Iimvavanyo zikhangele iimpendulo zomzimba wakho ekutya okuqukethe i-gluten
Ukuba uvavanywa kwisifo se-celiac , mhlawumbi ubone izilumkiso zokuhlala udla ukutya "okuqhelekileyo," okutya okugqithiseleyo kude kube nzima ukuvavanywa kwakho. Kodwa kutheni oku kuyimfuneko?
Isizathu sisenokuba sihle kakhulu: Izilingo zesifo seCeliac zikhangele umonakalo obangelwa emzimbeni wakho xa udla ukutya okunokudla okunobuthi njengokwa-ngqolowa, i-pasta kunye ne-pizza.
Ukuba uyeka ukutya oku kudla, umonakalo ungaqala ukuphilisa ngokukhawuleza-kwaye unokuvavanya umbi nangona unesimo.
Ukusebenza kovavanyo lweCeliac Disease Testing Works
Ukuze ufumane isifo se-celiac, ugqirha wakho uqala ukulawula iimvavanyo zegazi ezikhangelelwa ngamayeza omzimba wakho ovelisayo xa udla i-gluten. Ezi zikhuhlane zibonisa umonakalo owenziwe emathunjini akho amancinci ngamasosha akho omzimba ekuphenduleni ukungena kwe-gluten. Ukuba akukho gluten ekudleni kwakho, isistim somzimba sakho sokuzivikela asiyi kuvelisa la ma-antibodies, ngoko akukho nto iya kubonakala kwigazi lakho.
Ukuba uvavanya kakuhle kwiimvavanyo zegazi, isinyathelo esilandelayo yi- endoscopy . Ukuba uyavavanya kodwa ungenayo impawu ezinzulu zesifo se-celiac okanye ezinye izizathu zokucinga ukuba unesi sifo se-celiac, njengembali yentsapho yesiko, ungaphinde uqhubeke ne-endoscopy naphezu kweziphumo zokuhlolwa kwegazi ezingekho phantsi.
I-endoscopy yinkqubo apho i-gastroenterologist iphefumula isitya phantsi komqala wakho kwaye ngokuqinisekileyo iqokelela iisampula zamathambo ukusuka emathunjini akho amancinci.
Ezi iisampuli ziya kuhlolwa ngeempawu ze -atrophy , okanye umonakalo emathunjini obangelwa yimpendulo yomzimba wakho wokuzikhusela komzimba kwi-gluten ingestion. Kwakhona, ukuba ungeyiphumezi i-gluten, akukho monakalo omkhulu wokufumana, kwaye iisampuli zingavavanya ngesifo se-celiac, nangona unesimo.
Iimvavanyo zakho ziya kuguquka
Xa usuka ku-gluten-free, umzimba wakho uyayeka ukuphendula kwi-gluten kwaye inqanaba lala ma-anti-gluten antibodies aya kuqala ukuhla. Akucaci, nokuba kunjalo, kuya kuthatha ixesha elide ukwenzela ukuba loo maqhekeza ahlawule kangangokuba ukuvavanya akuyi kubathabatha. Enyanisweni, ukuvavanya akukho ipesenti eziyi-100 ezichanileyo nakwabo badla i-gluten.
Amaphesenti angama-10 ukuya kuma-15 ekhulwini abantu banokuthiwa "iziphumo zokuvavanya igazi" (iziphumo zokuvavanywa kwegazi kodwa iziphumo ezilungileyo zentlawulo yegazi) nangona zidla ukutya okugcwele i-gluten, ngokutsho kukaDkt. Alessio Fasano, intloko I-Massachusetts General Hospital Iziko loPhando lweCeliac. Ekubeni uninzi lwabagqirha abayi kucebisa i-endoscopy ukuba iimvavanyo zegazi zibi, abaninzi abantu abaneempembelelo ezingekho phantsi kwegazi abayi kuhlola ngakumbi isifo se-celiac, nangona bambalwa babo banokuba nemeko.
Ngoko ukuba unqamle ukutya ukutya kwe-gluten phambi kokuvavanywa kwegazi uze uvavanye kakubi, awuyi kukwazi ukuba kungenxa yokuba unayo isifo se-celiac, okanye ukuba ngaba uyekile ukutya ukutya kwe-gluten ngaphambi kokuvavanya.
Iimvavanyo zeGazi ezingalunganga, i-Endoscopy efanelekileyo?
Kukho ngokuqinisekileyo kukho iingxelo zabantu ababenokuhlolwa kwegazi oluhle kunye neziphumo ze-endoscopy (oko kuthetha ukuba bafumaneke ngokusemthethweni ngesifo se-celiac) nangona bebenokugxotha i-gluten kwiidlo eziliqela ngaphambi kokuvavanya.
Kodwa asiyazi ukuba iziphumo ezivakalayo zokuvavanya zihlala zihlala nini xa ungena-gulen-abantu abangeke babonise isiqhelo.
Olunye uphando lubhekisele kuvavanyo lwe- EMA-IgA , olucatshulwa lulona olukhethekileyo kwisifo se-celiac, kwaye ifumene ukuba i-58 ekhulwini yee-celiacs ezixilongwe (abantu abaye baqinisekisa ukuxilongwa kwe-celiac) bavavanywa kakuhle kwi-EMA-IgA emva kweenyanga ezintathu zokutya i-gluten -i-free. Iikota zintathu zazingalunganga kwi-EMA-IgA yokuhlolwa kwegazi emva kweenyanga ezintandathu kunye neepesenti ezingama-87 zazingekho emva kweenyanga ezili-12.
Ngoko ke kucacile ukuba uthatha ithuba lokufumana iziphumo zokuvavanya izifo ze-celiac ezingalunganga xa ungadli gluten ngexesha lokuvavanya.
ILizwi
Ukuba sele utshitshisile i-gluten ngethuba elidlulileyo, yiyiphi ikhetho ofuna ukuvavanyelwa kwisifo se-celiac?
Ngelishwa, ngenxa yokuba kufuneka udle i-gluten yokuvavanya ngokuchanekileyo, ukudubula kwakho kuphela ukuxilongwa ngokuchanekileyo ngumngeni we- gluten . Ngokwenene, kuya kufuneka udle i-gluten kwakhona ixesha elide elaneleyo lokuba umzimba wakho uvelise izifo zamanzi.
Ngaba kufuneka wenze umngeni we-gluten inzame yokufumana isifo esifanelekileyo sesifo se-celiac ? Nguwe kuphela onokugqiba isigqibo (ngokubonisana nodokotela wakho). Kodwa ngoku uyazi ukuba kutheni ungafaneleki ukutya ukutya kwe-gluten phambi kokuba ugqibe naluphi na uvavanyo lwesifo se-celiac kuba kungenakukwazi ukufumana ukuxilongwa ngokuchanekileyo xa ungadli i-gluten.
Imithombo:
W. Dickey et al. Ukungafuneki kwamagciwane okuphela kwesifo ekuphefumulweni kwesifo se-celiac akubonakali ukubuyiswa kwengqondo yakhe. I-American Journal yeGastroenterology. 2000 uMar; 95 (3): 712-4.
Imibuzo ebuzwa qho. Isiko seSifo seCeliac kwiziko lezonyango ze-Columbia University.