Yog Gluten Rhiab Qhov Tiag? Ib Qhov Tseem Ceeb Saib

Zoo Siab

• Dab tsi yog gluten?
• Gluten-cuam tshuam kev cuam tshuam
• Gluten rhiab heev yog dab tsi?
• Gluten rhiab heev tuaj yeem yog qhov tsis raug
• Hauv qab kab

Raws li kev sojntsuam xyoo 2013, ib feem peb ntawm cov Neeg Amelikas nquag sim ua kom tsis txhob muaj gluten.

Tab sis tus kab mob celiac, daim ntawv hnyav tshaj plaws ntawm gluten intolerance, tsuas cuam tshuam 0.7-1% ntawm tib neeg ().

Lwm qhov mob hu ua tsis-celiac gluten rhiab heev yog sib tham hauv zej zog kev noj qab haus huv tab sis muaj kev sib cav heev ntawm cov kws kho mob ().

Kab lus no yuav saib ib qho ntxaws ntxaws ntawm gluten rhiab heev los txiav txim siab seb koj puas yuav tsum txhawj xeeb txog nws.

Dab tsi yog gluten?

Gluten yog tsev neeg muaj protein nyob hauv cov nplej, spelled, rye, thiab barley. Ntawm gluten-muaj nplej, nplej yog tus nquag noj.

Ob lub ntsiab protein hauv gluten yog gliadin thiab glutenin. Thaum cov hmoov nplej tau sib xyaw nrog dej, cov protein sib txuas ua ke nrog lub nplaum nplaum uas zoo li cov kua nplaum-zoo li qub tas li (3,,).

Lub npe gluten los ntawm cov kua nplaum zoo li no.

Gluten ua cov khob noom cookie ywj thiab tso cai rau cov khob cij kom nce thaum rhaub los ntawm ntxiab roj molecules sab hauv. Nws tseem yuav muaj kev zoo siab, ntxo.

Gluten yog cov protein tseem ceeb hauv ntau cov nplej, suav nrog cov nplej. Nws muaj qee yam khoom uas ua rau nws nrov heev rau ua khob cij.

Gluten-cuam tshuam kev cuam tshuam

Ob peb yam mob muaj feem cuam tshuam nrog nplej thiab gluten ().

Cov kev paub zoo tshaj plaws ntawm cov no yog gluten intolerance, uas daim ntawv hnyav tshaj plaws yog kab mob celiac ().

Hauv cov neeg uas muaj kab mob gluten nkag, lub cev tiv thaiv kab mob tsis ncaj ncees lawm xav tias gluten proteins yog cov neeg txawv teb chaws tuaj tua thiab tawm tsam lawv.

Lub cev tiv thaiv kab mob kuj tseem tawm tsam cov qauv ntuj hauv phab ntsa plab, uas tuaj yeem tsim kev puas tsuaj loj. Lub cev qhov kev tawm tsam rau nws tus kheej yog vim li cas cov kab mob gluten tsis kam thiab mob celiac raug cais raws li cov kab mob autoimmune ().

Tus kab mob Celiac yog kwv yees li ntawm 1% ntawm Asmeskas cov pej xeem. Nws zoo li tau nce ntxiv, thiab feem ntau ntawm cov neeg muaj tus mob no tsis paub tias lawv muaj nws (,,).

Txawm li cas los xij, qhov tsis yog-mob plawv gluten yog qhov txawv ntawm tus kab mob celiac thiab gluten intolerance (12).

Txawm hais tias nws tsis ua haujlwm zoo li qub, nws cov tsos mob feem ntau zoo sib xws (13).

Lwm qhov mob uas peb paub tias yog ua xua ua xua yog qhov tsis tshua muaj thiab tej zaum yuav cuam tshuam rau 1% ntawm cov neeg hauv ntiaj teb (14).

Kev phiv tshuaj rau gluten tau txuas rau ntau yam mob, suav nrog gluten ataxia (hom mob cerebellar ataxia), Hashimoto's thyroiditis, ntshav qab zib hom 1, mob autism, mob schizophrenia, thiab kev nyuaj siab (15,,,,,,).

Gluten tsis yog qhov tseem ceeb ntawm cov kabmob no, tabsis nws kuj yuav ua rau tus tsos mob tsis zoo rau cov neeg muaj tus mob no. Feem ntau, cov zaub mov tsis muaj gluten tau pom tias yuav pab tau, tab sis kev tshawb fawb ntxiv yog xav tau.

Muaj ob peb yam mob muaj cuam tshuam nrog nplej thiab gluten. Cov feem ntau pom zoo tshaj plaws yog cov ua xua ua xua, mob plawv, thiab tsis-plasma gluten rhiab.

Gluten rhiab heev yog dab tsi?

Xyoo tsis ntev los no, gluten rhiab heev tau txais qhov tseem ceeb ntawm ob tus kws tshawb fawb thiab pej xeem ().

Cias yooj yim, cov neeg uas muaj gluten rhiab heev cov tsos mob tshwm sim tom qab noj cov zaub mov uas muaj gluten thiab teb zoo rau cov zaub mov tsis pub gluten - tab sis tsis muaj kab mob celiac lossis ua xua.

Cov neeg uas muaj cov kab mob gluten feem ntau tsis muaj lub plab hauv ob sab phlu, uas yog lub luag haujlwm tseem ceeb ntawm tus mob celiac (12).

Tsis tau, nws tsis tau paub meej meej li cas gluten rhiab heev ua haujlwm.

Cov ntaub ntawv pov thawj nce ntxiv qhia txog kev koom tes ntawm FODMAPs, ib qeb ntawm carbs thiab fiber ntau uas tuaj yeem ua rau kev zom zaub mov tsis zoo hauv qee cov neeg ().

Vim tias tsis muaj kev sim txhim khu kev qha kuaj tau txiav txim siab gluten rhiab, ib qho kev kuaj mob feem ntau yog ua los ntawm kev tshem tawm lwm txoj kev tuaj yeem.

Qhov no yog ib qho tawm tswv yim kuaj mob rubric rau gluten rhiab ():

1. Gluten noj haus ua rau cov tsos mob tshwm sim sai, ua pa zom lossis tsis zom mov.
2. Cov tsos mob ploj mus sai vim kev noj zaub mov gluten.
3. Reintroducing gluten ua rau cov tsos mob rov tshwm sim.
4. Celiac mob thiab khaub thuas ua xua tau raug txwv.
5. Kev sib tw qhov muag tsis pom kev ntawm gluten lees paub qhov kev kuaj mob.

Hauv ib txoj kev tshawb nrhiav rau cov neeg muaj tus kheej kev qhia tawm gluten rhiab, tsuas yog 25% tau ua tiav kev kuaj mob ().

Cov neeg uas muaj gluten rhiab heev tau qhia txog ntau cov tsos mob, nrog rau kev tsam plab, mob plab, raws plab, mob plab, yuag, eczema, erythema, mob taub hau, qaug zog, poob siab, thiab pob txha thiab mob sib koom tes (25,).

Nco ntsoov tias gluten rhiab heev - thiab kab mob celiac - feem ntau muaj cov tsos mob txawv txawv uas tuaj yeem nyuaj los txuas rau kev zom zaub mov lossis gluten, suav nrog teeb meem ntawm daim tawv nqaij thiab mob hlwb (,).

Thaum cov ntaub ntawv tsis hais txog qhov tsis muaj kev cuam tshuam ntawm gluten rhiab, kev tshawb fawb pom tias 0.5-6% ntawm cov neeg nyob thoob ntiaj teb yuav muaj tus mob no ().

Raws li qee cov kev tshawb fawb, gluten rhiab heev feem ntau rau cov neeg laus thiab ntau yam ntawm cov poj niam ntau dua li tus txiv neej (, 30).

Gluten rhiab heev cuam tshuam rau cov lus tsis haum rau gluten lossis nplej hauv cov neeg uas tsis muaj mob rau cov ntshav lossis mob ua xua vim nplej. Tsis muaj cov ntaub ntawv zoo tau txais yuav ua rau nws nyiam sib xws npaum li cas.

Gluten rhiab heev tuaj yeem yog qhov tsis raug

Ntau qhov kev tshawb fawb qhia tias feem coob ntawm cov neeg uas ntseeg tias lawv tsis hnov ​​dab tsi tsis cuam tshuam dab tsi rau gluten txhua.

Ib txoj kev tshawb nrhiav tau tso rau 37 tus neeg muaj kuab plab hnyuv (IBS) thiab kev qhia tus kheej gluten rhiab heev los ntawm kev noj zaub mov muaj FODMAP tsawg ua ntej muab lawv cov gluten cais - tsis txhob muaj cov gluten-muaj lis zoo li nplej ().

Cais cais tsis muaj gluten tsis muaj kev noj haus hauv cov tuaj koom nrog ().

Txoj kev tshawb no xaus lus tias cov tib neeg no xav tias gluten rhiab heev yuav ntxim rau FODMAP.

Tsis tsuas yog cov nplej siab nyob hauv cov hom carbs tshwj xeeb no, tab sis FODMAPs kuj tseem ua rau mob IBS (32,,).

Lwm qhov kev tshawb fawb txhawb cov kev tshawb pom no. Nws tau qhia tias cov neeg uas tshaj tawm lawv tus kheej gluten tsis tau hnov ​​mob rau gluten tab sis mus rau fructans, ib qeb ntawm FODMAPs hauv cov nplej ().

Thaum FODMAP tam sim no ntseeg tau tias yog qhov laj thawj tseem ceeb rau tus kheej kev tshaj tawm gluten rhiab, gluten tsis tau txiav txim siab tag nrho.

Hauv ib txoj kev tshawb nrhiav, FODMAPs yog qhov tseem ceeb tshwm sim ntawm cov tsos mob rau cov neeg uas ntseeg tias lawv yog gluten rhiab. Txawm li cas los xij, cov kws tshawb nrhiav kwv yees tias gluten-triggered lub cev tiv thaiv kab mob pab txhawb rau tus mob ().

Txawm li cas los xij, ntau tus kws tshawb fawb hais tias cov nplej txhawm rau lossis hom qoob loo thev naus laus zis yog cov ntawv cim meej dua li gluten rhiab (, 30).

Dab tsi ntxiv, qee qhov kev tshawb fawb qhia tias cov noob nplej niaj hnub ua rau muaj kev ntxhov siab ntau dua li cov kab laus txheej dhau los xws li einkorn thiab kamut (,).

FODMAPs - tsis yog gluten - zoo li yog qhov tseem ceeb ua rau muaj teeb meem ntawm cov teeb meem hauv cov tsis muaj plasma gluten rhiab. Qee cov kws tshawb fawb ntseeg hais tias kev ua tiav nplej yog lub npe tsim nyog rau tus mob no.

Hauv qab kab

Gluten thiab nplej tau zoo rau qee tus neeg tab sis tsis zoo rau lwm tus.

Yog tias koj muaj qhov tsis zoo rau cov nplej los yog cov zaub mov gluten, koj tuaj yeem zam tau cov zaub mov no. Koj kuj tseem xav nrog koj tus kws kho mob tham txog koj cov tsos mob.

Yog tias koj txiav txim siab tsis ua gluten, xaiv tag nrho cov zaub mov uas tsis muaj kab noj gluten. Nws yog qhov zoo tshaj plaws rau kev tshem tawm cov khoom ntim uas tsis pub ntim cov gluten, vim tias cov no feem ntau ua tiav.