Ingabe uzwa ubuhlungu besisu ngemva kokudla isinkwa noma ama-noodle? Ingabe lokhu kungaba yisifo se-Celiac?

Wake wazibuza ukuthi kungani, ngemva kokudla into efana nesinkwa, i-roti, noma ama-noodle, ngezinye izikhathi uzizwa umuzwa ongajwayelekile, obuhlungu, noma ogcwele esiswini sakho? Kwabanye abantu, lokhu kwenzeka ngaso sonke isikhathi. Sizitshela ukuthi, "O... angikwazi ukudla lokho." Kodwa ngemuva kwalokhu kungakhululeki okuhambisana nokudla ufulawa, kungase kube nendaba engathi sína esingayazi. Leyo ndaba yisifo se-celiac, noma njengoba sisho ngesiNgisi, `(Isifo se-Celiac)`. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kalula nje, siyini isifo se-Celiac?

Cabanga ukuthi unebutho lokuzivikela elihlakaniphe kakhulu nelinamandla emzimbeni wakho. Lokhu sikubiza ngokuthi amasosha omzimba. Umsebenzi waleli butho ukuthola, ukuhlasela, nokubhubhisa izitha ezifana namagciwane namagciwane angena emzimbeni wakho, akuvikele ezifweni.

Kodwa kumuntu onesifo se-celiac, lolu hlelo lokuzivikela lwenza iphutha elincane. Luphambanisa into engenangozi futhi evamile nesitha. Kulokhu, leso "sitha" yiprotheni ebizwa ngokuthi i-gluten .

Ngakho-ke, uma umuntu onesifo se-celiac edla ukudla okuqukethe i-gluten, isimiso somzimba sokuzivikela sithola isignali ethi, "Nansi isitha!" Bese isimiso somzimba sokuzivikela siqala ukulwa ne-gluten. Kodwa le mpi yenzeka ngaphakathi emathunjini akho amancane . Kule mpi, ngeshwa, i-gluten ayigcini nje ngokulimala, kodwa nezindonga zamathumbu akho amancane nazo zonakele.

Kulungile, manje iyini le gluten ekhulunywa ngayo yiwo wonke umuntu?

I-Gluten yiprotheni etholakala kokusanhlamvu okufana nokolweni, ibhali, kanye ne-rye. Yilokho okwenza inhlama yesinkwa ibe bushelelezi, noma ibe nekhwalithi enwebekayo, uma ixoviwe. Yilokhu okusiza izinkwa namakhekhe ukuthi aphakame futhi aphakame kahle.

ESri Lanka, ukudla okuningi esikudlayo kuqukethe i-gluten. Cabanga nje...

• Ukudla kwasekuseni: Ufulawa kakolweni, ofakwa kwezinye izitsha ze-curry ezidliwa nesinkwa, amabhanisi, isinkwa esithosiwe kanye nelayisi lobisi.
• Kwasemini: Ngezinye izikhathi ngidla ama-noodle ne-pasta.
• Isikhathi setiye ntambama: amakhekhe, amabhisikidi, ama-patties, ama-roll, amakhekhe enhlanzi.
• Isidlo sakusihlwa: roti, paratha, kottu.

Ngaphezu kwalokhu, i-gluten ingafihlwa ezintweni eziningi esingazicabangi. Isibonelo, i-gluten ifakwa kumasoso, amaphakethe esobho, ezinye izinyama ezicutshunguliwe, ngisho ne-ayisikhilimu ukuze ibe nkulu. Ngakho-ke, umuntu onesifo se-celiac udinga ukuqaphela kakhulu.

Ingabe lesi sifo singaba yingozi?

Yebo, lokhu kungaba yinto enkulu uma kungelashwa. Njengoba sixoxile ngaphambili, njalo uma sidla i-gluten, amathumbu amancane ayalimala. Udonga lwangaphakathi lwamathumbu ethu amancane lunezigidi zezici ezincane ezifana neminwe. Lokhu sikubiza ngokuthi '(villi)'. Umsebenzi oyinhloko walokhu ukumunca izakhamzimba (amavithamini, amaminerali, amaprotheni) ekudleni esikudlayo.

Esifweni se-celiac, lapho amasosha omzimba ehlasela, lawa ma-villi ayacaba futhi abhujiswe. Kufana nomuntu onyathela utshani obuhle. Kwenzekani-ke? Umzimba awumunci izakhamzimba ekudleni ngendlela efanele. Lesi simo sibizwa ngokuthi i-malabsorption.

Uma lokhu kuqhubeka, ukungondleki kahle kuzokwenzeka. Lena yinto eyingozi kakhulu. Lokhu kuthinta kakhulu izingane ezincane.

• Izingane zingase zibe nokukhula okulinganiselwe (ukungakhuli zinde, ukungakhuli).
• Kungathinta intuthuko yengqondo neyomzimba yezingane.

Ngakho-ke, akuwona umqondo omuhle ukukuchitha lokhu njengokuthi "ubuhlungu besisu obuvamile."

Ziyini izimpawu zesifo se-celiac?

Inkinga eyodwa ngalesi sifo ukuthi izimpawu ziyahlukahluka kakhulu kumuntu nomuntu. Abanye abantu bangase bangakhombisi nhlobo izimpawu. Kodwa umonakalo uyenzeka ngaphakathi emzimbeni. Ngokuvamile kunezinhlobo ezimbili zeminyaka lapho lesi sifo sivela khona.

1. Ebuntwaneni: Cishe unyaka owodwa ubudala, okungukuthi, lapho uqala ukunikeza izingane ezincane ukudla okuqukethe i-gluten, njengamabhisikidi kanye nokolweni.

2. Iminyaka ephakathi: Phakathi kweminyaka engama-40 nengama-60.

Ake sibheke ithebula elingezansi ukuze sibone ukuthi yiziphi izigaba zezimpawu eziyinhloko.

Kungani lesi sifo senzeka? Yiziphi izinto ezibangela ingozi?

Isifo se-Celiac siyisifo esizuzwa njengefa . Lokhu kusho ukuthi sinokuxhumana kwezakhi zofuzo. Cishe wonke umuntu onesifo se-celiac unesinye sezinguquko zezakhi zofuzo esibizwa ngokuthi `(HLA-DQ2)` noma `(HLA-DQ8)`. Kodwa-ke, akuwona wonke umuntu onalezi zakhi zofuzo ozohlakulela lesi sifo.

Odokotela bakholelwa ukuthi ngaphezu kwezakhi zofuzo, ezinye izici zingase zibe nendima ekuthuthukisweni kwalesi sifo. Kodwa abakatholi ukuthi ziyini ngempela. Abanye bathi lesi sifo singavela ngokuzumayo ngenxa yento efana nokuhlinzwa okukhulu, ukugula okungathi sína, noma ukukhulelwa.

Laba bantu basengozini enkulu:

• Uma othile emndenini (umama, ubaba, umfowabo noma udadewabo) enesifo se-celiac.
• Uma unesinye isifo sokuzivikela komzimba (isib. isifo sikashukela sohlobo 1, isifo se-thyroid).
• Uma kukhona ukukhubazeka kwe-chromosome njenge-Turner syndrome noma i-Down syndrome.
• Abesifazane banamathuba amaningi okuthola lesi sifo.

Iyini imiphumela yesikhathi eside uma ingelashwa?

Lokhu kubaluleke kakhulu. Uma lesi sifo singabonwa noma singanakwa, izinkinga ezinkulu zingavela ngokuhamba kwesikhathi.

Wazi kanjani ukuthi unesi sifo?

Uma unezimpawu ezishiwo ngenhla, into yokuqala nebaluleke kakhulu okufanele uyenze ukubona udokotela wakho. Ungamane nje unqume ukuthi, "Angikwazi ukubekezelela i-gluten," bese uyeka ukudla i-gluten. Ukwenza kanjalo kungaholela emiphumeleni yokuhlolwa kokuxilonga enganembile.

Udokotela usebenzisa izindlela ezimbili zokuhlola ukuqinisekisa lesi sifo.

1. Ukuhlolwa Kwegazi: Lokhu kuhlola ukuthi igazi lakho liqukethe yini ama-antibodies akhethekile akhiqizwa yisimiso sokuzivikela komzimba ngokumelene ne-gluten.

2. I-Endoscopy:Uma imiphumela yokuhlolwa kwegazi "ibonakala ilungile," udokotela wezifo zamathumbu uzokwenza lokhu kuhlolwa. Kulokhu, kufakwa ipayipi elincane elinekhamera enamathiselwe ngomlomo bese kuhlolwa amathumbu amancane. Ngesikhathi esifanayo, kuthathwa ingxenye encane kakhulu yezicubu "biopsy" odongeni lwamathumbu amancane bese ithunyelwa elabhorethri. Lapho, "i-villi" esikhulume ngayo ihlolwa ngaphansi kwe-microscope ukuqinisekisa ukuthi yonakele yini.

Yiziphi izindlela zokwelapha? Ingabe kuzodingeka ngithathe imithi impilo yami yonke?

Nazi izindaba ezinhle. Ukwelashwa okuwukuphela futhi okuphumelelayo kakhulu kwesifo se-celiac ukudla okungenagluten okungu-100% impilo yonke. Yebo, akudingeki uphuze amaphilisi amaningi. Okudingeka ukwenze nje ukushintsha ukudla kwakho.

Uma uyeka ukudla i-gluten ngokuphelele, umonakalo emathunjini akho amancane uyaphela. Bese kancane kancane uqala ukululama, noma ukuphola. Ezinyangeni ezimbalwa, ukumuncwa kwezakhamzimba kuqala ukubuyela esimweni esijwayelekile.

Ngaphezu kwalokhu, udokotela wakho angancoma okulandelayo:

• Uma ukuntuleka kokudla okunempilo kukhulu, cabanga ngezithasiselo zamavithamini namaminerali (isib. amaphilisi ensimbi).
• Imithi yokwelapha ukuqubuka kwesikhumba (i-dermatitis herpetiformis).
• Uma ukuvuvukala emathunjini kukhulu kakhulu , kungasetshenziswa ama-corticosteroids esikhashana ukuze kulawulwe.

Uzivumelanisa kanjani nokuphila okungenagluten?

Lokhu kungase kubonakale kunzima kancane ekuqaleni, ngoba kufanele siyeke ukudla okuningi esikujwayele. Kodwa lokhu kuwukutshala imali empilweni yakho. Ngokuhamba kwesikhathi, lokhu kuzoba yingxenye evamile yempilo yakho.

Nazi amathiphu ambalwa angakusiza:

• Zijwayeze ukufunda amalebula: Funda "izithako" kuzo zonke iphakethe olithenga esitolo. Hlola ukuthi libhalwe ukuthi "Liqukethe ukolweni, ibhali, i-rye."
• Thola izinto ezingenayo i-gluten ngokwemvelo: Ilayisi, imifino, izithelo, inyama, inhlanzi, amaqanda, kanye nemikhiqizo yobisi azinayo i-gluten ngokwemvelo.
• Izinto esizisebenzisa endaweni yethu: Esikhundleni sofulawa wesinkwa, ungadla ukudla okwenziwe ngofulawa welayisi, ufulawa we-semolina, ufulawa we-chickpea, kanye nofulawa we-gramu eluhlaza (indiappa, pittu, roti, lezo).
• Qaphela lapho udla ngaphandle:Uma udla endaweni yokudlela, babuze ukuthi banazo yini izinketho ezingenayo i-gluten. Ezindaweni ezenza izinto ezifana ne-kottu ne-paratha, uma upheka ukudla okungenayo i-gluten epanini elifanayo, i-gluten ingafakwa kuyo (ukungcola okuphambene). Qaphela nalokho futhi.
• Dala imenyu yasekhaya: Cabanga ngokudla okulula ukukulungisa ongakudla, bese ugcine izithako ekhaya. Khona-ke ngeke kudingeke ukhathazeke ngokulamba.

Ukutholwa unesifo se-celiac kuyinguquko enkulu empilweni yakho. Kodwa kuyinguquko enhle. Manje usuyazi imbangela yokungakhululeki kwakho isikhathi eside. Isixazululo sisezandleni zakho. Ngokudla okufanele, ungaphila impilo egcwele, enempilo, nejabulisayo.