Ukuba sele ufumene ukuba unesifo se- celiac , mhlawumbi unemibuzo emininzi. Nazi ezisibhozo onokufuna ukubuza ugqirha wakho:
Kwakubi Kangakanani Umonakalo Wamazinyo?
Xa ufumanisa isifo se-celiac, i-gastroenterologist ithatha iisampula zebilini lakho elincinci lokubamba intlungu ukuze likhangele umonakalo kwiintlanzi zakho ezincinci kwi-lining ezithatha izondlo ekudleni kwakho. Ukulimala kubalwe kwizinga elingu-0-4 elibizwa ngokuba ngumlinganiselo we-Marsh; Isigaba se-Marsh sigaba sero sithetha i-intestinal villi eqhelekileyo, ngelixa i-Marsh isiqendu sesigaba 4 sithetha i-atrophy okanye i-villi.
Imonakalo ayisoloko ihambelana neempawu ezingapheliyo kodwa ingahambelana nokusilela kwondlo kunye nezinye izingozi zempilo. Ukuba umonakalo wakho unzima, wena kunye nogqirha wakho unokugqiba isigqibo sokuba ufuna ukuhlola ezinye iingxaki zempilo.
Ngaba Ndifanele Ndivivinywe Ukusilela Kwezondlo?
Izigulane zezifo ze-celiac ezitsha zifumana iimeko ezibangelwa ukungondleki ngenxa yokuba zingabonakali izondlo, nokuba zidla ukutya okunokulinganisela. Isimo somsoco asisoloko sisobala kwiimpawu, ngakumbi ukuba izibonakaliso zakho ezinzima zizinzima.
Ukusilela okuqhelekileyo kubandakanya isinyithi, ii-vitamini ezinjenge-folate kunye ne-B12, i-calcium, i-magnesium, i-vitamin D kunye ne-acids ebalulekileyo. Ugqirha wakho unokuqwalasela ukuvavanya ukufumanisa ukuba unako ukusilela kwizondlo ezithile.
Ngaba Ndifanele Ndijongwe I-Osteoporosis ne-Osteopenia?
I-Osteoporosis isifo apho amathambo abe mncinci, aphephe ngakumbi kwaye aphepheke kalula. Kwi- osteopenia , okwangoku, ukuxinwa kwethambo kuncinci kunezinye eziqhelekileyo kodwa akusihlangabezi neendlela zokwelapha ze-osteoporosis. Ezi zombini iimeko ziqhelekileyo kwizigulane zesifo esitsha esasifumanekile ukuba izifo zesifo se-intestinal zingamthintela umzimba ukuba ungamkeli i-calcium, i-magnesium kunye ne-vitamin D-izakhiwo zamathambo.
Ukuxinwa kwe-Bone ngokuphindaphindiweyo kuya kubudala kwiminyaka emibini kwi-gluten-free diet, kodwa ukuxinwa kwamathambo kunokukunceda ukuxilonga amathambo amancinci kwaye unqume ukuba ngaba ufuna iimfuthiso okanye mhlawumbi nesilwanyana ezifana neFosamax (alendronate) sokwakha isantya seso ngokukhawuleza.
Ngaba Ndifanele ndizithathele izongezelelo zokutya?
Amagqirha amaninzi ancomela izigulane zabo izifo eziphethwe yizilwanyana zithatha i-multivitamin imihla ngemihla, kwaye uphando lwezokwelapha luxhasa le nto. Abanye oogqirha banokwenza umyalelo wokuncedisa okongeziweyo ukwenzela ukuphelelwa kwesondlo. Kodwa qaphela ukuxhaswa ngaphandle kwengcebiso yonyango: I-Celiac Sprue Association (CSA) ilumkisa ukuba izigulane ezingenayo kufuneka zingathathi izongezelelo ngaphandle kokubonisana nodokotela wazo.
Ngokomzekelo, i-CSA ilumkisa ukuba kunokwenzeka ukuba ulahlekelwe yinyameko yamathambo enomzimba ngokuthatha i-vitamin D eninzi kakhulu-enokwenzeka ntoni ukuba uzama ukwenza i-vitamin encinci kwinkqubo yakho ngokuthatha amanxeba amaninzi.
Ngaba Unokuyincoma Ngomdla Wezondlo Ngubani Oqondayo Izifo ZamaCeliac?
Kwiimeko ezininzi, izigulane ezisandul 'ukufumana iingxaki zeliliac zifumana inzuzo ekubonisaneni nesondlo sezondlo esichaphazelekayo kwisifo se-celiac. Ukusika yonke i-gluten-ecacileyo kwaye efihliweyo-ukusuka ekudleni kwakho kunokuba ngumsebenzi onzima, ngakumbi ukuba ungumntu ongenakuqaphela ngokukhethekileyo izithako zokutya ngaphambili.
Isondlo sesondlo singakunceda ufunde ukufunda iibhile zokutya xa ufundisa okuphi ukutya okuqhelekileyo okungenalo i-gluten. Nangona kunjalo, kubalulekile ukukhetha isondlo sondlo owaziyo i-ins enzulu kunye nokuphuma kwe-gluten-free-food; Ngethemba, ugqirha wakho unokuncoma umntu.
Ndingakwazi Ukutya Imveliso Yomgubo?
Izigulane ezininzi zezilwanyana ezingenakukwazi ukunyamezela iimveliso zobisi eziqukethe i-lactose, uhlobo lweswekile olufumaneka kubisi. Kungenxa yokuba i-lactose idilizwe yi-enzyme ebizwa ngokuthi i- lactase , eveliswa yiingcebiso ze-intestinal villi. Ukuba i-villi yakho ichithwe ngenxa yesifo se-celiac, ngoko awukwazi ukwenza i-lactase kwaye awukwazi ukugaya i-lactose.
Iimpawu zokungahambisani ne-Lactose ziquka intlungu yesisu kunye nokuqhaqha, isifo sohudo kunye negesi. Uvavanyo luyakwazi ukufumana izigulane ezingenayo i-lactose-engavumiyo. Ngethamsanqa, ukunyamezela kwe-lactose kudla ngokuphindaphinda emva kokuba usufumana ukutya okungahambisani ne-gluten kwithuba elithile ukususela i-villi iphilise kwaye iqala ukuvelisa i-lactase kwakhona.
Liza Kukulandela Liliphi Ixesha Elizayo Ngaba Ndimele Ndiyilindele?
Izilingo zakho zesifo se-celiac mhlawumbe zibandakanya umsebenzi wegazi ukulinganisa i-antibodies gluten, kunye ne-biopsy yamathumbu ukujonga umonakalo we-villi. Abanye oogqirha banqwenela ukuqhuba ukuhlolwa kwegazi lwe-celiac yegazi ukuze bahlolisise amanqanaba egazi e-gluten, anokukwazi ukulinganisa ukuthotyelwa kwe-gluten-free food.
Ugqirha wakho unokucetyiswa ukuba uphinde ucwebe emva kweenyanga ezintandathu okanye omnye kunyaka ekudleni okungenayo i-gluten ukuqinisekisa ukuba umonakalo uphulukisa ngokufanelekileyo.
Ngaba Umndeni Wanga Ufanele Uvivinywe Izifo ZamaCeliac Too?
Izifo zeCeliac ziyimfuza, kwaye emva kokuba ufumene unyango, iingcali zincoma ukuba zonke izihlobo zakho zokuqala (abazali, abazalwana, oodade kunye nabantwana) bavavanywa, nabo. Izalamane zokuqala zine-1 engama-22 engozi yokuphila kwabo.
Uvavanyo lwangexesha elilodwa aluyi kukwanela ukubamba onke amatyala angama-celiac, nokuba. Ngokomzekelo, uphando oluthile lufumanise ukuba, ngamalungu angama-171 osapho ayenambi xa kuqala, i-3.5% ivavanywe kakuhle kwi-screening yabo yesibili, nangona ininzi yayingabonakali. Ababhali bokufunda bacebisa ukuvavanywa kwamanye amalungu entsapho, kungakhathaliseki ukuba yimpawu.
> Imithombo:
> UAn Ann Cranney, uMarion Zarkadas kunye. al. Uphando lwezeMpilo lweCanada eCeliac. " Izifo zeNtsholongwane kunye neSayensi ngo-Ephreli; 52 (4): 187-95.
> Leon H. Rottmann, Ph.D. "Ixesha lokubuyiselwa i-Akhawunti eziKhuselekileyo zamaVithamini." Umhlobo weCeliac Sprue Association Lifeline 1997 Ukuwa, i-XV (4): 1.