Iyo nyaya yaunonzwa kazhinji nguva dzose: Mumwe munhu anoonekwa ane chirwere checliac , akaendesa mamwe mapepa ekuti angaenda sei-asina kusununguka, uye akatumirwa munzira yavo asingatauri zvakawanda pamusoro pezvinodiwa zvekutevera chiremba kushanyira kana kuongororwa.
Pane chimwe chinhu chinokonzera izvi, sezvo kurapwa kwezvino bedzi kune chirwere chechiliac ndiko kudya kweguten , (uye izvozvo hazvirevi chiremba).
Mukuwedzera, vanhu vazhinji (asi kwete vose) vanonzwa zviri nani zvakakurumidza kana vachangotanga kudya guten-pasina, saka vanonzwa sokunge dambudziko ravo rakaruramiswa.
Asi nyanzvi dzomumunda dzinoramba dzichirumbidza avo vane chirwere chechiliac kuwana rubatsiro rwekutevera kubva kune vanachiremba, zvose kuti vaongorore matambudziko ose nekuenderera kwezviratidzo, uye nokuti celiac yakanyatsobatana nemamwe mimwe mamiriro ezvinhu ega ega. Heino mhepo yezvakataurwa nevanoongorora.
Miedzo Yekuti Paunotanga Kuzivikanwa Nezvirwere zveCeliac
Paunotanga kuonekwa kuti une chirwere ichi , chiremba wako anogona kukurudzira miedzo yakawanda kuti uone kuti mamiriro ako akaita sei mumuviri wako.
Somuenzaniso, anogona kukurudzira kuti iwe uongorore kusakwana kwezvokudya , izvo zvinojairika nokuti kukanganisa kwemuviri wako wekumusoro kunoreva kuti iwe haugoni kuwana muviri muzvokudya zvako. Izvi zvinogona kusanganisira rutsva rwekuongororwa ropa kwezvibereko zvakadai se vitamini B-12, folate, uye vitamini D.
Anogonawo kukurudzira kuti iwe uongorore kuderedza ropa, kana iwe usina kuongororwa sechikamu chekuongorora kwako (vanhu vakawanda vachave vakaedzwa kushaya chirwere cheperesi vasati vava kuziva). Zvinowanzoonekwa nekuona chirwere chemeriya nechirwere cheecliac , uye zvinogona kunge zvichiwedzera kune manzwiro ekuneta uri kuitika.
Kazhinji, anemia inovandudza kana inopera apo iwe unotanga kudya kudya-guten uye marara ako emukati anotanga kupora.
Pakupedzisira, chiremba wako angakukumbira kuti uongorore kuti uone kana chirwere chechiliac chakakanganisa simba rako refupa uye uwandu . Zvinosuruvarisa, kukanganisa kwekudya kunoenderana neeceliac kunogona kutungamirira kune osteoporosis kana osteopenia, mamiriro ako apo mapfupa ako haana maduku uye akaderera kudarika zvakasikwa. Kuti uone kana une dambudziko iri, unoda izvo zvinonzi DEXA scan, iyo inonzi x-ray.
Usashamiswa nezvose izvi kuedzwa-zvinogona kuti iwe usakwanisa kuva nematambudziko aya. Kunyangwe kana zviedzo zvichifumura dambudziko, rinofanira kutanga kutarisa kana iwe uchienda usina guten. Uyezve, chiremba wako anogona kupa mishonga yakawedzerwa, yakadai sekuwedzera kwezvokudya zvevhitamini kana kushaya simba kwemaminerari, kana mishonga yekurapa kutsika kwepfupa.
Kusangana Nenyanzvi Gluten-Free Dietitian
Zvokudya zvisina guten zvinonyangadza kutevera, neine nguva yakadzika yekudzidza. Vanhu vanowanzoita zvikanganiso mumwedzi yavo yekutanga guten-isina, uye zvinosuruvarisa, kazhinji vanobhadhara nekuda kwezvikanganiso nezvine zviratidzo zvinotyisa zvekugwinya .
Vamwe vanhu vanoona zvinetso zvezvokudya zvose vari voga.
Asi hapana mubvunzo kuti kune vamwe, rubatsiro rweyanzvi mune zvekudya mune zvekudya-gluten husingazovadziviriri kubva pakuneta uye zvichida kuvabatsira kuporesa nekukurumidza.
Zvinosuruvarisa, chiremba wako zvichida haagoni kuzadza iyo inyanzvi yezvokudya zvine ruzivo kwauri. Ichokwadi, iyo American College of Gastroenterology (ACG) inobvuma kuti vanachiremba vakawanda havazivi zvakakwana pamusoro pekudya kusina-gluten kuti vakwanise kupa zano vanhu vayo. Ndicho chikonzero boka racho rinokurudzira kuti munhu wose anenge aonekwa kuti ane chirwere cheecliac anotumirwa kune mumwe munhu ane chirwere chekudya chakanyoreswa uyo anonyatsoziva nezvechirwere ichi.
Munhu anodya zvekudya anogona kubatsira kubvisa chero kukanganisa kwezvokudya mune zvekudya zvako, uye zvinogona kukubatsira kudzidzisa pamusoro pokuti pane gluten inogona kuvanza mune izvo zvokudya.
Mumwe wezvokudya anokwanisawo kukubatsira mukugadzira kudya kwakanakisisa kunokonzerwa ne gluten, uye kunyatsotarisa kune zvimiti zvakadai sefiber, folate, uye calcium, iyo inowanzoshaikwa.
Haasi vose vezvematongerwoti vadzidzisi muzvokudya zvisina guten. Chiremba wako anogona kukurudzira mumwe munhu kuti aone, kana iwe unofanirwa kuzviongorora iwe pachako.
Kuratidzira Kwenguva Yakare Kuchengetedza Celiac
Kunyange zvazvo chirwere chechiliac chiongorori dzinokurudzira nguva dzose kutevedza-kutarisa kune avo vakaonekwa kuti vane chirwere chechiliac, kwete vose vanotevera mazano. Chimwe chidzidzo chaisanganisira vanhu 113 vakaratidza kuti zvishoma pane imwe chete yechitatu yakatevera ACG mirayiridzo yekuchengetedza.
Saka chii chakakurudzirwa kunze kwekuchengetedzwa kunoenderera kune vanhu vane chirwere chechiliac?
Iyo ACG mirayiridzo inoshevedza kugara ichiongororwa nachiremba anoziva nezve chirwere chechiliac . Izvi zvinogona-kana zvichida-hazvisi-iwe mukuru wako chiremba. Zviri nyore kuti uve gastroenterologist yako.
Aya mazano haatauri kuti iwe unofanira kuona chiremba wako kakawanda sei, asi dzimwe nyanzvi dzinokurudzira kuona chiremba uyo akakuwana iwe neecliac mushure mekunge musina kusviba kwemwedzi mitatu kusvika kumatanhatu, uyezve shure mushure megore. Izvi zvichakupa mukana wokutaura nachiremba wako nezvekuti iwe unonzwa sei, uye kana iwe une chero zviratidzo zvinopera.
Kana uri kurwisana ne-gluten-isina kudya, chiremba wako anogona kukurudzira kuti uone mutori wenyanzvi. Izvi zvinogona kubatsira kana iwe ukaona imwe apo iwe wakatanga kuongororwa-unyanzvi wezvokudya anokwanisa kunyora nzvimbo uko iwe usingazivi kuti unotora gluten mukudya kwako.
Vamwe vanachiremba vanofarira kushandisa chirwere chechiliac chirwere chekucherechedza kuti hamuna-gluten sei . Zvinosuruvarisa, izvi zvinogona kunge zvichangoratidza kana uri kudya zvakawanda zvekudya zvine gluten; havasi kunyatsoziva kuti kana muviri wako uri kuita zvishoma nezviduku zvinokonzerwa ne-gluten pamba, somuenzaniso.
Chiremba wako angadawo kushandira imwe, yakawanda yeropa kuongororwa, izvo zvinogona kupa mazano kuhuwandu hwehutano hwako hwose.
Pane imwe nguva, chiremba wako angakukurudzira kuti udzoke zvakare kudzokorora kwenguva yakareba uye bhiopsy kuitira kuti uone kuti muviri wako wechipfu hwakaporesa sei . Izvi zvinokurudzira kana iwe ukashuma zviratidzo zvinoramba zvichiitika, kunyange zvazvo uri kunyatsotevera kudya kwe-gluten. An endoscopy inogona kubvumira chiremba wako kuti aongorore zvimwe zvinogona kuitika mune zvehutano izvo zvingangodaro zvichiita kuti zviratidzo zvako zvivepo.
Kurindira Nezviitiko Zvimwe
Chirwere cheCeliac ndicho chinonzi chirwere che autoimmune , izvo zvinoreva kuti zvinosanganisira kurwisa kwechikamu chimwe chemuviri wako (munyaya ino, yako duku yemukati yakagadzikana) nemaune immune system yako.
Paunenge uine chirwere chechiliac, iwewo uri pangozi yakakwirira kune dzimwe mimwe mitemo ye autoimmune, kusanganisira chirwere chetachiona , chirwere cheshuga chechirwere cheshuga , uye hutachiona hunosiyiwa hunoti alopecia areata .
Kunyange zvazvo vatsvakurudzi vasina kuratidza hukama hwakasimba pakati peecliac nedzimwe mamiriro ekudzivirira kwega, kusanganisira multiple sclerosis , hapana mubvunzo kuti kuva nechiitiko chimwe chete chinokonzera ngozi yako yekuvandudza mamwe mamiriro ega ega. Nokudaro, iri pfungwa yakanaka yekutaura nachiremba wako pamusoro pehuwandu hwehutano hwehumwe hutachiona hwemoto, uye kurondedzera zviratidzo chero zvipi zvaungangodaro uri.
The Bottom Line
Vanhu vakawanda vanoonekwa kuti vane chirwere chechiliac vanonzwa zviri nani kana vachinge vasisina guten . Kushanyirwa kune chiremba wako nguva dzose, pamwe chete nekuongorora kunotevera kunorayira, kunogona kuita basa rinokosha pakuita kuti uchengetedze hutano hwako hwehutano hwakanaka, uye kurongedza chero zvipingamupinyi mumugwagwa sezvavanomuka.
Sources:
Herman ML et al. Varwere vane chirwere chechiliac havateverwi zvakakwana. Clinical Gastroenterology uye Hepatology . 2012 Aug; 10 (8): 893-899.e1.
Rubio-Tapia A et al. American College of Gastroenterology makiriniki anorongedza: Kuziva uye kutarisira chirwere chechiliac. American Journal of Gastroenterology . 2013 May; 108 (5): 656-76.