Kutenga mphamvu kwa Gluten kungayambitse matenda, kutopa, mavuto ena
Zomwe sizingatheke m'mimba mwathu, zimakhudza pafupifupi machitidwe onse m'thupi lanu, ndi zizindikiro zomwe zimaphatikizapo zotsatira za kugaya, mavuto a khungu monga mitsempha, ubongo wa ubongo, kupweteka kwa phungu komanso kupweteka m'maganizo anu, malinga ndi madokotala omwe akufufuza za chikhalidwe ichi.
Ngati mukuganiza kuti zizindikirozi zimamveka ngati zizindikiro za matenda a celiac , ndinu oyenera.
Ndipotu, n'zosatheka kusiyanitsa pakati pa mphamvu ya gluten ndi matenda a leliac chifukwa cha zizindikiro zokha - zikhalidwe ziwiri zomwe zilipo ndi zizindikiro zofanana, akatswiri a zokhudzidwa ndi matenda a gluten amanena.
Pofuna kuti zinthu zisawonongeke, matenda a leliac ndi mphamvu zowonongeka sizinthu zokhazokha sizinthu zokhazokha za " gluten allergies " zomwe zingatheke kukhala nazo. Pali mitundu isanu ya "mitundu yambiri ya" gluten, " komanso zizindikiro zosiyanasiyana zomwe zingakhale ndi vuto la gluten .
Kodi Chidziwitso cha Gluten N'chiyani?
Kubwereranso kuzinthu zosasunthika zomwe sizingatheke: popeza kuti kafukufuku wokhudzana ndi vutoli ali pachiyambi, sikuti adokotala onse amavomereza kuti ndi "weniweni". Chifukwa chake, si onse omwe angapereke odwala omwe amadziŵa kuti ali ndi mphamvu zowonongeka. Ogwira ntchito omwe angadziwe kuti ali ndi vutoli adzayesa matenda a leliac ndi kutuluka kunja koyamba.
Komabe, kafukufuku wamakono wamakono okhudzidwa ndi umoyo wa gluten walimbitsa chiphunzitso chakuti ndi chikhalidwe chosiyana ndi matenda a celiac.
Celiac imayamba chifukwa cha momwe thupi lanu limakhudzira mapuloteni a gluten omwe amapezeka tirigu, balere ndi rye.
Sizidziwikiratu zomwe zimayambitsa chisamaliro cha gluten-inde, mwina mwina sagwero la tirigu ndi mbewu zina za gluten (zomwe zingapangitse "chisamaliro cha tirigu chosagwirizana ndi" tirigu "). Ngakhale zili choncho, ambiri ofufuza zachipatala akupitiriza kunena za chikhalidwe monga "chisamaliro cha gluten chokhachokha," pakadali pano.
Kuti ndipeze chithunzithunzi chabwino cha zizindikiro zomwe zimapezeka m'maganizo a gluten, ndinayankhula ndi ochita kafukufuku atatu omwe adakhala ndi nthawi yochulukirapo kuwerenga: Dr. Alessio Fasano, Dr. Kenneth Fine, ndi Dr. Rodney Ford. Awo atatuwa adalankhula nane za zochitika zawo zachipatala zokhudzana ndi odwala omwe ali ndi mphamvu zowonongeka. Tiyenera kukumbukira kuti nthawi zina maganizo awo sanatsimikizidwe mu kafukufuku wofalitsidwa kapena kuvomerezedwa ndi madokotala ambiri.
Zizindikiro za Kukhumudwa kwa Gluten Zizindikiro Zizindikiro Zambiri Zogwira
Zizindikiro zamagetsi zowonongeka zimakhala zofala, malinga ndi madokotala amene asanthula ndi kuchitira odwala matendawa.
Mwachitsanzo, Dr. Fasano, yemwe akuyang'anira Massachusetts General Center ya Research Celiac ndipo amene adafalitsa pepala loyamba lonena za maselo a mphamvu ya gluten, akuti anthu omwe ali ndi vuto la gluten nthawi zambiri amakhala ndi "zizindikiro za IBS," kuphatikizapo kutsegula m'mimba komanso " kuwawa kwam'mimba." (Zoonadi, pali vuto lalikulu pakati pa matenda opweteka a m'mimba ndi zizindikiro za matenda a leliac , nayenso.)
Dr. Fine, yemwe anayambitsa Enterolab ndi pulogalamu ya kuyezetsa mphamvu ya gluten , akuti anthu ambiri omwe amamupeza ali ndi mphamvu zowonjezera za gluten ali ndi "zizindikiro zina za GI - chilichonse chochokera pansi pamtima mpaka kudzimbidwa.
Kutsekula m'mimba kumakhala kovuta kwambiri, komanso kutsekemera kumakhala kofiira, komanso [gasi] amadutsa kwambiri. "
Mavuto a Neurological Angakhale Chidziwitso Chokwanira Chizindikiro Chakumva Chisoni
Monga momwe matendawa amachitira, matenda otupa amachititsa kuti kutopa, ubongo , ndi mavuto ena amalingaliro, kuphatikizapo malingaliro a gluten-vuto loipa , madokotala. Fasano ndi Good claim.
Dr. Fasano akuti amawona mutu (kuphatikizapo migraine yomwe imayambitsa matenda a gluten ) komanso ubongo wa ubongo pafupifupi gawo limodzi mwa atatu mwa anthu omwe amapeza kuti ali ndi mphamvu zowonongeka zowononga ... zopitirira kuposa matendawa. Anthu omwe ali ndi matenda a gluten amakhalanso ndi maganizo okhudza kusokonezeka maganizo komanso kukhala ndi nkhawa, ndipo zotsatira za kafukufuku zimatsimikizira kuti gluten angakuchititseni kupsinjika ngati muli ndi vuto la gluteni koma mulibe matendawa.
(Kupsinjika maganizo ndi nkhawa zakhala zogwirizana ndi matenda a celiac.)
Dr. Rodney Ford, Christchurch, dokotala wamkulu wa ana a New Zealand ndi wolemba wa The Gluten Syndrome , ndiye woyamba kuganiza kuti mphamvu ya gluten ndiyo mkhalidwe wamaganizo . "N'zoonekeratu kuti ndi matenda a gluten, chimodzi mwa ziwalo zake zazikulu ndi minofu ya neural," adatero Ford Ford.
Zizindikiro za Khungu, Matenda a Endocrine, Mavuto Ophatikizana Omwe Amakhala mu Gluten Sensitivity
Dermatitis herpetiformis (DH) ndi matenda a khungu (ngati muli ndi dermatitis herpetiformis, mumakhalanso ndi matenda a Celiac ngati muli ndi zotsatira zoyesera za magazi ). Komabe, anthu omwe ali ndi mphamvu zowonongeka nthawi zambiri amawonetsa ziphuphu zosiyanasiyana ndi zizindikiro zina za khungu zomwe zimawonekera pamene zimakhala zopanda thanzi, malinga ndi zomwe ochita kafukufuku adawona.
Dr. Fasano akunena kuti adawona ziphuphu zambiri zamkati mwa anthu omwe ali ndi mphamvu zowonongeka. "Sikuti DH-ndizosavuta kwambiri," akulongosola. Ndipotu, pali umboni wina wosonyeza kuti kudya zakudya za gluten kungathandize ndi chilengedwe , ngakhale anthu omwe alibe matendawa.
Onse a Drs. Ford ndi Fine amavomereza kuti khungu lanu likhoza kuvutika ngati muli amaliseche, ndi mitsempha ndi zizindikiro zina za khungu. Zizindikiro zimatha pamene munthu akutsatira zakudya zopanda thanzi ndipo amayamba kupezeka.
Monga matenda a celiac, kutengeka kwa gluten kungayambitse zizindikiro zomwe zimakhudza dongosolo lanu la endocrine, monga infertility ndi matenda a chithokomiro , Dr Fine akuti. Amaonanso mphumu yomwe imayambitsa matenda a mphumu mwa anthu ena omwe ali ndi mphamvu zowonongeka. Komanso, Drs. Chabwino, Fasano ndi Ford onse amanenapo kuti anthu ambiri amavutika ndi kuchepa kwa magazi, kupweteka kwa mgwirizano ndi kumenyedwa / kupweteka pamapeto awo kuchokera ku chakudya chokwanira cha gluten. Zonsezi ndi zizindikiro zofala za matenda a leliac.
Kafufuzidwe mu Zizindikiro za Kukhudzidwa kwa Gluten
Ndipotu, kuzindikira kuti matenda a gluten amatha kukhala osiyana ndi matenda omwe ali ndi matendawa ndi atsopano, ndipo palibe kufufuza kwakukulu komwe kumagwirizanitsa zizindikiro zomwe tatchulazi zokhudzana ndi kupweteka kwa thupi (ngakhale kuvutika maganizo sikudakalipobe zafotokozedwa). Madokotala ambiri amapereka malipoti a zowonongeka zowononga, ndipo amawauza odwala kuti alibe vuto la gluten ngati ayesa matenda osokoneza bongo.
Palibe chifukwa chofotokozera chifukwa chake zizindikiro za ululu wa gluten ndi matenda a leliac amavomerezana bwino kwambiri. Komabe, Dr. Ford ali ndi lingaliro: Iye amakhulupirira kuti zizindikiro za kutengeka kwa gluteni ndi matenda a celiac ndi ofanana chifukwa chakuti gluteni imayambitsa zizindikiro mwachindunji m'magulu onse a anthu, ndipo kuwonongeka kwa m'mimba sikuthandiza kwambiri pakuchititsa zizindikiro.
Mwachilankhulo china, ngakhale kuti laliacs amatha kupwetekedwa mtima ndi anthu omwe ali otupa, samakhulupirira kuti magulu onse awiriwa amadziwika ndi matenda a gluten omwe sagwirizana ndi matumbo.
Dr. Vilan Ford anati: "Kuopsa kwa atrophy ndi matenda ozindikiritsa thupi, koma sichikugwirizana ndi zizindikiro zomwe mumapeza mukamadya guden." "Matendawa amachititsa kuti mtima wanu, mapapu ndi matumbo anu asokonezeke." Pamene mukupita kulemera kwa gluten, mumapeza zizindikirozi. "
Palibe chidziwitso ichi chokhudzana ndi zizindikiro zowononga zokhuthala zowonongeka zomwe zatsimikiziridwa mu maphunziro azachipatala monga akadali; Panthawiyi, ikuimira maganizo a madokotala amene akufufuza nkhaniyi. Komabe, ngati kafukufuku akupitiriza, tidzatha kuphunzira zambiri za zizindikirozi ndi omwe angakhale otengeka kwambiri kwa iwo.
Zotsatira:
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Elli L et al. Umboni Wakuti Kukhalapo kwa Magulu Osagwirizana ndi Gluten Kuzindikira kwa Odwala Ndi Ogwira Ntchito Ogwira Mimba Zizindikiro: Zotsatira kuchokera ku Multicenter Randomized Gluten Challenge Double-Blind Placebo-Controled Challenge. Mavitamini . 2016 Feb 8; 8 (2). pii: E84.
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