Ingabe ngezinye izikhathi uthola izinhlungu zesisu noma isisu esibuhlungu uma udla okuthile okufana nesinkwa noma amabhisikidi? Noma ingabe abanye abantu banomkhuba wokungadli lutho? Namuhla sizokhuluma ngesimo esingase sihlobane nento efana naleyo. Leso yisifo se-Celiac. Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, masikuqonde kalula.
Iyini isifo se-celiac?
Kalula nje, isifo se-celiac yisimo esibangelwa
inkinga ohlelweni lwethu lokuzivikela komzimba . Lokhu kubizwa ngokuthi "isifo sokuzivikela komzimba". Okwenzekayo kulokhu ukuthi uma sidla ukudla okuqukethe iphrotheni ebizwa ngokuthi "i-gluten", uhlelo lokuzivikela lomzimba wethu luyakuphendukela kukho. Uma sikhuluma iqiniso, umzimba wethu ucabanga ukuthi le gluten iyisitha. Bese ikhiqiza ama-antibodies okuhlasela leso sitha. Kodwa-ke, lawa "ma-antibodies" alimaza
udonga lwangaphakathi (i-mucosa) lwamathumbu ethu amancane . Ngenxa yalomonakalo, amathumbu amancane awakwazi ukumunca kahle izakhamzimba ekudleni. Yilapho-ke
ukuntuleka kokudla okunempilo kwenzeka khona. Le phrotheni ebizwa ngokuthi "i-gluten" itholakala kakhulu kokusanhlamvu. Ikakhulukazi ezintweni ezifana
nokolweni, ibhali, ne-rye . Uyazi, ukudla okuningi esikudlayo, njengesinkwa, i-pasta, amakhekhe, namabhisikidi, kwenziwa ngalezi zinhlamvu. Akukhona lokho kuphela, kodwa ngezinye izikhathi ngisho namasoso, amasobho, nokudla okupakishwe esingacabangi ngakho kungaqukatha le gluten. Ubhiya uvame ukwenziwa ngebhali noma i-rye.
Isifo se-celiac sithinta kanjani umzimba wami?
Isifo se-Celiac sithinta kakhulu
amathumbu akho amancane . Yilapho iningi lezakhamzimba ekudleni esikudlayo limuncwa khona. Lokhu kufaka phakathi amaprotheni afana ne-gluten. Kodwa uma unesifo se-celiac, lapho i-gluten ingena emathunjini akho amancane, amasosha omzimba wakho ayasabela. Okusho ukuthi, amasosha omzimba athumela amaseli nama-antibodies ukubhubhisa ama-molecule e-gluten. Lawa maseli alimaza ulwelwesi lwangaphakathi lwamathumbu amancane, i-mucosa. Cabanga ngakho, ingaphakathi lamathumbu ethu amancane laklanywe kahle kakhulu. Udonga lwalo lwangaphakathi alusheleli nje kuphela. Lunezimbobo eziningi, futhi lugcwele ama-projection amancane afana neminwe, abizwa ngokuthi
ama-villi . Lawa ma-villi anika ukudla kwakho indawo enkulu yokumunca izakhamzimba eziningi ngangokunokwenzeka ngesikhathi sokugaya. Kungaba nkulu njengenkundla yethenisi uma ulwelula! Kodwa amangqamuzana omzimba ahambisana nesifo se-celiac
ayasicaba futhi asicaba wonke lawa '(villi)', anciphisa indawo etholakala yokumunca izakhamzimba.
Ingabe isifo se-celiac siyingozi?
Yebo, ukulimala kwamathumbu amancane kungaba
nemiphumela emibi kakhulu . Njengoba ngishilo ngaphambili, amathumbu amancane yilapho izakhamzimba ekudleni zimuncwa khona nge-`(mucosa)`. Ngakho-ke lapho i-`(mucosa)` yonakele, ayisebenzi kahle. Lokhu sikubiza ngokuthi
Lokhu kubizwa ngokuthi 'i-malabsorption'. Lokhu '(malabsorption)' kungabangela 'ukungondleki kahle' . Futhi, ezinye izifo eziningi zingavela ngenxa yokuntuleka kwezakhamzimba ezahlukahlukene. Uma lesi simo sithinta izingane ezincane ikakhulukazi, ukukhula kwazo kanye nentuthuko yazo kungaphazamiseka. Ubani othola isifo se-celiac?
Isifo se-Celiac sivame kakhulu kubantu bozalo lwaseNyakatho Yurophu. Kulinganiselwa ukuthi cishe u-1% wabantu eYurophu naseNyakatho Melika unalesi sifo. Uma othile emndenini wakho (isihlobo sokuqala, njengomama, ubaba, noma ingane) enalesi sifo, unethuba elingaba ngu-10% lokusithola. Abantu abangu-97% abatholakale benesifo se-celiac banezakhi zofuzo ezithile ezihambisana naso. Lokhu kubizwa ngokuthi `(HLA-DQ2)` noma `(HLA-DQ8)`. Ingabe zikhona ezinye izinto eziyingozi?
Isifo se-Celiac sivame kakhulu kubantu abanezinkinga ezithile ze-chromosome ezizuzwe njengefa , njenge-Down syndrome. Sivame kakhulu nakubantu abanezinye izifo ezithile ze-autoimmune . Lezi zifo zivame ukuhlanganyela izakhi zofuzo, futhi zingadalana. Njengezinye izifo ze-autoimmune, isifo se-celiac sivame kakhulu kwabesifazane kunakwabesilisa . Isilinganiso cishe siphakathi kwesibili nesinye (2:1). Kungenzeka kakhulu ukuthi ube nesifo se-celiac uma une:
- Uma umhlophe.
- Uma kukhona emndenini wakho onalesi sifo.
- Uma une -chromosome engavamile njenge-`(Turner syndrome)`, `(Williams syndrome)` noma `(Down syndrome)`.
- Uma unesinye isifo sokuzivikela komzimba esifana `(Uhlobo 1 lwesifo sikashukela)`, `( isifo samathambo esibangelwa amalunga)`, `(isifo se-microscopic colitis)` noma `(isifo sika-Addison)`.
- Uma ungowesifazane.
Yini ebangela isifo se-celiac?
Izifo eziningi zokuzivikela komzimba, njengesifo se-celiac, okungenani ziyizifo zofuzo ngokwengxenye . Okusho ukuthi, kungenzeka kakhulu ukuthi ube naso ngenxa yohlobo oluthile lwezakhi zofuzo oludluliselwa ezizukulwaneni ngezizukulwane emindenini. Kodwa-ke, akuwona wonke umuntu onalolo hlobo lwezakhi zofuzo ozokhula nalesi sifo, futhi akuwona wonke umuntu okhula nalesi sifo ozoba nalolo hlobo lwezakhi zofuzo oluhlonziwe. Kubonakala sengathi ezinye izici nazo zidlala indima ekuqaleni kwalesi sifo. Umuntu uthola kanjani isifo se-celiac?
Enye inkolelo-mbono iwukuthi ukucindezeleka okukhulu ngokomzimba kungalimaza isimiso sethu somzimba sokuzivikela.Kukholelwa ukuthi kungabangelwa yisenzakalo esibuhlungu. Odokotela baqaphele ukuthi lesi sifo sivela ngemva kwesenzakalo esingokomzimba njengokuhlinzwa, ukugula, ukukhulelwa, noma ukulimala okukhulu kwengqondo. Enye inkolelo-mbono ukuthi kuhileleke izinto ezincane eziphilayo ezihlala emathunjini ethu (izinto ezincane emathunjini akho) . Le nkolelo-mbono idinga ucwaningo olwengeziwe. Isifo se-celiac sivela nini?
Isifo se-Celiac singakhula kunoma yimuphi ubudala ngemva kokuba wena noma ingane yakho niqale ukudla i-gluten . Odokotela bavame ukusibona emaqenjini amabili eminyaka: ubuntwana bokuqala, phakathi kwezinyanga ezingu-8 nezingu-12 , kanye neminyaka ephakathi, phakathi kweminyaka engu-40 no-60 . Isizathu sokuthi sivele kusenesikhathi ngoba izingane zivame ukuqala ukudla ukudla okuqinile, njengamabhisikidi kanye nokusanhlamvu, okuqukethe i-gluten. Ziyini izimpawu zesifo se-celiac?
Izimpawu zesifo se-celiac zingahluka kakhulu kumuntu nomuntu, ngakho kungaba nzima ukuzixilonga. Abanye abantu abanazo nhlobo izimpawu. Abanye abantu babhekana nezimpawu zesisu (GI) ngemva kokudla i-gluten. Abanye bangase babe nezimpawu ezingacacile zokuntuleka kokudla okunempilo ngemva komonakalo odalekile. Kulaba bantu, i-anemia ingaba uphawu lokuqala lwalesi simo. Ungase ube nezimpawu ezifana nalezi:
Izimpawu zesisu:
Izimpawu ze-anemia yokuntuleka kwensimbi:
Ezinye izimpawu zokungondleki kahle:
- Ukwehlisa isisindo ngokungenhloso
- Ukukhula okulibazisekile kanye nokukhula okubambezelekile ezinganeni (Ukwehluleka ukukhula kahle)
- Ukuncipha kwemisipha noma ithoni yemisipha ephansi
- Ukukhubazeka kwe-enamel yamazinyo, isibonelo, ukugoba, ukudaya, noma ukubukeka okukhanyayo
- Ukuya esikhathini okungajwayelekile noma ubunzima bokukhulelwa
- Ukushintshashintsha kwemizwa, okuvame kakhulu ukukhathazeka ezinganeni kanye nokucindezeleka kubantu abadala
Cishe abantu abayi-15% abanesifo se-celiac bahlakulela lesi simo sesikhumba esingamahlalakhona njengomphumela ongemuhle. Sibizwa nangokuthi 'ukuqubuka kwe-gluten' noma 'ukuqubuka kwe-celiac' . Ama-antibodies afanayo e-gluten alimaza amathumbu amancane esifweni se-celiac abangela lesi simo. I-Dermatitis herpetiformis ukuqubuka okulumayo, okuhlangene okufana nama-blister noma i-eczema. Ngokuvamile kuvela ezindololwaneni, emadolweni, ezinqeni, noma ekhanda. Wazi kanjani ukuthi unesifo se-celiac?
Uma uhlangabezana nezinkinga zokugaya ukudla ngemva kokudla i-gluten, ungase usole ukuthi unesifo se-celiac. Abantu abaningi babonakala benozwela ku-gluten noma imikhiqizo kakolweni ekudleni kwabo. Ukungabekezelelani nokudla kungabangela izimpawu ezingakhululekile ngemva kokudla ukudla, kodwa azibangeli umonakalo emathunjini njengesifo se-celiac. Ukuze bathole isifo se-celiac, odokotela bafuna ubufakazi balo monakalo. Into ebaluleke kakhulu ukuthi uhlolwe isifo se-celiac ngaphambi kokuthi uqale ukudla ukudla okungenagluten. Yilapho-ke ukuhlolwa kuzoveza khona ukuthi i-gluten ithinta kanjani umzimba wakho ngempela. Uma usuyekile ukudla i-gluten, amathumbu akho azoqala ukuphola. Ukwelashwa kuhle, kodwa-ke ubufakazi besifo se-celiac buzonyamalala. Wena nodokotela wakho kudingeka nazi ngokuqinisekile ukuthi unaso yini, ukuze nikwazi ukunquma ukuthi hlobo luni lokwelashwa oludingayo esikhathini esizayo.
Odokotela bahlola kanjani isifo se-celiac?
Odokotela basebenzisa izindlela ezimbili ukuhlola isifo se-celiac. Bathanda ukuzisebenzisa zombili ndawonye ukuqinisekisa ukuxilongwa. Eyokuqala ukuhlolwa kwegazi . Odokotela bafuna ama-antibodies egazini lakho akhiqizwa ngokumelene ne-gluten. Bese, babheka umonakalo. Lokhu kuhilela ukuthatha isampula encane yezicubu (i-biopsy) emathunjini akho amancane bese beyihlola ngaphansi kwe-microscope. Ukuze bathathe lesi sampula, udokotela we-gastroenterologist uzokwenza ukuhlolwa kwe-endoscopic emathunjini akho amancane. I-endoscopy ukuhlolwa okuhilela ukufaka ithubhu elide, elincane elinekhamera encane ngaphakathi. Ngesikhathi se-endoscopy ephezulu , i-endoscope idluliselwa emphinjeni iye engxenyeni engenhla yamathumbu amancane, ebizwa ngokuthi i-duodenum . Ngokusekelwe ezithombeni ezibonwe ekhamera, udokotela owenza i-endoscopy angadlulisa amathuluzi ngethubhu bese ethatha i-biopsy. Ukuhlolwa okwengeziwe
Uma isifo se-celiac sesiqinisekisiwe, udokotela wakho uzofuna ukuhlola igazi lakho ukuze athole ukuntuleka kwamavithamini namaminerali athile . Ukuntuleka okukhulu kungaba nemiphumela ehlukahlukene emzimbeni wakho futhi kungadinga ukwelashwa ngqo ngezithasiselo. Okuvame kakhulu yi -anemia yokuntuleka kwensimbi , i-anemia yokuntuleka kwamavithamini , kanye nokuntuleka kwevithamini D. Ungase futhi ube namazinga aphansi ama-electrolyte, njenge-calcium. Isifo se-celiac siphathwa kanjani?
Isinyathelo sokuqala nesibaluleke kakhulu ekwelapheni isifo se-celiac ukuyeka ngokuphelele ukudla i-gluten . Awukwazi ukushintsha indlela umzimba wakho osabela ngayo ku-gluten, kodwa ungavimbela i-gluten ekubangeleni lokho kusabela. Uma usuyekile ukudla i-gluten, amathumbu akho amancane azoqala ukuphulukiswa futhi maduze azokwazi ukumunca izakhamzimba futhi. Kodwa-ke, kuzodingeka ugcine ukudla okuqinile okungena-gluten impilo yakho yonke ukuze uvimbele ukulimala okwengeziwe emathunjini akho amancane. Ukwelashwa okwengeziwe kungafaka:
* Uma kukhona ukuntuleka okukhulu, thatha izithasiselo zokudla ukuze uzilungise.
* Yelapha i-dermatitis herpetiformis ngemithi ethile efana ne-dapsone.
* Ama-Corticosteroids okuvuvukala okukhulu okungaphenduli ngokushesha ekudleni.
* Ukunakekelwa okuqhubekayo kokulandelela, okuhlanganisa nokuhlolwa njalo, ukuqinisekisa ukuthi isifo siyalawuleka.
Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?
Kwabaningi , izimpawu ziqala ukuthuthuka cishe ngokushesha ngemva kokuqala ukudla okungenagluten . Kungathatha amasonto ambalwa ukuthi ukuntuleka kwakho kokudla okunempilo kuxazululwe, futhi kungathatha izinyanga ezimbalwa ukuthi amathumbu akho alulame ngokuphelele. Kwezinye izimo, kungathatha isikhathi eside, kuye ngokuthi umonakalo ungakanani nokuthi usunesikhathi esingakanani ukhona. Uma ungalandeli ukudla okuqinile, ukululama kungabambezeleka. Iyini inhloso yabantu abanesifo se-celiac?
Abantu abaningi abatholakale benesifo se-gluten futhi bayeke ukudla i-gluten bangalindela ukululama kahle kakhulu . Umonakalo omkhulu obangelwa yisifo se-celiac ungabuyiselwa emuva. Uma uqhubeka nokuba nezimpawu, kungenzeka ukuthi udla inani elincane le-gluten ngaphandle kokuqaphela, noma ungase ube nesifo sesibili. Cishe abantu abangu-5% kuphela abanesifo se-celiac esingalapheki ngempela, esingaphenduli ekulawulweni kokudla. Kwenzekani uma ungayeki ukudla i-gluten? Yiziphi izinkinga zesikhathi eside?
Uma utholakale ukuthi une-gluten sekwephuzile eminyakeni eminingi, noma uma ungakwazi ukugwema ukudla i-gluten ngemva kwalokho, imiphumela yesifo se-celiac ingaba mibi kakhulu futhi ihlale isikhathi eside . Izinkinga zokungondleki kahle okungapheli:
- Ama-Ricket ezinganeni noma i-osteomalacia kubantu abadala.
- I-Osteopenia ( ukuncipha kwamathambo) kanye ne-osteoporosis ( ukulahlekelwa amathambo).
- Amaphutha ahlala njalo e-enamel yamazinyo.
- Imiphumela ohlelweni lwezinzwa (i-peripheral neuropathy), okuhlanganisa ukungazweli nokuthuthumela, ukudikiza kwemisipha, kanye nezinkinga zokulinganisela nokuxhumana (i-ataxia).
- Ukukhula okulibazisekile kanye nentuthuko ezinganeni, ukukhungatheka.
- Ubunzima bokugxilisa ingqondo nokufunda.
Izinkinga zokuvuvukala okungapheli:
- Ukuzivikela komzimba okuphazamisekile : Uma amasosha omzimba wakho esebenza ngokweqile njalo, anezinsiza ezimbalwa zokubhekana nezimo eziphuthumayo ezifana nokutheleleka. Lokhu kungandisa ingozi yakho yokugula.
- Okunye ukungabekezelelani kokudla : Njengoba ulwelwesi lwamathumbu akho luqhubeka nokonakala, ungase ungakwazi ukugaya izakhamzimba owawukwazi ukuzigaya ngaphambilini. Isibonelo , ukungabekezelelani ne-lactose kungase kukhule.
- Ukudumba kanye nezibazi : Ukuvuvukala okukhulu kungabangela izilonda emathunjini akho amancane. Isilonda esibi singadlula ngisho nodonga lwamathumbu (ukubhoboka kwamathumbu), okuyisimo esiphuthumayo sezokwelapha. Ukuvuvukala kungabangela izibazi ngaphakathi kwamathumbu futhi kunciphise amathumbu (ukuqina), okungabangela ukuvaleka kwamathumbu .
- I-Collagenous sprue : Lesi sifo esingavamile sibangela ukugcinwa kwe-collagen okuhlala njalo emathunjini amancane, okungaphazamisa ukumuncwa kwezakhamzimba unomphela.
- Isifo sesibindi : Ngokuhamba kwesikhathi, ungaba nesifo sesibindi esingamahlalakhona kanye nomonakalo wesibindi oqhubekayo.
- Umdlavuza : Ukuvuvukala okungapheli kwandisa ingozi yakho yokuthola umdlavuza wamathumbu amancane (ama-lymphoma amathumbu, i-adenocarcinoma yamathumbu) kanye nomdlavuza womphimbo .
Ujwayela kanjani ukudla okungenagluten?
Ekuqaleni, ukugwema yonke i-gluten kungabonakala kungaphezu kwamandla. Kufanele ufunde ukufunda amalebula futhi uqaphele ukungcoliswa kwe-gluten ngengozi. Izindaba ezinhle ukuthi kunezinsiza eziningi ezitholakalayo zokukusiza ukuthi uqale ukudla kwakho okusha. Udokotela wakho angakudlulisela kuchwepheshe wezokudla obhalisiwe , ongakusiza ukuthi uqalise. Yikuphi ukudla okubangela izimpawu ze-celiac?
I-gluten itholakala ngokwemvelo kokunye okusanhlamvu kanye nemikhiqizo eyenziwe ngokusanhlamvu. Lokho kusho ukuthi:- Ukolweni (zonke izinhlobo ezifana ne-semolina, i-durum, i-bulgur, i-spelt, i-couscous)
- Ibhali (kanye ne-malt eyenziwe ngebhali)
- I-Rye
Lezi zinhlamvu zisetshenziselwa ukwenza:- Imikhiqizo yesinkwa kanye neyokubhaka
- Okusanhlamvu okushisayo nokubandayo
- Izinhlobo zama-noodle ne-pasta
- Ubhiya, i-Lager kanye ne-Ale
- Utshwala obuqukethe i-malt
- Uviniga we-malt
Ngaphezu kwalokho, i-gluten nayo yengezwa emikhiqizweni eminingi yokudla okucutshunguliwe . Isibonelo:- Izisobho namasosi
- Izithako zesaladi kanye nezinongo
- Inyama ecutshunguliwe (njenge-hot dog, inyama ye-deli)
- Imikhiqizo yoshizi ecutshunguliwe, iyogathi kanye ne-ayisikhilimu
- Ukudla okupakishiwe
- Ukudla okumnandi
Okubalulekile: Ngaphambi kokudla ukudla okucutshunguliwe, hlola ilebula ukuqinisekisa ukuthi ayikho i-gluten efihliwe.
Amanye amathiphu asheshayo okuphila nesifo se-celiac:
- Dala imenyu yasekhaya. Bheka izincwadi zokupheka bese ukhetha izindlela zokupheka ezimbalwa ongazidla njalo futhi ezilula ukuzenza. Zenze umkhuba wokugcina izithako ozidingayo ekhaya njalo.
- Gcina ukudla okulula okungenayo i-gluten emotweni yakho, esikhwameni, noma edeskini lehhovisi. Kuzoba usizo uma ungakwazi ukuthola okunye ukudla lapho uphuma endlini.
- Thola izindawo zokudlela ezimbalwa ezinamamenyu athembekile angenayo i-gluten noma owaziyo ukuthi unga-oda kuzo ngokuphephile.
- Uma ungaqiniseki ukuthi yini ngempela ekudleni okusha, kungumqondo omuhle futhi ukugcina imichilo yokuhlola i-gluten iseduze ukuze uhlole ukuthi iqukethe i-gluten yini.
Okokugcina, okufanele ukukhumbule
Ukuxilongwa kwesifo se-celiac kuzoshintsha ukudla kwakho nendlela yakho yokuphila unomphela. Futhi kuzoshintsha impilo yakho ibe ngcono . Ngaphambi kokuba uhlolwe, cishe wawudla i-gluten futhi ulimaza kancane kancane amathumbu akho amancane. Kungenzeka ukuthi ubunezimpawu ezingavamile, ezingakhululekile iminyaka eminingi ngaphandle kokwazi ukuthi ziyini. Manje njengoba usuyazi, unamandla okwakha kabusha impilo yakho. Ungakhathazeki, uma uziphatha kahle, ungahlala uphilile!
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