Abesifazane abanesimo esisodwa banamathuba amaningi okuba nomunye
Ekuboneni kokuqala, isifo se-celiac- esenzeka lapho ukusetshenziswa kwamaprotheni gluten kubangela ukulimala emathunjini-kubonakala kungenalo okufana nendawo yokudla i-anorexia nervosa. Ngaphandle kwalokho, bobabili bahilela ukudla, kodwa leliac yisimo esizimele , futhi i-anorexia ibhekwa njengesiyaluyalu ngokomzwelo.
Kodwa-ke, abacwaningi bathole lokho abakushoyo kubonakala sengathi banokuxhumana phakathi kwezimo ezimbili.
Ngokuqondile, abesifazane abaye babhekwa ukuthi banesifo se-celiac cishe banokuthola ukuthi banesifo se-anorexia, futhi ngokuphambene, abesifazane abaye babhekwa ukuthi bane-anorexia cishe bayatholakala ukuthi bane-celiac.
Akucaci ukuthi kungani lokhu kwenzeka-izici eziningana, kufaka phakathi izakhi zofuzo, zingadlala indima. Kodwa ucwaningo lubonisa isidingo sokuqwashisa okukhulunywe ngakho kokuxhumana okukhona, kanye nezinkinga ezibhekene nomuntu onemibandela yomabili.
I-Celiac ne-Anorexia: Yiziphi izixhumanisi?
Isifo se-Celiac yisimo esizimele esithintekayo uma udla ukudla noma isiphuzo esinezilimo ze-gluten (ukolweni, ibhali, noma rye). Amasosha omzimba wakho aphendukela kuphrotheni ye-gluten ngokuhlasela isilwane samathumbu akho amancane , okungaholela ekuboniseni izimpawu ezihlukahlukene kanye nokuntuleka kokudla okunomsoco . Akucaci ukuthi yini ebangela isifo se-celiac - izakhi zofuzo zidlala indima eqinile , kodwa abacwaningi bazama nokukhomba ukuthi kungabangela ukuthi yini.
Phakathi naleso sikhathi, akucaci ukuthi yini ngempela ebangela i-anorexia nervosa. Ukukhathazeka kokudla kubonakala sengathi kugijima emindenini, okuphakamisa ukuthi kukhona izixhumanisi zofuzo, kepha izimo zemvelo nezomzwelo nazo zingadlala indima eqinile.
Izifo ze-Celiac kanye ne-anorexia nervosa azizona izimo ezingavamile-i-celiac ithinta kancane kancane kunamaphesenti angu-1 wabantu base-US, kuyilapho i-anorexia ingathinta amaphesenti angu-1 wabesifazane ngaphezu kwesikhathi sabo sokuphila.
Zombili izimo zivame kakhulu kubantu besifazane kunamadoda.
Kule minyaka edlule, odokotela baye baphawula amacala amaningana kulezi zimo ezimbili ezenzeka ndawonye kumuntu ofanayo, okwenza abacwaningi babheke eduze kakhulu nezixhumanisi ezikhona. Ngaphezu kwalokho, abacwaningi babheka izakhi ze-celiac, uhlobo lwesifo sikashukela (uhlobo oluthile lwesifo sikashukela), futhi i-anorexia nervosa ithola izici zofuzo ezabelwana phakathi kwalaba abathathu, okuphakamisa ukuthi lolu cwaningo luthi "izindlela ezivamile zamangqamuzana" kulawo mibandela.
Izingozi Eziphakeme Kokubili Ne-Anorexia
Ucwaningo oluvela eSweden olushicilelwe encwadini yezokwelapha I- Pediatrics ehlolisisa lezi zixhumanisi yabheka abesifazane abangaba ngu-18 000 abaye bathola ukuthi banesifo se-celiac, baqhathanisa nabesifazane abangaba ngu-90 000 ngaphandle kwesimo.
Abacwaningi bathola ukuthi abesifazane abanesifo se-celiac babe nezikhathi ezingu-1.46 zokuthola ukuthi banesifo se-anorexia nervosa ngonyaka wokuqala ngemva kokuxilongwa kwabo, futhi izikhathi ezingu-1.31 zitholakale zine-anorexia engaphezu konyaka wokuqala ngemva kokuxilongwa kwazo.
Abesifazane babekwazi ngisho nokutholwa ukuthi baqala ukuhlinzekwa nge-anorexia bese kuthiwa ne-celiac: ukutholakala kwe-anorexia yangaphambilini kwenziwa ukuxilongwa okungapheli kwamaphesenti angu-2,18, isifundo sathola.
Ukuhlaziywa akuzange kubonakalise noma yiziphi izingozi ezikhudlwana emadodeni, kodwa abacwaningi baxwayisa ukuthi ukutadisha kwakungekho mkhulu ngokwanele ukuthola izingozi ezingenzeka emadodeni.
Kunezici eziningana ezazingenelela engozini enkulu kubantu besifazane, abalobi babhala. Okokuqala, kungenzeka ukuthi umuntu onesifo se-celiac angase ahlolwe kabi nge-anorexia, ngoba zombili izimo zingabangela ukulahlekelwa isisindo nokuntuleka kwesondlo. Okwesibili, kungenzeka ukuthi yini abacwaningi ababiza ngokuthi "ukucabangela ukucabangela," okusho ukuthi abantu abahlolwa ngokucophelela kakhulu bangase babe nezimo zezokwelapha ezibonwe. Futhi okwesithathu, izinto eziba nobungozi, ezibandakanya izakhi zofuzo, zingadlala indima.
Kwenzekani Manje?
Kungenzeka ukuthi ukutholakala ukuthi unesifo se-celiac-okudinga ukudla okunamandla okungavamile kwe-gluten ukulawula-kungabangela ukukhathazeka kokudla kumuntu owayengenalo ngaphambili.
"Ngokuvamile, ukukhathazeka kokudla kuqala ngemicabango emihle, imizamo yokuzidla 'ngokudla okunempilo' ngokuqeda ukudla okubonakala kungenempilo," kusho uDkt. UNeville Golden, MD kanye noKT Park, bobabili odokotela bezingane zaseStanford University, ekuhlaziyeni okuhambisana nocwaningo olwenziwe ku- Pediatrics. "Ucwaningo lwamanje lubonisa ukuthi ukugxila ngokweqile ekudleni kweziguli ezinezifo ezingavamile kungabangela ekuthuthukiseni i-anorexia nervosa kubantu abangenakukwazi ukubhekana nayo."
Iqiniso lokuthi abacwaningi bathola lokho ababekubiza ngokuthi "ubudlelwane be-bidirectional" -ukuthi abantu abathintekayo abanesimo esisodwa babenokuthi bathole ukuthi kukhona omunye, kungakhathaliseki ukuthi ubani otholwe ukuthi uyena kuqala-kusho odokotela kufanele babheke ngokucophelela abantu abanesifo se-celiac noma i-anorexia nervosa ukubuka ukuthi kungenzeka yini enye isimo esathuthuka.
Okunye ukukhathazeka ukuthi ukuqubuka kwe-anorexia kwenza kube nzima ukulandela ukudla okungenalutho kwe-gluten. Labo abadla i-gluten-free bayazi ukuthi ngezinye izikhathi baphoqeleka ukuba balambe ezimweni lapho kungekho okuphephile ukudla, kodwa lokho kungaba yingozi kumuntu onesi-anorexia. Kungenzeka futhi, abacwaningi bathi, abanye abantu abane-anorexia ne-celiac bayazi ukuthi bayayidla imikhiqizo ene-gluten ngoba bayothatha ukusabela nokulahlekelwa kwesisindo esilandelayo.
Ukwelapha abantu abanezifo ezimbili ze-celiac kanye ne-anorexia nervosa kungaba inselele, ngoba isimo ngasinye sidinga indlela ehluke kakhulu. Isifo se-Celiac sivame ukutholakala yi-gastroenterologist, futhi umuntu onaleliac angase abone abanye ochwepheshe bezokwelapha, mhlawumbe kufaka phakathi isidlo sokudla esithile esisebenza ngokukhethekile ekudleni okungenalutho kwe-gluten. I-Anorexia nervosa, okwamanje, kuvame ukuphathwa yiqembu eliholwa ochwepheshe bezempilo yengqondo, futhi umuntu obhekene nalesi sifo cishe uzobona u-dietitian ogxile ekuhluphekeni kokudla. Ukuze uphathe izimo zombili ngesikhathi esifanayo, ochwepheshe bezokwelapha abajwayele izindlela zabo kuzodinga ukusebenza ndawonye.
Odokotela. I-Golden nePark futhi ithi abantu abaningi bakhetha ukungena gulen ngaphandle kokuxilongwa, okwenza kube nesinye inkinga engaba khona: kulandela ukudla okungenalutho kwe-gluten njengendlela yokuguqula ukugula kwesifo. "Ukuphelelana phakathi kokudla okungekho gluten kanye nokuphazamiseka kokudla kuyinkinga enkulu kunazo zonke," baphetha ngokuthi. "Lolu cwaningo olubalulekile luyisiphakamiso seqhwa."
> Imithombo:
> I-Golden NH nePark KT. Izifo Zama-Celiac Ne-Anorexia Nervosa-Inhlangano Efanelekile Ukucabangela. Izingane zokwelapha . 2017 Apr 3. Ishicilelwe ku-intanethi ngoMashi 30, 2017.
> Marild K et al. Izifo ze-Celiac ne-Anorexia Nervosa: Isifundo Somhlaba Wonke. Izingane zokwelapha. 2017 Apr 3. Ishicilelwe ku-intanethi ngoMashi 30, 2017.
> Mostowy J et al. I-Genetic Factors eyabelana ngokubandakanyeka ku-Celiac Disease, Uhlobo lwesibili sikashukela kanye ne-Anorexia Nervosa Phakamisa izindlela ezivamile zokuvimbela izifo ezingapheli. PLoS One. 2016 Aug 2; 11 (8): e0159593.