Alikho ikhambi eliqondile lesifo se-celiac. Ukuphela kwendlela yokwelapha engenzeka i-Gluten Free Lifetime Diet. Ukwamukela ukudla okungenagluten impilo yonke kungase kuqede ngokuphelele izimpawu, kwelaphe ukusilela futhi kuvimbele izinkinga ezingaba khona.

Ezimweni eziningi, izicubu zodonga lwamathumbu zibuyela kokujwayelekile ngokulandela ukudla okungenalo i-gluten. Izimpawu zesikhumba (dermatitis herpetiformis) nazo ziyanyamalala lapho ukudla kuqala. Lokhu ukuphulukiswa Ngokuvamile kusebenza emavikini ambalwa, kodwa kungathatha iminyaka emi-2 kuya kwemi-3. Kuyamangaza ukuthi izimpawu ziyaqhubeka naphezu kwezinyanga ezimbalwa zokudla okungenalo i-gluten.

Ungakulandela kanjani ukudla okungena-gluten?

Ukudla okungenagluten kufanele kususe ekudleni konke okusanhlamvu okuqukethe i-gluten, imikhiqizo yalezi zinhlamvu kanye nemikhiqizo eyenziwe ngale mikhiqizo. Ukuze ulandele ukudla okungenalo i-gluten, ukudla okuningana okuvame ukudliwa kufanele kube kuvinjelwe. Kodwa i-gluten ayitholakali nje kwabaningi okusanhlamvu nofulawa wabo. Iphinde ifihle ekudleni okuningi okuphekiwe. Njengoba inani elincane le-gluten lingalimaza amathumbu futhi libangele ukuthi izimpawu ziphinde zivele, ukuqapha okukhulu kuyadingeka.

Nazi ezinye izakhi eziyisisekelo a ukudla okungenalutho kwe-gluten. Lolu lwazi aluthathi indawo yeseluleko sikadokotela kanye nesazi sokudla okunempilo. Laba basebenzi bezempilo bazokwazi futhi ukuhlola izidingo ezengeziwe zokudla okunomsoco, uma zikhona, kumavithamini namaminerali. Izisekelo nezinhlangano ezizinikele ekungabekezelelani kwe-gluten (isifo se-celiac) eminye imithombo yolwazi ebaluleke kakhulu (bona Amasayithi entshisekelo). Bheka futhi Ukudla kwethu Okukhethekile Kokungabekezelelani KweGluten.

Yikuphi ukudla okufanele ukugweme ngenkathi udla ukudla okungenamsoco?

• Imikhiqizo yokusanhlamvu equkethe i-gluten : ukolweni, i-bulgur (i-durum kakolweni eqhephukile), ibhali, i-rye, isipelingi (izinhlobonhlobo zikakolweni), i-kamut (izinhlobonhlobo zikakolweni) kanye ne-triticale (ingxube ye-rye nokolweni) . Izimpahla ezibhakwa kakhulu, amakhekhe, i-pasta ngazo zonke izinhlobo zazo, amakhukhi, okusanhlamvu kwasekuseni, ama-crackers aqukethe i-gluten.
• Ukudla okuningana okuphekiwe : ngokumangalisayo, i-gluten ingatholakala kuma-yogurts ezithelo, u-ayisikhilimu, izingxube zeshokoledi eshisayo, ama-stock cubes, amasoso kashizi, ama-cottage cheeses aphansi, ukhilimu omuncu, inyama esemathinini, amasoseji, amasoso katamatisi, isobho, ibhotela le-peanut, njll. , i-gluten ekuzinhlamvu isebenza njengesibophezelo. Ifihlwe ngaphansi kwamagama amaningana ohlwini lwezithako. Ukuqaphela: i-malt, isitashi (kusuka kukolo, ibhali, i-rye, njll.), amaprotheni emifino e-hydrolyzed kanye namaphrotheni emifino aqoshiwe. Qaphela ukuthi i-seitan iwukudla okwenziwa ngokuyinhloko nge-wheat gluten.
• Amabhiya (ngaphandle kwalawo abhalwe ukuthi awunagluten).
• Imithi ethile namavithamini, ukugqoka okungase kube ne-gluten (isitashi). Khetha i-hypoallergenic, amavithamini angenakolweni nangenamvubelo.

amanothi

– Uphuzo oludakayo olutholakala kumalt (noma oluphuma kukolo, ibhali noma irye) njenge-gin, i-vodka, i-whisky ne-scotch lungaba yingozi. Nakuba i-distillation ibonakala isusa iningi le-gluten, odokotela batusa ukugwema lezi ziphuzo njengesinyathelo sokuzivikela.

- Qaphela izindebe zomlomo ezithile, ezingaba neminonjana ye-gluten.

Qaphela ukungcoliswa kwesiphambano

Ekhishini, ukunakekelwa okukhethekile kufanele kuthathwe ukuze kungonakalisi ukudla okungenalo i-gluten. Ukungcola kungenzeka lapho imikhiqizo engenayo i-gluten ilungiswa ezitsheni ezingageziwe ezihlangane nokudla okuqukethe i-gluten. Naka futhi ukushintshaniswa kwezitsha nabantu abangalandeli ukudla okungenagluten. I-toaster, isibonelo, kufanele ibe ngeyokusetshenziswa kuphela umuntu ekudleni okungenalo i-gluten.

Ngeshwa, okusanhlamvu okungenayo i-gluten kungangcoliswa ngesikhathi sokukhiqiza, ukucubungula noma ukupakisha. Ngakho-ke ukuze uthole ukuphepha okwengeziwe, kuyatuseka ukuthi unikeze okuncamelayo emikhiqizweni ebizwa ngokuthi i-gluten-free.

Icala elikhethekile lama-oats

I-oat cereal evamile ayinayo i-gluten. Ngakolunye uhlangothi, kunobungozi obukhulu bokungcoliseka ngenxa yokuthi ama-oats avame ukutshalwa, athuthwe noma agaywe endaweni efanayo nokusanhlamvu noma imikhiqizo yokudla equkethe i-gluten.

I-Quebec Celiac Disease Foundation (FQMC) iphakamisa ukuthi ama-oats angangcolisiwe / angenayo i-gluten yethulwe kuphela ngemuva kokuthi amasosha omzimba alwa ne-transglutaminase esejwayelekile. Lokhu kujwayelekile kuthatha phakathi kwezinyanga eziyisi-6 kuye eminyakeni emi-2 ngemuva kokuqala ukudla okuqinile okungenalo i-gluten.

Imikhiqizo engenayo i-Gluten: akuyona yonke into enhle empilweni yakho

Kubalulekile, lapho siqala ukudla okungenalo i-gluten, ukufaka esikhundleni sokudla okungafakwanga ekudleni kwethu. Umthelela wale mikhawulo ekuthathweni kwamaprotheni, amavithamini, amaminerali nezinye izakhamzimba ungaba mubi. Kumelwe sibone ukuthi singashintsha kanjani izakhi ezibalulekile eziqukethwe ekudleni okune-gluten okuvame ukusetshenziswa. Isibonelo, isinkwa nokusanhlamvu kuvame ukuqiniswa ngensimbi novithamini B (ikakhulukazi i-B9 / folic acid) kuyilapho isinkwa esingenayo i-gluten nokusanhlamvu kungekho. Imikhiqizo engenayo i-Gluten ivamise ukuba ne-fibre namaprotheni amaningi futhi iphezulu ngoshukela nezithasiselo. Qaphela ukukhetha imikhiqizo yakho eshintshayo.

Ukudla okungenaGluten: thanda ukudla okusha

Ukudla komuntu onokuzwela kwe-gluten kufaka phakathi ukudla okuningi okusha, okuncane okucutshungulwe ngangokunokwenzeka.

• Izithelo nemifino.
• Inyama, inhlanzi kanye nezinkukhu, hhayi isinkwa noma okufakwe emanzini.
• Imifino kanye ne-tofu.
• Okusanhlamvu: irayisi, amabele kanye nequinoa.
• Izambane
• Ufulawa othile: irayisi, ummbila, amazambane, uphizi, isoya.
• Imikhiqizo yobisi eminingi ingadliwa, kodwa labo abangayibekezeleli kahle bayozuza ngokuyiqeda ekudleni kwabo izinyanga ezimbalwa.

Amaqembu okusekela

Ukuze unqamule ukuzihlukanisa, ukuthola ukwesekwa kanye neseluleko sokudla, izinhlangano zeziguli ziwusizo olukhulu. Isigaba samaQembu Okusekela sihlanganisa abambalwa.

izidakamizwa

Ezimweni ezingavamile (ngaphansi kuka-5%), ukudla okungenalo i-gluten akwanele ukulawula izimpawu. Sikhuluma ngayo isifo se-celiac refractory. Udokotela angabe esephakamisa imithi yokuvimbela izinkinga ezingase zibe khona zesifo. Kuvame kakhulu ama-corticosteroids (ama-anti-inflammatory steroids, njenge-prednisone noma i-hydrocortisone). Lezi ngezinye izikhathi zingasetshenziswa ngaphezu kokudla okungenayo i-gluten ukusheshisa ukuxolelwa ezimeni ezinzima.

Ukuqubuka kwesinye isikhathi kungadinga ukuthi uphuze i-dapsone, umuthi olwa namagciwane.