Amaphesenti angama-10 kuya kuma-20% abantu abanesifo sikashukela bahlakulela isifo se-celiac
Ukutholakala ukuthi unezifo ezimbili zesifo sikashukela kanye nesifo sikashukela-ikakhulukazi uhlobo lwesifo sikashukela (esaziwa nangokuthi yisifo sikashukela sabantu). Isilinganiso esilinganiselwe sesifo se-celiac kubantu abanesifo sikashukela sabantu abasukela kumaphesenti angu-10 kuya kuma-20 amaphesenti (okusho ukuthi kubo bonke abantu abayi-100 abanesifo sikashukela sohlobo 1, endaweni ethile phakathi kuka-10 no-20 kuzoba nesifo se-celiac).
Uma kuqhathaniswa, isilinganiso sesifo se-celiac kubantu abaningi base-US cishe amaphesenti angu-1.
Okwenza i-Combo ijwayelekile
Ukuqaphela ukuthi kungani isifo se-celiac nesifo sikashukela sivame ukuhlangana ndawonye kugxile ocwaningweni oluningi. Ososayensi cishe bayothola okwengeziwe mayelana nokuxhumeka esikhathini esizayo, kodwa nansi okwaziwayo okwamanje.
Izifo ze-Celiac kanye nesifo sikashukela sohlobo 1 ziyizifo zomzimba ezizimele . Lokhu kusho ukuthi bobabili bahlanganisa ukulimala kwezicubu kusuka ekuhlaselweni kwe-autoimmune. Esifweni se-celiac, isimiso somzimba sokuzivikela komzimba sihlaselwa emathunjini amancane, kanti, ngesifo sikashukela, umzimba uhlasela ama-pancreas. Futhi, lezi zifo zombili zihilela ukungahambisani kokudla okudinga ukudla okukhethekile: akukho gluten kubantu abanesifo se-celiac, futhi abancane noma abaneshukela kubantu abanesifo sikashukela.
Futhi, kuvela ukuthi izifo ezimbili zihlanganyela ezinye izakhi zofuzo. Eqinisweni, abacwaningi bakholelwa ukuthi isifo se-celiac nesifo sikashukela kungenzeka okungenani sibe nezakhi zofuzo eziyisikhombisa ezifanayo, futhi kungenzeka kube nokuningi.
Ukuhlolwa kokubili
Njengoba izixhumanisi zofuzo eziba phakathi kwezifo ziyacaca, odokotela abaningi manje bancoma ukuthi noma ubani otholwe ukuthi unesifo sikashukela sohlobo 1 kufanele ahlolwe nesifo se-celiac . (Abanye ochwepheshe nabo bayeluleka ukuthi iziguli ezine-type 1 yesifo sikashukela noma isifo se-celiac-noma zombili-kufanele zihlolwe isifo se- autoimmune .)
Kubalulekile ukukhumbula ukuthi ukuhlolwa nje kuphela ngesifo se-celiac akwanele ngoba lesi sifo singakhula kamuva ekuphileni. Ngakho-ke, abantu abanesifo sikashukela badinga ukuphindwa ngezikhathi ngezifo ze-celiac, ikakhulukazi uma bezwa ukuhluleka kokukhula, ukwehluleka ukukala isisindo, ukulahlekelwa isisindo noma izimpawu zamathumbu.
Ngokusho kweKovler Isikhungo Sikashukela EYunivesithi yaseChicago, abantu bavame ukutholakala benesifo sikashukela ngaphambi kokuba bathole ukuthi banesifo se-celiac. Lokhu kungenxa yokuthi odokotela kanye nomphakathi bajwayele isifo sikashukela.
Indlela Yokukwazi Ukuthi Unayo Izifo Ezibucayi
Uma unesifo sikashukela futhi uzibuza ukuthi ungaba nesifo se-celiac, funda ngezibonakaliso ezivamile. Ngaphandle kwalawo mpawu, kunezici ezithile zezifo ezingaboniwe ezibhekene nezifo ezibhekene nabantu abanesifo sikashukela, kufaka phakathi ukuguquka okungalindelekile noma okungaqondakali emazinga kashukela egazi; I-hypoglycemia amahora ambalwa emva kokudla noma i-hypoglycemia enzima ukuyenza; futhi kunciphise izidingo ze-insulin.
Zonke lezi ziwumphumela we- malabsorption ehlobene nesifo se-celiac. Ngokwemibandela elula: Ngenxa yomonakalo emathunjini akho amancane, ukudla okudlayo akukwenziwe kahle emzimbeni wakho.
Okwenza Izifo Zama-Celiac Kufanele Zithathwe
Ucwaningo luye lwabonisa ukuthi uma abantu abanesifo sikashukela nesifo se-celiac basesidlweni esingenalutho se-gluten, iziqephu ze-hypoglycemia zinciphile, kodwa kuthatha izinyanga ezimbalwa ukudla ukuze umphumela ubonakale. Nokho, laba bantu bazobhekana nezinye izinselele. Ngakho-ke kunezinzuzo nezindleko zokuhlala ekudleni okungenayo i-gluten uma unesifo sikashukela nesifo se-celiac, kodwa njengoba isifo se-celiac sihlotshaniswa nezinkinga ezinkulu, izinzuzo zokuhlala ngaphandle kwe-gluten zingaphezu kwezingozi.
Isibonelo, isifundo esisodwa esikhulu esivela eDenmark sabonisa ukuthi iziguli ezine-type 1 yesifo sikashukela kanye nesifo esingenalutho esiphendukekile sasinezinga eliphansi kakhulu nesisindo uma kuqhathaniswa neziguli zesifo sikashukela ngaphandle kwesifo se-celiac, futhi sasincane kakhulu uma sithola isifo sikashukela.
Eminyakeni emibili emva kokuba iziguli eziphethwe yi-celiac ziqale ukudla okudliwayo okungenalo i-gluten, zase zitholile isisindo, futhi labo ababengaphansi kweminyaka engu-14 ubudala nabo babambelele ekuphakameni. Wonke umuntu wayenezinsimbi eziningi (i-hemoglobin ne-ferritin) egazini labo. Lolu hlobo locwaningo lubonisa ukubaluleka kokuhlolelwa isifo se-celiac futhi kulandela ukudla okungekho gluten uma uthola ukuthi unesimo.
> Imithombo:
> I-Juvenile Research Research Foundation International: Ukuxilongwa Okubili: Ukuphila Nesifo Soshukela Sesibili kanye Nezifo Zama-Celiac.
> Kupper C, Higgins LA. Ukuhlanganiswa nesifo sikashukela kanye nezinkombandlela zokuLawula ukudla kweGluten. Gastroenterology ewusizo. 2007; 31 (3): 68-83.
> Maggie Moon, MS, RD. Ukukhathazeka Okubili - Ukweluleka Abaxhasi Abasifo Sikashukela Nezifo Ezibucayi. I-Dietitian yanamuhla ka-2009; 11: 32.
> Simell S, Hoppu S, Simell T, et al. Ubudala Ekuthuthukiseni I-Type 1 Diabetes ne-Celiac-Associated Antibodies kanye Nezifo Zomtholampilo Ezinganeni Ezihlukunyezwayo Ezigcinwe Ekuzalweni. Ukunakekelwa yisifo sikashukela. 2010 Jan 7. [Epub ngaphambi kokuphrinta]
> Sun S, Puttha R, Ghezaiel S, et al. Umphumela Wezifo Eziphephile Zama-Celiac kanye Nezokwelashwa Eziphephile Ngokudla Okungenayo I-gluten Ukukhula Nokulawulwa Kwama-Glycemic Kwazingane Nge-Type 1 Diabetes. I-Diabet Med. 2009 Dec; 26 (12): 1250-4.