Cha, kodwa ukuba ne-celiac ingenza ukugoma kwe-hepatitis B kungasebenzi kahle
Abanye abantu bakhathazekile ngokuthi imithi ingabangela ngandlela-thile noma idale isifo se-celiac . Kodwa kunezindaba ezinhle: Akekho ucwaningo oluye lwafakazela umbono wokuthi imithi ingabangela noma iqhaza ku-celiac noma kwezinye izifo ezizimele. Ngaphezu kwalokho, ucwaningo olulodwa luyaqinisa: kubonakala sengathi izingane ezincane ezithola izibhamu zaso sonke isikhathi ngesikhathi esifanayo azikho engozini yokwandisa isifo se-celiac.
Ngakho-ke, akufanele unganqikazi ngenxa yesifo se-celiac lapho udokotela wezingane uthi sekuyisikhathi sokuthi izingane zakho zidubule. Eqinisweni, izingane ezinenkinga yokungondleki ngenxa yesifo se-celiac zingase zibe engozini yezigameko ezingathí sina zezifo ezithathelwanayo, ngakho-ke imithi ingasiza ingane yakho ukuba ihlukane nengozi.
Kumele futhi uqaphele ukuthi empeleni isifo se-celiac singenza umgomo owodwa-i-hepatitis B engasebenzi kahle. Kodwa-ke, kunezinyathelo ongazithatha ukubhekana nalokhu engozini.
Imishanguzo, Izifo Ezizimele Zombili Zakhuphuka Ngesikhathi Esifanayo
Imibuzo ephathelene nesifo se-celiac kanye nemigomo isikhungo esiphathelene nokukhipha isikhathi: izingane eziningi zithola ukuthi zinesifo se-celiac kulezi zinsuku, futhi izingane zithola imithi eminingi. Ngakho kwakungenakwenzeka ukucabangela ukuthi ngabe kukhona uxhumano.
Abanye abacwaningi nabazali nabo babecacise ukuthi imithi ingabangela izifo eziphakeme zesifo se-celiac emva kokucwaninga kwangaphambi kokucwaninga kusetshenziswe indima yemigomo yesifo esihambisana nesifo sofuba: uhlobo lwesifo sikashukela sohlobo 1.
Kodwa-ke, izifundo eziningana kanye nombiko wezi-2011 ezivela kwi-Institute of Medicine zaphetha ngokuthi imithi yokugoma ayifuni ukusola lezo zenyuka ngohlobo lwesifo sikashukela sohlobo 1, futhi ucwaningo lubonisa okufanayo nesifo se-celiac.
Ukufundwa Kucatshangwa IsiSwidi Isifo Esithathelwanayo Sengculazi Ezinganeni
Ucwaningo olumayelana nalo mbuzo lubheke izingane eSweden, lapho wonke umuntu elandelwa khona ngesikhathi sokuphila esebenzisa ulwazi oluxhaswe nguhulumeni.
Kusukela ngo-1984 kuya ku-1996, iSweden yabona lokho abacwaningi abakubiza ngokuthi "isifo sesifo se-celiac eziphawulekayo phakathi kwezinsana" -ukukhula okusheshayo, okusheshayo kwezifo ezingenayo i-celiac ezihloswe ezinsaneni ezilandelwa ukuhla kwesimo esiphuthumayo sokuthola isifo seminyaka eyishumi kamuva.
Isizathu salesi sifo sibheke ngokuyinxenye ekutheni ukondliwa kwezinsana-kulokhu, ukusungulwa kokulinywa kwezinhlamvu ze-gluten. Imishanguzo yasekuqaleni yamakwe njengomunye umnikelo ongenakwenzeka.
Ukuphenya, abacwaningi bafaka phakathi kwabafundi abangu-392 abangama-celiac abafundwa njengezinsana-isikhathi esibudala lapho izimpawu zivela khona ezinyangeni ezingu-11, kanti ubudala babo obuneminyaka engamashumi amabili ubudala babuzwa ukuthi beyizinyanga ezingu-15. Ucwaningo lwafaka izingane ezingama-623 ngaphandle kwesifo se-celiac ngezinhloso zokuqhathanisa.
Izingane zinezibhamu ze-diphtheria / i-tetanus, i-pertussis, i-polio, i-influenza, isishukela / imifino / i-rubella (i-MMR), futhi iphila nge-bacillus enqatshelwe i-Calmette-Guérin, noma i-BCG (umgomo wokulwa nesifo sofuba esetshenziswa kwamanye amazwe ngezinga eliphakeme lesifo sofuba, kodwa ayisebenziswanga e-US). Ucwaningo luhlolisise isikhathi salezi zidakamizwa - ezinye zenezelwe ohlelweni lokugoma ngesikhatsi noma ngaphambi kokuqala "kwesifo se-celiac" - futhi sahlola izinhlangano ezibalwe phakathi kwezigoma ngokwazo kanye nesifo sesifo se-celiac ezinganeni ezitholile.
Imiphumela: Ukudubula Akuhlobene Nezifo Zokuqala ZaseCeliac
Kungakhathaliseki ukuthi abacwaningi babheka kanjani idatha, baphetha ngokuthi amagciwane awazange abangele ukuthi izingane eziningi zitholwe ngesifo se-celiac. "Awuguquki ngokuhamba kwesikhathi ohlelweni lokugoma lwesiSweden noma ukuguquka kokutholakala kwamagciwane okubandakanyeka kunomthelela ekuchazeni izinguquko ezilinganisweni zezifo zesifo se-celiac (okungukuthi, isifo se-celiac lesiSweden)," kuphetha ucwaningo.
Eqinisweni, lolu cwaningo lwaphakamisa umphumela wokuzivikela ekubhekaneni nesifo sokuqeda lesi sifo sokuqala sokuphefumula kwe-BCG, kodwa abacwaningi baxwayisa ngokungafundi okuningi kulowo mphumela.
Ukufundwa: I-Celiac Iningi Phakathi Kwabesifazane Abanomdlavuza we-HPV
Ucwaningo olulodwa lathola izinga eliphakeme lesifo se-celiac kwabesifazane abaye bathola umgomo we-palillomavirus yabantu (i-HPV), ehlose ukuvimbela izinhlobo ezithile zomdlavuza. Lolu cwaningo, olubandakanya abesifazane abangaphezu kwezigidi ezingu-3.1 baseDenmark naseSweden ukuthola ukuthi ingozi yemibandela ethile yokuzimela yayingaphezu kwalabo abathola umgomo we-HPV.
Ababhali bokutadisha bathola ukuthi ingozi yokutholakala nesifo se-celiac (kodwa hhayi ezinye izimo ezizenzakalelayo) yayiphakeme kulabo abaye bagonywa i-HPV. Kodwa-ke, abalobi bathi abantu abaningi abanesifo se-celiac bahlale bengatholakali, futhi bathi abesifazane abathola izibhamu bese kuthiwa babethole ukuthi "abaxoshiwe" ngenxa yokuthi bakhuluma nodokotela babo ngezimpawu zabo ze-celiac lapho bethola ama-HPV .
Ekuphetheni, abalobi bathi imiphumela "ayizange iveze noma yikuphi ukuphepha kokukhathazeka" ngokugonywa kwe-HPV.
Izifo Zama-Celiac Kungenza I-Hepatitis B I-Vaccine Iphumelele Ngempumelelo
Ukugonywa akubonakali kubangela isifo se-celiac esiphuthumayo, kodwa izifundo ezimbalwa zibonisa ukuthi kukhona ukuxhumana okukhona phakathi kwe-celiac nemigomo: abantu abanesifo se-celiac bangase bangaphenduli kanye nabanye abantu emitholampilo ye-hepatitis B.
Ijethi ethize ebeka abantu abaningi kwisifo se-celiac- HLA-DQ2 -nalokho kubhekwa njengesibonakaliso esibalulekile kunawo wonke esibonisa ukungabi namandla okuzivikela komzimba ku-vaccine ye-hepatitis B.
Lokhu kungabonisa ukuthi abantu abaningi abanesifo se-celiac ngeke bahlakulele isifo sofuba nesifo sofuba ngemuva kokugoma, futhi lokho kubonakala kuyiqiniso: ekucwaningweni olulodwa, isigamu sabantu abanezifo ezingenawo umzimba akuzange kugwemeke ukulwa nesifo sofuba esilandelayo esilandelayo uchungechunge lwe-hepatitis esithathu Imijoqo ye-B. Olunye ucwaningo luye lwathola ukuthi ukuzivikela ngaphandle kokuphikelela akuphiki isikhathi eside ngemva kokulandela isibindi esiphezulu se-hepatitis B kubantu abanesifo se-celiac.
Lokhu kungase kuhlotshaniswe nokufakelwa kwe-gluten: ocwaningweni olulodwa, abangaba ngu-26% kulabo ababengadli i-gluten, abangama-44% walabo abadla ukudla okungenangqamuzana, nabangu-61% balabo abalandela i-gluten-free Ukudla kwamukelwa ku-vaccine ye-hepatitis B.
Ezinye izifundo ziye zathola ukuthi izingane kanye nabantu abadala abalandela ukudla okungenalutho kwe-gluten banempendulo enamandla ekugonyeni kwe-hepatitis B njengabantu abangenayo isifo se-celiac. Ngakho-ke, ukuze lo mgomo usebenze ngendlela okufanele uyenze, akufanele ukopela ekudleni okungenalutho kwe-gluten. Ungase futhi ufune ukukhuluma nodokotela wakho ngokuthi ngabe kufanele yini ingane yakho iphinde iphinde iphethe isibindi B.
Izwi kusuka
Ucwaningo lwezokwelapha lubonise ukuthi asikho isidingo sokuba ukhathazeke ngokuthi ukuthola imithi yokugoma kuzokwenza kube lula ukuthi izingane zakho (noma wena) zizohlakulela isifo se-celiac. Inkinga kuphela engaba khona ngemigomo kanye nesifo se-celiac kuhilela ukugonywa kwesibindi se-hepatitis B, okungase singasebenzi kahle kulabo abane-celiac.
Kukhona ulwazi oluningi olungaqondakali olujikeleza emigomeni kanye nemiphumela engaba khona empilweni yakho. Uma unenkinga ngemigomo nokuthi zingakuthinta kanjani wena noma izingane zakho, khuluma nodokotela wakho ngabo.
Imithombo:
Ertem D. et al. Ukusabela ekugonyeni kwesibindi se-hepatitis B: ingabe kuhluke ngesifo se-celiac? . I-European Journal ye-Gastroenterology ne-Hepatology. 2010 Jul; 22 (7): 787-93.
Hviid A et al. Ukugonywa kwe-Human Papillomavirus Yabesifazane Abadala Neengozi Yokugula Okuzenzakalelayo Nezilogical. I-Journal of Medicine yangaphakathi. 2017 Okthoba 18.
Leonardi S. et al. Ukwehluleka kokugoma kwesifo sofuba esibhedlela kulesi sifo: ingabe kukhona isidingo sokuphinda uhlaziye amasu okugoma okwamanje? Umgomo. 2009 Oct 9; 27 (43): 6030-3. Epub 2009 Aug 12.
Leonardi S. et al. Ukugonywa nesifo se-celiac: imiphumela yocwaningo oluphindaphindiwe. I-Minerva Pediatrica. 2011 Oct; 63 (5): 363-7.
I-Myléus A. et a. Imithi yokugoma akuyona into engozini yesifo se-celiac. Izingane zokwelapha. 2012 Jul; 130 (1): e63-70. Epub 2012 Jun 25.
I-Nemes E. Gluten yokudla iphazamisa impendulo ye-immune ye-immune ekugonyeni kwe-hepatitis B okuphindaphindiwe ezigulini ezinezifo eziphethwe yi-celiac. Izingane zokwelapha. 2008 Jun; 121 (6): e1570-6.