Abasetyhini abanesifo se-celiac bafumana ubunzima bokukhulelwa kunye neengxaki kwii-ezimbini ukuya kwezine ngezinga labafazi abangenayo imeko. Kunokwenzeka, nangona kunjalo, ukuba emva kokutya okuluncedo kwe-gluten ngexesha lokukhulelwa kunokunceda ukuphepha ezinye zeengxaki.
Uphando lubonisa ukuba abasetyhini abanesifo se-celiac banamazinga aphezulu ekungabikho komntwana kunye nokuphuphuma komzimba xa bengenakufumaniswa.
Kodwa kubonakala ngathi iingxaki zokukhulelwa ezihlobene nezifo azipheli apho. Uphando lubonisa ukuba abasetyhini abanezifo ezingapheliyo (izifo ezingaphefumliyo ezingenakuthatyathwa) banamazinga aphezulu angaphezu kwesiqingatha sesithintelo sokukhulelwa kwezibini ezibandakanya ukukhulelwa komzimba kunye nokunciphisa i-anemia kuninzi kwamanye amabhinqa.
Kwakhona banokukhulelwa okufutshane, ngokuqhelekileyo, kunye neentsana zokuzala eziphantsi.
Ukuxinwa kweengxaki ezithintekayo kuthintela ininzi yabasetyhini abanezifo ezibangelwa yiCeliac
Ingxaki yokukhulelwa iyenzeka kwizinga eliphezulu kakhulu kwabasetyhini abanezifo eziqhekezayo, ngokufunda ngokubanzi kwe-Italian malunga nokukhathazeka kokuphila kokuzalana kwabafazi abangenazo. I-65% ye-celiacs yabika ubuncinane ubunzima besinye se-gestational, xa kuthelekiswa ne-31% yabasetyhini abangenaye celiac abasebenza njengolulawulo lwesifundo. Ngokwalowo uphando:
- I-anemia ekhulu kakhulu yenzeke kakhulu, ichaphazela i-41% yabasetyhini abasetyhini kodwa kuphela i-2% yezifundo zolawulo.
- "Ukukhipha isisu," okanye ukutshatyalaliswa kokusweleka komzimba, kuchaphazele i-39% ye-celiacs, kodwa kuphela i-9% yeengxaki ezingekho phantsi kweleliac.
- Ukuphazamiseka kwePlacental, imeko eyingozi apho iplascent eyondla umntwana ongakazalwa ingaqala ukwahlukana nodonga lwesibeleko, yenzeke ngaphezu kwe-18% yabesifazane abasetyhini kodwa kuphela i-1% yokulawula.
- Ukuxinzeleleka komzimba, owaziwayo nangokukhulelwa kwengqondo, kwenzeke kwi-10% yabesifazane abasetyhini kwaye akukho nanye yezifundo zolawulo.
- I-uterine hyperkinesia, okanye ukungaqhelekanga kwandisa imisipha ye-uterine, kwenzeke kwi-10% yabasetyhini abanezifo ezingenayo kwaye akukho nanye yezifundo zolawulo.
- Isithintelo sokukhula kwe-intrauterine, imeko apho umntwana ongakazalwa engaphumeleli ukukhula kwinqanaba elifanelekileyo, lenzeke ngaphezu kwama-6% wabesifazane abasetyhini kodwa kungabikho nawabafazi abasebenza njengabalawuli.
Phantse i-85% yabasetyhini ekufundeni ayengakafumaniswanga ngesifo se-celiac ngexesha lokukhulelwa kwabo, kwaye abalobi babecinga ukuba ukulandela ukutya okubangelwa i-gluten kunokukhupha iingxaki zokukhulelwa.
Umngcipheko weeC-Sections kunye ne-Low-Birth Weight Babies
Uphando olongezelelweyo lubonise izixhumanisi phakathi kwesifo se-celiac kunye nezinye iingxaki zokukhulelwa.
Ngokomzekelo, iziganeko zentsana ezisezantsi zokuzala zibonakala ngathi ziba zihlandlo ezimashumi mathathu eziphezulu kubafazi abanezifo ezinqamlekileyo kunabanye abafazi.
Abafazi abanesifo esiqhekezayo bahlala bekhulelwe kancinci-kwisifundo sase-Italiya, iiveki ezipheleleyo ezifutshane-ezinokuthi zihambelane neziganeko zokubeleka kwezilwanyana ezisezantsi.
Kwaye, amacandelo amacandelo angaphinda afumaneke ngokuphindaphindiweyo kubasetyhini abanezifo ezingenakuqhafaza, ezinokubaluleka ngenxa yocwaningo olutsha oluchaza abantwana abazalwa ngeC-c, banokuthi babe nomngcipheko ophezulu weengxaki eziphantsi kweendlela.
Nangona kunjalo, alukho lonke uphando lwezokwelapha oluqinisekisile amazinga aphezulu kwezi ngxaki kubafazi abanesifo esiqhekezayo, kwaye uphando oluninzi lufumene uxhumano oluncinane phakathi kwesifo se-celiac kunye neengxaki zokukhulelwa.
Uninzi lweengxaki zenzeke kwabasetyhini abangaboniyo
Uninzi lweengxaki zokukhulelwa ezinxulumene nezifo ezinjenge-celiac zibonakala zivela kubasetyhini abangakhange bafumane i-celiac, okanye kwabasetyhini abaye bafumanisa ukuba bangayilandelanga ukutya okungahambisani ne-gluten.
Njengesi sifundo saseNtaliyane, ezinye iifundo zifumene imilinganiselo ephakamileyo ephezulu yokukhulelwa kwengxaki kubasetyhini abanezifo ezingenasifo, kunye nokugqiba ukuba ukulandela ukutya okubangelwa i-gluten kunokubanceda baphinde bakhuphe ingxaki yokukhulelwa kwexesha elizayo.
Ngokomzekelo, uphando oluvela eNdiya lufanisa abafazi abaneembali zokukhulelwa okuqhelekileyo kunye nabasetyhini abaneembali zeengxaki zokuzala, kuquka ukukhawuleka kokukhula kwe-intrauterine engachazwanga, kwaye bafumana izinga eliphezulu lokuhlolwa kwegazi leliliac kunye nesifo se-celiac esilindelekileyo kubasetyhini ababikayo umqobo wokukhula kwe-intrauterine kunye nezinye iingxaki zokuzala.
Abaphandi kulolu cwaningo baphetha ukuba oogqirha kufuneka baqwalasele ukuhlola abafazi ngeengxaki zokukhulelwa ezingachazwanga kunye neminye imiba yokuzalisa isifo se-celiac, ekubeni ukunamathela kwi-gluten-free diet kunokunceda ukukhusela iingxaki ezizayo.
Ngaba Ufanele Uyihlolwe I-Celiac Ukuba Unengxaki Yokukhulelwa?
Ekubeni abantu abaninzi abavavanya ukuvavanya kwisifo se-celiac babonisa iimpawu ezimbalwa zeklasi, kunzima ukusho ukuba ngaba kufuneka uhlolwe ukuba ungabandakanyeki ukuba unengxaki yokukhulelwa.
Abasetyhini abaye bafumanisa ukuba baneengxaki zesifo sofuba basenokuba neengxaki ezintle zokufumana izifo ze-celiac, kodwa nazo zivela kubasetyhini abangenazo iimpawu zesisu.
Ekugqibeleni, ukuba ucinga ukuba unesifo esingafumaneki sisifo se-celiac sisenokubangela ukuba ukhulelwe iingxaki zokukhulelwa, ingakumbi ukuba uneminye impawu yeliliac disease , xela ugqirha malunga nokuhlolwa kwegazi.
Imithombo:
> A. Kumar et al. Isifo seLatac latente ekusebenzeni ngokuzala kwabafazi. Ukhuseleko kunye nobuthathaka. Ishicilelwe kwi-intanethi ngo-Novemba 24, 2010.
D. Martinelli et al. Ukuphazamiseka kwezinto zobomi kubomi baseNtaliyane be-celiac. Uphononongo lokulawulwa kwimeko. BMC Gastroenterology. 2010 u-Agasti 6; 10: 89.
LJ Tata et al. Ukhuseleko kunye neziganeko ezinxulumene nokukhulelwa kwabasetyhini abanezifo eziqhekezayo: Isifundo esiphezulu sabantu. Gastroenterology. 2005 uEpreli, iphe. 849-855.
AmaZiko eZiko lezeMpilo. Izifo zeCeliac kunye neengxaki zokuzala.