Vamwe vanhu vane IBD vanonzwa zviri nani pane gluten-pasina.
Chirwere cheCeliac, kwete-celiac gluten senitivity uye chirwere chinoputika chirwere ( IBD ) zvose zvinokanganisa mararamiro ako. Asi zvinhu izvi zvitatu zvakabatana sei? Kana uine chirwere chechiliac kana kuti kwete-celiac gluten senitivity, izvi zvinoreva here kuti maitiro ako ekuva nechirwere chechirwere chirwere chakakwirira? Uye, kudya kwejuten kunogona kubatsira zviratidzo zvako zveBDD kunyange iwe usina chirwere checliac here?
Zvizhinji zvekutsvakurudza kwekuti izvi zvinogona kuwirirana zvakadini munguva pfupi yapfuura, uye zvimwe zvacho hazvina kugadziriswa nehurukuro, yakanyatsogadzirirwa kliniki miedzo.
Kunyange zvakadaro, zvidzidzo zvishomanana uye nhoroondo dzemhosva zvinoratidza kuti vanhu vane Crohn's disease uye ulcerative colitis (iyo miviri mikuru yezvirwere zvechirwere) inogona kunge yakanyanya kuedza yakanaka yezvirwere kumapuroteni a gluten, pasinei nokuti kana vasina ivo celiac chirwere. Uye mune dzimwe nguva, kudya kwe-gluten kwakabatsira vanhu vane zvirwere zvechirwere zvinoputika kunzwa zvakanaka, kunyange zvazvo vanhu avo vasina chirwere checalyac.
Hezvino izvo zvatinoziva (uye zvatisingazivi) pamusoro pezvinobvira zvinosangana pakati pezvirwere zvechiliac, kwete-celiac gluten senzwi, uye kuputika kwechirwere chirwere.
Zviratidzo Zvakafanana neCeliac, Gluten Sensitivity, uye IBD
Chirwere cheCeliac chinoitika apo muviri wako unokanganisa puroteni ye gluten mugorosi, bhari, uye rye kune imwe nyika inoparadza, zvichiita kuti muviri wako uzvidzivirire mukati mako.
Zviratidzo zvehutachiona zvinogona kusiyana-siyana (pane chaizvoizvo zvinopfuura zana, kusanganisira akawanda asingasanganisi gadziriro yako yezvokudya), asi vanhu vakawanda vane celiac vane chirwere chekurwara kana kuvhiringidzika , kurwadziwa kwepamuviri, kuneta , uye kushaya ropa .
Zviratidzo zvekusava neecliac gwisi kunzwisisika kunogona kutevedzera avo vane chirwere chechiliac-zvose zviripo zvinosanganisira mhando dzakadaro dzekudya kwekudya.
Avo vane gluten senzwi, kunyange zvakadaro, vanoita sevanotambura nepamusoro pemusoro wepamusoro uye zvimwe zviratidzo zvehutano, zvakadai sehutano hunokonzera hunoita manzwiro e "pini nemasero" mumakumbo nemakumbo, kupfuura avo vane chirwere chechiliac.
Pakupedzisira, zviratidzo zvekuputira chirwere chinopesana zvichienderana nehupi huripo (Crohn's disease kana ulcerative colitis). Zvose Crohn's uye ulcerative colitis zvinogona kukonzera marwadzo emimba, kupwanyisa, kwakaoma (dzimwe nguva kunopa ropa) uye chirwere.
Kutaura Kusiyanisa Pakati Pemitemo
Zviri pachena kuti pane zvakawanda zviripo pakati pezviratidzo zvechirwere chechiliac, kwete-celiac gluten sensivity, uye chirwere chinoputira chirwere, uye icho chinogona kuita kuti kunyatsoongorora kuve kwakaoma.
Vanachiremba vanoshandisa ropa kuongororwa kuti vatarise chirwere chechiliac (kunyange zvazvo asiri munhu wese ane mamiriro ezvinhu akaongororwa akanaka), uye musimbise kuongororwa ne- endoscopy uye biopsy kuti utarise zvakananga pamatanda emukati wako muduku kuti uone kana yakakuvara.
Kuti uongorore chirwere cheCrohn kana chironda chekurara, chirwere chako chinogona kunge chichaita colonoscopy uye / kana kuti endoscopy kuti iongorore zviratidzo zvakasiyana, izvo zvakasiyana kune zvechirwere ichi. Hapana kuongororwa ropa kweropa rechirwere chechirwere, kunyangwe kuongororwa kwakawanda kweropa-kwakadai sekukwanisa kuvhara ropa-kunogona kupa mamwe mashoko.
Pakupedzisira, hapana chirongwa chechiremba chinogamuchirwa chekuti kwete-celiac gluten senitivity (kwete vose vanachiremba vanobvuma kuti iripo). Nzira imwe chete yekuziva kana iwe uine iyo yekutevera kudya kusina guten zvakasimba uye kuona kana iwe uchinzwa zviri nani. Asi kunyange izvo zvisinganzwisisi: iwe unganzwa zviri nani nokuti wakaderedza kana kubvisa zvokudya zvisina kudya kubva pane zvaunodya pamwe chete ne gluten, somuenzaniso, kana kuti pfungwa chete yokuti uri kuita chinhu chakanakira hutano hwako inogona kubatsira kuderedza zviratidzo zvako. Kunyange zvakadaro, kutsvakurudza kunoratidza kuti vamwe vanhu vanoita, chaizvoizvo, vanoita sevanoita mararita ane gluten ane zviratidzo zvakafanana kune zvechirwere chechiliac, kunyange zvazvo vanhu ivavo vasina chokwadi vane chirwere cheliacac.
Ndezvipi Zvingaita Zvimwe Zviripo pakati peCeliac neBD?
Zvimwe zvidzidzo zvepakutanga zvakawana kuti vanhu vane chirwere chechiliac vakanga vari pangozi yakakwirira zvikuru-inogona kunge yakakwirira se-10-fold inowedzera panjodzi-yekuonekwawo pamwe neCrohn's disease kana ulcerative colitis. Zvisinei, kumwe kutsvakurudza kwakaitwa munguva pfupi kwakaratidza kuti avo vane IBD vane zvirwere zvehutachiona izvo zvakafanana neavo munharaunda yakawanda.
Kunyange zvakadaro, panoonekwa seimwe sangano pakati pemamiriro maviri aya, uye mazita ezvibhedheni anogona kutsanangura chikamu chechibatanidzwa ichocho. Ichangobva kuongorora tsvakurudzo yemagenzura yakawana kuti chirwere chechiliac nechirwere cheCrohn chinosanganisira majini mana anoita kuti awedzere ngozi kune zvose zviripo. Mukuwedzera, vatsvakurudzi vakaona maitiro ezvirwere zvinowedzera kuisa mungozi pamwe chete neecliac uye yealcerative colitis.
Zvose zvirwere zveBD uye celiac dzinofungidzirwa nezvirwere zvinotapukira , izvo zvinoreva kuti zvinosanganisira kurwisa kusina kukodzera kwemuviri wako mumuviri wako. Zvose izvi zvinoratidzika kunge zvinosanganisira kuchinja kunetseka mumakumbo ako emakumbo (mabhakitiriya anogara mumatumbo ako makuru), izvo zvinogona kukonzera kana kutsigira kuputika.
IBD uye Gluten Sensitivity Ngave Ichinyanya Kuwirirana
Izvozvo-zvisingabatsiri zvinokonzera kugunun'una zvinogona kuva zvakanyanya kupfuura chirwere chechiliac kune vanhu vane Crohn's disease kana chironda chekurara, zvidzidzo zvakawanda zvinoratidza.
Semuenzaniso, boka rechiremba muItaly neUnited Kingdom rakaongorora varwere vavo vane chirwere chinoputika uye vakaona kuti 28% yeavo vaitenda kuti vaiva nekunzwa kweguten, kureva kuti zviratidzo zvavo zvaiita sezvisina kuipa pavakadya zvokudya zvine gluten. 6% chete yevanhu ava vaitevera kudya kweguten pasina nguva panguva yekuongorora, kunyange zvakadaro. Vatsvakurudzi vakaona zvakare kuti izvo zvinonzi "kuzviratidza kusina-celiac gluten sensibisi" kwakabatanidzwa nehosha yakawanda yeCrohn, uye vakadana kuti vawedzere zvidzidzo kuti vaone kana kudya kweguten kusina kubatsira munyaya idzi.
Mutsara wegore ra2014, vanachiremba muJapan (uko chirwere ichi chisingawanzoitiki) chakaongorora vanhu 172 vaiva nechirwere chechirwere chezvirwere zvezvirwere kuti vawane gluten kuburikidza nekuongororwa kweropa, uye vachienzanisa vanhu ivavo nekutonga kwe2001. Vakawana kuti 13% yevaya vane chirwere chechirwere chinoputika zvakare chakaedzwa chechirwere chema anti-gluten antibodies. Zvisinei, vatatu chete vevanhu ivavo vakatakura chimwe chezvinhu zviviri zvakakosha zvechirwere chemajeni , uye hapana chimwe chazvo chakanga chakaremara mumatumbo avo maduku, saka hapana mumwe wavo aiva nechirwere chechiliac.
Kunyange zvakadaro, vasere veavo vane chirwere chechirwere chinoputika avo vakaedzawo maitiro ekurwisa mabheti kuti gluten atange kudya kudya kweguten (vamwe vanhu vasere kubva muboka rimwe chete vakatevera kudya kweguten, uye vakashanda sekutonga). Pashure pemwedzi mitanhatu pane kudya kweguten, vanhu vasere vakanga vane zviratidzo zvishoma-kunyanya chirwere-pane zvidzidzo, chidzidzo chacho chakashuma. Hapana mumwe weboka rimwe nerimwe wakagadzira chirwere chechiliac.
Saka Zvinyorwa zveG Gluten Zvingabatsira Kubhi?
Zvichida zvinogona, kunyange kana iwe usina chirwere ichi. Muzviitiko zvakasiyana-siyana (kusanganisira mune zvidzidzo zviri pamusoro), vanachiremba vakaona kuti kudya kwe-gluten kusina kusimbiswa kana kugadziriswa zvirwere zvechirwere zvirwere zvechirwere, kunyange kuvanhu vanga vasina chirwere cheliacac. Vanhu vane chirwere chaCrohn vainyanya kubatsirwa.
Somuenzaniso, mune imwe nyaya yakabudiswa muna 2013, Dr. David Perlmutter (mukurumbira weBrain Brain ) akaudza mumwe murwere akanga aine chirwere cheCrohn, uye akanga asina kuwana zviri nani nekurapa kwaCrohn's. Kubva pakuongorora kweropa kwakaratidza kuti muviri wake unobereka zvirwere kumapuroteni e gluten uye kune zvimwe zvikamu zvegorosi, bhari, uye rye, murume wacho akaonekwa kuti aiva neutsi hwekusava necelen uye anotanga kudya kusina gluten.
Izvi "zvakatungamirira mushure memavhiki masere kusvika pakupera kwemashure," vanachiremba vakanyora. "Pakuenderera mberi kwezvokudya zvisina guten, kwete chete kugadzikana kwegumbo kunowanzove kwakasununguka, asi murwere akazotangawo kuwedzera kuwedzera. Pakuzotevera rimwe gore gare gare murwere akadzoka kune imwe nyika uye akawana zvakare anopfuura 80% kurasika. " Chirwere chake chaCrohn chakanga chaenda mukuregererwa pazvokudya zvisina guten.
Vatsvakurudzi vanobva kuYunivhesiti yeNorth Carolina vakawana zvakafanana (kana zvimwe zvisingashamisi) zvinobatsira pavakatsvaga vanhu 1,647 vane chirwere chinoputira chirwere pamusoro pekuti vanga vamboedza kudya kwe-gluten. Zvose zve19% vakataura kuti vakanga vamboedza kare, uye 8% vakati vachishandisa kudya. Pasi pose, inenge zvikamu zviviri kubva muzvitatu zvevaya vakange vaedza kudya gluten-vasina kutaura kuti kudya kwakagadzirisa zviratidzo zvekudya, uye 28% vakaratidza zvishoma kana zvishoma zvakanyanya IBD moto. Kunyanya, avo vakanga vari kutevera kudya kwaiva panguva yekuongororwa vakati zvakabatsira kubata kwavo zvakanyanya.
Vatsvakurudzi vakati zvakange zvichiita kuti michina isiri-gluten inowanikwa mumaguta e gluten (asi kusiyana neproteni ye gluten pachayo) inogona kukonzera kuvhuvhuka kwepamuviri kune vanhu vane IBD, uye kudya kudya-gluten kunogona kubatsira kuderedza kupisa uku (uye zviratidzo zvinosangana nayo ). Vatiwo kuongorora kwavo "kwakanyatsoratidza kuti chinangwa chekudya ichi chinogona kuitwa" kune vamwe vashandi veBD, asi kuti kuwedzera kutsvakurudza kunodiwa kuti aone kuti ndiani anogona kubatsirwa zvikuru.
Saka hongu, zvinokwanisika kuti kudya kwe-gluten kunogona kubatsira kuderedza zviratidzo zvechirwere chechirwere, kunyange kune vanhu vasina chirwere checalyac. Kana uri kushamisika kana iwe ungabatsirwa, taura nachiremba wako nezvekuedza kudya.
Sources
Aziz I et al. Chidzidzo chekuongorora hukama hwechidirectional pakati pezvirwere zvechirwere chirwere uye kuzviratidza kusina-celiac gluten senzwi. Kuora Kwechirwere Chirwere Zvirwere. 2015 Nhasi; 21 (4): 847-53.
Casella G et al. Kuwanda kwehutachiona hwechiliac muzvirwere zvechirwere zvinoputika: An IG-IBD multicentre study. Digestive uye Chiropa Disease . 2010 Mar; 42 (3): 175-8.
Cheng SX et al. Chirwere cheCeliac mucheche ane ulcerative colitis: inogona kugadziriswa kwemafuro. Zvinyorwa zveKliniki Gastroenterology. 2013 Feb; 47 (2): 127-9.
Delco F et al. Celiac inofamba pakati pevarwi vemauto veUnited States: zvinetso zvinokonzerwa nezviratidzo zvekurapa. Digestive Diseases and Sciences. 1999 May; 44 (5): 966-72.
Gillberg R et al. Chirwere chechirwere chechirwere chechirwere muvarwere vane chirwere ichi. Scandinavia Journal of Gastroenterology. 1982 Jun; 17 (4): 491-6.
Jandaghi E et al. Iko kuwanda kwezvirwere zveCeliac zvakakwirira kupfuura huwandu huwandu hwevanhu muhutachiona hwechirwere chechirwere here? Middle East Journal of Digestive Diseases. 2015 Mbudzi; 7 (2): 82-7.
Pascual V et al. Chirwere chechirwere chetachiona uye chirwere chechiliac: Kuvhara nekusiyana. World Journal of Gastroenterology. 2014 Mbudzi 7; 20 (17): 4846-4856.
Tavakkoli H et al. Serologic celiac chirwere muvarwere vane chirwere chinoputika chirwere. Nyaya Yokutsvakurudza muChichi Sciences. 2012 Feb; 17 (2): 154-8.
Vojdani A et al. Kusiyana pakati peCeliac Disease, Nonceliac Gluten Sensitivity, uye Kupararira Kwavo neCrohn's Disease: A Case Series. Case Reports in Immunology. Bhuku 2013, Chinyorwa ID 248482.
Watanabe C et al. Kuwandisa kweserum celiac antibody mune varwere vane IBD muJapan. Nyaya yeGastroeterology. 2014 May; 49 (5): 825-34.