{"id":1682,"date":"2023-05-16T16:32:26","date_gmt":"2023-05-16T09:32:26","guid":{"rendered":"https:\/\/lemitfoods.com\/?p=1682"},"modified":"2023-06-15T23:58:37","modified_gmt":"2023-06-15T16:58:37","slug":"benh-di-ung-gluten-la-gi-tim-hieu-cung-bac-si-chuyen-khoa","status":"publish","type":"post","link":"https:\/\/lemitfoods.com\/en\/benh-di-ung-gluten-la-gi-tim-hieu-cung-bac-si-chuyen-khoa\/","title":{"rendered":"B\u1ec7nh d\u1ecb \u1ee9ng gluten l\u00e0 g\u00ec? T\u00ecm hi\u1ec3u c\u00f9ng b\u00e1c s\u0129 chuy\u00ean khoa"},"content":{"rendered":"

D\u1ecb \u1ee9ng gluten l\u00e0 m\u1ed9t d\u1ea1ng d\u1ecb \u1ee9ng kh\u00f4ng ph\u1ed5 bi\u1ebfn nh\u01b0ng l\u1ea1i \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a, d\u1eabn \u0111\u1ebfn nguy c\u01a1 suy dinh d\u01b0\u1ee1ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng ru\u1ed9t v\u0129nh vi\u1ec5n. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u0103n b\u1ec7nh n\u00e0y v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb, ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3, m\u1eddi theo d\u00f5i n\u1ed9i dung b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/em><\/span><\/p>\n

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B\u1ec7nh d\u1ecb \u1ee9ng gluten l\u00e0 g\u00ec?<\/span><\/h2>\n

D\u1ecb \u1ee9ng gluten hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh celiac (\u0111\u00f4i khi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 sprue) l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch khi \u0103n gluten \u2013 m\u1ed9t lo\u1ea1i protein trong l\u00faa m\u00ec, l\u00faa m\u1ea1ch v\u00e0 l\u00faa m\u1ea1ch \u0111en. Gluten c\u0169ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong y\u1ebfn m\u1ea1ch \u0111\u00e3 th\u1ef1c hi\u1ec7n ch\u1ebf bi\u1ebfn v\u00e0 x\u1eed l\u00fd t\u1ea1i nh\u00e0 m\u00e1y, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, vitamin, son m\u00f4i,\u2026<\/span><\/p>\n

Nguy\u00ean nh\u00e2n d\u1ecb \u1ee9ng gluten<\/span><\/h3>\n

B\u1ec7nh d\u1ecb \u1ee9ng gluten x\u1ea3y ra do \u0103n th\u1ee9c \u0103n ch\u1ee9a gluten, t\u01b0\u01a1ng t\u00e1c gi\u1eefa c\u00e1c gen, m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng kh\u00e1c nh\u01b0ng nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. Th\u1ee9c \u0103n cho tr\u1ebb s\u01a1 sinh, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t g\u00f3p ph\u1ea7n l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh celiac. \u0110\u00f4i khi b\u1ec7nh d\u1ecb \u1ee9ng gluten xu\u1ea5t hi\u1ec7n\u00a0sau ph\u1eabu thu\u1eadt, mang thai, sinh con, nhi\u1ec5m virus, c\u0103ng th\u1eb3ng nghi\u00eam tr\u1ecdng.<\/span><\/p>\n

Trong b\u1ec7nh celiac, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch ph\u1ea3n \u1ee9ng qu\u00e1 m\u1ee9c v\u1edbi gluten trong th\u1ee9c \u0103n, t\u1ea1o n\u00ean \u0111\u1ed9c t\u1ed1 ti\u00eau di\u1ec7t\u00a0nhung mao.\u00a0Nhung mao l\u00e0 ph\u1ea7n nh\u00f4 ra gi\u1ed1ng nh\u01b0 ng\u00f3n tay nh\u1ecf x\u00edu n\u1eb1m b\u00ean trong ru\u1ed9t non, khi n\u00f3 h\u01b0 h\u1ecfng s\u1ebd l\u00e0m c\u01a1 th\u1ec3 kh\u00f4ng th\u1ec3 h\u1ea5p thu ch\u1ea5t dinh d\u01b0\u1ee1ng t\u1eeb th\u1ee9c \u0103n. \u0110i\u1ec1u n\u00e0y khi\u1ebfn c\u01a1 th\u1ec3 suy dinh d\u01b0\u1ee1ng, c\u00e1c bi\u1ebfn ch\u1ee9ng s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng ru\u1ed9t v\u0129nh vi\u1ec5n.<\/span><\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 t\u0103ng nguy c\u01a1 d\u1ecb \u1ee9ng gluten<\/span><\/h3>\n

B\u1ec7nh Celiac c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 ai, tuy nhi\u00ean n\u00f3 c\u00f3 xu h\u01b0\u1edbng ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3:<\/span><\/p>\n

    \n
  • M\u1ed9t s\u1ed1 th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh b\u1ecb b\u1ec7nh celiac hay vi\u00eam da\u00a0herpetiformis<\/span><\/li>\n
  • B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1<\/span><\/li>\n
  • H\u1ed9i ch\u1ee9ng down, h\u1ed9i ch\u1ee9ng turner<\/span><\/li>\n
  • B\u1ec7nh tuy\u1ebfn gi\u00e1p t\u1ef1 mi\u1ec5n<\/span><\/li>\n
  • B\u1ecb nhi\u1ec5m vi khu\u1ea9n \u0111\u1ea1i tr\u00e0ng (lymphocytic ho\u1eb7c collagenous colitis)<\/span><\/li>\n
  • B\u1ec7nh l\u00fd\u00a0Addison<\/span><\/li>\n
  • Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/span><\/li>\n<\/ul>\n

    Tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng gluten<\/span><\/h3>\n

    C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a d\u1ecb \u1ee9ng gluten c\u00f3 th\u1ec3 kh\u00e1c nhau gi\u1eefa ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em.<\/span><\/p>\n

    # \u1ede ng\u01b0\u1eddi l\u1edbn<\/strong><\/span><\/p>\n

    C\u00e1c d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi l\u1edbn l\u00e0 ti\u00eau ch\u1ea3y, m\u1ec7t m\u1ecfi, c\u00e2n n\u1eb7ng gi\u1ea3m ho\u1eb7c b\u1ecb \u0111\u1ea7y h\u01a1i, bu\u1ed3n n\u00f4n, t\u00e1o b\u00f3n, \u0111au b\u1ee5ng, n\u00f4n m\u1eeda. Tuy nhi\u00ean, h\u01a1n m\u1ed9t n\u1eeda s\u1ed1 ng\u01b0\u1eddi l\u1edbn b\u1ecb b\u1ec7nh d\u1ecb \u1ee9ng gluten c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00f4ng li\u00ean quan \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a, nh\u01b0:<\/span><\/p>\n

      \n
    • Thi\u1ebfu m\u00e1u, th\u01b0\u1eddng do thi\u1ebfu s\u1eaft<\/span><\/li>\n
    • M\u1ea5t m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng (lo\u00e3ng x\u01b0\u01a1ng) ho\u1eb7c l\u00e0m m\u1ec1m x\u01b0\u01a1ng.<\/span><\/li>\n
    • Ph\u00e1t ban, ph\u1ed3ng r\u1ed9p v\u00e0 ng\u1ee9a da<\/span><\/li>\n
    • B\u1ec7nh lo\u00e9t mi\u1ec7ng, b\u1ec7nh \u00e1pt\u01a1 (xu\u1ea5t hi\u1ec7n nh\u1eefng \u0111\u1ed1m tr\u1eafng tr\u00ean l\u01b0\u1ee1i, trong mi\u1ec7ng)<\/span><\/li>\n
    • \u0110au \u0111\u1ea7u, m\u1ec7t m\u1ecfi<\/span><\/li>\n
    • \u0110au kh\u1edbp<\/span><\/li>\n
    • Ch\u1ea5n th\u01b0\u01a1ng h\u1ec7 th\u1ea7n kinh nh\u01b0 t\u00ea, ng\u1ee9a ran \u1edf b\u00e0n ch\u00e2n, b\u00e0n tay, suy gi\u1ea3m ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c<\/span><\/li>\n
    • Gi\u1ea3m ch\u1ee9c n\u0103ng l\u00e1 l\u00e1ch<\/span><\/li>\n
    • Tr\u00e0o ng\u01b0\u1ee3c axit, \u1ee3 n\u00f3ng<\/span><\/li>\n<\/ul>\n

      \"Gluten<\/span><\/p>\n

      # \u1ede tr\u1ebb em<\/strong><\/span><\/p>\n

      \u1ede tr\u1ebb em d\u01b0\u1edbi 2 tu\u1ed5i, d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh celiac \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n nh\u01b0 sau:<\/span><\/p>\n

        \n
      • Ti\u00eau ch\u1ea3y m\u00e3n t\u00ednh<\/span><\/li>\n
      • N\u00f4n m\u1eeda<\/span><\/li>\n
      • S\u01b0ng b\u1ee5ng<\/span><\/li>\n
      • Ch\u00e1n \u0103n<\/span><\/li>\n
      • B\u00e3 c\u01a1<\/span><\/li>\n
      • Ch\u1ee9ng k\u00e9m ph\u00e1t tri\u1ec3n (Failure to thrive)<\/span><\/li>\n<\/ul>\n

        Tr\u1ebb em l\u1edbn h\u01a1n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c g\u1ed3m:<\/span><\/p>\n

          \n
        • Ti\u00eau ch\u1ea3y<\/span><\/li>\n
        • T\u00e1o b\u00f3n<\/span><\/li>\n
        • C\u00e2n n\u1eb7ng gi\u1ea3m<\/span><\/li>\n
        • C\u00e1u g\u1eaft<\/span><\/li>\n
        • Tr\u00ec ho\u00e3n d\u1eady th\u00ec<\/span><\/li>\n
        • T\u1ea7m v\u00f3c h\u1ea1n ch\u1ebf<\/span><\/li>\n
        • M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh nh\u01b0 r\u1ed1i lo\u1ea1n t\u0103ng \u0111\u1ed9ng\/thi\u1ebfu t\u1eadp trung (ADHD), nh\u1ee9c \u0111\u1ea7u, thi\u1ebfu s\u1ef1 ph\u1ed1i h\u1ee3p c\u01a1, c\u01a1 gi\u1eadt,\u00a0khuy\u1ebft t\u1eadt h\u1ecdc t\u1eadp.<\/span><\/li>\n<\/ul>\n

          # Vi\u00eam da\u00a0herpetiformis<\/strong><\/span><\/p>\n

          Vi\u00eam da\u00a0herpetiformis l\u00e0 b\u1ec7nh ng\u1ee9a da, ph\u1ed3ng r\u1ed9p xu\u1ea5t hi\u1ec7n do kh\u00f4ng dung n\u1ea1p gluten. Ph\u00e1t ban th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf khu\u1ef7u tay, \u0111\u1ea7u g\u1ed1i, da \u0111\u1ea7u, th\u00e2n, m\u00f4ng. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam da\u00a0herpetiformis, b\u00e1c s\u0129 c\u00f3 th\u1ec3 thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p ho\u1eb7c u\u1ed1ng thu\u1ed1c kh\u00f4ng ch\u1ee9a gluten, \u0111\u00f4i khi s\u1eed d\u1ee5ng c\u1ea3 hai \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng ph\u00e1t ban.<\/span><\/p>\n

          Khi n\u00e0o n\u00ean \u0111i kh\u00e1m b\u00e1c s\u0129?<\/span><\/h3>\n

          Trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ti\u00eau ch\u1ea3y, ti\u00eau h\u00f3a kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i h\u01a1n hai tu\u1ea7n ho\u1eb7c con b\u1ea1n nh\u1ee3t nh\u1ea1t, d\u1ec5 c\u00e1u k\u1ec9nh, kh\u00f4ng ph\u00e1t tri\u1ec3n, ph\u00e2n h\u00f4i th\u1ed1i th\u00ec n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/span><\/p>\n

          C\u00e1c bi\u1ebfn ch\u1ee9ng d\u1ecb \u1ee9ng gluten<\/span><\/h3>\n

          N\u1ebfu nh\u01b0 kh\u00f4ng ch\u1eefa tr\u1ecb, d\u1ecb \u1ee9ng gluten s\u1ebd g\u00e2y ra c\u00e1c b\u1ec7nh:<\/span><\/p>\n

            \n
          • Suy dinh d\u01b0\u1ee1ng do ru\u1ed9t non b\u1ecb t\u1ed5n th\u01b0\u01a1ng, ch\u1ea5t dinh d\u01b0\u1ee1ng kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5. Suy dinh d\u01b0\u1ee1ng d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u, c\u00e2n n\u1eb7ng gi\u1ea3m ho\u1eb7c t\u1ea7m v\u00f3c h\u1ea1n ch\u1ebf, ch\u1eadm ph\u00e1t tri\u1ec3n \u1edf tr\u1ebb nh\u1ecf.<\/span><\/li>\n
          • Lo\u00e3ng x\u01b0\u01a1ng \u1edf ng\u01b0\u1eddi l\u1edbn, c\u00f2i x\u01b0\u01a1ng \u1edf tr\u1ebb em do h\u1ea5p thu canxi, vitamin D k\u00e9m.<\/span><\/li>\n
          • V\u00f4 sinh, s\u1ea3y thai do h\u1ea5p thu k\u00e9m canxi v\u00e0 vitamin D.<\/span><\/li>\n
          • D\u1ecb \u1ee9ng lactose<\/strong>\u00a0(kh\u00f4ng dung n\u1ea1p lactose) do t\u1ed5n th\u01b0\u01a1ng ru\u1ed9t non. V\u00ec v\u1eady, sau khi \u0103n c\u00e1c s\u1ea3n ph\u1ea9m ch\u1ee9a lactose, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng b\u1ecb \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y. Khi ru\u1ed9t non \u0111\u00e3 l\u00e0nh, b\u1ec7nh celiac \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t th\u00ec m\u1ed9t s\u1ed1 ng\u01b0\u1eddi v\u1eabn ti\u1ebfp t\u1ee5c b\u1ecb d\u1ecb \u1ee9ng lactose.<\/span><\/li>\n
          • C\u00e1c v\u1ea5n \u0111\u1ec1 th\u1ea7n kinh th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb lo\u00e9t d\u1ea1 d\u00e0y. C\u00e1c v\u1ea5n \u0111\u1ec1 c\u00f3 th\u1ec3 x\u1ea3y ra l\u00e0 \u0111\u1ed9ng kinh ho\u1eb7c b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/span><\/li>\n
          • Ung th\u01b0 ru\u1ed9t v\u00e0 ung th\u01b0 ru\u1ed9t non c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh celiac kh\u00f4ng duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng ch\u1ee9a gluten.<\/span><\/li>\n<\/ul>\n

            Kh\u1eafc ph\u1ee5c d\u1ecb \u1ee9ng gluten<\/span><\/h2>\n

            Ch\u1ea9n \u0111o\u00e1n d\u1ecb \u1ee9ng gluten<\/span><\/h3>\n

            C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u hai lo\u1ea1i x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh celiac l\u00e0:<\/span><\/p>\n

              \n
            • X\u00e9t nghi\u1ec7m huy\u1ebft thanh \u0111\u1ec3 t\u00ecm ki\u1ebfm c\u00e1c kh\u00e1ng th\u1ec3 trong m\u00e1u, n\u1ebfu m\u1ee9c \u0111\u1ed9 c\u1ee7a m\u1ed9t s\u1ed1 protein kh\u00e1ng th\u1ec3 cao, c\u00f3 th\u1ec3 ch\u1ec9 ra ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u1edbi gluten.<\/span><\/li>\n
            • X\u00e9t nghi\u1ec7m di truy\u1ec1n \u0111\u1ed1i v\u1edbi kh\u00e1ng nguy\u00ean b\u1ea1ch c\u1ea7u \u1edf ng\u01b0\u1eddi (HLA-DQ2 v\u00e0 HLA-DQ8), \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh d\u1ecb \u1ee9ng gluten.<\/span><\/li>\n<\/ul>\n

              N\u1ebfu sau c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u x\u00e1c \u0111\u1ecbnh b\u1ec7nh celiac, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u n\u1ed9i soi \u0111\u1ec3 xem ru\u1ed9t non, l\u1ea5y m\u1eabu m\u00f4 nh\u1ecf (sinh thi\u1ebft) \u0111\u1ec3 ph\u00e2n t\u00edch thi\u1ec7t h\u1ea1i nhung mao.<\/span><\/p>\n

              \u0110i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng gluten<\/span><\/h3>\n

              Th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng c\u00f3 gluten su\u1ed1t \u0111\u1eddi l\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 qu\u1ea3n l\u00fd b\u1ec7nh d\u1ecb \u1ee9ng gluten. Ngo\u00e0i l\u00faa m\u00ec, c\u00f3 m\u1ed9t s\u1ed1 lo\u1ea1i th\u1ef1c ph\u1ea9m ch\u1ee9a gluten m\u00e0 b\u1ea1n n\u00ean lo\u1ea1i b\u1ecf kh\u1ecfi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng nh\u01b0 l\u00faa m\u1ea1ch, b\u1ed9t b\u00e1ng, l\u00faa m\u00ec bulgur, l\u00faa m\u00ec c\u1ee9ng, b\u1ed9t graham, m\u1ea1ch nha, l\u00faa m\u1ea1ch \u0111en, l\u00faa m\u00ec Spenta, ti\u1ec3u h\u1eafc m\u1ea1ch. Gluten c\u00f3 th\u1ec3 \u1ea9n trong m\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m, thu\u1ed1c, s\u1ea3n ph\u1ea9m kh\u00f4ng ph\u1ea3i th\u1ef1c ph\u1ea9m nh\u01b0: son m\u00f4i, th\u1ea3o d\u01b0\u1ee3c, phong b\u00ec, keo d\u00e1n tem, vitamin, kho\u00e1ng ch\u1ea5t.<\/span><\/p>\n

              \"b\u1ec7nh<\/span>
              N\u00ean h\u1ea1n ch\u1ebf m\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m gi\u00e0u gluten trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh<\/em><\/span><\/figcaption><\/figure>\n

              Khi b\u1ea1n lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c gluten kh\u1ecfi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, vi\u00eam ru\u1ed9t non s\u1ebd gi\u1ea3m \u0111i trong v\u00e0i tu\u1ea7n. C\u00e1c nhung mao c\u00f3 th\u1ec3 m\u1ecdc l\u1ea1i sau v\u00e0i th\u00e1ng \u0111\u1ebfn v\u00e0i n\u0103m. V\u1ea5n \u0111\u1ec1 v\u1ec1 ru\u1ed9t non s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n nhanh h\u01a1n \u1edf tr\u1ebb em.<\/span><\/p>\n

              \u0110\u1ed3ng th\u1eddi, ng\u01b0\u1eddi d\u1ecb \u1ee9ng gluten n\u00ean th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb sau:<\/span><\/p>\n

                \n
              • B\u1ed5 sung c\u00e1c vitamin (nh\u01b0 vitamin B12, vitamin D, vitamin K) v\u00e0 kho\u00e1ng ch\u1ea5t (nh\u01b0 canxi, folate, k\u1ebdm, iron) \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia dinh d\u01b0\u1ee1ng ho\u1eb7c b\u00e1c s\u0129 khuy\u00ean b\u1ed5 sung n\u1ebfu nh\u01b0 b\u1ecb thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng tr\u1ea7m tr\u1ecdng. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ee7a b\u1ea1n g\u1eb7p kh\u00f3 kh\u0103n khi h\u1ea5p th\u1ee5 vitamin, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ti\u00eam ch\u00fang v\u00e0o c\u01a1 th\u1ec3.<\/span><\/li>\n
              • N\u1ebfu nh\u01b0 b\u1ea1n b\u1ecb lo\u00e9t d\u1ea1 d\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i y t\u1ebf \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u00e1p \u1ee9ng v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng gluten. Ho\u1eb7c \u0111\u1ec3 ch\u1eafc ch\u1eafn, b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 theo d\u00f5i ph\u1ea3n \u1ee9ng.<\/span><\/li>\n
              • S\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 ki\u1ec3m so\u00e1t vi\u00eam \u0111\u01b0\u1eddng ru\u1ed9t trong tr\u01b0\u1eddng h\u1ee3p b\u1ecb t\u1ed5n th\u01b0\u01a1ng ru\u1ed9t non n\u1eb7ng. Thu\u1ed1c\u00a0steroid \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng vi\u00eam, gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh celiac.<\/span><\/li>\n
              • M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c cho da nh\u01b0\u00a0dapsone \u0111\u01b0\u1ee3c d\u00f9ng khi b\u1ea1n b\u1ecb vi\u00eam da\u00a0herpetiformis.<\/span><\/li>\n
              • N\u1ebfu nh\u01b0 b\u1ea1n b\u1ecb b\u1ec7nh celiac m\u00e3n t\u00ednh v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng, th\u01b0\u1eddng xuy\u00ean t\u00e1i ph\u00e1t khi\u1ebfn ru\u1ed9t non kh\u00f4ng l\u00e0nh c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p\u00a0steroid ho\u1eb7c b\u00f4i tr\u1ef1c khu\u1ea9n,\u00a0steroids to\u00e0n th\u00e2n nh\u01b0 prednisone.<\/span><\/li>\n<\/ul>\n

                Ph\u00f2ng tr\u00e1nh d\u1ecb \u1ee9ng gluten<\/span><\/h2>\n

                Sau khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh d\u1ecb \u1ee9ng gluten, ng\u01b0\u1eddi b\u1ec7nh n\u00ean tr\u00e1nh t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m ch\u1ee9a gluten. H\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 ho\u1eb7c chuy\u00ean gia dinh d\u01b0\u1ee1ng \u0111\u1ec3 l\u1eadp m\u1ed9t k\u1ebf ho\u1ea1ch ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng gluten h\u1ee3p l\u00fd v\u1edbi \u0111\u1ea7y \u0111\u1ee7 vitamin, ch\u1ea5t dinh d\u01b0\u1ee1ng, ch\u1ea5t x\u01a1 v\u00e0 canxi.<\/span><\/p>\n

                Nh\u1eefng lo\u1ea1i th\u1ef1c ph\u1ea9m c\u01a1 b\u1ea3n \u0111\u01b0\u1ee3c cho ph\u00e9p trong ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng ch\u1ee9a gluten g\u1ed3m: th\u1ecbt t\u01b0\u01a1i, c\u00e1, gia c\u1ea7m kh\u00f4ng t\u1ea9m\/tr\u00e1nh\/\u01b0\u1edbp b\u1ed9t, tr\u00e1i c\u00e2y, khoai t\u00e2y, s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa, rau, r\u01b0\u1ee3u ch\u01b0ng c\u1ea5t, r\u01b0\u1ee3u t\u00e1o. M\u1ed9t s\u1ed1 lo\u1ea1i ng\u0169 c\u1ed1c m\u00e0 ng\u01b0\u1eddi d\u1ecb \u1ee9ng gluten c\u00f3 th\u1ec3 d\u00f9ng l\u00e0 b\u1ed9t ng\u00f4, ng\u00f4, ki\u1ec1u m\u1ea1ch, \u0111\u1eadu n\u00e0nh, g\u1ea1o,\u2026N\u1ebfu mu\u1ed1n s\u1eed d\u1ee5ng th\u1ef1c ph\u1ea9m \u0111\u00f3ng h\u1ed9p, b\u1ea1n n\u00ean \u0111\u1ecdc nh\u00e3n \u0111\u1ec3 ch\u1eafn ch\u1eafn n\u00f3 kh\u00f4ng ch\u1ee9a gluten.<\/span><\/p>\n

                \u0110\u1ed3ng th\u1eddi, ng\u01b0\u1eddi b\u1ecb b\u1ec7nh d\u1ecb \u1ee9ng gluten n\u00ean l\u01b0u \u00fd:<\/span><\/p>\n

                  \n
                • L\u00e0m theo nh\u1eefng l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129. Sau khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh, ng\u01b0\u1eddi b\u1ec7nh n\u00ean duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng ch\u1ee9a gluten, n\u1ebfu c\u00f3 s\u1eed d\u1ee5ng thu\u1ed1c th\u00ec n\u00ean tu\u00e2n theo li\u1ec1u l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/span><\/li>\n
                • N\u00f3i v\u1edbi gia \u0111\u00ecnh, b\u1ea1n b\u00e8 \u0111\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 h\u1ed7 tr\u1ee3 \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi ch\u1ee9ng b\u1ec7nh d\u1ecb \u1ee9ng gluten.<\/span><\/li>\n
                • Li\u00ean h\u1ec7 v\u1edbi m\u1ed9t s\u1ed1 t\u1ed5 ch\u1ee9c d\u00e0nh cho ng\u01b0\u1eddi d\u1ecb \u1ee9ng gluten.<\/span><\/li>\n<\/ul>\n

                  N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t c\u1ee9 th\u1eafc m\u1eafc n\u00e0o v\u1ec1 b\u1ec7nh d\u1ecb \u1ee9ng gluten, h\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa. Tr\u00ean \u0111\u00e2y l\u00e0 nh\u1eefng th\u00f4ng tin c\u1ea7n thi\u1ebft nh\u01b0ng kh\u00f4ng thay th\u1ebf l\u1eddi khuy\u00ean, ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb chuy\u00ean m\u00f4n.<\/span><\/p>\n

                  Nguy\u1ec5n Th\u1ecb Xu\u00e2n<\/em><\/span><\/p>\n

                  https:\/\/thuocdantoc.vn\/benh\/benh-di-ung-gluten-la-gi-tim-hieu-cung-bac-si-chuyen-khoa<\/em><\/span><\/p>","protected":false},"excerpt":{"rendered":"

                  D\u1ecb \u1ee9ng gluten l\u00e0 m\u1ed9t d\u1ea1ng d\u1ecb \u1ee9ng kh\u00f4ng ph\u1ed5 bi\u1ebfn nh\u01b0ng l\u1ea1i \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a, d\u1eabn \u0111\u1ebfn nguy c\u01a1 suy dinh d\u01b0\u1ee1ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng ru\u1ed9t v\u0129nh vi\u1ec5n. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u0103n b\u1ec7nh n\u00e0y v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb, ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3, m\u1eddi theo d\u00f5i n\u1ed9i…<\/p>","protected":false},"author":3,"featured_media":1683,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_stopmodifiedupdate":false,"_modified_date":"","footnotes":""},"categories":[33],"tags":[],"class_list":["post-1682","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khoa-hoc-thuong-thuc"],"jetpack_featured_media_url":"https:\/\/lemitfoods.com\/wp-content\/uploads\/2023\/06\/Di-ung-Gluten-02.jpg","_links":{"self":[{"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/posts\/1682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/comments?post=1682"}],"version-history":[{"count":3,"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/posts\/1682\/revisions"}],"predecessor-version":[{"id":1695,"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/posts\/1682\/revisions\/1695"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/media\/1683"}],"wp:attachment":[{"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/media?parent=1682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/categories?post=1682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lemitfoods.com\/en\/wp-json\/wp\/v2\/tags?post=1682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}