Kunobunye ubufakazi bokuthi izenzakalo zomphefumulo ezicindezelayo zingase zibe negalelo kulesi sifo
Ukucindezeleka kungasiza ekuqaliseni isifo se-celiac ? Kule minyaka, abantu abaningi abaye bathola ukuthi bane-celiac baye babika ukuxilongwa kwabo eduze nokulandela izenzakalo zokucindezeleka zokuphila, kuhlanganise nokukhulelwa ... kanti nakuba ijaji lingasaphumi, isifundo esisodwa sibonisa ukuthi singase sikwazi.
Ukucwaninga kwangaphambilini kuye kwaveza ukuxhumana okuthintekayo phakathi kwezenzakalo zokucindezeleka zokuphila kanye nokuqala kwezifo ezithile ezizimele, kuhlanganise nesifo samathambo nesifo se- multiple sclerosis (kodwa hhayi isifo se-celiac, esizimele ngokwemvelo).
Uyini Ucwaningo Lokubonisa?
Ucwaningo olucacile kakhulu oluqhutshwa e-Italy futhi lwanyatheliswa emaphephandabeni wezokwelapha I- Nutrients , lufuna ukubona ukuthi ukucindezeleka kungase kubangele ekuthuthukiseni isifo se-celiac.
Abacwaningi baqhathanisa izenzakalo ezicindezelayo ezimpilweni zabantu abadala abangu-186 abanezifo ezithathelwanayo ezitholakalayo ezihlosweni ezicindezelayo eqenjini elilawulayo elenziwe ngabantu abadala abane-diagnosis ye-reflux isifo se-gluroesophageal (GERD), okungesiyo isimo esizimele.
Ngokweqile, umcimbi wokuphila ocindezelayo (njengesahlukaniso noma ngisho nokukhulelwa) ungase uhlobanise nokuqala kwesifo se-celiac enye yezindlela ezimbili: ukucindezeleka kungahle kumshaye umuntu ukuthi afune usizo lwezokwelapha ngakho-ke bathola ukuthi babe ne-celiac lapho bebika ukuthi bangabanikazi babo. izimpawu ezikhona kumhlinzeki wabo wezokwelapha, noma ukucindezeleka kungaholela noma kusize ekwenzeni isimo ngqo.
Abacwaningi kulolu cwaningo babesebenzisa i-questionnaire ehlelekile ukuze banqume "izenzakalo zokuphila" - kufaka phakathi izinguquko emisebenzini, emfundweni, ebuhlotsheni, isimo sezezimali, isimo sezempilo, nezikhala ezihlala, ukufa ezihlotsheni eziseduze, izinsolo zobugebengu kanye nezinkolelo, izinkinga zomndeni nezenhlalo kanye izinkinga zomshado-ngonyaka odlule ngaphambi kokuxilongwa kwabahlanganyeli bokutadisha.
Baphinde bahlole izimpawu zabahlanganyeli 'zomzimba.
Yebo, 'Izenzakalo Zokuphila' Ezihlanganiswe Nokuxilongwa KwamaCeliac
Abacwaningi bathola ukuthi labo abanesifo se-celiac cishe babhekana nesinye sezibalo "zemicimbi yokuphila" ngonyaka ngaphambi kokuxilongwa uma kuqhathaniswa nalabo abaseGERD yokulawula iqembu.
Lokhu kwaba namandla nakakhulu lapho abacwaningi bekhawulela ukuhlaziywa kwabo kulabo abaqala ukubhekana nezimpawu zesifo se-celiac kuphela ngonyaka ngaphambi kokuxilongwa - ngamanye amazwi, lapho izimpawu zabo zivela ngesikhathi esifanayo njengomcimbi wokucindezeleka wokuphila.
Lapho abalobi bezocwaningo baqeda idatha phansi ngobulili, bathola abesifazane abane-celiac cishe amathuba okuba nomcimbi wokuphila emlandweni wabo kunabesifazane ku-GERD iqembu lokulawula, kodwa amadoda angenawo ama-celiac ayengekho.
Ukuhlaziywa kwedatha kubuye kubonakale ukukhulelwa njengento engaba khona "imicimbi yokuphila" evikela isifo se-celiac. Lokhu kuqinisa ukuthi yini abesifazane abaningi abakade bakholelwa: ukuthi ukukhulelwa kungabangela isifo se-celiac .
Ngaphezu kwalokho, lolu cwaningo luphawula ukuthi abesifazane abangaphezu kuka-20% ababelethele ukukhulelwa bathi ukukhulelwa kwabo kwakunzima kakhulu, kanti akekho noyedwa wabafazi abane-GERD ababike ukukhulelwa okucindezelayo.
"Kungenzeka ukuthi abesifazane besifazane abakhona babekwazi ukubona ukukhulelwa kwabo njengento engafanele kaningi kunabesifazane abanesifo sokulawula [i-GERD] ngenxa yokungalingani kokungalingani okuhambisana ne-malabsorption," kubhaliwe abalobi. Kodwa-ke, baphinde bahlaziya idatha ngomzamo wokukhipha izinkinga ekukhulelweni, futhi bathola ukuthi "abesifazane besifazane abakhona abahlala bezwela ukucindezeleka kwengqondo."
Izwi kusuka
Ngakho abacwaningi baphetha ngani? "Ukutadisha kwethu kubonisa ukuthi izenzakalo zokuphila zihlotshaniswa nesilinganiso esithile sokuhlolwa kwesifo se-celiac yamuva kubantu abadala," kubhala abalobi. "Inani lezenzakalo hhayi ukuqina kwabo kubonakala njengento ecacile. Idatha yethu ibonisa ukuthi izenzakalo ezicindezelayo ezandulela isifo se-celiac sifo sitholakala ikakhulukazi phakathi kwabesifazane abangama-celiac, kuhlanganise nokukhulelwa, okuchazwa ngokuthi yisenzakalo esicindezelayo kuphela abesifazane besifazane abangekho lawula abesifazane abane-reflux ye-gastroesophageal. "
Ucwaningo lusekela isidingo sokusekelwa kwengqondo kubantu abasanda kutholakala ngesifo se-celiac, ikakhulukazi kwabesifazane, abalobi bathi.
Kodwa-ke, kuye kwaba nokucwaninga okuncane kakhulu okubizwa ngokuthi "okubangela" isifo se-celiac, futhi ucwaningo olwengeziwe luzodingeka ukuze kuqinisekiswe ukucindezeleka kwegama njengesiqalo sesimo.
Noma kunjalo, kunezizathu ezinhle zokugwema ukucindezeleka empilweni yakho okuhamba phambili ngaphandle kokuzama ukugwema isifo se-celiac. Ucwaningo lwezokwelapha lubonisa ukuthi ukunciphisa ukucindezeleka kunganciphisa izinkinga eziningi zezifo ezingapheli (izifo ezifana nesifo senhliziyo nomdlavuza). Ukucindezeleka nakho kungathinta ubuchopho bakho ngezindlela ezahlukene.
Ukuze ulwisane nalokhu, cabangela ukunciphisa ukucindezeleka ekwakhiweni kwakho kwansuku zonke. Ucwaningo lwezokwelapha lungase lungasazi ukuthi ukunciphisa ukucindezeleka kungakusiza yini ukuba usule isifo se-celiac, kodwa kungakusiza ngezinye izindlela.
> Umthombo:
> Ciacci C et al. Izenzakalo Zokuphila kanye Nokuguqulwa Kwezifo Zama-Celiac kusukela Ngombono Weziguli. Amakhemikhali. 2013 Aug 28; 5 (9): 3388-98.