Vanhu Vangani Vane Gluten Sensitivity?

Zvinowanzogamuchirwa kuti mumwe wevanhu 133 ane chirwere ichi , chibereko chinokonzera kubatwa kwepachivi pose pavanenge vaine gluten , puroteni yakawanikwa mugorosi, bhari, uye rye.

Zvisinei, vatsvakurudzi vachangobva kuziva kuti kwete-celiac senhuviki sehupano , zvakasiyana nemamiriro ezvinhu, uye vamwe mune zvehutano vari kumirira kuvimbiswa kweavo vachitsvaga kutsvakurudza kutsvakurudza vasati vabvuma kugunzva kwejuten seanokwanisa kuongororwa.

Zvinokwanisika kuti haisi iyo gluten shure kwezvose-pane kudaro, inogona kunge iri chimwe chinhu mugorosi uye mamwe maruva ane gluten ari kukonzera zvimwe kana kusarudzwa kwevanhu avo vari "gluten" -singafungi.

Zvichipa zvose izvo, pamwe chete nechokwadi chokuti hapana kuongororwa kunoedzwa kwekunzwa kwejuten , hazvigone kutaurira zvechokwadi kuti vangani vanhu vangave vangave vane gluten-sensitive. Vatsvakurudzi vakafungidzira kuti ingave yakaderera se 0.6% yevanhu (kana vatanhatu muvanhu vane chiuru chevanhu) kana yakakwirira se6% yevanhu (vatanhatu pane vanhu 100), asi hakuna kumbove nekutsvakurudza kwakajeka pane iyo nhamba.

Zvisinei, vatatu vanotsvakurudza mukurumbira mundima - Dr. Alessio Fasano, Dr. Kenneth Fine, naDkt. Rodney Ford - munguva pfupi vakataura neni uye vakafungidzira kuti zviyero zvingave zvipi. Ingoverenga usati waverenga pamusoro pekuti zvikamu zvavanotaura zvinobva pane zvavo (kunyanya kusina kubudiswa) tsvakurudzo, uye hazvirevi maonero ehutano chaihwo.

Dr Fasano: Gluten Sensitivity May inogona kuita 6% kusvika ku7% Kazhinji

Dr. Fasano, mutungamiri weYunivhesiti yeMadganist Centre yeCeliac Research, akabudisa shanduro yekutanga achitarisa ma molecular for sensitivity ye gluten uye kuti yakasiyana sei nechirwere ichi. Akabatanidzwawo mukutsvakurudza kugumisa kuti chirwere chechiliac chiitiko ndechimwe muvanhu 133.

Maererano naDr. Fasano, kunzwa kunokonzerwa nejuten kunogona kukanganisa vanhu vakawanda kupfuura chirwere ichi. Anofunga nezve 6% kusvika ku7% yehuwandu hweUnited States angave ane gluten-sensitive, zvinoreva kuti vanhu vanenge mamiriyoni makumi maviri muUnited States chete vanogona kuva nemamiriro acho ezvinhu.

Zviratidzo zvekushushikana kweGluten muhuwandu hwevanhu zvinogona kusanganisira zvinetso zvekudya, misoro, mashes uye zviratidzo zveganda zvezema-eczema, uropi hwehuputi uye kuneta, Dr. Fasano anoti. Anenge chikamu chetatu cheavo vanorwara sehutano-hwehutu hunopupurira uropi hwehuputi uye misoro sezviratidzo, anodaro.

Drs. Ford, Zvakanaka Iti Icentage Inogona Kuve Yakakwirira Kure-Kuka Ku 50%

Dr. Ford, vanachiremba muChristchurch, New Zealand uye munyori weThe Gluten Syndrome , anoti anotenda kuti chiyero chevanhu vanonzi gluten-chinonyatsokwanisa kuva chikuru-chinogona kuva pakati pe30% ne50%.

"Kune vanhu vakawanda kwazvo vanorwara," anodaro. "Zvichida 10% ndeye-gluten-sensitive, uye zvichida yakafanana ne30%." Ndakanga ndakanamatira mutsipa wangu kunze kwemakore akapfuura apo ndakati 10% yevamwe vanhu vane gluten-sensitive.Vamwe vandaishanda navo vezvehutano vaiti gluten senitivity didn ' Tivepo.Tingazoona kuti inopfuura 50% apo patinopedza kugadzika pane nhamba. "

Dr. Fine, gastroenterologist uyo akasika uye anorayira gluten senitivity test service Service Enterolab , anobvumirana kuti kushushikana kwe gluten kunogona kukanganisa hafu yevanhu.

Dr Fine vanopomerwa kuti 10% kusvika ku15% yevaAmerica vose vane ropa rinorwisa ropa (ingava AGA-IgA kana AGA-IgG zvirwere) kune gluten, izvo zvingaratidza kuti maitiro avo ezvirwere zvekuzvidzivirira ari kuita mapuroteni.

Chimwe chikamu chikuru chevanhu veAmerica vane mararamiro ekudzivirira, kushungurudzika kwemawere , chirwere chisina kuchena uye / kana microscopic colitis, inovaisa pangozi yakanyanya yekunzwa kwekutya kwe gluten. Vanenge makumi matanhatu kubva ku60 kusvika ku65% yevanhu vane mamiriro ezvinhu aya anovonekwa zvakanaka nokuda kwehutano hwe gluten kuburikidza neEngolab, Dr. Fine anoti.

Panguva iyi, vanenge 20 kusvika ku25% yevanhu vasina zviratidzo vanoongororwa ne gluten senitivity inobva mumigumisiro yekuongorora yaIngolab, Dr. Fine anoti.

"Patakazoita masvomhu, tauya nenhamba inenge imwe chete muviri inonzi gluten-inonzwa," anodaro.

Panguva iyi, Dr. Fine anoti anotenda kuti kune imwe yenhamba yekuti vanhu vane chirwere checliac vanove vakakwirira zvikuru-"Ndinofunga kuti yakafanana neyeye muna 200. Ndinonyatsoziva imwe chete muchidzidzo asi iyo yakakokwa uye kusarudza kusarura. " Zvimwe zvidzidzo zvakaisa chiitiko chechirwere chechiliac pane imwechete muvanhu 200 kusvika kune vamwe vanhu 250, uye Dr. Fine anoti anofunga kuti izvo zvakanyatsonaka.

Ndezvipi Izvi Zvinonzi Gluten Sensitivity Numeri Zvinorevei?

Panguva ino, izvi zvingave zvikamu zvevanhu vangave vane gluten senzwiki vanomiririra mafungiro akajeka kune chikamu chechiremba ava nevatsvakurudzi - zvidzidzo zvese hazvina kuitika kuti zviratidze kana dzakarurama here kana kuti dzisina kukwana.

Sources:

Czaja-Bulsa G. Kwete Celiac Gluten Sensitivity - A New Disease With Gluten Endolerance. Clinical Nutrition (Edinburgh, Scotland). 2015 Mbudzi; 34 (2): 189-94.

Fasano A. et al. Kutengesa kweGuin Permeability uye Mucosal Gene Immune Zviratidzo muZviri Mamiriro Akabatanidzwa neClubuten: Celiac Disease uye Gluten Sensitivity. BMC Medicine 2011, 9:23. doi: 10.1186 / 1741-7015-9-23.

Fasano A. et. al. Spectrum yematambudziko anokonzerwa neG Gluten: Consensus pamusoro peNew Nomenclature nekutsvaga. BMC Medicine. BMC Medicine 2012, 10:13 ini: 10.1186 / 1741-7015-10-13. Yakabudiswa: 7 February 2012