Chii Chaizvo Chinokonzera 'Gluten' Sensitivity?

Hazvisi pachena zvachose kana gluten inokonzera kukanganisa kweguten

Paanenge achitaura nezvehutano hwakanyanya kuti vanachiremba vakawanda vava kunzi " kwete-celiac gluten sensivity ," zviri nyore kutarisa zvakanyanya puroteni ye gluten . Mushure mezvose, ndeye gluten inotungamirira kumimba kukanganisa mune chirwere chechiliac , saka hazvina kuonekwa sechinhu chikuru, apo mamiriro matsva aya akatanga kurondedzerwa, kutora gluten kwaiva mhosva yezviratidzo pano, zvakare.

Asi zvakadini kana icho chikonzero chinokonzera zviratidzo zve "gluten senzwivity" haisiri gluten? Zvakadini kana, pane kudaro, ndeimwe imwe michina-kana kunyange mishonga yakawanda-inowanikwa mu gluten-ine yegorosi, bhari, uye rye, pamwe pamwe mune zvimwe zvokudya, zvakare?

Ichi chirevo chiri kutora pfungwa. Zvimwe zvinokonzera zvinokonzera zvinetso zvinowanikwa muzviyo izvi zvinosanganisira fructans (yakaoma carbohydrate inogona kukonzera zviratidzo kune vanhu vane shungu dzechirwere chirwere) uye amylase trypsin inhibitors (ayo ari mapuroteni), kunze kweproteine ​​gluten.

Hezvino izvo zvinotsvakurudza zvinoratidzira pazvinhu zvose zvitatu zvezviyo, uye kuti zvingave zvakabatana sei nevasiri-celiac gluten senitivity.

Gluten Ndicho Chinonyanya Kushungurudza

Ichi ndicho chikamu chezviyo izvo vanhu vazhinji vanotarisa. Gluten ipuroteni inogadzirwa nezviyo zvinoshandiswa kuchengetedza michero yezvizvarwa zvinotevera zvemiti. Inowanikwa mumbeu yezviyo zvezviyo - chikamu chemuti chatinofunga pamusoro, uye kushandisa, sekudya.

Uku kutsvakurudza kwekusava neecliac gluten senitivity, yakabudiswa muna 2011, fingered gluten sechinetso mumamiriro ezvinhu achangobva kutsanangurwa. Icho chidzidzo chakataura kuti gluten yakaita kuti hutumbu hwevanhu huve hwakakosha uye hwakapisa pasina kukonzera chirwere ichi. Vatsvakurudzi vakapedzisa vanhu ava vakanga vachiita kune gluten muzvokudya zvavakadya.

Kubvira pakudzidza kwekutanga, pane zvidzidzo zvakawanda zvakashandisa gorosi yakachena gluten kuedza nekuita zviratidzo kune vanhu avo vaitenda kuti vaiva gluten-vane hanya. Izvozvi zvave nemigumisiro yakasanganiswa

Chimwe chidzidzo, somuenzaniso, chakabvisa zvokudya zvose zvegorosi-based kubva muzvidzidzo zvemashure makumi matatu nemakumi matatu, uye zvakabva zvavadyidzwa nechena gorosi gluten (iyo nyaya dzaisingazivi pavakanga vachidya gluten uye pavakanga vachidya placebo). Vanhu vari mukudzidza havana kuona zviratidzo zvekudya kana vachidya gluten yakachena, asi vamwe vavo vakawana kuora mwoyo .

Imwe yedzidzo yakashandisa nzira imwechete ye "kupikisa" vanhu vakati ivo vaiva gluten-vanoziva ne gluten uye vakaona kuti vamwe vavo vakaita zvakakwana kune gluten yakachena. Muchidzidzo ichocho, vanhu 101 vakati zviratidzo zvavo zvekudya zvakagadziriswa kana vachitevera kudya kwe-gluten, uye 14 muzana yeiyo yakanyanya kuipa apo ivo vasingazivi vaiita gurini sechikamu chekudzidza.

Chinhu chinokosha: Vamwe vanhu vanotaura kuti vane hanya nemaruva a gluten vanoita sevari kuita kune gluten, asi vamwe vakawanda havatauri pavanenge vachidya zvakakwana gluten vasingazive. Kutsvakurudza kwakawanda pamusoro apa kunodiwa.

FODMAPs Dambudziko muBS

Zvinogona kuti dambudziko regorosi ndiro fructan yayo. Icho ndicho chimwe chezvidzidzo zvenguva pfupi pamusoro pekunzwisisa kwe-gluten-imwe chete nevanhu 37 vasina kuwana zviratidzo zvekudya kubva kune gluten yakachena - yakapedzisa.

Fructans inotapira kabhaidhyrti inobata mumatumbo ako makuru, inogona kuisa gasi, kubvongodza, kuponda, kurwadziwa, kurwara, uye kuzvirambidza. Izvi zvakadzidza zvakasanganiswa FODMAPs (fermentable, oligo-, di-, monosaccharides uye polyols), iyo ishuga inowanika muzviyo zvezviyo uye zvimwe zvokudya zvakawanda apo vanhu vari mukudzidza havana kuona zviratidzo zvepachiviri zvinowedzera kuwedzera ne gluten yakachena.

Chinokosha: FODMAP inoratidzika kuti inokonzera zviratidzo zvekudya mukati mevanhu vakawanda vane shungu dzechirwere chirwere, uye pasi-FODMAP yezvokudya inoratidza kuti inoderedza zviratidzo munzvimbo dzinenge zvitatu zvevaya vane IBS.

Asi hazvisi kurega kuti chinetso chiri mu "gluten senitivity" ndecheFODMAPs, uye kana chirongwa chacho chiri kuderera-FODMAP kudya, panzvimbo yezvokudya zvisina guten. Zvakare, tsvakurudzo dzakawanda dzinodiwa.

Amylase Trypsin Inhibitors Ndevanotya Zvokuvhiringidza

Pane chikamu chechitatu chezviyo zvemazuva ano zvinoshandiswa nesayendisiti sechinhu chinetso: amylase trypsin inhibitors. Aya mapuroteni ari chaiwo chaiwo emishonga inouraya - anogadzirwa nemuti kuti azvidzivirire kubva kuzvidumbu.

Amylase trypsin inhibitors mumaguta anonzi gluten chaizvoizvo anoita kuti zvive zvakaoma kana zvisingagoneki kuti zvipukanana zvichere zvakasara mujeri kernel. Gorosi yemazuva ano yakave yakabatanidzwa kuti ive nezvakawanda zvepuroteni idzi.

Dambudziko nderokuti, amylase trypsin inhibitors mugorosi (uye zvichida mamwe maruva ejuten) anoita seanoita kuvhiringidza kune vamwe vanhu, mumatumbo avo uye mune imwe nzvimbo mumitumbi yavo. Vatsvakurudzi vanoongorora mapuroteni aya vanofungidzira kuti vanogona kutora chikamu mune chirwere chechiliac, mukunze kusina-celiac gluten, uye pamwe mune mamwe mamiriro ezvinhu anotungamirirwa nekuputika.

Chinhu chinokosha: Amylase trypsin inhibitor inogona kubatsira kana kuti kukonzera izvo vanhu vanonzi kwete-celiac gluten senzwi. Zvisinei, iye zvino ivo ndivo vasina kudzidza zvidzidzo zvitatu izvi zvinokonzerwa.

Ndizvo Zvakadaro?

Hazvina nzvimbo iri pedyo yakachena ikozvino izvo zvinogona kukonzera mamiriro atinenge tichidana "kwete-celiac gluten senitivity." Inogona kuwedzera kuva gluten, FODMAPs, amylase trypsin inhibitors, kusanganiswa kwevatatu, kana chimwe chinhu zvachose zvachose.

Kana gluten isiri mhosva asi pane chimwe chinhu mu gluten zviyo ndeye, saka vanhu vane mamiriro ezvinhu angave vachida kutevera kudya pasina zvikamu zvose zvegorosi, bhari, uye rye ... kwete kungoita gluten.

Kutsvakurudza pamusoro pemakore mashomanana anotevera kunofanira kutiudza zvakawanda pamusoro pezvinovhiringidza kusina-celiac gluten senzwi uye kuti vanhu vangani vanezvo. Ikoko, iyo, inofanira kutibatsira kuti tione kuti tingaridzidze sei uye tiitore.

Sources:

Biesiekierski J et al. Gluten Inokonzera Maviri Ezviratidzo Muzvidzidzo Pasina Celiac Disease: A Double-Blind Randomized Placebo-Controled Trial. American Journal of Gastroenterology. Yakabudiswa paIndaneti Jan. 11, 2011. ini: 10.1038 / ajg.2010.487.

Biesiekierski J et al. Hapana zvinokonzerwa ne gluten kune varwere vane self-vanonzi vasina-celiac gluten sensivity mushure mekudya kuderedza kwe fermentable, isina kunyanya kuvharwa, mafupi emakinehydrates. Gastroenterology . 2013 Aug; 145 (2): 320-8.e1-3.

Biesiekierski J et al. Kwete-celiac gluten senitivity: piecing puzzles pamwe chete. United European Gastroenterology Journal . 2015 Mbudzi; 3 (2): 160-5.

Elli L et al. Uchapupu hweKuvapo kweChe-Celiac Gluten Sensitivity muVarwere vane Kushanda Kwezviratidzo Zviratidzo: Zvigumisiro kubva kune Multicenter Randomized Double-Blind Placebo-Inodzorwa Gluten Challenge. Nutrients . 2016 Feb 8; 8 (2). pii: E84.

Fasano an et al. Kuwedzera kwegomba kuputika uye mucosal immune gene kutaura mumamiriro maviri maviri anokonzerwa ne-gluten: chirwere chechiliac uye senzwi. BMC Medicine 2011, 9:23. doi: 10.1186 / 1741-7015-9-23.

Fasano A. et. al. Dambudziko rehutano hunokonzerwa ne-gluten: kubvumirana pamusoro pezita rekutsvaga kwemashoko uye maitiro. BMC Medicine. BMC Medicine 2012, 10:13 ini: 10.1186 / 1741-7015-10-13. Yakabudiswa: 7 February 2012

Junker Y et al. Gorosi amylase trypsin inhibitors inotakurwa mumakumbo kuvhuvhuta kuburikidza nekugadziriswa kwefodya-seyakagadziriswa 4. I Journal of Experimental Medicine . 2012 Dec 17; 209 (13): 2395-408.

Schuppan D et al. Gorosi amylase trypsin inhibitors sevashandi vehutano hwekushaya ropa. Kuderedza Dambudziko (Basel, Switzerland) . 2015; 33 (2): 260-3.