Ulufutho Lwe-Celiac Disease? Izimpawu, Izimbangela, & Ukwelashwa

I-Celiac disease yisimo sokuhlushwa komzimba lapho isimo sakho sokuvikela umzimba sihlasela izisu zakho ezincane uma udle i-gluten, iprotheni etholakala kwi-wheat, i-barley, ne-rye. Cabanga ngakho njengomzimba wakho ophatha i-gluten njengomhlaseli obulalayo, obangela ukuvuvukala nokonakala kokugqoka kwesisu sakho isikhathi eside.

Lesi simo sithinta abantu abangaba ngu-1 ku-100 emhlabeni jikelele, nakuba abaningi bangaqapheli ukuthi banalo. Izindaba ezinhle ukuthi uma sekutholakele, i-celiac disease ingaphathwa kahle ngokuguqula ukudla, okuvumela ukuba uphile impilo egcwele nephilele.

Ziyini izimpawu ze-celiac disease?

Izimpawu ze-celiac disease zingase zihluke kakhulu kumuntu nomuntu, futhi abanye abantu bangase bangabi nazimpawu ezibonakalayo neze. Izimpawu zivame ukuthuthuka kancane kancane futhi zingathinta izingxenye ezahlukene zomzimba wakho njengoba izisu zakho ezincane zidlalela indima ebalulekile ekubeni izondlo.

Nazi izimpawu ezivame kakhulu zokugaya ukudla ongazihlangabezana nazo:

• Ukhukhula oluqhubekayo noma izisu eziphumile
• Ubuhlungu besisu nokuqina
• Igesi nokuqina
• Ukuphefumula nokugabha
• I-Constipation (ayivamile kodwa kungenzeka)
• Izisu ezimhlophe, ezinuka kabi eziphephezela

Ngaphezu kwezinkinga zokugaya ukudla, i-celiac disease ingabangela izimpawu emzimbeni wakho wonke. Lokhu kwenzeka ngoba izisu ezilimele azikwazi ukubamba izondlo kahle, okuholela ekusweleni okuthinta izitho nezinqubo ezahlukene.

Izimpawu ezivamile ezingelona ukugaya ukudla zihlanganisa:

• Ukukhathala okungachazeki nobuthakathaka
• I-anemia yokuswela i-Iron
• Ubuhlungu lwamathambo nokuqina kwemisipha
• Ukuthamba noma ukungabi namandla ezandleni nasezinzwani
• Ukusabela kwesikhumba (dermatitis herpetiformis)
• Izinhlungu zikhanda nokudideka kwengqondo
• Ukushintsha kwesimo sengqondo, kuhlanganise ukucindezeleka nokukhathazeka
• Ukwehla kwesisindo okungachazeki

Ezinganeni, isifo se-celiac singabangela ezinye izimpawu eziqeda ukukhula nokuphakama. Abantwana bangase babe nokulibaziseka kokuthomba, ukufushane, izinkinga zamahlombe, noma izinkinga zokuziphatha njengokucasuka nobunzima bokuqonda.

Abanye abantu bane lokho odokotela abakubiza ngokuthi “isi-celiac esithule,” lapho ukulimala kwamathumbu kwenzeka khona ngaphandle kwezimpawu ezicacile. Kungakho isifo se-celiac singase singatholakali iminyaka eminingi, ngisho noma uhlelo lokukhulisa luqhubeka luhlasela amathumbu.

Ziyini izinhlobo zesifo se-celiac?

Odokotela bahlukanisa isifo se-celiac zibe izinhlobo eziningana ngokusekelwe endleleni izimpawu ezivela ngayo nangesikhathi isimo siphakama. Ukuqonda le miqondo kusiza ekuchazeni ukuthi kungani isifo se-celiac singase sibukeke sihlukile kumuntu nomuntu.

Isifo se-celiac esiqhelekile sihilela izimpawu ezivamile zokugaya ukudla njengokuhlanza, ukukhukhula, nokulahlekelwa isisindo. Yilokho abantu abaningi abakucabanga lapho bezwa ngesifo se-celiac, futhi kuvame ukutholakala ngokushesha ngoba izimpawu zicacile.

Isifo se-celiac esingeyona esiqhelekile sibonakala ngezimpawu ezingaphandle kohlelo lokugaya ukudla, njengokuhlupheka kwegazi, izinkinga zamathambo, noma izinkinga zezinzwa. Abantu abane lolu hlobo bangase babe nezimpawu ezilula zokugaya ukudla noma abanawo, okwenza ukutholakala kube nzima.

Isifo se-celiac esithule sisho ukuthi unemlilo kwamathumbu kodwa awunawo amaphuzu acacile. Lolu hlobo luvame ukutholakala ngesikhathi sokuhlola amalungu omndeni noma ngokuhlolwa kwegazi okwenziwe ngezizathu ezingezona lezo.

Isifo se-celiac esingase sibe khona sichaza abantu abanezivivinyo zegazi ezizwakalayo zesifo se-celiac kodwa ukuphazamiseka kwamathumbu okuvamile noma okuncane. Laba bantu bangase bathuthukise isifo se-celiac esiphelele ngokuhamba kwesikhathi futhi bavame ukuba nezinzuzo ngokudla okungenayo i-gluten.

Isifo se-celiac esingapheli yifomu eliqhelile lapho izimpawu nokulimala kwamathumbu kuqhubeka khona naphezu kokulandela ukudla okungenayo i-gluten okungqongqo isikhathi esingaphezu kwezinyanga eziyi-12. Lolu hlobo ludinga ukunakekelwa kwezokwelapha okukhethekile kanye nezinye izindlela zokwelapha ngaphandle kokuguqula ukudla.

Yini ebangela isifo se-celiac?

I-sifo se-celiac sithuthuka ngokuxubana kokuthambekela kwezakhiwo nokuqalisa kwemvelo, i-gluten iyingxenye ebaluleke kakhulu ebangela ukusebenza komzimba. Udinga ukuba nama-jini athile ukuze uthole i-celiac, kodwa ukuba nama-jini lawo akukwazi ukuqinisekisa ukuthi uzothola lesi simo.

Ingxenye yezakhiwo ihilela ama-jini athile okuthiwa yi-HLA-DQ2 ne-HLA-DQ8. Cishe u-95% wabantu abane-celiac bahlala bene-jini le-HLA-DQ2, kanti abanye abaningi bane-HLA-DQ8. Noma kunjalo, cishe u-30% wabantu abavamile bahlala bane-jini, kodwa kuphela u-1% otholwa yi-celiac.

Izici zemvelo zidlalela indima ebalulekile ekuqaliseni isifo kubantu abanesifo. Lezi zinto eziqalisa isifo zingabandakanya ukutheleleka kwezifo, ukucindezeleka kwengqondo, ukukhulelwa, ukuhlinzwa, noma ngisho nesikhathi sokuqalisa i-gluten ebuntwaneni.

Ucwaningo oluthile lubonisa ukuthi ukutheleleka okuthile, ikakhulukazi nge-rotavirus noma i-adenovirus, kungase kuqalise i-celiac kubantu abathintekayo. Umbono ukuthi lezi zifo zingase zibangele ukuthi uhlelo lokulwa nezifo ludideke futhi luqale ukuhlasela amaprotheni e-gluten.

Ngokuthakazelisayo, indlela i-gluten eyenziwa ngayo ebuntwaneni ingase ibe nomthelela ekuthuthukiseni i-celiac. Ezinye izifundo zibonisa ukuthi ukuqalisa i-gluten ngesikhathi usasusa isisu futhi ukwenze kancane kancane kungase kunciphisa ingozi, yize le ndawo yocwaningo iqhubeka ithuthuka.

Isimo singathuthuka kunoma iyiphi iminyaka, kusukela ebuntwaneni obuqala kuya ebuntwaneni obukhulu. Ngezinye izikhathi kuvela ngemuva kwesikhathi sokucindezeleka komzimba noma kwengqondo, ukukhulelwa, noma isifo, okubonisa ukuthi lezi zenzakalo zingase ziqalise uhlelo lokulwa nezifo kubantu abanesifo.

Nini kufanele ubona udokotela nge-celiac?

Kufanele ucabange ukuya kudokotela uma uhlangabezana nezimpawu zokugaya ukudla eziqhubekayo noma izinkinga zempilo ezingachazwanga ezingase zibe nobudlelwano ne-celiac. Ukuxilongwa kwasekuqaleni nokuphathwa kungavimbela ukuphazamiseka futhi kuthuthukise kakhulu ikhwalithi yokuphila kwakho.

Funani usizo lwezokwelapha uma unezinkinga zokugaya ukudla eziqhubekayo isikhathi esingaphezu kwamasonto ambalwa, ikakhulukazi uma zihlanganisa ukululama okungapheli, ubuhlungu besisu, ukukhukhumeka, noma ukulahlekelwa isisindo okungachazeki. Lezi zimpawu zingaba nezizathu eziningi, kodwa kufanele kubhekwe i-celiac disease, ikakhulukazi uma ukushintsha kokudla kungasizi.

Kubalulekile futhi ukubona udokotela uma unezimpawu ezingelona ukugaya ukudla ezingabonisa i-celiac disease, njengokukhathala okuqhubekayo, ukushoda kwegazi okungachazeki, ubuhlungu lwamathambo, noma izimpawu zezinzwa njengokuhlunguluza ezandleni nasezinzweni.

Uma unelungu lomndeni olune-celiac disease, cabanga ukuhlolwa ngisho noma ungenawo ama-symptom. Izihlobo zezinga lokuqala (abazali, abafowethu, abantwana) banethuba eli-1 ku-10 lokukhula lesimo, okwenza ukuhlolwa kube yinto efanele.

Ungaqali ukudla okungenayo i-gluten ngaphambi kokubona udokotela wakho uma ucindezela i-celiac disease. Udinga ukudla i-gluten ukuze uthole ukuhlolwa okuchane, futhi ukuyisusa ekudleni kwakho kungabangela imiphumela engemihle engwenza ukuxilongwa kube nzima.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthola izimpawu ezinkulu njengokugabha okuqhubekayo, izimpawu zokulahlekelwa amanzi emzimbeni, ubuhlungu besisu obukhulu, noma noma yiziphi izimpawu eziphazamisa kakhulu imisebenzi yakho yansuku zonke.

Iyini izingozi ze-celiac disease?

Izici eziningi zingandisa amathuba akho okukhula i-celiac disease, umlando womndeni uyi-predictor enamandla kunazo zonke. Ukuqonda lezi zici zingozi kungakusiza wena nodokotela wakho ukuba unqume ukuthi ukuhlolwa kufanele yini esimweni sakho.

Izici ze-genetic zimelela ingozi enkulu kunazo zonke. Ukuba nomzali, umfowethu, noma ingane ene-celiac disease kukwandisa ingozi yakho cishe ku-1 ku-10, uma kuqhathaniswa no-1 ku-100 kubantu abavamile. Ingozi iphakeme nakakhulu uma amalungu amaningi omndeni enalesimo.

Izimo ezithile ze-genetic ziphinde zikhulise ingozi ye-celiac disease:

• I-Down syndrome (ingozi iyakhuphuka iye ku-1 ku-20)
• I-Turner syndrome
• I-Williams syndrome
• Ukuntuleka kwe-IgA okukhethiwe

Ukuba nezinye izimo ze-autoimmune kukhuphula kakhulu ingozi yakho yokuthuthukisa isifo se-celiac. Lokhu kwenzeka ngoba lezi zimo zihlanganyela izizinda ezifanayo ze-genetic kanye nezezimpawu zesimiso se-immune.

Isimo se-autoimmune esihlotshaniswa nengozi ephezulu yesifo se-celiac ihlanganisa:

• I-Type 1 diabetes (ingozi engu-3-8%)
• Isifo se-autoimmune se-thyroid
• Isifo se-autoimmune se-liver
• I-Rheumatoid arthritis
• I-Sjögren's syndrome
• I-Addison's disease

Ubudala nobulili nawo kudlala indima engozini. Nakuba isifo se-celiac singathuthuka kunoma yiliphi iminyaka, kuvame ukuxilongwa ebuntwaneni noma phakathi kweminyaka engu-30-40. Abafazi baxilongwa kabili kunamadoda, nakuba lokhu kungase kubonise umehluko ekwazini izimpawu kunokuba yinqubo yesifo.

Ezinye izifundo zikhomba ukuthi izinto ezithile zokuphila kwasekuqaleni zingase zithinte ingozi, kufaka phakathi ukulethwa nge-cesarean, ukungeniswa kwasekuqaleni kwe-gluten, nokondla nge-formula kunokuncelisa. Noma kunjalo, ucwaningo kulwalwesi luqhubeka luthuthuka, futhi lezi zinto zimelela izingozi ezincane kakhulu kunama-genetics nomlando womndeni.

Ziyini izinhlanganisela ezingaba khona zesifo se-celiac?

Isifo se-celiac esingaphathwe singabangela izinhlanganisela ezinkulu ngokuhamba kwesikhathi ngoba ukonakala okuqhubekayo kwamathumbu kuvimba ukufunwa kahle kwezondlo. Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavikeleka noma zithuthukiswe ngokudla okungena-gluten.

Ukuphelelwa yizondlo kubonisa izinhlanganisela ezivamile, ezithuthukayo ngoba ama-villi amonakalisiwe amathumbu awakwazi ukufunwa kahle kwezondlo. Lezi zinkinga zingathinta izinhlelo eziningi zomzimba futhi zibangele izinkinga ezahlukene zempilo.

Izinhlanganisela ezivamile zezondlo zihlanganisa:

• Ukuntuleka kwe-Iron okubangela ukukhathala nobuthakathaka
• Ukuntuleka kwe-Calcium ne-vitamin D okubangela izinkinga emathanjeni
• Ukuntuleka kwe-vitamin B okunethelela amandla nomsebenzi wezinzwa
• Ukuntuleka kwe-Folate, ikakhulukazi okukhathazayo ngesikhathi sokukhulelwa
• Ukuntuleka kwe-vitamin ezithunywako (A, D, E, K)

Izinkinga zempilo yamathambo zivame ukuvela ekuguleni kwe-celiac okungaphathwe ngenxa yokungakwazi ukumunca i-calcium ne-vitamin D. Ungase uthole i-osteoporosis (amathambo abuthakathaka, abuthakathaka) noma i-osteomalacia (amathambo abuthakathaka), okwandisa ingozi yokuphahlazeka kwamathambo.

Impilo yokuzala ingathinteka kokubili kumadoda nabesifazane. Abesifazane bangase babe nezinsuku zokuba nenyanga ezingajwayelekile, ubunzima bokuthola umbeletho, noma ingozi enkulu yokukhulelwa. Amadoda angase abe nokungathandeki noma ukungalingani kwamahomoni.

Ukuhlala ungaphathwe i-celiac disease kunezinkinga ezinkulu kodwa ezingavamile. Lezi zivame ukuvela eminyakeni eminingi yomonakalo oluqhubekayo wesisu nokuvuvukala emzimbeni wonke.

Izinkinga ezingavamile kodwa ezinzima zihlanganisa:

• I-lymphoma yesisu esincane (uhlobo lomdlavuza)
• I-adenocarcinoma yesisu esincane (omunye umdlavuza ongajwayelekile)
• I-celiac disease engapheli (izimpawu ziyaqhubeka naphezu kokudla okungenayo i-gluten)
• Izinkinga zezinzwa ezinjenge-peripheral neuropathy
• Izinkinga zesibindi ezihlanganisa i-hepatitis

Abantwana abangenayo i-celiac disease bangase babe nokulibaziseka kokukhula, ukulibaziseka kokuthomba, izinkinga zamagciwane, nezinkinga zokuziphatha. Ukuxilongwa kwasekuqaleni nokuphathwa kungasiza abantwana ukuba bafinyelele ekukhuleni nasekuthuthukiseni.

Izindaba ezimnandi ukuthi ukulandela ukudla okungenayo i-gluten kungavimbela izinkinga eziningi futhi kuvame ukulungisa izinkinga eziningi ezikhona kakade. Amathumbu akho angaphola, ukumunca izondlo kuyaqhubeka, futhi impilo yakho yonke ivame ukuthuthuka kakhulu.

Kungenzeka kanjani ukuvimbela i-celiac disease?

Okwamanje, ayikho indlela eyaaziwayo yokuvimbela isifo se-celiac uma unesizungu sokuthuthukisa. Noma kunjalo, abacwaningi bafunda izindlela ezahlukene ezingase zinciphisa ingozi noma zilibale ukuqala kubantu abathintekayo.

Ezinye izifundo zibukele ukuthi imikhuba yokondla izingane ingase ithinte kanjani ukuthuthukiswa kwesifo se-celiac. Ucwaningo lubonisa ukuthi ukungenisa i-gluten kancane phakathi kwezinyanga eziyi-4-6 ubudala ngenkathi usalusa ingase kube lumnandi, nakuba lokhu kusala isifunda sokuqhubeka kocwaningo.

Ukugcina impilo enhle ngokudla okulinganiselayo, ukuzivocavoca njalo, nokuphatha ukucindezeleka kungase kusekele isimo sakho sokuvikela, nakuba lezi zinyathelo azizange zibonakale zivimbela isifo se-celiac ngokukhethekile.

Uma unomlando womndeni wesifo se-celiac, indlela engcono kakhulu ukukhetha njalo kunokuzimasa ukuvimbela. Ukutholakala kwasekuqaleni kuvumela ukwelashwa okusheshayo, okungavimbela izinkinga futhi kuthuthukise ikhwalithi yakho yokuphila kakhulu.

Kubantu abasuke besuke behlonishwa ngesifo se-celiac, ukuvimbela izinkinga kuba yikho okugxile kukho. Ukubambelela ngokuqinile ekudleni okungenayo i-gluten kubonisa indlela ephumelela kakhulu yokuvimbela ukuqhubeka nokululama ukonakala kwamathumbu.

Ucwaningo mayelana nokwelashwa okungenzeka okuvimbelayo luyaqhubeka, kufaka phakathi izifundo ze-enzymes ezingase ziqhekeze i-gluten kanye nezinye izindlela zokwelapha eziqondisa isimo sokuvikela. Noma kunjalo, lezi zindlela zisala zilingwa futhi azikafinyeleleki ukusetshenziswa okujwayelekile.

Isifo se-celiac sihlonishwa kanjani?

Ukuhlonishwa kwesifo se-celiac kuhilela ukuxuba kokuhlolwa kwegazi, ukuhlolwa kwe-genetic, futhi ngokuvamile i-biopsy yamathumbu ukuqinisekisa ukuhlonishwa. Inqubo idinga ukudla i-gluten njalo, ngakho ungaqali ukudla okungenayo i-gluten ngaphambi kokuhlolwa.

Udokotela wakho ngokuvamile uzoqala ngokuhlolwa kwegazi olufuna ama-antibodies athile esistimu yakho yokuvikela uma ivezwe yi-gluten. Ukuhlolwa okuvamile nokuthembekile kuyilinganisa ama-antibodies e-tissue transglutaminase (tTG-IgA).

Ezinye izivivinyo zegazi ezingase zifakwe zihlanganisa:

• Ama-antibody e-anti-endomysial (EMA)
• Ama-anti-deamidated gliadin peptides (DGP)
• Amazinga e-IgA aphelele (ukuqinisekisa ukuthi imiphumela iyanelisisayo)
• Ama-antibody e-anti-gliadin (asetshenziswa kancane manje)

Uma izivivinyo zegazi zikhomba isifo se-celiac, udokotela wakho cishe uzokuncoma i-endoscopy ephezulu ene-biopsy. Le nqubo ihilela ukufaka ithyube elincane, elithambile elinekhamera ngomlomo wakho ukuhlola amabele akho amancane nokuthatha amasampula amancane ezinye izingxenye.

I-biopsy ibuka izinguquko ezibalulekile kuma-villi akho amangqamuzana, ukukhula okuncane okufana nomunwe okuthatha izondlo. Kulesi sifo se-celiac, lawa ayagqwala futhi abhujiswe, okuvela ngokucacile ngaphansi komkhiqizo.

Ukuhlolwa kwe-genetic kungasiza ekuqedeni isifo se-celiac uma ungenawo ama-jeni e-HLA-DQ2 noma i-HLA-DQ8. Noma kunjalo, ukuba nale mi-jeni akusho ukuthi une-celiac, njengoba abantu abaningi bayaba nayo ngaphandle kokuthuthukisa lesi simo.

Kwezinye izimo, udokotela wakho angakuncoma ukuhlolwa okuengeziwe ukuhlola ukushoda kokudla noma izinkinga. Lokhu kungafaka i-scan ye-bone density, ukulinganiswa kwezinga le-vitamin, noma ukuhlolwa komsebenzi welaphe.

Kubantwana, indlela yokuxilonga ifana, nakuba ngezinye izikhathi i-biopsy ingagwenywa uma imiphumela yokuhlolwa kwegazi iphezulu kakhulu futhi izimpawu ziyajwayelekile. Lokhu kudinga ukulinganiswa ngokucophelela yi-gastroenterologist yabantwana.

Iyini ukwelashwa kwesifo se-celiac?

Ukuphathwa okuyinhloko nokusebenza kahle kakhulu kwesifo se-celiac ukulandela ukudla okungekho gluten, okuphila konke. Lokhu kusho ukuqeda ngokuphelele ukudla ukolweni, ubhiya, irayi, nanoma yikuphi ukudla noma imikhiqizo equkethe lezi zinhlobo zezitshalo.

Ukudla okungekho gluten kuvumela ukulungiswa kwe-lining yakho yamathumbu futhi ngokuvamile kulungisa izimpawu ezinyangeni ezimbalwa kuya ezinyangeni. Abantu abaningi bazizwa bekhulu kakhulu ngaphakathi kwamasonto ambalwa, nakuba ukulungiswa okuphelele kwamathumbu kungathatha iminyaka emibili kubantu abadala.

Ukufunda ukulandela ukudla okungenayo i-gluten kuhilela ukuqonda ukuthi yimiphi ukudla enei-gluten nokuthola ezinye izinto ezifanele. Ukudla okungenayo i-gluten ngokwemvelo kuhlanganisa izithelo, imifino, inyama, inyama yenkukhu, i-fish, imikhiqizo yobisi, amabhinzi, amantongomane, kanye nemikhiqizo eminingi yorayisi nekorn.

Ukudla okuzodingeka ukugweme kuhlanganisa:

• I-wheat, i-barley, i-rye, ne-triticale
• Iningi lezonka, i-pasta, i-cereals, nemikhiqizo ebilisiwe
• U-Beer neziphuzo ze-malt
• Ukudla okuningi okuthuthukiswe okune-gluten njengengxenyekazi
• Eminye imithi kanye nezinye izongezelelo
• Imikhiqizo enokuqubuka okuvela ezitshalweni ezine-gluten

Ukufunda imilebe yokudla kuba yinto ebalulekile, njengoba i-gluten ingafihla ezindaweni ezingalindelekile njenge-soy sauce, ukuxuba ososo, amakhekhe, ngisho nezinye imithi. Bheka imikhiqizo ebhaliwe ngokucacile ukuthi "ayina-gluten" ukuqinisekisa ukuphepha.

Ukuvimbela ukuqubuka kubalulekile ekwelapheni okuphumelelayo. Lokhu kusho ukusebenzisa izitsha zokupheka ezihlukile, ama-toaster, namabhodi okusika ukudla okungenayo i-gluten, nokuqaphela ngezindawo zokupheka ezabelwana ngazo.

Udokotela wakho angakuncoma izongezelelo zezondlo ekuqaleni ukuqondisa ukushoda okuvamile ekuguleni kwe-celiac okusha. Lezi zivame ukubandakanya insimbi, ama-B-vitamins, i-calcium, i-vitamin D, kanye ngezinye izikhathi i-zinc noma i-magnesium.

Ukusebenza nodokotela wezondlo obhalisiwe onolwazi ekuguleni kwe-celiac kungaba usizo kakhulu. Bangakusiza uhlele ukudla okuqondene, ubone imithombo efihliwe ye-gluten, futhi uqinisekise ukuthi uthola ukudla okufanele ekudleni okungenayo i-gluten.

Ezimweni ezingavamile zokugula kwe-celiac okungapheli lapho izimpawu ziqhubeka naphezu kokudla okungenayo i-gluten, udokotela wakho angakuncoma imithi efana ne-corticosteroids noma imithi yokucindezela amasosha omzimba. Lokhu kudinga ukunakekelwa okukhethekile odokotela bezisu.

Indlela yokuphatha ukugula kwe-celiac ekhaya?

Ukuphathwa kahle kwesifo se-celiac ekhaya kugxile ekudalweni kwendlu ephephile, engenagluten futhi ekwakheni amasiko ahlala njalo enza ukushintsha kwesitayela sempilo kube lula. Ngohlelo oluhle nokuhleleka, ungagcina impilo enhle ngenkathi ujabulela ukudla okuhlukahlukene, okumnandi.

Ukulungiselela ikhishi lakho kahle kubalulekile ukuvimbela ukungcoliswa okuhlangene. Qamba izindawo ezithile namathuluzi okulungiselela ukudla okungenagluten, kufaka phakathi amabhodi okusika ahlukene, izitsha, namadivayisi amancane afana nama-toasters.

Hlela ipani lakho nefriji ngezigaba ezicacile ezingenagluten. Gcina izinto ezingenagluten eziteshini eziphezulu ukuvimbela ukungcoliswa yi-crumbs evela emikhiqizweni enegluthen ngaphezulu.

Ukuhlela ukudla kuba umngani wakho omuhle ekuphathweni kwekhaya okuphumelelayo. Hlela amamenyu eviki ngokudla okungenagluten ngokwemvelo, futhi upheke ukudla okuningi ongakugcina ukuze usebenzise ezinsukwini ezimatasa. Lokhu kuvimbela ukulinga lokubamba ukudla okulula okungaphephile.

Gcwalisa ikhishi lakho ngezinto eziyisisekelo ezingenagluten ngokwemvelo:

• Urayisi, i-quinoa, ne-oats eziqinisekisiwe ezingenagluten
• Izithelo nemifino entsha
• Inyama ehlanzekile, inyama yenkukhu, nezinhlanzi
• Amabhinca, amantongomane, nama-seeds
• Umlingo ezingenagluten wokubhaka
• Izinongo nezitsha ezingephili

Funda ukufunda ama-lebheli ezithako ngokucophelela, ungabheki nje emithonjeni ebonakalayo ye-gluten kodwa futhi kubizo njenge-“natural flavoring,” “modified food starch,” noma “malt extract” engaba ne-gluten.

Yenza amasu okudla ngaphandle nezinhlangano zokuxhumana. Hlola amamenyu erestoran ngaphambi kwesikhathi, shayela ngaphambi kokuxoxa ngezindlela zokulungiselela, futhi ungangabazi ukukhuluma nabasebenzi bekhishi ngezidingo zakho.

Gcina idayari yokudla ezinyangeni zakho zokuqala ukuze uqaphele ukuthi uzizwa kanjani futhi ubone noma yikuphi ukudla okune-problem. Lokhu kukusiza ukuthi uqaphele uma udlala i-gluten ngephutha noma uma unezinye izinto eziphikisanayo zokudla.

Xhumana namaqembu asekelayo esifo se-celiac, noma ngokomuntu noma online. Ukufunda kwabanye abaphatha lesi simo ngempumelelo kungakunika amathiphu asebenzayo kanye nokusekelwa ngokomzwelo phakathi nesikhathi sakho sokujwayela.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela ngokuphelele i-aphoyintimenti yakho nodokotela kungakusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu nelenani lokwelapha eliphumelelayo. Ukulungiselela okuhle kuphinde kukusize ukuba ukhumbule imibuzo ebalulekile futhi wenze okuningi ngesikhathi sakho sokuhlangana.

Gcina idayari eningiliziwe yezimpawu okungenani amasonto amabili ngaphambi kwe-aphoyintimenti yakho. Qopha ukuthi izimpawu zivela nini, ubukhulu bazo, lokho okudlile, nanoma yiziphi izindlela ozibonayo. Faka izimpawu zesisu nezingezisiswini.

Bula umbhalo wakho ophelele wezokwelapha, kufaka phakathi noma yikuphi ukuxilongwa kwangaphambili, ukuhlinzwa, imithi, kanye nezinhlanganisela. Qaphela noma yimuphi umlando womndeni wesifo se-celiac, izimo zokuziphatha komzimba, noma izinkinga zesisu.

Qhubeka udle i-gluten ngokujwayelekile ngaphambi kwe-aphoyintimenti yakho nokuhlolwa. Ukugwema i-gluten kungadala imiphumela emihle yokuhlolwa, okwenza ukuxilongwa kube nzima kakhulu.

Lungiselela uhlu lwemibuzo okumele uyibuze udokotela wakho:

• Yiziphi izivivinyo engidinga, futhi kufanele ngilungiselele kanjani?
• Kuzokuthatha isikhathi esingakanani ukuthola imiphumela?
• Kwenzekani uma izivivinyo zivela noma aziveli?
• Amalungu omndeni wami kufanele ahlolwe?
• Yiziphi izinsiza ezitholakalayo ezingangisiza ukuba ngifunde ngokuphila okungenayo i-gluten?

Letha uhlu oluphelele lwazo zonke imithi, amavithamini, kanye nezinhlanganisela ozithathayo. Ezinye zalezi zingaba ne-gluten noma zihlangane nokwelashwa.

Bhala phansi noma yikuphi ukukhathazeka noma ukwesaba okuqondile onakho ngesifo se-celiac noma ukuphila okungenayo i-gluten. Udokotela wakho angakubhekana ngokuqondile futhi akuxhumanise nezinsiza ezifanele.

Cabanga ukuthi ulethe umngane noma ilungu lomndeni omethembayo ekuhambeni kwakho. Bangakusiza ukuba ukhumbule ulwazi oluxoxwe futhi banikeze ukwesekwa ngesikhathi sengxoxo engase izizwe inqabile.

Uma ubona uchwepheshe, letha noma yimiphi imiphumela yokuhlolwa yangaphambili, amarekhodi ezempilo, noma izincwadi zokuqondisa ezivela kwabanye odokotela. Lokhu kusiza ukugwema ukuphinda ukuhlolwa okungadingeki futhi kunikeza ulwazi olubalulekile.

Iyini into ebaluleke kakhulu ngesifo se-celiac?

I-Celiac isifo esingaphatheka esingumzimba ozivikela esiphendula kahle ekwelapheni uma ulandela ukudla okungenayo i-gluten. Nakuba ukuxilongwa kungase kuzwakale kukhulu ekuqaleni, izigidi zabantu baphila impilo egcwele, enempilo ngesifo se-celiac.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-celiac ayisiyo i-allergy yokudla noma ukungatholi - kuyisimo somzimba ozivikela esidinga ukugwema ngokuphelele i-gluten, hhayi ukunciphisa nje. Ngisho nezingxenye ezincane ze-gluten zingalimaza amabele, ngisho noma ungazizwa izimpawu.

Ukuxilongwa kwasekuqaleni nokuphathwa kuvimbela izinkinga ezinzima futhi kuvumela amabele akho ukuba aphulukise ngokuphelele. Abantu abaningi bazizwa bekhulu kakhulu emavikini ambalwa ngemuva kokuqala ukudla okungenayo i-gluten, ngokuthuthuka okuqhubekayo ezinyangeni naseminyakeni eminingi.

Impumelelo ngesifo se-celiac ivela ekufundeni, ekuhleleni, nasekwakheni uhlelo oluqinile lokusekela. Ukusebenza nabaphakeli bezempilo abanolwazi ngesifo se-celiac, ukuxhumana namaqembu okusekela, nokufunda kwabanye abaphatha lesi simo ngempumelelo kwenza ukuguqulwa kube lula kakhulu.

Khumbula ukuthi ukuba nesifo se-celiac akukhawuleli ikhono lakho lokujabulela ukudla, uhambo, noma ukuhlanganyela emisebenzini yomphakathi. Ngokwazi okufanele nokulungiselela, ungagcina impilo esebenzayo, egcwele ngenkathi uvikela impilo yakho ngokugwema i-gluten ngokucophelela.

Imibuzo evame ukubuzwa ngesifo se-celiac

Ingabe i-celiac ingase ibe khona ngokuzumayo kubantu abadala?

Yebo, isifo se-celiac singaqala kunoma iyiphi iminyaka, ngisho noma uke wadla i-gluten ngaphandle kwezinkinga impilo yakho yonke. Abantu abaningi bathola ukuthi banalesi sifo beseneminyaka engama-30, ama-40, noma ngisho nangaphezulu. Leli simo sivame ukuvela ngemva kwesenzakalo esibangela njengokukhulelwa, ukuhlinzwa, ukutheleleka yi-viral, noma ukucindezeleka okukhulu kubantu abanezindlela ezihlukanisayo.

Ingabe isifo se-celiac sifana nokuqaphela i-gluten?

Cha, isifo se-celiac nokuqaphela i-gluten okungeyona i-celiac izimo ezahlukene. Isifo se-celiac yisimo sokuqina komzimba esibangela ukonakala kwamathumbu okulinganiswayo futhi sinezimpawu zegazi ezithile nezezakhiwo ze-genetic. Ukuqaphela i-gluten okungeyona i-celiac kubangela izimpawu uma kudliwa i-gluten kodwa akubandakanyi ukusebenzisana komzimba noma ukonakala kwamathumbu. Zombili izimo ziyathuthuka ngokudla okungenayo i-gluten, kodwa isifo se-celiac sidinga ukugwenywa okunamandla kwe-gluten.

Ingabe ungakwazi ukukhula isifo se-celiac?

Cha, isifo se-celiac yisimo sempilo yonke ongase ukukhule. Abanye abantwana bangaba namaviki ezimpawu ezimbi ngemva kokulandela ukudla okungenayo i-gluten, kodwa lokhu kuvame ukusho ukuthi ukudla kusebenza, hhayi ukuthi baye bakhula lesi simo. Ukubuyisela i-gluten kuvame ukubangela izimpawu nokonakala kwamathumbu ukubuyela. Ukugwenywa kwe-gluten okuphila konke kuhlala kuyadingeka kubo bonke abantu abatholwe banesifo se-celiac.

Ukudla okungenayo i-gluten kufanele kube kanjani?

Ukudla okungenayo i-gluten ngesifo se-celiac kufanele kube okuqinile kakhulu – ngisho namanani amancane e-gluten angabangela ukonakala kwamathumbu. Lokhu kusho ukugwema ukungcoliswa okungaphambili, ukufunda zonke izilebuli ngokucophelela, nokuqapha imithi, izithasiselo, nemikhiqizo yokunakekela komuntu siqu. Umkhawulo wokubangela ukonakala mncane kakhulu, ngakho-ke “okuningi okungenayo i-gluten” akwanele kubantu abanesifo se-celiac.

Ingabe ngizodinga ukuthatha amavithamini phakade ngesifo se-celiac?

Akuyona into eqinisekile. Abantu abaningi badinga ukwengezwa kwezinto eziphilayo namaminerali ekuqaleni ukuze kulungiswe ukuntuleka okubangelwa ukulimala kwamathumbu. Njengoba amathumbu akho elulama ngokudla okungenayo i-gluten, ukufunwa kwezondlo kuvame ukuthuthuka kakhulu. Udokotela wakho uzolandelela amazinga ezondlo zakho futhi alungise izincomo zokwengezwa ngokufanele. Abanye abantu ekugcineni badinga ukwengezwa okungathi sína, kanti abanye bazuza ekwengezeni isikhathi eside kuye ngezidingo zabo zomuntu siqu nokuthi amathumbu abo aphulukana kangcono kangakanani.