Gluten Sensitivity

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Priyanka chugh, MD

于2021年4月11日更新

Gluten sensitivity is a reaction to gluten—a protein in wheat, rye, and barley—that can result in wide-ranging symptoms from gastrointestinal issues, headache, brain fog, neuropathy, and depression. Also known as non-celiac gluten sensitivity (NCGS), it is a relatively newly recognized condition that is diagnosed based on eliminating other conditions.

对麸质敏感测试的人负面celiac disease但是，从饮食中除去麸质后，请找到缓解疲劳，消化率投诉和神经系统问题。

面筋敏感性背后的精确机制尚未完全理解。虽然面筋似乎是主要的罪魁祸首，但谷物的其他成分，例如果糖和淀粉酶 - 胰蛋白酶抑制剂，也可能在这种情况下起作用。不管确切的原因，治疗都在无麸质饮食之后。

经常问的问题

What tests diagnose gluten sensitivity?

目前没有针对NCG的确定测试；它是根据消除其他原因（即乳糜泻）诊断的。乳糜泻的测试始于血液检查。通过内窥镜检查的小肠活检证实腹腔。如果排除腹腔并消除麸质可以缓解症状，则可以进行NCGS诊断。

Learn More: How Gluten Sensitivity Is Diagnosed
您可以降低面筋敏感性吗？

People who are sensitive to gluten should follow a gluten-free diet to avoid reactions. There is currently no way to reduce gluten sensitivity. Research suggests an enzyme that helps to digest gluten—aspergillus niger-derived prolyl endoprotease (AN-PEP)—could help prevent reactions in people with gluten sensitivity.
What is the difference between celiac disease and gluten sensitivity?

Celiac disease is an autoimmune disease in which eating foods that contain麸质触发白细胞以攻击小肠的衬里，最终侵蚀它，直到磨损光滑为止。两者之间的疼痛，腹胀，痉挛和腹泻的胃肠道症状相似。然而，在患有麸质敏感性的人中看不到腹腔疾病患者的并发症。

Learn More: Differentiating Between IBS, Celiac Disease, and Gluten Sensitivity
麸质敏感性的症状是什么？

非细胞麸质敏感性的症状类似于乳糜泻，包括腹痛，腹泻，肋骨下方的疼痛，恶心，空气吞咽过多，胃食管反流，口腔溃疡，交替的肠习惯和便秘。

Learn More: 麸质敏感性的症状

关键术语

活检

活检是一种医疗程序，可从显微镜检查以检查损伤或疾病的身体中去除组织。腹腔疾病被诊断为内窥镜活检。

内窥镜检查乳糜泻的期望
腹腔疾病

乳糜泻是一种自身免疫性的条件eating foods that contain gluten—a protein found in wheat, barley, and rye—triggers the white blood cells to attack the lining of the small intestine, ultimately eroding it until it's worn smooth.

腹腔疾病概述
内窥镜检查

内窥镜检查是一种使用连接到长的薄管或范围的摄像机来看体内的过程。然后在显微镜下检查内窥镜检查期间采集的组织样品以检查异常。

内窥镜检查乳糜泻的期望
Gluten

面筋是一种在小麦，大麦和黑麦中发现的蛋白质。
Immune Disorder

免疫疾病，有时被称为自身免疫性疾病，是当没有真正威胁的情况下激活人体的免疫反应，导致慢性健康问题。
tTG-IgA Test

The anti-tissue transglutaminase (tTG) immunoglobulin A (IgA) test is used in the diagnosis of celiac disease. A blood test that uses an enzyme-linked immunosorbent assay (ELISA), the tTG-IgA test is the preferred screening test for celiac due to its high sensitivity (93%) and specificity (98%).

乳糜泻的血液检查