Amazinyo akho kanye nezinsini zakho ngokuvamile zithinteka yilo simo sokugaya
Amazinyo akho kanye nezinsini zakho zidlala indima ebalulekile ohlelweni lwakho lokugaya. Kodwa kungase kumangalise ukuzwa ukuthi isifo se-celiac- abantu abaningi abahlanganiswa kaningi ngezimpawu kancane kancane endleleni yokugaya-kungathinta umlomo wakho ngokujulile.
Eqinisweni, kungenzeka ukuthi amazinyo akho kanye nezinsini zakho zibonise izibonakaliso zesifo se-celiac ngaphambi kokuba uthuthukise ezinye izimpawu, ezifana nesifo sohudo noma ukuqothulwa , ukuvinjelwa, ukukhathala okungapheli noma ukukhwabanisa okukhulu kwesikhumba .
Futhi lezi zinkinga ezihlobene nomlomo zingahlala zizungeze ngisho nangemva kokuba uqale ukudla okungenalutho kwe-gluten .
Ngakho yini okufanele wena nodokotela wamazinyo kufanele ubuke? Nakhu okusemthethweni ukuthi isifo se-celiac sithinta kanjani umlomo wakho.
Indlela izifo ze-Celiac ezingathinta ngayo izinzwa zezingane
Izifo ze-Celiac zingathuthuka futhi zitholakale kunanoma yisiphi isikhathi, kunoma ubani kusukela kumncanyana kuya kumdala omdala . Kodwa uma kuqala kuqala lapho amazinyo engane ahlala ekhula, ngokuvamile ayenzeka ngaphambi kweminyaka eyisikhombisa, lawo mazinyo angapheli angathuthuki kahle.
Amazinyo womntwana we-celiac angeke abe ne- koqweqwe lwawo okwanele kubo, okungabenza babonakale bebala futhi bebomhlophe, bephuzi noma bayibala ngombala. Lesi simo, esibizwa ngokuthi "i-eamel hypoplasia" ngamazinyo, singaholela emithanjeni eminingi futhi ngezinye izikhathi sikhulise ukuzwela emazinyo.
Amazinyo nawo angase abonakale ehlwitha noma ephikisiwe kwezinye izingane ezinesifo se-celiac, futhi ezimweni ezinzima kunazo zonke, zingase zibe ne-groove ebonakalayo enezingqimba kuzo.
Lezi zintaba ziwuhlobo olubi kakhulu lwe-koqweqwe lwawo koqweqwe lwawo. Njengoba amazinyo angapheli aqala ukudala isikhathi eside ngaphambi kokuba aqede amazinyo emantwini futhi athathe indawo yawo emgqeni wezinyosi, odokotela bamazinyo bakholelwa ukuthi lezi zindawo ezigcwele zikhona kulawo mazinyo angapheli njengoba ingane iqala ukudala isifo se-celiac.
Ukukhubazeka koqweqwe lwawo koqweqwe lwawo okwenziwe nge-eamel akukhawulelwe ezinganeni ezinesifo se-celiac-ukungondleki kahle, izifo, izifo zofuzo kanye neminye imithi ingathinta ukuthuthukiswa koqweqwe lwawo koqweqwe lwawo.
Kodwa ucwaningo luye lwabonisa ukuthi iziphambeko zama koqweqwe lwawo zivame kakhulu kulabo abanesifo se-celiac kunabantu abangenayo isimo.
Izizathu Ezibangelwa Izinkinga Ze-Enamel Ezifweni Ezibucayi
Akucaci ukuthi kungani izingane ezinesifo se-celiac zihlakulela ukukhubazeka koqweqwe lwawo-abacwaningi-abacwaningi abaqiniseki. Kunemibono emibili: kungenzeka ukuthi ukungaphumeleli kokudla okunomsoco okwenzeka ngokubhujiswa kwe-celiac yezintambo ezincane zamathumbu kubangelwa inkinga ngokungaqondile, noma isimiso somzimba sokuvikela omzimba singalimaza amazinyo asathuthuka ngokuqondile.
Kunesinye ubufakazi obukhomba ukulimala komzimba okuqondile: ukukhubazeka kwamazinyo okutholakala kwamazinyo nakho kutholakala esihlotsheni esiseduze nabantu abaye bathola ukuthi banesifo se-celiac, kodwa abangazange bathole ukuthi banesimo ngokwabo. Lokhu kubonisa ukuthi imbangela yalezi ziphutha zoqweqwe lwawo koqweqwe lwawo ukukhubazeka kwesimiso sakho somzimba omzimba, kunokuba kube nokwehluleka kokudla okunomsoco okuthuthukiswa ngenxa yokulimala okuncane kwamathumbu omzimba omzimba.
Ngeshwa, uma kwenzeka umonakalo, akukho ndlela yokuyibuyisela emuva. Lesi esinye sezizathu zokuthi ukuhlolwa kwesifo se-celiac kusencane kubaluleke kakhulu ezinganeni-umonakalo ungase ube nzima kakhulu uma ingane itholakala ngokushesha futhi iqala ukulandela ukudla okungenamsoco we-gluten.
Kukhona izixazululo zabantu abanozinyo zabo ezindala abathintekile kabi ngesifo esingenazo izifo ze-celiac ebuntwaneni. Khuluma nodokotela wamazinyo mayelana nokusetshenziswa kwama-dental sealants noma ukubopha, okungavikela amazinyo emonakalweni. Ezimweni ezimbi kunazo zonke, udokotela wamazinyo wakho angase ancoma umqhele noma ngisho nezimpande zamazinyo.
Ukuthuthukiswa Kwamazinyo Okunciphisa Amantombazane E-Celiac?
Kukhona nobufakazi bokuthi izingane ezinezifo ezingenamkhawulo kungenzeka ukuthi ziphuzile ukuthuthukiswa kwamazinyo-ngamanye amazwi, amazinyo abo omntwana namazinyo okuhlala angapheli ngesikhathi.
Ucwaningo olulodwa olwalubheke okuthiwa "iminyaka yamazinyo" (ngamanye amazwi, amazinyo eminyaka ngokuvamile avela ezinganeni) ezinganeni ezinesifo se-celiac zathola ukuthi izingane ezincane zibonakala zinezintuthuko zentuthuko yamazinyo, njengoba nje zingase zibe mfushane kunezingekho -abantwana be-coliac .
Abalobi bezocwaningo babika ukuthi ukudla okungenalutho kwe-gluten kungasiza amazinyo ukuba athole, njengoba nje kusiza ezinye izingane ukuba zithole ukuphakama okungaphezulu .
Izigxobo Eziphakathi Kwabantu abanezifo ezibucayi
Kuyinto engavamile ukuzwa abantu abaye babhekwa ukuthi banezinkinga ze-celiac ezikhuluma "ngamazinyo abo amabi," anezinsika eziningi, noma baxoxisane ukuthi, ngaphambi nje kokutholakala ukuthi, bavele benemivimbo emisha eminingana. Njengoba kuvela, kungase kube khona iqiniso kulokhu, nakuba izifundo zihlanganisiwe.
Uma ngabe unesifo esingahlosiwe se-celiac kusukela ebuntwaneni, kungenzeka ukuthi uthuthukise ukukhubazeka koqweqwe lwawo koqweqwe lwawo, okungakushiya ungene emithanjeni. Abacwaningi bakholelwa ukuthi lezi zinkinga zokulahlekelwa koqweqwe lwawo kungenzeka ngaphambi kokuba uthuthukise ezinye izimpawu ezibonakalayo zesifo se-celiac.
Ngaphezu kwalokho, amazinga aphansi okuthiwa i-vitamin D- ajwayele ukuhlupha abantu abanesifo se-celiac-angakwandisa ingozi emithanjeni. Okunye ukwehluleka kokudla okunomsoco kulesifo se-celiac , njengokuntuleka kwe-calcium, kungase kudlale indima. Abantu abanesifo se-celiac bajwayele ukuhluleka okuningi kokudla okunomsoco kusukela emathunjini abo amancane asebenzi kahle ukuze bathole izakhi ezokudla abazidlayo.
Njengoba ngokungangabazeki uyazi, uma udokotela wamazinyo wakho ethola ukuthi uphinde aphathe umgudu, awukwazi ukuwuguqula. Kodwa-ke, ukulandela ukudla okunamandla okungafani ne-gluten ngaphandle kokukopela kufanele kusize ekuthuthukiseni impilo yakho yamazinyo uma unesifo se-celiac.
Amagciwane Amlomo kanye Nezifo Ezibucayi
Uma ngabe uke waba nezilonda emlonyeni-owaziwa ngempilo yezokwelapha njengama-ulcers aphthous-uyazi ukuthi zibuhlungu kangakanani.
Lezi zilonda ezimhlophe, ezingenzeka ngaphakathi kwezindebe zakho nakwezinye izindawo ezinsini zakho noma ngolimi lwakho, zingase zithuthuke uma uke walimala emlonyeni wakho (njengokulimaza ngesifuba noma lipomo lakho ngengozi). Zingase zikhule zibonakala zihleliwe. Izilonda ze-Aphthous ngokuvamile zihlala ngesonto noma ezinsukwini ezingu-10 futhi zingenza ukukhuluma nokudla kunzima. A
Ukucwaninga kubonisa ukuthi abantu abanesifo se-celiac bajwayele ukuthuthukisa izilonda eziningi ze-aphthous kunabantu abangenalo isimo. Eqinisweni, ucwaningo olulodwa lwabonisa ukuthi izingane ezingu-16% ezinama-celiac nabangu-26% abadala abane-celiac babika ukuthi banezilonda zomlomo eziphindaphindiwe.
Njengamanye izinkinga zamazinyo ezenzeka ngokuhambisana nesifo se-celiac, akucaci ukuthi kungani ama-celiac angabangela ukwanda kwezilonda zomlomo. Enye kungenzeka ukuthi (nokuphinde) nokuntuleka kokudla okunomsoco-ngokuqondile, ukuphuleka kwensimbi, i-folate ne-vitamin B12, konke okuvame ukuba phansi kulabo abane-celiac.
Lokho kukhulunywa, kunezinye izimbangela eziningi ezingabangela izilonda ze-aphthous ezivamile , kuhlanganise nesifo sofuba nesifo se- lupus. Futhi, kubantu abaningi lezi zilonda azihlanganiswa nanoma yisiphi isimo-ziwukucasula ngaphandle kwesizathu esiyinhloko.
Ngakho-ke, awukwazi ukucabanga ukuthi unesifo se-celiac ngoba nje uthola izilonda ze-aphthous. Kodwa-ke, uma ukhathazekile ngabo, kufanele ukhulume nodokotela wakho noma udokotela wamazinyo mayelana nezimbangela nezixazululo ezikhona.
Ama-gels amaningi angaphezu kwe-counter and the counter angasiza ekuzwiseni ubuhlungu besilonda semilomo, nakuba kungenzeka ukuthi ngeke babasize baphulukise ngokushesha. Ukusebenzisa amaconsi okukhwehlela aqukethe i-zinc gluconate nawo angasiza. Ezimweni ezimbi, udokotela wakho noma udokotela wamazinyo angase anikeze i-mouthwash equkethe ama-antibiotics.
Izifo ze-Celiac Nomlomo omile
Akuvamile kubantu abanesifo se-celiac ukukhononda ngomlomo owomile, okungabangela ukubola kwezinyo. Njengoba kuvela, imbangela eyodwa eyinhloko yomlomo omile ongapheli- Sjögren's syndrome- ixhunywe nesifo se-celiac.
I-Sjögren's syndrome yisimo esizimele esenza ukuthi amasosha omzimba wakho ahlasele izigcawu ezikhiqiza umswakama ezidingekayo emehlweni akho nasemlonyeni. Umphumela wamehlo angomile ngokungahleliwe nomlomo onamathe amancane kakhulu. Njengoba amathala elawula ukukhula kwama-bacteria okuholela ekutheni izinyosi, abantu abane-Sjögren's syndrome bajwayele ngezinye izikhathi-ukubola kwezinyo nezinhlekelele nokulahlekelwa izinyo.
Nakuba kunezinhlobo eziningi phakathi kwezimo ezimbili, akukho ndawo eduze kwalabo bonke abane-Sjögren's syndrome abanezifo ze-celiac (noma ngokuphambene nalokho). Ezinye izifundo zilinganisela ukuthi abangaba ngu-15% kulabo abane-Sjögren's syndrome nabo banesifo se-celiac.
Noma kunjalo, uma uthola ukuthi unesifo se-celiac futhi uhlushwa emlonyeni owomile noma amehlo omile, kufanele ukhulume nodokotela wakho mayelana nokuthi kungenzeka yini i-Sjögren's syndrome. Uma kuvela ukuthi unayo kokubili, imithi yokwelashwa iyatholakala engasiza ukugqugquzela ukugeleza kwamathe bese uvikela amazinyo akho.
Okubalulekile
Isifo se-Celiac singaba nethonya elikhulu empilweni yakho yomlomo, nakuba kuningi lamacala, lesi siphumo singaphathwa noma sigwetshwe. Uma ubona noma yikuphi okungajwayelekile okuqhubekayo, njengezilonda zomlomo, inani eliphansi lemali, noma iminyango eminingi yamuva, kufanele ukhulume nodokotela wamazinyo noma udokotela wakho ngalokho okubonayo. Ekunakekelweni kwezempilo ngomlomo, ukuthola ukunakekelwa okuhle kokuvikela kuyisihluthulelo sokugwema izinkinga zesikhathi esizayo.
> Imithombo:
> Condo R et al. I-Dental Age Emntwaneni Onesifo Se-Celiac. I-European Journal ye-Dediatric Dentistry . 2011 Sep; 12 (3): 184-8.
> Majorana A et al. Impumelelo ye-Gluten Exposure Period, ama-CD Clinical Form, kanye ne-HLA Typing ku-Association phakathi kwezifo zeCeliac kanye ne-Dental Enamel Defects Children. Isifundo Sokulawulwa Kwamacala. I-International Journal ye-Dediatric Dentistry. 2010 Mar; 20 (2): 119-24.
> Pastore L et al. Ukubonakaliswa kwe-Oral of Celiac Disease. Journal of Gastroenterology Clinic . 2008 Mar; 42 (3): 224-32.
> Rashid M et al. Ukubonakaliswa komlomo ngezifo ze-Celiac: Umhlahlandlela wezokwelapha wamazinyo. Journal of the Canadian Dental Association . 2011; 77: b39.