Ingabe unesifo se-Celiac? Nansi indlela yokuthola ngokuqinisekile! (Isifo se-Celiac)

Ingabe uvame ukuba nobuhlungu besisu, ukuqunjelwa, noma umuzwa wokuqunjelwa kungakhathalekile ukuthi udla malini? Ungase ucabange ukuthi lokhu kuyinto evamile, noma ukuthi kungenxa yokuthi ukudla okudlayo kunongwe kakhulu. Kodwa lezi zimpawu zingaba uphawu lwesimo abantu abaningi abangasazi, kodwa esingalawulwa ngokuphelele uma sitholakala kahle. Namuhla sikhuluma ngaso, i-Celiac Disease, abantu abaningi abangakaze bezwe ngaso. Eqinisweni, abacwaningi bathi umuntu oyedwa kwabahlanu kuphela onalesi sifo owaziyo ukuthi unaso. Yingakho kubaluleke kakhulu ukuqaphela.

Kalula nje, siyini isifo se-Celiac?

Kalula nje, kuyinkinga ngesimiso sethu somzimba sokuzivikela. Uma sidla ukudla okwenziwe ngokusanhlamvu okufana nokolweni nebhali (isinkwa, amabhanisi, ama-noodle, amakhekhe), isimiso sethu somzimba sokuzivikela siqala ukulwa neprotheni ebizwa ngokuthi i-gluten ekuwo. Lokhu kulwa kulimaza amathumbu ethu amancane. Ngokuhamba kwesikhathi, lo monakalo ubangela ukuthi umzimba wethu ungakwazi ukumunca izakhamzimba ozidingayo. Yilokhu esikubiza ngokuthi i-Celiac Disease. Lokhu akuyona into ejwayelekile yokungezwani nokudla, kodwa kuyisimo esiyinkimbinkimbi kakhulu.

Ukuxilongwa: Sazi kanjani ngokuqinisekile?

Izimpawu zalesi sifo zingahluka kakhulu kumuntu nomuntu. Nakuba abanye abantu beba nezimpawu ezifana nokuphazamiseka kwesisu, ukuqunjelwa, kanye nesifo sohudo, abanye bangase babe nezimpawu ezifana nokwehla kwesisindo, ubuhlungu bamalunga, izinkinga zesikhumba, noma ukukhathala okuqhubekayo. Njengoba lezi zimpawu zingaqali ngesikhathi esisodwa, ngezinye izikhathi kungathatha iminyaka ukuqaphela lesi sifo.

Kodwa uma ucabanga ukuthi unalezi zimpawu, naka ngokukhethekile lezi zinto:

• Umlando womndeni: Uma othile emndenini wakho (umama, ubaba, umfowethu, udadewethu, ingane) enesifo se-Celiac, nawe usengozini yokuthola lesi sifo. Ngakho-ke, kuwukuhlakanipha ukukhuluma nodokotela wakho bese wenza izivivinyo ezidingekayo.
• Ezinye izimo zezokwelapha: Uma unezinye izifo ezizimele, njengesifo sikashukela sohlobo 1, isifo sesibindi esizimele, noma isifo se-thyroid, kubaluleke kakhulu ukuhlolwa kwesifo se-Celiac.

Okubaluleke kakhulu: Ungayeki ukudla i-gluten ngaphambi kokuhlolwa!

Leli yiphutha elikhulu elenziwa abantu abaningi. Bacabanga ukuthi bangase babe nesifo se-Celiac bese beyeka ukudla ukudla okuqukethe i-gluten (njengesinkwa ne-roti) ngaphambi kokuya kudokotela. Sicela ungakwenzi lokho.

Isizathu ukuthi ukuze ukuhlolwa kube okunembile, udinga ukuba ne-gluten emzimbeni wakho. Uma uyeka ukudla i-gluten, ukuhlolwa kungase kungasiboni lesi sifo. Khona-ke ungase uthole ukuxilongwa okungalungile.

Uma usuvele ushintshele ekudleni okungenagluten, udokotela wakho cishe uzokucela ukuthi wenze "inselele yegluten." Lokhu kusho ukuthi kuzodingeka udle inani elithile lokudla okuqukethe igluten (isibonelo, izingcezu ezine zesinkwa ngosuku) nsuku zonke amasonto amaningana (ngokuvamile cishe amasonto ayisishiyagalombili) ngaphambi kokuhlolwa. Lokhu kungaba nzima kancane, kodwa kubalulekile ukuthola ukuxilongwa okunembile.

Ziyini lezi zivivinyo?

Kunezinhlobo eziningana eziyinhloko zokuhlolwa ukuze kutholakale isifo se-Celiac. Eyokuqala ukuhlolwa kwegazi kanye nokwezakhi zofuzo.

Ukuhlolwa Kwegazi Nofuzo

Lezi izivivinyo zokuqala. Imiphumela yalezi zizonquma ukuthi yini okufanele uyenze ngokulandelayo.

• Ukuhlolwa Kwegazi: Lokhu kuhlola izinhlobo ezithile zama-antibodies egazini lakho. Uma umuntu onesifo se-Celiac edla i-gluten, umzimba wakhe ukhiqiza la ma-antibodies. Ngakho-ke uma izinga lala ma-antibodies egazini liphakeme kakhulu kunejwayelekile, kuyisibonakaliso esinamandla sokuthi ungase ube nesifo se-Celiac.
• Ukuhlolwa Kwezakhi Zofuzo: Lokhu kuhlola izakhi zofuzo zakho ukuze kutholakale izakhi zofuzo ze-HLA-DQ2 kanye ne-HLA-DQ8 . Uma ungenazo lezi zakhi zofuzo, cishe akunakwenzeka ukuthi ube nesifo se-Celiac. Lokhu kuhlolwa kungenziwa kusetshenziswa isampula yegazi, isampula yamathe, noma i-swab yamaseli avela ngaphakathi emlonyeni wakho.

Kodwa khumbula, lezi zivivinyo zodwa azikwazi ukuqinisekisa ngokuphelele ukuthi unesifo se-Celiac. Uma lezi zivivinyo ziphakamisa ukusola ngalesi sifo, ukuhlolwa okulandelayo okubaluleke kakhulu okufanele ukwenze i-endoscopy.

I-Endoscopy ukuqinisekisa lesi sifo

Abanye abantu bangase besabe uma bezwa leli gama, kodwa akulona elethusa kangako. Lolu uhlobo lokuhlolwa olusetshenziswa ukuqinisekisa ukuthi unesifo se-Celiac noma cha.

Lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo (i-scope) elinekhamera encane exhunywe ngomlomo wakho bese yehla ngomhubhe wakho iye emathunjini akho amancane. Lokhu kuvumela udokotela wakho ukuthi abone ukuthi kukhona yini umonakalo olwelwesini lwangaphakathi lwamathumbu akho amancane.

Ngalesi sikhathi, udokotela uthatha ingxenye encane kakhulu yezicubu odongeni lwamathumbu amancane. Lokhu kubizwa ngokuthi i-biopsy . Le ngxenye yezicubu ithunyelwa elabhorethri bese ihlolwa ngaphansi kwe-microscope.

Yini efunwayo ku-biopsy?

Udonga lwangaphakathi lwamathumbu ethu amancane aphilile lunezigidi zezitho ezincane ezifana neminwe ezibizwa ngokuthi ama-villi . Zifana nemicu ekhaphethini elijiyile. Umsebenzi wazo oyinhloko ukumunca izakhamzimba ekudleni esikudlayo.

Kumuntu onesifo se-Celiac, la ma-villi wonakele futhi acwebezelwe. I-biopsy izohlola ukuthi ama-villi akho onakele ngale ndlela. Uma onakele, lobo ubufakazi obuqine kakhulu bokuthi unesifo se-Celiac.

Le endoscopy ithatha cishe imizuzu eyi-15. Futhi udokotela wenza konke angakwenza ukuqinisekisa ukuthi awuzizwa ungakhululekile phakathi nale nqubo.