Ingabe ingane yakho leliacac iyophinde ilahlekelwe phansi ngokuphakama ngemva kokuxilongwa?
Izingane eziningi ezinesifo se-celiac zifushane kunezintshisekelo zabo ezingekho-celiac - empeleni, okubizwa ngokuthi "isiqu esifushane" kungasikisela ukuthi ingane (ngisho neyodwa engekho nezinye izimpawu zesifo se-celiac) empeleni ihlupheka ngesimo.
Kodwa uma lo mntwana etholwe futhi eqala ukulandela ukudla okungenamsoco we- gluten , ingabe angabuyisa futhi noma konke lokho kukhula okulahlekile?
Ubufakazi obuvela ezifundweni zezokwelapha kanye nokuhlangenwe nakho kwangempela kwempilo yezingane ezingenamkhawulo kuphakamisa ukuthi impendulo ingu "yebo" ofanelekayo.
Izifo Zama-Celiac Ngokuvamile Zivamekile Ezaneni Ezinezifinyezo Ezincane
Njengoba izingane zikhula ngamazinga ahluke kakhulu, kuvamile ukubona ontanga abaneminyaka efanayo abanomunye obhekene nomunye. Ukuba nje mfushane kunokulingana okwanele ukufanelekela ingane ngesiqu esifushane - ingane ibhekwa ukuthi inesifushane esifushane uma ifushane kunamaphesenti angama-95 kuya kwangu-97% ontanga yakhe.
Ngisho noma kunjalo, lesi sifo esifushane angeke sibe imbangela yokukhathazeka uma ingane yakho ikhula ngesivinini esifanayo futhi ibonakala ihambela ukuphakama okujwayelekile (nakuba kufushane) evamile. Yilapho izingane "ziwela amashadi okukhula," noma ngokuzumayo ziyashesha noma zimise ukukhula kwazo, ukuze udinga ukuphenya isizathu senkinga nodokotela wezingane zakho.
Ucwaningo oluningi luye lwaphenya ukuthi bangaki abantwana abanesiqu esifushane ababhekana nesifo se-celiac.
Bathole amazinga we-celiac kusuka ku-3% kuya ku-8% ezinganeni ezinezici ezingafani ezingachaziwe. (Njengengxenye yokubhekisela, isifo se-celiac senziwa cishe ngo-1% wabantu bonke.)
Abaningi bezingane ababhekene nezifo zalezi zifundo babengenayo izimpawu ezicacile zesifo se-celiac ezivamile ezinganeni .
Eqinisweni, abanye abalobi abacwaninga baxwayisa ukuthi odokotela abakwazi ukusebenzisa izimpawu zamathumbu njengendlela yokukhomba ngoba izingane eziningi kulezi zifundo zazingekho.
Ukukhula Uma izingane ze-Celiac Ziya ku-Gluten-Free
Abazali abaningi kanye nezingane ezifanayo nethemba lokukhula okunye lapho ingane iqala ukudla ukudla okungenayo i-gluten, futhi imibiko ye-anecdotal ikhombisa lokhu kwenzeka kaningi. Eqinisweni, omunye umfana omncane osemncane engimazi ngiyakhuphuka ngokushesha lapho ehamba engenamahloni, futhi manje uphakamisa iningi labangane bakhe.
Izifundo ezimbalwa ezenziwe ngale ndaba zivame ukusekela umqondo wokukhula okubanjwe, nakuba abacwaningi bathole ukuthi ukukhula akuhlali njalo kubambe ngokuphelele.
Ucwaningo olwenziwe, olwenziwe eNdiya, lwathola ukuthi izifundo ezingu-60% zezifundo zibhekene nokungondleki ngenxa yesifo esingenazo izifo ze-celiac . Ngaphezu kwalokho, ezingaphezu kwezingxenye ezintathu kwezingane zazingaphansi kuka-97.5% zabangane babo.
Ngesikhathi sokulandelela okwaba ngaphezu kweminyaka emithathu nengxenye, u-84% wezingane zatholwa kuleso sifo sokudla okunomsoco, futhi abaningi baqala ukukhula ngokushesha - izingane zathola isilinganiso sobubanzi obuyi-5,5 amasentimitha ukuphakama unyaka wokuqala. Kodwa-ke, ukukhula kwabo kwabe sekuphele iminyaka engama-2.2 amasentimitha eminyakeni eyalandela.
Olunye isifundo, lona eSerbia, uthole imiphumela efanayo. Abacwaningi babheka izingane ezingu-90 ezineminyaka engu-6 kuya eminyakeni eyisikhombisa "ngesifo se-classic celiac," futhi zathola ukuthi izingane zikhula ngokushesha kunabo ontanga phakathi nonyaka wokuqala kuya eminyakeni emithathu ekudleni okungenalutho kwe-gluten.
Ukukhula Okubambisana Kungenzeka Kungabanjwa Ngokuphelele
Lezi zifundo zibonisa ukuthi kukhona ithemba lomntwana omncane kakhulu, ngaphambi kokuqala kwentsha noma ngisho nentsha esemusha esanda kutholakala enezifo eziqhamukayo futhi ufuna ukude. Kodwa-ke, olunye ucwaningo lubonisa ukuthi ukukhula okubanjwe kungase kungabi nemiphumela ephelele.
Kulolu cwaningo, abacwaningi baseNdiya babuke abantu abangu-50 "abatholwa isikhathi esiphuthumayo" izingane ezineminyaka engu-2 kuya kweyishumi ubudala ngesikhathi sokuxilongwa.
Bathole ukuthi ukulandela ukudla kokudla okubangelwa i-gluten kwaholela ekunyuseni okuphawulekayo kwesilinganiso esisodwa sokuthi "ubude beminyaka yobudala" kubantwana abangaphezu kweminyaka engu-4 yokulandelela.
"Kodwa-ke, ukuphakama okungekho emthethweni kwakungaphelelanga, ngokumangalisa ngamashumi ayisithupha nesithupha (55.4%) wezingane ezingama-29 ngemuva kweminyaka emithathu nesikhombisa (46.6%) yabantwana abangu-15 emva kweminyaka emine ekudleni okungenalutho," bathi, "Imiphumela yethu isho ukuthi, ezinganeni ezinezifo ze-celiac eziphethwe yisikhathi, ukwelashwa nokudla okungenalutho kwe-gluten kuholela ekutheni kube nokujwayelekile komzimba kanye nokubuyiselwa okuphawulekayo kodwa okungaphelele ekufundeni [iminyaka yokuphakama-yobudala] phakathi neminyaka emine Landelela."
Lokho Kusho Ukuthini Ngengane Yakho?
Imiphumela yalezi zifundo kubonisa ukuthi kunengqondo ukulindela ukukhula okubambisanayo, ikakhulukazi ngonyaka wokuqala noma amabili ngokulandela isifo se-celiac yesifo somntanakho .
Akucaci kusuka ocwaningweni ukuthi kubalulekile uma ingane yakho ilandela ukudla ngokuqinile; Ezinye izifundo zithi kumele zenze kanjalo ukuze zithole ukuphakama, kanti ezinye zibonisa ukuthi izingane zikhula kungakhathaliseki ukuthi zikhohlisa ekudleni, uma nje zingabuyeli ngokuphelele ekudleni okugcwele-gluten. (Yiqiniso, kunezinye izizathu eziningi zokungakhohlisi ekudleni okungenalo i-gluten.)
Kukhona futhi okungenzeka kube nezinye izizathu ezihlobene ne-non-celiac uma ingane yakho iqhubeka igugile ngemva kokuphakama ngisho nangemva kokuhamba okungenayo i-gluten. Ingane yakho ingase ibe ne-hormone yokukhula engekho noma enye inkinga ye-hormonal, noma kungenzeka ukuthi ihloselwe ukuba ibe mfushane njengomdala. Uma unenkinga ngokukhula kwengane yakho, kufanele uxoxe nabo nodokotela wezingane.
Imithombo:
Cacciari E. et al. Isiqu esifushane nesifo se-celiac: ubuhlobo bokucabangela ngisho nasezigulini ezingenayo izimpawu zamathambo. I-Journal of Pediatrics. 1983 Nov; 103 (5): 708-11.
Dehghani S. et al. Isifo se-Celiac ezinganeni ezinesiqu esifushane. I-Indian Journal of Pediatrics. 2008 Feb; 75 (2): 131-3.
Patwari A. et al. Ukukhula kwe-catch-up kubantwana abanesifo se-celiac esiphundukile. I-British Journal Yokudla. 2005 Sep; 94 (3): 437-42.
U-Queiroz M. et al. Ukukhula kwesifo se-celiac ezinganeni zaseBrazil zesikhashana esifushane. I-Brazilian Journal of Medical and Biological Research. 2004 Jan; 37 (1): 55-60. I-Epub 2003 Dec 18.
Radlović N. et al. Imiphumela yokudla okungenayo i-gluten ekukhuleni nasezingeni lomsoco wezingane ezinesifo se-celiac. Srp Arh Celok Lek. 2009 Nov-Dec; 137 (11-12): 632-7.
Yachha S. et al. Imiphumela yokudla okungenayo i-gluten ekukhuleni nase-hertology encane emathunjini kubantwana abanesifo se-celiac eNdiya. I-Journal ye-Gastroenterology ne-Hepatology. 2007 Aug; 22 (8): 1300-5. Epub 2007 Jun 12.