Odokotela baxilonga isifo se-celiac esinqabile lapho intombazane yakho encane ihluleka ukuphulukisa, naphezu kokudla okungenalutho kwe-gluten. Nansi ulwazi oluningi mayelana nesimo, ukuxilongwa kwalo, kanye nezinketho zakho zokwelashwa.
Sibutsetelo
Abantu abaningi abathintekayo abanesifo se-celiac- cishe cishe amaphesenti angama-90-bathola ukukhululeka ezinkalweni zabo, futhi amathumbu abo aqala ukuphulukisa phakathi kwamasonto ambalwa ukuqala ukudla okungenalutho kwe-gluten .
Kodwa-ke, esinye seziguli eziyi-10 ezingama-celiac asiboni lokho kukhululeka noma sithola ukuthi izimpawu zakhe zesifo se-celiac zibuyele emuva ngemva kokuhlala isikhathi eside. Uma ngabe kunjalo, udokotela wakho angase akhulume ukuthi kungenzeka ukuthi isifo se-celiac esiphendukayo.
Isifo se-cecacac esiphendukayo senzeke uma isisu sakho esincane singakwazi ukuphulukisa futhi uqhubeka nokuhlushwa yi- atrophy enyantisayo , noma ngabe ulandela ukudla okunamandla nokucophelela kwe-gluten konyaka noma ngaphezulu. Abantu abanesifo sangempela se-coliac refractory-okuyinto engavamile kakhulu-bangengozini enkulu kakhulu yezinkinga ezinkulu, kufaka phakathi uhlobo lwe-non-Hodgkin lymphoma ehambisana nesifo se-celiac.
Ukuvama
Lokhu kungase kuzwakale kusabisa, kodwa ungakuvumeli ukuthi kukusabise: cishe awunayo isifo se-celiac esicacile. Izinkinga zakho zokuthuthukisa isimo empeleni zincane kakhulu: ucwaningo oluthile oluthola ukuthi amaphesenti angu-1.5 kuphela weziguli zesifo se-celiac zakhula isifo se-celiac esiphendukayo.
Futhi kubantu abaningi abathola izimpawu eziqhubekayo, kunesinye isizathu-ngokuvamile, yizinhlamvu ezincane ze-gluten ekudleni kwakho okubangela izimpawu zakho eziqhubekayo , nakuba ezimweni ezimbalwa udokotela wakho angathola ukuthi awunayo ngempela isifo se-celiac ngemuva kwakho konke .
Kodwa kungakhathaliseki ukuthi izifo eziphikisayo ze-celiac ziphikisayo, uma ubambelela ekudleni futhi uthole ukuthi usazizwa ungcono, udokotela wakho cishe uzofuna ukuphenya ngokuqhubekayo ukuthola inkinga.
Futhi uma uthola ukuxilongwa nge-celiac engenalutho, kunezindlela zokwelapha ezingakusiza uphilise.
Izici
Iziguli zesifo se-celiac ezigxilayo zihlanganyela izici eziningana ezivamile: abaningi baneminyaka ephakathi noma ngaphezulu (lesi simo asikaze sibonwe ezinganeni), iningi liye lalahlekelwa isisindo, kanti abane abahlanu banesifo sohudo.
Ngaphezu kwezibonakaliso zabo eziqhubekayo, iningi labantu abane-celiac engavumelaniyo banokungondleki kanye nokuntuleka kwamavithamini okubonisa ukuthi i-malabsorption enzima.
Noma kunjalo, ezinye izimo zingabangela lezi zimpawu ezifanayo. Isinyathelo sokuqala ekutholeni isifo se-celiac esingenalutho (noma, cishe, ukususa lesi simo) kuyoba ngudokotela wakho ukuthola ukuthi ukuhlolwa kwakho kwesifo se-celiac nokuxilongwa kwakungalungile yini kuqala.
Ukuxilongwa
Ukuze utholakale kahle ngesifo se-celiac, kufanele ube ne-endoscopy ene-biopsy ebonisa i-atrophy enonya: umonakalo ku-villi encane emathunjini wakho amancane okusiza ukugaya ukudla kwakho. Nakuba kungavamile, kunezinye izimo ezingabangela nokulimala okufanayo kwamathumbu.
Ukuze uphinde uphethwe ukuxilongwa kwakho kwangempela, udokotela wakho angase afune ukwenza ukuhlolwa kwegazi le-caliac kanye nokuhlolwa ukuze ubone ukuthi unesifo sofuzo lesifo se - celiac .
Uma nakanjani unesifo se-celiac, isinyathelo esilandelayo ekuphenyweni kuyoba ukucacisa ukuthi ulandela ukudla okungekho gluten ngokuqinile. Lokhu kungabandakanya ukuhlangana nomuntu owazi ukudla okunomsoco ezinkingeni zokudla.
Eqinisweni, iningi labantu liyazi ukuthi lilandela kangakanani ukudla. Isibonelo, isifundo esisodwa sezokwelapha sathola ukuthi iningi leziguli eziqhubeka ziba nezimpawu ezilandela ukuxilongwa kwazo zazilokhu zidla ezinye ze-gluten , nakuba zikholelwa ukuthi zaziqonda ukudla nokuthi zingabheka kanjani i-gluten efihlekile emikhiqizweni yokudla. Ukunyakaza okuvamile kubandakanya i- gluten elahlekile kumalebula okudla , ukudla kaningi kakhulu nokudla okuningi kakhulu okucutshungulwayo nge-labeling embi.
Kungenzeka ukuthi "ukuqalisa kabusha" kokudla kwakho kungasiza ukuxazulula izinkinga zokuqhubeka nezimpawu. Kodwa uma kungenjalo, udokotela wakho kufanele afune ezinye izimbangela ezikhona, kuhlanganise ne-lactose malabsorption, ukukhuphuka kwamagciwane amathumbu amancane, ukungaqiniseki kwe-pancreatic kanye nesifo sofuba esiswini .
Uma lezi ezinye izimbangela eziqhubekayo zezimpawu eziqhubekayo zikhishwe ngaphandle, udokotela wakho angase acabange ukuthi uyatholakala yini isifo se-celiac esicabangelayo. Kwezinye izikhungo ze-celiac izifo, ochwepheshe basebenzisa i- capsule endoscopy ukuze babheke wonke amathumbu amancane futhi baqinisekise ukuxilongwa.
Izinhlobo
Uma uthola ukuthi unesifo se-coliac refractory, utshelwe ukuthi unomunye wezinhlobo ezimbili: Thayipha I noma Uhlobo II. Uhlobo lwakho lunqunywe ukuhlaziywa okukhethekile kwesinye segazi elimhlophe, elibizwa ngokuthi yi-T-cell, elikhona emathunjini akho amancane.
Abantu abaneThi I babe namaseli ajwayelekile e-T emigodini yabo yamathumbu, kanti abantu abane-Type II banama-T-cells angavamile. Uhlobo I luvame ngokwengeziwe kuneNhlobo II: ocwaningweni olwenziwe eBoston, cishe amaphesenti angaba ngu-15 azo zonke iziguli zesifo se-celiac eziphikisayo zinesimo se-Type II sesimo.
Ukwengeza ekubeni yi-rarer, Uhlobo lwesibili luhlobo oluyingozi kakhulu lwesifo esibucayi se-celiac: akusho ngaso sonke isikhathi ukuthi siphendule kahle ekwelapheni, futhi kungenzeka ukuthi kuholele ku-non-Hodgkin lymphoma. Eqinisweni, odokotela bacabanga ukuthi kuyindlela ephansi ye-lymphoma - enye enezimo ezimbi.
Izwi elivela
Njengoba isifo se-celiac esingenangqondo esivamile singavamile, iziguli eziye zatholakala ukuthi zinamafomu azobe zibhekiswe esikhungweni se-celiac nesipiliyoni sokwelapha amafomu okuphikisana nesifo. Lapho, odokotela banezindlela eziningana ezahlukene abangazama ukuvimbela ukuqhubeka kwesifo futhi benze ukuphulukiswa.
> Imithombo:
> Malamut G. et al. Izifo ezicatshangelwayo ze-Celiac. Imitholampilo ye-Endoscopy yamathumbu eNyakatho Melika. 2012 Oct; 22 (4): 759-72. doi: 10.1016 / j.mhlaka 2012.07.007. Epub 2012 Aug 24.
> Mooney PD et al. Ukwehluleka Ukwelashwa Emzimbeni We-Celiac: Umhlahlandlela Owusizo Wokuphenya Nokunakekelwa Kwezifo Ezibhekene Nezifo Ezingaqondile. Umbhalo wezifo zesisu kanye nezifo zesibindi. 2012 Jun; 21 (2): 197-203.
> Roshan B. et al. I-Incidence kanye ne-Clinical Spectrum ye-Refractory Celiac Disease esikhungweni seNyakatho ye-North American Referral. I-American Journal ye-Gastroenterology. 2011 Meyi; 106 (5): 923-8. doi: 10.1038 / ajg.2011.104. I-Epub 2011 Apr 5.