Ko Zvokudya Zvisingagoneki Zvingabatsira BHS?
Vamwe varwere vakaonekwa kuti vane chirwere chinosuruvarisa chinonzi bowel syndrome (IBS) vanorondedzera kuderedzwa kwezviratidzo pavanotevera kudya kwe-gluten . Uye kunyange zvazvo zvidzidzo zvakanaka zvehutano zvisingakwanisi, American College of Gastroenterology inogumisa kuti kudya kwe-gluten kusina chivimbiso kuvarwere veBibS. Zvisinei, usati wazviisa pane zvokudya zvisingabvumirwi izvo zvinogona kana zvisingabatsiri, zvakakosha kudzidziswa kune izvo zvinozivikanwa pamusoro pezvimwe zvinowanikwa pakati peBS, chirwere cheliacac uye senzwi .
Chii Chinonzi Gluten?
Gluten inhengo yeprotini inowanikwa muzviyo zvinotevera:
- Bhari
- Rye
- Gorosi
Gluten iripo pane zvakawanda zvatinodya. Izvi zvinonyanya kusanganisira zviyo zvakawanda, chingwa, nezvimwe zvinhu zvakabikwa, asi gluten inowanzoshandiswa sekuwedzera kwezvokudya zvezvinhu zvakasiyana-siyana zvemishonga.
IBS uye Celiac Disease
Chirwere cheCeliac chirwere chehutano umo kushandiswa kwemaronda kunokonzera kukuvara kwemukati . Izvi zvinokonzera malabsorption yezvinhu zvinokosha zvinovaka muviri, izvo zvinogona kutungamirira kune zvimwe zvinetso zvehutano zvakakomba. Zviratidzo zvepamuviri zvakabatana nechirwere chechiliac zvinotarisa zvakadai sevaya vanosangana neBS:
Kutsvakurudza kuongororwa pamusoro pehutano hwechirwere chechiliac muvatachiona veBS kubva pamusana pekuda kuwedzera kune mazwi anotaura kuti varwere veBS vanowanikwa kanomwe kusvika kanomwe kupfuura munhu wepakati pekutambudzika anotambura nechirwere ichi.
Pamusana peizvi zvinoonekwa zvichibvira zvichiitika, ikozvino kurapa kurapwa kwehutano kweBHS inokurudzira nguva dzose kuongororwa kwechirwere chechiliac yezvose zvinokonzera rudzi rweBIB (IBS-A) uye chirwere chinonyanya kukosha yeBS (IBS-D) varwere. Kuti uwane mamwe ruzivo ona chirwere ichi chechiliac .
Kana imwe nguva chirwere chechiliac chichiongororwa chinoitwa, zvinokosha kuti iwe uite zvokudya zveguten-pasina.
Kutsvakurudza kwakaratidza kuti varwere veBS avo vanozozivikanwa seve chirwere chechiliac vanowanzoona kuderedza kuderedza zviratidzo zvavo zvekudya shure kwekushandisa kwekudya kusina gluten. Ikoko kunoramba kuripo, nokuda kwechiverengero chiduku chevanhu, kuti vanotambura kubva kuBS mukuwedzera kune chirwere cheliacac, uye naizvozvo zviratidzo zvinogona kuramba zvichiri kushandiswa kunyange nekushandiswa kwekudya pasina gluten.
IBS uye Gluten Sensitivity
Zvinokwanisika here kuedza zvisina kunaka nechirwere chechiliac asi uchiri nekunzwisisika kune gluten? Iyi ichinhu chitsva chevatsvakurudzi. Kushushikana kwakadai hakurevi kukuvadza kumucheto muduku wakafanana nechirwere chechiliac, asi kune zvimwe zvingaita zvirwere zvemagetsi reactivity kune zvokudya zvine gluten. Inofungidzirwa kuti reactivity yakadaro inogona kuguma mukati maviri masimba uye zviratidzo zvepamusoro-mukati , zvakadai semusoro wemutsipa kana kuti kucherechedza dambudziko rekushungurudzika. Zvidzidzo zvepakutanga zvakaratidza humwe uchapupu hwokuti "kunzwa" kwe "gluten" kwakadaro, asi hutsvakurudzo hunodikanwa kuitiswa kusati kwasvika chero sarudzo dzakasimba dzinogona kutorwa.
Zvinokwanisika here kuti mamwe maitiro eBS chaizvoizvo anonzi "gluten senitivity?" Vatsvakurudzi vakatsanangura kuti pangave neimwe sendikiti yevarwere veBB vane zviratidzo zvingangodaro zvinokonzerwa nekunzwisisika kweguten.
Mumabhuku ezvokurapa, iyi ikozvino inonzi "non-celiac gluten senitivity" (NCGS) uye kutsvakurudza munharaunda iri kuenderera mberi.
Zvinofadza kuti vanotsvakurudza vakaita sarudzo kuti gorosi ine fructans- rudzi rwemakinehydrates akazivikanwa seFODMAP -iyo inobatanidza nekuita kuti zviratidzo zvekudya zvirwe. Izvi zvinoratidzira kuti varwere veBB vanoita sevanotarisira gluten vangave vachiita kune fructans inowanikwa mugorosi, kusiyana ne gluten . Zvinokurudzira kuti basa munharaunda ino riri kutungamirirwa uye isu tose ticharindira nomwoyo wose zviwanikwa zvakajeka.
Unofanira Kuedza Zvokudya zveGluten-Zvisina Kudai Here?
Kana iwe uchifungidzira kuti une kusagadzikana kwe gluten, chinhu chekutanga unofanira kuita ndechekukurukura nachiremba wako uye kuongororwa chirwere chechiliac.
Kuti kuedza kuve kwakarurama, unofanirwa kunge uchidya zvokudya zvine gluten. Kana muedzo udzoka usina kunaka, taurai nechiremba wenyu nezvekwanisi yekuita kudya kwekudzikisa kwemaawa anenge anenge mwedzi kuti uongorore zvinokonzerwa neizvi pane zviratidzo zveBS.
Kana chirwere chechiliac chikarambidzwa zvachose, chiremba wako anogona kukurudzira kuti utangezve kudya zvokudya ne gluten pakuguma kwemwedzi mumwe muedzo kuti uone kana zviratidzo zvako zvichizovapo zvakare usati wapedzisira wapedzisa kuti iwe uine gluten asingateereri. Kusvikira pane kuongororwa kwakajeka kweropa kwekuziva kusagadzikana kweguten, matanho aya anonyanya kukosha kuti urege kudzivirira kusakosha kwekudya kwako.
> Sources
> Ford, A., etal. "American College of Gastroenterology Monograph paKutonga kweIriritable Bowel Syndrome uye Chronic Idiopathic Constipation" American Journal of Gastroenterology 2014 109: S2-S26.
> Cash, B. et.al. "Kuwanda kwezvirwere zveCeliac pakati pevarwere nevasiri vasiri Irritable Bowel Syndrome Zvakafanana neChechi" Gastroenterology 2011 141: 1187-1193.
> Ford, A., etal. "Kugoverwa kweUkuwana Kuongororwa Kwezvirwere zveCeliac Muvanhu Vane Zviratidzo Zvinokonzera Irritable Bowel Syndrome" Archives of Internal Medicine 2009 169: 651-658.
> Sapone, A., et.al. "Kuwedzera kwegomba kuperesa uye mucosal geni rejena rinotaura mumamiriro maviri maviri-gluten: chirwere cheliliac uye kutonhora kwe gluten" BMC Medicine 2011 9:23.