Kana iwe uchangobva kuonekwa kuti une chirwere ichi , unogona kunge une mibvunzo yakawanda. Hewa mairi masere iwe ungada kubvunza chiremba wako:
Kuipa Kwangu Kwomukati Kwaive Kwakanyanya Sei?
Pakuongorora chirwere chechiliac, gastroenterologist inotora zvidzidzo zvemukati mako mukati mako kutsvaga kukuvadzwa kwevillion yako yakawanda pamucheka unotora mishonga kubva pane zvokudya zvako. Kukuvara kunoratidzirwa pane 0-4 chikamu chinonzi Marsh score; Marsh chikwata chezero zero chinoreva chimiro chemuviri wepestinal villi, nepo Marsh chikamu chechikamu chechina chinoreva chizere chakashata parosiro kana zvachose chakanyatsogadzirwa villi.
Kukuvara hazvirevi nguva dzose nezviratidzo zvechiriac asi zvinogona kuwirirana nekushaya kukwana kwezvokudya uye zvimwe zvipingamupinyi zvehutano. Kana kukanganisa kwako kwakanyanya, iwe nachiremba wako angasarudza kuti unoda kuongorora mamwe matambudziko ehutano.
Ndinofanira Kuongororwa Nokushayikwa Kwezvokudya?
Varwere vatsva vanorwara uye vane chirwere chisina kuwanika nokuti vanenge vasati vawana zvokudya, kunyange kana vachidya kudya kwakakwana. Chirwere chekudya hachisi nguva dzose chakajeka kubva pane zviratidzo, kunyanya kana zviratidzo zvako zvechiliac ivo pachavo zvakanyanya.
Kukanganisa kwakajairika kunosanganisira iron, B vitamini zvakadai se folate uye B12, calcium, magnesium, vitamini D uye mafuta anokosha anokosha. Chiremba wako angangotarisa kuedza kuti aone kana iwe usina kukwana mune zvimwe zvibereko.
Ndinofanira Kuverengerwa Osteoporosis uye Osteopenia?
Osteoporosis chirwere apo mapfupa anova akaonda, akawanda anonyangadza uye nyore nyore kuputika. Mu osteopenia , panguva iyo, kuwedzera kwepfupa kwakaderera kudarika zviyero asi haisati kwasangana nehutano hwehutano hwehasteoporosis. Zvose zviri zviviri zvinowanzoonekwa mune vatsva vanorwara vecliac nekuti chirwere ichi chinokonzerwa nemukaka chinogona kudzivirira muviri kuti urege kudya calcium, magnesium uye vitamini D - zvivako zvemafupa.
Utachiona hwemapfupa hunowanzodzokera kumashure mukati mekugara mukati memakore maviri pane kudya kwejuten, asi kuwedzera kwepfupa kunogona kubatsira kuongorora masapfupa akaoma uye kuongorora kana iwe uchida zvizere kana zvimwe zvinodhaka zvakadai saFosamax (alendronate) kuti uwedzere bone mashoma nokukurumidza.
Ndinofanira Kutora Zvokudya Zvakakwana Here?
Vanachiremba vakawanda vanokurudzira chirwere chavo ceceliac varwere vanotora multivitamin zuva rega rega, uye tsvakurudzo yekurapa inotsigira izvi. Vamwe vanachiremba vanogona kupa mimwe michero yekuwedzera yekugadzira kusakwana kwezvokudya. Asi chenjerera kuwedzera kunze kwechirongwa chechiremba: The Celiac Sprue Association (CSA) inonyevera kuti varwere veceliac havafaniri kutora zvigadzirwa zvisingabvunzi nachiremba wavo.
Semuenzaniso, CSA inonyevera kuti zvinogona kukanganisa kukanganiswa kwemafupa emitambo nekutora vitamin D yakawanda-iyo inogona kuitika kana uri kuedza kuita kuti uve nediki mavitamini muhutano hwako nekutora mazana akawanda ekuwedzera.
Iwe Unogona Kurudzira Nutritionist Ndiani Anonzwisisa Matambudziko ACeliac?
Mune zviitiko zvakawanda, varwere vatsva vanonzi vakawana ruzivo vanobatsirwa nekubvunzurudza nemunhu anodya mishonga anonyanya kugadzirisa chirwere ichi. Kuchera zvose gluten - zvakajeka uye zvakavigwa - kubva pane kudya kwako kunogona kuva basa rinotyisa, kunyanya kana iwe uri munhu asina kunyanya kufunga nezvezvokudya zvinoshandiswa kare.
Mune chikafu chinogona kukubatsira iwe kudzidza kuverenga mavara ekudya paunenge uchikudzidzisa iwe izvo zvikafu zvinowanzove zvisina guteni-zvisina. Zvisinei, zvakakosha kusarudza mutevedzeri wezvokudya anoziva zvakadzama ins uye kunze kwekudya kusina-gluten; zvine tariro, chiremba wako anogona kukurudzira mumwe munhu.
Ndinokwanisa Kudya Mishonga Mishonga?
Vakawanda vane chirwere chechiliac chitsva havagoni kutsungirira mishonga yemakwenzi ine lactose, rudzi rwehuga inowanikwa mumukaka. Izvi zvinoreva kuti lactose inoputsika neine enzyme inonzi lactase , iyo inobudiswa nemazano emudumbu villi. Kana villi yako ikasvibiswa nemhaka yechirwere chechiliac, iwe haugoni kuita lactase uye iwe haugoni kugadzira lactose.
Lactose kusagadzikana zviratidzo zvinosanganisira kurwadziwa kwepamuviri uye kubvongodza, chirwere uye gesi. Kuedza kunogona kuziva vatachiona vemazuva ano avo vanewo lactose-isingadi. Nenzira yakanaka, kuvhiringidzika kwemalasi inowanzochinja shure mushure mekunge mava kudya kweguten kwekanguva kubva apo villi rinoporesa uye inotanga kubudisa lactase zvakare.
Idamangwana Ripi Rinozotevera Kufanira Ndinofanira Kutarisira Here?
Zvirwere zvako zvechiliac pamwe zvinogona kusanganisira ropa rinoshanda kuti rienzanise ma antibodies kusvika kune gluten, pamwe nemukati yenyuchi kutsvaga kuipa kwevilli. Vamwe vanachiremba vanoda kufambisa dambudziko rekutevera ropa reecliac kuti vaonezve ropa rezvirwere zvinonzi gluten, izvo zvingave zvichikwanisa kuenzanisa kutenderwa kwekudya kusina gluten.
Chiremba wako anogonawo kukurudzira kudzokorora kusingaperi pashure pemwedzi mitanhatu kana gore rimwe chete pane kudya kweguten kusina kusimbisa kuti kukuvara kuri kurapa zvakanaka.
Mhuri Yangu Inofanira Kuedzwa Here Nezvirwere Zvisingaiti?
Chirwere cheCeliac chimiro, uye kana iwe uongororwa, nyanzvi dzinokurudzira kuti yose yako yekutanga-degree hama (vabereki, hama, hanzvadzi, uye vana) vanoongororwa, zvakare. Chikwata chekutanga-chechi chiine chirwere chepakati chepasuo 22 chechiliac pamusoro pehupenyu hwavo.
Chiyero chenguva imwe chete hachikwanisi kubata matambudziko ose echoliac, kana. Somuenzaniso, kumwe kuongorora kwakawana kuti, kune nhengo dzemhuri 171 dzakanga dzisina kunaka paakatanga kuongororwa, 3.5% dzakaongororwa zvakanaka pakuongorora kwavo kwechipiri, kunyange zvazvo vazhinji vakanga vasingagoni kumira. Vanyori vekudzidza vakurudzira nguva nenguva kuongororwa kuongorora kwemhuri, pasinei nezviratidzo.
> Sources:
> Ann Cranney, Marion Zarkadas et. al. "ICanada Celiac Health Survey." Digestive Diseases and Sciences 2007 April; 52 (4): 187-95.
> Leon H. Rottmann, Ph.D. "Nguva Yokudzokorora Zvikwereti Zvisingakwanisi zveVhithamini." Celiac Sprue Association Lifeline 1997 Fall, XV (4): 1.