Unogarawo uchinzwa wakaguta here? Unonzwa kurwadziwa mudumbu kusinganzwisisike here? Dzimwe nguva une matambudziko akadai sekuzvimba, uye dzimwe nguva mudumbu mako unonzwa wakaoma here? Kunyangwe vanhu vazhinji vachifunga kuti izvi zvinhu zvakajairika, dzimwe nguva panogona kunge paine chikonzero chiri shure kweizvi chatisingafungi nezvacho. Chimwe chikonzero chakadaro chingave chirwere chinonzi Celiac disease. Saka nhasi, ngatitaurei nezvechirwere cheCeliac uye kuongororwa kweropa kunokosha kunonzi tTg-IgA kunoshandiswa kuchiongorora.
Zvichitaurwa zviri nyore, chii chinonzi chirwere cheCeliac?
Chirwere cheCeliac chirwere chisingaperi uye chinogara kwenguva refu chinokanganisa kugaya kwedu. Chakakosha zvikuru nekuti chirwere che autoimmune. Fungidzira kuti dziviriro yemuviri wako, iyo immune system, inotanga kurwisa zvikamu zvemuviri wako. Ndizvo zvinoitika muchirwere checeliac. Chirwere ichi chinoitika kana ukadya chikafu chine protein inonzi gluten. Gluten chinhu chinowanikwa muzviyo zvakaita segorosi nebhari. Gluten inowanikwa muzvinhu zvakawanda zvatinodya zuva nezuva, zvakaita sechingwa, makeke, pasta, uye roti. Kana munhu ane chirwere checeliac akadya gluten, immune system yake inoona gluten iyi semuvengi mukuru. Saka kuti irwise, zvinosuwisa kuti madziro edumbu redu madiki anokuvadzwawo.
Yeuka, izvi hazvisi kungonzwa gluten kana kusashivirira gorosi chete. Celiac chirwere chakakomba. Chinogona kukonzera matambudziko ekugaya chikafu kwenguva refu uye kudzivirira muviri kuti usatore zvinovaka muviri zvakanaka.
Sei chirwere cheCeliac chichiitika?
Zvakaoma kutaura chikonzero chimwe chete cheizvi, asi pane zvinhu zvishoma zvikuru.
- Majini: Izvi zvinogona kugarwa nhaka. Kana nhengo yemhuri yepedyo, yakaita saamai, baba, kana munin'ina, iine chirwere ichi, uri panjodzi huru yekuchibata.
- Maitiro ekudya evana: Imwe tsvakiridzo yakawana kuti vana vanodya chikafu chakawanda chine gluten vachiri vadiki vanogona kunge vaine njodzi yakawedzera yechirwere ichi.
- Zvimwe zvirwere: Kana uine zvimwe zvirwere zve autoimmune , zvakaita seType 1 Diabetes kana Thyroid Disease, une mukana wakakura wekuva neCeliac Disease.
Ndezvipi zviratidzo zvechirwere cheCeliac?
Zviratidzo zvechirwere checeliac zvinogona kusiyana kubva pamunhu kusvika pamunhu. Vamwe vanhu vanowana zviratidzo izvi zvakanyanya, nepo vamwe vasingazvioni. Ngatitsanangure zviratidzo zvakajairika seizvi.
| Rudzi rwehunhu | Tsananguro |
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| Hunhu hwegadziriro yekugaya chikafu | |
| Humwe hunhu hwemuviri | - Mapundu paganda
- Maronda emagumbeze
- Kukuvadzwa kwe enamel yemazino
- Vana: kukura zvishoma nezvishoma, kudzikira kwehuremu, kunonoka kuyaruka, kukura zvishoma nezvishoma, uye kuchinja kwemanzwiro.
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Zviratidzo izvi zvinonyanya kuonekwa muvana, sezvo zvichinyanya kukura sezvo miviri yavo isingakwanise kupinza zvinovaka muviri zvakanaka.
Ungaziva sei kuti une chirwere cheCeliac?
Kana chiremba wako achifungidzira kuti chirwere ichi chine dambudziko, pane bvunzo dzakawanda dzinoitwa kuti dzisimbiswe.
| Nzira yekuedza | Zvichitaurwa zviri nyore... |
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| Nhoroondo yezvekurapa uye yemhuri | Chiremba achakubvunza nezvezviratidzo zvako uye kana paine mumwe munhu mumhuri mako ane chirwere ichi. |
| Kuongororwa kwemuviri | Muviri unoongororwa zviratidzo zvakaita sekuderera kwehuremu, mavara eganda, uye kuzvimba. |
| Kuongororwa kweropa | Ropa rinotorwa uye ropa rinoongororwa kuti rionekwe serine ma antibodies ane chekuita nechirwere cheCeliac. Kuongororwa kwe tTg-IgA kwatinotaura nezvako nhasi ndiko kwakakosha zvikuru. |
| Kuongororwa kwemuviri | Izvi zvinosanganisira kuisa chubhu diki (endoscope) ine kamera yakasungirirwa nemuromo, kutora chidimbu chidiki chenyama kubva muura diki wochiongorora uchishandisa maikorosikopu. Izvi zvinogona kunyatsoongorora kukuvara kunokonzerwa nechirwere checeliac. |
| Kuongororwa kwemajini | Ropa kana sampuli yemasero anotorwa kubva mukati medama zvinogona kushandiswa kuyedza kana uine majini ane chekuita nechirwere checeliac. |
Zvakanaka, saka chii chinonzi bvunzo iyi yeTissue Transglutaminase IgA (tTg-IgA)?
Iyi ndiyo
nzira huru uye inonyanya kunzwisisika yekuongorora chirwere cheCeliac. Sezvatakambokurukura, kana munhu ane chirwere cheCeliac akadya gluten, masoja emuviri anotanga kurwisa chirwere ichi. Kuti arwise hondo iyi, anogadzira "masoja akakosha" anonzi ma antibodies (Antibodies kana Immunoglobulins). Chinhu chinosuwisa ndechekuti ma antibodies aya anorwisawo enzyme mumuviri wedu inobatsira kugadzirisa masero. Iyo enzyme inonzi Tissue Transglutaminase. Saka tinodana ma antibodies aya kuti anti-tissue transglutaminase antibodies. Huwandu hwema antibodies aya e anti-tissue transglutaminase muropa remunhu ane chirwere cheCeliac hwakakwira zvikuru.
Iyo tTg-IgA test inoyera huwandu hwe antibody iyoyo. Sei bvunzo iyi ye tTg-IgA ichikosha kudaro?
Iyi bvunzo chaiyo.
Vanhu vanosvika 98 pa100 vane chirwere checeliac vanodya chikafu chine gluten vachawana mhinduro yakanaka kubva muongororo iyi. Ndosaka vanachiremba vachikurudzira kuti bvunzo iyi itange yaitwa.
Usati waita bvunzo uye maitiro ekunyora bvunzo
Pane
chimwe chinhu chaunofanira kurangarira pano.
Usati watora bvunzo iyi, haufanirwe kurega kudya chikafu chine gluten. Kana ukafungidzira kuti une chirwere cheCeliac worega kudya gluten wega, huwandu hwema antibodies iwayo muropa rako hunogona kudzikira. Zvadaro mhedzisiro yebvunzo inogona kubuda isiriyo (nhema-negative). Kureva kuti, inogona kuratidza kuti une chirwere ichi, asi kwete. Saka, usadzore kudya kwako usina zano rachiremba wako.
Bvunzo iri nyore kwazvo. 1. Ropa diki rinotorwa kubva mutsinga iri muruoko rwako uchishandisa lancet. 2. Sampuro yeropa inozotumirwa kurabhoritari kuti iongororwe ma antibodies e anti-tissue transglutaminase. 3. Kana huwandu hwema antibodies muropa rako hwakakwira zvakanyanya, zvinofungidzirwa kuti ungave uine chirwere cheCeliac. Njodzi dzebvunzo iyi hadzina kukwira zvakanyanya. Unganzwa kurwadza zvishoma kana tsono yaiswa. Panogonawo kuva nekukwenya uye kurwadziwa kudiki pakabva ropa. Kunze kweizvozvo, hapana njodzi huru. Zvisinei, pane chimwe chinhu. Dzimwe nguva, kunyanya muvana vadiki nevanhu vane huwandu hwakaderera hwema antibodies, mhedzisiro yebvunzo iyi ingasave yakarurama 100%. Ndosaka, zvichienderana nemhedzisiro yebvunzo yeropa, chiremba wako angangoda kuita chimwe chinhu chakaita se biopsy kuti asimbise chirwere chacho.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheCeliac chirwere chakakomba chinokonzerwa negluten. Hachisi chirwere chinowanzoitika.
- Kuongororwa kweropa kwetTg-IgA ndiko kuongororwa kweropa kukuru uye kwakarurama kunoshandiswa kuongorora chirwere ichi.
- Kana uine zviratidzo zvechirwere cheCeliac, kana uine nhoroondo yemhuri yazvo, kana kuti une zvimwe zvinhu zvinokonzera njodzi zvakaita sechirwere cheshuga, taura nachiremba wako nezvazvo.
- Chinonyanya kukosha: Usarega kudya chikafu chine gluten usati waita bvunzo yeceliac usina kupiwa mazano nachiremba. Kuita izvi kunogona kukonzera mhedzisiro isiriyo yebvunzo.
- Zvakakosha zvikuru kukurukura chero zvabuda muongororo nachiremba wako kuti uzvinzwisise zvizere.
Chirwere cheCeliac, bvunzo yetTg-IgA, gluten, zvirwere zve autoimmune, matambudziko emudumbu, bvunzo dzeropa, masisitimu ekugaya chikafu
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