I-Dermatitis herpetiformis akuyona yodwa isimo sesikhumba esondelene kakhulu nesifo se-celiac- izifundo eziningana zibonisa ukuthi i-psoriasis nayo ihlanganisa ukuxhumana okuqinile nesifo se-celiac kanye neprotheyini ye-gluten , etholakala engolweni, ibhali kanye ne-rye.
Ucwaningo olulodwa lwasola i-gluten ebhiya ye-psoriasis kwabanye besifazane, kanti olunye ucwaningo lubika nokuxhumana phakathi kwesifo se-celiac ne-psoriasis.
Ngokuqondile, ucwaningo lubonisa ukuthi iziguli ze-psoriasis zinamazinga aphezulu okuthiwa ama-gluten antibodies ezihamba emzimbeni wazo. Lezi zinselo zomzimba zibonisa ukuthi iziguli ze-psoriasis zisabela ku-gluten ekudleni kwazo, nakuba zingakaze zitholwe ukuthi zinesifo se-celiac.
Lokhu akusho ukuthi i-gluten ibangele ukuthi ucwaningo lwe-psoriasis alukaqiniseki ukuthi isixhumanisi. Kungasho ukuthi iziguli ze-psoriasis zivele zibe namanani aphezulu wezifo ze-celiac, kodwa ukuthi i-gluten ayinendima kuma-psoriasis yawo.
Kungase futhi kusho ukuthi abanye abantu abanesifo se- psoriasis babhekene nokuzwela okungenalo -celiac gluten , futhi leso simo sibangela amazinga aphezulu e-anti-gluten.
Ucwaningo olwengeziwe luzodingeka lwenziwe ukuze kunqume ukuthi yini, ngokuqondile, yikuphi ukuxhumana okukhona phakathi kwesifo se-celiac, ukuzwela kwe-gluten okungenayo i-celiac, ne-psoriasis.
Izixhumanisi Phakathi Kwezifo Ezibucayi Ne-Psoriasis
Zesibili isifo se-celiac ne-psoriasis yizifo ezizimele , okusho ukuthi esimweni ngasinye, isimiso sakho somzimba sokuzivikela siphutha ngokungaqondile ingxenye yomzimba wakho.
Uma unesifo se-celiac, isimiso sakho somzimba sokuvikela omzimba sihlasela isisu sakho samathumbu emathunjini. Uma une psoriasis, amasosha omzimba wakho ahlasela isikhumba sakho.
Ngama-psoriasis, amacwecwe abomvu asobukhulu akhula esikhumbeni sakho njengoba ungqimba lwangaphandle lwesikhumba lukhula ngokushesha. Ngenkathi i-psoriasis ingavela kunoma yikuphi ubudala futhi ngezinye izikhathi ngisho noma ingatholakaliswa ezinganeni esibelethweni, iningi labantu lithola lesi sifo ekuqaleni kweminyaka yabo emdala.
Cishe ingxenye yesithathu yeziguli ezine-psoriasis nazo zihlushwa ukuqina okuhlangene, futhi kufika ku-10% ine-arthritis ye-psoriatic, uhlobo lwe-arthritis evuvukalayo. Kuze kufike ku-4.3% weziguli ze-psoriasis nazo zixilongwa ngesifo se-celiac.
Kusukela kuleli phuzu, akekho iqembu lezokwelapha eliye lathuthukisa izincomo zokuhlolwa kwe-celiac disease antibody ezigulini ze-psoriasis.
Izifo Zokulwa Nezifo Zama-Celiac Ezitholakala Ezigulini Ze-Psoriasis
Okungenani izifundo ezimbili zibika ukutholakala kwamagciwane e-gluten ezigulini ezine-psoriasis, okungenzeka zikhomba isifo se-celiac esingacacile kulabo bantu.
Isibonelo, umbiko owodwa wathola amazinga aphakeme kakhulu e-anti-glucose e-caliasis kuneziguli ezine-psoriasis kuneziguli ezifanelwe nokulawula ukuthi kungenzeka ukuthi ezinye zeziguli ziba nesifo esibi se-celiac esifushane , okusho ukuthi unesifo esihle segazi kodwa isifo sokubeletha esiswini esivamile.
Esinye isifundo sithatha amasampula egazi kusuka ezigulini ezinezilonda ezibi kakhulu ze-psoriatic, kanye nama-sampula kubantu abaphilile abangenalo umlando womndeni we-psoriasis noma isifo se-celiac. Abacwaningi bathola ukuthi iziguli ezine-psoriasis zinezibalo eziphakeme kakhulu zezinhlobo ezimbili zamagciwane okusetshenziselwa ukuxilonga isifo se-celiac.
Kodwa-ke, akekho weziguli kuleso sifundo esinesifo samagciwane e-IgA anti-endomysial, odokotela abathinteka kakhulu kunazo zonke futhi ezibhekene nesifo se-celiac sifo .
Noma kunjalo, abacwaningi baphetha ngokuthi "imiphumela yethu ibonakala ibonisa ukuhlangana phakathi kwe-psoriasis nesifo sengqondo se-celiac / gluten ukungavumelani."
Ingabe Ukudla Okungenayo I-Gluten Kungasiza Abahluphekayo Be-Psoriasis?
Uma uthola ukuthi unesifo se-psoriasis nesifo se-celiac, kuzodingeka ulandele ukudla okungekho gluten ukuphatha isifo sakho se-celiac. Njengobhonasi, kungase kusize i-psoriasis yakho. Kodwa ngabe iziguli ze-psoriasis ezingakaze zitholwe ukuthi zinesifo se-celiac zicabangela ukudla okungekho gluten, futhi?
Ucwaningo olulodwa lubonisa ukuthi impendulo ingase ibe yebo kubantu abahlola ukuthi banesifo samagciwane, ngisho noma bengenayo isifo se-celiac.
Leso sifundo sibheke abantu abangu-33 abanesifo se-psoriasis ababenama-antibodies aphezulu ukuze baqhathanise nabantu abayisithupha abane-psoriasis ababengenayo i-gluten antibodies ephezulu. Ucwaningo lwathola ukuthi u-73% walabo abanamaphilisi e-gluten aphezulu babona i-psoriasis yabo ithuthuka lapho behamba bengenabala, kanti akekho kulabo abangenawo ama-anti-gluten aphezulu awona ushintsho.
Ucwaningo oluthile oluthile nolwazi lwezinkinga lubuye lubonise ukuthi abanye abantu abane-psoriasis bangase babone isikhumba sabo sithuthuke (ngezinye izikhathi ngendlela ephawulekayo) ekudleni okungenalutho lwe-gluten, ngisho noma kungakaze kutholakale ukuthi bane-celiac. Eqinisweni, abacwaningi besifundo esisodwa bathi "ukudla okungenayo i-gluten kungasiza kakhulu kuziguli ze-psoriasis ezinokuzwela kwe-gluten [okuqinisekisiwe yi-antibodies ephakeme ukuze i-gluten] kodwa hhayi ngempela i-biopsy-iqinisekise isifo se-celiac."
Kodwa-ke, akuzona zonke izifundo ezibonise ukuthi ukudla okungenalutho kwe-gluten kunenzuzo kubantu abane-psoriasis.
Uma unesithakazelo ekuzameni kokudla okungenayo gluten, kuwukuhlakanipha ukuxoxa ngalokhu nodokotela wakho kuqala. Ungase ufune ukucela ukuhlolwa kwegazi ukuze ubone ukuthi unama-antibodies okuthiwa gluten ajikeleza emzimbeni wakho ngoba lokho kungasiza ekunqumeni ukuthi ungazuza yini ekudleni.
Imithombo:
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I-Damasiewicz-Bodzek A et al. Amakhamera we-serological ye-celiac isifo seziguli ze-psoriatic. Journal of the European Academy of Dermatology and Venereology. 2008 Sept; 9 (22): 1055-1061.
Gisondi P et al. I-Psoriasis, isibindi, kanye nomgudu wamathumbu. I-Dermatologic Therapy. 2010 mar; 23 (2): 155-159.
Qureshi A et al. Utshwala ludla futhi lengozi ye-psoriasis yezigameko kwabesifazane base-US: Ucwaningo olulindeleke. I-Archives of Dermatology. Ishicilelwe ku-intanethi ngomhla ka-16 Agasti 2010. http://archderm.ama-assn.org/cgi/content/full/archdermatol.2010.204.
Singh S et al. Ama-antibodies ahlobene nezifo ze-Celiac ezigulini ezine-psoriasis kanye nezixhumanisi ne-HLA Cw6. I-Journal ye-Clinical Laboratory Analysis. 2010; 24 (4): 269-72.