{"id":2636,"date":"2017-03-25T19:36:53","date_gmt":"2017-03-25T19:36:53","guid":{"rendered":"https:\/\/www.centrojuliafarre.es\/?page_id=2636\/"},"modified":"2018-10-24T10:57:52","modified_gmt":"2018-10-24T10:57:52","slug":"malaltia-celiaca","status":"publish","type":"page","link":"https:\/\/www.centrojuliafarre.es\/ca\/dietes\/malaltia-celiaca\/","title":{"rendered":"Malalt\u00eda celiaca"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; custom_padding_last_edited=\u00bbon|desktop\u00bb admin_label=\u00bbsection\u00bb _builder_version=\u00bb3.0.74&#8243; custom_padding_tablet=\u00bb50px|0|50px|0&#8243; padding_mobile=\u00bboff\u00bb][et_pb_row padding_mobile=\u00bboff\u00bb column_padding_mobile=\u00bbon\u00bb admin_label=\u00bbrow\u00bb _builder_version=\u00bb3.0.47&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.0.47&#8243; column_padding_mobile=\u00bbon\u00bb parallax=\u00bboff\u00bb parallax_method=\u00bbon\u00bb][et_pb_text _builder_version=\u00bb3.0.47&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbcenter\u00bb module_alignment=\u00bbcenter\u00bb custom_margin=\u00bb||1px|\u00bb]<\/p>\n<h1>Malaltia cel\u00edaca o intoler\u00e0ncia al gluten<\/h1>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb2px\u00bb _builder_version=\u00bb3.2&#8243; hide_on_mobile=\u00bboff\u00bb][\/et_pb_divider][et_pb_image src=\u00bbhttps:\/\/www.centrojuliafarre.es\/wp-content\/uploads\/2017\/03\/malaltia-celiaca-800&#215;462.jpg\u00bb alt=\u00bbcereals amb gluten \u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb3.0.74&#8243; animation=\u00bboff\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb]<\/p>\n<h2><strong>Qu\u00e8 \u00e9s el gluten?<\/strong><\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.12.2&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]<\/p>\n<p>El gluten \u00e9s una prote\u00efna que es troba en la llavor d&#8217;alguns cereals com el blat, l&#8217;ordi, el s\u00e8gol i l&#8217;espelta. Aquest \u00e9s l&#8217;encarregat de donar elasticitat i una textura masticable als aliments. Recentment s&#8217;ha posat de moda seguir una <strong>dieta sense gluten<\/strong>\u00a0(gluten-free diet) sense cap motiu aparent. En diversos estudis s&#8217;ha observat que la gent que no t\u00e9 celiaquia o sensibilitat al gluten no cel\u00edaca i segueix una alimentaci\u00f3 lliure d&#8217;aquesta prote\u00efna, tendeix a menjar menys fibra i altres micronutrients, que fa que la dieta sigui menys nutritiva i variada. A part que una alimentaci\u00f3 sense gluten sol ser m\u00e9s costosa a nivell econ\u00f2mic.<\/p>\n<p>Tamb\u00e9 cal destacar que si es retira el gluten abans de la realitzaci\u00f3 d&#8217;unes correctes proves de diagn\u00f2stic de la malaltia cel\u00edaca, posteriorment quan es procedeixi a realitzar aquest tipus de proves, es pot obtenir un fals negatiu, impedint un correcte diagn\u00f2stic, amb tot el que aix\u00f2 pot suposar.<\/p>\n<p>Aix\u00ed que si no est\u00e0s diagnosticat de celiaquia o b\u00e9 de sensibilitat al gluten no cel\u00edaca, no seria necessari retirar aquest tipus d&#8217;aliments de la teva alimentaci\u00f3.<\/p>\n<p> A continuaci\u00f3 t&#8217;explico en quines situacions si hauries de fer-ho.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.0.87&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb use_border_color=\u00bboff\u00bb border_color=\u00bb#ffffff\u00bb border_style=\u00bbsolid\u00bb]<\/p>\n<h2><strong>Qu\u00e8 \u00e9s la intoler\u00e0ncia al gluten?<\/strong><\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]La malaltia cel\u00edaca (tamb\u00e9 coneguda com celiaquia o intoler\u00e0ncia al gluten) \u00e9s una malaltia intervinguda pel sistema immune en individus gen\u00e8ticament susceptibles. Es caracteritza per causar danys cr\u00f2nics en la mucosa de l&#8217;intest\u00ed prim a causa d&#8217;una intoler\u00e0ncia permanent. Aquesta intoler\u00e0ncia provoca lesions a nivell de les parets intestinals originant problemes de malabsorci\u00f3, i altres s\u00edmptomes.<\/p>\n<p>Actualment aquesta malaltia t\u00e9 una prevalen\u00e7a major en el sexe femen\u00ed amb una relaci\u00f3 2:1 respecte al sexe mascul\u00ed.<br \/>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb]<\/p>\n<h3><strong>Difer\u00e8ncia entre celiaquia i sensibilitat al gluten no cel\u00edaca (SGNC)<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]Hem de diferenciar la malaltia cel\u00edaca de la sensibilitat al gluten no cel\u00edaca (tamb\u00e9 coneguda com a intoler\u00e0ncia al gluten no cel\u00edaca, anteriorment coneguda com a sensibilitat al gluten) ja que la SGNC no t\u00e9 cap component gen\u00e8tic i no s\u2019ha de realitzar una dieta tan estricta ja que pot augmentar el seu grau de sensibilitat. Les persones que pateixen SGNC poden tolerar petites quantitats, en canvi, les persones cel\u00edaques han d&#8217;evitar qualsevol contacte amb aquesta subst\u00e0ncia (evitar tamb\u00e9 contaminacions creuades).<\/p>\n<p>Tamb\u00e9 cal destacar que per cada persona cel\u00edaca podria haver-n&#8217;hi 7 amb sensibilitat al gluten no cel\u00edaca.<\/p>\n<p><a name=\"#piopialo-Perc\" id=\"#piopialo-Perc\"><\/a><div class=\"piopialob\">\n\t\t\t\t\t\t\t\t\t<div class=\"piopialob-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.centrojuliafarre.es\/wp-content\/plugins\/vcgs-toolbox\/img\/pio-icon.png\" width=\"60\" \/>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"piopialob-text\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"piopialob-frase\"  data-piolink=\"http:\/\/www.twitter.com\/intent\/tweet\/?text=%22Per%20cada%20persona%20cel%C3%ADaca%20podria%20haver-n%26%238217%3Bhi%207%20amb%20sensibilitat%20al%20gluten%20no%20cel%C3%ADaca%22%20%40clara%20munozpuig%20%23CentroJuliaFarre%20&url=https%3A%2F%2Fwww.centrojuliafarre.es%2Fca%2Fdietes%2Fmalaltia-celiaca%2F%23piopialo-Perc&related=vicampuzano%2C%40clara\">Per cada persona cel\u00edaca podria haver-n&#8217;hi 7 amb sensibilitat al gluten no cel\u00edaca<\/span><span class=\"piopialob-link\"><a onClick=\"javascript:rMidEnlace('piopialo', 'Malalt\u00eda celiaca', 'Per cada persona cel\u00edaca podria haver-n&#8217;hi 7 amb sensibilitat al gluten no cel\u00edaca');\"  rel=\"nofollow\" target=\"_blank\" class=\"piopialo\" data-piolink=\"http:\/\/www.twitter.com\/intent\/tweet\/?text=%22Per%20cada%20persona%20cel%C3%ADaca%20podria%20haver-n%26%238217%3Bhi%207%20amb%20sensibilitat%20al%20gluten%20no%20cel%C3%ADaca%22%20%40clara%20munozpuig%20%23CentroJuliaFarre%20&url=https%3A%2F%2Fwww.centrojuliafarre.es%2Fca%2Fdietes%2Fmalaltia-celiaca%2F%23piopialo-Perc&related=vicampuzano%2C%40clara\"  title=\"Piopialo Ahora\"> - Haz clic para twittear! <i class=\"fa fa-twitter\"><\/i><\/a>&nbsp;&nbsp;<a target=\"_blank\" class=\"pioface\" data-piolink=\"http:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fwww.centrojuliafarre.es%2Fca%2Fdietes%2Fmalaltia-celiaca%2F%23piopialo-Perc&quote=Per%20cada%20persona%20cel%C3%ADaca%20podria%20haver-n%26%238217%3Bhi%207%20amb%20sensibilitat%20al%20gluten%20no%20cel%C3%ADaca\" title=\"En Facebook\"><i class=\"fa fa-facebook-square\">&nbsp;<\/i><\/a><\/span>\n\t\t\t\t\t\t\t\t\t<\/div><\/div><br \/>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb3.0.87&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb use_border_color=\u00bboff\u00bb border_color=\u00bb#ffffff\u00bb border_style=\u00bbsolid\u00bb]<\/p>\n<h3><strong>S\u00edmptomes de la celiaquia<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]Els s\u00edmptomes poden variar de persona a persona i fins i tot pot ser que la celiaquia es presenti de forma silent, \u00e9s a dir, sense cap tipus de simptomatologia, fet que pot dificultar el seu diagn\u00f2stic. Actualment <strong>al voltant del 75% de les persones que pateixen aquesta malaltia estan sense diagnosticar<\/strong>.<\/p>\n<p>Aix\u00ed i tot els s\u00edmptomes m\u00e9s freq\u00fcents abasten:<\/p>\n<ul>\n<li>S\u00edndrome de malabsorci\u00f3 amb diarrea, esteatorrea, fatiga, n\u00e0usees, v\u00f2mits, distensi\u00f3 abdominal i meteorisme, p\u00e8rdua de pes, canvis en el car\u00e0cter, falta de gana, d\u00e8ficit de vitamines liposolubles, ferro, calci i \u00e0cid f\u00f2lic.<\/li>\n<\/ul>\n<p>En els nens tamb\u00e9 pot provocar un retard en el creixement i un cert estancament de la corba de pes.<br \/>\n[\/et_pb_text][et_pb_testimonial _builder_version=\u00bb3.2&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb border_width_all=\u00bb0px\u00bb border_color_all=\u00bb#e09900&#8243; border_style_all=\u00bbsolid\u00bb border_radii_portrait=\u00bbon||||\u00bb text_orientation=\u00bbjustified\u00bb use_border_color=\u00bbon\u00bb border_color=\u00bb#e09900&#8243;]Actualment <strong>al voltant del 75% de les persones que pateixen aquesta malaltia estan sense diagnosticar<\/strong>.<br \/>\n[\/et_pb_testimonial][\/et_pb_column][\/et_pb_row][et_pb_row padding_mobile=\u00bboff\u00bb column_padding_mobile=\u00bbon\u00bb _builder_version=\u00bb3.0.47&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb][et_pb_column type=\u00bb1_2&#8243; _builder_version=\u00bb3.0.47&#8243; column_padding_mobile=\u00bbon\u00bb parallax=\u00bboff\u00bb parallax_method=\u00bbon\u00bb][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb]<\/p>\n<h3><strong>Diagn\u00f2stic de la malaltia cel\u00edaca<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]Els criteris diagn\u00f2stics per determinar la malaltia cel\u00edaca consisteixen en quatre mecanismes fonamentals:<\/p>\n<ol>\n<li>Sospita cl\u00ednica (mostrar simptomatologia, tenir familiars afectats o b\u00e9 pert\u00e0nyer a un grup de risc).<\/li>\n<li>Anal\u00edtica amb els marcadors serol\u00f2gics de la MC (anticossos anti-p\u00e8ptids de gliadina deaminada, anti-transglutaminasa i anticossos anti-endomisi).<\/li>\n<li>Estudi gen\u00e8tic (HLA-DQ2\/8).<\/li>\n<li>Bi\u00f2psia del duod\u00e8 per a determinar la lesi\u00f3 intestinal.<\/li>\n<\/ol>\n<p>\u00c9s fonamental <strong>no retirar<\/strong> <strong>el gluten<\/strong> de la nostra alimentaci\u00f3 durant les proves diagn\u00f2stiques ja que podem interferir en els resultats obtenint aix\u00ed, falsos negatius.<\/p>\n<p>Per tal de fer un correcte diagn\u00f2stic d&#8217;aquesta sensibilitat no cel\u00edaca s&#8217;han d&#8217;excloure pr\u00e8viament la malaltia cel\u00edaca i l&#8217;al\u00b7l\u00e8rgia al blat.<\/p>\n<p>Per tal d&#8217;excloure l&#8217;al\u00b7l\u00e8rgia al blat s&#8217;hauran de realitzar proves cut\u00e0nies i mostrar un resultat negatiu. En el cas de la malaltia cel\u00edaca, la prova serol\u00f2gica ha de resultar negativa per comen\u00e7ar a sospitar de SGNC. En el cas que la persona no estigui exposada a aliments amb gluten, podrem descartar tamb\u00e9, SGNC. \u00c9s a dir, amb un diagn\u00f2stic d&#8217;exclusi\u00f3 de la malaltia cel\u00edaca i l\u2019al\u00b7l\u00e8rgia al blat es pot dictaminar sensibilitat al gluten no cel\u00edaca, sempre que al retirar els aliments amb aquesta prote\u00efna\u00a0desaparegui la simptomatologia i torni a apar\u00e8ixer amb la seva implantaci\u00f3.<br \/>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb1_2&#8243; _builder_version=\u00bb3.0.47&#8243; column_padding_mobile=\u00bbon\u00bb parallax=\u00bboff\u00bb parallax_method=\u00bbon\u00bb][et_pb_image src=\u00bbhttps:\/\/www.centrojuliafarre.es\/wp-content\/uploads\/2017\/03\/enfermedad-celiaca.jpg\u00bb alt=\u00bbintoler\u00e0ncia al gluten \u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb3.0.74&#8243; custom_margin=\u00bb80px|||\u00bb animation_style=\u00bbslide\u00bb animation_direction=\u00bbright\u00bb animation_duration=\u00bb500ms\u00bb animation_intensity_slide=\u00bb10%\u00bb animation=\u00bbright\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row padding_mobile=\u00bboff\u00bb column_padding_mobile=\u00bbon\u00bb _builder_version=\u00bb3.0.47&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.0.47&#8243; column_padding_mobile=\u00bbon\u00bb parallax=\u00bboff\u00bb parallax_method=\u00bbon\u00bb][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb]<\/p>\n<h2><strong>Dieta per a cel\u00edacs<\/strong><\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.12.2&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]<\/p>\n<p>En cas de diagn\u00f2stic de celiaquia l&#8217;\u00fanic tractament existent de moment \u00e9s una <strong>dieta exempta de gluten de per vida<\/strong>. Els objectius de seguir aquesta dieta s\u00f3n millorar la simptomatologia (en cas d&#8217;existir) i afavorir la recuperaci\u00f3 de les parets intestinals, millorant aix\u00ed l&#8217;absorci\u00f3 dels diferents nutrients. Per aix\u00f2 \u00e9s de vital import\u00e0ncia con\u00e8ixer quins s\u00f3n els aliments que contenen aquesta subst\u00e0ncia\u00a0i els que no, en aquesta p\u00e0gina \u00a0podeu consultar-los:\u00a0<a href=\"https:\/\/www.celiacscatalunya.org\/pdfs\/Apte_noApte.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.celiacscatalunya.org\/pdfs\/Apte_noApte.pdf<\/a><\/p>\n<p>Un cop s&#8217;hagi diagnosticat aquesta intoler\u00e0ncia \u00e9s primordial que el cel\u00edac agafi l&#8217;h\u00e0bit de llegir l&#8217;etiquetatge de tots els productes i que s\u00e0piga distingir el s\u00edmbol identificador dels productes sense gluten, ja que no nom\u00e9s s&#8217;han d&#8217;evitar els cereals que en contenen\u00a0(blat, l&#8217;ordi, el s\u00e8gol,\u00a0l&#8217;espelta, el kamut i el triticale, <strong>tamb\u00e9 la civada sempre que no estigui certificada<\/strong>, en s\u00ed no cont\u00e9 gluten, per\u00f2 pot no ser segura per a les persones intolerants al gluten) sin\u00f3 que tamb\u00e9 s&#8217;ha de prescindir dels seus derivats i altres aliments que puguin contenir-ne traces.<\/p>\n<p>[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/www.centrojuliafarre.es\/wp-content\/uploads\/2017\/03\/gluten-free-logo.jpg\u00bb alt=\u00bbproductes sense gluten \u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb3.0.74&#8243; animation=\u00bboff\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb3.12.2&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]<\/p>\n<p>Cal con\u00e8ixer les mesures higi\u00e8niques amb l&#8217;objectiu d&#8217;evitar contaminacions creuades a l&#8217;hora de cuinar. Tamb\u00e9 s&#8217;han de tenir en compte diverses mesures a l&#8217;hora de comprar i sortir a menjar fora. \u00c9s important que tinguis en compte aquests consells:<\/p>\n<ul>\n<li>Mai manipulis un producte amb els mateixos estris que has utilitzat pr\u00e8viament per cuinar aliments amb gluten.<\/li>\n<li>Evita utilitzar la mateixa superf\u00edcie que hagis emprat per a aliments amb gluten si aquesta no s&#8217;ha netejat adequadament.<\/li>\n<li>No compris productes a granel ni productes artesanals que no estiguin etiquetats (encara que un producte no contingui gluten en si, com per exemple, un pot d&#8217;esp\u00e8cies, llegeix l&#8217;etiquetatge i assegura&#8217;t que aquest producte sigui lliure de gluten ja que pot ser que contingui traces).<\/li>\n<li>Si vas a menjar fora assegura&#8217;t pr\u00e8viament que aquest restaurant t\u00e9 men\u00fas cel\u00edacs.<\/li>\n<li>Si tens dubtes sobre un aliment sobre si pot contenir aquesta mol\u00e8cula, no el consumeixis.<\/li>\n<li>Consulta els prospectes de medicaments o b\u00e9 amb el teu farmac\u00e8utic.<\/li>\n<\/ul>\n<h4><strong>A continuaci\u00f3 et faig una proposta de men\u00fa per a cel\u00edacs:<\/strong><\/h4>\n<div class=\"et-fb-loader\" style=\"position: relative; margin-bottom: 40px;\">\u00a0\n<table id=\"tablepress-58\" class=\"tablepress tablepress-id-58\">\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-1\">\n\t<td class=\"column-1\">Esmorzar<\/td><td class=\"column-2\">Llet amb cereals de blat de moro torrats.<\/td>\n<\/tr>\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Mig mat\u00ed<\/td><td class=\"column-2\">2 mandarines.<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Dinar<\/td><td class=\"column-2\">Vichyssoise.<br \/>\nSalm\u00f3 al forn acompanyat amb pur\u00e9 de patates i esp\u00e0rrecs verds.<br \/>\nIogurt natural.<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Berenar<\/td><td class=\"column-2\">1 pl\u00e0tan i 5 ametlles<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Sopar<\/td><td class=\"column-2\">Sopa de peix amb arr\u00f2s.<br \/>\nTruita de champinyons i carbass\u00f3.<br \/>\nIogurt natural.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-58 from cache --><\/div>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb]<\/p>\n<h3><strong>Relaci\u00f3 amb altres al\u00b7l\u00e8rgies i intoler\u00e0ncies aliment\u00e0ries<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]Una persona cel\u00edaca sense diagnosticar, o b\u00e9, que no segueixi una dieta lliure de gluten, pot presentar a la vegada, <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/intolerancia-la-fructosa\/\">intoler\u00e0ncia a la fructosa<\/a>, lactosa \u00a0o al sorbitol.<\/p>\n<p>Aix\u00f2 \u00e9s degut al fet que els enzims que degraden aquestes subst\u00e0ncies es troben a l&#8217;intest\u00ed. Les persones que ingereixen gluten i s\u00f3n cel\u00edaques presenten les vellositats intestinals atrofiades, amb la qual cosa \u00e9s molt probable que la producci\u00f3 d&#8217;aquests enzims es vegi alterada o inhibida, produint una intoler\u00e0ncia secund\u00e0ria a <strong>qualsevol d&#8217;aquestes mol\u00e8cules.<\/strong><\/p>\n<p>Si presentes diverses intoler\u00e0ncies a la vegada, \u00e9s recomanable que et facis proves per descartar una possible celiaquia.<br \/>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb custom_margin=\u00bb||1px|\u00bb]<\/p>\n<h3><strong>Conclusions<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; divider_weight=\u00bb1px\u00bb disabled_on=\u00bbon|on|off\u00bb _builder_version=\u00bb3.2&#8243;][\/et_pb_divider][et_pb_text _builder_version=\u00bb3.0.74&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb text_orientation=\u00bbjustified\u00bb]Si est\u00e0s diagnosticat de celiaquia has de seguir una alimentaci\u00f3 exempta de gluten de per vida. Amb ella podr\u00e0s millorar la teva simptomatologia, revertir alguna possible intoler\u00e0ncia i permetr\u00e0s la recuperaci\u00f3 de les vellositats intestinals.<br \/>\n[\/et_pb_text][et_pb_blurb _builder_version=\u00bb3.0.87&#8243; background_color=\u00bb#f5f5f5&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb border_width_all=\u00bb0px\u00bb border_color_all=\u00bb#e09900&#8243; border_style_all=\u00bbsolid\u00bb text_orientation=\u00bbjustified\u00bb custom_margin=\u00bb|200px||200px\u00bb custom_margin_phone=\u00bb10px|10px|10px|10px\u00bb custom_margin_last_edited=\u00bbon|phone\u00bb custom_padding=\u00bb5px|10px|5px|10px\u00bb use_border_color=\u00bbon\u00bb border_color=\u00bb#e09900&#8243;]Si fa poc que t&#8217;han diagnosticat celiaquia o sensibilitat al gluten no cel\u00edaca, et recomano que et posis en mans d&#8217;un bon professional perqu\u00e8 et gui\u00ef les pautes d&#8217;una alimentaci\u00f3 equilibrada d&#8217;acord a la teva situaci\u00f3. Les <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/\">Dietistes &#8211; Nutricionistes del Centre de Nutrici\u00f3 J\u00falia Farr\u00e9<\/a> et podem ajudar a seguir una alimentaci\u00f3 equilibrada perqu\u00e8 no pateixis cap car\u00e8ncia.<br \/>\n[\/et_pb_blurb][et_pb_team_member name=\u00bbClara Mu\u00f1oz \u00bb position=\u00bbDietista &#8211; Nutricionista \u00bb image_url=\u00bbhttps:\/\/www.centrojuliafarre.es\/wp-content\/uploads\/2013\/05\/clara-munoz.jpg\u00bb _builder_version=\u00bb3.0.47&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb][\/et_pb_team_member][et_pb_comments _builder_version=\u00bb3.0.96&#8243; header_level=\u00bbh4&#8243; header_font_size_tablet=\u00bb51&#8243; header_line_height_tablet=\u00bb2&#8243;][\/et_pb_comments][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Malaltia cel\u00edaca o intoler\u00e0ncia al gluten Qu\u00e8 \u00e9s el gluten? El gluten \u00e9s una prote\u00efna que es troba en la llavor d&#8217;alguns cereals com el blat, l&#8217;ordi, el s\u00e8gol i l&#8217;espelta. Aquest \u00e9s l&#8217;encarregat de donar elasticitat i una textura masticable als aliments. Recentment s&#8217;ha posat de moda seguir una dieta sense gluten\u00a0(gluten-free diet) sense [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1134,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-2636","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Intoler\u00e0ncia al gluten | Dieta per a cel\u00edacs | Centre J\u00falia Farr\u00e9<\/title>\n<meta name=\"description\" content=\"Pateixes malaltia cel\u00edaca o intoler\u00e0ncia al gluten? 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