Uma Unesifo Sezifo, Ungabe Unesifo Segazi?
Isibindi sakho sidlala indima ebalulekile emzimbeni wakho, kusiza ukuhlanza igazi lakho lophuzo kanye nezinye izinto eziwuthi, ukukhiqiza i-bile oyisebenzisayo ekugayeni, futhi usebenze ukwakha amaprotheni abalulekile. Kodwa-ke, njengomzimba wakho wonke, isibindi sakho asivikelekile emithini yesifo se-celiac- empeleni, i-celiac isithinta njalo isibindi sakho.
Akuyona into engavamile kubantu abane-diagnosis ye-celiac ukuzwa ukuthi nabo baphakamise izinkondlo zesibindi, kodwa ngezinye izikhathi-kodwa hhayi njalo-kubonisa inkinga ngesibindi sakho.
Ngenhlanhla, uma ukwelashwa kwesifo se-celiac sekuqala ngendlela yokudla okungenayo i-gluten, la ma-enzyme abuyele emazingeni ajwayelekile.
Kodwa isifo se-celiac futhi sihlotshaniswa nengozi ephakeme yezimo zesibindi esingathà sina, kusukela kwesifo se-fatty to failure failure.
Ezimweni eziningi-kodwa hhayi bonke-abantu abane-celiac bathole ukuthi kungenzeka ukuthuthukisa noma ngisho nokuguqula lezi zimo ngokulandela ukudla okungenalutho kwe-gluten . Kodwa-ke, akucaci ukuthi ukusetshenziswa kwe-gluten empeleni kubangela izifo zesibindi kubantu abanesifo se-celiac, noma uma esinye isici-mhlawumbe izakhi zofuzo-sisesidlalweni.
Imiphumela Yokuhlolwa Kwezokwelapha: Ama-enzyme we-fover ngokuvamile aphakanyisiwe
Odokotela basebenzisa iphaneli yokuhlolwa kwezokwelapha ezivamile ukuqapha umsebenzi wesibindi, kuhlanganise nezilinganiso ze- enzyme ye- aspartate aminotransferase (AST) ne-alanine aminotransferase (ALT). Uma isibindi sakho singasebenzi kahle ngenxa yokulimala noma ukugula, lezi zivivinyo zizobonisa umphumela ophezulu, okungukuthi, ama-enzyme ephakeme yesibindi.
Ngisho noma uphakamise ama-enzyme we-fover, akusho ukuthi unenkinga ngesibindi sakho. Ucwaningo oluthile lwezokwelapha lwathola ukuthi 42% weziguli ezintsha ezisanda kutholakala ukuthi zikhona lezi zinyosi zinezinyimba ezinamandla zesibindi. Njengoba la ma-enzyme abuyela emazingeni ajwayelekile lapho abantu beqala ukudla okungenalutho, abacwaningi baphetha ngokuthi babengabonisi inkinga.
Olunye ucwaningo lwathola iphesenti elingaphansi kakhulu lama-celiacs asanda kutholakala-hhayi ngezibalo eziphawulekayo ezivela eqenjini lokulawula elingelona lama-celiac-liye laphakamisa ama-enzyme yesibindi. Kodwa-ke, lolu cwaningo lubuye lwabona ukuthi amazinga enzyme yesibindi awela kakhulu ku-celiacs lapho eqala ukulandela ukudla okungenamsoco we-gluten, ngisho noma lawo mazinga e-enzyme aphakathi kwezigaba ezivamile zangaphambi kwe-gluten.
Izifo Ezibangelwa Isifo Esiqinile, Izifo Ezibucayi Ezixhunyiwe
Isifo esingenalo utshwala esinamafutha (okungukuthi, isifo samathambo esibi esingathintwa nokusetshenziswa kabi kotshwala) senyukela e-United States nasemhlabeni wonke, ikakhulukazi ngenxa yokuthi ihlobene kakhulu nokukhuluphala nesifo sikashukela. Uma une-fatty fover disease, isibindi sakho sithola "amanoni" ngokoqobo - amangqamuzana akho esibindi aqoqa ama-molecule, futhi sonke isitho sanda.
Abantu abaningi abanezifo ezinobuthi abanamafutha abanayo izimpawu, futhi isimo sithathwa njengesibi kakhulu uma siqala ukuqhuma kwesibindi sokuvuvukala nokulimala.
Ucwaningo oluthile lwezokwelapha luye lwahlobanisa isifo se-fatty fat with disease celiac. Esicwaningweni esikhulu kunazo zonke futhi esanda kutholakala, eshicilelwe ngo-June 2015 ku Journal of Hepatology , abacwaningi baqhathanisa ingozi yokuthuthukisa isifo sobungozi obungenalo utshwala kubantu abangaba ngu-27 000 abanezifo ezingenalo utshwala engozini kubantu abanjalo ngaphandle kwe-celiac.
Ucwaningo lwathola ukuthi ingozi yokuba nesifo sesibindi se-fat is cishe cishe kathathu kulabo abanesifo se-celiac. Ngokumangazayo, izingane ezine-celiac zazinengozi enkulu kakhulu yesifo se-fatty fover. Ingozi yokuthuthukisa isimo sesibindi yayiphezulu kakhulu ngonyaka wokuqala ngemva kokuxilongwa kwe-celiac kodwa yaqhubeka 'iphakanyiswa kakhulu' ngisho neminyaka eyi-15 ngaphesheya kokuxilongwa kwe-celiac.
Kwesinye isifundo, okwenzeka e-Iran, abacwaningi bathola isifo se-celiac ngo-2.2% weziguli ezinezifo ezingenaso utshwala, okungeningi zazo ezazingaphezu ngokweqile noma ezikhuluphele. Baphetha ngokuthi abahlengikazi kufanele bacabangele ukuhlolwa kwesifo se-celiac kubantu abanezifo ezinobuthi ezinamafutha abangenazo izinkinga ezicacile zaleso simo, njengokungaphezu komzimba noma ngokweqile.
Ekugcineni, odokotela baseJalimane babhala ngomama oneminyaka engama-31 ubudala onesifo esiphansi kwesifo esinesibindi samafutha. Utholwe ukuthi unesifo se-celiac futhi waqala ukudla okungenayo i-gluten, futhi ama-enzyme yakhe yesibindi avuka kancane kodwa awela emazingeni ajwayelekile ngokuphelele.
I-Celiac Itholwe Ezingamaphesenti angu-6 Ezilonda Zesifo Se-Hepatitis Sokuzenzakalela
Akuyona imfihlo ukuthi abantu abanesifo esisodwa se-autoimmune - isibonelo, isifo se-celiac - ingozi etholakala enenye. Ngokusobala, isifo sofuba esibangelwa yi-autoimmune asikho amanani ahlukile-isifo se-celiac ezigulini zesikhuhlane esiphezulu se-hepatitis eziphakeme kakhulu kunamazinga we-celiac kubantu abaningi.
Ku-hepatitis engaphenduki, amasosha omzimba wakho ahlasela isibindi sakho. Ukwelashwa kwezidakamizwa nge-corticosteroids kunganciphisa ukuqhubeka komzimba, kodwa ekugcineni, kungase kuthuthuke ekuhlulekeni kwesibindi kanye nesibindi, okudinga ukufakelwa kwesibindi.
Ucwaningo oluvela e-Italy lwalubuka izinga lesifo esingatholakali esibhedlela kubantu abanesifo sofuba esibangelwa yi-autoimmune hepatitis. Iziguli ezintathu ezilandelanayo ezingu-47 ezine-hepatitis e-autoimmune zivivinywe kahle ekuhlolweni kwegazi le-celiac ne- biopsy yesifo se-celiac , esibonisa izinga elinganiselwa ku-6%.
Ngenxa yale miphumela, abalobi bancoma ukuthi bahlole zonke iziguli ze-hemititis ezizimele ezibangelwa isifo se-celiac.
Ukufundwa: Ukudla Okungenalutho Kwe-Gluten Kungase Kuguqule Ukuhluleka Kwebindi
Okungenani imibiko yokucwaninga eyakha ukudla okungenamsoco kubantu abangabonwa ukuthi banezifo ezimbili ze-celiac kanye nokwehluleka kwesibindi empeleni kungakwazi ukuguqula ukuhluleka kwesibindi.
Ucwaningo oluqhutshwa eFinland lubheke iziguli ezine ezine- celiac ezingelapheki nokuhluleka okukhulu kwesibindi. Esinye salezi ziguli sasine-fostosis yesifo sofuba esisodwa esisodwa, esinye isifo se-hepatitis (isib. Isifo se-fox fat), kanti amabili ayene-hepatitis. Abantu abathathu babhekwa njengokufakelwa kwesibindi.
Bonke abane bakwazi ukuguqula izifo zabo zesibindi lapho beqala ukulandela ukudla okungenalutho kwe-gluten.
Ucwaningo lubuye lwahlola iziguli ezingu-185 zokufakelwa kwesibindi ngesifo se-celiac. Ezingamashumi ayisishiyagalombili zalezi ziguli (4.3%) ekugcineni zatholakala ukuthi zinezifo ze-bili-proven-proven. Empeleni, abayisishiyagalombili kwabayisishiyagalombili babethole ngaphambili kodwa behlulekile ukunamathela ekudleni okungenalutho kwe-gluten.
Ababhali bokutadisha basikisela ukuthi ukulimala kwesibindi kungase kungabonakali ukushaywa kwe-malabsorption; Kunalokho, bathi, ukulimala kwesibindi "kungenzeka kube yi-gluten-encike ekutheni i-gluten incike ekutheni i-gluten igxile ekuboniseni izidakamizwa zesifo se-celiac." Ngamanye amazwi, i-gluten ekudleni kwakho ingabangela ukuthi amasosha omzimba wakho ahlasele isibindi sakho kanye namathumbu akho amancane .
Iningi Lokugula Kwesibindi Akulona I-Gluten-Related
Ngisho noma unesifo sesibindi nesifo se-celiac, akufanele uthathe ukuthi lezi zihlobene; izimo eziningi zesibindi-kuhlanganise nesifo sofuba nesifo sesibindi-asikho.
Kodwa-ke, uma kungacacile ukuthi yini ebangela isifo sakho sesibindi, futhi unezibonakaliso ezingabonisa isifo se-celiac, kufanele ucabange ukukhuluma nodokotela wakho mayelana nokuhlolwa kwe-celiac ngoba akuyona into engavamile ukugula kwe-celiac nesibindi ukuvela ekhonsathini.
Izindaba ezinhle ukuthi, kukhona ubufakazi obonisa ukuthi ungakwazi ukuguqula isifo sakho sebindi uma usilandela ukudla okungekho gluten.
Imithombo:
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Kaukinen K. et al. Izifo Zama-Celiac Ezigulini Ezinesifo Esiqinile Isifo: Ukudla Kwe-Gluten-Free Kungabuye Kuguqule Ukuhluleka Kwe-Hepatic. I-Gastroenterology 2002; 122: 881-888.
Korpimäki S. et al. I-Hypertransaminasemia ye-gluten-Ezwayo Emzimbeni We-Celiac: Okungajwayelekile futhi Okuvamile Ukutholakala Kwamashoshaphansi. I-American Journal ye-Gastroenterology. 2011 Sep; 106: 1689-96.
U-Mounajjed T. et al. Isibindi ngesifo se-celiac: ukubonakaliswa kwemitholampilo, izici ze-histologic, nokuphendula kokudla okungekho gluten kuziguli ezingu-30. I-American Journal of Clinical Pathology. 2011 Jul; 136 (1): 128-37.
Rahimi AR et al. Ukusabalala kwesifo se-celiac phakathi kweziguli ezinezifo ezingenaso utshwala e-Iran ". I-Turkish Journal ye-Gastroenterology. 2011 Jun; 22 (3): 300-4.
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I-Villalta D. et al. Ukusabalala okukhulu kwesifo se-celiac ekuhloleni kwe-hepatitis okutholwa yi-tranglutaminase autoantibodies ezilwa nezicubu. I-Journal ye-Clinical Laboratory Analysis. 2005; 19 (1): 6-10.