Iziganeko ezimbini zokuzimela zifumaneka rhoqo
Ukuba unesi sifo se-celiac , unomngcipheko ophezulu wesifo se- thyroid . Enyanisweni, ukuya kuma-10 ekhulwini abantu abanesifo esiqhenqileyo sinemeko yesimo se-thyroid, ephezulu kakhulu kunabantu bonke, izifundo zibonisa. Okwangoku, phakathi kwama-1.5 ekhulwini kunye nama-6.7 ekhulwini abantu abaneengxaki ze-thyroid ezizimeleyo banesifo se-celiac.
Kungenzeka ukuba le miba mibini ikwabelana ngemvelaphi ekhoyo yemfuza kunye neendlela eziphantsi. I-Celiac ibonakala ikhona nezinye izifo ezizimele, ngokukhethekileyo uhlobo lwesifo sikashukela, i-rheumatoid arthritis kunye nesifo sesifo sesibindi . Ucwaningo lwango-2016 lubonise ukuba isifo se-celiac sandisa ingozi yesifo se-thyroid kubantu abane-type 1 yeswekile, umzekelo.
INzululwazi ayifakanga isizathu sokuba izifo ezizimele , kodwa abanye abaphandi bathi i-environmental inclination inokuthi ixhomekeke kwinkqubo yesifo kubantu abanokuziphatheka ngokwasemzimbeni.
Nangona kukude kuqinisekiswe, ubuncinci olunye uphando lwezokwelapha lubonisa ukuba ukukhuselwa kwesifo se-thyroid kungabangela i-gluten, ubuncinane kwabanye abantu. Izigulane zezifo zeCeliac ezifumana ukutya okungenakudla kwe-gluten zinganciphisa amathuba abo ekuphuhliseni ukukhubazeka kwe-thyroid, ngokubhekiselele kulolu cwaningo, okubonisa ukuba i-gluten ingeniso kwi-gluten-sensitive persons ingabangela isifo se-thyroid.
Iintlobo zeNyango ye-Thyroid
Kubantu abanesifo sokuzimela, izilwanyana zegazi ezimhlophe zihlasela izilo okanye ezinye iintlobo zeethambo. Kwizifo ezilunxwemeni ngokuthe ngqo, iilungu zegazi ezimhlophe zihlasela isilwanyana samathumbu amancinci. Kwaye, nge-auto-tummune ye-thyroid disorder, amaseli egazi amhlophe ahlasela i-thyroid-gland-eyinto encinci, ibhokhwe eboyiweyo emqaleni wakho olawula umzimba wakho.
Ukukhubazeka kwe-thyroid ngokuzenzekelayo kungenza ukuba i-thyroid igwebe ibe yinto engapheliyo, ebizwa ngokuba yi-Graves, okanye ingasebenzi, ebizwa ngokuba yi-Hashimoto's disease.
Izifo zeMangcwaba
Kwizifo ze-Graves, i-thyroid ipompo i-hormone yakho ye-thyroxine, eyaziwa njengeT4, ne-triiodothyronine, okanye i-T3. Abasetyhini abangaphezu kweminyaka engama-20 banomngcipheko omkhulu kwimeko, kodwa amadoda nawo ayengozini.
Izimpawu ze-thyroid ezingasebenziyo ziquka ukungabikho , ukuthukuthela, ukulahleka kwesisindo, ukuvezwa kobushushu, kunye nobuthakathaka be-muscle. Izigulane zezifo zengcwaba zingaphinda zihlakulele amehlo aqinekayo kunye ne-goiter ephawulekayo.
Isifo sikaHashimoto
Okwangoku, Kwi-Hashimoto isifo, i-thyroid ikhiqiza kakhulu i-T3 ne-T4. Izimpawu ezincinci ze-thyroid ziquka ukukhathala, ukuzuza ubunzima, ubuthathaka, uvakalelo kubanda, izihlunu ezixubhayo, amanxeba aqinile, ukuzithemba kunye nokuvuvukala kweso. Kwakhona, abafazi banomngcipheko ophezulu wesifo kunamadoda.
Uxhumano lweGluten kwiZifo eziZenzekelayo
Kulo cwaningo lubonisa ukuba unyango lwe-celiac nge-gluten-free diet kunganciphisa ingozi yokuhlaziya isifo se-thyroid esingenamntu, iqela labaphandi baseNtaliyane lifanisa iziganeko zesifo se-celiac kubantu abanobuchopho, kwizigulane ze -roid ezizimele, kunye neqela "izigulane ezigulayo" ngezifo ezingekho kwisifo se-thyroid, umhlaza kunye nesifo senhliziyo.
Ukugqithisa kwesifo se-celiac kwiqela lesifo se- thyroid "kwakukhulu kakhulu kunamacandelo amabini aphilileyo kunye nokugula." Abaphengululi babhala. Bathi, i-genetic kunye neendawo ezingqongileyo zimele zityhale, kodwa zongezelela "ukuba kunokwenzeka ukuba ubudlelwane phakathi kwezifo ze-celiac kunye nokungazimeli kwezigulane ezingapheliyo zibangelwa yi-gluten intake."
Olunye uphando lubonise ukuba i-antibodies echaphazelekayo yombutho-ezo zibonisa ukuba amaseli egazi amhlophe ahlasela izilo ezithile, ezifana ne-thyroid-gland-iyalala emva kweenyanga ezintathu ukuya kweziyisithandathu kwi-gluten-free diet.
Kwenzeka ukuba, abaphandi bathi, " isifo se-celiac esingakhange sifumaneke singabangela ezinye iingxaki ngokutshintshela ezinye izinto ezingaziwa nge-immunological mechanism." Ukuba oko kuyinyaniso, ukuthotyelwa ngokungqongqo kwi-gluten-free diet kunokunciphisa ingozi yezigulane zezifo eziqulunqa izifo ezongezelelekileyo ezizimeleyo, kuquka nesifo se-thymimune.
Uphando lwapapashwa kwiiNtsholongwane zeSifo kunye neSayensi ngoFebruwari 2000.
Ukuhlolwa koMzimba weCeliac ye-Universal Noting Recommended
Iqela lephando laseTaliyane licebise ukuba zonke izigulane zezifo ze-thyroid zizuze ekuhlolweni kwezifo ezingenazo. Nangona kunjalo, akukho nto ingavumelani kummandla wezokwelapha malunga nokuba ukuhlolwa okunjalo kuyimfuneko ngokwenene.
I-American Gastroenterological Association Institute, kwintetho ka-2006 ekuxilongweni nasekulawuleni izifo eziphefumulayo, yathi izigulane ezinezifo zengqondo ezizimele zisesichengeni esikhulu, kodwa zongezelela ukuba "akukho nto inyanzelisayo yokujonga rhoqo izigulane ezinezifo ze-thyroid ngenxa yesifo esiqhekezayo ngokungabikho kweempawu ezibonisa okanye ezihambelana nezifo ezingenazo. "
Esikhundleni salokho, isikolo sicebisa ukuba iiklinikhi zikhubaza izigulane zezifo ze-thyroid ezineziganeko ezibonisa isifo se-celiac . Amakliniki amaninzi alandela ezi zikhokelo.
Imithombo:
I-American Gastroenterological Association (AGA). "I-AGA Institute of Health Statement Statement malunga neNgcaciso kunye nokuLawula iCeliac Disease." Gastroenterology 2006; 131: 1977-1980
Ch ching CY et al. Izifo zeCeliac kunye nezifo ze-Thyroid ze-Autoimmune. Ugqirha lweMpilo noPhando ngo-Oktobha; 5 (3): 184-192.
Elfström P et al. "Ingozi yeTyroid Disease kubantu ngabanye abaneCeliac Disease." Umbhalo we-Clinical Endocrinology & Metabolism. i-doi: 10.1210 / jc.2008-0798
Izifo zeMangcwaba. Uxwebhu loLwazi lwaBathengi. INkonzo yeeNgcaciso zeSizwe ze-Endocrine kunye neMetabolic Diseases Information Service.
Izifo zikaHashimoto. Uxwebhu loLwazi lwaBathengi. INkonzo yeeNgcaciso zeSizwe ze-Endocrine kunye neMetabolic Diseases Information Service.
Kurien M et al. Isifo se-Celiac Ukwandisa ingozi ye-Thyroid Izifo kwizigulane ezine-Type 1 Diabetes: Isifundo seSizwe soLuntu. Uncedo lweSwekile . Ngo-2016 Mar; 39 (3): 371-5.