Kuchepa kwa magazi ndi chizindikiro chofala kwambiri cha matenda a leliac -mu phunziro limodzi, gawo limodzi mwa magawo atatu a ma celiacs atsopanowa anali ndi kuperewera kwa magazi m'thupi.
Nchifukwa chiyani matenda ochepetsa magazi m'thupi ndi matenda a leliac nthawi zambiri amawoneka pamodzi? Chabwino, nthawi zambiri chifukwa cha matenda a celiac, simungatenge zakudya zanu nthawi zonse ... ndipo pamene simungapeze chitsulo chokwanira kuchokera ku chakudya chanu, mukhoza kuyamba kuchepa kwa magazi.
Tiyeni tione zofunikira zina za kuchepa magazi m'thupi.
Zizindikiro ndi kuchepetsa magazi
Thupi lanu limagwiritsa ntchito hemoglobin-mapuloteni omwe amapezeka m'maselo ofiira ofiira-kutengera mpweya wanu m'thupi lanu lonse. Mukadwala matenda a magazi, mulibe hemoglobini yokwanira, kotero kuti maselo anu sakupeza oxygen yokwanira kuti ikhale bwino.
Zizindikiro za kuchepa kwa magazi m'thupi zimaphatikizapo mpweya wochepa, kutopa, kufooka, chizungulire, kumverera kuzizira nthawi zonse, kuthamanga mofulumira, kupweteka kwa mtima, ndi kupweteka mutu.
Anemia akhoza kukhala ndi zifukwa zosiyanasiyana. Mtundu wambiri wa magazi m'thupi lonse lapansi, komanso mu matenda a celiac-umadziwika ngati kusowa kwa magazi m'thupi. Iron ndi chinthu chofunikira kwambiri cha hemoglobin, kotero pamene munthu ali ndi vuto lachitsulo, thupi silingakwanitse.
Anthu omwe ali ndi matendawa amatha kukhala ndi vuto la kuperewera kwa magazi lotchedwa "kuchepa kwa magazi m'thupi." Matendawa amatha kuwonongeka m'matumbo omwe amadya zakudya zomwe zili ndi mapuloteni a gluten .
Matenda a kuchepa kwa Iron ndi Matenda a Celiac
Anthu ambiri omwe ali ndi vuto la kuchepa kwa magazi omwe ali ndi chitsulo amakhala ndi vuto chifukwa cha kutayika kwa magazi.
Chifukwa cha kuwonongeka kwa magazi kungakhale koonekeratu (monga kupsinjika mtima kapena kuchoka kwa magazi kumaliseche) kapena osawoneka (monga ndi zilonda zamagazi). Chakudya chochepa kwambiri chachitsulo chingayambitsenso kuchepa kwa magazi m'thupi, monga momwe amatha kutenga mimba (ndicho chifukwa chake ambiri odwala matenda am'thupi amavomereza chitsulo chowonjezera).
Ngati muli ndi vuto la kuchepa kwa magazi omwe simungathe kufotokoza ndi imodzi mwazifukwazo, muli ndi mwayi wokhala ndi matenda a celiac, ngakhale kuti mulibe zizindikiro zooneka bwino.
Ndipotu, pakati pa anthu omwe ali ndi vuto la kuchepa kwa magazi koma alibe zizindikiro za m'mimba, mpaka 9 peresenti adzayesa matenda odwala matendawa. Ngati muli ndi zizindikiro za m'mimba, muli ndi mwayi wokhala ndi celiac. Ndichifukwa chake American Gastroenter Association Association imalimbikitsa kuti munthu aliyense wamkulu amene ali ndi vuto la kuchepa kwa chitsulo chosadziwika kuti ayesedwe ku matenda a leliac.
Kuperewera kwa zakudya m'thupi ndi mlandu wa kusowa kwa iron
Monga ndanenera pamwambapa, anthu omwe ali ndi matendawa amapezeka kuti ali ndi vuto la kuchepa kwa magazi chifukwa samakhala ndi chitsulo chokwanira kuchokera ku zakudya zomwe amadya. Chifukwa chakuti mu matenda a chilliyake, kudya zakudya za gluten kumayambitsa thupi lanu kuti lisokoneze matumbo a m'mimba mwanu, zomwe zimapangitsa kuti muzitha kuyamwa zakudya (kuphatikizapo chitsulo).
Ndipotu pali umboni wina wosonyeza kuti anthu omwe ali ndi matenda ochepetsa magazi m'thupi omwe ali ndi matenda aakulu, amakhala ndi matenda oopsa kwambiri kuposa anthu omwe ali ndi matenda otsegula m'mimba.
Mwamwayi, mutapezeka kuti muli ndi celiac ndikuyamba kudya zakudya zopanda thanzi , matumbo anu amayamba kuchiritsa ndipo mumayamba kuyamwa zakudya zanu. Dokotala wanu angakulimbikitseni kuti mutenge zakudya zowonjezera zitsulo kuti mumange masitolo anu achitsulo ndikudya zakudya zowonjezera, monga nyama yofiira.
Zina mwa zinthu zomwe zimakhudzana ndi kuchepa kwa magazi omwe amapezeka ndi chitsulo chifukwa cha matenda okhudzana ndi zakudya monga Crohn's , kugwiritsira ntchito mankhwala osokoneza bongo, komanso opaleshoni yowonongeka .
Matenda a Matenda Odwala Matenda Odwala
Ngakhale vuto la kuchepa kwa chitsulo ndilo chifukwa chodziwika bwino cha matenda a celiac, kuchepa kwa nthenda ya matenda aakulu kumayanjananso ndi laliac. Kafukufuku wa 2006 anapeza kuti pafupifupi anthu 12 mwa anthu 100 alionse omwe ali ndi matendawa omwe ali atangoyamba kumene kudwala matendawa ndi matenda a magazi omwe ali ndi mawonekedwe otchedwa "kuchepa kwa magazi m'thupi."
Matenda oterewa, omwe amatchedwanso "kuchepa kwa magazi m'thupi," amapezeka makamaka kwa anthu omwe akhala akudwala kwa nthawi yaitali.
Zimapezeka chifukwa chitetezo cha chitetezo cha m'thupi lanu chimakhudza thupi lanu kupanga maselo ofiira.
Chifukwa chakuti anthu omwe ali ndi matenda a chilonda omwe amadya chakudya chamatenda amakhala ndi zotupa kwambiri m'matumbo awo, n'zosadabwitsa kuti matenda obwera chifukwa cha matenda osatha angathe kuyamba. N'zotheka kuti mukhale ndi matendawa m'thupi limodzi panthawi yomweyo.
Mayesero a Anemia
Ndizosavuta kuti muyese kuchepa kwa magazi m'thupi-zidzasonyezedwa mu zotsatira za kuwerengera kwathunthu kwa magazi, kapena CBC, yomwe ndiyeso yowonongeka yomwe madokotala ambiri akuyesa. CBC imayeza kuchuluka kwa hemoglobini m'magazi, pamodzi ndi nambala ndi kuchuluka kwa mitundu yosiyanasiyana ya maselo a magazi.
Ngati mayeso a magazi anu amasonyeza kuti muli ndi magazi, dokotala wanu angapangire mayesero ena kuti apeze chifukwa. Kusanthula maselo ofiira a m'magazi pansi pa microscope, ndi kuyesa zitsulo zachitsulo, zingapereke zambiri zowonjezera.
Kusinthidwa ndi Jane Anderson
> Zotsatira:
> Abu Daya H et al. Odwala a Celiac amene akudwala matenda ochepetsa magazi m'thupi amakhala ndi matenda oopsa kwambiri kuposa omwe akutsegula m'mimba. Clinical Gastroenterology ndi Hepatology. 2013 Nov; 11 (11): 1472-7.
> American Gastroenterological Association Institute Medical Medical Position Statement on Discrimination and Management of Celiac Disease. Gastroenterology 2006; 131: 1977-1980
> Bergamaschi G et al. Matenda a m'thupi omwe ali ndi matenda aakulu komanso operewera a erythropoietin opangidwa ndi odwala omwe ali ndi matenda a celiac. Haematologica. 2008 Dec; 93 (12): 1785-91.
> Harper JW et al. Matenda a m'mimba mwa matendawa amachititsa chidwi kwambiri. American Journal of Hematology 82: 996-1000, 2007.
> Mapulogalamu a National Heart Lung ndi Magazi. Kodi Anemia Ndi Chiyani? pepala lolemba.
> Schrier SL. Kuperewera kwa chuma kwa iron. Zaposachedwa.
> Volta U et al. Kusintha kwa chithandizo chachipatala cha matenda a celiac: zaka khumi ndi zisanu (1998-2012) mu malo otsogolera a ku Italy. BMC Gastroenterology .2014 Nov 18; 14: 194.