Ukungabekezelelani kweGluten noma isifo se-celiac ezinganeni nasezinganeni

Njengesikhumba, ibhodlela lomntwana wethu libuthakathaka kusukela lizalwa. Ukwethulwa kokuqala kokusanhlamvu, ukudla okubalulekile kwe-gluten, ukungabikho kokuncelisa ibele, noma ngisho, i-genetic predisposition, kungaba nomthelela ekuthuthukiseni isifo se-celiac, esaziwa kangcono ngaphansi kwegama elithi "ukungabekezelelani kwe-gluten".

Konke kwenzeka esiswini sengane yakho: lapho i-gluten ihlangana nolwelwesi lwamathumbu ayo amancane, iqala ukusabela okuholela ekutheni ukucekelwa phansi kodonga lwamathumbu. Lokhu ngeke kusadlala indima yako yokumunca futhi imisoco equkethwe ekudleni kwengane ikhishwa ngokwemvelo ngemva kwamahora ambalwa. Lona odumile ukungabekezelelani kwe-gluten.

Ukuqunjelwa noma isifo sohudo: yiziphi izimpawu ezinganeni nasezinganeni?

Ngaphandle kokweqisa, ukuqapha kuyadingeka phakathi nenkathi yeukuhlukahluka kokudla, ikakhulukazi lapho sethula ufulawa weminyaka engu-2 oqukethe i-gluten. Sekudlule amasonto ambalwa, lutho ukubika. Kodwa manje ingane yakho iqala nesifo sohudo, sibe muncu futhi sinciphe ngokusobala ... Ushintsho olukhulu uSolenne alubona endodakazini yakhe, eyayinezinyanga eziyishumi, ngaleso sikhathi: “U-Lucie wami omncane wasuka enganeni eyisidudla (8,6kg no-69cm) waya enganeni engamamathekanga, ekhala usuku lonke futhi enqaba noma yikuphi ukudla ”.

Ngakho-ke, izimpawu ezivame kakhulu yilezi:

• ukukhathala noma ukucasuka
• isifo sohudo
• kwesisindo
• ukuqunjelwa noma ubuhlungu besisu
• isicanucanu
• ukukhula kancane

Konke lokhu kubonakaliswa, empeleni, izimpawu zokuqala zesifo se-celiac (noma ukungabekezelelani kwe-gluten) futhi kuthinta ngokwesilinganiso abancane. abaneminyaka engu-6 kuya eminyakeni emi-2. Zingavela emasontweni noma ezinyangeni ezilandela ukubonakala kwe-gluten ebhodleleni lomntwana, kulandela ukuhlukahluka kokudla, noma ngisho nakamuva, lapho ingane yethu inezinyanga ezimbalwa noma ngisho neminyaka ubudala.

«Ngaphambi kokuthola ukugula kwayo, ngoFebhuwari 2006, indodana yami yayinenkinga yokungondleki ngenxa yokungamunca kahle ukudla. Waba neziqephu ze-gastroenteritis ezilandelwa ukuqunjelwa kakhulu“, kusho uCéline, umama kaMathis, oneminyaka emi-2 nengxenye.

« Uma abazali benokungabaza ngengane yabo, kuphoqelekile ukuthi benze isikhathi sokubonana nochwepheshe, njengodokotela wezifo zenhliziyo noma i-enterologist. Kubaluleke kakhulu ukuthi kwenziwe ukuxilongwa okunembile », Kuchaza uDokotela uJean-Michel Lecerf, isazi sezokudla kanye nenhloko yomnyango wezokudla e-Institut Pasteur eLille.

Isifo se-Celiac noma ukungabekezelelani kwe-gluten, kuyini?

Kubantu abadala, sikhuluma kakhulu ngokungabekezelelani kwe-gluten: yisifo samathumbu e-malabsortive, esine-atrophy ye-intestinal villi eba ngcono lapho isiguli singadli i-gluten futhi esiphinde sivele uma sibuyiselwa kabusha. Ngakho-ke ukudla okokuphila konke.

Ezinganeni, ngakolunye uhlangothi, kubizwa ngokuthi isifo se-celiac.

I-Gluten: Ngazi kanjani ukuthi ingane yami i-allergic? Kusukela ekuxilongweni kuya ekwelapheni

Ukuhlolwa kwamasosha omzimba e-antigliadin (i-gliadin iyiphrotheni “enobuthi” equkethwe ukolweni, isipelingi kanye ne-kamut) kanye novithamini A hlola i-fat malabsorption : lezi zivivinyo ze-serological ziyisinyathelo esibalulekile ekutholeni ukuhlonzwa kwesifo se-celiac. Ingane yakho ingase ingakuthandi, kodwa lawa masu anenzuzo yokwethembeka kakhulu.

Udokotela wakho wezingane angaphinde akudlulisele kuchwepheshe kulo mkhakha, i-gastro-pediatrician. UFanny, unina kaGrégoire, owatholakala enalesi sifo eneminyaka emibili nengxenye, uyakhumbula: “Uchwepheshe ngokushesha wamfaka ekudleni okungenalo i-gluten ngesikhathi elinde imiphumela yokuhlolwa kwegazi. Ukuthuthuka kumakwe kakhulu. Ukuze kuqinisekiswe, wamnikeza i-bowel biopsy.“. Lokhu kuhlolwa akuvumeli kuphela qinisekisa ukutholakala kwesifo se-celiac kodwa futhi nokuqinisekisa ukusebenza kahle kokudla okungenalo i-gluten.

Indlela yokwelapha isifo se-celiac?

Udokotela wakho uhlukile: ingane yakho ayikwazi ukumelana ne-gluten. Yazi ukuthi ukwelapha isifo se-celiac, akukho mithi edingekayo. Ukwelashwa okukhona kuphela kuze kube manje kulula: kusekelwe ukugwema gluten ukudla kwengane yakho. Umbuso onemingcele kodwa obalulekile empilweni yakhe.

Futhi akukho mbuzo wokumisa ukwelashwa, engozini yokwandisa lesi sifo ngokungondleki noma i-anemia. Ukungaqapheli kahle kungaholela ekukhuleni okugogekile futhi kwandise ngisho namathuba okuba nomdlavuza.

Kuthiwani uma baby udle gluten ngephutha? Impilo yakhe angeke ibe sengozini kodwa uzoba nesifo sohudo esihle ...

Ukwelashwa okuphumelelayo nakuba kunemingcele

«Indodana yami yayinokukhula kancane noma engekho izinyanga ezimbalwa. Isisindo sakhe sasihlale singu-9.400 kg izinyanga ezingu-5 futhi ngemva kokukhishwa kwe-gluten, ijika lakhe laqala futhi. Into emangalisa kakhulu ukuthi ekuthuthukisweni kwe-psychomotor, kwakuyinto efanayo", Kufakaza u-Anne Béatrice, unina kaMatys, onezinyanga ze-22 futhi watholakala enokungabekezelelani kwe-gluten ezinyangeni ezimbili ngaphambili.

Ngempela, kwezinye izingane, ukukhula nokuthuthukiswa kwengqondo kuphazanyiswa yisifo se-celiac. Uma kunjalo ngawe, kuzodingeka ubekezele. “Okude kakhulu kithina wukuqalwa kabusha kosayizi ngoba uLucie mncane uma kuqhathaniswa neminyaka yakhe futhi ijika lesinqe likhuphuka kancane kakhulu kodwa uzinikela ngokuzithandela futhi ugcwele impilo.“, Dwebela uSolenne, umama wakhe.

I-Gluten ngaphansi kwe-microscope

Ukondla okusanhlamvu okucebile nge-gluten ezinganeni ezineminyaka engu-4 kuya ku-6 izinyanga ezithambekele nesifo se-celiac kungase ukuvimbela noma ukubambezela ukuqala kokungezwani komzimba, ngokocwaningo olwenziwa ithimba labacwaningi baseColorado e-United States. Abanye ososayensi bona baphethe ucwaningo lwabo ngokuxwayisa ngokuthi ukwethula okusanhlamvu okucebile ku-gluten ngaphambi kwezinyanga ezintathu noma ngemva kwezinyanga eziyisikhombisa kungandisa ingozi yokuba nesifo…!

Ngenkathi kusalindelwe ukusungulwa kokulandelela isikhathi eside kwezingane ezicashelwe kusengaphambili kanye nesivumelwano phakathi kososayensi, i-American Academy of Pediatricians incoma ukuthiukuncelisa ibele kuphela ezinyangeni eziyisithupha zokuqala kuzo zonke izinsana, ezicatshangelwe kusengaphambili noma cha.

Ukudla okungenayo i-Gluten: ukudla okunempilo?

Ukungayifaki i-gluten ekudleni kwengane yakho akuwona umsebenzi olula. ” Uma abazali benza izinto zasekhaya, ilungele lolu hlobo lokudla. Inyama, izinkukhu, inhlanzi, imifino nezithelo aziqukethe i-gluten. Kodwa-ke, kufanele kuqashelwe ukuthi bangafaki amafutha amaningi ezitsheni zabo ukuze balondoloze ukuhlanzeka okuhle kokudla. », Icacisa uJean-Michel Lecerf.

I-Gluten yigama elijwayelekile elinikezwa iphrotheni etholakala kuzinhlamvu ezahlukene ezifana ukolweni, i-oats, ibhali, i-kamut, isipelingi, i-triticale kanye nokuphuma kwayo. Ukuqapha kubaluleke kakhulu ngoba i-gluten ingaba namagama ahlukene ephaketheni futhi ikhona emithini ethile. Lo mbuso okhethekile uzobandakanya ushintsho kuphethini yakho yokusebenzisa… Futhi isikhwama sakho semali, ngisho noma ingxenye yezindleko zokudla ikhokhelwa ukuphepha komphakathi.

Uma kuziwa ekutholeleni ingane yakho ukudla okufanele, ukudla kwezempilo kanye nezitolo zemvelo zinikeza izinketho eziningi.

Ukudla nomndeni, enkulisa ... Ungahlela kanjani?

Ohlangothini olusebenzayo, gcina phansi ekhishini ukuze uthole imikhiqizo engenayo i-gluten futhi ungaxubi izitsha zasekhishini. Futhi empilweni yomphakathi? Ngokusobala, lokhu kufanele kuvezwe futhi kwezinye izimo kunikezwe ukudla okufanele. “Lapho uGrégoire esenkulisa, bamenqaba amasonto ambalwa ngoba wayengakwazi nhlobo ukuphila ngesikhathi esifanayo nezinye izingane. Wabuyela lapho futhi konke kwahamba kahle. Kwaphekwa khona lapho base bemenzela amamenyu ashintshile“, Uyakhumbula uFanny, umama wakhe.

Azikho iziphetho eziphelele kumalebula!

Phakathi kokudla okunqatshelwe kukhona: isitashi sikakolweni noma okunye okusanhlamvu, imalt, imvuthuluka yesinkwa, imvuthuluka, okusanhlamvu kwasekuseni, ushizi ogayiwe, amasoso, iyogathi enongiwe, ipasta ethengwa esitolo, njll. Lolu hlu aluphelele.

Ukungabaza, umbuzo? ungangabazi ukubuza iseluleko sikadokotela wezingane wakho noma i-Association Française des Intolerants au Gluten (AFDIAG), engafinyelelwa ku-01 56 08 08 22 noma kusizindalwazi sabo.

Ukufunda :

I-gluten ngokwemvelo evela ku-Valérie Cupillard. Uhlelo Ulwandle.

Amaresiphi angu-130 angenayo i-gluten ka-Sandrine Giacobetti. Edition Marabout.

Izindlela zokupheka ze-Gourmet zabantu abazwelayo ngu-Eva Claire Pasquier. Umhleli Guy Tredaniel.