I-dermatitis herpetiformis ayiyona yodwa yesikhumba esondelelene neengxaki ze- celiac- uphando oluninzi lubonisa ukuba i-psoriasis inokwabelana ngokuqinileyo kunye nesifo se-celiac kunye neprotheni ye-gluten , efunyenwe ngqolowa, i-hareyi ne-rye.
Olunye uphando lubonisa ukuba i-gluten ebhiya ye-psoriasis kwabasetyhini abathile, kwaye uphando oluthile luchaza unxibelelwano phakathi kwesifo se-celiac kunye ne-psoriasis.
Ngokukodwa, uphando lubonisa ukuba izigulane ze-psoriasis zinamazinga aphakamileyo e-gluten antibodies ezijikelezayo emzimbeni wazo. Ezi zikhuhlane zibonisa ukuba izigulane ze-psoriasis zisabela kwi-gluten kwizidlo zazo, nangona zifumanekanga ukuba zifumana isifo se-celiac.
Oku akuthethi ukuba i-gluten yabangela ukuba uphando lwe-psoriasis alukaqinisekisi ukuba ikhonkco. Kungathetha ukuba izigulane ze-psoriasis zineemilinganiselo eziphakamileyo zesifo se-celiac, kodwa i-gluten ayinendima kwi psoriasis yabo.
Kwakhona kunokuthetha ukuba abanye abantu abanesifo se- psoriasis bafumana ubunzima bokungabikho kobuqili be- gliten , kwaye loo mqathango ibangela amanqanaba aphezulu ase-gluten antibodies.
Uphando olungakumbi luya ku funeka lwenziwe ukuze kuthathelwe ukuba yintoni, ngokuchanekileyo, ziphi ukudibanisa ezikhoyo phakathi kwesifo se-celiac, ubuninzi be-glitien gluten, kunye ne-psoriasis.
Uqhagamshelwano phakathi kwezifo zeCeliac kunye ne-Psoriasis
Izifo zombini zeliliac kunye ne-psoriasis zizifo ezizenzekelayo , oku kuthetha ukuba kwimeko nganye, isistim somzimba sakho sichasa ngokungafaneleka inxalenye yomzimba wakho.
Xa unesifo se-celiac, isistim somzimba sakho sokuzivikela sihlasela yakho intestinal villi . Xa unesi-psoriasis, isistim somzimba sakho sokuzivikela sihlasela ulusu lwakho.
Kwi-psoriasis, i-thickness, i-scaly ebomvu yamacwecwe ekhula kwesikhumba njengoko ulusu lwangaphandle lwesikhumba lukhula ngokukhawuleza. Ngelixa i-psoriasis inokubonakala nanini nayiphi na ubudala kwaye ngamanye amaxesha ingafumaneka nakwiziintsana esiswini, abaninzi abantu bafumana le sifo kwiminyaka yabo emdala.
Phantse enye yesithathu yezigulane ezine-psoriasis nazo zixhatshazwa, kunye ne-10% ine-arthritis ye-psoriatic, uhlobo lwe-arthritis evuthayo. Kuze kube ku-4.3% wezigulane ze-psoriasis nazo ziyaxilongwa ngezifo ze-celiac.
Njengale ngongoma, akukho liqela lezonyango liye laphuhlisa iziphakamiso zesifo se-caliasis kwisifo se-coriasis.
Izifo ze-Celiac Antibodies ezitholakala kwi-Psoriasis Patients
Ubuncinane iiphando ezimbini zibika iingxaki zokufumana i-gluten antibodies kwizigulane ezine-psoriasis, ezinokubonisa isifo se-celiac ezingaziwa ngabo bantu.
Ngokomzekelo, ingxelo enye ifumene amanqanaba aphakamileyo amanqanaba omzimba wezifo ezithintekayo kwizigulane ezine-psoriasis kunezigulane zokulawula ezihambelanayo kwaye ziphakamisa ukuba ezinye zezi gulane zinezifo ezingenayo i-celiac , ebonisa ukuba unemivavanyo yegazi efanelekileyo kodwa i-biopsy evamile yamathumbu.
Olunye uphando lathatha iisampula zegazi kwizigulane ezinezilonda ze-psoriatic ezimbi, kunye neesampuli kubantu abaphilileyo abangenabo imbali yentsapho ye-psoriasis okanye isifo se-celiac. Abaphandi bafumanisa ukuba izigulane ezine-psoriasis zineziphumo eziphakamileyo kakhulu zeentlobo ezimbini ze-antibodies ezisetyenziselwa ukuxilonga isifo se-celiac.
Nangona kunjalo, akukho nanye yezigulane kweso sifundo ine-anti-endomysial ye-IgA anti-endomysial, apho oogqirha babecinga ukuba banesifo esichukumisayo kunye nesicatshulwa sesifo se-celiac .
Sekunjalo, abaphandi baphetha ngelithi "iziphumo zethu zibonakala zibonisa ukudibanisa phakathi kwe-psoriasis kunye nesifo esingenasifo se-celiac / ukunyamezela kwe-gluten."
Ngaba isidlo se-Gluten-Free siyakwazi ukunceda abahluphekayo be-Psoriasis?
Ukuba uye wafumanisa ukuba unesifo se-psoriasis nesifo se-celiac, kuya kufuneka ulandele ukutya okungekho gluten ukuphatha isifo sakho se-celiac. Njengobhonasi, kunokunceda i psoriasis yakho. Kodwa ngaba izigulane ze-psoriasis ezingakhange zifumane ukuba zizifo eziphethwe yi-celiac zicinga ngokutya okungafani ne-gluten,?
Uphononongo olulodwa lubonisa ukuba impendulo ibe nguwe ewebantu abavavanyayo abanomdla kwi-antibodies ukuba babe ne-gluten, nangona bengenayo isifo se-celiac.
Okokuhlola kwajonga abantu abangama-33 abane-psoriasis abanama-antibodies aphezulu ukuze bafanise abantu abathathu abane-psoriasis abangenayo i-anti-gluten antibodies ephezulu. Uphononongo lufumene ukuba i-73% yabano-anti-gluten antibodies ephezulu yabona i-psoriasis yabo iphucula xa behamba bengenasiphelo, ngelixa kungekho nanye kwalawo angenawo amaninzi e-gluten ekhuselekileyo ayibona utshintsho.
Ezinye iingxelo ezincinci kunye neengxelo zengxelo zibonisa ukuba abanye abantu abanesifo se-psoriasis banokuphucula isikhumba sabo (ngamanye amaxesha ngokugqithiseleyo) ekudleni okungenanto yokutya, nangona bengazange bafumane ukuba bane-celiac disease. Enyanisweni, abaphandi besifundo esithile baphawula ukuba "ukutya okungenayo i-gluten kunokuncedisa kwizigulane ze-psoriasis ezinokubaluleka kwe-gluten [eqinisekisiwe ngamagciwane amaninzi ukuba i-gluten] kodwa ingabi yi-biopsy-yaqinisekisa isifo se-celiac."
Nangona kunjalo, akukho zonke iiphononongo eziye zabonisa ukuba ukutya okungekho gulen kunceda abantu abane-psoriasis.
Ukuba unomdla ekunikezeni ukutya okungafani ne-gluten, kulungile ukuxoxa ngale ngxelo nogqirha wakho kuqala. Unokufuna ukucela iimvavanyo zegazi ukuze ubone ukuba unayo i-antibodies ye gluten ejikelezayo emzimbeni wakho ekubeni oko kunokukunceda ukuba unokufumana inzuzo ekudleni.
Imithombo:
Bhatia BK et al. Ukutya kunye ne-psoriasis, inxalenye II: isifo se-celiac kunye nendima ye-gluten-free food. Umbhalo we-American Academy of Dermatology. 2014 Aug; 71 (2): 350-8.
Damasiewicz-Bodzek A et al. Abakhonkethi baseServical of disease celiac kwizigulane ze-psoriatic. Umbhalo we-European Academy of Dermatology kunye neVenereology. 2008 Sept; 9 (22): 1055-1061.
Gisondi P et al. I-Psoriasis, isibindi, kunye nesondlo sesisu. Dermatologic Therapy. Umgama we-2010; 23 (2): 155-159.
Qureshi A et al. Ukusetyenziswa kotywala kunye nomngcipheko we-psoriasis yesiganeko kwabesifazane base-US: Ufuna ukufunda. IiNqoloba zeDermatology. Ishicilelwe ngo-Agasti 16, 2010. http://archderm.ama-assn.org/cgi/content/full/archdermatol.2010.204.
Singh S et al. Izifo ezinxulumene nezifo zeCeliac ezichaphazelekayo kwizigulane ezine-psoriasis kunye ne-HLA Cw6. Umbhalo we-Clinical Laboratory Analysis. 2010; 24 (4): 269-72.