Kodi ndi "chiwopsezo chokwanira," bwanji?
Ndizofala masiku ano kumva anthu mu malo odyera ndi malo ogulitsa akunena kuti ali ndi "zakudya zowonongeka" ndipo amachititsa kuti zinthu zisawonongeke, koma vuto ndilokuti palibe chomwe chimayambitsa matenda a gluten: sayansi ya zamankhwala sagwiritsa ntchito nthawi, ndipo machitidwe ambiri a gluten samaphatikizapo zowona zowonongeka kwenikweni.
Ndiye kodi anthu amatanthawuza chiyani pamene akunena kuti ali ndi zowononga?
Eya, iwo amawagwiritsa ntchito mawuwa monga shorthand chifukwa cha matenda omwe amadziwika bwino omwe amachititsa kuti thupi liziyenda mthupi mwa gluten. Nazi zinthu zisanu (kuphatikizapo mawu omwe agwiritsidwa ntchito mosiyana ndi ena ena) omwe akugwirizana ndi bili:
Matenda a Celiac
Izi zikhoza kukhala mtundu wodziwika bwino wa "gluten allerzer," ngakhale kuti sizingakhale zovuta. Matenda a Celiac (nthawi zina amatchedwanso "choliac sprue") ndi vuto lalikulu lokha limene mankhwala enieni okha amapewa kudya zakudya zamaguteni.
Pamene muli ndi matenda a celeacac ndikudya gluteni (mapuloteni omwe amapezeka mu tirigu, balere, ndi rye), gluten amachititsa chitetezo chanu cha mthupi kuteteza chida cha m'mimba mwanu, kenako kudya zakudya zowonongeka. . Matendawa nthawi zambiri amachititsa zizindikiro mthupi lanu koma zingakhudze mbali zina za thupi lanu.
Pafupifupi 1% a ku America ali ndi matenda a celiac .
Chisembwere chosakhala cha Celiac Gluten
Kutenga mphamvu kwa Gluten, komwe kumadziwikanso kuti "kupweteka kwa mimba," ndi mwana watsopano pambali: Ngati munthu yemwe alibe matenda a chililiac akuti "ali ndi matenda a" gluten, "mwina ndibwino kuti amatanthauza kuti alibe mankhwala. kutchuka kwa gluten.
Matenda a Celiac ndi kutengeka kwa gluten sizomwezo . Sayansi ya zamankhwala ikuyamba kuzindikira kuti anthu ena amene alibe matenda a celiac amavomerezadi zizindikiro zovuta pamene amadya zakudya zomwe zili ndi gluten. Komabe, mkhalidwewu ukhoza kufanana ndi matenda a celiac, ndikupangitsa kuti muzindikire bwinobwino vuto linalake.
Pakali pano, palibe njira yovomerezeka yotulukira matenda osalimba (gluten) ngakhale kuti ochita kafukufuku akugwira ntchitoyi. Palibenso njira yolondola yodziwira kuti ndi anthu angati omwe ali ndi mphamvu zowonjezera . Koma asayansi atayesetsa kupeza njira yabwino yodziwira vutoli, madokotala ena amakhulupirira kuti chiwerengero cha anthu omwe ali ndi "mtundu wa gluten allerzer" chidzayesa chiwerengerochi ndi matenda a " gluten allerzer ".
Apanso, monga momwe matendawa amachitira, mankhwala okhawo omwe amapezeka panopa ndi omwe amapewa kukhala otupa ndi kupewa gluten kwathunthu.
Kusamvana kwa Gluten
Ili ndilo mawu omwe agwiritsidwa ntchito mosiyana ndi ena enawo. Panthawi ina, anthu adanena kuti ali ndi "kusagwirizana kwa" gluten "pamene adayesa matenda osokoneza bongo koma adapeza kuti sangadye zakudya zowonjezera. "Ndili wosasamala - sindingathe kudya gluteni!" iwo adalengeza, ndipo mawu akuti "kusagwirizana kwa gluten" kunakula mwakuya (ndipo ndithudi mu kufufuza kwa Google).
Nthawi zina, mawuwa agwiritsidwa ntchito kutanthawuza "matenda a laliac" (ndipo ndithudi amatanthawuza "zowonongeka za gluten"), zomwe zimangopangitsa zinthu kusokoneza. Koma masiku ano, ochita kafukufuku ndi ogwira ntchito zachipatala akugwiritsira ntchito mawu akuti "kusagwirizana ndi" gluten sensibility "m'malo mwa" kusalana "kwa anthu omwe alibe matenda a celeac, koma omwe amavutika ndi matenda a gluten. Pomalizira pake, mawu oti "kusalolera kwa gluten" angayambe mwangwiro.
Dermatitis Herpetiformis
Izi ndi zomwe zimatchedwa "kuthamanga kwa gluten." Dermatitis herpetiformis ndi chiwombankhanga chofiira, chodabwitsa kwambiri chomwe chimapezeka mukamadya chakudya chamatenda.
Popeza anthu ambiri amadziphatikiza ndi chifuwa chachikulu, sikutalika kwambiri pamene anthu amawatcha chiberekero herpetiformis mawonekedwe a "gluten allerzer," ngakhale kuti sizowona zowopsa - monga matenda a celiac, dermatitis herpetiformis ndiyomwe imayambira pa chilengedwe chitetezo cha chitetezo cha m'thupi chitengera kugwidwa kwa gluten ).
Ngati muli ndi dermatitis herpetiformis matenda komanso kuyezetsa magazi magazi , mumalingaliridwa kuti muli ndi matenda a celiac . Mosasamala kanthu, matenda a dermatitis herpetiformis amatanthauza kuti muyenera kupewa gluten kuti muzitha kulamulira.
Gluten Ataxia
Gluten ataxia, chikhalidwe chokha, chimakhudza chitetezo cha chitetezo cha m'thupi mwanu mu ubongo wanu ndi njira zokhudzana ndi ubongo chifukwa chodya zakudya zamatenda - zinthu zochititsa mantha. Mwamwayi, gluten ataxia ndi yosavuta (ngakhale kuti ikukula kwambiri), koma imagwa pansi pa "ambulera" yowopsa.
Anthu omwe ali ndi gluten ataxia ayenera kutsatira zakudya zopanda thanzi kuti asamawonongeke.
Tirigu Zovuta
Tirigu zowonongeka kwenikweni ndizovuta , koma pamene anthu ena amatcha kuti "gluten allerzer," zomwe zimayambitsa matendawa zimaphatikizapo zigawo zina za tirigu kusiyana ndi mapuloteni a gluten . Zovuta zowonongeka zimafala kwambiri kwa ana kuposa akuluakulu.
Anthu omwe amadya tirigu ayenera kupewa njere, koma nthawi zambiri amadya balere ndi rye, ndi zina ziwiri za gluten.
Mmodzi Womwe Ali Ndiwo?
Monga mukuonera, wina yemwe akunena kuti ali ndi "zowonongeka" amatha kukhala ndi mndandanda wa zosiyana. Komabe, pali chinthu chimodzi chogwirizanitsa pazizindikiro zisanu zonsezi zowonongeka: mankhwalawa amatanthauza kupeĊµa zakudya ndi tirigu mwa iwo.
Mndandanda womwe ungakuthandizeni kuyerekeza zizindikiro za zosiyana (ndikuganizirani komwe zizindikiro zanu zingagwere), onani: Zizindikiro za matenda a Gluten
Chitsime:
Ludvigsson J. et al. Tanthauzo la Oslo la matenda a leliac ndi mawu ofanana. Kutha. 2013 Jan; 62 (1): 43-52. lembani: 10.1136 / gutjnl-2011-301346. Epub 2012 Feb 16.