Abantu abaningi abanesifo se-celiac baxilongwa nesifo se- Sjögren's , isimo esibangela amehlo abomile nomlomo owomile.
Njengoba kuvela, kukhona ukuxhumana phakathi kwezifo ezimbili. Ucwaningo lubonisa ukuthi abantu abangafika ku-15% abathintekayo nge-Sjögren's syndrome nabo banesifo se-celiac esaziwa yi-biopsy, okwenza kube lula kakhulu kuziguli zikaSjögren kunabantu abaningi.
Kodwa njengoba ngesifo se-celiac nezinye izifo ezizimele, akucaci kahle ukuthi kungani ama- celiac ne-Sjögren akwenzeka ndawonye njalo. Kungenzeka ukuthi bahlanganyela nezimpande ezivamile eziphathelene nezakhi zofuzo, okwenza umuntu abe nelinye ithuba lokuthola elinye, futhi. Noma, kungenzeka ukuthi kukhona isisindo esivamile-mhlawumbe gluten, kodwa lokho kude nokufakazelwa-ezihilelekile kokubili.
I-Sjögren's Syndrome ihlanganisa ukuhlasela okuzenzakalelayo
Uma unesifo se-celiac, isimiso sakho somzimba sokuzivikela siphutha ngokumangalela i-villi emathunjini akho amancane , okuholela ekuhlaselweni kwe-atrophy . Uma une-Sjögren's syndrome, okwamanje, ukuhlaselwa kwesistimu yakho yokuzivikela komzimba kwenzeka emahlathini okukhiqiza umswakama asebenza amehlo akho nomlomo wakho.
Abantu abane-Sjögren's syndrome bangase bahlangabezane nobunzima bokugwinya, ukulimaza amazinyo ngenxa yokungabi namathe, nokulimaza amehlo abo ngenxa yokungabi nesikhunta.
Ayikho ikhambi le-Sjögren, kodwa kungenzeka ukuphatha izimpawu ngezinyembezi zokufakelwa, ukuphuza amanzi njalo noma ukuhlafuna i-gom, noma imithi yokwelashwa evame ukugqugquzela ukugeleza kwamathe.
Odokotela batusa ukusebenzisa ama-moisturizers ukuphatha isikhumba esomile esivame ukuza no-Sjögren's, futhi abesifazane bangasebenzisa izigulisi zangasese uma benesifo sangasese ngenxa yesimo.
Iziguli ZaseSjögren Zingase Zibe Namazwi Okuthula
Kwezinye izimo, abantu abane-Sjögren's syndrome futhi abanesifo se- celiac banesifo esibucayi se-celiac , lapho bengaboni khona izimpawu zezokwelapha kodwa basenomonakalo emathunjini.
Kwesinye isifundo, iziguli ezingu-12% zeziguli zikaSjögren zazinamaphilisi e- tTG-IgA , okubonisa ithuba elinamandla lesifo se-celiac. Akuzona zonke lezi zinto ezazingenayo izimpawu ze-celiac , kodwa ezinhlanu kwabayisithupha zazinempawu noma imiphumela ye-biopsy ehambisana nesifo se-celiac.
Kwesinye isifundo, abacwaningi baseHungary bathole izifo eziyisihlanu eziqinisekisiwe ze-biopsy zezifo ezingama-celiac kubantu abangu-111 abane-Sjögren's syndrome, abaningi babo abangazange babike izimpawu zamathumbu okungenzeka babonise isifo se-celiac.
Ngokususelwa kulowo miphumela, abacwaningi baseHungary bancoma ukuthi "ukuhlolwa, ukulandelelwa nokunakekelwa kokujwayelekile komzimba " kubantu abane-Sjögren's syndrome ukubasiza ekugwemeni ukungondleki kanye namanqamu ahlobene nesifo esingenalutho esiphenduliwe.
Ukungazweli okungeyona i-Celiac Gluten, kungenzeka ukuthi i-Sjögren ixhunyane
Kungenzeka futhi ukuthi i-Sjögren's syndrome ixhunyaniswe nokuzwela kwe-gluten okungenayo i-celiac . Esicwaningweni esenziwa eSweden futhi eshicilelwe eScandinavian Journal of Gastroenterology , abacwaningi bathatha abantu abangu-20 nge-Sjögren's syndrome, kanye nabantu abangu-18 abangenalo isimo, futhi babavumela ukuba babe nezinselele ze-gluten. Enselele ye-gluten inselele, isampula encane ye-gluten ifakwa ku-rectum amahora amaningana.
Ucwaningo lwathola ukuthi amahora angu-15 ngemva kokuba i-gluten ibekwa emihlane yabo, iziguli eziyisihlanu zeSjögren zathola izinguquko ezimangalisa ezibonisa ukuzwela kwe-gluten.
Iziguli ezimbili kulabo abahlanu zahlolwa ukuhlolwa kwegazi kwe-tTG-IgA, kanti enye yayinezitho zomzimba zamathumbu emathunjini, ngakho-ke yayitholwa ngesifo se-celiac.
Ngaphambi kwenselele ye-gluten , iziguli ezingu-15 kwezi-20 zikaSjögren zabika izimpawu zokusondeka kwamathumbu, kanti abangu-8 bathi babengahambisani nokudla okuhlukahlukene, kuhlanganise nezinhlamvu ze-gluten. Kodwa-ke, abalobi besifundo abazange bathole ukuhlanganiswa phakathi kokuzwela kwe-gluten nokuzibophezela kokudla okubikwayo noma ukuphazamiseka kokudla komzimba noma izimpawu zamathumbu.
Yiqiniso, odokotela abaqhubeka behlola umqondo we-non-celiac gluten ukuzwela, futhi akucaci ukuthi yiyiphi inhlobo yenkampani ezoba khona.
Ngenxa yalokho, odokotela abaningi abasamukeli ukuxilongwa.
Kuyini Okushoyo Konke Lokhu Kwabantu AbakwaSjögren?
Kubantu abane-Sjögren's syndrome, konke lokhu kucwaninga kungenzeka kunikeza ukudla okucatshangwayo kodwa hhayi isiqondiso esiningi. Isibonelo, abukho ubufakazi obucacile bokuthi ukuyeka i-gluten kungathuthukisa izimpawu zakho ze-Sjögren, kungakhathaliseki ukuthi unesifo se-celiac noma cha.
Kodwa-ke, kunobunye ubufakazi bokuthi abantu abane-Sjögren bangase bafune ukucubungula ukuhlolwa kwesifo se-celiac, ikakhulukazi uma banezibonakaliso ezingenzeka (khumbula, akubona wonke umuntu onezibonakaliso eziyinhloko zamathumbu ezivela emzimbeni we-celiac-izimpawu zingaba neurological noma zesikhumba , futhi ). Yiqiniso, kufanele ugcwalise noma yikuphi ukuhlolwa kwe-celiac ngaphambi kokuba ungene-gluten, ngoba akunakwenzeka ukuthola imiphumela yokuhlolwa enembile ekudleni okungenalutho kwe-gluten .
Ucwaningo kuzo zonke izimo ezizimele, kuhlanganise nesifo se-Sjögren nesifo se-celiac, siyaqhubeka, futhi izifundo zesikhathi esizayo kufanele zinikeze izimpendulo ezengeziwe mayelana nezixhumanisi phakathi kwezimo ezimbili.
Imithombo:
Liden M. et al. Ukuzwela kwe-gluten kuziguli ezine-syndrome eyinhloko ye-syndrome. I-Scandinavia Journal of Gastroenterology. 2007 Aug; 42 (8): 962-7.
Luft L. et al. I-autoantibodies kuya kwezicubu ze-transglutaminase ku-Sjögren's syndrome nezifo ezihlobene ne-rheumatic. Journal of Rheumatology. 2003 Dec; 30 (12): 2613-9.
Isifo sikaSjögren. I-National Foundation yeCeliac Factory Sheet Sheet.
I-Szodoray P. et al. Isifo se-Celiac eSjögren's syndrome - isifundo seziguli ezingu-111 zesiHungary. I-Rheumatology International. 2004 Sep; 24 (5): 278-82.