Matenda a Celiac, Gluten Sensitivity ndi Autism: Kodi Pali Kulumikizana?

Kufufuza Zophatikiza Pakati pa Matenda Opatsirana ndi Autism

Kugwiritsira ntchito zakudya zopanda thanzi mu autism ndizovuta (maphunziro ambiri azachipatala sapereka ubwino uliwonse). Koma makolo ena amanena kuti chakudya (makamaka chomwe chimachotsanso mkaka) chathandiza ana awo autistic. Kodi zakudyazi zingagwire ntchito chifukwa anawo ali ndi matenda a celiac , omwe ali ndi zizindikiro za autism?

Nthawi zambiri, izi n'zomvetsa chisoni kuti sizingatheke, ndipo kutuluka kwa gluten sikungathandize autism mwana wanu. Komabe, kafukufuku waposachedwapa amasonyeza kuti pangakhale zogwirizana-mwina pakati pa amayi omwe ali ndi matenda a celiac (omwe amachititsa kugaya ndi zizindikiro zina) ndi ana awo ali ndi autism (matenda opweteka omwe angakumane nawo). Kuwonjezera apo, nkokotheka kuti mphamvu zowonongeka zomwe sizinali zoliac-chikhalidwe chomwe sichimvetsetsedwa bwino-chingakhale ndi gawo lina mu autism.

Kafukufuku wonsewa akugwirizanitsa pakati pa matenda a celiac, kutentha kwaumphawi, ndi autism ndizoyambirira, ndipo mwatsoka sizimapereka chiyembekezo chachikulu kwa makolo kufunafuna thandizo pakalipano. Koma potsirizira pake, zingapereke chithandizo cha mankhwala oyenera a autism kwa ana ena, komanso ngakhale njira zothandizira autism kuti asamangoyamba kumene.

Kodi Autism N'chiyani?

Matenda a Autism (ASD), omwe US ​​Centers for Disease Control and Prevention amakhulupirira amakhudza mwana mmodzi mwa ana makumi asanu ndi awiri ndi makumi asanu ndi awiri mphambu zisanu ndi chimodzi (68), amachititsa kusiyana pakati pa luso la anthu, chinenero, ndi kuyankhulana.

Zizindikiro za autism zimawonekera pamene mwana ali pakati pa zaka ziwiri ndi zitatu, ngakhale kuti akhoza kuwoneka kale.

Monga momwe mungathere kuchokera ku mawu akuti "spectrum," vuto la autism spectrum limaphatikizapo zizindikiro zosiyanasiyana ndi kulemala. Wina yemwe ali ndi ubweya wofatsa angavutike kuyang'ana maso ndipo angamawonekere kukhala wopanda chifundo, koma akhoza kugwira ntchito, kusunga maubwenzi ake, ndi kukhala moyo wamphumphu.

Pakalipano, munthu amene ali ndi autism (wotchedwanso "autism low-functioning") sangathe kuyankhula kapena kukhala wodzisamalira ngati wamkulu.

Ofufuza azachipatala sakhulupirira kuti pali chifukwa chimodzi chokha cha autism . M'malo mwake, amakhulupirira kuti mitundu yambiri ya chilengedwe ndi zachilengedwe imabweretsa ana ena kukhala ndi vutoli. Matenda a Autism amagwira ntchito m'mabanja, kusonyeza kuti maina amatha kugwiritsidwa ntchito, koma zinthu zina-kuphatikizapo kukhala ndi makolo okalamba ndi kubadwa asanakwane-zimapangitsanso chiopsezo.

Palibe mankhwala a autism. Mankhwala omwe asonyezedwa kuchepetsa zizindikiro amaphatikizapo mankhwala opatsirana ndi mankhwala. Koma mankhwala amodzi omwe makolo amawagwiritsa ntchito -chakudya cha gluten-free-casein (GFCF) -chigwirizana kwambiri ndi zakudya zopanda thanzi zomwe zimagwiritsidwa ntchito pochiza matenda a leliac. Izi zimabweretsa mafunso okhudza mmene zikhalidwe ziwirizi zingakhudzire.

Matenda a Celiac ndi matenda omwe amachititsa kuti thupi lanu likhale ndi zakudya zamapuloteni (potengera tirigu, balere, ndi rye). Chithandizo chokhacho cha pakali pano cha celiac ndi zakudya zopanda thanzi, zomwe zimathandiza kuti chitetezo cha mthupi chiteteze chitetezo chake ndi kuthetsa vutoli, gluten.

Autism ndi Free Gluten, Foodin Casein

Makolo akhala akugwiritsa ntchito zakudya zopanda thanzi, za casin monga mankhwala a autism kwa zaka makumi awiri (casein ndi mapuloteni amapezeka mkaka omwe ali ofanana ndi gluten).

Nthano yomwe imakhalapo pa chithandizochi ndi yakuti ana omwe ali ndi matenda a autism amatha kukhala ndi " zotupa " zomwe zimalola kuti mapuloteni akuluakulu azithawa m'matope awo. Gluten ndi casein ndi mapuloteni.

Malingana ndi chiphunzitso ichi, mapuloteni a gluten ndi casein-akatha kuchoka m'magazi-amakhala ndi zotsatira zofanana ndi zokopa za mwanayo.

Kuwonjezera apo, ana ambiri pa autism spectrum (oposa 80 peresenti mu phunziro limodzi) ali ndi zizindikiro za m'mimba monga kutsegula m'mimba, kudzimbidwa, kupweteka m'mimba, kapena kukwiya, zomwe makolo amalingalira pazochitika zina za zakudya.

Komabe, choonadi chiribe umboni wochepa wochirikiza chithandizochi: kubwereza kwa maphunziro apamwamba pa zakudya za GFCF mu autism kunapeza kokha zochepa pa zizindikiro za autistic. Komabe, makolo ena amatsimikizira kuti zakudya za GFCF zathandiza ana awo (nthawi zina zodabwitsa), ndipo ena opatsirana amapitirizabe kulimbikitsa. Izi zachititsa ena kulingalira za kugwirizana kwa matenda a celiac.

Matenda a Celiac kwa Ana Omwe Amakhala ndi Autism

Kodi ana ena omwe ali ndi autism angakhalenso ndi matenda a celiac, ndipo kodi zimenezi zingathe kufotokozera kuti makolo ochepa amalephera kukhala ndi zakudya zopanda thanzi, zopanda mawere? Zofukufuku zasokonezedwa pa mfundo iyi, ngakhale pali vuto limodzi lolembedwa ndi mwana wa autistic wopeza kuchokera ku autism atapezeka ndi matenda a celiac ndikuyamba kudya zakudya zopanda thanzi.

Mwana wa autistic amene adachiritsidwa atapezeka kuti ali ndi ufulu wosagwiritsidwa ntchito ndi gluten anali ndi zaka zisanu panthawi yomwe amamupeza. Madokotala omwe amamuyang'anira analembera kuti kusowa kwa zakudya zomwe zimabwera chifukwa cha matenda a m'mimba mwa mayi ake zikhoza kukhala chifukwa cha zizindikiro zake.

Komabe, palibe umboni wochulukirapo mubuku lachipatala chifukwa cha matenda a celiac omwe akuwoneka ngati autism. Kuphunzira kwakukulu kwambiri mpaka lero, komwe kunachitika ku Sweden pogwiritsa ntchito zolembera zaumoyo m'dzikoli, kunawona kuti anthu omwe ali ndi matenda a autism ochuluka sakanatha kulandira matenda a celiac (omwe amafuna kuti mapeto aziwonetsa kuwonongeka kwa matumbo).

Komabe, phunzirolo linapezanso kuti anthu omwe ali ndi autism anali odwala katatu kuti akhale ndi mayeso oyenera a magazi - posonyeza kuti chitetezo cha mthupi chimayankhidwa ndi gluten-koma palibe kuwonongeka m'matumbo awo aang'ono (kutanthauza kuti alibe matenda a celiac).

Olembawo amanena kuti anthu omwe ali ndi chitetezo cha mthupi amatha kugwiritsira ntchito gluten koma mayesero oipa a matendawa amatha kukhala ndi mphamvu zowonongeka, zomwe sizimvetsetsa bwino koma zomwe ochita kafukufuku adanena zakhudzana ndi matenda a maganizo monga schizophrenia .

Ndipotu, kafukufuku wina, wotsogozedwa ndi ofufuza ku Columbia University, adawona kuti ma chitetezo cha chitetezo cha ana ena omwe ali ndi autism amawoneka ngati akuchita ndi gluten, koma osati momwe chitetezo cha mthupi cha anthu omwe ali ndi matenda oopsawa chimachitapo kanthu ndi matenda a gluten. Ofufuzawa anachenjeza ndi zomwe adapeza, kuti zotsatira sizikutanthauza kuti anawo amatha kukhala ndi maliseche, kapena kuti gluten imayambitsa kapena yowonjezera ku autism. Komabe, adanena kuti kafukufuku wamtsogolo angatanthauze njira zothandizira anthu omwe ali ndi autism ndipo izi zikuwoneka bwino kwa gluten.

Autism ndi Autoimmunity

Kodi pangakhale kugwirizana pakati pa autism ndi matenda a gluten omwe ali ndi matenda a celiac? Mwina. Maphunziro azachipatala amasonyeza kuti pangakhale mgwirizano pakati pa zinthu zomwe zimagwira ntchito pamtundu uliwonse komanso autism, makamaka pakati pa amayi omwe ali ndi matenda omwe amadziwika nawo (kuphatikizapo matendawa) ndi autism mwa ana awo.

Kafukufuku wasonyeza kuti anthu omwe ali ndi mbiri ya banja lazidziwitso (kumbukirani, matenda a celiac ndi chikhalidwe chokhachokha) amatha kukhala ndi matenda a autism. Kafukufuku wina anapeza kuti azimayi omwe anali ndi matenda a celiac anali katatu kuti akhale ndi mwana ndi autism. Sizomveka chifukwa chake izi zinali choncho; olembawo amanena kuti majini ena amatha kukhala olakwa, kapena kuti anawo amapezeka ndi ma antibodies a amayi awo panthawi yoyembekezera.

Potsirizira pake, ngati sayansi ingadziwe molondola chigawo cha amayi omwe anali pachiopsezo chobereka mwana autistic chifukwa cha ma antibodies ena, ofufuza akhoza kufufuza njira zothetsera chitetezo cha chitetezo cha mthupi panthawi ya mimba komanso mwinamwake kuteteza zochitika zina za autism. Komabe, ife tiri kutali ndi zotsatira zotere pakalipano.

Mawu Ochokera

Autism ndi vuto lalikulu, ndipo n'zomveka kuti makolo akufuna kuchita zonse zomwe angathe kuti athandize ana awo. Koma ngakhale umboni wosonyeza kuti chitetezo cha chitetezo cha m'thupi chingathandize ana a gluten n'chochititsa chidwi, ndizoyambanso kupereka njira iliyonse yothetsera vutoli.

Ngati mwana wanu ali ndi zizindikiro za m'mimba (ana ambiri omwe ali ndi autism amachita), dokotala wa mwana wanu amatha kunena zomwe zingayambitse ndi mankhwala. Ngati matenda a chililiyamu akuyendetsa m'banja lanu ndipo mwana wanu autistic ali ndi zizindikiro za matendawa, mukhoza kuganizira matenda a celiac. Panthawiyi, mwatsoka, palibe kuyezetsa kulikonse komwe kumakhala kosalekeza, koma ngati mukuganiza kuti zakudya zopanda thanzi zingathandize mwana wanu, tilankhulani za zomwe amadya ndi dokotala.

> Zotsatira:

> Atladóttir HO ndi al. Msonkhano wa Banja Mbiri ya Matenda Odziletsa ndi Autism Spectrum Disorders. Matenda. 2009 Aug, 124 (2): 687-94.

> Brinberg L et al. Ubongo-Wosagwira Ntchito Mwachangu Amagwirizanitsa ndi Kugonjetsa kwa Amayi a Mwana ali ndi Autism Spectrum Disorder. Molecular Psychiatry. 2013 Nov; 18 (11): 1171-7.

> Lao MN et al. Zizindikiro za Matenda a Celiac ndi Gluten Kuzindikira kwa Ana ndi Autism. PLoS One. 2013 Jun 18; 8 (6): e66155.

> Ludvigsson JF et al. Phunziro Lonse Padziko Lonse la Matenda aang'ono Amatenda Achimuna ndi Oopsya a Matenda a Magetsi Odziwika. JAMA Psychiatry. 2013 Nov; 70 (11): 1224-30.

> Piwowarczyk A et al. Zakudya za Gluten- ndi Casein-Free ndi Matenda a Autism Spectrum kwa Ana: Kusanthula Mwadongosolo. European Journal of Nutrition. 2017 Jun 13. (epub patsogolo of print)