Gluten-Free Ba ​​Faduwa ce Kaɗai ba: Abin da za a sani Game da Celiac Cutar, Rashin Celiac Gluten Sensitivity, da Allergy Alkama

Wadatacce

• Me yasa kuma yaya za'a tafi ba kyauta
• Menene gluten kuma wanene yake buƙatar guje masa?
• Celiac cuta
• Kwayar cututtuka na cutar celiac
  
• Rarraba na cutar celiac
  
• Abinci don kaucewa don cutar celiac
• Ciwon alkama
• Alamomin cutar alkama
  
• Abinci don kaucewa tare da rashin lafiyar alkama
• Rashin ƙwarewar celiac gluten (NCGS)
• Kwayar cututtukan cututtukan ƙwayar cuta
  
• Abinci don guji tare da ƙwarewar rashin celiac
• Boyayyun kafofin alkama da alkama
• Abubuwan da ke dauke da alkama da alkama:
  
• Maballin dubawa don
• Sauya wayo | Smart Swaps
• Maganar ƙarshe

Me yasa kuma yaya za'a tafi ba kyauta

Tare da yaduwar samfuran da ba su da alkama da kuma wasu kamannin yanayi na jinya, akwai rudani da yawa game da alkama a kwanakin nan.

Yanzu yana da kyau don kawar da alkama daga abincinku, waɗanda ke da ainihin yanayin likita za a iya yin watsi da su. Idan an gano ku tare da cututtukan celiac, ƙwarewar rashin ƙwayar cuta, ko rashin lafiyar alkama, kuna iya samun tambayoyi da yawa.

Menene ya sa yanayin ku ya bambanta da na wasu? Menene abincin da za ku iya ba za ku iya ci ba - kuma me ya sa?

Ko da ba tare da yanayin likita ba, ƙila ka yi mamakin idan cire alkama daga abincinka yana da kyau ga lafiyar jama'a.

Anan ga cikakken yanayin waɗannan sharuɗɗan, waɗanda ke buƙatar iyakance ko guje wa alkama, da abin da ma'anar wannan keɓaɓɓu don zaɓin abinci na yau da kullun.

Menene gluten kuma wanene yake buƙatar guje masa?

A cikin sauƙaƙan lafazi, alkama suna ne ga rukunin sunadaran da aka samo a cikin hatsi kamar alkama, sha'ir, da hatsin rai - suna ƙara laushi da taunawa ga burodi, kayan da aka toya, fasas, da sauran abinci.

Ga mafi yawan mutane, babu wani dalili na kiwon lafiya don kauce wa alkama. Ba a tabbatar da ra'ayoyin da suka nuna cewa alkama na inganta kiba ba, ciwon sukari, ko kuma rashin aikin maganin ka cikin aikin likitanci.

A hakikanin gaskiya, abincin da ya hada da cikakkun hatsi (da yawa daga cikinsu suna dauke da alkama) yana da alaƙa da sakamako mai kyau da yawa, kamar rage haɗarin,, da.

Koyaya, akwai yanayin kiwon lafiya waɗanda ke buƙatar iyakance ko cire alkama da abinci masu ƙunshe da alkama daga abinci: cututtukan celiac, rashin lafiyar alkama, da ƙwarewar rashin celiac.

Kowannensu ya zo da bambance-bambance a cikin alamun bayyanar - wasu dabaru da wasu ban mamaki - gami da ƙuntatawa na abinci daban-daban. Ga abin da ya kamata ku sani:

Celiac cuta

Celiac cuta ce ta autoimmune cuta wacce ke shafar kusan Amurkawa, kodayake ba a iya gano ƙarin ba.

Lokacin da mutanen da ke fama da cutar celiac suka ci abinci, yana haifar da amsawar rigakafi wanda ke lalata ƙananan hanjinsu. Wannan lalacewar yana gajartawa ko kuma daidaita shi kamar tsinkayen yatsu wanda zai iya jan hanjin ciki. A sakamakon haka, jiki ba zai iya ɗaukar abubuwan gina jiki da kyau ba.

A halin yanzu babu wani magani don cutar celiac sai dai cikakken cire alkama. Sabili da haka, mutanen da ke wannan yanayin dole ne su kasance masu lura game da kawar da duk abincin da ke dauke da alkama daga abincin su.

Kwayar cututtuka na cutar celiac

• gudawa
• maƙarƙashiya
• amai
• reflux na acid
• gajiya

Wasu mutane suna ba da rahoton canjin yanayi kamar jin baƙin ciki. Wasu kuma ba su da wata alamar bayyanar a cikin gajeren lokaci.

"Kusan kashi 30 cikin 100 na mutanen da ke dauke da celiac ba su da alamun hanji na gargajiya," in ji Sonya Angelone, RD, mai magana da yawun Kwalejin Nutrition da Dietetics. "Don haka ba za a duba su ba ko kuma a gano su." A zahiri, bincike ya nuna cewa yawancin mutanen da ke fama da cutar celiac ba su san suna da shi ba.

Ba a ba shi magani ba, cutar celiac na iya haifar da lamuran lafiya mai tsanani a cikin dogon lokaci, kamar:

Rarraba na cutar celiac

• karancin jini
• rashin haihuwa
• rashin bitamin
• matsalolin jijiyoyin jiki

Celiac cuta kuma yana da alaƙa da wasu yanayin autoimmune, don haka wani da ke fama da cutar celiac yana da haɗarin ɓarkewar rikice-rikicen lokaci guda wanda ke kai hari kan garkuwar jiki.

Likitoci sun binciko cutar celiac ta ɗayan hanyoyi biyu. Na farko, gwajin jini na iya gano ƙwayoyin cuta waɗanda ke nuna rigakafin tasirin maye.

A madadin haka, gwajin gwajin “daidaitaccen zinariya” don cutar celiac shine biopsy da aka gudanar ta hanyar endoscopy. Ana saka wani dogon bututu a cikin hanyar narkewar abinci don cire samfurin karamin hanjin, wanda daga nan za'a iya gwada shi ga alamun lalacewa.

Abinci don kaucewa don cutar celiac

Idan an gano ku tare da cutar celiac, kuna buƙatar kauce wa duk abincin da ke dauke da alkama. Wannan yana nufin duk samfuran da ke ɗauke da alkama.

Wasu samfuran alkama na yau da kullun sun haɗa da:

• waina da burodi
• 'ya'yan itacen alkama
• alkama alkama
• pastries, muffins, cookies, waina, da pies tare da ɓawon burodi na alkama
• Gurasar da aka yi da alkama
• masu fasa alkama
• hatsi wanda ya ƙunshi alkama
• giya
• waken soya

Yawancin hatsi da ba su da alkama a cikin suna ainihin bambance-bambancen alkama ne kuma dole ne su kasance daga menu don mutanen da ke fama da cutar celiac. Wadannan sun hada da:

• dan uwan
• durum
• semolina
• einkorn
• emmer
• farina
• farro
• kamut
• matzo
• rubutawa
• seitan

Sauran hatsi banda alkama suna dauke da alkama. Sune:

• sha'ir
• hatsin rai
• bulgur
• triticale
• hatsin da aka sarrafa a wuri ɗaya da alkama

Ciwon alkama

Rashin lafiyar alkama shine, a sauƙaƙe, rashin lafiyan cutar ga alkama. Kamar kowane irin rashin lafiyan abinci, rashin lafiyan alkama yana nufin cewa jikinku yana haifar da ƙwayoyin cuta zuwa furotin wanda alkama ke ƙunshe dashi.

Ga wasu mutanen da ke da wannan rashin lafiyar, gluten na iya zama furotin da ke haifar da amsar rigakafi - amma akwai wasu sunadarai da yawa a cikin alkama wanda kuma zai iya zama mai laifi, kamar albumin, globulin, da gliadin.

Alamomin cutar alkama

• kumburi
• amya
• matsawa a cikin makogwaro
• amai
• gudawa
• tari
• anaphylaxis

Saboda anaphylaxis na iya zama barazanar rai, mutanen da ke fama da cutar alkama ya kamata su ɗauki epinephrine autoinjector (EpiPen) tare da su a kowane lokaci.

Kusan akwai rashin lafiyar alkama, amma ya fi yawa ga yara, yana tasiri a kusa. Kashi biyu cikin uku na yara waɗanda ke fama da rashin lafiyan alkama sun girme shi da shekara 12.

Doctors suna amfani da kayan aiki daban-daban don tantance rashin lafiyar alkama. A gwajin fata, ana amfani da ruwan furotin na alkama a fata da aka huda akan hannaye ko baya. Bayan kamar minti 15, ƙwararren likita zai iya bincika halayen rashin lafiyan, wanda ya bayyana azaman haɓakar jan ja ko “wheal” akan fata.

Gwajin jini, a gefe guda, yana auna kwayoyin kariya daga sunadaran alkama.

Koyaya, tunda gwajin fata da jini suna haifar da ƙarancin kashi 50 zuwa 60 cikin ɗari na lokacin, mujallu na abinci, tarihin cin abinci, ko ƙalubalen abinci na baki sau da yawa ya zama dole don sanin ainihin rashin lafiyan alkama.

Kalubalen abinci na baka ya hada da cinye alkama mai yawa a karkashin kulawar likita don ganin ko lokacin da kake samun rashin lafiyan. Da zarar an gano su, mutanen da ke cikin wannan yanayin suna bukatar su nisantar da duk abincin da ke dauke da alkama.

Abinci don kaucewa tare da rashin lafiyar alkama

Mutanen da ke fama da cutar alkama dole ne su mai da hankali sosai don kawar da duk tushen alkama (amma ba lallai ba ne duk tushen alkama) daga abincinsu.

Ba abin mamaki bane, akwai juzu'i da yawa tsakanin abincin mutanen da ke fama da cututtukan celiac da alaƙar alkama dole ne su guji.

Kamar waɗanda ke da cutar celiac, mutanen da ke fama da cutar alkama bai kamata su ci kowane irin abinci na alkama ko nau'ikan alkama na alkama da aka jera a sama ba.

Ba kamar waɗanda ke da cutar celiac ba, duk da haka, mutanen da ke fama da cutar alkama suna da 'yancin cin sha'ir, hatsin rai, da hatsin da ba shi da alkama (sai dai idan suna da tabbataccen rashin lafiyan waɗannan abinci).

Rashin ƙwarewar celiac gluten (NCGS)

Duk da yake cututtukan celiac da rashin lafiyar alkama suna da tarihin sanin likita, ƙwarewar rashin lafiyar celiac (NCGS) sabon bincike ne - kuma ba ta kasance ba tare da jayayya ba, tunda alamun NCGS na iya zama maras tabbas ko ba za a iya sake bayyanawa ba daga fitowar alkama zuwa na gaba.

Duk da haka, wasu masana sunyi kiyasin cewa har zuwa yawan mutane suna da saurin-yawan-dari na yawan jama'ar fiye da wadanda ke da cutar celiac ko rashin lafiyar alkama.

Kwayar cututtukan cututtukan ƙwayar cuta

• kumburin ciki
• maƙarƙashiya
• ciwon kai
• ciwon gwiwa
• hazo
• numbness da tingling a cikin iyakar

Wadannan alamun za su iya bayyana cikin awanni, ko kuma su dauki kwanaki kafin su bunkasa. Saboda rashin bincike, ba a san tasirin NCGS na tsawon lokaci ba.

Bincike har yanzu ba a gano ma'anar da ke haifar da NCGS ba. Ya tabbata cewa NCGS baya lalata villi ko haifar da lahanin hanji mai cutarwa.A saboda wannan dalili, wani tare da NCGS ba zai gwada tabbatacce ga cututtukan celiac ba, kuma ana ɗaukar NCGS a matsayin ƙasa mai tsanani fiye da celiac.

Babu wani gwajin da aka yarda dashi don bincikar NCGS. "A ganewar asali ya dogara ne da bayyanar cututtuka," in ji masanin abinci Erin Palinski-Wade, RD, CDE.

Ta kara da cewa "Kodayake wasu likitocin za su yi amfani da gwajin na yau, mara, ko jini don gano abubuwan da ke damun mutum, amma ba a tabbatar da wadannan gwaje-gwajen ba, shi ya sa ba a karbar su a matsayin hanyoyin hukuma na gano wannan cutar."

Kamar yadda yake tare da rashin lafiyar alkama, kiyaye hanyar cin abinci da kowane alamomi a cikin mujallar na iya tabbatar da amfani don gano NCGS.

Abinci don guji tare da ƙwarewar rashin celiac

Binciken cutar rashin lafiyar celiac yana kira don cire giyar gaba daya daga abincin, aƙalla na ɗan lokaci.

Don rage alamun rashin jin daɗi, wanda ke da NCGS ya kamata ya nisanta daga jerin abinci iri ɗaya kamar wanda ke fama da cutar celiac, gami da duk kayayyakin alkama, nau'ikan alkama, da sauran hatsi masu ɗauke da alkama.

Abin farin ciki, ba kamar cutar celiac ba, bincike na NCGS bazai dawwama ba.

"Idan wani zai iya rage yawan damuwarsu kan garkuwar jikinsu ta hanyar kawar da wasu abinci ko sinadarai da ke haifar da wani martani na rigakafi, to za su iya sake dawo da alkama a cikin kananan ko kuma adadi na al'ada," in ji Angelone.

Palinski-Wade ya ce, ga mutanen da ke tare da NCGS, ba da hankali ga alamomin cutar shine mabuɗin don tantance yawan alkama da za su iya sake gabatarwa.

"Yin amfani da labaran abinci da kuma kawar da kayan abinci tare da bin diddigin alamomin, mutane da yawa da ke da hankulan alkama na iya samun matakin kwanciyar hankali wanda ya fi dacewa a gare su," in ji ta.

Idan an gano ku tare da NCGS, yi aiki tare da likita ko likitan abinci wanda zai iya kula da aikin kawar ko ƙara abinci a abincinku.

Boyayyun kafofin alkama da alkama

Kamar yadda mutane da yawa a kan abincin da ba shi da alkama suka gano, mai da hankali game da alkama ba shi da sauƙi kamar yanke burodi da kek. Yawancin sauran abinci da abubuwan da ba abinci ba sune tushen abubuwan mamakin waɗannan abubuwan. Yi hankali cewa alkama ko alkama na iya ɓoyewa a wuraren da ba zato ba tsammani, kamar waɗannan masu zuwa:

Abubuwan da ke dauke da alkama da alkama:

• ice cream, yogurt mai sanyi, da pudding
• granola ko sandunan gina jiki
• nama da kaji
• dankalin turawa da dankalin turawa
• Miyan gwangwani
• kayan salatin kwalba
• raba kayan yaji, kamar kwalbar mayonnaise ko bahon man shanu, wanda zai haifar da gurɓataccen gurɓatawa tare da kayan aiki
• lebe da sauran kayan shafe-shafe
• magunguna da kari

Maballin dubawa don

Abincin da aka sarrafa galibi ana haɓaka shi da ƙari, wasu daga cikinsu suna da alaƙa da alkama - duk da cewa sunayensu bazai bayyana haka ba.

Yawancin sinadarai sune "lambar" don alkama ko alkama, don haka karatun lakabi mai mahimmanci yana da mahimmanci akan cin abinci mara alkama:

• malt, malt malt, malt syrup, cire malt, ko dandano malt
• triticale
• triticum vulgare
• hordeum vulgare
• hatsi na secale
• furotin alkama na hydrolyzed
• gari graham
• Yisti daga giya
• hatsi, sai dai in an keɓance ta da kyauta

Kamfanoni da yawa yanzu suna ƙara alamar "ingantaccen kyauta" ga samfuran su. Wannan tambarin amincewa yana nufin an nuna samfurin ya ƙunshi ƙasa da kashi 20 na alkama a kowace miliyan - amma gabaɗaya zaɓi ne.

Kodayake ana buƙatar bayyana wasu abubuwan alerji a cikin abinci, FDA ba ta buƙatar masu samar da abinci su faɗi cewa samfurin su yana dauke da alkama.

Lokacin da ake cikin shakka, yana da kyau a bincika tare da masana'anta don tabbatar ko samfurin ya ƙunshi alkama ko alkama.

Sauya wayo | Smart Swaps

Kewaya karin kumallo, abincin rana, abincin dare, da lokacin cin abinci ba tare da alkama ba na iya zama ƙalubale, musamman da farko. Don haka me za ku iya ci a zahiri? Gwada maye gurbin wasu daga cikin waɗannan kayan abinci na yau da kullun tare da madadin su marasa alkama.

Maganar ƙarshe

Cire alkama ko alkama daga abincinka shine babban canjin rayuwa wanda zai iya zama da nauyi a farko. Amma tsawon lokacin da kake gwada yin zaɓin abincin da ya dace don lafiyar ka, ƙari zai zama yanayi na biyu - kuma, mai yuwuwa, mafi kyau zaka ji.

Ka tuna koyaushe ka nemi shawara da kwararren likita kafin kayi wasu canje-canje ga tsarin abincinka ko kuma idan kana da wasu tambayoyi game da lafiyar jikin ka.

Sarah Garone, NDTR, masaniyar abinci ce, marubuciya mai zaman kanta, kuma mai rubutun ra'ayin abinci a yanar gizo. Tana zaune tare da mijinta da yara uku a Mesa, Arizona. Nemi ta ta raba ƙasa-da-ƙasa lafiyar da abinci mai gina jiki da kuma (mafi yawa) lafiyayyun girke-girke a Loveaunar toaunar Abinci.