Kodi Chakudya Chokhalitsa Kuyesera Kupereka Zowonjezera Zachidule?
Ndakhala ndikudwala nyamakazi kwa zaka zoposa 40. Ndinawapeza ndili pa koleji yatsopano. Lankhulani za kukhala ndi ngolo yanu ya apulo inatembenuzidwa mozondoka. Ndawona gawo langa la madotolo - madokotala oyambirira, rheumatologists , opaleshoni ya mafupa, dokotala woyang'anira ululu , ngakhalenso katswiri wa zamaganizo. Ndatenga gawo langa la mapiritsi, ndinali ndi jekeseni wambiri komanso opaleshoni kusiyana ndi momwe ndikufunira kuwerengera, ndipo nthawi zonse ndimagwiritsa ntchito mankhwalawa kuti ndiwathandize kuthetsa matendawa.
Kupyolera mu zochitika zonse zochepa, ndikutha kunena moona mtima kuti ndakhala wodalirika nthawi zonse. Ndinadziŵa kuti madokotala anga andipatsa kupweteka kwambiri (palibe chilango chofunira), kotero ndinamva kuti kunali kofunika kuti ndikhale womvera.
Posachedwapa, dokotala wanga wamkulu adandiyesa kuyesa magazi kuti azitha kuwonetsa chakudya. Ine ndiribe vuto lakumadya, kotero ine sindinali wotsimikiza kwenikweni chifukwa chomwe ine ndinali kuyesedwa, koma izo zinkawoneka zopanda phindu. Zotsatira zinawonetsa kutchuka kwamtundu wa gluten ndi kutengeka kofatsa kwa zinthu zina zingapo; mkaka, chokoleti, phwetekere, dzira loyera. Ndinawerenga pa lipoti lochokera ku labotayi kuti mayesero ndi chitsogozo koma sayenera kugwiritsidwa ntchito kuti apeze matenda okhudzana ndi zakudya kapena matenda. Ndinamufunsa dokotala za izo. Dokotala wanga anati FDA inganene kuti mayeserowa akuyesera koma dokotala anatsindika zotsatira zanga zokhudzidwa ndi gluten zinali zapamwamba kwambiri. Ndinasokonezeka kwambiri. Ngati zotsatirazi siziyenera kugwiritsidwa ntchito kuti zithe kugwiritsidwa ntchito komanso sindinali ndi zizindikiro za m'mimba, kodi ndi mfundo yanji yodziwa izi?
Tinayankhula motalikira komanso pambali pa "gluten-free", ndinamva mawu ngati "zakudya zogwira ntchito" komanso "mawu otsekemera" omwe amapezeka ngati "otsika" komanso "opanda mafuta". Ndinauzidwa kuti pali mayeso ena aakulu (omwe ndi okwera mtengo) omwe angayese magazi anga kuti adziwe zakudya zokwanira 154.
Zotsatira zake zikanasonyeza kuti zakudya ndi zabwino kapena zoipa kwa thupi langa. Cholinga changa choyamba chinali kuchita izo ndikupeza zakudya zabwino. Koma, ndinapanga kafukufuku wambiri ndipo ndinapeza kuti ndikudya zakudya zokwana 11 pa 154 basi!
Pamene ndinasokonezeka ndikabwera kunyumba kuchokera kwa dokotala, sindinadziwe kuti ndaganiza zotani. Ndikutanthauza, ndikudziwa kuti ndikudya gawo langa la zakudya zopanda kanthu. Ndikudziwa kuti zakudya zotsutsa ndi zowopsa kwa aliyense. Ndimadziwa za kudya zakudya zowononga anthu omwe akuganiza kuti ali ndi mphamvu zokhudzana ndi zakudya kapena zowononga. Koma, bwanji, pambuyo pa zaka zonsezi kodi timangoganizira mwadzidzidzi pa matenda a gluteni, otupa otsekemera, ndi chakudya chogwira ntchito? Nchifukwa chiani chinamverera ngati chiwerengero ndi chitsogozo cha chisamaliro changa chinali kusintha? Poonjezera chisokonezo changa, adokotala adavomereza kuti kuyembekezera mwazi wake kunasonyeza kuti ali ndi mphamvu zowonjezereka kwa gluten koma adapanga chisankho kuti asakhale ndi mimba. Choncho, n'chifukwa chiyani ndikufunika kuchita zimenezi mwamsanga? Mwinamwake, ngati nditangotenga kumene, ndingamvetsere kwambiri. Koma, zaka 38 mmenemo, malingaliro akuti ndimapewa zakudya zanga zomwe ndimazikonda zinali zovuta. Ndinati ndikanakambirana za zotsatira zowonongeka ndi a rheumatologist koma dokotala wanga wamkulu adakhumudwitsa kuti chifukwa "rheumatologist sagwirizana ndi chakudya chogwira ntchito."
Panthawi imeneyo, ndinadziwa kuti ndikungofuna mbale ya spaghetti, maswiti a chakudya chamadzulo, ndi chokoleti chachikulu.
Koma mozama, kodi pali kutsindika kwakukulu pa kukhala wopanda gluten? Kapena, kodi izi zakhala zikusowa kulumikizana zaka zonsezi? Ndinaganiza zopanga kafukufuku wanga pa intaneti ndikuwona zomwe zimapatsidwa ulemu kwambiri zokhudzana ndi nyamakazi ya gluten ndi rhumatitis.
Buzz About Zakudya Zakudya za Gluten
Gluten: Zinthu 5 Zimene Mukuyenera Kudziwa (CNN.com)
Chifukwa Chake Tikulakwitsa Mabiliyoni pa Zakudya Zakudya za Gluten. (Time.com)
Kodi Gluten Alibe Moyo Kapena Zakudya Zakudya? (USA Today)
Mnyamata Amene Anakhala ndi Minga M'magulu Ake. (New York Times)
Gluten: Chimene Simukudziwa Chikhoza Kukupha (Huffington Post)
Zambiri Zofunikira Zokhudza Gluten Sensitivity ndi Going Gluten Free
Matenda a Umoyo wa Gluten ndi Mavuto a Zina. (Celiac Matenda & Gluten Sensitivity,)
Chisamaliro cha Gluten. (Celiac Matenda & Gluten Sensitivity,)
Mayesero a Kugonjetsedwa kwa Gluten. (Celiac Matenda & Gluten Sensitivity,)
Bwanji Osangopita ku Gluten? (Zofufuza Zosaka)
Mmene Mungapititsire Ufulu wa Gluten. (Celiac Matenda & Gluten Sensitivity,)
Kutulutsa Gluten. (Harvard Health Publications)
Zotsatira za Kafukufuku Zokhudza Gluten ndi Chifuwa cha Matenda a Nyamakazi
Chosakani cha Gluten Chakudya Chakudya Chakudya Chochepa Chakudya cha LDL ndi Mazinga Omwe Oxidized LDL ndi Odzozedwa Atheroprotective Natural Antibodies Against Phosphorylcholine mwa Odwala Ndi Matenda a Chifuwa. (Arthritis Research & Therapy)
Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zam'madzi Zambiri Zimapangitsa Zizindikiro ndi Zizindikiro za Matenda a Matenda a Khunyu: Zotsatira za Arthritis Correlate Ndi Kuchepetsa Matenda a Antibodies kwa Antigeni Zakudya. (Rheumatology)
Gluten ndi Small Intestine mu Chifuwa cha Matenda a Arthritis. (The Journal of the American Medical Association)
Mfundo Yofunika Kwambiri
Nkhani zomwe ndatchula ndizo zitsanzo za chuma chakudziŵa za kutengeka kwa gluten komwe kungapezeke pa intaneti. Ndemanga yotsatira yochokera ku blog ya Huffington Post inayanjananso ndi ine. Mark Hyman, MD adati, "Malinga ndi kafukufuku watsopano pa ngozi ya ululu wa gluten popanda matenda oopsa a mliriwu, ndikuwona kuti kulikonse kwa ma antibodies n'kofunika kwambiri komanso koyenera kuyesa kuwonongeka kwa gluten. Madokotala ambiri amaganiza kuti anti-gliadin antibodies Kukhalabe kwabwino kwa matumbo a m'mimba kumasonyeza kuwonongeka kukhala "zonyenga." Izi zikutanthauza kuti mayesero amawoneka abwino koma kwenikweni si ofunikira. Sitingathe kunena choncho. Matendawa, kuchokera ku mphamvu ya guden yofatsa mpaka matenda opatsirana kwambiri. Ngati ma antibodies ali pamwamba, muyenera kukhala ndi gluten ndi mayeso kuti muwone ngati zikuwongolera ku matenda anu. "
Zinthu zitatu ndi zowona. Choyamba, kupita kwa gluten kumafuna kudzipereka. Chachiwiri, muyenera kusunga zomwe mukuyembekezera. Chachitatu, muyenera kukaonana ndi dokotala musanapange kusintha kwakukulu kwa zakudya. Sindinapange kudzipatulira, koma ngati ndichita, ndidzabwezeretsanso zotsatira - makamaka ngati kusuka kwa gluten kumapindulitsa.