Amaphesenti angama-10 ukuya kuma-20 ekhulwini abantu abanesifo sikashukela bahlakulela isifo se-celiac
Ukufunyaniswa ukuba unesifo sesifo sikashukela kunye nesifo sikashukela-ikakhulukazi uhlobo lwesifo sikashukela (esaziwa nangokuthi isifo sikashukela). Isilinganiso esilinganiselweyo sesifo se-caliac kubantu abanentsholongwane yeswekile yesifo sikashukela ukusuka kwi-10 ukuya kwi-20 ekhulwini (oku kuthetha ukuba kubo bonke abantu abayi-100 abanesifo seswekile, kwindawo ethile phakathi kwe-10 ukuya kwe-20 kuya kuba nesifo se-celiac).
Ngokuthelekiswa, isantya sesifo se-celiac kubantu base-US ngokubanzi malunga neepesenti eziyi-1.
Kutheni iCombo iqhelekileyo
Ukucinga ukuba kutheni isifo se-malaria nesifo sikashukela sisoloko siqhutyana kunye kukujoliswa kwezinto ezininzi zophando. Iingcali zenzululwazi ziyakwazi ukufumana okungakumbi malunga nokuxhamla kwixesha elizayo, kodwa nanko yinto eyaziwayo okwangoku.
Izifo zeCeliac kunye nohlobo lwe-1 lweswekile zizifo zombini. Oku kuthetha ukuba bobabini zibandakanya umonakalo wesihlunu ukusuka kwizihlaselo ezizenzekelayo. Ngesi sifo se-celiac, umzimba womzimba uhlasela intlungu encinci, kanti, kwisifo sikashukela, umzimba uhlasela ama-pancreas. Kwakhona, zombini izifo zibandakanya ukunganyeliseki kokutya okudinga ukutya okukhethekileyo: akukho gluten kubantu abanesifo esiqhekezayo, kunye ncinane okanye akukho ushukela kubantu abanesifo sikashukela.
Kwakhona, kuvela ukuba izifo zombini zikwabelana ngezifo ezithile. Enyanisweni, abaphandi bakholelwa ukuba isifo se-celiac kunye nesifo sikashukela sinokubakho ubuncinane beesigidi ezi-7 ezifanayo, kwaye kunokubakho ngaphezulu.
Ukuvavanywa kokubili
Ekubeni i-genetic edibanisa phakathi kwezifo iyacaca, oogqirha abaninzi banokucebisa ukuba nabani na ofunyaniswe ukuba nohlobo lwe-1 lweswekile kufuneka ahlolwe isifo se-celiac . (Ezinye iingcali zikwacebisa ukuba izigulane ezine-diabetes 1 okanye isifo se-celiac-okanye zombini-kufuneka zihlolwe isifo se-thyroid .
Kubalulekile ukukhumbula ukuba nje ukuvavanywa kanye ngesifo se-celiac akwanele ngenxa yokuba isifo singahlakulela kamva ebomini. Ngoko ke, abantu abanesifo sikashukela kufuneka bahlaziywe ngezihlandlo kwizifo ezingapheliyo, ngakumbi xa befumana ukungaphumeleli kokukhula, ukungaphumeleli, ukulahleka kwesisindo okanye iimpawu zesisu.
Ngokutsho kweziko le-Kovler kwiSunivesithi yaseChicago, abantu bavame ukuba bafumana isifo sikashukela ngaphambi kokuba bafumane i-malaria celiac. Oku kubangelwa kukuba oogqirha kunye noluntu bayazi kakuhle isifo sikashukela.
Indlela Yokukwazi Ukuba Unayo Izifo ZamaCeliac
Ukuba unesifo sikashukela kwaye uyazibuza ukuba unakho isifo se-celiac, funda kwiimpawu eziqhelekileyo. Ukongezelela kwezo zibonakaliso, kukho iinkalo ezithile zezifo ezingabonakaliyo zezifo ezibangelwa ngabasifo sikashukela, kubandakanya ukuguquka okungaqinisekiyo okanye okungaqondakaliyo kumanqanaba eshukela egazi; I-hypoglycemia emva kweeyure ezimbalwa emva kokutya okanye i-hypoglycemia enzima ukuyiphatha; kwaye kunciphise iimfuno ze-insulin.
Zonke ezi ziphumo ze- malabsorption ezihambelana nezifo ze-celiac. Ngeendlela ezilula: Ngenxa yomonakalo emathunjini akho amancinci, ukutya odlayo akukhatyathwa ngokufanelekileyo emzimbeni wakho.
Kutheni Kuthatyathwa Izifo ZamaCeliac
Ucwaningo luye lwabonisa ukuba xa abantu abanesifo sikashukela kunye nesifo se-celiac basesidlo sokutya-guten, iziqulatho ze-hypoglycemia zinciphisa, kodwa kuthatha iinyanga eziliqela ekudleni ukuba umphumela ube obala. Nangona kunjalo, aba bantu baya kuhlangabezana neminye imingeni. Ngako-ke kukho ubuchule kunye nokuqhafaza ukuhlala kwisidlo esingenasifo se-gluten xa unesifo sikashukela kunye nesifo se-celiac, kodwa ekubeni isifo se-celiac sidibene neengxaki ezinzulu, inzuzo yokuhlala i-gluten-free ilukhuphe ngaphezu kokungalungi.
Ngokomzekelo, isifundo esisodwa esikhulu esivela eDenmark sibonise ukuba izigulane ezine-type 1 zesifo sikashukela kunye nesifo esingenakuphulukiswa sesifo, sasinomlinganiselo ophantsi kakhulu kunye nesisindo xa kuthelekiswa nezigulane zesifo sikasifo esingenazo izifo eziphefumulayo, kwaye zazincinci xa zihlaselwe isifo sikashukela.
Kwiminyaka emibili emva kokuba izigulane eziqhambileyo ziqalwe kwiidlo-gaden-free, zazinzima, kwaye abo babemncinci kuneminyaka eyi-14 ubudala nabo babephakamileyo. Wonke umntu wayeneensimbi ezininzi (i-hemoglobin kunye ne-ferritin) egazini labo. Olu hlobo lophando lubalaselisa ukubaluleka kokuvavanywa kwesifo esiqhekezayo kunye nokulandela ukutya okungahambisani ne-gluten xa ufumanisa ukuba unesimo.
> Imithombo:
> I-Juvenile Research Diabetes Foundation International: I-Diagnosis: Ukuphila nohlobo lwe-1 lwesifo sikashukela kunye neCeliac Disease.
> Kupper C, Higgins LA. Ukudibanisa iSifo sikashukela kunye neziKhokelo zoLawulo lweDetary-Free Free. Gastroenterology. 2007; 31 (3): 68-83.
> Maggie Moon, MS, RD. Inkathazo kabini - Abaxhamli abacebisi abanesifo sikashukela kunye neCeliac Disease. I-Dietitian Today 2009; 11: 32.
> Simell S, Hoppu S, Simell T, et al. Ubudala ekuphuhlisweni kohlobo lwe-1 lwesifo sikashukela ne-Celiac-Associated Antibodies kunye neZifo zeZikliniki kwi-Childhood Susceptible Children ezigcinwe ekuzalweni. Uncedo lweSwekile. 2010 Jan 7. [Epub phambi kokuprinta]
> Sun S, Puttha R, Ghezaiel S, et al. I-Impact ye-Biopsy-Positive Illent Celiac Disease and Treatment nge-Gluten-Free Free Diet on Growth and Control Glycemic in Children With Type 1 Diabetes. Diabet Med. 2009 Dec; 26 (12): 1250-4.