Abanye abantu abane-IBD baziziva bengcono.
Izifo ze-Celiac, ukungavaleki kwe- gluten kunye nesifo sesibindi ( IBD ) zonke zichaphazela indlela yakho yokugaya. Kodwa le miqathango emithathu inxulumene njani na? Ukuba unesifo se-celiac okanye u-non-celiac u-sensitivity we-gluten, ngaba oko kuthetha ukuba iziganeko zakho zokuba nezifo zesibindi ezivuthayo ziphezulu? Kananjalo, ukutya okunokutya okungenayo i-gluten kunokunceda iimpawu zakho ze-IBD nokuba unayo isifo se-celiac?
Uninzi lophando malunga nokuba le miqathango inokubambisana njani nangoko nje, kwaye ezinye zazo azizange ziqinisekiswe zizilingo ezinkulu, ezilungiselelwe kakuhle.
Nangona kunjalo, uphando oluthile kunye neengxelo zengxelo zibonisa ukuba abantu abaneesifo seCrohn kunye nesifo sezilonda zesilonda (ezi zimbini eziphambili zesifo sengqondo sesisu) zingase zibe nokuvavanya ukuba zivavanywe kakuhle kwiiprotheni ze-gluten, kungakhathaliseki ukuba zingenayo i-celiac isifo. Kwaye kwezinye iimeko, ukutya okungafaniyo kwe-gluten kuye kwabanceda abantu abanezifo zesifo sokuzikhusela bazive bebhetele, nangona abo bantu bengenayo isifo se-celiac.
Nantsi into esiyaziyo (kunye noko singayaziyo) malunga nezixhumanisi ezinokwenzeka phakathi kwesifo se-celiac, ukungahloniphi kwe-gluten, kunye nesifo sesisu.
Iimpawu ezifanayo kwiCeliac, Gluten Sensitivity, kunye ne-IBD
Isifo se-Celiac senziwa xa umzimba wakho uphosisa iprotheni ye-gluten ngqolowa, ibhalley, kunye ne-rye kwi-invader yangaphandle, eyenza umzimba wakho we-immune uhlasele isisu sakho esincinci.
Izibonakaliso zesifo se-celiac ziyahlukahluka (ngokwenene zikho ngaphaya kwekhulu, kubandakanywa ezininzi ezingabandakanyekanga inkqubo yakho yokugaya ukutya), kodwa abantu abaninzi abane-celiac bafumana isifo sohudo okanye ukuzithiba , intlungu yesisu, ukukhathala , kunye ne- anemia .
Iimpawu zengqondo ezingenayo i-celiac gulen ziyakwazi ukulinganisa izifo ze-celiac-zombini iimeko ziquka iintlobo ezifanayo zemicimbi yokutya.
Kodwa abo abanomdla wokugqithisa, babonakala bexhamla kwiintsholongwane ezingaphezulu kunye nezinye iimpawu ze-neurological, ezifana nomonakalo wentsholongwane obangela ukuziva "kwezikhonkwane kunye neenaliti" kwiingalo nasemilenzeni, kunezo ezinezifo ezinqabileyo.
Ekugqibeleni, iimpawu zesifo sesibilini siyahlukana kuxhomekeka kukuphi na uhlobo oluthile unalo (isifo sikaCrohn okanye i-ulcerative colitis). Bobabini iCrohn kunye nesifo sesilonda sinokubangela ubuhlungu besisu, ukuphazamiseka, (ngamanye amaxesha igalelo lomzimba), kunye ne-bloat.
Ukuxelela ukuhluka phakathi kweemeko
Kucacile ukuba kukho ukugqithisa okukhulu phakathi kweempawu zesifo se-celiac, ukungahloniphi kwe-gluten, kunye nesifo sobilini, kwaye oko kunokukwenza ukuba ufumane ingxaki echanekileyo kunzima.
Oogqirha basebenzisa iimvavanyo zegazi ukukhusela isifo se-celiac (nangona kungekhona wonke umntu onemeko emihle yezilingo), kwaye uqinisekise ukuxilongwa nge- endoscopy kunye ne-biopsy ukujonga ngqo kwicala lomathumbu wakho omncinci ukuze ubone ukuba lonakaliswe.
Ukufumanisa isifo sikaCrohn okanye isifo sezilonda zesilonda, ugqirha wakho mhlawumbi uza kwenza i-colonoscopy kunye / okanye i-endoscopy ukukhangela iimpawu ezithile, ezihluke kwii-malaria. Akukho mntu uvavanyo lwegazi lwesifo sesisu, kodwa nangona uvavanyo olubanzi lwegazi-njengalowo ukukhusela i-anemia-lunganika ulwazi oluthile.
Ekugqibeleni, akukho vavanyo lonyango olwamkelekileyo lwe-non-celiac gulen sensitivity (akubona bonke oogqirha abavuma ukuba kukho). Indlela yodwa yokukwazi ukuba unayo ukulandela ukutya okungekho guten ngokungqongqo kwaye ubone ukuba uzive ungcono. Kodwa nangona akunjalo into: unokuba uzive ungcono ngenxa yokuba unciphise okanye ususe ukutya okungafunekiyo ekudleni kwakho kunye ne gluten, umzekelo, okanye nje ingcamango yokuba wenza into enhle kwimpilo yakho inokunceda ekunciphiseni iimpawu zakho. Sekunjalo, uphando lubonisa ukuba abantu abathile benza, ngokwenene, babonakala baluhlaza kwiimpawu ezifana nezi zifo zesifo se-celiac, nangona abo bantu bengenaso isifo se-celiac.
Ziziphi izinto ezinokwenzeka ukudibanisa phakathi kweCeliac ne-IBD?
Ezinye izifundo zakuqala zafumanisa ukuba abantu abanezifo eziqhekezayo babenomngcipheko omkhulu kakhulu-mhlawumbi ophakamileyo njengokwanda kwexesha eli-10 kwengozi-yokufunyaniswa nokuba nesifo sikaCrohn okanye isifo se-ulcerative colitis. Nangona kunjalo, uphando olutshanje luye lwabonisa ukuba abo abane-IBD baneentlawulo zezifo ze-celiac ezifana nalabo bantu bonke.
Sekunjalo, kubonakala ngathi kukho ubudlelwane phakathi kwezi zimbini, kwaye i-genetics ingachaza inxalenye yaloo mbutho. Uphando olusandul 'ufuzo luye lwafumanisa ukuba isifo se-celiac nesifo sikaCrohn sichaza iigleji ezine ezibonakala ziphakamisa umngcipheko kwiimeko zombini. Ukongezelela, abaphandi baye bafumanisa iigleji ezibonakala ziphakamisa umngcipheko kunye neloliac kunye ne-ulcerative colitis.
Zombili izifo ze-IBD kunye ne-celiac zibhekwa njengezifo ezizimele , oku kuthetha ukuba zibandakanya ukuhlaselwa okuphosakeleyo ngamasosha omzimba wakho kwinxalenye yomzimba wakho. Ezi zombini iimeko zibonakala zibandakanya utshintsho olunengxaki kwi-microestyle yakho yamathumbu (ibhaktheriya ehlala emathunjini akho amakhulu), anokubangela okanye ukuxhasa ukuvuvukala.
I-IBD ne-Gluten Sensitivity Inokuthi Yenzeke ngokuqhelekileyo
Ubuninzi be-gluten uvakalelo lunokuba luncedo ngaphezu kwesifo seliliac kubantu abanesifo sikaCrohn okanye i-ulcerative colitis, izifundo eziliqela zibonisa.
Ngokomzekelo, iqela loogqirha eItali naseUnited Kingdom lihlolisise izigulane zezifo zesibindi kwaye zifumene ukuba i-28% yazo yayikholelwa ukuba i-gluten isifo senhliziyo, kubonisa ukuba iimpawu zabo zibonakala zibuhlungu xa zidla ukutya kwe-gluten. I-6% kuphela yabantu babelandela ukutya okungahambisani ne-gluten ngexesha lovavanyo, nangona kunjalo. Abaphandi bafumanisa ukuba oko kuthiwa "ukuvalelwa kwengqondo engekho-celiac gluten" kwakunxulumene nesifo esibi kakhulu sikaCrohn, kwaye bacela ezinye izifundo ukuba zibone ukuba i-gluten-free food will help in these cases.
Kwingxelo ye-2014, iiklinikhi zaseJapan (apho izifo ezingenabunqabileyo ziqhekeza) zihlolisise abantu abangama-172 ababenesifo sokugulisa izifo zamagciwane ukuze baphucule ngegazi, bafanise abo bantu kwizifundo ezi-190 zokulawula. Bafumene ukuba i-13% yabantu abanezifo zesibindi ezivuthayo zivivinywe zichanekile kwi-anti-gluten antibodies. Nangona kunjalo, kuphela abathathu kulabo bantu bathatha enye yezona zibini eziphambili zezilwanyana zesifo , kwaye akukho namnye kubo owawonakalisa emathunjini abo amancinci, ngoko ke akukho namnye kubo owayenayo isifo se-celiac.
Nangona kunjalo, ezisibhozo zalabo abanezifo zesibindi ezivuthayo eziye zavavanya zichanekile kwi-antibodies ukuba i-gluten yaqalisa ukutya okungekho-gluten (abanye abantu abalisibhozo abavela kwinqanaba elifanayo balandela ukutya okunokutya kwe-gluten, kwaye bakhonza njengezifundo zolawulo). Emva kweenyanga ezintandathu kwi-gluten-free diet, abo bantu abasibhozo babenempawu ezincinci-ingakumbi ihudo-kunokuba zezifundo, izifundo zichazwe. Akukho mntu kwiqela elihlakulele isifo se-celiac.
Ingaba i-Gluten-Free Free Diet ingaba ku-IBD?
Mhlawumbi inako, nangona ungenayo isifo seliliac. Kwiimeko ezininzi (kubandakanywa kwizifundo ezingasentla), oogqirha baqaphele ukuba ukutya okungekho guten kuphuculwe okanye kusombulule iimpawu zesifo segazi, nakubantu abazange babe nesifo seliliac. Abantu abanesifo sikaCrohn baxhamla ngokukhethekileyo.
Ngokomzekelo, kwimeko yophando olushicilelwe ngo-2013, uDkt David Perlmutter (udumo lweGrain Brain ) wabika ngesigulane esasifumene nesifo sikaCrohn, kwaye ngubani ongakhange aphuculwe ngonyango oluqhelekileyo lwe-Crohn's. Ngokusekelwe kwiimvavanyo zegazi ezibonisa ukuba umzimba wakhe uvelisa amanqwelomba kwiprotheni ye gluten kunye nezinye izinto zengqolowa, ierley, kunye ne-rye, le ndoda yafunyaniswa ukuba yayinomzwelo kwaye yayingenanto yokutya-gluten.
Oku "kukhokelela emva kweeveki ezintandathu ukuya ekuphelelweni okupheleleyo kwehudo," oogqirha babhala. "Ekuhambeni kokutya kwe-gluten, kungekhona nje ukuba isigxina senzeke ngokuqhelekileyo, kodwa isigulane saqala ukufumana isisindo. Ngomnye umva emva konyaka omnye isiguli sabuyela kwimeko eqhelekileyo kwaye ibuye iphinde ibe ngaphezu kwama-80% lahleka. " Isifo sakhe sikaCrohn sasiye saxolelwa kwi-gluten-free food.
Abaphandi abavela kwiYunivesithi yaseNorth Carolina bafumana inzuzo efanayo (xa beyinto encinci) xa befuna abantu abayi-1,647 abaneengxaki zesifo sokuxhamla malunga nokuba babezame ukutya okungekho guten. Ingqungquthela ye-19% yathi baye bazama ngaphambili, kwaye i-8% yathi besayisebenzisa ukutya. Ngokubanzi, malunga neyesibini kubathathu balabo bazama ukutya i-gluten-free bathi ukutya kuphucula iimpawu zabo zokugaya, kwaye i-28% yabika amanani angaphantsi okanye angaphantsi kwe-IBD. Ngaphezu koko, abo babesilandela ukutya ngexesha lophando bathi kunceda kakhulu ukukhathala kwabo.
Abaphandi bathi kunokwenzeka ukuba ama-non-gluten ama-gulen ekhoyo kwii-gluten (ngokuphambene neproteni ye-gluten ngokwayo) angabangela ukuvutha kwamathumbu emathunzini kubantu abane-IBD, kunye nokutya okungahambisani ne-gluten kunokuncedisa ukunciphisa ukuvutha (kwaye iimpawu ezinxulumene nazo ). Bathi ukutadisha kwabo "kubonisa ngokucacileyo inxaxheba ebalulekileyo yolu kutya" kwezinye izigulane ze-IBD, kodwa ukuba kuphandwe uphando olongezelelweyo ukuze kuchongwe ngubani onokuzuza kakhulu.
Ewe, kunokwenzeka ukuba ukutya okungahambisani ne-gluten kunokuncedisa ukunciphisa iimpawu zesifo sokugulisa isisu, nakubantu abangenayo isifo se-celiac. Ukuba uyazibuza ukuba ungayinceda, xela ugqirha wakho ngokuzama ukutya.
Imithombo
Aziz I et al. Uphononongo oluphonononga ubudlelwane obudibeneyo phakathi kwesifo sesisu se-inflammatory and self-reported non-celiac gluten sensitivity. Izifo ezithintekayo zezifo. 2015 kuMatshi; 21 (4): 847-53.
Casella G et al. Ubuninzi besifo se-celiac kwizifo zesibindi sokuvuvukala: Isifundo se-IG-IBD. Ukugaya kunye neengxaki zesifo . 2010 uMar; 42 (3): 175-8.
Cheng SX et al. Isifo seCeliac kumntwana onesifo sokulonda i-ulcerative colitis; Umbhalo we-Clinical Gastroenterology. 2013 Feb; 47 (2): 127-9.
Delco F et al. I-Celiac sprue phakathi kwamaqhawe ase-US ase-US: izifo ezinxulumene nezibonakaliso zekliniki. Izifo zeNtsholongwane kunye neNzululwazi. Ngo-Meyi ka-1999; 44 (5): 966-72.
Gillberg R et al. Isifo esiphezulu sokugulisa isifo sezilonda kwizigulane ezinezifo ezinqabileyo. I-Scandinavian Journal yeGastroenterology. 1982 Juni; 17 (4): 491-6.
Jandaghi E et al. Ngaba i-Celiac Disease Isifo esiPhakamileyo kunazo zonke abantu abahlala kwiZifo eziBhubhane? I-Middle East Journal of Digestive Diseases. 2015 kuMbhi; 7 (2): 82-7.
Pascual V et al. Isifo sesibindi sesifo kunye nesifo se-celiac: Ukugqithisa kunye nokungafani. I-World Journal yeGastroenterology. 2014 Meyi 7; 20 (17): 4846-4856.
Tavakkoli H et al. Isifo se-serologic celiac kwizigulane ezinezifo zesifo. Umbhalo woPhando kwiSayensi zezoNyango. 2012 Feb; 17 (2): 154-8.
Vojdani A et al. Ukwahlukana phakathi kwezifo zeCeliac, i-Nonceliac Gluten Ukuzwela, kunye nokuqhekeka kwabo ngezifo zikaCrohn: I-Case Series. Iingxelo zeNkundla kwi-Immunology. Umqulu 2013, i-ID ye-ID 248482.
Watanabe C et al. Ukwanda kwe-anti-serum celiac antibody kwizigulane ezine-IBD eJapan. Journal of Gastroeterology. 2014 ngoMeyi; 49 (5): 825-34.