Abesifazane abanesifo se-celiac bahlushwa izinkinga zokukhulelwa kanye nezinkinga eziphindwe kabili noma ezine izinga labesifazane abangenayo isimo. Nokho, kungenzeka ukuthi ukulandela ukudla okungaqondakali kwe-gluten ngesikhathi sokukhulelwa kungase kusize ukugwema ezinye zalezi zinkinga.
Ucwaningo lubonisa ukuthi abesifazane abanesifo se-celiac banamanani aphezulu okungazalwa nokukhulelwa kwesisu uma bengakaze bahlolwe.
Kodwa kubonakala sengathi izinkinga zokukhulelwa ezihlobene nesifo se-celiac azipheli lapho. Ucwaningo lubonisa nokuthi abesifazane abanesifo se-celiac (ikakhulukazi isifo esingaziwa yi-celiac) banamazinga aphakeme angaphezu kwesigamu sezimo ezikhulelwe zokukhulelwa ezihlanganisa ukukhulelwa kwesisu okusongelwayo kanye nokwehluleka okukhulu kwesimbi kunesinye isifazane .
Futhi banokukhulelwa okufishane, ngokwesilinganiso, kanye nezinsana ezincane zokuzalwa kwesisindo.
Ukucindezela Ukukhulelwa Kuthinta Iningi Labesifazane Abanesifo Celiac
Ukucindezeleka kokukhulelwa kwenzeka ngesilinganiso esiphezulu kakhulu kwabesifazane abanesifo se-celiac, ngokusho kocwaningo olunzulu lwe-Italy lokukhathazeka kokuphila kokuzalana kwabesifazane abakhona. Amaphesenti angama-65% we-celiacs abike okungenani isifo esisodwa sokukhulelwa, uma kuqhathaniswa nabesifazane abangu-31% abangenawo u-celiac abasebenza njengezilawuli zesifundo. Ngokwalokho kuhlola:
- I-anemia ekhulu kakhulu yenzeke kakhulu, ithinta 41% yabesifazane besifazane abaqashiwe kodwa kuphela u-2% wezihloko zokulawula.
- "Ukukhipha isisu okusongelayo," noma ukusongelwa kwesisu, kuthinteke u-39% we-celiacs, kodwa kuphela u-9% wezilawuli ezingekho kweleliac.
- Ukuphazamiseka kwamapulazi, isimo esiyingozi lapho i-placenta eyondla umntwana ongakazalwa iqala ukuhlukana nodonga lwesibeletho, yenzeke kumaphesenti angaphezu kuka-18% wabesifazane abaphethwe yi-celiac kodwa i-1% kuphela yokulawula.
- Ukucindezeleka kwe-Gestational, eyaziwa nangokuthi ukukhulelwa komfutho wesikhulelwe, kwenzeke ku-10% wabesifazane abaqashiwe futhi ayikho enye yezihloko zokulawula.
- I-hyperkinesia ye-uterine, noma okwenyuka ngokweqile komzimba we-uterine, futhi yenzeke ku-10% wabesifazane abanesifo se-celiac futhi akukho kwezihloko zokulawula.
- Umkhawulo wokukhula kwe-intrauterine, isimo lapho umntwana ongakazalwa ehluleka ukukhula ngesilinganiso esifanele, kwenzeke ezingaphezu kuka-6% wabesifazane abaqashile kodwa hhayi kwabesifazane abakhonza njengabalawuli.
Cishe amaphesenti angama-85 kwabesifazane kulolu cwaningo ayengakatholakali ukuthi unezifo ze-celiac ngesikhathi sokukhulelwa kwabo, futhi abalobi babecabanga ukuthi ukulandela ukudla okungenayo i-gluten kungase kuphephe ukucindezeleka kokukhulelwa.
Ingozi ye-C-Izigaba kanye Nezingane Eziphansi Zokuzalwa-Isisindo
Ucwaningo olwengeziwe lubonise izixhumanisi phakathi kwesifo se-celiac nezinye izinkinga zokukhulelwa okungenzeka.
Isibonelo, izigameko zokubeletha ezincane zokubeletha kubonakala sengathi ziphindwe izikhathi eziyisithupha kwabafazi abanesifo se-celiac kunabanye besifazane.
Abesifazane abanesifo se-celiac bavame ukukhulelwa okwesikhashana-esifundweni sase-Italiya, amasonto amabili agcwele amancane-angase ahlobaniswe nesibalo sezingane ezincane zokuzalwa kwesisindo.
Futhi, izingxenye ezigciniwe zingase zenzeke kaningi kulabo besifazane abanesifo se-celiac, okungaba okubalulekile ngenxa yocwaningo olusha oluchaza izingane ezizalwe yi-C-ingxenye zingase zibe nomngcipheko omkhulu wezifo ze-celiac phansi komgwaqo.
Kodwa-ke, akuwona wonke ucwaningo lwezokwelapha oluqinisekisile amazinga aphezulu kulezi zinkinga kubantu besifazane abanesifo se-celiac, futhi izifundo eziningana zithole uxhumano oluncane phakathi kwesifo se-celiac nezinkinga zokukhulelwa.
Izinkinga Eziningi Zitholakala Kwabesifazane Abangatholakali
Iningi lezinkinga zokukhulelwa ezihlobene nesifo se-celiac kubonakala sengathi zenzeka kubesifazane abangakatholakali ukuthi bane-celiac, noma kwabesifazane abaye bakuthola kodwa abangalandeli ukudla okungenalo gluten.
Njengesifundo sase-Italy, ezinye izifundo zithole amanani aphezulu afanayo okukhulelwa kwabafazi abanesifo esingenayo i-celiac, futhi baphetha ngokuthi ukulandela ukudla okungenayo i-gluten kungabasiza ukuba bagweme ukukhulelwa kwekusasa esikhathini esizayo.
Isibonelo, isifundo esivela eNdiya saqhathanisa nabesifazane abanomlando wokukhulelwa okujwayelekile nabesifazane abanomlando wezinkinga zokuzala, kubandakanya ukuvinjelwa kokukhula kwe-intrauterine engaqondakali, futhi bathola isilinganiso esiphezulu sokuhlolwa kwesifo se-celiac nesifo esibekiwe esasimemezelo sabesifazane umkhawulo wokukhula kwe-intrauterine nezinye izinkinga zokuzala.
Abacwaningi kulolo cwaningo baphetha ngokuthi odokotela kufanele bacabangele ukuhlolisisa abesifazane ngezinkinga zokukhulelwa ezingachaziwe kanye nezinye izinkinga zokuzala zesifo se-celiac, ngoba ukunamathela ekudleni okungenalutho kwe-gluten kungasiza ekuvimbeleni izinkinga ezizayo.
Ingabe Kufanele Uhlolwe I-Celiac Uma Unenkinga Yokukhulelwa?
Njengoba abantu abaningi abaqeda ukuhlolwa ngesifo se-celiac babonisa izimbalwa ezimbalwa zezici zesimo, kunzima ukusho ukuthi kufanele yini zihlolwe i-celiac uma unenkinga yokukhulelwa.
Abesifazane abaye bathola ukuthi banezinhlungu zesifo sofuba bangase babe nokuhlolwa kwezifo eziphefumulayo, kodwa futhi kubangelwa abesifazane abangenazo izimpawu zomzimba ezicacile.
Ekugcineni, uma ucabanga ukuthi lesi sifo esingahlosiwe singase sibe imbangela yokukhulelwa kwakho, ikakhulukazi uma unezinye izimpawu zesifo se-celiac , khuluma nodokotela wakho mayelana nokuhlolwa kwegazi le-celiac.
Imithombo:
> A. Kumar et al. Isifo se-latent celiac ekusebenzeni kokubeletha kwabesifazane. Ukuzala nokuhlunga. Ishicilelwe ku-inthanethi ngoNovemba 24, 2010.
D. Martinelli et al. Ukuphazamiseka kokuphila kokubeletha kwabesifazane base-Italy abangama-celiac. Ucwaningo lokulawula icala. BMC Gastroenterology. 2010 Aug 6; 10: 89.
LJ Tata et al. Ukuzala kanye nezenzakalo ezihlobene nokukhulelwa kwabesifazane abanesifo se-celiac: Isifundo seqembu esisekelwe kubantu. I-Gastroenterology. 2005 ngo-Ephreli, iphe. 849-855.
Izikhungo zezempilo zikazwelonke. Izifo zeCeliac nezinkinga zokuzala.