E aʻo e pili ana i nā papaʻai gluten-ʻole

Ma ka papaʻai gluten-ʻole, ʻaʻole ʻoe e ʻai i ka palaoa, ka rai, a me ka palaoa. Loaʻa i kēia mau meaʻai ka gluten, kahi ʻano protein. ʻO ka papaʻai gluten-ʻole ka lāʻau nui no ka maʻi celiac. Manaʻo kekahi poʻe he hiki i ka papaʻai gluten-ʻole ke kōkua i ka hoʻomaikaʻi ʻana i nā pilikia olakino ʻē aʻe, akā ʻaʻole liʻiliʻi ka noiʻi e kākoʻo i kēia manaʻo.

Hahai ka poʻe i ka papaʻai gluten-ʻole no nā kumu he nui:

Maʻi Celiac. ʻAʻole hiki i ka poʻe me kēia ʻano ke ʻai i ka gluten no ka mea hoʻonāukiuki ia i kahi pane pale ʻole e hōʻino ai i ka uhi o kā lākou GI tract. Mālama kēia pane i ka mumū i loko o ka ʻōpū liʻiliʻi a paʻakikī i ke kino e komo i nā meaʻai i ka meaʻai. Pākuʻi ʻia nā ʻōuli me ka bloating, ka paʻa paʻa, a me ka diarrhea.

ʻIke Gluten. ʻAʻohe o ka poʻe me ka ʻike gluten i ka maʻi celiac. ʻO ka ʻai ʻana i ka gluten ke kumu o nā ʻano like like me ka maʻi celiac, me ka ʻole o ka ʻōpū o ka ʻōpū.

ʻO ka hoʻomanawanui ʻole Gluten. Hōʻike kēia i ka poʻe i loaʻa nā hōʻailona a loaʻa paha i ka maʻi celiac. Pākuʻi ʻia nā ʻōuli me ka cramping, bloating, nausea, a me ka diarrhea.

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, kōkua kahi papaʻai gluten-free i ka mālama ʻana i kāu mau ʻōuli. Mālama pū kekahi ia i nā pilikia olakino i ka poʻe me ka maʻi celiac. Inā manaʻo ʻoe aia kekahi o kēia mau ʻano, e kamaʻilio me kāu kauka olakino ma mua o ka hoʻololi ʻana i nā papaʻai.

Nā hoʻopiʻi olakino ʻē aʻe. Hele kekahi poʻe i ka gluten-ʻole no ka mea manaʻoʻiʻo lākou hiki ke kōkua i ke kaohi ʻana i nā pilikia olakino e like me ka headache, kaumaha, luhi wā lōʻihi (mau) a me ka loaʻa ʻana o ke kaumaha. Eia nō naʻe, ʻaʻole hōʻoia kēia mau koi.

No ka mea ʻoki ʻoe i kahi hui āpau o nā meaʻai, kahi papaʻai gluten-ʻole hiki e hoʻoliʻiliʻi i kou kaumaha. Eia nō naʻe, aia nā papaʻai maʻalahi e ukali no ka pohō kaumaha. Loaʻa i ka poʻe me ka maʻi celiac ke kaumaha ma muli o ka hoʻomaikaʻi ʻana o kā lākou hōʻailona.

Ma kēia papaʻai, pono ʻoe e aʻo i nā meaʻai i loko o ka gluten a pale iā lākou. ʻAʻole maʻalahi kēia, no ka mea aia ka gluten i nā meaʻai a me nā huahana meaʻai.

ʻO nā meaʻai he gluten-kūlohelohe, me:

• Nā huaʻai a me nā mea kanu
• ʻIʻo, iʻa, moa, a me nā hua
• Mau pi
• Nā hua a me nā hua
• Nā huahana waiū

ʻO nā hua a me nā wīwī ʻē aʻe e ʻai maikaʻi, ke hiki ʻole ke pahu ʻia me nā mea ʻala.

• ʻO Quinoa
• ʻAmelani
• ʻO Buckwheat
• Pāpaʻa palaoa
• Mākala
• Laiki

Hiki iā ʻoe ke kūʻai i nā mana gluten-ʻole o nā meaʻai e like me ka berena, ka palaoa, nā pahū ʻai, a me nā sereala. Hana ʻia kēia huahana me ka laiki a me nā palaoa ʻole gluten. E hoʻomanaʻo he kiʻekiʻe pinepine lākou i ke kō a me nā calorie a ʻoi aku ka haʻahaʻa o ka fiber ma mua o nā meaʻai a lākou e pani ai.

Ke hahai nei i kēia papaʻai, pono ʻoe e hōʻalo i nā meaʻai i loaʻa ka gluten:

• Palaoa
• ʻO Barley (pili pū kēia i ka malt, ka ʻono malt, a me ka vīnega malt)
• Rye
• ʻO Triticale (kahi palaoa i keʻa i waena o ka palaoa a me ka rai)

Pono ʻoe e hōʻalo i kēia mau meaʻai, i loaʻa ka palaoa:

• Bulgur
• ʻO Couscous
• Palaoa Durum
• ʻO Farina
• Palaoa Graham
• Kamut
• Semolina
• Kākau ʻia

E hoʻomaopopo he "manuahi ka palaoa" ʻaʻole ia he manawa no ka noa o ka gluten. Loaʻa nā meaʻai i ka gluten a i ʻole nā ​​mehe o ka palaoa. E heluhelu i ka lepili a kūʻai wale i nā koho "gluten free" o:

• Palaoa a me nā mea i hoʻomoʻa ʻia ʻē aʻe
• Pastas
• ʻAla palaoa
• Pāhaʻi
• Pia
• Mīkini kope
• Seitan
• Palaoa
• Nā meaʻai palu a hohonu paha
• ʻAtslika
• ʻAi pūʻolo, e like me nā meaʻai paʻahau, nā soups, a me nā laiki kāwili
• Nā ʻaihue Saladeta, nā mea ʻai, nā wai marinades, a me nā gravies
• Kekahi kanakē, licorice
• ʻO kekahi mau lāʻau a me nā wikamina (hoʻohana ʻia ka gluten e nakinaki pū i nā mea pilau)

ʻO ka papaʻai gluten-ʻole kahi ala o ka ʻai ʻana, no laila ʻaʻole hoʻokomo ʻia ka hoʻoikaika kino ma ke ʻano he ʻāpana o ka hoʻolālā. Eia nō naʻe, pono ʻoe e hoʻoikaika kino no 30 mau minuke i ka lā ma ka hapanui o nā lā no ke olakino maikaʻi.

Pono ka poʻe me ka maʻi celiac e ukali i ka papaʻai gluten-ʻole e pale ai i ka hōʻino ʻana i ko lākou ʻōpū.

ʻAʻole e hoʻomaikaʻi ka pale ʻana i ka gluten i kou olakino puʻuwai inā ʻaʻole ʻoe e ʻai i nā meaʻai olakino. E mālama pono i nā hua nui, nā huaʻai, a me nā mea kanu i kahi o ka gluten.

Hana paʻa ʻia nā meaʻai he nui i hana ʻia me ka palaoa palaoa me nā wikamina a me nā minelala. Hiki i ka ʻoki ʻana i ka palaoa a me nā palaoa ʻē aʻe ke waiho iā ʻoe i pōkole o nā meaola e like me kēia:

• Kalipuna
• Puluniu
• Folate
• Mea hao
• Niacin
• Riboflavin
• ʻO Thiamin

E kiʻi i nā wikamina a me nā minelala e pono ai, e ʻai i nā ʻano ʻano meaʻai olakino. ʻO ka hana pū ʻana me kāu mea hoʻolako a i ʻole kahi mea hānai hiki ke kōkua iā ʻoe e hōʻoia i ka loaʻa ʻana o ka meaʻai kūpono.

Ma muli o ka nui o nā meaʻai i loko o ka gluten, hiki i kēia keʻai paʻakikī e ukali. Hiki iā ia ke manaʻo i ka palena ke kūʻai aku ʻoe a ʻai paha i waho. Eia nō naʻe, no ka lilo ʻana o ka meaʻai i mea makemake nui ʻia, ua loaʻa nā meaʻai gluten-ʻole i nā hale kūʻai he nui. Eia kekahi, ke hāʻawi aku nei nā hale ʻaina he nui i nā meaʻai gluten-ʻole.

ʻO ka National Institutes of Health kahi Celiac Awcious Campaign ma celiac.nih.gov me ka ʻike a me nā kumuwaiwai.

Hiki iā ʻoe ke ʻike i ka ʻike e pili ana i ka maʻi celiac, ka ʻike gluten, a me ka kuke ʻai ʻole ʻana i ka gluten mai kēia mau hui.

• Ma waho o Celiac - www.beyondceliac.org
• ʻO Celiac Disease Foundation - celiac.org

Aia pū kekahi mau puke e pili ana i ka ʻai ʻole gluten. ʻO kāu keu ʻoi loa ka loaʻa o kahi i kākau ʻia e kahi dietitian.

Inā manaʻo ʻoe he maʻi celiac a i ʻole ʻike gluten, e kamaʻilio pū me kāu mea hāʻawi. Pono ʻoe e hoʻāʻo ʻia no ka maʻi celiac, kahi ʻano koʻikoʻi.

Inā loaʻa iā ʻoe nā ʻōuli o ka ʻike gluten a i ʻole ke ahonui, mai hoʻōki i ka ʻai ʻana i ka gluten me ka ʻole o ka hoʻāʻo mua ʻia ʻana no ka maʻi celiac. Loaʻa paha iā ʻoe kahi ʻano olakino ʻokoʻa i hiki ʻole i ka papaʻai gluten-ʻole ke mālama. Eia kekahi, ma hope o ka papaʻai gluten-ʻole no kekahi mau mahina a i ʻole mau makahiki e ʻoi aku ka paʻakikī o ka hōʻoia pololei ʻana i ka maʻi celiac. Inā kū ʻoe i ka ʻai ʻana i ka gluten ma mua o ka hoʻāʻo ʻana, e hoʻopili ia i nā hopena.

ʻO Celiac a me ka gluten

ʻO Lebwohl B, Green PH. Maʻi Celiac. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger & Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 107.

Rubio-Tapia A, Hill ID, Kelly CP, Calderwood AH, Murray JA; Ke KulanuiʻAmelika o Gastroenterology. Nā papa kuhikuhi hoʻokele ACG: ʻike a me ka mālama ʻana i ka maʻi celiac. ʻO Am J Gastroenterol. 2013; 108 (5): 656-676. PMID: 23609613 pubmed.ncbi.nlm.nih.gov/23609613/.

Semrad CE. Hele i ka mea maʻi me ka maʻi pākī a me ka malabsorption. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 131.

Skodje GI, Sarna VK, Minelle IH, et al. ʻO Fructan, ma mua o ka gluten, hoʻonāukiuki i nā ʻōuli i nā mea maʻi me ka ʻike pono ʻole o ka gluten non-celiac. Gastroenterology. 2018; 154 (3): 529-539. PMID: 29102613 pubmed.ncbi.nlm.nih.gov/29102613/.

• ʻO ka maʻi Celiac
• ʻO Gluten Sensitivity