Iimpawu ezingezizo zokugaya ukutya ezifana neengxaki zesikhombisa ziqhelekile
Abasetyhini bafumaneka ukuba banesifo esingama-celiac ngokuphindaphindiweyo kunamadoda: Kufikela kuma-70% abo bafumanekayo njengolu bhinqa ngabafazi. Kukho ngokwenene izizathu ezibini zokungalingani. Abasetyhini abangaphezu kwamadoda ngokwenene banesifo se-celiac, kodwa nabasetyhini banakho amathuba okufuna uncedo lwabaqeqeshi bempilo kwiingxaki zabo zempilo, kwaye ke banokuthi bafumane ukufumana ingxaki yesifo se-celiac.
Kodwa ngelo xesha, abafazi banokungaphantsi kwamadoda ukuba babonise iimpawu ezizaziyo zonke izifo zesifo se-celiac , ezibandakanya ukuhanjiswa, ukukhathala nokulahleka, ikakhulu xa zivela kuqala iimpawu zabo. Enyanisweni, abafazi abanokuthi bafumana isifo se-celiac baqaphela iimpawu ezingenasisisu kwizinto eziphilayo ngaphambi kokufumana iimpawu eziyaziwayo.
Oku kuye kwaveliswa uphando. Esinye isifundo esikhulu, umzekelo, safumanisa ukuba ngaphezu kwe-40% yabasetyhini babika kuqala "ezinye" iimpawu ezingapheliyo, kuquka ukukhathazeka komjikelezo wesini kunye nokungabikho komntwana. Isiqingatha sazo ezichazwe ngokuthe ngqo kwiingxaki zemijikelezo yokuhamba kwemizi zathi iingxaki zabo zenziwa ngaphambi kokuba ziphi na ezinye iimpawu zesifo se-celiac.
Kakade ke, ukuba unenkinga ngexesha lakho, kukho ezininzi izizathu ezibangelwa zizifo ezingenazifo. Kodwa uphando lubonisa ukuba abafazi-ngokukodwa abo basengozini yeso simo (mhlawumbi ngenxa yokuba ilungu lentsapho lithe lafunyanwa lingenawo leliac) -kufanele ulinde amehlo ngaphezu kweempawu zokugaya.
Ukungenzi lutho kungabonakalisa iSifo seCeliac kwabesetyhini
Isifo seCeliac sibonakala malunga ne-1%, okanye esingaphantsi kwe-1% yabantu bonke. Nangona kunjalo, uphando olwenziweyo lufunyenwe kwi-8% kwabasetyhini abanokuthiwa "ukungakwazi ukuchasana," okanye ukungabikho kwengqondo engekho ngenxa yezinto ezingabonwa lula, ezifana neengxaki ze-hormonal.
Ininzi yabasetyhini abahambela kwizifundo ezijonge isifo se- celiac njengento ebangela ukuba ukungabikho kwengqondo ayinayo impawu yokutya, iholele abanye abaphandi ukuba bathakise ukuba bonke abafazi abanokungazalanga-ngqondweni bangakhange bavavanyelwe kwisifo se-celiac, kungakhathaliseki ukuba naziphi iimpawu.
Ukungabi nantoni njengempawu kubasetyhini abanezifo ezinqwenelekayo kunokubangelwa ukusilela kwondlo , eziqhelekileyo kwii-celiacs ezandululweyo, nangenazo ezingenazo iimpawu zesisu. Ukungabi naluphi uhlobo kungabangela ngandlela-thile ukusuka ekuvukeleni. Abaphandi abachazekanga isizathu esona.
Iingxaki zokukhulelwa zingabonisa kwakhona izifo ezithintekayo kuBafazi
Ukuba unesi sifo esingazifumani sifo kwaye ukhulelwe, unakho kakhulu kunokuba umfazi ongekho imeko yokufumana iingxaki ngokukhulelwa kwakho . Ingxaki yokukhulelwa njengengxaki yokukhulelwa kwegazi, ukukhulelwa kwesisu, kunye nokukhula komntwana ngokukhawuleza konke kwenzeka kubasetyhini abanezifo ezingabonakaliyo zeliliac ngokuqhelekileyo kunabesifazane abangenayo imeko.
Ukulahleka kwezinto eziqhelekileyo kunye / okanye iintsholongwane ezinokuthi zingabonakalisa uphawu lwesifo se-celiac, kwaye abaphandi abaningana bancomela ukuhlolwa kweengqungquthela kwabasetyhini abaneengxaki. Kwiimeko ezininzi, ukulandela ukutya kokutya kwe -gluten emva kokuxilongwa kukuvumela abafazi ukuba bathwale iintsana zabo ukuya kwixesha.
Izifo ze-Celiac nazo ziye zabandakanya kwixesha elide lokugqibela kwabasetyhini abancinci , ukuhamba ngexesha lokuya esikhathini (i-amenorrhea) , i- endometriosis , ubuhlungu be-pelvic kunye nokuphuma kwesisu , rhoqo rhoqo kwabasetyhini abaneempawu ezimbalwa okanye ezingekho nakunye.
Enyanisweni, ubungqina be-anecdotal bubonisa ukuba isifo se-celiac esingafumaniyo singenza ukuba ixesha lakho lisizi .
I-Anemia, i-Osteoporosis, i-Thyroid? Ingaba yi-Celiac Disease
I-anemia , eqhelekileyo kwabasetyhini beminyaka yobudala, iphinda ibonakale rhoqo kubasetyhini abanezifo ezingabonakaliyo-kwisifundo esisodwa, ama-40% wabasetyhini babika i-anemia ngaphambi kokuxilongwa kwabo. Isibonakaliso esaneleyo sokuba abanye oogqirha bavavanya rhoqo xa umntu ehlulwa kwesinye isifo semvelo.
Ukungaphumeleli kwezondlo- ngokukhethekileyo, iingxaki zokunqongophala kweensimbi-zicingelwa ukuba yimbangela.
Isifo esingazifumaniyo sesifo esibuhlungu sinokuphakamisa umngcipheko we-osteoporosis- isifo esenzeka kubafazi ngokuphindaphindiweyo kunabantu. Kwakhona, ukungaphumeleli kokutya okunxulumene neengxaki ezixhamla izondlo-ngeli xesha, ukungaphumeleli kwi-vitamin D, i-calcium kunye ne-magnesium-mhlawumbi kukusola.
Kuzo zombini iimeko, ukutya okungafaniyo kwe-gluten kuphucula ukutyunjwa kwakho kwezondlo eziyimfuneko kwaye ngokuqhelekileyo kukhokelela ekuphuculeni kwintlupheko yethambo kunye nesisombululo se-anemia.
Abasetyhini bahlala bexhatshazwa rhoqo kwiintsholongwane ze- thyroid , esinye isiqhelo seemeko ezixhomekeke kwizifo ze-celiac. Ukufikelela kwi-7% yabantu abanezifo ezihamba nge-auto-immune disease-kuquka izifo ze-Graves kunye nesifo sikaHashimoto-sinokuba nesifo se-celiac, kwaye kwezinye zazo i-celiac ayiyi kubangela nayiphi enye impawu.
I-Multiple Sclerosis (MS) iphinda iqhube ngakumbi kakhulu kubasetyhini kunabesilisa, kodwa kuloo meko iindawo ezinokuthi zidibanise nezifo ze-celiac azicaci kakuhle - ezinye izifundo zibonise amazinga aphakamileyo ye-celiac kumadoda nabasetyhini abane-multiple sclerosis, ngelixa abanye hayi. Nangona kunjalo, abanye abagulayo be-MS babika ukuphuculwa kwimiqathango yabo xa belandela ukutya okungenakudla kwe-gluten.
Iimpawu zoMzimba zinoMpawu zingabonakalisa i-Celiac, Too
Kucacile ukuba ezinye iimpawu ezingenanto zokugaya isifo se-celiac kubasetyhini bangabhalisa kwi-radar yakho phambi kweempawu zokugaya. Kodwa ungayigcini nayiphina impawu yokugaya; nabo banokubonisa isifo se-celiac.
Ngokomzekelo, abasetyhini abanesifo esiqhekezayo besoloko bexhamla ngokubhenca-kwisifundo esinye, malunga nama-70% wabasetyhini babika ukuba "isisu esiswini" sasinye sezibonakaliso zabo zokuqala ze-celiac. Phantse i-40% yabasetyhini kuleso sifundo babonise uluhlu njengenye yezimpawu zabo zokuqala, kunye nesifo se-reflux (GERD) ngokuqhelekileyo sifumaneka kunye nale miqondiso yokugaya.
Ukongezelela, abafazi banamaxesha amaninzi kwiimeko zesifo seengqondo (IBS), kwaye akuqhelekanga ukuba oogqirha benze i- IBS impazamo yesifo se-celiac .
Akukho into eyenzekayo ukuba abanye bacinga ukuba isifo se-ecliac ukuba sibe "iklinion kameleon" -nokubonakala nangayiphi na impawu ezingaphezulu kwe-100, okanye, xa kukho " isifo se-celiac esicacileyo ," kungekho naso impawu. Nangona kunjalo, kungakhathaliseki ukuba ziphi iimpawu, unokuxilongwa (okubandakanya ukuhlolwa kwegazi kunye ne- endoscopy ) kwaye unyango (ukutya okungahambisani ne-gluten) kuyafana.
UMartellielli D. et al. Ukuphazamiseka koBomi kwi-Italian Celiac Women: I-Case-Control Study. BMC Gastroenterology. 2010; 10: 89.
Shah S. et al. Izifo zeCeliac: Inkcazo engaphantsi kwexabiso kwiMpilo yabasetyhini. Iimpilo zabasetyhini (London England). 2010 ngoSeptemba; 6 (5): 753-766.
Tajuddin T. et al. Inkcazo yeklinikhi yesifo esingumntu omdala. Irish Medical Journal. NgoJan 2011: 104 (1): 20-2.