Izifo zeCeliac kunye ne-Multiple Sclerosis: Ngaba kukho isiqhagamshelo?

Unxibelelwano lunokwenzeka kodwa aluvumelekanga phakathi kwezi zimbini

Usenokuba uvile ukuba kukho inxibelelwano phakathi kwesifo se-celiac kunye ne-multiple sclerosis (MS). Abantu abanezifo ezingapheliyo banokubonakaliswa kweengxaki zegazi kunye nabantu abane-MS banokuthi banakho ukufumana isifo se-celiac. Enyanisweni, abanye abantu abane-MS bathi baziva bebhetele kwi-gluten-free food. Uphando luchaza ntoni ngalo mbutho onokwenzeka?

Uqhagamshelwano phakathi kwezifo zeCeliac kunye ne-Multiple Sclerosis (MS)

Izixhumanisi phakathi kwesifo se-celiac kunye ne- multiple sclerosis (MS) zinokubonakala zicacile ekuqaleni. Zomibini ziyi-T-cell mediated immune diseases, oko kuthetha ukuba zombini zibandakanya umonakalo kwizicubu kunye nezitho ezichaphazelekayo ngamasosha akho omzimba, kwaye zombini zenzeka ngokuphindaphindiweyo kubasetyhini kunamadoda.

Ukongeza, zombini iimeko zibandakanya uluhlu oluninzi lweempawu ezifanayo, ezininzi zazo zilula ukungaziboni okanye zenze into ethile. Kwaba bobabini banokuthi bafumane ukuxilongwa ngamagqirha, inxalenye enkulu ngenxa yezo zibonakalisi.

Ukunikezelwa konke oku, kunye nokunyuka kobuchule bokuphucula abantu abathile abane-MS ingxelo xa belandela ukutya kokutya-guten , kulula ukucinga ukuba unxibelelwano phakathi kwezi zimbini.

Kulungile, kunokukho unxibelelwano. Emva koko, ezininzi izifo ezizimele zibonakala zikwabelana ngeziganeko eziqhelekileyo zofuzo. Nangona kunjalo, akucaci ukuba kukho ukwanda okwenyuka kwesifo se-celiac phakathi kwabantu abane-multiple sclerosis, okanye ukuba ukulandela ukutya okunokwenziwa kwe-gluten ngokwenene kunokunceda abantu abane-MS baphathe imeko yabo.

Makhe sijonge ubuchule beempawu eziqhelekileyo zezi meko size sivavanye uphando kumbutho.

Iimpawu ezininzi zeSclerosis

I-multiple sclerosis iyenzeka xa isistim somzimba sakho sokuzivikela sikhusela i-myelin ishaath ijikeleze imizwa yakho, ekhokelela ekuvukeleni kunye nomonakalo oqhubekayo.

Emva kokuba le ntsho yembilini ibonakaliswe, iimpembelelo zakho zentliziyo zinciphisa okanye ziyeke.

Iimpawu ezininzi ze-sclerosis zingabandakanya ukulahlekelwa kwemilinganiselo kunye nokulungelelanisa, iingxaki ezihamba okanye ezithintela iingalo kunye nemilenze, ukuthuthumela, ukuxhaphazwa kwemisipha, okanye ukuphazamiseka nokukhathala. Uninzi lwabantu abane-MS bafumana "ukuhlaselwa" okanye ixesha lokunyuka kweempawu, ezinokulandelwa enye okanye ngaphezulu kwakhona.

Kunzima ukufumanisa i-multiple sclerosis. Ugqirha wakho angakrokra i-MS ngesiseko sempawu zakho, kodwa okokuqala, kufuneka alawulwe ezinye iimeko kunye neempawu ezifanayo.

Iimpawu eziqhelekileyo kunye ne-MS kunye neCeliac Disease

Iimpawu eziqhelekileyo kunye nezifo ze-MS kunye ne-celiac zibandakanya ukuzithemba , inkohlakalo yengqondo (iimvakalelo zobungqina, ukungalindelekanga okanye ukuqiqa ubunzima), ukuxinezeleka , kunye neengxaki zombono.

Ukwenza le nto idideke kukuba le mininzi impawu (ezifana nenkohlakalo yengqondo, ukungasebenzi ngokwesini, ukunyanzelwa kwengcinezelo kunye nokukhathala), kunokubangelwa ukuxinezeleka. oku kunokubangela ukulibaziseka ukuxilongwa.

Izifo zeCeliac Izimpawu kunye neemeko zeeuroloki

Izibonakaliso eziqhelekileyo zezifo ezinqabileyo zingabandakanywa ukugqithwa okanye uhudo, ukunyamezela kokutya, kunye nentlungu yesisu, kodwa njengoko kuphawulwe, ezinye iimpawu zingenza i-crossover kunye ne-MS, kubandakanywa nenkohlakalo yengqondo, ukuxinezeleka, kunye ne-peripheral neuropathy.

Kuyaziwa kakuhle ukuba isifo se-celiac sinokudityaniswa nezinye iingxaki ze-neurological and psychological disorders. Ngokubanzi, ukubonakaliswa kwemizimba ye-celiac isifo kubangelwa iipesenti ezili-10 zabantu abaneemeko. Iimeko ezifunyenweyo ziquka:

Esinye Isifundo Sikhombisa Ukuba Kunokwenzeka Ukuqhagamshelana Phakathi koCeliac kunye ne-MS

Ukwazi iimpawu zombini, ukuba zinokufana njani ngeendlela ezithile, luphi ubudlelwane phakathi kwezi ngxaki?

Uphando luxutywe, njengoko siza kuxubusha, kodwa mhlawumbi unxibelelwano oluqinileyo phakathi kwezi ngxaki ezimbini lufumaneka kwisifundo se-2011.

Oogqirha baseSpain bahlalutya ukuxhaphaka kweziphumo zegazi kunye nama- biopsies ayenzileyo kubantu abaqinisekisile i-sclerosis ezininzi, kunye nezihlobo zabo zokuqala. Abaphandi baquka abantu abangama-72 abane-MS, abangama-126 kwizihlobo zabo zokuqala, kunye nezifundo ezili-123 zokulawula impilo.

Uphononongo lufumene isifo se-celiac-kunye ne- Marsh III kwinqanaba le-atrophy elibi-kwi-11.1 ekhulwini labantu abane-multiple sclerosis xa kuthelekiswa nama-2.4 eepesenti zezifundo zolawulo. Izifo zeCeliac zazixhaphake kakhulu kwiindulane zokuqala zalabo abane-multiple sclerosis-abaphandi bafumanisa ngamaphesenti angama-32 kwezi zihlobo. Olunye uphando alufumananga lo mbutho.

Bonke abantu abane-MS bafunyenwe ukuba banesifo se-celiac babekwa kwi-gluten-free-diet, kwaye zonke "ziphuculwe ngokubanzi ngokuphathelele isisu kunye nesifo sengqondo sexesha lelandelelwano," ngokubhaliweyo babalobi.

Uphando lweZiqhagamshelwano phakathi kweeMbini eziBini azicacanga

Nangona isifundo esivela eSpeyin, asikacaci ukuba ngaba abantu abane-multiple sclerosis banamazinga aphezulu yezifo ze-celiac. Ezinye izifundo ezimbini, enye evela eItali kunye enye evela e-Irani, iindidi ezihlolwe zizigulane ezine-multiple sclerosis yezifo eziqhekezayo kwaye azizange zifumane amazinga angaphezulu kwalawo afunyanwa ngabantu bonke.

Kwakhona kunokwenzeka ukuba ube namazinga aphezulu e-antibodies ngokumelene ne gluten kwaye engenaso isifo seliliac.

Ngokomzekelo, ukufundwa kwe-Israel eyapapashwa ngo-2009 kwafumana amanqanaba aphezulu e-anti-gluten antibody tTG-IgA kubantu abane-multiple sclerosis kodwa abazange bafumane ukunyuka kweso sifo. "Indima ekhethekileyo yalezi ziqhwaga ezikhoyo kwi-pathogenesis ye-multiple sclerosis ihlala ingacacile kwaye idinga uphando olongezelelweyo," kuphetha abaphandi.

Olunye uphando lubhekise kwiziphumo zovavanyo lwe-AGA-IgG kunye ne-IGA-IgA anti-gluten antibodies kwizigulane ezinezifo ezahlukeneyo zezifo, kuquka ne-multiple sclerosis. Abo baphandi bafumene iintsholongwane ezinxamnye ne-gluten kuma-57 ekhulwini abo bantu kwaye ekugqibeleni bafumana isifo se-celiac kwi-17 ekhulwini.

Ukutya kunye ne-Multiple Sclerosis

Umbuzo omele uceliwe xa ucinga indima yentsholongwane ye-gluten kwi-sclerosis ezininzi nokuba ngaba kukho nezinye izinto zokutya ezinokubandakanyeka ekuqaleni okanye ukuqhubela phambili kwimeko. Kucacile ukuba i-vitamin D ingaba nefuthe kwi-MS zombini kwiziganeko kunye nekliniki ye-MS, nangona kukho imithombo ye-vitamin D ngaphandle kokutya (njengokukhanya kwelanga.) Ezinye izondlo eziye zajongwa kunye ne-gluten , zibandakanya iimveliso zobisi, i-probiotics, i-antioxidants, i-polyphenols, i-Ginkgo biloba, kunye ne-curcumin, kodwa iyahlala ingaqinisekanga ukuba nayiphi na (kubandakanywa ne-gluten) inendima ekuqhubekeni kwe-MS.

Ngaba Unokuyiphatha I-Multiple Sclerosis Yakho Nge-Gluten-Free Food?

Ngaphandle kweengxelo ezingapheliyo zokuphucula izigulane ezininzi eziqala ukulandela ukutya okungekho gulen, akukho bungqina obunamandla bokuthi emva kokutya kunokukunceda ngeempawu zakho ze-MS.

Abanye abaphandi be-MS bacebise ingcamango ye -Best Diet Diet kwi-multiple sclerosis, ekhupha i-gluten, i-milk, i-legumes kunye noshukela ococekileyo. Akukho bungqina obuqinileyo bokusebenza kwesi sondlo, kodwa abanye abantu abane-MS baxela ukuba baphumelele xa begcina ukutya kwabo.

Ngaphantsi kweNxulumano phakathi kwe-MS neCeliac Disease okanye iGutut senensity

Ngoko yintoni ephantsi? Ukuba une-multiple sclerosis kunye neempawu zesifo se-celiac, kufuneka uqikelele ukuvavanywa kwi-celiac. Kufuneka wenze naluphi na uvavanyo ngaphambi kokuba uhambe ungenanto, okanye ubeka ingozi kwimiphumo yokuvavanya. uvavanyo luxhomekeke ekujikelezeni iziza-mzimba, eziye zaphela xa uqala ukutya okungekho gulen. Ukuba uvavanyo oluhle, kucingelwa ukuba kufuneka uthethe ugqirha wakho malunga ne-interferon kunye ne-gluten-free food.

Nangona iziphumo zakho zokuvavanya zibi, usenokuba uqaphela iingenelo kwiimpawu zakho ze-MS ngokungahambi kakuhle okanye ngokuphelisa ezinye ukutya, ezifana nobisi okanye izityalo, ukusuka ekudleni kwakho. Ukuba ucinga ukuba oku kungenjalo, xela ugqirha wakho malunga nokuzama ukutya ekunciphiseni ukuchonga izidlo zokutya.

> Imithombo:

> Batur-Caglayan, H., Irkec, C., Yidririm-Capraz, I., Atalay-Akyurek, N. no S. Dumlu. I-Case Multiple Sclerosis kunye neCeliac Disease. Iingxelo zengxelo kwi-Medicine neurological . 2013. 2013: 576921.

> Casella, G., Bordo, B., Schalling, R. et al. Izifo ze-Neurological and Celiac Disease. IMinerva Gastroenterology kunye neDietology . 2016. 62 (2): 197-206.

> Rodrigo, L., Hernandez-Lahoz, C., Fuentes, D. et al. Ubuninzi beSifo seCeliac kwi-Multiple Sclerosis. BMC Neurology . 2011. 11:31.