Izifo zeCeliac

Sibutsetelo Sokugula KwamaCeliac

Isifo se-Celiac yisimiso lapho ukudla ukudla okuqukethe amaprotheni gluten- okutholakala ngokolweni, ibhali, ne-rye-kubangela ukulimala emathunjini akho amancane. Abantu abanesifo se-celiac abakwazi ukudlala izakhi ezivela ekudleni kwabo futhi lokhu kungaholela ezinkingeni zempilo ezinzima, njengokungondleki, ukuphazamiseka kwamathambo, ukungaboni kahle , ngisho nomdlavuza.

> Ngesifo se-celiac, i-villi emathunjini igqoke phansi ekuthintaneni no-gluten.

Ngenhlanhla, umonakalo obangelwa yisifo se-celiac ngokuvamile ungaguqulwa uma uthola ukuthi uphinde uqale ukulandela ukudla okungekho gluten , okuwukuphela kokwelashwa kwamanje. Kodwa ngenxa yokuthi ama-celiac abangela ukuhluka okunjalo kwezimpawu ezingase zibe khona , ngokuvamile uphutha ngezinye izimo futhi azikhohlwe ngokuphelele.

Isifo se-Celiac sithinta cishe oyedwa kuwo wonke amaMelika angama-100. Kodwa-ke, iningi-amaphesenti angu-85 noma ngaphezulu-awuqapheli ukuthi banesimo futhi isiguli esiphezulu silinde iminyaka engaphezu kwengu-4 ukuze kutholakale ukuxilongwa okusemthethweni.

Kodwa-ke, ukuqaphela isifo se-celiac (eyaziwa nangokuthi isifo se-celiac, i-celiac sprue, ne-gluten enteropathy) sithuthuka ngokuphawulekayo njengoba abantu abaningi becabanga ukuthi i-gluten ingaba yingcenye yezinkinga zabo zezempilo. Eminyakeni embalwa eyedlule, ukuxilongwa kwesimo sekukhuphuke kakhulu. Ngaphezu kwalokho, ukudla okungenayo i-gluten kuye kwaba lula njengoba abakhiqizi abaningi bezokukhiqiza bakhiqiza imikhiqizo ephephile ukudla.

Kuyini Izifo Ezibucayi?

Nakuba ungase uzwe abantu bebhekene nesifo se-celiac njenge " gluten allergies ," akusilo ukungezwani komzimba nhlobo. Kunalokho, yilokho okubizwa ngokuthi yisifo se- autoimmune .

Ngokumane, ngezifo ezizimele ngokuzenzakalelayo amasosha omzimba akho amaphutha engxenyeni yomzimba wakho njengomhlaseli futhi amangqamuzana egazi amhlophe elwa namagciwane aqala ukuhlasela lelo qembu lomzimba.

Esifweni se-celiac, ukungenisa kwe-gluten kudala amangqamuzana akho amhlophe egazi ukuba ahlasele ubhedu bomathumbu wakho omncane.

Ukwakhiwa komathumbu wakho omncane kunamaphesenti amancane, afana nomunwe okuthiwa i-villi . Kodwa-ke, uma umuntu onesifo se-celiac esidla ukudla okuqukethe i-gluten, ukungenisa kokudla kwe-gluten kubangela amangqamuzana abo amhlophe egazi ukuba ahlasele leyo minwe emincane, ekugcineni akhiphe izintambo zamathumbu emathunjini aze agqoke ubushelelezi.

Njengoba i-villi yakho ikusiza ukugaya ukudla, ukulahlekelwa yisifo se-celiac kuholela ezinkingeni ezinkulu.

Izimpawu Eziningana Ezixhunywe Nezifo Ezibucayi

Kunenganekwane ukuthi udinga ukuhlupheka ngenxa yesifo sohudo nokulahlekelwa isisindo ukuze ube nesifo se-celiac, kodwa lokhu akukona iqiniso. Eqinisweni, iningi lama-celiacs alincane kakhulu futhi abaningi banokuqothulwa esikhundleni sohudo.

Eqinisweni, kunezibonakaliso ezingaphezu kwezingu-200 ezikhona ze-celiac disease. Ngisho noma ungase ucabange nge-celiac ngokuyinhloko njengenkinga yokugaya (ivela emgodini wakho wokugaya, ngemuva kwakho konke), isimo singathinta zonke izinhlelo zomzimba wakho, kusuka ebuchosheni bakho kuya esikhunjeni sakho.

Izimpawu ezivame kakhulu zihlanganisa:

Izimpawu ziyahluka ngobulili nangeminyaka yobudala:

Nakuba isifo se-celiac ngokuyisimo isimo esihilela umzila wakho wokugaya, abantu abaningi abanalo abakwazi ngisho nokubika izinkinga zamathumbu-kungenzeka babe nobuhlungu obuhlangene kuphela obuhlangene nobuchopho buchopho .

Bangase babe nokucindezeleka kanye / noma ukukhathazeka noma ukugoqa ezandleni zabo nasemilenzeni (isimo esaziwa ngokuthi i- peripheral neuropathy efaka umonakalo wezinzwa). Eqinisweni, kunezinhlobonhlobo eziningi zezimpawu ze-neurolo ezihlobene nesifo se-celiac.

Kungenzeka futhi ukuba nesifo se-celiac ngaphandle kwempawu. Yilokho okwaziwa ngokuthi isifo se-celiac esithulile . Abantu abanesifo esibucayi se-celiac abanazo izimpawu ezicacile, kodwa banomonakalo emathunjini omzimba okwenza lesi simo.

Nakuba isifo se-celiac esake sicatshangwa ukuthi sithinta kakhulu izingane, manje sekucacile ukuthi abantu banoma iyiphi indala bangatholakala. Akuyona neze engavamile ukuyithola kubantu abaneminyaka engaphezu kwengu-65 lapho izimpawu ezingenzeka khona zihlanganisa ukuwohloka komqondo okungenzeka kuguquke. Abesifazane cishe banokutholakala kunamadoda.

Izimbangela Zezifo Ezibucayi

Udinga izinto ezimbili ukuze ube nesifo se-celiac: amandla okwenza izakhi zokuthuthukisa kanye ne-gluten ekudleni kwakho. Ngaphandle kokunye noma okunye, ngeke uthuthukise isimo.

Kodwa-ke, lokho sekude nokuphela kwendaba kusukela abantu abaningi abanezakhi zofuzo ze-celiac bangalokothi bahlakulele isimo .

Kodwa akucaci ukuthi kungani abanye abantu abanokuthiwa "amajethi we-celiac" bavunguza nge-celiac kanti abanye abenzi.

Abanye ochwepheshe bakholelwa ukuthi nawe udinga uhlobo oluthile lwe-"trigger" olwenza ukuba uhlakulele isifo se-celiac. Kukhona abantu abakholelwa ukuthi isikhathi esicindezelayo empilweni yabo sabangela isifo sabo se-celiac. Ngaphezu kwalokho, abesifazane abaningi babika ukuqala kwezimpawu ngemuva kokukhulelwa , esinye isisusa esingaba khona. Kodwa-ke, abanye abane-celiac babika ukuqala kancane kwezimpawu, ngakho-ke i-trigger ingase ingabalulekile.

Ukuqaphela Izifo Zama-Celiac Kudinga Izivivinyo Negazi

Ngeshwa akuhlali njalo ngokuqondile ukuhlolisisa isifo se-celiac- ngokuvamile kuthatha ukuhlolwa kwegazi eziningi kanye nenqubo eyaziwa ngokuthi i- endoscopy ukucacisa ukuthi unayo yini. Le nqubo ingathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni eziningana.

Ukuhlolwa kwegazi, okuvame ukumelela isinyathelo sokuqala kwinkqubo yokuxilongwa, hlola igazi lakho ngamazinga aphakeme e- antibodies ehambisana nokuphendula komzimba wakho ku-gluten ekudleni kwakho. Ngenxa yokuthi izivivinyo zifuna ukusabela kwangempela ku-gluten, kumelwe udla ukudla okune-gluten ukuze kube okulungile.

Uma ukuhlolwa kwegazi kubuyela emuva, isinyathelo esilandelayo, ezimweni eziningi, i-endoscopy, lapho udokotela ohlinzayo esebenzisa insimbi ukubuka ngqo emathunjini akho amancane bese uthatha amasampula emithini yakho yamathumbu emathunjini.

Ukuze utholakale ngokusemthethweni ukuthi unesifo se-celiac, lezo zampula zamabhodlela akho emathumbu kumele zibonise i-atrophy engcolile etholakala esimweni. Kodwa-ke, kungenzeka futhi ukuthola ukuxilongwa ngokusebenzisa ukuhlolwa kwesikhumba uma une-rachy, i-gluten ehlobene no-gluten eyaziwa ngokuthi i- dermatitis herpetiformis .

Abanye abantu bangase bahlushwa izimpawu zesifo se-celiac kodwa babe nemiphumela emibi yokuhlolwa yesimo. Kulokho, bangatholakala ukuthi bane -gluten sensizwa engavumelani ne -celiac , isimo esanda kuqashelwa esingakabizwa kahle. Akubona bonke odokotela abavumayo ukuthi ukuzwela kwe-gluten kukhona, futhi ayikho indlela eyamukelekile yokuyihlola okwamanje .

Ukwelapha Izifo E-Celiac: Ukudla Okungenakho Kwe-Gluten

Nakuba okwamanje kunezidakamizwa eziningana ezikhona ezikhona zesifo se-celiac ekuthuthukiseni, kukhona ukwelashwa okulodwa ongayisebenzisa njengamanje: ukudla okungenalutho kwe-gluten.

Ukuze uphathe umonakalo obangelwa i-gluten, udinga ukuqeda i-gluten ekudleni kwakho. Uma usenza lokho, ubunikazi bakho bomzimba buzoqala ukuphulukisa nezinye izinkinga ezivela esibhedlela se-celiac (njengokungondleki) kufanele ziqale ukuxazulula.

Lokhu kubonakala kulula kodwa kunzima kakhulu ekusebenzeni. Kumele ugweme wonke ama-gluten, okusho ukuthatha indawo yokusebenzisa imishini yekhishi, ukuhlanza ikhishi lakho nendlu yakho , nokwamukela imithetho emisha yokudla ngaphandle.

Ukulandela ukudla okungekho gluten akulula. Kuthatha inani elifanele locwaningo nokuzijwayeza ngaphambi kokuba ulindele ukulilungisa bese ulahla yonke i-gluten. Kodwa-ke, ngisho noma uhlala phansi ngezikhathi ezithile njengoba ufunda ukulandela ukudla, cishe uzoqala ukuzizwa ungcono kakhulu ngokushesha ... futhi lokho kwenza imizamo yakho ibaluleke kakhulu.

Umthombo:

I-National Institute of Digestive kanye nesifo Sikashukela kanye Nezifo Zezinso. Izifo zeCeliac. Ifinyelele ngo-Julayi 7, 2016.