Izibonakaliso zezifo zeCeliac
Izimpawu ezaziwa kakhulu (kodwa ezingavamile kakhulu) zesifo se-celiac zihlanganisa isifo sohudo, amathumbu esiswini, ukulahlekelwa isisindo nokukhathala. Kodwa-ke, isifo se-celiac singathinta cishe zonke izinhlelo ezisemzimbeni wakho, kufaka phakathi isikhumba sakho, amahomoni akho, namathambo namalunga akho, futhi kungabangela izimpawu ongase ungacabangi ukuzihlanganisa nalesi simo.
Abantu abanesifo se-celiac bangase bahlupheke ngenxa yokuqothulwa esikhundleni sohudo , babe nesisindo sokuthola isisindo esikhundleni sokulahlekelwa isisindo , futhi bakhuthazele ukuguquka kwesifo kunokuba (noma ngaphezu) ubuhlungu besisu.
Kungenzeka futhi ukuthi abanazo zonke izibonakaliso, noma bangase babonakale ehhovisi labo odokotela ngesifo esisodwa esingabonakali, njenge- anemia engacacisiwe .
> Buka i-villi emgodini wakho wokugaya kusuka ekuthintaneni kwe-gluten.
Empeleni, akungabazeki ukuthi kukhona "icala" langempela le-celiac; isimo singathinta izinqubo eziningi zomzimba nganoma yisiphi isethi esisodwa sezimpawu okufanele sicatshangelwe ukuthi siyayifaka. Abesifazane, amadoda, abantwana, nezingane cishe bazobhekana nesifo se-celiac ngezindlela ezihlukahlukene.
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Izifo Zama-Celiac Zingabangela Inyovu Ejulile Nomonakalo Emlonyeni
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Uzizwa Kanjani Uma Uthola Ukuthokoza?
Futhi ngezinye izikhathi, ungaba ne-caliac egcwele kodwa ungenayo izimpawu nhlobo .
Nakhu ukuphazamiseka kwezibonakaliso zesifo se-celiac nezimo ezihlobene, ezihlelwe yisistimu yomzimba abayithintekayo.
Izimpawu zokugaya izifo zeCeliac
Akuwona wonke umuntu otholwe ukuthi unezifo ze-celiac ezitholakele izimpawu zokugaya, kodwa eziningi zenza. Isibonelo, isifundo esisodwa sathola izimpawu ezinjalo cishe ezingxenyeni ezintathu zabantu ababetholwe ukuthi banesimo.
Isifo sohudo esingapheli yisinye isibonakaliso sezifo ze-celiac, futhi kubonakala sengathi kuthinta isigamu noma ngaphezulu kulabo abasanda kutholakala. Ngokuvamile, isifo sohudo sinamanzi, siphunga, futhi sithandekayo, futhi sithela kunokuba siguquke.
Kodwa-ke, abantu abaningi abanesifo se-celiac bavame ukugqunywa esikhundleni sokudonsa isisu , kanti abanye babona ezinye izimpawu zabo phakathi kwalaba ababili.
Ngaphezu kwalokho, ezinye izinhlobo zezimpawu zokugaya zingabonakala. Isibonelo, i-flatulence kanye ne-gas ngokweqile zivamile, njengoba kuvuvuka esiswini (abantu abaningi bazichaza bona babheka "izinyanga eziyisithupha abakhulelwe"). Kubuye kuvame ukuba nobuhlungu besisu, okungaba nzima ngezikhathi ezithile.
Izimpawu ezengeziwe zokugaya izifo zesifo se-celiac zingabandakanya ukushisa kwenhliziyo kanye ne-reflux (abanye abantu kakade batshelwe ukuthi banesifo se-reflux ye-gastroesophageal, noma i-GERD), isisulu sokunambitheka nokuhlanza, nokubekezelelana kwe-lactose . Ama-celiacs angahloliswanga ngezinye izikhathi ahlakulela i- pancreatitis noma isifo se-gallbladder, futhi abaningi sebeye bathola ukuthi bane- syndrome eyathukuthela (lezo zimpawu ze-IBS ziyancipha noma zinyamalale ngokuphelele ngokulandela isifo se-celiac).
Ngaphezu kwalokho, akuwona wonke umuntu olahlekelwa isisindo njengecalaac engatholakali. Eqinisweni, abantu abaningi bathola isisindo ngaphambi kokuxilongwa.
Abanye abantu babika ukuthi abakwazi ukuchitha amakhilogremu amaningi, kungakhathaliseki ukuthi badla kangakanani nokuzivocavoca. Esihlangenweni sami, ukuzuza isisindo noma ukukhuluphala ngokweqile njalo kuhlanganiswa nokuqothulwa (hhayi ukuhuda) njengesifo somuntu sokuqala sokugaya.
Izibonakaliso Zezifo Zezinzwa Zezifo Eziphilayo
Abantu abaningi abanokuhlangenwe nakho okungahlosiwe okukhathele okubavimbela ekusebenzeni imisebenzi yansuku zonke kanye nomthelela izinga labo lokuphila. Ngokuvamile, ukukhathala kubonakala kukukhuphukela kuwe, okwenze kube lula ukusola lapho ukhula (ngokungafani nesimo sezokwelashwa esingelashwa).
Ngesikhathi esifanayo, ukulala nokulala nezinye izifo zokulala zivame kakhulu kubantu abane-celiac. Eqinisweni, ucwaningo olulodwa lwaqhathanisa ama-celiacs ekuxilongweni nasekudleni okungenalutho kwe-gluten, futhi okutholakala ukuthi bonke abanesifo se-celiac-kungakhathaliseki ukuthi babengekho gluten noma bangabi nakakhulu nakwezinyathelo zekhwalithi yokulala.
Yizona ezimbi kakhulu zomhlaba: Uphelile emini kodwa awukwazi ukulala noma ulale ebusuku.
Ngaphezu kwalokho, abantu abaningi abanesifo se-celiac bathola "ubuchopho buchopho" ngenxa ye-gluten . Uma unenkinga yobuchopho, unenkinga yokucabanga ngokucacile-ukuthi uzizwa sengathi ubuchopho bakho busebenza emoyeni. Ungase ube nenkinga yokufika ngamazwi afanele ukuqhuba ingxoxo ehlakaniphile, noma ungase uphawule imfucuza yakho imoto noma ufinyelele eminye imisebenzi yasendlini evamile.
Ezinye ze-celiacs ezitholakale zitholakale sezivele zitholile izifo zenhliziyo; ezimweni eziningi (kodwa hhayi konke), lezi zinhloko ziyokwehlisa ubukhulu kanye nemvamisa noma zivele zicaciswe ngokuphelele uma uthola ukudla okungekho gluten.
Izimpawu zengqondo ezifana nokucindezeleka , ukukhathazeka, ukukhathazeka -ukungaphumeleli kokugula okungahle kwenzeke , futhi ukucasuka kubangelwa njalo kubantu abanezifo ezingenazifo ezingatholakali. Eqinisweni, ama-celiacs asetshenziswe isikhathi eside angatshela ukuthi baye bahlushwa nge- gluten ngenxa yokucasula kwabo-leso sibonakaliso singabonakala emahoreni wokushisa futhi sihlale isikhathi eside izinsuku ezimbalwa. Ezinganeni ezincane ezinezifo ezingavamile, ngezinye izikhathi ukucasula yilodwa kuphela uphawu.
Funda ukuthi i-Dermatitis Herpetiformis ne-Celiac Disease zihlangene kanjani
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Ngingaba Nezifo Ezibucayi Uma I-Symptom Yami Eyinhloko Ukuqothulwa?
I-peripheral neuropathy , lapho uzwa khona ukuphazamiseka, ukuzwa kwezikhonkwane nezinaliti, futhi okungenzeka ubuthakathaka emaphethelweni akho, ingenye yezimpawu zezinzwa ze-celiac ezivame ukubhekwa njalo. Ngaphezu kwalokho, abanye abantu bathola ukuthi bane- gluten ataxia , engumonakalo ongokwengqondo ovezwe ukulahlekelwa ibhalansi nokuhlanganiswa okubangelwa ukusetshenziswa kwe-gluten.
I-syndrome yesiguli esingenakuphumula ngisho nokubikwa njengesifo esivamile sesifo se-celiac. Esinye isifundo, amaphesenti angu-31 e-celiacs ayenempilo yesiguli, uma kuqhathaniswa namaphesenti angu-4 kuphela abantu abangenayo isifo se-celiac.
Izifo ze-Celiac namaHhomomu akho
Isifo se-Celiac singathinta amahomoni akho kanye neminye imisebenzi yesistimu yakho ye-endocrine, elawula konke kusuka ohlelweni lwakho lokuzala kuya kwemizwa yakho. Eqinisweni, isifo se-celiac sitholakala kumaphesenti angu-2 kuya ku-5 weziguli ezinezifo ze- orroid noma u- 1 uhlobo lwesifo sikashukela , futhi sivame ukuvela ezigulini ezine-syndrome ye-Sjogren (isimo esizimele lapho umlomo wakho namehlo akho ome kakhulu khona).
Iziguli ezinezifo ze-Addison (uma izigulane zakho ezingavamile zihluleka ukhiqiza okwanele amahomoni amabili abalulekile), i-hypophysitis (ukuvuvukala kwesifo sakho se-pituitary), noma izifo eziningi ze-endocrine zonke zibeka ingozi ephezulu yesifo se-celiac.
Izinkinga zempilo yokuzala, kubandakanya ukungabi nabantwana kulabo besilisa nabesilisa , izinkathi ezithathiwe, ukukhulelwa kwesikhathi sekwephuzile , nokuya esikhathini sokuqala esikhathini esizayo kungabonakalisa ukuthi kungenzeka yini isifo se-celiac (nakuba, futhi, kunezinye izizathu ezingase zivele kulezi zimpawu). Abesifazane abane-celiac banamathuba amakhulu kakhulu kunabanye abesifazane ukubhekana nezinkinga zokukhulelwa kanye nokuphazamiseka okuphindaphindiwe.
Futhi, i- celiac ingathinta ubulili bakho , futhi.
Izinkinga Zesikhumba Ezixhunywe Nezifo Ezibucayi
Ungase ubone izibonakaliso zesifo se-celiac esithombeni sakho esikhulu kakhulu: isikhumba sakho.
Kuze kube yiyodwa kweyesine yabantu abane-celiac abahlukunyezwa yi- dermatitis herpetiformis (aka "i-gluten rash") , isikhumba esikhukhulayo esikhumba. Uma une-dermatitis herpetiformis kanye nokuhlolwa kwegazi okuyi-positive okuyi- positive, une-celiac-akukho ukuhlolwa okudingekayo okudingekayo.
Kodwa-ke, abantu abane-celiac baphinde bahlushwa izinkinga ezihlukahlukene zesikhumba , kuhlanganise ne- psoriasis , i- eczema , i- alopecia areata (isimo esizimele lapho ulahlekelwa khona izinwele zakho) , imihlathi, ngisho nezinkinga ezivamile ezifana ne-acne nesikhumba esomile.
Nakuba kungekho bufakazi obuqinile bokuthi ukungenisa kwe-gluten kubangela noma kunomthelela kulezi zinkinga zesikhumba, ukudla okungenalutho kwe-gluten kusiza ukuwahlanza kwezinye izimo.
Izimpawu eziqhamukayo ezihlobene namaBon and Amalungu akho
Nakuba ungase ungaxhumani amathambo namalunga akho kulokho okubhekwa njengesifo sokugaya, isifo se-celiac singathinta kakhulu lezo zincenye zomzimba wakho.
I-osteoporosis , lapho amathambo akho abe buthakathaka futhi ebuthakathaka, ngokuvamile avela ekhonsathini ngesifo se-celiac, kusukela lapho unayo celiac awukwazi ukumbamba izakhi ezidingekayo ukugcina amathambo akho aqinile.
Kodwa ezinye izingqinamba zamathambo nezokuhlanganyela, ezifana nobuhlungu obuhlangene , ubuhlungu besifuba, isifo samathambo esifubeni , kanye ne- fibromyalgia nazo zenzeka ngokujwayelekile kulabo abanesifo se-celiac, futhi. Akucaci ukuthi ukuxhumana kukuphi; kungase kuhileleke ukuhluleka kokudla okunomsoco okuhlobene nokuthi i-celiac ibangela ukulimala kwamathumbu, okwenza kube nzima kuwe ukuthola amavithamini namaminerali.
Kwezinye izimo, ukudla okungekho gluten kunganciphisa ubuhlungu obuvela kulezi zimo.
Izingane ezinezifo ezingenazifo ezingatholakali zivame ukuwela ngemuva kwekhasi lokukhula, futhi lokhu kuphuza ukukhula noma "ukwehluleka ukukhula" kungaba yilapho kuphela isifo se-celiac ezinganeni. Uma ingane ithola ukuthi ingakafiki ngaphambi kokukhulelwa futhi iqala ukudla okunamandla okungenalutho, ngokuvamile iyakwazi ukwenza noma ukuphakama . Abantu abadala abanesifo eside se-celiac esingaziwa ngaso sonke isikhathi ngokuvamile bafushane .
Izifo zeCeliac nezinkinga zamazinyo
Abantu abanesifo se-celiac bavame ukuba nezinama ezimbi nezinsini ezinzima.
Kubantu abadala abanesifo se-celiac esingatholakali, izigxobo ezivame ukwenziwa, koqweqwe lwawo koqweqwe lwawo, nezinye izinkinga zamazinyo eziphindaphindiwe zingabonisa isimo. Izingane ezine-celiac ezingatholakali zingase zibe namabala emazinyweni azo amasha ngaphandle koqweqwe lwawo koqweqwe lwawo, ukuphuza ukuphuza kwamazinyo abo (okungakhathaliseki ukuthi umntwana noma omdala), kanye nemithango eminingi.
Izilonda zamanzi (ezaziwa nangokuthi i- aphthous ulcers ) zenzeke kokubili abadala kanye nezingane ezinezifo ezingekho ngaphansi kwe-celiac (futhi kulabo asebevele bebonwa ukuthi abangenayo i-gluten engozini). Lezi zilonda zomlomo ezibuhlungu zivame ukutshala ngaphakathi kwezindebe zakho ezindaweni lapho uke waba khona ukulimala okuncane kakhulu (njengokungena esikalini esibukhali, ukudla noma amazinyo akho). Uma beqala, bangathatha isonto ukuze bahlehlise.
Futhi akuyona into engavamile ukuthola isifo se-celiac kumuntu onesifo se- periodontal noma izinsini ezikhulayo kabi. Kwezinye izimo, ukudla okungenalutho kwe-gluten kungasiza ukulungisa omunye umonakalo okwenziwe.
I-Cancer neCeliac Disease
Ezimweni ezingavamile kakhulu, isibonakaliso sokuqala sokuthi isiguli asiqapheli i-celiac ukuxilongwa okwesabekayo kohlobo oluthile lwe- lymphoma oluhlobene kakhulu nesifo se-celiac . Ngenhlanhla, lolu hlobo lomdlavuza aluvamile kakhulu, ngisho nakubantu abaye babenempawu ze-celiac iminyaka kodwa bahlala bengatholakali.
Ngaphandle kwe-lymphoma, imiphumela yesifo se-celiac engozini yomdlavuza yakho ixutshwe: I-Celiac ingakwazi ukuphakamisa ingozi yezinhlobo ezithile zomdlavuza, kodwa empeleni inganciphisa ingozi kwabanye.
Isibonelo, abantu abanesifo se-celiac banengozi ephakeme yomdlavuza wezinambuzane ezincane (uhlobo olungavamile lomdlavuza), izicubu ze-carcinoid (uhlobo olungavamile, olukhula kancane kancane lomdlavuza olungase luvele emgodleni wokugaya), kanye nezicubu zomzimba zesisu (enye indlela engavamile yomdlavuza).
Izimpawu zalezi zinhlobo zomdlavuza zihlanganisa ubuhlungu besisu kanye nezimpawu ezingalahleki zokulahleka-ezimbili ezikwazi ukukhombisa isifo se-celiac. Kodwa-ke, noma ngabe unayo izimpawu ezimbili, akufanele ukhathazeke. Akungabazeki ukuthi unomunye walezi zomshukela, ezingafani neze.
Akucaci ukuthi ngabe abantu abanesifo se-celiac (noma abathintekayo noma abangatholakali) bahlushwa ingozi enkulu yomdlavuza wekoloni , nakuba isifundo esisodwa sathola ukuthi ama-celiacs ayengekho amathuba kunalabo abangenayo isimo sokuthola ukuthi banezintambo ze-colon, abhekwa njengesibikezelo ku-colon umdlavuza.
Naphezu kokucwaninga kwangaphambili okubonisa isifo se-celiac kungase kuphakame ingozi ye-melanoma yomdlavuza wesikhumba, ucwaningo lwamuva nje alubonisi ukuxhumana phakathi kwezimo ezimbili.
Futhi, kukhona ubufakazi bokuthi ukuba ne- celiac empeleni kunganciphisa ingozi yomdlavuza wesifuba , mhlawumbe ngenxa yokuthi isifo se-celiac sibonakala senza amazinga aphansi amahomoni athile okuzala angahle ahlanganiswe nokuthuthukiswa komdlavuza webele. Lokhu ukunciphisa ingozi kungase kwandiswe nakwe-ovarian kanye ne-cancer ye-endometrial, ezinye izinhlobo ezimbili zomdlavuza ezithonywa ama-hormone.
Ngezansi: Izimpawu Ezibucayi Ziyisiqondiso, Kodwa Azinakusho
Izifo ze-Celiac zingakwazi ukuqeda izimo eziningi, (eziningi), isibonelo, ngizwe ngabantu abangaphezu kweyodwa abahlukunyezwa nge- multiple sclerosis ngenkathi empeleni babe nesifo se-celiac). Kodwa-ke, ngenxa yokuthi unayo yalezi zimpawu (noma eziningi zazo), akusho ukuthi unesifo se-celiac-kusho ukuthi kufanele ucabange ukuhlolwa kwesi simo.
Ngenxa yokuthi wonke umuntu ubonisa izimpawu zesifo se-celiac ngokuhlukile, kuyinkinga enzima kakhulu odokotela ukuyihlolisisa kahle . Eqinisweni, nakuba ukuqwashisa izifo ze-celiac nezifo zokuxilongwa kubonakala sengathi ziphuthumayo, eminyakeni edlule omunye umuntu angaqhubeka iminyaka engaba ngu-10 ngaphambi kokuba atholakale, ngisho nezimpawu ezinzima futhi ezikhubaza.
Yiqiniso, khumbula ukuthi zonke lezi zibonakaliso zesifo se-celiac ezingase zibangelwe ezinye izimo zezokwelapha, mhlawumbe kufaka phakathi ukuzwela okungenayo i -celiac gluten , okucatshangwa ukuthi iyimeko ehlukile. Lesi esinye isizathu esiyinhloko lokhu kutholakala kunzima kakhulu ukwenza.
Indlela kuphela ongatshela ngayo ukuthi une-celiac ukuthi ube ne-biopsy yamathumbu ekhombisa ukuthi i-atrophy enyantisayo , okuyinto engumonakalo emathunjini etholakala esibhedlela se-celiac.
Uma uthola ukuthi unesifo se-celiac, kungenxa yokuphila. Ukugwema izinkinga zesikhathi eside (kufaka phakathi lezo zomshukela ezihlobene nesifo se-celiac), kumele ulandele ukudla okunamandla okungenalutho kwe-gluten . Kodwa-ke, cishe uzojabula kakhulu ngokufunda ukuthi ukulandela ukudla okunamandla okungenalutho kwe-gluten ngokuvamile kuxazululwa kakhulu noma zonke izimpawu zakho .
Eqinisweni, ngenkathi ungalindela ukudla ukuxazulula izimpawu zakho zokugaya-futhi ezimweni eziningi zizokwenza ngcono noma zilungise-empeleni zivame ukuzwa ukuthuthukiswa okuphawulekayo kwezinye, izifo ezincane ongazange uzicabange zazihlobene nezifo ze-celiac .
Ngakho izindaba ezinhle ukuthi, ungase ubone ukuthi izikhalazo eziningi zempilo ezincane zanyamalala uma uthola ukuthi uphinde udla nokudla okungekho gluten.
> Imithombo:
> Collin P et al. Izinkinga ze-endocrinological and Celiac Disease. Ukubuyekeza kwe-Endocrine . 2002 Aug; 23 (4): 464-83.
> Isikhungo Sikazwelonke Sesifo Sikashukela Nesifo Sezinyosi Nezinso. Izifo zeCeliac. Ifinyelele ngo-Julayi 17, 2016.
> I-National Institutes of Health Consensus Conference Conference on Celiac Disease, Juni 28-30, 2004.