Hayi, kodwa ukuba ne-celiac ingenza ukugonya kwe-hepatitis B kungasebenzi kakuhle
Abanye abantu banenkxalabo yokuba izitofu zinokuthi zibangele okanye zibangele nezifo ezingenayo . Kodwa kukho iindaba ezilungileyo: Akukho uphando oluye lwaqinisekisa ukuba izitofu zingenza okanye zenze igalelo kwi-celiac okanye kwezinye izifo ezizimele. Ukongezelela, olunye uphando luyabakhuthaza: kubonakala ngathi abantwana abancinci abafumana amahlumela abo rhoqo ngeyona nto nayiphi na ingozi yokwandisa izifo.
Ngoko ke, akufanele unganqikazi ngenxa yesifo se-celiac xa udokotela wakho wezingane uthi ixesha lokukhwaza komntwana wakho. Enyanisweni, abantwana abanokungondleki ngenxa yesifo esingamaqhinga angase babe mngciphekweni weemeko ezinzulu zezifo ezithathelwanayo, ngokunjalo izitofu zingancedisa umntwana wakho ukuba acace kuloo mngcipheko.
Kwakhona kufuneka uqaphele ukuba ngokuqinisekileyo ukuba nesifo se-celiac singenza isitofu esisodwa-isifo se-hepatitis B singasebenzi kakuhle. Nangona kunjalo, kukho amanyathelo ongayithatha ukulwa nalo mngcipheko.
Iigonti, izifo eziziThathatywayo eziMzimbeni eziMibini ziNyuka ngexesha elifanayo
Imibuzo ejikeleze isifo se-celiac kunye neziko lokugonywa malunga nexesha elifanelekileyo: abantwana abaninzi banokufumanisa ukuba banesifo esiqhekezayo le ntsuku, kwaye abantwana bafumana ukugonywa, nangaphezulu. Ngoko kwakufanelekile ukuba kuqwalaselwe ukuba kukho ukudibana.
Abanye abaphandi nabazali nabo babechengile ukuba izigulana zingakhokelela kwiziganeko eziphezulu zesifo se-celiac emva kokuphandwa kwangaphambili kwenkqubo yokugonywa kwezifo ezichaphazelekayo: uhlobo lwesifo sikashukela.
Nangona kunjalo, uphando oluthile kunye nengxelo ye-2011 evela kwiziko lezeMpilo ligqibezele ukuba izitofu azizange zibekwe ityala ngalezo zenyuka kwi-type 1 yeswekile, kwaye uphando lubonisa okufanayo kwiimpawu zecala.
Isifundo esicatshulwa njengeSweden Isifo Sengqondo Isifo Sengane
Uphononongo olujongene nalo mbuzo ubhekane nabantwana baseSweden, apho wonke umntu ulandelwa kulo lonke ixesha lokuphila usebenzisa ulwazi oluxhaswe nguRhulumente.
Ukususela ngo-1984 ukuya ku-1996, iSweden yabona oko abaphandi bathi "ubhubhane lwesifo se-celiac esisifo phakathi kweintsana" -ukukhula ngokukhawuleza, okukhulayo kwezifo ezingenayo i-diagnosis kwiintsana ezilandelwa ngokunciphisa ngokukhawuleza ekuhlaleni ngokukhawuleza kweminye iminyaka elishumi.
Isizathu salolu bhubhane sele sichazwe ngokubaluleka kwindlela yokutya abantwana-kwimeko ekhoyo, ukufakwa kwexesha lokubambiswa kwee-gluten. Ukugonywa kwangaphambili kwafakwa njengomnye umxhasi.
Ukuphanda, abaphandi babandakanyeka kwi-392 abantwana abancinci abafunyaniswa ukuba bangabantwana-ubudala bexesha xa iimpawu zibonakala ziyiinyanga ezili-11, kwaye ubudala babo obuye baxilongwa kwiinyanga ezili-15. Uphando lwabandakanya abantwana abangama-623 abangenazo izifo zeliliac ngenjongo yokufanisa.
Abantwana babenemikhankaso ye-diphtheria / i-tetanus, i-pertussis, i-polio, i-influenza, i-measle / mumps / i-rubella (i-MMR), kunye ne-bacillus egciniweyo ye-Calmette-Guérin, okanye i-BCG (isitofu sokulwa nesifo sofuba esetyenziswa kumazwe athile ngesifo sofuba, kodwa ayisebenzisiyo e-US). Uhlolisiso luhlolisise ixesha le-shots - ezinye zongezwa kwishedyuli yokugonywa ngexesha okanye ngaphambi kokuqala kwesi sifo "-" kwaye ihlolisise imibutho yamanani phakathi kweigcino ngokwazo kunye neziganeko zesifo se-celiac kubantwana ababafumanayo.
Iziphumo: Amashishini angabandakanyekanga neCelacase-Earlyset Celiac Disease
Kungakhathaliseki ukuba abaphandi bajonga njani idatha, bagqiba ukuba izitofu azange zenze ukuba abantwana abaninzi bafumane i-malaria celiac. "Akukho tshintsho kwithuba kwiprogram yokuguga yesizwe yaseSweden okanye ukutshintshwa kwendlela yokugonywa kwabemi kubangelwa ukuchazela utshintsho kwisifo se-inclinal disease (ie, isiSwedish disease epidemic)."
Enyanisweni, uphando luye lwaphakamisa isiphumo sokukhusela kwisifo sokuphela kwesantya se-BCG, kodwa abaphandi ba lumkisa ngokumalunga nokufunda kakhulu kuloo mphumo.
Isifundo: I-Celiac ephakamileyo phakathi kwala mabhinqa abane-HPV vaccine
Olunye uphando lufumene isantya esiphezulu sesifo se-celiac kwabasetyhini abafumene isitofu somntu we-palillomavirus (HPV), ejoliswe ekukhuseleni iintlobo ezithile zomhlaza. Uhlolisiso, olubandakanya amabhinqa angaphezu kwezigidi ezi-3.1 ukusuka eDenmark naseSweden ukuchonga ukuba ingozi yemeko ethile yokuzimela yayiphezulu kulabo bafumene ukugonya kwe-HPV.
Ababhali bokufunda bafumanisa ukuba umngcipheko wokufumanisa isifo se-celiac (kodwa asikho naziphi iimeko ezizimeleyo) ziphezulu kulabo babegonyelwe i-HPV. Nangona kunjalo, abalobi baqaphele ukuba abantu abaninzi abanezifo ezingapheliyo bahlala bengakhange bafumaniswe, kwaye bathi abafazi abafumene izibhengezo kwaye emva koko bafumaniswe ukuba babebenokuthi "bavule" ngenxa yokuba bathetha noogqirha babo malunga neempawu zabo ezingapheliyo xa befumana i-HPV .
Ekugqibeleni, ababhali bathi iziphumo "azizange ziphakamise nayiphi na imiba yokhuseleko" kwi-vaccine ye-HPV.
Izifo Zama-Celiac Ingenza I-Hepatitis B Ingaphantsi I-Vaccine Ngempumelelo
Iigonti azibonakali zibangela ukuba isifo sesifo esiqalile, kodwa izifundo ezimbalwa zibonisa enye intsebenziswano ekhoyo phakathi kwama-celiac kunye namagonyo: abantu abanezifo ezingapheliyo abanakho ukuphendula kunye nabanye abantu kwiigonyana ze-hepatitis B.
Umgubo othile obeka phambili abantu abaninzi kwisifo se-celiac- i- HLA-DQ2 -nokuthi ithathwa njengona mqondiso obaluleke kakhulu wemfuzo obonisa ukungabi nesikhokelo sendlela yokuzivikela komzimba kwi-vaccine ye-hepatitis B.
Oku kungabonisa abantu abaninzi abanezifo ezingenakulinganisela ukukhusela isifo se-hepatitis B emva kokugonywa, kwaye oko kubonakala kuyinyani: kwisifundo esinye, isiqingatha sabantu abanezifo ezingapheliyo asizange siphathwe sisifo se-hepatitis B emva kweentlobo ezintathu ze-hepatitis B vaccinations. Olunye uphando lufumene ukuba ukhuseleko aluqhubeki ngokukhawuleza emva kokutshutshiswa kwe-hepatitis B kubantu abanesifo esiqhekezayo.
Esi siphumo sinokudityaniswa nokusingelwa kwe-gluten: kwisifundo esinye, malunga nama-26% abo bangadli i-gluten-free, abangama-44% abo babedla i-gluten-free sporadically, kunye nabama-61% abo balandela i-gluten-free-free Ukutya kuphendulwe kwi-vaccine ye-hepatitis B.
Olunye uphando lufumene ukuba abantwana kunye nabantu abadala abalandela ukutya okungahambisani ne-gluten banamandla ukuphendula ngokugonywa kwe-hepatitis B njengabantu abangenazo izifo zecalaac. Ngoko ke, ukwenzela ukuba le gonyolo lisebenze njengoko kuthethwa, akufanele ukohlise ekudleni okungenanto. Ungaphinda ufune ukuthetha nodokotela wakho malunga nokuba ufanele ufumane umntwana wakho uphinde agonywe nge-hepatitis B.
ILizwi
Uphando lonyango lubonise ukuba akukho mfuneko yokuba ukhathazeke ukuba ukufumana iigciwane kuzakwenza kube lula ukuba abantwana bakho (okanye wena) bahlakulele isifo se-celiac. Ingxaki yodwa yokufumana izitofu kunye nezifo ze-celiac ziquka ukugonywa kwe-hepatitis B, okungekho ngaphantsi kwalabo abanakho.
Kukho ubuninzi beenkcukacha ezichanekileyo ezijikelezayo kwiigciwane kunye nefuthe elibonakalayo kwimpilo yakho. Ukuba unenkxalabo malunga neigciwane kunye nendlela anokuchaphazela ngayo okanye abantwana bakho, xela ugqirha wakho ngabo.
Imithombo:
Ertem D. et al. Impendulo yokugonya kwe-hepatitis B: ingabe ihluke kwisifo se-celiac? . I-European Journal yeGastroenterology kunye neHepatology. 2010 Julayi; 22 (7): 787-93.
Hviid A et al. I-Papillomavirus Yabantu Abanyakazi Abadala kunye Nengozi Yezifo Ezizimeleyo kunye Neolological Diseases. Umbhalo weMithi yoPhakathi. 2017 Oktobha 18.
Leonardi S. et al. Ukwehluleka kwe-vaccination ye-Hepatitis B kwisifo se-celiac: ngaba kukho isidingo sokuphinda uphinde uhlalutye ubuchule bokugoma? Igciwane. 2009 Oct 9; 27 (43): 6030-3. Epub 2009 Agasti 12.
Leonardi S. et al. Ukugonywa nesifo se-ecliac: iziphumo zesifundo esiphezulu. Minerva Pediatrica. 2011 I-Oct; 63 (5): 363-7.
Myléus A. et a. Ukugonywa kwangaphambili akuyona ingozi yempilo yeliliac. Pediatrics. 2012 Julayi; 130 (1): e63-70. Epub 2012 Juni 25.
I-Nemes E. Gluten ingeniso iphazamisa impendulo ye-immune ye-humoral kwisifo sokugonya esiphefumulayo esingu-hepatitis B kwizigulane ezinezifo ezinqabileyo. Pediatrics. 2008 Juni; 121 (6): e1570-6.