalatsa
Chimodzi mwa zinthu zofunika kwambiri zomwe kholo lingakhoze kuchita kuti athandize mwana ali ndi matenda a leliac ndiko kulimbikitsa mwanayo kuti azisangalala kuti ali ndi vutoli. "Musagwiritse ntchito mawu okhumudwitsa," akutero Dr. Jericho. "Itanani 'zakudya zapadera' za mwanayo ndipo yesetsani kuikapo chidwi chake pa nthawi zonse. Onetsetsani kuti nthawi zonse mwanayo akumva kuti ndi wapadera."
Nthawi imene mwana sangathe kukhala ndi zina zomwe akutumizidwa kwa ena, makolo ayenera kutsimikiza kuti ali ndi gawo lofanana kapena labwino. Ngati pali abale omwe sali opanda gluteni, onetsetsani kuti "aliyense ali ndi chithandizo chake chapadera," zomwe zikutanthauza kuti mwana wopanda gluten sangagawana naye mchimwene wake wosakhala wa gluteni, mwina.
Kusukulu, chidziwitso chaching'ono ponena za matenda a leliac m'kalasi akhoza kupita kutali. Dr. Jericho wapereka kwa ana a sukulu ya pasukulu ya pulayimale kuti apange kafukufuku kwa magulu awo payekha komanso zakudya zopanda thanzi. Anthu omwe achita zimenezi akhala akusangalala nazo, ndipo awona kuthandizidwa ndi kumvetsetsa kuchokera kwa anzawo akusukulu akukwera, akuti.
Dr. Jericho akuti: "Nthaŵi zambiri anthu amanyodola ndi kuseka zinthu zomwe samvetsa." "Moyo wochuluka ndi ana osamvetsa zomwe zikuchitika." Kupereka chidziwitso ku kalasi lonse pa matenda a celiac ndi zakudya zopanda thanzi zimathandiza ana, ndipo amathandiza ophunzira anzawo kumvetsa, akunena.
Mawu Ochokera
Kusamalira mwana kapena wachinyamata yemwe ali ndi matenda a chililili angakhale kovuta kwa kholo lirilonse, koma mudzazindikira kuti kuli koyenera kulimbana pamene mukuwona kuti mwana wanu akuyamba kukhalabe wopanda gluten. Palibe kukayikira kuti chakudya cha gluten chili ndi chidziwitso chozama.
Komabe, mungapeze kuti inu ndi mwana wanu mumatenge mwamsanga, makamaka ngati muli ndi thandizo kuchokera kwa odyetsa zakudya panjira. Pomalizira, kukhala ndi matenda a leliac ukhoza kulimbikitsa ana ndi achinyamata pamene amaphunzira kudzilimbitsa okha ndikuthandizira kuphunzitsa anzanu akusukulu za vutoli.
> Chitsime:
> Snyder J et al. Umboni Wopereka Malangizo Odziwitsidwa kwa Utsogoleri wa Matenda a Kachilombo kwa Ana. Matenda . 2016 Sep; 138 (3).