Okwenene Okwenyaniso okanye Okwenyaniso: Iimvavanyo Zonyanga-ezingekho phantsi kweeNzululwazi zegazi eziNinzi eziqhelekileyo kubantwana
Kuqhelekileyo ukufunda kwiifom ze- malaria ezahlukahlukeneyo ezingabantwana abahlala benempembelelo engafanelekanga kwiimvavanyo zesifo se-celiac (ingakumbi kwiimvavanyo zegazi ezingapheliyo ).
Umntu obizwa ngokuba yi-"negative negative" umphumo wokuvavanya kwenzeka xa iziphumo zolu vavanyo lwezonyango zibonisa ukuba unayo imeko ethile (kulo mzekelo, izifo ezingama-celiac), kodwa wenza njalo. Uvavanyo lwezonyango alunamanga ngamabomu-iimvavanyo ezimbalwa zinikela ubungqina obuyi-100% kwiziphumo zabo.
Ukucinga emva kwengcamango yokuba iimvavanyo zegazi azisebenzi kakuhle kubantwana kukuba ukulimala kwamathumbu emathunjini e-liliac eyaziwa ngokuba yi -atrophy ephangaleleyo kuthatha ixesha elide ukuphuhlisa, kwaye ngoko abantwana abaneziphumo ezimbi abazange babe nexesha elaneleyo lokuba imeko yokuqhubela phambili kwisigaba esonakaliswe ngokwenene (iimvavanyo zegazi ezilungileyo zibonisa umonakalo okhona).
Oku kunjengomxholo ontle, kodwa ngelanga akukho bungqina bonyango obuyifumanayo-izifundo ezingazange zenziwe.
Yintoni esiyaziyo malunga nokuvavanya abantwana kwiCeliac?
Ngokutsho kukaDkt. Alessio Fasano, ophethe i-Massachusetts General Hospital kwisiGqeba soPhando lweCeliac, uvavanyo olubi lwangasese kwi-test ye-celiac ye-blood test-uvavanyo lwe-TTG-IgA-ngokubanzi luvela kwi-10-15% yazo zonke iimeko. Nangona kunjalo, akuzange kubekho uphando ukuchonga ukuba ngaba abantwana banelungelo lokujongana nale miba engekho badala.
"Ukuvavanya uvakalelo lweemvavanyo ezifana ne-TTG, okokuqala wenza i-endoscopies kunye ne-biopsies uze uqinisekise ukuba mangaphi ama-biopsies abonisa umonakalo obonakalisa izifo ze-celiac zilungile kwi-TTG," uDkt. Fasano utshela i-WellwellFit.com.
"Ezi zininzi zezifundo zenziwe ngabantu abadala abangakwazi ukufumana iiposcopi ngokuphindaphindiweyo kunye nezinye izizathu ezininzi kunabantwana." Kubantwana bentwana, le ndlela ayiyi kuba yinto enobulungisa, kwaye andiyazi naziphi na izifundo. "
Kukho ubungqina bezinga elibi lokungalunganga kubantwana eliphakamileyo kune-10-15%.
Uphando olupapashwe kwi-kliniki yeCliniical Chemistry kunye neRaily Medicine lubhekisele ekuhlolweni kwegazi kunye neziphumo ze-biopsy kwiqela labantwana abangaphantsi kweminyaka emithandathu abanesibini. Uphononongo lufumene ukuba i-80% yalezi zigulane zezifo zeliliac ziqinisekisile iziphumo zokuvavanya kwi-test ye-gA-gliadin peptide (DGP) IgA yegazi okanye uvavanyo lwegazi lweTTG-IgA. I-84% yabantwana babenelungelo kwi-DGP-IgG okanye uvavanyo lwegazi lweTTG-IgA.
Ngako oko, abalobi baphetha ngelithi umgangatho ongcono kakhulu wokuba uvavanyo oluchanekileyo lwegazi lufika xa uvavanyo lwe-TTG-IgA lisetyenziselwa ukudibanisa novavanyo lwe-DGP IgG. Kweso sifundo, isilinganisi "sokungabikho kwamanga" sazo zimbini zonyango eziphakanyisiweyo zegazi ezisetyenziselwa inhlanganisela yayingu-16%. Ukusebenzisa olunye uhlanganiso lweemvavanyo lwavelisa izinga elibi lokungabikho kwe-20%.
ILizwi
Ukuba ukholelwa ukuba iziphumo zokuvavanya izifo zomntwana wakho zibuyele kunye nomphumo ongalunganga, unokuba neendlela ezinokuthi uxoxe kunye nodokotela wezilwanyana, ingakumbi ukuba iimpawu zomntwana wakho zikhala "leliac." (Khangela inqaku lam kwiimpawu zeCeliac Disease Symptoms kwaBantwana ukuba awuqinisekanga.)
Kungenzeka ukuba, nangona iziphumo zokuhlolwa kwegazi ezingekho phantsi, ugqirha wengane yakho ingancoma ukuba iqhubeke ne-endoscopy ukufumanisa ukuba kukho nayiphi na umonakalo wamathumbu onokuthi ubonise i-celiac.
Nangona abazali abaninzi bexinzeleleka ekuhambiseni umntwana wabo kwi-endoscopy (kwaye kunomngcipheko omncinci, njengokuba kukho nayiphi na inkqubo yonyango), inyaniso kukuba abantwana bahlala bebhetele bhetele kunabo bazali ngosuku lwe-endoscopy.
Unokugqiba nokuba unqamle ukuphela kwe-endoscopy, kodwa qwa lasele phambili ngolu vavanyo lwe- gluten-free food ukuze ubone ukuba iimpawu ziyazisombulula. Umntwana wakho akanakho ukufumana isifo se-celiac, kodwa kunokuba abe ne-non-celiac ye- gluten uzwela , isimo esandulandwayo esinezibonakaliso ezinokulinganisa ngokuthe ngqo. Okwangoku akukho ndlela yamukelwayo yonke indawo yokuvavanya ubuninzi be-gluten , kodwa ukuba umntwana wakho unenkxalabo, iimpawu zakhe kufuneka ziphucule ngokukhawuleza xa ephepha iguluten ekudleni kwakhe.
Ekugqibeleni, unokuqwalasela ukuhlolwa kofuzo lwesifo se-celiac . Ezi mvavanyo azikwazi ukuxilonga i-celiac; Kunoko, banokukwazi ukuba ngaba unako ukuvelisa imo. (Ngaphezulu koku, khangela into endiyithethayo Kuthiwani ukuba uvavanyo lwami lofuli lwangumhle? )
Umgca wecala kukuba, kukho ubungqina obuncinane bezinga eliphezulu lokuhlolwa kwegazi le-ecliac yeziphumo zegazi ku-abantwana kunokuba kukho abantu abadala-kunokwenzeka ukuba malunga neyodwa kwiintlanu okanye ezintandathu abantwana abavavanyayo bafumana umphumo ongalunganga. Ngethamsanqa, unokhetho oluthile xa ukholelwa ukuba iziphumo zokuhlolwa komntwana wakho azichanekanga.
> Imithombo:
> Brusca I et al. Izilingo ezindala kunye neNtsha kwiiCeliac Izifo: Yiyiphi intsha yokuHlola yokuHlola ukuThatya izifo eziCeliac kwizigulana zezilwanyana? I-Chemistry Clinic kunye neMicrosoft Medicine. 2011 Septemba 26; 50 (1): 111-7.
> Werkstetter KJ et al. Ukuchaneka kwiSifo se-Celiac ngaphandle kwee-Biopsies kwi-Clinical Practice. Gastroenterology . 2017 Oct; 153 (4): 924-935.