Ingabe ingane yakho inenkinga yokudla lokhu kudla? Ake sixoxe ngesifo se-Celiac!

Ngezinye izikhathi kungenzeka ukuthi uke waphawula ukuthi ingane yakho ihlushwa yisisu noma okunye ukungakhululeki lapho idla ukudla okuthile, ikakhulukazi ukudla okwenziwe ngofulawa kakolweni njengesinkwa namabhisikidi. Lokhu kungaba ngenxa yesimo esibizwa ngokuthi i-Celiac Disease. Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba kubaluleke kakhulu ukukuqaphela.

Siyini isifo se-Celiac? Masiqonde kalula!

Kalula nje, i-Celiac Disease yisifo sokuzivikela komzimba esenzeka lapho umuntu engakwazi ukubekezelela into ebizwa ngokuthi i-Gluten. I-Gluten yiprotheni etholakala kokusanhlamvu okufana nokolweni, i-rye, nebhali.

Umuntu onesifo se-Celiac akakwazi ukumunca kahle izakhamzimba ezibalulekile. Uma lokho kwenzeka, umuntu angase ahlupheke ngokungondleki kahle. Odokotela abasazi kahle ukuthi kungani amasosha omzimba esabela ku-gluten ngale ndlela. Kodwa uma ingane yakho ine-Celiac Disease, kunezindlela zokuphatha izimpawu nokuvimbela ukulimala kwamathumbu. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Wazi kanjani ukuthi unesifo se-Celiac? Ziyini izimpawu?

Isifo se-Celiac saziwa ngamanye amagama amaningana, njenge-celiac sprue, i-gluten-sensitive enteropathy, kanye ne-non-tropical sprue. Singabangela izimpawu ezahlukahlukene.

Ezinganeni ezincane, lokhu kungaba yisimo esibizwa ngokuthi "Ukwehluleka Ukukhula" , lapho ingane ingakhuli isisindo noma ukuphakama njengoba kulindelekile. Izingane ezindala zingase zibe nezimpawu ezifana nalezi:

• Uhudo (ubuhlungu besisu)
• Ukuqunjelwa (ukunyakaza kwamathumbu okomile)
• Indle ephuzi, enephunga elibi
• Ubuhlungu besisu nokuqunjelwa
• Ukwehlisa isisindo
• Ukuzizwa ukhathele ngaso sonke isikhathi
• Ikhanda elibuhlungu (ikhanda elibuhlungu)
• Izilonda zesikhumba ezibuhlungu (lokhu kuvame kakhulu kubantu abasha kanye nabantu abadala, ikakhulukazi eduze kwezindololwane nasemadolweni)

Kodwa-ke, abanye abantu bangaba nesifo se-Celiac ngaphandle kokubonisa izimpawu .

Lezi zimpawu zingavela nganoma yisiphi isikhathi empilweni yengane. Ezinye izingane zingase zibe nalezi zimpawu okokuqala lapho zidla ukudla okuqukethe i-gluten. Kodwa-ke, ezinye izingane kungenzeka ukuthi sezidle ukudla okuqukethe i-gluten iminyaka eminingi ngaphandle kwezinkinga ngaphambi kokuba zibe nezimpawu.

Enganeni encane, izimpawu zokuqala zesifo se-celiac zingase zivele ngemva kokufakwa kokudla okuqinile okufana nokusanhlamvu. Isibonelo, uhudo, ubuhlungu besisu, kanye nokukhuluphala okuncane kungase kwenzeke. Ngokuhamba kwesikhathi, ingane ingase ingakhuli ifinyelele ubude obulindelekile, ithole i-anemia , ibe nezilonda emlonyeni, futhi ibe nezinkinga zokuziphatha.

Kungani lokhu (iSifo se-Celiac) kwenzeka? Iyini imbangela?

Uma umuntu onesifo se-Celiac edla okuthile okuqukethe i-gluten, i-gluten ivuselela amasosha omzimba futhi yonakalise i-villi emathunjini ethu amancane. Ama-Villi ayizitho ezincane ezifana neminwe ezihlala ngaphakathi emathunjini amancane. Umsebenzi wazo oyinhloko ukumunca izakhamzimba ekudleni esikudlayo bese uzithumela egazini. Ngakho-ke, lapho la ma-villi onakele, umzimba awukwazi ukumunca kahle amavithamini namaminerali adingekayo ekukhuleni kwengane.

Imbangela eqondile yeSifo se-Celiac ayaziwa okwamanje . Kodwa-ke, yisimo esingaba khona emindenini. Lokhu kusho ukuthi uma othile emndenini enesifo se-Celiac, ingane yakhe inamathuba amaningi okuba naso. Kungenzeka futhi nakwezinye izimo ezifana ne-Down syndrome, i-Williams syndrome, isifo sikashukela sohlobo 1 , kanye nezinkinga ze-thyroid ezizenzakalelayo .

Ungazi kanjani ukuthi unesifo se-Celiac?

Ukuxilongwa kwesifo se-celiac kuvame ukuqala ngokuhlolwa kwegazi. Lokhu kuhlola ama-antibodies ngokumelene ne-gluten namanye amaprotheni olwelwesini lwamathumbu amancane. Ama-antibodies awuhlobo lweprotheni eyenziwa amasosha omzimba wethu. Asiza imizimba yethu ukuthi ibone futhi ibhubhise amagciwane nezinye izinsongo. Ngokuvamile, la ma-antibodies ahlala emizimbeni yethu ukuze alwe namagciwane uma ebuya.

Ngakho-ke, uma lokhu kuhlolwa kwegazi kuthola amazinga aphezulu ama-antibodies ngokumelene ne-gluten, udokotela cishe uzonquma ukuthatha ucezu oluncane lwezicubu emathunjini amancane ukuze luhlolwe (i-biopsy) .

Ukuze benze lokhu (i-biopsy), odokotela badlulisa ithubhu elide, elincane (elibizwa ngokuthi i-endoscope ) ngomlomo, bangene esiswini, bese bengena emathunjini amancane ukuze bathathe isampula encane yezicubu. Phakathi nalesi sikhathi, umntwana uvame ukulala noma anikezwe imithi yokumenza azizwe elele kancane. Lokhu kwenzelwa ukuthi umntwana angazizwa engakhululekile.

Okubalulekile: Uma ingane itholakala ineSifo se-Celiac, kungumqondo omuhle ukuthi ihlolwe izingane zakubo, abazali, kanye nogogo nomkhulu, njengoba nabo bangase babe nalesi sifo ngaphandle kwezimpawu. ISifo se-Celiac kubantu abadala singaholela ezinkingeni ezinkulu zempilo uma singatholakali isikhathi eside.

Isifo se-Celiac siphathwa kanjani?

Akukho ukwelashwa kwalesi sifo. Abacwaningi bahlala befuna izindlela ezintsha zokwelapha, ezinye zazo ezibonise imiphumela ethembisayo. Kodwa okwamanje, lesi simo siphathwa ngokudla okungenagluten. Lokhu kusiza ulwelwesi lwamathumbu ukuthi luphulukise futhi lunciphise izimpawu.

Izinguquko okufanele zenziwe ekudleni

Uma ingane yakho ine-Celiac Disease, udokotela wakho uzokuqondisa ukuthi yikuphi ukudla ingane yakho engakudla nengayikudla. Lezi zinguquko zingaba nomthelela omkhulu empilweni yansuku zonke yomndeni wakho kanye nemikhuba yokudla yengane yakho. Udokotela wakho angase futhi akuncome ukuthi ubonane nodokotela wezokudla .

Kufanele ususe ngokuphelele ukolweni, ibhali, i-rye, kanye nokusanhlamvu okuhlobene ekudleni kwengane yakho. Njengoba abakhiqizi bokudla kungadingeki ukuthi babhale i-gluten kumalebula, kungaba nzima kancane ukuqinisekisa ukuthi ingane yakho iyayigwema i-gluten. Emazweni afana ne-United States, uma umkhiqizo uqukethe enye yezinto eziyisishiyagalombili ezibangela ukungezwani kokudla (kufaka phakathi ukolweni), kumele ubhalwe ngokucacile. Kodwa-ke, ukuthi "akukho kolweni" akusho ukuthi "akukho gluten." Eminye imikhiqizo engenakolweni ingase ibe nokusanhlamvu okuqukethe i-gluten, njengebhali ne-rye.

Ngakho-ke, funda ilebula ngokucophelela ngaphambi kokuthenga noma yini noma ukuyipha ingane yakho . Fundisa ingane yakho ukwenza okufanayo. Iwebhusayithi ye-Celiac Disease Foundation inolwazi ngokudla okuningi okufanele ukuqaphele.

Amathiphu ambalwa okukhetha ukudla okuphephile

Khumbula lezi zinto lapho ukhetha ukudla:

• Okokuqala, thola ukuthi yikuphi ukudla ingane yakho engakudla. Ukudla okuphephile nezithako kuhlanganisa ummbila, ilayisi, i-buckwheat, i-sorghum, i-arrowroot, ubhontshisi/ama-chickpeas e-garbanzo, i-quinoa, i-tapioca, i-teff, kanye nokudla okwenziwe ngofulawa wamazambane. Ungadla nenyama engaphekiwe, inhlanzi, inkukhu, amantongomane, imbewu, amafutha, ubisi, ushizi, amaqanda, izithelo nemifino.
• Qaphela ngokungcoliswa okuxubile. Ngezinye izikhathi, ukudla okungenagluten kungathintana nokudla okuqukethe i-gluten. Lokhu kubizwa ngokuthi ukungcoliswa okuxubile. Isibonelo, imvuthuluka evela esinkweni sikakolweni esivamile ingangena ezitsheni zejamu, ebhotela, noma kwezinye izinhlayiya uma ungasebenzisi ummese omusha noma isipuni njalo. Ngakho-ke, kungumqondo omuhle ukusebenzisa izinhlayiya ezifika emabhodleleni acindezelwe, nokugcina izinto ezifana nebhotela nejamu zihlukile kubantu abanesifo se-celiac. Ungagcina ne-toaster ehlukile yokugcoba isinkwa esingenayo i-gluten.
• Ngaphambi kokulungisa imikhiqizo engenayo i-gluten, geza futhi uhlanze imishini, izitsha, kanye nezindawo zokusebenza kahle , ikakhulukazi ngemva kokuphatha ukudla okuqukethe i-gluten. Geza izandla zakho kahle futhi njalo ngenkathi ulungisa ukudla.
• Ezitolo zokudlela: Tshela uweta noma abasebenzi basekhishini ngesimo sengane yakho ukuze bazi ukuthi bangagwema i-gluten nezinye izithako ezihlobene nayo ekudleni kwayo.
• Ezitolo zokudla:Izitolo eziningi ziphethe izinkwa ezingenayo i-gluten, okusanhlamvu kwasekuseni, izingxube zokubhaka, amabhisikidi, nama-cracker. Ungathola futhi izinhlobo ezahlukene zalezi ezitolo zokudla okunempilo kanye nasezimakethe zokudla zemvelo. Gwema ukuthenga imikhiqizo engenayo i-gluten emabhokisini okudla amaningi , njengoba kunengozi enkulu yokungcoliswa okuxubile.

Yini okufanele uyenze uma ingane yakho idla ngephutha into equkethe i-gluten?

Ngisho nangale ndlela yonke yokunakekela, ngezinye izikhathi ingane yakho ingase idle okuthile okuqukethe i-gluten. Lokhu kuvamile, ungakhathazeki . Inani elincane elidliwe kanye lingabangela ukuvuvukala okuncane emathunjini amancane, kodwa kungase kungabangela izimpawu ezinkulu ngokushesha. Ngokuvamile, ulwelwesi lwamathumbu amancane luvuselelwa ngokuphelele ezinsukwini ezingu-3-4. Ngakho-ke, ngemva kwephutha elilodwa, amangqamuzana amasha ayangena futhi athathe indawo yamangqamuzana alimele ngokushesha. Kodwa-ke, uma uvezwe ku-gluten isikhathi eside, ulwelwesi lwamathumbu amancane luzoqhubeka nokonakala.

Abazali bangasiza kanjani?

Uma ingane yakho inesifo se-celiac, tshela abanye abantu abadala empilweni yengane yakho - okuhlanganisa nabanakekeli, othisha, abahlengikazi besikole, abeluleki bekamu, abanakekeli bezingane, kanye nabazali babangani - ngakho. Bachazele ukubaluleka kokugcina ukudla okuqukethe i-gluten kude nengane yakho. Fundisa izingane ezindala ukuthi zingakwamukeli ukudla kwabanye ngaphandle kokuthi kuvela kumuntu owaziyo ngokuqinisekile ukuthi akunayo i-gluten.

Siza ingane yakho ijwayele ukudla okungenagluten. Lokhu kungaba yinselele, ikakhulukazi ekuqaleni. Kodwa ngokuhamba kwesikhathi, wena nengane yakho nizoqonda ukuthi yikuphi ukudla engakukudla nengakudli. Khona-ke kuzoba lula ukuthola ukudla okuphephile, ukudla okulula, kanye nezithako.

Qinisekisa ingane yakho ukuthi ayiyedwa ezinkingeni zayo zokudla. Udokotela wakho angase akwazi ukuncoma iqembu lokusekela endaweni yakini. Kukhona futhi amaqembu okusekela aku-inthanethi nezinhlangano ezingasiza. Isibonelo:

* (Isisekelo Sezifo Ze-Celiac)

* (Ngale Kwe-Celiac)

* (Inhlangano Kazwelonke Ye-Celiac)

Okokugcina, izinto okufanele uzikhumbule

Isifo se-Celiac yisimo esihlala isikhathi eside, kodwa singaphathwa kahle ngokudla okufanele kanye nokuqwashisa . Into ebaluleke kakhulu ukusiza ingane yakho ukuthi ijwayele indlela yokuphila engena-gluten. Kungaba nzima kancane ekuqaleni, kodwa ngokuhamba kwesikhathi, kuzoba yinto evamile. Ukulandela iseluleko sikadokotela, ukukhuluma nochwepheshe wezokudla, nokufundisa abanye kuzosiza kakhulu ekusizeni ingane yakho iphile impilo enempilo nejabulisayo. Ungesabi, bhekana nalokhu ngesibindi. Sonke sinawe!

'Isifo se-Celiac, i-Gluten, i-Autoimmune Disorder, isihloko sezokwelapha saseSinhala, i-Villi, Ukudla okungena-Gluten, Ukungcola okuphambene