Yesifo celiac: Izimbangela Nezingozi Ukwelashwa

Eminyakeni yamuva, ezinkulu-ukusakaza ezifana zokugula atypical njengoba yesifo celiac. Kuyini lokhu? Lokhu omzimba ukudla gluten - iprotheni itholakala ukolweni, ibhali kanye rye.

Ngo yesifo celiac (yesifo celiac), ukusetshenziswa wathi amaprotheni isinqamu yimpendulo okungalungile kwesimiso somzimba sokuzivikela ezifweni elise emathunjini amancane. Ngokuhamba kwesikhathi, ukusabela kuholela normal ukuvuvukala, kokulimaza igobolondo emathunjini amancane futhi aphazamise ukumuncwa eziningi izakhi (malabsorption).

Ukulimala emathunjini amancane, esikhundleni salokho, kuholele kwesisindo, ukuvuvukala nohudo. Kancane kancane, umzimba uqala bantula izakhamzimba ezidingekayo ukuze ukuphila okuvamile, futhi ngalesosikhathi jeza ubuchopho, isimiso sezinzwa, amathambo, isibindi kanye nezinye izitho zangaphakathi.

Ezinganeni, yesifo celiac (isithombe ukubonisa kwangaphandle izimpawu yakhe, eyakhishwa ngo-ezemithi) ngokuvamile kubambezela wokukhula nokuthuthuka. Yokucasuka amathumbu kungabangela ubuhlungu besisu, ikakhulukazi ngemva kokudla.

yesifo celiac akunakuphulukiswa, kodwa izimpawu zaso zingancishiswa, kuncike ukudla okuqinile.

izimpawu

Izimpawu zesifo okukhulunywa zahlukahlukene kakhulu, njengoba kukhona incike ngokuphelele izici ngazinye umzimba wesiguli.

Nakuba izici esezingeni yesifo celiac abhekwa kwesisindo nohudo, iziguli eziningi musa uhlangabezana ukungakhululeki ezihlobene ukusebenza pheshana emathunjini. Kuphela ingxenye yesithathu iziguli yisifo sohudo ezingalapheki, futhi ingxenye kuphela abaphendula ukukhononda kwesisindo.

Cishe 20% eziguli, ngakolunye uhlangothi, uhlushwa ukuqunjelwa okungamahlalakhona; 10% - ukukhuluphala (nakuba abanye ososayensi bakholelwa ukuthi lokho kwephula musa abangele yesifo celiac). Izimpawu kungukuthi ezihlobene ukugaya, angaqoqwa ohlwini olulandelayo:

• anaemia (ngokuvamile ngenxa yensimbi ukuntula);
• kwamathambo (bone sokuwohloka) noma osteomalacia (ukuthamba ka namathambo);
• ukuqubuka kwesikhumba amabhamuza njengoba silume (herpetiformis dermatosis);
• Umonakalo ka-izinyo koqweqwe lwawo;
• ubuhlungu bekhanda, ukukhathala,
• umonakalo isimiso sezinzwa, kuhlanganise ndikindiki futhi ukuluma izinyawo nezandla, futhi nobunzima kungenzeka ekuhlaleni ibhalansi;
• ubuhlungu nemisipha;
• encishisiwe ubende umsebenzi (gipospleniya);
• Reflux acid isilungulela.

yesifo celiac: izimpawu ezinganeni

Bangaphezu kuka-75% izingane yesifo celiac kukhona ikhuluphele noma ikhuluphele ngokweqile. Izimpawu zokugula ezihambisana ukusebenza pheshana emathunjini, atholakala 20-30% eziguli abasha. Idatha eningi olunembile kunzima ukuthola, kusukela izimpawu kuncike ngokuyinhloko engu-isiguli.

izimpawu esivamile yesifo celiac kule osanda kuzalwa:

• uhudo ezingamahlalakhona;
• ukuvuvukala;
• ubuhlungu;
• i-lag ekuthuthukisweni ngokomzimba, ukucobeka kwesisindo.

Ezinganeni ezindala, ebhekene ukuxilongwa "yesifo celiac" izimpawu kungenzeka kanje:

• isifo sohudo,
• ukuqunjelwa;
• onesiqu esifushane;
• imisiwe ngesikhathi sokuthomba;
• iziyaluyalu esithinta izinzwa, kuhlanganise hyperactivity, ukungakwazi ukugxilisa ingqondo, ezinezinkinga zokufunda, ubuhlungu bekhanda, ukuntuleka ngihamba ngisantengantenga.

Lapho ukubona udokotela

Hlela ikholi kuchwepheshe uma isisu uphatheke kabi noma ukungaphatheki esiswini ingahambi isinxi ngaphakathi amasonto amabili. Qiniseka ukuthi uxhumane nodokotela wezingane zakho uma usungaphakathi uqaphela ukuthi ingane Yayiphaphathekile, ukuhluthuka, eseyekile ukuze isisindo sakhe sithi futhi ikhule. izimpawu Ukukhathazeka nazo ukuvuvukala futhi indle kanzima nge iphunga ezimbi.

Kufanele uxhumane ne uchwepheshe ngaphambi uya ukudla gluten-free. Uma ukuqeda amaprotheni ukolweni Ukudla ngaphambi ukuhlolwa pass wasabela imiphumela yocwaningo kungenzeka unephutha.

yesifo celiac ngokuvamile isuka kwesinye isizukulwane iye kwesinye. Uma izihlobo zakho kutholakala ukuthi uphethwe yini zokugula, ngeke engadingekile ukuba baphumelele ekuhlolweni. Ngaphezu kwalokho, engozini yilawo nabantu abakuphila izihlobo abanesifo sikashukela uhlobo lokuqala kwesifo sikashukela.

izizathu

Nakuba abantu abaningi bazi ezweni lanamuhla okungukuthi yesifo celiac, izimbangela nokwakheka kwalo zisekhona imfihlakalo ososayensi.

Lapho amasosha omzimba usabela ngendlela engafanelekile ukuba gluten eziqukethwe ukudla, bulimaza amancane afana ne- izinwele ziboya phezu mucosa (fluff). Villi phezu igobolondo emathunjini amancane banesibopho ukumuncwa amavithamini, amaminerali nezinye izakhi kusuka ukudla washisa. Ngaphansi ngesibonakhulu, abukeka like ethambile obukhulu inqwaba ukhaphethi. Uma umonakalo odalwe yesifo celiac, ebusweni engaphakathi emathunjini amancane iqala wafana ukubonakala kwawo phansi kunalokho tiled. Ngenxa yalokho, umzimba ayikwazi ukumuncwa kwezakhi ezidingekayo ekukhuleni kanye nokugcinwa impilo.

Ngokusho imiphumela omunye-National Institutes of Health cwaningo e-US wathola ukuthi cishe ingxenye eyodwa American e 140 abaphendulayo abaphethwe isifo celiac. Ngakolunye uhlangothi, iziguli eziningi isikhathi eside akazange ukuya kudokotela futhi ngenxa yalokho zingenalo fana aware of khona egunjini lokuhlolwa kwezifo. Ngokuvamile, yesifo celiac kuthinta kwabaMhlophe.

Ngokusho kweminye izifundo ke baphawula ukuthi amanye izinguquko zofuzo (ukuguquka kwezakhi zofuzo) kwandisa ingozi nesifo celiac. Noma kunjalo, ukuba khona kwalezi ukuguquka kwezakhi zofuzo akusho ukuthi abantu ngempela agule.

Kwezinye izimo, lo zokugula iqale neyaziwayo ngemva othola ukuhlinzwa, inkathi yokukhulelwa, esiyingozi igciwane lohlobo noma sindisa ezinzima ngokomzwelo.

engcupheni

yesifo celiac kungakheka kunoma iyiphi umzimba. Nokho, zikhona izimo ezingase wandise ingozi izimpawu zezifo, kuhlanganise:

• kokuba isihlobo esiseduze nge yesifo celiac noma dermatosis herpetiformis;
• thayipha sikashukela 1;
• Down Syndrome noma Turner Syndrome;
• Hashimoto sika thyroiditis;
• Sjögren Syndrome ;
• nesifo ezincane (collagenous noma nesifo lymphocytic).

yezinkinga

Uma ingelashwa noma non-ukuhambisana yokwelapha enqunyiwe, kuhlanganise ukudla, yesifo celiac kungaholela nezinkinga ezilandelayo:

• Ukuncipha kwamanzi ngenxa yokungondleki kahle. Ukulimala emathunjini amancane okuholela malabsorption ka trace izakhi okudingwa ngumzimba. Ukuntula izakhi kungabangela sokuntuleka kwegazi kanye kwesisindo. Ezinganeni, kuholela ukungakhuli kahle nentuthuko.
• Ukulahlekelwa calcium kwamathambo. Ukuntuleka kwe-calcium novithamini D. kungabangela ukuthambisa amathambo ezinganeni (osteomalacia) noma ukonakala kwamathambo asesibelethweni abadala (kwamathambo).
• Okungavundile kanye izisu. Ukuntuleka kwe-calcium novithamini D. etholakalayo kuchubekisela iziyaluyalu zokuzala.
• zokungezwani ne-lactose. Ukulimala emathunjini amancane kubangela ubuhlungu besisu nohudo ngemuva kokudla imikhiqizo yobisi okune-lactose, ngisho noma zihlanganisa kungekho gluten. Ngemva ukudla wezokwelapha, lapho wamathumbu angenza, ukungezwani ne-lactose, futhi kungase kudlule ngokwalo, kodwa odokotela enganikanga into eqinisekile: ezinye iziguli kuseyinkinga eziswini imikhiqizo yobisi, ngisho nangemva kokuba usuqede izifundo nokwelashwa yesifo celiac.
• Umdlavuza. Isihluthulelo ekulweni nobhubhane yesifo celiac - Ukudla esekelwe imikhiqizo ngaphandle amaprotheni elimazayo. Uma ungenalo ukugcina ukudla nezinye iziqondiso udokotela, it kwandisa ingozi umdlavuza eziningana, kuhlanganise lymphoma emathunjini bese umdlavuza emathunjini amancane.

ukuhlola

Ukuze sithole ukuziphatha zocwaningo yesifo celiac kanye nezinqubo ngezansi:

• Ukuhlolwa kwegazi. Amazinga aphakeme izinto ezithile egazini (omzimba) libhekisela amasosha omzimba ukuba gluten. Ngenxa yalezi assays kungathola kwezinso ngisho ezimweni lapho izimpawu cishe akakubangeli kabi noma lumane.
• Endoscopy. Uma imiphumela igazi esigulini Kutholwe yesifo celiac, uphethwe azokusizana Inqubo ebizwa ngokuthi i "Endoscopy", njengoba udokotela kuyodingeka ukuhlola emathunjini amancane futhi acoshe obuncane izicubu biopsy indlela. Ocwaningweni i-laboratory, ochwepheshe ngeke kutholakale ukuthi mucosal villi lilimele.
• Capsule Endoscopy. Uma capsule Endoscopy isetshenziswa ikhamera encane wireless uthatha isithombe ngaso sonke amathumbu ezondile isiguli. Ikamelo ibekwa usayizi capsule ne Vitamin amaphilisi, ngemva kwalokho isiguli iphuza ke. Njengoba siqhubekela ngokusebenzisa pheshana emathunjini, ikhamera ithatha ifotho izinkulungwane scene izithombe kudivayisi rekhoda ukurekhoda.

Kubalulekile lokuqala zidlule lonke ucwaningo babelwe ukuhlonza yesifo celiac bese kuphela umzimba gluten-free. Uma ukukhipha amaprotheni kusukela ekudleni ngaphambi iphumelele ekuhlolweni, imiphumela zokuxilonga kungase kubonakale evamile.

ukwelashwa

Okuwukuphela kwendlela ngalo ungakwazi dambisa lo isifo kuyinto yesifo celiac - ukwelashwa ngesimo ukudla gluten-free. Khumbula ukuthi amaprotheni ezinonya equkethwe hhayi kuphela kakolweni evamile. Futhi ocebile imikhiqizo ezilandelayo:

• ibhali;
• ukolo ogazingiwe;
• durum;
• semolina;
• Graham ufulawa;
• lwemithombo;
• rye;
• semolina (semolina);
• apelwe;
• Triticale (hybrid of kakolweni rye).

Udokotela kungenzeka zikuthumela isazi wekuhlela ngokuhlanganyela elilungile Ukudla gluten-free.

Uma amaprotheni yemifino azokhishwa ekudleni, ukuvuvukala emathunjini amancane yenu kuyovumelana kancane kancane ababhubhayo. Ngcono kungabonwa ngemva kwamasonto amabili kuya kwamathathu, nakuba iziguli eziningi siqaphela ekwenteni ncono impilo ngaphakathi ngezinsuku ezimbalwa. Ukuphiliswa ngokuphelele futhi nokwaphakade we villi kungathatha izinyanga eziningana iminyaka eminingana. Ukubuyiselwa emathunjini amancane kwenzeka ngokushesha ezinsaneni kunakubantu abadala.

Uma ngengozi ukudla equkethe gluten, leso sifo bangase balwisane izimpawu ezifana ubuhlungu besisu noma ikhishwe yisisu. Kwezinye abantu, izimpawu bengekho nhlobo, kodwa lokho akusho ukuthi amaprotheni kakolweni ngabo akuyona ingozi ngokuphelele. Funda ngokucophelela ukwakheka kuboniswe kwi isembozo kwemikhiqizo ukuthi ngisho iminonjana gluten kungabangela umonakalo, kungakhathaliseki khona noma ukungabi khona izimpawu zezifo.

Amavithamini namaminerali Izithako

Sitholakele "yesifo celiac" - kusho ukuthini? Isinyathelo sokuqala siwukuba ukugwema zonke okune ukolweni, ibhali, i-rye kanye nemikhiqizo yalo. ivolumu kudliwe encishisiwe okusanhlamvu kungaholela ukuntula izakhi - e Kulokhu, owelapha noma okunomsoco ukuncoma ukuthatha amavithamini namaminerali Izithako isinxephezeliso yokuntuleka izinto ekudleni. Lezi izinto ezibalulekile zibandakanya:

• calcium;
• i-folic acid,
• yensimbi;
• Vitamin B-12;
• Vitamin D;
• Vitamin K;
• zinc.

Mzimba zivame ukuthathwa kalula ngesimo amaphilisi. Uma uxilongwe malabsorption ezinzima izakhi, udokotela imithi amavithamini ngesimo imijovo.

Ukuvuvukala esiswini

Uma emathunjini amancane is kulimala, udokotela uyoncoma steroid ukucindezela ukuvuvukala. Ama-steroid bayakwazi ekudambiseni izimpawu olunzima yesifo nayo ukudala izimo ezivuna sokuphulukiswa ezilimele mucosa emathunjini.

enobungozi

Uma basengozini futhi akwethuse ngokuthi wena yesifo celiac, ekuvimbeleni izifo kufanele kube omunye izinto eziza kuqala kuwe siqu. Gwema ukudla okuphekiwe izigubhu uma izinyanda noma amaphakheji akudingeki eliqoshwe umbhalo othi "aluqukethanga gluten." amaprotheni ezinobungozi equkethwe hhayi kuphela e izitsha sobala njengokugwema wabhaka izimpahla, amakhekhe, ophaya namakhukhi. Ingase futhi babe yingxenye ekudleni kokulandelayo:

• ubhiya;
• amaswidi;
• nososo;
• soy inyama noma inhlanzi;
• kusetshenzwe inyama imiqulu;
• kusaladi, kuhlanganise usoso wesoya;
• inyoni akudingi amafutha lapho ukuthosa;
• isobho.

okusanhlamvu ezithile okunjenge-oats, ingaqukatha iminonjana gluten, njengoba ekhula futhi kusetshenzwe endaweni efanayo futhi imishini efanayo kakolweni. Kuze kube manje, isayensi Akwaziwa ukuthi i-oats eshubisa kuhlasela ezifana yesifo celiac e abadala, kodwa odokotela Ngokuvamile zitusa ekugwema ukusebenzisa oat groats hlovev futhi, ngaphandle uma echaziwe kwi isembozo ukuthi umkhiqizo ayiqukethe gluten. Kwezinye izimo, ngisho i-oats okumsulwa ngaphandle kwanoma imiphi iminonjana kakolweni babhebhethekisa ukuvuvukala emathunjini amancane.

imikhiqizo agunyaziwe

Cishe konke ukudla ajwayelekile afaneleke nemibandela ukudla gluten-free. Kuphephile ukusebenzisa le mikhiqizo e ukudla:

• ngokudlulisa, inhlanzi nezinkukhu ngaphandle breading, ukwengeza isivivinyo noma marinade;
• izithelo;
• imikhiqizo kakhulu yobisi;
• amazambane kanye nezinye nemifino;
• iwayini kanye nama-liquid distilled, utshwala kanye non-utshwala izithelo iziphuzo.

Wokudla ukudla gluten-free avunyelwe:

• amaranth;
• arrowroot;
• nokunye okufana nokolweni;
• amabele;
• polenta;
• noma yiluphi uhlobo kafulawa ngaphandle gluten (irayisi, soy, ummbila, amazambane, ipea);
• quinoa (quinoa);
• irayisi;
• tapioca.

Ngenhlanhla abalandeli celiac imikhiqizo ebhikawozi kanye pasta, ngokuhamba kwesikhathi, abakhiqizi abaningi ukukhiqiza imikhiqizo kakhulu ilebula ekhethekile "gluten free". Uma ungakwazi ukuthola le mikhiqizo e yokubhaka wendawo noma zokudla, sibheke uhla ezitolo inthanethi. Imikhiqizo eminingi nokudla okune gluten, kukhona nozakwabo gluten-free luphephile futhi luyatholakala.