Umbuzo: Ilungu lam osondeleyo lentsapho lifumene ukuba lunesifo se-celiac. Ngaba kufuneka ndivavanywe?
Impendulo: Mhlawumbi, kuya kufuneka uhlolwe kwakhona, ngakumbi ukuba unempawu zesifo se-celiac. Ezi zinokuvela kwimibandela yokugaya ezifana nehudo kunye nokuqhaqhazela kwiingxaki zeengxaki ezinjengeentloko ze- migraine , kunye neengxaki zesikhumba kunye nentlungu edibeneyo .
Abantu abanezifo ezinqwenelekayo banokungabikho komzimba, i-osteoporosis, ukudandatheka kunye ne-thyroid.
Kwiintsapho ezine ubuncinane ezifunyenwe yi-celiac, izalamane zokuqala-abazali, abantwana kunye nabantwana bakowenu - zithatha ubuncinane ithuba elilodwa-22 lokuba naloo mqathango, ngelixa izihlobo zesekondari (amanina, oomama, oomama, oonyana, ootatomkhulu, abazukulu okanye abantakwabo) bathatha ubuncinci ithuba lokufumana.
Olunye uphando lubonise ukuphakama okuphezulu: Ngokomnye uvavanyo, umzekelo, i-12% yezihlobo zesigaba sokuqala (esinye sezihlobo ezisibhozo) sibonakalise umonakalo wamathumbu emathunjini eyaziwa ngokuba yi -atrophy , ebonisa ukuba banesifo se-celiac.
Amaqela amathintelo amaninzi, kuquka i-American Gastroenter Association kunye ne-World Gastroenterology Organisation, bizela zonke izihlobo ze-first-degree zabantu abanokuzihlola. La mabini maqela ancomela ukuvavanya izihlobo zesibini; nangona izihlobo ezikude zingabandakanyeki ingozi, iintsapho ezininzi zinezihlobo ezimbini okanye ngaphezulu.
Nangona kunjalo, uphando aluhambelani ngoku, nokuba lufanelekile ukufumana uvavanyo lwezondlo zesibini ezingenazo iimpawu.
Amalungu omndeni ahlolwe ngeemvavanyo zegazi
Ukuba ulilungu lentsapho kumntu ofunyanwe ukuba unesifo se-celiac, kufuneka uhlolwe ngokusetyenziswa kweemvavanyo zegazi . Ezi zivivinyo zegazi (zikho ezintlanu kwipaneli epheleleyo ye-celiac, nangona abanye oogqirha abayilanga yonke into emihlanu) khangela i-antibodies gluten ejikelezayo kwigazi lakho.
Ukuba unemivavanyo egazini yegazi (oku kuthetha ukuba iimvavanyo zibonisa umzimba wakho uphendule kwi-gluten), kuya kufuneka ufumane i- endoscopy , inkqubo yokuhlinzwa eyenziwa ukuhlola intlungu yakho encinci. Ngexesha le-endoscopy, ugqirha uya kususa iisampuli ezincinci zesisu sakho ukuhlola ngaphantsi kwe-microscope. Kubantu abanesifo esiqhekezayo, ezo sampulu kufuneka zibonise umonakalo obangelwa yi-gluten.
Ukuze uvavanyo luchaneke, kufuneka ulandele ukutya okunesigxina, oku kuthetha ukutya ukutya okunokolweni, ierhasi kunye neergi. Kungenxa yokuba uvavanyo lukhangele ukuphendula komzimba wakho kwezo zinto; ukuba ukutya akukho kwisondlo sakho, impendulo emzimbeni wakho ayiyi kubakho, nokuba kunjalo.
Ukuphindaphinda ukuCandwa kweCeliac kungafuneka
Nangona uvavanyo lwakho lokuqala lwezonyango ezibonakalisa lubi, awukwazi ukuzicingela ngokucacileyo - unokuzihlakulela nanini na. Isifundo esivela kwiziko le-Columbia University of Celiac Disease Centre sathola ukuba ngaphezu kwama-3% abo malungu entsapho abavavanyelwe ukungavavanyelwa ukuba bavavanywe kakuhle xa bevavanywa okwesibini okanye okwesithathu.
Akuzange kuthathe ixesha elide, mhlawumbi: ixesha phakathi kweziphumo ezimbi kunye neziphumo ezivakalayo zokuvavanya zivela kwiinyanga ezimbalwa ezincinane kubantu abathile ukuya kwiminyaka emithathu kunye neenyanga ezimbini kwabanye.
Isiqingatha sithuba phakathi kweemvavanyo ezingalunganga kunye neempembelelo ezintle kwakuyiminyaka nesiqingatha, ngokutsho kwesifundo.
Ngomnye wabantu abavavanye kakubi ekuqaleni kodwa emva koko babenomdla emva kwesifo sohudo - abanye abantu babika akukho zibonakaliso, benza ukuba kuthiwa "i- celiacs ," okanye abantu abanempawu. Ukongezelela, akukho nanye kulabo bantu babika utshintsho lweempawu phakathi kokuvavanywa, oku kuthetha ukuba awukwazi ukuthembela kwiimpawu zakho ukuchonga ukuba uhlakulela isifo se-celiac.
Abaphandi baphetha ukuba ukuvavanywa kwexesha elilodwa kwizizalwane zabantu abanezifo ezingenakwaneleyo, akunjalo, kwaye ukuphinda ukuvavanywa kufanele kwenzeke nangona isihlobo singenayo impawu.
Nangona kunjalo, uphando olongezelelweyo lufunekayo ukuchonga ukuba amalungu entsapho kufuneka ahlolwe kaninzi xa engabonanga iimpawu ezivanywe nge-celiac.
Imithombo:
I-Arhente yoPhando lwezeMpilo kunye neMigangatho yeSizwe yokuCoca kweZikhokelo. Ukuxilongwa kunye nokuLawula iCeliac Disease. Ufikelele kuMhla wama-28, 2011.
Goldberg D. et al. Ukuhlolwa kwesifo seliliac kumalungu entsapho: ukuhlolwa okulandelekayo kuyimfuneko? Izifo zeNtsholongwane kunye neNzululwazi. 2007 Ngo-Apr; 52 (4): 1082-6.