Izixhumanisi zingenzeka kodwa zingavunyelwe phakathi kwezimo ezimbili
Kungenzeka ukuthi uzwile ukuthi kukhona ukuxhumana okukhona phakathi kwesifo se-celiac ne-multiple sclerosis (MS). Abantu abanesifo se-celiac bangaba nemibukiso yezinzwa futhi abantu abane-MS bangase babe namathuba amaningi okuba nesifo se-celiac. Eqinisweni, abanye abantu abane-MS bathi banomuzwa ongcono ekudleni okungenalutho kwe-gluten. Ucwaningo lukusitshelani ngalokhu kungabambisana?
Izixhumanisi Phakathi Kwezifo Ezibucayi Ne-Multiple Sclerosis (MS)
Ukuxhumana phakathi kwesifo se-celiac ne- multiple sclerosis (MS) kungase kubonakale kucacile ekuqaleni. Zombili ziyizifo ze-auto-immune ze-T-cell, okusho ukuthi bobabili bahilela ukulimala kwezicubu kanye nezitho ezibangelwa isimiso sakho somzimba sokuzivikela, futhi zombili zenzeka kaningi kakhulu kwabesifazane kunamadoda.
Ngaphezu kwalokho, zombili izimo zibandakanya izimpawu eziningi ezifanayo, eziningi zazo ezilula ukungazinaki noma ukufakazela okuthile. Futhi bobabili bangase bangafuni ukuxilongwa odokotela, ikakhulukazi ngenxa yalezo zimpawu eziningi.
Njengoba kunikezwe konke lokhu, kanye nokufaka okukhulayo kokukhula kwe-anecdotal abanye abantu abane-MS ukubika lapho belandela ukudla okungekho gluten , kulula ukucabanga ukuthi kukhona ukuxhumana phakathi kwezimo ezimbili.
Kungahle kube khona isixhumanisi. Phela, izifo eziningi ezizimele zibonakala zihlanganyela ezinye izici zofuzo ezivamile. Kodwa-ke, akucaci ukuthi kukhona yini ukwanda okwenyuka kwesifo se-celiac phakathi kwabantu abane-multiple sclerosis, noma ukuthi ukulandela ukudla okungekho gluten ngempela kungasiza abantu abane-MS baphathe isimo sabo.
Ake sibheke ukuthi izimo ezivamile zalezi zimo zingabonakala kanjani bese sihlola ukucwaninga emhlanganweni.
Izimpawu eziningi ze-Sclerosis
I-sclerosis eminingi ivela lapho isimiso sakho somzimba sokuzivikela sikhubaza i-myelin sheath esungeze izinzwa zakho, okuholela ekuvukeni nokulimala okuqhubekayo.
Uma lesi sigqoko sezinzwa sonakalisiwe, izimpembelelo zakho zesibindi ziyashesha noma zime.
Izimpawu eziningi ze-sclerosis zingabandakanya ukulahlekelwa ukulinganisela nokubambisana, izinkinga ezihamba noma ezithutha izingalo nemilenze, ukuthuthumela, ukuxhaphazeka kwemisipha, noma ukukhathala nokukhathala. Abantu abaningi abane-MS bathola "ukuhlaselwa" noma izinkathi zezimpawu ezikhulayo, okungenzeka zilandelwe enye noma ngaphezulu ephindaphinda.
Kunzima ukuxilonga ukushaya kwesifo. Udokotela wakho angase asolise i-MS ngesisekelo sezimpawu zakho, kodwa okokuqala, kufanele alahle ezinye izimo ezinempawu ezifanayo.
Izimpawu Ezivamile Zombili MS and Celiac Disease
Izimpawu ezivame kokubili izifo ze-MS kanye ne-celiac zihlanganisa ukuqashwa , ubuchopho obuchopho (imizwa yefogginess, ukungalindeleki noma ukucabanga okunzima), ukucindezeleka , nezinkinga nombono.
Ukwenza lokhu kudideke nakakhulu ukuthi eziningi zalezi zimpawu ezingase zibe khona (ezifana nobuhlungu bobuchopho, ukungasebenzi ngokocansi, ukucindezeleka okuncane nokukhathala), kungabangela ukucindezeleka. lokhu kungase kube nomthelela ekubambezelekeni ekuxilongweni.
Izifo zeCeliac Izifo Nezimo Zezinzwa
Izimpawu ezijwayelekile zesifo se-celiac zingase zibandakanye ukuqunywa noma isifo sohudo, ukubekezelelana kokudla, nokuhlukunyezwa kwesisu, kodwa njengoba kuphawuliwe, ezinye izimpawu zingase zibe ne-MS, kufaka phakathi ubuchopho bubuchopho, ukucindezeleka, ngisho ne-peripheral neuropathy.
Kuyaziwa kahle ukuthi isifo se-celiac singathintana nezinye izifo zezinzwa nezingokwengqondo. Ngokuvamile, ukubonakaliswa kwezinzwa zesifo se-celiac kwenzeka ezingxenyeni ezingamaphesenti angu-10 zabantu abanesimo. Izimo ezitholakale zihlanganisa:
- MS
- I-cerebellar ataxia
- I-gluten encephalopathy
- I-neipathy neuropathy
- Ukuzwa ukulahlekelwa (inzwa)
- Ukufa kwesifo
- Ukucindezeleka
- Izinkinga zokuthuthukiswa, ukukhubazeka kokufunda, i-ADHD
- Ukungasebenzi komqondo
Ucwaningo olulodwa lubonisa ukuthi kungenzeka ukuxhumanisa phakathi kweCeliac ne-MS
Ukwazi izimpawu zombili lezi zimo, ukuthi zingafana kanjani ngezindlela ezithile, ubuhlobo obunjani phakathi kwalezi zinkinga?
Ucwaningo luhlanganisiwe, njengoba sizoxoxa, kepha mhlawumbe ukuxhumana okunamandla phakathi kwezimpikiswano ezimbili kutholakala ocwaningweni ka-2011.
Odokotela baseSpain bahlaziya ukusabalala kokuhlolwa kwegazi elihle le- biopsies kubantu abane-multiple sclerosis eqinisekisiwe, nasezihlotsheni zabo zokuqala. Abacwaningi babandakanya abantu abangu-72 abane-MS, izihlobo ezingu-126 zezihlobo zabo zokuqala, kanye nezihloko ezingu-123 zokulawula okunempilo.
Ucwaningo lwathola isifo se-celiac-okungenani ngamaphesenti angu-11.1 e- Marsh III -abantu abane-multiple sclerosis uma kuqhathaniswa namaphesenti angu-2.4 kuphela wezihloko zokulawula. Isifo se-Celiac sasivame nakakhulu kwezihlobo zokuqala zalabo abane-multiple sclerosis-abacwaningi bakuthole ngamaphesenti angu-32 alawo mahlobo. Ezinye izifundo azitholanga inhlangano enjalo.
Bonke abantu abane-MS bathola ukuthi banesifo se-celiac babekwa ekudleni okungenalutho, futhi konke "kwakuthuthuka kakhulu kokubili ngokuphathelene nezinsipho kanye nesifo sezinzwa ngesikhathi sokulandelela," kusho abalobi be-study.
Ukucwaninga ngezixhumanisi phakathi kwezimo ezimbili akucaci
Naphezu kokufunda eSpain, akukacaci ukuthi abantu abane-multiple sclerosis banezibalo eziphakeme zesifo se-celiac. Ezinye izifundo ezimbili, ezivela e-Italy nakwezinye ezivela e-Iran, amaqembu ahlolwe iziguli ezine-multiple sclerosis yezifo ezingenamkhawulo futhi azitholanga amazinga angaphezu kwalabo abathola abantu abaningi.
Kungenzeka futhi ukuba namazinga aphezulu wamagciwane okulwa ne-gluten futhi angenaso isifo se-celiac.
Isibonelo, isifundo se-Israel eshicilelwe ngo-2009 sathola amazinga aphezulu an anti-gluten anti-tTG-IgA kubantu abane-multiple sclerosis kodwa abazange bathole izinga elengeziwe le-celiac. "Indima ekhethekile yalezi zinselo zomzimba ku-pathogenesis ye-multiple sclerosis ihlala ingacacile futhi idinga ucwaningo olwengeziwe," kusho abacwaningi.
Esinye isifundo sibheke imiphumela yokuhlola ye-AGA-IgG kanye ne-IGA-IgA anti-gluten antibodies ezigulini ezinezifo ezihlukahlukene zezinzwa, kuhlanganise nokuqina kwesifo se-multiple sclerosis. Labo baphandi bathola ama-antibodies ngokumelene ne-gluten ngamaphesenti angu-57 alabo bantu futhi ekugcineni bathola isifo se-celiac ngamaphesenti angu-17.
Ukudla kanye ne-Multiple Sclerosis
Umbuzo ozobuzwa uma ucabangela indima ye-gluten ukuzwela kwe-multiple sclerosis ukuthi ngabe kunezinye izici zokudla okungenzeka zihileleke ekuqaliseni noma ekuqhubekeni kwalesi simo. Kuyacaca ukuthi i-vitamin D ingaba nethonya ku-MS kokubili ngezigameko kanye nekliniki ye-MS, nakuba kunemithombo ye-vitamin D ngaphandle kokudla (njengokukhanya kwelanga.) Ezinye izakhi eziye zabukwa kanye ne-gluten , kufaka imikhiqizo yobisi, ama-probiotics, ama-antioxidants, i-polyphenols, i-Ginkgo biloba, ne-curcumin, kodwa ahlale engaqiniseki ukuthi noma iyiphi yalezi (kubandakanya i-gluten) idlala indima ekuqhubekeni kwe-MS.
Ungayiphatha Nge-Multiple Sclerosis Nge-Diet Gluten-Free?
Naphezu kwemibiko ye-anecdotal yokuthuthukiswa kweziguli eziningi ze-sclerosis eziqala ukulandela ukudla okungenamsoco we-gluten, abukho ubufakazi obuqinile bezokwelapha ukuthi ukulandela ukudla kungakusiza ngezimpawu zakho ze-MS.
Abanye abacwaningi be-MS baphakamise umqondo we -Best Bet Diet ye-multiple sclerosis, eqeda i-gluten, ubisi, izithombo kanye noshukela ocolile. Ayikho ubufakazi obuqinile bokusebenza kwalokhu kudla, kodwa abanye abantu abane-MS babika ukuthi bazizwa beba ngcono kangcono uma begcina ukudla okudliwayo.
Ngaphansi kokuxhumanisa phakathi kwe-MS ne-Celiac Disease noma iGuten senensitive
Ngakho-ke yini engezansi? Uma une-multiple sclerosis kanye nezibonakaliso zesifo se-celiac, kufanele ucabange ukuhlolwa kwe-celiac. Udinga ukwenza noma yikuphi ukuhlolwa kuqala ngaphambi kokuthi uhambe ungenalutho, noma ubeka engozini imiphumela yokuhlola engalungile; ukuhlolwa kuncike ekusakazweni kwamagciwane, okuyinto eyanyamalala uma uqala ukudla okungenalutho kwe-gluten. Uma uhlola kahle, ucatshangwa ukuthi kufanele ukhulume nodokotela wakho mayelana ne-interferon kanye nokudla okungenamsoco we-gluten.
Ngisho noma imiphumela yakho yokuhlola ingalungile, ungase ubone izinzuzo kumpawu zakho ze-MS ngokuya ngaphandle kwe-gluten noma ngokuqeda ukudla okunye, okufana nobisi noma i-legumes, kusuka ekudleni kwakho. Uma ucabanga ukuthi lokhu kungase kube njalo, khuluma nodokotela wakho mayelana nokuzama ukudla okuqedile ukukhomba izigameko zokudla ezikhona.
> Imithombo:
> Batur-Caglayan, H., Irkec, C., Yidririm-Capraz, I., Atalay-Akyurek, N. no S. Dumlu. I-Case of Multiple Sclerosis kanye nezifo zeCeliac. Imibiko yesikhomba ku-Medicine Neurological . 2013. 2013: 576921.
> Casella, G., Bordo, B., Schalling, R. et al. Izifo Zezinzwa Nezifo Ezibucayi. I-Minerva Gastroenterology ne-Dietology . 2016. 62 (2): 197-206.
> Rodrigo, L., Hernandez-Lahoz, C., Fuentes, D. et al. Ukuqhathaniswa kwezifo zeCeliac in Multiple Sclerosis. BMC Neurology . 2011. 11:31.