I-EnteroLab, i-laboratory e-Dallas, izivivinyo ze- gluten -non-celiac ukuzwela ukuzwela ngokufuna ama-antibodies ukuba abe ne-gluten esitokisini sakho. Nakuba izivivinyo ezinikezwa i-EnteroLab aziqinisekisiwe ngamabarabhu angaphandle noma ngocwaningo olubukeziwe kontanga, abantu abaningi abaye basebenzisa ukuhlolwa (kuhlanganise kokubili odokotela neziguli) bakholelwa ukuthi kubonisa ngokunembile ukuzwela kwe-gluten.
I-EnteroLab inikeza amasevisi ayo ngqo kubathengi. Labo abangakwazi ukukholisa odokotela babo ukuba bahlole ukuhlolwa kwezifo ze-celiac (noma abaye bathola imiphumela emibi ekuhlolweni kwabo) bayakwazisa ukuthi akudingeki ukuba badlule odokotela babo ukuze bahlole ukuhlolwa kwe-EnteroLab; bangalawula ukuhlolwa ngokwabo.
Kodwa-ke, ngoba ukuhlolwa kuka-EnteroLab akuzange kuqinisekiswe ngokuzimela, akucaci ukuthi ngabe ukuhlolwa kunikeza ulwazi ongayethemba ngempela mayelana nokuphendula komzimba wakho kumaprotheni gluten (namanye amaprotheni okudalwa yi-allergenic kokudla).
Yeka ukuthi Izivivinyo zisebenza kanjani
Izivivinyo ze-gluten zokuzwela ezihlinzekwa yi-EnteroLab zibheke ama-antibodies ukuze zibe ne-gluten esitokisini (i-fecal antigliadin-IgA antibody) kanye ne-antibodies ku-tissue transglutaminase enzyme eyenziwa ngumzimba lapho i-gluten isungiswa (i-anti-tissu anti-tissu anti-IgA antibody). Izivivinyo zinelungelo lobunikazi nge-EnteroLab futhi zisetshenziselwa kuphela endaweni ye-Texas ye-EnteroLab.
I-Gastroenterologist uDkt. Kenneth Fine, umqondisi wezokwelapha we-laboratory kanye nowaseBaylor University Medical Center oya kudokotela, wahlakulela ukuhlolwa ukuze asebenze ngendlela ezwela kakhulu yokuthola umonakalo ovela ku-gluten ngaphambi kokuba usakazeke emzimbeni. Umbono wakhe wukuthi ama-antibodies azokwethula emathunjini futhi aphele emgodini isikhathi eside ngaphambi kokuba avele egazini lakho legazi.
Ngokusho kukaDkt Fine, ukuhlolwa kwesitokisi kuzothatha ukuzwela kwe-gluten ngaphambi kokuthi kuqhubekele phambili kuze kufike ekubhubhiseni amathumbu akho emathumbu. "Ngenxa yokuthi ama-antibodies akhiqizwa ngenxa yokuzwela kwe-gluten ayangena emathunjini esikhundleni segazi, ukuhlaziya isitoli kuphendukela izivivinyo eziningi ezivelele kunezivivinyo zegazi. Kuphela lapho ukuphendula kwamagciwane kube khona isikhathi eside futhi / noma inqubo iqhubekile kakhulu ukuthi lawo ma-antibodies akhiqizwa ngobuningi obwanele ukungena egazini, "esho kwiwebhusayithi yakhe.
I-EnteroLab inikeza enye inzuzo ngaphezu kokuhlolwa kwegazi le-celiac : Akudingeki ukuba udle i-gluten ukuze kuvivinywe ukuthi kulungile. Ngokusho kukaDkt Fine, ngisho ne-gluten encane ekudleni kwakho kungaholela emphumela omuhle uma u-gluten-sensitive.
Izivivinyo zinikeza
I-EnteroLab inikeza izivivinyo ezine ezihlukene ezenzelwe ukuthola ukuzwela kwe-gluten nokuphendula ku-gluten emzimbeni:
- I- gluten yokuzwa ukuzwela isitifiketi : Lokhu kubheka ama-anti-antibiotic i-fecal antigliadin IgA, okusho ukuthi uDkt Fine uthi ubhekene nesimiso sokuzivikela komzimba ku-gluten ekudleni.
- Ukuhlolwa kwe-tissu transglutaminase isolol: Lokhu kubheka izifo zokulwa ze-transgecaminaminase IgA ze-fecal anti-tissu, okuyinto uDkt Fine uthi kukhombisa ukusabela kwesimiso somzimba sokuzivikela komzimba ku-tissue transglutaminase enzyme eyenziwa ngumzimba lapho i-gluten isungiswa, eholele ekuphenduleni okuzenzakalelayo okungase kubhubhise amathumbu emathumbu noma ezinye izicubu emzimbeni.
- I-microscopy ye-fat fecal yokulinganisa : Lokhu kuhlola kulinganisa inani lamanoni akhona esitokisini; ngokusho kukaDkt Fine, amafutha amaningi esitokisini abonisa izinkinga ngokugaya amafutha nezinye izakhi, okusho amathumbu awonakele.
- I-Gene yokuhlola izakhi zofuzo ezixhunywe nesifo se-celiac nokuzwela kwe-gluten: Lokhu kuhlola kubheka ukuba khona kwesinye noma ngaphezulu kwezakhi zofuzo ezixhunywe nesifo se-celiac, ukuzwela kwe-gluten, nezinye izifo ezizimele.
I-EnteroLab iphinda inike izivivinyo ze-stool ukuze zibheke ukuzwela ku-oats, i-soy, i-casin, amaqanda ezinkukhu, nemvubelo, kanye nesilingo sokuhlola ukuthola isifo sofuba esingapheli noma esibi.
Umshwalense Wokuhlolwa
Amakhasimende akhokhela ukuhlolwa kwabo okukhethiwe phezulu-phambili. Iphaneli ephelele ye-gluten sensibility yesitoreji ibiza u-$ 279, ukuhlolwa kofuzo (okubandakanya i-swab yesigqoko, hhayi isampula esitokisini) kubiza u-$ 149, futhi ukuhlolwa kwesibalo esisodwa sokuzwela kwe-gluten kubiza u-$ 99. Amapaneli ahlukahlukene wokuhlolwa atholakalayo ukuhlola ezinye izinzwa zokudla.
Ukuze uhlele ukuhlolwa, uvakashela iwebhusayithi ye-EnteroLab bese ukhokhela ukuhlolwa kwakho okukhethiwe. I-EnteroLab iphinda ithumele itikithi yokuqoqa isitokisi ukuze ugcwalise futhi ubuyele ebhodini. Ukuhlaziya ngokuvamile kuthatha amasonto ambalwa.
Ngenxa yokuthi i-EnteroLab inikeza izinsizakalo zayo ngqo kumthengi, izinkampani eziningi zomshuwalense ngeke zibuyisele ukuhlolwa. Ngaphezu kwalokho, ngoba izindlela zokuhlolwa kukaDkt Fine azange zamukelwe ngabacwaningi abaningi besifo se-celiac (futhi engakashicileli imiphumela yocwaningo lwakhe emaphephandabeni ajwayelekile kwezokwelapha), odokotela abaningi banciphisa ukuhlolwa kwe-stool EnteroLab njengendlela yokuthola i-non-celiac ukuzwela kwe-gluten.
Ukuhlolwa kwe-EnteroLab nakho akukwazi ukuxilonga isifo se-celiac ; Ngenxa yalokho, ngokuvamile udinga ukuhlolwa kwegazi eliphansi ne- endoscopy ebonisa umonakalo emathunjini akho.
Ukunemba
Kuyiqiniso ukuthi abantu abaningi bathola imiphumela emihle ngokuhlolwa kwabo kwe-EnteroLab, okubonisa ukuzwela kwe-gluten. Kodwa-ke, labo bantu babengeke bafune ukuhlola uma bebengakaboni ukuthi banenkinga nge gluten, ngakho-ke kulindeleke ukuthi izinga eliphakeme lezitshalo lilindeleke. Futhi abantu abaningi benza umbiko wokuthola imiphumela emibi, futhi.
Bambalwa odokotela abamukela imiphumela emihle yokuhlolwa ka-EnteroLab njengobufakazi bento, futhi akekho udokotela engikwaziyo ozothola ukuhlolwa kwe-EnteroLab ukuxilonga isifo se-celiac (ukuze kube kuhle, uDkt Fine akafuni ukuxilonga isifo se-celiac - ukuzwela nje kwe-gluten).
Kodwa-ke, awudingi imvume kadokotela yokudla i-gluten-free. Abantu abaningi baphendukela ekuhlolweni kwe-EnteroLab ngemuva kokuba bathole ukuxubha odokotela phezu kwezibonakaliso zabo, noma bathola imiphumela emibi yokuhlolwa kwesifo se-celiac kodwa basathola izimpawu ekudleni gluten .
Nakuba kungakabi nanoma yisiphi ishidi eshicilelwe esiqinisekisa ukuthi ukuhlolwa kwe-EnteroLab kuqinisile, kungase kuhlinzeke isikhuthazo abanye abantu okudingeka bahambe bangahambanga kahle. Okwamanje, ucele othile ukuba azame ukudla okungenayo gluten futhi abone uma kusiza ukuthuthukisa izimpawu yindlela kuphela odokotela okufanele bahlolisise ukuzwela okungenayo i-celiac gluten.