Kafukufuku Akuthandizani Kugwirizana pakati pa GERD ndi Celiac Disease
Ngakhale chifuwa cha reflux, chomwe chimatchedwanso gastroesophageal disease ( GERD ), sichikudziwika kuti ndi chizindikiro chachilendo cha matenda a celiac , kafukufuku amasonyeza kuti pafupifupi 30 peresenti ya anthu omwe ali ndi matenda a chililichi amakhalanso ndi zizindikiro za GERD, nthawi zina zovuta.
Mwamwayi, pali umboni wakuti kusintha kwa zakudya zopanda thanzi kungathandize kuthetsa zizindikiro za matenda onsewa.
Zomwezo zikuwoneka kuti zowona kwa anthu omwe ali ndi GERD komanso zowonjezereka zowonongeka , zomwe zimasonyeza kuti pali zambiri zogwirizana ndi matenda osiyanasiyana.
Kumvetsa GERD
GERD, yomwe imatchedwa acid reflux, imayambitsa pamene valve ikulekanitsa mimba ndi m'mimba ndipo imalola kuti asidi ayimire (reflux) m'mimba. Pali zifukwa zambiri zomwe zimayambitsa GERD kuphatikizapo zilonda , gastritis , ndi H. pylori matenda , ena mwa mankhwalawa ndi ochiritsidwa kuposa ena.
GERD imadziwika ndi kutentha kwadzidzidzi m'chifuwa chifukwa cha regurgitation ya asidi yomwe imatha kupitirira mmero. Anthu omwe ali ndi kachilombo ka HIV kawirikawiri amakumana ndi vuto lomeza ndikumva kupweteka kosalekeza pammero. Chifuwa chosachiritsika, chimakhala chofala.
Kugwirizana pakati pa Matenda a Celiac ndi GERD
Anthu omwe ali ndi matenda oopsawa ali ndi chiwerengero choposa cha GERD kusiyana ndi anthu ambiri, makamaka panthawi yomwe amadziwa .
Mu kafukufuku wina womwe unachitika mu 2011, asayansi anafufuza anthu okwana 133 omwe anali atangoyamba kumene kulandira matendawa omwe ali ndi matenda ena okhaokha pamodzi ndi makumi asanu ndi awiri. Pa nthawi yomwe anapeza, anthu omwe ali ndi matendawa ali ndi kuwonjezeka kawiri pa chiopsezo cha GERD poyerekeza ndi anthu omwe sali nawo. Komanso, anthu omwe ali ndi zizindikiro zamakono za matendawa (kuphatikizapo kutsegula m'mimba, kupweteka, kupweteka, ndi kutopa) anali oposa awiri omwe ali ndi GERD kuposa omwe alibe.
Kusiyanitsa kwakukulu kunawonekera ku kukhazikitsidwa kwa zakudya zopanda thanzi. Malingana ndi ofufuzawo, ophunzira omwe analibe zakudya zopanda thanzi pafupifupi pafupifupi konsekonse anali ndi "kusintha kofulumira ndi kosalekeza mu zizindikiro za reflux" poyerekezera ndi omwe sanatero. Komabe, sizikuwonekeratu ngati kugwiritsidwa ntchito kwa gluten kunayambitsa GERD kapena ngati GERD inali chabe yogwirizana.
Zomwe tikudziwa ndizakuti odwala omwe ali ndi kachilombo ka HIV mu phunziroli adapeza chisamaliro cha zizindikiro mkati mwa miyezi itatu kuti ayambe kudya zakudya zopanda thanzi. Zomwezo zinayambanso mu kafukufuku wofananako mu 2008 momwe akulu 29 omwe ali ndi matenda a celiac anali ndi zaka ziwiri za chikhululukiro cha zizindikiro za GERD pambuyo pochita moyo wosasuka wa gluten.
Matenda a Celiac monga Chifukwa cha GERD
Ngakhale zakudya zopanda thanzi zitha kuthetsa zizindikiro za GERD muzilonda zomwe zangopeza kumene, zomwezo sizingakhale zoona kwa anthu omwe amamva GERD mu matenda amtsogolo.
Kafukufuku wina wokhala ndi anthu akuluakulu makumi asanu ndi awiri ndi makumi asanu ndi awiri ndi anayi ndi makumi asanu ndi awiri ndi makumi asanu ndi awiri (69) omwe ali ndi matenda a celiac, adapeza kuti iwo omwe ali ndi umboni wonyansa wa atrophy (kuponyedwa kwa chiwongosoledwe cha chala pamatumbo) anali oposa awiri omwe ali ndi GERD kuposa awo omwe ali ndi villi .
Izi zikusonyeza kuti njira yosiyana ya matenda ikhoza kugwirizanitsidwa ndi GERD muzolowera zam'tsogolo.
Kaya kudya zakudya zopanda thanzi kungapangitse kuti zizindikiro zisanatchulidwe mu phunziroli.
Zimene Izi Zikutiuza
Kaya munthu amene ali ndi matendawa ali ndi HIV panthawi yomwe akudziwidwa kapena patapita nthawi, kudya zakudya zopanda thanzi kungathandize kuthetsa zizindikiro zonse ziwiri.
Mwachitsanzo, timadziwa kuti chakudya chamadontho cha gluten chimatha kusintha khalidwe loipa la atrophy. Zingakhale zoganiza kuti kuthetsa kwa m'mimba kungathetsere zina mwa zizindikiro zozama za GERD.
Ndizinenedwa kuti, ngati GERD imayambitsidwa ndi chikhalidwe chosasokonezedwa monga H. pylori , sichidziwika bwino kuti, ngati chili chonse, zakudya zopanda thanzi zidzachita.
Ndi chifukwa chake kuti vuto lililonse la GERD liyenera kufufuzidwa mosiyana kuti liwone chifukwa chake. Popanda izi, zifukwa zowonjezereka zingathe kunyalanyazidwa kapena zowonjezera (monga kusuta, kunenepa kwambiri, kapena aspirin) sizingayende bwino.
> Zotsatira:
> Boettcher E. ndi Crowe, S. "Mapuloteni a zakudya ndi matenda okhudza m'mimba." American Journal of Gastroenterology. 2013; 108 (5): 728-36. DOI: 10.1038 / ajg.2013.97.
> Lebwohl, B .; Blaser, M .; Ludwigsson, J. et al. "Kuchepetsa Kuopsa kwa Matenda Omwe Akudwala Odwala ndi Helicobacter pylori Colonization." American Journal of Epidemiology. 2013; 178 (12): 1721-30. DOI: 10.1093 / aje / kwt234.
> Nachman F .; Vasquez, H ;; Gonzalez, A. et al. "Zizindikiro za Reflux m'maganizo a Odwala Amene Ali Ndi Matenda Oopsa ndi Zotsatira za Zakudya Zakudya za Gluten." Clinical Gastroenterology ndi Hepatology. 2011 Mar 9 (3): 214-9. DOI: 10.1016 / j.cgh.2010.06.017.
> Usai P .; Manca, R .; Cuomo, R. ndi al. "Mmene zakudya zopanda thanzi zimagwiritsira ntchito kuteteza matenda obwera chifukwa cha matenda a reflux odwala akuluakulu omwe ali ndi matenda a reflux osagwira ntchito." Journal of Gastroenterology ndi Hepatology. 2008; 23 (9): 1368-72. DOI: 10.1111 / j.1440-1746.2008.05507.x.