Oogqirha baxilonga isifo se-celiac esichaphazelekayo xa isisu sakho esincinci singaphumeleli, naphezu kokutya okungaqhelekanga kwe-gluten. Nantsi inkcazelo engakumbi malunga nemeko, ukuxilongwa kwayo kunye neendlela zokonyango.
Sibanzi
Uninzi lwabantu abanokufumanisa izifo ezi-celiac- mhlawumbi malunga neepesenti ezingama-90-bafumana ukukhululeka kwiimpawu zabo, kwaye amathumbu abo aqala ukuphilisa kwiiveki ezimbalwa zokuqala ukutya okungahambisani ne-gluten .
Nangona kunjalo, esinye sezigulane ezingama-10 ezingabonakaliyo asiyikubona loo mphuzo okanye ifumene ukuba izifo ze-celiac zizibonakaliso emva kokuba sele zihlaselayo. Ukuba ngaba kunjalo kuwe, ugqirha wakho unokubhekisela kwimeko yokuba isifo se-celiac esichasayo.
Isifo esiphezulu se-ecliac senzeke xa isisu sakho esincinci siphumelela ukuphilisa kwaye uqhubeka uhlushwa yi-atrophy ekhohlakeleyo , nangona ulandele ngokutya okuqinileyo, okuqinileyo kokutya okungenayo i-gluten kunyaka okanye ngaphezulu. Abantu abanezifo ezingenakunqwenelekayo ze-celiac-eziyingozi kakhulu-zinomngcipheko omkhulu kakhulu weengxaki ezinzulu, kubandakanywa uhlobo lwe-non-Hodgkin lymphoma echaphazelekayo nesifo se-celiac.
Ukukhula
Oku kunokuba kukhwankqisayo, kodwa ungakuvumeli ukuba ukwesabise: mhlawumbi unayo isifo se-celiac. Iingxaki zakho zokuphuhlisa le mqathango zincinci kakhulu: uphando olulodwa lubone ukuba kuphela iipesenti eziyi-1.5 zezigulane zezifo ze-celiac zenza i-cecal disease disease.
Kwaye abaninzi abantu abafumana iimpawu eziqhubekayo, kukho enye imbangela-ngokuqhelekileyo, ubuninzi be-gluten ekudleni kwakho okubangela iimpawu zakho eziqhubekayo , nangona ziimeko ezimbalwa ugqirha wakho angakufumanisa ukuba unayo isifo se-celiac emva koko .
Kodwa kungakhathaliseki ukuba ziphi na izifo zesifo se-celiac, xa uthembela ekudleni kwaye ufumanisa ukuba awusayi kuba ngcono, ugqirha wakho uya kufuna ukuphanda ngakumbi ukufumana ingxaki.
Yaye ukuba uyaphumelela nge-diagnosis ye-celiac ye-refractory, kukho unyango olunokukunceda uphilise.
Iimpawu
Izigulane zezifo ezingabonakaliyo zesifo se-ecliac zibelana ngeziganeko ezininzi eziqhelekileyo: abaninzi baneminyaka eliphakathi okanye abadala (imeko ayifumaneki kubantwana), ininzi ilahlekelwe isisindo, kwaye enye ibe yintlanu i-diarrhea.
Ukongeza kwiimpawu zabo eziqhubekayo, abaninzi abantu abane-reflexory celiac banokungondleki kunye nokungaphumeleli kwe-vitamin ezibonisa ukukhathazeka okukhulu kwe-malabsorption.
Nangona kunjalo, ezinye iimeko zingabangela le mpawu. Isinyathelo sokuqala ekufumaneni isifo se-celiac (okanye, mhlawumbi, ukulawula loo mqathango) kuya kuba ugqirha wakho ukugqiba ukuba uvavanyo lwakho lwesifo se-celiac kunye nokuxilonga luchanekile kwindawo yokuqala.
Ukuxilongwa
Ukuba ufumene ngokufanelekileyo ngesifo se-celiac, kufuneka ube ne-endoscopy ene-biopsy ebonisa i-atrophy ekhohlakeleyo: umonakalo kwi-villi encinci emathunjini akho amancinci anokukunceda ukutya ukutya kwakho. Nangona aqhelekanga, kukho ezinye iimeko ezinokubangela ukuba umonakalo owenziwe ngamathumbu.
Ukuxhasa ukuxilongwa kwakho kwasekuqaleni, ugqirha wakho angathanda ukwenza ukuhlolwa kwegazi kunye nokuvavanya ukuze ukhangele ukuba unesifo sesifo seelliac .
Ukuba ngokuqinisekileyo unayo isifo se-celiac, isinyathelo esilandelayo ekuphenyweni kuya kuba kukukhetha ukuba ulandela ukutya okungahambisani nendawo yokutya. Oku kungabandakanya intlanganiso kunye nezakhono zokutya ezidityanisiweyo kwiintlobo zeentlobo zokutya.
Ngokunyanisekileyo, abaninzi abantu baqaphela indlela abaya kulandela ngayo ukutya. Ngokomzekelo, uphando oluthile lwezonyango lufumene ukuba uninzi lwezigulane ezaqhubeka zizibonakaliso emva kokuxilongwa kwazo zazingadla i-gluten , nangona zikholelwa ukuba ziqonda ukutya kunye nendlela yokujonga i-gluten efihliweyo kwimveliso yokutya. Ukuqhekeza okuqhelekileyo kubandakanya i- gluten elahlekileyo kwiibhile zokutya , ukutya ngaphandle kwaye udla ukutya okuninzi okucwangcisiweyo kunye ne-labeling embi.
Kunokwenzeka ukuba "ukuqalisa" kokutya kwakho kunokunceda ukusombulula nayiphi na ingxaki ngemiqondiso eqhubekayo. Kodwa ukuba ayithethi, ugqirha wakho kufuneka akhangele ezinye izizathu ezinokubakho, kuquka i-lactose malabsorption, i-intestine ye-bacterial overgrowth, i-pancreatic insufficiency ne- syndrome ekhubazayo .
Emva kokuba ezinye izizathu ezibangelwa iimpawu eziqhubekayo zigqityiwe, ngoko ugqirha wakho unokuqwalasela ukuxilongwa kwesifo se-celiac. Kwezinye izifo ze-celiac izifo, iingcali zisebenzisa i- capsule endoscopy ukujonga lonke intlungu emancinci kwaye iqinisekise ukuxilongwa.
Iintlobo
Ukuba uye wafumanisa ukuba unesifo se-celiac esichasayo, uxelelwe ukuba unolunye lweentlobo ezimbini: Thayipha I okanye Uhlobo II. Uhlobo lwakho luchongwa ngokuhlalutya okhethekileyo kwesisele segazi esimhlophe, esibizwa ngokuba yi-T cell, ekhoyo emathunjini akho amancinci.
Abantu abane-Type I banesistim e-T-cell egciniweyo kumathambo abo emathunjini, ngelixa abantu abane-Type II banamaT-cell angavamile. Uhlobo I luxhaphake kakhulu kuneNdidi II: kwisifundo esisodwa esenziwa eBoston, kuphela iipesenti ezili-15 zazo zonke izigulane zezifo ezikhungathelweyo ziluhlobo lwe-Type II lwesimo.
Ukongezelela ekubeni ngumhlobo, uhlobo lwe-II luhlobo oluyingozi kakhulu lwesifo esiqhekezayo esingenakucala: asisoloko siphendule kakuhle kunyango, kwaye yinto enokubangela ukuba ungabikho kwi-non-Hodgkin lymphoma. Enyanisweni, oogqirha babecinga ukuba luhlobo oluthile lwe-lymphoma - omnye onokunyaniseka.
ILizwi
Ekubeni izifo ezingenangqungquthela ze-celiac ziyinto engavamile, izigulane ezithe zafunyaniswa ukuba zinefom ziya kuthi zihanjiswe kwiziko leliacac kunye namava aphatha iifom ze-refractory zesifo. Kulapho, oogqirha baneendlela eziliqela ezahlukeneyo abanokuzama ukunqanda ukuqhubela phambili kwesi sifo nokukhuthaza ukuphilisa.
> Imithombo:
> Malamut G. et al. Izifo zeCeliac Refractory. Iiklinikhi ze-Endoscopy zeNtlungu zaseMntla Melika. 2012 Oct; 22 (4): 759-72. i-doi: 10.1016 / j.iyoyiyo 2012.07.007. Epub 2012 uAgasti 24.
> Mooney PD et al. Ukwehluleka kweZonyango kwiSifo seCeliac: Isikhokelo esiSebenzayo sokuPhando kunye nokuPhathwa kweZifo ezingaboniyo. I-Journal ye-Gastrointestinal and Liver Diseases. 2012 Juni; 21 (2): 197-203.
> Roshan B. et al. I-Incidence kunye neMbonakalo yezonyango zeSifo seCalac Refractory kwi-Centre North Referral Centre. I-American Journal yeGastroenterology. NgoNovemba ka-2011; 106 (5): 923-8. i-doi: 10.1038 / ajg.2011.104. Epub 2011 Apr 5.