Ingozi yeCoronary Artery Disease, i-A-Fib iphakanyisiwe
Xa ucinga ngesifo se- ecliac , mhlawumbi ucinga kuqala ngemiphumo yakho kwisistim sokutya. Kodwa le meko inempembelelo ebalulekileyo kwenye inkqubo ebalulekileyo: inkqubo yakho ye-cardiovascular system.
Uphando lubonisa ukuba abantu abanesifo esiqhenqileyo sinomngcipheko ophakamileyo weentlobo ezimbini ezahlukeneyo zesifo senhliziyo: isifo senhliziyo yesichemicic (eyaziwa ngokuba yi-coronary artery disease), kunye ne-fibrillation ye-atrial (ngokungavumelekanga, ngokuqhelekileyo ukubetha kwentliziyo ebizwa ngokuba yi-A-Fib emfutshane ).
I-Celiacs inomngcipheko ophezulu wokufa kwesifo senhliziyo, nangona ukulandela ukutya okungekho gulen kubonakala kunciphisa loo mngcipheko.
Akucaci ukuba kutheni konke oku kwenzekayo, ingakumbi kuba abo abanezifo ezinqamlekileyo abanako ukugqithisa okanye ukubhema, ezimbini ezibangela ingozi yesifo senhliziyo. Kananjalo banokuba ne-cholesterol ephantsi. Abanye abaphandi baye bacacisa ukuba ukuvuvukala okuqhutyelwa yindlela yokuzivikela yokhuselo lomzimba ku-gluten ingozi, kodwa izifundo azange ziqinisekiswe ngokucacileyo ukuba inkolelo.
Nangona kunjalo, ingozi eyongeziweyo ikhona. Ucwaningo olwenziwa ngo-2008 lwaseScotland olwalandela abantu abangama-367 abanesifo esiqhekezayo kwisithuba esiphakathi kweminyaka emine emva kokuba befumaniswe ukuba babekho phantse kabini umngcipheko wabantu abangenalo imeko okuthiwa "imicimbi ye-cardiovascular," kuquka ne-coronary artery disease, ukuhluleka kwentliziyo, ukubetha okanye ukuhlasela kwentliziyo.
Abaphandi bakholelwa ukuba kufuneka uqaphele ngoku. Isifo senhliziyo ngumbulali oyedwa nomhlaba wonke, kwaye nantoni na eyenza amathuba akho okuba nesifo senhliziyo-kuquka ukufumana isifo se-celiac-sibalulekileyo.
Nantsi into esiyaziyo (kwaye awazi) malunga nesifo se-celiac kunye nomngcipheko wesifo senhliziyo, kwaye unokwenza ntoni ukulawula nokunciphisa umngcipheko wakho.
I-Celiacs Musa ukuba 'neNdalo' yeCoronary Risk Factors
Xa unesifo se-coronary disease, i-aksiysi ebizwa ngokuthi i-plaque iyakhiwa kwimithambo ehambisa i-heart muscle ngegazi. Lo makhelo wokwakha unokuthi intsholongwane yakho ayifumani i-oksijini efunekayo ukuba isebenze kakuhle, nto leyo ingabangela intlungu yesifuba, ngakumbi xa usebenza.
Ekugqibeleni, ukuba i-plaque eyaneleyo ikwakhiwa, iqela layo lingakwazi ukuphuka, elikhokelela kwi-clot yegazi ekwazi ukuvimba umzobo. Oku kubangela ukuhlaselwa kwentliziyo.
Uninzi lwabantu luyaziyo iziganeko ezibeka engozini yokugula kwesifo somgulo: ukugqithisa ngokweqile, ukuba ne-cholesterol ephezulu, nokutshaya zizinto ezintathu eziyingozi.
Nangona kunjalo, abantu abanesifo esiqhwabayo abahlakulela isifo se-artery ye-coronary ayifani kakuhle kumfanekiso oqhelekileyo. Bavame ukuba bancinci, babe ne-cholesterol engaphantsi, kunye nomsi ngaphantsi kwalabo abangenazo izifo eziqhenqileyo.
Kuyinyani ukuba iphrofayili ye-celiac iyatshintsha-abantu bayanda ngokweqile okanye bade bandezelekile (kungabonakali ngengozi) xa bexilongwa, umzekelo. Kodwa akukho oko kuqhuba umngcipheko wesifo senhliziyo kwi-celiacs.
Izifo zeCeliac kunye neCoronary Artery Disease: Ukuvuvukala kwesiXhobo?
Ngoko yintoni ebangela ukuba le mngcipheko?
Iingcali zenzululwazi zicinga ukuba ngenxa yezinto abathile abazibiza ngokuba "zikarhulumente ezingapheliyo."
Ukuvuvukala kubonakala kukudlala indima ebalulekileyo ekuphuhliseni isifo se-coronary disease, njengoko kunceda ukuqaqa ukuqala kweplate ekwakheni iirriyiti zakho.
Abantu abanesifo esiqhekezayo ( esiyimeko yokuzimela ngokuzenzekelayo ) banamasosha omzimba aphendulele amathishu abo. Le mpendulo ye-immune-specific specific response system iyakwazi ukuvuvukala kwelinye indawo emzimbeni, kubandakanyeka kwimibhobho eyenza intliziyo yakho. Uphando olusandululwazi lwakutshanje olwenziwe ngamaseli athile aqhubiweyo aveliswa ngumzimba wamasosha, kwaye ukuba loo maseli asebenzisana njani neentlanzi kwiiyeriyeri, kubonakala ukuba yabuyela kule ngqungquthela.
Enyanisweni, uphando lwango-2013 lukhangele abantu abadala abafumene i-malaria celiac kwaye bafumanisa ukuba banamanqanaba aphakamileyo awamakishi amabini okuvuvukala, kunye neziphumo zokuvavanya ezibonisa ukuba zineziqalo zokuvelisa i-plaque kwimibhobho yabo. Ezinye zeziphumo zokuvavanya ziphuculwe xa abantu bebalandele ukutya okungenanto kwe-gluten kwiinyanga ezintandathu ukuya kwezibhozo, kubonisa ukuba ukuvuvukala ngokubanzi bekuye kwehla.
Nangona kunjalo, abaphandi baphetha ukuba abantu abadala abanezifo ezinjenge-celiac bazibonakalisa besengozini enkulu yokugula kwesifo se-coronary, esekelwe kulabo abamakishi bokuvuvukala.
A-Fib: Enye ingozi
I-fibrillation ye-Atrial yinkinga yombane ngentliziyo yakho ekhokelela kwisingqungquthela esingaqondakaliyo, esivama ngokukhawuleza. Isimo esingapheliyo esinokuhlala iminyaka, kwaye sixhaphake kubantu abadala kunama-40. Xa unayo i-A-Fib, inyusela ingozi yakho yokubetha, i-clot yegazi, okanye ukungaphumeleli kwentliziyo.
Abantu abanesifo esiqhekezayo basweleka kumazinga aphezulu e-fibrillation ye-atrial, nangona ingozi eyongeziweyo ibonakala iyincinci. Kwisifundo esithile, esenziwa eSweden, abaphandi bafuna i-friday diagnosis diagnostic kubantu abangama-28,637 abaye bafumanisa ukuba bane-celiac disease.
Bafumene amacala angama-941 e-A-Fib kweli qela kwiminyaka engama-9 emva kokuxilongwa kwabo. Usuke ube ne-A-Fib yandisa ingozi yokufumanisa ukuba sele isifo se-celiac.
Ngokubanzi, ukuba nesifo se-celiac senza umntu malunga ne-30% amathuba okufumanisa i-A-Fib kunomntu ongenalo isifo se-celiac, isifundo saphetha. Kwakhona, ukuvuvukala kunokubekwa ityala, abalobi babhala: "Oku kuboniswa kukuhambelana neziphumo ezidlulileyo zokumakishwa kwamabonakalisi abangelwayo ukuqikelela ukucubungula kwe-fiber." Baye bafumanisa ukuba uphando olongezelelweyo lufunekayo ukuze kuchaneke ukuba kutheni i-A-Fib ixhaphakile kwisifo se-celiac kwaye mhlawumbi kwezinye izifo ezizimele.
Isibethi kungekhona njengeyona nto inzima kwiCeliac
Kukho iindaba ezilungileyo xa sibona isiqhagamshelo phakathi kwezifo ze-celiac kunye neentlobo ezahlukeneyo zesifo senhliziyo: i-stroke ayibonakali ingxaki enkulu.
Ukusebenzisa isicatshulwa esisigxina sesigulane sesigulane se-celiac njengesifundo seSweden kwi-fibrillation ye-atrial, abaphandi bajonga ingozi yokugonywa kwezi zigulane ezingama-28,637, xa kuthelekiswa nobungozi be-stroke kubantu abangaphezu kwe-141,806 abantu abafana nezifo ze-celiac.
Uphononongo lufumene ukuba abo abaneengxaki ze-celiac babenomngcipheko ophezulu ophezulu we-10% wesifo, kodwa uninzi lwengozi lwabo oluphezulu lujoliswe kunyaka wokuqala emva kokuxilongwa kwabo. Kwakukho "ubuninzi obunomngcipheko omkhulu emva kweminyaka engaphezu kwemihlanu yokulandelelana emva kokuxilongwa kwesifo se-celiac." Iziganeko zangaphambili, ezincinci ziye zafumanisa ukuba abo bafumene isifo se-celiac ebuntwaneni babenomngcipheko omkhulu kakhulu wokuba nesifo, kodwa olu phofu lukhulu lufumana ingozi enkulu kakhulu.
Ababhali baphetha ngelithi: "Izigulane ezinezifo ezinqabileyo zisesichengeni esincinci sokunyuka kwesifo, esiqhubeka sisithuba esifushane emva kokuxilongwa. Izifo zeCeliac azibonakali ziyingxaki enkulu yokuphazamiseka."
Ukuphucula Iintliziyo Zakho Izifo
Kulungile, ngoko ukuba isifo se-celiac sibonakala sikwandisa amathuba okuba nesifo senhliziyo-into enzulu kakhulu kwaye isenokufa. Ngoko unokwenza ntoni ngawo?
Okokuqala, musa ukutshaya (kwaye ukuba ubhema, vala). Ukubhema kuphakamisa umngcipheko we-coronary disease, kwaye iikhemikhali zentambo yomsiyi inokulimaza ngqo intliziyo yakho.
Okwesibini, kufuneka uqinisekise ukuba unesisindo esifanelekileyo. Ukugqithisa okanye ukugqithisa kuphakamisa izibilini zesifo senhliziyo, kungakhathaliseki ukuba unayo isifo se-celiac okanye akunjalo. Nangona kunokuba kunzima ukulahlekelwa isisindo xa sele usilandela ukutya okunqandekileyo, abantu abaninzi abanesifo esiqhekezayo ngenhlanhla bafumanisa ubunzima babo bavame ukuba "baqhelise" xa beqala ukungena-gluten (ngamanye amazwi, ukuba bakhuluphele ukulahlekelwa isisindo, kwaye ukuba banesisindo sithatha ukuzuza).
Ngokuqinisekileyo, ungeke ube nethamsanqa ukuba ungeke unciphise ubunzima xa uqala ukuhamba-gulen (abaninzi abantu abangekho). Ukuba unzima nobunzima bakho, jonga izi ngcebiso ezintlanu zokuphumelela kwesisindo sokulahlekelwa kwe-gluten . Ezi zintathu iinkqubo zokulahleka kwesisindo xa unge-gluten-free inokukunceda.
Emva koko, kufuneka uqikelele ukuthetha nodokotela wakho malunga nokuba usengozini ye-syndrome ye-metabolic, egama lilinikezelwa oogqirha kwiqela leengxaki zentliziyo yesifo, isifo sikashukela kunye nesifo.
Akucaci ukuba ukufumana isifo esifana nesichengeni somngcipheko we-metabol syndrome - izifundo ezi zinto zixutywe. Kodwa kuyacaca ukuba ukuba nesifo sengqondo sisisongela isifo senhliziyo. Ngoko ukuba unayo, kufuneka ukwazi malunga nalo, kwaye uthethe ugqirha malunga nendlela yokulungisa ingxaki.
Ekugqibeleni, kufuneka uqaphele i-vitamin yakho intake. I-gluten-free food iswele ukungabikho kwamavithamini athile kubalulekile entliziyweni nasemzimbeni we-cardiovascular, kubandakanya i-folate, i-vitamin B6 ne-vitamin B12.
Ngaphantsi
Asazi ukuba kunamathela kwi-gluten-free diet (ngokuchasene nokukopela ekudleni) kuya kunceda ngeenzululwazi zempilo zange zange ziphendule lo mbuzo. (Kakade, zikhona ezinye izizathu ezilungileyo zokungakhohlisi ekudleni.) Uvavanyo olunye lufumene ukuba umngcipheko we-coronary disease ne-friday fibrillation ayikuchaphazeleka ukuba intlungu yakho encinci iphilise , nangona kunjalo Ungayinaki into yokuba isifo senhliziyo nje ngokuba ungekho gulen-free.
Ngoko ke, ukubethelwa kwakho ukubethelela ukukhusela isifo senhliziyo, nokuba unomngcipheko okhulayo ngenxa yokuba unesi sifo esiyi-caliac, ukuhlala kwindlela yokuphila enempilo: ungabhema, uhlale kwisilinganiselo esilinganiselayo, udle ukutya okunempilo, kwaye usebenzise .
Imithombo:
De Marchi S et al. Abaselula abakhulileyo abaneengxaki ze-celiac bangaba mngcipheko wokuqala kwe-atherosclerosis. I-Pharmacology & Therapeutics. 2013 Julayi; 38 (2): 162-9.
Emilsson L et al. Umngcipheko okhulayo we-fibrillation ye-atrial kwizigulane ezinezifo eziqhekezayo: isifundo sobonke besizwe. European Heart Journal. 2011 I-Oct; 32 (19): 2430-7.
Emilsson L et al. Ukubaluleka kunye nemingcipheko yesifo senhliziyo yesigulane kwizigulane ezinezifo ezinqabileyo. I-Pharmacology & Therapeutics. 2013 ngoMeyi; 37 (9): 905-14.
Lebwohl B et al. Ukuphulukiswa kwegazi kunye nomngcipheko wesifo senhliziyo okanye i-fibrillation ye-arrivals kwizigulane ezinezifo ezinqabileyo; isifundo esisekelwe ngabantu. PLoS One. 2015 Jan 30; 10 (1): e0117529.
Ludvigsson JF et al. Ingozi yokubethelwa kwezigulane ezingama-28,000 izigulana eziqhekezayo: isifundo selizwe lonke eSweden. Umbhalo we-Stroke kunye neCerebrovascular Diseases. 2012 Nov; 21 (8): 860-7.