Isifo seCeliac: Ngaphezu kokunyamezelana kweGluten

Umxholo

• Zithini iimpawu zesifo se-celiac?
• Iimpawu zesifo seCeliac ebantwaneni
• Iimpawu zesifo seCeliac kubantu abadala
• Ngubani osemngciphekweni wesifo se-celiac?
• Sichongwa njani isifo seCeliac?
• Sinyangwa njani isifo seCeliac?
• Ukuthintela ukutya kwabantu abanesifo se-celiac

Yintoni isifo seCeliac?

Isifo seCeliac sisifo sokugaya esabangelwa kukungaphenduli komzimba kwi-gluten. Isifo seCeliac saziwa njenge:

• sprue
• I-spront engeyiyo
• I-enteropathy ebuthathaka

I-Gluten yiprotheyini efumaneka kukutya okwenziwe ngengqolowa, irhasi, irye, kunye netriticale. Ikwafumaneka nakwi-oats esele zenziwe ekusetyenzisweni kwezityalo eziphethe ezinye iinkozo. I-Gluten inokufumaneka nakwamanye amayeza, iivithamini, kunye nelipstick. Ukunganyamezelani kweGluten, ekwabizwa ngokuba luvakalelo lwe-gluten, ibonakaliswa kukungakwazi komzimba ukucola okanye ukwahlula i-gluten. Abanye abantu abanokunganyamezelani kwe-gluten banobuntununtunu obunobunono kwi-gluten, ngelixa abanye benesifo se-celiac esisisifo esibuhlungu.

Kwisifo se-celiac, ukuphendula komzimba kwi-gluten kudala iityhefu ezitshabalalisa i-villi. I-Villi zizinto ezincinci ezinje ngomnwe ngaphakathi kumathumbu amancinci. Xa i-villi yonakele, umzimba awunako ukufunxa izakhamzimba ekutyeni. Oku kunokukhokelela kukungondleki kunye nezinye iingxaki ezinzulu zempilo, kubandakanya ukonakala kwamathumbu ngokusisigxina.

Ngokwe-National Institute of Diabetes kunye neDigestive kunye neZifo zeZintso, malunga ne-1 kwabayi-141 baseMelika banesifo se-celiac. Abantu abanesifo esiqhekezayo kufuneka baphelise zonke iintlobo zegluten ekudleni kwabo. Oku kubandakanya uninzi lweemveliso zesonka, izinto ezibhakiweyo, ibhiya, kunye nokutya apho i-gluten inokusetyenziswa njengesixhobo sokuzinza.

Zithini iimpawu zesifo se-celiac?

Iimpawu zesifo seCeliac zihlala zibandakanya amathumbu kunye nenkqubo yokwetyisa, kodwa zinokuchaphazela namanye amalungu omzimba. Abantwana kunye nabantu abadala bathanda ukuba neempawu ezahlukeneyo.

Iimpawu zesifo seCeliac ebantwaneni

Abantwana abanesifo se-celiac banokuziva bediniwe kwaye benomsindo. Banokuba bancinci kunesiqhelo kwaye balibazise ukufikisa. Ezinye iimpawu eziqhelekileyo zibandakanya:

• ukuhla ukusinda
• ukugabha
• isisu esiswini
• intlungu zesisu
• uhudo oluqhubekayo okanye ukuqhina
• ezimhlophe, ezityebileyo, izitulo ezinevumba elibi

Iimpawu zesifo seCeliac kubantu abadala

Abantu abadala abanesifo esiqhekezayo banokufumana iimpawu zokugaya ukutya. Kwiimeko ezininzi, nangona kunjalo, iimpawu zichaphazela nezinye iindawo zomzimba. Ezi mpawu zinokubandakanya:

• i-anemia yentsimbi
• intlungu edibeneyo kunye nokuqina
• buthathaka, amathambo aphuke
• ukudinwa
• ukuxhuzula
• ukuphazamiseka kolusu
• ukuba ndindisholo nokubetha ezandleni nasezinyaweni
• ukuguqulwa kwamazinyo okanye ukulahleka koqweqwe lwawo
• izilonda eziluthuthu ngaphakathi emlonyeni
• amaxesha okungaqhelekanga okuya esikhathini
• ukungachumi kunye nokuphuma kwesisu

I-Dermatitis herpetiformis (DH) lolunye uphawu oluqhelekileyo lwesifo se-celiac. I-DH kukungxamiseka okukhulu kwesikhumba okwenziwe ngamaqhuma kunye namadyungudyungu. Ingakhula kwiingqiniba, emadolweni, nasemadolweni. I-DH ichaphazela malunga neepesenti ezili-15 ukuya kuma-25 zabantu abanesifo se-celiac. Abo banamava e-DH bahlala bengenazo iimpawu zokwetyisa.

Kubalulekile ukuba uqaphele ukuba iimpawu ziyahluka ukusuka komnye umntu ukuya komnye kuxhomekeka kwizinto ezahlukeneyo, kubandakanya:

• ubude bexesha umntu ancanciswa ngalo usana
• ubudala umntu waqala ukutya i-gluten
• isixa se-gluten umntu asityayo
• ubuzaza bomonakalo wamathumbu

Abanye abantu abanesifo esiqhekezayo abanazimpawu. Nangona kunjalo, basenokuphuhlisa iingxaki zexesha elide ngenxa yesifo sabo.

Cwangcisa ukuqeshwa nogqirha wakho ngoko nangoko ukuba ukrokrela ukuba wena okanye umntwana wakho unesifo se-celiac. Xa ukuxilongwa nokunyanga kulibazisekile, iingxaki zinokuthi zenzeke.

Ngubani osemngciphekweni wesifo se-celiac?

Isifo seCeliac sihamba kwiintsapho. NgokweYunivesithi yaseChicago yeZiko loNyango, abantu banethuba elinye kwabayi-22 lokuphuhlisa isifo se-celiac ukuba umzali okanye umntakwabo unemeko.

Abantu abanezinye izifo ezizimele kunye neengxaki ezithile zofuzo nabo banakho ukuba nezifo ze-celiac. Ezinye zeemeko ezinxulumene nesifo se-celiac zibandakanya:

• ilupus
• irheumatoid Arthritis
• uhlobo lweswekile 1
• isifo se-thyroid
• isifo sesibindi somzimba
• Isifo iAddison
• Isifo seSjogren
• Isifo esiphantsi
• Isifo sikaTurner
• Ukunyamezelana kwe-lactose
• umhlaza wamathumbu
• i-lymphoma yamathumbu

Sichongwa njani isifo seCeliac?

Ukuchongwa kwesifo kuqala ngovavanyo lomzimba kunye nembali yonyango.

Oogqirha baya kwenza iimvavanyo ezahlukeneyo ukunceda ukuqinisekisa isifo. Abantu abanesifo se-celiac bahlala benamanqanaba aphezulu e-antiendomysium (EMA) kunye ne-anti-tissue transglutaminase (tTGA) antibodies. Ezi zinokufunyanwa kuvavanyo lwegazi. Uvavanyo luthembeke kakhulu xa lwenziwa ngelixa i-gluten isekutyeni.

Uvavanyo lwegazi oluqhelekileyo lubandakanya:

• ubalo lwegazi olupheleleyo (CBC)
• Uvavanyo lomsebenzi wesibindi
• uvavanyo lwecholesterol
• Uvavanyo lwenqanaba le-alkaline phosphatase
• Uvavanyo lwe-serum albumin

Kubantu abane-DH, i-biopsy yolusu inokunceda oogqirha bafumane isifo se-celiac. Ngexesha le-biopsy yolusu, ugqirha uya kususa iziqwenga ezincinci zesisu ukuze zihlolwe ngemicroscope. Ukuba i-biopsy yolusu kunye neziphumo zovavanyo lwegazi zibonisa isifo se-celiac, i-biopsy yangaphakathi isenokungafuneki.

Kwiimeko apho uvavanyo lwegazi okanye iziphumo zesikhumba se-biopsy zingahambelani, i-endoscopy ephezulu inokusetyenziselwa ukuvavanya isifo se-celiac. Ngexesha le-endoscopy ephezulu, ityhubhu encinci ebizwa ngokuba yi-endoscope ifakwa ngomlomo ize yehle iye emathunjini amancinci. Ikhamera encinci eqhotyoshelwe kwi-endoscope ivumela ugqirha ukuba ahlole amathumbu kwaye ajonge nokonakaliswa kwe-villi. Ugqirha unokwenza i-biopsy yamathumbu, ebandakanya ukususwa kwesampulu yethishu emathunjini yohlalutyo.

Sinyangwa njani isifo seCeliac?

Olona hlobo kuphela lokunyanga isifo se-celiac kukususa ngokusisigxina i-gluten kwisidlo sakho. Oku kuvumela i-villi yamathumbu ukuba inyange kwaye iqale ukufunxa izondlo ngokufanelekileyo. Ugqirha wakho uya kukufundisa indlela yokuphepha i-gluten ngelixa ulandela ukutya okunesondlo kunye nokunempilo. Kananjalo baya kukunika imiyalelo ngendlela yokufunda iilebheli zokutya kunye nemveliso ukuze ukwazi ukubona naziphi na izithako eziqukethe igluten.

Iimpawu zinokuphucula ngaphakathi kweentsuku zokususa i-gluten ekudleni. Nangona kunjalo, akufuneki uyeke ukutya i-gluten de kufunyaniswe isifo. Ukususa i-gluten ngaphambi kwexesha kunokuphazamisa iziphumo zovavanyo kwaye kukhokelele kuvavanyo oluchanekileyo.

Ukuthintela ukutya kwabantu abanesifo se-celiac

Ukugcina ukutya okungenayo i-gluten akulula. Ngethamsanqa, iinkampani ezininzi ngoku zenza iimveliso ezingenanto ye-gluten, enokufumaneka kwiivenkile ezahlukeneyo kunye nakwiivenkile ezikhethekileyo zokutya. Iilebheli kwezi mveliso ziya kuthi "azina-gluten."

Ukuba unesifo se-celiac, kubalulekile ukwazi ukuba kukuphi ukutya okukhuselekileyo. Nalu uthotho lwezikhokelo zokutya ezinokukunceda ubone ukuba ungatya ntoni kwaye uphephe ntoni.

Gwema ezi zinto zilandelayo:

• ingqolowa
• ipelwe
• rye
• irhasi
• triticale
• bulgur
• durum
• farina
• umgubo we graham
• semolina

Kuphephe ngaphandle kokuba ilebula ithi ayina-gluten-free:

• ibhiya
• isonka
• iikeyiki neepie
• ilekese
• ukutya okuziinkozo
• cookies
• abaqhekezi
• croutons
• imithambo
• ukuxelisa inyama okanye ukutya kwaselwandle
• ioats
• ipasta
• inyama yesidlo sasemini, iisoseji, kunye nezinja ezishushu
• Ukunxitywa kwesaladi
• iisosi (kubandakanya isosi yesoya)
• Iinkukhu ezizithandayo
• isuphu

Ungazitya ezi grains zingena-gluten kunye ne-starch:

• ibhreythi
• umbona
• amaranth
• utolo
• ingqolowa
• umgubo owenziwe ngerayisi, isoya, umbona, iitapile, okanye iimbotyi
• iitorilla zombona ezimsulwa
• IQuinoa
• irayisi
• tapioca

Ukutya okusempilweni, ukutya okungenagluten kubandakanya:

• iinyama ezintsha, iintlanzi, kunye neenkukhu ezingakhange zifakwe isonka, zingagutyungelwanga, okanye zingaxutywanga
• isiqhamo
• Uninzi lweemveliso zobisi
• imifuno yesitatshi efana nee-ertyisi, iitapile, kubandakanya ibhatata kunye nombona
• irayisi, iimbotyi kunye neelentile
• imifuno
• iwayini, iziselo ezinxilisayo, ii-cider kunye nemimoya

Iimpawu zakho kufuneka ziphuculwe kwiintsuku ukuya kwiiveki zokwenza olu hlengahlengiso kwindlela yokutya. Kubantwana, amathumbu ahlala ephilisa kwiinyanga ezintathu ukuya kwezintandathu.Ukuphilisa amathumbu kungathatha iminyaka eliqela kubantu abadala. Nje ukuba amathumbu aphile ngokupheleleyo, umzimba uya kuba nakho ukufunxa izondlo ngokufanelekileyo.