Kukho ubungqina bokuba iziganeko zokubangela uxinzelelo zingabangela isifo
Ngaba ukuxinwa kunokukunceda ukuphazamisa izifo eziphefumlelweyo ? Kule minyaka, abantu abaninzi abaye bafumanisa ukuba bane-celiac baye babika ukuxilongwa kwabo ngokulandelelanayo emva kweemeko zokubangela uxinzelelo, kuquka nokukhulelwa ... nangona i-jury isaphuma, uphando olulodwa lubonisa ukuba lukulungile.
Uphando olwangaphambili luye lwafumanisa unxibelelwano oluphambili phakathi kweziganeko zokuphila ezixinzelelekileyo kunye nokuqala kwezifo ezithintekayo, kuquka i-rheumatoid arthritis kunye ne- multiple sclerosis (kodwa kungeyiyo isifo se-celiac, esilungeleleneyo kwimvelo).
Yintoni Ebonisa Uphando?
Uphononongo oluchanekileyo, olwenziwa eItaly kwaye lupapashwe kwiphepha lezonyango lwezonyango, lifuna ukubona ukuba uxinzelelo lungabangela negalelo ekuphuhlisweni kwesifo se-celiac.
Abaphandi bafanisa iziganeko ezixinzelelekileyo ebomini babantu abadala abangama-186 abanesifo esiqhotyoshelweyo sesifo seliliac kwiziganeko ezixinzeleleyo kwiqela elilawulayo elenziwe ngabantu abadala abanokuxilongwa kwesifo se-reflux yesifo se-gastroesophageal (GERD).
Kwimbono, isiganeko esicinezelayo (njengokwaluqhawula umtshato okanye ukukhulelwa) kunokunxulumana nokuqala kwesifo seliliac enye yezindlela ezibini: uxinzelelo lunokuyichukumisa umntu ukuba afune uncedo lwezokwelapha kwaye ngoko bafumanisa ukuba babenayo i-celiac xa bexela i-pre- iimpawu ezikhoyo kwiinkonzo zabo zonyango, okanye uxinzelelo lunokubangela okanye luncede ukunyusa imeko ngqo.
Abaphandi kulolu phofu basebenzisa i-questionnaire ehambelanisiweyo ukugqiba "imicimbi yezobomi" -kubandakanya utshintsho kwingqesho, kwimfundo, ubudlelwane, isimo sezemali, isimo sezempilo, kunye neendawo zokuhlala, ukufa kwizihlobo eziseduze, ukunyanzelwa kwezobugebengu kunye nokunyaniseka, iingxaki zeentsapho nezentlalo kunye iingxaki zomtshato-kunyaka wokugqibela ngaphambi kokuxilongwa kubafundi abathatha inxaxheba.
Baye bavavanya iimpawu zesisu somzimba.
Ewe, 'Iziganeko zoBomi' ezidibene neCeliac Diagnosis
Abaphandi bafumanisa ukuba abo abanesifo se-celiac babesele bafumana esinye sezi "ziganeko zokuphila" ngonyaka ngaphambi kokuxilongwa xa kuthelekiswa nalabo abakwiqela le-GERD yokulawula.
Esi siphumo sasinamandla ngakumbi xa abaphandi banciphisa uhlalutyo lwabo kulabo abaqala ukufumana iimpawu zesifo seliliac kuphela kuphela kunyaka ngaphambi kokuxilongwa - ngamanye amagama, xa iimpawu zabo zivela ngexesha elifanayo njengomcimbi wobomi obandezelekileyo.
Xa oombhali bokufunda bephula idilesi phantsi kobulili, bafumana abafazi abanamaqabane abakho banomdla kwisiganeko sabo kunabesifazana kwiqela le-GERD, kodwa amadoda angenawo.
Uhlalutyo lwenkcukacha luye lwachonga ukukhulelwa njengokuba "isiganeko somntu" esithintela isifo seliliac. Oku kubomeleza ukuba yiyiphi inkokhelikazi ekholelwa kakade: ukuba ukukhulelwa kunokubangela isifo se-celiac .
Ukongezelela, uphando lubonisa ukuba ngaphezu kwama-20% wabesifazane abasetyhini abavakalisa ukukhulelwa bathi ukukhulelwa kwabo kwakuxinzelelekileyo, ngelixa kungekho namnye wabasetyhini abane-GERD babike ukukhulelwa okuxinzelelekileyo.
"Kungenzeka ukuba abafazi abangamaqabane abaye baqonda ukukhulelwa kwabo njengesiganeko esichukumisayo rhoqo kunabasetyhini abanezifo zolawulo [GERD] ngenxa yokungalingani kokungalingani okuhambelana ne-malabsorption," kubhali ababhaliweyo. Nangona kunjalo, baphinde bahlalutya idatha ngenzame yokukhupha iingxaki ekukhulelweni, kwaye bafumanisa ukuba "abafazi be-celiac basoloko bebuhlungu kakhulu kubaxinzelelo beengqondo."
ILizwi
Ngoko abaphandi baphetha ntoni? Uphononongo lwethu lubonisa ukuba iziganeko zobomi zidibaniswa kwinqanaba elithile kunye nokuxilongwa kweentsholongwane ze-celiac ezikudala kubantu abadala, "kubhala ababhali. Idatha yeziganeko kwaye kungabonakali kwabo njengento ebalulekileyo. Idatha yethu ibonisa ukuba iziganeko ezixinzelelekileyo eziphambili kwezifo ezixilongwa zizifo eziqhelekileyo zihlala ziphakathi kwamabhinqa angamaqhawe, kuquka nokukhulelwa, okuchazwa nje ngokuba ngumxinzelelo owenziwa ngabasetyhini abangenawo lawula abafazi nge-reflux ye-gastroesophageal. "
Uphononongo luxhasa imfuno yokwesekwa kwengqondo kubantu abasanda kuxilongwa ngesifo se-celiac, ngokukodwa kubasetyhini, ababhali bathi.
Nangona kunjalo, kukho uphando oluncinane malunga nokuthiwa "izibangela" zesifo esiqhekezayo, kwaye uphando olungakumbi luya kufuneka ukuze kugcinwe ngokuqinisekileyo igama loxinzelelo njengento ebangela ukuba imeko.
Sekunjalo, zikho izizathu ezifanelekileyo zokuphepha uxinzelelo ebomini bakho ohamba phambili ngaphandle kokuzama ukuphepha isifo se-celiac. Uphando lwezogqirha lubonisa ukuba ukunciphisa uxinzelelo kunokunciphisa amaninzi emingciphekweni yezifo ezingapheliyo (izifo ezifana nesifo senhliziyo nomhlaza). Ukuxinezeleka kwakhona kunokuchaphazela ingqondo yakho ngeendlela ezahlukeneyo.
Ukulwa nale nto, qwa lasela ukunciphisa uxinzelelo lokwimeko yakho yemihla ngemihla. Uphando lwezonyango alukwazi ukuba kunjalo nokuba ukunciphisa uxinzelelo kungakunceda uhluthe isifo se-celiac, kodwa kunokukunceda ngezinye iindlela.
> Umthombo:
> Ciacci C et al. Iziganeko zoBomi kunye nokuThatyathwa kwezifo eziCeliac kwiPatient's Perspective. Amanzi. 2013 Aug 28; 5 (9): 3388-98.