
gluten rahita aaharam

gluten rahita aaharam (zii. eff. dii) anedi godhumala (mariyu daani jaatulu mariyu sankara jaatulu, spelling, kamoot mariyu tritical vanti), alaage barley, raie mariyu votes loe kanipinche proteinla misramam ayina glutennu khachitamgaa minahaayinche poeshaka pranaalika. gluten rahita aahaaramlo votsnu cherchadam vivadaspadamga undhi, mariyu vote saagu mariyu itara gluten kaligina trunadhaanyaalato tarachugaa cross kalushyam meeda aadharapadi undavacchu.
gluten udarakuhara vyaadhi (sidi), naan-udarakuhara gluten sensitivity (ncgs), gluten ataxia, dermatitis herpetiformis (dehetch) mariyu godhuma alerjeetho sahaa gluten-sambandhita rugmatalu unnavaariki jeernasayaantara mariyu daihika lakshanaalu rendintinee kaliginchavacchu. eee vyaktulalo, gluten rahita aaharam samarthavanthamaina chikitsagaa pradarsinchabadutundi, ayithe kathinamaina gluten rahita aaharam unnappatikee, udarakuhara vyaadhi unna vaarilo 79 saatam mandhi chinna pregu yokka asampoorna punaruddharananu kaligi unnaarani aneka adhyayanalu chuupistunnaayi. idhi pradhanamgaa anukokunda gluten teesukovadam valla sambhavistundi. gluten rahita aaharam gurinchi takkuva avagahana unna vyaktulu tarachugaa taamu aaharaanni khachitamgaa anusaristunnamani, conny kramam tappakunda tappulu chestunnarani nammutaaru.
adanamgaa, gluten rahita aaharam, kaneesam konni sandarbhaallo, irritable pregu syndrome, rheumatoid arthuritis ledhaa hechaivi enteropathy vanti vyaadhulalo jeernasayaantara ledhaa daihika lakshanaalanu meruguparustundi. autism unnavaariki gluten rahita aaharaalu pratyaamnaaya vaidya chikitsa anie cheppadaniki manchi aadharalu laevu.
gluten proteins takkuva poeshaka mariyu jeeva viluvalanu kaligi untaayi mariyu gluten kaligi unna dhanyalu maanava aahaaramlo avasaram ledhu. ayithe, aaharaanni asamatulyamgaa enchukovadam mariyu gluten rahita pratyaamnaaya utpattulanu tappugaa enchukovadam poeshaka lopalaku daariteeyavachchu. godhuma ledhaa itara gluten kaligina trinadhaanyaala nundi pindini vaanijya utpattulalo gluten rahita pindi pinditho bharti cheyadam valla inumu mariyu bii vitaminlu vanti mukhyamaina poeshakaalu takkuvagaa teesukoovadaaniki daariteeyavachchu. konni gluten rahita vaanijya pratyaamnaaya utpattulu vaati gluten kaligina pratyardhula vale susampannamgaa ledhaa balavardhakamgaa undavu mariyu tarachugaa ekkuva lipid/carbohydrate kantentnu kaligi untaayi. pillalu mukhyamgaa tarachugaa snacks mariyu bisketlu vanti eee utpattulanu ekkuvagaa teesukuntaaru. saraina aahara vidya dwara poeshakaahaara samasyalanu nivaarinchavacchu.
maamsam, chepalu, gudlu, paalu mariyu paala utpattulu, chikkullu, kayalu, pandlu, kuuragaayalu, bangaalaadumpalu, biyyam mariyu mokkajonna vanti gluten rahita aaharaalapai gluten rahita aaharam aadharapadi undavacchu. gluten rahita proses chesina aaharalanu upayoginchavacchu. nakilee trunadhaanyaalu (kwinova, amaranth mariyu bookweet) mariyu konni chinna trunadhaanyaalu pratyaamnaaya empikalu.
aaharaanni avalambinchadam venuka unna kaaranam.
udarakuhara vyaadhi.
udarakuhara vyaadhi (american inglish seliyak) (sidi) anedi deerghakaalika, roganirodhaka-madhyavartitva mariyu pradhanamgaa pregu prakriya, idhi anni vayasula janyuparamgaa rogagrastamaina vyaktulalo kanipistundi. godhumalu, barley, raie mariyu utpannaalalo unde gluten teesukovadam valla idhi sambhavistundi. udarakuhara vyaadhi anedi jeernasayaantara vyaadhi matrame kaadu, endukante idhi aneka avayavalanu prabhaavitam chestundi mariyu vistrutamaina rakaala jeernasayaantara lakshanaalanu kaligistundi, mariyu mukhyamgaa, idhi tarachugaa puurtigaa lakshanarahitamgaa undavacchu. roganirdhaaranaku adanapu ibbandulu emitante, serological markerlu (anty-tissue transglutaminase [tiji2]) ellappuduu undavu, mariyu udarakuhara vyaadhi unna chaalaa mandiki pegu villi ksheenata lekunda chinna shleshmam gayalu undavacchu.
udarakuhara vyaadhi prapanchavyaaptamgaa saadhaarana janabhalo sumaru 1-2% nuu prabhaavitam chestundi mariyu perugutondi, conny chaalaa kesulu gurtinchabadaledu, gurtinchabadaledu mariyu chikitsa cheyabadaledu, rogulaku deerghakaalika samasyala pramaadaanni kaligistaayi. prajalu teevramaina vyaadhi lakshanaalanu abhivruddhi cheyavachu mariyu saraina rooga nirdhaarana saadhinchadaaniki mundu chaalaa samvatsaraalu vistrutamaina parisoedhanalaku lobadi undavacchu. chikitsa cheyani udarakuhara vyaadhi anedi durviniyogam, jeevana naanhyata taggadam, inumu lopam, bolu emukala vyaadhi, prasuuti samasyalu (prasava, garbhasaya perugudala parimiti, akaala jananam, takkuva janana baruvu mariyu garbhadhaarana vayassuku chinnadi), pegu lymphoma mariyu ekkuva maranaalaku kaaranamavutundi. udarakuhara vyaadhi madhumeham mellitus rakam 1, thyroidities, gluten ataxia, psoriasis, bolli, swayam pratirakshaka hepatitis, dermatitis herpetiformis, praadhamika sclerosing colangitis mariyu marinni vanti konni swayam pratirakshaka vyaadhulatoe mudipadi untundi.
deerghakaalika atisaaram mariyu pottikadupu dhooram, durviniyogam, aakali lekapovadam mariyu balaheenamaina perugudala vanti jeernasayaantara vyakteekaranalu kaligi unna "classic lakshanaalu" kaligina udarakuhara vyaadhi, prastutam vyaadhi yokka athi takkuva saadhaarana pradarsana roopam mariyu pradhanamgaa rendu samvatsaraala kante takkuva vayassu unna chinna pillalanu prabhaavitam chestundi.
classic kaani lakshanaalu" thoo kuudina udarakuhara vyaadhi atyanta saadhaarana clinical rakam mariyu pedda pillalu (rendu samvatsaraala kante ekkuva vayassu unnavaaru), koumaaradasalo unnavaaru mariyu peddalalo sambhavistundi. idhi telikapati ledhaa jeernasayaantara lakshanaalu mariyu sariiramlooni yea avayavamloonainaa palgone vistrutamaina pregu-kaani vyakteekaranalato vargeekarinchabadutundi, mariyu chaalaa tarachugaa pillalu (kaneesam 43 saatam kesulalo) mariyu peddalalo puurtigaa lakshanarahitamgaa undavacchu.
udarakuhara vyaadhi unnavaariki jeevitakaala gluten rahita aaharaanni anusarinchadam matrame vaidyaparamgaa aamodinchabadina chikitsa.
naan-seliyak gluten sensitivity.
udarakuhara vyaadhi mariyu godhuma alerjeeni minahaayinchina taruvaata, udarakuhara gluten rahita aahaaraaniki marinappudu merugupade bahula lakshanaala paristhitigaa udarakuhara kaani gluten sensitivity (enn. sii. zii. ess) varninchabadindi. ncgs unna vyaktulu jeernasayaantara lakshanaalanu abhivruddhi cheyavachu, ivi irritable pregu syndrome (ibs) ledhaa vividha rakaala nangastro intestinal lakshanaalanu pooli untaayi.
jeernasayaantara lakshanaalu eee krindi vaatilo evaina undavachuhu kadupu noppi, ubbaram, pregu alavaatla asaadhaaranatalu (virechanaalu ledhaa malabaddhakam), vikaram, aerophagia, gastroesophagial refluxes vyaadhi mariyu afthus stomatitis. jeernasayaantara lakshanaalu lenappudu ncgs yokka ekaika abhivyaktigaa cheppabade aneka rakaala adanapu pregu lakshanaalu suuchimchabaddaayi, conny vivadaspadamga unnaayi. veetilo talanoppi, migraine, "medadu pogamanchu", alasata, fibromyalgia, keelu mariyu kandaraala noppi, kaalu ledhaa cheyi timmiri, chivarala jaladarimpu, charmasotha (taamara ledhaa charma daddurlu), ubbasam, nasikasotha, itara alerjeelu, niraasa, aandolana, iron lopam raktaheenata, folate lopam ledhaa swayam pratirakshaka vyaadhulu vanti autopic rugmatalu unnaayi. schizophrenia, aahara rugmatalu, autism, paridheeya naralavyadhi, ataxia mariyu attension deficit hyperactivity desorder (adhd) vanti konni naraala manasika rugmatalalo kooda ncgs vivadaspadamga chikkukundi. enn. sii. zii. latho badhapaduthunna vaarilo 20 saataaniki paiga prajalu okati ledhaa anthakante ekkuva inhalents, aaharaalu ledhaa lohalaku aiji-madhyavartitva alerjeeni kaligi untaaru, veetilo atyanta saadhaaranamainavi purugulu, graminaceae, parietaria, pilli ledhaa kukka juttu, shelfish mariyu nickel. sumaruga, enn. sii. zii. latho badhapaduthunna vaarilo 35 saatam mandhi itara aahara asahanam kaligi untaaru, pradhanamgaa lactose asahanam.
enn. sii. zii. ess yokka vyadhikarakamu inca baga ardham kaaledu. eee kaaranamgaa, idhi oka vivaadaaspada syndrome mariyu kontamandi rachayitalu ippatikee dheenini prasnistunnaaru. glyadine (gluten yokka pradhana cytotoxic antigen) matrame kakunda, gluten kaligina trunadhaanyaalu (godhumalu, raie, barley mariyu vaati utpannaalu) loe unde attis anae itara proteins kooda lakshanaala abhivruddhilo paatra poeshistaayani aadharalu unnaayi. eah. tii. ii. luu sahaja roganirodhaka vyavasthaku saktivantamaina kriyaaseelakaalu. fadmaplu, mukhyamgaa fructonlu, gluten kaligina dhanyalalo takkuva mottamlo untaayi mariyu enn. sii. zii. latho unna vyaktulalo konni jeernasayaantara lakshanaalaku kaaranam kaavacchu. 2019 natiki, sameekshalu enn. sii. zii. laloe fadmaplu paatra pooshinchinappatikii, avi ubbaram vanti konni jeernasayaantara lakshanaalanu matrame vivaristaayani, conny enn. sii. zii. latho unna vyaktulu abhivruddhi cheyagala adanapu jeerna lakshanaalanu vivarinchavani nirdharinchaayi, naraala rugmatalu, fibromyalgia, manasika aatamkaalu mariyu charmasotha vantivi.
udarakuhara vyaadhi mariyu godhuma alerjeeni minahaayinchina taruvaata, ensigy la nirdhaarana mariyu chikitsa kosam tadupari dasha emitante, lakshanaalu merugupaddaya ledhaa puurtigaa parishkarinchabadindaa anie anchanaa vaeyadaaniki kathinamaina gluten rahita aaharaanni praarambhinchadam. idhi zii. eff. dii. nii praarambhinchina rojula nundi vaaraala vyavadhilo sambhavinchavachhu, conny merugudala anedi nirdishtam kaani, placebo pratispandana kaaranamgaa kooda undavacchu. sifaarsulu udarakuhara vyaadhiki sambandhinchina vaatini pooli undavacchu, aaharam kathinamgaa mariyu nirvahinchabadaali, etuvanti ullanghana lekunda. encglu unna vyaktulu thattukogala gluten cross kalushyam yokka sthaayi spashtamgaa ledhu, conny avi takkuva mottamlo teesukunna tarvaata kooda lakshanaalatoo kanipistaayani konni aadharalu unnaayi. enn. sii. zii. ess anedi saasvatamainadaa ledhaa taatkaalikamainadaa anedi inca teliyadu. 1 nundi 2 samvatsaraala kathinamaina gluten rahita aaharam tarvaata edainaa praticharyanu gamaninchadaaniki gluten reintroduction yokka trial nirvahinchavacchu.
saadhaaranamgaa samrakshanakaarulu mariyu sankalanaalatoe samruddhiga unde vaanijyaparamgaa labhinche gluten rahita utpattulanu tinadam dwara ensigy unna vyaktula upa samuuham merugupadakapovacchu, endukante rasayana sankalanaalu (sulfitelu, glutamatelu, naitretlu mariyu benjoyetlu vantivi) ensigy yokka kriyaatmaka jeernasayaantara lakshanaalanu prerepinchadamlo paatranu kaligi undavacchu. eee vyaktulu takkuva samrakshanakaarulu mariyu sankalanaalu kaligina aaharam nundi prayojanam pondavacchu.
roganirodhaka-madhyavartitvam kaligina enn. sii. zii. luu, ippudu udarakuhara vyaadhi kante sarvasadhaaranamgaa kanipistaayi, saadhaarana janabhalo praabalyam raetlu 0.5 mariyu 13 saatam madhya untaayi.
godhuma allergy.
godhuma allergy phalitamgaa prajalu godhuma yokka pratikuula prabhavalanu kooda anubhavinchavacchu. godhuma allergy yokka jeernasayaantara lakshanaalu udarakuhara vyaadhi mariyu udarakuhara kaani gluten sunnitatvaanni pooli untaayi, ayithe godhumalaku gurikavadam mariyu lakshanaalu praarambhinchadam madhya bhinnamaina viramam untundi. daddurlu ledhaa hyperpigmentation vanti charma praticharyalu vanti itara lakshanaalu kooda kontamandilo sambhavinchavachhu. godhumalanu kaligi unna aaharaanni teesukunna tarvaata godhuma allergy vaegamgaa praarambhamavutundi (nimishala nundi gantala varaku) mariyu anaphyloxis kaavacchu.
godhuma allergy nirvahanalo godhumalu mariyu itara gluten kaligina trunadhaanyaalu unna edainaa aaharaanni puurtigaa upasamharinchukovadam untundi. ayinappatikee, godhuma allergy unna kondaru vyaktulu barley, raie ledhaa votsnu thattukogalaru.
gluten ataxia.
gluten ataxia anedi gluten teesukovadam dwara prerepinchabadina swayam pratirakshaka vyaadhi. gluten ataxiatho, purkinje kanaala nashtamtho paatu, nadavadam, matladatam mariyu mingadam vanti samanvayam mariyu sanklishta kadalikalanu niyantrinche medadu yokka samatulya kendram ayina cerebellumlo nashtam jarugutundi. gluten ataxia unna vyaktulu saadhaaranamgaa nadaka asaadhaaranata ledhaa asambaddhata mariyu eguva avayavaala prakampanalanu pradarsistaaru. kanti chuupu-prerepinchina nistagmus mariyu cerebellar panicheyakapovadam yokka itara kanti sankethaalu saadhaaranam. myoclonus, palatal prakampanalu mariyu opsoclonus-myoclonus kooda kanipinchavacchu.
gluten rahita aahaaramto mundastu roganirdhaarana mariyu chikitsa ataxianu meruguparustundi mariyu daani purogatini nirodhistundi. chikitsa yokka prabhavam ataxia prarambham nundi rooga nirdhaarana varaku gadichina samayampai aadharapadi untundi, endukante gluten exposure phalitamgaa cerebellumlo neuronla maranam tirigi pondalenidi.
gluten ataxia anedi teliyani muulam yokka ataxiallo 40 saatam mariyu anni ataxiallo 15 saatam. gluten ataxia unnavaarilo 10 saatam kante takkuva mandhi jeernasayaantara lakshanaalanu kaligi untaaru, ayinappatikee 40 saatam mandiki pregulu debbatintaayi.
oka prajaadarana pondina aaharam.
21va sataabdam prarambham nundi, gluten rahita aaharam united states mariyu itara deshaalalo atyanta prajaadarana pondina vyaamoham aaharamgaa maarindi. prapanchavyaaptamgaa vaidyulu udarakuhara vyaadhi ledhaa godhuma allergy laeni, jeerna ledhaa adanapu jeerna lakshanaalatoo kuudina adhika sankhyalo vyaktulachae savaalu cheyabaddaaru, ivi aaharam nundi godhuma/glutennu tolaginchadaanni meruguparichayi. eee vyaktulalo chaalaa mandhi gatamlo anchanaa veyabadani vaari swantha gluten rahita aaharaanni praarambhinchaaru. eee dhoraniki dohadapadina maroka kaaranam emitante, glutennu dushtatvamgaa choopinche aneka pustakaala prachurana mariyu type 2 diabetes, baruvu peragadam mariyu oobakaayam, mariyu niraasa mariyu aandolana nundi arthuritis mariyu autism varaku vyaadhula vistruta jabita. atyanta prabhavanni chuupina pustakam "dhanyam medaduh godhuma, pindi padaarthaalu mariyu chakkera gurinchi aascharyakaramaina nijam-mea medadu yokka nissabda killarlu", american neurologist david perlmatter, september 2013loe prachurinchaaru. goppa prabhavanni chuupina maroka pustakam "godhuma boddu godhumalanu tagginchandi, baruvu taggandi, aarogyaaniki mea marganni kanugonandi", cardiologist vilium davis, godhumanu "deerghakaalika visham" gaa suuchimchi, 2011loe prachurinchabadina oka nelaloonae "newyork times" best sellarga maarindi. gluten rahita aaharam mylie siras, gwyneth paltro mariyu courtney cardatian vanti aneka mandhi pramukhulachae sifaarsu cheyabadindi mariyu baruvu taggadaaniki anusarinchabadindi, mariyu kontamandi professional athletlu dheenini upayoginchaaru, vaaru aaharaanni mariyu aarogyaanni meruguparachagalarani nammutaaru. takkuva carbohydrate aaharaala prajaadarana ksheeninchadamto idhi samyukta rashtraalalo prachuryam pondindi.
2014loe, america mariyu australialo 30 saatam mandhi prajalu gluten rahita aaharaanni viniyogistunnarani anchanaalu suuchistunnaayi, 2016 natiki sumaru 100 millionla mandhi americanlu gluten rahita utpattulanu viniyogistaarani sarvela nundi lekkinchina sankhya perugutondi. prapanchamlooni 60 deshaalalo 30,000 mandhi peddalapai 2015loe nirvahinchina nielsen survey dayta prakaram 21 saatam mandhi prajalu gluten rahita aaharaanni konugolu cheyadaaniki ishtapadataaru, idhi yuva taraalalo atyadhika aasakti. samyukta rashtraallo, gluten rahita aaharalanu konugolu chese vaarilo sagaaniki paiga glutenku spashtamaina pratispandana ledani anchanaa veyabadindi, mariyu vaaru alaa chestaaru "endukante idhi baruvu taggadaaniki sahaayapadutundani vaaru bhaavistaaru, endukante vaaru manchi anubhooti chendutaaru ledhaa vaaru porapaatuna gluten patla sunnitamgaa unnaarani nammutaaru."gluten roganirodhaka vyavasthalo atyanta pratispandinchedi ayinappatikee, maanavulu daanini baga jeernam cheyadaaniki abhivruddhi chendaledani kanipinchinappatikii, gluten-sambandhita rugmatalu ledhaa itara anubandha paristhitulu unna vyaktulu kakunda, gluten-rahita aaharam saadhaarana janaabhaaku aarogyakaramaina empika kaadu, ivi meruguparustaayi, konni sandarbhaallo gluten-rahita aaharam, chikaku kaliginche pregu syndrome mariyu konni swayam pratirakshaka mariyu naraala rugmatalu vantivi. gluten rahita aaharam baruvu taggadaaniki dohadam chestundani niroopinchadaaniki prachurinchina prayogaatmaka aadharalu laevu.
gastroenterology" loe prachurinchabadina mae 2015 sameekshalo, fasano mariyu itarulu. gluten rahita aaharam yokka prajaadarana iteevala peragadaaniki spashtamaina "vyaamoham bhaagam" unnappatikee, udarakuhara kaani gluten sunnitatvam unikilo undani perugutunna mariyu nissandehamaina aadharalu kooda unnayani nirdhaarinchandi.
konni sandarbhaallo, gluten rahita aaharam yokka prajaadarana vaidya kaaranaala valla glutennu tolaginchaalsina vyaktulaku haani kaliginchavacchu. udaaharanaku, restaurantlaloni sarvarlu aahara avasaralanu kevalam oka pradhaanyatagaa bhaavinchi vaatini teevramgaa pariganinchakapovachhu. idhi gluten cross kalushyanni nivaarinchadaaniki aahara nirvahanalo tagina jaagrattalanu nivaarinchagaladu. vaidya nipunulu gluten asahananiki vaidya vivaranalanu roogi praadhaanyatatoo gandaragolaniki guricheyavacchu. marovaipu, gluten rahita aaharam yokka prajaadarana vaanijya gluten rahita pratyaamnaaya utpattulu mariyu gluten rahita dhaanyaala labhyatanu penchindi.
gluten rahita keklu vanti gluten rahita vaanijya pratyaamnaaya utpattulu, vaati gluten kaligina pratiruupaala kante khareedainavi, kabatti vaati konugolu aardhika bharanni penchutundi. veetilo saadhaaranamgaa kelareelu, kovvu mariyu chakkera ekkuvagaa untaayi mariyu dietary fiber takkuvagaa untundi. takkuva abhivruddhi chendina deshaalalo, godhumalu protein yokka mukhyamaina vanarugaa suuchimchabadataayi, endukante idhi rotte, noodles, balgur, cooscus mariyu itara utpattula roopamlo aahaaramlo gananeeyamaina bhaagam.
british national health sarveeslo, prescriptionpy gluten rahita aaharaalu sarafara cheyabaddaayi. chaalaa mandhi rogulaku, idhi etuvanti kharchu lekunda untundi. 2018loe dheenini maarchaalani pratipaadinchinappudu, aarogya mariyu saamaajika samrakshana vibhagam kharchulu mariyu prayojanaalanu anchanaa vesindi. kharchulo taggudala mariyu prescription chaarjeela nundi vachhe aadaaya nashtanni parigananaloki teesukuni, sevaku sambhaavya vaarshika aardhika podupu £ 5.3 miliyanlugaa anchanaa veyabadindi. pratipaadita drushtaantam emitante, rogulaku ippatikee gluten rahita rottelu mariyu mishramaalanu suuchimchavachchu, conny edainaa itara gluten rahita utpattulanu swayamgaa konugolu cheyalsi untundi. podupu samvatsaraaniki £700,000 matrame untundi. clinical commission groupula sthaanika karyakramalu ippatike 2015 mariyu 2017 madhya gluten rahita aaharaala dharanu 39 saatam tagginchaayi.
aarogya samrakshana nipunulu sweeya-roganirdhaarana roopamgaa gluten rahita aaharaanni teesukokudadani sifaarsu chestaaru, endukante aaa vyakti iteevala gluten sevistunnatlayite matrame udarakuhara vyaadhiki pareekshalu nammadaginavi. gluten rahita aahaaraaniki velle mundu prajalu vaidyudini sampradinchaalani vaidya samaajamlo ekaabhipraayam undhi, tadwara vaidya nipunulu udarakuhara vyaadhi ledhaa edainaa itara gluten-prerita aarogya samasyalanu khachitamgaa pareekshinchagalaru.
autism unnavaariki pratyaamnaaya chikitsagaa prachuryam pondinappatikee, autism lakshanaalanu tagginchadamlo gluten rahita aaharam prayojanakaramgaa undataaniki manchi aadharalu laevu.
parisoedhana.
2013loe baisikiersky mariyu itarulu chesina double blind, placebo-controlled chhalenj (dbpc) loe. irritable bowell syndrome unna kontamandilo, rachayitalu gluten ledhaa placebo samuuhaala madhya etuvanti vyatyaasaanni kanugonaledu mariyu syndromga naan-seliac gluten sensitivity bhavana prashninchabadindi. edemaina, eee adhyayanamlo roopakalpana lopaalu mariyu palgonevari tappu empika unnaayi, mariyu bahusha gluten mariyu palavirugudu protein rendinti punahprarambham prajalandarilo oke vidhamaina nosebo prabhavanni kaligi undavacchu, mariyu idhi gluten/godhuma punahprarambham yokka nijamaina prabhavanni kappipuchukoni undavacchu.
2015 double blind placebo cross-ovar trial loe, chinna mottamlo suddhi chesina godhuma gluten jeernasayaantara lakshanaalanu (kadupu ubbaram mariyu noppi vantivi) mariyu adanapu pregu vyakteekaranalanu (pogamanchu manassu, niraasa mariyu afthus stomatitis vantivi) sweeya-nivedinchabadina naan-seliac gluten sensitivitylo prerepinchindi. ayinappatikee, eee phalitaalu pratyaekamgaa gluten kaligina trunadhaanyaalalo unde gluten ledhaa itara proteinlanu suchistaya anedi aspashtamgaa undhi.
gluten, fructance ledhaa placebo savaallatoe gluten rahita aahaaramlo unna 59 mandhi vyaktulapai 2018 double blind, crossover parisoedhana adhyayanamlo, gluten proteinlatho (p = 0.049) poliste, fructanlatho savaalu chesina tarvaata pregu lakshanaalu (pratyaekamgaa ubbaram) sarihaddu rekha gananeeyamgaa ekkuvagaa unnaayi. moodu jokyala madhya thedaalu chaalaa takkuvagaa unnappatikee, fructonlu (godhumala kanipinche nirdishta rakam fodmap) gluten kante seliyak kaani gluten sensitivity yokka jeernasayaantara lakshanaalaku kaaranam kaavacchani rachayitalu nirdhaarinchaaru. eee munupati adhyayanam kosam, ubbaram vanti kriyaatmaka jeernasayaantara rugmatalato badhapaduthunna rogulaku gluten rahita aahaaraaniki badulugaa takkuva fodmap aaharaanni nipunulu sifaarsu chestaaru. adanamgaa, adhyayanamlo upayoginchina fructonlu chikori ruut nundi sekarinchabaddaayi, kabatti godhuma fructonlu adhe prabhavanni utpatti chestaya anedi chuudaali.
gluten rahitamgaa tinadam.
gluten rahita aaharam anedi gluten, godhumala unde proteins (mariyu spelling mariyu kamoot vanti anni godhuma rakalu), barley, raie, vote mariyu eee dhaanyaala nundi utpannamaina malt mariyu tritical vanti vaatini, ledhaa vaatitho ravana ledhaa prosessing soukaryaalanu panchukune aaharalanu khachitamgaa minahaayinche aaharam. gluten rahita aahaaramlo votsnu cherchadam vivadaspadamga undhi. gluten-sambandhita rugmatalu unnavaarilo vote vishapuuritam anedi vote saagu meeda aadharapadi untundi, endukante vishapuurita prolaaminla yokka roganirodhaka shakti vote rakaalalo bhinnamgaa untundi. antekakunda, votes tarachugaa itara gluten kaligina trunadhaanyaalato kalushitam avtayi. swachchamaina vote ("swachchamaina vote" ledhaa "gluten rahita vote" anie paeru pettabadindi) anedi itara gluten kaligina trunadhaanyaalato kalushitam kaani votsnu suuchistumdi. swachchamaina vote yokka konni saagu dhanyalu gluten rahita aahaaramlo surakshitamaina bhaagamgaa undavacchu, dheeniki gluten rahita aaharam kosam aahara utpattulalo upayoginche vote rakaniki sambandhinchina ghnaanam avasaram. ayinappatikee, swachchamaina votes viniyogam yokka deerghakaalika prabhavalu ippatikee aspashtamgaa unnaayi mariyu gluten rahita aahaaramlo vaatini cherchadampai tudi sifaarsulu chese mundu upayoginchina saagudaarulanu gurtinche tadupari adhyayanalu avasaram.
itara dhanyalu, gluten rahitamainappatiki, dhanyam kotha, ravana, milling, nilva, prosessing, handling ledhaa vanta samayamlo gluten kaligina trunadhaanyaalato cross kalushyam dwara glutennu kaligi undavacchu.
proses chesina aaharaalu saadhaaranamgaa glutennu sankalitamgaa kaligi untaayi (emulsifierlu, mandaginchevi, jelling agentlu, fillarlu mariyu puutalu), kabatti vatiki nirdishta labeling avasaram. gluten yokka oohinchani muulaalu, itara vaatitho paatu, proses chesina maamsam, saakhaahaara maamsam pratyaamnaayaalu, punarnirminchina samudrapu aaharam, stuffings, venna, masala dinusulu, merinadelu, dressinglu, mitaayilu, mitaayilu mariyu ice cream.
gluten sambandhita rugmatalu unnavaariki intlo cross kalushyam kooda parigananaloki teesukobadutundi. cross kaalushyaaniki aneka vanarulu undavacchu, udaaharanaku kutumba sabhyulu oke uparitalaalapai (countertops, tables modalainavi) gluten rahita mariyu gluten kaligina aaharalanu tayaaru chesinappudu.) ledhaa gluten kaligina aaharaalu (cutting bordulu, collanderlu, cutlery modalainavi) tayaaru cheyadaaniki upayoginchina tarvaata subhram cheyani paatralanu panchukondi.), vantagadi parikaraalu (toaster, almaralu modalainavi).) ledhaa konni packagy chesina aaharaalu (venna, verusenaga venna modalainavi).).
kathinamaina gluten rahita aaharaanni anusarinche vaariki restaurantlu cross kaalushyaaniki maroka muulamgaa niroopinchabaddaayi. columbia vishwavidyaalaya vaidya kendram nirvahinchina oka adhyayanamlo restaurantlalo gluten rahitamgaa label cheyabadina 32 saatam aaharalalo millionku 20 bhagala kante ekkuva gluten undani kanugonnaru, antey idhi taginanta glutennu kaligi undani, codex alimentarius dwara idhi ikapai gluten rahitamgaa pariganinchabadadani ardham. avasaramaina sthaayi jaagratta gurinchi saadhaarana ghnaanam lekapovadam mariyu restaurant vantagadullo gluten praabalyam kaaranamgaa eee praantaalalo cross kalushyam tarachugaa sambhavistundi. vantavaallaku vaari athidhi aahara parimitula teevrata gurinchi ledhaa cross kalushyanni parimitam cheyadaaniki avasaramaina mukhyamaina paddhatula gurinchi teliyakapothe, vaaru teliyakundaane kalushitamaina aaharaanni pampinhee cheyavachu. ayithe, konni restaurantlu tama udyogulaku gluten rahita aaharam gurinchi avagahana kalpinchadaaniki sikshanaa karyakramanni upayogistaayi. sikshana yokka khachitatvam maarutuu untundi. eee surakshitamaina restaurantlanu kanugonadaaniki oka vanaru "find mea gluten free" anae yap mariyu website, idhi gluten rahita aaharaanni anusarinche vyaktulanu vaari konam nundi vividha restaurantla bhadratanu anchanaa vaeyadaaniki mariyu bhavishyat viniyogadaarulaku sahaayapadataaniki vaari anubhavanni vivarinchadaaniki anumatistundi.
gluten rahita aaharaanni anusarinchadamlo gluten rahita vastuvulanu sulabhamgaa gurtinchadam pradhana ibbandulalo okati. eee prakriyaloo sahaayapadataaniki, aneka restaurantlu mariyu kirana dukaanaalu aahara padaarthaalaku label vaeyadaaniki enchukuntaayi. restaurantlu tarachugaa tama menuki gluten rahita vibhaganni jodistaayi ledhaa pratyaekamgaa gluten rahita vastuvulanu oka rakamaina chihnamtho gurtistaayi. kirana dukaanaalu tarachugaa gluten rahita nadavanu kaligi untaayi ledhaa avi gluten rahita vastuvula kinda shelflo lebullanu jatachestaayi. eee vidhamgaa aaharaanni gluten rahitamgaa label chesinappatiki, adhyayanala sankalanam suuchimchinatlugaa, gluten-sambandhita rugmatalu unnavaariki aaharam surakshitam anie dheeni ardham kaadu.
gluten kaligi unde excipients upayoginchi mandulu mariyu aahara padaardhaalu tayaaru cheyabadataayi.
gluten rahita aahaaramlo maamsam, chepalu, samudrapu aaharam, gudlu, paalu mariyu paala utpattulu, kayalu, chikkullu, pandlu, kuuragaayalu, bangaalaadumpalu, nakilee trunadhaanyaalu (mukhyamgaa amaranth, bookweet, chia seed, kwinova), konni trunadhaanyaalu (mokkajonna, biyyam, jonna), chinna trunadhaanyaalu (phoenio, jobbs tears, millet, teff, chinna trunadhaanyaalu anie piluvabadevi, avi "takkuva saadhaaranam mariyu prapanchamlooni konni chinna praantaalalo matrame pandinchabadataayi"), konni itara mokkala utpattulu (baanam, mesquite pindi, sago, maragujju) mariyu eee gluten rahita aaharaala nundi tayaaru chesina utpattulu unnaayi. chaalaa bharatiya vantakaalu, mukhyamgaa dakshina bhaarata vantakaalu, chaalaa varaku sahajamgaa gluten rahitamainavi mariyu vaastavaaniki chaalaa bharatiya saakhaahaara empikalu sahajamgaa saakahaarigaa untaayi. 
pramaadaalu.
aaharaanni asamatulyamgaa enchukovadam mariyu gluten rahita pratyaamnaaya utpattulanu tappugaa enchukovadam poeshaka lopalaku daariteeyavachchu. godhumalu ledhaa itara gluten kaligina trinadhaanyaala nundi pindini vaanijya utpattulalo gluten rahita pindi padaarthaalatho bharti cheyadam valla inumu mariyu bii vitaminlu vanti mukhyamaina poeshakaalu takkuvagaa teesukovadam mariyu chakkeralu mariyu santrupta kovvulu ekkuvagaa teesukovadam vantivi jaragavacchu. konni gluten rahita vaanijya pratyaamnaaya utpattulu vaati gluten kaligina pratyardhulugaa susampannam cheyabadavu ledhaa balavardhakamgaa undavu mariyu tarachugaa ekkuva lipid/carbohydrate kantentnu kaligi untaayi. pillalu mukhyamgaa tarachugaa snacks mariyu bisketlu vanti eee utpattulanu ekkuvagaa teesukuntaaru. saraina aahara vidya dwara eee poeshaka samasyalanu nivaarinchavacchu. sudoserials (kwinova, amaranth mariyu bookweet) mariyu konni chinna trunadhaanyaalu eee tayaaruchesina utpattulaku aarogyakaramaina pratyaamnaayaalu mariyu adhika jeeva mariyu poeshaka viluvalanu kaligi untaayi. adhika poeshakaahaara-padaartham gala gluten rahita bakery utpattula vaipu purogati, udaaharanaku fiber content mariyu glycemic index paramgaa meruguparachabadindi, pindiki pratyamnaayamgaa pratyaekamgaa mokkajonna pindi ledhaa itara pindi padaardhaalanu upayoginchadam dwara cheyabaddaayi. eee lakshyamlo, udaaharanaku dietary fiber inulin (idhi prebioticga panichestundi) ledhaa kwinova ledhaa amaranth hole meal pindiloo kontha bhaagaaniki pratyamnaayamgaa unnaayi. adevidhamgaa, konni gluten rahita kaalchina vastuvulalo prati serving kii graam parimaanamlo janthan gumm nuu upayoginchavacchu mariyu jeernasayaantara pregulaloni nirdishta microbiomela dwara puliyabettavacchu. ituvanti pratyaamnaayam merugaina crust mariyu rotte aakrutini kooda istundani kanugonabadindi. gluten rahita aaharaanni teesukune evarainaa, iron, calcium, fiber, thiamine, riboflavin, niacin mariyu folate vanti keelaka poeshakaalanu avasaramaina mottamlo pondutunnaarani nirdhaarinchukovadaaniki registered dieticiantho tanikhi cheyaalani sifaarsu cheyabadindi. vitaminlu tarachugaa glutennu binding agentga kaligi untaayi. mingadaaniki uddesinchina edainaa utpatti yokka content lebulnu ellappuduu chadavadam mukhyamani nipunulu suuchimchaaru.
telisina udarakuhara vyaadhi unnavaarilo 30 saatam varaku tarachugaa lakshanaalanu kaligi untaaru ledhaa tirigi abhivruddhi chendutaaru. alaage, lakshanaalu lekapovadam ledhaa pratikuula rakta pratirodhakaala sthaayilu pregu punaruddharanaku nammadagina suuchikalu kaavu. kathinamaina gluten rahita aaharam unnappatikee chinna pregu yokka asampoorna punaruddharananu aneka adhyayanalu chuupistunnaayi, mariyu atuvanti vaarilo 79 saatam mandhi nirantaram vilas ksheenata kaligi untaaru. eee recovery lekapovadam pradhanamgaa glutenku anukokunda bahirgatam kavadam valla sambhavistundi. paelavamaina praathamika vidya mariyu gluten rahita aaharam gurinchi avagahana unna vyaktulu tarachugaa taamu aaharaanni khachitamgaa anusaristunnamani, conny kramam tappakunda tappulu chestunnarani nammutaaru. adanamgaa, kontamandi vyaktulu tarachugaa parimita labhyata, takkuva ruchi, adhika dhara mariyu gluten rahita utpattula yokka sariponi labeling kaaranamgaa uddeshapoorvakamgaa gluten tinadam konasaagistaaru. roganirdhaarana samayamlo vayassu (koumaaradasalo unnavaaru), kathinamaina chikitsa lekapovadam valla kalige parinaamaala gurinchi agnaanam mariyu konni manasika kaarakaala dwara kooda niyamaavaliki anugunamgaa lekapovadam prabhaavitamavutundi. konasagutunna gluten teesukovadam vividha rakaala cancerlu (pregu mariyu adanapu pregu rendoo) mariyu bolu emukala vyaadhi vanti teevramaina vyaadhi samasyalanu kaligistundi.
niyantrana mariyu labels.
gluten-free" anae padaanni saadhaaranamgaa puurtigaa lekapovadam kante gluten yokka haanirahita sthaayini suuchimchadaaniki upayogistaaru. gluten pramaadakaram kaani khachitamaina sthaayi anischitamainadi mariyu vivaadaaspadamainadi. 2008 kramabaddhamaina sameekshalo rojuku 10 mg (10 pppm) kante takkuva gluten viniyogam hystological asaadhaaranatalaku kaaranamayye avakaasam ledani tatkalikamga nirdhaarinchindi, ayinappatikee konni nammadagina adhyayanalu cheyabaddaayani perkondi.
gluten-free label yokka niyantrana deshaanni batti maarutuu untundi. chaalaa deshaalu tama gluten rahita labeling nibandhanala yokka keelaka nibandhanalanu aahara labeling kosam codex alimentarius antarjaateeya pramaanaala nundi gluten rahita utpattulugaa labelingku sambandhinchina pramaanamgaa pondutaayi. idhi saadhaaranamgaa gluten kaligi unna aahaaraalaku matrame vartistundi. gluten-free 20 ppm (= 20 mii. graa/kilolu) ledhaa anthakante takkuva anie nirvachinchabadindi. idhi gluten rahita aaharaanni ilaa vargeekaristundih
codex pramaanam gluten unikini suuchimchadaaniki enjaim-linked immunoasse (elissa) aarr5 meands paddhatini suuchistumdi, conny dna vanti itara sambandhita paddhatulanu anumatistundi. codex pramaanam, drushyamaanatanu nirdhaarinchadaaniki, gluten-free claim utpatti paeru yokka takshana sameepamlo kanipinchaalani nirdesistundi.
padaarthaalu mariyu aahara utpattulalo glutennu kolavadaniki upayoginche vislaeshanhaatmaka paddhatipai saadhaarana ekaabhipraayam ledhu. elissa paddhati doubleu-gliadinsnu gurtinchadaaniki roopondinchabadindi, conny barley prolamines patla sunnitatvam lekapovadam valla idhi edurudebbaku guraindi. gluten rahita aahara utpattulanu dhruveekarinchadaaniki atyanta sunnitamaina madimpula vadakam tappanisari. european union, prapancha aarogya samstha mariyu codex alimentariusku godhuma proteinla kante godhuma prolaaminlu, gliadinla yokka nammadagina kolata avasaram.
australia.
australia prabhutvam eee krindi vidhamgaa sifaarsu chestundih
brazil.
anni aahara utpattulu gluten kaligi unnaya ledhaa avi gluten rahitamainaya anie spashtamgaa label cheyali. april 2016 nundi, utpatti uddeshapoorvakamgaa edainaa allergy aaharam ledhaa daani utpannaalanu jodinchanappudu cross kalushyam yokka avakaasaanni prakatinchadam tappanisari, conny manchi tayari paddhatulu mariyu allergy niyantrana charyalu pramaadavasaattu trace mottaala unikini nivaarinchadaaniki saripovu. oka utpattilo godhumalu, raie, barley, votes mariyu vaati sankara jaatulato cross kalushyam gurinchi heccharika unnappudu, heccharika "gluten kaligi untundi" anedi tappanisari. chattam daani gairhaajarunu prakatinchadaaniki gluten parimitini erpaatu cheyadu.
kenada.
kalushyam phalitamgaa 20 ppm minchani gluten sthaayilanu kaligi unna aaharaalu, gluten rahita claim chesinappudu aaharam mariyu aushadha nibandhanalaloni vibhagam b.24.018 yokka aarogya mariyu bhadrata uddesyaanni cherukuntaayani health kenada bhaavistundi. edainaa uddeshapoorvakamgaa jodinchina gluten, takkuva sthaayilalo kooda packagingpy prakatinchabadaali mariyu gluten rahita daavaa tappudu mariyu tappudova pattinchedigaa pariganinchabadutundi. kenadaalo vikrayinche anni aahara utpattula lebullu 10 ppm kante ekkuva sthaayilo unte gluten unikini spashtamgaa gurtinchaali.
european union.
european commission eee vargaalanu ilaa vivaristundihi
gluten nuu oka padaardhamgaa kaligi unna anni aaharalanu tadanugunamgaa gurtinchaali, endukante gluten anedi 14 gurtinchabadina yuyu allergy karakalalo okatigaa nirvachinchabadindi.
united states.
2012 varaku evarainaa etuvanti pratighatana lekunda gluten-free claimnu upayoginchavacchu. 2008loe, gluten-free anie label cheyabadina welshire polaalu chiken naggetlanu konugolu chesi, namuunaalanu aahara allergy prayogasaalaku pampaaru, akkada vaatilo gluten unnatlu kanugonabadindi. chikago tribune" loe idhi nivedinchabadina taruvaata, utpattula ammakam konasaagindi. appati nundi tayaareedaaru daani chiken naggetlalo upayoginche pindini bharti chesaaru. yuu.ess. 2004 phud allergy labeling und consumer protection act (falkpa) loe gluten-free labeling gurinchi modata prastaavinchaaru. madyam mariyu pogaaku pannu mariyu vaanijya beuro madhyantara nibandhanalanu prachurinchindi mariyu 2006loe madya utpattulaku tappanisari labelingnu pratipaadinchindi. eff. dii. eah. augustu 5,2013naa vaari tudi niyamanni jaarii chesindi.
oka aahara utpattidaaru swachchandamgaa oka utpatti kosam gluten-free claimnu upayoginchaalani enchukunnappudu, daani labelinglo claimnu kaligi unna aahaaramlo ivi undakapovachhuh
sahajamgaa gluten laeni edainaa aahara utpatti gluten-free lebulnu upayoginchavacchu, ikkada aahaaramlo gluten yokka anivaarya uniki daani labelinglo claimnu kaligi unna 20 ppm gluten kante takkuvagaa untundi.

