Isifo seCeliac okanye u-gluten uzwela ungabangela umonakalo wesondlo
Ngaba uke waluvumela ukuba unyawo lwakho lulele kwaye luqale lube lukhunjini kwaye emva koko luvela kwiindwangu, izikhonkwane kunye neenaliti xa 'zivusa'? Abantu abane-neuropathy abachaphazelekayo bathethwe yizo ntlobo zengqondo - i-numbness ne-tingling-tingling - lonke ixesha. Kwaye kukho ubungqina obuninzi bokuthi i-peripheral neuropathy inxulumene nesifo se-celiac kunye nobutyebi bendalo.
Phantse i-10% yabantu abasandul 'ukufumana isifo se-celiac baxhamla kwiimeko ezinengxaki yegazi , ngokuqhelekileyo i-peripheral neuropathy (eyinto eqhelekileyo) okanye i- gluten ataxia (ehamba phambili), izifundo zibonisa.
Okwangoku, ubuzwe obungenalo-celiac gluten yimeko esandul 'iyakwamkelwa, kwaye akuzange kubekho uphando olujongene ne-peripheral neuropathy njengemeko yonyango ehambelana nayo. Nangona kunjalo, oogqirha abenza uphando ngale ngxaki bathi ukubetha kunye nokuphazamiseka kumaphethelo kubonisa enye yeempawu eziqhelekileyo zokukhathazeka kwe-gluten .
I-Peripheral Neuropathy iquka iMonakalo yeMisipha
Ukuqhayisa, ukuphazamiseka, kunye neentlungu ze-peripheral neuropathy ngokubanzi zivela kumonakalo weentlanzi ezandleni nasezinyaweni. Umonakalo wesondlo - kwaye iimpawu - ngokubanzi ziqala kwiimbilini zakho ezide, yingakho uya kubona iimpawu kuqala ezinyaweni zakho kwaye mhlawumbi zakho izandla.
Ukuvakalelwa okubuhlungu (ngamanye amaxesha iinyawo zakho okanye izandla zivakalelwa zibandayo, okanye zitshisa, okanye zifana nokubetha komntu othile ngesixhobo esibukhali) ngokuqhelekileyo ziqala kwindawo ekude kwaye zisebenze ngaphakathi, imilenze kunye neengalo zakho. Unokuba nesifo esisodwa nje esichaphazelekayo okanye amaninzi amaninzi.
Isifo sikashukela sinombangela owodwa wesibindi se-peripheral neuropathy ukususela kwisiqingatha sabo bonke abantu abanesifo sikasifo sikashukela.
Nangona kunjalo, iimeko ezizimeleyo (izifo ezile ndawo zizenzekelayo) ziye zadibaniswa ne-peripheral neuropathy.
I-Peripheral Neuropathy I-Gluten-ehlobene kwezinye iimeko
Kwezinye iimeko, i-peripheral neuropathy ibonakala ihambelana nokusetyenziswa kwe-gluten-ngokukodwa, kwi-anti-gluten antibodies abanye abantu abavelisa ekuphenduleni ukusetyenziswa kwe-gluten.
Kwisifundo esithile, abaphandi bavavanya izigulane ezingama-215 ezine-neuropathy ye-axonal, uhlobo lwe-peripheral neuropathy olubandakanya umonakalo kwi-axon yakho, okanye iimbumba zeentsholongwane. Inani eli-140 lala "li-idiopathic neuropathy," elithetha ukuba kwakungekho isizathu esibonakalayo sezokwelapha ngenxa ye-neuropathy yazo.
Abaphandi bavavanya abo bantu abangama-140 kwiimpawu zokuxhatshazwa kwegazi ukuze bahlolisise izilingo ezimbini zegazi, ukuhlolwa kwe- AGA-IgA kunye novavanyo lwe- AGA-IgG . Nangona ezi mvavanyo zingacatshangwanga ukuba zichanekile kwisifo se-celiac, ziyakwazi ukubona ukuba umzimba wakho uzijonga gulen njenge-invader kwaye ivelisa i-antibodies malunga neprotheni.
Amaphesenti angamashumi amathathu anesine abo bavavanywa - abantu abangama-47 - babenama-antibodies aphezulu ekugqibeleni kwelinye okanye zombini kwezo zivivinyo, xa kuthelekiswa neqondo le-12% ye-antibodies ephezulu ukuba i-gluten kuluntu jikelele. Ezi ziphumo zolu vavanyo zingabonisa ukuba abantu babenomdla wobuncwane ngenxa yokuba ezinye iingcali zincoma i-AGA-IgA kunye ne-AGA-IgG njengemvavanyo yentswelo ye-gluten .
Abaphandi baphinde baqhuba i-endoscopies kunye ne-biopsies kulabo bantu kwisifundo esicatshulwa ukuba banesifo esiqhekezayo kwaye bafumanisa ukuba i-9% yabo "kwi-neuropathy" engabonakaliyo yayinayo i-celiac. Izifo zesifo se-ecliac - okt, i- HLA-DQ2 kunye ne- HLA-DQ8 - zifunyenwe kwi-80% yazo zonke izigulane ze-neuropathy.
I-Peripheral Neuropathy Isisombululo esisisigxina se-Celiac ne-Gluten Sensitivity
I-peripheral neuropathy ngokwenene yenye yezona zinto ziqhelekileyo ezingenanto zokugaya izifo ze-celiac , ngokwe-University of Chicago Celiac Disease Centre. Enyanisweni, kunokwenzeka ukuba ingabonakali impawu zesisu zesifo se-celiac, kodwa kunokuba sibe ne-neuropathy kunye nezinye iimpawu ze-neurological symptoms.
Izimpawu ze-neurological ezifana ne-peripheral neuropathy, i- migraine , neengqondo zengqondo zixhaphake kakhulu kwi-non-celiac gluten senitivity, ngokutsho kwe-Harvard Medical School ka-Alessio Fasano, omnye wabaphandi abaphambili kwintsimi ye-gluten. UDkt. Fasano uthi kubantu abangama-30% abantu abafumene unyango lwe-gluten baneempawu ze-neurological ... ipesenti enkulu kunabantu abaneempawu ze-neurological in disease celiac.
Ukuba unentsholongwane ye-neuropathy kwaye ufumene unobulunga obunomdlavuza okanye u-gluten, unokukwazi ukuphucula okanye ukulungisa iimpawu zakho ngokulandela ukutya okungekho-gluten- ezinye izifundo zifumene ukutya kukunceda. Nangona kunjalo, ezinye iingcaphephe ziye zafumanisa ukuba "ukubonakaliswa kwe-neurologic," kubandakanywa neuropathy ye-neuropathy, kunokuqhubeka okanye kuphuhlise emva kokuxilongwa, okubonisa ukuba kukho inxaxheba yokuvuvukala echaphazelekayo.
IYunivesithi yaseChicago icebisa ukuba abantu abaneengxaki ze-neuropathy ezibangelwa zizifo eziqinileyo ziqinisekise ukuba baqhagamshelane namagqirha abo malunga nokuyeka iziyobisi ezinokubangela i-peripheral neuropathy. Iingcali ziphinda zicebise ukuba i-celiacs ne-peripheral neuropathy yenza ukuba ubomi buguqulwe ukunciphisa intlungu yabo, kubandakanya ukuphepha ixesha elide lokuhamba okanye ukuhamba, ukugqoka izihlangu ezihlambulukileyo (kwezinye iimeko, i-inshorensi inokugubungela izicathulo ezikhethiweyo zonyango), kwaye ikhupha iinyawo emanzini emvula ukuphucula ubuhlungu kunye nokubetha.
Oogqirha nabo banokukwazi ukunikezela ngamachiza anokunciphisa ezinye iingxaki zokuphazamiseka kwegazi, ngakumbi xa kungabonakali ukuphendula ngokutya okungekho guten. Okwangoku, abantu abaneengxaki ze-neuropathy, nokuba kungenjalo kungabonakali ukuba bahlobene nesifo se-celiac okanye u-gluten uzwela, kufuneka baqiniseke ukuba baqaphele xa behamba okanye bahamba behamba ngenxa yokungahambi kwintlungu kwiinyawo zabo kungaholela engozini yokuwa .
Imithombo:
Chin R. et al. I-Peripheral Neuropathy neCeliac Disease. Izinketho zamanje zonyango kwi-Neurology. 2005 Jan; 7 (1): 43-48.
Hadjivassiliou M. et al. I-Neuropathy edibene ne-Gluten Sensitivity. I-Journal ye-Neurology, i-Neurosurgery kunye ne-Psychiatry. 2006 Nov; 77 (11): 1262-6. Epub 2006 Julayi 11.
Rigamonti A. et al. Izifo zeCeliac ezithethwa nge-Motor neuropathy: Impembelelo yokutya okungafaniyo neGluten. Imisipha kunye Nerve. 2007 ngoMeyi; 35 (5): 675-7.
IYunivesithi yaseChicago Centre ye-Peripheral Neuropathy. Iintlobo ze-Peripheral Neuropathy - Ukuvutha - Izifo eziCeliac.
Zelnik N. et al. Ubuninzi beengxaki ze-Neurologic kwizigulane ezinezifo ezibangelwa yiCeliac. Pediatrics. 2004 Juni; 113 (6): 1672-6.