Funda ukuthi ungenzani ukuze uzivikele
Abantu abanesifo se-celiac futhi abaye bagonywa ngokumelene nesifo sofuba esibhedlela, ukutheleleka kwesandulela ngculazi okuhlasela isibindi, kungenzeka ukuthi akuvikelwe kahle nesimo njengoba bacabanga. Kungenxa yokuthi amasosha omzimba awo awaphenduli kahle emtholampilo.
Ngamanye amazwi, uma unesifo se-celiac futhi ugonywa ngokumelene nesifo sofuba , isibhedlela singase singasebenzi.
Kodwa ungakhathazeki: Ukuphindwa kabusha kuvame ukuphendula indlela efanele yokuvikela amasosha omzimba futhi kukushiye uvikelekile ngokubhebhetheka kwesibindi B. Nansi imininingwane.
Izifo ze-Celiac kanye ne-Hepatitis B Vaccine
Uma uthola uchungechunge lokugonywa kwe-hepatitis B, amasosha omzimba wakho kufanele aphendule ngokukhiqiza ama-antibodies kwisifo se-hepatitis B. Eminye yalezi zinqamuzana kufanele zihlangane kuze kube phakade ukuze zivikele ukulwa nokutheleleka.
Kodwa-ke, kubantu abanesifo se-celiac, ukuthola umgomo akusizi njalo ukuthi isimiso somzimba samasosha omzimba senze ngokwanele yalezi zinqamuzana ukuvikela wena. Ngokwesibonelo, isifundo eTurkey sathola ukuthi ukugonywa kwe-hepatitis B kwakhiqiza amazinga omzimba wokuzivikela okuvikelayo kuphela kubantu abangu-68% abanesifo se-celiac, uma kuqhathaniswa no-100% walabo ababengenalo isimo. E-US, abacwaningi bathola ukuthi abantu abayisithupha kuphela kwabangu-19 abanesifo se-celiac abagonywe ukulwa nesifo sofuba (isibindi) sokulwa nesifo sofuba (HIV) besinamandla okwenyuka ukuzivikela ekuzivikeleni kwesifo se-hepatitis B.
Lokhu kubonakala kungenzeki ngeminye imithi - nje nge-vaccine ye-hepatitis B. Ngokwesibonelo, abacwaningi bacwaninga izimpendulo ze-immune ze-celiac ezinganeni ze-tetanus, i-rubella, ne-Haemophilus imfuluwenza kanye nokugonywa kwe-hepatitis B. Bathola kuphela izinkinga nge-hepatitis B.
Kubonakala kunamathele ekudleni okungenalo i-gluten kungenza umehluko: okungenani ukutadisha okukodwa kubonise ukuthi ukudla okungenayo gluten kungathuthukisa ukuphumelela kokugonywa kwe-hepatitis B kubantu abanesifo se-celiac.
Abacwaningi baseHungary bathola ukuthi ukugonywa kwe-hepatitis B kwakhiqiza amazinga okuvikela omzimba wokuzivikela ngamaphesenti angama-95 wabantwana abancane nabantwana abasha ababengenayo i-gluten, kodwa kuma 51% kuphela alabo abangenalo i-gluten.
Yini Okufanele Uyenze Ngayo I-Hepatitis B?
I-Hepatitis B akuyona into oyibamba ekuthintaneni okungajwayelekile. Esikhundleni salokho, isakazwa ngokuxhumana namanzi asemzimbeni - njengegazi noma isisu - kusuka kumuntu osevele enesifo.
Usengozini enkulu yalesi sifo uma usebenzisa izidakamizwa ezinobuthi futhi wabelana ngezinaliti, uma unesondo esingavimbelwe nomuntu one-HIV, noma ngabe uyisisebenzi sezempilo. Uma uhamba njalo ezifundeni zomhlaba lapho i-hepatitis B ivame kakhulu (kufaka i-Afrika nezingxenye ze-Asia), kufanele uthathe izinyathelo zokuzivikela esimweni.
Isikhathi sokugoma samanje sifuna ukuba zonke izingane zithole amanani amathathu wokugonywa kwesibindi se-hepatitis B ngenkathi eneminyaka engu-15 ubudala. Abantu abadala kufanele bathole amanye amanani amathathu uma besengozini yokushona kwesibindi B.
- Funda kabanzi: Ungakwazi yini ukuguqula izifo ezibangelwa izifo ze-Celiac?
UDkt. Leona Kim-Schluger, onguchwepheshe wokufakelwa kwesibindi eNtabeni iSinayi Health System eNew York, uthi kunezinyathelo eziningana ezengeziwe ezithintekayo izifo eziphethwe yi-celiac ukuze ziqiniseke ukuthi zivikelekile ku-hepatitis B.
Okokuqala, cela udokotela wakho ukuthi ahlole amazinga akho e-antibody ku-hepatitis B. Uma lokhu kungokwemvelo kumuntu ophethe uchungechunge olugcwele lokugoma, usethe - awudingi ukwenza noma yini enye.
Uma, ngakolunye uhlangothi, ukuhlolwa kwegazi kubonisa ukuthi awunawo ama-antibodies ku-hepatitis B, kufanele ukhulume nodokotela wakho ngokuthola ukugonywa kabusha. Kungenzeka ukuthi isibhamu esisodwa sokwephumula sizokwanela, kodwana udokotela wakho uzotusa ukuhlola ama-antibodies akho emuva kwezinyanga eziningana emva kwalokho kudutshulwe, ukuze uqiniseke ukuthi awudingi ukuthatha uchungechunge oluthe xaxa lwe-hepatitis B.
(Ehlelwe nguJane Anderson)
Imithombo:
Ingxoxo noLeon Kim Schluger, MD, iNtaba yaseSinayi Health System, eNew York, NY
Ahishali E et al. Impendulo yokugoma kwe-Hepatitis B ezigulini ezinezifo ze-Celiac. Izifo Zokugaya Nezesayensi 2007 Dec 20. [Epub ngaphambi kokuphrinta]
Amasevisi Okulawula Nokuvimbela Izifo. I-Hepatitis B Vaccine ipheshana. Ifinyelele ngomhla ka-23 Meyi, 2016.
Noh KW et al. Isifo sokugomela i-Hepatitis B ngokungenaki nesifo se-celiac. I-American Journal of Gastroenterology 2003; 98: 2289-92.
I-Park SD et al. Ukuhluleka ukuphendula ukugonywa kwe-hepatitis B ezinganeni ezinesifo se-celiac. I-Journal ye-Gastroenterology ne-Nutrition 2007; 44: 431-5.
Vitaliti G et al. Ukugonywa kwe-Hepatitis B ezithombeni zesibindi: izolo, namuhla nangomuso. I-World Journal ye-Gastroenterology . 2013 Feb 14; 19 (6): 838-45.