Ya kamata ya zama mai sauƙi: an gano ku tare da cutar celiac ko marasa lafiya na celiac, za ku tafi kyauta marar amfani, da kuma ƙarshen matsala - kuna jin dadi sosai, ba tare da alamun alamun ba.
Abin takaici, yana da nisa daga wannan sauki. Nazarin bincike da hujjoji sun nuna cewa yawancin mutanen da ke dauke da celiac da gwaninta - ba daidai ba ne a kan yadda zafin, amma yiwuwar sama da rabi - ci gaba da samun alamun cututtuka ko da yake sun yi imanin cewa suna biye da abinci mara kyau .
Wannan zai iya zama abin takaici mai mahimmanci, kuma yana nunawa mutane sau da yawa cewa sun zama masu jituwa ga yawancin sauran abincin (soya yakan jagoranci jerin, tare da masara da sauran hatsi ba da baya ba). Duk da haka, a kalla binciken daya dauke da marasa lafiya na Celiac ya nuna cewa yawanci suna fama da sakamakon ciyayi mai guba - ba "ƙarin ƙwarewa" ga abinci daban-daban, ko wasu matsala ba.
Me ya Sa yake da wuya a zama cikakkiyar Gluten-Free?
Gluten yana cikin ko'ina, kuma a cikin mutane tare da celiac da gwaninta mai hankali wanda ya amsa ga ƙananan yawa, zai iya zama kusan ba zai yiwu ba. Zai iya ɓoye a wuraren da ba ku zata ba, irin su magungunan magani da kayan abincin gourmet (duba ƙarin game da wannan a Gluten-Free Diet Dangers). Har ila yau, yana iya bayyana a cikin ƙididdigar abinci a cikin abincin da ya bayyana ba tare da kyauta ba ta jerin abubuwan da suka dace.
A yawancin lokuta, samfurori masu "kyauta marasa amfani" na hatsi sune wadanda ake zargi.
Alal misali, bincike na yau da kullum na gurasar a cikin "hatsi marasa kyauta" sun sami gurbin gubar dalma a yawancin yawanci daga kawai wanda aka gano (kimanin kashi 5 da miliyan) zuwa kusan kashi 3,000 da miliyan (isa ya haifar da haɗari ).
Masanan ilimin cutar Celiac, ciki har da Peter Green, MD, darektan Cibiyar Celiac na Jami'ar Columbia, sun ce taimaka wa marasa lafiya da ci gaba da bayyanar cututtuka duk da cin abinci mai cin abinci marar amfani.
A 2011, Dr. Green ya bayyana cewa maganin miyagun ƙwayoyi da aka tsara don rage tasirin abin da zai haifar da ƙetare zai zama babbar babbar ga marasa lafiya na Celiac tare da ci gaba da bayyanar cututtuka.
Yaya Mutane Da yawa Suna Shafar Ta Ci gaba da Ciwon Halittu?
Ba haka ba ne, ko da yake akwai wasu alamu a cikin wallafe-wallafe na likita don mutane da cutar celiac. (Babu wani binciken da ke kan ladabi, amma hujjojin bayanan da aka nuna sun nuna yawancin wadanda ke da wannan yanayin kuma sun sha wahala daga bayyanar cututtuka.)
A cikin binciken da aka buga a shekara ta 2003 a cikin Jaridar American Journal of Gastroenterology , masu binciken sunyi nazarin rukuni na 'yan celiac masu girma wadanda ba su da kyauta a cikin shekaru takwas da goma sha biyu. Sun gano cewa batutuwa da cutar celiac sun ruwaito "mafi yawan kwayar cututtukan gastrointestinal fiye da yawan jama'a," ciki har da rashin ciwo, zawo, maƙarƙashiya, zafi na ciki, da kuma reflux.
A gaskiya ma, kimanin kashi 60 cikin 100 na waɗannan celiacs sunyi nazarin alamun bayyanar da yawa, idan aka kwatanta da 29% na yawan jama'a. Mata sun kasance mafi muni fiye da maza.
Wani binciken akan "cututtukan cututtukan zuciya" a cikin mutanen da aka gano da cutar celiac a cikin shekaru da suka wuce ko fiye sun gano cewa fiye da 23% na fama da ciwon daji na ciwon daji wanda ke da matukar damuwa don daidaita ka'idodin rashin ciwon jijiyar jiji (IBS) , kuma mafi yawan neman taimako don bayyanar cututtuka.
Wadanda suke tare da bayyanar cututtuka na IBS sun fi zama mace kuma suna ɓata lokaci-lokaci daga abinci marar yisti, binciken da aka samu.
A cikin wannan binciken, mutanen da ke da alamun bayyanar cutar ta IBS sun kasance suna iya samun "rashin lafiyar tunanin mutum," kamar yadda wani tambayoyin da yake neman alamu da damuwa. Duk da haka, ya kamata a lura cewa mutane da yawa tare da cutar cutar celiac sun nuna alamun rashin jin daɗi da damuwa yayin da suke amfani da ƙananan manya; Don ƙarin bayani a kan wannan, duba Gluten da Matsanancin hankali .
Wani binciken kuma ya duba marasa lafiya 112 da ake magana da su a asibiti na London tare da cutar ta Celiac ba tare da amsa ba (12 daga cikinsu, wanda ya fito, ba shi da cutar celiac bayan duk).
Daga cikin sauran mutane 100 da suka rage, binciken ya gano cewa 45% "ba su dace da cin abinci mara kyau ba," tare da dan kadan fiye da rabi na wadanda ba su da haɗin gurasa kuma ba su da raunin rabin saiti.
A ƙarshe, binciken da ba a buga ba, wanda Alvine Pharmaceuticals ya gabatar a wani taron likita na 2012 ya gano cewa "manyan" (amma ba a bayyana ba) yawan adadin wadanda ake bincikar lafiyar celiac na ci gaba da shawo kan bayyanar cututtuka duk da cike da cin abinci mara kyau.
Wadannan bayyanar cututtuka da aka rubuta ta batutuwa a cikin Alvine nazarin sauti kamar laundry list na hankula celiac gunaguni: flatulence, zafi na ciki, gajiya, bloating, zawo, constipation, tashin zuciya, ƙwaƙwalwar ƙwaƙwalwa, ciwon kai da kuma rashes fata. Sannan kuma suna da matukar damuwa: 90% daga cikin waɗanda aka yi bincike sun ce suna da akalla kwana ɗaya na bayyanar cututtuka a cikin mako daya, kuma 44% sun ce sun samu alamun cutar biyar zuwa 10 a cikin mako guda.
Menene Za Ka Yi Idan Kuna da Sutattun Halittu?
Mataki na farko shine ya kamata ku yi la'akari da tafiya zuwa likitanku don tabbatar da cewa ba a taba yin bace ba. A cikin ɗayan nazarin na rubuta game da sama, kashi 11 cikin 100 na wadanda ke fama da ciwo na celiac da ci gaba da bayyanar cututtuka sun fito ne don ba su da magani na celiac! Wasu na iya samun cuta biyu na Celiac da kuma wani yanayin da ke haifar da ci gaba da alamun bayyanar. Ka tuna, duk da cewa, ko da idan ba a gano ka ba daidai ba tare da cutar celiac, har yanzu za ka iya shan damuwa daga abin da kake gani. Maganin daidai yake ga duka biyu: mai cin abinci mara kyau maras amfani.
Idan kun kasance mai damuwa da damuwa shine matsalarku, to tabbas kuna buƙatar nazarin abincinku don ɓoye mai ɓoye. Fara tare da masu laifi masu laifi da aka jera a cikin Gluten-Free Diet Dangers labarin (link sama).
Idan ba ku cinye wa] annan daga cikin wa] annan ba, ku dubi sauran abincinku: abinci na gidan abinci, yawancin abincin da ake sarrafawa (ko da an kira su "marasa kyauta") da kuma yawan '' gluten- free "kayayyakin hatsi zai iya haifar da ku ingest mafi alama gluten fiye da jikinka iya rike. Biyan hankali ga matakan gwaji don kayan kyauta mafi kyawun kyauta - mai yiwuwa ka buƙaci ka ci kawai samfurori marasa kyauta ko don kauce wa hatsi tun lokacin da suka saba da gurguwar gurasar.
Ga wadansu karin albarkatun akan kawar da gurasar alade daga abincinku:
- Yaya yawan Gluten zai iya sa ni rashin lafiya?
- Gurasar Abincin Abincin 'Gluten-Free' Za Ta Dauki Gudun Gluten
- Me ya sa za ku iya samun Gluten-Free kuma Duk da haka Get Symptoms
- Me yasa Gluten-Free Products 'Mota Million Littafin Lissafin
A wasu lokuta, kuna iya buƙatar bincika ko kuna amsawa ga abincin da ba abinci ba - wanda ya saba wa mutanen da ke fama da cutar Celiac kuma suna da rashin haƙuri a cikin lactose, misali, kuma mutane da yawa suna ba da rahoto daban-daban daban-daban ga soya da masara, duka biyu abinci mai tsanani sosai a kansu. A yawancin lokuta, duk da haka, kawar da ƙananan matakai na gluten zai yi abin zamba.
Idan duk ya gaza, ƙila za ka iya yin la'akari da yin shawarwari tare da mai cin abinci wanda yake da masaniya a kan abinci mai cin abinci maras amfani - mutumin zai iya samo matsalolin da ka iya rasa, kamar ƙetare-ƙetare marar kuskure wanda ya fito daga wani ɓangare kayan abinci, ko shafuka a aiki.
Fiye da duka, kada ku fara jin tsoron abincin - a cikin kwarewa (kuma ina jin dadi sosai game da abincin), yana yiwuwa a ci abinci mai ban sha'awa kuma mai ban sha'awa wanda ya kawar da bayyanar cututtuka kusan gaba ɗaya.
Sources:
Alvine Pharmaceuticals yana gabatar da Celiac Cutar da Cututtuka da ƙaddarar da ke faruwa a Kwalejin Amirka na Gastroenterology 2012. Wallafa labari, Oktoba 24, 2012.
Dewar DH et al. Celiac Cututtuka: Gudanar da cututtukan cututtuka a cikin marasa lafiya a Gluten-Free Diet. Jaridar Duniya na Gastroenterology. 2012 Mar 28, 18 (12): 1348-56.
Hauser W. et al. Kwararrun maganganu na rashin jin dadi-irin cututtukan cututtuka da kulawa da lafiya - neman halaye tsakanin masu girma da cutar Celiac. Magungunan Bincike. 2007 May, 69 (4): 370-6. Epub 2007 Apr 30.
Midhagen G. Gwargwadon ƙwayar cututtukan cututtuka a cikin Celiac marasa lafiya Rayuwa a Gudun Gluten kyauta: Nazarin Nazari. Jaridar American Journal of Gastroenterology. 2003 Sep 98 (9): 2023-6.