Kodi mumamva kupweteka m'mimba mukadya buledi kapena Zakudyazi? Kodi izi zingakhale matenda a Celiac?

Kodi munayamba mwadzifunsapo chifukwa chake, mutadya chakudya monga buledi, roti, kapena Zakudyazi, nthawi zina mumamva kupweteka, kapena kukhuta m'mimba mwanu? Kwa anthu ena, izi zimachitika nthawi zonse. Timaganiza tokha kuti, "O... sindingathe kudya zimenezo." Koma kumbuyo kwa kusasangalala kumeneku komwe kumabwera chifukwa chodya ufa, pakhoza kukhala nkhani yaikulu yomwe sitikudziwa. Nkhani imeneyo ndi matenda a celiac, kapena monga momwe timanenera mu Chingerezi, `(Matenda a Celiac)`. Lero, tikambirana izi mosavuta, mwanjira yomwe mungamvetse.

Mwachidule, kodi matenda a Celiac ndi chiyani?

Tangoganizani kuti muli ndi gulu lankhondo lanzeru komanso lamphamvu mkati mwa thupi lanu. Timatcha gulu lankhondo ili kuti chitetezo cha mthupi. Ntchito ya gululi ndi kupeza, kuukira, ndikuwononga adani monga mavairasi ndi mabakiteriya omwe amalowa m'thupi lanu, kukutetezani ku matenda.

Koma mwa munthu amene ali ndi matenda a celiac, chitetezo cha mthupichi chimalakwitsa pang'ono. Chimasokoneza chinthu chosavulaza komanso chachibadwa kwa mdani. Pankhaniyi, "mdani" ameneyo ndi puloteni yotchedwa gluten .

Kotero, munthu amene ali ndi matenda a celiac akadya chakudya chokhala ndi gluten, chitetezo cha mthupi chimalandira chizindikiro chakuti, "Apa pakubwera mdani!" Kenako chitetezo cha mthupi chimapita ndikuyamba kulimbana ndi gluten. Koma nkhondoyi imachitika mkati mwa matumbo anu ang'onoang'ono . Pankhondoyi, mwatsoka, gluten siimangowonongeka yokha, komanso makoma a matumbo anu ang'onoang'ono amawonongeka.

Chabwino, kodi gluten uyu amene aliyense akukamba ndi chiyani?

Gluten ndi puloteni yomwe imapezeka mu tirigu monga tirigu, barele, ndi rye. Ndi yomwe imapangitsa mtanda wa buledi kukhala wotambasuka, kapena wotanuka, ukaphwanyidwa. Izi ndi zomwe zimathandiza buledi ndi makeke kukwera ndi kukwera bwino.

Ku Sri Lanka, zakudya zambiri zomwe timadya zimakhala ndi gluten. Tangoganizani...

• Chakudya cham'mawa: Ufa wa tirigu, womwe umawonjezeredwa ku ma curry ena omwe amadyedwa ndi buledi, ma buns, mkate wokazinga, ndi mpunga wa mkaka.
• Chakudya chamasana: Nthawi zina ndimadya Zakudya ndi pasitala.
• Nthawi ya tiyi ya masana: makeke, mabisiketi, ma patties, ma rolls, makeke a nsomba.
• Chakudya chamadzulo: roti, paratha, kottu.

Kuonjezera pa izi, gluten imatha kubisika muzinthu zambiri zomwe sitiganizira. Mwachitsanzo, gluten imawonjezeredwa ku sauces, ma soup packets, nyama zina zokonzedwa, komanso ayisikilimu kuti ikhale yokhuthala. Chifukwa chake, munthu amene ali ndi matenda a celiac ayenera kusamala kwambiri.

Kodi matendawa angakhale oopsa?

Inde, izi zitha kukhala zoopsa ngati sizikuthandizidwa. Monga tafotokozera kale, nthawi iliyonse tikadya gluten, matumbo ang'onoang'ono amawonongeka. Khoma lamkati la matumbo athu ang'onoang'ono limakhala ndi zinthu zazing'ono zambiri zonga zala. Timazitcha `(villi)`. Ntchito yayikulu ya izi ndikutenga michere (mavitamini, mchere, mapuloteni) kuchokera muzakudya zomwe timadya.

Mu matenda a celiac, chitetezo cha mthupi chikayamba kuukira, ma villi awa amaphwanyika ndipo amawonongeka. Zili ngati munthu akuponda udzu wokongola. Ndiye chimachitika ndi chiyani? Thupi silitenga michere kuchokera muzakudya moyenera. Tikutcha vutoli kuti malabsorption.

Ngati izi zipitirira, kusowa zakudya m'thupi kudzachitika. Ichi ndi chinthu choopsa kwambiri. Izi zimakhudza makamaka ana aang'ono.

• Ana akhoza kukhala ndi kukula kochedwa (osakula kwambiri, osakula kwambiri).
• Zingakhudze kukula kwa maganizo ndi thupi la ana.

Choncho, si bwino kunyalanyaza izi ngati "kupweteka m'mimba mwachibadwa."

Kodi zizindikiro za matenda a celiac ndi ziti?

Vuto limodzi ndi matendawa ndilakuti zizindikiro zimasiyana kwambiri malinga ndi munthu. Anthu ena sangasonyeze zizindikiro zilizonse. Koma kuwonongeka kumachitika mkati mwa thupi. Nthawi zambiri pamakhala magulu awiri azaka zomwe matendawa amapezeka.

1. Ali mwana: Ali ndi zaka pafupifupi chaka chimodzi, ndiye kuti, mukamapatsa ana aang'ono zakudya zokhala ndi gluten, monga mabisiketi ndi chimanga.

2. Zaka zapakati: Pakati pa zaka 40 ndi 60.

Tiyeni tiwone tebulo ili m'munsimu kuti tiwone magulu akuluakulu a zizindikiro.

N’chifukwa chiyani matendawa amapezeka? Kodi zinthu zoopsa ndi ziti?

Matenda a Celiac ndi matenda obadwa nawo . Izi zikutanthauza kuti ali ndi ubale wa majini. Pafupifupi aliyense amene ali ndi matenda a celiac ali ndi kusintha kwa majini kotchedwa `(HLA-DQ2)` kapena `(HLA-DQ8)`. Komabe, si aliyense amene ali ndi majini amenewa amene adzadwala matendawa.

Madokotala amakhulupirira kuti kuwonjezera pa majini, zinthu zina zingathandize pakukula kwa matendawa. Koma sanadziwebe kuti ndi chiyani kwenikweni. Ena amati matendawa amatha kuwonekera mwadzidzidzi chifukwa cha opaleshoni yayikulu, matenda oopsa, kapena mimba.

Anthu awa ali pachiwopsezo chachikulu:

• Ngati wina m'banjamo (amayi, abambo, abale) ali ndi matenda a celiac.
• Ngati muli ndi matenda ena a autoimmune (monga matenda a shuga amtundu 1, matenda a chithokomiro).
• Ngati pali zinthu zosazolowereka za chromosome monga Turner syndrome kapena Down syndrome.
• Azimayi ali ndi mwayi waukulu wopeza matendawa.

Kodi zotsatira zake zimakhala zotani kwa nthawi yayitali ngati sizikuthandizidwa?

Izi ndizofunikira kwambiri. Ngati matendawa sakudziwika kapena kunyalanyazidwa, mavuto akuluakulu amatha kuchitika pakapita nthawi.

Kodi mungadziwe bwanji ngati muli ndi matendawa?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, chinthu choyamba komanso chofunikira kwambiri choti muchite ndikuonana ndi dokotala wanu. Musangosankha kuti, "Ndimadwala gluten," ndikusiya kudya gluten. Kuchita zimenezi kungapangitse kuti mayeso oyesa matenda asapezeke molondola.

Dokotala amagwiritsa ntchito njira ziwiri zoyesera kuti atsimikizire matendawa.

1. Kuyezetsa Magazi: Izi zimayang'ana ngati magazi anu ali ndi ma antibodies apadera omwe chitetezo cha mthupi chimapanga motsutsana ndi gluten.

2. Endoscopy:Ngati zotsatira za mayeso a magazi zili ``zabwino``, dokotala wa gastroenterologist ndiye adzachita mayesowa. Pamenepa, chubu chopyapyala chokhala ndi kamera chimayikidwa kudzera pakamwa ndipo matumbo ang'onoang'ono amawunikidwa. Nthawi yomweyo, chidutswa chaching'ono kwambiri cha minofu ``biopsy`` chimatengedwa kuchokera pakhoma la matumbo ang'onoang'ono ndikutumizidwa ku labotale. Kumeneko, ``villi`` yomwe tatchulayi imawunikidwa pansi pa maikulosikopu kuti itsimikizire ngati yawonongeka.

Kodi mankhwala ndi otani? Kodi ndiyenera kumwa mankhwala moyo wanga wonse?

Nkhani yabwino ndi iyi. Chithandizo chokhacho komanso chothandiza kwambiri cha matenda a celiac ndi kudya zakudya zopanda gluten 100% kwa moyo wanu wonse. Inde, simuyenera kumwa mapiritsi ambiri. Chomwe muyenera kuchita ndikusintha zakudya zanu.

Mukasiya kudya gluten kwathunthu, kuwonongeka kwa matumbo anu ang'onoang'ono kumasiya. Kenako pang'onopang'ono kumayamba kuchira, kapena kuchira. Pakatha miyezi ingapo, kuyamwa kwa michere kumayamba kubwerera mwakale.

Kuwonjezera apo, dokotala wanu angakulimbikitseni kuti mugwiritse ntchito njira zotsatirazi:

• Ngati kusowa kwa zakudya m'thupi kuli kwakukulu, ganizirani zowonjezera mavitamini ndi mchere (monga mapiritsi achitsulo).
• Mankhwala ochizira ziphuphu pakhungu (dermatitis herpetiformis).
• Ngati kutupa m'matumbo kuli koopsa kwambiri , mankhwala a corticosteroid a nthawi yochepa angagwiritsidwe ntchito kuti athetse kutupako.

Kodi mungatani kuti muzolowere moyo wopanda gluten?

Poyamba izi zingawoneke zovuta pang'ono, chifukwa tiyenera kusiya zakudya zambiri zomwe tidazolowera. Koma izi ndi ndalama zomwe zimatithandizira pa thanzi lathu. Pakapita nthawi, izi zidzakhala gawo la moyo wanu wamba.

Nazi malangizo angapo omwe angakuthandizeni:

• Khalani ndi chizolowezi chowerenga zilembo: Werengani "zosakaniza" pa phukusi lililonse lomwe mumagula kusitolo. Yang'anani ngati likuti "Muli tirigu, barele, rye."
• Dziwani zinthu zomwe zilibe gluten mwachibadwa: Mpunga, ndiwo zamasamba, zipatso, nyama, nsomba, mazira, ndi mkaka mwachibadwa sizili ndi gluten.
• Zakudya zathu za m'malo mwathu: M'malo mwa ufa wa buledi, mutha kudya zakudya zopangidwa ndi ufa wa mpunga, ufa wa semolina, ufa wa nyemba, ndi ufa wobiriwira wa gramu (indiappa, pittu, roti, ndi zina zotero).
• Samalani mukamadya kunja:Ngati mukudya ku lesitilanti, afunseni ngati ali ndi zakudya zopanda gluten. M'malo omwe amapanga zinthu monga kottu ndi paratha, ngati muphika chakudya chopanda gluten mumphika womwewo, gluten ikhoza kuwonjezeredwa (kuipitsidwa ndi mtanda). Samalani ndi zimenezo.
• Pangani menyu ya kunyumba: Ganizirani zakudya zosavuta kukonzekera zomwe mungadye, ndipo sungani zosakanizazo kunyumba. Mukatero simudzadandaula za njala.

Kupezeka ndi matenda a celiac ndi kusintha kwakukulu m'moyo wanu. Koma ndi kusintha kwabwino. Tsopano mukudziwa chomwe chachititsa kuti musavutike kwa nthawi yayitali. Yankho lake lili m'manja mwanu. Ndi zakudya zoyenera, mutha kukhala ndi moyo wokhutira, wathanzi, komanso wachimwemwe.