I-anemia yisifo esivamile kakhulu sesifo se- celiac- kwesinye isifundo, ingxenye eyodwa kwezintathu ze-celiacs esanda kutholakala zine-anemia.
Kungani i-anemia nesifo se-celiac ngokuvamile zivela ndawonye? Ngokuvamile, ngokuvamile ngenxa yesifo se-celiac, awukwazi njalo ukuthola izakhi ezisuka ekudleni kwakho ... futhi uma ungatholi insimbi eyanele ekudleni kwakho, ungahlakulela i-anemia.
Ake sibukeze ezinye izinto eziyisisekelo nge-anemia.
Izimpawu ze-Anemia nezimbangela
Umzimba wakho usebenzisa i-hemoglobin-iphrotheni etholakala kumaseli abomvu-ukuthwala oksijini kuwo wonke umzimba wakho. Uma une-anemia, awunayo i-hemoglobin eyanele, ngakho-ke amangqamuzana akho akatholi oksijini okwanele ukusebenza kahle.
Izimpawu ze-anemia zingabandakanya ukuphefumula, ukukhathala, ubuthakathaka, isizungu, ukuzwa kubanda ngaso sonke isikhathi, ukushaya okusheshayo, ukushaya inhliziyo, nokushaya ikhanda.
I-anemia ingaba nezimbangela eziningi ezahlukene. Uhlobo oluvame kakhulu lwe-anemia-kokubili emhlabeni wonke, nasesifo se-celiac-luyaziwa njenge-iron-deficiency anemia. I-iron iyisici esibucayi se-hemoglobin, ngakho-ke lapho umuntu engenalo i-iron, umzimba awukwazi ukwenza okwanele.
Abantu abanesifo se-celiac bangabuye babe nohlobo lwe-anemia okuthiwa "i-anemia yezifo ezingapheliyo." Leli fomu le-anemia lihlobene nomonakalo emathunjini abo okuphumela ekudleni ukudla okuqukethe amaprotheni gluten .
I-Iron-Deficiency Anemia neCeliac Disease
Iningi labantu ababhekene ne-iron-deficiency anemia banesimo ngenxa yokulahlekelwa igazi.
Isizathu sokulahleka kwegazi singase sibonakale (njengokusengozini noma ukuphuma kwesisu esiqine) noma ukungabonakali (njenge-ulcer bleeding). Ukudla okunamandla ensimbi nakho kungabangela ukungenwa kwe-iron okunempilo, njengoba kungakhulelwa (yingakho izimbangi eziningi zincoma insimbi eyengeziwe).
Uma une-anemia engenayo i-iron engakwazi ukuchazwa ngenye yalezi zinkinga, kunethuba elihle lokuthi unesifo se-celiac, ngisho noma ungenayo izimpawu ezicacile ze- celiac .
Eqinisweni, phakathi kwabantu abane-anemia ye-iron-lack of anemia kodwa akukho izimpawu zokugaya ukudla, kufika ku-9% kuzokuhlola okulungile ngenxa yesifo se-celiac. Uma unayo izimpawu zokugaya, usuke kungenzeka ukuthi ube ne-celiac. Yingakho i-American Gastroenterological Association incoma ukuthi noma yimuphi umuntu omdala ngokungenakuchazwa kwe-iron-deficiency anemia kufanele ahlolwe isifo se-celiac.
Ukuntula ukudla okunomsoco ku-Blame for Insufficient Iron
Njengoba ngishilo ngenhla, abantu abanesifo se-celiac bathola i-iron-insufficient anemia ngoba abayitholi insimbi eyanele ekudleni abakudlayo. Lokhu kungenxa yokuthi ngesifo se-celiac, ukudla okudla okunomdlavuza kubangela umzimba wakho ukuba uhlasele ibhande lomathumbu wakho omncane, kuphazamise ikhono lakho lokuthola izakhi (kubandakanya insimbi).
Eqinisweni, kunobunye ubufakazi bokuthi abantu abane-anemia njengesifo sabo esiyisifo esikhulu se-celiac empeleni banesifo esibi kakhulu se-celiac kunabantu abanesifo sohudo njengesibonakaliso sabo esiyinhloko.
Ngenhlanhla, uma uthola ukuthi une-celiac futhi uqale ukudla okungenayo i-gluten , ubunikazi bakho bomathumbu buzoqala ukuphulukisa futhi uzoqala ukuthola imithi ekudleni kwakho futhi. Udokotela wakho angase ancome ukuthi uthathe izithako ezenziwe nge-iron ukuze wakhe izitolo zakho zensimbi nokudla ukudla okunensimbi, okufana nokubomvu inyama.
Ezinye izinto ezihlotshaniswa ne-iron-deficiency anemia ezibangelwa izinkinga ezithatha izakhi ezinomsoco zihlanganisa isifo sikaCrohn , ukusetshenziswa kabi kwezidakamizwa, kanye nokuhlinzeka ngezifo zesisu esiswini .
I-anemia yezifo ezigulayo zokugula
Nakuba ukutholakala kwe-anemia yensimbi kungumphumela owaziwayo wesifo se-celiac, ukugula kwesifo esingelapheki nakho kuhlotshaniswa ne-celiac. Ucwaningo olwenziwa ngo-2006 lwathola ukuthi abantu abangaba ngu-12% abanesifo se-celiac esasanda kutholakala nesifo se-anemia babe nesimo esaziwa ngokuthi "i-anemia yezifo ezingapheliyo."
Loluhlobo lwe-anemia, ngezinye izikhathi futhi olubizwa ngokuthi "i-anemia yokuvuvukala okungapheli," kubonakala ikakhulu kubantu abaye bagula isikhathi eside.
Kwenzeka ngoba impendulo yakho yesimiso sokuzivikela emzimbeni wakho ukuvuvukala emzimbeni wakho empeleni kuphazamisa ukukhiqizwa komzimba wakho kwamaseli abomvu.
Ngenxa yokuthi abantu abanesifo se-celiac abadla i-gluten banempendulo enkulu yokuvuvukala emathunjini abo, akumangalisi ukuthi i-anemia yezifo ezingapheli zingakhula. Kungenzeka futhi ukuthi kokubili lezi zinhlobo ze-anemia ngesikhathi esifanayo.
Uvivinyo lwe-Anemia
Kulula kakhulu ukuhlola i-anemia-izobonakala emiphumeleni yokubala kwegazi ephelele, noma i-CBC, okuyinto yokuvame kakhulu eqhutshwa odokotela abaningi. I-CBC ilinganisa inani le-hemoglobin egazini, kanye nezinombolo nobukhulu bezinhlobo ezahlukene zegazi.
Uma ukuhlolwa kwakho kwegazi kubonisa ukuthi une-anemia, udokotela wakho angase ancoma ukuhlolwa okwengeziwe ukuthola imbangela. Ukuhlola amangqamuzana akho abomvu egazi ngaphansi kwe-microscope, nokuhlola amazinga akho ensimbi, anganikeza ngolwazi olwengeziwe.
Kuhlelwe nguJane Anderson
> Imithombo:
> Abu Daya H et al. Iziguli zesifo se-Celiac ezinikezwa i-anemia zinezifo ezinzima kunalabo abahambisa isifo sohudo. I-Gastroenterology Clinic ne-Hepatology. 2013 Nov; 11 (11): 1472-7.
> I-American Gastroenterological Association Institute Medical Position Isitatimende mayelana nokuHlola nokuPhathwa kwezifo eziCeliac. I-Gastroenterology 2006; 131: 1977-1980
> Bergamaschi G et al. I-anemia yezifo ezingapheli kanye nokukhiqizwa kwe-erythropoietin okungalungile kwiziguli ezine-celiac isifo. Haematologica. 2008 Dec; 93 (12): 1785-91.
> Harper JW et al. I-anemia yesifo se-celiac i-multitifactorial etiology. I-American Journal of Hematology 82: 996-1000, 2007.
> I-National Heart Lung ne-Blood Institute. Kuyini I-Anemia? i-fact sheet.
> Schrier SL. Ukuntula i-Iron okunempilo. Kusesikhathini.
> Volta U et al. Ukuguqulwa kwesipiliyoni somtholampilo wesifo se-celiac: isipiliyoni seminyaka engu-15 (1998-2012) esikhungweni sokudluliselwa kwe-Italy. BMC Gastroenterology .2014 Nov 18; 14: 194.