Izimpawu ezingezona zokugaya ezifana nezinkinga zokuya esikhathini zivamile
Abesifazane bathola ukuthi banesifo se-celiac kaningi kunamadoda: Kufika ku-70% kulabo abatholakale benesimo samanje besifazane. Kukhona ngempela izizathu ezimbili zalokhu ukungalingani. Abesifazane abaningi kunamadoda empeleni banesifo se-celiac, kepha abesifazane banamathuba amaningi okufuna usizo lwabahlengikazi bezempilo ngenxa yezinkinga zabo zezempilo, ngakho-ke kungenzeka ukuthi bathole ukuthi bane-celiac.
Kodwa ngesikhathi esifanayo, abesifazane bangase babe namathuba amancane kunamadoda ukukhombisa izimpawu ezaziwa kakhulu zesifo se-celiac , ezihlanganisa isifo sohudo, ukukhathala nokulahlekelwa isisindo, ikakhulukazi lapho izimpawu zabo ziqala ukuvela. Eqinisweni, abesifazane abatholakala benesifo se-celiac baqaphela njalo izimpawu ezingezona zomzimba emvelweni ngaphambi kokuthola lezo zimpawu ezaziwayo.
Lokhu kuvezwe ngucwaningo. Esinye isifundo esikhulu, sathola ukuthi abangaphezu kuka-40% besifazane babika kuqala "ezinye" izimpawu ezingezansi, kuhlanganise nokuphazamiseka komjikelezo wesisindo nokungasebenzi. Ingxenye yalabo ababikezela ngokuqondile ukuphazamiseka kwemijikelezo yesimiso bathi izinkinga zabo zenkathi zaqala ngaphambi kwanoma yiziphi ezinye izimpawu zesifo se-celiac.
Yiqiniso, uma unenkinga yenkathi yakho, kunezimbangela eziningi ezingaphezu kwamagciwane we-celiac. Kodwa ucwaningo lubonisa ukuthi abesifazane-ikakhulukazi labo abasengozini yesimo (mhlawumbe ngoba ilungu lomndeni eliseduze litholakala ukuthi lingene-celiac ) -kufanele libheke okungaphezu nje kwezimpawu zokugaya ukudla.
Ukungenzi lutho Kungaba Uphawu Lwezifo Zama-Celiac Kwabesifazane
Isifo se-Celiac sibonakala cishe ngo-1%, noma kancane esingaphansi kuka-1%, sabantu abaningi. Kodwa-ke, ucwaningo luyitholile ku-8% kwabesifazane abanokuthiwa "ukungabonakali okungaqondakali," noma ukungabi namuntu okungezona ngenxa yezizathu ezingabonakala kalula, njengezinkinga ze-hormonal.
Iningi lalaba besifazane ababhekene nezifundo ezibhekene nesifo se-celiac njengesizathu esingabangela ukungabi nabantwana abangekho izimpawu zokugaya, okuholela abanye abacwaningi ukuba bancoma ukuthi bonke abesifazane abane-infertility abangachazwanga bahlolwe isifo se-celiac, kungakhathaliseki ukuthi yiziphi ezinye izimpawu.
Ukungazi lutho njengempawu yabesifazane abanesifo se-celiac kungase kube ngenxa yokuntuleka kokudla okunomsoco , okuvamile kulezi ziqhingi ezingenakiwe, ngisho nalabo abangenayo izimpawu zamathumbu. Ukungahambi kahle nakho kungabangela ngandlela-thile ukuvuvukala. Abacwaningi abakakaze babone isizathu esiqondile.
Izinkinga Zokukhulelwa Kungase Futhi Zibonise Izifo Ezibandayo Kwabesifazane
Uma une-celiac isifo esingatholakali futhi ukhulelwe, nawe ubukhulu kakhulu kunowesifazane ongenaso isimo sokubhekana nezinkinga ngokukhulelwa kwakho . Ukucindezeleka kokukhulelwa okunjenge-anemia enkulu, ukukhulelwa kwesisu okusongelwayo, nokukhula okuncane kokubeletha konke okwenzeka kubantu besifazane abanezifo ezingekho ngaphansi kwe-celiac ngokuvamile kaningi kunabesifazane abangenayo isimo.
Ukukhubazeka okungajwayelekile kanye / noma ukubeletha kungase kubonise uphawu lwesifo se-celiac, futhi abacwaningi abaningana bancoma ukuhlolwa kwe-celiac kwabesifazane abanezinkinga. Ezimweni eziningi, ukulandela ukudla okungenayo i-gluten ngemuva kokuxilongwa kwenza abesifazane bakwazi ukuthwala izingane zabo.
Isifo se-Celiac siphinde sithinteka ekupheleni kwesikhathi sokuqala kwabesifazane abasebasha , isikhathi sokungena esikhathini esingekho (i-amenorrhea) , i- endometriosis , ubuhlungu be-pelvic nokuya esikhathini sokuqala , njalo kubesifazane abanemibonakalo embalwa noma engekho nezinye izimpawu ze-celiac.
Eqinisweni, ubufakazi bokuthi u-anecdotal bubonisa ukuthi izifo ezingekho ngaphansi kwe- celiac ezingakutholakali zingenza isikhathi sakho sibe nesisindo .
I-anemia, i-Osteoporosis, i-Thyroid? Kungaba Izifo Zama-Celiac
I-anemia , ejwayelekile kubantu besifazane abaneminyaka yobudala yokubeletha, ibuye ibonakale njalo kubantu besifazane abanesifo esingaziwa yi-celiac-ekutadisheni okukodwa, abesifazane abangama-40% babika i-anemia ngaphambi kokuthola izifo zabo. Isibonakaliso esivamile sokuthi abanye odokotela bavame ukuvivinya i-celiac uma umuntu ehlushwa yi-anemia engalazi okunye.
Ukuntuleka kokudla okunempilo- ngokukhethekile, izinkinga ezithatha insimbi-kucatshangwa ukuthi iyimbangela.
Isifo esingahlosiwe se-celiac siphakamisa kakhulu amathuba okugcoba -isifo esenzeka kubafazi kaningi kunamadoda. Nakulokhu, ukuhluleka kokudla okunomsoco kuhlobene nezinkinga ezithatha izakhi zomzimba-manje, ukwehluleka kwe-vitamin D, i-calcium ne-magnesium-mhlawumbe kuyisola.
Kuzo zombili izimo, ukudla okungenalutho kwe-gluten kuthuthukisa ukungenisa kwakho izakhi ezidingekayo futhi kuvame ukuholela ekuthuthukiseni amathambo kanye nokuxazululwa kwegazi.
Abesifazane nabo bavame ukubhekana nokucindezeleka kwe-thyroid njalo, ezinye izimo ezihlobene nesifo se-celiac. Abantu abangafika ku-7% abanesifo se-autoimmune-kuhlanganise nesifo se-Graves nesifo sikaHashimoto-bangase babe nesifo se-celiac, futhi kwezinye zazo i-celiac ngeke ibangele ezinye izimpawu.
I-Multiple Sclerosis (MS) nayo ivela nakakhulu kakhulu kwabesifazane kunamadoda, kodwa kuleso simo izixhumanisi ezingase zifinyelele ezifweni ze-celiac azicaci kahle - izifundo ezithile zibonise amazinga aphezulu we-celiac kokubili amadoda nabesifazane abane-multiple sclerosis, kanti abanye hhayi. Kodwa-ke, abanye abagulayo be-MS babika ukuthuthukiswa ezimweni zabo lapho belandela ukudla okungenalutho kwe-gluten.
Izimpawu zomzimba zingabonisa ukuthi zikhona, futhi
Kuyacaca ukuthi ezinye izimpawu ezingezona zokugaya zesifo se-celiac kubantu besifazane bangase babhalise ku-radar yakho ngaphambi kwezimpawu zokugaya. Kodwa ungayinaki izimpawu zokugaya; nabo bangabonisa isifo se-celiac.
Isibonelo, abesifazane abanesifo se-celiac bavame ukuhlukumezeka-kwesinye isifundo, abesifazane abangaba ngu-70% babike ukuthi "isisu esiswini" sasisinye sezibonakaliso zabo zokuqala ze-celiac. Abesifazane abangaba ngu-40 kuleso sifundo babonisa uhlu lwehudo njengenye yezimpawu zabo zokuqala ze-celiac, nesifo se-reflux se-gastroesophageal (GERD) esivame ukutholakala eceleni kwalezi zimpawu zokugaya.
Ngaphezu kwalokho, abesifazane bahlushwa kaningi emathunjini okugulisa (IBS), futhi akuyona into engavamile odokotela ukuba benze iphutha i-IBS yesifo se-celiac .
Akuyona into engaqondakali ukuthi abanye bacabange ukuthi isifo se-celiac sibe "isilwane sempilo" -ngabonakala nganoma yiziphi izimpawu ezingaphezu kwezingu-100, noma, uma kwenzeka " isifo se-celiac esicacile ," kungekho zimpawu nhlobo. Kodwa-ke, kungakhathaliseki ukuthi yiziphi izimpawu onayo, ukuxilongwa (okubandakanya ukuhlolwa kwegazi le- endlesscopy ) futhi ukwelashwa (ukudla okungekho gluten) kuyafana.
Martinelli D. et al. Ukuphazamiseka Kwempilo Yokukhiqiza Kwabesifazane AbaCeliac base-Italy: Isifundo Sokulawulwa Kwamacala. BMC Gastroenterology. 2010; 10: 89.
Shah S. et al. Isifo Celiac: I-Issue Underappreciated In Health Women's. Womens Health (London England). 2010 Septemba; 6 (5): 753-766.
UTajuddin T. et al. Isethulo semitholampilo yesifo somuntu omdala we-celiac. I-Irish Medical Journal. 2011 Jan: 104 (1): 20-2.