Ingozi yeCoronary Artery Disease, i-A-Fib ikhishwe
Uma ucabanga ngesifo se-celiac , cishe ucabanga kuqala ngemiphumela yayo ohlelweni lwakho lokugaya. Kodwa isimo sinomthelela omkhulu kwenye uhlelo olubalulekile: uhlelo lwakho lwe-cardiovascular.
Ucwaningo lubonisa ukuthi abantu abanesifo se-celiac banengozi enkulu yezinhlobo ezimbili ezihlukahlukene zesifo senhliziyo: ischemic isifo senhliziyo (esivame ukubizwa ngokuthi i-coronary artery disease), kanye ne-fibrillation ye-atrial (okungajwayelekile, ngokuvamile okushaywa yinhliziyo okuthiwa i-A-Fib okwesikhashana ).
I-Celiacs nayo isengozini enkulu yokufa ngesifo senhliziyo, nakuba ukulandela ukudla okungenalutho kwe-gluten kubonakala kunciphisa lezo zingozi ngandlela-thile.
Akucaci ukuthi kungani lokhu kwenzeka, ikakhulukazi ngoba labo abanesifo se-celiac bancane amathuba okuba bangaphezu ngokweqile noma ukubhema, izimbangela ezimbili eziyinhloko zokwelapha zesifo senhliziyo. Futhi bavame ukuba ne-cholesterol ephansi. Abanye abacwaningi baye bacabanga ukuthi ukuvuvukala okuqhutshwa yisimiso sokuzivikela komzimba ku-gluten kungase kubekwe icala, kodwa izifundo azikaze ziqinisekiswe ngokucacile leyo mbono.
Noma kunjalo, ingozi ekhulayo isaphila. Ucwaningo olwenziwe ngo-2008 eScotland olwalandela abantu abangu-367 abanesifo se-celiac cishe cishe eminyakeni emine ngemuva kokutholakala ukuthi bathole ukuthi babesencane kabili ingozi yabantu abangenalo isimo okuthiwa "izenzakalo zenhliziyo," kuhlanganise nesifo se-coronary, ukuhluleka kwenhliziyo, ukushaya isifo noma ukushaya kwenhliziyo.
Abacwaningi bakholelwa ukuthi kufanele uqaphele ngalokhu. Isifo senhliziyo singumbulali owodwa emhlabeni wonke, futhi noma yini eyandisa amathuba okuba nesifo senhliziyo-kuhlanganise nesifo se-celiac-sibalulekile.
Nakhu esikwaziyo (futhi asazi) ngesifo se-celiac kanye nengozi yesifo senhliziyo, nokuthi yini ongayenza ukuphatha nokunciphisa ingozi yakho.
Ama-Celiacs Awunayo 'Izindabuko' Zezingozi ZeCononary
Uma unesifo se-coronary artery, i-waxy substance ebizwa ngokuthi i-plaque yakha emithanjeni eyenza inhliziyo yakho isisipha ngegazi. Le-build-up-plaque ingasho ukuthi imisipha yenhliziyo yakho ayitholi oksijini okudingeka isebenze kahle, engabangela ubuhlungu besifuba, ikakhulukazi uma usebenza.
Ekugcineni, uma i-plaque ngokwanele ikhula, ingxenye yayo ingahle ihlukane, eholele ekhwameni legazi elingavimba umthambo. Lokhu kubangela ukuhlaselwa kwenhliziyo.
Iningi labantu lijwayele izici ezibeka engozini yokugula kwe-artery coronary: ukukhuluphala ngokweqile, ukuba ne-cholesterol ephakeme, nokubhema kuyizinto ezintathu eziyinhloko zokubeka ingozi.
Kodwa-ke, abantu abanesifo se-celiac abahlakulela isifo se-artery coronary akufanelanga kahle kulowo mfanekiso ojwayelekile. Bavame ukuba mncane, babe ne-cholesterol engezansi, bese bebhema ngaphansi kwalabo abangenawo isifo se-celiac futhi abanesifo se-coronary.
Kuyiqiniso ukuthi iphrofayli ye-celiac ejwayelekile ishintsha-abantu bayanda ngokweqile noma bakhuluphele (hhayi ngokuyingozi) lapho bexilongwa, isibonelo. Kodwa akusikho okushayela ingozi eyengeziwe yezinhliziyo zenhliziyo kulezi ceacacs.
Izifo ze-Celiac ne-Coronary Artery Izifo: Ukuvuvukala isixhumanisi?
Ngakho-ke yini engabangela ingozi ekhulayo?
Ososayensi bacabanga ukuthi kungenxa yalokho okushiwo abanye ngokuthi "isimo sokuvuvukala esingapheli."
Ukuvuvukala kubonakala sengathi kudlala indima ebalulekile ekuthuthukiseni isifo se-coronary artery, njengoba kusiza ukugxuma-qala i-plaque build-up emithanjeni yakho.
Abantu abanesifo se-celiac (okuyinto isimo esizimele ) banamasosha omzimba avule izicubu zabo. Le mpendulo ye-immune-specific specific response system ingase ivule ukuvuvukala kwenye indawo emzimbeni, kufaka phakathi emithanjeni ekhonza inhliziyo yakho. Ucwaningo lwesayensi lwakamuva ngamaseli athile okushayela-ukushayela akhiqizwa isimiso somzimba sokuzivikela, nendlela lawo maseli asebenzisana ngayo namacici emithambo yegazi, kubonakala sengathi ibuyele kule ncazelo.
Eqinisweni, isifundo se-2013 sibheke abantu abadala abatholakale benesifo se-celiac futhi bathola ukuthi babevame ukuba namazinga aphezulu wamakaki amabili okuvuvukala, kanye nemiphumela yokuhlola ebonisa ukuthi babekhona ukuqala kwe-plaque build-up emithanjeni yabo. Ezinye zalezi miphumela yokuhlola zithuthukisiwe uma abantu bebalandele ukudla okungenalutho kwe-gluten ezinyangeni eziyisithupha kuya kweziyisishiyagalombili, okubonisa ukuthi ukuvuvukala okujwayelekile kuye kwehlile.
Noma kunjalo, abacwaningi baphetha ngokuthi abantu abadala abanesifo se-celiac babonakala bengengozini enkulu yokugula kwesifo somzimba we-coronary, ngokusekelwe kulawo makhakha okuvuvukala.
I-A-Fib: Enye ingozi engenzeka
I-fibrillation ye-atrial iyinkinga kagesi enhliziyweni yakho eholela esivumelwaneni esingaqondakali, esivame ukushesha. Isimo esingapheli esingagcina iminyaka, futhi sivame kakhulu kubantu abadala kunama-40. Uma unayo i-A-Fib, yandisa ingozi yesifo sokushaya isisu, i-clot yegazi, noma ukuhluleka kwenhliziyo.
Abantu abanesifo se-celiac nabo bahlushwa amazinga aphezulu okufibamba kwe-atrial, nakuba ingozi eyengeziwe ibonakala iyincane. Esikhathini esithile sokucwaninga, okwenziwa eSweden, abacwaningi babheka ukutholakala kwezifo ze-atrial fibrillation kubantu abangu-28 637 abaye batholakala ukuthi banesifo se-celiac.
Bathole amacala angu-941 e-A-Fib kulelo qembu eminyakeni engaba yisishiyagalolunye elandela ukuxilongwa kwabo. Sekuvele kube ne-A-Fib futhi kwandisa ingozi yokuthola ukuthi i-celiac isifo kamuva.
Ngokuvamile, ukuba nesifo se-celiac senza umuntu cishe ngamaphesenti angu-30 amathuba okuthola ukuthi une-A-Fib kunomuntu ongenalo isifo se-celiac, ucwaningo luphelile. Nakulokhu, ukuvuvukala kungase kubangele, abalobi babhala: "Lokhu kuhlobana kuhambisana nokutholwa kwangaphambilini ukuthi ukuphakama kwamakhamuzi okuvuvukala kubhekisela ekugqibeleni kwe-fridayrial." Bathi ukuhlolwa okungeziwe kuyadingeka ukuze kunqume ukuthi kungani i-A-Fib ivame kakhulu ezifweni ze-celiac futhi mhlawumbe kwezinye izifo ezizimele.
Ukushaya isisu hhayi njenge-Big Problem ku-Celiac
Kunezinye izindaba ezinhle uma sibheka isixhumanisi phakathi kwesifo se-celiac nezinhlobo ezahlukene zesifo senhliziyo: ukushaywa akubonakali kuyinkinga enkulu.
Ukusebenzisa i-database enkulu yesifo se-celiac isifo se-patient njengesivivinyo saseSweden nge-fibrification ye-atrial, abacwaningi babheka ingozi yokushaywa yiziguli ku-28,637 iziguli, uma kuqhathaniswa nobungozi bokuhlaselwa kwabantu abangaphezu kuka-141 806 abantu abangenalo isifo se-celiac.
Ucwaningo lwathola ukuthi labo abanesifo se-celiac babenengozi ephezulu ye-10% yokushaywa yisifo sohlangothi, kodwa iningi lazo engozini enkulu laligxilwe ngonyaka wokuqala emva kokuthola ukuhlolwa kwazo. Kube khona "ingozi ekhuphukile ngemuva kweminyaka engaphezu kwemihlanu yokulandelwa ngemuva kokutholakala kwesifo se-celiac." Ucwaningo oluthile, oluthile oluthile luye lwathola ukuthi labo abatholakala benesifo se-celiac ebuntwaneni babenengozini enkulu kakhulu yokushaywa yisifo, kodwa lolu cwaningo olunzulu lwathola ingozi enkulu kakhulu.
Abalobi baphetha ngokuthi: "Iziguli ezinesifo se-celiac zisengozini encane yokwanda kwesifo, okuyinto eqhubeka isikhathi esifushane ngemva kokuxilongwa. Isifo se-Celiac asibonakali njengesisongelo esikhulu sokushaywa yisifo."
Ukuthuthukisa Izifo Zenhliziyo Yakho
Kulungile, ngakho-ke ukuba nesifo se-celiac kubonakala kukwandisa amathuba okuba nesifo senhliziyo - okuyinto enhle kakhulu futhi engase ibe yingozi. Ngakho yini ongayenza ngakho?
Okokuqala, ungabhemi (futhi uma ubhema, shiya). Ukubhema kuphakamisa ingozi ye-coronary artery isifo esikhulu, futhi amakhemikhali omoya ugwayi angalimaza ngqo inhliziyo yakho.
Okwesibili, kufanele uqiniseke ukuthi usesisindo esivamile. Ukuqhathanisa ngokweqile noma ukugqithisa kuphakamisa izinkinga zesifo senhliziyo, kungakhathaliseki ukuthi unesifo se-celiac noma cha. Ngenkathi kungaba nzima ukulahlekelwa isisindo uma usuvele ulandela ukudla okuvinjelwe, abantu abaningi abanesifo se-celiac ngenhlanhla bathola isisindo sabo "bajwayelekile" uma beqala ukungena-gluten (ngamanye amazwi, uma bekhuluphele kakhulu ukulahlekelwa isisindo, futhi uma bengaphansi kwesisindo bavame ukuzuza).
Yiqiniso, ungahle ube nelenhlanhla ngokuzenzekelayo ukusika isisindo uma uqala ukungena gluten (abaningi abantu abangekho). Uma unzima nesisindo sakho, bheka lezi zeluleko ezinhlanu zokuphumelela kwesisindo somzimba se-gluten . Lezi zinhlelo ezintathu ezinhle kakhulu zokulahlekelwa isisindo uma ungenayo i-gluten nazo zingasiza.
Okulandelayo, kufanele ucabangele ukukhuluma nodokotela wakho mayelana nokuthi usengozini yokuthola isifo somzimba, okuyigama elinikezwa odokotela ngeqembu lezinto ezibeka engcupheni yesifo senhliziyo, isifo sikashukela kanye nesifo sohlangothi.
Akucaci ukuthi ukuthi isifo se-celiac sithinta kanjani ingozi ye-metabolic syndrome - izifundo kulokhu zihlanganisiwe. Kodwa kuyacaca ukuthi ukuba nesifo se-metabolic kuphakamisa ingozi yesifo senhliziyo kakhulu. Ngakho uma unayo, kufanele wazi ngakho, futhi ukhulume nodokotela wakho mayelana nendlela yokubhekana nale nkinga.
Okokugcina, kufanele uqaphele ukungena kwevithamini yakho. I-gluten-free diet ihluleka ukungena kwamanye amavithamini okubalulekile enhliziyweni nasenempilo yempilo, okuhlanganisa i-folate, i-vitamin B6 ne-vitamin B12.
Okubalulekile
Asazi ukuthi ukunamathela ngokuqinile ekudleni okungenalo i-gluten (okuphambene nokukopela ekudleni) kuzosiza ngezinhlolo-zezempilo zenhliziyo akuzange kuphendule lo mbuzo okwamanje. (Yiqiniso, kunezinye izizathu ezinhle zokungakhohlisi ekudleni.) Ucwaningo olulodwa luthole ukuthi ingozi yokugula komzimba kanye ne-fibrillation ye-atrial ayizange ithinteke ukuthi intombazane yakho encane iphilile kanjani , ngakho-ke Unganaki isifo sezinhliziyo ngoba nje unesifo se-gluten.
Ngakho-ke, ukubheja kwakho okungcono kakhulu ukugwema isifo senhliziyo, ngisho nangengozini engase ibe yingozi ngenxa yokuthi unesifo se-celiac, ukuphila ngendlela enempilo enempilo: ungabhemi, uhlale ebangeni lesisindo esivamile, udle ukudla okunempilo, nokuzivocavoca umzimba .
Imithombo:
De Marchi S et al. Abantu abasha abanesifo se-celiac bangase babe ingozi enkulu yokuthola i-atherosclerosis yokuqala. I-Pharmaceutical Pharmacy & Therapeutics. 2013 Jul; 38 (2): 162-9.
Emilsson L et al. Ingozi ekhulayo ye-fibrillation ye-atrial ezigulini ezinezifo ezinama-celiac: isifundo seqembu lonke. I-European Heart Journal. 2011 Oct; 32 (19): 2430-7.
Emilsson L et al. Izibalo kanye nezingozi ze-ischemic isifo senhliziyo ezigulini ezine-celiac disease. I-Pharmaceutical Pharmacy & Therapeutics. 2013 Meyi; 37 (9): 905-14.
I-Lebwohl B et al. Ukuphulukiswa kwe-mucosal kanye nengozi ye-ischemic disease noma fibrillation ye-atrial ezigulini ezine-celiac; isifundo esisekelwe kubantu. PLoS One. 2015 Jan 30; 10 (1): e0117529.
Ludvigsson JF et al. Ingozi yokushaywa isifo kuma-28,000 iziguli ezinezifo ezingenamkhawulo: isifundo seqembu lonke eSweden. I-Journal of Stroke and Cerebrovascular Illness. 2012 Nov; 21 (8): 860-7.