Umonakalo ungathatha ixesha ukulungisa, kodwa uya kuziva ungcono ngokukhawuleza
Ngelishwa, amathumbu amancinci amancinci amaninzi ayengaphinde aphuluke ngokupheleleyo kumonakalo obangelwa yi-malaria celiac ( abantwana abanesifo esiqhekezayo ngokuqhelekileyo banokwenziwa ngokutsha). Kodwa iindaba ezilungileyo kukuba mhlawumbi uya kuziva unempilo enhle njengoko intliziyo yakho encinci igula.
Xa unesifo se-celiac , iprotheni ye gluten efunyenwe ngqolowa, i-hareyi ne-rye ibangela ukuba umzimba wakho wokuzivikela uhlasele umbane wesisu sakho esincinci.
Oku kubangela oko kubizwa ngokuthi i -atrophy ephazamisayo , apho intlanzi yakho, eminwe eminyo yeminyama isuke igugule ngokoqobo ngenxa yesi sihlaselo, ekushiye ungakwazi ukugaya ukutya ngokufanelekileyo.
Emva kokuba ufumene ukuba unesifo se-celiac kwaye uqala ukutya okungekho-gluten , i-villi yakho iyaqala ukuphilisa. Kodwa izifundo eziliqela zibonise ukuba intlungu yakho encinci ayinakuphilisa ngokupheleleyo, nokuba uyilandela ukutya ngokunyamekileyo kwaye awukhohlisi.
Isifundo: amabini amabini afunyenwe kwiminyaka emihlanu
Ucwaningo olulodwa, oluqhutyelwa kwi-Mayo Clinic eMinnesota kwaye lanyatheliswa ngo-2010, lwahlaziywa iingxelo ze-biopsy zamathumbu zabantu abadala abangama-241 abaye bafumanisa ukuba banesifo esiqhekezayo, kwaye ngubani ke owayenomdla wokulandelelana.
Abangaphezu kwesine kwabahlanu kulabo baqeshwe bafumana into yokuba oogqirha babiza "impendulo yeklinikhi" ekudleni-ngamanye amazwi, iimpawu zabo zesifo se-caliac ziye ziba ngcono okanye zinyamalale ngokupheleleyo. Kodwa emva kweminyaka emibini, i-biopsies yabonisa ukuba i-third-thirds i-intestinal villi eyayifumana ngokupheleleyo.
Emva kweminyaka emihlanu, malunga neyesibini-ntathu babephinde bafumana i-intestinal villi.
Abantu ababenkohliso ekudleni babenokuba nemingcipheko engapheliyo, kodwa kunjalo abantu babengazange bakhohlise kodwa banesifo sohudo esinamandla kunye nokulahleka kwesisindo kunye / okanye i-atrophy (inamanye amagama, impawu ezingaphezu kwe-average and / okanye umonakalo) ekuxilongweni.
Kuyathakazelisa, abantu abane kwisifundo abangazange balandele ukutya okungekho gulen ngokucophelela kuzo zonke i-villi. (Musa ukuzama oku ekhaya: abaphandi babelumkisa ukuba basengcupheni umonakalo olutsha kunye neengxaki zesifo se-celiac ngaphezulu kwexesha.)
Ucwaningo lwama-Australia, apho imigangatho yokutya kwe-gluten-free-free eyanzima kunokuba e-United States, yafumanisa ukuba i-celiacs intestinal villi yayilungele ukuphucula iinyanga ezili-6 ukuya kwezi-12 emva kokuqala kokutya okungekho gulen, kodwa ke kwinqanaba elingaphantsi kwelabantu abangenazo izifo zeliliac.
Kutheni Abantu Bengawutholi ngokupheleleyo
Abaphandi be-Clinical Mayo bacacise ukuba ukungcola kwe-gluten ephantsi kwe-gluten okanye ukusetyenziswa kakubi kwe-gluten efihliweyo kungabangela ukuba kutheni abantu abavumi ukubuyiselwa ngokupheleleyo. Ezinye izinto zingabandakanya i-genetics, ubudala kunye nobude be-gluten ngaphambi kokuxilongwa.
Kukho ubungqina bokuba abantu abadala bakwamanye amazwe baphumela ngokukhawuleza nangaphezulu kunabo base-US, okwenza abaphandi beMayo Clinic baxhomekeke ekubeni "indlela yokuphila yaseMerika," kunye nokutya kwayo rhoqo nokulula ukutya kokutya okukhawulezayo (kunye ne-gluten elandelayo ukuchayeka), kwenza kube nzima kubantu abadala base-US ukuba badle ukutya okucocekileyo okwaneleyo ukufumana ngokupheleleyo.
Ngaba yonke le nto ibalulekile? Kungenzeka: iqondo apho intlaba yakho encinci ifumana khona inokuchaphazela nokuba ufa kusasa okanye cha. Abaphandi baye bafumanisa ubungqina bokuba i-celiacs i-intestinal villi ayiphilisi ngokupheleleyo inqanaba lokufa ngaphambi kokufa. Kodwa ezinye iingcaphephe azizange zichonge eso sixhobo.
Enyanisweni, kubantu abambalwa, ukutya okunomdla ngokugqithisileyo kwe-gluten akuphumelelanga ukuphilisa i-villi nonke. Kwiimeko ezinqabileyo, oogqirha baya kuhlola i-cecal disease and refrainory disease and take some steps, kubandakanywa namachiza, ukuzama ukuthoba ukuphendula ngokuzenzekelayo kwaye uphathe izifo ezingenakunqanda .
Ngaphantsi
Ukuba ungeyinyameko njengoko kufuneka ukuba-ikakhulukazi ukuba uyadla kwiivenkile okanye kwimizi yabanye abantu - mhlawumbi uya kulibazisa ukuphulukiswa kwamathumbu akho amancinci.
Kungenxa yokuba nokuba ne-gluten encinci inokuchaphazela ukuphilisa. Kwaye ungaze uqaphele ukuba udlile loo nxalenye encinane ye gluten. Uvavanyo lwegazi lwe-Celiac alukwazi ukubonisa ukuba uyadla i-gluten encinci, kwaye ukuba awufumananga iimpawu ezinkulu, akuyi kubakho indlela yokuxelela.
Ngako oko, ukuhlala ngokukhululekile kwaye ngokukhawuleza kungenayo i-gluten-free yeyona ndlela eyona ndlela ingcono yokunika intliziyo yakho encinci ithuba elihle lokuphilisa. Oko kuthetha ukuthatha amathuba. Ewe, oku kunokuba yinto engathandekiyo kwaye ingathandeki ngamanye amaxesha, kodwa ingaba yinto yezona zinto zilungele ukwenza umzimba wakho.
Imithombo
Cummins AG et al. Ukuphononongwa kwe-morphometric ye-biopsies ye-duodenal kwisifo se-celiac. I-American Journal yeGastroenterology. NgoJan 2011; 106 (1): 145-50. i-doi: 10.1038 / ajg.2010.313. Epub 2010 uAgasti 24.
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.
Rubio-Sapio 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.
Wahab PJ et al. Ukulandelelwa kweengcali zabantu abaphethe isifo esiqhekezayo kwi-gluten-free-diet: ukuphucula okuthe ngcipheko kunye nokungaphelelanga. I-American Journal ye-Clinical Pathology. 2002 Sep; 118 (3): 459-63.