Gluten Sensitivity Chaiyo? Kutarisa Kwakakosha

Zvemukati

• Chii chinonzi gluten?
• Matambudziko ane hukama naGluten
• Chii chinonzi gluten senzwi?
• Kunzwisisa kweGluten kunogona kunge kusiri kutaura zvakanaka
• Chinokosha

Maererano neongororo ya2013, chetatu chevaAmerican vanoedza nemazvo kudzivirira gluten.

Asi chirwere checliac, chakanyanya kusimba kusashivirira kweguteni, chinongobata 0.7-1% yevanhu ().

Chimwe chiitiko chinonzi chisina-celiac gluten senzwi inowanzo kutaurwa munharaunda yehutano asi ine nharo huru pakati pevashandi vehutano ().

Ichi chinyorwa chinotora zvakadzama kutarira kunzwisisika kweguteni kuti uone kana uchifanira kuve nehanya nazvo.

Chii chinonzi gluten?

Gluten imhuri yemapuroteni mune gorosi, spelled, rye uye bhari. Pakati pezviyo zvine gluten, gorosi ndiyo inonyanya kudyiwa.

Iwo mapuroteni maviri makuru mu gluten ari gliadin uye glutenin. Kana hupfu hukasanganiswa nemvura, mapuroteni aya anosunga mune netiweki inonamira inova seglue-yakafanana mukuenderana (3,,).

Zita rekuti gluten rinouya kubva kune izvi glue-senge zvivakwa.

Gluteni inogadzira bundu kusununguka uye inobvumira chingwa kusimuka kana chapiswa nekuteya gasi mamorekuru mukati. Inopawo inogutsa, inotsvedza kugadzirwa.

Gluteni ndiyo yakakosha mapuroteni muzvirimwa zvakawanda, kusanganisira gorosi. Iine zvimwe zvivakwa zvinoita kuti ive inozivikanwa kwazvo pakugadzira chingwa.

Matambudziko ane hukama naGluten

Mamiriro mashoma ehutano ane hukama negorosi uye gluten ().

Iyo inonyanya kuzivikanwa yeiyi kusagadzikana kweguteni, iyo fomu yakaoma kwazvo chirwere chechiliac ().

Mune vanhu vane kusagadzikana kweguteni, immune system inofungidzira zvisirizvo kuti mapuroteni e-gluten vapambi vekunze uye anovarwisa.

Ma immune immune anorwirawo masikirwo ezvisikwa mudumbu mudumbu, izvo zvinogona kukonzera kukuvadza kwakanyanya. Kurwiswa kwemuviri pachezvayo ndosaka kusashivirira kweguteni uye chirwere chechiliac chakarongerwa sezvirwere zve autoimmune ().

Chirwere cheCeliac chinofungidzirwa kuti chinokanganisa kusvika pa1% yehuwandu hweUS. Zvinoratidzika kunge zviri kuwedzera, uye ruzhinji rwevanhu vane mamiriro aya havazive kuti vanayo (,,).

Nekudaro, iyo isiri-celiac gluten senzwi yakasiyana neceliac chirwere uye kusagadzikana kweguteni (12).

Kunyangwe isingashande zvakafanana, zviratidzo zvayo zvinowanzo fanika (13).

Chimwe chiitiko chinozivikanwa segorosi allergies hachiwanzo kuwanikwa uye pamwe chinokanganisa pasi pe1% yevanhu pasi rose (14).

Kuita kwakashata kune gluten kwakabatanidzwa kune mamwe akawanda mamiriro, anosanganisira gluten ataxia (mhando yecerebellar ataxia), Hashimoto's thyroiditis, mhando 1 chirwere cheshuga, autism, schizophrenia, uye kushushikana (15,,,,,,,).

Gluteni haisi iyo honzeri huru yezvirwere izvi, asi zvinogona kuita kuti zviratidzo zviwedzere kune avo vanazvo. Muzviitiko zvakawanda, chikafu chisina guten chakaratidzirwa kubatsira, asi kumwe kutsva kunodiwa.

Mamiriro akati wandei ehutano anosanganisira gorosi uye gluten. Izvo zvakajairika igorosi kurwara, chirwere checliac, uye isiri-celiac gluten senzwi.

Chii chinonzi gluten senzwi?

Mumakore achangopfuura, kunzwisisika kwegluten kwakagashira kutarisisa kwakanyanya kubva kumasainzi uye neruzhinji ().

Taura zvakapusa, vanhu vane gluten senzwi vanonzwa zviratidzo mushure mekumedza zviyo zvineguteni uye vanopindura zvine mutsigo kune chikafu chisina guteni - asi vasina chirwere checiliac kana kurwara kwegorosi.

Vanhu vane huturu hwegluten kazhinji havana kukuvara gut gut, chinova chinhu chakakosha chechirwere chechiliac (12).

Asi, hazvizivikanwe nesainzi kuti kunzwisisika sei kweguteni

Uchapupu huri kukura hunoratidza kubatanidzwa kweFODMAPs, chikamu che carbs uye faibha izvo zvinogona kukonzera kusagadzikana kwekugaya kune vamwe vanhu ().

Nekuti hapana yakavimbika yebvunzo bvunzo inogona kuona kusanzwisisika kweguteni, kuongororwa kunowanzoitwa nekubvisa zvimwe zvinokwanisika.

Iyi ndiyo imwe yakatsanangurwa yekuongorora rubriki yekunzwa kwe gluten ():

1. Kumedza kweGluten kunokonzeresa zviratidzo nekukurumidza, kungave kugaya kana kusiri-kugaya.
2. Zviratidzo zvinonyangarika nekukurumidza pane chikafu chisina-gluten.
3. Kudzorerazve gluten kunokonzera kuti zviratidzo zvionekezve.
4. Chirwere cheCeliac uye gorosi kurwara zvakadzorwa kunze.
5. Dambudziko rekupofumadza rinosimbisa kuongororwa.

Mune kumwe kuongorora mune vanhu vane kuzvitaurira-kwavo kwega kwega kwekunzwa kwe gluten, 25% chete ndiyo yakazadzisa nzira dzekuongorora ().

Vanhu vane kushushikana kwegluten vakataura zviratidzo zvakawanda, zvinosanganisira kuzvimba, kubatikana, manyoka, kurwadziwa nemudumbu, kurasikirwa uremu, eczema, erythema, kutemwa nemusoro, kuneta, kushushikana, uye kurwadziwa kwepfupa nekusangana (25,).

Ramba uchifunga kuti kunzwisisika kweguten - uye chirwere checeliac - kazhinji chine zviratidzo zvakasiyana siyana zvisinganzwisisike izvo zvingave zvakaoma kubatanidza kugaya kana gluten, kusanganisira matambudziko eganda uye kusagadzikana kwetsinga (,).

Kunyange dhata iri kushomeka pakuwanda kwekunzwa kweguteni, zvidzidzo zvinoratidza kuti 0.5-6% yehuwandu hwepasi rose inogona kuve nemamiriro aya ().

Zvinoenderana nezvimwe ongororo, kunzwisisika kweguteni kunowanzoitika kune vanhu vakuru uye kunowanzoitika kuvakadzi kupfuura varume (, 30).

Kunzwisisika kweGluten kunosanganisira kusagadzikana kune gluten kana gorosi mune vanhu vasina chirwere checeliac kana gorosi allergies. Hapana data rakanaka rinowanikwa pane zvakajairika.

Kunzwisisa kweGluten kunogona kunge kusiri kutaura zvakanaka

Zvidzidzo zvakati wandei zvinoratidza kuti vanhu vazhinji vanotenda kuti vane gluten inonzwika havaite kune gluten zvachose.

Imwe ongororo yakaisa vanhu makumi matatu nevanomwe vane chirwere chinosemesa che bowel syndrome (IBS) uye kuzvitaurira kwehukasha hweguteni pane yakaderera-FODMAP yekudya usati wavapa yakasarudzika gluten - pachinzvimbo chezviyo zvine gluten zvine gorosi ().

Isolated gluten yaisava nemhedzisiro pane vatori vechikamu ().

Chidzidzo chakapedzisa kuti vanhu ava vanofungidzirwa senzwi ye gluten kwainyanya kunzwisiswa neFODMAPs.

Haisi chete gorosi yakakwira mune iyi chaiyo mhando ye carbs, asi FODMAPs zvakare inokonzeresa IBS zviratidzo (32,,).

Chimwe chidzidzo chakatsigira izvi zvakawanikwa. Yakaburitsa pachena kuti vanhu vane kuzvitaurira kwavo kwekushushikana kweguteni havana kuita kune gluten asi kune fructans, chikamu cheFODMAP mugorosi ().

Nepo FODMAPs parizvino ichitendwa kuti ndicho chikonzero chikuru chekuzvizivisa wega nezvekunzwa kwe gluten, gluten haina kubviswa zvachose.

Mune kumwe kuongorora, FODMAPs ndiyo yainyanya kukonzeresa zviratidzo muvanhu vaitenda kuti vaive nehunyoro. Nekudaro, vaongorori vakafungidzira kuti gluten-yakakonzera immune immune inopa kune iyo mamiriro ().

Zvakangodaro, masayendisiti mazhinji anosimbisa kuti kunzwisisika kwegorosi kana kusagadzikana kwegorosi magwaro akanyatsojeka kupfuura kunzwisisika kweguteni (, 30).

Zvakare, kumwe kuongorora kunoratidza kuti mamakisi emazuva ano egorosi ari kuwedzera kupfuura mhando dzekare senge einkorn uye kamut (,).

FODMAPs - kwete gluten - inoita kunge ndiyo honzeri yezvinetso zvekugaya mukusagadzikana kweecliac gluten. Mamwe masayendisiti anotenda kuti kunzwisisika kwegorosi izita rakakodzera pachimiro ichi.

Chinokosha

Gluten uye gorosi zvakanaka kune vamwe vanhu asi kwete kune vamwe.

Kana iwe ukaita zvakashata kugorosi kana zvigadzirwa zvinegluten, unogona kungodzivirira izvi zvekudya. Iwe unogona zvakare kuda kukurukura zviratidzo zvako nachiremba wezvehutano.

Kana iwe ukasarudza kurega kubva kune gluten, sarudza zvekudya zvese izvo zvakasarudzika zvisina guten. Zvakanakisisa kurega zvinhu zvakapakurwa zvisina guten, sezvo izvi zvinowanzo shongedzwa zvakanyanya.