Ukulimala kungathatha isikhashana ukulungisa, kodwa uzozizwa ungcono kakhulu ngokushesha
Ngeshwa, amathumbu amancane amaningi abantu abadala abangeke aphuluke ngokugcwele emonakalweni ophethwe yisifo se-celiac ( izingane ezinesifo se-celiac ngokuvamile zivuselela ngokugcwele). Kodwa izindaba ezinhle ukuthi mhlawumbe uzozizwa unempilo enhle njengoba umathumbu wakho omncane ephulukisa.
Uma unesifo se-celiac , iprotheni ye- gluten etholakala okusanhlamvu, ibhali kanye ne-rye yenza ukuba amasosha omzimba wakho ahlasele ibhande lomathumbu wakho omncane.
Lokhu kubangela lokho okubizwa ngokuthi i-atrophy evuthayo , lapho okuncane okwenziwe ngomunwe, okwenziwe ngomunwe kuphazamiseka ngokoqobo ngenxa yalokhu kuhlaselwa, okushiye ungakwazi ukugaya kahle ukudla.
Uma usuhlolwe ukuthi unesifo se-celiac futhi uqala ukudla okungekho gluten , ngokuvamile i-villi yakho iqala ukuphulukisa. Kodwa izifundo eziningana zibonise ukuthi umathumbu wakho omncane angeke uphulukise ngokuphelele, ngisho noma ulandela ukudla ngokucophelela futhi awukhohlisi.
Ukufunda: Amabili-Ayisithathu Aphinde Atholakale Eminyakeni Engu-5
Ucwaningo olulodwa oluqhutshwa eMayo Clinic eMinnesota futhi lanyatheliswa ngonyaka ka-2010, lubuyekezwe amarekhodi e-intestinal amathumbu abantu abangu-241 abaye bathola ukuthi banesifo se-celiac, futhi obani abaphethe i-biopsy yokulandela.
Abangaphezu kuka-4 kwabahlanu kulabo baqhelile abazwa ngokuthi "impendulo yemitholampilo" ekudleni-ngamanye amazwi, izimpawu zabo zesifo se-celiac zenze ngcono noma zanyamalala ngokuphelele. Kodwa ngemva kweminyaka emibili, ama-biopsies abo abonisa ukuthi cishe ingxenye eyodwa kwezintathu yayinezinambuzane zamathumbu ezitholile.
Ngemuva kweminyaka emihlanu, cishe izingxenye ezimbili kwezintathu zithole ngokugcwele imithi yamathumbu emathunjini.
Abantu abakhohlisayo ekudleni babengase babe nokulimala okuqhubekayo, kodwa nabantu ababengakhohlisi kepha abanesifo sohudo esibucayi nesisindo sokulahlekelwa kanye / noma inani eliphelele le-atrophy (ngamanye amazwi, izimpawu ezibi kakhulu kunezibalo kanye / noma umonakalo) uma kutholakala ukuxilongwa.
Ngokuthakazelisayo, abantu abane kulolu cwaningo abangazange balandele ukudla okungenalutho lwe-gluten ngokucophelela nhlobo bebathole ngokugcwele ukuthola i-villi. (Ungazami lokhu ekhaya: abacwaningi baxwayisa ukuthi basengcupheni yokulimala okuvuselelwe kanye nezinkinga zesifo se-celiac ngokuhamba kwesikhathi.)
Ucwaningo lwase-Australia, lapho izindinganiso ze-gluten-free-labeling labeling zizinzima kakhulu kunase-United States, zathola ukuthi i-celiacs 'emathunjini emathunjini ahlose ukuthuthukisa izinyanga eziyisithupha kuya kwezingu-12 emva kokuqala kokudla okungenayo i-gluten, kodwa ibekwe endaweni izinga eliphansi ngaphansi kwelabantu abangenayo isifo se-celiac.
Okwenza Abantu Bangabuyali Ngokugcwele
Abacwaningi be-Mayo Clinic bacacise ukuthi ukungcola okuqhubekayo okuphansi okuphezulu kwe-gluten noma ukusetshenziswa okungavumelekile kwe-gluten efihliwe kungabangela ukuthi kungani abantu bengathandi ukubuyisela ngokugcwele. Ezinye izici zingase zihlanganise izakhi zofuzo, ubudala nobude bokudonswa kwe-gluten ngaphambi kokuxilongwa.
Kukhona nobufakazi bokuthi abantu abadala kwamanye amazwe basuke bephumula ngokushesha nangokwengeziwe kunabo abase-US, okwenza abacwaningi baseMayo Clinic bakhohlise ukuthi "indlela yokuphila yaseMelika," ngokudla njalo njalo nokufinyelela okulula kokudla okusheshayo (kanye ne-gluten elandelayo ukuchayeka), kwenza kube nzima abantu abadala base-US ukuba badle ukudla okuhlanzekile okwanele ukuze babuyiselwe ngokuphelele.
Ingabe konke lokhu kuyindaba? Kungenzeka: izinga lapho amathumbu akho amancane abuyela khona angathinta noma ngabe ufa ekuqaleni noma cha. Abacwaningi bathole ubufakazi bokuthi i-celiacs ene-intestinal villi ayiphilisi ngokuphelele. Kodwa ezinye izifundo azizange zibonise isixhumanisi esinjalo.
Yiqiniso, kubantu abambalwa, ngisho nokudla okunamandla okungenalutho kwe-gluten kwehluleka ukuphulukisa i-villi nhlobo. Kulezi zimo ezingavamile, odokotela bayothola isifo se-celiac esicacisayo futhi bathathe izinyathelo ezihlukile, kuhlanganise nemithi, ngomzamo wokuzolalisa ukusabela okuzenzakalelayo nokuphatha isifo se-celiac esicabangelayo .
Okubalulekile
Uma ungaqapheli ngendlela okufanele uyenze-ikakhulukazi uma udla ezindaweni zokudlela noma emakhaya eminye abantu - cishe uzolibazisa ukuphulukiswa komathumbu wakho omncane.
Kungenxa yokuthi ngisho ne-gluten encane ingathinta ukuphulukiswa kwakho. Futhi kungenzeka ukuthi awuqapheli ukuthi usudlile ingxenye encane ye-gluten. Ukuhlolwa kwegazi le-Celiac akukwazi ukukhombisa ukuthi udla amanani amancane we-gluten, futhi uma ungatholi izimpawu ezinkulu, ngeke kube khona indlela yokutshela.
Ngakho-ke, ukuhlala ngaphandle kwe-gluten-free kuyindlela engcono kakhulu yokunikeza amathumbu akho amathumbu ithuba elihle lokuphulukisa. Lokhu kusho ukungathathi amathuba. Yebo, lokhu kungaba yinto engathandeki futhi engathandeki ngezinye izikhathi, kodwa kungaba yinto enhle kakhulu ongayenza emzimbeni wakho.
Imithombo
Cummins AG et al. Ukuhlolwa kwe-morphometric ye-biopsies ye-duodenal kwisifo se-celiac. I-American Journal ye-Gastroenterology. 2011 Jan; 106 (1): 145-50. doi: 10.1038 / ajg.2010.313. Epub 2010 Aug 24.
I-Lebwohl B. et al. Ukuphulukisa nokufa kwabantu ngesifo esibucayi. I-Pharmaceutical Pharmacy & Therapeutics. 2013 Feb; 37 (3): 332-9. i-doi: 10.1111 / apt.12164. Epub 2012 Nov 28.
Rubio-Sapio A. et al. Ukuphumula nokufa kwe-mucosal kubantu abadala abanezifo ezingenamkhawulo ngemva kokulashwa nge-gluten-free diet. I-American Journal ye-Gastroenterology. 2010 Jun; 105 (6): 1412-20. doi: 10.1038 / ajg.2010.10. Epub 2010 Feb 9.
Wahab PJ et al. Ukulandelwa kwe-Histologic yabantu abanesifo se-celiac ekudleni okungenayo i-gluten: ukutakula okuncane futhi okuphelele. I-American Journal of Clinical Pathology. 2002 Sep; 118 (3): 459-63.