Ukuhlolwa kubheka ukuphendula komzimba wakho ekudleni okuqukethe i-gluten
Uma uhlolwe isifo se-celiac , cishe uke wazibonela izixwayiso ukuze uqhubeke udla ukudla okuvamile, okune-gluten kuze kube yilapho konke ukuhlola kwakho kuqediwe. Kodwa kungani lokhu kuyadingeka?
Isizathu empeleni sihle kakhulu: Ukuhlolwa kwezifo ze-Celiac kubheka umonakalo owenziwe emzimbeni wakho uma udla ukudla okune-gluten okufana nesinkwa sikakolweni, i-pasta, ne-pizza.
Uma uyeka ukudla lokhu kudla, umonakalo ungaqala ukuphulukisa ngokushesha-futhi ungase uvivinye umbi ngisho nalapho unesimo.
Ukuhlolwa kokusebenza kwezifo zeCeliac
Ukuthola isifo se-celiac sifo, udokotela wakho uqala ukuyala ukuhlolwa kwegazi okubheka ama-antibodies umzimba wakho owenzayo uma udla i-gluten. Lezi zinselo zomzimba zibonisa umonakalo owenziwe emathunjini akho amancane ngesistimu yakho yokuvikela omzimba ngokuphendula ukungenisa kwe-gluten. Uma kungekho gluten ekudleni kwakho, amasosha omzimba wakho ngeke akhiqize lawa ma-antibodies, ngakho-ke ngeke kuboniswe egazini lakho.
Uma uhlola kahle kulezi zivivinyo zegazi, isinyathelo esilandelayo yisiposcopy . Uma uvivinya kodwa ungenayo izimpawu zesifo se-celiac noma ezinye izizathu zokucabanga ukuthi unesifo se-celiac, njengomlando womndeni wesimiso, ungase uqhubekele ekupheleni kwe-endoscopy naphezu kwale miiphumela emibi yokuhlolwa kwegazi.
I-endoscopy iyinkqubo lapho i-gastroenterologist iqhuma khona insimbi ngaphansi komphimbo wakho futhi empeleni iqoqa amasampula amathishu emathunjini akho amancane.
Lawo masampuli ahlolwe ngenxa yezibonakaliso ze- atrophy eziyingozi , noma ukulimala kwamathumbu okubangelwa yisisombululo somzimba wakho wokuzivikela komzimba ku-gluten ingestion. Futhi, uma ungangenisi i-gluten, kungase kube khona umonakalo omkhulu ongayithola, futhi amasampula angase avivinye amabi ngesifo se-celiac, noma ngabe unesimo ngempela.
Izivivinyo Zakho Zizoguquka Ekugcineni
Uma usuhambe u-gluten-free, umzimba wakho uzoyeka ukusabela ku-gluten futhi izinga lakho lalawo an anti-gluten antibodies lizoqala ukwehla. Akucaci, kodwa-ke, kuzothatha isikhathi esingakanani ukuthi lezo zinqamuzana ziwe kuze kube manje ukuthi ukuhlolwa ngeke kuwathathe. Eqinisweni, ukuhlolwa akulona olunembile ngamaphesenti angu-100 ngisho nalabo abadla i-gluten.
Amaphesenti angaba ngu-10 kuya kumaphesenti angu-15 abantu abizwa ngokuthi "ukuhlolwa kwegazi okungamanga" (imiphumela engavamile yokuhlolwa kwegazi kepha ukuphikisa okuhle ) ngisho nalapho bedla ukudla okugcwala i-gluten, ngokusho kukaDkt. Alessio Fasano, oyinhloko weMassachusetts General Hospital Centre for Celiac Research. Njengoba odokotela abaningi bengeke batusa i-endoscopy uma ukuhlolwa kwegazi kungalungile, abantu abaningi abanemibuzo yokuhlolwa kwegazi engeke bazuze ukuhlolwa kwesifo se-celiac, nakuba kungenzeka ukuthi bambalwa babo banesimo.
Ngakho-ke uma uyeka ukudla i-gluten ngaphambi kokuhlolwa kwegazi bese uhlola ukungalungi, ngeke wazi ukuthi kungenxa yokuthi awunayo isifo se-celiac, noma kungenxa yokuthi uyeka ukudla i-gluten ngaphambi kokuhlolwa kwakho.
Izivivinyo Zegazi Ezibi, Endoscopy Enhle?
Kukhona impela imibiko yabantu ababenokuhlolwa kwegazi okuhle kanye nemiphumela yokuphela kwe-endoscopy (okusho ukuthi babhekwe ngokusemthethweni ngesifo se-celiac) nakuba bebeqede i-gluten ekudleni kwabo amasonto ambalwa ngaphambi kokuhlolwa.
Kodwa asazi ukuthi imiphumela emihle yokuhlolwa ingakapheli isikhathi esingakanani uma uhamba ungenawo-gluten-mahhala abantu bangase bangabonakali okujwayelekile.
Ucwaningo olulodwa lubheka ukuhlolwa kwegazi i- EMA-IgA , okubhekwa njengento ecacile kakhulu kwisifo se-celiac, futhi sathola ukuthi amaphesenti angu-58 we-celiacs abathintekayo (abantu asebevele baqinisekisile ukuxilongwa kwe-celiac) empeleni bahlolwe kabi kwi-EMA-IgA ngemva kwezinyanga ezintathu zokudla kwe-gluten -free. I-quarter-quarters yayingavumelekile ekuhlolweni kwegazi kwe-EMA-IgA emva kwezinyanga eziyisithupha kanti amaphesenti angu-87 ayengalungile ngemva kwezinyanga ezingu-12.
Ngakho-ke kusobala ukuthi uthatha ithuba lokuthola imiphumela yokuhlola yesifo se-celiac ezingalungile uma ungadli gluten ngesikhathi sokuhlolwa kwakho.
Izwi elivela
Uma ngabe u-gluten usuvele ukhulumile kakade, yikuphi ukukhetha okudingeka uhlolwe ngesifo se-celiac?
Ngeshwa, ngoba udinga ukudla i-gluten ukuthola ukuhlolwa okunembile, ukudubula kwakho okuwukuphela kokuxilongwa okulungile kuyinselelo ye-gluten . Ngokuyinhloko, kuzodingeka udle i-gluten futhi isikhathi esanele sokwanela umzimba wakho ukukhiqiza amantombazane kuwo.
Ingabe kufanele wenze inselele ye-gluten emzamweni wokuthola isifo esifanelekile se-diagnosis ? Nguwe kuphela onganquma (ngokubonisana nodokotela wakho). Kodwa manje uyazi ukuthi kungani ungafaneleki ukudla gluten ngaphambi kokuba uqedele noma yikuphi ukuhlolwa kwesifo se-celiac ngoba kungaba nje okungenakwenzeka ukuthola ukutholakala okunembile uma ungadli gluten.
Imithombo:
W. Dickey et al. Ukwehlukana kwamagciwane okuphela kwesifo esibelethwe yisifo se-celiac akubonakali ukutakula kwakhe. I-American Journal ye-Gastroenterology. 2000 Mar; 95 (3): 712-4.
Imibuzo ejwayelekile ukubuzwa. Isikhungo Sezifo ZamaCeliac e-Columbia University Medical Centre.