Ngaba uhlala unentlungu esiswini, ukudumba, okanye uzive ngathi uvuvukile kungakhathaliseki ukuba utya kangakanani na? Usenokucinga ukuba oku kuqhelekile, okanye kungenxa yokuba ukutya okutyayo kuneziqholo kakhulu. Kodwa ezi mpawu zinokuba luphawu lwemeko abantu abaninzi abangayaziyo, kodwa leyo inokulawulwa ngokupheleleyo ukuba ichongiwe ngokuchanekileyo. Namhlanje sithetha ngayo, iCeliac Disease, abantu abaninzi abangazange bayive. Enyanisweni, abaphandi bathi ngumntu omnye kwabahlanu kuphela onesi sifo owaziyo ukuba unaso. Yiyo loo nto kubaluleke kakhulu ukuba uqaphele.
Ngamafutshane, yintoni isifo seCeliac?
Ngamafutshane, yingxaki kwinkqubo yethu yokuzikhusela komzimba. Xa sitya ukutya okwenziwe ngeenkozo ezifana nengqolowa nerhasi (isonka, iibhanisi, iinoodles, iikeyiki), inkqubo yethu yokuzikhusela komzimba iqala ukulwa neproteni ebizwa ngokuba yigluten kuzo. Oku kulwa konakalisa amathumbu ethu amancinci. Ekuhambeni kwexesha, lo monakalo ubangela ukuba umzimba wethu ungakwazi ukufunxa izondlo ozifunayo. Oku sikubiza ngokuba yiCeliac Disease. Oku akusiyo i-allergy yokutya eqhelekileyo, kodwa yimeko enzima ngakumbi.
Uxilongo: Singazi njani ngokuqinisekileyo?
Iimpawu zesi sifo zingahluka kakhulu kumntu nomntu. Nangona abanye abantu befumana iimpawu ezifana nokuphazamiseka kwesisu, ukudumba, kunye norhudo, abanye banokufumana iimpawu ezifana nokuncipha komzimba, iintlungu zamalungu, iingxaki zolusu, okanye ukudinwa rhoqo. Ekubeni ezi mpawu zingaqali ngaxeshanye, ngamanye amaxesha kungathatha iminyaka ukuqaphela esi sifo.
Kodwa ukuba ucinga ukuba unale mpawu, nikela ingqalelo ekhethekileyo kwezi zinto:
- Imbali yosapho: Ukuba kukho umntu kusapho lwakho (umama, utata, umnakwenu, udadewenu, umntwana) onesifo seCeliac, nawe usengozini yokuhlaselwa sesi sifo. Ngoko ke, bubulumko ukuthetha nogqirha wakho uze wenze uvavanyo olufunekayo.
- Ezinye iimeko zonyango: Ukuba unezinye izifo ezichaphazela amasosha omzimba, ezifana nesifo seswekile sohlobo 1, isifo sesibindi esichaphazela amasosha omzimba, okanye isifo se-thyroid, kubaluleke kakhulu ukuba uhlolwe isifo se-Celiac.
Khumbula, ukuba uneempawu okanye izinto ezinokubangela umngcipheko, qiniseka ukuba ubona ugqirha wosapho lwakho uze uthethe ngale nto.
Okubaluleke kakhulu: Musa ukuyeka ukutya i-gluten ngaphambi kovavanyo!
Le yimpazamo enkulu eyenziwa ngabantu abaninzi. Bacinga ukuba banokuba nesifo seCeliac baze bayeke ukutya ukutya okunegluten (njengesonka kunye ne-roti) ngaphambi kokuba baye kugqirha. Nceda ungakwenzi oko.
Isizathu kukuba ukuze uvavanyo luchaneke, kufuneka ube negluten emzimbeni wakho. Ukuba uyeka ukutya igluten, uvavanyo lusenokungasiboni isifo. Emva koko unokufumana uxilongo olungachanekanga.
Ukuba sele utshintshele ekutyeni okungenagluten, ugqirha wakho usenokukucela ukuba wenze "umngeni wegluten." Oku kuthetha ukuba kuya kufuneka utye ukutya okunegluten (umzekelo, izilayi ezine zesonka ngosuku) yonke imihla kangangeeveki eziliqela (ngesiqhelo malunga neeveki ezisi-8) ngaphambi kovavanyo. Oku kunokuba nzima kancinci, kodwa kubalulekile ukuze ufumane uxilongo oluchanekileyo.
Zithini ezi mvavanyo?
Kukho iintlobo ezininzi eziphambili zovavanyo lokufumanisa isifo seCeliac. Eyokuqala luvavanyo lwegazi nolwemfuza.
Uvavanyo lwegazi kunye nolwemfuza
Ezi ziimvavanyo zokuqala. Iziphumo zazo ziza kugqiba ukuba kuza kufuneka kwenziwe ntoni emva koko.
- Uvavanyo lweGazi: Olu vavanyo luvavanya iintlobo ezithile zee-antibodies egazini lakho. Xa umntu onesifo seCeliac esitya i-gluten, umzimba wakhe uvelisa ezi antibodies. Ngoko ke ukuba inqanaba lezi antibodies egazini liphezulu kakhulu kunesiqhelo, luphawu oluqinileyo lokuba unokuba nesifo seCeliac.
- Uvavanyo lweMfuzo: Olu vavanyo luvavanya iijini zakho ukuze ubone ukuba ziziphi iijini ze-HLA-DQ2 kunye ne-HLA-DQ8 . Ukuba awunazo ezi jini, akunakwenzeka ukuba ube neSifo seCeliac. Olu vavanyo lunokwenziwa kusetyenziswa isampuli yegazi, isampuli yamathe, okanye i-swab yeeseli ezingaphakathi emlonyeni wakho.
Kodwa khumbula, ezi mvavanyo zodwa azinakuqinisekisa ngokupheleleyo ukuba unesifo seCeliac. Ukuba ezi mvavanyo ziphakamisa ukurhanelwa ngesi sifo, uvavanyo olulandelayo olubalulekileyo ekufuneka lwenziwe yi-endoscopy.
| Igama lovavanyo | Ungayenza njani loo nto? | Ingaba ujonge kwintoni? |
|---|---|---|
| Uvavanyo lweGazi | Ukuthatha isampuli yegazi njengesiqhelo. | Inqanaba lee-antibodies eziveliswayo ngokuchasene ne-gluten. |
| Uvavanyo lweMfuzo | Isampulu yeeseli ezithathwe egazini, ematheni, okanye esidleleni. | Izakhi zofuzo ze-HLA-DQ2/DQ8 ezinxulumene nesifo seCeliac. |
I-Endoscopy ukuqinisekisa isifo
Abanye abantu banokoyika xa besiva eli gama, kodwa aliyoyikisi kangako. Olu luvavanyo olusetyenziswa ukuqinisekisa ngokuqinisekileyo ukuba unesifo seCeliac okanye awunaso.
Oku kuquka ukufaka ityhubhu encinci nethambileyo (i-scope) enekhamera encinci enamathele emlonyeni wakho ize yehle iye emathunjini amancinci. Oku kuvumela ugqirha wakho ukuba abone ukuba akukho monakalo na kwi-inside yangaphakathi yamathumbu amancinci.
Ngeli xesha, ugqirha uthatha iqhekeza elincinci kakhulu lethishu eludongeni lwamathumbu amancinci. Oku kubizwa ngokuba yi-biopsy . Eli qhekeza lethishu emva koko lithunyelwa kwilabhoratri lize lihlolwe phantsi kwe-microscope.
Yintoni ekhangelwa kwi-biopsy?
Udonga lwangaphakathi lwamathumbu ethu amancinci aphilileyo lunezigidi zee-projections ezincinci ezifana neminwe ezibizwa ngokuba yi-villi . Zifana nemicu ekhaphethini etyebileyo. Umsebenzi wazo ophambili kukufunxa izondlo ekutyeni esikutyayo.
Kumntu onesifo seCeliac, ezi villi zonakele kwaye zithe tyaba. I-biopsy iya kujonga ukuba iivilli zakho zonakele ngolu hlobo na. Ukuba zonakele, obo bubungqina obunamandla bokuba unesifo seCeliac.
Le endoscopy ithatha malunga nemizuzu eli-15. Kwaye ugqirha wenza konke okusemandleni akhe ukuqinisekisa ukuba awuziva ungonwabanga ngexesha lenkqubo.
Umyalezo Wokuya Ekhaya
- Iimpawu zeSifo seCeliac (ukuphazamiseka kwesisu, ukudinwa, ukwehla kobunzima) zinokubonakala ziqhelekile, ngoko ke ungazihoyi.
- Ukuba uneempawu okanye umntu kusapho lwakho unale sifo, qiniseka ukuba uthetha nogqirha wakho.
- Musa ukuyeka ukutya ukutya okunegluten ngokwakho ngaphandle kwengcebiso kagqirha. Ukwenza njalo kuya kwenza kube nzima ukufumana ukuxilongwa ngokuchanekileyo.
- Uvavanyo lwegazi linyathelo lokuqala nje. Esi sifo siqinisekiswa ngokupheleleyo yi-100% nge-endoscopy kunye ne-biopsy.
- Ukuqaphela esi sifo akuyongxaki, kodwa linyathelo lokuqala lokufumana isisombululo. Wakuba uqhele ukutya ngendlela efanelekileyo, ungaphila ubomi obusempilweni ngokupheleleyo.
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