Kodi nthawi zina mumamva kupweteka m'mimba kapena kuvutika m'mimba mukadya chakudya monga buledi kapena mabisiketi? Kapena anthu ena amakhala ndi chizolowezi chosadya chilichonse? Lero tikambirana za vuto lomwe lingagwirizane ndi vuto longa limenelo. Ilo ndi Matenda a Celiac. Ngakhale kuti izi zingawoneke zovuta pang'ono, tiyeni timvetse mosavuta.
Kodi matenda a celiac ndi chiyani?
Mwachidule, matenda a celiac ndi vuto lomwe limayamba chifukwa cha
vuto la chitetezo chamthupi chathu . Izi zimatchedwa "autoimmune disorder". Chomwe chimachitika pamenepa ndichakuti tikadya chakudya chomwe chili ndi puloteni yotchedwa "gluten", chitetezo chamthupi chathu chimalimbana nacho. Kunena zoona, thupi lathu limaganiza kuti gluten iyi ndi mdani. Kenako imapanga ma antibodies kuti iukire mdaniyo. Komabe, "ma antibodies" amenewa amawononga
khoma lamkati (mucosa) la matumbo athu ang'onoang'ono . Chifukwa cha kuwonongeka kumeneku, matumbo ang'onoang'ono sangathe kuyamwa bwino michere yomwe ili mu chakudya. Pamenepo ndi pomwe
kusowa kwa zakudya kumachitika. Puloteni iyi yotchedwa "gluten" imapezeka makamaka mu tirigu. Makamaka muzinthu monga
tirigu, barele, ndi rye . Mukudziwa, zakudya zambiri zomwe timadya, monga buledi, pasitala, makeke, ndi mabisiketi, zimapangidwa kuchokera ku tirigu uwu. Sikuti zokha, koma nthawi zina ngakhale sosi, supu, ndi zakudya zomwe timaziyika m'matumba zomwe sitiganizira n'komwe zimatha kukhala ndi gluten iyi. Mowa nthawi zambiri umapangidwa kuchokera ku barele kapena rye.
Kodi matenda a celiac amakhudza bwanji thupi langa?
Matenda a Celiac amakhudza kwambiri
matumbo anu ang'onoang'ono . Apa ndi pomwe michere yambiri yomwe timadya imayamwa. Izi zimaphatikizapo mapuloteni monga gluten. Koma ngati muli ndi matenda a celiac, gluten ikalowa m'matumbo anu ang'onoang'ono, chitetezo chanu cha mthupi chimayankha. Izi zikutanthauza kuti, chitetezo cha mthupi chimatumiza maselo ndi ma antibodies kuti awononge mamolekyu a gluten. Maselo awa amawononga mkati mwa matumbo ang'onoang'ono, mucosa. Taganizirani izi, mkati mwa matumbo athu ang'onoang'ono mwapangidwa bwino kwambiri. Khoma lake lamkati silili losalala lokha. Lili ndi mapindidwe ambiri, ndipo lili ndi tinthu tating'ono tofanana ndi zala, totchedwa
villi . Villi izi zimapatsa chakudya chanu malo akuluakulu kuti chiyamwe michere yambiri momwe mungathere panthawi yogaya chakudya. Ikhoza kukhala yayikulu ngati bwalo la tenisi ngati mutatambasula! Koma maselo a chitetezo chamthupi omwe amabwera ndi matenda a celiac
amayamwa ndikuyamwa `(villi)` onsewa, kuchepetsa malo omwe amapezeka kuti anyamule michere.
Kodi matenda a celiac ndi owopsa?
Inde, kuwonongeka kwa matumbo ang'onoang'ono kungakhale ndi
zotsatirapo zoopsa . Monga ndanenera kale, matumbo ang'onoang'ono ndi komwe zakudya zomwe zili mu chakudya zimayamwa kudzera mu `(mucosa)`. Chifukwa chake `(mucosa)` ikawonongeka, sigwira ntchito bwino. Timatcha izi
Izi zimatchedwa 'malabsorption'. `(malabsorption)` iyi ingayambitse 'kusowa zakudya m'thupi' . Komanso, matenda ena ambiri amatha kuchitika chifukwa cha kusowa kwa zakudya zosiyanasiyana. Ngati vutoli limakhudza makamaka ana aang'ono, kukula ndi chitukuko chawo zitha kusokonekera. Ndani amadwala matenda a celiac?
Matenda a Celiac amapezeka kwambiri mwa anthu ochokera ku Northern Europe. Akuti pafupifupi 1% ya anthu ku Europe ndi North America ali ndi matendawa. Ngati wina m'banja mwanu (wachibale woyamba, monga mayi, bambo, kapena mwana) ali ndi matendawa, muli ndi mwayi wa 10% woti nawonso adwale matendawa. 97% ya anthu omwe amapezeka ndi matenda a celiac ali ndi majini enaake okhudzana ndi matendawa. Izi zimatchedwa `(HLA-DQ2)` kapena `(HLA-DQ8)`. Kodi pali zinthu zina zomwe zingakubweretsereni mavuto?
Matenda a Celiac amapezeka kwambiri mwa anthu omwe ali ndi matenda enaake a chromosome , monga Down syndrome. Amafalanso kwambiri mwa anthu omwe ali ndi matenda enaake a autoimmune . Matendawa nthawi zambiri amagawana majini, ndipo amatha kuyambitsana. Monga matenda ena a autoimmune, matenda a celiac amapezeka kwambiri mwa akazi kuposa amuna . Chiŵerengero chake ndi pafupifupi ziwiri mpaka chimodzi (2:1). Muli ndi mwayi waukulu wodwala matenda a celiac ngati muli ndi:
- Ngati ndiwe mzungu.
- Ngati wina aliyense m'banja mwanu ali ndi matendawa.
- Ngati muli ndi vuto la chromosomal monga `(Turner syndrome)`, `(Williams syndrome)` kapena `(Down syndrome)`.
- Ngati muli ndi matenda ena odziteteza ku matenda monga `(Type 1 diabetes)`, `(rheumatoid arthritis )`, `(microscopic colitis)` kapena `(Addison's disease)`.
- Ngati ndinu mkazi.
Kodi n’chiyani chimayambitsa matenda a celiac?
Matenda ambiri a autoimmune, monga matenda a celiac, ndi matenda a majini . Izi zikutanthauza kuti, mumakhala ndi mwayi waukulu wopeza matendawa chifukwa cha mtundu wina wa majini womwe umaperekedwa kuchokera ku mibadwomibadwo m'mabanja. Komabe, si aliyense amene ali ndi mtundu wa majini umenewo amene adzadwala matendawa, ndipo si aliyense amene adzadwala matendawa amene adzakhala ndi mtundu wa majini umenewo. Zikuoneka kuti zinthu zina zimathandizanso kuti matendawa ayambe. Kodi munthu amatenga bwanji matenda a celiac?
Lingaliro limodzi ndi lakuti kupsinjika kwakukulu kwa thupi kungawononge chitetezo chathu cha mthupi.Amakhulupirira kuti matendawa amatha kuyambitsidwa ndi chochitika choopsa. Madokotala aona kuti matendawa amapezeka pambuyo pa chochitika chakuthupi monga opaleshoni, matenda, mimba, kapena kuvulala kwambiri kwamaganizo. Chiphunzitso china ndi chakuti tizilombo toyambitsa matenda tomwe timakhala m'matumbo mwathu (tizilombo toyambitsa matenda m'matumbo mwathu) timakhudzidwa. Chiphunzitsochi chikufunika kafukufuku wowonjezereka. Kodi matenda a celiac amayamba liti?
Matenda a Celiac amatha kuyamba pa msinkhu uliwonse inu kapena mwana wanu mutayamba kudya gluten . Madokotala nthawi zambiri amawaona m'magulu awiri azaka: ubwana, pakati pa miyezi 8 ndi 12 , ndi zaka zapakati, pakati pa zaka 40 ndi 60. Chifukwa chake amayamba msanga ndichakuti ana nthawi zambiri amayamba kudya zakudya zolimba, monga mabisiketi ndi chimanga, zomwe zimakhala ndi gluten. Kodi zizindikiro za matenda a celiac ndi ziti?
Zizindikiro za matenda a celiac zimatha kusiyana kwambiri malinga ndi munthu, kotero zimakhala zovuta kuzizindikira. Anthu ena alibe zizindikiro zilizonse. Anthu ena amakumana ndi zizindikiro za m'mimba (GI) atadya gluten. Ena amakumana ndi zizindikiro zosamveka bwino za kusowa kwa zakudya pambuyo poti kuwonongeka kwachitika. Mwa anthu awa, kuchepa kwa magazi kungakhale chizindikiro choyamba cha vutoli. Mungakhale ndi zizindikiro monga izi:
Zizindikiro za m'mimba:
Zizindikiro za kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayodini:
- Kufooka ndi kutopa
- Maonekedwe otuwa (Osaoneka bwino)
- Manja ndi mapazi ozizira
- Misomali yopyapyala kapena yopindika
- Mutu
- Zilonda pakamwa
Zizindikiro zina za kusowa zakudya m'thupi:
- Kuchepetsa thupi mosadziwa
- Kukula mochedwa komanso kukula mochedwa mwa ana (Kulephera kukula bwino)
- Kutaya minofu kapena kuchepa kwa minofu
- Zolakwika za enamel ya mano, mwachitsanzo, kuoneka ngati mabowo, utoto, kapena mawonekedwe owala
- Kusasamba kosakhazikika kapena kuvutika kutenga mimba
- Kusintha kwa maganizo, makamaka nkhawa mwa ana ndi kuvutika maganizo kwa akuluakulu
Pafupifupi 15% ya anthu omwe ali ndi matenda a celiac amakhala ndi vuto la khungu losatha ngati zotsatirapo zake. Limatchedwanso 'gluten rash' kapena 'celiac rash' . Ma antibodies omwewo a gluten omwe amawononga matumbo ang'onoang'ono mu matenda a celiac ndi omwe amachititsa vutoli. Dermatitis herpetiformis ndi ziphuphu zoyabwa, zozungulira zomwe zimaoneka ngati matuza kapena eczema. Nthawi zambiri zimawonekera pa zigongono, mawondo, matako, kapena khungu. Kodi mungadziwe bwanji ngati muli ndi matenda a celiac?
Ngati mukukumana ndi mavuto a m'mimba mutadya gluten, mungaganize kuti muli ndi matenda a celiac. Anthu ambiri amaoneka kuti ali ndi vuto la gluten kapena tirigu muzakudya zawo. Kusalolera zakudya kungayambitse zizindikiro zosasangalatsa mutadya zakudya, koma sizimayambitsa kuwonongeka kwa matumbo monga matenda a celiac. Kuti adziwe matenda a celiac, madokotala amafufuza umboni wa kuwonongeka kumeneku. Chofunika kwambiri ndikuyezetsa matenda a celiac musanayambe kudya zakudya zopanda gluteni. Pamenepo ndiye kuti mayesowo adzawonetsa momwe gluten ikukhudzira thupi lanu. Mukasiya kudya gluteni, matumbo anu adzayamba kuchira. Kuchira ndi kwabwino, koma umboni wa matenda a celiac udzatha. Inu ndi dokotala wanu muyenera kudziwa bwino ngati muli nawo, kuti muthe kusankha mtundu wa chithandizo chomwe mukufuna mtsogolo.
Kodi madokotala amayesa bwanji matenda a celiac?
Madokotala amagwiritsa ntchito njira ziwiri poyesa matenda a celiac. Amakonda kugwiritsa ntchito zonse ziwiri pamodzi kuti atsimikizire matendawa. Choyamba ndi kuyezetsa magazi . Madokotala amafufuza ma antibodies m'magazi mwanu omwe amapangidwa motsutsana ndi gluten. Kenako, amafufuza kuwonongeka. Izi zimaphatikizapo kutenga chitsanzo chaching'ono cha minofu (biopsy) kuchokera m'matumbo anu ang'onoang'ono ndikuchiyang'ana pansi pa maikulosikopu. Kuti atenge chitsanzochi, dokotala wa gastroenterologist adzachita kafukufuku wa endoscopic wa matumbo anu ang'onoang'ono. Endoscopy ndi mayeso omwe amaphatikizapo kuyika chubu chachitali, chopyapyala chokhala ndi kamera kakang'ono mkati. Pa endoscopy yapamwamba , endoscope imadutsa pakhosi ndikupita kumtunda kwa matumbo ang'onoang'ono, otchedwa duodenum . Kutengera ndi zithunzi zomwe zawonedwa kuchokera ku kamera, dokotala yemwe akuchita endoscopy amatha kudutsa zida kudzera mu chubucho ndikujambula biopsy. Mayeso ena
Matenda a celiac akatsimikizika, dokotala wanu adzafuna kufufuza magazi anu kuti awone ngati muli ndi vuto la mavitamini ndi mchere . Kusowa kwakukulu kwa mavitamini m'thupi lanu kumatha kukhala ndi zotsatirapo zosiyanasiyana pa thupi lanu ndipo kungafunike kuthandizidwa mwachindunji ndi mankhwala owonjezera. Zofala kwambiri ndi kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa iron , kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa vitamini , komanso kusowa kwa vitamini D. Mungakhalenso ndi ma electrolyte ochepa, monga calcium. Kodi matenda a celiac amachiritsidwa bwanji?
Gawo loyamba komanso lofunika kwambiri pochiza matenda a celiac ndikusiya kwathunthu kudya gluten . Simungasinthe momwe thupi lanu limayankhira ndi gluten, koma mutha kupewa gluten kuyambitsa vutoli. Mukasiya kudya gluten, matumbo anu ang'onoang'ono adzayamba kuchira ndipo posachedwa adzatha kuyamwanso michere. Komabe, muyenera kukhala ndi zakudya zopanda gluteni moyo wanu wonse kuti mupewe kuwonongeka kwina kwa matumbo anu ang'onoang'ono. Mankhwala ena angaphatikizepo:
* Ngati pali zofooka zazikulu, tengani zakudya zowonjezera kuti mukonze.
* Chiritsani dermatitis herpetiformis ndi mankhwala enaake monga dapsone.
* Corticosteroids yokhudza kutupa kwakukulu komwe sikuyankha mwachangu ku zakudya.
* Kusamalira odwala mosalekeza, kuphatikizapo kupita kukayezetsa nthawi zonse, kuti atsimikizire kuti matendawa akutha.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?
Kwa anthu ambiri , zizindikiro zimayamba kuchira nthawi yomweyo atangoyamba kudya zakudya zopanda gluten . Zingatenge milungu ingapo kuti kusowa kwanu zakudya kuthetsedwe, ndipo zingatenge miyezi ingapo kuti matumbo anu achire mokwanira. Nthawi zina, zingatenge nthawi yayitali, kutengera kukula kwa kuwonongeka ndi nthawi yomwe kwakhalapo. Ngati simutsatira zakudya zokhwima, kuchira kungachedwe. Kodi chiyembekezo cha anthu omwe ali ndi matenda a celiac ndi chotani?
Anthu ambiri omwe apezeka ndi matenda a gluten amatha kuyembekezera kuchira bwino . Kuwonongeka kwakukulu komwe kumachitika chifukwa cha matenda a celiac kumatha kuthetsedwa. Ngati mupitiliza kukhala ndi zizindikiro, mwina mukudya pang'ono gluten osazindikira, kapena mwina muli ndi vuto lina. Pafupifupi 5% yokha ya anthu omwe ali ndi matenda a celiac osakhazikika, omwe sayankha bwino zakudya. Kodi chimachitika ndi chiyani ngati simusiya kudya gluten? Kodi mavuto omwe angakhalepo kwa nthawi yayitali ndi ati?
Ngati mwapezeka ndi matenda a celiac mochedwa kwa zaka zambiri, kapena ngati simungathe kupewa kudya gluten pambuyo pake, zotsatira za matenda a celiac zitha kukhala zoopsa kwambiri komanso zokhalitsa . Mavuto a kusowa zakudya m'thupi kwa nthawi yayitali:
- Matenda a Rickets mwa ana kapena osteomalacia mwa akuluakulu.
- Kuchepa kwa mafupa (osteopenia ) ndi kufooka kwa mafupa ( kuchepa kwa mafupa).
- Zolakwika za mano zomwe zimakhalapo nthawi zonse.
- Zotsatira zake pa dongosolo la mitsempha (peripheral neuropathy), kuphatikizapo dzanzi ndi kumva kuwawa, kugwedezeka kwa minofu, ndi mavuto olinganiza bwino ndi ogwirizana (ataxia).
- Kuchedwa kukula ndi chitukuko mwa ana, kulephera kukula bwino.
- Kuvuta kuganizira ndi kuphunzira.
Mavuto a kutupa kosatha:
- Chitetezo chamthupi chikakhala chofooka : Chitetezo chamthupi chikakhala chogwira ntchito mopitirira muyeso nthawi zonse, chimakhala ndi zinthu zochepa zoti chithane ndi mavuto monga matenda. Izi zitha kuwonjezera chiopsezo chanu chodwala.
- Kusalolera zakudya zina : Pamene matumbo anu akupitirira kuwonongeka, mungalephere kugaya zakudya zomwe munkatha kuzigaya kale. Mwachitsanzo , kusalolera lactose kungayambe.
- Zilonda ndi zipsera : Kutupa kwakukulu kungayambitse zilonda m'matumbo anu ang'onoang'ono. Chilonda chachikulu chingadutse ngakhale khoma la m'matumbo (kubowoka kwa m'mimba), komwe ndi vuto lachipatala. Kutupako kungayambitse zipsera mkati mwa m'matumbo ndikuchepetsa matumbo (stricture), zomwe zingayambitse kutsekeka kwa matumbo .
- Kutupa kwa collagenous : Matenda osowawa amayambitsa collagen yosatha m'matumbo ang'onoang'ono, zomwe zingasokoneze kuyamwa kwa michere kwamuyaya.
- Matenda a chiwindi : Pakapita nthawi, mutha kudwala matenda a chiwindi osatha komanso kuwonongeka pang'onopang'ono kwa chiwindi.
- Khansa : Kutupa kosatha kumawonjezera chiopsezo chanu chokhala ndi khansa ya m'matumbo ang'onoang'ono (ma lymphomas a m'matumbo, adenocarcinoma ya m'matumbo) ndi khansa ya m'mero .
Kodi mumazolowera bwanji zakudya zopanda gluten?
Poyamba, kupewa gluten yonse kungaoneke ngati kovuta. Muyenera kuphunzira kuwerenga zilembo ndikusamala kuti musawononge gluten mwangozi. Nkhani yabwino ndi yakuti pali zinthu zambiri zomwe zingakuthandizeni kuyamba kudya zakudya zatsopano. Dokotala wanu angakutumizireni kwa katswiri wovomerezeka wazakudya , yemwe angakuthandizeni kuyamba. Ndi zakudya ziti zomwe zimayambitsa zizindikiro za celiac?
Gluten amapezeka mwachibadwa mu tirigu ndi zinthu zina zopangidwa kuchokera ku tirigu. Izi zikutanthauza:- Tirigu (mitundu yonse monga semolina, durum, bulgur, spelled, couscous)
- Balere (ndi chimera chopangidwa ndi barele)
- Rye
Mbewu izi zimagwiritsidwa ntchito popanga:- Zakudya za buledi ndi buledi
- Chimanga chotentha ndi chozizira
- Mitundu ya Zakudya ndi pasitala
- Mowa, Lager ndi Ale
- Mowa wokhala ndi malt
- Viniga wa malt
Kuphatikiza apo, gluten imawonjezedwanso ku zakudya zambiri zokonzedwa . Mwachitsanzo:- Supu ndi sosi
- Ma saladi ndi zokometsera zokometsera
- Nyama zokonzedwa (monga hot dog, nyama zokazinga)
- Tchizi chokonzedwa, yogurt ndi zinthu za ayisikilimu
- Zakudya zopakidwa
- Chakudya chokoma
Chofunika: Musanadye zakudya zokonzedwa kale, yang'anani chizindikirocho kuti muwonetsetse kuti palibe gluten yobisika.
Malangizo achidule oti muzitha kukhala ndi matenda a celiac:
- Pangani menyu yoti musankhe kunyumba. Yang'anani m'mabuku a maphikidwe ndikusankha maphikidwe angapo omwe mungadye nthawi zonse komanso omwe ndi osavuta kupanga. Khalani ndi chizolowezi chosunga zosakaniza zomwe mukufuna kunyumba nthawi zonse.
- Sungani zokhwasula-khwasula zingapo zopanda gluteni m'galimoto yanu, m'chikwama, kapena pa desiki la ofesi. Zidzakuthandizani ngati simungapeze china chilichonse choti mudye mukatuluka m'nyumba.
- Pezani malo odyera ochepa omwe ali ndi menyu yodalirika yopanda gluten kapena omwe mukudziwa kuti mutha kuyitanitsa kuchokera kwa iwo mosamala.
- Ngati simukudziwa bwino zomwe zili mu chakudya chatsopano, ndi bwino kusunga mizere yoyesera ya gluten pafupi kuti muwone ngati ili ndi gluten.
Pomaliza, zomwe muyenera kukumbukira
Kuzindikira matenda a celiac kudzasintha zakudya zanu ndi moyo wanu kwamuyaya. Ndipo kudzasintha moyo wanu kukhala wabwino . Musanapezeke ndi matendawa, mwina munkadya gluten ndikuwononga pang'onopang'ono matumbo anu ang'onoang'ono. Mwina munali ndi zizindikiro zachilendo komanso zosasangalatsa kwa zaka zambiri osadziwa ngakhale kuti ndi chiyani. Tsopano popeza mukudziwa, muli ndi mphamvu zokonzanso thanzi lanu. Musadandaule, ngati mutachita bwino, mutha kukhala ndi thanzi labwino!
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