Ko Gluten Yakashata Iwe Here? Kutarisa Kwakakosha

Zvemukati

• Chii chinonzi Gluten?
• Gluten Kusashivirira
• Chirwere cheCeliac
• Gorosi Allergy
• Isiri-Celiac Gluten Kunzwisisa
• Vamwe Vagari Vanogona Kubatsirwa Kubva kuGluten-Yemahara Kudya
• Zvirwere Zvirwere
• Mamwe Mamiriro
• Munhu Wese Anofanira Kudzivisa Gluten?
• Nei Vanhu Vazhinji Vachinzwa Zviri Nani
• Kudya Uku Kwakachengeteka Here?
• Zvigadzirwa zveGluten-Mahara zvine Hutano here?
• Icho Chinokosha

Kuenda isina-gluten kunogona kunge kuri kwehutano hukuru hwegumi ramakore rapfuura, asi pane nyonganiso pamusoro pekuti gluten inonetsa here kune wese munhu kana avo chete vane mamwe marapirwo.

Zviri pachena kuti vamwe vanhu vanofanirwa kuzvidzivirira nekuda kwezvikonzero zvehutano, sevaya vane chirwere chechiliac kana kusashivirira.

Zvisinei, vazhinji munyika yehutano uye yehutano vanokurudzira kuti munhu wose anofanira kutevera kudya kusina-gluten - zvisinei nokuti havashiviriri kana kwete.

Izvi zvakatungamira mamirioni avanhu kusiya gluten mune tarisiro yekudzikira uremu, kugadzirisa manzwiro, uye kuwana hutano.

Zvakadaro, unogona kushamisika kana nzira idzi dzichitsigirwa nesainzi.

Ichi chinyorwa chinokuudza iwe kana giruteni yakanyatso kukuvadza iwe.

Chii chinonzi Gluten?

Kunyangwe ichiwanzofungidzirwa sechinhu chimwe chete, gluten izwi rinobatanidza rinoreva marudzi mazhinji emapuroteni (mapritamini) anowanikwa mugorosi, bhari, rye, uye triticale (muchinjikwa pakati pegorosi ne rye) ().

Zvakawanda maprithamini aripo, asi ese ane hukama uye ane akafanana zvivakwa uye zvivakwa. Iwo maprithamini makuru egorosi anosanganisira gliadin uye glutenin, nepo yekutanga iri mubhari iri hordein ().

Gluten mapuroteni - akadai seglutenin uye gliadin - akasimba zvakanyanya, ndosaka tsanga dzine guteni dzakakodzera kugadzira chingwa nezvimwe zvinhu zvakabikwa.

Muchokwadi, guten yakawedzera muchimiro cheupfu chigadzirwa chinonzi chakakosha gorosi gluten inowanzo kuwedzerwa kuzvinhu zvakabikwa kuwedzera simba, kusimuka, uye pasherufu hupenyu hwechigadzirwa chapera.

Zviyo zvine Gluteni uye zvekudya zvinoumba chikamu chakakura chemazuva ano ezvekudya, pamwe nekufungidzirwa kudya muzvikafu zvekuMadokero zvakakomberedza 5-20 gramu pazuva ().

Gluten mapuroteni anonyatsopokana nemaprotease enzymes ayo anoputsa mapuroteni munzira yako yekugaya.

Iyo isina kukwana kugaya kwemapurotini inobvumira ma peptides - akakura mayuniti eamino acids, ayo ari ekuvaka mabhuroko emapuroteni - kuyambuka nepakati pemadziro ehudyu hwako mudiki kuenda kune imwe muviri wako wese.

Izvi zvinogona kukonzera mhinduro dzemumuviri dzakaratidzirwa mune dzinoverengeka mamiriro ane hukama neguteni, senge chirwere chechiliac ().

Gluten izwi remamburaira rinoreva mhuri yemapuroteni anozivikanwa seprolamini. Aya mapuroteni anoshingirira kugaya kwevanhu.

Gluten Kusashivirira

Izwi rekuti kusashivirira kwegluten rinoreva mhando nhatu dzemamiriro ().

Kunyangwe aya mamiriro anotevera aine zvimwe zvakafanana, anosiyana zvakanyanya maererano nekwakatangira, kusimudzira, uye kuomarara.

Chirwere cheCeliac

Chirwere cheCeliac chirwere chinoputira autoimmune chinokonzerwa nezvose zviri zviviri magene uye zvakatipoteredza zvinhu. Iyo inokanganisa kutenderedza 1% yehuwandu hwepasi rose.

Nekudaro, munyika dzakaita seFinland, Mexico, uye vamwe vanhu muNorth Africa, huwandu hwacho hunofungidzirwa kunge hwakanyanya - ingangoita 2-5% (,).

Icho chirwere chisingaperi chinosanganisirwa nekudyiwa kwezviyo zvine gluten zvine vanhu vanotapurwa. Kunyangwe hazvo chirwere checliac chinosanganisira masisitimu mazhinji mumuviri wako, inoonekwa seyakavhiringidza dumbu remukati ura.

Kuiswa kwezviyo izvi kune avo vane chirwere checeliac kunokanganisa maInococyte, ayo ari maseru anonamira ura hwako hudiki. Izvi zvinotungamira mukukuvara kwematumbo, zvinovaka muviri malabsorption, uye zviratidzo sekuderedza uremu uye manyoka ().

Zvimwe zviratidzo kana kuratidzwa kwechirwere chechiliac zvinosanganisira kupererwa neropa, osteoporosis, kusagadzikana kwetsinga, uye chirwere cheganda, senge dermatitis. Zvakadaro, vanhu vazhinji vane chirwere chechiliac vanogona kunge vasina zviratidzo zvachose (,).

Mamiriro acho anoonekwa nemukumbo biopsy - inoonekwa se "chiyero chegoridhe" chekuongorora chirwere checeliac - kana kuongororwa kweropa kune mamwe majenotypes kana ma antibodies. Parizvino, mushonga chete wechirwere kudzivisa zvachose gluten ().

Gorosi Allergy

Gorosi allergy inowanzoitika muvana asi inogona kukanganisa vanhu vakuru zvakare. Ivo avo vanogonana negorosi vane isina kujairika immune mhinduro kune chaiwo mapuroteni mune gorosi uye gorosi zvigadzirwa ().

Zviratidzo zvinogona kubva pane zvinyoro nyoro kusvika kune yakaoma, inotyisidzira hupenyu anaphylaxis - chirwere chinokonzeresa chinogona kukonzera kunetseka kufema - mushure mekumedza gorosi kana kufema hupfu hwegorosi.

Kurwara kwegorosi kwakasiyana nechirwere chechiliac, uye zvinokwanisika kuve nemamiriro ese ari maviri.

Gorosi allergies anowanzo kuongororwa nema allergist vachishandisa ropa kana ganda-kubaya kuyedza.

Isiri-Celiac Gluten Kunzwisisa

Ruzhinji rwevanhu runotaura zviratidzo mushure mekudya gluten, kunyangwe vasina chirwere chechiliac kana chisimbwa chegorosi ().

Isiri-celiac gluten senzwi (NCGS) inoonekwa kana munhu asina imwe yemamiriro ari pamusoro apa achine zviratidzo zvemukati uye zvimwe zviratidzo - senge kutemwa nemusoro, kuneta, uye kurwadziwa kwekubatana - pavanodya gluten ().

Chirwere cheCeliac uye gorosi chisimbwa chinofanirwa kutarisirwa kunze kuti chiongorore NCGS sezvo zviratidzo zvinopindirana mune ese aya mamiriro.

Kufanana nevaya vane chirwere checliac kana chirwere chegorosi, vanhu vane NCGS vanotaura kuvandudzwa kwezviratidzo kana vachitevera chikafu chisina guten.

Gluten kusashivirira zvinoreva chirwere chechiliac, gorosi allergies, uye NCGS. Kunyangwe zvimwe zviratidzo zvichipindana, aya mamiriro ane akasiyana misiyano.

Vamwe Vagari Vanogona Kubatsirwa Kubva kuGluten-Yemahara Kudya

Kutsvagurudza kwakaratidza kuti kutevera chikafu chisina guten kunoshanda mukuderedza zviratidzo zvine chekuita nemamiriro akati wandei. Dzimwe nyanzvi dzakazvibatanidza nekudzivirira kwezvimwe zvirwere zvakare.

Zvirwere Zvirwere

Pane dzidziso dzinoverengeka dzekuti nei gluten ingakonzere kana kukuvadza mamiriro e autoimmune, akadai seHashimoto's thyroiditis, rudzi rwe1 chirwere cheshuga, chirwere cheGrave, uye rheumatoid arthritis.

Kutsvagisa kunoratidza kuti autoimmune hosha dzinogovana zvakajairika magene uye immune nzira pamwe neecliac chirwere.

Molecular mimicry inzira iyo yakataurwa senzira iyo gluten inotangisa kana kuwedzera chirwere chemuviri. Apa ndipo apo antigen yekune dzimwe nyika - chinhu chinosimudzira immune immune - chinogovana zvakafanana nemaantigen emuviri wako ().

Kudya chikafu chine aya maantigen akafanana kunogona kutungamira mukugadzirwa kwema antibodies anoita nezvose zvakamedzwa antigen uye nemuviri wako matumbu ().

Muchokwadi, chirwere checliac chinosanganisirwa nenjodzi yakakwira yekuve nekuwedzera kwezvirwere zvemuviri uye zvakanyanya kuwanda kune vanhu vane mamwe mamiriro ekudzivirira muviri ().

Semuenzaniso, kuwanda kwechirwere chechiliac kunofungidzirwa kusvika kanokwana kana kumusoro kune avo vane Hashimoto's thyroiditis - autoimmune thyroid mamiriro - kupfuura mune ruzhinji ruzhinji ().

Naizvozvo, ongororo dzakawanda dzinoona kuti kudya kwegluten-kwemahara kunobatsira vanhu vazhinji vane autoimmune zvirwere ().

Mamwe Mamiriro

Gluten zvakare akasungirirwa kuzvirwere zvemudumbu, senge zvinokonzeresa ura (IBS) uye chirwere chinoputira ura (IBD), icho chinosanganisira chirwere cheCrohn uye ulcerative colitis ().

Uyezve, yakaratidzirwa kushandura gut mabhakitiriya uye kuwedzera kupinza kwemukati muvanhu vane IBD uye IBS ().

Chekupedzisira, kutsvagurudza kunoratidza kuti kudya kwegluten-kwakasununguka kunobatsira vanhu vane mamwe mamiriro, senge fibromyalgia, endometriosis, uye schizophrenia ().

Ongororo dzakawanda dzinobatanidza gluten kune kutanga uye kufambira mberi kwezvirwere zvemuviri uye kuratidza kuti kuzvidzivirira kunogona kubatsira mamwe mamiriro, kusanganisira IBD neBS.

Munhu Wese Anofanira Kudzivisa Gluten?

Zviri pachena kuti vanhu vazhinji, sevaya vane chirwere checliac, NCGS, uye autoimmune zvirwere, vanobatsirwa nekutevera chikafu chisina-gluten.

Zvakangodaro, hazvina kujeka kana munhu wese - zvisinei nemamiriro ehutano - kuti achinje maitiro avo ekudya.

Dzidziso dzinoverengeka dzakagadziriswa dzekuti sei miviri yevanhu isingakwanise kubata gluten. Kumwe kutsvagurudza kunoratidza kuti masisitimu ekugaya kwevanhu haana kushanduka kuti agaye mhando kana huwandu hwemapuroteni ezviyo ayo anowanzoonekwa muzvikafu zvemazuva ano.

Uyezve, zvimwe zvidzidzo zvinoratidza mukana unowanikwa mune mamwe mapuroteni egorosi, akadai seFODMAPs (chaiwo marudzi e carbs), amylase trypsin inhibitors, uye gorosi germ agglutinins, mukupa kune zviratidzo zvine chekuita neNCGS.

Izvi zvinoratidza mhinduro yakaoma yehupenyu kugorosi ().

Huwandu hwevanhu vanodzivirira gluten hwakwira zvakanyanya. Semuenzaniso, data reU.S. kubva kuNational Health and Nutrition Examination Survey (NHANES) inoratidza kuti kuwanda kwekudzivirira kwakapetwa katatu kubva 2009 kusvika 2014 ().

Mune vanhu vane NCGS yakashumwa iyo inoedzwa kuongororwa, kuongororwa kunosimbiswa mune ingangoita 16-30% (,).

Zvakadaro, sezvo zvikonzero zviri shure kwezviratidzo zveNCGS zvisingazivikanwe uye kuyedzwa kweNCGS kwanga kusati kwazadziswa, huwandu hwevanhu vanogona kuita zvisina kunaka kune gluten hunoramba husingazivikanwe ().

Nepo paine kusundira kuri pachena muhutano nehutano hwepasi rose kuti udzivise gluten yehutano hwese - izvo zvinokanganisa kufarirwa kwezvikafu zvisina guten - kune humwe zvakare humbowo hwekuti huwandu hweNCGS huri kuwedzera.

Parizvino, iyo chete nzira yekuziva kana iwe pachako uchizobatsirwa kubva kune-isina-kudya kwekudya mushure mekutonga kunze kwechiliac chirwere uye gorosi allergy ndeyekudzivirira gluten uye kuongorora zviratidzo zvako.

Parizvino, kuyedzwa kwechokwadi kweNCGS hakuwanike. Iyo chete nzira yekuona kana iwe uchizobatsirwa kubva kune-isina-isina kudya kudya ndeyekudzivirira gluten uye kuongorora zviratidzo zvako.

Nei Vanhu Vazhinji Vachinzwa Zviri Nani

Pane zvikonzero zvinoverengeka nei vanhu vazhinji vachinzwa zvirinani pane kudya kwe-gluten-isina.

Kutanga, kudzivisa gluten kunowanzo sanganisira kucheka kumashure pane zvakagadziriswa chikafu, sezvo ichiwanikwa mune yakawanda yezvikafu zvakagadziriswa zvakanyanya, senge chikafu chinokurumidza, zvinhu zvakabikwa, uye zviyo zvine shuga.

Idzi chikafu hachingori ne gluten chete asi chinowanzove chakakwira macalorie, shuga, uye nemafuta asina hutano.

Vanhu vazhinji vanoti ivo vanorasikirwa nehuremu, vanonzwa kusaneta, uye vane marwadzo mashoma ejoini pane kudya kweguteni. Zvichida kuti mabhenefiti aya anoitiswa nekusiiwa kwezvikafu zvisina hutano.

Semuenzaniso, kudya kwakakwira mumakora akacheneswa neshuga zvakabatanidzwa nekurema, kuneta, kurwadza kwemajoini, kusagadzikana kwepfungwa, uye nenyaya dzekugaya - zvese zviratidzo zvine chekuita neNCGS (,,,).

Uyezve, vanhu vanowanzo kutsiva zvekudya zvine gluten zvine sarudzo dzine hutano, senge miriwo, michero, mafuta ane hutano, uye mapuroteni - ayo anogona kusimudzira hutano nekugara zvakanaka.

Pamusoro pezvo, zviratidzo zvekuzeya zvinogona kuvandudzwa semhedzisiro yekudzora kudyiwa kwezvimwe zvinowanzojairwa, senge FODMAPs (carbs izvo zvinowanzo kukonzera nyaya dzekugaya senge kubvambura uye gasi) ().

Kunyangwe zvirinani zviratidzo pazvikafu zvisina guteni zvinogona kunge zvine chekuita neNCGS, izvi zvigadziriso zvinogona zvakare kunge zviri nekuda kwezvikonzero zvakanyorwa pamusoro kana mubatanidzwa wezviviri.

Kucheka chikafu chine guteni kunogona kugadzirisa hutano nekuda kwezvikonzero zvakati wandei, zvimwe zvacho zvingave zvisina hukama neguten.

Kudya Uku Kwakachengeteka Here?

Kunyangwe vazhinji vezvehutano vachiratidzira zvimwe, zvakachengeteka kutevedzera kudya kwegluten - kunyangwe kune vanhu vasingadi kudaro.

Kucheka gorosi uye zvimwe zviyo zvine guteni kana zvigadzirwa hazvingakonzere migumisiro yakaipa yehutano - sekureba sekunge zvigadzirwa izvi zvatsiviwa nezvikafu zvinovaka muviri.

Zvese zvinovaka muviri zviri muzviyo zvine guteni, zvakaita seB mavitamini, faibha, zinc, iron, uye potasium, zvinogona kutsiviwa zviri nyore nekutevera zvakakora-zvakakwana, -se-chikafu-chikafu chikafu chine miriwo, michero, mafuta ane hutano, uye zvinovaka muviri mapuroteni.

Zvigadzirwa zveGluten-Mahara zvine Hutano here?

Zvakakosha kucherechedza kuti nekuda kwekuti chinhu chisina guten hazvireve kuti chine hutano.

Makambani mazhinji anotengesa makuki-emahara, makeke, uye zvimwe zvekudya zvakagadziriswa sehutano kune avo vane gluten.

Muchokwadi, kumwe kuongorora kwakaratidza kuti 65% yevaAmerican vanodavira kuti zvekudya zvisina-gluten zvine hutano, uye 27% vanosarudza kuzvidya kukurudzira uremu ().

Kunyangwe zvigadzirwa zvisina gluten zvichiratidzwa kuti zvinobatsira kune avo vanozvida, hazvisi chero hutano kune izvo zvine gluten.

Uye apo uchitevera chikafu chisina guten chakachengeteka, ramba uchifunga kuti chero chikafu chinotsamira zvakanyanya pane zvakagadziriswa chikafu hazviite kuti uwane chero hutano hunobatsira.

Uyezve, zvichiri kuitirana nharo kana kutora chikafu ichi kunobatsira hutano hweavo vasina kusashivirira.

Sezvo kutsvagurudza munzvimbo ino kuchichinja, zvingangoita kuti hukama pakati peguten uye zvahunokanganisa pahutano hwakazara zvichanzwisisika. Kusvika panguva iyoyo, iwe chete ndiwe unogona kusarudza kuti kuzvidzivirira kunobatsira here pane zvaunoda iwe pachako.

Kunyangwe zvakachengeteka kutevedzera chikafu chisina-gluten, zvakakosha kuti uzive kuti zvigadzirwa zvakagadzirwa zvisina-giriti hazvisi chero hutano kune izvo zvine zvine gluten.

Icho Chinokosha

Kuteedzera chikafu chisina guten chinhu chinodiwa kune vamwe uye nesarudzo yevamwe.

Hukama pakati pegluten uye hutano hwakazara hwakaomarara, uye kutsvagisa kuri kuenderera.

Gluten yakabatanidzwa kune autoimmune, kugaya, uye mamwe mamiriro ehutano. Nepo vanhu vane matambudziko aya vachifanira kana vachifanira kudzivirira gluten, zvichiri kusanzwisisika kana chikafu chisina guten-chinobatsira avo vasina kusashivirira.

Sezvo parizvino pasina kuongororwa kwakaringana kwekusashivirira uye kudzivisa gluten hakukonzere njodzi dzehutano, unogona kuzviedza kuti uone kana zvichiita kuti unzwe zvirinani.