Ga marasa lafiya wadanda ke da Gluten-Free, Tattaunawa da Abinci na Gaskiya yana da muhimmanci
Mutanen da ke fama da cutar celiac sun fuskanci kalubale masu cin abincin da ke da matsala, koda kuwa suna bin abinci mara cin abinci. Na farko, dole ne su sake dawowa (kamar yadda ya kamata) daga malabsorption mai gina jiki wanda ya faru yayin da suke cin abinci, wanda zai iya haifar da cutar anemia, ƙananan ma'adinai da osteoporosis , rashin ciwon bitamin, da sauran matsalolin .
Kamar dai wannan bai isa ba, ba kamar wadataccen kayan samfuri ba a cikin babban kantin sayar da kayayyaki, wadataccen kayan cin abinci ba tare da wadata ba, suna wadatar da su ko wadata da karin bitamin, yana sanyawa ga mutanen da ke dauke da cutar celiac don samun isasshen bitamin a cikin abincin su.
Kyautattun kayan Gluten basu da yawa a cikin bitamin B, calcium, bitamin D, baƙin ƙarfe, zinc, magnesium, da fiber. A gaskiya ma, bincike ya nuna cewa mutanen da ke dauke da cutar celiac suna da hatsari don yawancin abincin da ba su cin abinci ba, wanda ya hada da yawan ƙwayar kiba.
Me yasa Dietitian Muhimmanci ne don Kiwon Lafiyarka
Saboda wadannan hadarin sunadarai, Celiac Disease Alliance, Ƙungiyar Ƙungiyar Cutar Ƙari ta Duniya, Ƙungiyar Ƙungiyar Gluten ta Arewacin Amirka, da kuma likitoci da dama sun ba da shawarar cewa mai cin abincin dijital ya zama wani ɓangare na masu kula da kiwon lafiya wanda ke kula da yanayin jin dadin lafiyar mai ciwon. da kuma yarda da abincin.
Bugu da ƙari, nazarin ya nuna cewa ga wasu mutane tare da cutar celiac, babban dalilin da yasa ba za su iya zama marasa kyauta ba shine ba su fahimci abincin ba. Shin, ba zai zama abin jin dadi don neman taimako daga kwararrun ba?
Mene ne Bambanci tsakanin Mai Cin Kayan Gina Harkokin Abinci da Kwararren Abinci, kuma Wanne Ya Kamata Na Duba?
A Amurka, mutanen da ke fama da kowace cuta, ciki har da cutar celiac, waɗanda suke buƙatar shawarwari mai gina jiki ya kamata su tuntubi wani Dietitian Rikicin (wanda ake kira RD).
Rundunonin RDs sun kammala karatun kimiyya da kuma kwarewa da ka'idoji na Hukumar Harkokin Dietetic Association na Amirka da ke Kula da Dietetic Registration, ciki har da mafi digiri na digiri daga kwalejin ko jami'a wanda aka yarda da shi da kuma shirin da ya dace da kwarewa. Dole ne kamfanonin RDs su gwada jarrabawar jarrabawa da gaske kuma su shiga shirye-shirye na ci gaba da ci gaba da ci gaba da karatun su kula da takardun shaidar su.
Wasu RDs suna samun digiri na ci gaba da ƙarin takaddun shaida a yankuna na musamman. Dangane da mutanen da ke dauke da cutar Celiac, Ƙungiyar National Foundation for Celiac Awareness ta tabbatar da cewa 'yan cin abinci masu rijista suna cikin shirin Gluten-Free Resources, Education, da Training (GREAT). GARANTI ga masu cin abinci shine Cibiyar Ilimi na Ci gaba (CPE) Mai ba da izini tare da Hukumar kan Rijistar Abinci. (Akwai kuma shirye-shiryen takardun shaida na GREAT ga masu kyauta, ma'aikata na cafeteria, da sauran masu sana'a na masana'antu.)
Ba kamar takardun shaidar RD ba, babu wata daidaitattun dokoki da takardun shaida tare da sunayen sararin "dietitian" (ba tare da kalmar "rajista") ko "mai gina jiki" kuma babu tabbacin cewa mutumin da ke yin amfani da waɗannan lakabi yana da ilimi na abinci da abinci mai gina jiki .
Wani lokuta ana ba da Dietitian rajistar sunan "Mai gina jiki" (alal misali, a cikin lafiyar jama'a, fannoni na asibiti, da kuma makarantun ilimi). Wani lokaci, duk da haka, wa] annan mutane ba su horar da su ba. Sai dai idan mai gina jiki yana da asali "RD" bayan sunansa, dole ne ka tabbatar da tabbatar da cancantar mutumin.
Bisa ga Ofishin Labarun Labarin Labarin Ma'aikatar Labaran Amurka, jihohin jihohi 48 suna da dokoki da ke kula da abincin nasu, jihohi 35 na buƙatar masu aiki su zama lasisi kuma 12 suna buƙatar cewa gwamnati ta amince da su, ba tare da takaddamar da wata kungiya ba.
Tabbatar cewa masu sana'a na abincin kuɗi sun sadu da bukatun jihar (ko ƙasar) inda yake aiki.
A ina zan sami takarda mai rajista?
A Amurka, zaku iya ziyarci Ƙungiyar Dietetic Association ta Amirka don gano wani Cibiyar Harkokin Gina ta Nutrition don neman mai cin abinci a kusa da ku. Ko shakka, zaka iya tambayi likitanka, ko kuma mambobi na ƙungiyar tallafi na celiac, idan sun iya ba da shawara ga masu sana'a.
A Ostiraliya, ziyarci myDR.com.au; a Canada, masu cin abinci a Kanada; a Hong Kong, Hong Kong Dietitians Associated Limited; a Ireland, Cibiyar Nutrition ta Irish da Dietetic Institute; a New Zealand, New Zealand Dietetic Association; a Birtaniya, Nutri-People ko kuma Birnin Birtaniya na Nutrition.
Shin Asusu na Asusun na Asibiti na Gina Jiki na Celiac?
A cewar wata sanarwa ta hadin gwiwar Amurka Celiac Task Force (yanzu Celiac Disease Alliance), Ƙungiyar Ƙungiyar Cututtuka na Ƙwayar cuta, da Ƙungiyar Harkokin Ƙungiyar Gluten ta Arewacin Amirka, "Magungunan abinci mai gina jiki ne kawai aka yarda da cutar don cutar ta celiac ... Saboda halayen abinci mai gina jiki da ke hade da cutar celiac, mai cin abincin da ake yin rajistar dole ne ya zama wani ɓangare na ma'aikatan kiwon lafiya wanda ke kula da halin jin dadin lafiyar mai haƙuri da kuma biyan kuɗi akai-akai. "Idan aka ba da waɗannan sharuɗɗa, kamfanonin inshora sun biya bashin kamfanonin Celiac da shawarwari tare da RDs.
Duk da haka, akwai kyakkyawar dama da za ku buƙaci shawo kan kamfanin inshora cewa kuna bukatar kulawa daga mai cin abinci. Abubuwan da aka ware su ne marasa lafiya da cutar celiac da ciwon sukari. Domin Medicare ya yi sarauta cewa marasa lafiya da ciwon sukari suna buƙatar shawarar bayar da abinci mai gina jiki, wasu kamfanonin inshora zasu yarda da shawara mai gina jiki ga masu ciwon sukari .
Idan kun fuskanci kalubale na tabbatar da kamfanonin inshora don bayar da amincewa, kuna buƙatar tabbatar da maganin abinci mai gina jiki daga likitancin da aka rijista shi ne (1) wajibi ne a cikin shari'arku kuma (2) tsarin kula da marasa lafiya tare da celiac cuta . Wadannan shawarwari zasu taimaka:
- Yi ƙoƙarin samun yawancin "zance" cikin rubuce-rubuce yadda zai yiwu. Idan ka yi magana da wakilin waya na kamfanin inshora, rubuta sunan mutumin da ka yi magana da kwanan wata, da kuma kula da abin da aka fada.
- A mafi ƙanƙanci, aika kamfanin inshora takardar sayan magani don likitanci daga likitanku, ko kuma mai ba da shawara. Ko da mafi alhẽri, tambayi likitanku - da kuma mai gina jiki, idan kuna da shawara - don rubuta wasiƙun zuwa kamfanin inshora don yin bayanin dalilin da ya sa shawara yake da mahimmancin magani kuma cewa wannan magani shine halin da ake kula da shi yanzu . Idan kana da wani yanayi wanda za a iya la'akari da matsalolin gina jiki, irin su anemia ko ƙarancin bitamin, ka ambaci cewa a cikin takardunka tare da kamfanin inshora kuma ka tunatar da likitanka da mai gina jiki don ambaci shi a cikin haruffa. Idan sun aika haruffa, samo takardun kuma sanya su tare da wasikar ku ga mai ɗaukar inshora, ma.
- Don tabbatar da cewa shawarwari daga masu sana'a mai gina jiki shine ma'auni na kula da marasa lafiya da cutar celiac, yana taimaka wajen aikawa da wasu takardun mahimman bayanai daga wallafe-wallafen likita da suka jaddada wannan batu. A taƙaice, hada da ƙididdiga daga takardun mahimmanci. Bayanan da ke ƙasa, a ƙarshen wannan labarin.
- Duk lokacin da ka kulla takardun da takardunku (kofe na haruffa, sakamakon gwajin likita, articles, da dai sauransu), tabbatar da cewa a cikin wasikarku abin da kuka haɗa.
- A duk lokacin da ka aiko da wani abu ta hanyar isikar kamfanin kamfanin inshora, toka kira su a mako guda don tabbatar da cewa an shigar da takardu a cikin "tsarin".
- Idan kamfanin inshora ya musanta yardawarka ko ya musun da'awarka, gano abin da kake buƙatar yin don neman shari'ar. Lokacin da kuka yi roko, aika takardun sakonku tare da su har zuwa wannan matsala da kuma takardun tallafi, koda kuwa kun aika da shi a baya.
- Idan inshora ya bayar da mai aiki, tambayi ma'aikacin ma'aikaci mai amfani don shiga. Kwamfutar mai amfani yana ɗaukar nauyin nauyi tare da kamfanin inshora fiye da yadda kake yi a matsayin mutum.
Sharuɗɗa don ƙulla (ko ƙira) a cikin takarda tare da kamfanin inshora:
- Leffler DA et al. Binciken da ake yi na nazari game da ma'auni guda biyar na cin abinci mai cin abinci marar yisti tare da tsofaffi tare da cutar celiac. Pharmacology na abinci & Therapeutics 2007; 26: 1227-1235
- "Kodayake gwaje-gwaje na yau da kullum suna da ƙwarewa da ƙwarewa ga ƙwarewar cutar ta Celiac, ba za su iya maye gurbin gwada aikin gina jiki ba a cikin ƙididdigar cin abinci mai cin abinci maras amfani."
- Niewinski MM. Ci gaba a cikin celiac cuta da abinci maras yisti. Journal of the American Dietetic Association 2008 Ranar 108 (4): 661-72
- "Wannan bita ya damu dalla-dalla kan abinci mai cin abinci maras amfani da kuma muhimmancin babban shawara na gurasar abinci ga duk marasa lafiya da cutar ciwon celiac ... Abinci mai cin abinci maras amfani ne mai hadarin gaske kuma marasa lafiya suna buƙatar ilimi mai gina jiki mai gina jiki.
- Green PHR da Cellier C. Celiac cutar. New England Journal of Medicine 2007; 357: 1731-43.
- "Kungiyar kula da kiwon lafiya dole ne ta hada da mai cin ganyayyaki mai gwani wanda ke kula da yanayin jin daɗin lafiyar mai haƙuri da kuma biyan kuɗi akai-akai ... .Ya bukaci likitancin gwadawa don tantance digiri na biyayyar (cin abinci mara cin abinci) da kuma dalilan da ba za a yi ba. .. "
- Pietzak MM. Biyan marasa lafiya tare da cutar celiac: cimma yarda da jiyya. Gastroenterology 2005; 128: S135-41
- "... yin la'akari da cin abinci marasa cin abinci, musamman ma a {asar Amirka, yana da kalubalanci ... .Bayan haka, wata} ungiya ta biyo bayan sababbin marasa lafiya da suka kamu da cutar, ya ha] a da ... shawarwari na likitanci na likita ta hanyar likitaccen likita ..."
- Mariani P et al. Abincin Gluten-Free: Abincin Abincin Abinci na Abincin Abinci ga Matasa da Celiac Cutar? Journal of Pediatric Gastroenterology & Nutrition 1998; 27: 519-523
- "Ko da yake a cikin shekarun da suka wuce an sami babban ci gaba a cikin kayan aikin bincike na CD, munyi imani cewa lokaci ya zo ya ba da hankali ga matsaloli game da biyan CD, ba kawai yarda da abincin ba, har ma da ma'auni mai gina jiki na cin abinci kanta. "
- Hallert C et al. Shaidun rashin lafiyar marasa lafiya a cikin marasa lafiya na Celiac akan cin abinci maras yisti ga shekaru 10. Abincin Pharmacology & Therapeutics 2002; 16: 1333-1339.
- "Mun sami alamomi da ke nuna rashin talauci a cikin kashi 56 cikin dari na marasa lafiya na Celiac da aka kula da su, ciki har da shida a kan karin kayan da ke ciki. Wannan yana kara da hujjoji da ke nuna cewa marasa lafiya suna ci gaba da cin abinci marar yisti a cikin shekarun da suka wuce don ci gaba da bitamin ƙayyadaddun jihohin, ƙananan rashi rashi. "
> Sources:
> Ƙungiyar Tashoshin Celiac ta Amurka, Ƙungiyar Ƙungiyar Cutar Gida ta Duniya da Gudanar da Ƙungiyar Gluten Interarance Group of North America. Bayanai na abinci da kuma aiwatar da cututtuka na celiac. Gastroenterology 2005; 128: S121-S127
> Ƙungiyar Labarun Labarun Labarun Labarun Labarun Labarun Labarun Labarun
> Ƙungiyar Abinci ta Amirka
> Cibiyar Kudancin Illinois ta Didactic a Dietetics
> Leffler DA et al. Binciken da ake yi na nazari game da ma'auni guda biyar na cin abinci mai cin abinci marar yisti tare da tsofaffi tare da cutar celiac. Pharmacology na abinci & Therapeutics 2007; 26: 1227-1235
> Niewinski MM. Ci gaba a cikin celiac cuta da abinci maras yisti. Journal of the American Dietetic Association 2008 Ranar 108 (4): 661-72
> Rigar PHR da Cellier C. Celiac cutar. New England Journal of Medicine 2007; 357: 1731-43.
> Masiya na Pietzak. Biyan marasa lafiya tare da cutar celiac: cimma yarda da jiyya. Gastroenterology 2005; 128: S135-41
> Mariani P et al. Abincin Gluten-Free: Abincin Abincin Abinci na Abincin Abinci ga Matasa da Celiac Cutar? Journal of Pediatric Gastroenterology & Nutrition 1998; 27: 519-523
> Hallert C et al. Shaidun rashin lafiyar marasa lafiya a cikin marasa lafiya na Celiac akan cin abinci maras yisti ga shekaru 10. Abincin Pharmacology & Therapeutics 2002; 16: 1333-1339.