Ngaba nawe uhlala uziva ugcwele? Ngaba uneentlungu zesisu ezingaqhelekanga? Ngaba ngamanye amaxesha ubaneengxaki ezifana nokudumba, kwaye ngamanye amaxesha isisu sakho sivakala somile? Nangona abantu abaninzi becinga ukuba ezi zizinto eziqhelekileyo, ngamanye amaxesha kunokubakho isizathu esingasemva koku esingacingi ngaso. Esinye sezizathu ezinjalo sinokuba yimeko ebizwa ngokuba sisifo seCeliac. Ngoko ke namhlanje, masithethe ngesifo seCeliac kunye novavanyo lwegazi olubalulekileyo olubizwa ngokuba yi-tTg-IgA olusetyenziselwa ukusixilonga.
Ngamafutshane, yintoni isifo seCeliac?
Isifo seCeliac sisifo esihlala ixesha elide nesingapheliyo esichaphazela inkqubo yethu yokugaya ukutya. Sikhethekile kakhulu kuba sisifo sokuzikhusela komzimba. Khawuthelekelele ukuba inkqubo yokuzikhusela yomzimba wakho, inkqubo yokuzikhusela, iqala ngempazamo ukuhlasela amalungu omzimba wakho. Yiloo nto eyenzekayo kwisifo seceliac. Esi sifo senzeka xa usitya ukutya okuqulethe iproteni ebizwa ngokuba yigluten. Igluten yinto efumaneka kwiinkozo ezifana nengqolowa nerhasi. Igluten ifumaneka kwizinto ezininzi esizityayo yonke imihla, njengesonka, iikeyiki, ipasta, kunye neroti. Xa umntu onesifo seceliac esitya igluten, inkqubo yakhe yokuzikhusela yomzimba ibona le gluten njengotshaba olukhulu. Ngoko ke ukuze siyihlasele, ngelishwa, iindonga zamathumbu ethu amancinci nazo zonakele.
Khumbula, oku akupheleli nje ekubeni ne-gluten okanye ukunganyamezelani nengqolowa. I-Celiac yimeko enzulu ngakumbi. Inokubangela iingxaki zokugaya ukutya ixesha elide kwaye ithintele umzimba ekufumaneni izondlo ngokufanelekileyo.
Kutheni isifo seCeliac senzeka?
Kunzima ukukhomba isizathu esinye soku, kodwa kukho izinto ezimbalwa eziphambili.
- I-genetics: Oku kunokuba yimfuza. Ukuba ilungu losapho elisondeleyo, njengomama, utata, okanye umntakwenu, linesifo, usemngciphekweni omkhulu wokuba naso.
- Imikhwa yokutya ebantwaneni: Olunye uphando lufumanise ukuba abantwana abatya ukutya okuninzi okunegluten ebancinci banokuba nomngcipheko okhulayo kancinci wokuba nale meko.
- Ezinye iimeko zonyango: Ukuba unezinye izifo ezizikhuselayo emzimbeni , ezifana neSifo seswekile sohlobo 1 okanye iSifo seThyroid, usenokuba sengozini enkulu yokuba neSifo seCeliac.
Ziziphi iimpawu zesifo seCeliac?
Iimpawu zesifo se-celiac zingahluka kumntu nomntu. Abanye abantu bazifumana ezi mpawu kakhulu, ngelixa abanye bengazifumani. Masihlalutye iimpawu eziqhelekileyo ngolu hlobo lulandelayo.
| Uhlobo oluneempawu | Inkcazo |
|---|
| Iimpawu zenkqubo yokugaya ukutya | |
| Ezinye iimpawu zomzimba | - Irhashalala lolusu
- Izilonda zomhlaza
- Ukonakala kwe-enamel yamazinyo
- Abantwana: ukukhula okukhawulezileyo, ukwehla kobunzima, ukufikisa okulibazisekileyo, ukukhula okukhawulezileyo, kunye nokutshintsha kweemvakalelo.
|
Ezi mpawu zibonakala ngakumbi ebantwaneni, njengoko zikhula lula njengoko imizimba yabo ingakwazi ukufunxa izondlo ngokufanelekileyo.
Ungazi njani ngokuqinisekileyo ukuba unesifo seCeliac?
Ukuba ugqirha wakho urhanela esi sifo, kukho iimvavanyo ezininzi zokuqinisekisa ukuba sikhona.
| Indlela yovavanyo | Kalula nje... |
|---|
| Imbali yezonyango kunye neyosapho | Ugqirha uza kukubuza ngeempawu zakho kunye nokuba kukho umntu kusapho lwakho onale sifo. |
| Uvavanyo lomzimba | Umzimba ujongwa iimpawu ezifana nokuncipha komzimba, amabala esikhumba, kunye nokudumba. |
| Uvavanyo lwegazi | Kuthathwa isampuli yegazi kwaye igazi livavanywa ukuze kufunyanwe ii-antibodies ezithile ezinxulumene nesifo seCeliac. Uvavanyo lwe-tTg-IgA esithetha ngalo namhlanje lolona lubalulekileyo. |
| I-Biopsy | Oku kuquka ukufaka ityhubhu encinci (i-endoscope) enekhamera eqhotyoshelweyo ngomlomo, kuthathwe iqhekeza elincinci kakhulu lezicubu emathunjini amancinci kwaye lihlolwe phantsi kwe-microscope. Oku kunokuvavanya ngokuchanekileyo umonakalo obangelwe sisifo se-celiac. |
| Uvavanyo lwemfuza | Isampuli yegazi okanye isampuli yeeseli ezithathwe ngaphakathi esidleleni ingasetyenziselwa ukuvavanya ukuba unayo na i-genes enxulumene nesifo se-celiac. |
Kulungile, ke ngoko yintoni olu vavanyo lweTissue Transglutaminase IgA (tTg-IgA)?
Olu lolona
vavanyo lwegazi luphambili nolunobuthathaka bokufumanisa isifo seCeliac. Njengoko besitshilo ngaphambili, xa umntu onesifo seCeliac esitya igluten, inkqubo yomzimba yokuzikhusela iqala ukulwa nayo. Ukulwa nale mfazwe, ivelisa "amajoni akhethekileyo" abizwa ngokuba zii-antibodies (ii-Antibodies okanye ii-Immunoglobulins). Into ebuhlungu kukuba ezi antibodies nazo zihlasela ngempazamo i-enzyme emzimbeni wethu enceda ekulungiseni iiseli. Loo enzyme ibizwa ngokuba yiTissue Transglutaminase. Ngoko ke sizibiza ezi antibodies ngokuba zii-anti-tissue transglutaminase antibodies. Inqanaba lale antibodies ye-anti-tissue transglutaminase egazini lomntu onesifo seCeliac liphezulu kakhulu.
Uvavanyo lwe-tTg-IgA lulinganisa inqanaba laloo antibody. Kutheni olu vavanyo lwe-tTg-IgA lubaluleke kangaka?
Olu luvavanyo oluchanekileyo kakhulu.
Malunga nabantu abangama-98 kwabayi-100 abanesifo se-celiac abatya ukutya okune-gluten baya kufumana iziphumo ezilungileyo kolu vavanyo. Yiyo loo nto oogqirha becebisa ukuba kwenziwe olu vavanyo kuqala.
Ngaphambi kovavanyo kunye nendlela yokuthatha uvavanyo
Kukho
into ekufuneka uyikhumbule apha.
Ngaphambi kokuba wenze olu vavanyo, akufanele uyeke ukutya ukutya okunegluten. Ukuba ukrokrela ukuba unesifo seCeliac kwaye uyeke ukutya igluten wedwa, inqanaba lala ma-antibodies egazini lakho linokwehla. Emva koko iziphumo zovavanyo zinokuphuma zingalunganga (zingeyonyani-zingalunganga). Oko kukuthi, zinokubonisa ukuba unesifo, kodwa musa. Ke ngoko, musa ukulawula ukutya kwakho ngaphandle kwengcebiso kagqirha wakho.
Uvavanyo lulula kakhulu. 1. Kuthathwa igazi elincinci kumthambo osengalweni yakho kusetyenziswa i-lancet. 2. Emva koko isampuli yegazi ithunyelwa kwilebhu ukuze ivavanywe ii-antibodies ze-anti-tissue transglutaminase. 3. Ukuba inqanaba le-antibody egazini lakho liphezulu kakhulu, kurhanelwa ukuba unokuba nesifo seCeliac. Iingozi zolu vavanyo aziphezulu kangako. Usenokuziva unomsindo omncinci xa kufakwa inaliti. Kunokubakho nokukrweleka kunye nentlungu encinci apho igazi litsalwe khona. Ngaphandle koko, akukho mngcipheko mkhulu. Nangona kunjalo, kukho into enye. Ngamanye amaxesha, ngakumbi kubantwana abancinci nakubantu abanamanqanaba aphantsi e-antibody, iziphumo zolu vavanyo zisenokungachaneki ngokupheleleyo. Yiyo loo nto, kuxhomekeke kwiziphumo zovavanyo lwegazi, ugqirha wakho unokufuna ukwenza into efana ne-biopsy ukuqinisekisa isifo.
Umyalezo Wokuya Ekhaya
- Isifo seCeliac sisifo esiyingozi kakhulu esibangelwa yi-gluten. Asikuko ukuba umntu unesifo sokunganyamezelani komzimba.
- Uvavanyo lwe-tTg-IgA lolona vavanyo lwegazi luphambili noluchanekileyo olusetyenziselwa ukufumanisa esi sifo.
- Ukuba uneempawu zesifo seCeliac, unembali yosapho yaso, okanye unezinye izinto ezinobungozi ezifana nesifo seswekile, thetha nogqirha wakho ngale nto.
- Okubaluleke kakhulu: Musa ukuyeka ukutya ukutya okunegluten ngaphambi kokuba wenze uvavanyo lwe-celiac ngaphandle kwengcebiso kagqirha. Ukwenza njalo kunokubangela iziphumo zovavanyo ezingachanekanga.
- Kubaluleke kakhulu ukuxoxa ngazo naziphi na iziphumo zovavanyo nogqirha wakho ukuze uziqonde ngokupheleleyo.
Isifo seCeliac, uvavanyo lwe-tTg-IgA, i-gluten, izifo ze-autoimmune, iingxaki zesisu, uvavanyo lwegazi, inkqubo yokugaya ukutya
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