Umbuzo: Ilungu lomndeni wami osondelene naye uthola ukuthi unesifo se-celiac. Kufanele ngihlolwe?
Impendulo: Kungenzeka ukuthi kuzodingeka uhlolwe futhi, ikakhulukazi uma unesifo se-celiac. Lezi zingabuka ezinkingeni zokugaya ezifana nokuhuda nokuqothulwa ezinkingeni zezinzwa ezifana nezinhlungu ze-migraine , kanye nezifo zesikhumba kanye nobuhlungu obuhlangene .
Abantu abanesifo se-celiac bangase babe nokuphelelwa amandla, ukuphefumula ngokweqile, ukucindezeleka kanye nokukhubazeka kwe-thyroid.
Emindenini okungenani eyodwa etholakalayo i-celiac, izihlobo zokuqala-izihlobo - abazali, izingane kanye nabantakwethu - zithatha okungenani ithuba elilodwa-in-22 lokuba nesimo, kanti izihlobo zesibili (odadewabo, omalume, izingane zomshana, ugogo nomkhulu, abazukulu noma abafowabo) baphathe okungenani ithuba elilodwa-in-39 lokuba nalo.
Ucwaningo oluthile luveze ngisho nakakhulu: Ngesinye isifundo, izihlobo ezingu-12% zezihlobo zokuqala (yilowo oyedwa kwezihlobo eziyisishiyagalombili) zikhombisa umonakalo wamathumbu emathunjini owaziwa ngokuthi i-atrophy enonya , okusho ukuthi banesifo se-celiac.
Amaqembu amathonya amaningi, kuhlanganise ne-American Gastroenter Association Association ne-World Gastroenterology Organisation, mema zonke izihlobo zezinga lokuqala labantu abane-celiac ukuthi bahlolwe ngokwabo. Womabili amaqembu atusa futhi ukuhlolwa kwezihlobo zesibili; yize lezi zihlobo ezikude kakhulu zingenalo ingozi enkulu, imindeni eminingi inabazala ababili noma ngaphezulu abanesimo.
Kodwa-ke, ucwaningo aluhambisani nanamuhla kungakhathaliseki ukuthi kuwufanele yini ukuhlukunyezwa ukuhlola izihlobo zesigaba sesibili ezingenayo izimpawu.
Amalungu Omndeni Ahlolwe Ngezivivinyo Zegazi Ezingavamile
Uma ulilunga lomndeni kumuntu otholiwe ukuthi unesifo se-celiac, kufanele uhlolwe usebenzisa ukuhlolwa kwegazi le-celiac . Lokhu kuhlolwa kwegazi (kunezinhlanu ezinompheme ogcwele we-celiac, nakuba abanye odokotela bengalawuli bonke abahlanu) babheke ama-antibodies ku-gluten ejikelezayo egazini lakho.
Uma unesimo esihle sokuhlolwa kwegazi (okusho ukuthi ukuhlolwa kubonisa ukuthi umzimba wakho usabela ku-gluten), kuzodingeka ube nesiphelo sokugcina , inqubo yokuhlinzwa esetshenziselwa ukuhlola intombazane yakho encane. Phakathi ne-endoscopy, udokotela uzosusa amanye amasampula amathumbu wakho ukuze ahlole ngaphansi kwe-microscope. Kubantu abanesifo se-celiac, lawo masampula kufanele abonise umonakalo owenziwe nge-gluten.
Ukuze ukuvivinya kube okulungile, udinga ukulandela ukudla okujwayelekile okuqukethe i-gluten, okusho ukudla ukudla okuqukethe ukolweni, ibhali kanye ne-rye. Lokhu kungenxa yokuthi ukuhlolwa kubheka ukusabela komzimba wakho kulabo ukudla; uma ukudla kungekho ekudleni kwakho, ukusabela emzimbeni wakho ngeke kube khona, noma.
Ukuphinda Ukuhlolwa Kwe-Celiac Kungase Kudingeke
Ngisho noma ukuhlolwa kwakho kokuqala kwesifo se-celiac kubonakala kungalungile, awukwazi ukuzicabangela ngokucacile - ungayithuthukisa nganoma isiphi isikhathi. Ucwaningo oluvela e-Columbia University's Celiac Disease Centre lathola ukuthi abangaphezu kuka-3% kulawo malungu omndeni abaqale bavivinywa okungalungile ku-celiac bavivinywa uma bevivinywa okwesibili noma kwesithathu.
Akuzange kuthathe isikhathi eside, noma: isikhathi phakathi kwemiphumela emibi kanye nemiphumela emihle yokuhlolwa yabe isukela ezinyangeni eziyisithupha kuya kwabanye abantu eminyakeni emithathu nje kuphela nezinyanga ezimbili kwabanye.
Isikhathi esiphakathi phakathi kokuvivinywa okungalungile nokuvivinya kahle kwakuyiminyaka nengxenye nje, ngokusho kocwaningo.
Umuntu oyedwa kuphela ovivinye kabi ekuqaleni kodwana ngemva kwalokho waba nesifo sohudo - abanye abantu babika izimpawu, babenza okuthiwa " celiacs ezithulile ," noma abantu abanesimo abangenayo izimpawu. Ngaphezu kwalokho, akekho walabo bantu ababike ukuthi ushintsho lwezimpawu phakathi kokuhlolwa, okusho ukuthi awukwazi ukuthembela ezimpawu zakho ukucacisa ukuthi ngabe uthuthukisa isifo se-celiac.
Abacwaningi baphetha ngokuthi ukuhlolwa kwesinye isikhathi ngezihlobo zabantu abanezifo ezingenamkhawulo akwanele, nokuthi ukuphinda ukuhlolwa kufanele kwenzeke ngisho noma isihlobo singenayo izimpawu.
Kodwa-ke, ucwaningo olwengeziwe luyadingeka ukuze kutholakale ukuthi amalungu omndeni kufanele ahlolwe kaningi uma engabonisi izimpawu zokuhlolwa ze-celiac.
Imithombo:
I-Agency for Research and Health Quality Guideline Clearinghouse. Ukuxilongwa nokuphathwa kwezifo zeCeliac. Ifinyelele ngoNovemba 28, 2011.
I-Goldberg D. et al. Ukuhlolwa kwesifo se-celiac emalungwini omndeni: ukuhlolwa okulandelwayo kudingekile? Izifo ze-Digestive and Sciences. 2007 Ngo-Apr; 52 (4): 1082-6.