Wake waba nobuhlungu besisu, ukuqunjelwa, noma ubuhlungu besisu ngemva kokudla into efana nesinkwa, isinkwa esithosiwe, amabhanisi, noma ama-noodle? Abantu abaningi bacabanga ukuthi lezi zimpawu zivamile bese bezikhohlwa. Kodwa uma umzimba wakho uzwela "i-gluten" etholakala kabanzi kulezi zinsuku, lezi zimpawu zingase zivele. Ngakho-ke, ubani ngempela ofuna ukudla ukudla okungena-gluten ? Ake sixoxe ngalokhu kalula nangokucacile.
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Okufanele ukwenze ngaphambi kokudla ukudla okungenagluten
Uma uzwa izimpawu ezifana nokuphazamiseka kwesisu, uhudo, kanye nokuqunjelwa uma udla ukudla okuqukethe i-gluten, into yokuqala okufanele uyenze ukubona udokotela bese uhlolwa isifo se-celiac. Lokhu kubaluleke kakhulu. Ungalokothi uyeke ukudla i-gluten wedwa.
Cabanga ngalokhu. Ufuna ukubamba isela, kodwa ngaphambi kokuba utshele amaphoyisa, isela selisule bonke ubufakazi elibushiyile. Ingabe amaphoyisa angafika azobamba isela? Cha, akunjalo? Yilokho okwenzekayo uma uyeka ukudla i-gluten ngaphambi kokuba uhlolwe udokotela.
Kungani ukuhlolwa kubaluleke kangaka?
Isifo se-Celiac yisimo lapho amasosha omzimba wakho ehlasela khona izindonga zamathumbu akho amancane uma udla i-gluten. Lokhu kulimaza izindonga zamathumbu futhi kunciphisa ukumuncwa kwezakhamzimba ekudleni esikudlayo. Ngokuhamba kwesikhathi, lokhu kungaholela ezimweni ezimbi njengokungondleki kahle kanye nokwehla kwesisindo .
Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi unalesi sifo yini ukuhlolwa kwegazi. Lokhu kufuna uhlobo olukhethekile lwama-antibodies akhiqizwa emzimbeni. Uma uyeka ukudla i-gluten, ukukhiqizwa kwala ma-antibodies emzimbeni wakho kuzoncipha kancane kancane futhi kuphele ngemva kwezinyanga ezi-3 kuya kwezi-6. Khona-ke, noma ngabe wenza ukuhlolwa kwegazi, ngeke kutholakale lesi sifo. Ngakho-ke , ukuze uthole ukuxilongwa okunembile, kufanele nakanjani ubone udokotela futhi wenze lokhu kuhlolwa ngaphambi kokuba uyeke ukudla i-gluten.
Uma kudingeka, kuye ngemiphumela yokuhlolwa kwegazi, udokotela wakho angase akuthumelele i-biopsy, ehilela ukuthatha ingxenye encane yamathumbu bese uyihlola.
Kuthiwani uma ungenayo i-Celiac Disease, kodwa une-allergy ku-gluten?
Kulungile, manje usukwenzile konke ukuhlola. Kodwa imiphumela ikhombisa ukuthi awunaso isifo se-Celiac. Kodwa uqinisekile ngokuphelele ukuthi unenkinga nge-gluten. Ngakho-ke kwenzekani?
Lesi simo sibizwa ngokuthi ukuzwela kwe-gluten. Lesi yisimo sangempela. Abanye odokotela abazange basimukele esikhathini esidlule, kodwa manje sebesamukela njengesimo sangempela sezokwelapha.
Umuntu onesifo se-gluten akabi nomonakalo wamathumbu ofanayo nomuntu onesifo se-celiac, kodwa izimpawu zingafana nezomuntu onesifo se-celiac, futhi ngezinye izikhathi zibe zimbi nakakhulu.
Akukho ukuhlolwa kwezokwelapha okuqondile okutholakalayo ukuze kutholakale lesi simo okwamanje. Ngakho-ke kufanele utshele udokotela wakho ngokucacile ngezimpawu zakho. Ngaphezu kokuphazamiseka kwesisu, abantu abaningi baphinde babe nezimpawu ezifana nokukhathala okukhulu kanye nekhanda elibuhlungu .
Ake siqonde umehluko phakathi kwalezi zimo ezimbili ngokucacile.
| Isici | Isifo se-Celiac | Ukuzwela kwe-Gluten |
|---|---|---|
| Imbangela eyinhloko | Impendulo yesistimu yomzimba (ukusabela kwe-Autoimmune) | Imbangela ayikaqondakali ngokugcwele, kodwa kucatshangwa ukuthi ihlobene nesimiso somzimba sokuzivikela. |
| Ukulimala kwamathumbu | Yebo, izindonga zamathumbu amancane zonakele. | Cha, i-Bluetooth ayilimazi amathumbu. |
| Ukuxilongwa | Kungaqinisekiswa ngokuhlolwa kwegazi kanye ne-biopsy. | Akukho ukuhlolwa okuqondile. Kunqunywa ngokusekelwe ezimpawu, ngemva kokuqinisekisa ukuthi asikho isifo se-celiac noma ezinye izimo. |
| Izimpawu ezivamile | Uhudo, ubuhlungu besisu, ukwehla kwesisindo, izinkinga zesikhumba, ukungondleki kahle. | Ukuqunjelwa, ubuhlungu besisu, isifo sohudo noma ukuqunjelwa, ukukhathala, ikhanda elibuhlungu, ubuhlungu bamalunga. |
Ingabe zikhona ngempela izinzuzo zokudla okungenagluten?
Yebo. Uma udokotela eqinisekisile ukuthi unesifo se-celiac noma ukuzwela kwe-gluten, ukudla okungena-gluten kuphela kokwelashwa onakho. Uma ulandela lokhu kahle, izimpawu zakho zizophela ngokuphelele futhi ungaphila impilo enempilo.
Kodwa kukhona okubalulekile sonke okudingeka sikuqonde lapha.
Ukudla okungenagluten akuyona ikhambi lokwehlisa isisindo elimangalisayo elisebenzela wonke umuntu. Kuyindlela yokwelapha labo abanesidingo sezokwelapha.
Kulezi zinsuku, kunenqwaba yabantu abadla ukudla okungenagluten ngaphandle kweseluleko sezokwelapha, becabanga nje ukuthi "kuhle." Lokho akuyona into enhle. Ngoba, okusanhlamvu okuqukethe i-gluten kunikeza imizimba yethu i-fiber eningi, amavithamini, namaminerali. Uma siyeka ukudla lokhu kudla ngaphandle kwesizathu, singase siphuthelwe yilezo zakhi zomzimba.
Futhi, amabhisikidi namakhekhe athengwe esitolo abhalwe ukuthi "angenagluten" kungenzeka ngezinye izikhathi ukuthi angeze ushukela owengeziwe, uwoyela, nosawoti ukuze kuthuthukiswe ukunambitheka kwawo kanye nokuthungwa kwawo. Ngakho-ke uma uzama ukunciphisa isisindo ngokudla lokhu, ungase uthole umphumela ophambene.
Ngakho-ke ukwenza kanjani lokhu ngendlela efanele?
Uma udokotela wakho ekweluleka ukuthi ungabi ne-gluten, okumele ukwenze nje ukususa ukudla okuqukethe i-gluten ekudleni kwakho.
- Izinto eziyinhloko eziqukethe i-gluten: Ukolweni, ibhali, i-rye. Kalula nje, lokhu kuhlanganisa cishe konke okwenziwe ngofulawa wesinkwa (ufulawa kakolweni) ezweni lakithi. Izibonelo: isinkwa, amabhanisi, amakhekhe, amabhisikidi, ama-noodle, i-pasta, i-roti, amasoso athile, okusanhlamvu.
- Ukudla okungenagluten esingakudla: Ilayisi, ukudla kwethu okuyinhloko, alinayo igluten. Futhi, izinto ezifana noshizi, ubhontshisi oluhlaza, uphizi, umdumbula, ubhatata, amazambane, yonke imifino, yonke izithelo, inyama, inhlanzi, amaqanda, nobisi azinayo igluten ngokwemvelo.
Into engcono kakhulu ongayenza ukunciphisa ukudla okupakishwe futhi okucutshungulwe ngangokunokwenzeka bese kubekwa phambili ukudla kwemvelo.
Umlayezo Wokuya Nawe Ekhaya
- Uma unenkinga yokudla ukudla okuqukethe i-gluten, ungenzi izinqumo wedwa. Bonana nodokotela wakho kuqala.
- Ungayeki ukudla ukudla okuqukethe i-gluten ngaphambi kokuhlolwa ngudokotela nganoma yisiphi isizathu. Ukwenza kanjalo kuzokwenza kube nzima ukuthola ukuxilongwa okunembile.
- Isifo se-Celiac yisimo esonakalisa amathumbu. Uma kuziwa ekuzweleni i-gluten, amathumbu awonakalanga, kodwa izimpawu zingaba zimbi kakhulu.
- Ukudla okungenagluten kuyisidingo sezokwelapha, akuyona indlela yokwehlisa isisindo efanela wonke umuntu noma imfashini.
- Uma ufuna ukudla okungenagluten, beka phambili ukudla kwemvelo njengelayisi, imifino nezithelo.
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