Ukuxhalabisa kuyimpawu eziqhelekileyo eziqhelekileyo kwisifo se-celiac kunye ne-non-celiac ye-gluten-sensitive-ininzi yabantu abasandul 'ukufumana ingxaki (kunye nabancinci abaye bafunyanwa ixesha elithile) bavakalisa iimvakalelo zokuxhalaba kunye nokuxinezeleka. Kodwa akucaci ukuba okanye ukungagcini ekudleni kubangela ukuba uxhalabe, okanye ukuba uxhalaba luhlobene nenye into.
Kungenzeka ukuba ukusilela kwesondlo kunye nokungondleki kungabangela ukuxhalaba kubantu abane-diagnosis ye-celiac (abanomonakalo wamathumbu omzimba owenza ukuba bangabonakali izondlo). Kodwa abantu abanobulunga bentlobo abahluphekanga ngolu hlobo lomonakalo emathunjini, kodwa ke, amanye amava afana nawo okanye aphezulu nakwizinga eliphezulu lokuxhalabisa.
Yintoni ebangela ukuxhalabisa kubantu abanezifo ezingapheliyo kunye nobuthakathaka be-gluten? Abaphandi abaqinisekanga. Nangona kunjalo, inokuba yintlangano yezinto ezibandakanyekayo, kubandakanywa ukuxhalaba ngokuxhomekeke ekufuneni ukulandela ukutya okubangelwa i-gluten, kwaye mhlawumbi nokuba nefuthe ngqo kwi-gluten ngokwengqondo.
Ukuxhalabisa ngokuqhelekileyo kubantu abane-Celiac Ekuqaleni Ukuxilongwa
Izifundo eziliqela ziye zafumanisa amanqanaba aphezulu okuxhalabisayo kubantu abaneengxaki ze-celiac xa befumana uvavanyo lokuqala.
Ngokomnye uphando, zombini uxhalaba (uhlobo lokuxhalabisa okwethutyana kwaye lubandakanya indlela yokuphendula i-nerveous autonomic system) kunye nokuxhalabisa (umlinganiselo wendlela oye wanyamekela ngayo ukuxhalabisa) bephakanyisiwe kubantu ababesanda kufunda bafumana isifo se-celiac .
Okokufunda, okwakubhekiselele kwizifundo ezingama-35 kunye nokuzifanisa nezifundo zokulawula ezi-59, zafumana amanqanaba aphakamileyo oxinzelelo karhulumente ngo-71% wama-celiacs, kodwa kwi-24% kuphela yezifundo zolawulo. Kwakhona kwafumanisa ukuba i-26% yama-celiacs asandul 'ukuxilongwa abonisa ukuxhalaba njengendlela, xa kuthelekiswa ne-15% yokulawula (loo mva, nangona kunjalo, ayizange ifinyelele ukubaluleka kwamanani, oko kwakuthetha ukuba bekubangelwa yithuba).
Emva konyaka wokulandela ukutya okubangelwa i-gluten, amanqanaba okuxhalaba aphelile. Nangona kunjalo, ama-26% ayenokuchaphazeleka ngenxa yexhala kunye ne-17%. Ababhali bokufunda bathi ukuphazamiseka kokuxhalabisa akuzange kufinyelele ukubaluleka kwamanani, kwakhona kubonisa ukuba bekubangelwa ngethuba.
"Ezi ziphumo zibonisa ukuba uxhalaba kwizigulane zezifo ze-celiac lukho nje ngokuba luhlobo olusebenzayo kunokuba lube ngumntu, mhlawumbi luhambelana nobukho beempawu eziphambili ezifana nesisu esiswini, isifo sohudo, kunye nokulahleka kwesisindo, okusoloko kugqitywa zizigulane isizathu sokusebenza kunye nobudlelwane obungalunganga kwaye kungenokuba 'isifo esithile' sokungcola, kodwa kunokuba sibe neziganeko zokugula okungapheliyo, "ababhali babhala.
Olunye uphando lukhangele ngqo kwixinzelelo kunye nokudandatheka kwamazinga angama-441 abantu abadala ababenalo celiac kunye nababenokutya okungenanto ye-gluten okungenani ngonyaka. Kufumene ingxaki enokuthi ixakeke kwiingxaki ezimalunga ne-17% yezifundo zokufunda, eziphakamileyo kakhulu kune-6% ezifumaneka kwizifundo zolawulo. Abafazi babenomngcipheko ophezulu wokukhathazeka okuxhamlayo kunokuba amadoda.
Okuthakazelisayo kukuba, ukuhlala yedwa kwahlanganiswa nomngcipheko omncinci wokuba nengxaki yokuxhalabisa.
Ababhali bacacise ukuba iingxaki zokutya i-gluten-free ekhitshini ezabelwana kunye nokujongana namalungu entsapho abangenayo i-gluten-free inokuba negalelo "kwiingxaki zemali kunye nezohlukeneyo," okuza kuphakamisa umngcipheko wokuba nengxaki yokuxhalabisa. Nangona abalobi bengakhange bakhulume oku, kunokwenzeka ukuba ukuhlala wodwa kukukhusela ngokunyuka kwezinto ezincinci, abanye abantu abathi bakhulisa uxhalabo lwabo.
Kukho ubungqina bokuba ukongeza ii-vithamini ze-B kunokunceda ukuphucula uxhalabo kwi-celiacs ezifunyanisiweyo. Uphando oluqhutyelwe eSweden lwafumana ukuphuculwa kwentlalo-ntle kunye nexhala kunye neempawu ezixinzeleleyo kubantu abadala abathatha i-folic acid, i-vitamin B12 kunye ne-vitamin B6 kwiinyanga ezintandathu.
Iimpawu ze-Neurological Common with Gluten Sensitivity
Nangona abaphandi kuphela baqala ukuchaza ubuninzi be-gliten non-celiac, kubakho izibonakaliso ukuba inokuba nenxalenye ebalulekileyo yengqondo.
IYunivesithi yaseMaldinburg Isikhulu seCeliac Research Director uDkt. Alessio Fasano uthi iimpawu zeengqondo ezinjengeengqondo zengqondo zenzeka kwi-third-thirds yabantu abane-sensitivity ye-gluten, ipesenti ephakamileyo kunokuba zichazwe kwisifo esiqwengileyo. Ukuxinezeleka okuhlobene neGluten kunye nokuxhalaba kwenzeka nakwizinga eliphezulu, uthi.
Akwacaca ukuba kutheni oku kuphanda-uphando lwe-gluten uqala nje, kwaye abaninzi oogqirha abavumelani nokuba kukho. Nangona kunjalo, uDkt. Rodney Ford, udokotela wezilwanyana waseNew Zealand kunye nomlobi we -Gluten Syndrome , ubeka ukuba i-gluten iyonakalisa inkqubo yakho ye-nervous ngqo, ekhokelela kwiinkalo ezininzi ezibonakaliswe kwintlobo yesifo se-gluten kunye nesifo esiyingozi, kuquka ukukhathazeka.
ILizwi
Abantu abaninzi abanesifo esingapheliyo kunye nesifo sengqondo esingekho-celiac ye-gluten babonisa iimpawu zokuxhalaba. Nangona kunjalo, kukho iindaba ezilungileyo: iimpawu zokuxhalaba zibonakala zincipha xa uhamba ungenayo i-gluten. Abantu abaninzi bayabika ingxelo yokubuyiselwa kweempawu ezixhalabileyo xa behlutha, kodwa ngokuqhelekileyo le mpawu ibonakala iyimfutshane.
Sekunjalo, izifundo zonyango zibonisa ukuba abantu abaninzi banzima namazinga aphezulu okuxhalaba nangona badla i-gluten-free, mhlawumbi ngenxa yeengcinezelo ezibandakanyeka ekugcineni ukutya, ngakumbi xa behlala kwindlu ekwabelwana nabantu abadla i-gluten .
Ukuba ufumana amanqanaba aphakamileyo okhathazekayo nangona udla ngokugqithiseleyo, unokufuna ukucinga ngokuthetha nodokotela wakho malunga naloo nto-unokukucebisa ukuba ubone ingcali yengqondo yengqondo unyango olunokubandakanya ukululekwa kunye / okanye amayeza okunciphisa iimpawu ezixhalabileyo.
Imithombo:
Addolorato G. et al. Ukuxhalabisa kodwa Ukungabi Nengxaki Yokunciphisa Izigulane Zama-Celiac Emva kokutya kwe-One-year Gluten-Free Simahla: I-Longitudinal Study. I-Scandinavian Journal yeGastroenterology. 2001 ngoMeyi; 36 (5): 502-6.
UCatassi C. Gluten. Ama-Annal of Food and Metabolism. 2015; Isihlomelo sesi-2: 16-26.
I-Ford R. I-Gluten Syndrome. IiNgcebiso zezoNyango. 2009 iSept; 73 (3): 438-40. Epub 2009 Apreli 29.
Hallert C. et al. Ulingo lwezonyango: B Ii-Vitamins Ukuphucula iMpilo Kwizigulane Ngezifo Ezibuhlungu Ukuphila Kwi-Gluten-Free Food. I-Pharmacology kunye neeTherapeutics. 2009 Apr 15; 29 (8): 811-6. Epub 2008 Jan 20.
Häuser W. et al. Ukuxhalabisa nokuxinezeleka kwabaguli abagulayo abanezifo ezigulayo kwi-Gluten-Free Food. I-World Journal yeGastroenterology. 2010 Juni 14; 16 (22): 2780-7.