Doença celíaca, alergia ao trigo, intolerância ao glúten e sensibilidade ao glúten (não celíaca) são a mesma coisa?

O glúten – proteína presente no trigo, na cevada, no centeio, entre outros – não é bem aceito no organismo de algumas pessoas, mas têm vários níveis de “rejeição” pelo corpo. Dessa forma, esses termos não correspondem a mesma condição. Citaremos alguns aspectos básicos que diferenciam essas nomenclaturas, porém é sempre bom lembrar que para você ter certeza da sua condição, é necessário entrar em contanto com um médico especializado nessa área e realizar alguns testes.

Doença Celíaca:

Ela é autoimune – o próprio sistema imunológico do corpo ataca células saudáveis. As paredes do intestino ficam inflamadas quando ingerido o glúten. Os principais sintomas são: diarreia, inchaço, gases, anemia e diminuição da absorção de nutrientes, mas algumas pessoas não apresentam sintomas. Como não há tratamento específico, a dieta restrita ao glúten é necessária e se a pessoa não segui-la, ela pode desenvolver um câncer no intestino ou no linfoma.

Alergia ao trigo:

Ela também é um tipo de manifestação imunológico, mas, diferente da doença celíaca, ela tem relação com outros tipos de anticorpos. Os sintomas também são diferentes da DC. O mais comum é que a alergia avise que está iniciando com sintomas leves, como coceira, quando o alimento com glúten (trigo principalmente) ainda está na boca ou minutos depois do consumo. A reação alérgica mais grave é chamada Anafilaxia e nela vários sintomas ocorrem ao mesmo tempo, além dos sintomas mais comuns de pele, também pode ocorrer tosse, chiado, falta de ar, dor abdominal, náusea, vômito, diarreia, desmaio e pode até levar a morte. Geralmente, quando o indivíduo é tratado a tempo, ele recebe um plano de ação do médico, que contém todas as diretrizes caso o contato com o alimento volte a acontecer. Além disso, é indicado que o paciente ande com uma nécessaire contendo um antialérgico, um broncodilatador e a caneta de adrenalina. Assim como a doença celíaca, não há tratamento de prevenção, a não ser evitar o contato com o alimento.

Intolerância ao glúten:

Os dois primeiros quadros (doença celíaca e alergia) são secundários ao glúten, já na intolerância o problema não é necessariamente o glúten, e sim o trigo. Por esse motivo, não se sabe exatamente se o vilão da história é a proteína presente no trigo (glúten) ou até mesmo o carboidrato encontrado nesse alimento. Os sintomas são parecidos com a doença celíaca: diarreia, gases, desconforto abdominal, dor de cabeça, sonolência. Mas não há relação com anticorpo algum. É por esse motivo que o diagnóstico da sensibilidade é o mais difícil, feito com tentativa e erro. Seja qual for o motivo, os especialistas frisam que intolerância não causa reações graves como a alergia ou a doença celíaca.

Sensibilidade ao Glúten não Celíaca:

São alterações gastrointestinais causadas pelo glúten, mas sem a relação com alguma resposta imunológica, sem distúrbios nutricionais associados, e sem alterações de anticorpos ligados a ingestão desta proteína. Segundo Fernando Valério, médico gastroenterologista, proctologista e nutrólogo, o diagnóstico da sensibilidade ao glúten é até o momento clínico, ou seja, através da suspeita clínica e exclusão de outros diagnósticos, como a Síndrome do Intestino Irritável, alergias e intolerâncias alimentares, e processos inflamatórios do intestino (como as colites). “A sensibilidade ao glúten está mais associada ao desconforto e sintomas digestivos que trazem prejuízo à qualidade de vida, do que propriamente alterações orgânicas do intestino ou distúrbios nutricionais”, explica Fernando Valério. “O tratamento para a sensibilidade ao glúten consiste na retirada da dieta dos alimentos que contenham glúten”, explica. Nos pacientes em que o diagnóstico é confirmado esta conduta traz a melhora imediata dos sintomas.

Fontes: Uol – Alimentação; Viva Bem; Site da Schar

30/06/2020

*Estamos compartilhando nossas experiências mas não somos médicas ou nutricionistas. Consulte um especialista para uma orientação profissional.

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    If you’re looking for a long shot, why not the 20-year-old South Korean who goes by “Tom” and finished just two shots behind Schauffele at the Scottish Open? Playing on the Asian, European and PGA tours this season, Kim has racked up a number of strong finishes: 23rd at the U.S. Open, seven top-fives and a win in Singapore in January. Golfers making their British Open debuts rarely win, but Collin Morikawa did it last year. Below are 11 long shot picks of 30/1 odds or more to potentially win The Open Championship. All odds come courtesy of the Westgate Las Vegas Superbook. Take a look and see if there’s any action you want to get in before play starts on Thursday. That’s enough doom and gloom for one story, now let’s focus on who will still be playing on the weekend. Tiger was featured in our British Open sleepers and longshots article and appears to be all-in on making noise this week at his favorite course on planet Earth.
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