Uma usanda kutshelwa ukuthi unesifo se-celiac , isimo esibi kakhulu, sivame (futhi sivamile!) Ukubuza umphumela wemiphumela engaba khona empilweni yakho.
Ezimweni eziningi, isifo se-celiac asibulali ngendlela esicabanga ngayo ngezifo ezibulalayo-ngeke ziqhubeke futhi zizokubulala ekugcineni.
Kodwa-ke, izindaba uma kuziwa ngesifo se-celiac kanye namazinga okufa ayingxubevange: ezinye izifundo, kodwa hhayi bonke, kubonisa ukuthi abantu basengozini yokufa ngaphambi kwezinye izimbangela uma benakho.
Noma kunjalo, kunezinye izindaba ezinhle, futhi: okungenani ukutadisha okukodwa kubonisa ukuthi abantu abaqaphela ngokucophelela ekulandeleni ukudla okungenayo i-gluten bangase babe nengozi ephansi yokufa kusenesikhathi. Lokhu kukukhombisa ukuthi kukhona okusebenzayo ongakwenza ukuze uthuthukise impilo yakho nokuphila kwakho isikhathi eside.
Nakhu esikwaziyo (nokuthi yini esingayazi) mayelana nobungozi bokufa ngesikhathi usuphethe isifo se-celiac.
Izifo Zama-Celiac Ziqukethe Ingozi Ephakeme Yokufa Kwezinye
Ucwaningo olunzulu oluhlanganisa idatha kusuka kwizifundo eziyi-17 ezihlukene zemitholampilo lwaphetha ngokuthi abantu abanesifo se-celiac-kuhlanganise nalabo abatholakala nge- endoscopy nalabo abatholwa ngokuhlolwa kwegazi elihle -ba engozini enkulu yokufa kokuqala kuzo zonke izimbangela, ikakhulukazi ezivela ezingekho -Hodgkin lymphoma.
Isifo se-Celiac esingaphenduli ekudleni okungenayo i-gluten singathuthuka kuhlobo oluthile olubulalayo lwe-lymphoma , ngakho ukuthola ukuthi ama-celiacs anezinga eliphakeme kakhulu lokufa okujwayelekile kusuka ku-lymphoma akumangalisi.
Ngokuvamile, ingozi yokufa kunoma yiyiphi imbangela yayiphakeme kakhulu kunokujwayelekile-kodwa yayiphezulu.
Abanye abantu abano-celiac abanamandla ngokwanele ukuwafaka esibhedlela kubonakala sengathi bahamba phambili, ngokusho kwesinye isifundo.
Lolu cwaningo, olubandakanya iziguli ezingu-10,032 zaseSweden ezazibekwe esibhedlela ngesifo se-celiac (okusho ukuthi zigula ngaphezu kwabantu abaningi abahlonishwa ukuthi banezinkinga), zithole ukwanda okuphindwe kabili ekuqaleni kokufa kulawo gulane.
Abantu abane-celiac, kodwa akekho okunye okuxilongwa ngesikhathi sokubhedlela (okusho ukuthi babegula ngaphezu kwesilinganiso kodwa bengagula kakhulu kunabanye abantu abafakiwe kulolu cwaningo), babona ukukhushulwa kwamaphesenti angu-1.4 engozini yokufa kwangaphambili.
Izingozi zokufa zaziphakeme kuleli qembu ngezifo eziningi ezihlukahlukene, kuhlanganise ne-non-Hodgkin lymphoma, umdlavuza wezinambuzane ezincane, izifo ezizimele, izifo ezibangelwa yi-asthma, izifo zesifo sofuba, isifo sikashukela, isifo sofuba, i-pneumonia nephritis (isifo sezinso ).
Abacwaningi baphawula ukuthi lokhu kwanda ingozi yokufa kungase kube ngenxa yokunciphisa ukungenisa izakhi ezibalulekile, njengevithamini A kanye ne-vitamin E. Noma kunjalo, uma uhlola imiphumela yalolu cwaningo oluthile, khumbula ukuthi laba bantu babegula kakhulu kunabantu abaningi ngesikhathi sokuxilongwa.
Kuyathakazelisa ukuthi lolu cwaningo luphinde lwathola ukuthi izingane nezinsana ezibhedlela ngezifo ezincane ngaphambi kokuzalwa kweminyaka emibili zengozi yokufa, okungenzeka kubonise umphumela ozuzayo wokuqala ukudla okungenakudla kwe-gluten ekuqaleni kakhulu.
Ingabe Ukudla Okunamandla Kakhulu Kunamahlumela Kusho Ukulinganiselwa Kwezokufa Okuphansi?
Akuzona zonke izifundo eziqukethe izindaba ezimbi. Eqinisweni, ezimbili zaziqukethe ukuthi ukulandela ukudla okunomsoco okunamandla kakhulu kunganciphisa kakhulu ingozi yokufa ngokushesha.
Isibonelo, isifundo esisodwa sathola izinga lokufa eliphansi kunalindelekile ezigulini zaseFinnish ezazitholakale zinesifo se- dermatitis herpetiformis , ukukhwabanisa kwesikhumba okubangelwa i-gluten okuhlobene kakhulu nesifo se-celiac. Inani lokufa kufanele lifinyelele ku-110 ngaphezu kwesikole sonyaka-39; Kunalokho, kwafa abantu abangu-77 kuphela.
Esikhathini sokucwaninga, iningi lalabo abatholwa ukuthi une-dermatitis herpetiformis nayo yayine- atrophy eyingozi (okusho ukuthi banesifo se-celiac ngaphezu kwe-dermatitis herpetiformis).
Kwakukhona umehluko owodwa kule ndawo yokucwaninga uma kuqhathaniswa nokunye okucwaninga: amanye angu-97.7% alawo afakiwe afakwe ngqo ekudleni okungenalutho kwe-gluten, mhlawumbe ngoba ukudla okunamandla kakhulu kuyindlela kuphela yokulawula ukuluma okungenakulinganiswa kwe-dermatitis herpetiformis eside -term.
Ezinye izifundo zithole amazinga aphansi kakhulu okunamathela kokudla-kusukela ku-42% kuya ku-91% -abantu abanesifo se-celiac (kodwa hhayi ngempela i-dermatitis herpetiformis).
Ucwaningo aluphethanga ngokuthi ukudla okunomsoco okulindelekile kunciphise izinga lokufa kubantu abano-celiac ne-dermatitis herpetiformis-ayengasethiwe ukuphendula lowo mbuzo. Kodwa-ke, abalobi babecabanga ukuthi ukudla okunzima okungenzeka kuye kwaba nomthelela (futhi waphawula ukuthi izinga lokunamathela lokudla lokulinganisa elingu-97.7% laliphakeme kakhulu).
Esinye isifundo-lesi esivela eMayo Clinic College of Medicine eRochester, Minn-singase siphakamise ngokuqondile lokho kucabanga. Ucwaningo lubuke abantu abadala abangu-381 abane-biopsy-proven disease celiac futhi bathola ukuthi labo ababengenandaba nhlobo noma abakhohlisa ekudleni kwabo okungenalo gluten babenomonakalo oqhubekayo wamathumbu. Labo abamathumbu abo amancane abatholile (njengoba kuqinisekiswe ukuhlolwa) banesilinganiso esiphansi sokufa.
Ukukopela ekudleni kwakungeyona kuphela into ehilelekile emonakalweni oqhubekayo kanye nesilinganiso sokufa esiphakeme: isifo sohudo nesisindo sokulahlekelwa kanye nokulimala komzimba kakhulu ngesikhathi sokuxilongwa kubonakala sengathi kudlalwa indima. Ngaphezu kwalokho, ubudlelwane obuphakathi kokuqinisekiswa kwamathumbu emathunjini kanye nokunciphisa ukufa okuwukuphela kobuthakathaka, isifundo sabika.
Noma kunjalo, abacwaningi baphawula ukuthi ukungenisa ukulandelela i-gluten-noma ngokukhohlisa ngokuzithandela ekudleni noma ngenxa yokungcola kwe-gluten okuthiwa "ukudla okungenamsoco" -kungabangela ukulimala kwamathumbu emathunjini kwabanye abantu.
Izwi kusuka
Ngeshwa, asikwazi ukuphetha okuningi kulezi zifundo-kukhona ukucwaninga okuningi okumele kwenziwe ngaphambi kokuba sibe nezimpendulo eziqinile ezinkingeni zokufa ze-celiacs nokuthi singayithuthukisa kanjani izinkinga zethu.
Lezi zifundo zibonisa izinga eliphezulu lokufa kwangaphambili phakathi kwabantu abanesifo se-celiac, ikakhulukazi phakathi kwama-celiacs, ikakhulukazi abagulayo ekuxilongweni. I-non-Hodgkin lymphoma, izifo ezizimele, kanye nezifo ezinjenge-pneumonia zenza abaningi balabo abafa ekuqaleni.
Kodwa-ke, ukuhlolwa okukodwa noma kokubili okusikisela ukuthi ukunamathela ekudleni okungenalutho okunamandla kakhulu (okunamandla okwelapha imvilini yakho yamathumbu noma ukuqeda i-dermatitis herpetiformis yakho) kunganciphisa ingozi yakho yokufa ekuqaleni. Nakuba lezi zifundo zikude kakhulu, lokhu kubaluleka njengesinye sezizathu ezinhle zokulandela ukudla kwakho ngokwethembeka.
> Imithombo:
Hervonen K. et al. Ukufa okunciphise ku-dermatitis herpetiformis: isifundo esisekelwe emphakathini ngeziguli ezingu-476. I-British Journal ye-Dermatology. 2012 Dec; 167 (6): 1331-7. i-doi: 10.1111 / j.1365-2133.2012.11105.x.
I-Lebwohl B. et al. Ukuphulukisa nokufa kwabantu ngesifo esibucayi. I-Pharmaceutical Pharmacy & Therapeutics. 2013 Feb; 37 (3): 332-9. i-doi: 10.1111 / apt.12164. Epub 2012 Nov 28.
UPeters U. et al. Izimbangela zokufa ezigulini ezinesifo se-celiac eqenjini labantu baseSweden elisuselwa kubantu. I-Archives of Medicine yangaphakathi. 2003 Jul 14; 163 (13): 1566-72.
Rubio-Tapia A. et al. Ukuphumula nokufa kwe-mucosal kubantu abadala abanezifo ezingenamkhawulo ngemva kokulashwa nge-gluten-free diet. I-American Journal ye-Gastroenterology. 2010 Jun; 105 (6): 1412-20. doi: 10.1038 / ajg.2010.10. Epub 2010 Feb 9.
Tio M. et al. Ukuhlaziywa kwe-meta: isifo se-celiac kanye nobungozi bokufa kwabantu bonke, noma yikuphi ukulimala, nokulimala kwe-lymphoid. I-Pharmaceutical Pharmacy & Therapeutics. 2012 Mar; 35 (5): 540-51. i-doi: 10.1111 / j.1365-2036.2011.04972.x. Epub 2012 Jan 13.