{"id":731,"date":"2025-01-19T19:07:14","date_gmt":"2025-01-19T19:07:14","guid":{"rendered":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/?p=731"},"modified":"2025-01-21T21:50:40","modified_gmt":"2025-01-21T21:50:40","slug":"doenca-celiaca-vs-intolerancia-ao-gluten-qual-a-diferenca","status":"publish","type":"post","link":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/?p=731","title":{"rendered":"Doen\u00e7a Cel\u00edaca vs Intoler\u00e2ncia ao Gl\u00faten: Qual a Diferen\u00e7a?"},"content":{"rendered":"\n<p>A rela\u00e7\u00e3o entre sa\u00fade e alimenta\u00e7\u00e3o desperta muitas d\u00favidas, especialmente quando o assunto envolve o gl\u00faten.<\/p>\n\n\n\n<p>Embora muitas vezes confundidas, a Doen\u00e7a Cel\u00edaca e Intoler\u00e2ncia ao Gl\u00faten t\u00eam causas, sintomas e tratamentos distintos. Vou esclarecer cada uma delas!<\/p>\n\n\n\n<div style=\"height:70px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Doen\u00e7a Cel\u00edaca (DC):<\/h2>\n\n\n\n<p>A Doen\u00e7a Cel\u00edaca \u00e9 uma condi\u00e7\u00e3o autoimune que ocorre em indiv\u00edduos geneticamente predispostos. Quando pessoas com Doen\u00e7a Cel\u00edaca&nbsp; ingerem gl\u00faten, o sistema imunol\u00f3gico ataca o intestino delgado, causando inflama\u00e7\u00e3o e danos na mucosa intestinal.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sintomas principais: Diarreia cr\u00f4nica, dor abdominal, anemia, perda de peso e, em crian\u00e7as, atraso no crescimento. Entretanto, \u00e9<\/li>\n<\/ul>\n\n\n\n<p>Entretanto, \u00e9 importante destacar que nem todos os pacientes com Doen\u00e7a Cel\u00edaca apresentam sintomas abdominais. A condi\u00e7\u00e3o pode se manifestar de forma at\u00edpica, com sinais que incluem anemia de causa desconhecida, perda de peso inexplic\u00e1vel, osteoporose precoce, infertilidade, altera\u00e7\u00f5es hep\u00e1ticas sem motivo aparente e les\u00f5es cut\u00e2neas caracter\u00edsticas, como a dermatite herpetiforme.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diagn\u00f3stico: a presen\u00e7a de anticorpos espec\u00edficos que podem ser detectados por exames de sangue, auxiliam no diagn\u00f3stico. O processo autoimune provoca altera\u00e7\u00f5es na mucosa do intestino delgado, como atrofia das vilosidades intestinais, que podem ser identificadas por meio de bi\u00f3psias realizadas durante a endoscopia digestiva alta. Esses autoanticorpos e altera\u00e7\u00f5es histol\u00f3gicas s\u00e3o importantes para o diagn\u00f3stico.<\/li>\n<\/ul>\n\n\n\n<p>Em alguns casos, entretanto, pode haver achados discordantes, como autoanticorpos positivos e bi\u00f3psias aparentemente normais ou com altera\u00e7\u00f5es m\u00ednimas.<\/p>\n\n\n\n<p>A avalia\u00e7\u00e3o cuidadosa de um gastroenterologista \u00e9 essencial para assegurar um diagn\u00f3stico corretoe orientar o tratamento adequado.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tratamento: Dieta rigorosamente isenta de gl\u00faten por toda a vida. Mesmo pequenas quantidades podem desencadear danos ao intestino.<\/li>\n<\/ul>\n\n\n\n<p>\u00c9 fundamental enfatizar que a restri\u00e7\u00e3o do gl\u00faten na dieta s\u00f3 deve ser adotada ap\u00f3s uma investiga\u00e7\u00e3o completa e criteriosa. Iniciar a dieta sem um diagn\u00f3stico definitivo pode mascarar os resultados de exames importantes, dificultando a identifica\u00e7\u00e3o da Doen\u00e7a Cel\u00edaca ou de outras condi\u00e7\u00f5es relacionadas ao gl\u00faten.<\/p>\n\n\n\n<p>Por isso, \u00e9 essencial que qualquer modifica\u00e7\u00e3o alimentar seja feita sob orienta\u00e7\u00e3o m\u00e9dica e somente ap\u00f3s a conclus\u00e3o de todas as etapas diagn\u00f3sticas.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>O tratamento deve incluir o acompanhamento de um nutricionista especializado, prevenindo defici\u00eancias e promovendo uma dieta equilibrada.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:70px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"192\" class=\"elementor elementor-192\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0530332 e-flex e-con-boxed e-con e-parent\" data-id=\"0530332\" 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132.1z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-phone-alt elementor-animation-grow elementor-repeater-item-2014e93\" href=\"tel:+5571996557734\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Phone-alt<\/span>\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-phone-alt\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-check-circle elementor-animation-grow elementor-repeater-item-f53f000\" href=\"http:\/\/arnaldomotta.med.br\/site\/Marina-Curriculo.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Check-circle<\/span>\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.033 8 8 119.033 8 256s111.033 248 248 248 248-111.033 248-248S392.967 8 256 8zm0 48c110.532 0 200 89.451 200 200 0 110.532-89.451 200-200 200-110.532 0-200-89.451-200-200 0-110.532 89.451-200 200-200m140.204 130.267l-22.536-22.718c-4.667-4.705-12.265-4.736-16.97-.068L215.346 303.697l-59.792-60.277c-4.667-4.705-12.265-4.736-16.97-.069l-22.719 22.536c-4.705 4.667-4.736 12.265-.068 16.971l90.781 91.516c4.667 4.705 12.265 4.736 16.97.068l172.589-171.204c4.704-4.668 4.734-12.266.067-16.971z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\n\n\n<div style=\"height:70px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Intoler\u00e2ncia ao Gl\u00faten N\u00e3o Cel\u00edaca (IGNC):<\/h2>\n\n\n\n<p>Diferente da Doen\u00e7a Cel\u00edaca, a <strong>Intoler\u00e2ncia ao Gl\u00faten N\u00e3o Cel\u00edaca<\/strong> n\u00e3o \u00e9 uma doen\u00e7a autoimune nem causa danos permanentes ao intestino. \u00c9 uma condi\u00e7\u00e3o na qual o consumo de gl\u00faten leva a sintomas desconfort\u00e1veis em algumas pessoas, sem que haja inflama\u00e7\u00e3o comprovada no trato gastrointestinal.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sintomas principais: Sensa\u00e7\u00e3o de incha\u00e7o, gases, fadiga e dor abdominal. Esses sintomas desaparecem com a retirada do gl\u00faten.<\/li>\n\n\n\n<li>Diagn\u00f3stico: \u00c9 um diagn\u00f3stico de exclus\u00e3o, feito ap\u00f3s descartar Doen\u00e7a Cel\u00edaca, outras intoler\u00e2ncias alimentares e alergia ao trigo.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:70px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Tratamento: A restri\u00e7\u00e3o ao gl\u00faten pode ser parcial ou total, dependendo da toler\u00e2ncia individual.<\/h2>\n\n\n\n<p><strong>Conclus\u00e3o<\/strong><\/p>\n\n\n\n<p>A diferen\u00e7a entre a Doen\u00e7a Cel\u00edaca e a Intoler\u00e2ncia ao Gl\u00faten est\u00e1 no mecanismo e na gravidade da condi\u00e7\u00e3o. Se voc\u00ea apresenta sintomas relacionados ao consumo de gl\u00faten, \u00e9 importante buscar orienta\u00e7\u00e3o m\u00e9dica para um diagn\u00f3stico preciso e um plano de tratamento adequado.<\/p>\n\n\n\n<p>Rubio-Tapia, A.,et al. (2022). American College of Gastroenterology Guidelines Update: Diagnosis and Management of Celiac Disease. <em>The American Journal of Gastroenterology, 118<\/em>(1), 59-76.<\/p>\n\n\n\n<p>Leonard, M. M., et al. (2017). Celiac Disease and Nonceliac Gluten Sensitivity: A Review. <em>JAMA<\/em>, 318(6), 647\u2013656.<\/p>\n\n\n\n<div style=\"height:70px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"495\" class=\"elementor elementor-495\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bf05d56 e-con-full e-flex e-con e-parent\" data-id=\"bf05d56\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-406b2b0 e-con-full e-flex e-con e-child\" data-id=\"406b2b0\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ea53ba2 elementor-widget elementor-widget-image\" data-id=\"ea53ba2\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" 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1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar Consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f31141 elementor-shape-circle elementor-grid-0 e-grid-align-center elementor-widget elementor-widget-social-icons\" data-id=\"8f31141\" data-element_type=\"widget\" data-widget_type=\"social-icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-social-icons-wrapper elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" 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184.9 0 35.9-1.7 67.7-9.9 93.9-36.2 26.2-26.2 34.4-58 36.2-93.9 2.1-37 2.1-147.8 0-184.8zM398.8 388c-7.8 19.6-22.9 34.7-42.6 42.6-29.5 11.7-99.5 9-132.1 9s-102.7 2.6-132.1-9c-19.6-7.8-34.7-22.9-42.6-42.6-11.7-29.5-9-99.5-9-132.1s-2.6-102.7 9-132.1c7.8-19.6 22.9-34.7 42.6-42.6 29.5-11.7 99.5-9 132.1-9s102.7-2.6 132.1 9c19.6 7.8 34.7 22.9 42.6 42.6 11.7 29.5 9 99.5 9 132.1s2.7 102.7-9 132.1z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-phone-alt elementor-animation-grow elementor-repeater-item-2014e93\" href=\"tel:+5571996557734\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Phone-alt<\/span>\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-phone-alt\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-check-circle elementor-animation-grow elementor-repeater-item-f53f000\" href=\"http:\/\/arnaldomotta.med.br\/site\/Marina-Curriculo.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Check-circle<\/span>\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.033 8 8 119.033 8 256s111.033 248 248 248 248-111.033 248-248S392.967 8 256 8zm0 48c110.532 0 200 89.451 200 200 0 110.532-89.451 200-200 200-110.532 0-200-89.451-200-200 0-110.532 89.451-200 200-200m140.204 130.267l-22.536-22.718c-4.667-4.705-12.265-4.736-16.97-.068L215.346 303.697l-59.792-60.277c-4.667-4.705-12.265-4.736-16.97-.069l-22.719 22.536c-4.705 4.667-4.736 12.265-.068 16.971l90.781 91.516c4.667 4.705 12.265 4.736 16.97.068l172.589-171.204c4.704-4.668 4.734-12.266.067-16.971z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>A rela\u00e7\u00e3o entre sa\u00fade e alimenta\u00e7\u00e3o desperta muitas d\u00favidas, especialmente quando o assunto envolve o gl\u00faten. Embora muitas vezes confundidas, a Doen\u00e7a Cel\u00edaca e Intoler\u00e2ncia ao Gl\u00faten t\u00eam causas, sintomas e tratamentos distintos. Vou esclarecer cada uma delas! Doen\u00e7a Cel\u00edaca (DC): A Doen\u00e7a Cel\u00edaca \u00e9 uma condi\u00e7\u00e3o autoimune que ocorre em indiv\u00edduos geneticamente predispostos. Quando [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":734,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-731","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doenca"],"_links":{"self":[{"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=\/wp\/v2\/posts\/731","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=731"}],"version-history":[{"count":1,"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=\/wp\/v2\/posts\/731\/revisions"}],"predecessor-version":[{"id":732,"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=\/wp\/v2\/posts\/731\/revisions\/732"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=\/wp\/v2\/media\/734"}],"wp:attachment":[{"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=731"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=731"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.creatycomunicacao.com\/dramarinapamponet\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}