Ukuba Unayo Isifo Sengqondo, Ngaba Unayo I-Celiac Disease?
Isibindi sakho sidlala indima ebalulekileyo emzimbeni wakho, sinceda ukucoca igazi lakho lotywala kunye nezinye iibhox, ukuvelisa i-bile oyisebenzisayo ekutyeni, kwaye usebenza ukuvelisa amaprotheni abalulekileyo. Nangona kunjalo, njengawo wonke umzimba wakho, isibindi sakho asinakuvuthwa kwimiphumo yesifo se- celiac- eneneni, i-celiac ihlala ichaphazela isibindi sakho.
Akuqhelekanga kubantu abane-diagnosis ye-celiac yezifo ukuba bave ukuba nabo babe ne-enzyme yesibindi, kodwa ngezinye iixesha-kodwa kungekho njalo-kubonisa ingxaki kwisibindi sakho.
Ngenhlanhla, xa unyango lwe-celiac luqala ngohlobo lwe-gluten-free diet, ezi zine-enzyme zibuyela kumanqanaba aqhelekileyo.
Kodwa isifo se-celiac sinxulumene nomngcipheko ophezulu weemeko ezinzulu zesibindi, ezivela kwisifo sesibindi esinamafutha ukusilela kwesibindi esikhulu.
Kwiimeko ezininzi-kodwa kungekhona-abantu abane-celiac baye bafumanisa ukuba kunokwenzeka ukuphucula okanye ukuguqula le miqathango ngokulandela ukutya okungahambisani ne-gluten . Nangona kunjalo, akucaci ukuba ukusetyenziswa kwe-gluten kubangela ukuba izifo zesibindi kubantu abaneengxaki ze-celiac, okanye ukuba enye into-mhlawumbi i-genetics-iyadlala.
Iziphumo zovavanyo lwezonyango: ii-Enzyme zesibindi zivame ukuphakanyiswa
Oogqirha basebenzisa iphaneli yeemvavanyo zonyango eziqhelekileyo ukujonga umsebenzi wakho wesibindi, kubandakanywa nemilinganiselo ye- enzyme yesibindi i- aspartate aminotransferase (AST) kunye ne-alanine aminotransferase (ALT). Ukuba isibindi sakho asisebenzi kakuhle ngenxa yokulimala okanye ukugula, le mvavanyo iya kubonisa umphumo ophezulu, oko kukuthi, i-enzyme ezinobindi.
Nangona uye wakhulisa i-enzyme yesibindi, akuthethi ukuba unengxaki kwisibindi sakho. Olunye uphando lwezokwelapha lwafumanisa ukuba i-42% yezigulane ezisandul 'ukufumana iingxaki zeliliac ziye zaphakamisa ngobumnene i-enzyme yesibindi. Ekubeni la ma-enzyme abuyele kumanqanaba aqhelekileyo xa abantu beqala ukutya okubangelwa i-gluten, abaphengululi baphetha ngokuthi abazange babonise ingxaki.
Olunye uphando lufumene ipesenteji ephantsi kakhulu ye-celiacs esandul 'i-diagnosis-engabonakaliyo kwiqela elilawulayo elingekho celiac-liye laphakamisa i-enzyme yesibindi. Nangona kunjalo, uphando lufumanise ukuba amanqanaba e-enzyme yesibindi awa kakhulu kwi-celiacs xa beqala ukulandela ukutya okungekho i-gluten, nangona loo manqanaba e-enzyme aphakathi kwezigaba eziqhelekileyo zangaphambi kwe-gluten.
Izifo zesibindi ezinamafutha, izifo zeCeliac ezixubileyo
Isifo esingasinxilisayo sesifo sesibindi (oko kukuthi isifo sesibindi esinamafutha asinxulumene nokusetyenziswa kakubi kotywala) sisenyuka eUnited States nakwihlabathi jikelele, ngokuyininzi ngenxa yokuba ixhamene kakhulu nokukhuluphala kunye nesifo sikashukela. Xa unesifo sesibindi esinamafutha, isibindi sakho sithatha "amanqatha" - iiseli zakho zesibindi ziqokelela iimfyuleksi zeoli, kwaye ilungu lonke liyakwandisa.
Uninzi lwabantu abanezifo zesibindi ezinamafutha azinayo impawu, kwaye imeko kuphela ithathwa njengento ebalulekileyo xa iqala ukuqhubela phambili kwi-fover inflammation and damage.
Izifundo ezininzi zezokwelapha ziye zadibanisa izifo zesibindi ezinamafutha anesifo esiqhekezayo. Kwisifundo esona sikhulu nakutshanje, esapapashwa ngoJuni 2015 kwi- Journal of Hepatology , abaphandi bafanisa umngcipheko wokuphuhlisa isifo sesibindi esingasinxilisayo esibangele abantu abangama-27,000 abanesifo esiqhekezayo engozini kubantu abanjengabantu abangenalo i-celiac.
Uphononongo lufumene umngcipheko wokuba nesifo sesibindi sokusondeza sibe ngama-kathathu aphakamileyo kulabo abanezifo eziqhenqileyo. Okumangalisa kukuba, abantwana abanomdla ophezulu babenomngcipheko omkhulu wesifo sesibindi. Umngcipheko wokuhlaselwa kwesibindi kwimeko ephakamileyo kunyaka wokuqala emva kokuxilongwa kwe-celiac kodwa kodwa "yaphakanyiswa kakhulu" kwimizuzu eyi-15 ngaphaya kwe-diagnosis.
Kwesinye isifundo, esenzeke e-Iran, abaphandi bafumana isifo se-celiac kwi-2.2% yezigulane ezinezifo ezingenanxilisayo zesibindi, ezininzi zazo ezazingekho ngaphezu komzimba. Baphetha ukuba iiklinikhi kufuneka ziqwalasele ukuhlolwa kwesifo esiqhenqileyo kubantu abanesifo esinesibindi esinobuthi abangenayo ingozi ebonakalayo yeso simo, njengokugqithisa okanye ukugqithisa.
Ekugqibeleni, oogqirha baseJamani babhala malunga nomfazi oneminyaka engama-31 ubudala oneminyaka engama-31 ubudala onesifo esinesibindi sesibindi. Ufunyanwe ukuba unesifo se-celiac kwaye waqala ukutya okungahambisani ne-gluten, kwaye i-enzyme yakhe yesibindi yavuka kancinci kodwa ke yawela kumazinga aqhelekileyo.
I-Celiac Ifunyenwe Kwi-6-Ipesenti yezigulane ze-Hepatitis
Ayikho imfihlakalo yokuba abantu abanezifo ezizimele-ngokomzekelo, isifo se-celiac sengozini yokufunyanwa ngenye. Kubonakala ukuba, i-hepatitis ye-autoimmune ayikho na enye imilinganiselo ye-celiac isifo se-hepatitis yezigulane eziphezulu eziphezulu kunamazinga angama-celiac kubantu bonke.
Ngokwe-hepatitis engaphelelanga, isistim somzimba sakho sokuzivikela sichasa isibindi sakho. Ukusetyenziswa kweziyobisi kunye ne-corticosteroids kunokunciphisa ukuqhubela phambili kwimeko, kodwa ekugqibeleni, ingaqhubela phambili kwi-cirrhosis kunye nokungaphumeleli kwesibindi, nto leyo efuna ukufakelwa kwesibindi.
Isifundo esivela eItaly sibheke kwisantya sesifo esingenazo i-celiac isifo kubantu abane-hepatitis. Izigulane ezingama-47 ezilandelelanayo ezine-hepatitis ezizenzekelayo zivivinywe kwiimvavanyo zegazi kunye ne- biopsy kwizifo eziqhekezayo , ezibonisa izinga elingama-6%.
Ngenxa yezi miphumo, ababhali bancoma ukuba bahlolisise zonke izigulane ze-hepatitis ezizimelayo kwizifo ezingenazo.
Isifundo: I-Gluten-Free Simahla yokutya iyakwazi ukuguqulwa kwesilwanyana
Ubuncinane imibiko yophando ekumiseni ukutya okungenanto kwe-gluten kubantu abafumene isifo sesibini kunye nokuhluleka kwesibindi ngokwenene kunokuphelisa ukuhluleka kwesibindi.
Uphononongo olwenziwe eFinland, lujonge izigulane ezine ezinezifo ezingenakuphulukiswa nezifo ezingapheliyo . Esinye salezi zigulane sasine-foster fiberis, esine-hepatic steatosis (oko kukuthi, isifo sesibindi sinamafutha), kwaye ezimbini zine-hepatitis eqhubekayo. Abantu abathathu babecingelwa ukufakelwa kwesibindi.
Bonke abane babenakho ukuguqula isifo sabo sesibindi xa beqala ukulandela ukutya okubangelwa i-gluten.
Uphando luye lwahlola izigulana ezingama-185 zokufakelwa kwesibindi ngenxa yesifo esiqwengileyo. Ezi sibhozo kwezi zi gulane (4.3%) ekugqibeleni zifumene i-biopsy-proven disease celiac. Enyanisweni, ezithandathu ezisibhozo ziye zafunyaniswa ngaphambili kodwa zahluleka ukuhambelana nokutya okungekho guten.
Ababhali bokufunda bacebisa ukuba umonakalo wesibindi kungenzeka ungabonakali i-malabsorption; Esikhundleni saloo nto, bathi, ukulimala kwesibindi "kunokuthi kube ngumdla we-gluten oxhomekeke kwi-immunologically induced unstestinal manifestation of disease celiac." Ngamanye amazwi, i-gluten ekudleni kwakho inokubangela ukuba isistim somzimba sakho sichase isibindi sakho kunye namathumbu akho amancinci .
Ininzi yezifo zesibindi ayikho i-Gluten-ehlobene
Nangona unesifo sesibindi kunye nesifo se-celiac, akufanele uqikelele ukuba ezi zimbini zihlobene; Izimo ezininzi zeesibindi-kuquka i- hepatitis kunye nesifo sesibindi-esingekho.
Nangona kunjalo, ukuba akucaci oko kubangela isifo sakho sesibindi, kunye kunye nezibonakaliso ezinokubonisa isifo se-celiac, kufuneka uqikelele ukuthetha nodokotela wakho malunga nokuvavanywa kwe-celiac kuba akuqhelekanga ukuba isifo esiqhekezayo nesibindi sibonakale kwi-konsathi.
Iindaba ezilungileyo kukuba, kukho ubungqina obubonisa ukuba unokukwazi ukuguqula isifo sakho sesibindi emva kokuba ulandela ukutya okungahambisani ne-gluten.
Imithombo:
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