Uvavanyo lweCeliac Disease Testing
Unokuba neyodwa (okanye ngaphezulu) izizathu ezahlukeneyo zokuphinda uhlolwe isifo se-celiac. Mhlawumbi unesifo sempawu zesifo se-celiac , esinokusukela kwisifo sohudo kunye nokulahleka kwesisindo kwiingxaki ze-neurological and gain gain.
Unokuba nelungu losapho olusondeleyo olufunyaniswa nesifo sesifo esiqhekezayo kwaye sifunde ukuba izikhokelo zonyango zicebisa ukuhlolwa kwezifo ze-illiac izihlobo , kuba imeko ihamba kwiintsapho.
Okanye, unokubandezeleka kwiimeko ezithile okanye ezininzi, ezinjengeengxaki ze- thyroid okanye uhlobo lwe-1 lweswekile . Izifundo ziye zabonisa ukuba isifo se-celiac siqhelekile kubantu abanemiqathango.
Kungakhathaliseki ukuba izizathu zakho zokufuna ukuqwalasela isifo se-celiac sifo, ukuvavanywa kwezifo ezinqabileyo kungumsebenzi omde. Kwiimeko ezininzi, uza kuqala uvavanyo lwegazi, kwaye ekugqibeleni, uya kuba nenkqubo eyaziwa ngokuba yi-endoscopy, apho oogqirha bajonga ngqo kumathumbu akho amancinci.
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Ngaba Unayo i-Ibs okanye Ingaba Uhlobo Oluthile Lwenkinga NgeGluten?
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Inkqubo yeNkqubo isetyenziselwa ukuchonga izifo zeCeliac
Qaphela: Kumele udla i-gluten yokuvavanywa kwezifo eziqinileyo ukuze uchaneke. Ukuba uvavanyelwa isifo se-celiac, musa ukuhlawula ngaphandle kokuba uvavanyo lwakho lugqityiwe.
Kwimeko efanelekileyo kakhulu, uya kuba nempendulo yakho kwiintsuku ezimbalwa okanye ngeveki, kodwa inkqubo yokuxilonga ingathatha ixesha elide kwezinye iindawo, ngakumbi apho i-gastroenterologists (iingcali kwi-system digestive system) ayifumaneki. Nantsi into enokuyilindela kuzo zonke izigaba zenkqubo.
Uvavanyo lweeCeliac
Isifo seCeliac yimeko echaphazela ukuphendula komzimba wakho kwiproteni gluten , efunyenwe kwintlobo yeengqolowa eziqhelekileyo zorhasi, ierhasi kunye neerye.
Izilingo zesifo esiqhekezayo zikhangele le mpendulo kwi gluten.
Kubantu abanesifo esiqhekezayo, ukutya ukutya okuqulethe i-gluten (eyenzeka phantse yonke into ekudleni okuqhelekileyo) kubangela oko kubizwa ngokuba yi- autoimmune reaction , apho isifo somzimba wakho-ukulwa neeseli zegazi ezimhlophe zihlasela ngokuthe tye ezinye zezicubu zakho.
Izifo ezahlukeneyo ezizimele zenza iintlobo ezahlukeneyo zomonakalo emzimbeni. Kwimeko yesifo se-celiac, amangqamuzana egazi amhlophe ahlasela isilwanyana sakho samathumbu amancinci, okwenza oko kwaziwa ngokuba yi -atrophy . Ekugqibeleni, oku kunokutshabalalisa ibhande lakho lomathumbu, oku kuthetha ukuba awukwazi ukufumana izondlo ekudleni kwakho.
Ngenxa yokuba iimvavanyo zesifo se-celiac zijonge ngokukodwa iimpawu zalo monakalo omncane wamathumbu, kufuneka udla i-gluten ukuze uvavanyo luchaneke . Ukuba awuyidli ukutya okukudla kwe-gluten -ukungadli ukutya okwaneleyo-kunokwenzeka ukuba uvavanyo lube lubi, nokuba ngaba unayo isifo se-celiac. Ngako oko, kufuneka uqhubeke udla ukutya okuqhelekileyo, kunye nokutya okunokutya kwe-gluten ngamaxesha amaninzi ngemini, de uvavanyo lwakho lugqityiwe.
Ngokuqinisekileyo, abanye abantu bahamba bengenayo iguluten ngaphambi kokuba bathathe isigqibo sokuvavanya isifo esiqhekezayo. Ukuba usuqalisile ukulandela ukutya okungahambisani ne-gluten , unokufuna ukuqwalasela oko kubizwa ngokuba " ngumngeni we-gluten ," apho udla khona inani elimisiweyo le gluten ixesha elithile, kwaye uvavanya isifo se-celiac. Eli qhinga lenza ingozi, nangona kunjalo, kwaye lingavelanga iziphumo ozifunayo, ngoko uthetha ugqirha wakho malunga nobungozi kunye neenzuzo.
Isinyathelo sokuQala kwiSifo seCeliac Uvavanyo: Iimvavanyo zegazi
Kwiimeko ezininzi, ukuhlolwa kwegazi nge-celiac (okungalawulwa ngugqirha wakho oyintloko ugqirha) kuya kuba yinyathelo lokuqala lokuxilongwa. Kukho iimvavanyo ezi- 5 zegazi eziqhelekileyo ezisetyenziselwa ukufumanisa isifo se-celiac, nangona oogqirha abaninzi baya kucela eyodwa okanye ezimbini iimvavanyo.
Ukuba umzimba wakho uphendule ngokuzenzekelayo kwi-gluten, enye okanye ngaphezulu kwezi zivivinyo zegazi ziyakuthi zivele zihle, zibonisa imfuneko yokuqhubeka nokuvavanywa ukuba ubone ukuba unayo isifo se-celiac.
Nangona kunjalo, kunokwenzeka ukuba ube nemiphumo yokuvavanya kwegazi kunye nokuba unesifo se-celiac.
Abanye abantu baneemeko ezibizwa ngokuba yi- IgA ukusilela okungabangela iziphumo ezingalunganga kwiimvavanyo zegazi zeliliac. Ukuba unalo (kusekho olunye uvavanyo lwegazi oluya kulijonga), uya kufuna iimvavanyo ezahlukeneyo kwisikrini kwisifo se-celiac.
Kwezinye iimeko ezimbalwa, iziphumo zokuhlolwa kwegazi azibonakalisi nje umonakalo owenziwe ngamathumbu emathunjini. Oku kwaziwa nangokuthi "yiphumo lokuvavanya".
Ngoko ke, ukuba iimvavanyo zegazi zakho zibi, kodwa iimpawu zakho kunye nembali yezokwelapha zentsapho zibonisa ukuba unamandla okuba nesifo se-celiac, kufuneka uxoxe nodokotela wakho malunga nokuvavanya.
Isinyathelo esilandelayo: I-Endoscopy kunye ne-Intestinal Biopsy
> Yibone ngeso lengxaki umonakalo wokugaya ongasenza nezifo ze-celiac.
Ukuba iimvavanyo zakho zegazi leliacac zibuya zilungile-okanye ukuba ziphilileyo, kodwa wena kunye nodokotela wakho uyavumelana ngesidingo sokuqhubeka nokuvavanywa nanini-isinyathelo esilandelayo yinkqubo ebizwa ngokuba yi -endoscopy . Oku ngokuqhelekileyo kuyenziwa ngu-gastroenterologist, enye yeendlela ezininzi zoogqirha abaphatha isifo se-celiac .
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Kwabantu abadala banokufumana izifo zeCeliac
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Ziziphi Iimvavanyo Zigazi Ngaba Kufuneka Uhlolisise Izifo Zama-Celiac?
Kwi-endoscopy, isixhobo esinekhamera encinci ifakwe phantsi phantsi komlenze wakho ukuze ugqirha wakho abonakale ngqo kumbindi wakho wamathumbu ukuze abone ukuba i-atrophy ekhohlakeleyo ikhoyo. Kwezinye iimeko (kodwa kungekhona konke), umonakalo ovela kwisifo se-celiac ubonakala ngokukhawuleza kule nkqubo.
Nangona kunjalo, ukuqinisekisa ukuxilongwa, ugqirha uya kusebenzisa isixhobo sokuthatha iisampuli ezincinci zesisu sakho. Kungenxa yokuba umonakalo ovela kwisifo se-celiac unokuba yinto eqhelekileyo, ugqirha kufuneka athathe ubuncinane iisampuli ezine ukuya kweyesithandathu. Ezi iisampuli ziya kuthi zihlolwe phantsi kwe-microscope ngumhlaza wezilwanyana (ugqirha ofumanisa izifo ngokuhlolisisa izicubu zomzimba ngokuthe ngqo) ukugqiba ukuba amathumbu akho awonakele. Ukuba u-pathologist ubona umonakalo, uya kufumanisa ukuba unesifo se-celiac.
Isiqwenga sokugqibela kwi-puzzle yindlela yakho yokusabela kwi-gluten-free-if your symptoms ziqala ukuphucula emva kokuba ungenayo i-gluten-free, uvele uqinisekisile ukuba ufumanisa.
Amanye amaziko ogqirha nawo asebenzisa i- capsule endoscopy , apho uginya ipilisi enekhamera encinci ukukhangela isifo se-celiac. Oku kunenzuzo yokubona iinxalenye zomathumbu wakho omncinci ongeke ufikelelwe kwii-endoscopy instruments. Nangona kunjalo, i-capsule endoscopy ayivumeli ugqirha ukuba athathe iisampuli zamathumbu akho, kwaye angenako ukuchaneka ekuboneni umonakalo njenge-endoscopy yendabuko.
Kanye njengoko kunokwenzeka ukuba ube novavanyo lwegazi olubi kodwa i-biopsy ebonisa ukuba unesifo se-celiac, Kwakhona kunokwenzeka ukuba ube novavanyo lwegazi oluhle kodwa u-biopsy negative. Oku kwaziwa ngokuba " isifo se-celiac latent " okanye ngamanye amaxesha "njengesifo se-celiac." Ukuba uwela kuloluhlu, ugqirha wakho uya kuphakamisa ngokuphindaphindiweyo i-endoscopies, kuba abantu abaninzi abanesifo esiqhotyoshelweyo se-intlinal ekugqibeleni bahlakulele umonakalo wamathumbu omzimba. Kananjalo ungaxubusha ukuba unokulandela ukutya okungekho i-gluten njengetyala, ukubona ukuba kukho naziphi iimpawu ezicacileyo.
I-Dermatitis Herpetiformis Ukuxilongwa kuthetha i-Celiac, Too
Kukho enye indlela ongayifumana ngayo ukuxilongwa kwezifo ze-celiac ngaphandle kokuba ube ne-endoscopy kunye ne-intestinal biopsy.
Ukuba unesiqhwala, ukugqithisa kwesikhumba esibuhlungu esibizwa ngokuba yi- dermatitis herpetiformis , kunye nokuvavanya kwegazi okwenziwe kakuhle, ufumaneke ngokusemthethweni ukuba unesifo se-celiac kwaye akukho-vavanyo olufunekayo. Kungenxa yokuba uphando lubonise ukuba phantse wonke umntu onesifo se-dermatitis herpetiformis-efana nesifo se-celiac, esibangelwa ukusabela ngokuzenzekelayo kuye kwi-gluten-nayo inomonakalo wamathumbu ukusuka ekungeneni kwe-gluten.
Nangona kunjalo, ukufumana i-dermatitis herpetiformis yokufumana i-gold-standard standard diagnostic, kuya kufuneka ufumane i- biopsy yolusu . Le biopsy ikhangele idizithi ze-anti-gluten antibodies phantsi kwesikhumba.
Isifo se-Celiac Testing Genetic Testing Futhi sidlala indima
Kwezinye iimeko, ugqirha wakho unokuncoma ukuhlolwa kofuzo lwesifo se-celiac . Isifo seCeliac sidibaniswa neesibini zegesi, ezidlulileyo kwiintsapho.
Imvavanyo ye-Genetic ayikwazi ukukuxelela ukuba ngaba unayo isifo se-celiac-ngenxa yoko, kuya kufuneka ufumane iimvavanyo zegazi kunye ne-endoscopy echazwe ngasentla. Kodwa iimvavanyo zofuzo zingakuxelela ukuba unesinye sejeni ofunekayo ngokubanzi ukuphuhlisa isifo se-celiac.
Ukuba awunayo enye yezinto eziphilayo ezibini, iingxaki zakho ezinesifo se-celiac zincinci kakhulu, nangona ezinye iimeko ze-celiac ziye zabhalwa kubantu abangenayo i-gene.
Uvavanyo lofuzo lwe-celiac luvavanyo olulodwa ongayenzayo ngaphandle kokuba udla i-gluten okanye awukho-uvavanyo lukhangele i-genetic predisposition kwiimeko, kungekhona kwiimpawu zokulwa ezibonisa ukuba isifo esichukumisayo sesifo se-celiac. Ngako oko, inokukunika ulwazi oluthe xa usuvele uhambe nge-gluten-free ngenxa yempendulo engalunganga kokutya oku-gluten, kodwa ngoku ufuna ukwazi nokuba ngaba unayo isifo se-celiac.
Ukuba unesifo esilungileyo sesifo se-celiac , akuthethi ukuba unesi sifo se-celiac-ukuya kwi-40 pesenti yabemi sinomnye wezo zengqungquthela, kwaye uninzi lwaba luchule. Nangona kunjalo, ithetha ukuba unako ukuphuhlisa imeko. Uya kufuneka uxoxe nodokotela wakho ngamanyathelo alandelayo ukuba uvavanyo lwakho lwesifo somzimba lwe-celiac lubuya lukhangelekile, ngakumbi ukuba unentsapho yembali yezifo eziqhekezayo.
I-Celiac Disease Diagnosis Idla i-Gluten-Free Diet
Iziphumo ezivakalayo zokuvavanya izifo ezingapheliyo kwi-endoscopy yakho kunye ne-biopsy kuthetha ukuba unayo imeko, kwaye kufuneka ulandele ukutya okungekho gulen ebomini. Nangona oko kungabonakala kunzima kakhulu, ekugqibeleni unokufumana ukuba impilo yakho iphucula ngokucacileyo kwaye awuyikunyamekela ukutya ukutya okungenayo i-gluten. Enyanisweni, kukho ezininzi, ukutya okuninzi ongadla xa ungenayo i-gluten.
Ukuvavanya kakubi, okwangoku, akuthethi ukuba unayo ingxaki nge gluten. Unokuvavanya uvavanyo olubi kwiimvavanyo zegazi kunye ne-biopsy kwaye usenokuba neengxaki ezinxulumene nokungena kwe-gluten.
Abanye abantu abavavanya ingxaki kwisifo se-celiac nantoni na banayo iimpawu ezicacileyo ekugqibeleni ukutya okungahambisani ne-gluten. Kwezinye iimeko, abantu baxilongwa ngokuba ne-non-celiac ye- gluten-sensitive (ngezinye iindibano ezibizwa ngokuba yi-gluten tolerance okanye gluten allergies ), imeko esanda kuqondwa kwaye ingaqondakaliyo. Akukho mvavanyo evunyenwe ngokuqhelekileyo ukujonga ukuba unobunene-gluten- yindlela kuphela yokwazi ukugawula i-gluten kwaye ubone ukuba iimpawu zakho ziyacaca.
Ekugqibeleni, ukuba uvavanya ingxaki yesifo esiqinileyo, oko akuthethi ukuba awuyi kuvelisa kwikamva. Izifundo zezihlobo ezisondeleyo zezigulane zezifo eziphefumlelweyo (abazinomngcipheko ophezulu wokuphuhlisa imeko) zibonisa ukuba ukuhlolwa ngokuphindaphindiweyo kwimiba yeeminyaka kunokufuneka ukuba ubambe onke amatyala.
Ngoko ke, ukuba unobungozi besifo se-celiac- "i-celiac" zegciwane, amalungu omzimba osondeleyo kunye nemeko, ezinye izifo ezizimele, okanye iimpawu ezimbi-unokufuna ukuqwalasela ukubeka ishedyuli yokuhlola rhoqo kunye nodokotela wakho. Ukuba ubamba isifo se-celiac kusasa, unokunciphisa umonakalo emzimbeni wakho kwaye unokuthi unqande iingxaki ezinjenge- osteoporosis kunye nokungondleki .
Imithombo:
INational Digestive Diseases Information Clearinghouse. Izifo zeCeliac. Kufumaneka ngoJan 16, 2016.
IYunivesithi yaseCichiac Celiac Disease Centre. IiNtsholongwane zeNtsholongwane yegazi Kufumaneka ngoJan 16, 2016.
IYunivesithi yaseCichiac Celiac Disease Centre. Uvavanyo lweGenesis . Kufumaneka ngoJan 16, 2016.