John Myers
Ukuthengiswa kokudla okungenagluten kuyanda, nakuba imikhiqizo ibiza ngokuphindwe kahlanu kunokudla okuvamile. Amaprotheni e-gluten ayingxenye yemvelo yezinhlobo eziningi zokusanhlamvu. Ingaphakathi kwembewu. Lapho, inika izitshalo ezimilayo ama- amino acid namaprotheni eziwadingayo ukuze zikhule. Okusanhlamvu okuningi kuqukethe i-gluten, njengokolweni, i-rye, isipelingi, nebhali. Abantu abanesifo se-celiac kuphela okufanele bakwenze ngaphandle kwe-gluten ngokuphelele.
Isifo seCeliac: Ama-antibodies ngokumelene ne-gluten ahlasela amathumbu
Ngesifo se-celiac, amasosha omzimba akhiqiza amasosha omzimba ahlasela i-gluten - kodwa ngeshwa namathumbu, lapho abhubhisa khona amangqamuzana azwelayo. Cishe iphesenti elilodwa labantu liyathinteka. Iziguli ze-Celiac zivame ukuba nezinkinga zokugaya ukudla kanye nokuntuleka kwezakhi zomzimba, ziba mncane futhi zibe buthakathaka. Ezinye izimpawu ezinjengokukhathala nokunciphisa inzalo, ukuphazamiseka kwengqondo, noma i-migraines kungase kuhlotshaniswe nesifo se-celiac. Alikho ikhambi. Labo abathintekile kumele bagweme ukolweni nokunye ukudla okune-gluten impilo yabo yonke. Ngisho nemikhondo emincane ye-gluten iyingozi.
Ukuzwela Kokolweni: Ukukhathala nokukhathala
Abantu abahlushwa ukuzwela ukolweni kufanele bagweme ufulawa kakolweni - okungamaphesenti angama-5 amaJalimane. Izimpawu ziwukukhathala, ukukhathala nokusebenza ngokweqile. Isithombe somtholampilo sasivame ukubizwa ngokuthi ukuzwela kwe-gluten. Kodwa-ke, ucwaningo olusha lubonisa ukuthi izingxenye ezivela kukolo zingabangela ukuzwela - okubizwa ngokuthi ama-ATI, isibonelo, izinto ezixosha izinambuzane zemvelo zesitshalo.
Amanani amancane ngokuvamile awayona inkinga kubantu abanozwela lukakolweni. Kodwa uma ngokuvamile begwema ukolweni, bazizwa bengcono.
Ama-carbohydrate nawo angakugulisa
Kodwa ama-carbohydrates nawo asolwa ukuthi abangela ukuvuvukala: ama-sugar compounds akhethekile (ama-FODMAP) angamuncwa kahle amathumbu amancane. Atholakala ezithelweni, emifino, obisini lwenkomo, nesinkwa.
Izinkinga zokugaya ukudla ziwumphumela, kodwa hhayi njalo nezinye izikhalazo ezinjengobuhlungu bamalunga noma ikhanda. Ukuxilonga kunzima ngoba lesi sifo singatholwa kuphela ngokushiya imikhiqizo equkethe ukolweni.
Ongoti bezokudla okunempilo baseLübeck baphothule ucwaningo lapho banikeze khona abantu abanesifo samathumbu amathumbu izinhlobo ezahlukene zesinkwa ukuze badle. Eyodwa ebhakwe ngofulawa kakolweni othengiswayo onokuqukethwe okuphezulu kwe-FODMAP. Enye enofulawa owenziwe ngokukhethekile onephesenti le-FODMAP eliphansi. Iziguli zamathumbu ezicasukayo ezithole isinkwa esiphansi se-FODMAP zisabele kancane kakhulu ngalesi sisu esikhukhumele. Lokho kusho ukuthi bekubekezelelwa kangcono sekukonke.
“I-Gluten-free” ingase yandise ingozi yesifo sikashukela
Imikhiqizo ye-Gluten ingaba nezinkinga kubantu abanempilo: Ucwaningo luye lwabonisa ukuthi abantu abagwema i-gluten banengozi eyengeziwe yokuthuthukisa uhlobo lwe-2 yesifo sikashukela. Uma, ngokwesibonelo, wenza ngaphandle kwesinkwa esigcwele okusanhlamvu ngaphandle kwesizathu, ugwema ngokuzenzakalelayo i-fiber enempilo, ebalulekile futhi enhliziyweni enempilo futhi inethonya elihle ekucindezelweni kwegazi.
Izithako zokudla okungenalo i-gluten
Isibonelo, ukudla okuningi okungenayo i-gluten kuqukethe isitashi, ummbila, ushukela, amafutha, ama-thickeners, ne-ascorbic acid. Izithako kufanele ziqinisekise ukuvumelana okujabulisayo noma zisebenze njengesilondolozi.
Uma kuqhathaniswa nemikhiqizo evamile equkethe i-gluten, amavithamini, ne-roughage, njengovithamini B 12, i-zinc, i-folic acid, ne-magnesium, ngokuvamile ayashoda.
Ama-substitutes abizayo angenayo i-gluten
Ukudla okungenayo i-Gluten kuyabiza kakhulu kunokudla okuhambisanayo okuqukethe i-gluten. Kusampula, u-Markt uqhathanise izintengo zemikhiqizo eyisithupha ene-gluten nangenayo, okuhlanganisa iminwe yezinhlanzi, i-pasta, namabhisikidi. U-Markt uthole umehluko omkhulu wentengo esinkwa esisikiwe: inguqulo ye-gluten-free yenani elifanayo lesinkwa ibiza ngaphezu kokuphindwe kahlanu.
Izizathu zokwehluka kwamanani
Imikhiqizo engenayo i-Gluten ibiza kakhulu ngoba ukukhethwa kwezinto ezingavuthiwe nezinqubo zokuhlanza ekukhiqizeni kuyinkimbinkimbi kakhulu. Noma kunjalo, i-German Celiac Society ikuthola kungalungile ukuthi abantu abanesifo se-celiac kufanele bakhokhele kakhulu ukudla kwabo kunabantu abangenaso isifo se-celiac. Kukhona ukwesekwa ngokwezimali kwabamukeli be-Hartz IV kanye nabantu abanokukhubazeka okungamaphesenti angu-30 - kodwa isifo se-celiac sibonwa kuphela ngezinga elingamaphesenti angu-20.
I-Central Association of Health Insurance Funds iyasichitha isidingo sezibonelelo. Ngesicelo sikaMarkt, inhlangano yabhala ukuthi ukudla okungenalo i-gluten “akuwona umuthi”. Ngokwesinqumo seFederal Social Court, izinkampani zomshwalense wezempilo ezisemthethweni zazikhokhela kuphela izinyathelo “ezisebenza ngokukhethekile ukulwa nokugula. Izindleko ezengeziwe (…) umuntu ofakwe kumshwalense anazo ekuphileni kwansuku zonke ngenxa yokugula kufanele kubalulwe ezingeni elijwayelekile lokuphila”.
