I-Gluten-Free ayisiyonto nje iFad: Yintoni ekufuneka uyazi malunga nezifo zeCeliac, u-non-Celiac Gluten Sensitivity, kunye ne-Wheat Allergy

Umxholo

• Kutheni kwaye uhamba njani ngaphandle kwe-gluten
• Yintoni i-gluten kwaye ngubani ofuna ukuyiphepha?
• Isifo seCeliac
• Iimpawu zesifo se-celiac
  
• Iingxaki zesifo se-celiac
  
• Ukutya okunokuphetshwa ngenxa yezifo ezingapheliyo
• Ingqolowa
• Iimpawu zokungabikho kwengqolowa
  
• Ukutya okuthintela nengqolowa
• Ubuntununtunu obungabonakaliyo be-gluten (NCGS)
• Iimpawu ze-non-celiac gluten sensitivity
  
• Ukutya ukunqanda ngovakalelo lwe-non-celiac gluten
• Imithombo efihliweyo yegluten nengqolowa
• Ukutya okunokubakho kwe-gluten- kunye nengqolowa:
  
• Amagama aphambili ekufuneka ubukele
• Ukutshintshwa kwesmart | Ukutshintshwa kweSmart
• Igama lokugqibela

Kutheni kwaye uhamba njani ngaphandle kwe-gluten

Ngokwanda kwemveliso engenalo igluten kunye neemeko zonyango ezifanayo ezinesandi esifanayo, kuninzi ukudideka malunga ne-gluten kwezi ntsuku.

Ngoku ekubeni kuyinto eqhelekileyo ukushenxisa i-gluten ekutyeni okutyayo, abo banemeko yokwenyani banokungahoywa. Ukuba ufunyaniswe unesifo se-celiac, u-non-celiac gluten sensitivity, okanye ukungabikho komzimba kwengqolowa, unokuba nemibuzo emininzi.

Yintoni eyenza imeko yakho yahluke kwabanye? Kukuphi ukutya onokukutya ongenakukutya - ngoba?

Ngaphandle kwemeko yonyango, usenokuzibuza ukuba ingaba ukususa i-gluten ekutyeni kwakho kulungile kwimpilo ngokubanzi.

Nantsi inkangeleko ebanzi kwezi meko, ekufuneka zithintele okanye zithintele i-gluten, kwaye kuthetha ntoni kanye kanye ekukhetheni ukutya kwemihla ngemihla.

Yintoni i-gluten kwaye ngubani ofuna ukuyiphepha?

Ngamagama alula, i-gluten ligama leqela leeproteni ezifumaneka kwiingqolowa ezifana nengqolowa, irhasi kunye nerye- zongeza ukutyeba kunye nokuhlafuna isonka, izinto ezibhakiweyo, ipastas kunye nokunye ukutya.

Kubantu abaninzi, akukho sizathu sempilo sokuphepha i-gluten. Iithiyori zokuba i-gluten ikhuthaza ukuzuza ubunzima, isifo seswekile, okanye ukungasebenzi kwe-thyroid akuqinisekiswanga kuncwadi lwezonyango.

Ngapha koko, ukutya okubandakanya iinkozo ezipheleleyo (uninzi lwazo luqulathe i-gluten) kunxulunyaniswa neziphumo ezilungileyo ezininzi, njengokunciphisa umngcipheko,, kunye.

Nangona kunjalo, kukho iimeko zempilo ezifuna ukunciphisa okanye ukususa i-gluten kunye nokutya okuqukethe i-gluten ekudleni: isifo se-celiac, i-allergies yengqolowa, kunye ne-non-celiac gluten sensitivity.

Nganye iza nokwahluka kweempawu- ezinye zinobuqili kwaye ezinye ziyamangalisa- kunye nezithintelo ezahlukeneyo zokutya. Nantsi into ekufuneka uyazi:

Isifo seCeliac

Isifo seCeliac sisifo sokuzimela komzimba esichaphazela abantu baseMelika, nangona ngaphezulu kungafunyaniswa.

Xa abantu abanesifo se-celiac besitya i-gluten, ibangela ukuphendula komzimba okonakalisa amathumbu amancinci. Lo monakalo unciphisa okanye unciphise i-villi-absorbent-finger projection-projections ehambelana namathumbu amancinci. Ngenxa yoko, umzimba awukwazi ukufunxa ngokufanelekileyo izondlo.

Okwangoku alukho olunye unyango lwesifo se-celiac ngaphandle kokukhutshwa ngokupheleleyo kwe-gluten. Ke ngoko, abantu abakule meko kufuneka baphaphe malunga nokususa konke ukutya okuqulathe i-gluten ekudleni kwabo.

Iimpawu zesifo se-celiac

• urhudo
• ukuqhina
• ukugabha
• i-asidi ye-asidi
• ukudinwa

Abanye abantu baxela utshintsho olwenziwayo njengemvakalelo yokudakumba. Abanye abafumani naziphi na iimpawu ezibonakalayo kwixesha elifutshane.

"Malunga neepesenti ezingama-30 zabantu abane-celiac abanazimpawu zakudala zesisu," utshilo uSonya Angelone, RD, osisithethi seAkhademi yeZondlo kunye neDietetics. Banokungahlolwa okanye bafumane isifo. ” Ngapha koko, uphando lubonisa ukuba uninzi lwabantu abanesifo se-celiac abazi ukuba banaso.

Ukushiywa kunganyangwa, isifo se-celiac singakhokelela kwimicimbi yezempilo enkulu kwixesha elide, njenge:

Iingxaki zesifo se-celiac

• ianemia
• ukungachumi
• ukuswela iivithamini
• iingxaki zemithambo-luvo

Isifo seCeliac sihlala sihambelana nezinye iimeko ezizimeleyo, ngoko umntu onesifo se-celiac unobungozi obukhulu bokukhula kwesifo esifanayo esihlasela amajoni omzimba.

Oogqirha bafumanisa isifo se-celiac ngenye yeendlela ezimbini. Okokuqala, iimvavanyo zegazi zinokuchonga ii-antibodies ezibonisa ukuphendula komzimba kwi-gluten.

Ngaphandle koko, uvavanyo lwe "standard yegolide" lokuhlola isifo se-celiac yi-biopsy eyenziwa nge-endoscopy. Umbhobho omde ufakwa kwindawo yokwetyisa ukususa isampulu yamathumbu amancinci, anokuvavanywa ukuze abonakalise iimpawu zomonakalo.

Ukutya okunokuphetshwa ngenxa yezifo ezingapheliyo

Ukuba ufumene ukuba unesifo se-celiac, kuyakufuneka uphephe konke ukutya okune-gluten. Oku kuthetha zonke iimveliso ezinengqolowa.

Ezinye iimveliso eziqhelekileyo ezisekwe kwingqolowa zibandakanya:

• Imvuthuluka yesonka nesonka
• amaqunube engqolowa
• Iitorilla zenyama yengqolowa
• amaqebengwana, iimuffins, iicokies, iikeyiki kunye neepayi ezinengqolowa
• ipasta esekwe kwingqolowa
• ingqolowa esekwe kwingqolowa
• Iinkozo eziqukethe ingqolowa
• ibhiya
• isosi yesoyi

Iinkozo ezininzi ezingenayo ingqolowa egameni labo ziyinyani yengqolowa kwaye kufuneka kwakhona zihlale kwimenyu yabantu abanesifo se-celiac. Oku kubandakanya:

• umzala
• durum
• semolina
• einkorn
• emmer
• farina
• farro
• kamut
• matzo
• ipelwe
• Seitan

Ezinye iinkozo ngaphandle kwengqolowa ziqulathe i-gluten. Bazi:

• irhasi
• rye
• bulgur
• triticale
• i-oats zenziwe kwindawo enye nengqolowa

Ingqolowa

Ukunganyangeki kwengqolowa, ngokulula, kukungavisisani nengqolowa. Njengazo naziphi na ezinye izinto ezaliwa kukutya, i-aleji yengqolowa ithetha ukuba umzimba wakho wenza izilwa-buhlungu kwiiproteni eziqulathe ingqolowa.

Kwabanye abantu abanokungabikho komzimba, i-gluten ingaba yiprotheyini ebangela impendulo yomzimba-kodwa kukho ezinye iiprotheni zengqolowa ezinokuthi zibe ngumgwenxa, njenge-albhamuin, i-globulin kunye ne-gliadin.

Iimpawu zokungabikho kwengqolowa

• ukuvutha
• urhwebo
• ukuqinisa emqaleni
• ukugabha
• urhudo
• ukukhohlela
• I-anaphylaxis

Ngenxa yokuba i-anaphylaxis inokusongela ubomi, abantu abanengqolowa yokutya kufuneka baphathe i-epinephrine autoinjector (EpiPen) nabo ngamaxesha onke.

Phantse ube nengqolowa yokwaliwa, kodwa ixhaphake kakhulu ebantwaneni, ichaphazela jikelele. Isibini kwisithathu sabantwana abanengqolowa yokungezwani komzimba bayigqitha ngeminyaka eli-12.

Oogqirha basebenzisa izixhobo ezahlukeneyo ukufumana isifo sengqolowa. Kuvavanyo lolusu, izicatshulwa zeprotein zengqolowa ziyasetyenziswa kulusu oluhlatyiweyo ezingalweni okanye ngasemva. Emva kwemizuzu emalunga ne-15, ingcali yezonyango inokujonga ukuba kukho uluvo oluthile, olubonakala njengeqhuma elibomvu eliphakanyisiweyo okanye "ivili" kulusu.

Uvavanyo lwegazi, kwelinye icala, lilinganisa izilwa-buhlungu kwiiproteni zengqolowa.

Nangona kunjalo, kuba ulusu kunye novavanyo lwegazi zivelisa ubuxoki nge-50 ukuya kwi-60 yepesenti yexesha, iijenali zokutya, imbali yokutya, okanye umceli mngeni wokutya ngomlomo zihlala ziyimfuneko ukumisela ukunganyaniseki kwengqolowa.

Umceli mngeni wokutya ngomlomo kubandakanya ukutya inani elinyukayo lengqolowa phantsi kweliso lonyango ukubona ukuba ngaba unexesha elithile xa uhlangabezana noko. Nje ukuba bafunyaniswe, abantu abanale meko kufuneka bazisuse kuko konke ukutya okuneengqolowa.

Ukutya okuthintela nengqolowa

Abantu abanengqolowa yokungabikho komzimba kufuneka baqaphele ngokugqithiseleyo ukuphelisa yonke imithombo yengqolowa (kodwa kungekhona yonke imithombo ye-gluten) ekudleni kwabo.

Akumangalisi ukuba kuninzi ukungqubana phakathi kokutya kwabantu abanesifo se-celiac kunye nokwaliwa yingqolowa ekufuneka kuthintelwe.

Njengabo banesifo se-celiac, abantu abanengxaki yokungezwani nengqolowa akufuneki batye nakuphi na ukutya okusekwe kwingqolowa okanye iinkozo zengqolowa ezidweliswe apha ngasentla.

Ngokungafaniyo nabantu abanesifo se-celiac, nangona kunjalo, abantu abanengqolowa yokutya kukhululekile ukuba batye irhasi, i-rye, kunye ne-oats-free oats (ngaphandle kokuba banokungqinelana nokutya kokutya).

Ubuntununtunu obungabonakaliyo be-gluten (NCGS)

Ngelixa isifo se-celiac kunye nokwaliwa yingqolowa kunembali ende yokuqatshelwa ngonyango, uvakalelo lwe-non-celiac gluten (NCGS) sisifo esichongiweyo esitsha - kwaye khange kube kuphikiswana, kuba iimpawu ze-NCGS zinokungacaci okanye zingenakuphindwa ekubonakalisweni kokutya okukodwa ukuya kwelandelayo.

Okwangoku, ezinye iingcali ziqikelela ukuba ukuya kuthi ga kubemi kubuthathaka-ipesenti ephezulu kakhulu kunabantu abanesifo se-celiac okanye isifo sengqolowa.

Iimpawu ze-non-celiac gluten sensitivity

• ukudumba
• ukuqhina
• intloko ebuhlungu
• intlungu edibeneyo
• Inkungu yengqondo
• Ukuba ndindisholo kunye nokugungqa emaphethelweni

Ezi mpawu zinokuvela ngeeyure, okanye kungathatha iintsuku ukukhula. Ngenxa yokunqongophala kophando, iimpembelelo zexesha elide kwezempilo ze-NCGS aziwa.

Uphando kusafuneka luchaze indlela ebangela i-NCGS. Kucacile ukuba i-NCGS ayonakalisi i-villi okanye ibangele ukungena kwamathumbu okuyingozi.Ngesi sizathu, umntu one-NCGS akazukuvavanya ukuba unesifo se-celiac, kwaye i-NCGS ithathwa njengemeko engaphantsi kakhulu kune-celiac.

Akukho vavanyo lunye olwamkelweyo lokufumanisa i-NCGS. "Uxilongo lusekwe kwiimpawu," utshilo ugqirha wezidlo uErin Palinski-Wade, RD, CDE.

"Nangona abanye oogqirha bezokusebenzisa ukuvavanywa kwamathe, isitulo, okanye igazi ukuchonga ubuntununtunu kwi-gluten, ezi mvavanyo azikaqinisekiswa, yiyo loo nto zingamkelwa njengeendlela ezisemthethweni zokuchonga obu buntununtunu," uyongeza.

Njengokwaliwa yingqolowa, ukugcina umkhondo wokutya kunye naziphi na iimpawu kwijenali kunokuba luncedo ekuchongeni i-NCGS.

Ukutya ukunqanda ngovakalelo lwe-non-celiac gluten

Ukuxilongwa kwe-non-celiac gluten sensitivity kubiza ukuba kususwe ngokupheleleyo i-gluten ekudleni, ubuncinane okwethutyana.

Ukunciphisa iimpawu ezingathandekiyo, umntu one-NCGS kufuneka ahlale kude noluhlu olufanayo lokutya njengomntu onesifo se-celiac, kubandakanya yonke imveliso yengqolowa, ukungafani kwengqolowa, kunye nezinye iinkozo ezine-gluten.

Ngethamsanqa, ngokungafaniyo nesifo se-celiac, isifo se-NCGS asinakuhlala ngonaphakade.

"Ukuba umntu angalunciphisa uxinzelelo lwayo jikelele kumajoni omzimba ngokuphelisa okunye ukutya okanye iikhemikhali ezenza ukuba amajoni omzimba aphendule, banokukwazi ukuphinda bavelise i-gluten ngesixa esincinci okanye esiqhelekileyo," utshilo u-Angelone.

U-Palinski-Wade uthi, kubantu abane-NCGS, ukujonga iimpawu kubalulekile ekuqinisekiseni ukuba ingakanani i-gluten abanokuphinda bayivelise.

"Usebenzisa iijenali zokutya kunye nokutya okususayo kunye nokulandelwa kweempawu, abantu abaninzi abanobuntununtunu obunokutya banokufumana inqanaba lokuthuthuzela elisebenza kubo," utshilo.

Ukuba uye wafumanisa ukuba une-NCGS, sebenza nogqirha okanye ugqirha otya ukutya okunokubeka iliso kwinkqubo yokuphelisa okanye yokongeza ukutya ekutyeni.

Imithombo efihliweyo yegluten nengqolowa

Njengabantu abaninzi abakukutya okungahambisani ne-gluten abaye bafumanisa, ukuhamba kwe-gluten akulula njengokucheba isonka kunye nekhekhe. Inani lokunye ukutya kunye nezinto ezingezizo zokutya yimithombo emangalisayo yezi zinto. Qaphela ukuba i-gluten okanye ingqolowa inokufihla kwiindawo ezingalindelekanga, ezifana nale ilandelayo:

Ukutya okunokubakho kwe-gluten- kunye nengqolowa:

• ice cream, iyogathi eqingqiweyo, kunye nepudding
• igranola okanye iiprotein bars
• inyama yenkukhu kunye neenkukhu
• Iitapile zeetapile kunye nefry yaseFrance
• iisobho ezisemathinini
• Iingubo zesaladi ezibhotileni
• ii-condiments ekwabelwana ngazo, njengebhotile yemayonnaise okanye ityhubhu yebhotolo, enokuthi ikhokelele ekungcoliseni izixhobo
• imilebe yomlomo kunye nezinye izinto zokuthambisa
• amayeza kunye nezongezelelo

Amagama aphambili ekufuneka ubukele

Ukutya okuqhubekekayo kuhlala kuphuculwe ngezongezo, ezinye zazo zisekwe kwingqolowa- nangona amagama abo engabonakali njalo.

Inani lezithako zi "khowudi" zengqolowa okanye i-gluten, ke ukufundwa kwelebheli kwe-savvy kubalulekile kukutya okungenagluten:

• Imithombo, irhasi, imithombo yesiraphu, isicatshulwa semithombo, okanye incasa yemalt
• triticale
• triticum vulgare
• hordeum vulgare
• ingqolowa esecaleni
• iprotheni yengqolowa enehydrolyzed
• umgubo we graham
• igwele lotywala
• i-oats, ngaphandle kokuba ibhalwe ngokukodwa ukuba ayina-gluten

Iinkampani ezininzi ngoku zongeza ilebhile "eqinisekisiweyo engenayo i-gluten" kwiimveliso zabo. Esi sitampu sokuvunywa sithetha ukuba imveliso ibonakalisiwe iqulethe iinxalenye ezingaphantsi kwama-20 zegluten kwisigidi ngasinye - kodwa inokuzikhethela.

Nangona kuye kufuneke ukuba kuchazwe i-allergen ezithile ekutyeni, i-FDA ayifuni ukuba abavelisi bokutya bachaze ukuba imveliso yabo ine-gluten.

Xa ungathandabuzeki, yinto efanelekileyo ukujonga kumenzi wayo ukuqinisekisa ukuba imveliso inengqolowa okanye i-gluten.

Ukutshintshwa kwesmart | Ukutshintshwa kweSmart

Ukuhambahamba ngesidlo sakusasa, isidlo sasemini, isidlo sangokuhlwa, kunye nexesha lokutya ngaphandle kwe-gluten kunokuba ngumceli mngeni, ngakumbi ekuqaleni. Ke ungatya ntoni? Zama ukubuyisela ezinye zezinto eziqhelekileyo zokutya kunye nezinye iindlela ezingenalo i-gluten.

Igama lokugqibela

Ukususa ingqolowa okanye i-gluten kwindlela otya ngayo yeyona ndlela iphambili yokuphila enokubonakala inzima ekuqaleni. Kodwa okukhona uziqhelanisa nokwenza ukhetho olufanelekileyo lokutya kwimpilo yakho, kokukhona kuya kuba yinto yesibini-kwaye, ngokuqinisekileyo, kokukhona uya kuziva ngcono.

Khumbula ukuhlala unxibelelana nengcali yezempilo ngaphambi kokuba wenze naluphi na utshintsho olukhulu kwindlela otya ngayo okanye ukuba unemibuzo malunga nempilo yakho.

USarah Garone, NDTR, yingcali yezondlo, umbhali wezempilo ozimeleyo kunye nebhlog yokutya. Uhlala nomyeni wakhe kunye nabantwana abathathu eMesa, eArizona. Mfumane ekwabelana ngolwazi lwezempilo kunye nolwondlo malunga nomhlaba kunye (ikakhulu) neendlela zokupheka ezisempilweni kwiLeta yoThando yokutya.