Gluten-Yemahara Haisi Yega Fadhi: Chii Chaunofanira Kuziva Nezve Celiac Chirwere, Isiri-Celiac Gluten Kunzwisisa, uye Gorosi Allergy

Zvemukati

• Nei uye sei kuenda isina-guten
• Chii chinonzi gluten uye ndiani anofanira kuzvidzivirira?
• Chirwere cheCeliac
• Zviratidzo zvechiliac chirwere
  
• Matambudziko echiliac chirwere
  
• Chikafu chekudzivirira chirwere chechiliac
• Gorosi allergies
• Zviratidzo zvegorosi allergy
  
• Chikafu chekudzivirira negorosi allergies
• Isiri-celiac gluten senzwi (NCGS)
• Zviratidzo zvekusiri-celiac gluten senzwi
  
• Zvekudya zvekudzivirira neinosiri-celiac gluten senzwi
• Nzvimbo dzakavanzika dzeguten uye gorosi
• Zvingangodaro zvine gluten- uye gorosi rine chikafu:
  
• Mazwi akakosha ekutarisa
• Smart swaps | Shanduko Dzakanaka
• Izwi rekupedzisira

Nei uye sei kuenda isina-guten

Nekuwanda kwezvigadzirwa zvisina gluten uye huwandu hwakawanda hweanorira mamiriro, pane zvakawanda zvekuvhiringidzika nezve gluten mazuva ano.

Iye zvino zvave zvinoyevedza kubvisa gluten kubva pane zvaunodya, avo vane hutano chaihwo hunogona kukanganwika. Kana iwe uchinge waonekwa uine chirwere chechiliac, isiri-celiac gluten senzwi, kana gorosi allergy, unogona kuve nemimwe mibvunzo.

Chii chinoita kuti mamiriro ako asiyane nevamwe? Ndezvipi zvekudya zvaunogona uye zvausingakwanise kudya - uye nei?

Kunyangwe pasina chirwere, iwe ungangodaro wakashamisika kana kubvisa gluten kubva pane zvaunodya kwakanaka kune hutano hwese.

Heano kutarisa kwakazara pane aya mamiriro, ndiani anoda kudzora kana kudzivirira gluten, uye zvinonyatso kureva izvo kusarudza kwezuva nezuva zvekudya.

Chii chinonzi gluten uye ndiani anofanira kuzvidzivirira?

Mumashoko akareruka, gluten izita reboka remapuroteni anowanikwa muzviyo zvakaita segorosi, bhari, uye rye - zvinowedzera kusimba uye kutsenga kune chingwa, zvinhu zvakabikwa, pastas, uye zvimwe zvekudya.

Kune vanhu vazhinji, hapana chikonzero chehutano chekudzivirira gluten. Idzo dzidziso dzekuti gluten inosimudzira kuwedzera uremu, chirwere cheshuga, kana kusagadzikana kwehutachiona hazvina kusimbiswa mumabhuku ekurapa.

Muchokwadi, chikafu chinosanganisira zviyo zvese (zvakawanda zvacho zvine gluten) zvinosanganiswa nezvakawanda zvakanaka mhedzisiro, senge yakaderedzwa njodzi ye, uye.

Nekudaro, pane mamiriro ehutano anoda kudzikisira kana kubvisa gluten nezvikafu zvine gluten kubva mukudya: chirwere checliac, gorosi allergies, uye isiri-celiac gluten senzwi.

Imwe neimwe inouya nemisiyano muzviratidzo - zvimwe zvisinganzwisisike uye zvimwe zvinoshamisa - pamwe nezvirambidzo zvakasiyana zvekudya. Hezvino izvo zvaunoda kuti uzive:

Chirwere cheCeliac

Chirwere cheCeliac chirwere che autoimmune chinokanganisa kutenderedza maAmerican, kunyangwe zvimwe zvingave zvisingawanikwe.

Kana vanhu vane chirwere chechiliac vachidya gluten, zvinokonzeresa mhinduro yemumuviri inokanganisa ura hwavo hudiki. Uku kukuvara kunopfupisa kana kufambisa iyo villi - inobata minwe-kunge fungidziro dzinoisa ura hudiki. Nekuda kweizvozvo, muviri haugone kunyatsotora zvinovaka muviri.

Parizvino hapana kumwe kurapa kwechirwere chechiliac kunze kwekubviswa kwakazara kweguteni. Naizvozvo, vanhu vane chirwere ichi vanofanirwa kungwarira nezvekubvisa zvese zvineguteni zvine chikafu kubva pane zvavanodya.

Zviratidzo zvechiliac chirwere

• manyoka
• kuvimbiswa
• kurutsa
• asidhi Reflux
• kuneta

Vamwe vanhu vanotaura shanduko dzemanzwiro senge kunzwa kwekuora mwoyo. Vamwe havaoni chero zviratidzo zviri pachena munguva pfupi.

"Inenge makumi matatu muzana yevanhu vane celiac havana zviratidzo zvegumbo," anodaro Sonya Angelone, RD, mutauriri weChikemy of Nutrition uye Dietetics. "Saka vanogona kutadza kuongororwa kana kuongororwa." Muchokwadi, tsvagiridzo inoratidza kuti vazhinji vevanhu vane chirwere checeliac havazive kuti vanayo.

Kuruboshwe kusingarapwe, chirwere checeliac chinogona kutungamira kune zvakakomba nyaya dzehutano munguva refu, senge:

Matambudziko echiliac chirwere

• kupererwa neropa
• kushaya mbereko
• vhitamini kushomeka
• matambudziko etsinga

Chirwere cheCeliac chinowanzo svitsana nemamwe mamiriro e autoimmune, saka mumwe munhu ane chirwere checliac ane njodzi yakanyanya yekukuvadzwa kwechirwere chakafanana chinorwisa immune system.

Vanachiremba vanoongorora chirwere chechiliac mune imwe yenzira mbiri. Kutanga, bvunzo dzeropa dzinogona kuona antibodies ayo anoratidza immune immune kune gluten.

Neimwe nzira, iyo "goridhe standard" yekuongorora bvunzo yechiliac chirwere bhiopsy inoitwa kuburikidza neendoscopy. Thubhu refu inopinzwa mudumbu rekugaya kuti ibvise sampu yemukati ura, iyo inogona kuzotariswa zviratidzo zvekukuvara.

Chikafu chekudzivirira chirwere chechiliac

Kana iwe uchinge waonekwa uine chirwere chechiliac, iwe unofanirwa kudzivirira zvese zvekudya zvine gluten. Izvi zvinoreva zvigadzirwa zvese zvine gorosi.

Zvimwe zvakajairika gorosi-zvakagadzirwa zvigadzirwa zvinosanganisira:

• chingwa nechingwa mafufu
• gorosi michero
• gorosi tortilla
• mapakeji, muffin, makuki, makeke, uye mapai ane gorosi
• pastas yegorosi
• gorosi-based crackers
• Zviyo zvine gorosi
• doro
• soy muto

Zviyo zvakawanda zvisina gorosi muzita ravo zvinongova zvakasiyana zvegorosi uye zvinofanirwa zvakare kugara kure nemenyu kune vanhu vane chirwere ichi. Izvi zvinosanganisira:

• mukoma
• durumu
• semolina
• einkorn
• emmer
• farina
• farro
• kamut
• matzo
• chiperengo
• seitan

Dzimwe dzinoverengeka tsanga kunze kwegorosi dzine gluten. Vari:

• bhari
• rye
• bulgur
• triticale
• oats inogadzirwa munzvimbo imwechete segorosi

Gorosi allergies

Gorosi allergies ndeye, zviri nyore, zvinopesana ne gorosi. Kunge chero chikafu chinowirwa nechikafu, chisimbwa chegorosi zvinoreva kuti muviri wako unogadzira antibodies kune protein ine gorosi.

Kune vamwe vanhu vane ichi chisimbwa, gluten inogona kunge iri protein inokonzeresa immune immune - asi kune mamwe akati wandei mapuroteni mune gorosi ayo anogona zvakare kuve anokonzeresa, senge albumin, globulin, uye gliadin.

Zviratidzo zvegorosi allergy

• kurira
• mikoko
• kuomesa pahuro
• kurutsa
• manyoka
• kukosora
• anaphylaxis

Nekuti anaphylaxis inogona kutyisidzira hupenyu, vanhu vane gorosi allergy vanofanirwa kutakura epinephrine autoinjector (EpiPen) navo nguva dzese.

Vanenge vaine gorosi rinorwiswa, asi rakajairika muvana, richikanganisa kutenderera. Zvikamu zviviri kubva muzvitatu zvevana vane gorosi allergies vanokukura pazera regumi nemaviri.

Vanachiremba vanoshandisa maturusi akasiyana siyana kuti vaone gorosi rinorwara. Mukuyedzwa kweganda, mapuroteni egorosi anoshandiswa kuganda rakabayiwa pamaoko kana kumashure. Mushure memaminetsi gumi neshanu, nyanzvi yezvokurapa inogona kutarisa kusagadzikana, iyo inoita kunge bundu rakatsvuka kana "vhiri" paganda.

Kuongororwa kweropa, kune rimwe divi, kuyera masoja ekudzivirira chirwere kune mapuroteni egorosi.

Nekudaro, sezvo kuongororwa kweganda neropa kuchipa chokwadi chenhema makumi mashanu kusvika makumi matanhatu muzana yenguva, majenali ezvekudya, nhoroondo yekudya, kana dambudziko rekudya remumukanwa zvinowanzo kuve zvakakosha kuti uone gorosi rechokwadi.

Dambudziko rekudya remuromo rinosanganisira kupedza huwandu hwakawanda hwegorosi pasi pekutarisirwa kwechiremba kuti uone kana kana paine paunenge uchirwara. Kana vachinge vaongororwa, vanhu vane chirwere ichi vanofanirwa kubva pane zvese zvine chikafu chegorosi.

Chikafu chekudzivirira negorosi allergies

Vanhu vane gorosi rinorwiswa vanofanirwa kungwarira zvakanyanya kubvisa zvese zviwanikwa zvegorosi (asi kwete hazvo zviwanikwa zvese zvegluten) kubva pakudya kwavo.

Hazvishamisi kuti pane kuwanda kuzhinji pakati pezvikafu vanhu vane chirwere checliac uye gorosi allergies inofanira kudzivirira.

Kufanana nevaya vane chirwere chechiliac, vanhu vane gorosi rinorwiswa havafanirwe kudya chero cheiyo gorosi-based chikafu kana zviyo zvakasiyana zvegorosi zvakanyorwa pamusoro.

Kusiyana nevaya vane chirwere chechiliac, zvisinei, vanhu vane gorosi rinorwiswa vakasununguka kudya bhari, rye, uye oats isina gorosi (kunze kwekunge vaine co-allergy kune izvi zvekudya).

Isiri-celiac gluten senzwi (NCGS)

Kunyange hazvo chirwere checliac uye gorosi chisimbwa chine nhoroondo refu yekuzivikanwa kwekurapa, isiri-celiac gluten senzwi (NCGS) ingangoonekwa patsva - uye yanga isina gakava, nekuti zviratidzo zveNCGS zvinogona kunge zvisina kujeka kana kusadzokororwa kubva mukuburitswa kumwe kweguteni. kune inotevera.

Zvakadaro, dzimwe nyanzvi dzinofungidzira kuti kusvika kune huwandu hwevanhu kune gluten-inonzwisisika - yakakwira kwazvo chikamu chevanhu kupfuura avo vane chirwere checiliac kana gorosi kurwisa.

Zviratidzo zvekusiri-celiac gluten senzwi

• kuzvimba
• kuvimbiswa
• kutemwa nemusoro
• kurwadza kwemajoini
• hutsi hwehuropi
• chiveve uye kurira mumativi

Zviratidzo izvi zvinogona kuoneka mukati memaawa, kana kuti zvinogona kutora mazuva kuti akure. Nekuda kwekushomeka kwekutsvagisa, kwenguva refu-hutano hutano hweNCGS hazvizivikanwe.

Tsvagiridzo haisati ichinongedza mashandiro anokonzeresa NCGS. Zviri pachena kuti NCGS haikuvadze villi kana kukonzera kukuvadza kwemukati kukwana.Nechikonzero ichi, mumwe munhu ane NCGS haazomboongorora chirwere chechiliac, uye NCGS inoonekwa seyakaipisisa mamiriro pane celiac.

Iko hakuna bvunzo imwechete inogamuchirwa yekuongorora NCGS. "Kuongororwa kunoenderana nezviratidzo," anodaro chiremba wezvekudya Erin Palinski-Wade, RD, CDE.

"Kunyangwe vamwe varapi vachishandisa kuyedzwa kwemate, chetsoka, kana ropa kuti vaone kushushikana kune gluten, bvunzo idzi hadzina kugoneswa, ndosaka dzisiri kugamuchirwa senzira dzepamutemo dzekuziva izvi," anowedzera.

Sezvakaita gorosi allergies, kuchengetedza kudya kwekudya uye chero zviratidzo mumagazini zvinogona kubatsira kubatsira kuzivisa NCGS.

Zvekudya zvekudzivirira neinosiri-celiac gluten senzwi

Kuongororwa kweiyo isiri-celiac gluten senzwi inodaidzira kubvisa zvachose gluten kubva muchikafu, zvirinani kwenguva pfupi.

Kuti kuderedze zviratidzo zvisina kugadzikana, mumwe munhu ane NCGS anofanirwa kugara kure nerondedzero imwechete yezvikafu semunhu ane chirwere checliac, kusanganisira zvese zvigadzirwa zvegorosi, zvakasiyana zvegorosi, uye imwewo ine zviyo zvine gluten.

Neraki, kusiyana nechirwere chechiliac, kuongororwa kweNCGS hakugare nekusingaperi.

"Kana mumwe munhu akaderedza kushushikana kwavo pa immune system nekubvisa zvimwe zvekudya kana makemikari ari kuita kuti immune immune isvike, ipapo vanogona kuzopedzisira vadzoreredza girini mune diki kana zvakajairwa," anodaro Angelone.

Palinski-Wade anoti, kune vanhu vane NCGS, kutarisisa zviratidzo kwakakosha kuona kuti ingani guten yavanogona kuzogadzirisazve.

"Uchishandisa majenali ezvekudya uye kudya kwekubvisa pamwe nekutevera zviratidzo, vanhu vazhinji vane huturu hweguten vanogona kuwana mwero wenyaradzo unovashandira," anodaro.

Kana iwe uchinge waonekwa uine NCGS, shanda nachiremba kana chiremba wezvekudya uyo anogona kutarisira maitiro ekubvisa kana kuwedzera kumashure chikafu kuchikafu chako.

Nzvimbo dzakavanzika dzeguten uye gorosi

Sezvo vanhu vazhinji pane chikafu chisina-girini vakawana, kuendesa kwakachena kweiyo gluten hakusi nyore sekucheka chingwa uye keke. Zvimwe zvakati wandei zvekudya uye zvisiri zvechikafu zvinhu zvinoshamisira zviwanikwa zvezvinhu izvi. Ziva kuti gluten kana gorosi zvinogona kunge zvakahwanda munzvimbo dzisingatarisirwe, senge dzinotevera:

Zvingangodaro zvine gluten- uye gorosi rine chikafu:

• ice cream, yogati yechando, uye pudding
• granola kana mapuroteni mabhawa
• nyama nehuku
• mbatatisi machipisi uye french fries
• makedheni muto
• mabhodhoro esaradhi kupfeka
• akagovana macondiment, sehombodo yemayonnaise kana tub yemafuta, izvo zvinogona kutungamira pakuyambuka-kusvibiswa nemidziyo
• miromo yemiromo nezvimwe zvizoro
• mishonga uye zvinowedzera

Mazwi akakosha ekutarisa

Zvikafu zvakagadzirwa zvinowanzo gadzirisirwa nemishonga yekuwedzera, mamwe acho ari egorosi-kunyangwe mazita avo angave asingaoneke saizvozvo.

Zvakawanda zvinosanganisa "kodhi" yegorosi kana gluten, saka savvy kuverenga kuverenga kwakakosha pane kudya kwegluten:

• chimera, bhari yemera, chimera sirasi, chimera chinobviswa, kana kuravira kwemera
• triticale
• triticum vulgare
• hordeum vulgare
• secale cereal
• hydrolyzed gorosi protein
• hupfu hwegraham
• mbiriso yedoro
• oats, kunze kwekunge yakanyorwa kuti gluten-isina

Makambani mazhinji izvozvi ari kuwedzera "yakasimbiswa gluten-isina" chinyorwa kune zvigadzirwa zvavo. Ichi chitambi chekubvumirwa chinoreva kuti chigadzirwa chakaratidzirwa kuve chine zvisingasvike makumi maviri ezviuru zvegluten pamirioni - asi zvinosarudzika zvachose.

Kunyangwe zvichidikanwa kuti utaure zvimwe zvinokwikwidza muchikafu, iyo FDA haidi kuti vagadziri vechikafu vataure kuti chigadzirwa chavo chine gluten.

Kana usina chokwadi, ipfungwa yakanaka kutarisa nemugadziri kuti uone kana chigadzirwa chine gorosi kana gluten.

Smart swaps | Shanduko Dzakanaka

Kufamba pakudya kwekuseni, kwemasikati, kwemanheru, uye nguva yekudya pasina gluten kunogona kunetsa, kunyanya pakutanga. Saka chii chaunogona kudya? Edza kutsiva zvimwe zvezvinhu zvakajairika zvekudya pamwe neimwe nzira yavo isina guten.

Izwi rekupedzisira

Kubvisa gorosi kana gluten kubva pane zvaunodya inzira huru yekuchinja mararamiro ingaite kunge inorema pakutanga. Asi kana ukagara kwenguva refu uchiita sarudzo dzakakodzera dzehutano hwako, huchawedzera kuva hunhu hwechipiri - uye, zvirinani, unozonzwa zvirinani.

Rangarira kugara uchibvunza nyanzvi yezvehutano usati waita shanduko huru kuchikafu chako kana uine chero mibvunzo nezve hutano hwako.

Sarah Garone, NDTR, inyanzvi yezvokudya, munyori wezvehutano akazvimiririra, uye blogger yezvokudya. Iye anogara nemurume wake nevana vatatu muMesa, Arizona. Tsvaga iye achigovana pasi-pasi-pasi hutano uye ruzivo rwekudya uye (kazhinji) zvine hutano mabikirwo kuA Rudo Tsamba kune Chikafu.