Xa usanda kuxelwa ukuba unesi sifo esiqhekezayo , isimo esibi kakhulu, siqhelekile (kwaye siqhelekileyo!) Ukubuza ukuba iziphumo ezinokuthi zenze ntoni kwixesha lakho lobomi.
Kwimeko eninzi yezifo, izifo ezingama-celiac azibulali ngendlela esivame ukucinga ngayo ngezifo ezibulalayo-ayiyi kuqhubeka kwaye ekugqibeleni ikubulale.
Nangona kunjalo, iindaba xa zifika kwisifo se-celiac kunye namazinga okufa ayingxubevanyeko: ezinye izifundo, kodwa kungekhona zonke, kubonisa abantu basengozini yokufa kwangaphambili kwezinye izimbangela xa zikhona.
Sekunjalo, kukho ezinye iindaba ezilungileyo, nanjalo: ubuncinci olunye lubonisa ukuba abantu abaqaphelisayo ekulandeleni ukutya okungekho gluten banokuba nomngcipheko omncinci wokufa kwangaphambili. Oku kukubonisa ukuba kukho into enokuyenza enokuyenza ukuze uphucule impilo yakho kunye nobomi bakho.
Nantsi into esiyaziyo (kunye noko singayaziyo) malunga nomngcipheko wokufa kwangaphambili xa unesi sifo se-celiac.
Izifo zeCeliac zijongene nobungozi obuphezulu bokufa kwabanye
Iprojekthi enkulu yophando edibanisa idatha ukusuka kwizifundo ezili-17 ezahlukeneyo zeklinikhi yagqiba ukuba abantu abanezifo eziqhekezayo-kuquka abo bafunyanwe ngokusebenzisa i- endoscopy kunye nalabo bafumanisa nje ngokuvavanywa kwegazi elihle-kubakho mngcipheko wokufa kwasekuqaleni kuzo zonke izizathu, ngakumbi -Hodgkin lymphoma.
Isifo seCeliac esingaphenduliyo kwi-gluten-free diet ingaqhubela phambili kuhlobo oluthile lokubulala i-lymphoma , ngoko ukuba ukufumanisa ukuba i-celiac ine-high-size -standard of death from lymphoma akumangalisi.
Ngokubanzi, umngcipheko wokufa kunoma yiphina imbangela yayiphakamileyo kuphela kuneqhelekileyo-kodwa yayiphezulu.
Abanye abantu abanesifo esinzima ngokwaneleyo ukubabafake esibhedlele kubonakala banda ngakumbi, ngokutsho kwesinye isifundo.
Olu cwaningo, olubandakanya izigulane zaseSweden eziyi-10,03 ezazibethelelwe esibhedlele ngezifo ezingenazifo (ezithetha ukuba zigula ngaphezu kwabantu abaninzi abafumene unesimo), bafumana ukwanda kokuphindwe kabini ekufeni kwangaphambili kwezi zi gulane.
Abantu abanezintlu, kodwa akukho zodwa ezixilongwa ngexesha lokubhedlelelwa esibhedlele (oko kuthetha ukuba babegula ngaphezu komyinge kodwa bengagula kakhulu kunabanye abantu abafakwe kulolu phofu), babone ukunyuka kwama-1.4 kwenyango lokufa kwangaphambili.
Ubungozi bokufa bekuphezulu kweli qela kwiindawo ezahlukeneyo zezifo, kuquka ne-Hodgkin lymphoma, umhlaza wesisu esincinci, izifo ezizimele, izifo ezinjenge-asthma, izifo zesifo sofuba, isifo sikashukela, isifo sesifo sofuba, isifo se-pneumonia kunye nephritis (isifo sengqondo ).
Abaphandi bathi le ngcipheko yokufa ingabangelwa ngenxa yokunciphisa ukutyunjwa kwezondlo ezibalulekileyo, ezifana ne-vitamin A kunye ne-vitamin E. Nangona kunjalo, xa uvavanya iziphumo zolu cwaningo oluthile, khumbula ukuba aba bantu babegula kakhulu kunabantu abaninzi ngexesha lokuxilongwa.
Kuyathakazelisa ukuba uphando lufumanise ukuba abantwana kunye nabantwana abaselula esibhedlele ngesifo se-caliac phambi kokuqala kweminyaka emibini banomngcipheko wokunciphisa ukufa, mhlawumbi kubonisa umphumo ozuzayo wokuqalisa ukutya okubangelwa i-gluten kusasa kakhulu.
Ngaba isidlo esiqinileyo seGluten sichaza ixabiso eliphantsi lokufa?
Azikho zonke izifundo eziqulethe iindaba ezimbi. Enyanisweni, ezimbini ziqulethe izilwanyana ezilandela ukutya okungazinzi ngokugqithiseleyo kunokunciphisa kakhulu umngcipheko wokufa kwangaphambili.
Ngokomzekelo, uphando oluthile lufumene izinga lokufa elingaphantsi-elilindelekileyo kwizigulane zaseFinland eziye zafumanisa ukuba zine- dermatitis herpetiformis , ukukhwabanisa kwesikhumba okubangelwa yi-gluten esondelelene kakhulu nesifo se-celiac. Inani lokufa kufanele libe ngama-110 ngaphaya kwekhosi ye-39-nyaka; Kunoko, abantu abangama-77 kuphela abafa.
Kulo cwaningo, ininzi yalabo bafumene i-dermatitis herpetiformis nayo ine -atrophy eyingozi (oko kuthetha ukuba banesifo se-celiac ngaphezu kwe-dermatitis herpetiformis).
Kwakukho umahluko omkhulu kulolu cwaningo lobuninzi xa kuthelekiswa nolunye uphando: ezinye i-97.7% zalabo zibandakanyiweyo zixhomekeke ekudleni okungenanto-gluten, mhlawumbi ngenxa yokutya okungqongqo yindlela ephela yokulawula ukutshabalalisa okungenakubekezelelwa kwe-dermatitis herpetiformis ende -mitha.
Olunye uphando lufumene imilinganiselo ephantsi kakhulu yokubambelela kokutya-ukususela kwi-42% ukuya kwi-91% -kunabantu abanesifo esiqhekezayo (kodwa kungekhona imvu ye-herpetiformis).
Uphononongo alunagqiba ukuba ukutya okunokugqithisileyo kwe-gluten kunciphisa izinga lokufa kubantu abane-celiac ne-dermatitis herpetiformis-yayingasetyenziswanga ukuphendula loo mbuzo. Nangona kunjalo, abalobi baqikelele ukuba ukutya okunzima kunokuthatha indima (kwaye yaphawula ukuba i-97.7% yezinga lokunamathela kokutya yayiphezulu kakhulu).
Olunye uvavanyo-lo ovela kwiKholeji yeeMpilo eKliniki yaseRochester, eMinn.-angayiphakamisa ngqo loo ngcamango. Uphando lukhangele abantu abadala abangama-381 abane-biopsy-proven disease celiac kwaye bafumanisa ukuba abo babengakhathali okanye abaqhebileyo kwiidlo zabo ezingenanto-gluten babenomonakalo oqhubekayo emathunjini. Abo abo amathumbu amancinci afunyenwe (njengoko kuqinisekiswe ukuvavanywa) kwakukho izinga lokufa eliphantsi.
Ukukopela ekudleni kwakungekho kuphela umbandela ochaphazelekayo kumonakalo oqhubekayo kunye nezinga eliphezulu lokufa: uhudo olunzulu kunye nokulahleka kwesisindo kunye nomonakalo omkhulu wamathumbu ngexesha loxilongo lubonakala lidlala indima. Ukongezelela, umbutho phakathi kokuqinisekisa ukuphulukana kwamathumbu kunye nesantya sokunciphisa ukufa kwaba ngumntu obuthathaka, isifundo sichazwe.
Nangona kunjalo, abaphandi bathi i-gluten-ingeniso yokunyenga ngokukodwa ekudleni okanye ngenxa yokungcola kwe-gluten ekuthiwa "ukudla okungenasiphelo" -yiyo kubangelwa ukulimala kwamathumbu emathunjini kwabanye abantu.
ILizwi
Ngelishwa, asikwazi ukugqiba kakhulu kulezi zifundo-kukho uphando olungakumbi olwenziwe ngaphambi kokuba sibe nezimpendulo eziqinileyo kwiingozi zokufa kunye neendlela zokuphucula iingxaki zethu.
Ezi zifundo zibonisa izinga eliphezulu lokufa kwangaphambili phakathi kwabantu abanezifo ezinqabileyo, ngokukodwa phakathi kwabaqhwala abaye bagula ngokugqithisileyo. I-Non-Hodgkin lymphoma, izifo ezizimelayo, kunye nezifo ezifana ne-pneumonia zazininzi zalabo bafa ngaphambili.
Nangona kunjalo, olunye uphando okanye iimbini ezimbini zibonisa ukuba ukunamathela kwi-gluten-free-storen-free (stirmen enough to heal your intestinal villi okanye ukuphelisa i-dermatitis herpetiformis yakho) kunokunciphisa umngcipheko wakho wokufa. Nangona izifundo zide zingagqibekanga, oku kubaluleke njengesinye sezizathu ezifanelekileyo zokulandela ngokunyanisekileyo ukutya kwakho.
> Imithombo:
Hervonen K. et al. Ukufa okunciphisayo kwi-dermatitis herpetiformis: isifundo esisisigxina sezilwanyana ezingama-476. IBritish Journal of Dermatology. 2012 Dec; 167 (6): 1331-7. i-doi: 10.1111 / j.1365-2133.2012.11105.x.
Lebwohl B. et al. Ukuphilisa kunye nokufa kwabantu kwisifo esiqhekezayo. I-Pharmacology & Therapeutics. 2013 Feb; 37 (3): 332-9. i-doi: 10.1111 / apt.12164. Epub 2012 Nov 28.
Peters U. et al. Iimbangela zokufa kwizigulane ezinesifo esiqhekezayo kwiqela labantu baseSweden elisusela kubantu. IiNcwadi zoLondolozo lwangaphakathi. 2003 Julayi 14; 163 (13): 1566-72.
Rubio-Tapia A. et al. Ukuphulukisa nokufa kwabantu abadala kubantu abanezifo ezinqabileyo emva kokunyanga nge-gluten-free food. I-American Journal yeGastroenterology. 2010 Juni; 105 (6): 1412-20. i-doi: 10.1038 / ajg.2010.10. Epub 2010 Feb 9.
Tio M. et al. Uhlalutyo lweMeta: isifo se-celiac kunye nomngcipheko wokufa kwabantu bonke, naluphi na ukulimala, kunye nokulimala kwe-lymphoid. I-Pharmacology & Therapeutics. 2012 Mar; 35 (5): 540-51. i-doi: 10.1111 / j.1365-2036.2011.04972.x. Epub 2012 Jan 13.