Udokotela wengane yakho angase abe namathuba amaningi okusola isifo se-celiac lapho ingane yakho ibonisa izimpawu "zakudala" zesifo sohudo nokukhathala kanye nesisu esibuhlungu kanye nobuhlungu. Kodwa-ke, izimpawu zesifo se-celiac ezinganeni zingaba ezicashile: Kwezinye izimo, ingane yakho ingase ingakhulumi ngokushesha njengontanga yakhe, noma ingase ifuthe futhi inganaki.
Izindlela eziningi zokuthi izifo zesifo se-celiac zikhona ( izimpawu ezingaphezu kuka-200) kusho ukuthi ungase uthande ukucabangela ukuhlolwa kwesifo se-celiac uma kwenzeka ingane yakho ingabi nemiphumela yokugaya ngokucacile ... ikakhulu uma unayo umlando womndeni wesimo.
Izimpawu ezijwayelekile zeCeliac Izifo ezinganeni
Isifo se-Celiac sivame ukutholakala ezinganeni ezihlupheka kakhulu ngenxa yesifo sohudo, kanye nokuhluma kwesisu kanye nobuhlungu. Laba bantwana bavame ukubukeka sengathi banokungondleki (okwenzayo, ngoba izinhlelo zabo zokugaya azitholi izakhi abazidlayo). Nakuba lezi zingane zingaba isikhumba kakhulu, izibeletho zazo zinganamathela kakhulu ngenxa yokubhula.
Esikhundleni sokuhuda, izingane nazo zingabhekana nokuqothulwa ngenxa yesifo se-celiac . Ukuqothulwa kwama-celiac kuyenzeka nokuhlunguphaza nokuhlukunyezwa kwesisu, kanti ezinye izingane zingase zibe nesifo sohudo nesisu.
Esinye isibonakaliso "esivamile" sesifo se-celiac ezinganeni ukwehluleka ukuphumelela-lezi zingane ziwela ngemuva kwendonga yokukhula, kubonisa ukuphakama kanye nokuzuza kwesisindo okungaphansi kwezingane zabo ezifanayo. Uma behlala bengatholakali, lezi zingane zingase zibe mfushane kunabo ontanga njengabantu abadala ngenxa yesifo sabo se-celiac.
Kodwa-ke, izingane ezinezifo ezingekho ngaphansi kwesimo se-celiac azizona zonke izifo ezingaphansi kwesisindo nesifushane, ngakho-ke awukwazi ukutshela ukuthi zinesimo nje esisekelwe esisisindo nokuphakama kwabo (nakuba ngokuqinisekile ungakwazi ukusola, ikakhulukazi uma kunomlando womndeni wesimo). Ucwaningo olulodwa lwathola ukuthi cishe eyodwa kwezinganeni ezinhlanu kwakungaphezu kwesisindo sokuqhathaniswa, kuyilapho amaphesenti angu-75 ayebhekwa njengesisindo esivamile. Iningi lalabo bantwana ababesinda kakhulu lapho betholakala ukuthi balahlekelwa isisindo ngemuva kokuba baqale ukulandela ukudla okungenamsoco we-gluten .
Izingane ezibonisa izimpawu ezivamile zesifo se-celiac zivame ukutholakala ngaphambi kwalabo abakhombise izimpawu ezincane ezingavamile, mhlawumbe ngoba odokotela babo bayaqaphela ukuthi kungenzeka kalula kalula. Kanti futhi banomonakalo omkhulu we-intestinal we-celiac kunabantwana abanezimpawu ze-cyliac atypical.
Izibonakaliso ezingekho-Ngakho-ke ezinganeni
Akuzona zonke izingane ezibonisa lezo zimpawu "ezivamile". Ingane encane yezingane-isifundo esisodwa sabonisa cishe ngo-30% -kuphela kokuntula kwe- anemia yensimbi kuphela njengesibonakaliso esiyinhloko sesifo se-celiac . Lokhu kuncibilika kwegazi, okucatshangwa ukuthi kwenzeke kuzo zombili izingane kanye nabantu abadala abane-celiac ngoba abakwazi ukubamba insimbi ekudleni abadlayo, ngokuvamile bazixazulula ngokushesha uma umuntu ethola ukuthi unesifo se-celiac futhi uqala ukulandela ukudla okungenayo i-gluten .
Izingane eziningi ezinama-celiac ezingatholakali zibuye zibonise ukucasuka okuqhubekayo, nakuba kungacacile ukuthi kungani lokhu kwenzeka. Kungenzeka ukuthi bamane bazizwa bengakuzwa kahle, noma kungase kutholakale uxhumano lwe- vitamin deficiencies- okungenzeka ukuthi kukhona ukungabi nabuthakathaka ku-vitamin B-12 nama-acid acids abalulekile, kokubili okuthinta isimo sengqondo nesisindo somzimba. Izingane eziningi ezine-celiac esanda kutholakala zinokuhluleka kwe-vitamin D, iron kanye ne-zinc.
Okokugcina, ukuxilongwa kokunakekelwa kwengqondo ekudleni kwengqondo (ADHD) enganeni yakho kungaba yinkomba yokuthi kufanele ihlolwe isifo se-celiac. Abantu abangaba ngu-15% abanesifo se- ADHD bangase babe nesifo se-celiac , futhi ukuthola ukudla okungenalutho kwe-gluten kubonakala kunciphisa izimpawu zabo ze-ADHD ngokushesha futhi ngokugcwele.
Nini Ukuhlola
Njengabantu abadala, izingane zingahlakulela isifo se-celiac nganoma isiphi isikhathi, ngakho-ke kufanele zihlolwe uma zibonisa izimpawu ... ngisho noma lezo zimpawu ziyizicabha noma ziyi-atypical.
Ngaphezu kwalokho, izingane ezinezihlobo eziseduze ezine-celiac nazo kufanele zihlolwe, ngisho noma zingabonakali zibe nezimpawu. Kuyinto evamile ukuthola "ukuthula" noma isifo esingenasifo se-celiac ezihlotsheni ze-celiacs ezitholakale kamuva, futhi labo bantu kufanele futhi badle ukudla okungenayo i-gluten ukugwema izinkinga ezizayo zesimo.
Ukuxilongwa kwe-Celiac ngokuvamile kuhilela iphaneli ye- celiac ukuhlolwa kwegazi kufuna ama-antibodies ethize. Uma labo bebuya behle noma becaphuna isifo se-celiac, isinyathelo esilandelayo yi-endoscopy ebheka umonakalo wamathumbu.
Uma ingane yakho ekugcineni itholakala nge-celiac, ukwelashwa okutholakala kuphela ukudla okungekho gluten. Izindaba ezinhle: Ingane yakho ingase ijabulele ukukhula okusheshayo uma itholakale , futhi ingase ilahle noma yimuphi ukungalaleli nokucasula masinyane. Abazali abaningi bathola ingane yabo esanda kutholakala ibonakala sengathi iyathokoza kakhulu, inamandla kakhulu futhi ingcono nakakhulu esikoleni uma iqala ukudla.
Imithombo:
Dinler G. et al. Isifo se-Celiac ezinganeni ezingu-87 ezinezimpawu ezijwayelekile nezesimo esiphezulu esifundeni saseMnyama saseTurkey. I-World Journal ye-Pediatrics. 2009 Nov; 5 (4): 282-6.
U-Erdem T et al. Ukuntula kwe-vitamin kanye ne-amaminerali ezinganeni ezisanda kutholakala ngesifo se-celiac. I-Turkish Journal yezokwelapha zezokwelapha. 2015; 45 (4): 833-6.
I-Massachusetts General Hospital Isikhungo soCeliac Research. Izifo ze-Celiac FAQs.
U-Reilly N. et al. Izifo ze-Celiac ezinganeni ezijwayelekile nezisindo eziphakeme kakhulu: Izici zemitholampilo kanye nemiphumela yokukhula Ukulandela isidlo sokudla samaGluten. I-Journal ye-Gastroenterology ne-Nutrition yezingane. 2011 Nov; 53 (5): 528-531.
Isikhungo se-University of Chicago Celiac Disease. Izimpawu .
Van der pals M et al. Inkomba yomzimba womzimba akuyona ithuluzi elithembekile ekubikezelweni kwesifo se-celiac ezinganeni. BMC Pediatrics. 2014 Jun 30; 14: 165.