Ese nawe urwara igifu nyuma yo kurya ibi biribwa? Reka tuvuge ku ndwara ya Celiac!

Hari igihe ibiryo turya bitajyanye n'umubiri wacu, sibyo? Kubabara mu nda gato, cyangwa ubundi buryo buto bwo kubabara, kandi bigahita bikira ubwabyo. Ariko hari igihe ibintu nk'ibi bishobora kuba bikomeye kurushaho. Uyu munsi tugiye kuvuga ku ndwara abantu benshi batazi, ariko igomba kwitabwaho. Iyi yitwa indwara ya Celiac .

None se, indwara ya Celiac ni iki?

Muri make, indwara ya Celiac ni indwara iterwa n’ubwiyongere bw’umubiri . Ibi bivuze ko ubudahangarwa bw’umubiri wacu butangira kwibasira ibice by’umubiri wacu. Ibi bibaho iyo turya ibiryo birimo poroteyine yitwa gluten . Gluten ni poroteyine iboneka mu binyampeke nk'ingano , sayiri na rye.

Iyo umuntu urwaye indwara ya Celiac ariye ikintu kirimo gluten, umubiri we utekereza ko gluten ari umwanzi ukomeye. Hanyuma ubudahangarwa bw'umubiri butangira kuyirwanya. Kubera iyo ntambara, urukuta rw'imbere rw'amara yacu ruto rurangirika. Kubera iyo ngaruka, umubiri ntushobora kwinjiza intungamubiri ukeneye neza. Hanyuma, indwara nk'imirire mibi zishobora kubaho.

Abaganga ntibaramenya neza impamvu ubudahangarwa bw'umubiri bugira ingaruka kuri gluten muri ubu buryo. Ariko niba urwaye indwara ya celiac, hari uburyo bwo gucunga ibimenyetso byawe no kwirinda kwangirika kw'amara yawe. Rero nta kintu na kimwe cyo guhangayikishwa nacyo.

Ni ibihe bimenyetso by'indwara ya Celiac?

Indwara ya Celiac izwi kandi ku yandi mazina, nka celiac sprue, gluten-sensitive enteropathy, na non-tropical sprue . Ariko, izina rikoreshwa cyane ni celiac disease. Buri muntu ashobora kugira ibimenyetso bitandukanye. Hari abantu bashobora kuba badafite ibimenyetso na gato. Ibi ni ngombwa kubyibuka.

Reba niba ibi bimenyetso bisa n'ibisanzwe kuri wewe:

• Impiswi
• Impatwe
• Imyanya y'ubururu irabagirana kandi ihumura nabi
• Kubabara mu nda no kubyimba
• Kugabanya ibiro
• Umunaniro uhoraho
• Kuribwa umutwe
• Uduheri dukabije ku ruhu - cyane cyane hafi y'inkokora n'amavi

Tekereza nawe, hari abantu bagiye bagira ibibazo byo kurya ibiryo birimo gluten kuva bakiri bato. Ariko abandi bashobora kugira imyaka myinshi nta kibazo bafite hanyuma bakagaragaza ibimenyetso mu buryo butunguranye. Kubwibyo, ibi bimenyetso bishobora kugaragara mu myaka iyo ari yo yose.

Kuki turwara indwara ya Celiac?

Mu ndwara ya Celiac, iyo turya gluten, ubudahangarwa bwacu bw'umubiri bwangiza villi iri mu mara yacu mato. Izi villi zimeze nk'uturemangingo duto tumeze nk'intoki ku rukuta rw'imbere rw'amara yacu mato. Inshingano yazo nyamukuru ni ukunyunyuza intungamubiri mu byo turya no kuzishyira mu maraso yacu.

Rero, iyo izi villi zangiritse, umubiri wacu ntushobora kwinjiza neza intungamubiri z'ingenzi nka vitamine n'imyunyungugu.

Impamvu nyayo itera indwara ya Celiac ntabwo iramenyekana, ariko ikunze kugaragara mu miryango . Ibi bivuze ko iyo umuntu wo mu muryango wawe afite iyi ndwara, ushobora kuyirwara cyane.

Indwara ya Celiac ipimwa ite?

Intambwe ya mbere mu gusuzuma indwara ya celiac ubusanzwe ni ugupima amaraso . Ibi bireba niba ufite uturemangingo dutera gluten n'izindi poroteyine mu rukuta rw'amara. Uturemangingo ni poroteyine zidasanzwe ubudahangarwa bw'umubiri bwacu bukora. Zikorwa kugira ngo zimenye kandi zisenye ibintu byangiza umubiri, nk'udukoko, twinjira mu mubiri.

Niba ikizamini cy'amaraso kigaragaza ko hari uturemangingo twinshi tw’umubiri urwanya gluten, muganga wawe ashobora gufata agace gato k’amara yawe kugira ngo agapime (biopsy).

Iyi biopsy ikorwa gutya: Muganga ashyira igikoresho gito kimeze nk'umuyoboro (cyitwa endoscope ) anyuze mu kanwa kawe, mu nda yawe, mu mara yawe mato, hanyuma agafata agace gato k'umubiri kugira ngo kagupime. Ushobora kuba warahawe ikiruhuko cyangwa ugahabwa ikinya rusange muri iki gikorwa. Ibi bizagufasha kutiyumva nabi.

Niba urwaye indwara ya Celiac, ni ngombwa ko ababyeyi bawe, abavandimwe bawe, na ba nyogokuru bawe nabo bayipimisha. Bashobora kuba bafite iyi ndwara ariko ntibagaragaze ibimenyetso. Indwara ya Celiac ishobora gutera ibibazo bikomeye by'ubuzima iyo itamenyekanye igihe kirekire mu gihe cy'ubukure.

Indwara ya Celiac ivurwa ite?

Ikibabaje ni uko nta muti uhari wo kuvura indwara ya celiac. Abashakashatsi barimo gukora ku buryo bushya bwo kuvura, bumwe muri bwo bwagaragaje umusaruro mwiza. Ariko uburyo bw'ingenzi bwo kuvura ubu ni indyo idafite gluten . Ibi bituma amara yawe akira kandi ibimenyetso byayo bikarushaho kuba byiza.

Impinduka mu mirire

Niba urwaye indwara ya Celiac, muganga wawe azakubwira neza ibyo kurya ushobora kurya n'ibyo udashobora kurya. Kubera ko izi mpinduka zishobora kugira ingaruka zikomeye ku buzima bwawe, muganga wawe ashobora no kukwohereza ku muganga w'imirire . Ushobora kubona izindi nama zivuye kuri we.

Uzakenera gukuraho burundu ingano, sayiri, rye, n'ibindi binyampeke bifitanye isano mu mirire yawe.

Si ibihugu byose bifite amategeko asaba ibirango by'ibiribwa kugaragaza niba birimo gluten cyangwa bitarimo, bityo rimwe na rimwe bishobora kugorana kubona ibiryo bidafite gluten. Mu bihugu bimwe na bimwe (nka Leta Zunze Ubumwe za Amerika), niba ibiryo birimo kimwe mu bintu umunani by'ingenzi bitera ubwivumbure ku biribwa (harimo n'ingano), bigomba kuba byanditseho ikimenyetso gisobanutse neza. Ariko , nubwo byanditseho ngo 'nta ngano', ntabwo bivuze ko 'nta gluten'. Ibi biterwa nuko bimwe mu bicuruzwa bidafite ingano bishobora kuba birimo ibindi binyampeke birimo gluten, nka sayiri na rye.

Mbere yo kugura ibiryo, soma witonze ku cyapa. Ushobora kubona amakuru yerekeye ubwoko bw'ibiryo ugomba kwitondera ahantu nka urubuga rwa Celiac Disease Foundation.

Ni gute wabona amahitamo ahamye?

Dore inama nkeka ko zizagufasha:

• Banza utekereze ku biribwa ushobora kurya. Ibigori, umuceri, buckwheat, amasaka, arrowroot, ibishyimbo bya garbanzo/amashaza, quinoa, tapioca, teff, n'ifu y'ibirayi ni byiza. Ushobora kandi kurya inyama zitatetse, amafi, inkoko, imbuto, imbuto, amavuta, amata, foromaje, amagi, imbuto n'imboga.
• Witondere cyane uburyo ibiryo birimo gluten byanduzwa. Mu magambo make, ni igihe agace gato k'ibiryo birimo gluten kagera mu biryo bidafite gluten. Tekereza, niba ukata umugati udafite gluten ukoresheje icyuma kimwe n'icyuma gisanzwe cyo gukata umugati, uduce tw'umugati usanzwe na two dushobora kwinjira muri uyu, sibyo? Bityo rero, buri gihe koresha icyuma/ikiyiko gishya ku bintu nka jam n'amavuta. Niba bishoboka, ni byiza ko abantu barwaye indwara ya Celiac bashyira amavuta na jam mu macupa ashobora gukamurwa. Ushobora kandi kubika toaster yihariye yo gukaranga umugati udafite gluten.
• Mbere yo gukora ibiryo bidafite glutenKaraba kandi usukure ibikoresho, amasahani, n'aho gukorera neza. Buri gihe karaba intoki zawe neza n'isabune n'amazi mu gihe utegura ibiryo.
• Muri resitora: Iyo utumije ibiryo, bwira umukozi cyangwa abakozi bo mu gikoni uko umeze. Bazagenzura neza ko ibiryo byawe bidafite gluten kandi ko nta bintu bifitanye isano na gluten birimo.
• Mu maduka acuruza ibiribwa: Imigati idafite gluten, ibinyampeke, uruvange rwa keke, ibisuguti, na crackers ubu biraboneka ahantu henshi. Ushobora no kubona byinshi muri ibi bicuruzwa mu maduka acuruza ibiribwa byiza no ku masoko y'ibiribwa karemano. Irinde kugura ibicuruzwa bidafite gluten mu bubiko bw'ibiribwa byinshi , kuko hari ibyago byinshi byo kwanduzwa n'ibindi.

Bigenda bite iyo ndya ikintu kirimo gluten ntabizi?

Nubwo waba ufite ubwo bwitonzi bwose, hari igihe ushobora kurya ikintu kirimo gluten utabizi. Ibi ni ibisanzwe, ntukabitekerezeho cyane. Nubwo waba wariye bike, ushobora kugira ububyimbirwe bworoheje mu mara yawe, ariko ushobora kutajya ubona ibimenyetso byihuse. Ubusanzwe, agace k'amara yacu mato gahita gashya mu minsi 3-4. Rero, niba ukoze ikosa rimwe, uturemangingo dushya turaza tugasimbuza uturemangingo twangiritse vuba. Ariko, niba uriye gluten kenshi, urukuta rw'amara rushobora kwangirika uko igihe kigenda. Rero ni byiza kwitonda uko bishoboka kose.

Ni iki kindi dukeneye kumenya? (Ubutumwa bwo kujyana mu rugo)

Kumenyera indyo idafite gluteni bishobora kugorana gato, cyane cyane mu ntangiriro. Nibyo koko. Ariko uko igihe kigenda gihita, uzasobanukirwa neza ibyo kurya ushobora kurya n'ibyo udashobora kurya. Icyo gihe bizakorohera kubona amafunguro meza, utuntu duto n'ibikoresho biri mu ndyo.

Wibuke ko atari wowe wenyine ufite ibi bibazo byo kurya. Muganga wawe ashobora kukubwira itsinda ry’abaterankunga mu gace utuyemo. Ushobora kandi kubona amatsinda n’imiryango by’abaterankunga kuri interineti. Ingero zimwe zirimo:

• Ikigo cy’indwara ya Celiac
• Inyuma ya Celiac
• Ishyirahamwe ry'Igihugu ry'Abagore ba Celiac

Ahantu nk'aha hashobora kuguha amakuru menshi, uburyo bushya bwo guteka, n'ibyo abandi bahura na byo. Ntabwo ari ngombwa ko unyura muri uru rugendo wenyine. Hari abantu benshi bashobora kugufasha no kukumva.

Indwara ya Celiac, gluten, ubwivumbure bw'ibiryo, ibibazo byo mu gifu, kubura imirire, indyo idafite gluten, indwara zo kwirema umubiri