ʻAʻole wale ʻo Gluten-Free i kahi ʻano: He aha e ʻike ai e pili ana i ka maʻi Celiac, Non-Celiac Gluten Sensitivity, a me Wheat Allergy

Anter

• No ke aha a pehea e hele ai i ka gluten-free
• He aha ka gluten a ʻo wai ka mea pono e hōʻalo iā ia?
• Maʻi Celiac
• Nā ʻōuli o ka maʻi celiac
  
• Nā pilikia o ka maʻi celiac
  
• Nā meaʻai e hōʻalo ai no ka maʻi celiac
• ʻAhaʻi palaoa
• Nā ʻōuli o ka allergy palaoa
  
• Nā meaʻai e hōʻalo ai me ka allergy palaoa
• ʻIke gluten ʻole celiac (NCGS)
• Nā ʻōuli o ka ʻike gluten non-celiac
  
• Nā mea ʻai e hōʻalo ai me ka ʻike gluten non-celiac
• Nā kumu huna o ka gluten a me ka palaoa
• Nā meaʻai gluten- a me nā palaoa i loaʻa:
  
• Nā huaʻōlelo e nānā
• Kuapo akamai | Swap akamai
• ʻLelo hope

No ke aha a pehea e hele ai i ka gluten-free

Me ka hoʻolaha ʻana o nā huahana gluten-free a me kahi ʻano o nā kūlana olakino like, nui ka piʻoloke e pili ana i ka gluten i kēia mau lā.

I kēia manawa he leʻa e hoʻopau i ka gluten mai kāu papaʻai, e mālama ʻia paha ka poʻe me kahi ʻano olakino maoli. Inā ua hōʻoia ʻia ʻoe me ka maʻi celiac, ka ʻike gluten non-celiac, a i ʻole he alerita huapalaoa, he nui paha kāu mau nīnau.

He aha kāu mea e kū hoʻokahi ai mai nā poʻe ʻē aʻe? He aha nā meaʻai hiki iā ʻoe a hiki ʻole ke ʻai - a no ke aha?

ʻOiai ʻaʻohe kūlana olakino, ua noʻonoʻo paha ʻoe inā maikaʻi ka lawe ʻana i ka gluten mai kāu papaʻai no ke olakino laulā.

Eia kahi nānā ākea i kēia mau ʻano, ʻo wai ka mea e pono e kaupalena a pale aku paha i ka gluten, a he aha ke ʻano o ia manaʻo no nā koho meaʻai i kēlā me kēia lā.

He aha ka gluten a ʻo wai ka mea pono e hōʻalo iā ia?

I nā huaʻōlelo maʻalahi, he inoa ka gluten no kahi hui o nā protein i loaʻa i nā hua e like me ka palaoa, bale, a me ka rai - hoʻohui lākou i ka elastis a me ka nau i nā berena, nā mea i hoʻomoʻa ʻia, nā pāpaina, a me nā meaʻai ʻē aʻe.

No ka hapanui o ka poʻe, ʻaʻohe kumu olakino e hōʻalo ai i ka gluten. ʻO nā kumumanaʻo e hoʻonui ana i ka gluten i ka loaʻa ʻana o ke kaupaona, diabetes, a i ʻole ka hana ʻole o ka thyroid i hōʻoia ʻole ʻia i nā puke olakino.

ʻO ka ʻoiaʻiʻo, ʻo ka papaʻai e hoʻopili ana i nā huaʻai holoʻokoʻa (ʻo ka hapa nui o ia mea he gluten) e hoʻopili ʻia me nā hopena maikaʻi he nui, e like me ka hoʻemi ʻia o ka makaʻu o,, a.

Eia nō naʻe, aia nā kūlana olakino e koi ai i ka palena ʻana a i ʻole ka hoʻoneʻe ʻana i ka gluten a me nā meaʻai i loaʻa ka gluten mai ka papaʻai: maʻi celiac, allergy palaoa, a me ka ʻike non-celiac gluten.

Hele mai kēlā me kēia me nā ʻokoʻa i nā ʻōuli - maalea kekahi a me kekahi ʻano pīhoihoi - a me nā kapu papaʻai like ʻole. Eia ka mea e pono ai ʻoe e ʻike:

Maʻi Celiac

ʻO ka maʻi Celiac kahi maʻi autoimmune e pili ana i nā poʻe ʻAmelika, ʻoiai e ʻike hou ʻia paha nā mea hou aʻe.

Ke ʻai ka poʻe me ka maʻi celiac i ka gluten, hoʻonāukiuki ia i kahi pane pale e hōʻino ai i ko lākou ʻōpū liʻiliʻi. Hoʻopōpilikia a hoʻopalahalaha paha kēia mea i ka villi - lawe i nā wanaʻao e like me ka manamana e hoʻopili i ka ʻōpū liʻiliʻi. ʻO ka hopena, ʻaʻole hiki i ke kino ke omo pono i nā meaola.

I kēia manawa ʻaʻohe lāʻau lapaʻau ʻē aʻe no ka maʻi celiac koe wale nō ka haʻalele piha ʻana o ka gluten. No laila, pono e makaʻala ka poʻe me kēia ʻano e pili ana i ka hoʻopau ʻana i nā meaʻai gluten āpau mai kā lākou papaʻai.

Nā ʻōuli o ka maʻi celiac

• pāhoehoe
• kōpaʻa
• ka luaʻi
• reflux waikawa
• luhi

Hōʻike kekahi poʻe i nā loli i ke ʻano e like me ke ʻano kaumaha. ʻAʻole ʻike nā mea ʻē aʻe i kekahi hōʻailona maopopo i ka wā pōkole.

"Ma kahi o 30 pākēneka o ka poʻe me ka celiac ʻaʻole i loaʻa nā ʻōpū puʻupuʻu maʻamau," wahi a Sonya Angelone, RD, waha ʻōlelo no ka Academy of Nutr and Dietetics. "No laila ʻaʻole paha lākou e kaha ʻia a ʻike ʻia paha." ʻO ka ʻoiaʻiʻo, hōʻike ka noiʻi i ka hapa nui o ka poʻe me ka maʻi celiac ʻaʻole maopopo iā lākou ka loaʻa iā ia.

Inā haʻalele ʻole ʻia, hiki i ka maʻi celiac ke alakaʻi i nā pilikia olakino koʻikoʻi i ka wā lōʻihi, e like me:

Nā pilikia o ka maʻi celiac

• anemia
• infertility
• deficiencies wikamina
• pilikia neurological

Pili pinepine ka maʻi Celiac i nā kūlana autoimmune ʻē aʻe, no laila ʻoi aku ka nui o ka pilikia o kekahi me ka maʻi celiac i ka hoʻomohala ʻana i kahi maʻi concurrent nāna e hoʻouka i ka ʻōnaehana pale.

Hoʻomaopopo nā kauka i ka maʻi celiac ma kekahi o nā ala ʻelua. ʻO ka mea mua, hiki i nā hoʻokolohua koko ke ʻike i nā mea ʻino e hōʻike i kahi hopena pale i ka gluten.

ʻOkoʻa, ʻo ka "standard gula" hōʻike diagnostic no ka maʻi celiac kahi biopsy i mālama ʻia ma o endoscopy. Hoʻokomo ʻia kahi paipu lōʻihi i loko o ka digestive tract e hoʻoneʻe i kahi laʻana o ka ʻōpū liʻiliʻi, a laila hiki ke hoʻāʻo no nā hōʻailona o ka hōʻino.

Nā meaʻai e hōʻalo ai no ka maʻi celiac

Inā ua hōʻoia ʻia ʻoe me ka maʻi celiac, pono ʻoe e hōʻalo i nā meaʻai āpau i loaʻa ka gluten. ʻO kēia ke kumu o nā huahana āpau i loaʻa ka palaoa.

ʻO kekahi o nā huahana i hoʻokumu ʻia i ka palaoa e komo pū me:

• palaoa a me nā palaoa
• hua hua palaoa
• tortillas palaoa
• nā pōpō, nā muffins, nā kuki, nā pōpō, a me nā pai me ka pā palaoa
• nā pasta i hoʻokumu ʻia i ka palaoa
• nā māwae palaoa
• nā palaoa i piha i ka palaoa
• pia
• ʻūlapa kele

ʻO nā hua he nui ʻole o ka palaoa i ko lākou inoa he ʻano maoli o ka palaoa a pono hoʻi e noho ma ka papa kuhikuhi no ka poʻe me ka maʻi celiac. Pākuʻi ʻia kēia mau mea:

• hoahānau
• durum
• semolina
• einkorn
• emmer
• farina
• aloha
• kamut
• matzo
• pela pela
• seitan

Nui nā hua ʻē aʻe ma kahi o ka palaoa i loaʻa ka gluten. O lākou:

• barley
• rai
• bulgur
• triticale
• nā ʻoka i hana ʻia i ka pono like me ka palaoa

ʻAhaʻi palaoa

ʻO kahi allergy o ka palaoa, maʻalahi wale ia, he hopena maʻi i ka palaoa. E like me nā meaʻai āpau ʻē aʻe, kahi maʻi āpau i ka palaoa ʻo ia hoʻi ka hana ʻana o kou kino i nā mea pale i ka protein i loaʻa i ka palaoa.

No kekahi poʻe me kēia maʻi āpau, ʻo ka gluten paha ka protein i kumu i ka pane pale ʻana - akā aia kekahi mau protein ʻē aʻe i ka palaoa i hiki ke lilo i mea hewa, e like me albumin, globulin, a me gliadin.

Nā ʻōuli o ka allergy palaoa

• ʻūhā
• hives
• ʻākī ana i ka ʻāʻī
• ka luaʻi
• pāhoehoe
• ʻūhā
• anaphylaxis

Ma muli o ka anaphylaxis hiki ke hoʻoweliweli i ke ola, pono i ka poʻe me ka allergy palaoa ke hāpai i kahi epinephrine autoinjector (EpiPen) me lākou i nā manawa āpau.

Loaʻa i kahi alia palaoa, akā he mea maʻamau ia i nā keiki, e pili ana a puni. ʻElua hapakolu o nā kamaliʻi me ka maʻi ʻino palaoa ke ulu aʻe i ka makahiki 12.

Hoʻohana nā kauka i nā pono hana like ʻole e kuhikuhi i kahi allergy palaoa. I kahi hoʻāʻo ʻili, hoʻopili ʻia nā mea kanu protein i ka ʻili pricked ma nā lima a i hope paha. Ma hope o 15 mau minuke, hiki i kahi loea lapaʻau ke nānā no nā hopena maʻi maʻi, i ʻike ʻia ma ke ʻano he puʻupuʻu ʻulaʻula i hāpai ʻia a i ʻole "wheal" ma ka ʻili.

ʻO kahi hoʻokolohua koko, ma ka ʻaoʻao ʻē aʻe, ana i nā antibodies i nā protein protein.

Eia nō naʻe, mai ka hoʻāʻo ʻana o ka ʻili a me ke koko i kahi maikaʻi maikaʻi ʻole 50 a 60 pākēneka o ka manawa, pono nā puke pai meaʻai, moʻolelo mōʻaukala, a i ʻole kahi ʻaʻaʻaina waha e pono ai e hoʻoholo i kahi allergy palaoa maoli.

ʻO kahi pahuhopu meaʻai waha e pili ana i ka ʻai ʻana i ka nui o ka palaoa ma lalo o ka mālama lapaʻau ʻana e ʻike inā a i ʻole inā loaʻa iā ʻoe kahi hopena maʻi. I ka manawa e hōʻoia ʻia, pono ka poʻe me kēia ʻano e hoʻokele i nā meaʻai i loaʻa i ka palaoa.

Nā meaʻai e hōʻalo ai me ka allergy palaoa

Pono e makaʻala nui ka poʻe me ka allergy palaoa i ka hoʻopau ʻana i nā kumuwaiwai āpau (akā ʻaʻole pono nā kumuwaiwai āpau) mai kā lākou papaʻai.

ʻAʻole ia he mea kupanaha, aia ka nui o ka overlap ma waena o nā meaʻai a ka poʻe me ka maʻi celiac a me nā maʻi ʻino o ka palaoa.

E like me ka poʻe me ka maʻi celiac, ʻaʻole pono ka poʻe me ka allergy palaoa e ʻai i kekahi o nā ʻano meaʻai a me nā ʻano hua palaoa o ka palaoa i helu ʻia ma luna.

ʻAʻole like me ka poʻe me ka maʻi celiac, eia nō naʻe, noa ka poʻe me ka allergy palaoa e ʻai i ka bale, ka rai, a me nā ʻoka palaoa (inā ʻaʻole lākou e hōʻoia i ka co-allergy i kēia mau meaʻai).

ʻIke gluten ʻole celiac (NCGS)

ʻOiai he moʻolelo lōʻihi ko ka celiac maʻi a me ka allergy o ka palaoa, ʻike hou ʻia ka non-celiac gluten sensitive (NCGS) - a ʻaʻole ia me ka hoʻopaʻapaʻa ʻole, no ka mea ʻaʻole maopopo ʻole a hōʻike ʻole ʻia paha nā hōʻailona o NCGS mai kahi hōʻike gluten. i ka mea aʻe.

Eia nō naʻe, kuhi kekahi mau loea i ka heluna o ka heluna gluten-ʻoi aku ka pākēneka kiʻekiʻe loa o ka heluna kānaka ma mua o ka poʻe i loaʻa i ka maʻi celiac a i ʻole ka allergy palaoa.

Nā ʻōuli o ka ʻike gluten non-celiac

• ʻōhūhū
• kōpaʻa
• ʻeha poʻo
• ʻeha pū
• ohu lolo
• numbness a me ke kani ʻana i ka hopena

Hiki ke ʻike ʻia kēia mau ʻōuli i loko o nā hola, a i ʻole he mau lā e hoʻomohala ai. Ma muli o ka nele o ka noiʻi, ʻaʻole ʻike ʻia nā hopena olakino lōʻihi o NCGS.

ʻAʻole hiki i ka noiʻi ke kuhikuhi i ke ʻano o ke kumu NCGS. Maopopo he mea ʻole ia e hōʻino ʻole ʻo NCGS i ka villi a i ʻole ke kumu o ka permeability ʻōpū ʻino.No kēia kumu, ʻaʻole e hōʻoia kekahi me ka NCGS i ka maikaʻi no ka maʻi celiac, a ua manaʻo ʻia ʻo NCGS he ʻano ʻoi aku ka maikaʻi ma mua o ka celiac.

ʻAʻohe hōʻike ʻae ʻia hoʻokahi no ka diagnose NCGS. "Hoʻokumu ʻia kahi hōʻailona ma nā ʻōuli," i ʻōlelo ʻia e ka mea ʻai, ʻo Erin Palinski-Wade, RD, CDE.

"ʻOiai e hoʻohana ana kekahi mau kauka lapaʻau i ka hoʻāʻo ʻana i ka lawā, ka noho, a i ʻole ke koko e ʻike ai i ka noʻonoʻo i ka gluten, ʻaʻole i hōʻoia ʻia kēia mau hoʻokolohua, ʻo ia ke kumu i ʻae ʻole ʻia ai lākou ma ke ʻano he ala kūhelu e ʻike ai i kēia ʻike," hoʻohui ʻo ia.

E like me ka allergy palaoa, ka mālama ʻana i ka lawe ʻana o ka meaʻai a me nā hōʻailona ma ka puke pai e pono ai no ka ʻike ʻana iā NCGS.

Nā mea ʻai e hōʻalo ai me ka ʻike gluten non-celiac

Kahi kuhi o ka ʻike gluten non-celiac e kāhea no ka hoʻopau loa ʻana i ka gluten mai ka papaʻai, ma ka manawa liʻiliʻi.

I mea e hōʻemi ai i nā hōʻailona hōʻoluʻolu ʻole, pono kahi mea me NCGS e noho kaʻawale i ka papa inoa like o nā meaʻai e like me kekahi me ka maʻi celiac, e like me nā hua palaoa, nā ʻano huapalaoa, a me nā hua ʻai gluten.

ʻO ka mea pōmaikaʻi, ʻokoʻa ka maʻi celiac, ʻaʻole kū mau kahi ʻike NCGS mau loa.

"Inā hiki i kekahi ke hoʻemi i ko lākou koʻikoʻi koʻikoʻi i kā lākou ʻōnaehana pale maʻi ma o ka hoʻopau ʻana i nā meaʻai ʻē aʻe a i ʻole nā ​​kemikino e hāpai nei i kahi pane pale, a laila hiki iā lākou ke hoʻoiho hou i ka gluten i nā liʻiliʻi a maʻamau paha," wahi a Angelone.

Ua ʻōlelo ʻo Palinski-Wade, no ka poʻe me NCGS, ke nānā nei i nā ʻōuli ke kī o ka hoʻoholo ʻana i ka nui o ka gluten e hiki ai iā lākou ke hana hou.

"Ke hoʻohana nei i nā puke pai meaʻai a me nā papa hana hoʻopau me ka huli ʻana o nā ʻōuli, hiki i nā poʻe he nui me ka ʻike gluten ke loaʻa i kahi pae o ka hōʻoluʻolu e kūpono loa no lākou," wahi a ia.

Inā ua ʻike ʻia ʻoe me NCGS, e hana me ke kauka a i ʻole ka mea hānai hiki ke mālama i ke kaʻina hana o ka hoʻopau ʻana a i ʻole ka hoʻohui ʻana i nā meaʻai i hope i kāu papaʻai.

Nā kumu huna o ka gluten a me ka palaoa

E like me ka nui o ka poʻe ma ka papaʻai gluten-ʻole i ʻike ai, ʻaʻole maʻalahi ka hoʻokele o ka gluten e like me ka ʻoki ʻana i nā berena a me ka palaoa. ʻO kekahi mau meaʻai ʻē aʻe a me nā mea ʻai ʻole nā ​​mea kupaianaha o kēia mau mea hoʻohui. E makaʻala e hūnā paha ka gluten a me ka palaoa paha i nā wahi i manaʻo ʻole ʻia, e like me kēia:

Nā meaʻai gluten- a me nā palaoa i loaʻa:

• hau kalima, yogurt paʻahau, a me ka puding
• nā poloka a i ʻole nā ​​polina
• ʻiʻo a me nā moa
• ʻuala ʻuala a me nā wīwī french
• kēpau kēpau
• lole salakeke ʻōmole
• nā condiment i kaʻana like ʻia, e like me ka ipu o ka mayonnaise a i ʻole ka pahu waiūpata, kahi e alakaʻi ai i ka haumia me nā mea hana
• lipsticks a me nā mea hoʻonani ʻē aʻe
• nā lāʻau a me nā mea hoʻohui

Nā huaʻōlelo e nānā

Hoʻonui pinepine ʻia nā meaʻai i hana ʻia me nā mea hoʻohui, kekahi o ia mau mea me ka palaoa - ʻoiai ʻaʻole paha e ʻike ʻia ko lākou mau inoa.

ʻO nā mea hoʻohui he "code" no ka palaoa a gluten paha, no laila he mea nui ka heluhelu ʻana i ka lepili mākia ma ka papaʻai gluten-ʻole:

• malt, bale malt, malt syrup, malt extract, a malt ʻono paha
• triticale
• triticum vulgare
• hordeum vulgare
• palaoa secale
• hydrolyzed protein protein
• palaoa graham
• mea hū a ka brewer
• ʻoka, ke ʻole i kapa pono ʻia me ka gluten-free

Ke hoʻohui nei nā ʻoihana he nui i kahi lepili "gluten-free" i kā lākou huahana. ʻO kēia peʻa o ke ʻae i hōʻike ʻia i ka huahana i loaʻa ma lalo o 20 mau ʻāpana o ka gluten no miliona - akā he koho āpau.

ʻOiai koi ʻia e haʻi i kekahi mau mea āpau i ka meaʻai, ʻaʻole koi ka FDA i nā mea hana meaʻai e ʻōlelo i ka gluten o kā lākou huahana.

Ke kānalua, he mea maikaʻi e nānā me ka mea hana e hōʻoia inā loaʻa kahi hua i ka palaoa a i ʻole ka gluten.

Kuapo akamai | Swap akamai

ʻO ka hoʻokele i ka ʻaina kakahiaka, ʻaina awakea, ʻaina awakea, a me ka manawa māmā me ka ʻole o ka gluten hiki ke lilo i mea paʻakikī, keu hoʻi ma ka mua. No laila he aha kāu e ʻai maoli ai? E hoʻāʻo e hoʻololi i kekahi o kēia mau meaʻai maʻamau me kā lākou gluten-free alternatives.

ʻLelo hope

ʻO ka wehe ʻana i ka palaoa a me ka gluten mai kāu papaʻai kahi loli nui o ka nohona e like me ka mea nui i ka wā mua. Akā ʻo ka lōʻihi o kou hoʻomaʻamaʻa ʻana e hana i nā koho meaʻai kūpono no kou olakino, ʻo ka nui aʻe ia e lilo i ʻano ʻelua - a, ʻoi aku paha, ʻo ka maikaʻi āu e ʻike ai.

E hoʻomanaʻo e nīnau mau me kahi ʻoihana olakino ma mua o kou hoʻololi ʻana i kāu papaʻai a i ʻole he nīnau paha kāu e pili ana i kou olakino ponoʻī.

ʻO Sarah Garone, NDTR, kahi mea hānai, mea kākau olakino freelance, a me ka mea kākau blog meaʻai. Noho ʻo ia me kāna kāne a me ʻekolu mau keiki ma Mesa, ʻAlikona. E ʻike iā ia e kaʻana like ana i ka ʻike olakino olakino olakino i ka honua a (a ʻo ka hapanui) nā papa kuhikuhi olakino ma A Love Letter to Food.