Gluten Sensitivity

Chirongwa cheGluten Sensitivity

Kusvikira munguva pfupi yapfuura, vanhu vane migumisiro yakaipa pamusoro pekuedzwa kweropa uye mumatumbo emakumbo anoshandiswa kuongorora chirwere chechiliac vakaudzwa kuti vadye chero chavanoda-gluten yakanga isiri dambudziko ravo.

Zvisinei, vazhinji vevanhu ivavo vakaedza kudya kwe-gluten zvisinei-kudya kunobvisa zvokudya zvose zvaisanganisira gorosi yezviyo gorosi, bhari, uye rye-uye zvataurwa kuti vainzwa zviri nani. Zviratidzo zvavo (izvo zvaisanganisira kuneta, kuzvidya kwekudya, uye zvinetso zvehutano) zvakasununguka apo vakadya gluten-isina.

Vakawanda vevanhu ava vainzwa kuti vakanga vasinganzwisisiki kana kuti vasina hanya neprotheni ye gluten , kunyange zvazvo kuonekwa kwakaratidza kuti vakanga vasina chirwere cheliacac. Mune zvimwe zviitiko, vanachiremba vavo vakabvumirana nekuongorora kwavo uye vakabvumirana kuti havafaniri kunge vachidya gluten. Mune dzimwe nguva, vakangoramba vachidzivisa gluten pasina chikomborero chechiremba.

Iye zvino, vatsvakurudzi vazhinji (kunyange zvazvo havasi vose) vanodavira kuti mamiriro akadaro anokonzera dambudziko neavo maruva anonzi gluten (dambudziko iro harisi chirwere chechiliac) chiripo.

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Vachiriidza iyo "senzwi, gluten senitivity," "kwete-celiac gluten senitivity (NCGS)," "kusagadzikana kwegorosi kunokonzera," "kusagadzikana kwegorosi," kana kunyange " gluten allerergy ."

Zvisinei, huripo huripo huri husati hwave hwakaratidza pachena, uye sehuchiripo pasina tsananguro yekuti nei ichiitika uye kuti ingave yakabatana sei nechirwere ichi. Hazvina kunyange zita rinogamuchirwa nenyika yose, kunyange zvazvo vazhinji vezvenzvi mumunda vakabatana ne "kwete-celiac gluten sensivity" kana "kwete-celiac yegorosi senitivity."

Hazvisi pachenawo kana iri mapuroteni mugorosi, bhari, uye rye zvinokonzera zviratidzo zvechiitiko chacho.

Ichokwadi, vatsvakurudzi vakaona mamwe mashizha egorosi, kunyanya, vanoti vanogona kunge vane mhosva . Mamwe emakemikari aya, anozivikanwa seFODMAPS, anowanikwa pane zvimwe zvekudya, zvakadai sekiki uye anyanisi, pamwe negorosi.

Mukuwedzera, imwe nyanzvi yakabudiswa munaJuly 2016 inoratidza kuti mutadzi wekuti kwete-celiac gluten / kukanganiswa kwegorosi inogona kunge yakanyarara. Kudzidza, kwakaitwa nevatsvakurudzi veColumbia University Medical Center, kwakawana kuti avo vane gorosi senitivity vakange vane zvirwere zvezvirwere zvinoratidza "systemic immune activation."

Zvigumisiro zvekudzidza zvinoratidza kuti izvi zvinoshandiswa mumuviri wezvirwere zvezvirwere zvinokonzerwa nokuti zvipembenene uye mapuroteni ezvokudya ari kuyambuka chirwere chepachivi mukati mekubuda ropa, zvichiita kuti kuputika kupararire.

Pakupedzisira, pasinei nekuongorora kwemazuva ano kunoratidza kugona kwehutu kunogona kuvapo, vanachiremba vakawanda havasati vabvumirana kuti imamiriro ezvinhu chaiwo ehutano, uye hapana kuongororwa kwechiremba kwakagamuchirwa. Kutsvakurudza kunoenderera mberi kutsvaga chokwadi pamusoro pegorosi / guten senzwi, uye sezvimwe zviitiko zvamirira, chiremba wako angave ari kana asingatendi mumamiriro ezvinhu.

Zviratidzo zveGluten Sensitivity

Zviratidzo zvinokonzerwa nehutano hwehutemenzwi zvinonakidza zvakafanana nevaya vanobatanidzwa nechirwere chechiliac: zvinetso zvekudya, kuputika, uye kuneta .

Zvinetso zvakadai sezuva, kuvhara, uye kurwadziwa kwepamuviri zvinowanzoitika kune avo vakaonekwa kuti vane gluten senzwivity. Izvo zvinowanzoonekwawo kune avo vanorondedzera vanorwara kubva kune zvokudya zvine gluten, asi avo vasina kuongororwa.

Kushungurudzika pamwe chete , misoro, uye uropi hunoonekwa kakawanda hunoonekwa zviratidzo, uye pane chidzidzo chimwe chiduku chakawana kuti gluten chinogona kukonzera kuora mwoyo kune vanhu vasina chirwere chechiliac .

Hazvisi pachena kana zviratidzo izvi zvinoratidza kukanganisa chaiyo kumitambo yemuviri wako, kana kuti vanongoratidza kuti wakadya chinhu chisingawirirani newe. Vamwe vatsvakurudzi vanoti vanhu avo vanonzi gluten-vanonyatsoziva vanogona kukuvadzwa kune dzimwe nhengo uye maitiro, kunyanya maitiro avo emagetsi, asi izvi hazvina kuvimbiswa mukutsvakurudza kwesayenzi.

Gluten Sensitivity vs. Celiac Disease

Kana iwe uine chirwere chechiliac , zvinowanzoreva kuti wakagadzirisa zvirongwa zvehutano zvakasimba-iwe unokuvadza mumimba yako villi (inozivikanwa sevillous atrophy ) iyo yakakonzerwa nekuita autoimmune ku gluten mukudya kwako.

Chirwere cheCeliac chinokanganisa imwechete pavanhu vese 133 muU.S., zvichiita kuti zvive zvakajairika.

Vanhu vazhinji vanoratidza zviratidzo zvechirwere chechiliac havakwanisi, asi vamwe vevanhu ava vanowana zororo kubva pane zviratidzo zvavo pane kudya kweguten, uye naizvozvo, vanogona kunge vane gluten senzwi.

Vanachiremba vanoda kutonga kunze kwechirwere chechiliac vasati vangaziva chirwere chinokonzera gluten . Izvi zvinowanzoreva kuti iwe uchafanira kugoverwa kuongorora ropa uye ipapo (zvichida) endoscopy, chirongwa chechiremba chinoshandisa kutarisa zvakananga pamatumbo ako maduku. Kana iyi miedzo isingaratidzi zviratidzo zvechirwere chechiliac, iwe iwe nachiremba wako unogona kufunga nezvemamwe mafungiro ekuongorora, kusanganisira kugunun'una kwe gluten.

Nzira dzekuedza kwekukudzwa kweChituten Ramba uri Unproven

Sezvo vatsvakurudzi vazhinji vasingabvumirani kuti kunzwa kwejuten kuripo, hapana chiitiko chakavhenekerwa kuti uone chirwere chacho . Saka iwe ungaitei kuti uedze kana uchifunga kuti izvi zvinogona kuva dambudziko rako?

Kana iwe uye chiremba wako uchitonga chirwere chechiliac, iwe une zvishoma zvingasarudzwa nekutarisa kwekukudzivirira kwe gluten.

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Zvisinei, iwe unofanirwa kunyatsoziva kuti hapana chimwe chezvinhu izvi chisati chagadziriswa nekutsvakurudza kwezvokurapa.

Semuenzaniso, vamwe vanachiremba vachashandisa mhinduro dzakanaka pane dzimwe kuongororwa kweropa- miedzo inotarisa zvakananga kumaronda anonzi gluten muropa rako-kuti ubatsire kuongorora senzwi. Vamwe vashomanana vachaona kuti iwe unobva pane zvaunopindura pane kudya-gluten-mune mamwe mazwi, kana iwe ukabvisa gluten uye unonzwa zviri nani, iwe uri gluten-sensitive.

Iwe unayowo sarudzo yekutsvaga zvakananga-kune-vatengi kuedza kuongorora kupfurikidza kuburikidza neEngoLab -chengetedzai kuti nzira yekuedza inoshandiswa nebasa iri haina kubvumidzwa kana kugamuchirwa navanachiremba vakawanda.

Vakawanda Vasina Kupindurwa Mibvunzo Pamusoro peGututen Sensitivity

Zvinokwanisika kuti utsi hwe gluten uye chirwere chechiliac zvinomiririra zvimwe zvakasiyana nemamiriro ezvinhu akafanana, asi zvinowanzove kuti zvinomiririra mamiriro akasiyana zvakakwana. Sezvo vatsvakurudzi vasati vachibvumirana pane tsanangudzo yekunzwisisa kwekutya, hatigoni kutaura zvakananga kuti nei zvichigona kuitika uye kuti zvingave zvakabatana sei nechirwere ichi.

Mukuwedzera, zvingangove kuti havasi vose vanodzivirira gluten vanofanira kuita kudaro. Kana iwe ukaderedza gluten kubva pane zvekudya zvako uye uchinzwa zviri nani, unogona kunge uine hanya kana usingadi kuwedzera gluten. Asi pane zvimwe zvinotsanangurwa zvehutano hwako.

Semuenzaniso, vamwe vanhu vanogona kunzwa vari nani nokuti vari kudya kudya kwakanaka-nekucheka guten, iwe uri kutemawo maitiro akawanda ekugadzirwa uye asina kudya. Zvechokwadi, ichi chikamu chekufungidzira kwakakurumbira kune "yakachena-gluten-cleanse" kudya kunosimudzirwa nevanopembererwa zvakasiyana-siyana, uye ingava chikonzero chikonzero vamwe vanhu vanoremerwa uremu pavanenge vasina guten-vasina .

Zvinogona zvakare kuti iwe unonzwa zviri nani nokuti iwe unotenda uri kuita chimwe chinhu chakanaka chehutano hwako, kureva, kunzwa zviri nani pane kudya kwema gluten kunomiririra nzvimbo inonzi placebo mukuita.

Handitauri izvi zvishoma-munguva yakapfuura, vanachiremba vakawanda vakaderera uye vakabvisa zviratidzo zvingava zviratidzo kubva kuna gluten, uye "zvose zviri mumusoro wako" mantra ichiripo inoramba iri mune zvikamu zvehutano hwehutano, pasinei nekufambira mberi mukuziva. Asi ndezvechokwadi kuti vamwe vanhu vanotenda kuti havagoni kushivirira gluten vanogona kukwanisa kuzvichengetedza zvakanaka, sezvinopupurirwa nekuti vamwe vanhu vanoti vanonzi gluten-sensitive vanogona "kubiridzira" pane kudya pasina zviratidzo zvakajeka.

Ichokwadi, zvidzidzo zvakasiyana-siyana zvakawana kuti vamwe vanhu vanotenda kuti vane gluten-vane hanya havatauri kune yakachena gluten, kana kuti gluten-ine zviyo, apo vanodya izvo zvinhu muchidzidzo chakafufutirwa. Vamwe vanoita, kunyange zvakadaro, izvo zvinopa uchapupu hwokuti mamiriro acho ezvinhu aripo.

Gluten Sensitivity Treatment: Zvokudya zveGluten-Free

Sezvo nechirwere chechiliac, chirwere bedzi chezvino chinogadziriswa nekutya kwe gluten ndechidya chisina-gluten .

Pane mhirizhonga yakawanda pamusoro pekuti zvakanyanya zvakadini kudya kunofanira kuva kune mumwe munhu angave "oga" ari gluten-anonzwa. Vamwe vanachiremba vachakuudza kuti uende mberi uye uchinyengedze pane imwe nguva, asi vamwe vanokurudzira kudya kwakanyanya kwakanyanya kwe gluten.

Hazvisi pachena kana kutevera kudya kusina gluten kunogona kukupa mararamiro ezvehutano kunze kweaunowana kubva kungonzwa uchinakisisa, kana kuti kudya zvokudya zvejuten paunenge uine hanya zvinosanganisira ngozi dzehutano . Sezvandambotaura kare, pane zvishoma zvitsvakurudzo zvinoratidza kuti unosangana nekukuvara kwenyama kubva kune gluten (zvisinei kuti hazvifadzi sei zviratidzo zvaunoona zvinogona kuva). Asi pane zvakare kuve nekutsvakurudza kunoratidza kuti hauna kuora. Iyi inzvimbo inotsvakurudzwa nevatsvakurudzi.

Sezvo nezvose zvinosanganisira senzwika ye gluten, pane zvidzidzo zvishomanana zvinopa chero njere, uye zvimwe zvekutsvakurudza kwezvokurapa kusvika nhasi zvakapesana. Pakupedzisira, masayendisiti anotarisira kupa mhinduro dzakawanda. Panguva ino, kana iwe uine chirwere chinonzi gluten senitivity, iwe uchafanira kuzvisarudzira iwe-mukukurukurirana nachiremba wako-kunyatsotevera sei kudya kwema gluten.

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_{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 A 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}

_{Uhde M et al. Nhengo dzepachivirima dzekuvheneka uye kushandiswa kwekudzivirira mafomu mumunhu mumwe nomumwe Kuzivisa Sensitivity kuGorosi musingawaniki neCeliac Disease. Gut . 2016. ini: 10.1136 / gutjnl-2016-311964.}