Matenda Aceliac: Kusalolera Kwa Gluten

Zamkati

• Kodi zizindikiro za matenda aceliac ndi ziti?
• Zizindikiro za matenda a Celiac mwa ana
• Zizindikiro za matenda a Celiac mwa akulu
• Ndani ali pachiwopsezo cha matenda a leliac?
• Kodi matenda a celiac amapezeka bwanji?
• Kodi matenda a celiac amachiritsidwa bwanji?
• Njira zodzitetezera kwa anthu omwe ali ndi matenda a leliac

Kodi matenda a celiac ndi chiyani?

Matenda a Celiac ndimatenda am'mimba omwe amayamba chifukwa cha chitetezo chamthupi cha gluten. Matenda aceliac amadziwikanso kuti:

• sprue
• nontropical sprue
• enteropathy yosazindikira za gluten

Gluten ndi mapuloteni omwe amapezeka mu zakudya zopangidwa ndi tirigu, balere, rye, ndi triticale. Imapezekanso mu oats omwe adapangidwa pokonza mbewu zomwe zimagwira mbewu zina. Gluteni imatha kupezeka m'mankhwala ena, mavitamini, ndi milomo. Kusagwirizana kwa Gluten, komwe kumatchedwanso kutengeka kwa gluten, kumadziwika ndi kulephera kwa thupi kugaya kapena kuwononga gilateni. Anthu ena omwe ali ndi tsankho losagwirizana ndi gluten amakhala ndi chidwi chochepa cha gluten, pomwe ena ali ndi matenda a leliac omwe ndi vuto lodziyimira lokha.

Mu matenda a celiac, chitetezo cha mthupi ku gluten chimayambitsa poizoni zomwe zimawononga villi. Villi ndi zotuluka zazing'ono ngati zala mkati mwa matumbo ang'onoang'ono. Ma villi akawonongeka, thupi limalephera kuyamwa michere mu chakudya. Izi zitha kubweretsa kusowa kwa zakudya m'thupi komanso zovuta zina, kuphatikizapo kuwonongeka kwamatumbo kosatha.

Malinga ndi National Institute of Diabetes and Digestive and Kidney Diseases, pafupifupi m'modzi mwa anthu 141 aku America ali ndi matenda a leliac. Anthu omwe ali ndi matenda a leliac ayenera kuchotsa mitundu yonse ya gilateni pazakudya zawo. Izi zimaphatikizapo zinthu zambiri zopanga buledi, zinthu zophikidwa, mowa, ndi zakudya zomwe giluten angagwiritsidwe ntchito ngati cholimbitsa.

Kodi zizindikiro za matenda aceliac ndi ziti?

Zizindikiro za matenda a Celiac nthawi zambiri zimakhudza m'matumbo ndi m'mimba, koma zimathanso kukhudza ziwalo zina za thupi. Ana ndi akulu amakhala ndi zizindikilo zosiyana.

Zizindikiro za matenda a Celiac mwa ana

Ana omwe ali ndi matenda a leliac amatha kumva kutopa komanso kukwiya. Amathanso kukhala ochepera kuposa masiku onse ndipo achedwa kutha msinkhu. Zizindikiro zina zofala ndi izi:

• kuonda
• kusanza
• Kutupa m'mimba
• kupweteka m'mimba
• kutsekula m'mimba kosalekeza kapena kudzimbidwa
• zotuwa, zonenepa, zonunkha

Zizindikiro za matenda a Celiac mwa akulu

Akuluakulu omwe ali ndi matenda a leliac amatha kukhala ndi vuto lakugaya chakudya. Nthaŵi zambiri, komabe, zizindikiro zimakhudzanso mbali zina za thupi. Zizindikirozi zitha kuphatikiza:

• kusowa kwa magazi m'thupi
• kupweteka pamodzi ndi kuuma
• ofooka, ophulika mafupa
• kutopa
• kugwidwa
• matenda a khungu
• dzanzi ndi kumva kulasalasa m'manja ndi m'mapazi
• kutulutsa mano kapena kutayika kwa enamel
• zilonda zotumbululuka mkamwa
• kusamba kosasamba
• Kusabereka ndi kupita padera

Dermatitis herpetiformis (DH) ndichizindikiro china chofala cha matenda a leliac. DH ndikutuluka khungu kokhwima komwe kumapangidwa ndi zotumphukira ndi zotupa. Ikhoza kukula pazitsulo, matako, ndi mawondo. DH imakhudza pafupifupi 15 mpaka 25 peresenti ya anthu omwe ali ndi matenda a leliac. Omwe amakumana ndi DH nthawi zambiri samakhala ndi zimbudzi.

Ndikofunika kuzindikira kuti zizindikilo zimatha kusiyanasiyana pakati pa munthu ndi munthu kutengera zinthu zosiyanasiyana, kuphatikiza:

• kutalika kwa nthawi yomwe wina amayamwitsidwa ngati khanda
• zaka munthu wina adayamba kudya gilateni
• kuchuluka kwa gluteni wina amadya
• kuopsa kwa kuwonongeka kwa m'mimba

Anthu ena omwe ali ndi matenda a leliac alibe zizindikiro. Komabe, atha kukhalabe ndi zovuta kwakanthawi chifukwa cha matenda awo.

Konzani nthawi yokumana ndi dokotala nthawi yomweyo ngati mukuganiza kuti inu kapena mwana wanu muli ndi matenda a leliac. Pamene matenda ndi mankhwala akuchedwa, zovuta zimakhala zovuta.

Ndani ali pachiwopsezo cha matenda a leliac?

Matenda achilendowa amapezeka m'mabanja. Malinga ndi University of Chicago Medical Center, anthu ali ndi mwayi 1 mu 22 wokhala ndi matenda a leliac ngati kholo lawo kapena abale awo ali ndi vutoli.

Anthu omwe ali ndi matenda ena amadzimadzi okhaokha komanso zovuta zina zamtunduwu amakhalanso ndi matenda a leliac. Zina mwazokhudzana ndi matenda a leliac ndi awa:

• lupus
• nyamakazi
• mtundu wa 1 shuga
• matenda a chithokomiro
• matenda a chiwindi
• Matenda a Addison
• Matenda a Sjogren
• Matenda a Down
• Matenda a Turner
• tsankho la lactose
• khansa ya m'mimba
• m'mimba lymphoma

Kodi matenda a celiac amapezeka bwanji?

Kuzindikira kumayamba ndikuwunika kwakuthupi komanso mbiri yazachipatala.

Madokotala ayesanso mayeso osiyanasiyana kuti atsimikizire kuti ali ndi matenda. Anthu omwe ali ndi matenda a leliac nthawi zambiri amakhala ndi antiendomysium (EMA) komanso anti-tissue transglutaminase (tTGA) antibodies. Izi zimatha kupezeka poyesa magazi. Mayeso ndi odalirika kwambiri akamachitika pomwe gluten akadali pachakudya.

Mayeso wamba amagazi ndi awa:

• kuwerengera magazi kwathunthu (CBC)
• kuyesa kwa chiwindi
• kuyesa cholesterol
• alkaline phosphatase level test
• seramu albumin mayeso

Kwa anthu omwe ali ndi DH, khungu la khungu limathandizanso madotolo kuzindikira matenda a leliac. Pakati pa khungu, dotolo amachotsa tizidutswa tating'onoting'ono ta khungu kuti akaunike ndi microscope. Ngati biopsy ya khungu ndi zotsatira zoyesa magazi zikuwonetsa matenda aceliac, mkati mwake mwina sikofunikira.

Nthawi yomwe kuyezetsa magazi kapena zotsatira za khungu limakhala zosadziwika, endoscopy yapamwamba itha kugwiritsidwa ntchito kuyesa matenda a celiac. Pakati pa endoscopy wapamwamba, chubu chofiyira chotchedwa endoscope chimakulungidwa pakamwa ndikutsikira m'matumbo ang'onoang'ono. Kamera yaying'ono yolumikizidwa ku endoscope imalola adotolo kuti afufuze matumbo ndikuyang'ana kuwonongeka kwa villi. Dotolo amathanso kupanga biopsy yamatumbo, yomwe imakhudza kuchotsedwa kwa minofu m'matumbo kuti mufufuze.

Kodi matenda a celiac amachiritsidwa bwanji?

Njira yokhayo yochizira matenda a leliac ndikuchotseratu mchere pazakudya zanu. Izi zimapangitsa kuti villi wamatumbo azichiritsa ndikuyamba kuyamwa michere moyenera. Dokotala wanu azikuphunzitsani momwe mungapewere gilateni mukamadya zakudya zopatsa thanzi komanso zopatsa thanzi. Akupatsaninso malangizo amomwe mungawerengere zolemba ndi zakudya kuti mutha kuzindikira zosakaniza zilizonse zomwe zili ndi gluteni.

Zizindikiro zimatha kusintha patadutsa masiku ochepa kuchokera kuchotsa gilateri pazakudya. Komabe, simuyenera kusiya kudya giluteni mpaka matenda atadziwika. Kuchotsa gluten msanga kumatha kusokoneza zotsatira zoyeserera ndikubweretsa matenda osadziwika.

Njira zodzitetezera kwa anthu omwe ali ndi matenda a leliac

Kusunga zakudya zopanda thanzi sikophweka. Mwamwayi, makampani ambiri tsopano akupanga zinthu zopanda gilateni, zomwe zimapezeka m'masitolo osiyanasiyana ndi malo ogulitsa. Malembedwe azinthu izi azinena kuti "alibe gluteni."

Ngati muli ndi matenda a celiac, ndikofunikira kudziwa zakudya zomwe zili zotetezeka. Nayi malangizo angapo azakudya omwe angakuthandizeni kudziwa zomwe mungadye komanso zomwe muyenera kupewa.

Pewani izi:

• tirigu
• malembedwe
• rye
• balere
• kutuluka
• bulgur
• durumu
• alireza
• graham ufa
• semolina

Pewani pokhapokha ngati dzina likunena kuti alibe gluten:

• mowa
• mkate
• makeke ndi ma pie
• maswiti
• dzinthu
• makeke
• osokoneza
• croutons
• miyala
• nyama zotsanzira kapena nsomba
• phala
• pasitala
• Zakudya zamasana, masoseji, ndi agalu otentha
• Mavalidwe a saladi
• Msuzi (kuphatikizapo msuzi wa soya)
• nkhuku zodziletsa
• msuzi

Mutha kudya tirigu wopanda tsabola ndi sitashi:

• buckwheat
• chimanga
• amaranth
• adachiriku
• chimanga
• ufa wopangidwa ndi mpunga, soya, chimanga, mbatata, kapena nyemba
• mikate yoyera ya chimanga
• Kinoya
• mpunga
• tapioca

Zakudya zabwino, zopanda thanzi zimaphatikizapo:

• nyama zatsopano, nsomba, ndi nkhuku zomwe sizinaphikidwe mkate, zokutidwa, kapena kupalasa
• zipatso
• kwambiri mkaka
• ndiwo zamasamba monga nandolo, mbatata, kuphatikizapo mbatata, ndi chimanga
• mpunga, nyemba, ndi mphodza
• masamba
• vinyo, zakumwa zosungunuka, ma cider, ndi mizimu

Zizindikiro zanu ziyenera kusintha patadutsa masiku kapena milungu kuti musinthe mavutowa. Kwa ana, m'matumbo nthawi zambiri amachira miyezi itatu kapena isanu ndi umodzi.Kuchira m'matumbo kumatha kutenga zaka zingapo akuluakulu. Matumbo akangomaliza kuchira, thupi limatha kuyamwa michere moyenera.