John Myers
Ukuthengiswa kokutya okungekho gluten kuyanda, nangona iimveliso zibiza ngokuphindwe kahlanu kunokutya okuqhelekileyo. Iprotheni ye-gluten iyinxalenye yendalo yeentlobo ezininzi zeenkozo. Ingaphakathi embewini. Apho inika izityalo ezikhulayo iiamino acids kunye neeproteni ezizidingayo ukuze zikhule. Uninzi lweenkozo ziqulethe i-gluten, njengengqolowa, i-rye, isipelingi kunye nerhasi. Ngabantu kuphela abanesifo se-celiac esiqinisekisiweyo ekufuneka benze ngaphandle kwegluten ngokupheleleyo.
Isifo seCeliac: Amajoni omzimba achasene negluten ahlasela amathumbu
Ngesifo se-celiac, isistim somzimba sokuzivikela sivelisa izilwa-buhlungu ezihlasela i-gluten-kodwa ngelishwa namathumbu, apho zitshabalalisa iiseli ezibuthathaka. Malunga nesinye ekhulwini sabemi balapho sichaphazelekayo. Izigulana zesifo seCeliac zihlala zineengxaki zokugaya kunye nokungabikho kwezondlo, ziba buthathaka kwaye zibe buthathaka. Ezinye iimpawu ezinjengokukhathala kunye nokunciphisa ukuzala, ukuphazamiseka kwengqondo, okanye i-migraines inokudityaniswa nesifo se-celiac. Alukho unyango. Abo bachaphazelekayo kufuneka baphephe ingqolowa kunye nokunye ukutya okune-gluten ubomi babo bonke. Nditsho neyona mikhondo incinci yegluten iyingozi.
Ubuzaza Bengqolowa: Ukudinwa nokudinwa
Abantu abanengxaki yengqolowa kufuneka baphephe umgubo wengqolowa - ukuya kuthi ga kwipesenti ezintlanu zamaJamani. Iimpawu kukudinwa, ukudinwa, kunye nokusebenza kakhulu. Umfanekiso weklinikhi wawubizwa ngokuba bubuntununtunu begluten. Nangona kunjalo, uphando olutsha lubonisa ukuba amacandelo avela kwingqolowa angabangela uvakalelo - okubizwa ngokuba yi-ATIs, umzekelo, izigxothi zendalo zezinambuzane zesityalo.
Iimali ezincinci aziyiyo ingxaki kubantu abanovakalelo lwengqolowa. Kodwa ukuba ubukhulu becala bayayiphepha ingqolowa, baziva bebhetele.
Iicarbohydrate nazo zinokukugulisa
Kodwa iicarbohydrates nazo zirhanelwa ukuba zibangela ukudumba: iikhompawundi ezikhethekileyo zeswekile (FODMAPs) ezingafuntshwanga kakuhle ngamathumbu amancinci. Zifumaneka kwiziqhamo, kwimifuno, kubisi lwenkomo nakwisonka.
Iingxaki zokugaya zisisiphumo, kodwa kunqabile nezinye izikhalazo ezinjengeentlungu zamalungu okanye intloko ebuhlungu. Ukuxilongwa kunzima kuba isifo sinokubonwa kuphela ngokushiya iimveliso eziqulethe ingqolowa.
Iingcali zezondlo ezivela eLübeck ziye zagqiba uphononongo apho ziye zanika abantu abane-irritable bowel syndrome iintlobo ezahlukeneyo zesonka ukuba batye. Enye ibhakwe ngomgubo wengqolowa ofumaneka ngokurhweba kunye nomxholo ophezulu we-FODMAP. Enye enomgubo ophuhliswe ngokukodwa kunye nepesenti yeFODMAP ephantsi. Izigulana zamathumbu ezinomsindo ezifumene isonka esiphantsi se-FODMAP zenze kancinci kakhulu ngesi sisu sidumbile. Oko kuthetha ukuba bekunyamezeleke ngakumbi.
"I-gluten-free" inokunyusa umngcipheko wesifo seswekile
Iimveliso ezingenaGluten zinokuba nokungonakali kubantu abanempilo: Uphononongo lubonise ukuba abantu abaphepha i-gluten banomngcipheko ophezulu wokuphuhlisa uhlobo lwe-2 yeswekile. Ukuba, umzekelo, wenza ngaphandle kwesonka esipheleleyo ngaphandle kwesizathu, ugwema ngokuzenzekelayo i-fiber enempilo, ekwabalulekile kwintliziyo ephilileyo kwaye inefuthe elihle kuxinzelelo lwegazi.
Izithako ekutyeni okungenagluten
Ngokomzekelo, ukutya okuninzi okungenayo i-gluten kuqulethe isitashi, umbona, iswekile, amafutha, i-thickeners, kunye ne-ascorbic acid. Izithako kufuneka ziqinisekise ukuhambelana okumnandi okanye zisebenze njengento yokulondoloza.
Xa kuthelekiswa neemveliso eziqhelekileyo ezinegluten, iivithamini, kunye ne-roughage, ezifana ne-vitamin B 12, i-zinc, i-folic acid, kunye ne-magnesium, zihlala zinqongophala.
Izinto ezixabisa i-gluten-free substitutes
Ukutya okungenaGluten kubiza kakhulu kunokutya okuhambelana ne-gluten. Kwisampulu, uMarkt wathelekisa amaxabiso eemveliso ezintandathu kunye nangaphandle kwegluten, kubandakanya iminwe yentlanzi, ipasta, kunye neebhiskithi. UMarkt ufumene owona mahluko mkhulu kwisonka esisikiweyo: inguqulelo ye-gluten-free yesixa esifanayo sesonka ixabisa ngaphezulu kokuphindwe kahlanu.
Izizathu zokumahluko kwamaxabiso
Iimveliso zeGluten zibiza ngakumbi kuba ukukhethwa kwezinto eziluhlaza kunye neenkqubo zokucoca kwimveliso kunzima kakhulu. Nangona kunjalo, i-German Celiac Society ifumanisa ingafanelekanga ukuba abantu abanesifo se-celiac kufuneka bahlawule ngakumbi ukutya kwabo kunabantu abangenaso isifo se-celiac. Kukho inkxaso yezemali kubamkeli beHartz IV kunye nabantu abanokukhubazeka kwe-30 ekhulwini - kodwa isifo se-celiac sibonwa kuphela ngeqondo le-20 ekhulwini.
I-Central Association of Health Insurance Funds iyayikhaba imfuno yezibonelelo. Ngesicelo sikaMarkt, umbutho wabhala ukuba ukutya okungekho gluten "kwakungekho iyeza". Ngokwesigqibo seNkundla yezeNtlalo ye-Federal, iinkampani ze-inshorensi yezempilo ezisemthethweni zihlawulela kuphela amanyathelo "asebenza ngokukodwa ukulwa nokugula. Iindleko ezongezelelweyo (…) umntu ofakwe kwi-inshorensi anayo kubomi bemihla ngemihla ngenxa yesigulo ziya kubalelwa kumgangatho wokuphila ngokubanzi”.
