Inofanira kunge iri nyore: iwe unorwara nechirwere cheecliac kana kuti kwete-cecacac gluten senitivity , unoenda gluten-kusina, uye kuguma kwedambudziko - unonzwa uzere zvakare, pasina zviratidzo zvishoma.
Zvinosuruvarisa, zvinowanzobva kure nyore zvakadaro. Zvidzidzo uye uchapupu hwehutachiona hunoratidza kuti vanhu vakawanda vane huwandu hwekudzivirira uye hwemagetsi - haisi pachena chaizvo kuti yakakwirira sei, asi zvichida kusvika hafu - inoramba ichiine zviratidzo kunyange zvazvo vachifunga kuti vari kutevera kudya kwakanyanya kweguten .
Izvi zvinogona kuodza mwoyo zvinoshamisa, uye zvinowanzotungamirira vanhu kuti vatende kuti vasava nemafungiro ezvimwe zvekudya zvakawanda (soy inowanzotungamirira mutsara, nezviyo uye zvimwe zviyo zvisati zviri kure). Zvisinei, zvimwe chidzidzo chimwe chinosanganisira varwere vecyacac chinoratidza kuti vazhinji varipo vari kutambura nemigumisiro yehupenyu hunoramba huchiwedzera - kwete "kuwedzera kusagadzikana" kune zvakasiyana-siyana zvekudya, kana chimwe chinetso.
Sei Izvo Zvakaoma Kwazvo Kuve Wakakwana Kurumbidzwa-Kusina?
Gluten iri pose pose, uye kune vanhu vane senisiyumu neyemaguten vanoita zvishoma nezvishoma, zvinogona kunge zvisingakwanisi kudzivisa. Inogona kuvanza munzvimbo dzausingatarisiri, zvakadai semishonga yemishonga uye gourmet nyama (ona zvakawanda pamusoro peizvi muGuuten-Free Diet Dangers). Iyo inogonawo kuonekwa mumutsananguro akawanda muzvokudya zvinoonekwa se-gluten-pasina mishonga yekunyora.
Mune zviitiko zvakawanda, zviyo-zvakagadzirwa "gluten-free" zvinokonzerwa nekufungidzirwa kwepamusoro.
Semuenzaniso, kuongorora kwakaitwa 2010 ye gluten mu "gluten-free" mbeu yakagadzirwa ne-gluten-yakasvibiswa-yakasvibiswa muzviyero zvinobva kune zvisingabviri kuonekwa (inenge zvikamu 5 kubva pamamiriyoni) kusvika anenge 3,000 zvikamu pamamiriyoni (zvakakwana kuita kuti kuve kunotyisa ).
Nyanzvi dzeCeliac yezvechirwere, kusanganisira Peter Green, MD, mutungamiriri weCeliac Disease Center ku Columbia University, vanoti kubatsira varwere vane zviratidzo zvinoramba zvichiramba pasinei nokunyatsonaka kwekudya-gluten ndiyo inonyanya kukosha.
Muna 2011, Dr. Green akati chirongwa chinoshandiswa kuderedza migumisiro yekusvibiswa kwepamuchinjikwa chaive chinhu chikuru chevarwere veceliac vane zviratidzo zvinoramba zvichiitika.
Saka Vanhu Vangani Vanobatwa Nekuenderera Mberi?
Izvo hazvisi pachena, kunyange kune zvimwe zvinyorwa mumabhuku ekurapa kwevanhu vane chirwere ichi. (Hakuna humwe hutsva hunobata nekunzwisisa, asi humwe hutano hunoratidza kuti vazhinji veavo vane chirwere ichocho vanotamburawo nekuratidza zviratidzo.)
Mune chidzidzo che2003 chakabudiswa muAmerican Journal of Gastroenterology , vatsvakurudzi vakaongorora boka revanhu vakuru vechiliacs avo vakanga vasina gluten-vasina makore pakati pemakore masere nemakore gumi nemaviri. Vakawana zvikamu izvi nechirwere chechiliac chakashuma "zviratidzo zvikuru zvepachiviri pane huwandu hwevanhu," kusanganisira indigestion, chirwere, kuvhara, kurwadziwa kwepamuviri, uye kurwisana.
Zvechokwadi, vamwe makumi matanhatu kubva kune makumi mashanu veava celiacs vakadzidza zviratidzo zvinowanzoitika, zvichienzanisa ne29% yevanhu vakawanda. Vakadzi vaifamba kuipa kupfuura varume.
Chimwe chidzidzo che "zviratidzo zvinoshungurudza zvirwere" mukati mevanhu vainge vaonekwa kuti vane chirwere chechiliac gore rakapfuura kana kupfuura vakawana kuti vanopfuura 23% vakatambura nekuenderera mberi kwezviratidzo zvemuviri zvaive zvakakomba zvakakwana kuti zviwane zvinokonzerwa nehair syndrome (IBS) , uye vazhinji vakatsvaka rubatsiro rwezviratidzo zvavo.
Vaya vane zviratidzo zveBS vainyanya kuve vakadzi uye kuti vasiye dzimwe nguva kubva pane kudya kwe-gluten, chidzidzo chakawana.
Mune chidzidzo ichocho, vanhu vane zviratidzo zveBS zvakare vaiwanzova ne "chinetso chepfungwa," sekugadziriswa nemibvunzo yakatsvaga zviratidzo zvekuzvidya mwoyo uye kuora mwoyo. Zvisinei, inofanira kuonekwa kuti vanhu vazhinji vane chirwere chechiliac vanoratidzira zviratidzo zvekuzvidya mwoyo uye kuora mwoyo pavanenge vachidya zviduku zvishoma zveguten; kune zvakawanda pamusoro peizvi, ona Gluten uye Kuora Mwoyo .
Chimwe chidzidzo chakatarisa varwere 112 vakataura kuchipatara cheLondon vane chirwere chisina kupindira chechiliac (12 avo, vakazoti, vakanga vasina chirwere cheecacac shure kwezvose).
Pakati pevanhu vasara zana, chidzidzo chacho chakawana kuti 45% "vakanga vasina kukwana zvakakwana kudya zvakanyanya-gluten," uye zvishoma nehafu yeavo vasingafungi kunwisa gluten uye zvishoma pasi pechikamu chekubiridzira vachida.
Pakupedzisira, chidzidzo chisina kunyorwa chakabudiswa neAlvine Pharmaceuticals pamusangano wezvokurapa wegore ra2012 chakawana kuti "zvikuru" (asi zvisingazivikanwi) zvikamu zveizviiacs zvinowanikwa zvinoramba zvichiratidzwa zviratidzo pasinei nekuomerera pane zvakanyanya kusadya-gluten.
Zviratidzo izvi zvinorongedzwa nenhau dziri muAlvine zvinonzwika sezvinotsvaga mabhuku ekunyunyuta kwechidiac: chiremera, kurwadziwa kwepamuviri, kuneta, kubvongodza, chirwere, kurwisana, kusuruvara, utsi hwehupfungwa, musoro wemusoro uye mapundu emucheka. Vanowedzerawo kuora mwoyo nguva dzose: 90% yevaya vakadzidza vakati vaine zuva rimwe chete rezviratidzo munguva yevhiki, uye 44% vakati vakawana zviratidzo zvishanu kusvika kune gumi muvhiki.
Chii Chaungaita Kana Uine Zviratidzo?
Nhanho yako yekutanga inofanirwa kuve yekufungisisa rwendo kune chiremba wako kuti uve nechokwadi kuti hauna kuongororwa. Mune imwe yezvidzidzo ndakanyora pamusoro apa, 11% yevaya vane chirwere chechiliac chinorwara uye kuenderera mberi kwezviratidzo kwakave kusina kuva nechirwere checliac zvachose! Vamwe vangave vane zvirwere zvechiliac uye chimwe chiitiko chiri kukonzera kuramba kwavo zviratidzo. Ramba uchiyeuka, kunyange, kuti kana iwe usina kuongororwa zvakakodzera nechirwere ichi, unogona kutambura nekunzwa kweguten. Kurapa kwakafanana kune zvose: kudya kwakasimba-kunokonzera gluten.
Kana iwe uri nechivimbo gluten idambudziko rako, saka iwe unofanirwa kuongorora kudya kwako kwekuvanzika kunokonzerwa. Tanga nevatadzi vepamusoro vakanyorwa mubhuku rangu reGluten-Free Diet (chikwata pamusoro).
Kana iwe usisiri kudya chero ipi zvayo, tora zvakanyanya pane zvakasara zvekudya kwako: zvokudya zvekudya zvekudya, zvakawanda zvekudya zvakagadziriswa (kunyange kana zvakanyorwa kuti "gluten-isina") uye kupfuura-zvakawanda zve "gluten- kusununguka "zvigadzirwa zvezviyo zvingakuita kuti uwedzere kunzvera guteni kupfuura muviri wako unogona kubata. Chengetedza zvakanyanya mazinga ekuedzwa kweunoda iwe "gluten-asina" -kugadzirwa kwezvinhu-iwe unogona kungoda kudya chete zvinogadzirwa zve-gluten-zvisina kuwanikwa kana kuti kudzivisa huwandu hwezviyo kubva pazvinenge zvichisvibiswa zvakanyanya ne gluten.
Pano pane zvimwe zvigadziro pakurambidza kunzvera gluten kubva pane zvaunodya:
- Kurumbidza Kunogona Kuita Kuti Ndirware Zvakadini?
- Zvokudya Zvakanyorwa 'Gluten-Free' Zvingave Zvine Zvimwe Zvimwe Gluten
- Chikonzero Nei Unogona Kudya Gluten-Usina uye Uchine Zviratidzo
- Chikonzero nei Gluten-Zvisina Utengo Zvikamu Zvikamu Nemamiriyoni Numeri Nyaya
Mune zvimwe zviitiko, unogona kutarisa kuti uri kutarisana nezvikafu kunze kweguten - zvinowanzoonekwa nevanhu vane chirwere chechiliac kuti vavewo neharosi kusagadzikana, somuenzaniso, uye vanhu vazhinji vanorondedzera zvakajeka zvakasiyana nekusarudzwa kwe soy uye zviyo, zvose zvokudya zvekudya zvakanyanya zvakanyanya. Mune zviitiko zvakawanda, kunyange zvakadaro, kubvisa zviduku zvakakwana zve gluten zvingaita zvinonyengera.
Kana zvimwe zvose zvisingakwanisi, iwe ungada kufunga nezvekutaurirana nemumwe muzvidzidzo wezvokudya uyo anonyatsoziva nezvekudya-kusadya-munhu uyo anogona kukwanisa kuona matambudziko angave akamboita, zvakadai sokusaziva kwakasvibiswa kwepamuviri kunokonzerwa nekugoverwa kicheni, kana kusununguka pabasa.
Pamusoro pezvose, usatanga kutya chikafu - muhupenyu hwangu (uye ini ndinonyatsotarisa kutsvaga gluten), zvinokwanisika kudya kudya kwakasiyana uye kunofadza kunobvisa zviratidzo zvese zvakakwana.
Sources:
Alvine Pharmaceuticals Inoparidza Celiac Disease Symptom Frequency uye Kuoma Zvidzidzo Zvinoitika pa 2012 American College yeGastroenterology Meeting. Nyaya yekubudiswa, October 24, 2012.
Dewar DH et al. Dambudziko reCeliac: Kutungamirirwa kweMirangariro Dzakasimba muVachipatara pane Zvokudya zveG Gluten. World Journal of Gastroenterology. 2012 Mar 28; 18 (12): 1348-56.
Hauser W. et al. Zvinyorwa zveIrritable Bowel-Type Symptoms and Healthcare-Seeking Behavior pakati pevakuru vane chirwere cheCeliac. Psychosomatic Medicine. 2007 May; 69 (4): 370-6. Epub 2007 Apr 30.
Midhagen G. Kukura Kwemaviri Ezviratidzo Muvarwere VaCeliac Vanorarama Kudye Zvisina Kurwiswa: Chidzidzo Chinochengetedzwa. American Journal of Gastroenterology. 2003 Sep; 98 (9): 2023-6.