Dzimwe nguva unomborwadziwa nemudumbu here kana kuti unorwadziwa nemudumbu kana uchidya chimwe chinhu chakadai sechingwa kana mabhisikiti? Kana kuti vamwe vanhu vane katsika kekusadya chero chinhu here? Nhasi tichataura nezvechirwere chinogona kunge chakabatana nechimwe chinhu chakadai. Ichi chirwere cheCeliac. Kunyangwe izvi zvingaita sezviri nyore, ngatizvinzwisisei zviri nyore.
Chii chinonzi chirwere checeliac?
Zvichitaurwa zviri nyore, chirwere checeliac chirwere chinokonzerwa
nedambudziko riri muimmune system yedu . Izvi zvinonzi "autoimmune disorder". Chinoitika apa ndechekuti patinodya chikafu chine protein inonzi "gluten", immune system yemuviri wedu inochirwisa. Kutaura chokwadi, muviri wedu unofunga kuti iyi gluten muvengi. Zvadaro inogadzira ma antibodies ekurwisa muvengi iyeye. Zvisinei, aya "ma antibodies" anokuvadza
rusvingo rwemukati (mucosa) rweura hwedu hudiki . Nekuda kwekukuvara uku, ura hudiki hahugone kupinza zvinovaka muviri zviri muchikafu zvakanaka. Ndipo panoitika
kushomeka kwezvekudya . Iyi protein inonzi "gluten" inonyanya kuwanikwa muzviyo. Kunyanya muzvinhu zvakaita
segorosi, bhari, ne rye . Unoziva, chikafu chakawanda chatinodya, sechingwa, pasta, makeke, nemabhisikiti, chinogadzirwa kubva muzviyo izvi. Kwete izvozvo chete, asi dzimwe nguva kunyange masosi, soups, uye chikafu chakapetwa chatisingafungi nezvacho chinogona kuva ne gluten iyi. Doro rinowanzogadzirwawo nebhari kana rye.
Chirwere checeliac chinokanganisa sei muviri wangu?
Chirwere cheCeliac chinonyanya kukanganisa
ura hwako hudiki . Apa ndipo panonyudzwa zvinovaka muviri zvakawanda muchikafu chatinodya. Izvi zvinosanganisira mapuroteni akaita segluten. Asi kana uine chirwere checeliac, kana gluten ikapinda muura hwako hudiki, immune system yako inopindura. Kureva kuti, immune system inotuma masero nema antibodies kuti aparadze mamorekuru egluten. Masero aya anokuvadza mukati meura hudiki, mucosa. Funga nezvazvo, mukati meura hwedu hudiki makagadzirwa zvakanaka kwazvo. Rusvingo rwayo rwemukati harungori rwakapfava chete. Rune makomba akawanda, uye rwakazara nezvidimbu zvidiki zvakaita seminwe, zvinonzi
villi . Ma villi aya anopa chikafu chako nzvimbo yakakura yekunyudza zvinovaka muviri zvakawanda sezvinobvira panguva yekugaya. Inogona kunge yakakura senhandare yetennis kana ukaitambanudza! Asi masero ekudzivirira muviri anouya nechirwere checeliac
anotsvedza uye anotsvedza ese aya `(villi)`, zvichideredza nzvimbo inowanikwa yekunyudza zvinovaka muviri.
Chirwere checeliac chine njodzi here?
Ehe, kukuvara kweura hudiki kunogona kuva
nemigumisiro yakakomba . Sezvandambotaura, ura hudiki ndimo munowanikwa zvinovaka muviri zviri muchikafu kuburikidza ne `(mucosa)`. Saka kana `(mucosa)` ikakuvara, haishande nemazvo. Tinozvidaidza kuti
Izvi zvinonzi 'malabsorption'. Izvi zvinogona kukonzera 'kushaya kudya kwakakwana' . Zvakare, zvimwe zvirwere zvakawanda zvinogona kuitika nekuda kwekushaikwa kwezvinovaka muviri zvakasiyana-siyana. Kana chirwere ichi chikakanganisa vana vadiki zvikuru, kukura kwavo kunogona kukanganisika. Ndiani anowana chirwere checeliac?
Chirwere cheCeliac chinowanzoonekwa nevanhu vanobva kuNorthern Europe. Zvinofungidzirwa kuti vanhu vanosvika 1% muEurope neNorth America vane chirwere ichi. Kana mumwe munhu mumhuri yako (hama yepedyo, saamai, baba, kana mwana) aine chirwere ichi, une mukana we10% wekuchibatawo. 97% yevanhu vanoonekwa vaine chirwere checeliac vane majini akasiyana-siyana anobatanidzwa nacho. Izvi zvinonzi `(HLA-DQ2)` kana `(HLA-DQ8)`. Pane zvimwe zvinhu zvinoisa njodzi here?
Chirwere cheCeliac chinowanzoonekwa nevanhu vane mamwe matambudziko echromosome akagarwa nhaka , akadai seDown syndrome. Chinowanzoonekwawo nevanhu vane mamwe matambudziko e autoimmune . Zvirwere izvi zvinowanzo fanana majini, uye zvinogona kukonzerana. Kufanana nezvimwe zvirwere zve autoimmune, chirwere checeliac chinowanzoonekwa muvakadzi kupfuura varume . Chiyero chacho chingangoita zviviri kune chimwe (2:1). Une mukana wekuwana chirwere checeliac kana uine:
- Kana uri murungu.
- Kana paine munhu mumhuri yako ane chirwere ichi.
- Kana uine kusagadzikana kwema chromosome akadai se `(Turner syndrome)`, `(Williams syndrome)` kana `(Down syndrome)`.
- Kana uine chimwe chirwere che autoimmune chakadai se `(Type 1 diabetes)`, `(rheumatoid arthritis )`, `(microscopic colitis)` kana `(Addison's disease)`.
- Kana uri mukadzi.
Chii chinokonzera chirwere checeliac?
Zvirwere zvakawanda zve autoimmune, zvakaita sechirwere checeliac, zvine chikamu chezvirwere zvemajini . Kureva kuti, une mukana wekuzviwana nekuda kwechimwe chimiro chemajini chinopfuudzwa kubva kuchizvarwa kuenda kuchizvarwa mumhuri. Zvisinei, havasi vese vane chimiro chemajini ichocho vachawana chirwere ichi, uye havasi vese vanowana chirwere ichi vachawana chimiro chemajini ichocho. Zvinoita sekuti zvimwe zvinhu zvine chekuitawo nekutanga kwechirwere ichi. Munhu anowana sei chirwere checeliac?
Imwe dzidziso ndeyekuti kushushikana kwakanyanya mumuviri kunogona kukanganisa masoja edu ekudzivirira muviri.Zvinofungidzirwa kuti zvinogona kukonzerwa nechiitiko chinorwadza. Vanachiremba vakaona kuti chirwere ichi chinoonekwa mushure mechiitiko chemuviri chakadai sekuvhiyiwa, kurwara, pamuviri, kana kukuvara kwepfungwa kwakanyanya. Imwe dzidziso ndeyekuti tupukanana tunogara muura hwedu (tupukanana muura) tunobatanidzwa. Dzidziso iyi inoda kutsvakurudzwa kwakawanda. Chirwere checeliac chinoonekwa rini?
Chirwere cheCeliac chinogona kukura chero pazera ripi zvaro mushure mekunge iwe kana mwana wako atanga kudya gluten . Vanachiremba vanowanzoiona mumapoka maviri ezera: vana vadiki, pakati pemwedzi 8 ne12 , uye zera repakati, pakati pemakore 40 ne60 . Chikonzero chinoita kuti ioneke ichiri zera ndechekuti vana vanowanzotanga kudya chikafu chakasimba, senge mabhisikiti nezviyo, zvine gluten. Ndezvipi zviratidzo zvechirwere checeliac?
Zviratidzo zvechirwere checeliac zvinogona kusiyana zvikuru kubva kumunhu kusvika kumunhu, saka zvinogona kuoma kuona. Vamwe vanhu havana zviratidzo zvachose. Vamwe vanhu vanowana zviratidzo zvemudumbu (GI) mushure mekudya gluten. Vamwe vanogona kungowana zviratidzo zvisinganzwisisike zvekushaikwa kwekudya mushure mekukuvadzwa kwaitwa. Muvanhu ava, anemia inogona kunge iri chiratidzo chekutanga chechirwere ichi. Unogona kuva nezviratidzo zvakaita seizvi:
Zviratidzo zvemudumbu:
Zviratidzo zve anemia yekushomeka kwesimbi:
- Kushaya simba uye kuneta
- Kutaridzika kusina kuchena (Kutsvuka kweganda)
- Maoko netsoka zvinotonhora
- Nzara dzakapfava kana dzakakombama
- Musoro
- Maronda emuromo
Zvimwe zviratidzo zvekushaya chikafu chakakwana:
- Kuderedza uremu kusingatarisirwi
- Kunonoka kukura uye kusakura zvakanaka kwevana (Kutadza kukura zvakanaka)
- Kupera simba kwetsandanyama kana kuti tsandanyama dzakaderera
- Zvikanganiso zvemazino, semuenzaniso, maburi, mavara, kana chitarisiko chinopenya
- Kuenda kumwedzi kusingaenderane nenguva kana kuoma kubata pamuviri
- Kuchinja-chinja kwemanzwiro, kunowanzo itika muvana uye kuora mwoyo muvakuru
Vanhu vanosvika 15% vane chirwere checeliac vanowana chirwere ichi cheganda chisingaperi semhedzisiro yaro. Chinonziwo 'gluten rash' kana kuti 'celiac rash' . Ma antibodies akafanana egluten anokuvadza ura hudiki muchirwere checeliac anokonzera chirwere ichi. Dermatitis herpetiformis ipundu rinokwenya, rakaungana rinoita semabhurugwa kana eczema. Rinowanzoonekwa pamagokora, mabvi, magaro, kana ganda remusoro. Ungaziva sei kana uine chirwere checeliac?
Kana ukasangana nematambudziko ekugaya chikafu mushure mekudya gluten, ungafungidzira kuti une chirwere checeliac. Vanhu vazhinji vanoita sevanonzwa gluten kana gorosi mukudya kwavo. Kusawirirana nechikafu kunogona kukonzera zviratidzo zvisingafadzi mushure mekudya chikafu, asi hazvikonzere kukuvadzwa kwedumbu senge chirwere checeliac. Kuti vaongorore chirwere checeliac, vanachiremba vanotsvaga humbowo hwekukuvara uku. Chinhu chinonyanya kukosha ndechekuongororwa chirwere checeliac usati watanga kudya chikafu chisina gluten. Ndipo panobva bvunzo dzacho pacharatidza kuti gluten iri kukanganisa sei muviri wako. Kana wangorega kudya gluten, ura hwako huchatanga kupora. Kuporeswa kwakanaka, asi ipapo humbowo hwechirwere checeliac huchanyangarika. Iwe nachiremba wako munofanira kuziva zvechokwadi kana muinacho, kuitira kuti mugone kusarudza rudzi rwekurapa kwamunoda mune ramangwana.
Vanachiremba vanoongorora sei chirwere checeliac?
Vanachiremba vanoshandisa nzira mbiri kuti vaongorore chirwere checeliac. Vanoda kushandisa zvese pamwe chete kuti vasimbise chirwere ichi. Chekutanga kuongororwa ropa . Vanachiremba vanotsvaga ma antibodies muropa rako anogadzirwa kurwisa gluten. Zvadaro, vanotsvaga kukuvara. Izvi zvinosanganisira kutora sampuli diki yenyama (biopsy) kubva muura hwako hudiki voiongorora pasi pemaikorosikopu. Kuti vatore sampuli iyi, gastroenterologist ichaita endoscopic yekuongorora ura hwako hudiki. Endoscopy ibvunzo inosanganisira kuisa chubhu refu, rakatetepa rine kamera diki mukati. Panguva ye endoscopy yepamusoro , endoscope inopfuudzwa pasi pehuro uye muchikamu chepamusoro cheura hudiki, chinonzi duodenum . Zvichibva pamifananidzo inoonekwa kubva pakamera, chiremba anoita endoscopy anogona kupfuudza zvishandiso nepachubhu uye kutora biopsy. Miedzo yekuwedzera
Kana chirwere checeliac changosimbiswa, chiremba wako achada kutarisa ropa rako kuti aone kana paine kushomeka kwemavhitamini nemaminerari . Kushomeka kwakanyanya kunogona kukanganisa muviri wako zvakasiyana-siyana uye kungangoda kurapwa zvakananga nezvinovaka muviri. Zvinonyanya kuzivikanwa ianemia yekushomeka kwesimbi , anemia yekushomeka kwevhitamini , uye kushomeka kwevhitamini D. Unogonawo kuva nemazinga mashoma e electrolytes, akadai se calcium. Chirwere checeliac chinorapwa sei?
Danho rekutanga uye rinokosha pakurapa chirwere checeliac nderekurega zvachose kudya gluten . Haugone kuchinja maitiro anoita muviri wako kune gluten, asi unogona kudzivirira gluten kuti isakonzere izvozvo. Kana wangorega kudya gluten, ura hwako hudiki huchatanga kupora uye huchakwanisa kunwa zvinovaka muviri munguva pfupi. Zvisinei, uchafanira kuramba uchidya zvekudya zvisina gluten kwehupenyu hwako hwese kuti udzivise kukuvara kwakanyanya muura hwako hudiki. Mamwe marapirwo anogona kusanganisira:
* Kana paine kushomeka kwakakomba, tora zvekudya zvinovaka muviri kuti uzvigadzirise.
* Rapa dermatitis herpetiformis nemishonga chaiyo yakaita sedapsone.
* Corticosteroids yekuzvimba kwakanyanya kusingakurumidze kupindura pakudya.
* Kurapwa nguva dzose, kusanganisira kuongororwa nguva dzose, kuti uve nechokwadi chekuti chirwere chacho chadzikamiswa.
Zvinotora nguva yakareba sei kuti munhu apore kubva pakurapwa?
Kune vanhu vazhinji , zviratidzo zvinotanga kuvandudzika mushure mekutanga kudya kusina gluten . Zvinogona kutora mavhiki mashoma kuti kushaya kwako kwekudya kugadziriswe, uye zvinogona kutora mwedzi mishoma kuti ura hwako hupore zvakakwana. Mune zvimwe zviitiko, zvinogona kutora nguva yakareba, zvichienderana nehukuru hwekukuvara uye kuti kwagara kwenguva yakareba sei. Kana usingatevedzere kudya kwakasimba, kupora kunogona kunonoka. Ndeipi tarisiro yevanhu vane chirwere checeliac?
Vanhu vazhinji vanoonekwa vaine chirwere ichi vorega kudya gluten vanogona kutarisira kupora zvakanaka . Kukuvadzwa kwakawanda kunokonzerwa nechirwere checeliac kunogona kugadziriswa. Kana ukaramba uine zviratidzo, unogona kunge uchidya gluten shoma usingazvizivi, kana kuti ungave uine chimwe chirwere. Vanhu vanosvika 5% chete ndivo vane chirwere checeliac chisingadzoreki, chisingapindure kana uchidya zvakanaka. Chii chinoitika kana ukasarega kudya gluten? Ndezvipi zvinetso zvinogara kwenguva refu?
Kana ukaonekwa uine chirwere ichi kwapera makore akawanda, kana kuti usingakwanise kudzivirira kudya gluten mushure mezvo, migumisiro yechirwere checeliac inogona kuva yakanyanya kuipa uye inogara kwenguva refu . Matambudziko ekushaya chikafu chakakwana kwenguva refu:
- Maronda emudumbu muvana kana osteomalacia muvakuru.
- Osteopenia ( kutetepa kwemapfupa) uye osteoporosis ( kurasikirwa nemapfupa).
- Kukanganisika kwemazino zvachose.
- Migumisiro pahurongwa hwetsinga (peripheral neuropathy), kusanganisira kusanzwa uye kukwenya, kukwenya kwetsandanyama, uye matambudziko ekuenzanisa uye kushandira pamwe kwenhengo (ataxia).
- Kunonoka kukura nekukura kwevana, zvichikonzera kusasimba kwevana.
- Kuomerwa nekuisa pfungwa pachinhu chimwe chete uye kudzidza.
Matambudziko ekuzvimba kwenguva refu:
- Kusashanda zvakanaka kwedziviriro yemuviri : Kana dziviriro yemuviri wako ichigara ichishanda zvakanyanya, inenge isina zvinhu zvakawanda zvekugadzirisa njodzi dzakadai sehutachiona. Izvi zvinogona kuwedzera njodzi yekurwara.
- Zvimwe Kusawirirana Nezvokudya : Sezvo ura hwako huchiri kukuvara, unogona kutadza kugaya zvinovaka muviri zvawaimbogona kugaya. Semuenzaniso , kusawirirana nelactose kunogona kutanga.
- Maronda uye mavanga : Kuzvimba kwakanyanya kunogona kukonzera maronda muura hwako hudiki. Chironda chakakomba chinogona kutopfuura nepamadziro emudumbu (kuboorwa kwemudumbu), inova emergency yekurapa. Kuzvimba uku kunogona kukonzera mavanga mukati memudumbu uye kutetepa mudumbu (stricture), izvo zvinogona kukonzera kuvharika kwemudumbu .
- Kubuda kweCollagenous : Chirwere ichi chisingawanzoitiki chinokonzera kugara kwecollagen muura hudiki, izvo zvinogona kukanganisa zvachose kunwa kwezvinovaka muviri.
- Chirwere chechiropa : Nekufamba kwenguva, unogona kuva nechirwere chechiropa chisingaperi uye kukuvara kwechiropa kunoramba kuchikura.
- Kenza : Kuzvimba kwenguva refu kunowedzera njodzi yako yekubatwa nekenza yemudumbu mudiki (intestinal lymphomas, intestinal adenocarcinoma) uye kenza yegurokuro .
Unoita sei kuti ujairire kudya kusina gluten?
Pakutanga, kudzivisa gluten yese kunogona kuita sekunge kwakaoma. Unofanira kudzidza kuverenga mazita uye kungwarira kusvibiswa netsaona kwegluten. Mashoko akanaka ndeekuti kune zvakawanda zviripo zvekukubatsira kutanga kudya kwako kutsva. Chiremba wako anogona kukutumira kune nyanzvi yezvekudya yakanyoreswa , iyo inogona kukubatsira kutanga. Ndezvipi zvekudya zvinokonzera zviratidzo zveceliac?
Gluten inowanikwa mune zvimwe zviyo zvakagadzirwa nezviyo. Izvi zvinoreva kuti:- Gorosi (mhando dzese dzakadai se semolina, durum, bulgur, spelled, couscous)
- Bhari (nemumera zvakagadzirwa nebhari)
- Rye
Zviyo izvi zvinoshandiswa kugadzira:- Zvigadzirwa zvechingwa nebhekari
- Zviyo zvinopisa uye zvinotonhora
- Mhando dzemanoodles nepasta
- Doro, Lager neAle
- Doro rine malt
- Vhiniga yemalt
Pamusoro pezvo, gluten inowedzerwawo muzvigadzirwa zvakawanda zvekudya zvakagadzirwa . Semuenzaniso:- Masobho nemasoso
- Madhirezi esaladhi uye zvinonaka
- Nyama dzakagadzirwa (senge hot dog, nyama dzedeli)
- Zvigadzirwa zvechizi, yogati uye ice cream zvakagadzirwa
- Zvekudya zvakaputirwa
- Chikafu chinotapira
Zvakakosha: Usati wadya chikafu chakabikwa, tarisa pane zvakanyorwa kuti uve nechokwadi chekuti hapana gluten yakavanzika.
Mazano mashoma ekurarama nechirwere checeliac:
- Gadzira menyu yekushandisa kumba. Tarisa mabhuku ekubika uye sarudza maresipi mashoma aunogona kudya nguva dzose uye ari nyore kugadzira. Ita tsika yekugara uchichengeta zvinhu zvaunoda kumba.
- Chengeta zvekudya zvishoma zvisina gluten mumotokari yako, mubhegi, kana muhofisi. Zvinobatsira kana usingakwanise kuwana chimwe chekudya paunobuda mumba.
- Tsvaga maresitorendi mashoma ane menyu dzisina gluten dzakavimbika kana dzaunoziva kuti unogona kutenga kubva kwadziri zvakachengeteka.
- Kana usina chokwadi chekuti chii chiri muchikafu chitsva, zvakanakawo kuchengetedza mitsetse yekuedza gluten iri pedyo kuti uone kana ine gluten.
Pakupedzisira, zvekurangarira
Kuongororwa kwechirwere checeliac kuchachinja kudya kwako nemararamiro ako nekusingaperi. Uye zvichachinja hupenyu hwako kuti huve nani . Usati waonekwa kuti une chirwere ichi, pamwe waidya gluten uye zvishoma nezvishoma uchikuvadza ura hwako hudiki. Ungave wakava nezviratidzo zvisinganzwisisike, zvisingafadzi kwemakore usingatombozivi kuti chii. Zvino zvawava kuziva, une simba rekuvakazve hutano hwako. Usanetseke, kana uchizvibata zvakanaka, unogona kuramba uine hutano hwakanaka!
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