Gluten-dawb khoom: ua tiav daim ntawv teev npe

2024 Tus sau: Isabella Gilson | [email protected]. Kawg hloov kho: 2024-01-02 16:20

noj qab nyob zoo yog lub ntsiab lus kub ntawm peb lub sijhawm. Ntau tus kws kho mob pom zoo kom noj cov zaub mov tsis muaj gluten. Tom ntej no, xav txog yam khoom no yog dab tsi, nws muaj cov khoom dab tsi thiab nws cuam tshuam rau tib neeg lub cev li cas.

gluten yog dab tsi?

Gluten yog cov organic biocompound (cov protein ntau, cov protein), uas yog ib feem ntawm ntau cov nroj tsuag cereal:

• nqaij;
• triticale;
• rye;
• barley;
• oats.

Cov ntsiab lus ntawm cov tshuaj no hauv cov nplej tuaj yeem ncav cuag 80% ntawm cov nplej hnyav. Qhov concentration ntawm gluten (gluten) hauv hmoov txiav txim siab nws qhov zoo. Ua tsaug rau qhov sib xyaw no, qhov elasticity thiab elasticity ntawm lub khob noom cookie nce, raws li nws khaws CO _{2tsim los ntawm cov poov xab, thiab yog li tso cai rau lub khob noom cookie sawv. Nws paub tias cov qauv no feem ntau txiav txim siab txog cov khoom ntawm cov khoom bakery. Niaj hnub no, gluten feem ntau yog siv los ua cov khoom siv hauv kev tsim khoom ntawm ntau yam khoom noj. Cov khoom noj uas nthuav tawm ua kom lub saj, aroma ntawm cov khoom, ua rau nws cov qauv kev sib tw, thiab muaj cov nyhuv preservative.}

YBiochemical yam ntxwv ntawm gluten

Los ntawm kev pom tshuaj lom neeggluten yog ib qho khoom qab zib tsis muaj xim grey loj. Ua tsaug rau cov cuab yeej no, hmoov nplej tau yooj yim hloov mus rau hauv khob noom cookie thiab khoom noj khoom haus. Gluten yog ib qho sib xyaw ua ke ntawm cov amino acids thiab prosthetic (non-protein) pawg.

Scope ntawm cereal gluten

Gluten feem ntau siv hauv cov khoom noj hauv qab no:

• cov khoom noj nqaij (wieners, hnyuv ntxwm, thiab lwm yam hnyuv ntxwm pheej yig);
• khoom qab zib (khoom qab zib, pasta, cereals, biscuits, noj tshais cereals, gingerbread);
• khoom qab zib;
• marshmallow, Turkish zoo siab, halvah, jams;
• khoom ib nrab tiav (vareniki, syrniki, dumplings, cabbage yob, cutlets, meatballs);
• khoom noj mis nyuj (cheese, yogurt, condensed mis nyuj, ntim tsev cheese, ice cream, me nyuam mos mis);
• nqaij npuas thiab ntses;
• khoom noj khoom haus;
• crab sticks;
• xiav cheese;
• mustard;
• sweet pastries (cupcakes, pastries, ncuav mog qab zib, pancakes, pies, ncuav qab zib, pizza);
• kev tsim khoom ntawm ketchups thiab kua txiv;
• mayonnaise;
• churchkhela;
• tshuaj muaj qee yam;
• french fries, bouillon cubes;
• vitamin thiab ntxhia ntxiv.

Cov dej haus uas muaj gluten

Oddly txaus, gluten kuj muaj nyob rau hauv ntau cov dej qab zib:

• vodka;
• gin;
• beer;
• bourbon;
• whiskey;
• dej qab zib;
• "Coca-Cola";
• kasfes instant;
• cocoa;
• granulated tshuaj yej;
• Y"Pepsi Cola".

Gluten supplements

• E150c.
• E150.
• E150b.
• E150d.
• E160.
• E411.
• E636.
• E471.
• E953.
• E637.
• E965.

Txawm hais tias kev siv dav dav ntawm cov protein saum toj no, cov khoom tsis muaj gluten tau nrov heev hnub no. Nws feem ntau sau tias "hydrolyzed protein" lossis "modified starch" ntawm cov khoom ntim khoom noj. Cov khw muag khoom noj qab haus huv nqa cov khoom tsis muaj gluten (cov npe hauv qab no). Tsis ntev los no, cov khoom zoo li no tuaj yeem pom hauv qee lub khw muag khoom loj. Hauv cov tsev noj mov muaj koob npe, cov khoom tsis muaj gluten yog qhov yuav tsum tau ntawm cov ntawv qhia zaub mov.

Qhov mob ntawm cereal gluten

Qee tus neeg tsis tuaj yeem zom cov gluten ntawm cereals. Qhov no pathology hu ua kab mob celiac. Cov tsos mob ntawm tus kab mob no tau sau tseg rau cov neeg laus thiab menyuam yaus. Nrog rau qhov mob ntawm txoj hnyuv mucosa, qhov nqus ntawm cov mis nyuj qab zib (lactose) cuam tshuam, kev ua haujlwm lactase txo qis.

Kab mob sib kis

Txawm tias tsawg npaum li cas ntawm gluten tuaj yeem ua rau raws plab lossis cem quav. Kab mob Celiac nws tus kheej tuaj yeem ua rau muaj ntau yam teeb meem:

• mob plab ulcerative enteritis;
• mob pob txha thib ob;
• mob taub hau;
• kev puas tsuaj rau hniav hniav;
• mob pob qij txha;
• teeb meem nrog lub siab ua haujlwm;
• malabsorptioncov vitamins;
• nausea;
• hyposplenism (spleen dysfunction);
• fibromyalgia;
• pob khaus;
• lymphoma, plab hnyuv adenocarcinoma;
• kev muaj menyuam;
• faus;
• convulsive syndrome;
• hypovitaminosis;
• mob caj dab rheumatoid;
• pathology ntawm pancreas, gallbladder.

Muab cov npe kab mob, nws tsis yog qhov xav tsis thoob tias ntau tus neeg tab tom nrhiav cov ntaub ntawv hais txog cov zaub mov twg tsis muaj gluten.

Gluten entropy hauv menyuam yaus

Kev tshuaj xyuas cov ntaub ntawv txheeb xyuas qhia tau tias 75% ntawm cov menyuam uas kuaj pom muaj kab mob celiac yog rog lossis rog. Cov cim tseem ceeb ntawm pathology yog txuam nrog kev ua haujlwm tsis zoo ntawm lub plab zom mov. Cov tsos mob ntawm tus kab mob hloov nrog lub hnub nyoog. Cov menyuam mos muaj cov cim hauv qab no:

• flatulence;
• mob raws plab;
• mob hnyav hauv plab;
• poob qis.

Cov menyuam yaus muaj cov tsos mob hauv qab no:

• cem quav;
• mob plab;
• ncua kev puberty;
• qis nce;
• migraine;
• tsis muaj leeg nqaij sib koom ua ke.

Yuav ua li cas thiaj tshem tau tus kab mob celiac

Yog tias koj lossis koj tus menyuam muaj kab mob celiac, koj yuav tsum tsis txhob ntshai, vim qhov teebmeem no tuaj yeem daws tau txawm tias tsis siv tshuaj. Gluten-dawb cov khoom yog cov kev daws teeb meem. Muaj cov tuam txhab tshwj xeeb hauv kev tsim cov gluten-dawbcov khoom: Dr. Shar (Ltalis), Finax (Sweden), Glutano (Lub Tebchaws Yelemees), Moilas (Finland).

Niaj hnub no, koj tuaj yeem yuav cov khoom tsis muaj gluten yooj yim, Moscow yog tus thawj coj hauv qhov no. Cov khoom zoo li no tuaj yeem yuav hauv online lossis hauv khw tshwj xeeb. Tus nqi rau cov khoom tsis muaj gluten thiab tsis muaj lactose yog me ntsis siab dua li cov khoom "tsis tu ncua", tab sis cov neeg muaj kab mob celiac tsis muaj lwm txoj hauv kev, tsuas yog ua noj txhua yam hauv tsev. Thov nco ntsoov tias tag nrho cov khoom no tau sau npe raws li. Lub khw muag khoom noj gluten pub dawb muaj ntau yam khoom noj zoo. Qhov kev xaiv yog koj li, saib xyuas koj kev noj qab haus huv. Ua ntej yuav gluten-dawb cov khoom, ua tib zoo kawm lawv cov muaj pes tsawg leeg. Cov npe muab los ntawm cov khw muag khoom lag luam tuaj yeem nug, vim tias cov cuab yeej tsim khoom tau hloov tas li.

Gluten Free Diet

Ntau tus neeg nug txog cov khoom noj tsis muaj gluten zoo tshaj plaws los noj. Cov npe ntawm cov khoom zoo li no yog qhov dav heev, yog li txhua tus neeg tuaj yeem xaiv cov npe ntawm cov khoom uas haum nws zoo tshaj plaws. Thaum xaiv cov zaub mov tsis muaj gluten, nco ntsoov tias koj cov zaub mov yuav tsum muaj ntau yam, tsis txhob txwv koj tus kheej rau 2-3 zaub mov (piv txwv li, beets, mov thiab qos yaj ywm). Gluten-dawb cov zaub mov yog lub hauv paus ntawm koj cov zaub mov. Xyuas kom koj cov khoom noj muaj txiv hmab txiv ntoo, ntses, qe, nqaij, zaub, roj.

Gluten-Dawb Diet rau Cov Me Nyuam: Cov Tswv Yim rau Cov Niam Txiv

Kom ua tiav qhov xav taukoj yuav tsum ua raws li cov cai hauv qab no:

• faib cov tais cais rau tus menyuam, nco ntsoov sau lawv;
• cais lub thawv cais rau khaws cov khoom tsis muaj gluten;
• thaum ua noj, tsis txhob hnov qab ntxuav tes;
• thaum kuaj cov tais diav, thawj zaug sim cov tais diav rau tus menyuam, thiab tom qab ntawd so;
• khaws tag nrho cov khoom noj txwv tsis pub tus menyuam ncav cuag;
• tsis txhob ci ob qho tib si gluten-dawb thiab gluten-dawb ci khoom hauv tib qhov cub;
• khoom noj uas ua rau koj txawm tias me ntsis tsis ntseeg, nws zoo dua tsis muab rau koj tus menyuam.

Gluten-dawb cov khoom npe

Txhua yam khoom lag luam tau teev tseg hauv qab no yog gluten dawb huv, yog li cov neeg kuaj mob celiac (gluten entropy) tuaj yeem muaj kev nyab xeeb nrog lawv hauv lawv cov zaub mov. Hauv qab no yog cov khoom nyiam tshaj plaws gluten dawb. Lawv cov npe yog raws li nram no:

• fruits, zaub;
• butter thiab zaub roj;
• pob kws (organic);
• vanilla thiab vanilla extract (ntshiab);
• qe;
• natural ntses, mis nyuj thiab nqaij;
• Ybuckwheat (organic);
• rice;
• qos;
• maize;
• txuj lom thiab txuj lom (hauv nws daim ntawv ntshiab);
• millet;
• arrowroot;
• legumes (chickpeas, taum, taum, peas, soybeans, lentils);
• txiv ntseej;
• amaranth;
• tapioca;
• quinoa;
• quinoa;
• yucca;
• yam;
• cassava;
• nplej qus;
• teff.

Yuav ua li cas txheeb xyuas cov zaub mov tsis muaj gluten

txhawm rau txiav txim siab seb puas muaj gluten hauv cov khoom, ib qho yooj yim cov tshuaj tiv thaiv tuaj yeem ua rau muaj cov tshuaj no. Cov kev tshawb fawb soj ntsuam tau pom tias gluten nyob rau hauv cov txheej txheem ntawm kev cuam tshuam nrog iodine tov hloov nws cov xim rau dub los yog liab doog. Txawm li cas los xij, qhov tshwj xeeb hauv qhov no yog qos yaj ywm thiab mov. Gluten tsis muaj nyob hauv cov nroj tsuag no, tab sis thaum cuam tshuam nrog iodine, lawv cov xim kuj hloov, uas cuam tshuam nrog cov ntsiab lus siab ntawm cov hmoov txhuv nplej siab hauv lawv cov ntaub so ntswg.

Diagnosis

txhawm rau kuaj tus kab mob celiac, tus neeg mob yuav tsum tau ua cov txheej txheem hauv qab no:

• enzymatic immunoassay, nrhiav pom cov tshuaj tiv thaiv tshwj xeeb hauv cov ntshav;
• endoscopy (biopsy);
• capsule endoscopy.

Yuav ua li cas txhawm rau kuaj tus kheej kab mob

Yog tias koj tsis suav cov zaub mov tsis muaj gluten los ntawm koj cov khoom noj rau ob peb hnub, koj tuaj yeem txiav txim siab seb koj puas muaj teeb meem nrog nws txoj kev hloov hauv lub cev. Tom qab rov qab mus rau kev noj zaub mov ntawm cov khoom lag luam nplej yuav yog qhov qhia tau. Lub plab hnyuv microflora yuav siv sijhawm tsawg kawg yog ob lub lis piam kom rov zoo ib nrab. Yog tias rov qab mus rau cov zaub mov uas muaj gluten-nplua nuj ua rau tsis xis nyob thiab digestive teeb meem, koj feem ntau yuav gluten intolerant.

Pathogenesis

Gluten khi rau cov cell receptors tshwj xeeb, cuam tshuam nrog interepithelial lymphocytes thiab lymphocyteslamina propria ntawm txoj hnyuv mucosa. Qhov tshwm sim cov tshuaj tiv thaiv thiab lymphokines ua rau cov enterocytes. Raws li qhov tshwm sim ntawm kev puas tsuaj ntawm gliadin ntawm cov mucous daim nyias nyias, nws atrophies thiab yog infiltrated los ntawm immunocompetent hlwb. Ntxiv mus, tawm tsam keeb kwm ntawm atrophy, crypt hyperplasia tsim, uas provokes txoj kev loj hlob ntawm malabsorption.

Cov tsos mob ntawm Gluten Intolerance

Cov cim tseem ceeb ntawm pathology yog txuam nrog kev ua haujlwm ntawm lub plab zom mov - plab hnyuv plab, raws plab, cem quav, thiab lwm yam. Nyob rau hauv cov ntaub ntawv ntawm tus kab mob, cov quav yuav daj ntseg thiab frothy. Cov tsos mob thib ob suav nrog kev txo qis hauv kev tiv thaiv kab mob, kev cuam tshuam dav dav hauv cov metabolism hauv cov tshuaj thiab txo qis hauv kev ua haujlwm. Muab qhov tsis muaj zog ntawm cov tsos mob tshwm sim, kev kuaj mob ntawm pathology yog qhov nyuaj, yog li cov neeg mob feem ntau tsis xav tias lawv muaj teeb meem nrog gluten hydrolysis.

Huab cua

Gluten hypersensitivity tseem nyob thoob plaws lub neej. Kev kwv yees rau cov neeg mob uas muaj kab mob celiac, haum rau kev noj haus, yog qhov zoo. Nrog rau txoj kev loj hlob ntawm kev tiv thaiv rau kev kho mob, nws ua phem heev. Thaum ua raws li kev noj zaub mov tsis muaj gluten, lub neej expectancy nce. Yog tias nws tsis ua raws li, tus neeg tuag yog kwv yees li 30%.

Kev kho mob

Txoj kev kho mob yog tsom rau kev rov ua haujlwm ntawm plab hnyuv thiab normalizing lub cev hnyav. Ib qho chaw tseem ceeb hauv kev kho gluten entropy yog nyob los ntawm kev noj zaub mov tsis muaj gluten. Yog tias tsim nyog, tus neeg mob tau muab tshuaj noj: cov tshuaj muaj hlau,vitamins, tshuaj hormones, folic acid, calcium, saline daws.

Qhov tsis muaj qhov muaj txiaj ntsig zoo nrog kev cais tawm ntawm gluten los ntawm kev noj zaub mov rau 3 lub hlis qhia tias kev noj zaub mov tsis zoo, nrog kev ua txhaum cai, lossis muaj cov kab mob sib xyaw ua ke (lymphoma ntawm txoj hnyuv me, giardiasis, Addison tus kab mob, disaccharidase deficiency, ulcerative eunit, deficiency ntawm cov ntxhia hauv cov khoom noj: Ca, Fe, Mg). Hauv cov xwm txheej zoo li no, kev ntsuas tshuaj ntsuam xyuas ntxiv los txheeb xyuas cov xwm txheej no.

Kev Tiv Thaiv

Tsis muaj kev ntsuas tshwj xeeb rau kev tiv thaiv tus kabmob thawj zaug. Kev tiv thaiv thib ob ntawm kev loj hlob ntawm tus kab mob celiac thiab kev txhim kho ntawm cov teeb meem yog qhov ua tsis tau zoo rau kev noj zaub mov tsis muaj gluten. Cov poj niam uas muaj tus kab mob celiac uas tab tom npaj cev xeeb tub yuav tsum paub txog qhov muaj feem pheej hmoo ntawm kev nchuav menyuam thiab kev pheej hmoo ntawm kev muaj menyuam hauv plab.