Madokotala amadziwa kuti matenda otupa amtunduwu amatha kusamalidwa, pamene matumbo ako amatha kuchepetsa, ngakhale zakudya zopanda thanzi za gluten. Nazi zambiri zokhudzana ndi chikhalidwe, matenda ake, ndi chithandizo cha mankhwala.
Mwachidule
Ambiri amapezeka kuti ali ndi matenda a celiac- mwinamwake pafupifupi 90 peresenti-amapeza mpumulo ku zizindikiro zawo, ndipo m'mimba mwawo amayamba kuchira mkati mwa masabata angapo kuti ayambe kudya zakudya zopanda thanzi .
Komabe, mmodzi mwa odwala khumi okhawo sakuwona mpumulo umenewo kapena akupeza kuti zizindikiro zake zimabwereranso pambuyo pake. Ngati ndi choncho kwa inu, dokotala wanu anganene kuti angathe kutenga matendawa.
Matenda a celeacac omwe amatsutsa amapezeka pamene matumbo ako aang'ono amatha kuchiza ndipo umapitirizabe kuvutika ndi matenda oopsa , ngakhale kuti wakhala akutsatira zakudya zopanda thanzi zowonjezereka kwa chaka chimodzi kapena kuposerapo. Anthu omwe ali ndi zizindikiro zowonongeka zowonongeka-zomwe ndizovuta kwambiri-ali ndi chiopsezo chachikulu kwambiri cha mavuto aakulu, kuphatikizapo mawonekedwe osakhala a Hodgkin lymphoma ogwirizana ndi matenda a celiac.
Kukula
Izi zikhoza kuwopsya, koma musalole kuti zikuwopsyezeni: Mwinamwake mulibe matenda osakanikirana. Zomwe simukuzidziwa ndizochepa kwambiri: kafukufuku wina anapeza kuti 1.5 peresenti ya onse odwala matenda a Celiac akudwala matendawa.
Ndipo kwa anthu ambiri omwe amakhala ndi zizindikiro zowonjezereka, pali chifukwa china-kawirikawiri, ndizochepa zedi za gluteni zomwe mukudya zomwe zikuyambitsa zizindikiro zanu , ngakhale kuti madokotala angapezeke kuti mulibe matenda a Celiac pambuyo pake .
Koma mosasamala kanthu za zovuta za matenda osokoneza bongo, ngati mukutsatira mwakudya ndikupeza kuti simunamve bwino, dokotala wanu angafune kufufuza kuti apeze vutoli.
Ndipo ngati mukudzidzimutsa kuti muli ndi mankhwala osokoneza bongo, pali mankhwala omwe angakuthandizeni kuchiza.
Zizindikiro
Odwala omwe ali ndi matenda odwala matendawa amagawana zinthu zingapo zofanana: ambiri amakhala a zaka zapakati kapena apakati (vutoli silikuwonekapo mwa ana), ambiri alemera, ndipo anayi pa asanu ali ndi kutsekula m'mimba.
Kuphatikiza pa zizindikiro zomwe zimakhalapo, anthu ambiri omwe ali ndi vuto la kusowa zakudya m'thupi ndi mavitamini omwe amasonyeza kuti akudwala kwambiri.
Komabe, zinthu zina zingayambitse zizindikiro zomwezo. Chinthu choyamba chopeza kuti matenda oopsa a chilonda (kapena, mwinamwake, kuthetsa vutoli) adzakhala dokotala wanu kuti aone ngati matenda anu a chileliac ndi matendawa anali olondola poyamba.
Kudziwa
Kuti muzindikire kuti muli ndi matenda a celiac, muyenera kukhala ndi mapepala osungirako mankhwala omwe amasonyeza kuti ndi oopsa kwambiri: Kuwonongeka kwa tizilombo toyambitsa matenda timene timathandizira kukumba chakudya chanu. Ngakhale kuti si zachilendo, palinso zinthu zina zomwe zingayambitsenso m'mimba momwemo.
Pofuna kubwezeretsa matenda anu oyambirira, dokotala wanu angafunike kuyesa kuyesa magazi magazi ndi mayeso kuti awone ngati muli ndi matenda enaake omwe ali ndi matendawa .
Ngati muli ndi matenda a celiac, sitepe yotsatirayi idzakhala ngati mukutsatira zakudya zopanda thanzi. Izi zikhonza kukhala ndi msonkhano ndi munthu wodziwa bwino zakudya zamakono zomwe zimapangitsa kuti zakudya zisamayende bwino.
Kunena zoona, anthu ambiri amadabwa kwambiri kuti amatsatira bwanji zakudyazo. Mwachitsanzo, kafukufuku wina anapeza kuti ambiri mwa odwala omwe adakhalabe ndi zizindikiro pambuyo powapeza akudyabe , ngakhale kuti amakhulupirira kuti amamvetsa chakudya komanso momwe angayang'anire zakudya zowonongeka. Zomwe zimagwiritsidwa ntchito nthawi zambiri zimakhala zosowa za gluten pa zolemba za chakudya , kudya kunja nthawi zambiri komanso kudya zakudya zambiri zogwiritsidwa ntchito ndi kulemba bwino.
Ndizotheka kuti "kubwezeretsa" chakudya chanu kungathandize kuthetsa mavuto alionse ndi zizindikiro zowonjezereka. Koma ngati sizitero, dokotala wanu ayenera kuyang'ana zifukwa zina zomwe zingayambitse, kuphatikizapo lactose malabsorption, kuchepa kwabakiteriya kameneka, kuperewera kwa pancreatic ndi matenda opweteka .
Pamene izi zikhoza kuyambitsa zizindikiro zowonongeka, dokotala wanu angaganizire kuti ali ndi matenda omwe amachititsa kuti matendawa asapitirire. Pa malo ena odwala matendawa, akatswiri akugwiritsa ntchito capsule endoscopy kuti aone intestine yaing'ono komanso kutsimikizira kuti ali ndi matenda.
Mitundu
Ngati mwapezeka kuti muli ndi matenda a celeacac, mumauzidwa kuti muli ndi mitundu iwiri: Lembani I kapena mtundu wachiwiri. Mtundu wanu umatsimikiziridwa ndi kufufuza kwapadera kwa selo loyera la magazi, lotchedwa T-cell, lomwe liri m'matumbo anu aang'ono.
Anthu omwe ali ndi mtundu wa mtundu I ali ndi maselo a T omwe ali m'mimba mwawo, pamene anthu okhala ndi mtundu wachiwiri ali ndi T-maselo osadziwika. Mtundu Woyamba ndi wofala kwambiri kuposa Mtundu Wachiŵiri: Phunziro limodzi lomwe linapangidwa ku Boston, pafupifupi 15 peresenti ya odwala matendawa omwe ali ndi vutoli ali ndi mtundu wa mtundu wachiwiri.
Kuwonjezera pa kukhala wachikondi, mtundu wachiwiri ndiwowopsya kwambiri wa matenda a malalanjewa: satero nthawi zonse kuchipatala, ndipo nthawi zambiri amatsogoleredwa ku mtundu wosakhala wa Hodgkin lymphoma. Ndipotu, odwala amachiona kuti ndi mtundu wochepa kwambiri wa lymphoma - umodzi wokhala ndi vuto loipa.
Mawu Ochokera
Popeza kuti matenda osakanikirana owona okhawo ndi osowa kwambiri, odwala amene apezeka ndi mawonekedwe ena adzatumizidwira ku malo otchedwa celiac ndi zochitika zothandizira mitundu ina ya matendawa. Kumeneko, odwala ali ndi njira zingapo zomwe angayesetse kuti matendawa asapitirire ndikupangitsa kuchiritsa.
> Zotsatira:
> Malamut G. et al. Matenda Opatsirana Opatsirana. Mapatala a Endoscopy Clinic a North America. 2012 Oct; 22 (4): 759-72. do: 10.1016 / j.giec.2012.07.007. Epub 2012 Aug 24.
> Mooney PD et al. Kulephera Kachilombo ku Matenda a Celiac: Buku lothandizira kufufuza ndi chithandizo cha Matenda osadziwika ndi Otsutsa. Journal za M'mimba ndi Matenda a Chiwindi. 2012 Jun; 21 (2): 197-203.
> Roshan B. et al. Kuchuluka kwa Matenda ndi Kachilombo ka Matenda Odzidzidziritsa Odwala Matenda a Kachilombo ku North American Referral Center. American Journal of Gastroenterology. 2011 May; 106 (5): 923-8. do: 10.1038 / ajg.2011.104. Epub 2011 Apr 5.