Ucwaningo luphakamisa isixhumanisi phakathi kwe-GERD ne-Celiac Disease
Nakuba i-reflux yesisu esisodwa, eyaziwa nangokuthi isifo se-reflux ye-gastroesophageal ( GERD ), ayithathwa njengesifo se-classic sesifo se- celiac , ucwaningo lubonisa ukuthi abaningi abangamaphesenti angu-30 abantu abanesifo se-celiac bazophinde babone izimpawu ze-GERD, ngezinye izikhathi ezinzima.
Ngenhlanhla, kukhona ubufakazi bokuthi ukushintshela ekudleni okungenalutho kungasiza ukuxazulula izimpawu zezifo zombili.
Okufanayo kubonakala kuyiqiniso kubantu abaneGERD kanye non-celiac ukuzwela kwezwe , okuphakamisa ukuthi kukhona okungaphezu nje kokuxhumana okungahle kwenzeke phakathi kwezifo ezehlukene.
Ukuqonda i-GERD
I-GERD, evame ukubhekwa njenge-reflux ye-asidi, ibangelwa uma i-valve ehlukanisa ukuphazamiseka kwesisu kanye nesisu futhi ivumela i-asidi ukuba ivuselele (reflux) ibe yindawo. Kunezimbangela eziningi ezenzekayo ze-GERD kubandakanya izilonda , isifo sofuba kanye nokutheleleka kwe-H. pylori , ezinye zazo eziphathwa kakhulu kunezinye.
I-GERD ibhekene nokuzwa okuzumayo esifubeni ngenxa yokuvuselelwa kwe-asidi okungavame ukungena emphinjeni. Abantu abaneGERD ezinzima kaningi banenkinga yokugwinya futhi bangase babe nomuzwa oqhubekayo emqaleni. Ukukhwehlela okungapheli, okungenakukhiqiza nakho kuvamile.
Ukuhlangana Phakathi Kwezifo Ezibucayi Ne-GERD
Abantu abanesifo se-celiac banesilinganiso esiphakeme kakhulu se-GERD kunabantu abaningi, ikakhulukazi ngesikhathi sokuxilongwa .
Olunye ucwaningo oluqhutshwa ngo-2011, ososayensi bahlola abantu abangu-133 abasanda kutholakala abanesifo se-celiac kanye nezihloko ezingu-70 zokulawula okungezona-celiac. Ngesikhathi sokuxilongwa kwabo, abantu abanesifo se-celiac babe nokwanda okuphindwe kabili engozini ye-GERD uma kuqhathaniswa nabahlanganyeli abangewona abathintekayo. Ngaphezu kwalokho, abantu abanezimpawu zamanje zesifo se-celiac (kuhlanganise isifo sohudo, ukubhubhisa, ukulahlekelwa isisindo nokukhathala) babe ngaphezu kokuphindwe kabili ukuthi babe ne-GERD kunelabo abangenawo.
Isihlukanisi esikhulu kunazo zonke sabonakala ekwamukelweni kokudla okungenalutho kwe-gluten. Ngokusho kwabaphenyi, abahlanganyeli abagcina ukudla okungenakudla kwe-gluten cishe emhlabeni jikelele babe "nokuthuthukiswa okusheshayo nokuphikisanayo ezimpawu ze-reflux" uma kuqhathaniswa nalabo abangazange bawenze. Noma kunjalo, akucaci ukuthi ukusetshenziswa kwe-gluten kubangele i-GERD noma ngabe i-GERD yayiyisimo esifanelekile.
Lokho esikwaziyo ngokuqinisekile ukuthi abagulayo be-GERD kulesi sifundo babhekana nesinqumo sezimpawu zingakapheli izinyanga ezintathu ngokuqala ukudla okungenalutho kwe-gluten. Okufanayo kuboniswe ocwaningweni olufanayo ngo-2008 lapho abadala abangu-29 abanesifo se-celiac babeneminyaka emibili yokuxoxwa kwezimpawu ze-GERD ngemuva kokuthola indlela yokuphila engenalo gluten.
Izifo zeCeliac njengesizathu seGERD
Nakuba ukudla okungenalutho kwe-gluten kungase kuxazululwe izimpawu ze-GERD kuma-celiacs asanda kutholakala, okufanayo akunakwenzeka kubantu abathola i-GERD ngezifo kamuva.
Ucwaningo oluthile lwabadala abangu-69 abanesifo se-celiac bathola ukuthi labo abanegunya lokuqothulwa kwe-atrophy (ukuchithwa kwemibono efana nomunwe emgodini wamathumbu) babe ngaphezu kokuphindwe kabili ukuthi babe ne-GERD kunalabo abane- villi enempilo .
Lokhu kusikisela ukuthi indlela ehlukile yesifo ingase ihlotshaniswe ne-GERD kuma-celiacs esiteji esilandelayo.
Kungakhathaliseki ukuthi ukutholwa kokudla okungenalutho kungakuthuthukisa izimpawu ezingazange zibhekiswe kulolu cwaningo.
Lokho Okusitshelayo
Kungakhathaliseki ukuthi umuntu onesifo se-celiac unesifo se-GERD ngesikhathi sokuxilongwa noma kamuva, ukwamukelwa kokudla okungenamsoco kungasiza ekunciphiseni izimpawu zombili.
Ngokwesibonelo, siyazi ukuthi ukudla okungenayo i-gluten kunamandla okuguqula i-atrophy enonya. Ngakho-ke, bekuyocaca ukuthi isinqumo sokulimala emathunjini, okungenani siphumelele ezinye zezimpawu ezijulile ze-GERD.
Uma kuthiwa, uma i-GERD ibangelwa isimo esingathandeki njengeHl pylori , akucaci ukuthi yini, uma ngabe kukhona, ukudla okungekho gluten kuzokwenza.
Kungenxa yalesi sizathu ukuthi noma yiliphi icala leGERD kudingeka liphenywe ngokwehlukana ukuze kutholakale imbangela eyimbangela. Ngaphandle kwalokhu, izimbangela ezingathí sina zingase zinganakwa noma izimbangela (njengokubhema, ukukhuluphala, noma ukusetshenziswa kwe-aspirin) kungenzeka ukuthi akubhekiswe kahle.
> Imithombo:
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