Amazinyo akho kunye neentlobo zihlala zichaphazeleka ngolu hlobo lwesondlo
Amazinyo akho kunye neentsini zidlala indima ebalulekileyo kwinkqubo yakho yokugaya. Kodwa kunokumangaliswa ukuba ufunde ukuba isifo se-celiac- abantu abaninzi abadibanisa rhoqo kunye neempawu ezincinci kwindlela yokutya-kunokuchaphazela umlomo wakho.
Enyanisweni, kunokwenzeka ukuba amazinyo akho kunye neensini zakho zibonakalise iimpawu zesifo se-celiac phambi kokuba uhlakulele ezinye iimpawu, ezinjenge-diarrhea okanye ukuziqhayisa , ukubhubhisa, ukukhathala okungapheliyo okanye ukukhwabanisa kakhulu kwesikhumba .
Kwaye iingxaki ezinxulumene nomlomo zingakwazi ukujikeleza emva kokuba uqale ukudla okungahambisani ne-gluten .
Ngoko ke kufuneka ntoni wena kunye nodokotela wamazinyo? Nantsi ingqungquthela yokuba isifo se-celiac sithinta njani umlomo wakho.
Indlela izifo zeCeliac ezinokuthi zithinte njani amazinyo abantwana
Izifo zeCeliac ziyakhula kwaye zifunyanwe nanini na ubudala, kunoma ubani ukusuka kwintsana ukuya kumdala omdala . Kodwa ukuba okokuqala kuvela xa amazinyo asisigxina somntwana esakhulayo, edlalwa phambi kweminyaka engama-7, loo mazinyo asisigxina angenakuphuhliswa kakuhle.
Amazinyo omntwana angenayo i- eamel eyaneleyo, enokubangela ukuba babonakale bemibala kunye nemhlophe, bephuzi okanye bemibala embala. Le meko, ebizwa ngokuthi "i-enamel hypoplasia" ngabadokotela bamazinyo, inokukhokelela kwiindawo ezininzi kwaye ngamanye amaxesha ukwandisa ukuvakalelwa kwamazinyo.
Amazinyo nawo angabonakala ehlanjululwe okanye aphethwe ngabanye abantwana abanezifo eziqhekezayo, kwaye kwiimeko ezinzima kakhulu, banokuba ne-groove ebonakalayo engabonakaliyo kubo.
Le mijelo yindlela engathí sina ye-eamel defect. Ekubeni amazinyo asisigxina aqala ukudala ixesha elide ngaphambi kokuba ekugqibeleni aqhube amazinyo omntwana aze athathe indawo yawo kwisigamu, amazinyo akholelwa ukuba la mahlathi anqamlekileyo avela kulawo mazinyo asisigxina njengokuba umntwana eqala ukudala isifo se-celiac.
Iziphoso ze-Enamel azikhawulelwanga kubantwana abanesifo esingenamsoco-ukungondleki kwesondlo, izifo, izifo zemizimba kunye neyeza ezithile zingathintela uphuhliso lwe-koam.
Kodwa izifundo ziye zabonisa ukuba iziphene ze-eamel zixhaphake kakhulu kulabo abanezifo eziqhenqileyo kunabantu abangenayo imeko.
Izizathu Ezibangelwa Iingxaki ze-Enamel kwiiCeliac Disease
Akwacaca ukuba kutheni abantwana abanezifo ezingapheliyo bahlakulele iimpazamo ze-eamel-abaphandi abaqinisekanga. Kukho iingcamango ezimbini: kunokwenzeka ukuba ukungaphumeleli kokutya okunokutya okwenzekayo kunye nokutshatyalaliswa kwe-celiac yeembilini ezincinci kubangelwa ingxaki ngokungathanga ngqo, okanye inkqubo yomzimba yomntwana ingonakalisa amazinyo aphuhlisayo ngokuthe ngqo.
Kukho enye ingqungquthela yobungqina obonakalisa uhlobo oluthile lomonakalo wokuzikhusela komzimba: iziphene ze-eamel ephosakeleyo zifumaneka kwizihlobo eziseduze nabantu abaye bafumanisa ukuba banesifo se-celiac, kodwa abangazange bafumane ukuba baneemeko ngokwabo. Ebonisa ukuba imbangela yeziphene ze-eamel yinto ethile yokusebenza kakubi kwisistim somzimba sakho somzimba, kunokuba kunqongophala kwezondlo eziphuhliswa ngenxa yokulimala kwamathumbu amathumbu emathunjini.
Ngelishwa, xa kwenzeka umonakalo, akukho ndlela yokuyijika. Esinye sezizathu zokuxilongwa kwangaphambili kwesifo se-celiac kubaluleke kakhulu kubantwana-umonakalo ungabunzima xa umntwana efunyanwa ngokukhawuleza kwaye uqala ukulandela ukutya okubangelwa i-gluten.
Kukho izigulane kubantu abanamazinyo amakhulu abachaphazeleka kakubi ngesifo esingenazo i-celiac ebuntwaneni. Xoxa nodokotela wamazinyo malunga nokusetyenziswa kwamathambo okanye ukudibanisa amazinyo, anokukhusela amazinyo kumonakalo. Kwiimeko ezinzima kakhulu, udokotela wakho wamazinyo angancoma izithsaba okanye iimpango zamazinyo.
Ukuphuhliswa kwamazinyo okuNcinci kuBantwana bamaCeliac?
Kukho ubungqina bokuba abantwana abanezifo ezinqwenelekayo banokulibazisa ukuphuhliswa kwamazinyo-ngamanye amagama, amazinyo abo abantwana kunye namazinyo asisigxina apheli ngexesha.
Olunye uphando olwalubukeka lubizwa ngokuthi "ubudala bamazinyo" (ngamanye amazwi, amazinyo asekudala avela kubantwana) kubantwana abanesifo esiqhekezayo bafumanisa ukuba abantwana abangabantwana abangabonakaliyo babonakala bephuculwe ngamazinyo, njengokuba banokuba bafutshane kunokuba -acliac children .
Ababhali beengxelo babika ukuba ukutya okungekho gluten kunokunceda amazinyo athathe, njengokuba kunceda abanye abantwana bafumane ukuphakama okungaphezulu .
Izidumbu zabantu abakwiiCeliac Disease
Kuqhelekile ukuva abantu abaye bafumanisa ukuba banesifo se-celiac bathetha 'ngamazinyo abo amabi,' kunye namagumbi amaninzi, okanye ukuba baxoxe ngendlela, ngaphambi kokuba bafumaniswe, bavele bafumana izicathulo ezintsha. Njengoko kuvela, kunokukho inyaniso kule nto, nangona uphando ludibene.
Ukuba unesi sifo esingabonakaliyo se-celiac ukususela ebuntwaneni, usenokuba neziphulo zokulahleka kwe-eamel, ezinokukushiya unamathele. Abaphandi bakholelwa ukuba iziphene ze-eamel zenzeka ngaphambi kokuba uhlakulele ezinye iimpawu ezibonakalayo zezifo eziphefumlelweyo.
Ukongezelela, amazinga aphantsi a-vithamini D- ahlala esichukumisa abantu abanezifo ezinqabileyo-anokunyusa umngcipheko weengcambu. Olunye ukonakala kwezondlo kwi-celiac , njengesifo se-calcium, sinokudlala indima ngokunjalo. Abantu abanesifo se-celiac baxhomekeke kwiintsilelo ezininzi zokutya ngenxa yokuba isisu sabo esincinci asisebenzi kakuhle ukufumana izondlo kwizidlo abazidlayo.
Njengoko ngokuqinisekileyo uyazi, xa ugqirha wakho wamazinyo uye wafumana uphatha isigxina, awukwazi ukuwujika. Nangona kunjalo, ukulandela ukutya okungekho gulen e-stuten ngaphandle kokukopela kufuneka kukuncedise ukuphucula impilo yakho yamazinyo xa unesifo se-celiac.
Izilonda zomlomo kunye nezifo zeCeliac
Ukuba uke wafumana izilonda emlonyeni-ezaziwa kwi-parlance yezokwelapha njengezilonda ze-aphthous-uyazi ukuba zibuhlungu kangakanani.
Ezi zilonda ezimhlophe, ezinokuthi zenzeke ngaphakathi emlonyeni wakho nakwezinye iindawo zakho kwizinsini zakho okanye ngolwimi lwakho, zinokuphuhliswa ukuba unobungozi emlonyeni wakho (njengengozi yokubetha isama okanye umlomo wakho). Kananjalo banokuphuhliswa ngokubonakalayo. Izilonda ze-Aphthous zihlala ngeveki okanye kwiintsuku ezili-10 kwaye zingenza ukuthetha nokutya kunzima. A
Uphando lubonisa ukuba abantu abanesifo esiqhenqileyo bayakwazi ukuhlakulela izilonda zamathambo rhoqo kunabantu abangenawo imeko. Enyanisweni, olunye uphando lubonise ukuba i-16% yabantwana abane-celiac kunye nama-26% abantu abadala abane-celiac babika ukuba babe nezilonda zomlomo eziphindaphindiweyo.
Njengoko ezinye iingxaki zamazinyo ezenzeka ngokubambisana nezifo ze-celiac, akucaci isizathu sokuba i-celiac ibangele ukwanda kwezilonda zomlomo. Enye inokwenzeka (kwakhona) ukusilela kwondlo-ngokukodwa, ukungaphumeleli kwintsimbi, i-folate kunye ne-vitamin B12, ezo zonke zihlala ziphantsi kulabo abanomdla.
Oko kuthethwa, kukho ezinye iimeko ezininzi ezibangelwa izilonda ze-aphthous eziqhelekileyo , eziquka izifo zesibindi kunye nesifo se- lupus. Kwaye, kubantu abaninzi izi zilonda azinxulumene naluphi na umqathango-ziphela ukucaphukisa ngaphandle kwesizathu esiyintloko.
Ngoko ke, awukwazi ukucinga ukuba unesifo se-celiac ngenxa yokuba uhlala ufumana i-aphthous ulcers. Nangona kunjalo, ukuba unenkxalabo ngabo, kufuneka uxoxe nodokotela wakho okanye udokotela wamazinyo ngezizathu ezinokubangela kunye nezisombululo.
Amagaleli amaninzi angaphezulu kwe-counter and the pastes anganceda ukuxubusha intlungu yezilonda zomlomo, nangona mhlawumbi abayi kuzinceda baphilise ngokukhawuleza. Ukusebenzisa amaconsi ahlahlelayo aqukethe i-zinc gluconate nayo inokunceda. Kwiimeko ezinzima, ugqirha wakho okanye udokotela wamazinyo unokumisela umlomo ophethe i-antibiotics.
Izifo zeCeliac kunye nomlomo ocolileyo
Akuqhelekanga ukuba abantu abanezifo ezinqwenela ukukhalaza ngomlomo owomileyo, onokubangela ukubola kwezinyo. Njengoko kuvela, enye imbangela ebalulekileyo yomlomo ongasapheliyo- Sjögren's syndrome- inxulumene nesifo se-celiac.
I-Sjögren's syndrome yimeko enokuzenzekelayo eyenza i-immune system yakho ihlasele izilonda ezivelisa umswakama ezifunekayo emehlweni akho nasemlonyeni. Isiphumo samehlo angomileyo angomlomo kunye nomlomo kunye ne-saliva encinane kakhulu. Ekubeni i-saliva ilawula ukukhula kweebhaktheriya ezibangelwa ukubola kwezinyo, abantu abaneSjögren's syndrome bahlala bexakeka ngezinye izihlandlo-ukubola kwezinyo kunye nokulahleka kwezinyo.
Nangona kukho ukugqithwa okukhulu phakathi kwezi zimbini, akukho ndawo kufuphi nabani na abane-Sjögren's syndrome abanezifo ze-celiac (okanye i-vice versa). Ezinye izifundo ziqikelela ukuba malunga ne-15% yabantwana abanesifo se-Sjögren banesifo se-celiac.
Nangona kunjalo, ukuba ufumene ukuba unesifo se-celiac kwaye uvalelwa ngumlomo owomileyo okanye amehlo oomileyo, kufuneka uxoxe nodokotela wakho malunga nokuba kungenzeka ukuba nesifo seSjögren's. Ukuba kuvela ukuba unezo zombini, amayeza enyango ayenakho angakusiza ukukhuthaza ukuhamba kwemali kunye nokukhusela amazinyo akho.
Ngaphantsi
Isifo seCeliac sinokuchaphazeleka kakhulu kwimpilo yakho yomlomo, nangona kuninzi lweemeko, le mphulo inokuphathwa okanye ikhuselwe. Ukuba ubona nantoni na engavamile, njengemilonda yomlomo, umyinge we-saliva, okanye amaninzi amaninzi, kufuneka uxoxe nodokotela wamazinyo okanye ugqirha wakho malunga noko ubonayo. Kwiinkathalo zempilo yomlomo, ukufumana unyango olukhuselekileyo kubalulekile ekukhuseleni iingxaki zexesha elizayo.
> Imithombo:
> Condo R et al. Umda wamazinyo kuMntwana onamaCeliac Disease. I-European Journal ye-Dediatric Dentistry . 2011 Sep; 12 (3): 184-8.
> Majorana A et al. Iimpembelelo zexesha le-Gluten Exposure Period, ii-CD Clinical Form, kunye ne-HLA Typing kuMbutho phakathi kwamaCeliac nezifo ze-Dental Enamel. Isifundo soLawulo lweNkundla. I-International Journal ye-Dentistry. Ngo-2010 uMar; 20 (2): 119-24.
> Pastore L et al. Izibonakaliso zomlomo zezifo zeCeliac. Umbhalo we-Clinical Gastroenterology . 2008 Mar; 42 (3): 224-32.
> Rashid M et al. Ukubonakaliswa kwemilomo yezifo zeCeliac: Isikhokelo seNtsholongwane yamazinyo. Umbhalo we-Canadian Dental Association . 2011; 77: b39.