
gluten-mukt aahar

gluten-mukt aahar (jee. aff. dee.) ack poshan yojana haye joe sakhti seey gluten koo baahar karati haye, joe gehuun (aur isaki sabhi prajaatiyon aur sankar, jaise vartani, kamoot aur tritical) mein paae jaane vaale protein kaa mishran haye, saath hii jou, raaee aur jou. lus mukt aahar mein jou kaa samavesh vivadaspad banaa huaa haye, aur yeh jou kii kheti aur anya lus yukt anaaj key saath lagaatar cross-sandushan parr nirbhar curr sakata haye.
gluten una logon key liye gastroentestinal aur pranaaleegat donon lakshnon kaa kaaran bunn sakata haye, jinamen celiac roga (cd), gair-celiac gluten samvedansheelta (aine. see. jee. aiss.), gluten attaxia, dermatitis herpetiformis (dee. aich.), aur gehuun allergy shamil hain. inn logon mein, lus mukt aahar koo ack prabhaavi upchaar key roop mein pradarshit kiya jaataa haye, lekin kaee adhyayanon seey pataa chalata haye kii celiac roga vaale lagbhag 79 pratishat logon mein sakht lus mukt aahar key bavjood, chhoti aantr kii apoorna vasuli hoti haye. yeh mukhya roop seey gluten key anajaane mein antargrahan key kaaran hotaa haye. gluten-mukt aahar kii kharaab samajh vaale loga aksar maanate hain kii way aahar kaa sakhti seey paalan curr rahey hain, lekin niyamit roop seey galatiyan curr rahey hain.
isake alawa, ack lus-mukt aahar, cumm seey cumm kuchh mamalon mein, chidchide aantr syndrome, sandhishoth, yaa hiv enteropathy jaisi beemariyon mein gastroentestinal yaa pranaaleegat lakshnon mein sudhaar curr sakata haye. iss baat kaa koee achchha saboot naheen haye kii gluten-mukt aahar autism vaale logon key liye ack vaikalpik chikitsa upchaar haye.
gluten protein mein cumm poshan aur javic moolya hotaa haye aur jinn anaaj mein gluten hotaa haye way maanav aahar mein aavashyak naheen hain. haalaanki, bhojan kaa asantulit chayan aur lus-mukt pratisthaapan utpaadon kaa galat chayan poshan sambandhi kamiyon kaa kaaran bunn sakata haye. vaanijyik utpaadon mein gehuun yaa anya lus yukt anaaj seey aate koo lus mukt aate seey badalane seey mahatvapurna poshak tatvon jaise kii iron aur bee vitamin kaa sevan cumm hoe sakata haye. kuchh lus mukt vaanijyik pratisthaapan utpaad apane lus yukt samkakshon kii tarah samriddh yaa majboot naheen hotey hain, aur aksar unamen adhik lipid/carbohydrate samagri hoti haye. bachche vishesh roop seey aksar inn utpaadon kaa adhik sevan karate hain, jaise kii snacks aur biscuit. poshan sambandhi jatilataon koo sahee aahar shiksha seey rokaa jaa sakata haye.
lus mukt aahar lus mukt khaadya padarthon parr adharit hoe sakata haye, jaise maans, machhali, andey, doodh aur dayeri utpaad, faliyaan, nuts, phal, sabjiyaan, aaloo, chawal aur makai. lus mukt prasanskrit khaadya padarthon kaa upayog kiya jaa sakata haye. chhadm anaaj (quinoa, amranth aur buckwheet) aur kuchh chhote anaaj vaikalpik vikalp hain.
aahar koo apanaane key peechhe kaa tark.
celiac roga.
celiac roga (americi angrejeeh celiac) (see. dee.) ack purani, pratiraksha-madhyasth aur mukhya roop seey aanton kii prakriya haye, joe sabhi umr key aanuvanshik roop seey poorv-prabhaavit logon mein dikhaai detee haye. yeh gluten key antargrahan key kaaran hotaa haye, joe gehuun, jou, raaee aur vyutpann mein maujood hotaa haye. celiac roga kewal ack gastroentestinal roga naheen haye, kyonki yeh kaee angon koo prabhaavit curr sakata haye aur gair-gastroentestinal lakshnon kii ack vyaapak vividhata kaa kaaran bunn sakata haye, aur sabse mahatvapurna baat yeh haye kii yeh aksar poori tarah seey asymptomatic hoe sakata haye. nidan key liye atirikt kathinaaiyaan yeh tathya haye kii serological marker (anty-tissue transglutaminase [tii. jee. 2]) hamesha maujood naheen hotey hain, aur celiac vaale kaee logon mein aanton key vilopan key binaa, mamuli shleshma ghaav hoe sakate hain.
celiac roga duniya bhar mein lagbhag 1-2% samanya aabaadi koo prabhaavit kartaa haye aur badh rhaa haye, lekin adhikansh mamle aparichit, nidan naa kiye gaye aur anupachaarit rahate hain, jisase rogiyon koo deerghakaalik jatilataon kaa khatra hotaa haye. logon mein gambhir roga key lakshan vikasit hoe sakate hain aur uchit nidan praapt karane seey pahale kaee varshon taka vyaapak jaanch key adheen hoe sakate hain. anupachaarit celiac roga key kaaran avashoshan, jeevan kii gunavatta mein kamee, iron kii kamee, austeoporosis, prasooti jatilataaen (prasav, antargarbhashayi vikas pratibandh, samay seey pahale janm, cumm janm vajan aur garbhavastha kii umr key liye cumm), aanton key lymphoma aur adhik mrityu darr kaa khatra badh sakata haye. celiac roga kuchh autoimmune rogon seey judaa huaa haye, jaise kii madhumeh melitus prakaar 1, thyroiditis, gluten attaxia, psoriasis, vitiligo, autoimmune hepatitis, dermatitis herpetiformis, praathamik sclerosing colangitis, aur adhik.
classic lakshnon" key saath celiac roga, jisamen jeern-aanton kii abhivyaktiyaan jaise kii puraane dast aur pett kii vikriti, apashoshan, bhookh kii kamee aur bigada huaa vikas shamil hain, vartamaan mein roga kaa sabse cumm aam roop haye aur mukhya roop seey dou saal seey cumm umr key chhote bachchon koo prabhaavit kartaa haye.
gair-shaastriya lakshnon" key saath celiac roga sabse aam naidaanik prakaar haye aur badey bachchon (dou saal seey adhik umr key), kishoron aur vayaskon mein hotaa haye. yeh halke yaa yahaan taka kii gastroentestinal lakshnon aur gair-aanton kii abhivyaktiyon key ack vistrit spectrum kii visheshta haye jisamen shareer kaa koee bhee anga shamil hoe sakata haye, aur bahut baar bachchon (cumm seey cumm 43 pratishat mamalon mein) aur vayaskon donon mein poori tarah seey lakshanheen hoe sakata haye.
aajivan lus-mukt aahar kaa paalan karna celiac roga vaale logon key liye ekmatra chikitsakiya roop seey sweekrit upchaar haye.
gair-celiac gluten samvedansheelta.
gair-celiac gluten samvedansheelta (aine. see. jee. aiss.) koo kaee lakshnon kii sthiti key roop mein varnit kiya gayaa haye joe celiac roga aur gehuun kii allergy koo baahar rakhane key baad, gluten-mukt aahar mein switch karate samay sudhaar kartaa haye. aine. see. jee. vaale logon mein jathrantra sambandhi lakshan vikasit hoe sakate hain, joe chidchide aantr syndrome (aaee. bee. aiss.) yaa vibhinn prakaar key nongastrointestinal lakshnon seey milate-julate hain.
jathrantra sambandhi lakshnon mein nimnalikhit mein seey koee bhee shamil hoe sakata haih pett dard, soojan, aantr kii aadat kii asamanyata (dast yaa kabj), matali, aerophagia, gastroesophageal reflux roga, aur afthus stomatitis. gastroentestinal lakshnon kii anupasthiti mein aine. see. jee. aiss. kii ekmatra abhivyakti key roop mein kahey jaane vaale atirikt-aanton key lakshnon kii ack shrinkhala kaa sujhaav diyaa gayaa haye, lekin yeh vivadaspad bunny hui haye. inmein shamil hainh sirdard, migraine, "mastishk kohra", thakan, fibromyelgia, jodon aur maanspeshiyon mein dard, pair yaa haath kii sunnata, haath kii angon mein jhunjhuni, dermatitis (eczema yaa twacha parr chakatte), asthama, nasika shoth, anya allergy, avasaad, chinta, iron kii kamee seey anaemia, follet kii kamee yaa autoimmune roga jaise atopic vikaar. aine. see. jee. aiss. koo kuchh neurocychiatric vikaaron mein bhee vivadaspad roop seey fansaaya gayaa haye, jisamen schizophrenia, khaane key vikaar, autism, paridhiya neuropathy, attaxia aur dhyaan ghaate atee sakriyata vikaar (aeye. dee. aich. dee.) shamil hain. aine. see. jee. vaale 20 pratishat seey adhik logon koo ack yaa adhik enhalent, khaadya padaarth yaa dhatuon seey aaee. jee.-madhyasth allergy hoti haye, jinamen sabse aam hain mite, graminacy, pariateria, billi yaa kutte key baal, shelfish aur nickle. aine. see. jee. vaale lagbhag 35 pratishat logon mein anya khaadya asahishnuta hoti haye, mukhya roop seey lactose asahishnuta.
aine. see. jee. aiss. key rogjanan koo abhee taka achchi tarah seey samajha naheen gayaa haye. iss kaaran seey, yeh ack vivadaspad syndrome haye aur kuchh lekhak abhee bhee iss parr sawal uthaate hain. iss baat key pramaan hain kii naa kewal gliadine (gluten kaa mukhya cytotoxic antigen), balki attis naamak anya protein joe gluten yukt anaaj (gehuun, raaee, jou aur unake vyutpann) mein maujood hotey hain, kii bhee lakshnon key vikas mein bhoomika hoe sakati haye. aeye. tii. aaee. aiss. janmajaat pratiraksha pranali key shaktishali sakriyak hain. fodmap, vishesh roop seey fructon, lus yukt anaaj mein cumm matra mein maujood hotey hain aur aine. see. jee. vaale vyaktiyon mein kuchh gastroentestinal lakshnon key sambhaavit kaaran key roop mein pehchaane gaye hain. 2019 taka, sameekshaon ney nishkarsh nikala haye kii halanki fodmap aine. see. jee. mein ack bhoomika nibha sakate hain, way kewal kuchh gastroentestinal lakshnon kii vyakhya karate hain, jaise kii soojan, lekin atirikt-paachan lakshan naheen joe aine. see. jee. vaale logon mein vikasit hoe sakate hain, jaise kii tantrika sambandhi vikaar, fibromyelgia, manovaigyaanik gadbadi aur twacha shoth.
celiac roga aur gehuun kii allergy koo baahar karane key baad, aine. see. jee. key nidan aur upchaar key liye agala kadam yeh aaklan karane key liye ack sakht lus-mukt aahar shuru karna haye kii kyaa lakshnon mein sudhaar hotaa haye yaa poori tarah seey hull hoe jaataa haye. yeh jee. aff. dee. shuru karane key kuchh dinon seey laker hafton key bheetar hoe sakata haye, lekin sudhaar ack gair-vishisht, placebo pratikriya key kaaran bhee hoe sakata haye. celiac roga key liye sifaarishen samaan hoe sakati hain, aahar key liye sakht aur banaae rakhaa jaanaa, binaa kissy ullanghan key. aine. see. jee. vaale logon dwara sahan kiye jaane vaale gluten cross sandushan kii degree spasht naheen haye, lekin kuchh pramaan hain kii way cumm matra mein sevan key baad bhee lakshnon key saath upasthit hoe sakate hain. yeh abhee taka gyaat naheen haye kii aine. see. jee. aiss. ack sthaayi sthiti haye yaa kshanik sthiti. 1-2 saal key sakht lus-mukt aahar key baad kissy bhee pratikriya kaa nireekshan karane key liye lus-mukt punah parichay kaa pareekshan kiya jaa sakata haye.
aine. see. jee. vaale logon key ack upsamooh mein vyaavsaayik roop seey upalabdh lus-mukt utpaadon koo khaane seey sudhaar naheen hoe sakata haye, joe aamtaur parr sanrakshak aur yojakon seey bharpur hotey hain, kyonki rasayanik yojak (jaise sulphite, glutamate, nitrate aur benzoate) kii bhoomika aine. see. jee. key karyatmak gastroentestinal lakshnon koo ujagar karane mein hoe sakati haye. inn logon koo parirakshakon aur yojakon kii cumm matra vaale aahar seey laabh hoe sakata haye.
aine. see. jee., joe sambhavatah pratiraksha-madhyasth haye, abb celiac roga kii tulanaa mein adhik aam prateet hotaa haye, samanya aabaadi mein 0.05 aur 13 pratishat key beach prasaar darr key saath.
gehuun kii allergy.
loga gehuun kii allergy key parinamswarup gehuun key pratikool prabhaavon kaa bhee anubhav curr sakate hain. gehuun kii allergy key jathrantra sambandhi lakshan celiac roga aur gair-celiac gluten samvedansheelta key samaan hotey hain, lekin gehuun key sampark mein aaney aur lakshnon kii shuruat key beach ack alag antaral hotaa haye. kuchh logon mein chakatte yaa atee-varnak jaise twachiya pratikriya jaise anya lakshan bhee hoe sakate hain. gehuun kii allergy gehuun yukt bhojan key sevan key baad teji seey shuru hoti haye (minaton seey ghanton taka) aur anaphylaxis hoe sakati haye.
gehuun allergy key prabandhan mein gehuun aur anya lus yukt anaaj vaale kissy bhee bhojan koo poori tarah seey vaapas lena shamil haye. phir bhee, gehuun kii allergy vaale kuchh loga jou, raaee yaa jou koo sahan curr sakate hain.
gluten attaxia.
gluten attaxia ack autoimmune bimari haye joe gluten key antargrahan seey shuru hoti haye. gluten attaxia key saath, kshati mastishk key santulan kendra, cerebellum mein hoti haye joe samanvaya aur jatil andolanon jaise chalane, bolane aur nigalane koo niyantrit kartaa haye, jisamen purkinje koshikaon kaa nuksan hotaa haye. gluten attaxia vaale loga aamtaur parr oopari angon kii chaal asamanyata yaa asangatata aur compcompy prastut karate hain. najar seey uttejit nistagmus aur cerebeller disfunction key anya netra sanket aam hain. myoclonus, pellettle compcompy aur opsoclonus-myoclonus bhee dikhaai dey sakate hain.
gluten-mukt aahar key saath praarambhik nidan aur upchaar attaxia mein sudhaar curr sakata haye aur isaki pragati koo roque sakata haye. upchaar kii prabhavsheelta attaxia kii shuruat seey nidan taka key beet chuke samay parr nirbhar karati haye, kyonki gluten key sampark key parinamswarup pramastishk mein neurons kii mrityu aparivartaniya haye.
agyaat mool key attaxia kaa 40 pratishat aur sabhi attaxia kaa 15 pratishat gluten attaxia seey hotaa haye. gluten attaxia vaale 10 pratishat seey cumm logon mein koee bhee gastroentestinal lakshan hotaa haye, phir bhee lagbhag 40 pratishat koo aanton koo nuksan hotaa haye.
ack lokpriya aahar key roop mein.
21veen sadee kii shuruat seey, lus-mukt aahar sanyukt raajya america aur anya deshon mein sabse lokpriya sanak aahar bunn gayaa haye. duniya bhar key chikitsakon koo una logon kii badhati sankhya dwara chunauti dee gaee haye jinhen celiac roga naheen haye aur naa hii gehuun kii allergy haye, paachan yaa atirikt-paachan lakshnon key saath joe aahar seey gehuun/lus koo hataane mein sudhaar karate hain. inmein seey kaee vyaktiyon ney pahale mulyankan kiye binaa apane dumm parr lus-mukt aahar shuru kiya. iss pravritti mein yogdan dene vaalaa ack anya kaaran kaee pustakon kaa prakaashan thaa joe gluten koo rakshasi banaate hain aur ise type 2 madhumeh, vajan badhane aur motape key kaaran key roop mein ingit karate hain, aur avasaad aur chinta seey laker gathiya aur autism taka kii beemariyon kii ack vyaapak soochi thee. jiss pustak kaa sabse adhik prabhaav padaa haye vaha haye "anaaj mastishkah gehuun, carbs aur cheeni key baare mein aashcharyajanak sachchai-aapke mastishk key mook hatyaron", americi tantrika vigyaani david pearlimter dwara, sitambar 2013 mein prakaashit. ack aur pustak jiska bahut prabhaav padaa haye vaha haye "gehuun kaa petah gehuun cumm karein, vajan cumm karein, aur swaasthya kii or apana raasta khojen", hriday roga visheshagya villium davis dwara, joe gehuun koo "puraane jahar" key roop mein sandarbhit kartaa haye aur 2011 mein prakaashan key ack maheene key bheetar "newyork times" bestseller bunn gayaa. gluten-mukt aahar kii vakaalat kii gaee haye aur usake baad kaee hastiyon dwara vajan cumm karane key liye, jaise kii mylie cyrus, gwyneth paltro, aur courtney cardian, aur kuchh peshevar athletes dwara upayog kiya jaataa haye, joe vishvaas karate hain kii swaasthya aur swaasthya mein sudhaar curr sakate hain. yeh america mein lokpriya hoe gayaa, kyonki cumm carbohydrate vaale aahar kii lokpriyata cumm hoe gaee.
anumaanon seey pataa chalata haye kii 2014 mein, america aur australia mein 30 pratishat loga lus mukt khaadya padarthon kaa sevan curr rahey they, ack badhati sankhya key saath, sarvekshanon seey ganana kii gaee kii 2016 taka lagbhag 10 karod americi lus mukt utpaadon kaa upbhog karenge. duniya bhar key 60 deshon mein 30,000 vayaskon key 2015 key nielson sarvekshan key aankadon seey nishkarsh nikla haye kii 21 pratishat loga lus mukt khaadya padaarth kharidana pasand karate hain, joe yuva peedhiyon mein sabse adhik ruchi haye. america mein, yeh anuman lagaaya gayaa thaa kii aadhe seey adhik loga joe lus mukt label vaale khaadya padaarth khareedate hain, unaki lus key prati spasht pratikriya naheen hoti haye, aur way aisaa karate hain "kyonki unhein lagata haye kii yeh unakaa vajan cumm karane mein madad karega, kyonki way behtar mahsoos karate hain yaa kyonki way galati seey maanate hain kii way lus key prati samvedansheel hain."halanki gluten atyadhik pratirakshaatmak roop seey pratikriyaasheel haye aur manushya ise achchi tarah seey pachaane key liye vikasit naheen hue hain, gluten-mukt aahar samanya aabaadi key liye ack swasth vikalp naheen haye, gluten-sambandhit vikaaron yaa anya sambandhit sthitiyon vaale logon key alawa joe kuchh mamalon mein gluten-mukt aahar key saath sudhaar karate hain, jaise kii chidchide aantr syndrome aur kuchh autoimmune aur tantrika sambandhi vikaar. iss baat kaa samarthan karane key liye koee prakaashit prayogaatmak pramaan naheen haye kii lus-mukt aahar vajan ghataane mein yogdan detaa haye.
gastroenterology" mein prakaashit maee 2015 kii sameeksha mein, fasano aitt all. yeh nishkarsh nikaalate hue kii, halanki gluten-mukt aahar kii lokpriyata mein haal hii mein vriddhi key liye ack spasht "sanak ghatak" haye, gair-celiac gluten samvedansheelta key astitva key badhate aur nirvivaad pramaan bhee hain.
kuchh mamalon mein, lus mukt aahar kii lokpriyata una logon koo nuksan pahuncha sakati haye jinhen chikitsa karanon seey lus koo khatm karna padata haye. udaaharan key liye, restaraan mein server aahar aavashyaktaon koo gambhirta seey naheen leey sakate hain, unhein kewal ack vareeyata maanate hain. yeh gluten cross-sandushan koo rokane key liye bhojan koo sambhaalane mein uchit saavdhaaniyon koo roque sakata haye. chikitsa peshevar rogi kii pasand key saath lus asahishnuta key liye chikitsa spashtikaranon koo bhee bhramit curr sakate hain. doosari or, lus mukt aahar kii lokpriyata ney vaanijyik lus mukt pratisthaapan utpaadon aur lus mukt anaaj kii upalabdhata mein vriddhi kii haye.
gluten-mukt vaanijyik pratisthaapan utpaad, jaise kii gluten-mukt cake, unake gluten-yukt samkakshon kii tulanaa mein adhik mahange hotey hain, isaliye unaki khareed ack vittiya bojh jodati haye. way aamtaur parr calori, vasaa aur cheeni mein adhik hotey hain, aur aahar fiber mein cumm hotey hain. cumm vikasit deshon mein, gehuun protein kaa ack mahatvapurna srot hoe sakata haye, kyonki yeh rotty, noodles, bulgur, cooscoos aur anya utpaadon key roop mein aahar kaa ack mahatvapurna hissa haye.
british rashtriya swaasthya seva mein, lus-mukt khaadya padarthon kii aapoorti parche parr kii gaee haye. kaee rogiyon key liye, iska matlab binaa kissy laagat key thaa. jaba 2018 mein ise badalane kaa prastaav kiya gayaa thaa, tou swaasthya aur samajik dekhbhal vibhaag ney laagat aur laabhon kaa aaklan kiya. laagat kharch mein kamee aur parche key shulk seey aaya key nuksan koo dhyaan mein rakhate hue seva key liye sambhaavit vaarshik vittiya bachat £ 5.3 million anumaanit thee. prastaavit paridrishya vaastav mein yeh thaa kii rogiyon koo abhee bhee lus mukt rotty aur mishran nirdhaarit kiye jaa sakate they, lekin unhein khud koee anya lus mukt utpaad kharidana hoga. bachat kewal prati varsh £700,000 kii raashi hogi. naidaanik commission samoohon dwara sthaaniya pahalon ney pahale hii 2015 aur 2017 key beach lus mukt khaadya padarthon kii laagat koo 39 pratishat taka cumm curr diyaa thaa.
swaasthya seva peshevar swa-nidan key roop mein lus mukt aahar lene key khilaf salah dete hain, kyonki celiac roga key liye pareekshan kewal tabhi vishvasaniya hotey hain jaba vyakti haal hii mein lus kaa sevan curr rhaa hoe. chikitsa samudaay mein ack aam sahamati haye kii logon koo lus mukt aahar parr jaane seey pahale ack chikitsak seey paramarsh karna chaahiye, taaki ack chikitsa peshevar celiac roga yaa kissy anya lus-prerit swaasthya muddon key liye sateek roop seey pareekshan curr sakey.
haalaanki autism vaale logon key liye ack vaikalpik upchaar key roop mein lokpriya roop seey upayog kiya jaataa haye, lekin iss baat kaa koee achchha pramaan naheen haye kii autism key lakshnon koo cumm karane mein lus-mukt aahar laabhprad haye.
shodh.
2013 mein ack double-blind, placebo-niyantrit chunauti (dee. bee. pee. see.) mein bezikiersky aur anya dwara. chidchide aantr syndrome vaale kuchh logon mein, lekhakon ney gluten yaa placebo samoohon key beach koee antar naheen paaya aur gair-celiac gluten samvedansheelta kii avadharana parr ack syndrome key roop mein sawal uthaaya gayaa thaa. phir bhee, iss adhyayan mein design trutiyaan aur pratibhagiyon kaa ack galat chayan thaa, aur shayed gluten aur mattha protein donon key punah parichay kaa sabhi logon mein samaan nosibo prabhaav thaa, aur yeh gluten/gehuun key punah parichay key vaastavik prabhaav koo chhipa sakata thaa.
2015 key double-blind placebo cross-over pareekshan mein, shuddh gehuun key gluten kii chhoti matra ney gastroentestinal lakshnon (jaise kii pett phoolana aur dard) aur atirikt-aanton kii abhivyaktiyon (jaise kii dhundhala munn, avasaad aur afthus stomatitis) koo swa-report kiye gaye gair-celiac gluten samvedansheelta mein trigger kiya. phir bhee, yeh mayawi banaa huaa haye kii kyaa yeye nishkarsh vishesh roop seey gluten yukt anaaj mein maujood gluten yaa anya protein koo shamil karate hain.
2018 key double-blind, crossover shodh adhyayan mein gluten, fructains yaa placebo kii chunautiyon key saath gluten-mukt aahar parr 59 vyaktiyon parr, aanton key lakshan (vishesh roop seey soojan) fructains key saath chunauti key baad seema rekha kaafee adhik thee, gluten protein (pee = 0.049) kii tulanaa mein. halanki teen hastakshepon key beach antar bahut cumm thaa, lekhakon ney nishkarsh nikala kii fructains (gehuun mein paae jaane vaale vishisht prakaar key fodmap) gluten key bajaay gair-celiac gluten samvedansheelta key gastroentestinal lakshnon kaa kaaran honey kii adhik sambhavana haye. iss pichhale adhyayan key liye, visheshagya soojan key roop mein karyatmak gastroentestinal vikaaron seey peedit rogiyon key liye gluten mukt aahar key bajaay cumm fodmap aahar kii salah dete hain. isake alawa, adhyayan mein upayog kiye gaye fructon koo chikori jarh seey nikala gayaa thaa, isaliye yeh dekhaa jaanaa baaki haye kii kyaa gehuun key fructon samaan prabhaav paida karate hain.
gluten mukt khaana.
gluten-mukt aahar ack aisaa aahar haye jisamen gluten, gehuun mein maujood protein (aur sabhi gehuun kii kismein jaise vartani aur kamoot), jou, raaee, jou aur inn anaaj key vyutpann jaise malt aur tritical, aur aise khaadya padaarth shamil hoe sakate hain jinamen way shamil hoe sakate hain, yaa unake saath saajha parivahan yaa prasanskaran suvidhaaen shamil naheen hain. lus-mukt aahar mein jou kaa samavesh vivadaspad banaa huaa haye. gluten seey sambandhit vikaaron vaale logon mein oat vishaaktata oat kii kheti parr nirbhar karati haye kyonki zahareele prolemine kii pratirakshaatmak gatividhiyaan oat kii kismon mein alag-alag hoti hain. isake alawa, jou koo aksar anya lus yukt anaaj key saath cross-dooshit kiya jaataa haye. shuddh jou ("shuddh jou" yaa "lus mukt jou" key roop mein label kiya gayaa) kissy bhee anya lus yukt anaaj key saath asankramit jou koo sandarbhit kartaa haye. shuddh jou kii kuchh kismein lus mukt aahar kaa ack surakshit hissa hoe sakati hain, jisake liye lus mukt aahar key liye khaadya utpaadon mein upayog kii jaane vaali oat kii vividhata key gyaan kii aavashyakta hoti haye. phir bhee, shuddh jou key sevan key deerghakaalik prabhaav abhee bhee spasht naheen hain aur gluten-mukt aahar mein unake samavesh parr antim sifaarishen karane seey pahale upayog kii jaane vaali kismon kii pehchaan karane key liye aage key adhyayanon kii aavashyakta haye.
anya anaaj, halanki apane aap mein lus mukt hain, anaaj kii kataai, parivahan, milling, bhandaran, prasanskaran, handling yaa khaana pakaane key dauran lus yukt anaaj key saath cross-sandushan dwara lus hoe sakata haye.
prasanskrit khaadya padarthon mein aamtaur parr ack yojak key roop mein gluten hotaa haye (payasi, gaadha karane vaale, jailing agent, bharaav aur coating key roop mein), isaliye unhein vishisht labeling kii aavashyakta hogi. gluten key apratyaashit sroton mein, anya key beach, prasanskrit maans, shakahari maans key vikalp, punargathit samudri bhojan, stuffing, makkhan, masala, marinades, dressing, confectionary, candy aur icecream shamil hain.
ghar mein cross-sandushan una logon key liye bhee ack vichaar haye jinhen lus seey sambandhit vikaar hain. cross-sandushan key kaee srot hoe sakate hain, udaaharan key liye jaba parivaar key sadasya ack hii satah (countertops, table, aadi) parr lus mukt aur lus yukt khaadya padaarth taiyar karate hain.) yaa aise bartan saajha karein jinhen gluten yukt khaadya padaarth (cutting board, collender, katlari, aadi) taiyar karane key liye upayog kiye jaane key baad saaf naheen kiya gayaa haye.), rasoi upkaran (toaster, almari, aadi.) yaa kuchh dibbaband khaadya padaarth (makkhan, moongfali kaa makkhan, aadi.).
sakht lus-mukt aahar kaa paalan karane vaalon key liye restaraan cross-sandushan kaa ack aur srot saabit hotey hain. columbia vishvavidyalaya chikitsa kendra dwara kiye gaye ack adhyayan mein paaya gayaa kii restaraan mein gluten-mukt label vaale 32 pratishat khaadya padarthon mein prati million 20 bhaagon seey adhik gluten hotaa haye, jiska arth haye kii isamen paryaapt gluten hotaa haye kii ise codex elementarius dwara abb gluten-mukt naheen maanaa jaataa haye. inn kshetron mein cross-sandushan aksar hotaa haye kyonki savdhani key aavashyak star aur restaraan kii rasoi mein gluten key prasaar key baare mein samanya gyaan kii kamee hoti haye. yadi rasoiye apane atithi key aahar pratibandhon kii gambhirta yaa cross-sandushan koo seemit karane key liye aavashyak mahatvapurna prathaon seey anjaan hain, tou way anajaane mein dooshit bhojan vitarit curr sakate hain. haalaanki, kuchh restaraan apane karmchaariyon key liye lus-mukt aahar key baare mein shikshit karane key liye ack prashikshan karyakram kaa upayog karate hain. prashikshan kii sateekta bhinn hoti haye. inn surakshit restaraan koo khojane key liye ack aip aur website haye jise "mujhe lus mukt khojen" kahaa jaataa haye joe logon koo lus mukt aahar kaa paalan karane kii anumati detaa haye taaki way apane drishtikon seey vibhinn restaraan kii suraksha kaa mulyankan curr sakein aur bhavishya key grahakon kii madad karane key liye apane anubhav kaa varnan curr sakein.
gluten-mukt aahar kaa paalan karane mein gluten-mukt vastuon kaa aasaani seey pataa lagaana mukhya kathinaaiyon mein seey ack haye. iss prakriya mein sahaayata key liye, kaee restaraan aur kiraane kii dukaanen khaadya padarthon koo label karna chunati hain. restaraan aksar apane menu mein lus-mukt khand jodate hain, yaa vishesh roop seey kissy prakaar key prateek key saath lus-mukt vastuon koo chihnit karate hain. kiraane kii dukaanon mein aksar lus mukt galiyara hotaa haye, yaa way lus mukt vastuon key neeche shelf parr label sanlagn karenge. halanki bhojan koo iss tarah seey lus mukt label kiya gayaa haye, iska matlab yeh naheen haye kii bhojan lus-sambandhit vikaaron vaale logon key liye surakshit haye, jaisa kii adhyayanon key sankalan seey pataa chalata haye.
davaayen aur aahar poorak padaarth una uttejak padarthon kaa upayog karke banaae jaate hain jinamen gluten hoe sakata haye.
lus mukt aahar mein praakritik roop seey lus mukt bhojan, jaise maans, machhali, samudri bhojan, andey, doodh aur dayeri utpaad, meve, faliyaan, phal, sabjiyan, aaloo, chhadm anaaj (vishesh roop seey amrenth, anaaj, chawal, jwaar), kewal kuchh anaaj (phoneo, jobbs tear, bajra, teff, jise "minor" anaaj kahaa jaataa haye, jaise kii way "cumm aam hain aur duniya key kuchh chhote kshetron mein hii ugaaye jaate hain"), kuchh anya paadap utpaad (teer, mesquet aataa, saag, tapioca) aur inn lus mukt khaadya padarthon seey baney utpaad shamil hain. adhikansh bhaaratiya vyanjan vikalp, vishesh roop seey dakshin bhaaratiya vyanjan, adhikansh bhaag key liye swabhavik roop seey lus-mukt hain aur vaastav mein adhikansh bhaaratiya shakahari vikalp swabhavik roop seey shakahari hain. 
jokhim.
bhojan kaa asantulit chayan aur lus-mukt pratisthaapan utpaadon kaa galat chayan poshan sambandhi kamiyon kaa kaaran bunn sakata haye. vaanijyik utpaadon mein gehuun yaa anya lus yukt anaaj seey aate koo lus mukt aate seey badalane seey mahatvapurna poshak tatvon kaa sevan cumm hoe sakata haye, jaise kii loha aur bee vitamin aur sharkara aur santript vasaa kaa adhik sevan. kuchh lus mukt vaanijyik pratisthaapan utpaad apane lus yukt samkakshon key roop mein samriddh yaa majboot naheen hotey hain, aur aksar unamen adhik lipid/carbohydrate samagri hoti haye. bachche vishesh roop seey aksar inn utpaadon kaa adhik sevan karate hain, jaise kii snacks aur biscuit. inn poshan sambandhi jatilataon koo sahee aahar shiksha seey rokaa jaa sakata haye. chhadm anaaj (quinoa, amranth aur buckwheet) aur kuchh chhote anaaj inn taiyar utpaadon key swasth vikalp hain aur inca javic aur poshan moolya adhik haye. uchch poshan-samagri vaale lus-mukt bekari utpaadon kii disha mein pragati, udaaharan key liye fiber samagri aur glycemic soochkaank key sandarbh mein sudhaar, aate key vikalp key liye vishesh roop seey makai starch yaa anya starch kaa upayog karke naheen kiya gayaa haye. iss uddeshya mein, udaaharan key liye aahar fiber inulin (joe ack prebiotic key roop mein kaary kartaa haye) yaa quinoa yaa amranth holmeal aate key hisse key vikalp key roop mein rahey hain. isi tarah, zainthan gumm kaa upayog kuchh lus mukt beck kiye gaye saamanon mein prati serving graam matra mein kiya jaa sakata haye aur gastroentestinal tract mein vishisht microbiome dwara kinvit kiya jaa sakata haye. iss tarah key pratisthaapan seey bread kii parat aur banaavat mein bhee sudhaar paaya gayaa haye. yeh anushansa kii jaati haye kii koee bhee vyakti joe lus-mukt aahar parr jaataa haye, vaha ack panjikrit aahar visheshagya key saath jaanch karey taaki yeh sunishchit kiya jaa sakey kii unhein iron, calcium, fiber, thymine, riboflavin, niyasin aur follet jaise pramukh poshak tatvon kii aavashyak matra mill rahee haye. vitaminon mein aksar ack badhyakari agent key roop mein gluten hotaa haye. visheshagyon ney salah dee haye kii kissy bhee utpaad key samagri label koo hamesha padhana mahatvapurna haye jise nigalane kaa irada haye.
gyaat celiac roga vaale 30 pratishat taka logon mein aksar lakshan hotey rahate hain yaa unakaa punarvikas hotaa rahata haye. isake alawa, lakshnon kii kamee yaa nakaratmak rakt antibody star aanton key thheek honey key vishvasaniya sanketak naheen hain. kaee adhyayanon seey pataa chalata haye kii sakht lus-mukt aahar key bavjood chhoti aanton mein apoorna sudhaar hotaa haye, aur aise logon mein seey lagbhag 79 pratishat koo lagaatar vilas atrophy hoti haye. swaasthya laabh kii yeh kamee mukhya roop seey anajaane mein gluten key sampark mein aaney key kaaran hoti haye. garib buniyaadi shiksha aur lus-mukt aahar kii samajh vaale loga aksar maanate hain kii way aahar kaa sakhti seey paalan curr rahey hain, lekin niyamit roop seey galatiyan curr rahey hain. isake alawa, kuchh loga aksar seemit upalabdhata, cumm swaad, uchch keemat aur gluten-mukt utpaadon kii aparyaapt labeling key kaaran jaanboojhkar gluten khaana jaari rakhate hain. aahar key saath kharaab anupaalan bhee nidan (kishore) mein umr, sakht upchaar kii kamee key parinamon kii agyaantaa aur kuchh manovaigyaanik karakon seey prabhaavit hotaa haye. gluten kaa nirantar sevan gambhir roga jatilataon kaa kaaran bunn sakata haye, jaise kii vibhinn prakaar key cancer (aanton aur atirikt-aanton donon) aur austeoporosis.
viniyaman aur label.
lus mukt" shabd kaa upayog aam taur parr poori anupasthiti key bajaay lus key kathit haanirahit star koo ingit karane key liye kiya jaataa haye. jiss star parr lus haanirahit haye, vaha nishchit naheen haye aur vivadaspad haye. 2008 kii ack vyavasthit sameeksha ney asthaayi roop seey nishkarsh nikala kii prati dinn 10 milligram (10 ppm) seey cumm gluten kaa sevan hystological asaamaanyataon kaa kaaran banane kii sambhavana naheen haye, halanki yeh nott kiya gayaa haye kii kuchh vishvasaniya adhyayan kiye gaye they.
gluten-mukt label kaa viniyaman desh key anusaar bhinn hotaa haye. adhikansh desh khaadya labeling key liye codex elementarius antarrashtriya manakon seey apane gluten-mukt labeling niyamon key pramukh praavdhaanon koo gluten-mukt key roop mein utpaadon kii labeling seey sambandhit ack maanak key roop mein praapt karate hain. yeh kewal una khaadya padarthon parr lagu hotaa haye jinamen samanya roop seey gluten hotaa haye. gluten-mukt koo 20 ppm (= 20 milligram/kigra) yaa usase cumm key roop mein paribhaashit kiya gayaa haye. yeh lus-mukt bhojan koo iss prakaar vargeekrit kartaa haih
codex maanak gluten kii upasthiti kaa sanket dene key liye enzyme-linked immunoese (elissa) aar5 meandays vidhi kaa sujhaav detaa haye, lekin anya praasangik tarikon key liye anumati detaa haye, jaise kii dee. aine. aeye.. codex maanak nirdisht kartaa haye kii drishyata sunishchit karane key liye gluten-mukt daavaa utpaad key naam kii tatkaal nikatata mein dikhaai denaa chaahiye.
samagri aur khaadya utpaadon mein lus koo maapane key liye upayog kii jaane vaali vishleshanatmak vidhi parr koee samanya sahamati naheen haye. elissa vidhi koo doubleu-gliadine kaa pataa lagaane key liye design kiya gayaa thaa, lekin yeh iss jhatake seey peedit thaa kii isamen jou prolemine key liye samvedansheelta kii kamee thee. gluten-mukt khaadya utpaadon koo pramaanit karane key liye atyadhik samvedansheel parakh kaa upayog anivarya haye. europeeya sangh, vishva swaasthya sangathan aur codex elementarius koo sabhi gehuun protein key bajaay gehuun key prolemine, gliadine key vishvasaniya maap kii aavashyakta hoti haye.
australia.
australiyai sarkaar ney sifarish kii haih
brazil.
sabhi khaadya utpaadon parr spasht roop seey label lagaaya jaanaa chaahiye kii kyaa unamen lus haye yaa way lus mukt hain. aprail 2016 seey, cross-sandushan kii sambhavana kii ghoshana taba anivarya haye jaba utpaad jaanboojhkar kissy bhee allergiesonya bhojan yaa usake vyutpann koo naheen jodata haye, lekin achchi vinirmaan prathaon aur allergine niyantran upaayon koo aakasmik trace matra kii upasthiti koo rokane key liye paryaapt naheen haye. jaba kissy utpaad mein gehuun, raaee, jou, jou aur unake sankar upabhed key saath cross-sandushan kii chetavani hoti haye, tou chetavani mein "gluten hotaa haye" anivarya haye. kaanoon isaki anupasthiti kii ghoshana key liye ack lus kii seema sthaapit naheen kartaa haye.
kanada.
swaasthya kanada maanata haye kii sandushan key parinamswarup 20 ppm seey adhik naheen gluten key star vaale khaadya padaarth, khaadya aur dawa niyamon key anubhaag b.24.018 key swaasthya aur suraksha iraade koo puuraa karate hain jaba ack gluten-mukt daavaa kiya jaataa haye. jaanboojhkar jodaa gayaa koee bhee gluten, yahaan taka kii cumm star parr bhee packaging parr ghoshit kiya jaanaa chaahiye aur gluten-mukt daave koo galat aur bhraamak maanaa jaayega. kanada mein beche jaane vaale sabhi khaadya utpaadon key label koo spasht roop seey gluten kii upasthiti kii pehchaan karni chaahiye yadi yeh 10 ppm seey adhik star parr maujood haye.
europeeya sangh.
europeeya aayog inn shreniyon koo iss prakaar varnit kartaa haih
ack ghatak key roop mein gluten vaale sabhi khaadya padarthon koo tadnusar label kiya jaanaa chaahiye kyonki gluten koo 14 maanyata praapt eu allergy mein seey ack key roop mein paribhaashit kiya gayaa haye.
sanyukt raajya america.
2012 taka koee bhee vyakti binaa kissy prabhaav key lus-mukt daave kaa upayog curr sakata thaa. 2008 mein, wellshire farmon mein lus mukt label vaale chikan nuggets khareede gaye aur namoonon koo ack khaadya allergy prayogshala mein bheja gayaa jahaan unamen lus paaya gayaa. shikago tribune" mein isaki soochana milane key baad, utpaadon kii bikri jaari rahee. nirmaata ney taba seey apane chikan nuggets mein upayog kiye jaane vaale batter koo badal diyaa haye. yuu.aiss. 2004 key khaadya allergy labeling aur upabhokta sanrakshan adhiniyam (falca) mein pahali baar gluten-mukt labeling koo sambodhit kiya gayaa. sharaab aur tambaku curr aur vyaapaar beuro ney antarim niyamon koo prakaashit kiya aur 2006 mein maadak utpaadon key liye anivarya labeling kaa prastaav rakhaa. fda ney 5 agast, 2013 koo apana antim niyam jaari kiya.
jaba koee khaadya utpaadak swechha seey kissy utpaad key liye lus-mukt daave kaa upayog karane kaa vikalp chunata haye, tou usaki labeling mein daave vaale bhojan mein nimn shamil naheen hoe sakate hainh
koee bhee khaadya utpaad jisamen swabhavik roop seey gluten naheen hotaa haye, vaha gluten-mukt label kaa upayog curr sakata haye jahaan bhojan mein gluten kii koee bhee apariharya upasthiti 20 ppm gluten seey cumm haye.