Ukudla okungekho gluten kungakusiza yini ukushaya ukuzala futhi ekugcineni ukhulelwe? Kungenzeka. A big, big mhlawumbe.
I-Gluten yisitha esithandwayo kulezi zinsuku. Kuthelwa yilokho konke okuvela enkingeni ye-bipolar ukukhuluphala. Bheka nxazonke ku-intanethi, futhi uzothola inqwaba yewebhusayithi ebiza ukuthi i-gluten ibangela ukungasebenzi. Lezi zingosi zidweba ngebhashi elibanzi. Abanye bakhombisa ukuthi zonke izimo eziningi zokungabi nabantwana zibangelwa ukungahambisani kwe-gluten noma isifo se-celiac esingatholakali.
Ayikho uphenyo lokusekela lezi zimangalo ze-gluten-izimbangela-ukungasebenzi. Hhayi ngesilinganiso esinjalo. Kodwa lokho akusho ukuthi i-gluten ayikho icala kwezinye izimo ezithile.
Abacwaningi babheka ukuthi isifo se-celiac esingatholakali nesifo senhliziyo esingenayo i-gluten (noma ukungabekezelelani kwe-gluten) kungase kube yingxenye yezibonakaliso nezifo ezingachaziwe. Kubandakanya ukungasebenzi.
Nazi izindlela eziyisithupha ezingenzeka ukuthi i-gluten ingase ibe yimbangela yokuthi awukwazi ukukhulelwa,.
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Ukungafaki Okungaqondakali Nesifo Esingahloliswanga Ngama-CeliacIsifo se-Celiac yisifo esizimele lapho amathumbu amancane ebhujiswe yi-gluten. Uma ushiywe ungaphathwa, i-celiac ingabangela ukungapheli okunomsoco futhi igxilise kakhulu impilo yomuntu.
I-Celiac ithinta i-1% yabantu abaningi. (Abanye bathi le nombolo iphansi, nokuthi kukhona amacala amaningi angatholakali.)
Amanye amadoda nabesifazane abanesifo se-celiac banezimpawu eziholela ekuxilongweni ekuqaleni kokuphila. Nokho, abanye ngeke babonise izimpawu noma izimpawu ezingacacile kakhulu. Ukuxilongwa kungase kubambezeleke (noma kungalokothi kwenzeke.)
Kungenxa yokuthi izimpawu azikho noma zingacacile akusho ukuthi umonakalo emathunjini omuntu kanye nempilo ejwayelekile akukwenzeka.
Isifo esingelahlekile se-celiac siye sahlotshaniswa nezinkinga zempilo eziningana, kuhlanganise nomdlavuza, ukuhluleka okukhulu kokudla okunomsoco, nokungabi nabantwana.
Isifo Esingahloliswanga Isifo Sokugula, Ukufuduka Kwezikhathi Ezijwayelekile, Nokungafaki
Kungenzeka yini ukuthi ukungabi nesifo kungenye yezimpawu "ezingacacile" ezibonisa isifo se-celiac?
Izifundo zabantu abaningi abangenamakhaya azitholanga amanani ekhulayo we-celiac. Noma kunjalo, konke okushintshayo lapho ubheka ukungasebenzi okungaqondakali.
Kuye ngokucwaninga, abesifazane (futhi mhlawumbe amadoda) abane-infertility abangachazwanga cishe amathuba amabili kuya kwesithupha ukuthi bathole ukuthi bane-celiac.
Abesifazane abathola ukukhulelwa kwesisu okuphindaphindiwe bangase babe nokuthola ukuthi banesifo se-celiac kunabantu abaningi.
Kwenzekani uma labo abanesifo se-celiac abangatholakali futhi beqala ukudla okungekho gluten, mayelana nokukhulelwa?
Azikho izifundo eziningi ezibuka lokhu.
Ucwaningo oluthile lwabadala abangu-84 abangama-celiac kanye nezintsha ezingu-18 zama-celiac zibheke umthelela empilweni ejwayelekile yokuzala emva kokuqala ukudla okungenalutho kwe-gluten.
Ngaphambi kokudla, abathintekayo abaningi babhekana nokulibazisa esikhathini sokuqala (owesifazane wokuqala), ukugcoba nokukhulelwa komzimba.
Ngemva kokuqala ukudla okungenayo i-gluten, abanye ababambiqhaza baqala ukuvuvukala futhi bakhulelwe ngokwemvelo.
Ababambiqhaza abangazange banamathele ekudleni okungenalo i-gluten baqhubeka bebambezelekile izinkinga zokudoba noma zokuvota .
Encwadini eya kumagazini wezokwelapha Gut , uprofesa ubika icala labesifazane abane, abaneminyaka engu-28 kuya ku-39, abaye babhekana nokungabi nabantwana iminyaka emibili kuya kweyishumi nambili.
Ngemuva kokuqala ukudla okungenalutho kwe-gluten, abesifazane baqeda ukukhulelwa. (Isikhathi sokuqala kokudla okungenalo gluten kuya ekukhuleleni kwakuphakathi kwezinyanga ezimbili noyisishiyagalolunye.)
Kuleli qembu labesifazane abane kwakukhona owesifazane oneminyaka engu-39 ubudala owayesezama ukukhulelwa iminyaka engu-11. Wayesezibonele izifo eziningi ze- IVF ezihlulekile.
Ngemva kokuqala ukudla okungenamsoco we-gluten, wakhulelwa izinyanga ezingu-9 kamuva. Lokho ukukhulelwa kokuqala kwaphela ngokushesha, kepha ekugcineni, eminyakeni emibili ngemuva kokuxilongwa nokuqala ukudla, wanikela umntwana onempilo.
Kwesinye isifundo esincane kakhulu, abesifazane abane abane-infertility engakaze bachazwe babetholakala benesifo se-celiac. Boke baqale ukudla okungekho i-gluten.
Omunye wesiguli wakhulelwa ngaphandle kokuphathwa kokwelapha inyanga eyodwa emva kokushintsha ukudla kwakhe.
Isiguli sesibili sidinga ukuhlinzeka ukususa ukukhushulwa okusheshayo ngokushesha. Inyanga eyodwa emva kokuhlinzwa, wathola ukuthi unesifo se-celiac futhi waqala ukudla okungenamsoco we-gluten. Wakhulelwa ngokwemvelo izinyanga ezine emva kokuhlinzwa, izinyanga ezintathu emva kokuqala ukudla.
Isiguli sesithathu sikhulelwe nge- gonadotropins ne- IUI izinyanga eziyisishiyagalombili ngemuva kokuxilongwa kwe-celiac nokushintsha kokudla.
Isiguli sesine sathola izinyanga eziyishumi ngemuva kokuxilongwa nokuguqulwa kokudla nge-transfer frozen embryo.
Lezi zifundo ze-case do not offer evidence strong enough to say gluten-free diet was the cause of their pregnancy impumelelo. Kusobala ukuthi ngezinye izikhathi ukudla kwakunganele. Ezinye zidinga ukwelashwa noma ukwelashwa kwesibeletho, mhlawumbe ngaphezu kokushintsha kokudla.
Noma kunjalo, kuyathakazelisa. Ikakhulukazi uma ucabanga ukuthi lezo zifundo zibheke labo abanezifo ezibizwa ngokuthi i-celiac - abesevele bekhona ekudleni okungenayo i-gluten - kubonakala sengathi abengeke bakwazi ukuzwa ukungabi nabantwana kunabantu abaningi.
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Ukungazweli okungafani noCeliac Gluten nokuzalaUkuzwela kwe-gluten okungenayo i-celiac kuyisikhathi sevulethi okuhloswe ukumboza abantu abaphendulayo ku-gluten kodwa hhayi ngenxa yesifo se-celiac noma ukugula okukolweni. Futhi eyaziwa ngokuthi ukungabekezelelani kwe-gluten, lesi simo esingaqondile asiqondakali kahle.
Abacwaningi abaqiniseki ukuthi ukuzwela kwe-gluten okungenayo i-celiac (NCGS) kuyimfuneko eyodwa noma mhlawumbe yingxenye yezimo eziningana.
Yiqiniso, akuwona wonke umuntu ozihlola ngokwakhe ngokwakhe ongenakubekezelelana. Kunzima ukulawula umphumela we-placebo.
Kubonakala sengathi ama-celiacs nalabo abane-allergies koroyi akubona kuphela abenza kahle ukugwinya. Akuwona wonke umuntu onama-NCGS ozwa nje ngomphumela we-placebo.
(Ngale ndlela, lezo zihloko zamasango wakho omama ka-Bertha ku-Facebook azwakalisa ukuzwela okungenayo i-glitien gluten inganekwane? Akunjalo. Akekho ucwaningo oluye lwasusa ngokuphelele lezi zenzakalo. Nakuba abantu bathola ngempela isihloko, ngesizathu esingaqondakali.)
Izifundo ze-NCGS zithole ukuthi lezi ziguli zihlanganyela ezinye izimpawu zesifo se-celiac futhi ngisho nokwehluleka kokukolweni. Lokho abangenakho ukulimala emathunjini emathunjini, okubonakala ngokubonakalayo ezigulini ze-celiac.
Uma kungelashwa, isifo se-celiac singaholela ezinkingeni zokuzala, futhi labo abane-NCGS babelana ngezibonakaliso ezithile ze-celiac, ingabe labo abangenalo i-NCGS abangaphenduliwe nabo banciphisa ukuzala?
Kungenzeka yini ukuthi ukungahloniphi kwe-Celiac Gluten kungabangela ukungabi nalutho?
Ukucwaninga kusweleke kakhulu kule ndawo. Kunezifundo ezimbili ezithakazelisayo okufanele zicatshangelwe.
Ucwaningo olwenziwe eYunivesithi yaseCalifornia lubheke indima yendima engapheliyo edlala ekuzaleni. Isifo esingaziwa (futhi mhlawumbe esingatholakali) lesi sifo kanye nesifo sofuba esishubile (esibandakanya isifo sofuba nesifo sikaCrohn) singabangela ukungabi nalutho nokulahleka kokukhulelwa. Ngenxa yalokho, ngisho nalabo abaphathwa nge-inflammatory diseases of the bowel can infertility.
Ukungenzi lutho akubangelwa yizifo noma ukungasebenzi kahle kuhlelo lokuzala. Umzimba usebenza wonke, futhi uma into eyodwa ingahambi kahle, ingathinta ezinye izinhlelo.
Ukuzwela okungenayo i-celiac gluten kungase kwengezwe usuku olunye ohlwini lwezinkinga zamathumbu ezihlobene nokwehla kokuzala.
Kukhona ucwaningo olusithakazelisayo olubikwe yi-Institute of Health & Society University of Worcester, e-United Kingdom.
Ucwaningo luchaza indaba yombhangqwana ozama ukukhulelwa engaphumeleli iminyaka emine. Lo wesifazane wayeseneminyaka engamashumi amathathu edlule, unomlando we-IBS (into eningi abantu abane-NCGS kubonakala sengathi bayabonisa), isifo se-asthma, nokuhlukunyezwa kwangaphambilini. Wayenezihlobo ze-celiac nesifo sikashukela, kodwa yena wayengenazo lezi zimo.
Ngokuvamile, impilo yakhe ibonakala inhle. Isisindo sakhe sasivamile; wayese-ovulating. Wavivinya izifo ezithathelwana ngocansi, futhi iphrofayili yakhe ye-hormonal yonke ibonakale kahle.
Kodwa wayengenakukhulelwa.
Impilo yomlingani wayo nayo yayibheke kahle, ngaphandle kokuhlupheka kwezimpawu ze-IBS. Ukuhlaziywa kwesimo semfuyo kwambulisa impofu empofu embi (isimo somzimba). Odokotela batusa IVF nge-ICSI ukuthi banqobe i-morphology empofu.
Naphezu kokuthola imibungu emihle, lo mbhangqwana awuzange ucabange.
Indaba ende emfushane, lo mbhangqwana wanquma ukuzama ukudla okungenakudla kwe-gluten. Ukukhathazeka kwamathumbu omzimba akuzange kuthuthukiswe ekudleni okungenalutho lwe-gluten, kodwa okwenziwe ngumuntu.
Eqinisweni, ikhwalithi yendoda yesilisa nayo ithuthukiswe ngokushintsha kokudla. Kwanele ukuba bazame IVF ngaphandle kwe-ICSI.
Ngesikhathi esalindele ukuqala ukwelashwa okulandelayo, lo mbhangqwana wakha ngokwemvelo. Ngokudabukisayo, wahlukumeza amaviki ayishumi kamuva.
Okokugcina, emva konyaka ekudleni okungenalutho lwe-gluten - emva kweminyaka eyisithupha yokuzama ukukhulelwa, imijikelezo eminingi ye-IVF yehlulekile, nokuhlukunyezwa okuningi - lo mbhangqwana wakwazi ukukhulelwa nge-IVF. Ukukhulelwa kwakunzima, futhi umntwana wazalwa ngaphambi kwesikhathi emavikini angu-30.
Ukudla okungenalutho kwe-gluten kwakubonakala kuthuthukisa ukuzala komlingani womlingani ngendlela elinganiselwe, ukuletha izinombolo ze-sperm morphology (insimu yesimo somzimba).
Kungenzeka yini ukuthi ukudla okungekho gluten kwakungenxa yokuthi ekugcineni wakwazi ukuhlala ekhulelwe ngokwanele ukuze abe nomntwana?
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I-gluten, ama-cell killer cells, kanye nokungafani okuzenzakalelayoIsihloko se-immunology yokuzala siyakuthandeka futhi akuyona into abantu abaningi abakwaziyo.
Ezinye izimo zokungazalanga kahle okungaqondakali, ukwehluleka okuphindaphindiwe kwe-IVF, nokukhulelwa kwesisu okuphindaphindiwe kungaxhunyaniswa nesimiso somzimba sokuzivikela komzimba.
Ngenkathi i-immunology yokuzala iphikisana, futhi ucwaningo luqhubeka, ukwelashwa kwalezi zinkinga zokuzala kuye kwasiza imibhangqwana ukuba icabange ukuthi ubani ongatholi impumelelo ngaphambilini.
Ingabe i-gluten ingadlala indima?
Amangqamuzana Abulala Umzimba, i-Gluten, ne-Infertility
Enye indawo yokuzivikela ekukhuliseni ihlanganisa amangqamuzana ebulalayo, noma amangqamuzana e-NK. Zizwakala njengento engafanele ukuba nayo kodwa empeleni ufuna ama-NK cells.
Amaseli e-NK ayingxenye ebalulekile yesimiso somzimba sokuzivikela. Ziluhlobo lwegazi elimhlophe legazi. Bazama ukubhubhisa amaseli angaba nomdlavuza kanye namaseli anegciwane.
Izinkinga ziqala uma ziningi noma uma ziqala ukuhlasela amaseli enempilo.
Ukuba nephesenti eliphezulu ye-NK cells kuyasolakala ukuthi yimbangela yokuphuphuma kwesisu okuphindaphindiwe futhi yahluleka ukufakelwa kwe-embryo ngesikhathi se-IVF.
I-immunologists yokuzala ibuye ibheke ukuthi i -NK cells iyingozi kanjani . Kulesi simo, ukubulala okuningi akulungile.
Lokhu kuhlobene kanjani ne-gluten?
Ucwaningo lwamaseli we-NK ebhodini nasezintanjeni zathola ukuthi ukuvezwa kwe-gliadin (ingxenye yeprotheyini ye-gluten) kwandiswe ukutholakala kwe-cell cell, ubuthi, nomsebenzi.
Okwamanje akakho ucwaningo lokuthi lokhu kusebenza kanjani emzimbeni womuntu.
I-ANA, Infertility, ne-Gluten
Enye indawo yokuzivikela ekukhuliseni ihlobene nokukhuluma nge-antibodies anti-nuclear, noma i-ANA. Ukutholakala kwamaseli e-ANA kubonisa ukuthi umzimba wakho ungahle uzihlasele.
Amazinga we-ANA ahlolwe uma kutholakala ukuthi isifo esizimele ngokufana ne-lupus noma i-rheumatoid arthritis.
Kodwa-ke, abanye abantu abanempilo ngezinye izikhathi bavivinya amazinga e-ANA. Akucaci ukuthi kungani.
Ukutholakala kwamaseli e-ANA kubhekwa ukuthi kubangela izinkinga nge-embryo implantation ngesikhathi sokuphathwa kwe-IVF.
Lokhu kuhlobene kanjani ne-gluten?
Ucwaningo oluqhutshwa e-Italy lubheke abantu abanesifo se-celiac, i-IBS, ne-non-celiac gluten ukuzwela.
Bathole ukuthi abantu abanesifo se-celiac kanye ne-non-celiac gulen ukuzwela bekungaba amathuba amaningi okuhlola ukuthi bangama-antibodies anti-nuclear kunelabo abane-IBS nje.
Ngokuqondile, bathole ukuthi ...
- Amaphesenti angu-46 alabo abangenayo i-non-celiac gluten ukuzwela bahlolwe i-ANA emihle
- 24% kulabo abanesifo se-celiac
- 2% kulabo abane-IBS
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I-Gluten ne-EndometriosisI-Endometriosis ithinta abesifazane abangaphezu kwezigidi ezingu-5,5 eNyakatho Melika. Kungabangela ukungabi nabantwana kanye nobuhlungu be-pelvic .
Abesifazane bahamba iminyaka eminingi ngaphambi kokuxilongwa.
Azikho ucwaningo oluthile oluye lwabheka umphumela we-gluten ongase ube nawo ekuphumeleleni kokukhulelwa kwabesifazane abathola ukuthi bane-endometriosis.
Kukhona ucwaningo mayelana nobuhlungu be-endometrium kanye ne-gluten, kuhlanganise nokucwaninga kwamacala owesifazane onokuphela kwe-endometriosis nesifo esingenakuthola lesi sifo.
Ingabe I-Gluten Yenza Iminye Inhlungu Ye-Pelvic?
Ucwaningo lwase-Italy lwalubuka abesifazane abangu-207 ababhekene nobuhlungu obukhulu obuhlobene ne-endometriosis .
Bonke laba besifazane babekwe ekudleni okungenalutho kwe-gluten unyaka owodwa. Ngemuva konyaka, babuzwa ukuba babuyele emazingeni abo obuhlungu.
Iziguli eziyikhulu namashumi ayisihlanu nesithupha - noma 75% - zibike ukuthuthukiswa okuphawulekayo kwezibonakaliso zabo ezibuhlungu. Cishe amaphesenti angu-25 awazange abike noma yikuphi ukuthuthukiswa, futhi akukho okubikwa ukuthi ubukhulu bubuhlungu.
Laba besifazane nabo babike ukuthuthukiswa kwezinye izindawo zokuphila, kubandakanya ukubuka kwezempilo jikelele, ukusebenza ngokomzimba, ubungqabavu kanye nempilo yengqondo.
Kungenzeka yini ukuyeka i-gluten futhi kuthuthukise impumelelo yokukhulelwa kwabesifazane abane-endometriosis?
Akukwaziwa ngalesi sikhathi.
I-Endometriosis ne-Undiagnosed Celiac Disease
Kodwa-ke, kukhona ucwaningo oluthakazelisayo lwesifundo somuntu onesifo se-endometriosis nesifo esingenakutholakala nge-celiac.
Kubikwe encwadini ye- Clinical and Experimental Obstetrics ne-Gynecology , owesifazane oneminyaka engu-34 ubudala ubhekene nokungabi nabantwana. Akazange abe nezingane ngaphambili. Wayesevele ehlonza i-endometriosis ne-IBS.
Wathola ukuhlinzwa izikhathi ezintathu ukuze asuse ama-deposit endometrial nama-cysts abuhlungu ovari. Ngemva kokuhlinzwa, wazama ukukhulelwa iminyaka emibili ngaphandle kokuphumelela.
Ngokulandelayo, i- Clomid ne-gonadotropin yavivinywa, kanye nokwelashwa kwe-IUI . Wayekhulelwa ngesikhathi se-IUI kodwa wahlukumezeka.
Ngemva kwalokho, udokotela wakhe wamvivinya ngesifo se-celiac.
Imiphumela ibuyele emihle, kokubili emsebenzini wegazi futhi nge-biopsy yamathumbu.
Wabekwa ekudleni okungenalutho kwe-gluten.
Izimpawu zakhe "ze-IBS" (okungenzeka ukuthi zikhona izimpawu ze-celiac) zithuthukisiwe.
Nokho, okubaluleke kakhulu, ngemva kwezinyanga eziyisithupha, wakhulelwa ngaphandle kokwelashwa okunye.
Ukukhulelwa kwakungekho izinkinga, futhi wanikela umntwana onempilo.
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I-PCOS, i-Gluten, nokuphikiswa kwe-InsulinIndima yokudla kanye ne- polycystic ovarian syndrome (i-PCOS) iqhutshwa njalo.
Kuze kube manje, iningi le- PCOS ucwaningo lokudla lugxile kwi-carb ephansi kanye nokudla okuncane kwe-glycemic index.
Lezi zidlo ngokuvamile ziyancishisa ngokujulile i-gluten, ngoba nje imikhiqizo eminingi ene-gluten iphezulu i-carb noma iphezulu ohlwini lwama-glycemic. Lezi zokudla azilona i-gluten.
Azikho izifundo ezibuke ukuxhumeka okungenzeka phakathi kwe-PCOS ne-gluten.
Kodwa-ke, izifundo zibuke ukuxhumana okukhona phakathi kwe-gluten nesifo sikashukela.
I-PCOS iyingozi eyaziwayo yesifo sikashukela, ikakhulukazi ukumelana nesifo se-insulin.
Eqinisweni, i- metformin yezidakamizwa zesifo sikashukela ibhekwa njengokwelashwa kwe-PCOS engahlobene nokuzala .
Ukuxhumeka okungenzeka phakathi kwe-gluten nesifo sikashukela kungase (ngokusula okude) kusinike isici sokuthi i-gluten ingase ithinte kanjani labo abane-PCOS.
Isifo sikashukela neGluten
Ekucwaningweni kwamagundane angewona obomvu, ekudleni okungenalutho okwe-gluten kunciphisa ingozi yokuthuthukisa uhlobo lwesifo sikashukela kusuka ku-64% kuya ku-15%.
Lokhu kungase kwenzeke futhi kubantu.
Ucwaningo lwenziwe eFrance lubukeka ukuthi isifo se-celiac singahle sithinte kanjani nezifo ezizimele, kuhlanganise nesifo sikashukela.
Izinkulungwane zeziguli, ezivela ezindaweni ezingu-27 ezihlukene ze-gastroenterology yonkana neFrance, zahlanganyela.
Labo abatholwa ukuthi baqala ngesifo se-celiac - ngakho-ke babesemdlalweni we-gluten kusukela ebusheni-bekungaba ncane kakhulu amathuba okuthuthukisa isifo sikashukela noma izifo ezizimele.
Cishe cishe isigamu cishe uma kuqhathaniswa nalabo abangahlali ekudleni okungenayo i-gluten.
Kwesinye umbiko, lo wesifundo wesifundo, umfana oneminyaka engu-6 ubudala utholakale ukuthi une-type-1 yesifo sikashukela. Wayengenaso isifo se-celiac, kodwa wahamba ngokudla okungenalutho.
Wayekwazi ukuhamba ngaphandle kokwelashwa kwe-insulin futhi alondoloze ushukela wegazi ozinzile ngokudla kwakhe okungenalo i-gluten kuphela.
Ngokusobala, ucwaningo olwengeziwe luyadingeka. Okwamanje akakho ucwaningo lokuthi lokhu kungase kuthinte kanjani ukuzala noma i-PCOS .
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Ngakho ... Ingabe Kufanele Uhambe NoGluten?Yiqiniso, umbuzo oyinhloko okungenzeka uyazibuza manje u ... kufanele ngihambe ngingenalo gluten?
Ngaphandle kokuba unesifo se-celiac, akekho ucwaningo lwezokwelapha olucacile olubonisa ukuthi ukudla okungekho gluten kuzokusiza ukuthi ukhulelwe . Akukatholakali, noma kunjalo.
Sidinga izifundo eziningi ngale ndaba. Ngolunye usuku, kungase kube nobufakazi obuningi obuxhuma ukungahambisani kwe-gluten nezimbangela ezithile zokungasebenzi.
Kodwa-ke, awufuni ukukhulelwa ngolunye usuku . Ufuna ukukhulelwa manje .
Njengoba njalo, kufanele ukhulume nodokotela wakho kuqala.
Kodwa uma ufuna ukuzama ukungena gluten-free, mhlawumbe kufanele.
Uma nje uhamba-gluten-mahhala ngendlela enempilo, ayikwazi ukulimaza.
Njengoba abacwaningi besifundo esisodwa babonisa, uma uqhathanisa izindleko kanye nemiphumela engaba yingozi yokuphathwa kokwelapha izindleko nemiphumela emibi yokuhamba okungenalutho, kungani ungakhuthazi imibhangqwana ethile ukuyizama?
Ikakhulukazi labo abangenazo ezinye izimpendulo banezimpawu zamathumbu, noma ngubani obhekene nezinkinga zokwelapha ezihlulekile.
Ngaphambi kokuba uzame ukudla okungenalo gluten, udinga ukufunda lesi sihloko kuqala:
- Ukuhamba nge-Gluten-Free ukuze uthole isisu: Okumele Ukwazi
Imithombo:
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