Abantu abanesifo se-celiac bavame ukubika izinkinga ze-gallbladder.
Akuyona into engavamile kubantu abanesifo se-celiac ukubika ukuthi banezinkinga namagundane abo. Njengoba kuvela, ukuxhumana phakathi kwe-celiac ne-gallbladder izingqinamba kungenzeka ukuthi akuyona nje i-anecdotal eyodwa: izifundo eziningana zixhumane nesifo se-celiac nezinhlobo ezithile zezifo ze-gallbladder.
Kodwa-ke, kukhona impikiswano yokuthi ngabe abantu abane-celiac empeleni basengozini ephakeme yohlobo oluvame kakhulu lwesifo se-gallbladder: gallstones.
Lesi simo esivamile futhi esibuhlungu sokugaya umzimba sithinta abantu abaningi abanesifo se-celiac, kodwa abukho ubufakazi obuningi obonisa ukuthi abantu abane-celiac banoma iyiphi ingozi ephezulu yezigulane kunabantu abangenayo isifo se-celiac.
Noma kunjalo, abanye abacwaningi baye bacabanga ngokuthi uhlobo lomonakalo emathunjini olwenzeka kulabo abanesifo se-celiac lungabangela okuthiwa "i-gallbladder enobucayi," okungaholela ekubunjweni kwendoda ethile yezinkanyezi.
Funda ukuze uthole imininingwane yokuthi isifo se-celiac esingasithinta kanjani inkinga yakho, kanye nezingozi zakho zokuthuthukisa isifo se-gallbladder.
Indlela I-Gallbladder Yakho Esiza Ngayo Ukugaya
I-gallbladder yakho iyisitho esincane, esenziwe nge-pear esitholakala ngaphansi kwesibindi sakho ngakwesokunene sakho, ngaphansi kwesibambo sakho somhlanga. Ngokuyisisekelo isitsha sesitoreji: inhloso yaso ukuqoqa ama-enzyme okugaya okuthiwa i-bile (noma okunye, inyumba-ngakho-ke igama elithi "gallbladder") esivela esibindi sakho futhi ubambe lawo ma-enzyme aze adinge ukukusiza ukugaya ukudla.
Khona-ke, izivumelwano zakho ze-gallbladder futhi ukhulula ama-enzyme agcinwe emathunjini akho amancane, lapho kutholakala ukugaya okungokoqobo.
Uma i-gallbladder yakho isebenza kahle, ngeke ukwazi ukuthi yenza umsebenzi wayo. Kodwa, ngeshwa, kunezindlela eziningana i-gallbladder yakho ingasebenzi futhi idale izinkinga.
Izinkinga ezijwayelekile ze-Gallbladder
Inkinga evame kakhulu abantu ababhekana nayo nge-gallbladder yabo yukuthuthukiswa kwamagumbi amancane. Kwabanye abantu, "amatshe" amancane afana ne-bile, futhi lawo angabangela ubuhlungu obukhulu nokuvuvukala. Akucaci ukuthi kungani lokhu kwenzeka, kodwa izizathu ezinokwenzeka zifaka phakathi i-cholesterol eningi kakhulu noma i-bilirubin eningi (ikhiqizi eliphuzi elikhiqizwa ngumzimba wakho uma liphula amangqamuzana egazi abomvu) nge-bile.
Kunezinhlobo ezimbili ezihlukene zama-gallstones: ama-cholesterol gallstones, okuyizinto ezivame kakhulu, nezigqoko ezinama-pigment, ezingavamile futhi zithuthukise uma i-bile yakho iqukethe i-bilirubin kakhulu. Ungase futhi uhlakulele ama-gallstones uma i-gallbladder yakho ingalutholi kahle.
Akuwona wonke umuntu onayo i-gallstones enezibonakaliso. Kodwa izimpawu zama-gallstones zingabandakanya: ubuhlungu obunzima esiswini sakho sokunene esingakwesokudla esingakwazi ukuthuthela ehlombe lakho nasenhla, emuva, ukuhlanza. Izimpawu zingase zigcine imizuzu embalwa noma ziqhubeke ngamahora amaningana. I-bile egcinwe ku-gallbladder yakho ikusiza ukugaya amanoni ekudleni kwakho, ngakho-ke ungase ube "nokuhlaselwa" okunjalo ngokudla okucebile noma okunamafutha njengoba i-gallbladder yakho izama ukuvumelanisa.
Uma unama-gallstones-ikakhulukazi uma ama-gallstones akho evimbela i-duct lapho ibhala lingene emathunjini akho amancane-i-gallbladder yakho ingase ivuke.
Lesi simo siyaziwa njenge-cholecystitis. Izimpawu ze-cholecystitis zihlanganisa: ubuhlungu (ngokuvamile obukhulu) ngakwesokudla kwesisu sakho, ngaphansi kwesibambiso sakho sezintambo, isicanucanu nokuhlanza, nomkhuhlane. Ngokuvamile, uzothola lezi zimpawu zingakapheli ihora noma ezimbili ngemuva kokudla okukhulu. Ukudla okunamafutha amaningi kungabangela izimpawu ze-cholecystitis.
I-cholecystitis enamandla ingabangela ukutheleleka okubi ku-gallbladder yakho futhi ingabangela ngisho ne-gallbladder yakho ukuba iphule noma iqhume. Uma udokotela wakho ekuthola ukuthi unesimo, uzodinga ama-antibiotic ukulawula ukutheleleka, futhi ungase udinga ngisho nokubhedlela.
Uma uhlupheka okungaphezu kokukodwa kwe-cholecystitis, udokotela wakho uzochaza okukhethwa kukho. Abantu abaningi abane-cholecystitis evamile badinga ukususwa kwe-gallbladder yabo.
Indlela Izifo Zama-Celiac Zingase Zixhunywe Ngayo Izifo Zama-Gallbladder
Isifo se-Celiac senza ukuthi ukugoma komathumbu wakho omncane kuguqulwe kwinqubo ebizwa ngokuthi i-atrophy evuthayo . Kodwa mhlawumbe uyazi ukuthi isifo se-celiac sithinta okuningi kunokuba nje umzila wakho wokugaya ukudla: izimpawu ze-celiac zingathinta isimiso sakho sezinzwa , ukuzala kwakho, amalunga akho, ngisho nesikhumba sakho.
Njengoba izimpembelelo ze-celiac ziningi kakhulu, akumangalisi ukuthi isimo singase sixhunywe nezinkinga ze-gallbladder. Eqinisweni, kuvamile ukuthi abantu abanesifo se-celiac bathi basuke besuswe ngaphambi kokuthi noma ngemuva kokuxilongwa. Abantu abambalwa bathi bayakholelwa ukuthi isifo sabo se-celiac senziwa yi-gallbladder ukususwa, kodwa akunakwenzeka ukuqinisekisa ukuthi yini ebangele isifo se-celiac .
Izifundo kubantu abanesifo se-celiac kodwa abangalandeli ukudla okungekho gluten bathole izinkinga nge-gallbladder ukuphuma ngokulandela ukudla okunamafutha. Le nkinga ingenza umuntu angene kakhulu ekuthuthukiseni uhlobo lwama-gallstones alenziwe nge-cholesterol.
Abacwaningi base-Italy bafunde abantu abangu-19 abanesifo se-celiac ababengakalandeli ukudla okungenayo i-gluten, futhi bathola ukuthi ama-gallbladders abo adla kancane kancane kunama-gallbladders kubantu abangenalo isimo. Abacwaningi base befunda umsebenzi we-gallbladder kubantu abafanayo lapho behamba bengenalutho, futhi bathola ukuthi ukukhishwa kwe-gallbladder kwakuvamile.
Kodwa-ke, lolo cwaningo lubuye lwathola ukuthi ukudla kwahamba kancane kancane emathunjini amancane abantu abanezifo ezingenamkhawulo kunalokho okwenziwe kubantu abangenalo isimo kungakhathaliseki ukuthi abantu abane-celiac babelandela ukudla okungekho gluten noma cha.
Ubufakazi obukhona bokuthi abantu abanesifo se-celiac bangase baphelelwe umsebenzi we-gallbladder umsebenzi naphezu kokulandela ukudla okungekho gluten.
Ingabe I-Celiac Yandisa Ingozi Yakho YamaGallstones?
Naphezu kobufakazi bokuba nesifo se-celiac singathinta umsebenzi we-gallbladder yakho, ucwaningo oluthile olutholakalayo lubonisa ukuthi abantu abane-celiac akukhona ngempela engozini enkulu kakhulu ye-gallstones. Nokho, abanye abacwaningi bayinselele lowo mbono.
Ucwaningo oluqhutshwa emashumini ambalwa eminyaka adlule lubonise ukuthi abantu abayisishiyagalolunye kuphela kwabangu-350 abanesifo se-celiac babesuswe ngenxa yezinyosi. Phakathi naleso sikhathi, ucwaningo lwamuva lubonisa ukuthi abantu abahlolwe ukuthi banesifo se-celiac ngemva kweminyaka engu-60 bangase babe engozini enkulu yamagciwane-amaphesenti angaba ngu-20 alabo abangekho kulolu cwaningo babe nama-gallstones.
Ngokuphindiwe kamuva, abacwaningi abaloba kuyi- European Journal of Clinical Investigation bakholelwa ukuthi isifo se-celiac singaba yingxenye ebalulekile engozini yokubunjwa kwe-gallstone-ikakhulukazi, ukwakheka kwe-cholesterol gallstones evamile-ngoba isifo se-celiac singaholela emazingeni aphansi we-hormone umzimba wakho isebenzisa ukutshela i-gallbladder yakho ukukhipha ibhala.
I-hormone, eyaziwa ngokuthi i-cholecystokinin, ikhiqizwa ngendwangu yesisu esincane, esonakaliswa uma une-celiac isifo. I-cholecystokinin encane ingasho ukuthi i-gallbladder yakho ayisebenzi futhi kufanele ibenze okuthiwa "i-gallbladder elukhuni" -ukuthi kungabangela ukubunjwa kwalawo ma-calstones, abacwaningi bathi. Kodwa-ke, le mbono ayingakaxhaswa uphando lwezokwelapha.
Zombili izifo ze-celiac kanye nama-gallstones zivame kakhulu kubantu besifazane kunamadoda. Abesifazane bathola ukuthi banesifo se-celiac cishe kabili kaningi njengamadoda. Ngokufanayo, abesifazane beseminyakeni yabo evundile cishe kabili amathuba okutholakala ukuthi banezinkanyezi njengamadoda, yize umahluko phakathi kwabafanyana uhamba nabantu abadala. Kodwa-ke, iqiniso lokuthi ama-celiac kanye nama-gallstones ajwayelekile kubantu besifazane kunamadoda akusho ukuthi lezi zimo ezimbili zihlobene. Ucwaningo olwengeziwe luyadingeka ukuze kunqume ukuthi isifo se-celiac ngempela siyinhloko engozini yezigulane.
Ukuxhumeka kwi-Bile Duct Disease
Isifo se-Celiac sithinta isibindi sakho , okubangela ukuba i-bile igcinwe yi-gallbladder yakho. Isibonelo, i-celiac ixhunyaniswa nezivivinyo ezingavamile zesibindi kanye nesimo sesifo sesibindi esibizwa ngokuthi i-autoimmune hepatitis, lapho isimiso sakho somzimba sokuvikela omzimba sihlasela isibindi sakho. Ezimweni ezimbalwa ezibikiwe, ukuxilongwa kwe-celiac nokushintshwa okwalandela ekudleni okungenalutho kwe-gluten kwakulungiselele ukulimala kwesibindi kubantu ababekade bekhethwe ukufakelwa kwesibindi.
I-Celiac nayo ingase ihlotshaniswe nesimo esibizwa ngokuthi i-primary sclerosing cholangitis, okuyisimo esingapheli esihilela ukulimala kancane kancane emiphakathini edlulisa ibhili kusukela esibindi kuya enyangeni ye-gallbladder.
Abacwaningi abhala kuyi- World Journal of Gastroenterology bathi primary sclerosing cholangitis ingabelana ngezifo ezivamile zesifo se-celiac, okungenzeka ukuthi ilandele ukuxhumana okukhona phakathi kwezimo ezimbili. Kodwa-ke, ngokusho kwabacwaningi, abukho ubufakazi bokuthi ukudla okungenalutho kwe-gluten kungadlulisa lolu hlobo lomonakalo emidayeni ye-bile.
Izwi elivela
Ukugaya isisindo esiyinkimbinkimbi, futhi inkinobho yakho idlala indima ebalulekile. Kodwa-ke, awudingi i-gallbladder yakho, ngakho-ke uma udokotela wakho ekhuthaza ukukususa ngenxa yesifo se-gallbladder , akufanele ukhathazeke ngokuvumelana nokuhlinzwa.
Odokotela abambalwa bancoma ukuthi abantu abasanda kutholakala ukuthi banesifo se-celiac bahlolwa ngokusebenzisa i-ultrasound ukucacisa ukuthi ama-gallbladders abo asebenza kahle yini, nokuthi ngabe kukhona okuthiwa "i-sludge," noma isandulela emagqabeni, abekhona kule gallbladder. Kodwa-ke, akubona bonke odokotela abavumelana nalokhu kuhlolwa kuyadingeka. Uma uthola ukuthi unezinkanyezi esikhathini esidlule, ungase uthande ukucabangela ukuxoxa ngalokhu nodokotela wakho.
Abanye abantu badinga ukudla okunomsoco okwedlule okwesikhashana, okhethekile futhi okuphezulu e-fibre elandela ukuhlinzwa kwe-gallbladder ngenkathi izinhlelo zabo zokugaya zilungisa ukungabi ne-gallbladder. Uma unesifo se-celiac futhi uthola isisu sokususwa, kufanele ukhulume nodokotela wakho ngokuthi yini ukudla okufanele uyidle ngenkathi ululame. Akuwona wonke ama-fiber supplements ayi-gluten-free, kodwa ukudla okuningi okungokwemvelo okubangelwa i-gluten kunezintambo eziningi. Uma udinga usizo ekuhleleni ukudla kwakho, cela udokotela wakho ukuthi akudlulisele kudokotela wesidlo odla ngokukhethekile ekudleni okungenayo i-gluten.
> Imithombo:
> Benini F et al. Ukuphuma okuncane kwe-Gallbladder Kubuyela Ekuhambeni Okujwayelekile kodwa Okuncane Kwamazinyo Okudla Kwemvelo Okuhlala Kwangena Ezigulini Ezibuhlungu Phakathi Nezidlo Zama-Gluten-Free. I-Neurogastroenterology ne-Motility . 2012 Feb; 24 (2): 100-7, e79-80.
> Farnetti S et al. Ukuphazamiseka Okusebenzayo Ne-Metabolis Ngezifo Ezibucayi: Impumelelo Emisha Yokunakekelwa Kwempilo. I-Journal of Food Medicine . 2014 Nov; 17 (11): 1159-64.
> Freeman HJ. Ukucindezeleka kwe-Hepatobiliary ne-Pancreatic ku-Celiac Disease. I-World Journal ye-Gastroenterology . 2006 uMashi 14; 12 (10): 1503-1508.
> Wang HH et al. Ukukhubazeka Kwama-intestinal Cholecystokinin Secretion, Isixhumanisi Esithakazelisayo Kodwa Esingaqatshelwe Phakathi Kwezifo Ezibucayi Ne-Cholesterol Gallstone Disease. I-European Journal of Investigation Clinical . 2017 Apr; 47 (4): 328-333.