Abantu abanesifo esingapheliyo bahlala bexela iingxaki ze gallbladder.
Akuqhelekanga kubantu abanesifo esiqhekezayo ukuba baxele iingxaki kunye ne-gallbladders yabo. Njengoko kuvela, ikhonkco phakathi kwemibandela ye-celiac kunye ne-gallbladder ayinakuba yinto eyodwa kuphela: izifundo eziliqela zidibene nesifo se-celiac kunye neentlobo ezithile zesifo se-gallbladder.
Nangona kunjalo, kukho impikiswano malunga nokuba abantu abane-caliac basemngciphekweni ophezulu kwimeko eqhelekileyo yesifo se gallbladder: gallstones.
Isi sifo esiqhelekileyo kunye nesifo esibuhlungu sisichaphazela abantu abaninzi abanesifo se-celiac, kodwa akukho ubungqina obuninzi obonisa ukuba abantu abane-celiac banomngcipheko ophezulu kwi-gallstones kunabantu abangenayo isifo se-celiac.
Sekunjalo, abanye abaphandi baye baxhomekeka ukuba uhlobo lomonakalo emathunjini olwenzekayo kulabo abanezifo ezinqwenelekayo lungakhokelela ekubeni kuthiwa "i-gallbladder" enokuthi iholele ekuveleni uhlobo oluthile lwama-gallstones.
Funda kwiinkcukacha zendlela isifo se-celiac esingasichaphazela ngayo i-gallbladder yakho, kwaye ngenxa yobungozi bakho bokukhula kwesifo se-gallbladder.
Indlela i-Gallbladder yakho incedisa ngayo ukuGaya
I-gallbladder yakho iyilungu elincinci, elinesibini eliphantsi kweso sesibindi ngakwesokunene sakho, ngaphantsi kwembambo yakho. Ngokuyisiseko isitya sokugcina: injongo yaso kukuqokelela i-enzymes yokutya okubizwa ngokuba yi-bile (okanye mhlawumbi, indlongo-ke igama elithi "gallbladder") kwisibindi sakho kwaye ubambe ezo zine-enzyme de zifunekayo kukunceda ugaye ukutya.
Emva koko, izivumelwano zakho ze-gallbladder kwaye zikhupha ii-enzyme ezigcinwe kwisisu sakho esincinane, apho kutyalwa khona ukugaya.
Xa i-gallbladder yakho isebenza ngokufanelekileyo, awuyi kukwazi ukuba wenza umsebenzi walo. Kodwa, ngelishwa, kukho iindlela ezininzi ze-gallbladder ezinokungasebenzi kwaye zenze iingxaki.
Iingxaki eziqhelekileyo zeGallbladder
Ingxaki eqhelekileyo abantu abava ngayo kunye ne-gallbladder yabo kukuphuhliswa kwama-gallstones. Kwamanye abantu, ifom elincinci "ngamatye" kwifom, kwaye loo nto inokubangela intlungu kunye nokuvuvukala. Akucaci isizathu sokuba oko kwenzeke, kodwa izizathu ezinokwenzeka zibandakanya i-cholesterol eninzi kwi-bile yakho okanye i-bilirubin eninzi (ikhemikhali ephuzi eyenziwa ngumzimba wakho xa iphula iiseli zegazi ezibomvu).
Kukho iintlobo ezimbini ezahlukeneyo ze-gallstones: i-cholesterol gallstones, ezona ziqhelekileyo, kunye ne-pigment gallstones, ezingaqhelekanga kwaye ziphuhlise xa i-bile yakho iqukethe i-bilirubin kakhulu. Kananjalo unakho ukuhlakulela i-gallstones xa i-gallbladder yakho ingayitholi kakuhle.
Akubona wonke umntu onama-gallstones aneempawu. Kodwa iimpawu zezigulane zingabandakanya: intlungu ebuhlungu kwisisu sakho sokunene esingasemfudumeni ukuya ehlombe lakho nasempilweni yangasemva, i-nausea, kunye nokuhlanza. Iimpawu zingaphaya kwemizuzu embalwa okanye ziqhubeke iiyure eziliqela. I-bile egcinwe kwi-gallbladder yakho ikunceda ukugaya amanqatha ekudleni kwakho, kwaye ke unokuba "nokuhlaselwa" okunjalo emva kwesidlo esinobutyebi okanye esinamafutha njengoko i-gallbladder yakho izama ukuthenga.
Ukuba unama-gallstones-ingakumbi ukuba i-gallstones zakho zivimba umzila apho ibhala lixhamla emathunjini akho amancinci-i-gallbladder yakho inokutsha.
Le meko yaziwa ngokuba yi-cholecystitis. Iimpawu ze-cholecystitis ziquka: intlungu (isoloko inzima) kwicala lasekunene lesisu sakho, ngaphantsi kwembambo yakho yembambo, i-nicea kunye nokuhlanza, kunye nomkhuhlane. Ngokuqhelekileyo, uya kuba nale miqondiso kwiyure okanye ezimbini emva kwesidlo esikhulu. Ukutya okuqulethe amaninzi amaninzi kunokubangela iimpawu ze-cholecystitis.
I-cholecystitis enobukhulu ingakhokelela ekusulelekeni kakubi kwi-gallbladder yakho kwaye inokubangela ukuba i-gallbladder yakho ibhuqe okanye iphele. Ukuba ugqirha wakho uxilonga ngolu hlobo, uya kufuna amayeza okulawula ukusuleleka, kwaye usenokufuna ukubhedlele.
Ukuba ufumana ubunzima obungaphezu kwesinye se-cholecystitis, ugqirha wakho uya kuchaza ukhetho lwakho. Abantu abaninzi abaye bahlala bekholecystitis bafuna ukususwa kwe-gallbladder yabo.
Indlela izifo zeCeliac ezinokuthi zixhamle ngayo kwi-Gallbladder Disease
Isifo se-Celiac senza ukuba ubhedu lwamathumbu amancinci lulahleke kwinkqubo ebizwa ngokuthi i -atrophy . Kodwa mhlawumbi uyazi ukuba isifo se-celiac sichaphazela ngaphezu kweyona ndlela yakho yokutya: izibonakaliso ze-celiac ziyakuchukumisa inkqubo yakho yeentlanzi , ukuzala kwakho, amanxeba akho, kunye nesikhumba sakho.
Ekubeni iimpembelelo ze-celiac zinkulu kakhulu, akumangalisi ukuba imeko ingadibana nemibandela ye gallbladder. Enyanisweni, kuqhelekile ukuba abantu abanezifo eziqhekezayo bathi basuke besuswe i-gallbladder ngaphambi okanye emva kokuxilongwa. Abantu abambalwa baye bathi bakholelwa ukuba isifo sabo se-celiac sagxothwa yi-gallbladder ukususwa, kodwa akunakwenzeka ukuqinisekisa oko kunokubangela isifo se-celiac .
Izifundo kubantu abanesifo se-celiac kodwa abangayilandelanga ukutya okungekho-gluten baye bafumanisa iingxaki nge-gallbladder ukuxotha emva kwesidlo esinamafutha. Le ngxaki ingenza umntu abe namandla ngakumbi ekuphuhliseni uhlobo lwama-gallstones ezenziwe nge-cholesterol.
Abaphandi baseItaly bafunda abantu abangama-19 abanezifo ezingapheliyo ezazingasilandelanga ukutya okubangelwa i-gluten, kwaye bafumanisa ukuba i-gallbladders yabo yanciphisa ngokukhawuleza kunokuba i-gallbladders kubantu abangenawo imeko. Abaphandi baphinda bafunda umsebenzi we-gallbladder kubantu abafanayo xa bebenayo i-gluten-free, kwaye bafumanisa ukuba i-gallbladder imptying yayiqhelekileyo.
Nangona kunjalo, isifundo esifanayo safumanisa ukuba ukutya kudlulele kancinci kumathumbu amancinci abantu abanezifo eziqhelile kunezo abantu abangenawo imeko ngaphandle kokuba abantu abanomdla wokutya babengafuni ukutya ngaphandle kwe-gluten.
Olunye u bungqina lukhona ukuba abantu abanezifo ezinqwenelekayo banokuba neempembelelo ze-gallbladder umsebenzi nxamnye nokulandela ukutya okubangelwa i-gluten.
Ngaba i-Celiac yokwandisa ingozi yakho yeGallstones?
Nangona ubungqina bokuba isifo se-celiac sinokuchaphazela umsebenzi we-gallbladder yakho, uphando oluninzi lubonakala lubonisa ukuba abantu abanamacandelo angabikho mngcipheko ophezulu kakhulu kwi-gallstones. Nangona kunjalo, abanye abaphandi banzima loo mbono.
Uphando oluqhutywe kwiminyaka emininzi edlulileyo lubonise ukuba abantu abayisithoba kuphela kwabangama-350 abanesifo esiqhekezayo babesuswe ngenxa ye-gallstones. Okwangoku, uphando olutshanje lubonisa ukuba abantu abafumene izifo ezinama-celiac emva kweminyaka yobudala abangama-60 basenokuba ngumngcipheko ophezulu kwi-gallstones-engama-20 ekhulwini kulabo baqukwa kuloo phando babenama-gallstones.
Ngokuphinda kutshanje, abaphandi abhala kwi- European Journal ye-Clinical Investigation baxilongwa ukuba isifo se-celiac singabangela umngcipheko wokubaluleka kwe-gallstone-ngokukodwa, ukwakheka kwezinto eziqhelekileyo ze-cholesterol gallstones-kuba isifo se-celiac singakhokelela kumanqanaba amancinci omzimba wakho usebenzisa ukusebenzisa i-gallbladder yakho ukukhulula ibhili.
I-hormone, eyaziwa ngokuba yi-cholecystokinin, iveliswa yimbombo yesisu esincinci, esonakaliswe xa unesifo esiyi-celiac. I-cholecystokinin encinane ingathetha ukuba i-gallbladder yakho ayisebenzi kunye nokuba kufanele yenze oko kuthiwa "i-gallbladder" ekhohlakeleyo-leyo ingakhokelela ekubunjweni kwala ma-gallstones e-cholesterol, abaphandi bathi. Nangona kunjalo, le ngqungquthela ayisayixhaswa uphando ngonyango.
Izibini zesifo se-celiac kunye ne-gallstones ziqheleke kakhulu kubafazi ngaphandle kwamadoda. Abasetyhini bafumaneka ukuba banesifo se-celiac phantse kabini ngokuphindaphindiweyo njengamadoda. Ngokufanayo, abasetyhini kwiminyaka yabo enesiqhamo bafumana kabini ukuba banokuthi bafumane i-gallstones njengamadoda, nangona ulwahlulo phakathi kwalaba bantu besondeza nabantu abadala. Nangona kunjalo, into yokuba i-celiac kunye ne-gallstones zixhaphake kakhulu kubasetyhini kunamadoda ayithethi ukuba le miba mibini ihambelana. Uphando olungakumbi lufunekayo ukuchonga ukuba ngaba isifo se-celiac ngokwenene sisichengeni seengozi ze-gallstones.
Ukuqhagamshela kwiiBil Duct Disease
Isifo seCeliac sichaphazela isibindi sakho , esona simbopheleleko sokwenza i-bile igcinwe yi-gallbladder yakho. Ngokomzekelo, i-celiac ixhunyaniswe nokuhlola okungabhelekanga kwesibindi kunye nesimo sesifo sesibindi esibizwa ngokuba yi-autoimmune hepatitis, apho isistim somzimba sakho sokuzivikela sichasa isibindi sakho. Kwiimeko ezininzi ezichaziweyo, ukuxilongwa kwe-celiac kunye nokutshintsha okulandelayo kwi-gluten-free diet kwalungisa umonakalo wesibindi kubantu ababefudula bebaviwa kwi-transplant.
I-Celiac inokuthi idibaniswe neemeko ezibizwa ngokuba yi-primary sclerosing cholangitis, eyimeko engapheliyo eyenza umonakalo othobekileyo kwiidonti ezihambisa ibhili kwi-isibindi ukuya kwi-gallbladder.
Abaphandi abhaliweyo kwi- World Journal ye-Gastroenterology bathi i-sclerosing cholangitis eyona nto ingabelana ngezifo eziqhelekileyo zesifo se-ecliac, esinokuthi ilandele ikhonkco ekhoyo phakathi kwezi zimbini. Nangona kunjalo, ngokubhekiselele kubaphandi, akukho bungqina bokuba ukutya okungekho gulen kunokuphelisa lo hlobo lomonakalo kumdaka.
ILizwi
Ukugonywa kuyinkqubo enzima, kwaye i-gallbladder yakho inendima ebalulekileyo. Nangona kunjalo, awudingi i-gallbladder yakho, ngoko ukuba ugqirha wakho uncoma ukukususa ngenxa yesifo se-gallbladder , akufanele ukhathazeke ngokuvumelana nokuhlinzwa.
Iiklinikhi ezimbalwa zincoma ukuba abantu abatsha bafumana isifo se-celiac bavavanywa basebenzisa i-ultrasound ukukhetha ukuba i-gallbladders yabo isebenza ngokufanelekileyo, nokuba ingaba kuthiwa "i-sludge," okanye i-precursor ukuya kwi-gallstones, ekhoyo kwi-gallbladder. Nangona kunjalo, akubona bonke oogqirha abavuma ukuba olu vavanyo luyimfuneko. Ukuba uye wafumanisa ukuba unama-gallstones ngexesha elidlulileyo, unokufuna ukuqwalasela ngolu hlobo kunye nogqirha wakho.
Abanye abantu badinga ukutya okwexeshana, okhethekileyo okutyebileyo ophezulu kwi-fiber elandela ukuhlinzwa okwenziwe i-gallbladder ngelixa iinkqubo zabo zokugaya zilungele ukungabi ne-gallbladder. Ukuba unesi sifo se-celiac kwaye usuke usususwe, kufuneka uxoxe nogqirha wakho malunga nokutya okutya xa ufumana. Azikho zonke izongezelelo zefiber ezingenayo i-gluten-free, kodwa ukutya okuninzi okungaqhelekanga kwe-gluten kunezixhobo ezininzi. Ukuba udinga uncedo lokucwangcisa ukutya kwakho, cela udokotela wakho ukuba akubhekise kwi-dietitian onokuzikhethela ekudleni okungenanto ye-gluten.
> Imithombo:
> Benini F et al. I-slowly Gallbladder Ukuphuma Ukubuyela kwiindawo eziqhelekileyo kodwa ezithintekayo zokuhamba ngesiswini seMveliso yePhysical Rests Rests in Patients Celiac Ngexesha lokutya kweGluten-Free. I-Neurogastroenterology kunye ne-Motility . 2012 Feb; 24 (2): 100-7, e79-80.
> Farnetti S et al. Ukuphazamiseka okusebenzayo kunye neMetabolic kwi-Celiac Disease: Impembelelo entsha kwiNyango yokuNyango. Yogqirha yezoMpilo . 2014 Nov; 17 (11): 1159-64.
> Freeman HJ. I-Hepatobiliary ne-Pancreatic Disorders kwi-Celiac Disease. I-World Journal yeGastroenterology . 2006 uMatshi 14; 12 (10): 1503-1508.
> Wang HH et al. Ukukhubazeka Kwamazinyo Emathunjini ase-Cholecystokinin Secretion, isiqhenqa esibangelisayo kodwa esibiweyo phakathi kwezifo zeCeliac kunye neCholesterol iGallstone. I-European Journal yePhenyo loPhando . 2017 kuMatshi; 47 (4): 328-333.