An Bayani game da Gluten Sensitivity
Har zuwa kwanan nan, mutanen da suka samu sakamako masu kyau akan jarabawar jini da kwayoyin halitta da aka yi amfani da shi don gano cutar ta Celiac sun ci abinci duk abin da suke so - masaraci ba shine matsala ba.
Duk da haka, yawancin mutanen sun yi kokari don cin abinci mai cin abinci maras amfani - abincin da ya shafe kowane abincin da ya hada da alkama, sha'ir, da hatsin hatsi - kuma sun nuna cewa sun fi kyau. Abun alamun su (wanda ya hada da gajiya, damun kwayoyi, da matsalolin da ba a magance matsalolin) ba su wanke lokacin da suka ci abinci marar amfani.
Yawancin wadannan mutane sun ji sun kasance masu kulawa ko rashin yarda ga gina jiki mai gina jiki , kodayake gwadawa sun nuna basu da cutar celiac. A wasu lokuta, likitocin su sun yarda da ƙididdigar su kuma sun yarda cewa kada su ci abinci. A wasu lokuta, suna ci gaba da guje wa guguwa ba tare da albarkatun likita ba.
Yanzu, masu bincike (ko da yake ba duka ba) sunyi imani cewa irin wannan yanayin da ke dauke da matsala tare da wadanda aka yi amfani da shi (irin matsalar da ba cutar celiac ba).
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8 Alamai masu ban mamaki Za ku iya samun marasa lafiya
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Idan Gidan Sensitivity Is Real, Yaya Mutane da yawa Suna Gaskiya?
Suna kiran shi "ƙwaƙwalwar ƙwayar cuta," "wanda ba shi da celiac gluten sensibility (NCGS)," "non-celiac alkama ƙwarewa," " rashin ƙarfi rashin haƙuri ," ko ma " gluten allergy ."
Duk da haka, yanayin wanzuwar bai riga ya tabbatar da tabbacin ba, kuma babu wani bayani game da dalilin da yasa ya faru da kuma yadda za'a iya alaka da cutar celiac. Babu ko da sunan da aka yarda da ita a duniya, ko da yake mafi yawan masana a fagen sun koyar da "rashin kula da ƙwayoyin kullun" ko "ƙwarewar alkama da ba da celiac."
Har ila yau ba a fili ba idan yana da furotin a alkama, sha'ir, da hatsin rai da ke haifar da bayyanar cututtuka na yanayin.
A gaskiya ma, masu bincike sun gano wasu magunguna a alkama, musamman, sun ce zai iya zama alhakin . Wasu daga cikin wadannan mahallin, wanda aka sani da FODMAPS, ana samun su a sauran abinci, irin su tafarnuwa da albasa, kazalika da alkama.
Bugu da kari, binciken da aka wallafa a watan Yuli na 2016 ya nuna cewa mai laifi a cikin rashin hankali na celiac gluten / alkama zai iya kasancewa ƙira. Nazarin, wanda masu bincike a Jami'ar Kimiyya ta Jami'ar Columbia ke gudanarwa, sun gano cewa wadanda ke da alamar alkama suna da alamun alamar tsarin da ke nuna "kunna tsarin sarrafawa."Sakamakon binciken ya nuna cewa wannan tsari na rigakafi yana faruwa ne saboda ƙwayoyin microbes da sunadarai na abinci suna tsallake shinge na hanji a cikin jini, suna haifar da kumburi.
A ƙarshe, duk da wasu bincike na kwanan nan da ke nuna damuwa mai yalwaci, yawancin likitoci basu riga sun yarda cewa yanayin lafiya ne ba, kuma babu wata gwaji don likita. Binciken bincike na ci gaba da neman gaskiyar game da alkama / gurasar ƙwayoyi, kuma yayin da ake jiran ƙarin sakamakon, likitanku na iya kasancewa ko ƙananan mai bi a cikin yanayin.
Hanyoyin cututtuka na Gluten Sensitivity
Abubuwan alamun da ke hade da ƙwallon ƙarancin ruwa suna da kyau sosai kamar wadanda ke da alaka da cutar celiac: matsalolin kwayoyi, damuwa, da gajiya .
Matsaloli irin su cututtukan zuciya, rikice-rikice, da kuma ciwo na ciki sukan faru akai-akai a cikin waɗanda aka gano tare da ƙwarewar manya. Suna kuma da yawa a cikin wadanda ke bayar da rahoto cewa rashin lafiya daga abinci mai cike da abinci, amma wadanda ba su da ganewar asali.
Abun haɗin gwiwa , ciwon kai, da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa sukan fi lura da alamun bayyanar, kuma akwai karamin binciken da aka gano wanda zai iya samun damuwa ga mutanen da basu da cutar celiac .
Ba a bayyana ko waɗannan bayyanar cututtuka suna nuna ainihin lalacewa ga tsarin jikinka ba, ko kuma suna nuna kawai ka ci abin da ba ya yarda da kai. Wasu masu bincike sun ce mutanen da suke da damuwa suna iya cin lalacewa ga sauran kwayoyin da kuma tsarin, musamman ma tsarin su ne, amma ba a tabbatar da wannan a cikin binciken kimiyya ba.
Gluten Sensitivity vs. Celiac cuta
Lokacin da aka gano ku tare da cutar celiac , yana nufin cewa kun hadu da ka'idojin kiwon lafiya mai kyau - kuna da lalacewa ga villi na jikinku (wanda aka sani da atrophy ) wanda aka haifar da wani abu mai saurin kai ga mai cin abinci a cikin abincinku.
Ciwon Celiac yana shafar kusan ɗaya a cikin kowane mutum 133 a Amurka, yana sanya shi a yanayin da ya dace.
Yawancin mutane da ke nuna alamun cututtuka na cutar celiac ba su da yanayin, amma wasu daga cikin wadannan mutane suna samun taimako daga alamun su a kan abinci mai cin abinci maras amfani, kuma mai yiwuwa, saboda haka, yana da hankali sosai.
Doctors suna bukatar yin sarauta daga cututtukan Celiac kafin su iya gane asali da hankali . Wannan yana nufin ana buƙatar ku shawo kan gwaje-gwajen jini sannan kuma (yiwuwar) endoscopy, hanyar da likitoci suke amfani da shi don duba kai tsaye a ƙananan hanji. Idan waɗannan gwaje-gwaje ba su nuna alamun cutar celiac ba, to, kai da likitanku za su iya yin la'akari da magunguna daban-daban, ciki har da ƙwarewar gluten.
Zaɓuɓɓuka gwaji don Kulawa Gluten Kiyaye Ba tare da Ƙari ba
Tun da masu bincike da dama basu yarda da cewa akwai kariya ba, babu wani gwajin da aka tabbatar don tantance yanayin . To, menene za ku iya yi don gwada shi idan kunyi zaton wannan zai zama matsala?
Da zarar ku da likitanku sun yi sarauta daga cutar celiac, kuna da ƙananan zaɓuɓɓuka don gwajin ƙwaƙwalwa.
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Hanyoyi daban-daban na Allergies
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Ina da Sensitivity na Gluten - Shin ina da mummunan haɗari ga ciwon daji?
Duk da haka, ya kamata ka kasance da sanin cewa babu wani daga cikin waɗannan zaɓuɓɓuka da aka inganta ta hanyar binciken likita.
Alal misali, wasu likitoci za suyi amfani da sakamako mai kyau akan wasu gwaje-gwajen jini - gwaje-gwajen da ke kula da kwayar cutar ta guje - guje a jini- don taimakawa wajen gano asali da hankali. Wadansu wasu za su gane ku akan yadda kuka mayar da martani ga cin abinci marasa cin abinci-in wasu kalmomi, idan kuka kawar da alkama kuma ku ji daɗi, kuna da damuwa.
Har ila yau, kuna da zaɓi na biyan gwajin gwaji ta hanyar EnteroLab -daidai-da- si -mabukaci da gaske-da gaske ku sani cewa hanyoyin gwaji da wannan tashar ta amfani da ita ba a tabbatar ko yarda da su ba.
Tambayoyin da ba'a amsa ba akan Gluten Sensitivity
Zai yiwu yiwuwar kamuwa da guba da kuma maganin celiac suna wakiltar bangarori daban-daban na wannan yanayin, amma mafi kusantar cewa suna wakiltar yanayi daban-daban. Tunda masu bincike basu riga sun yarda da ma'anar satar hankali ba, ba za mu iya tabbatar da dalilin da yasa zai iya faruwa ba kuma yadda za a iya danganta shi ga cutar celiac.
Bugu da ƙari, yana iya cewa ba duk wanda ya guje wa gluten ya kamata ya yi haka ba. Idan ka sauke gurasar daga abincinka ka kuma ji daxi, za ka iya zama mai hankali ko rashin shiga ga gluten. Amma akwai wasu bayanai don lafiyar lafiyar ku.
Alal misali, wasu mutane suna jin dadi sosai saboda suna cin abinci mai daɗaɗɗa-ta hanyar yankan giya, kuna kuma yanke wasu nau'o'in kayan sarrafawa da abinci. A gaskiya ma, wannan wani ɓangare na dalili ne a bayan kyawawan 'yanci marasa kyauta "masu kyauta" wanda mutane daban-daban suka inganta, kuma yana iya zama dalili da wasu mutane suka rasa nauyi lokacin da suke tafiya kyauta .
Haka kuma yana yiwuwa ka ji dadi mafi kyau saboda ka yi imani da kake yin wani abu mai kyau don lafiyarka, watau, jin dadi akan cin abinci mai cin abinci maras amfani shine wakilcin wurin aiki a cikin aikin.
Ba na faɗi wannan ba sauƙi-a baya, da yawa likitoci sun yi watsi da su kuma sun watsar da alamun bayyanar cutar daga gluten, kuma "duk a kan ku" mantra har yanzu yana ci gaba a wasu sassa na likitanci, duk da ci gaba da sani. Amma gaskiya ne cewa wasu mutane da suka gaskanta cewa ba za su iya jurewa gurasar ba zasu iya jure shi da kyau, kamar yadda aka tabbatar da cewa wasu mutanen da suka ce suna da damuwa suna iya "yaudara" a kan abincin ba tare da bayyanar cututtuka ba.
A gaskiya, yawancin bincike sun gano cewa wasu mutanen da suka gaskanta cewa suna da damuwa mai yalwaci ba su amsa ga mai tsabta ba, ko kuma a cikin gurasar alkama, lokacin da suka cinye waɗannan abubuwa a cikin binciken makantar. Sauran suna yin hakan, duk da haka, abin da ke ba da shaida cewa yanayin yana wanzu.
Gluten Sensitivity Treatment: Gluten-Free Diet
Kamar dai yadda cutar ta Celiac take, kawai magani na yau da kullum don kulawa da guguwar abinci shine rage cin abinci maras amfani .
Akwai matukar muhawara game da irin wannan cin abinci da ake bukata don zama wanda zai iya "kawai" ya kasance mai karfin gaske. Wasu likitoci za su gaya muku ku ci gaba da yaudara a wasu lokuta, yayin da wasu za su ba da shawara ga cin abinci marar amfani.
Ba a bayyana ba ko biyan cin abinci marasa cin abinci ba zai iya ba ka damar kiwon lafiya fiye da abin da ka samo daga jin dadi ba, ko kuma cinye hatsi na gluten lokacin da kake damuwa yana tattare da hadarin lafiya . Kamar yadda na fada a baya, akwai kananan bincike da ke nuna cewa kuna da lalacewa ta jiki daga gluten (duk da yadda rashin lafiyar cututtuka da kuke fuskanta). Amma kuma babu wani binciken da ya nuna cewa ba ku da lalacewa. Wannan yanki ne wanda masu bincike suka fara ganowa.
Kamar yadda yake tare da duk abin da ya shafi kulawa da ƙwayoyi, akwai ƙananan binciken da ke samar da hankali, kuma wasu daga cikin binciken likita a yau sun sabawa. A ƙarshe, masanan kimiyya suna fatan samun karin amsoshi. A halin yanzu, idan an bincikar ku da hankali, za ku buƙaci yanke shawara don kanku-da shawara tare da likitanku-yadda ya kamata ku bi abinci marar yisti.
Sources:
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Biesiekierski J et al. Babu sakamakon maye gurbin marasa lafiya tare da wadanda suka ruwaito ba tare da sunada hankali ba bayan rage cin abinci na gurasa, ƙwayoyi masu ƙarancin ƙwayoyin carbohydrates. Gastroenterology . 2013 Aug; 145 (2): 320-8.e1-3.
Elli L et al. Shaida don nuna rashin lafiya ga Celiac Gluten a cikin marasa lafiya tare da cututtukan cututtuka na Gastrointestinal aiki: Sakamakon sakamako mai mahimmanci Tsarin Gudanar da Ƙungiyar Gluten mai sauƙi-biyu. Kayan shafawa . 2016 Feb 8; 8 (2). Koma: E84.
Fasano A et al. Bambanci na iyawa da lalacewa da kuma maganin kwayoyin maganin mucosal a cikin yanayin hade guda biyu: cututtukan Celiac da ƙwarewa. BMC Medicine 2011, 9:23. Doi: 10.1186 / 1741-7015-9-23.
Fasano A et al. Abinda ke fama da damuwa na alkama: yarjejeniya akan sababbin labaran da aka tsara. BMC Medicine . Medicine na BMC 2012, 10:13 pm: 10.1186 / 1741-7015-10-13. An buga: 7 Fabrairu 2012
Uhde M et al. Cutar layi na intestinal da nakasawa ba tare da izini ba a cikin ɗayan mutane suna bada rahoton ƙwaƙwalwa ga Wheat a cikin rashin Celiac Cutar. Gut . 2016. Doi: 10.1136 / gutjnl-2016-311964.