Kodi muli ndi matenda a Celiac? Umu ndi momwe mungadziwire motsimikiza! (Matenda a Celiac)

Kodi nthawi zambiri mumakhala ndi ululu m'mimba, kudzimbidwa, kapena kumva kudzimbidwa mosasamala kanthu kuti mumadya motani? Mungaganize kuti izi ndi zachilendo, kapena kuti ndi chifukwa chakuti chakudya chomwe mukudya chimakhala chokometsera kwambiri. Koma zizindikirozi zitha kukhala chizindikiro cha vuto lomwe anthu ambiri sadziwa, koma lomwe lingathetsedwe kwathunthu ngati litadziwika bwino. Lero tikulankhula za matenda a Celiac, omwe anthu ambiri sanamvepo. Ndipotu, ofufuza amati munthu m'modzi mwa asanu okha ndi omwe ali ndi matendawa amadziwa kuti ali nawo. Ndicho chifukwa chake ndikofunikira kwambiri kudziwa za matendawa.

Mwachidule, kodi matenda a Celiac ndi chiyani?

Mwachidule, ndi vuto la chitetezo chathu chamthupi. Tikadya zakudya zopangidwa kuchokera ku tirigu ndi barele (buledi, ma buns, Zakudya zokhwasula-khwasula, makeke), chitetezo chathu chamthupi chimayamba kulimbana ndi mapuloteni otchedwa gluten omwe ali m'mapuloteniwo. Kulimbana kumeneku kumawononga matumbo athu ang'onoang'ono. Pakapita nthawi, kuwonongeka kumeneku kumapangitsa kuti thupi lathu lisathe kuyamwa michere yomwe limafunikira. Ichi ndi chomwe timachitcha Matenda a Celiac. Ichi si vuto lachizolowezi la chakudya, koma vuto lovuta kwambiri.

Kuzindikira Matenda: Kodi tingadziwe bwanji motsimikiza?

Zizindikiro za matendawa zimatha kusiyana kwambiri malinga ndi munthu. Ngakhale anthu ena amakumana ndi zizindikiro monga kuvutika m'mimba, kudzimbidwa, ndi kutsegula m'mimba, ena amatha kukhala ndi zizindikiro monga kuchepa thupi, kupweteka kwa mafupa, mavuto a khungu, kapena kutopa kosalekeza. Popeza zizindikirozi siziyamba nthawi imodzi, nthawi zina zimatenga zaka kuti munthu adziwe matendawa.

Koma ngati mukuganiza kuti muli ndi zizindikiro izi, samalani kwambiri ndi zinthu izi:

• Mbiri ya Banja: Ngati wina m'banja mwanu (amayi, abambo, mchimwene, mlongo, mwana) ali ndi matenda a Celiac, inunso muli pachiwopsezo chotenga matendawa. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu kuti akayesedwe.
• Matenda ena: Ngati muli ndi matenda ena odziteteza ku matenda a autoimmune, monga Type 1 Diabetes, autoimmune heart disease, kapena thyroid disease, ndikofunikira kwambiri kuti muyesedwe Celiac Disease.

Chofunika kwambiri: Musasiye kudya gluten musanayese mayeso!

Ichi ndi cholakwika chachikulu chomwe anthu ambiri amachita. Amaganiza kuti mwina ali ndi matenda a Celiac ndipo amasiya kudya zakudya zokhala ndi gluten (monga buledi ndi roti) asanapite kwa dokotala. Chonde musachite zimenezo.

Chifukwa chake n'chakuti kuti mayeso akhale olondola, muyenera kukhala ndi gluten m'thupi lanu. Ngati musiya kudya gluten, mayesowo sangazindikire matendawa. Kenako mutha kupeza matenda olakwika.

Ngati mwasintha kale kudya zakudya zopanda gluteni, dokotala wanu angakufunseni kuti muchite "vuto la gluten." Izi zikutanthauza kuti muyenera kudya zakudya zinazake zokhala ndi gluteni (monga, zidutswa zinayi za buledi patsiku) tsiku lililonse kwa milungu ingapo (nthawi zambiri pafupifupi milungu 8) musanayesedwe. Izi zitha kukhala zovuta pang'ono, koma ndikofunikira kuti mupeze matenda olondola.

Kodi mayeso awa ndi ati?

Pali mitundu ingapo yayikulu ya mayeso ozindikira matenda a Celiac. Yoyamba ndi mayeso a magazi ndi majini.

Mayeso a Magazi ndi Majini

Izi ndi mayeso oyambirira. Zotsatira zake ndi zomwe zidzatsimikizire zomwe mungachite kenako.

• Kuyezetsa Magazi: Izi zimayesa mitundu ina ya ma antibodies m'magazi mwanu. Munthu amene ali ndi matenda a Celiac akadya gluten, thupi lake limapanga ma antibodies amenewa. Choncho ngati kuchuluka kwa ma antibodies amenewa m'magazi kuli kwakukulu kuposa kwachibadwa, ndi chizindikiro champhamvu chakuti mwina muli ndi matenda a Celiac.
• Kuyesa Majini: Izi zimayesa majini anu kuti aone ngati muli ndi majini a HLA-DQ2 ndi HLA-DQ8 . Ngati mulibe majini awa, simungathe kukhala ndi matenda a Celiac. Kuyesa kumeneku kungachitike pogwiritsa ntchito magazi, malovu, kapena swab ya maselo ochokera mkati mwa pakamwa panu.

Koma kumbukirani, mayeso awa okha sangatsimikizire 100% kuti muli ndi matenda a Celiac. Ngati mayesowa akupangitsa kuti muyambe kukayikira za matendawa, mayeso otsatira ofunikira kwambiri ndi endoscopy.

Endoscopy yotsimikizira matendawa

Anthu ena angaope akamva dzinali, koma si loopsa kwenikweni. Uwu ndi mayeso omwe amagwiritsidwa ntchito kutsimikizira ngati muli ndi matenda a Celiac kapena ayi.

Izi zimaphatikizapo kulowetsa chubu chopyapyala komanso chosinthasintha (scope) chokhala ndi kamera kakang'ono komwe kamalumikizidwa kudzera pakamwa panu ndikutsika mummero wanu kupita kumatumbo anu ang'onoang'ono. Izi zimathandiza dokotala wanu kuwona ngati pali kuwonongeka kulikonse kwa mkati mwa matumbo anu ang'onoang'ono.

Pa nthawiyi, dokotala amatenga chidutswa chaching'ono kwambiri cha minofu kuchokera pakhoma la matumbo ang'onoang'ono. Izi zimatchedwa biopsy . Chidutswachi cha minofu chimatumizidwa ku labotale ndikuchiyang'ana pogwiritsa ntchito maikulosikopu.

Kodi n’chiyani chikufunidwa mu biopsy?

Khoma lamkati la matumbo athu ang'onoang'ono athanzi lili ndi tinthu tating'ono tomwe timaoneka ngati zala totchedwa villi . Tili ngati ulusi womwe uli mu kapeti yokhuthala. Ntchito yawo yayikulu ndikutenga michere kuchokera muzakudya zomwe timadya.

Munthu amene ali ndi matenda a Celiac, ma villi amenewa amawonongeka ndipo amaphwanyika. Kuyezetsa magazi kudzayang'ana ngati ma villi anu awonongeka motere. Ngati awonongeka, umenewo ndi umboni wamphamvu kwambiri wakuti muli ndi matenda a Celiac.

Endoscopy iyi imatenga pafupifupi mphindi 15. Ndipo dokotala amachita zonse zomwe angathe kuti musamve bwino panthawiyi.