Çölyak Hastalığında Beslenme
Çölyak hastalığında
beslenme oldukça özen ve dikkatle sürdürülmesi gereken bir süreçtir. Çölyak
hastalığı teşhisi aldığınız andan itibaren tek tedavi glutensiz bir
diyettir. Glutensiz bir beslenme uygulamak çölyak hastaları için yaşam
boyunca zorunluluk halinde kalacaktır.
Çölyak Hastalığında Beslenme Nasıl Olmalıdır?
Çölyak hastalığında
beslenme konusundaki en önemli adım glutensiz diyettir. Glutensiz diyet,
çölyak hastalığının öncelikli tedavisi olmakla beraber glutensiz bir diyet
uygulamaya başlanmasının ardından, bu hastalığın birçok semptomunu önemli
ölçüde azaltır. Çölyak hastalığı olan kişilerde ishal, kabızlık, karın
ağrısı, şişkinlik, mide bulantısı ve kusma gibi çeşitli semptomların yanı sıra
diğer semptomlar da görülebilir. Bu konuda daha fazla bilgilenmek için
sitemizde bulunan diğer yazılarımızı inceleyebilirsiniz.
Çölyak hastalığı farklı testler kullanılarak teşhis
edilebilir. Teşhis için vereceğiniz kan testi, kanınızdaki proteinlerin
çeşidini ve çölyak hastalığı ile ilişkili olan belirli antikorları tespit
edebilir. Çölyak hastalığı tanısını doğrulamak için kullanılan bir diğer
test prosedürü ise ince bağırsak biyopsisidir. Bu testlerden herhangi
birinin doğru sonuç verebilmesi için, bireyin düzenli olarak gluten içerikli
yiyecekler tüketiyor olması gerekir. Çölyak hastalığınız olabileceğini
düşünüyor ya da çölyak hastalığına bağlı semptomlar yaşıyorsanız; glutensiz bir
diyet düzenine geçiş yapmadan önce doktorunuza danışın.
Çölyak hastalığı olan çocukların sindirime bağlı semptomlar
yaşama olasılığı yetişkinlerden daha fazladır. Yetişkinler için daha
yaygın sindirim semptomları şişkinlik, karın ağrısı ve mide ülserlerini
içerir. Yetişkinlerin yaşama olasılığı daha yüksek olabilecek diğer
semptomlar arasında anemi, depresyon veya anksiyete, dermatitis herpetiformis
olarak bilinen bir döküntü, baş ağrıları, kısırlık ve eklem ağrısı sayılabilir.
Sindirim semptomları olan kişiler için ishal en yaygın ve
rahatsız edici semptomlardan biri olarak kabul edilir. Çölyak hastalığı
olan yetişkinlerin yaklaşık yarısının ishal yaşadığı tahmin
edilmektedir. Bununla birlikte, araştırmalar, glütensiz bir diyetin
ardından hastaların çoğunda ishal ve diğer semptomları iyileştirdiğini
göstermektedir. Bununla birlikte, glutensiz bir diyette semptomların
düzeldiğini görmek için gereken süre değişebilir.
Çölyak hastalığı olan bireylerin birçoğunun, glütensiz bir
diyet uyguladıktan birkaç ay sonra bile ishal ya da kabızlık gibi semptomlarla
mücadele etmeye devam edebileceği tahmin edilmektedir. Bazı kişiler için
yanlışlıkla gluteni tüketmeye devam etmek sorunun bir parçası
olabilir. Kayıtlı bir diyetisyen beslenme uzmanı, gizli glüten
kaynaklarının olabileceği glütensiz bir diyetin izlenmesi konusunda daha fazla
rehberlik sağlayabilir ve besin ihtiyaçlarını karşılamaya yönelik ipuçları
sağlayabilir.
Çölyak hastalığında uzmanlaşmış bir doktordan rehberlik ve
tedavi almak, diğer sağlık durumlarını da ekarte etmeye yardımcı
olabilir. İnce bağırsakta aşırı bakteri üremesi, laktoz intoleransı ya da
pankreas yetmezliği gibi diğer sağlık sorunları çölyak hastalığına benzeyebilir.
Tüm bunlara ek olarak sağlığınız ciddi anlamda tehlike altında olabilir. Çölyak
hastalığı olan bazı kişiler, irritabl barsak sendromu ve kolon iltihabı gibi
başka sindirime bağlı problemler de yaşayabilir.
Çölyak Hastalığında Glutensiz Diyet
Çölyak hastalığında
glutensiz diyet uygulamak ve bu diyete kati suretle uymak zorunluluktur. Çölyak
hastalığı olan çocuklar ve yetişkinler için en ufak bir glüten lokması bile
sorun teşkil edebilir. Gluten, vücutlarına saldırmaya başlayan antikorların
salınımını tetikleyici etki görür. Bu saldırılar ince bağırsağa zarar
verir ve bu da özellikle çocukların büyümek ve gelişmek için gereken besinleri
emmesini zorlaştırır. Gluten aynı zamanda bu çocuklarda gaz, şişkinlik ve
ishale de neden olabilir. Çölyak hastalığı olan bazı çocuklar kilo
verirken, bazıları kilo alır. Tedavi edilmeyen çölyak hastalığı, anemi,
nörolojik bozukluklar ve osteoporoz gibi sağlık sorunlarına da yol açabilir.
Çölyak dışı glüten duyarlılığı ya da gluten duyarlılığı,
çölyak hastalığına benzer semptomlara sahiptir ancak glütene verilen
reaksiyonun daha az şiddetli olduğu düşünülmektedir. Örneğin, bu çocuklar
glüten tükettiğinde, aynı düzeyde bağırsak hasarına sahip olup olmadıkları
kesin değildir.
Çocuğunuzun çölyak hastalığı sindirime bağlı olduğundan
şüpheleniyorsanız, sağlık uzmanınıza vakit kaybetmeden başvurmalısınız. Glutensiz
yaşamadan önce çocuğunuzu test ettirin. Doktorların bu durumları teşhis
edebilmesi için çocuğunuzun hala glüten içeren gıdalar tüketiyor olması
gerekir, aksi takdirde test sonuçları doğru olmayabilir.
Çölyak Hastalığında Beslenme Dikkat Edilmezse Ne Olur?
Çölyak hastalığında
beslenme dikkat edilmezse sağlığı ciddi anlamda tehlikeye atabilecek
sonuçlar ortaya çıkar. Bu sonuçların arasında ne yazık ki bağırsak hasarına
bağlı olarak ölüm dahi olabilir. Çölyak hastalığında beslenme aslında sanıldığı
kadar zor ya da karışık değildir. Tek yapmanız gereken doğal glutensiz
içeriklere yönelmektir. Ek olarak unlu mamullere düşkünlüğünüz varsa
glutensizekmek.com.tr nin glutensiz ekmek çeşitlerini de tercih etmelisiniz.
Çölyak hastalığı ve glutensiz beslenme ile ilgili daha fazla bilgi edinmek için
sayfamızı incelemeyi unutmayın.
67 Yorumlar
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