Izifo ze-Celiac zikhokelela kwi-atrophy ekhohlakeleyo, kodwa akusiyo kuphela imbangela enokwenzeka
I-atrophy eyingozi iyenzeka xa i-intestinal villi-i- microscopic, i-tentacles efana neminwe ejikeleza udonga lwe-intestine yakho emathunjini, eshiya indawo ebanzi. Ekubeni i-intestinal villi inoxanduva lokuxhamla izondlo eziqulethwe kukutya ozidlayo, ukulahlekelwa yi-atrophy ekhohlakeleyo kunokubangela ukusilela okunzulu kokutya.
Isifo seCeliac yimbangela eyaziwayo kakhulu ye-atrophy. Xa unayo celiac kwaye udla ukutya okuqukethe iprotheni gluten (equkethwe ngqolowa, ibhalley, ne rye rye), i-gluten ibangela ukuhlaselwa kwesistim somzimba wakho we-immestinal villi.
Ukuhlaselwa kwesi sifo ngokuzenzekelayo kukukhokelela kwi-atrophy ekhohlakeleyo, oogqirha abaphumelela kwi-Score ye-Marsh, umlinganiselo wobunzima bawo . Kwiimeko ezinzima kakhulu ngesifo esiqhekezayo, i-villi yakho inokutshabalaliswa ngokupheleleyo - i-atrophy epheleleyo. I-Score ye-Marsh I-Score 4, kwaye abantu abanaloo manqaku banokungondleki kakhulu kwaye banokubeka ingozi kwi-lymphoma.
Indlela yodwa yokubona ukuba unayo i-atrophy ekhuselekileyo kukujonga ngqo ngaphakathi emathunjini akho amancinci. Oogqirha benza oku ngenkqubo ebizwa ngokuthi i- endoscopy , apho bafaka ifowuni kunye nekhamera encinane kunye nezinye izixhobo phantsi komqala wakho, ngesisu sakho, nasemathunjini akho amancinci.
Kwakhona kunokwenzeka ukugwinya i pilisi enekhamera-oku kuthiwa yi- capsule endoscopy .
I-Atrophy ne-Celiac Disease (okanye Akunjalo)
Awuqinisekanga ukuba unesifo se-celiac ngenxa yokuba unesifo esiphezulu. Ezinye iziganeko ezininzi, kunye neyeza kunye kunye ne-bacterial overgrowth, inokutshabalalisa intestinal villi yakho.
Kwiimeko ezininzi, iimpawu ze-atrophy eziyingozi zibangelwa yi-malaria ene-caliac ebizwa ngokuba yi-"nonceliac enteropathy" -iyo impawu zeklasiki zesifo se-celiac : uhudo, ukulahleka kwesisindo, intlungu yesisu kunye nokukhathala.
Ngako oko, kunokuba bukhohlise ukuxelela umahluko phakathi kwesifo se-celiac kunye ne-nonceliac enteropathy. Yingakho oogqirha bancoma ukuhlolwa kwegazi le-ecliac- iimvavanyo zikhangele ukuba isistim somzimba sakho sisebenza njani kwiprotheni ye-gluten ekudleni okudlayo.
Kusenokwenzeka ukuba ube nesifo se-celiac kunye nemiphumo emibi kwiimvavanyo zegazi, kodwa ukuba ungaqala ukuziva ungcono xa uhamba ungenawo umtya, ugqirha wakho unokufuna ukujonga ezinye izinto ezibangela iimpawu zakho kunye ne-inrophy yakho. .
6 Ezinye izinto ezinokubangela i-Atrophy
Nalu uluhlu lwezinye izizathu ezinokubangela i-atrophy ehlaselekileyo:
- Benicar , imishanguzo yegazi (igama eliqhelekileyo: olmesartan). Kwezinye izigulane, ukuthatha iBenicar kukukhokelela kwi-atrophy ekhohlakeleyo kunye ne-diarrhea kunye nokulahleka kwesisindo. I-US Food Administration and Drug Administration yanikezela isilumkiso malunga nale ngo-2013.
- Amanye amayeza. Izidakamizwa ezikhusela isistim somzimba wakho (njenge-Imuran kunye ne-CellCept), i-neomycin ye-antibiotic, kunye neyeza-anti-inflammatory Colcrys, nazo ziye zaxhunyaniswa neengxelo zonyango ezibangelwa yi-atrophy.
- UkuSweleka koMzimba okungafaniyo, okanye iCVID. Le meko ibashiya abantu abasengozini kwiintsholongwane eziphindaphindiweyo.
- Amathumbu amancinci amaBhakterial Overgrowth , okanye i-SIBO. Iimpawu zeSIBO ziyakulinganisa izifo zeliliac.
- Isifo sikaCrohn. I-atrophy engathandekiyo ayiqhelekanga kwisifo sikaCrohn kodwa ivela ngezihlandlo.
- Lymphoma. Olunye uphando lufumene iintlobo ezimbini ezahlukeneyo ze-lymphoma zingabangela i-atrophy enyantya: incinci ye-intestinal T-cell lymphoma, kunye ne-enteropathy-ehlobene ne-T-cell lymphoma. Ukungena kwi-T-cell lymphoma ehlobene ne-intopathy isondelelene nesifo se-celiac .
Ezinye izizathu ezinokubangela i-atrophy ehlambalazayo, kubandakanya ukusuleleka kwiipasasites okanye ne-bacteria ebangela isilonda, uHelicobacter pylori, kwakhona kuye kwabikwa.
Ngoko umgca, akusiyo yonke imeko ye-atrophy ehlaselayo ibangelwa zizifo ze-celiac. Ukuba iziphumo zakho zokuvavanya kwegazi zibi kwaye awuphuculanga ekudleni kokungenanto kwe-gluten , kufuneka uxoxe nodokotela wakho malunga nezinye izizathu ezibangelwa iimpawu zakho.
Imithombo:
DeGaetani M et al. I-atrophy enobudlova kunye ne-serological serological engathandekiyo: isifo sokuxilonga kunye neyonyango. I-American Journal yeGastroenterology . NgoNovemba ka-2013; 108 (5): 647-53.
Pallav K et al. Ukungena kwe-Noncoeliac Enteropathy: Ukuxilongwa okungafaniyo kwe-Atrophy ebonakalayo kwi-Practical Current Clinical Practice. I-Pharmacology & Therapeutics . 2012; 35 (3): 380-390.
UTran TH et al. I-Olmesartan kunye neMichiza-Yenza i-Enteropathy Pharmacy ne-Therapeutics . 2014 uJan; 39 (1): 47-50.