Mwina simunayambe mwamvapo za " matenda opatsirana ," koma pano ndi chifukwa chake muyenera kusamala ndi matenda awa: osakhala ndi chiopsezo chachikulu cha matenda aakulu ndi matenda a shuga.
Ochita kafukufuku ayang'ana ngati pali kugwirizana pakati pa matenda a chiwerewere ndi matenda a leliac ndi zotsatira zosiyana, ngakhale kuti kafukufuku wina akusonyeza kuti kupita kwa gluten kumadzetsa chiopsezo cha matenda a shuga.
Kotero, inde, ngati phunziroli likufufuza kafukufuku wamtsogolo, izi zingakhale zofunikira kwambiri.
Komabe, kafukufuku wina anapeza chiwerengero chochepa cha matenda amadzimadzi pakati pa anthu omwe ali ndi matenda a leliac kuposa anthu omwewo omwe analibe celiac. Choncho sizowonetseratu kuti kukhala wopanda chilema kumakhudza bwanji chiopsezo cha matenda a shuga, komanso ngati chakudya cha gluten chilibe gawo lililonse.
Kodi Padziko Lapansi Pali Mavitamini Otani?
Matenda a zamadzimadzi sikuti ndi matenda-mmalo mwake, ndi dzina limene madokotala amapereka ku gulu la ziopsezo zomwe, mutapezeka palimodzi, muonjezere mwayi wanu wovutika ndi matenda a mtima, kupweteka, kapena shuga.
Pali zowonjezera zisanu mwazifukwa zomwe zimayambitsa matendawa, ngakhale kuti mukufunikira kuti atatu akhale ndi matenda opatsirana. Malingana ndi National Institutes of Health, munthu wina amene ali ndi matenda a kagayidwe kabwino kawiri kawiri amatha kukhala ndi matenda a mtima ndipo nthawi zambiri akhoza kukhala ndi matenda a shuga ngati munthu amene alibe.
Zinthu zowononga matenda amadzimadzi zimaphatikizapo:
- Chiuno chachikulu. Anthu omwe ali ndi matenda a kagayidwe kake kawirikawiri amakhala ndi mafuta pafupi ndi kumene mabatani awo amagwera, ndipo mafuta m'dera lino ndi oopsa kuposa mafuta, onaninso m'chiuno mwanu.
- Mbali yapamwamba ya triglyceride. Triglycerides, mtundu wa mafuta omwe amazungulira m'magazi, amayezedwa ngati gawo la kuyesa kwa kolesterol.
- Chochepa chotchedwa "chabwino" cha HDL cholesterol (kachiwiri, amayesedwa ngati gawo la kuyesa kwa kolesterol).
- Kuthamanga kwa magazi.
- Kusakaniza shuga kwambiri m'magazi.
Ngati muli ndi mankhwala kuti muthandize nkhani iliyonseyi, iwo amawerengabe za chiopsezo chanu cha matenda a shuga.
Nanga Izi Zingamangirire Bwanji M'liri Lalikulu?
Monga ndanenera pamwambapa, kafukufuku waphatikizapo ngati anthu omwe ali ndi matenda a leliac ali ndi chiopsezo chachikulu kapena chochepa cha matenda a shuga, pafupifupi. Komabe, kafukufuku waposachedwa mwatsoka alibe uthenga wabwino.
Phunziroli, lofalitsidwa mu 2015 m'nyuzipepala ya zachipatala, Alimentary Pharmacy & Therapeutics , adawona momwe anthu ambiri omwe ali ndi matenda a leliac adalinso ndi matenda opatsirana pogwiritsa ntchito matendawa , ndipo anabweranso kuti awone kuti ndi angati omwe ali ndi matenda a shuga chaka chimodzi atayamba zakudya zopanda thanzi.
Ofufuzawa adatsata anthu 98 omwe ali ndi matenda a celiac atsopano. Zili mwazimenezi zinakwaniritsa njira yeniyeni ya matenda opatsirana pogwiritsa ntchito matendawa, pamene atapezeka, koma patatha miyezi 12 kudya chakudya cha gluten, anthu 29 ankaonedwa kuti ali ndi matenda amadzimadzi.
Kuonjezera apo, chiwerengero cha celiacs amene waistline anali pachiopsezo chachikulu cha matenda a kagayidwe kake kakukwera kuchokera kwa anthu 48 omwe amawapeza mpaka 72 pachaka atachoka ku gluten.
Chiŵerengero cha anthu omwe ali ndi mphamvu yapamwamba ya magazi, kuyambira 4 mpaka 18, ndi nambala yomwe imakhala ndi shuga wambiri wochuluka kwambiri wa magazi kuposa katatu, kuyambira 7 mpaka 25. Amene ali ndi triglycerides yapamwamba, kuyambira asanu ndi awiri akadziwika mpaka 16 pa chaka.
Mwamwayi, matenda osadziwika bwino komanso zakudya zopanda chakudya cha gluten sanawoneke kuti zimakhudza kwambiri ma CD ya cholesterol a HDL ambiri omwe anali ndi 32 omwe anali ndi matenda otsika a HDL, ndipo 34 anali ndi chaka chimodzi. Koma zigawo zina zoopsya zimakhala zolakwika.
Kodi Izi Zikutanthauza Zakudya Zopanda Gluten Zili Zosafunika?
Ayi, osati kwenikweni-ndipo ndithudi, ngati muli ndi matenda a celiac muyenera kukhala osasuka, chifukwa ndi njira yokhayo yowonongetsera kuvulala kwa m'mimba mwathu .
Kwenikweni, pafupifupi munthu mmodzi pa atatu aliwonse a ku US akuluakulu ali ndi matenda opatsirana, kotero phunziro ili (lomwe linkachitika ku Italy, komwe machitidwe a chiwopsezo cha m'magazi ali pamtunda wa magawo 20 peresenti) amasonyeza kuti mapulanetiwa amachoka ku chiopsezo chachikulu pozindikira kuti amakhala ndi chiopsezo chaka chimodzi kenaka .
Komabe, ngakhale kuti matenda amadzimadzi ndi ofala masiku ano, simukufuna kukhala nawo ... ndipo phunziroli linawonetsa kuti ena ali ndi mankhwalawa patatha chaka chosadya.
Ochita kafukufukuyu akunena kuti sakudziwa ngati ndi zakudya zopanda thanzi zomwe zimathandiza kuti anthu azikhala olemera kwambiri, kapena kuti ali ndi vuto linalake. Koma zimapereka chidziwitso chofunikira kwambiri kuti muzindikire zomwe mumadya komanso zomwe zingakhudze moyo wanu wonse, osati matumbo anu aang'ono okha.
Kafukufuku wambiri wasonyeza kuti zakudya zopanda mphamvu za gluten (zomwe zili ndi zakudya zopanda tirigu, zosakaniza, tirigu, ndi zakudya zopatsa chakudya) sizingakhale zofunikira chifukwa zakudya zopanda thanzi Sizitetezedwa ndi mavitamini ndi mchere nthawi zambiri monga anzawo odzaza ndi gluten.
2013 Phunziro likuwonetsa ngozi yowonongeka kwa zofunikira
Monga ndanenera kale, kufufuza pa nkhaniyi kwakhala kusakanikirana. Ndipotu, phunziro lochokera ku Beth Israel Deaconess Medical Center ku Boston lofalitsidwa mu nyuzipepala ya zachipatala Gastroenterology mu 2013 linapeza kuti leliacs inali ndi kuchepa kwakukulu kwa matenda a shuga ndi mtundu wa shuga 2 poyerekezera ndi anthu ofanana ndi omwe alibe matendawa.
Phunziroli, lomwe linali ndi anthu 840 omwe ali ndi matendawa, anapeza kuti 3.1 peresenti ya iwo anali ndi matenda a shuga a mtundu wa 2, poyerekeza ndi pafupifupi 10 peresenti ya anthu ofanana nawo opanda laliac. Anapezanso kuti 3.5 peresenti ya celiacs inali ndi matenda opatsirana, poyerekeza ndi pafupifupi 13 peresenti ya machitidwe.
Chimodzi mwa zovuta zazing'ono zinkawoneka chifukwa cha zolemera zochepa za iwo omwe ali ndi matenda a celiac, olembawo anapeza. Koma ngakhale pambuyo powerengera chifukwa cha kusiyana kwa kulemera kwake, anthu omwe ali ndi matenda a leliac adakali ndi kachilombo kochepa ka matenda a kagayidwe kachakudya kuposa anthu ofanana omwe alibe chikhalidwe cha m'mimba.
Kotero, ndi kafukufuku wina akuti chiopsezo cha matenda a kagayidwe kake kameneka chinayambira mu chaka chotsatira chisanafike, ndipo china chimasonyeza kuti choliacs chikuwoneka kuti chiri ndi chiwerengero chochepa cha matenda a kagayidwe kachakudya kuposa anthu ofanana omwe alibe laliac, kodi zonsezi zikutanthauza chiyani?
Izo siziri zomveka, ndipo ndi chinachake cha kafukufuku wamtsogolo kuti mukafufuze. Koma ngati dokotala wanu akukuuzani kuti muli ndi matenda ochepetsa thupi kapena kuti muli pachiopsezo chokhazikitsa, mungafunike kuganizira zokambirana ndi munthu wodya zakudya. Ndipotu, olemba mabuku a 2015 akulimbikitsa kuti muwone odwala zakudya zowonjezera, pamene mutapezeka kuti muli ndi matenda a celiac komanso patapita miyezi ingapo, kuti mutsimikizire kuti mukupeza zakudya zonse zomwe mukufunikira pamene simukukweza chiwopsezo chanu.
Zotsatira:
Kabbani TA ndi al. Odwala omwe ali ndi matenda a celiac ali ndi kuchepa kwachilombo cha matenda a shuga osagwiritsidwa ntchito ndi insulini komanso matenda a kagayidwe kake. Gastroenterology . 2013 May; 144 (5): 912-917.e1. lembani: 10.1053 / j.gastro.2013.01.033. Epub 2013 Jan 24.
National Heart, Lung ndi Magazi Institute. Kodi Matenda a Magetsi Amatani? April 26, 2016.
Tortora R et al. Matenda a m'magazi kwa odwala omwe ali ndi matenda a celiac pa zakudya zopanda thanzi. Journal of Alimentary Pharmacology & Therapeutics . 2015 Feb; 41 (4): 352-9. lembani: 10.1111 / apt.13062. Epub 2015 Jan 8.