Ingaba ukhe uqaqanjelwe sisisu emva kokutya isonka okanye iinoodles? Ngaba esi sisifo seCeliac?

Ngaba wakha wazibuza ukuba kutheni, emva kokutya into efana nesonka, i-roti, okanye ii-noodles, ngamanye amaxesha uziva uzive ungaqhelekanga, ubuhlungu, okanye ugcwele esiswini sakho? Kwabanye abantu, oku kwenzeka rhoqo. Sizicingela sithi, "Owu... andinakukutya oko." Kodwa emva kokungakhululeki okuza nokutya umgubo, kunokubakho ibali elinzulu esingalaziyo. Elo bali sisifo se-celiac, okanye njengoko sisithi ngesiNgesi, `(Isifo se-Celiac)`. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Ngamafutshane, yintoni isifo seCeliac?

Khawuthelekelele ukuba unomkhosi wokhuselo okrelekrele kakhulu nowomeleleyo emzimbeni wakho. Oku sikubiza ngokuba yinkqubo yomzimba yokuzikhusela. Umsebenzi walo mkhosi kukufumana, ukuhlasela, nokutshabalalisa iintshaba ezifana neentsholongwane kunye neebhaktheriya ezingena emzimbeni wakho, zikukhusela kwizifo.

Kodwa kumntu onesifo se-celiac, le nkqubo yokuzikhusela yenza impazamo encinci. Iphosa into engenabungozi neqhelekileyo kutshaba. Kwimeko enjalo, olo "tshaba" yiproteni ebizwa ngokuba yi-gluten .

Ngoko ke, xa umntu onesifo se-celiac esitya ukutya okune-gluten, inkqubo yomzimba yokuzikhusela ifumana umyalezo othi, "Nanku utshaba lusiza!" Emva koko inkqubo yomzimba yokuzikhusela iyahamba ize iqale ukulwa ne-gluten. Kodwa le mfazwe yenzeka ngaphakathi kwamathumbu akho amancinci . Kule mfazwe, ngelishwa, ayonakaliswanga yi-gluten kuphela, kodwa nodonga lwamathumbu akho amancinci lonakele.

Kulungile, yintoni le gluten ethethwa ngumntu wonke?

I-Gluten yiproteni efumaneka kwiinkozo ezifana nengqolowa, irhasi, kunye ne-rye. Yiyo eyenza intlama yesonka ibe nomgangatho othambileyo, okanye ithambileyo, xa ixoviwe. Yiyo le nto inceda izonka kunye neekeyiki ziphakame kwaye ziphakame kakuhle.

ESri Lanka, ukutya okuninzi esikutyayo kunegluten. Khawucinge nje...

• Isidlo sakusasa: Umgubo wengqolowa, ofakwa kwiikhari ezityiwa nesonka, iibhanisi, itoast, kunye nerayisi yobisi.
• Kwisidlo sasemini: Ngamanye amaxesha nditya iinoodles kunye nepasta.
• Ixesha leti emva kwemini: iikeyiki, iibhisikithi, iipatties, iiroli, iikeyiki zeentlanzi.
• Ukutya isidlo sakusihlwa: roti, paratha, kottu.

Ukongeza koku, i-gluten ingafihlwa kwizinto ezininzi esingazicingiyo. Umzekelo, i-gluten yongezwa kwiisosi, kwiipakethi zesuphu, kwezinye iinyama ezicutshungulweyo, kwanakwi-ayisikhrim ukuze ibe nkulu. Ngoko ke, umntu onesifo se-celiac kufuneka alumke kakhulu.

Ngaba esi sifo singaba yingozi?

Ewe, oku kunokuba yinto embi kakhulu ukuba ayinyangwa. Njengoko besitshilo ngaphambili, ngalo lonke ixesha sisitya igluten, amathumbu amancinci ayonakala. Udonga lwangaphakathi lwamathumbu ethu amancinci lunezigidi zeengcinga ezincinci ezifana neminwe. Ezi sizibiza ngokuba yi-'(villi)'. Umsebenzi ophambili wezi zinto kukufunxa izondlo (iivithamini, iiminerali, iiproteni) ekutyeni esikutyayo.

Kwisifo se-celiac, xa inkqubo yomzimba yokuzikhusela ihlasela, ezi villi ziyathambatha zize zitshatyalaliswe. Kufana nomntu onyathela ingca entle. Kwenzeka ntoni ke ngoko? Umzimba awufunxi kakuhle izondlo ekutyeni. Le meko siyibiza ngokuba yi-malabsorption.

Ukuba oku kuyaqhubeka, ukungondleki kakuhle kuya kwenzeka. Le yeyona nto iyingozi kakhulu. Oku kuchaphazela ngakumbi abantwana abancinci.

• Abantwana basenokuba nokukhula okukhawulezileyo (abakhuli bebade, abakhuli kakhulu).
• Ingachaphazela uphuhliso lwengqondo nolwenyama lwabantwana.

Ngoko ke, ayilocebo lilungileyo ukulikhupha eli tyala ngokuthi "yintlungu nje yesisu eqhelekileyo."

Ziziphi iimpawu zesifo se-celiac?

Ingxaki enye ngesi sifo kukuba iimpawu zahlukile kakhulu kumntu nomntu. Abanye abantu basenokungabonakalisi zimpawu konke konke. Kodwa umonakalo uyenzeka ngaphakathi emzimbeni. Ngokwesiqhelo kukho amaqela amabini eminyaka apho esi sifo senzeka khona.

1. Kwasebuntwaneni: Xa sele beneminyaka emalunga nonyaka omnye, oko kukuthi, xa uqala ukunika abantwana abancinci ukutya okunegluten, okufana neebhisikithi kunye neenkozo.

2. Ubudala obuphakathi: Phakathi kweminyaka engama-40 ukuya kwengama-60 ubudala.

Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba zeziphi iindidi eziphambili zeempawu.

Kutheni esi sifo senzeka? Zithini izinto ezibangela umngcipheko?

Isifo seCeliac sisifo esidluliselwa kwilifa . Oku kuthetha ukuba sinxulumene nemfuza. Phantse wonke umntu onesifo seceliac unesinye seenguqu zemfuza esibizwa ngokuba yi-`(HLA-DQ2)` okanye `(HLA-DQ8)`. Nangona kunjalo, ayinguye wonke umntu onezi jini oza kuba nesi sifo.

Oogqirha bakholelwa ukuba ukongeza kwizakhi zofuzo, ezinye izinto zinokudlala indima ekuphuhlisweni kwesi sifo. Kodwa abakafumani ukuba ziyintoni kanye kanye. Abanye bathi esi sifo sinokuvela ngequbuliso ngenxa yento efana notyando olukhulu, isifo esinzulu, okanye ukukhulelwa.

Aba bantu basengozini enkulu:

• Ukuba kukho umntu kusapho (umama, utata, umntakwenu okanye umntakwabo) onesifo se-celiac.
• Ukuba unesinye isifo sokuzikhusela komzimba (umz., isifo seswekile sohlobo 1, isifo se-thyroid).
• Ukuba kukho iingxaki ze-chromosome ezifana ne-Turner syndrome okanye i-Down syndrome.
• Abafazi banamathuba amaninzi okufumana esi sifo.

Zithini iziphumo zexesha elide ukuba azinyangwa?

Oku kubaluleke kakhulu. Ukuba isifo asiqatshelwa okanye asihoywa, iingxaki ezinkulu zinokuvela ngokuhamba kwexesha.

Ungazi njani ngokuqinisekileyo ukuba unesi sifo?

Ukuba uneempawu ezichazwe apha ngasentla, into yokuqala neyona ibalulekileyo omawuyenze kukubona ugqirha wakho. Musa nje ukugqiba ngokuthi, "Andiyinyamezeli i-gluten," uze uyeke ukutya i-gluten. Ukwenza njalo kunokukhokelela kwiziphumo zovavanyo lokuxilongwa ezingachanekanga.

Ugqirha usebenzisa iindlela ezimbini zokuvavanya ukuqinisekisa isifo.

1. Uvavanyo lweGazi: Olu vavanyo lujonga ukuba igazi lakho linama-antibodies akhethekileyo aveliswa yinkqubo yomzimba yokulwa ne-gluten.

2. I-Endoscopy:Ukuba iziphumo zovavanyo lwegazi zithi ``zilungile``, ugqirha wezifo zamathumbu uya kwenza olu vavanyo. Kulo, kufakwa ityhubhu encinci enekhamera eqhotyoshelweyo ngomlomo kwaye amathumbu amancinci ahlolwe. Kwangaxeshanye, kuthathwa iqhekeza elincinci kakhulu le-``biopsy``` eludongeni lwamathumbu amancinci lithunyelwe kwilebhu. Apho, i-``villi`` esiyikhankanyileyo ihlolwa phantsi kwe-microscope ukuqinisekisa ukuba yonakele na.

Zithini iindlela zonyango? Ngaba kuya kufuneka ndithathe amayeza ubomi bam bonke?

Nazi iindaba ezimnandi. Unyango olulodwa nolusebenzayo lwesifo se-celiac kukutya okungenagluten ubomi bonke. Ewe, akufuneki usele iipilisi ezininzi. Okufuneka ukwenze kukutshintsha ukutya kwakho.

Xa uyeka ukutya igluten ngokupheleleyo, umonakalo owenzeka emathunjini akho amancinci uyaphela. Emva koko uqala ukuphola kancinci kancinci, okanye uphole. Kwiinyanga ezimbalwa, ukufunxwa kwezondlo kuqala ukubuyela esiqhelweni.

Ukongeza koku, ugqirha wakho unokucebisa oku kulandelayo:

• Ukuba kukho ukunqongophala okukhulu kwezondlo, cinga ngezongezo zeevithamini kunye neeminerali (umz. iipilisi zesinyithi).
• Amayeza okunyanga ukurhawuzelela kolusu (i-dermatitis herpetiformis).
• Ukuba ukudumba emathunjini kukhulu kakhulu , ii-corticosteroids zexesha elifutshane zingasetyenziswa ukukulawula.

Uziqhelanisa njani nobomi obungenagluten?

Oku kungabonakala kunzima kancinci ekuqaleni, kuba kufuneka siyeke ukutya okuninzi esikuqhelileyo. Kodwa oku kukutyala imali kwimpilo yakho. Ekuhambeni kwexesha, oku kuya kuba yinxalenye eqhelekileyo yobomi bakho.

Nazi iingcebiso ezimbalwa ezinokukunceda:

• Ziqhelise ukufunda iilebheli: Funda "izithako" kwiphakheji nganye oyithengayo evenkileni. Jonga ukuba ibhalwe "Iqulethe ingqolowa, irhasi, irye."
• Chonga izinto ezingenagluten ngokwendalo: Irayisi, imifuno, iziqhamo, inyama, intlanzi, amaqanda kunye neemveliso zobisi azinayo igluten ngokwendalo.
• Izinto esizisebenzisayo apha ekhaya: Endaweni yomgubo wesonka, ungatya ukutya okwenziwe ngomgubo werayisi, umgubo we-semolina, umgubo we-chickpea, kunye nomgubo we-green gram (indiappa, pittu, roti, ezo).
• Lumka xa usitya ngaphandle:Ukuba utya kwindawo yokutyela, babuze ukuba banazo na iindlela zokutya ezingenagluten. Kwiindawo ezenza izinto ezifana nekottu kunye neparatha, ukuba upheka ukutya okungenagluten kwipani enye, igluten ingongezwa kuyo (ukungcola okuxutyiweyo). Lumka naloo nto.
• Yenza imenyu yasekhaya: Cinga ngezidlo ezimbalwa ezilula ukuzilungiselela onokuzitya, uze ugcine izithako ekhaya. Emva koko akuyi kufuneka ukhathazeke ngokulamba.

Ukufunyanwa unesifo se-celiac lutshintsho olukhulu ebomini bakho. Kodwa lutshintsho oluhle. Ngoku uyazi unobangela wokungakhululeki kwakho ixesha elide. Isisombululo sisezandleni zakho. Ngokutya okufanelekileyo, ungaphila ubomi obupheleleyo, obusempilweni, nobonwabisayo.