Iqiniso noma Amanga: Amanga Egazi Amanga Ayisimanga Amanzi Ajwayelekile Okuvamile Ezaneni
Kuyinto evamile ukufunda ngezinkundla ezihlukahlukene ze- celiac izifo ukuthi izingane zivame ukuba nemiphumela emibi emibi ekuhlolweni kwesifo se-celiac (ikakhulukazi ekuhloleni kwegazi le-celiac ).
Umphumela okuthiwa "ongalungile" wokuhlola uyenzeka uma imiphumela yokuhlolwa kwezokwelapha ibonisa ukuthi awunawo isimo esithile (kulokhu, isifo se-celiac), kodwa wenza ngempela. Ukuhlolwa kwezokwelapha akulona amanga ngamabomu-izivivinyo ezimbalwa zinikeza ukuqinisekiswa okungu-100% emiphumeleni yabo.
Ukucabangela umqondo wokuthi ukuhlolwa kwegazi akusebenzi kahle ezinganeni ukuthi ukulimala kwamathumbu emzimbeni we-celiac eyaziwa ngokuthi i-atrophy enonya ithatha isikhathi eside ukuthuthukisa, ngakho-ke izingane ezineziphumo ezingalungile zivele zingenaso isikhathi esanele isimo sokuqhubekela phambili esigabeni esonakaliswe ngempela (ukuhlola okuhle kwegazi kubonisa ukuthi umonakalo ukhona).
Lokhu kuzwakala njengombono omuhle, kodwa ngeshwa akekho ubufakazi bokudokotela bokuthi ubuyekeze-izifundo ezingakaze zenziwe.
Yini Esingaziyo Ngokuhlola Izingane ZamaCeliac?
Ngokusho kukaDkt. Alessio Fasano, ophethe i-Massachusetts General Hospital's Center for Celiac Research, ukuhlolwa okungekho emthethweni kwesifo esisodwa se-celiac isifo-isifo se-TTG-IgA-ngokuvamile sibalelwa ku-10-15% kuwo wonke amacala. Kodwa-ke, akuzange kube khona ucwaningo lokunquma ukuthi ngabe izingane zijwayele kangakanani lezi zinkinga ezingamanga kunabantu abadala.
"Ukuze uhlole ukuzwela kokuhlolwa okufana ne-TTG, okokuqala wenza ama-endoscopies nge-biopsies bese uqinisekisa ukuthi zingaki ze-biopsies ezibonisa umonakalo oveza isifo se-celiac zihle kakhulu ku-TTG," kusho uDkt. Fasano etshela i-VerywellFit.com.
"Lezi zinhlobo zezifundo zenzelwe abantu abadala abangakwazi ukubhekana nezikhathi ezingapheliyo nezizathu eziningi kunezingane. Ebantwaneni bezingane, le ndlela ayingeke ibe necala lokuziphatha, futhi angiyizi noma yiziphi izifundo ezifana nalezi."
Kukhona ubufakazi obuningi bokungabi namanga okungalungile ezinganeni ezingaphezulu kuka-10-15%.
Ucwaningo olwanyatheliswa emaphepheni we- Clinical Chemistry neLood Medicine lwaluhlolisisa ukuhlolwa kwegazi kanye nemiphumela ye-biopsy eqenjini labantwana abangaphansi kweminyaka eyisithupha ubudala ababenokuhlolwa kokubili. Ucwaningo lufumene ukuthi 80% kulaba bantu abanezifo ze-celiac eziqinisekisiwe ze-biopsy babe nemiphumela emihle yokuhlolwa kuhlolwa kokuhlolwa kwesiguli segazi (DGP) IgA test or test TTG-IgA. Ingqikithi engama-84% yabantwana yayinempilo ku-DGP-IgG noma kuhlolwa kwegazi le-tTG-IgA.
Ngakho-ke, abalobi baphetha ngokuthi amathuba amahle kakhulu okuthola imiphumela efanele yokuhlolwa kwegazi kuza lapho ukuhlolwa kwe-tTG-IgA kusetshenziswa ngokuhambisana nohlolo lwe-DGP IgG. Kulolu cwaningo, isilinganiso "sokungalungi kwamanga" kulawo mavivinyo amabili okuphakanyiswa kwegazi asetshenziselwa inhlanganisela yayingu-16%. Ukusebenzisa enye inhlanganisela yokuhlolwa kwanikeze izinga elibi elingamanga lika-20%.
Izwi kusuka
Uma ukholelwa imiphumela yokuhlola yesifo somntwana wakho we-celiac ebuyele nomphumela omubi wamanga, ungase ube nezinketho ezimbalwa ongaxoxa ngazo nodokotela wezingane zakho, ikakhulukazi uma izimpawu zezingane zakho zikhala "leliacac." (Hlola indaba yami ngezibonakaliso zeCeliac Disease in Children uma ungaqiniseki.)
Kungenzeka ukuthi, naphezu kwemiphumela emibi yokuhlolwa kwegazi, udokotela wengane yakho angase ancoma ukuthi aqhubeke phambili ne-endoscopy ukuze anqume ukuthi kukhona yini umonakalo emathunjini ongabonisa leliacac.
Nakuba abazali abaningi becindezela ukubeka ingane yabo engozini yokugcina i-endoscopy (futhi kukhona ingozi encane, njengoba nje kunenqubo ethile yezokwelapha), iqiniso liwukuthi izingane ngokuvamile zibhekana nokuncono kangcono kunabantwana ngosuku lokugcina.
Ungase futhi unqume ukweqa i-endoscopy, kodwa cabanga ukuqhubeka nokuhlolwa kwe- gluten-free diet ukuze ubone ukuthi izimpawu zixazulula. Ingane yakho ingase ingabi nesifo se-celiac, kodwa ingabe ingabe ibe ne-non-celiac gluten ukuzwela , isimo esanda kuqashelwa enezimpawu ezilandelana kakhulu ne-celiac. Okwamanje akukho ndlela evunyelwe emhlabeni jikelele yokuhlola ukuzwela kwe-gluten , kepha uma ingane yakho ihlupheka, isimo sayo kufanele siphuthume ngokushesha uma egwema i-gluten ekudleni kwayo.
Okokugcina, ungacabangela ukuhlolwa kofuzo lwesifo se-celiac . Lezi zivivinyo azikwazi ukuxilonga i-celiac; esikhundleni salokho, bayakwazi kuphela ukucacisa ukuthi unayo yini ikhono lofuzo lokuthuthukisa isimo. (Ukuze uthole okunye kulokhu, bheka isihloko sami Kuthiwani uma ukuhlolwa kwami kofuzo lwama-celiac kulungile? )
Okubalulekile ukuthi, kukhona ubufakazi obuncane bezinga eliphezulu kakhulu lokuhlolwa kwegazi le-celiac yesifo segazi esibi ezinganeni kunabantu abadala-kungenzeka ukuthi cishe eyodwa kwabahlanu noma abayisithupha abahlolwe bazuza umphumela omubi wamanga. Ngenhlanhla, unezinketho ezithile uma ukholelwa ukuthi imiphumela yokuhlolwa kwengane yakho ayilungile.
> Imithombo:
> Brusca I et al. Izivivinyo Zasekudala Nezinguquko Zesifo Sama-Celiac: Yikuphi Ukuhlanganiswa Okuhle Kokuhlola Ukugula I-Celiac Izifo Ezigulwini Zabantwana? I-Chemistry Clinical kanye ne-Laboratory Medicine. 2011 Sep 26; 50 (1): 111-7.
> Werkstetter KJ et al. Ukunemba Ekuqaphelweni Kwezifo Ezibucayi Ngaphandle Kwezingcikitsi Emisebenzini Yomtholampilo. I-Gastroenterology . 2017 Oct; 153 (4): 924-935.