Lezi zivivinyo zingase zinikeze izikhombisi mayelana nokuthi unesimo
Ucwaningo lwezokwelapha lwakamuva lubonisa ukwesekwa komqondo wokuthi ukungazweli okungenayo i -celiac gluten yisimo sangempela. Kodwa-ke, akuwona wonke odokotela abavumelana ngokukhona kwawo, futhi akukho ukuvumelana mayelana nendlela yokuhlola ukuzwela kwe-gluten.
Ngakho uma usola ukuthi ungase ube nokuzwela kwe-gluten, ukushiya kuphi? Ngempela unezinketho ezimbalwa ezingahle zikhanyise isimo sakho, kufaka phakathi okukhethwa kukho ukuhlola ongazitholela ngaphandle kokuthi udokotela wakho abandakanyeke.
Ayikho yalezi zikhetho ezizofakazela ngokuqinisekile ukuthi unomzwelo we-gluten - futhi ngeke uhlinzekele ukuxilongwa udokotela wakho uzowamukela. Kodwa-ke, lezi zivivinyo zokuzwela kwe-gluten zingakunikeza ubufakazi bokuthi umzimba wakho uqhubeka nokuphendula amasosha omzimba ku-gluten ... okungase kubonise ukuthi ukudla okungekho gluten kungasiza ukulawula izimpawu zakho ze- gluten zokuzwela .
Isixwayiso esisodwa: odokotela abaningi bancoma ukuthi uqale ukuhlolwa kwesifo se-celiac kuqala uma usola ukuthi usabela ku-gluten. Noma kunjalo, uma imiphumela yakho yokuhlola yesifo se-celiac ingalungile (noma uma unquma ukungayitholi ukuhlolwa okugcwele kwaleli ceacac), ungase uthole lezi zivivinyo zokuzwela kwe-gluten ukunikeza ulwazi oluwusizo.
Izivivinyo zegazi ezicishe zikhona ukuze zithole ukuzwela kweGluten
Ngaphambi kokwenza i-endoscopy ne-biopsy ukuxilonga isifo se-celiac, odokotela ngokuvamile basebenzisa iphaneli ye- celiac igazi ukuhlola ukuhlola ama-antibodies abonisa lesi simo.
Kunobunye ubufakazi bokuthi ezimbili zalezo zivivinyo - i-AGA-IgA kanye ne- AGG-IgG - ingabonisa ukuzwela okungenayo i-celiac gluten.
I-AGA imelela "ama-anti-gliadin antibodies," noma ama-antibodies umzimba wakho wenza ngokumelene ne-gliadin, ingxenye ye-molecule ye-gluten. I-IgA ne-IgG ziyizinhlobo ezahlukene ze-immunoglobulin, izifo ezithathelwanayo ezenziwe ngumzimba wakho ukulwa nezimbangi zangaphandle.
Uma i-AGA-IgA noma i-AGA-IgG ikhona egazini lakho, kusho ukuthi umzimba wakho wenza ama-antibodies ngokumelene ne-molecule ye-gluten - ngamanye amazwi, ubheka i-molecule njengosongo.
Amazinga e-AGA-IgG aphakanyisiwe atholakala ku-10% wabantu bonke futhi ngokuvamile abonakala kwezinye izifo ezizimele , njenge-type 1 yesifo sikashukela, isifo se- autoimmune, isifo sofuba sokuzibulala, nesifo sofuba.
Ucwaningo lwe-Gluten sensizwa olwanyatheliswa ngo-2011 yi-University of Maryland ye-Celiac Research lithole ukuthi cishe isigamu seziguli ezitholakalayo ezihlolwe i-gluten zivivinyelwe i-AGA-IgA noma i-AGA-IgG, okubonisa ukuthi amasosha omzimba ayesabela ku-gluten. Abanye odokotela, kuhlanganise nomcwaningi wezingane kanye no-gluten uzwela u- Dr. Rodney Ford eNew Zealand, futhi basebenzisa ukuhlolwa kwe-AGA-IgG ukuhlola ukuzwela kwe-gluten.
Kodwa-ke, uDkt. Alessio Fasano, oyinhloko yocwaningo leYunivesithi yaseMadrid, wangitshela engxoxweni ukuthi i-AGA-IgA kanye ne-AGA-IgG ukuhlolwa kwegazi kusebenza kuphela "njengama-surrogates." Iqiniso lokuthi cishe isigamu sezilwane zokuzwela kwe-gluten zivivinyelwe ama-antibodies e-AGA-IgA kanye ne-AGA-IgG enza ukuthi lezo zivivinyo ezimbili zingabi usizo kakhulu njengezivivinyo zokuzwela kwe-gluten, uthi.
I-EnteroLab inikeza ukuhlolwa okungaqinisekisiwe okwakungavinjelwe ku-Gluten Ukuzwela
Ezinye iziguli ezikholelwa ukuthi zisabela ku-gluten ziphendulela ukuhlolwa kokungenwa kwe- EnteroLab gluten .
I-EnteroLab, i-laboratory yezokwelapha esekelwe e-Dallas egxile ekuhlaziyweni "kwama-samples emathunjini" (okungukuthi, amasampula esitembu) sokukhathazeka kokudla, inikeza ukuhlolwa kokuhlola okuqondile kuya kubathengi ukuzwela kwe-gluten, futhi iziguli eziningi ziye zabika ukukhululeka kokuzwela kwe-gluten izimpawu emva kokuhlolwa okuhle futhi ngokususa i-gluten ekudleni kwazo.
Kodwa-ke, uhlelo lokuhlola lokungena kwe-EnteroLab, olwenziwe yi-gastroenterologist uDkt. Kenneth Fine, alukahlolwa ngaphandle nokuhlolwa, kanti uDkt Fine uye wagxeka kakhulu kwabanye odokotela nakubantu abasemphakathini we-celiac / gluten ngenxa yokuhluleka ukushicilela ucwaningo lwakhe nemiphumela.
Ngenxa yalokho, bambalwa odokotela bayokwamukela ukuhlolwa kwe-EnteroLab njengobufakazi bokuzwela kwe-gluten.
Ukuhlolwa kwe-stoola ka-Enterolab kubheka ama-antibodies ukuze abe ne-gluten ngqo emathanjeni akho emathumbu. UDkt. Fine wangitshela ukuthi lolu daba lubheka ama-antibodies lapho kwenzeka khona ukusabela - emathunjini akho - ngokungafani negazi lakho, lapho kungase kube khona ukugxila kancane. Uthe futhi kuyinto engafanele ukucabanga ukuthi i-gluten, ekholelwa ukuthi i-antigen enamandla, yedwa ingabangela isifo se-celiac , hhayi ezinye izimpawu ezingahambisani ne-atrophy ehlaselwa yi-celiac.
Yini Ongayenza Manje Ukuze Uvivinyelele Ukuzwela KweGluten?
Njengamanje, labo odokotela abathola ukuzwela kwe-gluten bangenza kanjalo ngokusekelwe emiphumeleni yokuhlolwa kwegazi le-AGA-IgA kanye ne-AGA-IgG, ukuhlolwa kwe-Enterolab, noma ukudla okungabandakanyi bese kuvuselela kabusha i-gluten.
Akukho okunye kwalokhu okukhethwa kukho okuqinisekisiwe ngucwaningo oluzimele. Kodwa-ke, ukuhlolwa kwe-gluten ukuzwela kusekusaneni layo okwamanje. Uma abacwaningi bezokwelapha befakazela ukwaneliseka kwabo ukuthi isimo sikhona, kungenzeka ukuthi okukhethwa kukho okungcono kunembile kuzokwakhiwa esikhathini esizayo.
> Imithombo:
> J. Biesiekierski et al. I-Gluten ibangela izibonakaliso zomzimba ezifundweni ngaphandle kwezifo ezibucayi: i-Double-blind Blinded Placebo-Controled Trial. I-American Journal ye-Gastroenterology. Ishicilelwe ku-intanethi ngo-Jan. 11, 2011. ini: 10.1038 / ajg.2010.487.
> A. Fasano et al. Ukuphazamiseka kokugwinya kwamagciwane kanye nomzimba wegciwane lomzimba we-immunosity mucosal ngezimo ezimbili ezihlobene nezilwanyana: isifo se-celiac ne-gluten ukuzwela. BMC Medicine 2011, 9:23. i-doi: 10.1186 / 1741-7015-9-23.
> Fasano A. et. al. I-spectect yezinkinga ezihlobene ne-gluten: ukuvumelanisa ngokuchazwa kwamagama okusha nokuhlukaniswa. BMC Medicine. BMC Medicine 2012, 10:13 ini: 10.1186 / 1741-7015-10-13. Kushicilelwe: 7 Februwari 2012
> E. Verdu. I-gluten ingaba negalelo ku-Irritable Bowel Syndrome? I-American Journal ye-Gastroenterology. Mashi 2011, iphe. 516-518.