Miyuu canuggaaga baruurta dib u soo celin doonaa dhererka dhererka ka dib marka la ogaado cudurka?
Carruur badan oo qaba cudur-sidaha ayaa gaaban marka loo eego asxaabtooda kuwa aan xijaabka lahayn - dhab ahaan, waxa loo yaqaan "bood gaaban" waxay soo jeedin karaan in ilmaha (xitaa mid aan lahayn calaamadaha kale ee cudurka cagaacu) dhab ahaantii uu xanuunsan yahay.
Laakiin marka ilmahan la ogaado oo uu bilaabo ka dib raashinka aan caadiga ahayn ee gluten , miyuu soo celin karaa qaar ama dhammaanba kobaca lumay?
Caddeyn ka timid daraasado caafimaad iyo waayo-aragnimada nolosha dhabta ah ee caruurta qallafsan waxay soo jeedineysaa jawaabta inay tahay "haa".
Cudurka Cudurka Cudurka Cudurka ah wuxuu si caadi ah uga dhex muuqda Carruurta yar yar
Maadaama ay caruurtu ku koraan heerar kala duwan, waxaa caadi ah in la arko asxaabta isku midka ah oo leh mid ka sii jeeda dhinaca kale. In yar oo ka gaaban celcelis ahaan kuma filna in uu u qalmo ilmo dhererkoodu yar yahay - ilmo waxaa loo tixgeliyaa in uu yaryahay busturaalka haddii ay ka gaaban tahay 95% ilaa 97% ee asxaabteeda.
Xitaa markaa, dhererkaan gaaban ayaa laga yaabaa inaanay keeneynin walaac haddii ilmahaagu korayo si joogto ah oo u muuqda inuu u socdo caadi ahaan (in kasta oo uu yahay mid caadi ah). Waa marka carruurtu "ka dhacaan jaantusyada kobaca," ama si lama filaan ah u gaabisaan ama joojiyaan kobcintooda, in aad u baahatid inaad baadho sababta dhibaatada dhakhtarkaaga.
Daraasado dhowr ah ayaa baaray inta carruur ee dhashey gaaban ay dhab ahaantii ay qabaan cudurka cagaarshow.
Waxay heleen sicir bararka qiyaas ahaan illaa 3% ilaa in ka badan 8% carruurta oo leh xaalado kale oo aan la fahmin. (Marka loo eego tixraaca, cudur-sidaha bararka wuxuu dhacaa qiyaastii 1% guud ahaan tirada guud.)
Qaar badan oo ka mid ah carruurta la ogaaday natiijada daraasaddan cilmi-baaristaani ma lahan calaamado muuqda oo ku saabsan cudur-sidaha 'celiac' caadi ah ee carruurta .
Dhab ahaantii, qorayaasha qaarkood ayaa ka digay in dhakhtarradu aanay isticmaali karin calaamadaha caloosha iyo mindhicirrada sababta oo ah carruur badan oo daraasaddan ah ayaa ka maqan.
Kobcinta Marka Coleac Kids Go Gluten-Bilaash ah
Waalidiin iyo caruur badan ayaa iyaguna rajeynaya koritaanka kobaca marka ilmuhu bilaabmo cunnida "gluten-free", warbixinnada anecdotal ayaa tilmaamaya in ay taasi badanaa dhacdo. Xaqiiqdii, hal wiil oo yar-yar-yar-yar ah ayaan ogahay in si deg deg ah u kordhay markii uu miira-gluten-free, oo hadda wuxuu ku darsaday inta badan ehelkiisa.
Daraasado yar oo laga sameeyay mawduucaan waxay u muuqdaan inay taageeraan fikradda koritaanka qaboojinta, inkasta oo cilmi-baarayaashu ay ogaadeen in kobaca aysan si buuxda u qabsanin.
Mid ka mid ah daraasad, oo laga sameeyay Hindiya, ayaa ogaatay in 60% maaddooyinka daraasadda ay ka soo gudbeen nafaqo-darro sababtoo ah cudur aan la ogaan karin . Intaa ka sokow, in ka badan saddex meelood saddex meelood oo ka mid ah carruurta ayaa ka gaaban 97.5% ee ka mid ah ardayda.
Waqtiga soo-kabashada ee celcelis ahaan saddex sano iyo bar, 84% carruurta ayaa ka soo kabtay nafaqo-xumadaas, iyo in badan oo hore ayaa si dhaqsi ah u kordhay - carruurta waxay heleen celcelis ahaan 5.5 inch sanadka koowaad. Hase yeeshee, kobcintooda ayaa markaa dib udhigay ilaa celcelis ahaan 2.2 inji sannadaha soo socda.
Daraasad kale, midkani Serbia, wuxuu helay natiijooyin isku mid ah. Cilmi baadhayaashu waxay fiiriyeen 90 carruur ah oo da'doodu u dhaxayso 6 bilood illaa todobo sano oo ay ku jiraan "cudur-bararka caadiga ah", waxayna ogaadeen in carruurtu ay si dhaqso ah uga korodheen asxaabtooda intii lagu jiray hal sano ilaa saddex sano oo ku saabsan cuntada aan lahayn gluten-free.
Koritaanka Qaadashada Macaamil Ma Qaban Karaan Dhammaan
Daraasadahaan waxay muujinayaan in ay rajo ka qabaan ilmo aad u yar, horay dhalinyaro ah ama xitaa dhalinyaro ah oo cusub oo laga helay cudurka qanjirada oo ay doonayaan in ay dheeraadaan. Hase yeeshee, daraasad kale ayaa muujinaysa in koritaanka soo-kicista aysan soo saarin natiijooyin fiican.
Daraasaddan, cilmi-baarayaasha Hindiya waxay eegeen 50 "carruur" oo la daah-rogay oo da'doodu ahayd 2 illaa 10 sano xilliga baadhitaanka.
Waxay ogaadeen in daba galka cuntada aan lahayn gluten-la'aanta ay keentay in kor u kac weyn oo lagu sameeyo hal cabbir oo ah "dhererka da'da" ee carruurta muddo ka badan 4 sano oo dabagal ah.
"Si kastaba ha ahaatee, kor u qaadista dhererka ayaa ah mid aan dhammeystirnayn, oo ay ku jirto lix iyo toban (55.4%) oo ah 29 carruur ah saddex sano kadib iyo toddoba (46.6%) oo ah 15 carruur ah ka dib afar sano oo cunto nafaqo la'aan ah," waxay yidhaahdeen, isagoo intaa raaciyay, "natiijooyinkayagu waxay soo jeedinayaan, in carruurta qabta cudurka qanjidhka laga daahay ee loo yaqaan 'celiac disease', daaweynta cuntooyinka aan caadiga ahayn ee loo yaqaan 'gluten-free diet' ay keenaan caadiyan jirka iyo cillad aan fiicneyn oo ku jirta calaamadaha da'da dhererka mudo afar sano ah dabagal. "
Maxay Tan Taas U Joogta Ilmahaaga?
Natiijooyinka daraasaddan waxay muujinaysaa inay macquul tahay in la filo kobaca la qabsashada, gaar ahaan sanadka ugu horreeya ama labo ka dib marka la ogaado cudurada baruurta ee cunugaaga.
Ma cadda in cilmi-baaristu ay muhiim tahay haddii cunuggaaga uu raashinka u hoggaansamo; Daraasadaha qaarkood waxay yiraahdaan waa inay sidaas sameeyaan si ay u yeeshaan dhererka, halka kuwa kale ay tilmaamayaan in carruurtu koraan iyadoon loo eegin haddii ay khiyaameynayaan cuntada, haddi aysan si buuxda ugu soo noqonin cuntooyinka gluten-buuxsan. (Dabcan, waxaa jira sababo kale oo badan oo aan lagu khiyaameynin cunto-la'aanta aan lahayn gluten-free).
Waxaa sidoo kale jiri kara sababo kale oo aan shaki ku jirin oo la xidhiidha haddii ilmahaagu sii wado in uu ka danbeeyo dhererka xitaa ka dib markii aan la siin karin gluten-free. Ilmahaagu waxaa laga yaabaa in uu leeyahay hormoonka koritaanka hormoonka ama dhibaatooyin kale oo hoormooni ah, ama waxaa laga yaabaa in loo qoondeeyo in uu gaaban yahay qof weyn. Haddii aad dareen ka qabtid koritaanka cunuggaaga baruurta, waa inaad kala hadashaa dhakhtarkaaga.
Ilaha:
Cacciari E. et al. Cudurka muddada gaaban iyo cudurada "celiac": xidhiidhka loo tixgelinayo xitaa dadka bukaanka ah ee aan lahayn calaamadaha caloosha iyo mindhicirka. Wargeyska Daaweynta Ciyaalka. 1983 Nov: 103 (5): 708-11.
Dehghani S. et al. Cudurka baruurta ee carruurta leh dherer yar. Wargeyska Indian Pediatrics. 2008 Feb; 75 (2): 131-3.
Patwari A. et al. Kacaawinta qaadashada carruurta ee leh cudurka qaaxada ee loo yaqaan 'celiac disease'. Wargeyska Ingiriiska ee Nafaqada. 2005 Sep; 94 (3): 437-42.
Queiroz M. et al. Cudurka qanjirada 'baroje' ee ku dhaca carruurta Braziliyaanka ah Wargeyska Brazil ee Cilmi-baarista Caafimaadka iyo Cilmi-nafsiga. 2004 Jan; 37 (1): 55-60. Epub 2003 Dec 18.
Radlović N. et al. Saamaynta cuntada gluten-la'aanta ah ee koritaanka iyo xaaladda nafaqada ee carruurta qaba cudurka baruurta. Srp Arh Celok Lek. 2009 Nov-Dec; 137 (11-12): 632-7.
Yachha S. et al. Saamaynta cuntada gluten-la'aanta ah ee koritaanka iyo histologi-yada yar-yar ee carruurta qaba cudurka baruurta ee Hindiya. Wargeyska Gastroenterology iyo Hepatology. 2007 Aug; 22 (8): 1300-5. Epub 2007 Jun 12.