Isifo se-Celiac , esibizwa ngezinye izikhathi ngokuthi i-celiac sprue noma i-sprue, iyisifo esizimele esihlasela amangqamuzana afaka emathunjini. Lokhu kuhlaselwa kuthinta ukusondela kwe-gluten, amaprotheni athola ukolweni, rye, nebhali. Ukudla lokhu kudla kubangelwa ukuvuvukala, okwenza kube nzima ukuba umzimba ungene kahle izakhi ezivela ekudleni.
Isifo se-Celiac yiyona eyonakalisa intombazane encane. Abantu abanesifo se-celiac abakwazi ukudla gluten, amaprotheni athola ukolweni, ibhali, kanye rye.
Ezinye zezimpawu ezivamile zesifo se-celiac zihlanganisa lokhu okulandelayo:
- Izinkinga zamathumbu
- Ukuvimbela esiswini kanye nobuhlungu
- I-nausea
- Igesi
- Uhudo
- Ukuqokwa
- Ukukhathala
- Ubuhlungu obuhlangene
- Ukucindezeleka
- Ukukhathazeka
- I-peripheral neuropathy (ukulinganisa, ukuphazamiseka noma ubuhlungu ezandleni zakho nasezinyaweni)
- Izikhathi zokungena eziphuthumayo
- Ukungenzi lutho
- Ukususwa kwesisu okuvamile
- Ukushisa isikhumba esibizwa ngokuthi i-dermatitis herpetiformis
- Izinhlungu ezihlangene / izinsizi kanye nama-aches
- Inkungu yobuchopho
- I-Hives
Ngokusho kweNational Institute of Diabetes and Digestive and Kidney Diseases, isifo se-celiac singagijima emindenini, futhi amaphesenti angaba ngu-10 ukuya kwangu-20 wezihlobo eziseduze zabantu abanezifo ezingenamkhawulo nazo ziyathinteka.
Abanye odokotela bathi ukungafani kwezakhi zofuzo kungenza umuntu abe nesisindo sokuthi azwele amaprotheni. Ngokuhamba kwesikhathi, umzimba uphenduka ngokuzenzekelayo, ukhulula umuthi emathunjini emathunjini emzimbeni wokugcoba kwe-gluten, okwenza umonakalo emathunjini.
Isifo se-Celiac siyaziwa ukuthi sithathwa ngabantu abahlukumezekile ngokukhulelwa, ukucindezeleka okukhulu, noma ukuhlukunyezwa ngokomzimba. Izifo ze-Celiac nazo zivame kakhulu kubantu abanesifo sikashukela sohlobo 1 nezinye izimo ezizimele, kuhlanganise nesifo se-autoimmune.
Ngokusho kwabacwaningi, kukhona ubuhlobo obucacile phakathi kwesifo se-celiac nesifo se-autoimmune.
- Isifo se-Celiac sitholakala kumaphesenti amabili kuya kwangu-5 weziguli ezine-autoimmune isifo se-thyroid.
- Iziguli ezinesifo se-celiac ziphindwe kathathu ukuba nesifo se -roid.
Njengoba kunikezwa lezi zingozi, abanye ochwepheshe banomuzwa wokuthi iziguli ezinezifo ze-autoimmune zihlolwe isifo se-celiac, futhi labo abanezifo ezingavamile kufanele bahlolwe ngesifo se-autoimmune.
Impembelelo ezigulini ze-Thyroid
Impendulo evamile yezigulane zesifo se-thyroid isifo sokuthi akukho lutho olungenziwa ukunciphisa amazinga e-antibody, noma ukubhekana noma ukuphatha isimo "se-autoimmune" sezimo zabo ze- thyroid .
Kodwa-ke, abanye odokotela bayancoma ukudla okungenayo i-gluten ezigulini ze-autoimmune. Ngokuthakazelisayo, ezinye izifundo ziye zabonisa ukuthi izifo zamagciwane e-thyroid ziyehla noma zaphela ngisho ngemva kwezinyanga ezingu-3 kuya kwezingu-6 zokudla okungenalo i-gluten.
Ukuhlonza Nokuphatha Izifo Ezibucayi
Ukuze uhlolele isifo se-celiac, udokotela wakho angenza ukuhlolwa kwegazi ukuze ahlole amazinga we-antibodies ukuze abe ne-gluten. Lezi zinselo zomzimba zibizwa ngokuthi i-antigliadin, anti-endomysium, ne-antireticulin. Ukuxilongwa kwesifo se-celiac kungaqinisekiswa yi-biopsy yemathumbu.
Ukwelashwa kwangempela kwezifo ze-celiac ukunamathela ngokuqinile ekudleni okungenalo i-100% ye-gluten yokuphila.
Ukulandela ukudla okungenayo i-gluten kungavimbela cishe zonke izinkinga ezibangelwa yisifo. Ukudla okungenayo i-gluten kusho ukugwema noma yini equkethe ukolweni, i-rye nebhali, nanoma yimiphi imikhiqizo yawo.
Ukudla okungadliwa ekudleni okungenayo i-gluten kufaka:
- Ukudla okusha, izinhlanzi nezinkukhu
- Ubisi kanye noshizi olungapheli
- Ubhontshisi obomile
- Izithelo nemifino esisha noma efriziwe
- Ummbila nelayisi
- Izinkwa ezingenalutho ze-gluten, i-pasta, nezinye imikhiqizo yokusanhlamvu ye-gluten
- Amazambane, i-soy, i-amaranth, i-quinoa, i-buckwheat, nefulawa lebhontshisi kunokuba ufulawa wekolweni.
Ukudla okuvinjelwe ekudleni okungenayo i-gluten:
- Noma yisiphi isinkwa, okusanhlamvu noma okunye ukudla okwenziwe ngokolweni, i-rye, ibhali kanye ne-oat flours noma izithako kanye nezakhi ezenziwa ngalawo okusanhlamvu.
- Ukudla okusetshenzisiwe okuqukethe ukolweni, ama-gluten-derivatives, noma ama-thickeners. Lokhu kudla kubandakanya izinja ezishisayo, i-ayisikhilimu, ukugqoka isaladi, isobho ezisemathinini, ukuxuba okuphekiwe okomisiwe, ukhilimu ongeyena ubisi, ushizi olucutshungulwayo, ama-sauces ayisikhilimu, namakhulu okunye ukudla okuvamile.
Uma ulandela ukudla okungekho gluten, kufanele uqaphele eminye imithombo efihliwe ye-gluten, kuhlanganise:
- ama-herbal, vithamini, amaminerali, kanye nezithako zokudla okunomsoco
- imithi yokwelashwa
- imithi e-over-the-counter
- izimonyo, lip gloss kanye lip balm
- imikhiqizo yokuhlanzeka ngomlomo, njenge-toothpaste kanye nokugeza umlomo
Kwezinye izimo, ukuhlolwa akubonisi ukuxilongwa okucacile kwesifo se-celiac, nokho isiguli singase sibe nezimpawu eziningi. Kulesi simo, uma izimpawu zixazulula ngokudla okungenayo i-gluten, isimo sibhekwa ukuzwela okungenayo i-celiac gluten (NCGS) noma ukuzwela kokukolweni okungelona uketshezi (NCWS), noma ngokubanzi, ukubekezelelana kwe-gluten.
Imiphumela yeziguli ze-Thyroid
Nazi ezinye izinsiza eziyinhloko ukukusiza uqonde isixhumanisi phakathi kwe-gluten nesifo se-autoimmune:
> Imithombo:
> Ch eng, CL, futhi. al. "Izifo ze-Celiac nezifo ze-Thyroid Autoimmune." Imithi Yokwelashwa Nokucwaninga. 2007; 5 (3): 184-192. i-doi: 10.3121 / cmr.2007.738.
> Metso S, et. al. "Ukudla okungenalo i-Gluten kanye ne-autoimmune thyroiditis ezigulini ezinezifo ezingenalo i-celiac." I-Scandinavia Journal of Gastroenterology. 2012 Jan; 47 (1): 43-8. doi: 10.3109 / 00365521.2011.639084. 2011
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. "Ulwazi Lwezempilo: Izifo Ezibucayi." Juni 2016. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/celiac-disease/Pages/overview.aspx
> Roy, A, et. al. "Ukusabalala kwezifo ezingamaCeliac ezigulini ezinezifo ezizimele ze-Thyroid: A Meta-Analysis." I-Thyroid. 2016 Jul; 26 (7): 880-90. doi: 10.1089 / thy.2016.0108.