Ese hari igihe ubabara mu nda cyangwa ukarwara igifu iyo uriye ikintu nk'umugati cyangwa ibisuguti? Cyangwa hari abantu bagira akamenyero ko kutarya ikintu icyo ari cyo cyose? Uyu munsi tugiye kuvuga ku ndwara ishobora kuba ifitanye isano n'ikintu nk'icyo. Iyo ni indwara ya Celiac. Nubwo ibi bisa nkaho bigoye gato, reka tubisobanukirwe mu buryo bworoshye.
Indwara ya celiac ni iki?
Mu magambo make, indwara ya celiac ni indwara iterwa n'ikibazo
kiri mu buvuzi bwacu bw'umubiri . Ibi byitwa "autoimmune disorder". Ikibaho muri ibi ni uko iyo turya ibiryo birimo poroteyine yitwa "gluten", ubudahangarwa bw'umubiri wacu burabyihanganira. Mu by'ukuri, umubiri wacu utekereza ko iyi gluten ari umwanzi. Hanyuma ikora ubudahangarwa bwo kwibasira uwo mwanzi. Ariko, izi "antibody" zangiza
urukuta rw'imbere (mucosa) rw'amara yacu mato . Kubera uku kwangirika, amara mato ntashobora kwinjiza neza intungamubiri ziri mu biryo. Ni bwo haba hari
ikibazo cy'imirire mibi . Iyi poroteyine yitwa "gluten" iboneka cyane cyane mu binyampeke. Cyane cyane mu bintu nk'ingano
, sayiri, na rye . Urabizi, ibiryo byinshi turya, nk'umugati, makaroni, keke, na biscuits, bikorerwa muri ibi binyampeke. Si ibyo gusa, ahubwo rimwe na rimwe ndetse n'isosi, isupu, n'ibiribwa bipfunyitse tutanatekerezaho bishobora kuba birimo iyi gluten. Inzoga ikunze kandi gukorwa muri sayiri cyangwa rye.
Indwara ya celiac igira ingaruka zite ku mubiri wanjye?
Indwara ya Celiac ikunze kwibasira
amara yawe mato . Aha niho intungamubiri nyinshi ziri mu biryo turya zinjira. Ibi birimo poroteyine nka gluten. Ariko niba ufite indwara ya celiac, iyo gluten yinjiye mu mara yawe mato, ubudahangarwa bw'umubiri bwawe burakira. Ni ukuvuga ko ubudahangarwa bw'umubiri bwohereza uturemangingo n'uturemangingo tw'umubiri kugira ngo dusenye uturemangingo twa gluten. Utwo turemangingo twangiza igice cy'imbere cy'amara mato, mucosa. Tekereza nawe, imbere mu mara yacu mato hakozwe neza cyane. Urukuta rwayo rw'imbere ntabwo rumeze neza gusa. Rufite imikufi myinshi, kandi rwuzuyemo utudomo duto nk'utw'intoki, twitwa
villi . Utwo turemangingo dutanga ubuso bunini bwo kwinjiza intungamubiri nyinshi zishoboka mu gihe cyo gusya. Rushobora kuba runini nk'ikibuga cya tenisi uramutse ururamburiye! Ariko uturemangingo tw'ubudahangarwa tuzana indwara ya celiac
turagabanya kandi tugatuma ibi byose `(villi)` bigabanuka , bigagabanya ubuso buhari bwo kwinjiza intungamubiri.
Ese indwara ya celiac ni mbi?
Yego, kwangirika kw'amara mato bishobora kugira
ingaruka zikomeye . Nkuko nabivuze mbere, amara mato niho intungamubiri ziri mu biribwa zinjira muri `(mucosa)`. Rero iyo `(mucosa)` yangiritse, ntabwo ikora neza. Ibi tubyita
Ibi byitwa 'malabsorption'. Iyi '(malabsorption)' ishobora gutera 'imirire mibi' . Nanone, izindi ndwara nyinshi zishobora guterwa no kubura intungamubiri zitandukanye. Iyo iyi ndwara igize ingaruka ku bana bato by'umwihariko, imikurire yabo n'iterambere ryabo bishobora kwangirika. Ni nde urwara indwara ya celiac?
Indwara ya Celiac ikunze kugaragara cyane mu bantu bakomoka mu Burayi bw'Amajyaruguru. Bivugwa ko hafi 1% by'abaturage bo mu Burayi na Amerika y'Amajyaruguru bayirwaye. Niba hari umuntu wo mu muryango wawe (uwo mu muryango wawe wo ku rwego rwa mbere, nka nyina, se, cyangwa umwana) ufite iyi ndwara, nawe ufite amahirwe agera kuri 10% yo kuyirwara. 97% by'abantu basanzwe barwaye indwara ya Celiac bafite ubwoko bwihariye bw'uturemangingo tuyitera. Izi zitwa `(HLA-DQ2)` cyangwa `(HLA-DQ8)`. Ese hari ibindi bintu bishobora gutera ibyago?
Indwara ya Celiac ikunze kugaragara cyane ku bantu bafite indwara zimwe na zimwe za chromosomes bavukana , nka Down syndrome. Ikunze kandi kugaragara cyane ku bantu bafite izindi ndwara zimwe na zimwe za autoimmune . Izi ndwara zikunze gusangira utunyangingo, kandi zishobora gutera izindi. Kimwe n'izindi ndwara za autoimmune, indwara ya celiac ikunze kugaragara cyane ku bagore kurusha ku bagabo . Igipimo ni hafi ebyiri kuri imwe (2:1). Ufite amahirwe menshi yo kurwara indwara ya celiac niba ufite:
- Niba uri umuzungu.
- Niba hari umuntu wo mu muryango wawe ufite iyi ndwara.
- Niba ufite ikibazo cya chromosome nka `(Turner syndrome)`, `(Williams syndrome)` cyangwa `(Down syndrome)`.
- Niba ufite indi ndwara y’ubwiyongere bw’umubiri nka `(Diyabete yo mu bwoko bwa 1)`, `( rubagimpande yo mu bwonko)`, `(colitis yo mu bwonko yo mu bwoko bwa microscopic)` cyangwa `(indwara ya Addison)`.
- Niba uri umugore.
Ni iki gitera indwara ya celiac?
Indwara nyinshi ziterwa n’ubwiyongere bw’umubiri, nk’indwara ya celiac, nibura ni zimwe mu ndwara ziterwa n’uturemangingo . Ni ukuvuga ko ushobora kuyirwara bitewe n’ubwoko bw’uturemangingo runaka buhererekanwa mu miryango kuva ku gisekuru kugeza ku kindi. Ariko, si buri wese ufite ubwo bwoko bw’uturemangingo uzarwara, kandi si buri wese urwaye ubwo bwoko bw’uturemangingo buzwi. Bigaragara ko hari n’ibindi bintu bigira uruhare mu gutangira kwandura. Ni gute umuntu yandura indwara ya celiac?
Imwe mu nyigisho ni uko stress ikomeye ishobora kwangiza ubudahangarwa bw'umubiri bwacu.Bikekwa ko ishobora guterwa n'ikintu giteye ihungabana. Abaganga babonye ko iyi ndwara igaragara nyuma y'ikintu kigaragara nko kubagwa, kurwara, gutwita, cyangwa gukomereka gukomeye mu mutwe. Indi nyigisho ni uko hari udukoko tuba mu mara yacu (udukoko two mu mara) . Iyi nyigisho ikeneye ubushakashatsi bwimbitse. Indwara ya celiac igaragara ryari?
Indwara ya Celiac ishobora kugaragara mu myaka iyo ari yo yose nyuma yuko wowe cyangwa umwana wawe mutangiye kurya gluten . Abaganga bakunze kuyibona mu matsinda abiri y'imyaka: abana bato, hagati y'amezi 8 na 12 , n'imyaka yo hagati, hagati y'imyaka 40 na 60. Impamvu igaragara hakiri kare ni uko abana bakunze gutangira kurya ibiryo bikomeye, nk'ibisuguti n'ibinyampeke, birimo gluten. Ni ibihe bimenyetso by'indwara ya celiac?
Ibimenyetso by'indwara ya celiac bishobora gutandukana cyane bitewe n'umuntu ku wundi, bityo bikaba bigoye kuyisuzuma. Hari abantu batagira ibimenyetso na gato. Hari abantu bagira ibimenyetso byo mu gifu (GI) nyuma yo kurya gluten. Abandi bashobora kugira ibimenyetso bidasobanutse neza by'ibura ry'imirire nyuma yo kwangirika. Muri abo bantu, kubura amaraso bishobora kuba ikimenyetso cya mbere cy'iyi ndwara. Ushobora kugira ibimenyetso nk'ibi:
Ibimenyetso by'igifu:
Ibimenyetso by'indwara yo kubura icyuma:
Ibindi bimenyetso by'imirire mibi:
- Kugabanya ibiro utabigambiriye
- Gutinda gukura no kudakura neza mu bana (Kunanirwa gukura neza)
- Gutakaza imitsi cyangwa imitsi ikagira imiterere mike
- Ubusembwa bw'amenyo, urugero nk'ibice by'amenyo, ibara, cyangwa isura irabagirana
- Gutera imihango idahwitse cyangwa kugorwa no gutwita
- Guhindagurika kw'amarangamutima, akenshi guhangayika mu bana no kwiheba mu bantu bakuru
Abantu bagera kuri 15% barwaye indwara ya celiac barwara iyi ndwara idakira y'uruhu nk'ingaruka mbi. Nanone yitwa 'gluten rash' cyangwa 'celiac rash' . Utunyangingo twa gluten twangiza amara mato mu ndwara ya celiac ni two dutera iyi ndwara. Dermatitis herpetiformis ni uduheri duto dusharira, dusa n'uduheri cyangwa eczema. Akenshi tugaragara ku nkokora, mu mavi, ku matako, cyangwa ku mutwe. Wamenya ute ko urwaye indwara ya celiac?
Niba ugize ibibazo byo mu gifu nyuma yo kurya gluten, ushobora gukeka ko ufite indwara ya celiac. Abantu benshi basa n'aho bafite ikibazo cyo kumva gluten cyangwa ingano mu mirire yabo. Kutaryoherwa n'ibiryo bishobora gutera ibimenyetso bitameze neza nyuma yo kurya ibiryo, ariko ntibitera kwangirika kw'amara nk'indwara ya celiac. Kugira ngo bamenye indwara ya celiac, abaganga bashaka ibimenyetso by'iyi ndwara. Igikuru ni ugusuzuma indwara ya celiac mbere yo gutangira indyo idafite gluten. Icyo gihe ibizamini bizagaragaza uburyo gluten igira ingaruka ku mubiri wawe. Iyo uhagaritse kurya gluten, amara yawe azatangira gukira. Gukira ni byiza, ariko ibimenyetso by'indwara ya celiac bizashira. Wowe na muganga wawe mugomba kumenya neza niba uyirwaye, kugira ngo mushobore guhitamo ubwoko bw'ubuvuzi mukeneye mu gihe kiri imbere.
Ni gute abaganga bapima indwara ya celiac?
Abaganga bakoresha uburyo bubiri kugira ngo bapime indwara ya celiac. Bakunda gukoresha byombi hamwe kugira ngo bemeze ko icyorezo cyagaragaye. Ubwa mbere ni isuzuma ry'amaraso . Abaganga bashakisha uturemangingo tw’umubiri mu maraso yawe dukora kurwanya gluten. Hanyuma, bashakisha ibyangiritse. Ibi bikubiyemo gufata icyitegererezo gito cy’uturemangingo (biopsy) mu mara mato yawe bakagisuzuma bakoresheje mikorosikopi. Kugira ngo bafate iki cyitegererezo, umuganga w’indwara z’igifu azakora isuzuma rya endoskopi mu mara mato yawe. Endoskopi ni ikizamini gikubiyemo gushyiramo umuyoboro muremure kandi muto ufite kamera nto imbere. Mu gihe cyo gupima endoskopi yo hejuru , endoskopi yoherezwa mu muhogo ikagera mu gice cyo hejuru cy’amara mato, cyitwa duodenum . Hashingiwe ku mashusho yabonetse muri kamera, umuganga ukora endoskopi ashobora kohereza ibikoresho muri uwo muyoboro agafata biopsy. Ibizamini by'inyongera
Iyo indwara ya celiac imaze kwemezwa, muganga wawe azashaka gusuzuma amaraso yawe kugira ngo arebe niba hari ikibazo cy’ibura rya vitamine na myunyungugu runaka . Ibura rikomeye rishobora kugira ingaruka zitandukanye ku mubiri wawe kandi rishobora gukenera kuvurwa mu buryo butaziguye n’inyongeramusaruro. Ikunze kugaragara ni ibura ry’ubutare , ibura ry’ubudahangarwa bwa vitamine , n’ibura rya vitamine D. Ushobora kandi kugira electrolytes nke, nka kalisiyumu. Indwara ya celiac ivurwa ite?
Intambwe ya mbere kandi y'ingenzi mu kuvura indwara ya celiac ni ukureka burundu kurya gluten . Ntushobora guhindura uburyo umubiri wawe witwara kuri gluten, ariko ushobora gukumira gluten gutera iyo reaction. Iyo uhagaritse kurya gluten, amara yawe mato azatangira gukira kandi vuba aha azabasha kongera kwinjiza intungamubiri. Ariko, uzakenera gukomeza indyo itagira gluten ubuzima bwawe bwose kugira ngo wirinde ko amara yawe mato yangirika. Ubundi buryo bwo kuvura bushobora kuba burimo:
* Niba hari ibitagenda neza cyane, fata inyongeramusaruro kugira ngo ubikosore.
* Kuvura dermatitis herpetiformis ukoresheje imiti yihariye nka dapsone.
* Corticosteroids yo kuvura ububyimbirwe bukomeye budakira vuba mu mirire.
* Kwita ku barwayi buri gihe, harimo no kwisuzumisha buri gihe, kugira ngo barebe ko indwara iri mu nzira yo kuyirwanya.
Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kuvurwa?
Ku bantu benshi , ibimenyetso bitangira kumera neza nyuma yo gutangira indyo idafite gluten . Bishobora gufata ibyumweru bike kugira ngo ikibazo cy’imirire mibi gikemuke, kandi bishobora gufata amezi make kugira ngo amara yawe akire neza. Hari ubwo bishobora gufata igihe kirekire, bitewe n’ingano y’ibyangiritse n’igihe bimaze. Iyo udakurikije indyo ihamye, gukira bishobora gutinda. Ni iki kizere cy’abantu barwaye indwara ya celiac?
Abantu benshi bapimwe bakareka kurya gluten bashobora kwitega ko bazakira neza . Ibyinshi mu byangiritse biterwa n'indwara ya celiac bishobora gusubizwa inyuma. Iyo ukomeje kugira ibimenyetso, ushobora kuba urya gluten nkeya utabizi, cyangwa ushobora kuba ufite indi ndwara. Abantu bagera kuri 5% gusa ni bo bafite indwara ya celiac idakira, idakira iyo umuntu agenzuye indyo. Bigenda bite niba utarareka kurya gluten? Ni izihe ngorane z'igihe kirekire?
Iyo ufashwe nyuma y’imyaka myinshi, cyangwa niba udashobora kwirinda kurya gluten nyuma yaho, ingaruka z’indwara ya celiac zishobora kuba mbi cyane kandi zikamara igihe kirekire . Ingorane ziterwa n'imirire mibi idakira:
- Rickets ku bana cyangwa osteomalacia ku bantu bakuru.
- Osteopenia ( kugabanya amagufwa) na osteoporosis ( kubura amagufwa).
- Ubusembwa buhoraho mu mazi y'amenyo.
- Ingaruka ku mitsi (peripheral neuropathy), harimo kubura ibinure no kuribwa, imitsi kunyeganyega, hamwe n'ibibazo byo kuringaniza no guhuza imikorere y'umubiri (ataxia).
- Gutinda gukura no gukura mu bana, bigatuma badakura neza.
- Kugorwa no gushyira ubwenge ku bintu no kwiga.
Ingorane zo kubyimba igihe kirekire:
- Ubudahangarwa bw'umubiri bugabanuka : Iyo ubudahangarwa bw'umubiri bwawe buhora bukora cyane, bugira ubushobozi buke bwo guhangana n'ibibazo byihutirwa nk'indwara. Ibi bishobora kongera ibyago byo kurwara.
- Izindi ndwara zo kutabasha kurya : Uko amara yawe akomeje kwangirika, ushobora kunanirwa gusya intungamubiri wari usanzwe ubasha gusya. Urugero , kutabasha kurya neza lactose bishobora kuvuka.
- Ibisebe n'inkovu : Ubushyuhe bukomeye bushobora gutera ibisebe mu mara mato. Igisebe gikomeye gishobora no kunyura mu rukuta rw'amara (gutobora mu nda), ibyo bikaba ari ikibazo cyihutirwa cy'ubuvuzi. Ubushyuhe bushobora gutera inkovu mu mara no kugabanya amara (stricture), ibyo bikaba bishobora gutera kuziba amara .
- Indwara ya kolajeni : Iyi ndwara idakunze kugaragara itera kolajeni ihoraho mu mara mato, ishobora kwangiza burundu uburyo intungamubiri zinjira mu mubiri.
- Indwara y'umwijima : Uko igihe kigenda gihita, ushobora kurwara indwara y'umwijima idakira no kwangirika k'umwijima buhoro buhoro.
- Kanseri : Kubyimba gukabije byongera ibyago byo kurwara kanseri y'amara mato (lymphomas zo mu mara, adenocarcinoma y'amara) na kanseri yo mu muhogo .
Ni gute wamenyera indyo idafite gluten?
Mu ntangiriro, kwirinda gluten yose bishobora kugaragara nk'aho ari ibintu biremereye. Ugomba kwiga gusoma ibyapa no kwitondera kwanduza gluten ku buryo butunguranye. Inkuru nziza ni uko hari uburyo bwinshi bwo kugufasha gutangira indyo yawe nshya. Muganga wawe ashobora kukwemerera inzobere mu mirire , ushobora kugufasha gutangira. Ni ibihe biribwa bitera ibimenyetso bya celiac?
Gluten iboneka mu binyampeke bimwe na bimwe n'ibicuruzwa bikozwe mu binyampeke. Ibyo bivuze:- Ingano (ubwoko bwose nka semolina, durum, bulgur, spelled, couscous)
- Sayiri (n'uburo bikozwe muri sayiri)
- Ifu ya rye
Ibi binyampeke bikoreshwa mu gukora:- Ibikoresho by'imigati n'imigati
- Ibinyampeke bishyushye n'ibikonje
- Ubwoko bwa noodles na makaroni
- Inzoga, Lager na Ale
- Alcool irimo malt
- Vinegere y'uburo
Byongeye kandi, gluten yongerwa mu biribwa byinshi byatunganyijwe . Urugero:- Isupu n'isosi
- Isosi za salade n'ibirungo
- Inyama zatunganyijwe (nk'inyama zishyushye, inyama ziryoshye)
- Foromaje, yawurute na ice cream byatunganyijwe
- Amafunguro apfunyitse
- Ibiryo biryoshye
Icy'ingenzi: Mbere yo kurya ibiryo byatunganyijwe, reba ku rupapuro rwabigenewe kugira ngo urebe neza ko nta gluten ihishe irimo.
Inama zihuse zo kubaho urwaye indwara ya celiac:
- Kora menu yo mu rugo. Reba mu bitabo by'amafunguro hanyuma uhitemo resept nke ushobora kurya buri gihe kandi zoroshye guteka. Gira akamenyero ko guhora ubika ibikoresho ukeneye mu rugo.
- Shyira utuntu duke tudafite gluteni mu modoka yawe, mu gikapu cyawe, cyangwa ku meza yo mu biro. Bizagufasha niba udafite ikindi kintu cyo kurya uvuye mu rugo.
- Shaka resitora nke zifite menu zitagira gluten cyangwa uzi ko ushobora gutumizaho nta kibazo.
- Iyo utazi neza ibiri mu biribwa bishya, ni byiza kandi kubika udupapuro two gupima gluten hafi kugira ngo urebe niba birimo gluten.
Amaherezo, icyo kwibuka
Gusuzuma indwara ya celiac bizahindura imirire yawe n'imibereho yawe burundu. Kandi bizahindura ubuzima bwawe bukamera neza . Mbere yuko upimwa, ushobora kuba wararyaga gluteni ikangiza amara yawe buhoro buhoro. Ushobora kuba waramaze imyaka myinshi ufite ibimenyetso bidasanzwe kandi bitagushimishije utazi n'ibyo ari byo. Noneho ko umaze kubimenya, ufite imbaraga zo kongera kubaka ubuzima bwawe. Ntugahangayike, niba uyifashe neza, ushobora gukomeza kugira ubuzima bwiza!
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.