Ubukhulu obufutshane kakhulu bube ngumqondiso we-Telltale
Ngaba yonke imfutshane emfutshane ifana ihlolwe ukuba ibone ukuba unayo isifo seliliac ? Impendulo, njengabaphandi abaninzi bezonyango, i-"yes."
Abantu bacinga ukuba bangamafutshane nje ukuba baphakathi kwe-3 ukuya kwe-5% yabemi. Isiqu esifutshane sinokuthi sibe sesigqirha ngamanye amaxesha, kodwa ngamanye amaxesha sinokuxhamla kwingxaki yonyango - kwaye ngokugqithiseleyo kuqatshelwa ukuba isiqu esifutshane singabonakalisa isifo se-celiac .
Enyanisweni, ngamanye amaxesha kungabikho uphawu olulodwa lwesifo se-celiac.
Ngomxholo kaDisemba 2007 we- Journal of Gastroenterology kunye neHepatology , oogqirha baseIndiya abafundela abantwana ngesigxina esifutshane babike ukuba i-15% yabantwana babenesi sifo se-celiac. Enyanisweni, oogqirha bafumene ukuba izifo ezingama-celiac ziyizona zizathu eziqhelekileyo zenkqubela emfutshane ebantwaneni kulesi sifundo.
Ngama-1990, abaphandi baseNtaliyane abaye bafunda iqela labantwana abanomlinganiselo omfutshane bafumanisa ukuba i-59% yazo yayinezifo ezingekho. Izifo zaseCeliac zase zidibaniswe nesigxina esifutshane kwizifundo zabantwana baseItaly, kwakunye nezifundo eBrazil nase-Iran.
Akukho namnye wabantwana abanesifo esiqhekezayo kunye nesigxina esifutshane nakweyiphi na yezi zifundo esinezo naziphi na iimpawu zesisu somzimba weliliac.
Lithetha ukuthini oku kuwe?
Kuzo zonke izifundo ezikule sihloko, abaphandi bafikele kwizigqibo ezifanayo, oko kukuthi:
- Isiqu esifutshane ngamanye amaxesha sinokuphela kwesifo sesifo seliliac kubantwana.
- Abantwana abancinci kufuneka bavavanywe kwisifo se-celiac, nangona bengenazo iimpawu zesisu.
Ukuba umntwana wakho unomlinganiselo omfutshane (okanye wena ngokwakho), xela ugqirha malunga nokuvavanywa kwisifo se-celiac . Nangona ukuqinisekiswa kwesifo se-celiac kuya kufuna i-biopsy, iindidi zeemvavanyo zegazi (kubandakanywa ukuhlola i-genetic ) zingenziwa kuqala ukukunceda ukuba isigqibo sokuba ngaba i-biopsy ibizwa.
Ukukhuthazwa, kuye kwafunyanwa kwezinye iimeko ukuba xa isifo se-celiac sisisombululo esifutshane, ukutya okungekho gulen kunokuphumelela ekuphuculeni ukuphakama kokugqibela komntwana .
(Ehleliwe nguJane Anderson)
Imithombo:
Bhadada S, Bhansali A, Kochhar R, et al. Ngaba ngamnye umntwana omfutshane esifutshane ufuna i-Screening ye-Celiac Disease? J Gastroenterol Hepatol. 2007 Dec 13 [Epub phambi kokuprinta]
Bonamico M, uSiriré G, Mariani P, et al. IsiQiniso esifutshane njengoBonakaliso beSiseko seMonosymptomatic Celiac Disease. J Pediatr Gastroenterol Nutriti. 1992; 14: 12-6.
Cacciari E, Salardi S, Lazzari R, et al. IsiQiniso esifutshane kunye nezifo zeCeliac: Ubudlelwane Ukuqwalasela Ngakumbi Kwizigulane ezingenazo Iimpawu zoMzimba. J Pediatr. 1983; 103: 708-11.
Queiroz MS, uNery M, Cançado EL, et al. Ukunyameka kwezifo eziCeliac eBrazil Children of Short Stature. I-Braz J Med Biol Res. 2004; 37: 55-60.
Salardi S, Cacciari E, Volta U, et al. Ukukhula kunye noKhuseleko lwabantu abadala kwiSetypical Celiac Patients, nge-Without or Growth. J Pediatr Endocrinol Metab. 2005: 18: 769-75.