Iintsana kunye nabantwana abancinci besifo se-celiac bangaqalisa ukubonakalisa iimpawu zeso sifo ngokukhawuleza xa beziswa ngokutya kwe-gluten kwizidlo zabo - akuqhelekanga ukuba iintsana zifumaneke nge-celiac phambi kweyesibini okanye ngisho nokuzalwa kwazo kokuqala kwezinye iimeko.
Kodwa unokwazi njani ukuba umntwana wakho kufuneka ahlolwe?
Ngelishwa, kunokuba nzima ukuthetha.
Izimpawu zesifo seCeliac kwiintsana zifihlakeleyo, kwaye ukuziphatha okubonisa ukucinezeleka kwingingqi yengane yakho kunokuthi iphosakele ngenxa yobunzima obukhulu.
Kodwa kukho ezinye izikhombisi ezifunekayo ukuba zikhangele, kwaye oko kunokubangela ukuba uhambo oluya kwidokotela wezilwanyana ukuba lubuze malunga nokuvavanywa kwesifo se-celiac, ingakumbi ukuba ngaba umzali unembali yentsapho yalo mqathango. Nakhu okufuneka ukwazi.
Ukungaphumeleli Ukuphumelela Uninzi Oluqhelekileyo lweCeliac Symptom kwiintsana
Xa abaninzi abantu becinga ngeempawu zesifo se-celiac, bacinga ngorhudo ... kwaye eziqhelekileyo (nangona zide zivela kwindalo yonke) kubantwana nakubantu abadala ngaphambi kokuba bafumaneke. Kodwa ngelixa ezinye iintsana kunye nabantwana abaselula banesifo sohudo, banokuthi banakho ukubizwa ngokuba "ukungaphumeleli."
Ukungaphumeleli ukukhula kukuchaza iintsana nabantwana abangenasisindo okanye bakhule ngokukhawuleza njengontanga yabo. Iintsana ezingaphumeleli ziza kuba nesisindo esingaphantsi kwe-3c percentile yamatshathi okukhula okuqhelekileyo okanye i-20% ngaphantsi kwesisindo esifanelekileyo sokuphakama kwabo, kwaye banokuba nekhanda elincinci lentloko.
Kananjalo nabo bangabonisa ukukhula okuqhelekileyo okuza kuncipha okanye kuyeke, kwaye banokuqala ukunciphisa ubunzima kunokuba bazuze.
Ukongeza kokukhula okanye ukunyuka, ukusabalalisa abantwana abangaphumeleli banokuphosa ubunzima bezakhono ezifana nokuhlala, ukuhlala, ukuhamba nokuhamba, kwaye bangabonakalisa ukulibaziseka kwengqondo nezentlalo.
Ukuxilongwa kokuhluleka ukuphumelela akuthethi ukuba umntwana wakho unesifo se-celiac - enyanisweni, kukho ezinye iimeko ezininzi ezinokubangela ukukhula okulibaziseko kunye nokufumana ubunzima obubi. Kodwa ukungaphumeleli ukukhula kudla ngokuba ngumqondiso omkhulu we-celiac kwiintsana kunye nabancinci abaselula, ngoko kukufanelekile ukucubungula indlela kwaye uxoxe ngayo nodokotela wezilwanyana ukuba akucaci oko kubangela iingxaki zomntwana wakho.
Ukuqhaqhazela, ukuxhamla kwi-Sore Tummy kwiintsana zaseCeliac
Kwezinye iimeko, ukungaphumeleli ukukhula kukuphela kwesifo se-celiac kwisana okanye umntwana omncinci. Kodwa kukho ezinye izibonakaliso ezibonakalayo, nangona kungabikho zonke iintsana ziya kuba nale mpawu.
Ngokomzekelo, iintsana kunye nabantwana abakwisifo se-celiac banakho nokuba nesisu esisithukutheleyo - ngaphaya kwezinto eziza kuthathwa njengesiqhelo, isisu esinomntwana ovuyayo, okhulayo. Kananjalo banokuba nobuhlungu besisu obubangela ukukhathazeka nokukhala, nangona ungakufumana kunzima ukuchonga indawo ekhoyo okanye umthombo wale ntlungu.
Umntwana okanye umntwana omncinci osuphethwe yisifo esiqhekezayo unakho unokufumana isifo sohudo okanye isigqubuthelo esingapheliyo, nangona uphando lwezonyango lubonisa ukuba luqhelekile kubantwana abadala nakubantu abadala kunabantwana abaselula.
Kungaba Yi-Celiac - Yintoni Okufuneka Ndiyenze Ngoku?
Ukuba uyakrokreza umntwana wakho okanye umntwana osenokuba nesifo se-celiac, isinyathelo sokuqala sifanele sixoxe nomntwana wezingane, onokuyihlola iitshathi zokukhula ukuze abone ukuba kukho ingxaki kwaye xa le ngxaki ingaqala. Yilungele ukuchaza iimpawu kunye nokwabelana xa uqala ukuzisa i-gluten ekudleni komntwana wakho. Musa ukususa i-gluten ekudleni komntwana okwangoku nje, njengoko oko kungenakulungelelanisa iziphumo zokuvavanya.
Ukuba udokotela wakho wezingane uyavuma ukuba i-celiac iyinto enokwenzeka, mhlawumbi uya kubhekisela umntwana wakho kwiimvavanyo zegazi ezikhusela isifo se-celiac.
Ezi mvavanyo zegazi ze-celiac azikwazi ukuyihlolisisa imeko; Bayazixelela kuphela ukuba mhlawumbi umntwana wakho unayo okanye akunjalo. Ngokusekelwe kwiziphumo zolu vavanyo lwegazi, udokotela wakho wezilwanyana unokuncoma umntwana wakho ukuba athole inkqubo ebizwa ngokuthi i-endoscopy, enokubonelela nge "standard standard"
Kwi-endoscopy, ugqirha uthatha iisampuli zamathumbu emathumbu ukuze afune umonakalo wamathumbu emathunjini okuthiwa i -atrophy enyantya efumaneka kwisifo se-celiac. Nangona iimvavanyo zegazi zinokunika isalathiso esihle kakhulu sokuba ngaba i-celiac ikhona, i-endoscopy yindlela kuphela yokukwazi ngokuqinisekileyo. Kufuneka uxoxe nodokotela wakho wezilwanyana ukuba ngaba i-endoscopy iyimfuneko kwimeko yomntwana wakho.
Ukuba ugqirha wakho wezilwanyana uyayicinga intsana yakho okanye umntwana encinci ngesifo esiyi-caliac, umntwana wakho uya kufuna ukulandela ukutya okungenakudla kwe-gluten ebomini. Ngethamsanqa, xa umntwana wakho eqala ukutya, mhlawumbi ukukhula nokuphuhliswa kuya kuhlawulela, kwaye naluphi na ukukhathazeka kufuneka linciphise ngokukhawuleza.
Imithombo:
Kuloğlu Z. et al. Izifo zeCeliac: ukunikezelwa kwabantwana abangama-109. Yonsei Medical Journal. 2009 u-Oktobha 31; 50 (5): 617-23. i-doi: 10.3349 / ymj.2009.50.5.617. Epub 2009 ngo-Oktobha 20.
IMedialine Plus Medical Encyclopedia. Ukungaphumeleli.
Rubio-Tapia A. et al. Izikhokelo zeklinikhi ze-ACG: ukuxilongwa nokulawulwa kwezifo zeliliac. I-American Journal yeGastroenterology. 2013 ngoMeyi; 108 (5): 656-76; Imibuzo 677. ityala: 10.1038 / ajg.2013.79. Epub 2013 Apr 23.
Westerbeek E. et al. Isifo seCeliac sifumaneka kwiSibhedlele sabantwana be-Starship: 1999-2002. INew Zealand Medical Journal. 2005 Agasti 12; 118 (1220): U1613.