Ukuhlolwa kwezifo zeCeliac
Ungaba nezizathu ezihlukile (noma ngaphezulu) ukuphishekela ukuhlolwa kwesifo se-celiac. Mhlawumbe uhlushwa izimpawu zesifo se-celiac , ezingasuka kuhudo kanye nesisindo sokulahlekelwa kwezinkinga zezinzwa nokuzuza kwesisindo.
Ungaba nelunga lomndeni osondelene naye otholwe ukuthi unesifo se-celiac futhi ufunde ukuthi imihlahlandlela yezokwelapha iphakamisa ukuhlolwa kwezifo ze-celiac izihlobo , ngoba isimo sihamba emindenini.
Noma, ungase uhlupheke ngesimo esisodwa noma ngaphezulu, ezifana nezinkinga ze-thyroid noma uhlobo lwesifo sikashukela sohlobo 1 . Ucwaningo lubonise ukuthi isifo se-celiac sivame kakhulu kubantu abanezimo.
Kungakhathaliseki ukuthi izizathu zakho zokufuna ukucubungula isifo se-celiac sifo, ukuhlolwa kwesifo se-celiac kuyinkqubo enhle kakhulu. Ezimweni eziningi, uzoqala ukuhlolwa kwegazi, bese ekugcineni, uzobe nenqubo eyaziwa ngokuthi i-endoscopy, lapho odokotela babheka ngqo emathunjini akho amancane.
-
Unayo i-Ibs noma ingabe uhlobo oluthile lwe-issue ne Gluten?
-
I-Score System isetshenziselwe ukuxilonga izifo ze-Celiac
Qaphela: Kumelwe udla i-gluten yokuhlolwa kwesifo se-celiac ukuze ulungile. Uma uhlolwe isifo se-celiac, ungahambi mahhala kuze kube yilapho konke ukuhlolwa kwakho kuqediwe.
Esimweni esihle kunazo zonke, uzoba nempendulo yakho ezinsukwini ezimbalwa noma ngesonto, kodwa inqubo yokuxilonga ingathatha isikhathi eside kwezinye izindawo, ikakhulukazi lapho izigameko ze-gastroenterologists (ochwepheshe ohlelweni lokugaya ukudla) zincane. Nakhu okumele ukwenze kuzo zonke izigaba zenqubo.
Izivivinyo zeCeliac Izivivinyo
Isifo se-Celiac yisimiso esithinta ukuphendula komzimba wakho kumaprotheni gluten , okutholakala ezinhlameni ezivuthiwe ukolweni, ibhali kanye ne-rye.
Izivivinyo zesifo se-celiac bheka lokhu kuphendula ku-gluten.
Kubantu abanesifo se-celiac, ukudla ukudla okuqukethe i-gluten (okwenzeka cishe zonke izidlo ekudleni okujwayelekile) kubangele lokho okubizwa ngokuthi ukuphendula ngokuzenzakalela , lapho isifo somzimba wakho-ukulwa namasosha omhlophe wegazi ukuhlasela ngokungafanele ezinye zezicubu zakho.
Izifo ezehlukene ezizimele zenza izinhlobo ezahlukene zomonakalo emzimbeni. Endabeni yesifo se-celiac, amangqamuzana egazi amhlophe ahlasela umbhede wesisu sakho esincane, okwenza lokho kwaziwa ngokuthi i-atrophy eyingozi . Ekugcineni, lokhu kungabhubhisa uhlaka lwamathumbu akho, okusho ukuthi awukwazi ukuthatha izakhi ezisuka ekudleni kwakho.
Ngenxa yokuthi izivivinyo zesifo se-celiac zibheke ngokuqondile izibonakaliso zalomonakalo omncane wamathumbu, kumelwe udla i-gluten ukuze kuvivinywe ukuthi kulungile . Uma ungadli ukudla okuqukethe i-gluten-noma ungadli okwanele-kungenzeka ukuthi ukuhlolwa kungabi nengozi, ngisho noma unesifo se-celiac ngempela. Ngakho-ke, kufanele uqhubeke nokudla ukudla okuvamile, nokudla okune-gluten izikhathi eziningana ngosuku, kuze kube yilapho konke ukuhlolwa kwakho kuqediwe.
Yiqiniso, abanye abantu bahamba ngaphandle kwegulen ngaphambi kokuba banqume ukuhlolelwa isifo se-celiac. Uma usuvele uqale ukulandela ukudla okungenayo i-gluten , ungase uthande ukucabangela lokho okubizwa ngokuthi " inselelo ye-gluten ," lapho udla inani elibekiwe le gluten isikhathi esithile, bese uhlola isifo se-celiac. Leli qhinga lifaka izingozi, noma kunjalo, futhi lingase lingabi nemiphumela oyifunayo, ngakho-ke khuluma nodokotela wakho mayelana nezingozi nezinzuzo ezikhona.
Isinyathelo sokuqala ekuhlolweni kwezifo zeCeliac: Ukuhlolwa kwegazi
Ezimweni eziningi, ukuhlolwa kwegazi le-celiac (okungaqondiswa udokotela wakho oyinhloko) kuyoba yisinyathelo sokuqala sokuthola ukuxilongwa. Kunezivivinyo ezinhlanu zegazi ezisetshenziselwa ukuthola isifo se-celiac, nakuba odokotela abaningi bazocela kuphela ukuhlolwa okulodwa noma ezimbili.
Uma umzimba wakho uphendukela ngokuzenzakalelayo ku-gluten, enye noma ngaphezulu yalezi zivivinyo zegazi cishe izovela enhle, ekhombisa isidingo sokuhlola okuqhubekayo ukuze ubone ukuthi ngempela unesifo se-celiac.
Kodwa-ke, kungenzeka ukuthi ube nemiphumela emibi yokuhlolwa kwegazi futhi usenayo isifo se-celiac.
Abanye abantu baneenkinga eyaziwa ngokuthi i- IgA yokuntuleka okungabangela imiphumela engalungile emayelana nokuhlolwa kwegazi le-celiac. Uma unalo lokhu (kukhona esinye isilingo segazi esizoyibheka), uzodinga ukuhlolwa okuhlukile kwesikrini sesifo se-celiac.
Kwezinye izimo ezimbalwa, imiphumela yokuhlolwa kwegazi akumane ibonakalise inani lomonakalo emathunjini okwamanje. Lokhu kwaziwa nangokuthi "umphumela wokuhlola wamanga".
Ngakho-ke, uma ukuhlolwa kwegazi kwakho kungalungile, kodwa izimpawu zakho nomlando wezokwelapha emndenini usabonisa ukuthi kungenzeka ukuthi isifo se-celiac sinamandla, kufanele ukhulume nodokotela wakho mayelana nokuhlolwa okuqhubekayo.
Isinyathelo Esilandelayo: I-Endoscopy ne-Intestinal Biopsy
> Ngeso lengqondo umonakalo wokugaya okungenzeka nge-celiac isifo.
Uma ukuhlolwa kwegazi le-celiac yegazi kubuyela emuva-noma uma kungenjalo, kodwa wena nodokotela wakho nivumelana ngesidingo sokuhlola okunye-isinyathelo sakho esilandelayo yinqubo eyaziwa ngokuthi i-endoscopy . Lokhu kuvame ukwenziwa yi-gastroenterologist, enye yezinhlobo eziningi zoodokotela abaphatha isifo se-celiac .
-
Ngisho nabantu asebekhulile bangathola izifo ze-Celiac
-
Yiliphi Igazi Elivivinya Ngayo Ukudinga I-Celiac Disease?
Ku-endoscopy, insimbi enekhamera encane ifakwe phansi emqaleni wakho ukuze udokotela wakho angabheka ngqo emgodini wesithombeni sakho esincane ukuze abone ukuthi ngabe i-atrophy enamandla ikhona yini. Kwezinye izimo (kodwa hhayi konke), umonakalo ovela esibhedlela se-celiac ungabonakala ngokushesha ngale nqubo.
Kodwa-ke, ukuqinisekisa ukutholakala, udokotela ohlinzayo uzosebenzisa le nsimbi ukuthatha amasampuli amancane emathumbu akho. Ngenxa yokuthi umonakalo ovela esibhedlela se-celiac ungaba yinkimbinkimbi, udokotela ohlinzayo kufanele athathe amasampuli amane kuya kwesithupha okungenani. Lezi zampula zizohlolwa ngaphansi kwe-microscope ngumhlengikazi (udokotela ohlola izifo ngokuhlola izicubu zomzimba ngokuqondile) ukuthola ukuthi amathumbu akho awonakele yini. Uma ngabe i-pathologist ibona umonakalo, uzothola ukuthi unesifo se-celiac.
Isiqephu sokugcina esiyi-puzzle siyindlela yakho yokusabela ekudleni okungenalutho-uma izimpawu zakho ziqala ukuthuthukisa uma uhamba ungenayo igundane, usanda kuqinisekisa ukuhlolwa kwakho.
Ezinye izikhungo zezokwelapha nazo zisebenzisa i- capsule endoscopy , lapho ugwinya khona iphilisi enekhamera encane ukuze uhlolwe isifo se-celiac. Lokhu kunenzuzo yokubona izingxenye zezinambuzane zakho ezincane ezingenakufinyelelwa yizinsimbi ezivamile zokugcina i-endoscopy. Kodwa-ke, i-capsule endoscopy ayivumeli udokotela ohlinzayo ukuthi athathe amasampula emathunjini akho, futhi kungenzeka ukuthi awunembile ekuboneni umonakalo njenge-endoscopy yendabuko.
Njengoba nje kungenzeka ukuthi ube nokuhlolwa kwegazi okungalungile kepha i-biopsy ebonisa ukuthi unesifo se-celiac, Kungenzeka futhi ukuba nokuhlolwa kwegazi okuhle kodwa ukuhlaziywa okungalungile. Lokhu kwaziwa ngokuthi " isifo se-celiac esivele " noma ngezinye izikhathi ngokuthi "isifo esingaba khona se-celiac." Uma ungena kuleso sigaba, kungenzeka ukuthi udokotela wakho uzotusa ukuphindaphindiwe kwe-endoscopies, ngoba abantu abaningi abanesifo se-celiac esivele ekugcineni bahlakulela ukulimala kwamathumbu emathunjini. Ungakwazi futhi ukuxoxisana ukuthi kungenzeka ukulandela ukudla kokudla okungenayo i-gluten njengesivivinyo, ukubona ukuthi iziphi izimpawu ezicacile.
I-Dermatitis Herpetiformis Ukuhlonza kusho i-Celiac, Too
Kunendlela eyodwa ongathola ngayo ukuxilongwa kwesifo se-celiac ngaphandle kokuthola i-endoscopy ne-intestinal biopsy.
Uma unesifo esibuhlungu, ukuphuza isikhumba esibuhlungu esibizwa ngokuthi i- dermatitis herpetiformis , kanye nokuhlolwa kwegazi okuyi-positive, kutholakala ukuthi unesifo se-celiac futhi akukho ukuhlolwa okudingekayo okudingekayo. Kungenxa yokuthi ucwaningo luye lwabonisa ukuthi cishe wonke umuntu onesifo se-dermatitis herpetiformis-esinjengesifo se-celiac esibangelwa ukusabela okuzenzakalelayo ku-gluten-futhi unomonakalo wamathumbu kusukela ekungeneni kwe-gluten.
Kodwa-ke, ukuthola i-dermatitis herpetiformis i-standard-level diagnosis yegolide, uzodinga ukuba ube ne- biopsy yesikhumba . Le biopsy ibukeka i-deposit anti-gluten antibodies ngaphansi kwesikhumba sakho.
Ukuhlolwa Kwezifo Zama-Celiac Genetic Testing Futhi Kudlala Indima
Kwezinye izimo, udokotela wakho angase ancoma ukuhlolwa kofuzo ngesifo se-celiac . Isifo se-Celiac sihlotshaniswa nezakhi zofuzo ezimbili, ezidluliselwa emindenini.
Izivivinyo ze-Genetic azikwazi ukukutshela ukuthi ngempela unesifo se-celiac-ngalokho, uzodinga ukuhlolwa kwegazi kanye ne-endoscopy echazwe ngenhla. Kodwa ukuvivinya kwezakhi zofuzo kungakutshela ukuthi unayo yini izakhi zofuzo owadinga kakhulu ukuthuthukisa isifo se-celiac.
Uma ungenayo eyodwa yalezi zakhi zofuzo ezimbili ezinkulu, izinkinga zakho ezinezifo ze-celiac zincane kakhulu, nakuba ezinye izimo ze-celiac ziye zabhalwa kubantu abangathwali igciwane.
Ukuhlolwa kofuzo lwe-celiac yilona luhlolo olulodwa ongayithola kungakhathaliseki ukuthi uyadla yini i-gluten noma cha-ukuhlolwa kubheka isimo esiyizo zofuzo kuleso simo, hhayi ngama-antibodies okubonisa ukuthi isifo esibucayi sesifo se-celiac. Ngakho-ke, kungakunika ulwazi oluthe xaxa uma usuvele ungekho-gluten ngenxa yokuphendula okungalungile kokudla okuqukethe i-gluten, kodwa manje ufuna ukwazi ukuthi ungabe unesifo se-celiac noma cha.
Uma unesifo esihle se-genetic ngesifo se-celiac , akusho ukuthi unesifo se-celiac-amaphesenti angama-40 abantu abathwala enye yalezi zakhi zofuzo, futhi iningi labo alisayikuthuthukisa i-celiac. Nokho, kusho ukuthi kungenzeka ukuthuthukisa isimo. Kuzodingeka uxoxe nodokotela wakho izinyathelo ezilandelayo uma isifo sakho se-celiac isifo esihle, ikakhulukazi uma unomlando womndeni wesifo se-celiac.
Ukutholakala kwezifo zeCeliac kusho ukudla okunama-Gluten-Free
Imiphumela yokuhlolwa emihle yesifo se-celiac ku-endoscopy yakho ne-biopsy kusho ukuthi unesimo esifanele, futhi kufanele ulandele ukudla okungekho gluten kokuphila. Nakuba lokhu kungase kubonakale kunzima kakhulu, ekugcineni ungathola impilo yakho ithuthukisa ngendlela ephawulekayo nokuthi ungacabangi ngempela ukudla i-gluten. Ngempela, kunezinhlobo eziningi zokudla ongadla uma ungenalo gluten.
Ukuhlolwa okubi, okwamanje, akusho ukuthi awunayo inkinga nge gluten. Ungakwazi ukuhlola okungalungile ekuhlolweni kwegazi le-biliki ne-biopsy futhi usabhekana nezinkinga ezihlobene nokungenisa kwe-gluten.
Abanye abantu abahlolwayo abangenayo isifo se-celiac noma kunjalo banamabonakaliso afakazela ekudleni okungenalutho kwe-gluten. Kwezinye izimo, abantu batholakala ukuthi banokuzwela okungenalo i-celiac gluten (ngezinye izikhathi futhi kuthiwa i-gluten ukungabekezelelani noma i- gluten yokungezwani komzimba ), isimo esanda kuqashelwa futhi njengamanje esingaqondakali kahle. Awukho ukuhlolwa okuvame ukuvunyelwa ngokuvamile ukuthola ukuthi unomzwelo yini-gluten -indlela kuphela yokwazi ukuyeka i-gluten bese ubona uma izimpawu zakho zicacile.
Okokugcina, uma uhlola okungenayo isifo se-celiac, lokho akusho ukuthi nakanjani ngeke uthuthuke esikhathini esizayo. Izifundo zezihlobo eziseduze zeziguli zesifo se-celiac (ezizingozi kakhulu zokuthuthukisa isimo) zibonisa ukuthi ukuhlolwa okuphindaphindiwe phakathi neminyaka kungadingeka ukubamba zonke izimo.
Ngakho-ke, uma unezifo ezingezifo ze-celiac- "ama-celiac", izitho zomndeni oseduze nesimo, ezinye izifo ezizimele, noma izimpawu ezimbi nje-ungase uthande ukucabangela ukuhlela isimiso sokuhlola njalo nodokotela wakho. Uma ubamba isifo se-celiac ekuqaleni, unganciphisa umonakalo emzimbeni wakho futhi ungase uvikele izixazululo, njenge- osteoporosis kanye nokungondleki .
Imithombo:
I-National Digestive Diseases Information Clearinghouse. Izifo zeCeliac. Ifinyelele ngo-Jan. 16, 2016.
Isikhungo se-University of Chicago Celiac Disease. Izivivinyo ze-Antibody Blood . Ifinyelele ngo-Jan. 16, 2016.
Isikhungo se-University of Chicago Celiac Disease. Ukuhlolwa kwe-Genetic . Ifinyelele ngo-Jan. 16, 2016.