Ngangisanda Kuqhathaniswa Nezifo Zama-Celiac. Ingabe Lokhu Kungukudla Kwemithi?

Cha, nakuba abanye odokotela babhekisela esibhedlela se-celiac njenge-gluten allergies. Isifo se-Celiac (esaziwa nangokuthi i-celiac sprue, ukungenwa kwe-gluten-sensitive, noma i-nontropical sprue) ukungabekezelelani kwe-gluten, amaprotheni athola ukolweni, rye, nebhali. Ezinye iziguli ezinezifo eziphethwe yi-celiac zibuye zizwele ne-avenin, iphrotheni ehlobene etholakala kuma-oats. Abantu abanesifo se-celiac bavame ukubizwa ngokuthi "ama-celiacs."

Isifo se-Celiac akuyona inkinga yokungezwani kodwa i-autoimmune disorder. Kukhona umehluko okwehlukile phakathi kwendlela umlutha wesifo esiphendukayo ephendula ngayo i-allergen kanye nendlela i-celiac ephendula ngayo gluten:

  1. Ngendlela yokuphikisa, isimiso somzimba sokuzivikela sisenza amasosha omzimba e-immunoglobulin E (IgE). Umzimba udala izinhlobo ezahlukene ze-antibodies - okubaluleke kakhulu kubo njenge-immunoglobulin A (IgA), i-transglutaminase (tTGA) yama-anti-tissue - kwisifo se-celiac. Ukuhlolwa kwegazi ngesifo se-celiac isilinganiso salokhu kulwa namagciwane.
  2. Ngomphumela wokuziphikisa, umzimba usabela ku-allergen ngokubopha ngqo kwi-allergen futhi ukhulule amakhemikhali abangela izimpawu zokugula. Ngokuphambene, imizimba ye-celiacs iyaphendula phambi kwe-gluten ngokuhlasela umzimba ngokwawo. Ngokuqondile, izimpawu ze-celiac ziwumphumela womzimba ohlasela i-villi emathunjini amancane, okuyizinto ezincane ezibonakala ngaphakathi emathunjini ezibalulekile ekutholeni ukudla kanye nezakhi.
  1. Ngenxa yokuthi izidumbu ze-celiacs azikhiqizi i-histamine ekuphenduleni i-gluten, i-antihistamine, nezinye izidakamizwa zokuphuza izifo azisebenzisi kahle ekuqedeni izimpawu zokungenisa i-gluten ku-celiacs. Kukhona, okwamanje, ayikho indlela yokukhulula izimpawu zamathumbu emzimbeni we-celiac.

Ama-celiacs awabhekiswanga ngokuyinhloko yi-allergen kodwa yi-gastroenterologists.

Ngokuqinisekile uzothola i-endoscopies ejwayelekile (i-biopsies yamathumbu) ukuze uqinisekise ukuthi umathumbu wakho usempilweni enhle futhi ikuvumela ukuthi uthathe izakhi ngendlela efanele. Ngosuku lwesimanje, impilo ka-celiac iyafana neyomuntu ophikisayo ukolweni, i-rye, nebhali: Kuzo zonke izifo ze-celiac nezinyosi zokudla okusanhlamvu ziphathwa ngokugwema ukudla okunenkinga.

Umthombo:

> Arentz-Hansen, uHelene et al. "I-Molecular Basis for Oat Insuperance in Patients With Celiac Disease." I-PLoS Med. 2004 Okthoba; 1 (1): e1.