I-gluten ataxia yimeko engavumelekanga yokuzimela umonakalo ongonakalisa ingqondo yakho
I-gluten ataxia, imeko engavumelekiyo ye-neurological autoimmune imeko echaphazelekayo yomzimba wakho kwiprotheni ye gluten efunyenwe ngqolowa, ibhali, neer rye, ingonakalisa ngokungenakucingca inxalenye yengqondo yakho ebizwa ngokuba yi-cerebellum, ngokutsho koogqirha abaqala ukuyiqonda imeko malunga neminyaka elishumi edlulileyo.
Lo monakalo unokubangela iingxaki malunga nekhono lakho kunye nezakhono zakho ezizenzekelayo, okubangele ukulahlekelwa kokulungelelaniswa kwaye mhlawumbi kubangele ukukhubazeka okubonakalayo kwezinye iimeko.
Nangona kunjalo, ngenxa yokuba i-gluten ataxia yinto encane, kwaye akubona bonke oogqirha abavuma ukuba kukho, akukho njengokwamkelwa kwindlela yokuyivavanya okanye ukuyifumanisa.
Kodwa oko kungatshintsha: iqela labaphandi abaphezulu kwiindawo zesifo se-celiac kunye nobutyebi obungenalo celiac gulen uvelise ingqiqo malunga nendlela oogqirha abanokuyifumanisa ngayo yonke imeko enxulumene ne-gluten, kubandakanywa ne-gluten ataxia.
Kwi-Gluten Ataxia, iiAntibodies Ukuhlaselwa kweCerebellum
Xa une gluten ataxia, izifo ezikhuselekileyo umzimba wakho uvelisa ukuphendula ukungena kwe-gluten ngokuphambene nokuhlasela kakubi i-cerebellum yakho, inxalenye yengqondo yakho enoxanduva lokulinganisela, ukulawula imoto kunye nezwi le-muscle. Le meko ihamba ngokuzenzekelayo kwimvelo, oko kuthetha ukuba kubandakanya ukuhlaselwa okuphosakeleyo kwisifo sakho-esilwa negazi elimhlophe, esakhutshwa yi-gluten ingestion, ngokuchasene nokuhlaselwa ngqo kwingqondo ngeprotheni ye gluten ngokwayo.
Ukhohlo olungaphenduliweyo, ukuhlaselwa ngokuzenzekelayo ngokuqhelekileyo kuqhubela phambili, kodwa iingxaki ezibangelwa ukulinganisela kunye nokulawulwa kwemoto ekugqibeleni ziyakuthi zingenakunyuswa ngenxa yokulimala kwengqondo.
Ukufika kwi-60% yezigulane ezine-gluten ataxia zinobungqina bentambo ye-cerebellar i-atrophy-ngokoqobo, i-shrinkage yaloo nxalenye yobuchopho babo-xa ihlolwe ngeteknoloji ye-imagination magnetic resonance (MRI). Kwamanye abantu, i-MRI nayo iya kubonisa iindawo ezimhlophe ezimhlophe kwingqondo ebonisa umonakalo.
Bangaphi Abantu Abahluphekayo KuGluten Ataxia?
Ngenxa yokuba i-gluten ataxia yimeko echazwe ngokutsha kwaye akubona bonke oogqirha bayamkela njengokuba kunjalo, akucaci ukuba bangaphi abantu abanokubandezeleka kuyo.
UDkt. Marios Hadjivassiliou, uncedo lweengxaki zegazi kwiShefield Teaching Hospitals e-United Kingdom kunye neurologist oye wachaza i-acuttaxia ye-gluten, uthi abaninzi abantu abangama-41% abantu abanama-ataxia abangenayo isizathu esaziwayo, banokuba ne-gluten ataxia. Olunye uqikelelo lubeke loo manani aphantsi-kwindawo ethile kwi-11.5% ukuya kuma-36%.
Ekubeni i-ataxia ngokwayo yimeko engabonakali-ethintela abantu abayi-8.4 kuphela kwii-100,000 e-US-oko kuthetha ukuba bambalwa banelise-gluten ataxia. Iingqinisiso ziphezulu kakhulu kwinani labantu abanezifo ezinqabileyo kunye nobutyebi buka gluten obunempawu ze-neurological.
I-Gluten Ataxia: Iingxaki ze-Neurological Gluten
Izimpawu ze- gluten ataxia azibonakali kwiimpawu zenye i-ataxia. Ukuba une gluten ataxia, iimpawu zakho zinokuqala njengeengxaki zobungakanani-ungase uhlale unqinekile kwiinyawo zakho, okanye unenkathazo yokuhambisa imilenze yakho.
Njengoko iimpawu ziqhubela phambili, abanye abantu bathi bahambe okanye bathetha ngathi banxila. Njengoko umonakalo ozenzekelayo kwi-cerebellum yakho iqhubela phambili, mhlawumbi amehlo akho aya kubandakanyeka, abuye ahambe ngokukhawuleza nangokungahambi ngokuthe ngqo.
Ukongezelela, izakhono zakho zezithuthi ezifanelekileyo zingabandezeleka, okwenze kube nzima kuwe ukuba usebenze izixhobo zokubhala, i-zip zippers, okanye usebenzise amaqhosha kwisitya sakho.
Uxilongo Awukho ngqo kwiGluten Ataxia
Ekubeni akubona bonke oogqirha bamkela i-gluten ataxia njengesixilongo esilungileyo, akubona bonke oogqirha abaza kukuvavanya ngenxa yimeko ukuba ubonisa iimpawu. Ukongezelela, iingcali ezisemgangathweni wesifo se-gluten zisandul 'ukuvelisa isivumelwano malunga nendlela yokuvavanya i-acutayxia.
Ukuxilongwa kwe-gluten ataxia kuquka ukusetyenziswa kweemvavanyo zegazi ze- celiac zezifo , nangona zingekho iimvavanyo ezibhekwa njengezona zichanekileyo ukuvavanya izifo ezingenazo . Ukuba kukho naleyo mvavanyo ibonisa umphumo omuhle, ngoko ugqirha kufuneka anikezele ngokutya okugqithisileyo koguten .
Ukuba iimpawu ze-ataxia zizinzileyo okanye ziphucula ukutya, ngoko kuthathwa njengento ebonisa ukuba i-ataxia yayinokwenziwa kwe-gluten, ngokwemvumelwano yesivumelwano.
I-Gluten Ataxia Treatment iquka ukutya okugqithisileyo kweGluten
Ukuba ufumene uvavanyo lwe-gluten ataxia, kufuneka ulandele ukutya okungahambisani nokugqwetha ngokungekho ukukopela, ngokutsho kukaDkt. Hadjivassiliou.
Kukho isizathu salokhu: iimpawu zesifo segazi ezinokukhutshwa kwe gluten kubonakala kuthatha ixesha elide ukuba ziphucule kuneempawu zesisu, kwaye zibonakala zivelele ngakumbi kwiqondo elincinci lokulandelela i-gluten ekudleni kwakho, uDkt. Hadjivassiliou uthi. Ngoko ke, kunokwenzeka ukuba unokwenza umonakalo omkhulu kuwe xa uqhubeka udla i-gluten encinci.
Kakade ke, akubona bonke oogqirha abavumelana nalo vavanyo, okanye mhlawumbi kunye neengcebiso zokutya i-gluten-free ukuba ungekho into engachazi i-ataxia kunye namazinga aphezulu ase-gulen antibodies. Nangona kunjalo, kubonakala ngathi ixhaswa yiingxelo ze-anecdotal ezivela kubantu abane-gluten ataxia kunye nabantu abaneengxaki ezinkulu zeengxaki ze-neurological ezichaphazelekayo nesifo esiqhekezayo: Abo bantu bathi iimpawu ze-neurological take longer to resolve; ngelixa ezinye zizinzileyo kodwa zingaphuculwa.
ILizwi
Inani labantwana abanesifo se-gluten abanesifo esincinci sincinci xa kuthelekiswa namanani abantu abanezifo ezinqabileyo, kwaye ncinane xa kuthelekiswa noqikelelo lokuba bangaphi abantu abanobuncwane be-gluten .
Nangona kunjalo, abantu abaninzi abanesifo se-celiac kunye nobutyebi be-gluten banesifo sempawu ze-neurological , eziqhelekileyo ziquka i- gluten-related related peripheral neuropathy kunye ne- migraine . Abanye banokukhalaza ngeengxaki zokulinganisela ezibonakala zixazulula xa zihamba zingenayo i-gluten.
Kungenzeka ukuba, njengoko uphando olongezelelweyo luqhutyelwa kwi-acutayxia ye-gluten, abaphandi baya kufumana unxibelelwano olunamandla phakathi kwaloo mqathango, isifo se-celiac kunye nobutyebi buka gluten. Okwangoku, ukuba unempawu ezifana neye-gluten ataxia, xela ugqirha wakho. Unokufuna ukuvavanya ukufumanisa ukuba uneminye imeko engabangela iimpawu ezifanayo.
Imithombo:
Fasano A. et al. Isibuko seengxaki ezinxulumene ne-gluten: ukuvumelana malunga nokutyunjwa kwamagama omtsha kunye nokuhlelwa. BMC Medicine. I-BMC Medicine 2012, 10:13 i-doi: 10.1186 / 1741-7015-10-13. Ishicilelwe: 7 Februwari 2012
Hadjivassiliou M. et al. Ukwelashwa kweeDetary of Gluten Ataxia. I-Journal ye-Neurology, i-Neurosurgery kunye ne-Psychiatry. 2003: 74: 1221-1224.
Hadjivassiliou M. et al. I-gluten ataxia ngokubhekiselele kwimiba: i-epidemiology, ukukhuselwa komzimba kunye neempawu zeklinikhi. Ubunjani. 2003 uMar; 126 (Pt 3): 685-91.
Hadjivassiliou M. et al. Gluten Ataxia. I-Cerebellum. 2008; 7 (3): 494-8.
Rashtak S. et al. I-Serology yesifo se-celiac kwi-atxia-gluten-sensitive sensitive or neuropathy: indima ye-antiamidal gliadin antibody. Journal of Neuroimmunology. NgoJan 2011; 230 (1-2): 130-4. Epub 2010 NgoNovemba 6.