Micah Stanley
Gluten rhiab heev tau ntev tau xav tias yog ib yam dab tsi ntawm kev xav. Cov neeg cuam tshuam tau nyeem tias gluten tsis zoo. Thiab thaum lawv tau noj cov zaub mov uas muaj gluten, lawv pom cov tsos mob tseem ceeb - tsis yog vim tias gluten ua rau muaj kev phom sij, tab sis tsuas yog vim tib neeg ntseeg nws.
Kev tshawb fawb pov thawj: gluten rhiab heev
Cov neeg uas tsis tuaj yeem zam gluten muaj kab mob celiac. Tab sis yog tias koj tsis muaj kab mob celiac, koj yuav tsum zam gluten - qhov ntawd yog qhov kev xav ntawm cov tshuaj niaj hnub tam sim no. Yog li hu ua gluten rhiab heev, qhov twg koj tsim cov tsos mob tom qab noj gluten tsis muaj kab mob celiac, tau pom tias yog ib qho kev tsim esoteric, ib yam dab tsi uas tsis tau ua tiag tiag thiab tsuas yog luag nyav me ntsis.
Nws yog qhov tseeb tias txij li xyoo 1970s muaj cov lus ceeb toom ntawm cov neeg mob uas hnov mob gluten, txawm tias lawv tsis muaj kab mob celiac. Tab sis qhov tshwm sim tsis tau muab lub npe, yog li nws tsuas yog tsis quav ntsej.
Txawm li cas los xij, tam sim no nws muaj nws lub npe: non-celiac gluten rhiab heev lossis tsis-celiac gluten rhiab heev - NCGS luv luv.
Cov tsos mob ntawm non-celiac gluten rhiab heev
NCGS tsis sib haum, piv txwv li nrog cov tsos mob ntawm tus kheej heev. Ntawm ib sab, cov no suav nrog cov teeb meem digestive:
- Zawv plab
- cem quav
- xeev siab
- gas
- mob plab
Ntawm qhov tod tes, kuj tuaj yeem sib txawv kiag li, qee zaum cov tsos mob tsis meej, xws li B.
- malaise
- ntxhov siab vim hais tias
- Foggy taub hau
- mob taub hau
- qaug zog
- Cov xeev ntawm kev qaug zog mus txog
- fibromyalgia
- Cov kab mob ua pa tsis tu ncua
- Sinus kab mob (nrog rau qhov ntswg polyps)
Diagnosing gluten rhiab heev: txhua yam tab sis yooj yim
Cov tsos mob ntawm tus kab mob celiac yog qhov zoo sib xws, nrog qhov sib txawv ntawm cov kab mob celiac tuaj yeem kuaj pom tseeb, tab sis NCGS tsis tuaj yeem. Hauv kab mob celiac, kev puas tsuaj tshwj xeeb rau cov kab mob hauv cov hnyuv tau pom (kev kuaj ntshav) thiab qee cov tshuaj tiv thaiv tuaj yeem kuaj pom hauv cov ntshav.
Yog tias ib tus neeg hnov mob rau gluten nrog cov tsos mob tau piav qhia, tab sis tsis qhia qhov kev kuaj mob ntawm tus kab mob celiac, NCGS yog qhov kev xaiv pom tseeb. NCGS yog li ntawd feem ntau kuaj pom los ntawm kev txiav txim siab tawm tus kab mob celiac nrog cov tsos mob yuav luag zoo ib yam.
Gluten Sensitivity: Tsis muaj kev xav ntxiv lawm
Yog li nws yuav luag nkag siab tias cov tshuaj tsis tshua ntseeg tias muaj gluten rhiab heev (tseem hu ua gluten intolerance) vim qhov xwm txheej tsis meej thiab categorizes nws li "Nws tsuas yog kev xav xwb!" ntim.
Los ntawm qhov ntawd, txawm li cas los xij, tam sim no nws tuaj yeem raug tshem tawm dua, vim hais tias nyob rau xyoo tas los no cov kws tshawb fawb tau rov muab pov thawj tias gluten rhiab heev ntawm tus kab mob celiac muaj thiab yog li tseem muaj pov thawj tias tag nrho cov cuam tshuam yog tsis muaj kev xav txog cov neeg mob, tab sis raug kev txom nyem los ntawm cov kab mob celiac. mob tiag tiag.
Cov kev tshawb fawb tshawb fawb ua pov thawj tias muaj gluten rhiab heev
Thaum ntxov li 2011, Biesiekierski li al. tau tshaj tawm nyob rau hauv American Journal of Gastroenterology ntawm lawv txoj kev kawm ob qhov muag tsis pom kev uas lawv tuaj yeem soj ntsuam NCGS hauv cov neeg uas kuaj tau IBS.
Xyoo 2012, Carroccio et al. qhia tau tias kwv yees li 30 feem pua ntawm tag nrho cov neeg mob uas muaj teeb meem digestive reacted nrog cov tsos mob thaum sib tw nrog cov nplej. Cov kws sau ntawv ntawm txoj kev tshawb no tau hais txog NCWS cov neeg mob, piv txwv li cov nplej rhiab heev.
Xyoo 2015, Di Sabatino et al. pom nyob rau hauv kev tshawb nrhiav ob qhov muag tsis pom kev uas 20 feem pua ntawm cov neeg mob plab hnyuv tau teb rau gluten yam tsis muaj kab mob celiac.
Kev tshawb nrhiav GLUTOX
Qhov kev tshawb fawb Italian hu ua GLUTOX, cov txiaj ntsig tau nthuav tawm hauv phau ntawv xov xwm tshwj xeeb Nutrients hauv 2016, yog tam sim no heev. Qhov kev tshawb fawb no tau ua nyob rau hauv 15 lub chaw kho mob sib txawv hauv tebchaws Ltalis nyob rau ib lub sijhawm ntawm ib xyoos (los ntawm lub caij nplooj zeeg 2013 txog rau lub caij nplooj zeeg 2014). 140 cov neeg laus uas raug kev txom nyem los ntawm kev tsis txaus siab hauv plab hnyuv tau koom nrog.
- 40 tau kuaj pom tias mob plab hnyuv nrog raws plab,
- 14 mob plab hnyuv nrog cem quav,
- 20 raug kev txom nyem los ntawm kev chim siab plob tsis so tswj cov tsos mob (qee zaum raws plab, qee zaum cem quav),
- 12 muaj teeb meem mob plab nrog cov tsos mob feem ntau tom qab noj mov,
- 10 raug kev txom nyem los ntawm mob plab thiab kub hnyiab (epigastric mob syndrome) thiab
- 41 muaj lwm yam kev tsis txaus siab ntawm plab hnyuv.
Strikingly, cov tsos mob ib txwm tshwm sim tshwj xeeb tshaj yog thaum cov neeg cuam tshuam tau noj ib yam dab tsi uas muaj gluten. Kab mob Celiac, kab mob inflammatory plob tsis so tswj kab mob (ulcerative colitis, Crohn's kab mob, thiab lwm yam), kev puas siab puas ntsws, kab mob autoimmune thiab cov nplej tsis haum yuav raug txiav tawm.
Gluten-dawb noj zaub mov: 75 feem pua ntawm cov neeg mob tau txais kev txhim kho
Kev tshawb nrhiav tau ua nyob rau hauv ob theem. Theem 1 saib seb cov neeg koom nrog cuam tshuam li cas rau peb lub lis piam noj gluten-dawb. 75 feem pua tau ntsib kev txhim kho nrog kev noj zaub mov tsis muaj gluten. Tsis muaj kev phiv ntawm qhov kev noj haus no tau pom.
Hauv theem 2, cov neeg uas tau txhim kho kev noj zaub mov tsis muaj gluten txuas ntxiv ntawm kev noj zaub mov tsis muaj gluten nruj. Tsis tas li ntawd, lawv tau muab 7 ntsiav tshuaj ib hnub rau 7 hnub uas muaj gluten lossis placebo - 4 nrog noj su thiab 3 noj hmo. Tus nqi ntawm gluten hauv cov tshuaj ntsiav (5.6 g) sib npaug rau cov gluten hauv 80 g ntawm pasta.
Tom qab ntawd lawv tau so 7 hnub yam tsis muaj tshuaj ntsiav ua ntej sib pauv cov gluten thiab cov placebo. Tam sim no cov neeg uas yav tas los tau txais gluten capsules tau txais cov placebo capsules thiab vice versa. Theem 2 tau siv tag nrho peb lub lis piam.
Cov kws kho mob ua qhov kev kho mob paub tsawg npaum li cov neeg mob, cov tshuaj ntsiav yog gluten capsules thiab cov placebo capsules. Tsuas yog tus neeg muag tshuaj capsule paub.
Ntawm 101 tus neeg mob uas tau teb zoo heev rau kev noj zaub mov tsis muaj gluten, tsuas yog 98 nkag mus rau Theem 2. Cov 3 cov neeg tso tawm tau zoo siab heev txog kev txhim kho lawv cov tsos mob uas lawv ntshai tsam muaj kev rov qab los vim gluten lawv tau noj nyob rau theem 2. , uas lawv xav kom zam txhua tus nqi.
Lwm cov khoom nplej uas tuaj yeem ua rau gluten rhiab heev
Ib feem peb ntawm cov neeg mob uas tseem tshuav tuaj yeem muab faib ua ob pawg tom qab theem 2. Ib nrab tuaj yeem ua rau muaj qhov hu ua nocebo effect, yog li qhov gluten rhiab heev tsuas yog xav txog. Ntawm qhov tod tes, cov neeg mob no tuaj yeem hnov mob rau lwm yam khoom noj uas muaj cov tsos mob. Tom qab tag nrho, nplej thiab lwm yam cereals tsis tsuas yog muaj gluten raws li ib yam khoom uas cov neeg intolerances yuav hnov mob.
Cereals kuj muaj qhov hu ua ATIs (amylase trypsin inhibitors), uas tuaj yeem ua rau gluten-ywj siab gluten rhiab heev. Cov hu ua FODMAPs kuj tuaj yeem ua rau muaj teeb meem digestive tom qab noj cov khoom noj sib xws. Fodmap yog cov ntawv luv rau "fermentable oligo-, di- thiab monosaccharides thiab polyols".
Cov no yog ntau cov suab thaj, ob lub suab thaj thiab cov suab thaj yooj yim nrog rau qee yam cawv (polyols). Cov tshuaj no paub tias tshwm sim nyob rau hauv ntau yam khoom noj, tab sis tshwj xeeb tshaj yog nyob rau hauv cov khoom nplej. Yog li yog tias koj zam cov zaub mov uas muaj gluten, koj cia li txo cov FODMAP hauv koj cov zaub mov. Thiab nws cov lus tsis txaus siab - yog tias lawv yog FODMAPs - yuav txo qis.
Yog tias koj gluten-rhiab heev: kev noj zaub mov tsis muaj gluten yog tsim nyog sim!
Txawm li cas los xij, lwm ib nrab (14 feem pua ntawm cov thawj 101 cov neeg mob) tuaj yeem kuaj pom tias gluten-rhiab heev. Lawv ua phem dua thaum lawv noj gluten (txawm tias lawv tsis paub yog tias lawv muaj gluten hauv cov tshuaj ntsiav lossis cov placebo) thiab zoo dua thaum lawv mus gluten-dawb. Lawv raug kev txom nyem los ntawm kab mob celiac-ywj siab gluten rhiab heev.
Yog li txhua tus neeg uas raug kev txom nyem los ntawm kev tsis txaus siab ntawm plab hnyuv siab raum, raug xa mus tsev nrog kev kuaj mob plab hnyuv siab raum thiab tsuas yog kho cov tsos mob nkaus xwb, feem ntau tsuas yog tau txais cov tshuaj tiv thaiv kev nyuaj siab, yuav tsum tsuas yog nyob tsis muaj gluten rau ob peb lub lis piam.
Muaj lub caij nyoog zoo uas cov tsos mob yuav zoo zuj zus tuaj lossis txawm ploj mus.
