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      "author": "janethisabelm",
      "body": "<h1>Cómo saber si eres intolerante al gluten o lactosa </h1>\n\n### **Primeramente saludos, para los que no me conocen soy la Dra Janeth Morales (Medico pediatra) hoy voy hablarles sobre La determinación de intolerancia al gluten o lactosa, La incapacidad de tolerar ya sea gluten o productos lácteos en su dieta. Esto puede llevar a consecuencias de salud desagradables e incluso peligrosas. Con trastornos que requieren se controle cuidadosamente.  Los tipos de alimentos que consume para evitar problemas. Si bien ciertos síntomas pueden indicarle la posibilidad de una intolerancia al gluten o a los lácteos.**\n\nhttps://steemitimages.com/DQmPwXYixrLp6gB6Bm8EmcHH6kKpTr6oxnYh6Lf2QTUQm2N/60950-h2.jpg\n\n<sup>Imagen 1.Paciente intolerante a la lactosa</sup>\n[imagen 1 fuente ](http://img.bekiapadres.com/articulos/portada/60000/60950-h2.jpg)\n\n\n## **Comencemos con saber ¿Qué es la lactosa?**\n#### **La lactosa es un azúcar o hidrato de carbono que se encuentra en todas las leches de los mamíferos, exceptuando la foca. Evidentemente es el suministro esencial de la energía que necesita el bebé Durante los primeros meses de vida, dado que no se alimenta con nada más que leche.**\n\n ## **¿Cómo se produce la intolerancia?**\n\n #### **La lactosa está compuesta por glucosa y galactosa. El organismo ha de absorber los dos componentes y para eso dispone de una enzima específica que lo desdobla, denominada lactasa. Ésta se da en el intestino.  Si los niveles de lactasa son muy bajos o ésta no realiza su labor transformadora, aparecen dificultades para “digerir” la lactosa.**\n\n> **La Lactosa es el azúcar de la leche y otros lácteos. Para su digestión se necesita una enzima llamada Lactasa la cual se produce en el intestino delgado. La incapacidad para digerir la lactosa se llama INTOLERANCIA A LA LACTOSA.**\n\n## **¿cuáles son sus síntomas?**\n\n#### **Tras la ingesta de leche o derivados lácteos aparecen dolores, cólicos, hinchazón abdominal, diarreas ácidas casi líquidas,  flatulencias e incluso vómitos. Las molestias pueden aparecer tras la ingesta de mínimas cantidades, Aunque hay personas que toleran la lactosa en menor grado.**\n\n<div class='pull-left'>https://steemitimages.com/DQmQjfiWjaNewqSUxeLJHTHgnaVYvw8jBBpJxtmwA4ejDD7/descarga%20.jpg\n</div>\n<center>Imagen 2. Paciente realizando el test del Hidrogeno<center>\n</div\n\n<center>[imagen 2. fuente ](http://www.gastroped.com.co/images/imagen_de_test_de_hidrogeno.jpg)<center>\n</div>\n\n\n\n## **¿Cómo se diagnostica esta enfermedad?**\n\n #### **Con la prueba de la tolerancia comprobamos medida mediante un análisis de sangre Si nuestro tubo digestivo absorbido bien la lactosa. En el test del hidrógeno podemos detectar si en el aire aspirado observamos restos de lactosa (hidrógeno) no absorbida y fermentada por bacterias intestinales.**\n\n> > **La intolerancia a la lactosa puede ser congénita ( se nace con ella ) o adquirida ( aparece después del nacimiento ) y se debe a la ausencia o disminución en la producción de la Lactasa**\n\n## **¿Cómo se “cura”?**\n\n#### **Sencillamente excluyendo de la dieta de los alimentos que contengan lactosa.  Cuando sea de carácter secundario,  es decir como consecuencia de otro problema, habrá de tratarse este para lograr la mejoría total. Cuando el sistema inmunitario del cuerpo reacciona tras la ingestión de un alimento y se produce un anticuerpo específico, es decir, busca la fórmula para contrarrestar la sustancia introducida que el sistema inmunológico considera peligrosa.**\n\n## **¿porque se producen las alergia?**\n\n#### **Porque nuestro organismo no está preparado para asimilar una sustancia y activa su propia defensa antes de que llegue a dañar a alguno de sus órganos o funciones vitales. Es el caso de los niños pequeños cuyas para intestinales no están del todo madura o cuando estás han sido dañadas por una infección. Un intestino excesivamente permeable puede provocar que las sustancias potencialmente alergizantes entren en la corriente sanguínea. En este caso su sistema defensivo busca la forma de bloquearlas y se desencadena una reacción alérgica.**\n\n\n<div class='pull-right'>https://steemitimages.com/DQmafqRTDa22AWoCs825rjDEf3YzMZZjspW5WQ7aNpvNddf/233455262-zica-virus-02.jpg\n</div>\n<center>Imagen 3. Sintomas de alergia en paciente con intoleracia a la lactosa<center>\n</div\n\n<center>[imagen 3. fuente ](\nhttp://midias.folhavitoria.com.br/files/2015/05/233455262-zica-virus-02.jpg )<center>\n</div>\n</div>\n\n\n\n## **¿Qué síntomas la definen?**\n\n#### **La alergia a las proteínas de la leche de vaca puede manifestarse al cabo de unos minutos,  unas horas o varios días. Los síntomas más frecuentes son los espasmos abdominales, los vómito diarrea, dolores, aunque también puede provocar una apropiación a los resfriados y las infecciones de vías respiratorias altas y problemas cutáneos. El único tratamiento posible consiste en eliminar todas las proteínas alergizante, es decir  la leche de vaca, de la Alimentación. En caso de intolerancia a la lactosa y alergia a las proteínas de la leche de vaca, NO debe  consumir:**\n\n•\t**Leche y productos lácteos**\n•\t**Alimentos preparados que lo contengan como ingredientes**\n•\t**El alérgico a las proteínas de la leche de evitar también el caseinato / caseína.**\n•\t**La lactosa puede incluirse como ingrediente añadido.**\n\n\nhttps://steemitimages.com/DQmamUyFAFhtDTBwHfRBT5CzmPxLAoP471QHXHNfR7smzzW/dolor-intolerancia.jpg\n\n<sup>Imagen 4 . Sintomas</sup>\n[imagen 4 fuente ](https://funcionales.es/funcionales/wp-content/uploads/2012/08/dolor-intolerancia.jpg)\n\n\n\n #### **La intolerancia la lactosa o la alergia a las proteínas de leche, Aunque puedan constituir alteraciones crónicas,  quienes la padecen no estamos obligados de por vida a sufrir en silencio. Simplemente con unos pequeños reajustes en la dieta diaria, el problema dejará de serlo y no tendrá que convertirse en un obstáculo para el desarrollo feliz y saludable.**\n\n<h1>**La intolerancia al gluten no ha de ser un obstáculo en el desarrollo de una vida normal.**</h1>\n\nhttps://steemitimages.com/DQmWXTQhqxcKBgEweQCGEqERDwQ1Sxja9DoU542LJHU4EYd/enfermedad-celiaca-800x451.jpg\n\n<sup>Imagen 5.Proteinas de los cereales</sup>\n[imagen 1 fuente ](https://funcionales.es/funcionales/wp-content/uploads/2012/08/dolor-intolerancia.jpg )\n\n## **¿Qué es la enfermedad celíaca?**\n\n #### **Se define como la intolerancia permanente al gluten que provoca lesión intestinal. El gluten es un una fracción proteica que se encuentra la harina de trigo, cebada, avena y Centeno.**\n\n\n> **El gluten es una proteína de los cereales,  como la avena el trigo, el Centeno, etc. Esta intolerancia es de tipo permanente, es decir no tiene cura solo tratamiento que consiste en un par más que todo en una dieta libres de estas proteínas**\n\n\n ## **¿Por qué la intolerancia?**\n\n #### **porque se trata de la respuesta que el gluten provocan la mucosa intestinal de la persona que le parece( atrofia de las vellosidades) y no siempre existe una respuesta clínica La ingestión del mismo, es decir muchas ocasiones el tomar gluten no produce síntomas aparentes en persona celíacas.**\n\n## **¿porque permanente?**\n\n #### **porque es para toda la vida. Si te han diagnosticado enfermedad celíaca deberá seguir una dieta estricta sin gluten siempre. Aunque dejes de padecer la enfermedad, tratamiento no y lo elimina la intolerancia.**\n\n<div class='pull-left'>https://steemitimages.com/DQmWmtPRYkQL1xaw4CAtfUUREgqino5SBPkUFWYUSaawEdB/biopsia-celiaquia-celiaco-prueba1.jpg\n</div>\n<center>Imagen 6. Forma de la mucosa intestinal en biopsia<center>\n</div\n\n<center>[imagen 6. fuente ](http://comunidadceliaca.org/images/contents/news/biopsia-celiaquia-celiaco-prueba1.jpg)<center>\n</div>\n\n\n## **¿por qué la lesión intestinal?** \n\n#### **Porque el gluten, al contacto con la mucosa intestinal, provoca una atrofia en las vellosidades intestinales. La mucosa intestinal sólo se normaliza cuando se sigue una dieta estricta sin gluten. Dado que la enfermedad celíaca es el resultado del efecto del gluten sobre la mucosa intestinal, los síntomas digestivos, juntos a las consecuencias de mala absorción de nutrientes, constituyen las características clásicas de la enfermedad.**\n\n> **En el caso típico de un bebé de 12 a 18 meses de edad que presenta diarrea, retraso pérdida de peso o vientre hinchado.  Estos síntomas pueden ir acompañado de falta de apetito, vomito, cambio de carácter (triste) dolores abdominales posee una lesion intestinal**\n\n#### **hay que tener en cuenta que habituales los pequeños empiezan a tomar gluten a los 6 a 7 meses de edad y los síntomas inicia normalmente entre los 12 - 18 meses.  Por  tanto existe un periodo de lactancia más o menos largo hasta que aparecen los síntomas.  A veces, incluso, pueden pasar años**\n\n\n## **Diagnóstico**\n\n#### **Para diagnosticar esta enfermedad, el médico tiene que demostrar la lesión intestinal (biopsia intestinal) que la misma guarda relación por el gluten. Para orientar el diagnóstico y seguimiento, los especialista disponen de análisis para detectar en la sangre la presencia  de los anticuerpos Antigliadina (AGA),  anticuerpos antitrans glutaminasa Y Antiendomicio (EMA)  sustancia que se produce el organismo del celíaco cuando ingieren gluten.**\n\n<div class='pull-right'>\nhttps://steemitimages.com/DQmckfEWhvTp7FWRdDSZBp6NqfK7AVN3u16hqmWZ4RyfZaX/endoscopia.jpg\n</div>\n<center>Imagen 7. Endoscopia <center>\n</div\n\n<center>[imagen 7. fuente ](https://consultadigestivo.files.wordpress.com/2014/02/endoscopia.jpg)<center>\n</div>\n\n ## **Relación entre la intolerancia al gluten e intolerancia lactosa**\n\n#### **La lesión intestinal que provoca el gluten presupone una disminución de determinada enzimas que se hallan en el intestino. La lactosa, encargada de digerir la lactosa o azúcar de la leche, es la que inevitablemente resulta afectada. Cuando esté defecto de absorción se une a la presencia de síntomas típicos relacionados con el mismo se habla de intolerancia a la lactosa, y la posibilidad de absorber la azúcar en la leche. por este motivo,  los especialistas suelen recomendar tomar leche sin lactosa Durante los primeros meses de tratamiento.**\n\n#### **En el tratamiento de una persona celíaca es fundamental dietas sin gluten, y además para toda la vida. Debe tener claro que al saltarse la prohibición, ya sea de forma voluntaria o involuntaria, conduce a un progresivo deterioro de la mucosa intestinal, aunque a veces no vaya acompañado de síntomas aparentes y te dé una falsa sensación de seguridad. A largo plazo de las transgresiones  aumentan el riesgo de regeneración y el aparato digestivo.**\n\n<hr>\n\n# **Opinión de Autor**\n \n### **La intolerancia a ciertos alimentos, es un motivo de consulta frecuente en pediatría y en adultos, sin embargo hoy tratamos de algunas de las más frecuentes. Como son la intolerancia a la lactosa y la intolerancia al gluten.**\n### **Existe un gran porcentaje de personas que padecen eso dentro de la población, y hay una predisposición al sexo femenino hacia padecer sobre todo la intolerancia al gluten. Hoy en día es más fácil de llevar, porque existen ya alimentos comercializados libre de gluten, que son los que deben usar esas personas. Son recomendados por los médicos y en cuanto a la lactosa no se recomienda el uso de los lácteos porque no tiene la enzima, o hay sustitutos de la enzima lactasa que vienen comercializados en forma de medicamentos vía oral.**\n\n\n[fuente inf. intolerancia al gluten]( https://g.co/kgs/QadEHb) (https://www.cmed.es/sensibilidad-gluten.php)\n\n[fuente inf. intolerancia a la lactosa]( https://g.co/kgs/yev37w)",
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