Uma usuvele uthola ukuthi unesifo se-celiac , cishe unemibuzo eminingi. Nazi eziyisishiyagalombili ongase ufune ukubuza udokotela wakho:
Ukulimala Kwangaphakathi Kwamathumbu Kwangangakanani?
Lapho uhlola isifo se-celiac, i-gastroenterologist ithatha amasampula emathunjini akho amathumbu amancane ukuze ubheke umonakalo emithini yakho ye- villi - encane emgodini owamukela izakhi ezivela ekudleni kwakho. Ukulimala kubalwa ngesilinganiso esingu-0-4 esibizwa nge-Marsh score; I-Marsh score stage zero kusho evamile emathunjini villi, kuyilapho Marsh score esiteji 4 kusho atrophy esiphezulu eziyingozi noma flat flat vel.
Ukulimala akuhambisani ngaso sonke isikhathi nezimpawu ze-celiac kepha kungaqondana nokuntuleka kokudla okunomsoco nezinye izingozi zempilo. Uma umonakalo wakho unzima, wena nodokotela wakho unganquma ukuthi udinga ukuhlolwa kwezinye izinkinga zempilo.
Ingabe Kufanele Ngivivinyelelwe Ukuhluleka Kwempilo?
Iziguli zesifo se-celiac esanda kutholakala zivame ukuhlupheka ngenxa yokungondleki ngenxa yokuthi azizange zithole izakhi, ngisho noma zidla ukudla okunomsoco. Isimo somsoco asibonakali ngaso sonke isikhathi kusukela ezimpawu, ikakhulukazi uma izimpawu zakho ze-celiac ngokwabo zinzima kakhulu.
Ukuntuleka okuvamile kuhlanganisa insimbi, ama-vithamini B njenge-folate ne-B12, i-calcium, i-magnesium, i-vitamin D nama-fatty acids ebalulekile. Udokotela wakho angase acabangele ukuhlolwa ukuze anqume ukuthi unalo yini izakhi ezithile.
Kufanele Ngisetshenziselwe I-Osteoporosis Ne-Osteopenia?
I-osteoporosis yisifo lapho amathambo eba mncane kakhulu, aphikisana kakhulu futhi aphuka kalula. E- osteopenia , okwamanje, isisindo samathambo siphansi kunejwayelekile kodwa asikatholakali nesifo se-osteoporosis. Zombili lezi zimo zivame ukutholakala neziguli zesifo se-celiac esanda kutholakala ngoba umonakalo wamathumbu we-celiac ungavimbela umzimba ukuba unganaki i-calcium, i-magnesium ne-vithamini D - izakhiwo zamathambo.
Ubukhulu be-Bone bubuyela emuva evamile kungakapheli iminyaka emibili ekudleni okungenayo i-gluten, kodwa ukuskena kwamathambo kungasiza ukuxilonga amathambo amancane futhi kunqume ukuthi udinga yini izithako noma ngisho nezidakamizwa ezifana neFosamax (alendronate) ukwakha amathambo ngokushesha.
Kufanele Ngithathe Izithako Zokudla?
Odokotela abaningi batusa ukuthi iziguli zabo zezifo eziphethwe yi-celiac zithatha i-multivitamin nsuku zonke, futhi ucwaningo lwezokwelapha lusekela lokhu. Abanye odokotela bangase banikeze ukwesekwa okungeziwe okuzokwenzela ukungaphumeleli kokudla okunomsoco. Kodwa qaphela ukwengeza ngaphandle kokufaka udokotela: I-Celiac Sprue Association (CSA) iyaxwayisa ukuthi iziguli eziphethwe yi-celiac akufanele zithathe izithako ngaphandle kokubonisana nodokotela wazo.
Isibonelo, i-CSA ixwayisa ukuthi kungenzeka ukuthi ulahlekelwe imithini yamaminerali amaningi ngokuthatha amavithamini D amaningi - okungenzeka uma uzama ukwakha i-vitamin encane kakhulu ohlelweni lwakho ngokuthatha izithako eziningi.
Ungayincoma yini umNto wezokudla? Ngubani Oqondisisa Izifo ZamaCeliac?
Ezimweni eziningi, iziguli ezitholakale zitholakale zizuza ngokubonisana nomuntu onomsoco obhekene nesifo se-celiac. Ukusika yonke i-gluten - ecacile futhi efihliwe - kusuka ekudleni kwakho kungaba umsebenzi obangele, ikakhulukazi uma ungumuntu ongaziqapheli ikakhulukazi izithako zokudla ngaphambili.
Umsoco ongakusiza angakusiza ufunde ukufunda amalebula okudla ngenkathi ekufundiseni ukuthi yikuphi ukudla okungokwemvelo okungenalo i-gluten. Kodwa-ke, kubalulekile ukukhetha umsoco owaziyo ukufakwa okuningiliziwe nokuphuma kokudla okungekho gluten; ngethemba, udokotela wakho angancoma umuntu.
Ngingadla imikhiqizo yobisi?
Iziguli eziningi ze-celiac zezifo azikwazi ukubekezelela imikhiqizo yobisi equkethe i-lactose, uhlobo lweshukela elitholakala ebisi. Kungenxa yokuthi i-lactose idilizwe yi-enzyme ebizwa ngokuthi i- lactase , eyenziwa ngamasu we-intestinal villi. Uma i-villi yakho ishaywa ngenxa yesifo se-celiac, awukwazi ukwenza i-lactase futhi awukwazi ukugaya i-lactose.
Izimpawu zokungabekezelelani kwe-Lactose zifaka ubuhlungu besisu kanye nokuqhaqhaza, isifo sohudo kanye negesi. Ukuhlolwa kungabonisa iziguli ezingenamkhawulo futhi nazo ziyi-lactose-engavumiyo. Ngenhlanhla, ukubekezelelana kwe-lactose kuvame ukuguqulwa ngemuva kokudla kokudla okungenayo gluten okwesikhashana kusukela i-villi iphulukisa futhi iqala ukukhiqiza i-lactase futhi.
Ikusasa Lokho Okulandelayo Okufanele Ngikulindele?
Ukuhlolwa kwesifo sakho se-celiac mhlawumbe kuhlanganisa nokusebenza kwegazi ukukala amasosha omzimba ku-gluten, kanye ne-biopsy yamathumbu ukufuna ukulimala kwe-villi. Abanye odokotela bathanda ukwenza ukuhlolwa kwegazi le-celiac ukuhlolwa kwegazi ukuze baphinde bahlaziye amazinga egazi we-gluten, okungenzeka bakwazi ukulinganisa ukuhambisana nokudla okungenalutho kwe-gluten.
Udokotela wakho angase ancoma i-endoscopy yokuphinda ngemuva kwezinyanga eziyisithupha noma unyaka owodwa ekudleni okungenalutho kwe-gluten ukuqinisekisa ukuthi umonakalo uphulukisa kahle.
Ingabe Umndeni Wami Kufanele Uvivinywe Ngezifo Zama-Celiac?
I-Celiac isifo sezakhi zofuzo, futhi uma usuhlolwe, izazi zincoma ukuthi zonke izihlobo zakho zokuqala (abazali, abafowethu, odade, nezingane) zihlolwe futhi. Izihlobo ze-First-degree zinomdlavuza oyedwa ku-22 we-celiac ngaphezu kwesikhathi sokuphila kwabo.
Ukuhlolwa kwesikhathi esisodwa ngeke kwanele ukubamba wonke amacala we-celiac, noma. Isibonelo, isifundo esisodwa sithole ukuthi, kwamalungu omndeni angu-171 ayengalungile lapho ehlolwa kuqala, ama-3.5% ahlolwe kahle ekuhlolweni kwawo kwesibili, yize iningi lalingabonakali. Ababhali bokutadisha bancoma ukuhlolwa kokuphindaphindiwe kwamalungu omndeni, kungakhathaliseki ukuthi yiziphi izimpawu.
> Imithombo:
> U-Ann Cranney, uMarion Zarkadas et. al. "I-Canada Celiac Health Survey." Izifo Zokugaya Nezesayensi Ngo-Ephreli 2007; 52 (4): 187-95.
> Leon H. Rottmann, Ph.D. "Isikhathi Sokubuyekeza Ama-Amounts Aphephile Amavithamini." Celiac Sprue Association Lifeline 1997 I-Fall, i-XV (4): 1.