Abasetyhini abanomqathango omnye banokuthi babe nelinye
Ekubonweni kokuqala, isifo se-celiac- oko kwenzeka xa ukusetyenziswa kweprotheni ye gluten ebangela umonakalo wamathumbu-kubonakala kungenanto efana ne-disordered disorder anorexia nervosa. Ngaphezulu, bobabini zibandakanya ukutya, kodwa i-celiac imeko engenziwayo , kwaye i-anorexia ithathwa njengesifo sengqondo.
Nangona kunjalo, abaphandi baye bafumanisa oko bathi bakubonisana phakathi kwezi zimbini.
Ngokukodwa, abasetyhini abaye bafumanisa ukuba banesifo se-celiac banokuthi bafumaneke ukuba ne-anorexia, kwaye ngokuchaphazelayo, abafazi abaye bafunyaniswa ukuba banesifo se-anorexia banokuthi bafumaneke ukuba bafumaneke nge-celiac.
Akucaci ukuba kutheni oku kwenzeka-izinto ezininzi, kuquka i-genetics, inokudlala indima. Kodwa uphando lubonisa imfuneko yokuqonda ngokubanzi malunga nokuxhomekeka, kunye neengxaki ezijongene nomntu onemiqathango.
I-Celiac ne-Anorexia: Ziziphi iiNxibelelwano?
Isifo se-Celiac sisimo esizimeleyo esichukumisayo xa udla ukutya okanye isiselo esinomqolo we-gluten (ingqolowa, ibhali, okanye i-rye). Isistim somzimba sakho siphendula kwiprotheni ye-gluten ngokuhlasela umbane we-intestine yakho encinci , enokubangela ukuba kukho iimpawu ezahlukeneyo kunye nokungaphumeleli kokutya . Akucaci oko kubangela izifo ze-celiac - i- genetics idlala indima ebalulekileyo , kodwa abaphandi bazama ukufumanisa izinto ezinokubangela.
Okwangoku, akucaci nokuba yintoni eyenza i-anorexia nervosa. Ukuphazamiseka kokutya kubonakala kusebenza kwiintsapho, okubonisa ukuba kukho izixhumanisi zofuzo, kodwa izinto zokusingqongileyo kunye nemimoya nazo zingadlala indima ezinamandla.
Izifo zeCeliac kunye ne-anorexia nervosa azizona ziimeko ezingaqhelekanga-i-celiac ithintela ngaphantsi kwe-1 ekhulwini labantu base-United States, ngelixa i-anorexia ingathintela kuma-1 ekhulwini kwabasetyhini ngaphezu kwexesha lokuphila.
Ezi zombini iimeko ziqhelekileyo kubasetyhini kunamadoda.
Kule minyaka, oogqirha baye baqwalasela amacala amaninzi kwezi zimo zibini zivela kunye nomntu ofanayo, ezikhuthaza abaphandi ukuba bajonge ngakumbi kwiinkcukacha ezikhoyo. Ukongezelela, abaphandi bajonga i-genetics yezifo ze-celiac, uhlobo lwesifo sikashukela (enye imeko ye-autoimmune), kunye ne-anorexia nervosa efunyenwe ngeziganeko zofuzo phakathi kwezi zintathu, zibonisa ukuba isifundo sifunde "iindlela eziqhelekileyo zamathambo" kule miqathango.
Izingozi eziPhakamileyo kwiCeliac kunye neAnorexia
Uphando olusuka eSweden olupapashwe kwiphepha lezokwelapha Iipediatrics ezihlola ezo ziqhagamshelana zijongene nabasetyhini abangaba ngu-18 000 abaye bafumanisa ukuba banesifo esiqhekezayo, baqhathanisa nabafazi abangaba ngu-90 000 ngaphandle kwemeko.
Abaphandi bafumanise ukuba abafazi abanezifo ezingapheliyo babezi-1.46 ngamaxesha amaninzi ukuba bafumaneke ukuba ne-anorexia nervosa kunyaka wokuqala emva kokuxilongwa kwabo, kunye no-1.31 amaxesha amaninzi okufumanisa ukuba une-anorexia ngaphaya komnyaka wokuqala emva kokuxilongwa kwabo.
Abasetyhini babekwazi ukufumana i-anorexia kuqala kunye ne-celiac: ukuxilongwa kwangaphambili kwe-anorexia kwenzelwa ukuxilongwa kwe-ecliac ekugqibeleni.
Uhlalutyo aluzange luchaze nayiphi na ingozi eyongeziweyo emadodeni, kodwa abaphandi balumkisa ukuba isifundo asizange sikhulu ngokwaneleyo ukufumanisa ingozi ebantwini.
Izinto ezinokubangela ukuba kubekho ingozi kubasetyhini, ababhali babhala. Okokuqala, kunokwenzeka ukuba umntu onesi sifo esingazifumani kakuhle nge-anorexia, ekubeni zombini iimeko zingabangela ukulahleka kwesisindo nokungondleki. Okwesibini, kunokwenzeka ukuba abaphandi bathi "ukunyanzeliswa," oku kuthetha ukuba abantu bahlolisiswe ngokugqithiseleyo kunyango banokuthi babe neemeko zonyango ezichongiweyo. Okwesithathu, izinto ezinobungozi ezibandakanyekayo, kuquka i-genetics, zinokudlala indima.
Kwenzeka ntoni Ngoku?
Kungenzeka ukuba ufumene ukuba unesifo se-celiac-esidinga ukutya okungahambisani naso-gluten ukulawula-kunokubangela ingxaki yokutya kumntu owayengenalo ngaphambili.
"Kungekho rhoqo, ukuphazamiseka kokutya kuqala ngokusuka kwintliziyo, iinzame zokuzidla 'zokutya ngokuphelisa' ngokuphelisa ukutya okubonakala kungenakulungile," kuchaza uDkt. I-Neville Golden, MD kunye neKT Park, bobabini beSikole sase-Stanford, kwiinkcazo ezihamba kunye nesifundo kwi- Pediatrics. "Uphononongo lwangoku lubonisa ukuba ukugxininisa ngokugqithiseleyo kwisondlo kwizigulane ezinezifo ezingapheliyo kunokukhokelela ekuphuhliseni i-anorexia nervosa kubantu abangenakho."
Inyaniso yokuba abaphandi bafumene oko babibiza ngokuthi "ubudlelwane be-bidirectional" -ukuxhomekeka kwabantu abanokufumana imeko eyodwa bekunokuthi bafumaneke ngenye indlela, kungakhathaliseki ukuba ngubani ofunyanwe kuqala-kuthetha ukuba oogqirha kufuneka bajonge ngokukhawuleza abantu abaneengxaki ze-celiac okanye i-anorexia nervosa ukubukela ukuba kwenzeka enye imeko ephuhlisayo.
Enye inkxalabo kukuba ukunyuka kwe-anorexia kwenza kube nzima ukulandela ukutya okubangelwa i-gluten. Abo badla i-gluten-free bayazi ukuba ngamanye amaxesha baphoqeleka ukuba balambe kwiimeko xa kungekho nto ikhuselekile ukuyidla, kodwa loo nto inokuba yingozi kumntu onesi-anorexia. Kwakhona, abaphandi bathi, abanye abantu abane-anorexia kunye ne-celiac bayazidla ngokutya iimveliso ze-gluten kuba ziya kubangela ukuphendula kunye nokulahlekelwa kwesisindo esilandelayo.
Ukuphatha abantu abanezifo zombini kunye ne-anorexia nervosa ingaba ngumngeni, kuba nganye imeko ifuna indlela eyahlukileyo. Isifo se-Celiac ngokuqhelekileyo sifunyenwe ngu-gastroenterologist, kwaye umntu onaloliac angazibona ezinye iingcali zezokwelapha, mhlawumbi kuquka i-dietitian ejolise ekudleni okungenanto ye-gluten. U-Anorexia nervosa, okwangoku, ngokuqhelekileyo uphathwa ngecandelo elikhokelwa yingcali yezempilo yengqondo, kwaye umntu onaloo mqathango uya kubona umdlo wesondlo ogxininisekile ekudleni izifo. Ukuze uphathe iimeko zombini ngexesha elifanayo, ootitshala bezonyango abajwayele iindlela zabo baya kufuna ukusebenzisana.
Drs. I-Golden nePark ithi abantu abaninzi bakhetha ukuhamba-gulen ngaphandle kokuxilongwa, okubangela enye ingxaki enokuyenza: ukulandela ukutya kokutya okungekho gluten njengendlela yokuguqula ingxaki yokutya. Ukuphelelana phakathi kwezinto zokutya ezingenanto kunye neentsholongwane zokutya kukugqithise ngakumbi. " Uluhlu olubalulekileyo luphela nje kwinqonga le-iceberg. "
> Imithombo:
> Golden NH kunye nePark KT. Izifo zeCeliac kunye ne-Anorexia Nervosa-Umbutho ofanelekileyo. Pediatrics . 2017 ngoMatshi 3. Ipapashwe nge-intanethi ngoMatshi 30, 2017.
> Marild K et al. Izifo zeCeliac kunye ne-Anorexia Nervosa: Isifundo seSizwe. Pediatrics. 2017 ngoMatshi 3. Ipapashwe nge-intanethi ngoMatshi 30, 2017.
> Mostowy J et al. Izinto ezibandakanyekayo zohlobo lwe-Genetic ezibandakanyeka kwi-Celiac Disease, Uhlobo lweSibini lwesifo sikashukela kunye ne-Anorexia Nervosa Phakamisa iindlela eziqhelekileyo zeMilcular for Diseases. PLoS One. 2016 Aug 2; 11 (8): e0159593.