Ingabe nawe uhlala uzizwa usuthi? Ingabe uthola izinhlungu zesisu ezingajwayelekile? Ingabe ngezinye izikhathi uba nezinkinga ezifana nokuqunjelwa, kanti ngezinye izikhathi isisu sakho sizizwa somile? Nakuba abantu abaningi becabanga ukuthi lezi yizinto ezivamile, ngezinye izikhathi kungase kube nesizathu salokhu esingacabangi ngaso. Esinye sezizathu ezinjalo kungaba yisimo esibizwa ngokuthi isifo se-Celiac. Ngakho-ke namuhla, ake sixoxe ngokuthi siyini isifo se-Celiac kanye nokuhlolwa kwegazi okubalulekile okubizwa ngokuthi i-tTg-IgA okusetshenziselwa ukusixilonga.
Kalula nje, siyini isifo se-Celiac?
Isifo se-Celiac yisifo esihlala isikhathi eside, esingamahlalakhona esithinta uhlelo lwethu lokugaya ukudla. Sikhethekile kakhulu ngoba yisifo sokuzivikela komzimba. Cabanga ukuthi uhlelo lokuzivikela lomzimba wakho, uhlelo lokuzivikela komzimba, luqala ngephutha ukuhlasela izingxenye zomzimba wakho. Yilokho okwenzekayo esifweni se-celiac. Lesi simo senzeka uma udla ukudla okuqukethe iphrotheni ebizwa ngokuthi i-gluten. I-Gluten yinto etholakala kokusanhlamvu okufana nokolweni nebhali. I-Gluten itholakala ezintweni eziningi esizidla nsuku zonke, njengesinkwa, amakhekhe, i-pasta, ne-roti. Uma umuntu onesifo se-celiac edla i-gluten, uhlelo lwakhe lokuzivikela komzimba lubona le gluten njengesitha esikhulu. Ngakho-ke ukuze siyihlasele, ngeshwa, izindonga zamathumbu ethu amancane nazo ziyalimala.
Khumbula, lokhu akusikho nje ukuzwela kwe-gluten noma ukungabekezelelani nokolweni. I-Celiac yisimo esibi kakhulu. Ingabangela izinkinga zokugaya ukudla isikhathi eside futhi ivimbele umzimba ekumunceni izakhamzimba ngendlela efanele.
Kungani isifo se-Celiac senzeka?
Kunzima ukukhomba isizathu esisodwa salokhu, kodwa kunezici ezimbalwa eziyinhloko.
- Ufuzo: Lokhu kungaba ufuzo. Uma ilungu lomndeni eliseduze, njengomama, ubaba, noma umfowabo, linalesi sifo, usengozini enkulu yokuba naso.
- Imikhuba yokudla yasebuntwaneni: Ucwaningo oluthile luthole ukuthi izingane ezidla ukudla okuningi okune-gluten zisencane zingase zibe nengozi eyengeziwe kancane yalesi simo.
- Ezinye izimo zezokwelapha: Uma unezinye izifo ezizimele , njengesifo sikashukela sohlobo 1 noma isifo se-thyroid, kungenzeka kakhulu ukuthi ube nesifo se-Celiac.
Ziyini izimpawu zesifo se-Celiac?
Izimpawu zesifo se-celiac zingahluka kumuntu nomuntu. Abanye abantu babhekana nalezi zimpawu kakhulu, kanti abanye abazizwa. Ake sihlaziye izimpawu ezivamile kanje.
| Uhlobo oluyisici | Incazelo |
|---|
| Izici zesistimu yokugaya ukudla | |
| Ezinye izici zomzimba | - Ukuqubuka kwesikhumba
- Izilonda zomqala
- Ukulimala kwe-enamel yamazinyo
- Izingane: ukukhula okulinganiselwe, ukwehla kwesisindo, ukuthomba okulibazisekile, ukukhula okulinganiselwe, kanye nokushintsha kwemizwelo.
|
Lezi zimpawu zibonakala kakhulu ezinganeni, njengoba zikhula kalula njengoba imizimba yazo ingakwazi ukumunca kahle izakhamzimba.
Ungazi kanjani ukuthi unesifo se-Celiac?
Uma udokotela wakho esola lesi sifo, kunezivivinyo eziningana zokuqinisekisa lokhu.
| Indlela yokuhlola | Kalula nje... |
|---|
| Umlando wezokwelapha nowomndeni | Udokotela uzokubuza ngezimpawu zakho nokuthi ngabe kukhona yini emndenini wakho onalesi sifo. |
| Ukuhlolwa komzimba | Umzimba uhlolwa izimpawu ezifana nokwehla kwesisindo, amabala esikhumba, kanye nokuqunjelwa. |
| Ukuhlolwa kwegazi | Kuthathwa isampula yegazi bese kuhlolwa igazi ukuze kutholakale amasosha omzimba athile ahlobene nesifo se-Celiac. Ukuhlolwa kwe-tTg-IgA esikhuluma ngakho namuhla yikona okubaluleke kakhulu. |
| Ukuhlolwa kwebhayoloji | Lokhu kuhilela ukufaka ithubhu elincane (i-endoscope) elinekhamera exhunywe ngomlomo, ukuthatha ingxenye encane kakhulu yezicubu emathunjini amancane bese uyihlola ngaphansi kwe-microscope. Lokhu kungahlola ngokunembile umonakalo obangelwe yisifo se-celiac. |
| Ukuhlolwa kofuzo | Isampula yegazi noma isampula yamaseli athathwe ngaphakathi esihlathini ingasetshenziswa ukuhlola ukuthi unazo yini izakhi zofuzo ezihlobene nesifo se-celiac. |
Kulungile, pho luyini lolu vivinyo lwe-Tissue Transglutaminase IgA (tTg-IgA)?
Lokhu
ukuhlolwa kwegazi okuyinhloko nokuzwela kakhulu kokuthola isifo se-Celiac. Njengoba sixoxile ngaphambili, lapho umuntu onesifo se-Celiac edla i-gluten, amasosha omzimba aqala ukulwa nayo. Ukuze alwe nale mpi, akhiqiza "amasosha akhethekile" abizwa ngokuthi ama-antibodies (ama-Antibodies noma ama-Immunoglobulins). Into edabukisayo ukuthi la ma-antibodies nawo ahlasela ngephutha i-enzyme emzimbeni wethu esiza ekulungiseni amaseli. Leyo enzyme ibizwa ngokuthi i-Tissue Transglutaminase. Ngakho-ke sibiza la ma-antibodies ngokuthi ama-anti-tissue transglutaminase antibodies. Izinga lala ma-anti-tissue transglutaminase antibodies egazini lomuntu onesifo se-Celiac liphezulu kakhulu.
Ukuhlolwa kwe-tTg-IgA kulinganisa izinga laleyo antibody. Kungani lokhu kuhlolwa kwe-tTg-IgA kubaluleke kangaka?
Lolu vivinyo olunembile kakhulu.
Cishe abantu abangu-98 kwabayi-100 abanesifo se-celiac abadla ukudla okuqukethe i-gluten bazothola umphumela omuhle kulolu vivinyo. Yingakho odokotela bencoma ukwenza lolu vivinyo kuqala.
Ngaphambi kokuhlolwa nokuthi ungasibhala kanjani isivivinyo
Kukhona
into okufanele uyikhumbule lapha.
Ngaphambi kokuthatha lesi sivivinyo, akufanele uyeke ukudla ukudla okuqukethe i-gluten. Uma usola ukuthi unesifo se-Celiac futhi uyeke ukudla i-gluten wedwa, izinga lalawo ma-antibodies egazini lakho lingase lehle. Ngemuva kwalokho umphumela wokuhlolwa ungase uphume ungalungile (ungamanga-unegative). Okusho ukuthi, kungase kubonise ukuthi unesifo, kodwa ungasilawuli. Ngakho-ke, ungalawuli ukudla kwakho ngaphandle kweseluleko sikadokotela wakho.
Ukuhlolwa kulula kakhulu. 1. Kuthathwa igazi elincane emthanjeni ongalweni yakho kusetshenziswa i-lancet. 2. Isampula yegazi bese ithunyelwa elabhorethri ukuze ihlolwe ama-anti-tissue transglutaminase antibodies. 3. Uma izinga lama-antibody egazini lakho liphezulu kakhulu, kusolwa ukuthi ungase ube nesifo se-Celiac. Izingozi zalokhu kuhlolwa aziphezulu kangako. Ungase uzizwe umuzwa omncane wokuhlaba lapho kufakwa inaliti. Kungase kube nokuklwebheka kanye nobuhlungu obuncane lapho igazi likhishwe khona. Ngaphandle kwalokho, azikho izingozi ezinkulu. Kodwa-ke, kukhona into eyodwa. Ngezinye izikhathi, ikakhulukazi ezinganeni ezincane nakubantu abanamazinga aphansi ama-antibody, imiphumela yalokhu kuhlolwa ingase ingabi yi-100% enembayo. Yingakho, kuye ngemiphumela yokuhlolwa kwegazi, udokotela wakho kungadingeka enze into efana ne-biopsy ukuqinisekisa lesi sifo.
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-Celiac yisifo esibi kakhulu sokuzivikela komzimba esibangelwa yi-gluten. Akuyona into evamile yokungezwani komzimba.
- Ukuhlolwa kwegazi kwe-tTg-IgA kuyindlela eyinhloko nenembile kakhulu yokuhlola igazi esetshenziswa ukuxilonga lesi sifo.
- Uma unezimpawu zesifo se-Celiac, unomlando womndeni waso, noma unezinye izinto eziyingozi njengesifo sikashukela, khuluma nodokotela wakho ngalokhu.
- Okubaluleke kakhulu: Ungayeki ukudla ukudla okuqukethe i-gluten ngaphambi kokwenza ukuhlolwa kwe-celiac ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungabangela imiphumela yokuhlolwa enganembile.
- Kubaluleke kakhulu ukuxoxa nganoma yimiphi imiphumela yokuhlolwa nodokotela wakho ukuze uyiqonde ngokugcwele.
Isifo se-Celiac, ukuhlolwa kwe-tTg-IgA, i-gluten, izifo zokuzivikela komzimba, izinkinga zesisu, ukuhlolwa kwegazi, uhlelo lokugaya ukudla
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