Kupanda Gluten Sikuti Ndi Kungotengeka Ndi Zinthu: Zomwe Muyenera Kudziwa Zokhudza Matenda a Celiac, Non-Celiac Gluten Sensitivity, ndi Wheat Allergy

Zamkati

• Chifukwa chiyani komanso momwe mungayendere wopanda gilateni
• Kodi gluten ndi ndani ndipo ayenera kupewa?
• Matenda achilendo
• Zizindikiro za matenda a leliac
  
• Zovuta zamatenda a leliac
  
• Zakudya zoyenera kupewa matenda a leliac
• Tirigu ziwengo
• Zizindikiro za ziwengo za tirigu
  
• Zakudya zoti mupewe ndi zovuta za tirigu
• Kutengeka kopanda celiac gluten (NCGS)
• Zizindikiro za kutengeka kwa giliteni wosadziwika bwino
  
• Zakudya zoti mupewe kutengeka ndi magalasi osazitaya
• Magwero obisika a gluten ndi tirigu
• Zakudya zopangidwa ndi gluten- ndi tirigu:
  
• Mawu osakira oyembekezera
• Kusintha kwanzeru | Kusinthana Kwanzeru
• Mawu omaliza

Chifukwa chiyani komanso momwe mungayendere wopanda gilateni

Ndikuchulukirachulukira kwa zinthu zopanda gilateni ndi zovuta zambiri zofananira zamankhwala, pali chisokonezo chambiri pankhani ya gluten masiku ano.

Tsopano popeza ndizachikhalidwe kuthana ndi gluteni kuchokera pazakudya zanu, iwo omwe ali ndi matenda enieni atha kunyalanyazidwa. Ngati mwapezeka kuti muli ndi matenda a leliac, kutengeka kosagwirizana ndi celiac, kapena kusowa kwa tirigu, mutha kukhala ndi mafunso angapo.

Nchiyani chimapangitsa kuti matenda anu akhale osiyana ndi ena? Ndi zakudya ziti zomwe mungathe kudya komanso zomwe simungadye - ndipo bwanji?

Ngakhale popanda chithandizo chamankhwala, mwina mumadzifunsa ngati kuchotsa gilateni pazakudya zanu ndibwino kuti mukhale ndi thanzi labwino.

Tawonani mwatsatanetsatane mikhalidwe iyi, omwe akuyenera kuchepetsa kapena kupewa gluten, ndikutanthauzanji kwenikweni pakusankha zakudya tsiku ndi tsiku.

Kodi gluten ndi ndani ndipo ayenera kupewa?

Mwachidule, gluten ndi dzina la gulu la mapuloteni omwe amapezeka mumtambo ngati tirigu, balere, ndi rye - amawonjezera kutakasika ndi kutafuna kwa buledi, zinthu zophika, pasitala, ndi zakudya zina.

Kwa anthu ambiri, palibe chifukwa chaumoyo chopewa gluten. Malingaliro akuti gluten amalimbikitsa kunenepa, matenda ashuga, kapena vuto la chithokomiro sizinatsimikizidwe m'mabuku azachipatala.

M'malo mwake, chakudya chomwe chimakhala ndi mbewu zonse (zambiri zomwe zimakhala ndi gluteni) chimalumikizidwa ndi zabwino zambiri, monga kuchepa kwa ngozi,, ndi.

Komabe, pali zovuta zathanzi zomwe zimafunikira kuchepetsa kapena kuchotsa gilateni ndi zakudya zokhala ndi gilateni pazakudya: matenda a celiac, ziwengo za tirigu, komanso chidwi chosakhala cha celiac.

Chilichonse chimabwera ndi kusiyana kwa zizindikilo - zina zobisika komanso zina zodabwitsa - komanso zoletsa zosiyanasiyana pazakudya. Nazi zomwe muyenera kudziwa:

Matenda achilendo

Matenda a Celiac ndimatenda omwe amayambukira anthu aku America, ngakhale ambiri sangadziwike.

Anthu omwe ali ndi matenda a leliac amadya gluten, amachititsa kuti chitetezo chamthupi chitetezeke chomwe chimawononga matumbo awo ang'onoang'ono. Zowonongekazi zimachepetsa kapena kugwetsa ma villi - oyamwa zala ngati zala zomwe zimayambira matumbo ang'onoang'ono. Zotsatira zake, thupi silimatha kuyamwa bwino michere.

Pakadali pano palibe chithandizo china cha matenda a leliac kupatula kuchotsedwa kwathunthu kwa gluteni. Chifukwa chake, anthu omwe ali ndi vutoli ayenera kukhala tcheru pochotsa zakudya zonse za gluteni pazakudya zawo.

Zizindikiro za matenda a leliac

• kutsegula m'mimba
• kudzimbidwa
• kusanza
• Reflux ya asidi
• kutopa

Anthu ena amafotokoza kusinthasintha kwamalingaliro monga kukhumudwa. Ena samakumana ndi zizindikiro zilizonse zowonekera kwakanthawi kochepa.

Sonya Angelone, RD, mneneri wa Academy of Nutrition and Dietetics anati: "Pafupifupi 30 peresenti ya anthu omwe ali ndi celiac alibe zizindikilo zam'matumbo. Chifukwa chake mwina sangayesedwe kapena kupezedwa ndi matenda. ” M'malo mwake, kafukufuku akuwonetsa kuti anthu ambiri omwe ali ndi matenda a leliac sakudziwa kuti ali nawo.

Ngati matenda a celiac sanalandire chithandizo, amatha kukhala ndi mavuto azaumoyo nthawi yayitali, monga:

Zovuta zamatenda a leliac

• kuchepa kwa magazi m'thupi
• osabereka
• mavitamini
• mavuto amitsempha

Matenda a Celiac amakhalanso okhudzana ndimatenda amthupi okha, chifukwa chake munthu yemwe ali ndi matenda a leliac ali ndi chiopsezo chachikulu chokhala ndi vuto lomwe limayambitsa chitetezo chamthupi.

Madokotala amatenga matenda a leliac mwa njira imodzi. Choyamba, kuyezetsa magazi kumatha kuzindikira ma antibodies omwe akuwonetsa kuti chitetezo chamthupi chimayenderana ndi gluten.

Mwinanso, kuyesa kwa "standard standard ya golide" kwa matenda a leliac ndi chidziwitso chomwe chimachitika kudzera pa endoscopy. Thupi lalitali limalowetsedwa m'matumbo kuti muchotse m'matumbo ang'onoang'ono, omwe amatha kuyesedwa ngati ali ndi vuto lowonongeka.

Zakudya zoyenera kupewa matenda a leliac

Ngati mwapezeka kuti muli ndi matenda a leliac, muyenera kupewa zakudya zonse zomwe zimakhala ndi gluteni. Izi zikutanthauza zinthu zonse zomwe zimakhala ndi tirigu.

Zina mwazinthu zopangidwa ndi tirigu ndi monga:

• nyenyeswa za mkate ndi buledi
• tirigu zipatso
• mikate ya tirigu
• Zofufumitsa, ma muffin, makeke, makeke, ndi ma pie okhala ndi kutumphuka kwa tirigu
• pasitala wopangidwa ndi tirigu
• osokoneza bongo a tirigu
• Mbewu zomwe zimakhala ndi tirigu
• mowa
• msuzi wa soya

Njere zambiri zomwe zilibe tirigu m'dzina lawo ndizosiyana ndi tirigu ndipo ziyeneranso kukhala zosadya kwa anthu omwe ali ndi matenda a leliac. Izi zikuphatikiza:

• msuwani
• durumu
• semolina
• einkorn
• emmer
• alireza
• alireza
• kamut
• matzo
• malembedwe
• anayankha

Mbewu zina zingapo kupatula tirigu zimakhala ndi gluteni. Ali:

• balere
• rye
• bulgur
• kutuluka
• oats amakonzedwa pamalo omwewo monga tirigu

Tirigu ziwengo

Matenda a tirigu ndiwosavuta chifukwa cha tirigu. Monga zakudya zina zilizonse, zovuta za tirigu zimatanthauza kuti thupi lanu limapanga ma protein a protein omwe ali ndi tirigu.

Kwa anthu ena omwe ali ndi vutoli, gluten atha kukhala mapuloteni omwe amachititsa kuti chitetezo chamthupi chitetezeke - koma palinso mapuloteni ena angapo mu tirigu omwe amathanso kukhala olakwika, monga albin, globulin, ndi gliadin.

Zizindikiro za ziwengo za tirigu

• kupuma
• ming'oma
• kukhwimitsa pakhosi
• kusanza
• kutsegula m'mimba
• kukhosomola
• anaphylaxis

Chifukwa anaphylaxis imatha kuopseza moyo, anthu omwe ali ndi vuto la tirigu ayenera kunyamula epinephrine autoinjector (EpiPen) nawo nthawi zonse.

Pafupifupi amakhala ndi zovuta za tirigu, koma ndizofala kwambiri kwa ana, zomwe zimakhudza mozungulira. Awiri mwa magawo atatu a ana omwe ali ndi vuto la tirigu amaposa ali ndi zaka 12.

Madokotala amagwiritsa ntchito zida zosiyanasiyana kuti apeze zovuta za tirigu. Poyesa khungu, zotulutsa zamapuloteni a tirigu amagwiritsidwa ntchito pakhungu lobaya pamanja kapena kumbuyo. Pakadutsa mphindi pafupifupi 15, katswiri wazachipatala amatha kuwona ngati thupi lawo siligwirizana, lomwe limawoneka ngati chotupa chofiyira pakhungu.

Kuyesedwa kwa magazi, komano, kumayeza ma antibodies ku mapuloteni a tirigu.

Komabe, popeza kuyezetsa khungu ndi magazi kumatulutsa cholakwika pakati pa 50 ndi 60% ya nthawiyo, magazini azakudya, mbiri yazakudya, kapena vuto lakudya pakamwa nthawi zambiri zimakhala zofunikira kuti mudziwe zovuta za tirigu.

Vuto la chakudya cham'kamwa limaphatikizapo kudya tirigu wochulukirapo moyang'aniridwa ndi azachipatala kuti muwone ngati muli ndi vuto linalake. Akapezeka, anthu omwe ali ndi vutoli ayenera kupewa zakudya zonse zokhala ndi tirigu.

Zakudya zoti mupewe ndi zovuta za tirigu

Anthu omwe ali ndi vuto la tirigu ayenera kukhala osamala kwambiri kuti athetse tirigu (koma osati magwero a gluten) pazakudya zawo.

N'zosadabwitsa kuti pali zochulukira zambiri pakati pa zakudya zomwe anthu omwe ali ndi matenda a leliac ndi zovuta za tirigu ayenera kupewa.

Mofanana ndi omwe ali ndi matenda a leliac, anthu omwe ali ndi vuto la tirigu sayenera kudya zakudya zilizonse zopangidwa ndi tirigu kapena tirigu wamtundu wa tirigu womwe watchulidwa pamwambapa.

Mosiyana ndi omwe ali ndi matenda a leliac, komabe, anthu omwe ali ndi vuto la tirigu ali ndi ufulu kudya balere, rye, ndi oats wopanda tirigu (pokhapokha atakhala ndi zotsutsana ndi izi).

Kutengeka kopanda celiac gluten (NCGS)

Ngakhale matenda a celiac ndi matupi a tirigu akhala akudziwika kale kuchipatala, kutengeka kwa non-celiac gluten (NCGS) ndi matenda atsopano - ndipo sizinakhale zotsutsana, popeza zizindikilo za NCGS zitha kukhala zosamveka kapena zosasinthika kuchokera kuwonekera kamodzi kwa gluteni mpaka lotsatira.

Komabe, akatswiri ena amaganiza kuti mpaka anthu amakhala ndi vuto la gilateni - anthu ochulukirapo kuposa omwe ali ndi matenda a celiac kapena zovuta za tirigu.

Zizindikiro za kutengeka kwa giliteni wosadziwika bwino

• kuphulika
• kudzimbidwa
• kupweteka mutu
• kupweteka pamodzi
• chifunga chaubongo
• dzanzi ndi kumva kulasalasa kumapeto

Zizindikirozi zitha kuwonekera patangopita maola ochepa, kapena zingatenge masiku kuti zikule. Chifukwa chosowa kafukufuku, zomwe zimakhudza thanzi la NCGS kwakanthawi sizidziwika.

Kafukufuku sanatchulepo zomwe zimayambitsa NCGS. Zikuwonekeratu kuti NCGS sichiwononga villi kapena kuyambitsa matumbo owopsa.Pachifukwa ichi, wina yemwe ali ndi NCGS sangayesedwe kuti ali ndi matenda a leliac, ndipo NCGS imadziwika kuti ndi yovuta kwambiri kuposa iyi.

Palibe mayesero amodzi omwe amavomerezedwa kuti apeze NCGS. "Matendawa amachokera kuzizindikiro," akutero katswiri wazakudya Erin Palinski-Wade, RD, CDE.

"Ngakhale akatswiri ena azachipatala amagwiritsa ntchito kuyesa malovu, chopondapo, kapena magazi kuti azindikire kukhudzika ndi gilateni, mayeserowa sanatsimikizidwe, ndichifukwa chake savomerezedwa ngati njira zovomerezeka zodziwira kukhudzika uku," akuwonjezera.

Monga momwe zimakhalira ndi ziwengo za tirigu, kutsatira momwe chakudya chiliri komanso zizindikiritso zilizonse m'magazini zitha kukhala zothandiza kuzindikira NCGS.

Zakudya zoti mupewe kutengeka ndi magalasi osazitaya

Kuzindikira kusakhudzidwa kwa magiliteni osakhala aceliac kumafuna kuchotseratu gluteni pazakudya, osakhalitsa.

Pofuna kuchepetsa zovuta, wina yemwe ali ndi NCGS ayenera kukhala kutali ndi mndandanda womwewo wa zakudya monga munthu amene ali ndi matenda a leliac, kuphatikiza zinthu zonse za tirigu, tirigu wosiyanasiyana, ndi mbewu zina za gluten.

Mwamwayi, mosiyana ndi matenda a leliac, matenda a NCGS sangakhale kosatha.

"Ngati wina angachepetse kupsinjika kwa chitetezo cha m'thupi mwa kuchotsa zakudya zina kapena mankhwala omwe amachititsa kuti chitetezo cha mthupi chitengeke, ndiye kuti angathe kubwezeretsanso gluten pang'ono kapena pang'ono," akutero Angelone.

Palinski-Wade akuti, kwa anthu omwe ali ndi NCGS, kulabadira zizindikilo ndikofunikira pakuzindikira kuchuluka kwa gluteni yomwe angathe kubweretsanso.

"Pogwiritsa ntchito magazini azakudya ndi zakudya zopewetsa kupatula komanso kutsata zizindikilo, anthu ambiri omwe ali ndi chidwi cha gluten amatha kupeza chitonthozo chomwe chimawathandiza," akutero.

Ngati mwapezeka ndi NCGS, gwirani ntchito ndi dokotala kapena wazakudya yemwe angayang'anire njira yochotsera kapena kuwonjezera zakudya m'zakudya zanu.

Magwero obisika a gluten ndi tirigu

Monga momwe anthu ambiri omwe amadya zakudya zopanda thanzi adazindikira, kuyambitsa gilateni sikophweka monga kudula buledi ndi keke. Zakudya zina zingapo komanso zopanda chakudya ndizomwe zimadabwitsa izi. Dziwani kuti gluten kapena tirigu akhoza kubisala m'malo osayembekezereka, monga awa:

Zakudya zopangidwa ndi gluten- ndi tirigu:

• ayisikilimu, yogurt wachisanu, ndi pudding
• granola kapena mapuloteni
• nyama ndi nkhuku
• tchipisi cha mbatata ndi batala la ku France
• zamzitini msuzi
• Mavalidwe a saladi wam'mabotolo
• ma condiments omwe amagawana nawo, ngati mtsuko wa mayonesi kapena mphika wa batala, womwe ungayambitse kuipitsidwa ndi ziwiya
• milomo ndi zodzikongoletsera zina
• mankhwala ndi zowonjezera

Mawu osakira oyembekezera

Zakudya zopangidwa nthawi zambiri zimalimbikitsidwa ndi zowonjezera, zina zomwe zimakhazikika mu tirigu - ngakhale mayina awo sangawoneke choncho.

Zosakaniza zingapo ndi "code" ya tirigu kapena gilateni, kotero kuwerenga kwa ma savvy ndikofunikira pa zakudya zopanda thanzi:

• chimera, balere chimera, madzi a chimera, chotupa cha chimera, kapena zokometsera za chimera
• kutuluka
• triticum vulgare
• hordeum vulgare
• mbewu monga secale
• mapuloteni a tirigu wa hydrolyzed
• graham ufa
• yisiti ya brewer
• oats, pokhapokha atatchulidwa kuti alibe gluten

Makampani ambiri tsopano akuwonjezera chizindikiro cha "wopanda gluten" kuzinthu zawo. Sitampu yovomerezekayi ikutanthawuza kuti mankhwalawa awonetsedwa kuti ali ndi magawo ochepera 20 a gluten pa miliyoni - koma ndizotheka.

Ngakhale ndikofunikira kunena ma allergen ena mu chakudya, a FDA samafuna opanga chakudya kuti anene kuti mankhwala awo ali ndi gluteni.

Ngati mukukayika, ndibwino kuti mufunsane ndi wopanga kuti mutsimikizire ngati chinthucho chili ndi tirigu kapena gilateni.

Kusintha kwanzeru | Kusinthana Kwanzeru

Kuyenda kadzutsa, nkhomaliro, chakudya chamadzulo, komanso nthawi yopanda thukuta popanda gluten kungakhale kovuta, makamaka poyamba. Ndiye mungadye chiyani? Yesani kusinthanitsa zina mwazinthu zomwe anthu amakonda kudya ndi njira zawo zopanda gilateni.

Mawu omaliza

Kuchotsa tirigu kapena gilateni pazakudya zanu ndi kusintha kwakukulu pamoyo wanu komwe kumawoneka kovuta kwambiri poyamba. Koma mukamayesetsa kupanga zosankha zoyenera pazakudya zanu, ndipamenenso chimakhala chachiwiri - ndipo mwina mudzamva bwino.

Kumbukirani kuti nthawi zonse muzifunsana ndi akatswiri azaumoyo musanachite chilichonse chosintha pazakudya zanu kapena ngati muli ndi mafunso okhudzana ndi thanzi lanu.

Sarah Garone, NDTR, ndi wolemba zaumoyo, wolemba zaumoyo pawokha, komanso wolemba mabulogu azakudya. Amakhala ndi amuna awo ndi ana atatu ku Mesa, Arizona. Mupezeni akugawana zidziwitso zaumoyo wathanzi komanso zopatsa thanzi komanso (makamaka) maphikidwe athanzi ku Kalata Yachikondi ku Chakudya.