Gluten i utjecaj na hormone 2017-01-12T19:23:14+00:00

tema-u-fokusu-foto

Gluten i utjecaj na hormone

Nova saznanja o glutenu širi se ogromnom brzinom i danas svatko tko sebi želi dug i sretan život maksimalno izbjegava gluten. Dok su neki uvjereni da im to spašava zdravlje, drugi misle da je to samo moda koja će proći. Kruh naš svagdašnji, u koji smo se zaklinjali i pribjegavali mu u trenucima tuge, gladi i očaja, sada se prometnuo u krivca za bolesti.

Kao liječnik koji vam pomaže balansirati hormone, u 99% slučajeva reći ću vam da izbjegavate gluten, dapače, da ga maksimalno eliminirate. Na temelju brojnih stručnih i znanstvenih radova, kao i iz iskustva mnogih liječnika i mog vlastitog, mogu reći da gluten mijenja osobnu sliku zdravlja i bolesti. Je li to gluten ili uvjerenje da se radi o glutenu, dodatno je pitanje, ali zasada ne ulazimo u dubinu problema. Ostanimo na površini.

Dakle, znanstvena je činjenica da se bolest u kojoj gluten napada organe, posebno crijeva, zove celijakija.
Kada gluten napada štitnjaču, dolazi do tireoditisa, gluten na koži stvara dermatitis herpetiformis, u gušterači vrlo čestu autoimunu bolest koja se manifestira propadanjem stanica koje proizvode inzulin. Antitijela na gluten često su jako agresivna pa napadaju i druge žlijezde na tijelu, kao što su jajnici, testisi, jetra, parijetalne stanice želuca, nadbubrežna žlijezda. Pojava multiplih endokrinopatija češća je u osoba koje imaju imunološku reakciju na gluten.

Najčešći problem u endokrinologiji danas svakako je disbalans kortizola, hormona nadbubrežnih žlijezda. Iako se rijetko dijagnosticira, on je uzročnik mnogih drugih endokrinih hipofunkcija i jedan od pokretača slabog rada štitnjače.


Kortizol je hormon energije
, on nam daje snagu da radimo, mislimo, ali i da se borimo od napadača, vanjskih i unutrašnjih. Ako je jedan od potencijalnih napadača gluten, naše nadbubrežne žlijezde bore se protiv njega stvarajući kortizol. Kažemo da je tada tijelo upaljeno, a nadbubrežne žlijezde podražene.

Kako gluten stalno ulazi u naše tijelo, praktički imunološki odgovor je stalno i prisutan. Možete li pretpostaviti kakav je to teret za nadbubrežnu žlijezdu?

tired-woman-tema-u-fokusuDok se bori s upalom koju stvara gluten, vašem tijelu ostaje manje snage za mišljenje, koncentraciju, memoriranje, fizičku snagu, veselje, volju i uživanje. Kortizol koji lučite gasi upalu u crijevima ili negdje drugdje te se troši neracionalno. Višak kortizola dat će informaciju cijelom organizmu da je u stanju upale te će započeti reparacija. Svaki organ pridružuje se liječenju na svoj način. Štitnjača smanjuje svoju aktivnost jer je za oporavak potrebno čuvati bazalni metabolizam, gušterača nastoji svu glukozu koju kortizol potakne iskoristiti te ubrzano izlučuje inzulin, jajnici i testisi miruju u upalnoj bolesti, čekaju povoljniji trenutak.

Kortizol je steroidni hormon, isto kao i spolni hormoni, i svi se stvaraju iz zajedničkog prekursora – kolesterola. Ako se većina kolesterola potroši za sintezu kortizola, jako malo će nam ostati za sintezu spolnih hormona i otuda problemi s neplodnošću, cistama, upalama u području ženskog i muškog reproduktivnog trakta.

Danas znanstvenici znaju za povezanost celijakije s autoimunim tireoiditisom i dijabetesom. Predlaže se da svim pacijentima s tim bolestima liječnik napravi pretragu za celijakiju. Iako možda nemaju simptome iz gastrointestinalnog sustava, posjeduju specifična antitijela te izbacivanjem glutena iz prehrane dobivaju šansu bolest staviti pod kontrolu ili čak ozdraviti.

Mnogi oboljeli od dijabetesa ili autoimunog tireoiditisa uopće ne vjeruju u ozdravljenje. Njima je objašnjeno da je bolest konačna i da će do kraja života morati uzimati hormone. Hvala farmaceutskoj industriji na hormonima (slavimo i dan kada je otkriven inzulin i njegova upotreba za spašavanje ljudskih života), bez njih bi mnogi ljudi živjeli nekvalitetno ili bi svoje živote skončali prijevremeno, ali tijelo posjeduje sposobnost regeneracije. Mi u našem imunološkom sustavu posjedujemo stanice koje se zovu „natural killers“ (prirodni ubojice), koje, ako su snažne, očiste tijelo od svih napadača i puste stanice da budu zdrave i da funkcioniraju pravilno. Naš cilj je osnažiti naše prirodne ubojice.

Ako prestanemo koristiti energiju na svladavanje upale i uklonimo gluten, kortizol će se više koncentrirati na treniranje „prirodnih ubojica“.

Tome svjedočim kod svojih pacijenata. Kad počnu spavati barem 8 sata u kontinuitetu i dovedu prehranu u red, izbace gluten, povećaju povrće i zdrave masnoće, nivo energije poraste, a nivo antitijela TPO ili TG se smanji. Svim pacijentima sugeriram da prate nivo antitijela u krvi kako bi znali u kojoj su fazi upale.

Dakle, svi koji imaju razvijenu hipofunkciju štitne žlijezde trebali bi izbaciti gluten iz svoje prehrane i prakticirati zdravu paleo prehranu s puno povrća, zdravih ulja i masnoća te proteina. Slatko također treba izbaciti. Ljudi koji ne podnose gluten imaju drugačiju mikrofloru u crijevima od ostalih, a prehrana pak ima drastičan utjecaj na mikrobiotu. Ono što jedemo hrani naše bakterije i one će se razviti baš onakve kakve trebaju biti. Slatko će potencirati razvoj kvasaca, dok će povrće za posljedicu imati fine zdrave bifidobakterije.

Pacijenti oboljeli od autoimunog tireoiditisa trebali bi se ostaviti glutena jer oni često imaju i upalu parijetalnih stanica želuca te ne stvaraju dovoljno želučane kiseline. Zbog toga imaju GERB i liječe se blokatorima kiseline (a zapravo im treba kiselina). Primijećeno je da, kada izbace gluten, njihov GERB se povuče.

Mladi ljudi i djeca obolijevaju još od jednog problema koji je povezan s reakcijom na gluten – dijabetes tip I. Osim te bolesti, oni razvijaju i druge endokrine disfunkcije, od kojih su česti problemi sa želucem, štitnjačom, jetrom, testisima i jajnicima. Njihova tijela puna su antitijela koja stvaraju kroničnu upalu i, dobrim dijelom, mogli bi se ukloniti izbacivanjem glutena.

Što znači izbaciti gluten? Umjesto pšeničnim proizvodima hraniti se bezglutenskim žitaricama? Ne, netočno. Umjesto žitaricama hraniti se povrćem, zdravim voćem, uljima, masnoćama, proteinima, a žitarice upotrebljavati malo i povremeno, i onda neka budu bezglutenske.

Očistiti tijelo od glutena i žlijezde osloboditi naleta antitijela značilo bi provesti detoksikaciju, očistiti jetru i crijeva, osvježiti krvne žile i svaku stanicu organizma.

Sljedeću korizmu, ramazan ili neki drugi post (koji nije slučajan) iskoristite za ovaj eksperiment. Jedite voće, povrće, ulja i masnoće i vidjet ćete rezultat. Neću vam govoriti ništa unaprijed, ali krenite u čitanje, učenje, planiranje. Mi smo tu da vam pomognemo.

Autor: Sanja Toljan, dr.med.

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