Yindaba ozwa ngaso sonke isikhathi: Omunye uthola ukuthi unesifo se-celiac , unikeze amapheshana amasha mayelana nendlela yokuhamba engenayo gluten, futhi wathumela endleleni yabo ngaphandle kokukhuluma okuningi ngesidingo esingenzeka sokuvakasha odokotela noma ukuhlolwa.
Kunengqondo ethile kulokhu, ngoba ukwelashwa kwamanje kuphela kwesifo se-celiac yikudla okungekho gluten , (futhi lokho akudingi imithi).
Ngaphezu kwalokho, abantu abaningi (kodwa hhayi bonke) bazizwa behle kangcono uma beqala ukudla ukudla okungenayo i-gluten, ngakho bazizwa sengathi inkinga yabo ilungisiwe.
Kodwa ochwepheshe abasensimini basakhuthaza labo abanesifo se-celiac ukuthola ukunakekelwa okulandelwayo kusukela odokotela babo, kokubili ukuhlola noma yiziphi izinkinga ngezimpawu eziqhubekayo, futhi ngoba i-celiac ixhunyaniswe kakhulu nakwezinye izimo eziningi ezizimele. Nansi i-rundown yalokho lezo zincoma zincoma.
Izivivinyo Zokuba Uma Uqala Ukubonwa Ngezifo Zama-Celiac
Uma uqale uthola ukuthi unesifo se-celiac , udokotela wakho angancoma ukuhlolwa okumbalwa ukuze ubone ukuthi isimo sakho sithinte kanjani umzimba wakho.
Isibonelo, angase ancome ukuthi uhlolwe ukuhluleka kokudla okunomsoco , okuvamile ngoba umonakalo emithini yakho yokugoma emathunjini kusho ukuthi awukwazi ukungenisa izakhi ekudleni kwakho. Lokhu kungabandakanya uchungechunge lwegazi lokuhlolwa kwezakhi ezifana ne-vitamin B-12, folate, ne-vitamin D.
Ungase futhi uncoma ukuthi uhlolwe i-anemia, uma ungahlolelwa kakade njengengxenye yokuxilongwa kwakho (abantu abaningi bayobe behlolwe i-anemia ngaphambi kokuba bahlolwe). Kuvamile ukubona i- anemia ene-celiac isifo , futhi kungenzeka ukuthi ingeza kunoma yimiphi imizwa yokukhathala obhekene nayo.
Ngokuvamile, i-anemia iyathuthukisa noma iyanyamalala uma uqala ukudla ukudla okungenayo i-gluten futhi uhlaka lwamathumbu emathumbu luqala ukuphulukisa.
Okokugcina, udokotela wakho angakucela ukuba uhlolwe ukuze ubone ukuthi isifo se-celiac sithinte amandla akho namathambo . Ngeshwa, ukwehluleka kokudla okunomsoco okuvamile ne-celiac kungaholela ekutheni i-osteoporosis noma i-osteopenia, izimo lapho amathambo akho aphansi khona futhi abuthakathaka kunokuvamile. Ukuze ubone ukuthi unenkinga, uzodinga lokho okubizwa ngokuthi i-DEXA scan, okuyinto uhlobo lwe-ray ray.
Ungesabi ngalokhu konke ukuhlolwa-kungenzeka ukuthi ungenayo yalezi zinkinga. Ngisho noma izivivinyo zivula ingxabano, kufanele iqale ukuxazulula uma uhamba ungenayo gluten. Ngaphezu kwalokho, udokotela wakho angase anikeze ukwelashwa okungeziwe, njengokungenelela okunomsoco kunoma yikuphi ukutholakala kwamagithamini noma amaminerali, noma imithi yokwelapha isisindo samathambo aphansi.
Ukuhlangana Nochwepheshe We-Dietitian-Gluten-Free
Ukudla okungenayo i-gluten kuyinkimbinkimbi ukulandela, ngekhasi lokufunda eliphakeme kakhulu. Abantu bavame ukwenza amaphutha ezinyangeni zabo zokuqala i-gluten-free, futhi ngeshwa, bavame ukukhokha lawo maphutha ngezimpawu ezimbi zokugcwala .
Abanye abantu babhekana nezinkinga zokudla eziwodwa.
Kodwa akukho mbuzo ukuthi kwabanye, usizo lomchwepheshe wokudla okunomsoco ekudleni okungenalutho lwe-gluten kuzobasindisa ekuguleni futhi mhlawumbe kubasize baphulukise ngokushesha.
Ngeshwa, udokotela wakho kungenzeka akakwazi ukukugcwalisa le nxaxheba yocwaningo lomsoco. Eqinisweni, i-American College of Gastroenterology (ACG) iyavuma ukuthi odokotela abaningi abazi okwanele ngokudla okungekho gluten ukuze bathole iseluleko ngokwanele abantu kuso. Yingakho leli qembu lincoma ukuthi wonke umuntu otholwe ukuthi unesifo se-celiac udluliselwe ku-dietitian obhalisiwe owazi ngesifo se-celiac.
I-dietitian ingasiza ekuboneni noma yikuphi ukuhluleka kokudla okunomsoco ekudleni kwakho okujwayelekile, futhi kungakusiza ukukufundisa ukuthi i-gluten ingafihla kulokho kudla.
I-dietitian nayo ingakusiza ekwenzeni ukudla okunempilo okungcono kunazo zonke ze-gluten, ngokubheka ngokukhethekile izakhi ezifana ne-fibre, folate, ne-calcium, ngokuvamile ehlulekayo.
Akuwona wonke ama-dietitians abachwepheshe ekudleni okungenalutho kwe-gluten. Udokotela wakho angase ancoma ukuthi omunye umuntu abone, noma kungenzeka ukuthi udingeke uzenze ngokwakho.
Ukunakekelwa Kwesikhathi Eside Ukunakekela I-Celiac
Nakuba ochwepheshe besifo se-celiac batusa ukuvakashelwa okujwayelekile okulandelwayo kulabo abaye bathola ukuthi banesifo se-celiac, akubona wonke umuntu olandela lezi zincomo. Ucwaningo olulodwa olubandakanya abantu abangu-113 lubonise ukuthi kuphela okungaphezu kweyodwa kwesithathu okulandela imihlahlandlela ye-ACG yokunakekelwa kokulandelwa.
Ngakho-ke yini enconywayo ekunakekeleni okulandelwayo iya kubantu abanesifo se-celiac?
Imikhombandlela ye-ACG ikhombisa ukuqapha njalo udokotela onolwazi ngesifo se-celiac . Lokhu kungahle-noma kungase kube-udokotela wakho wokunakekela oyinhloko. Kungenzeka ukuthi ube gastroenterologist yakho.
Lezi ziqondiso azicaci ukuthi kufanele ubone udokotela wakho kangakanani, kodwa ezinye izazi zincoma ukubona udokotela otholile ukuthi une-celiac emva kokungenayo igundane cishe izinyanga ezintathu kuya kweziyisithupha, futhi emva kwalokho ngemuva konyaka. Lokhu kuzokunika ithuba lokukhuluma nodokotela wakho mayelana nokuthi uzizwa kanjani, nokuthi ngabe unayo yini izimpawu eziqhubekayo.
Uma unenkinga yokudla okungenayo i-gluten, udokotela wakho angancoma ukuthi ubone isidlo sokudla. Lokhu kungasiza ngisho noma ubona owodwa uma utholakala okokuqala-isazi sokudla esinekhono singakwazi ukukhomba izindawo lapho uthola khona i-gluten ekudleni kwakho ngokungazi.
Abanye odokotela bathanda ukusebenzisa ukuhlolwa kwegazi le-celiac ukuhlola ukuthi awukho yini i-gluten . Ngeshwa, lezi zivivinyo cishe zizobonisa kuphela ukuthi udla ukudla okuningi okunokuqukethwe kwe-gluten; azizwele ngokwanele ukuthola ukuthi umzimba wakho usabela kanjani emanzini amancane okwehla kwe-gluten ekhaya, isibonelo.
Udokotela wakho angase futhi afune ukuqhuba ezinye, ukuhlolwa kwegazi okujwayelekile, okungahlinzeka izinkomba ezingeni lakho lonke lezempilo.
Ngesinye isikhathi, udokotela wakho angakutshela ukuba uphinde uposcopy ne-biopsy ephindaphindiwe ukuze ubone ukuthi imithi yakho yamathumbu iphilile kangakanani . Lokhu kunconywa kungenzeka uma ubika izimpawu eziqhubekayo, noma ngabe ulandela ngokucophelela ukudla okungekho gluten. I-endoscopy ingavumela udokotela wakho ukuba afune ezinye izinkinga zezokwelapha ezingase zibe negalelo ezimpawu zakho.
Ukubuka izimo ezihlobene
Isifo se-Celiac yilokho okubizwa ngokuthi yisifo se- autoimmune , okusho ukuthi kuhilela ukuhlaselwa kwesinye isitho somzimba wakho (kulokhu, ukugqoka emathunjini akho amancane) ngamasosha akho omzimba.
Uma unesifo se-celiac, usengozini enkulu yezinye izimo eziningana zokuzimela, kuhlanganise nesifo se-thyroid , uhlobo lwesifo sikashukela sohlobo lwesifo sikashukela , kanye nokulahleka kwezinwele okuthiwa i-alopecia areata .
Nakuba abacwaningi bengabonakali ukuxhumana okuqinile phakathi kwezimo ze-celiac nezinye izimo ezizimele ezizimele, kufaka phakathi ukubola kwesibindi , akungabazeki ukuthi isimo esisodwa sezimoto siphakamisa ingozi yakho yokuthuthukisa ezinye izimo ezizenzakalelayo. Ngakho-ke, kuwumqondo omuhle ukukhuluma nodokotela wakho mayelana nenengozi yakho enkulu yezinye izifo ezizimele, nokubika noma yiziphi izimpawu ongase uzibonele.
Okubalulekile
Iningi labantu abatholakale benesifo se-celiac bazizwa belungcono uma bebangenayo i-gluten . Ukuvakashelwa kudokotela wakho njalo, kanye nokuhlola okulandelwayo okuphakanyiswayo, kungadlala indima ebalulekile ekuqinisekiseni ukuthi ugcina izinga lakho lempilo elihle, futhi ubhekane nanoma yikuphi ukuqhuma emgwaqweni njengoba kuphakama.
Imithombo:
Herman ML et al. Iziguli ezinezifo ze-celiac azilandelwa ngokwanele. I-Gastroenterology Clinic ne-Hepatology . 2012 Aug; 10 (8): 893-899.e1.
Rubio-Tapia A et al. Izikhombandlela zomtholampilo zaseMelika College of Gastroenterology: Ukuxilongwa nokuphathwa kwesifo se-celiac. I-American Journal ye-Gastroenterology . 2013 Meyi; 108 (5): 656-76.