Ingabe nawe uyahlushwa yisisu ngemva kokudla lokhu kudla? Ake sixoxe ngeSifo seCeliac!

Ngezinye izikhathi ukudla esikudlayo akuhambelani nomzimba wethu, akunjalo? Ubuhlungu besisu obuncane, noma okunye ukungakhululeki okuncane, bese kuba ngcono ngokwakho. Kodwa ngezinye izikhathi izinto ezinjengalezi zingaba zimbi kakhulu. Namuhla sizokhuluma ngesimo abantu abaningi abangasazi, kodwa esidinga ukunakekelwa. Lokhu kubizwa ngokuthi i-Celiac Disease .

Ngakho-ke, siyini isifo se-celiac?

Kalula nje, i-Celiac Disease iyisifo sokuzivikela komzimba . Lokhu kusho ukuthi amasosha ethu omzimba aqala ukuhlasela izingxenye zomzimba wethu. Lokhu kwenzeka uma sidla ukudla okuqukethe iphrotheni ebizwa ngokuthi i-gluten . I-Gluten iyiphrotheni etholakala kokusanhlamvu okufana nokolweni , ibhali, kanye ne-rye.

Uma umuntu onesifo se-Celiac edla okuthile okuqukethe i-gluten, umzimba wakhe ucabanga ukuthi i-gluten iyisitha esikhulu. Ngemuva kwalokho amasosha omzimba aqala ukulwa nayo. Ngenxa yalokhu kulwa, udonga lwangaphakathi lwamathumbu ethu amancane luyalimala. Ngenxa yalokhu kulimala, umzimba awukwazi ukumunca izakhamzimba ozidingayo kahle. Ngemuva kwalokho, izimo ezifana nokungondleki kahle zingavela.

Odokotela abasazi kahle ukuthi kungani amasosha omzimba esabela ku-gluten ngale ndlela. Kodwa uma unesifo se-celiac, kunezindlela zokuphatha izimpawu zakho nokuvimbela ukulimala kwamathumbu akho. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Ziyini izimpawu zesifo se-Celiac?

Isifo se-Celiac saziwa nangamanye amagama, njenge -celiac sprue, i-gluten-sensitive enteropathy, kanye ne-non-tropical sprue . Kodwa-ke, igama elivame ukusetshenziswa yisifo se-celiac. Umuntu ngamunye angase abe nezimpawu ezihlukile. Abanye abantu bangase bangabi nazo nhlobo izimpawu. Lokhu kubalulekile ukukhumbula.

Bona ukuthi lezi zimpawu zizwakala zijwayelekile yini kuwe:

• Uhudo
• Ukuqunjelwa
• Indle ephuzi, enephunga elibi
• Ubuhlungu besisu kanye nokuqunjelwa
• Ukwehlisa isisindo
• Ukukhathala okuqhubekayo
• Ubuhlungu bekhanda
• Ukuqubuka kwesikhumba okubuhlungu - ikakhulukazi eduze kwezindololwane nasemadolweni

Cabanga ngakho, abanye abantu bebenenkinga yokudla ukudla okuqukethe i-gluten kusukela ebuntwaneni. Kodwa abanye bangaba nenkinga iminyaka eminingi bese bethola izimpawu ngokuzumayo. Ngakho-ke, lezi zimpawu zingavela kunoma yimuphi ubudala.

Kungani sithola isifo se-Celiac?

Ku-Celiac Disease, uma sidla i-gluten, amasosha ethu omzimba alimaza i-villi emathunjini ethu amancane. Lawa ma-villi afana nezakhiwo ezincane ezifana neminwe odongeni lwangaphakathi lwamathumbu ethu amancane. Umsebenzi wawo oyinhloko ukumunca izakhamzimba ekudleni esikudlayo bese sizifaka egazini lethu.

Ngakho-ke, uma la ma-villi onakele, imizimba yethu ayikwazi ukumunca kahle izakhamzimba ezibalulekile njengamavithamini namaminerali.

Imbangela eqondile yeSifo seCeliac ayaziwa okwamanje, kodwa ivame ukwenzeka emindenini . Lokhu kusho ukuthi uma othile emndenini wakho enalesi sifo, kungenzeka kakhulu ukuthi ube naso.

Isifo se-Celiac sitholakala kanjani?

Isinyathelo sokuqala ekuxilongeni isifo se-celiac ngokuvamile ukuhlolwa kwegazi . Lokhu kuhlola ukuthi unama -antibodies yini ngokumelene ne-gluten namanye amaprotheni odongeni lwamathumbu. Ama-antibodies amaprotheni akhethekile akhiqizwa yisimiso sethu sokuzivikela komzimba. Enzelwe ukubona nokubhubhisa izinsongo, njengegciwane, ezingena emzimbeni.

Uma ukuhlolwa kwegazi kubonisa amazinga aphezulu ama-antibodies ku-gluten, udokotela wakho cishe uzothatha ingxenye encane yamathumbu akho amancane ukuze ihlolwe (i-biopsy).

Lokhu kuhlolwa kwenziwa kanje: Udokotela ufaka ithuluzi elincane elifana nethubhu (elibizwa ngokuthi i-endoscope ) ngomlomo wakho, esiswini sakho, emathunjini akho amancane, bese ethatha ingxenye encane yezicubu ukuze ihlolwe. Ungase unikezwe umuthi wokudambisa noma unikezwe i-anesthesia ejwayelekile phakathi nale nqubo. Lokhu kuzoqinisekisa ukuthi awuzizwa ungakhululekile.

Uma kutholakala ukuthi unesifo se-Celiac, kubalulekile ukuthi abazali bakho, izingane zakini, kanye nogogo nomkhulu bakho bahlolwe naso. Bangase babe naso lesi sifo kodwa bangase bangakhombisi zimpawu. Isifo se-Celiac singadala izinkinga ezinkulu zempilo uma singatholakali isikhathi eside lapho usukhulile.

Isifo se-Celiac siphathwa kanjani?

Ngeshwa, ayikho ikhambi lesifo se-celiac. Abacwaningi basebenza ekwelashweni okusha, okunye kwakho okubonise imiphumela ethembisayo. Kodwa ukwelashwa okuyinhloko okwamanje ukudla okungenagluten . Lokhu kuvumela ulwelwesi lwamathumbu akho ukuba luphole futhi izimpawu zakho zithuthuke.

Izinguquko ekudleni

Uma unesifo se-Celiac, udokotela wakho uzokutshela ngqo ukuthi yikuphi ukudla ongakudla nokungakufanele ukudle. Ngenxa yokuthi lezi zinguquko zingaba nomthelela omkhulu empilweni yakho, udokotela wakho angakudlulisela kuchwepheshe wezokudla . Ungathola izeluleko ezengeziwe kubo.

Kuzodingeka ususe ngokuphelele ukolweni, ibhali, i-rye, kanye nokusanhlamvu okuhlobene nakho ekudleni kwakho.

Akuwona wonke amazwe anemithetho edinga amalebula okudla ukuthi asho ukuthi aqukethe i-gluten noma cha, ngakho-ke ngezinye izikhathi kungaba nzima ukuthola ukudla okungena-gluten. Kwamanye amazwe (njenge-United States), uma ukudla kuqukethe enye yezinto eziyisishiyagalombili ezibangela ukungezwani kokudla (kufaka phakathi ukolweni), kumele kubhalwe ngokucacile. Kodwa-ke , noma ngabe kuthiwa 'akunakolweni', akusho ukuthi 'akunagluten'. Lokhu kungenxa yokuthi eminye imikhiqizo engenakolweni ingase ibe nezinye izinhlamvu eziqukethe i-gluten, njengebhali ne-rye.

Ngakho-ke, ngaphambi kokuthi uthenge noma yikuphi ukudla, funda ilebula ngokucophelela. Ungathola ulwazi mayelana nezinhlobo zokudla okudingeka uziqaphele ezindaweni ezifana newebhusayithi ye-Celiac Disease Foundation.

Ungazithola kanjani izinketho eziphephile?

Nanka amanye amathiphu engicabanga ukuthi azokusiza:

• Okokuqala, cabanga ngokudla ongakudla. Ummbila, ilayisi, i-buckwheat, amabele, i-arrowroot, ubhontshisi/ama-chickpeas e-garbanzo, i-quinoa, i-tapioca, i-teff, kanye nofulawa wamazambane kuphephile. Ungadla nenyama engaphekiwe, inhlanzi, inkukhu, amantongomane, imbewu, amafutha, ubisi, ushizi, amaqanda, izithelo nemifino.
• Qaphela kakhulu ngokungcoliswa okuxubile. Kalula nje, yilapho ucezu oluncane lokudla okuqukethe i-gluten lungena ekudleni okungena-gluten. Cabanga nje, uma usika isinkwa esingenayo i-gluten ngommese ofanayo nomshini wokusika isinkwa ojwayelekile, imvuthuluka yesinkwa esivamile ingangena nakulena, akunjalo? Ngakho-ke, sebenzisa njalo ummese/isipuni esisha sezinto ezifana nejamu nebhotela. Uma kungenzeka, kungumqondo omuhle ukuthi abantu abanesifo se-Celiac bagcine ibhotela nejamu ehlukile emabhodleleni acindezelwayo. Ungagcina ne-toaster ehlukile yokugcoba isinkwa esingenayo i-gluten.
• Ngaphambi kokwenza ukudla okungenaglutenGeza futhi uhlanze izitsha, izitsha, kanye nezindawo zokusebenza kahle. Geza izandla zakho kahle ngensipho namanzi njalo uma ulungisa ukudla.
• Ezitolo zokudlela: Uma u-oda ukudla, tshela uweta noma abasebenzi basekhishini ngesimo sakho. Bazoqinisekisa ukuthi ukudla kwakho akuna-gluten futhi akunazo izithako ezihlobene ne-gluten.
• Ezitolo zokudla: Izinkwa ezingenayo i-gluten, okusanhlamvu, izingxube zamakhekhe, amabhisikidi, nama-crackers seziyatholakala ezindaweni eziningi. Ungathola okuningi kwalokhu ezitolo zokudla okunempilo kanye nasezimakethe zokudla zemvelo. Gwema ukuthenga imikhiqizo engenayo i-gluten emabhokisini okudla amaningi , njengoba kunengozi ephezulu yokungcoliswa okuxubile.

Kwenzekani uma ngingazi ngidla into equkethe i-gluten?

Ngisho nangale ndlela yonke yokuqapha, ngezinye izikhathi ungadla into equkethe i-gluten ungaqapheli. Lokhu kuyinto evamile, ungacabangi kakhulu ngakho. Ngisho noma udla inani elincane, ungase uzwe ukuvuvukala okuncane emathunjini akho, kodwa ungase ungabi nezimpawu ezisheshayo ngaso sonke isikhathi. Ngokuvamile, ulwelwesi lwamathumbu ethu amancane luvuselelwa ngokuphelele ezinsukwini ezingu-3-4. Ngakho-ke, uma wenza iphutha kanye, amangqamuzana amasha ayangena futhi athathe indawo yamangqamuzana alimele ngokushesha. Kodwa-ke, uma udla i-gluten njalo, udonga lwamathumbu lungalimala ngokuhamba kwesikhathi. Ngakho-ke kungcono ukuqaphela ngangokunokwenzeka.

Yini enye okudingeka siyazi? (Umyalezo Wokuya Ekhaya)

Ukujwayela ukudla okungenagluten kungaba yinselele kancane, ikakhulukazi ekuqaleni. Kuyiqiniso lokho. Kodwa ngokuhamba kwesikhathi, uzothola ukuqonda okungcono kokudla ongakudla nongakudla. Khona-ke kuzoba lula ngawe ukuthola ukudla okuphephile, ukudla okulula, kanye nezithako.

Khumbula, awuwedwa onalezi zinkinga zokudla. Udokotela wakho angase akwazi ukukutshela ngeqembu lokusekela endaweni yakini. Ungathola futhi amaqembu okusekela kanye nezinhlangano ku-inthanethi. Ezinye izibonelo zifaka:

• Isisekelo Sezifo Ze-Celiac
• Ngale kwe-Celiac
• Inhlangano Kazwelonke Ye-Celiac

Izindawo ezinjengalezi zingakunikeza ulwazi olwengeziwe, izindlela zokupheka ezintsha, kanye nokuhlangenwe nakho kwabanye. Akudingeki ukuthi udlule kulolu hambo wedwa. Baningi abantu abangakusiza futhi bakuqonde.

Isifo se-Celiac, i-gluten, ukungezwani nokudla, izinkinga zesisu, ukuntuleka kokudla okunempilo, ukudla okungena-gluten, isifo sokuzivikela komzimba