Ingabe ngezinye izikhathi uzizwa ungakhululekile kakhulu ngobuhlungu besisu ngemva kokudla okuthile okufana nesinkwa, amabhanisi, noma ama-noodle? Noma uzizwa sengathi uyahlanya noma uthola ikhanda elibuhlungu? Uma unalezi zimpawu ngaso sonke isikhathi, ungase ube nesimo esibizwa ngokuthi 'ukungabekezelelani kwe-Gluten', okukhulunywa ngaso ngabantu abaningi njengamanje. Ungakhathazeki, lokhu akuyingozi. Ake sixoxe ngakho konke kalula nangokucacile namuhla.
Okokuqala, kuyini 'i-gluten'?
Kalula nje, i-gluten uhlobo lweprotheni. Itholakala kakhulu ezinhlamvini ezifana nokolweni, ibhali, kanye ne-rye. Ngakho-ke, izinto eziningi esizidlayo nesiziphuzayo nsuku zonke ziqukethe i-gluten. Cabanga nje...
- Isinkwa, amabhanisi, isinkwa esithosiwe
- Ama-noodle, i-pasta
- Amakhekhe, amabhisikidi, ama-muffin
- Amanye amasoso, okusanhlamvu
- Ubhiya
Akukhona lokhu kuphela, amanye amavithamini, izimonyo, ngisho neminye imithi ingaba ne-gluten.
Ngakho-ke, ukuzwela kwe-gluten, noma "Ukuzwela kwe-Gluten okungeyona i-Celiac - NCGS", yilapho umzimba wakho uzwa ukungakhululeki nobunzima ngemva kokudla into equkethe i-gluten.
Ingabe lesi sifo se-Celiac? Noma ingabe siwukungezwani komzimba?
Lokhu kuyiphuzu lokudideka kubantu abaningi. Ukuzwela i-gluten, isifo se-Celiac, kanye nokungezwani nokolweni yizimo ezintathu ezahlukene. Ake siqonde umehluko.
| Isimo | Kalula nje... |
|---|---|
| Ukungabekezelelani kwe-Gluten (NCGS) | Ukudla i-gluten kubangela izimpawu ezifana nokuphazamiseka kwesisu, ukukhathala, kanye nekhanda elibuhlungu. Kodwa akulimazi amathumbu. Akukhiqizi ama-antibodies akhethekile egazini. |
| Isifo se-Celiac | Lesi yisifo esibangelwa ukuzivikela komzimba . Uma i-gluten ingena emzimbeni, amasosha omzimba ayawuhlasela njengegciwane, onakalise amathumbu awo amancane. Lokhu kubangelwa izici zofuzo. |
| Ukungezwani Kokolweni | Lokhu kuyisifo esivamile sokungezwani komzimba. Lapha, amasosha omzimba asabela ngokushesha kukolweni. Izimpawu ezifana nokuqubuka kwesikhumba, ukulunywa, kanye nobunzima bokuphefumula zingavela. |
Lokhu kusho ukuthi nakuba kunezimpawu zokuzwela i-gluten, amathumbu awonakalanga ngaphakathi njengasesifweni se-celiac. Lona umehluko omkhulu.
Kungani lesi simo senzeka?
Odokotela abakakwazi ukusho ngokuqiniseka okungu-100% ukuthi yini ngempela ebangela lokhu, kodwa kunemibono emibili eyinhloko.
1. Inkinga yama-carbohydrate: Olunye ucwaningo lubonisa ukuthi lokhu kungenxa yohlobo oluthile lwama-carbohydrate atholakala ekudleni okuqukethe i-gluten kune-gluten uqobo. Lapho imizimba yethu ingakwazi ukugaya kahle nokumunca lolu hlobo lwama-carbohydrate, luqala ukubila emathunjini. Yilapho kuvela khona izimpawu ezifana nokuqunjelwa kanye nobuhlungu besisu.
2. Izinguquko odongeni lwamathumbu: Enye inkolelo-mbono ukuthi i-gluten ibangela ukuthi ulwelwesi lwamathumbu abanye abantu lungasebenzi kahle. Ngokuvamile, lolu lwelwesi lunesibopho sokuvimbela izinto ezifana namabhaktheriya asemathunjini ukuthi angangeni egazini. Kodwa-ke, kulaba bantu, i-gluten yenza buthaka lolu lwelwesi futhi ivumele amagciwane ukuthi angene egazini. Lokhu kubangela ukuvuvukala emzimbeni futhi kuvele izimpawu.
Yiziphi izimpawu eziyinhloko zalokhu?
Lezi zimpawu zingavela zingakapheli amahora ambalwa noma izinsuku ezimbalwa ngemva kokudla ukudla okuqukethe i-gluten. Lezi zingahluka kuye ngomuntu nomuntu.
| Isigaba sezici | Izimpawu ezingaba khona |
|---|---|
| Okuhlobene nohlelo lokugaya ukudla | Ubuhlungu besisu, ukuqunjelwa noma igesi, isifo sohudo noma ukuqunjelwa, isicanucanu nokuhlanza. |
| Okuhlobene nezinye izingxenye zomzimba | Ubuhlungu bamalunga, ukukhathala okuvamile, ikhanda elibuhlungu, ukuqubuka kwesikhumba, i-anemia. |
| Okuhlobene nesimo sengqondo | Inkungu yobuchopho, ukukhathazeka, ukucindezeleka. |
Abantu abanokuzwela kwe-gluten bavame ukuba nesifo esibizwa ngokuthi i-irritable bowel syndrome (IBS) .
Ngingazi kanjani ukuthi lokhu kukhona ngempela?
Akukho ukuhlolwa okukodwa okuhlonza lokhu ngqo. Ngakho-ke, udokotela wakho uzokuqinisekisa lokhu ngezinyathelo eziningana. Kufanele nakanjani ubone udokotela ngaphambi kokuba unqume ukuyeka ukudla i-gluten wedwa. Lokhu kungenxa yokuthi uma uyeka ukudla i-gluten ngaphambi kokuba uthole ukuxilongwa okufanele, imiphumela yokuhlolwa ebheka izinto ezifana nesifo se-celiac ingase ingabi yiphutha.
Udokotela uthatha izinyathelo ezilandelayo:
1. Isinyathelo sokuqala: Qiniseka ukuthi azikho ezinye izifo.
Ngesikhathi udla ukudla okuqukethe i-gluten njengenjwayelo, udokotela wakho uzokwenza izinto ezifana nokuhlolwa kwegazi kanye nokuhlolwa kwesikhumba ukuze ahlole isifo se-Celiac kanye nokungezwani nokolweni.
2. Isinyathelo sesibili: Ukudla Kokuqeda Isifo.
Uma sekuqinisekisiwe ukuthi awunaso isifo se-celiac noma ukungezwani nokolweni, udokotela wakho uzokutshela ukuthi ugweme ngokuphelele konke ukudla okuqukethe i-gluten okungenani amasonto ayisithupha . Kubaluleke kakhulu ukugcina idayari ukuze ubone ukuthi kukhona yini ushintsho ezimpawini zakho phakathi nalesi sikhathi.
3. Isinyathelo sesithathu: Phinda uphonsele inselelo i-gluten.
Uma izimpawu zakho ziphela ngemva kokuyeka ukudla i-gluten, udokotela wakho cishe uzoncoma ukuthi ubuyisele kancane kancane i-gluten ekudleni kwakho. Uma izimpawu zibuya, kungenzeka ukuthi unesifo sokuzwela i-gluten.
Manje, yini indlela yokwelapha lokhu?
Akukho ukwelashwa kwalesi simo okwamanje, kodwa ungakwazi ukulawula izimpawu futhi uphile impilo evamile ngaphandle kwezinkinga.
Ukwelashwa okuyinhloko nokuphumelela kakhulu ukwamukela ukudla okungenagluten.
Kodwa ungenzi lokhu wedwa.Kubaluleke kakhulu ukusebenzisana nodokotela wakho kanye nochwepheshe wezokudla ukuze uhlele lokhu kudla ukuze uqinisekise ukuthi uthola ukudla okufanele okudingayo.
Ngaphezu kwalokho:
- Ama-Probiotic: Ukudla ukudla okunama-probiotic njenge-yogurt nobisi oluvutshiwe, okusiza ekukhuliseni amabhaktheriya amahle emathunjini, kungasiza ekunciphiseni izimpawu ezifana nokuqunjelwa. Buza udokotela wakho ngalokhu futhi.
- Ama-enzyme: Nakuba ucwaningo luqhubeka ngama-enzyme asiza ekugayeni i-gluten, asikho isiphetho esiqinisekile mayelana nokusebenza kwawo. Ungasebenzisi noma yimaphi ama-enzyme ngaphandle kweseluleko sikadokotela.
Ingabe zikhona izingozi ekudleni okungenagluten?
Yebo, kungaba khona izingozi ezithile uma kungahlelwanga kahle.
- Ukushoda kokudla okunempilo: Okusanhlamvu okuqukethe i-gluten kunikeza imizimba yethu i-fiber namanye amavithamini. Uma lokhu kuyekwa, lezi zakhamzimba zingaphela.
- Amazinga kashukela egazini akhuphukile: Imikhiqizo eminingi ebhalwe ukuthi 'engenayo i-gluten' emakethe ingase ibe noshukela namafutha engeziwe ukuze izenze zinambitheke kangcono futhi zibukeke zingcono. Ukudla lokhu njalo kungandisa ingozi yamazinga kashukela egazini aphezulu (i-Hyperglycemia) noma isifo sikashukela sohlobo 2.
Ungaphila kanjani nalesi simo?
Akunzima kangako ukuphatha lokhu. Kudinga ukunakekelwa okuncane nje.
- Funda ukufunda amalebula: Ngaphambi kokuthenga noma yikuphi ukudla noma isiphuzo esitolo, funda uhlu lwezithako ngokucophelela. Funa amagama anjenge-gluten, ukolweni, ibhali, ne-rye. I-gluten ingase ifihlwe kwamanye amasoso, amasobho, kanye namasoseji.
- Yidla ukudla okulinganiselayo: Yidla ukudla okunamafutha amancane kanye ne-fiber eningi (imifino, izithelo, okusanhlamvu okungenagluten).
- Ukuhlolwa kwezokwelapha: Thola ukuhlolwa kwegazi njalo njengoba kuqondiswe udokotela wakho ukuze uhlole i-anemia, amazinga e-cholesterol, kanye nokuntuleka kwamavithamini.
Yini okufanele uyenze uma udla i-gluten ngengozi?
Kungakhathaliseki ukuthi uqaphele kangakanani, usengangeza ngengozi okuthile okuqukethe i-gluten ekudleni kwakho. Uma kunjalo, zama lezi zinto:
- Phuza amanzi amaningi: Lokhu kusiza ukukhipha ubuthi emzimbeni ngokushesha.
- Gwema ukudla okunongwe kakhulu nokunamafutha: Yidla ukudla okulula, okulula ukukudla esiswini.
- Itiye likajinja noma lemint: Lokhu kungasiza ekunciphiseni ukucasuka kwesisu kanye nesicanucanu.
Isikhathi sokuthola iseluleko sezokwelapha esiphuthumayo:
Uma unesifo sohudo noma ukuhlanza ngokweqile, bona udokotela ngokushesha njengoba kungase kube nokuphelelwa amanzi emzimbeni kanye nokungalingani kwama-electrolyte. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- Ukungabekezelelani i-gluten kuyisimo esihlukile kunesifo se-Celiac noma ukungezwani nokolweni.
- Nakuba lokhu kungabangela izimpawu ezifana nokuphazamiseka kwesisu, ukukhathala, kanye nekhanda elibuhlungu, akubangeli umonakalo ohlala njalo emathunjini.
- Ukwelashwa okungcono kakhulu kwalokhu ukulandela ukudla okungenagluten okuhleliwe ngaphansi kwesiqondiso sikadokotela kanye nochwepheshe wezokudla.
- Uma unalezi zimpawu, ungenzi izinqumo wedwa, kodwa qiniseka ukuthi ubonana nodokotela bese uthola ukuxilongwa okunembile.
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