I-extraintestinal ibhekisela ngokuyinhloko kumpawu noma izifo umuntu ahlangabezana nazo ezingxenyeni zomzimba wazo ezingaphandle kwamathumbu, kodwa lezi zimpawu zivela, noma zihlobene, inkinga ngaphakathi kwamathumbu. Okungavamile kungabhekisela ezimpawu ezifana nobuchopho obuchopho noma izifo ezifana ne-dermatitis yesifo se-celiac.
Njengoba uzobona, izimpawu ezithinta izidakamizwa zihlotshaniswa nezifo eziningi ezikhukhumeza nezifo.
Izimpawu ezingasetshenzisiwe zingase ziyaziwa njengezibonakaliso ezingekho ze-colonic.
Ngaphandle kokusetshenziswa kokunciphisa umzimba ukuchaza izimpawu, izifo zebhaktheriya ezibonakala ezingxenyeni ezingaphandle kwamathumbu zingase zibhekwe njengezingxubevange.
Izibonakaliso ezingenakunqamuzana ezihambisana nezifo ezibucayi
Isifo se-Celiac yisifo esizimele lapho i-villi ye-intestine encane ibonakala khona lapho umuntu edla ukudla equkethe amaprotheni gluten. Lo monakalo uholela ekutheni umthamo wezakhi ezingakalungi futhi ungabangela izimpawu ezihlukahlukene zokugula kanye nezifo, okufaka:
- Ukukhathazeka
- I-anemia
- Ukucindezeleka
- I-gluten ataxia
- I-Dermatitis herpetiformis
- Ukungabi nalutho noma ukukhulelwa kwesisu
- Ubuhlungu obuhlangene noma obunamahloni
- I-Migraine ikhanda
- I-osteopenia noma i- osteoporosis
- I-neipathy neuropathy
Izibonakaliso ezingasetshenzisiwe ezihambisana ne-Gluten Sensitivity
Ukuzwela kwe-Gluten , eyaziwa nangokuthi u-senutomy non-celiac uzwela, iyimpilo yezempilo lapho umuntu ehlangabezana nezimpawu lapho edla ukudla okuqukethe i-gluten.
Lezi zimpawu ziyanyamalala lapho umuntu ehamba ekudleni okungenayo i-gluten. Izimpawu ezilandelayo ezingasetshenzisiwe zihlobene nokuzwela kwe-gluten:
- Inkungu yobuchopho
- Dermatitis
- Ukucindezeleka
- Ukukhathala
- Izinwele
- Ubuhlungu obuhlangene nobunzima
Izibonakaliso ezingenakunqamuzana ezihambisana nezifo zesisu sezikhukhumeza
Izimpawu ezingavamile kakhulu zigcwele izifo zesibindi ezivuthayo (IBD) zesifo sikaCrohn nesifo sochungechunge.
Abantu abane-IBD bangase babone izimpawu ezithintekayo emzimbeni wabo, kufaka phakathi emehlweni abo, amathambo, amalunga, nesikhumba. I-IBD ingathinta futhi izitho eziningi zomzimba, kuhlanganise nenhliziyo, amaphaphu, isibindi, izinso, nama-pancreas, konke okungabangela izimpawu ezihlukahlukene zamathambo.
Izimpawu ezingasetshenzisiwe ezihambisana ne-Irritable Bowel Syndrome
I-irritable bowel syndrome (i-IBS), iyisifo lapho abantu bezwa khona ubuhlungu obungasaphili nobuhlungu beziswini ngokunyakaza kwazo. Ngaphezu kwalezi zinkinga zamathumbu, abanye abantu abane-IBS nabo babika lezi zimpawu ezilandelayo:
- Izinkinga zesibindi
- Isizungu
- Ukukhathala
- Inhloko noma i-back aches
- I-palpitations yenhliziyo
- Ukulala ubunzima
- Ukuzwela kokushisa
Izifo ezithathelwanayo
Lokhu okulandelayo yizibonelo zezifo ezithintekayo. Lezi yizifo lapho amabhaktheriya avame ukutholakala kukholoni abangela izifo kwezinye izitho zomzimba.
- I-pathogenic E. coli engavamile
- I-extraintestinal entamoeba histolytica amebiasis
- I-microsporidiosis engavamile
Imithombo:
I-Catassi, i-C. "Ukuzwela kwe-gluten." Ukushicilelwa kokudla okunomsoco kanye ne-Metabolism 2015 Suppl 2: 16-26.
Evans, P. & Pardi, D. "Ukubonakaliswa okungajwayelekile komzimba wesifo sofuba: Gxila kwiMisculoskeletal, Dermatologic, ne-Ocular Manifestations" MedGenMed 2007 9:55.
Fasano, A. " Gluten Freedom " Nashville: Wiley 2014 Print.
Hernandez, L. & Green, P. "Ukubonakaliswa okungajwayelekile komzimba we-celiac." Imibiko yamanje ye-Gastroenterology 2006 8: 383-389.
I-Palsson, i-O. ne-Whitehead, i-W. "Ngaphandle kwe-Bowel: Incazelo Yezinkinga Zezokwelapha Ezikhona I- UNC Isikhungo Sokusebenza Kwe-GI & Motility Disorders
Vavricka, S., et. al. "Ukubonakaliswa Kwangaphandle Kwesifo Sezinhlungu Zokukhukhumeza" Izifo Ezivuthayo Zokukhukhumeza 2015 21: 1982-1992.