Micah Stanley
Gluten senitivity yakagara ichifungidzirwa sechinhu chekuzvikudza. Avo vakabatwa vachangobva kuverenga kuti gluten haina hutano. Uye pavakazodya zvokudya zvine gluten, vakaratidza zviratidzo zvakakodzera - kwete nokuti gluten inonyanya kukuvadza, hongu, asi chete nokuti vanhu vakatenda zvakasimba.
Sainzi inopupurirwa: gluten kunzwa
Avo vasingakwanisi kushivirira gluten vane chirwere chechiliac. Asi kana iwe usina chirwere chechiliac, unofanirwa kushivirira gluten - ndiwo maonero emishonga yakajairika kusvika ikozvino. Iyo inonzi gluten senitivity, kwaunotanga zviratidzo mushure mekudya gluten pasina chirwere chechiliac, yaionekwa seyakavakwa esoteric, chimwe chinhu chisina kutorwa zvakanyanya uye kungonyemwerera zvinyoro.
Ichokwadi kuti kubvira kuma1970 kwave kune mishumo yevarwere vakagamuchira gluten, kunyange zvazvo vakanga vasina chirwere chechiliac. Asi chiitiko ichi hachina kupihwa zita, saka chakangofuratirwa.
Zvisinei, ikozvino ine zita rayo: kwete-celiac gluten senitivity kana kwete-celiac gluten senitivity - NCGS kwenguva pfupi.
Zviratidzo zve-non-celiac gluten senitivity
Iyo NCGS haipindirani, kureva kuti ine zvisizvo, zviratidzo zvega. Kune rimwe divi, izvi zvinosanganisira matambudziko ekugaya:
- Diarrhea
- kuvimbiswa
- Nausea
- gasi
- kurwadziwa nemudumbu
Nekune rimwe divi, panogona zvakare kuve neakasiyana zvachose, dzimwe nguva zviratidzo zvisina kujeka, senge B.
- malaise
- kushungurudzika inoti
- Musoro wemhute
- headache
- manyaro
- Zvisingaperi zvimiro zvekuneta kusvika
- fibromyalgia
- Kazhinji zvirwere zvekufema
- Sinus zvirwere (kusanganisira nasal polyps)
Kuongorora gluten senitivity: chero chinhu chiri nyore
Zviratidzo zvechirwere chechiliac zvakafanana zvikuru, nemusiyano wekuti chirwere chechiliac chinogona kuonekwa zvakajeka, asi NCGS haigoni. Muchirwere chechiliac, kukuvadza kwakananga kumucheka wemukati mudiki kunoonekwa (biopsy) uye mamwe masoja ekudzivirira chirwere anogona kuonekwa muropa.
Kana mumwe munhu akaita kune gluten nezviratidzo zvinotsanangurwa, asi pasina kuratidza maitiro ekuongorora maitiro echirwere chechiliac, ipapo NCGS ndiyo sarudzo iri pachena. NCGS saka inonyanya kuongororwa nekubvisa chirwere chechiliac chine zviratidzo zvakafanana.
Gluten Sensitivity: Hapasisina fungidziro
Saka zvinonzwisisika kuti mishonga yakajairika haitendi zvechokwadi mukuvapo kwekunzwa kwe gluten (inonziwo gluten kusashivirira) nekuda kwemamiriro ezvinhu asina kujeka uye anoisa mumapoka se "Zvese fungidziro!" packed.
Kubva ipapo, zvakadaro, ikozvino inogona kubviswa zviri pamutemo zvakare, nekuti mumakore achangopfuura masayendisiti akadzokorora kupa humbowo hwekuti gluten senitivity yakazvimirira yechirwere checeliac iripo uye nekudaro humbowo hwekuti vese vanobatwa havasi vanhu vanongofungidzira vanorwara, asi vanotambura zvakanyanya. zvirwere chaizvo.
Zvidzidzo zvesainzi zvinoratidza kuvepo kwekunzwa kwe gluten
Kubva muna 2011, Biesiekierski et al. yakashuma muAmerican Journal of Gastroenterology pamusoro pekudzidza kwavo kwemapofu maviri umo vakakwanisa kuona NCGS muvanhu vakaonekwa kuti vane IBS.
Muna 2012, Carroccio et al. yakaratidza kuti inenge 30 muzana yevarwere vose vane matambudziko ekudya vakaita nezviratidzo pavakapikiswa negorosi. Vanyori vekudzidza vakadaro vakataura nezvevarwere veNCWS, kureva kunzwisiswa kwegorosi.
Muna 2015, Di Sabatino et al. yakawanikwa mune kaviri-mapofu crossover kudzidza kuti 20 muzana yevarwere vepamuviri vakanyatsopindura kune gluten vasina chirwere chechiliac.
Chidzidzo cheGLUTOX
Iyo yekuItaly inodaidzwa kuti GLUTOX kudzidza, mhedzisiro yacho yakaunzwa mune nyanzvi magazini Nutrients muna 2016, ndeye yazvino. Tsvagiridzo iyi yakaitwa mu15 dzakasiyana siyana ambulatory nzvimbo dzehutano muItaly kwenguva yegore rimwe (kubva mumatsutso 2013 kusvika autumn 2014). Vakuru ve140 vakatambura nekunyunyuta kusingagumi kwepamuviri vakabatanidzwa.
- 40 vakaonekwa kuti vane dumbu rinogumbuka rine manyoka,
- 14 ura unogumbuka uine chirwere chekuvhara,
- 20 yakatambura nekutsamwa kwe bowel syndrome ine zviratidzo zvinochinja (dzimwe nguva manyoka, dzimwe nguva kuvimbiswa),
- 12 vaive nematambudziko emudumbu asingaperi ane zviratidzo zvakanyanya mushure mekudya,
- 10 vakatambura nekurwadziwa kwepamusoro mudumbu uye kupisa (epigastric pain syndrome) uye
- 41 vaive nezvimwe zvichemo zvisina kuwanikwa zvemudumbu.
Zvinoshamisa, zviratidzo zvaigara zvichiitika kunyanya kana avo vakabatwa vakadya chimwe chinhu chine gluten. Chirwere cheCeliac, chirwere chisingaperi chinozvimba bowel (ulcerative colitis, chirwere cheCrohn, nezvimwewo), kusagadzikana kwepfungwa, systemic autoimmune zvirwere uye kukanganiswa kwegorosi kunogona kubviswa.
Gluten-isina kudya: 75 muzana yevarwere vanoona kuvandudzwa
Tsvakurudzo yakaitwa muzvikamu zviviri. Chikamu chekutanga chakatarisa kuti avo vaibatanidzwa vakaita sei kune kudya kwemavhiki matatu-gluten-isina. 1 muzana vakawana kuvandudzwa nekudya kwe-gluten. Hapana mhedzisiro yekudya iyi yakaonekwa.
Muchikamu chechipiri, avo vakange vavandudza pakudya kwe-gluten vakaenderera mberi nekudya kwakasimba kwe-gluten. Mukuwedzera, vakapiwa 2 capsules pazuva kwemazuva manomwe ane gluten kana placebo - 7 nekudya kwemasikati uye 7 nekudya kwemanheru. Huwandu hwe gluten mu capsules (4 g) hwaienderana nehuwandu hwe gluten mu 3 g yepasta.
Vakazotora zororo remazuva manomwe vasina capsules vasati vachinjanisa gluten nemapoka e placebo. Zvino avo vakambogamuchira gluten capsules vakagamuchira iyo placebo capsules uye zvinopesana. Phase 7 yakatora mavhiki matatu.
Vanachiremba vairapa vaiziva zvishoma sevarwere, izvo macapsules aive gluten capsules uye aive ma placebo capsules. Mutengesi wecapsule chete ndiye aiziva.
Pakati pevarwere ve101 vakapindura zvakanaka kune kudya kusina gluten, 98 chete yakapinda muChikamu 2. Vakasiya 3 vakafara zvikuru nekuvandudzwa kwezviratidzo zvavo zvokuti vaitya kutambura kudzoka zvakare nekuda kweguten yavaifanira kudya muchikamu chechipiri. , izvo vaida kudzivisa zvachose.
Zvimwe zviyo zvinhu zvinogona kutungamirira kune gluten senitivity
Chikamu chetatu chevarwere vakasara vanogona kugoverwa kuva mapoka maviri mushure mechikamu 2. Hafu inogona kunge yakakundwa kune inonzi nocebo effect, saka kunzwisiswa kwe gluten kwaiita sekufungidzira chete. Kune rimwe divi, varwere ava vanogonawo kuita kune zvimwe zviyo zvinhu zvine zviratidzo. Mushure mezvose, gorosi nezvimwe zviyo hazvisi chete zvine gluten sechinhu icho vanhu vane kusashivirira vanogona kuita.
Zviyo zvinewo inonzi inonzi ATIs (amylase trypsin inhibitors), inogonawo kuva chikonzero cheguten-independent gluten senitivity. Izvo zvinonzi FODMAPs zvinogonawo kutungamirira kumatambudziko ekudya mushure mekudya zvokudya zvinoenderana. Fodmap ndiyo chidimbu che "fermentable oligo-, di- uye monosaccharides uye polyols".
Aya mashuga akawanda, mashuga maviri uye mashuga ari nyore pamwe nemamwe madoro (polyols). Izvi zvinhu zvinozivikanwa kuti zvinoitika muzvikafu zvakawanda, asi kunyanya muzvigadzirwa zvezviyo. Saka kana iwe ukadzivirira zvikafu zvine gluten, iwe unongodzikisa huwandu hweFODMAP mukudya kwako. Uye zvichemo zvake - kana zvine hukama neFODMAP - zvichadzikira.
Kana iwe uine gluten-sensitive: chikafu chisina gluten chakakodzera kuyedza!
Zvisinei, imwe hafu (14 muzana yevarwere vepakutanga 101) inogona kuonekwa seine gluten-sensitive zvakajeka. Vakaita zvakanyanya pavakadya gluten (kunyange dai vakanga vasingazivi kana vakanga vane gluten muma capsules kana placebo) uye zviri nani zvikuru pavakaenda vasina gluten. Vakatambura nechirwere chechiliac-chakazvimiririra gluten kunzwa.
Saka ani nani anorwara nekunyunyuta kwemudumbu kwenguva refu, anotumirwa kumba aine chirwere chinogumbura uye anongorapwa zvine mucherechedzo, kazhinji anongopihwa maantidepressants, anofanira kungorarama asina gluten kwemavhiki mashoma.
Pane mukana wakanaka wekuti zviratidzo zvichavandudza zvakanyanya kana kutonyangarika zvachose.
