Isifo se-Celiac singadala ku-atrophy enonya, kodwa akusona kuphela isizathu esibangelwayo
I-atrophy enonya iyenzeka lapho i-villy yakho ye-intestinal-i-microscopic, i-tentacles efana nomunwe ehlanganisa udonga lwesisu sakho samathumbu amancane, eshiya indawo ephansi. Njengoba i-vil yakho yemathumbu ibhekene nokugcoba izakhi ezitholakala ekudleni okudlayo, ukulahlekelwa yi-atrophy enamandla kungabangela ukungapheli okunzulu kokudla okunomsoco.
Isifo se-Celiac yimbangela eyaziwa kakhulu ye-atrophy enonya. Uma une-celiac futhi udla ukudla okuqukethe amaprotheni gluten (okuqukethe ukolweni webhali, i-hare, ne-rye), i-gluten ibangela ukuhlaselwa yisistimu yakho yomzimba emathunjini akho emathumbu.
Lesi sigameko sokuhlasela kwesifo ekugcineni siholela ekuqotheni okweqile, okuyinto odokotela abakala ngayo ngeMarti Score, isilinganiso sokuqina kwayo . Esimweni esibucayi kakhulu ngesifo se-celiac, i-villi yakho ingaqedwa ngokuphelele - i-atrophy egcwele inhlamba. Lokhu kubhekwa njengengxenye ye-Marsh, kanti abantu abanamaphesenti angase bangabi nakondla futhi bangabe besengozini ye-lymphoma.
Indlela yodwa yokubona ukuthi une-atrophy enamandla yini ukubuka ngqo ngaphakathi emathunjini wakho amancane. Odokotela benza lokhu ngenqubo ebizwa ngokuthi i- endoscopy , lapho bafaka khona idivayisi ngekhamera encane nezinye izinsimbi phansi komphimbo wakho, ngesisu sakho, nasomathunjini wakho omncane.
Kungenzeka futhi ukugwinya iphilisi equkethe ikhamera-lokhu kubizwa ngokuthi i- capsule endoscopy .
I-Villous Atrophy ne-Celiac Disease (noma Cha)
Awuqinisekisiwe ukuthi unesifo se-celiac ngoba nje une-atrophy ene-villous. Ezinye izimo eziningana, kanye neminye imithi ngisho nangaphezu kwe-bacterial overgrowth, ingabhubhisa i-villi yakho yemathumbu.
Ezimweni eziningi, izimpawu ze-atrophy eziyingozi ezingabangelwa yi-celiac-ebizwa ngokuthi "ukungenwa kwe-nonceliac" -ukuphikisa izimpawu zakudala zesifo se-celiac : isifo sohudo, ukulahlekelwa isisindo, ubuhlungu besisu nokukhathala.
Ngakho-ke, kungaba yinto ekhohlisayo ukutshela umehluko phakathi kwesifo se-celiac nokungenwa kwe-nonceliac. Yingakho odokotela batusa ukuhlolwa kwegazi le-celiac-lokhu kuhlola kubheka ukuthi isisombululo sakho samasosha omzimba sisabela kanjani kuphrotheni ye-gluten ekudleni okudlayo.
Kusengenzeka ukuthi ube nesifo se-celiac ngisho nemiphumela emibi kulabo abahlolwa ngegazi, kodwa uma ungaqala ukuzizwa ungcono uma uhamba ungenayo gluten, wena nodokotela wakho kungase kudingeke ucabange ezinye izimbangela zezimpawu zakho kanye ne-atrophy yakho embi .
Ezinye Izinto Ezingabangela I-Atrophy Enamandla
Nasi uhlu lwezinye izimbangela ezenzekayo ze-atrophy enonya:
- Benicar , imishanguzo yegazi (igama elivamile: olmesartan). Kwezinye iziguli, ukuthatha i-Benicar kuholela ekutheni i-atrophy enesihluku ihlanganiswe nesifo sohudo kanye nokulahleka kwesisindo. Ukuphathwa Kwezokudla Nezidakamizwa zase-US kukhishwe isixwayiso ngalokhu ngo-2013.
- Ezinye imithi. Izidakamizwa ezivimbela amasosha omzimba wakho (njenge-Imuran ne-CellCept), i-neomycin yama-antibiotic, kanye nemithi yama-anti-inflammatory Colcrys, nayo iye yaxhunyaniswa nemibiko ye-atrophy eyingozi.
- Ukuntuleka Okungavamile Okungavamile, noma i-CVID. Lesi simo sishiya abantu abasengozini yokutheleleka okuphindaphindiwe.
- Amathumbu amancane emanzini aseBactter Overgrowth , noma i-SIBO. Izimpawu ze-SIBO zingalingisa izifo ze-celiac.
- Isifo sikaCrohn. I-atrophy engavamile ingavamile kwisifo sikaCrohn kodwa kwenzeka ngezikhathi ezithile.
- Lymphoma. Ucwaningo oluthile oluthola izinhlobo ezimbili ezahlukene ze-lymphoma zingabangela i-atrophy eyingozi: amathumbu amancane amathumbu eT-cell lymphoma, kanye ne-T-cell lymphoma ehlobene ne-enteropathy. I-T-cell lymphoma ehlobene ne-enteropathy ihlobene eduze nesifo se-celiac .
Ezinye izimbangela ezibangelwa i-atrophy enonya, kuhlanganise nokutheleleka nge-parasites noma ngamabhaktheriya abangela isilonda, u- Helicobacter pylori, naye kubikwe.
Ngakho-ke, okuyisisekelo, akuzona zonke izimo ezithinta isrophy eziyingozi ezibangelwa yisifo se-celiac. Uma imiphumela yakho yokuhlolwa kwegazi ingalungile futhi awuthuthuki ekudleni okungenayo i-gluten , kufanele ukhulume nodokotela wakho ngezinye izimbangela zezimpawu zakho.
Imithombo:
DeGaetani M et al. I-atrophy enonya futhi i-serology ye-celiac engalungile: isifo sokuxilonga nesifo. I-American Journal ye-Gastroenterology . 2013 Meyi; 108 (5): 647-53.
U-Pallav K et al. Ukungenwa kwe-Noncoeliac: Ukuthola Ukuhlukana Okuhlukile Kwe-Atrophy Eyingozi Emisebenzini Yomtholampilo Yengqondo. I-Pharmaceutical Pharmacy & Therapeutics . 2012; 35 (3): 380-390.
U-Tran TH et al. I-Olmesartan neDrug-Induced Enteropathy Pharmacy and Therapeutics . 2014 Jan; 39 (1): 47-50.