Ayi, koma kukhala ndi celiac kungapangitse katemera wa hepatitis B kukhala wosagwira ntchito
Anthu ena akuda nkhaŵa kuti katemera mwina amachititsa kapena kuchititsa matenda a leliac . Koma pali uthenga wabwino: Palibe kafukufuku watsimikizira kuti katemera angayambitse kapena kuthandizira kuleliac kapena matenda ena. Kuwonjezera apo, phunziro limodzi limalimbikitsa: zikuwoneka kuti ana aang'ono omwe amawombera nthawi zonse sakhala ndi chiopsezo chowonjezeka cha matendawa.
Choncho, musamazengereze chifukwa cha matenda oopsawa pamene dokotala wanu akukuuzani kuti ndi nthawi yowombera mwana wanu. Ndipotu, ana omwe ali ndi vuto la kusowa kwa zakudya chifukwa cha matendawa amatha kukhala pachiopsezo cha matenda akuluakulu, choncho katemera angathandize mwana wanu kuti asawonongeke.
Muyeneranso kudziwa kuti kukhala ndi matenda a chililiyi kungapangitse katemera wina - chiwindi cha hepatitis B sichigwira ntchito bwino. Komabe, pali njira zomwe mungachite kuti muthane ndi zoopsazi.
Katemera, Matenda Odzipiritsa Omwe Akuwonjezeka Pa Nthawi Yomweyi
Mafunso okhudzana ndi matenda a mphepo ndi katemera amayambitsa vuto: Nthawi zambiri ana akupezeka ndi matenda a celiac masiku ano, ndipo ana akupeza katemera kwambiri. Kotero zinali zomveka kuti tione ngati pali kugwirizana.
Ofufuza ena ndi makolo adanenanso kuti amadwala kuti katemera angayambitse matenda aakulu a chiwindi pambuyo pa kafukufuku wam'mbuyomu.
Komabe, maphunziro angapo ndi lipoti la 2011 kuchokera ku Institute of Medicine adanena kuti katemera sichifukwa chokwanira kuwonjezeka kwa mtundu wa shuga wa mtundu wa 1, ndipo kafukufuku amasonyeza chimodzimodzi ndi matenda a leliac.
Kuphunzira Kumaganizidwa Swedish Matenda Omwe Amadwala Mliri Mwa Ana
Phunziro limene limayankha funso ili likuwoneka kwa ana ku Sweden, komwe aliyense amawonekera nthawi yonse ya moyo wawo pogwiritsa ntchito mndandanda wa boma.
Kuchokera mu 1984 mpaka 1996, dziko la Sweden linamva zomwe ochita kafukufuku ananena kuti "mliri wa matenda a chiwindi odwala matenda oopsa omwe ali pakati pa makanda" -kuwonjezereka kofulumira kwa matenda a leliac omwe amapezeka m'matumbo, komanso kuwonjezereka kwazaka khumi pambuyo pake.
Chifukwa cha mliriwu chakhala chikugwiritsidwa ntchito pokhapokha ndi njira zowodyetsera ana - pakali pano, kuchedwa kuyambitsidwa kwa mbewu za gluten. Katemera oyambirira adayikidwa ngati wina wothandizira.
Kufufuzira, ochita kafukufukuwa anaphatikizapo ana 392 achikazi omwe anapezeka ngati ana-zaka zapakatikati pamene zizindikiro zinayambira zinali miyezi khumi ndi iwiri, ndipo zaka zawo zapakati pazofukufukuzo zinali miyezi khumi ndi iwiri. Phunziroli linaphatikizaponso ana 623 opanda matenda a celiac poyerekeza.
Anawo anali ndi ma shotti a diphtheria / tetanasi, pertussis, polio, fuluwenza, mapirisi / makapu / rubella (MMR), komanso kachilombo koyambitsa matenda a Calmette-Guérin, kapena BCG (katemera wa chifuwa chachikulu chomwe amapezeka m'mayiko ena omwe ali ndi chifuwa chachikulu cha TB, koma sikunagwiritsidwe ntchito ku US). Kafukufukuyu anafufuza nthawi yomwe amawombera - zina zidaphatikizidwa pa ndondomeko yoteteza katemera nthawi yomwe isanayambe "mliriwu" - ndipo adafufuza mayina owerengera pakati pa katemera omwewo ndi zochitika za matenda a celiac omwe anawalandira.
Zotsatira: Zojambula Zosagwirizanitsidwa ndi Matenda Oyamba Omwe Amayamba Kulimbana
Ziribe kanthu momwe ochita kafukufuku anayang'ana pa deta, iwo anaganiza kuti katemera sizinapangitse ana ambiri kupezeka ndi matenda a celiac. "Sindinasinthe pakapita nthawi mu ndondomeko ya katemera ya dziko la Sweden kapena kusintha kwa anthu odwala katemera chifukwa cha kusintha kwa chiwerengero cha anthu omwe ali ndi matenda odwala matendawa."
Ndipotu, phunziroli linapangitsa kuti chitetezo cha BCG chisamayambitse matendawa, koma ochita kafukufukuwo adawachenjeza kuti asamaphunzire zambiri.
Phunziro: Achinyamata Oposa Amayi Omwe Ali ndi Katemera wa HPV
Kafukufuku wina anapeza chiwerengero chapamwamba cha matenda a leliac kwa amayi omwe adalandira katemera wa palillomavirus (HPV), omwe cholinga chawo ndi kuteteza mitundu ina ya khansa. Phunzirolo, lomwe linalipo amayi oposa 3.1 miliyoni ochokera ku Denmark ndi Sweden kuti aone ngati chiopsezo cha zikhalidwe zina zapadera zinkakhala zazikulu kwa iwo omwe adalandira katemera wa HPV.
Olemba ophunzirira adapeza kuti chiopsezo chopezeka ndi matenda a celiac (koma osati machitidwe ena onse) ndi oposa omwe adatemera katemera wa HPV. Komabe, olembawo adanena kuti anthu ambiri omwe ali ndi matenda a chililili sazindikira, ndipo adanena kuti amayi omwe analandira zipolopolozo ndiyeno anapeza kuti mwina anali ndi "omasuka" chifukwa adayankhula ndi madokotala awo za zizindikiro zawo zoyenera pamene adalandira mapulogalamu a HPV .
Pomalizira, olembawo adanena kuti zotsatira "sizinayambitse nkhawa iliyonse" chifukwa cha katemera wa HPV.
Matenda a Celiac Akhoza Kupanga Katemera Wachiwindi wa Hepatitis B Osapindulitsa
Katemera sakuwoneka kuti amachititsa kuti matendawa asatuluke, koma kafukufuku wochepa amasonyeza kuti pali njira yothetsera kugonana pakati pa tizilombo toyambitsa matenda ndi katemera: anthu omwe ali ndi matenda a chililichi sangayankhe ndi anthu ena katemera wa chiwindi cha B.
Jini lomwe limapangitsa anthu ambiri kukhala ndi matenda a leliac - HLA-DQ2 -nso imaonedwa kuti ndi yofunika kwambiri ya ma genetic yosonyeza kuti alibe chitetezo cha mthupi ku chitetezo cha hepatitis B.
Izi zikhoza kuwonetsa anthu ambiri omwe ali ndi matenda a leliac sangakhale ndi chitetezo cha matenda a hepatitis B omwe amatsatira katemera, ndipo izi zikuwoneka zoona: mu phunziro limodzi, theka la anthu omwe ali ndi matenda a leliac sanatetezedwe ndi chiwindi cha hepatitis B. B katemera. Kafukufuku wina apeza kuti chitetezo cha m'magazi sichingatheke motalika patapita nthawi yaitali chifuwa chachikulu cha matenda a chiwindi a anthu omwe ali ndi matenda a celiac.
Zotsatirazi zingakhale zokhudzana ndi kudya kwa gluten: mu phunziro limodzi, pafupifupi 26 peresenti ya iwo omwe sanadye zakudya zopanda thanzi, 44% mwa iwo omwe sanadye mopanda nthawi zambiri, ndipo 61% mwa iwo omwe adatsata mopanda thanzi la gluten zakudya zimadalira katemera wa hepatitis B.
Kafukufuku wina apeza kuti ana ndi akulu omwe amatsatira zakudya zopanda thanzi amakhala ndi mphamvu zowononga katemera wa hepatitis B monga anthu opanda matenda a celiac. Choncho, kuti katemera uwu agwire ntchito monga momwe akufunira, musamachite chinyengo pa zakudya zopanda thanzi. Mwinanso mungafune kuyankhula ndi dokotala wanu ngati mukufuna kuti mwana wanu adzirenso kachilombo ka hepatitis B.
Mawu ochokera
Kafukufuku wa zachipatala wasonyeza kuti palibe chifukwa choti mudandaule kuti kupeza katemera kumawathandiza kuti ana anu (kapena inu) adzalitse matendawa. Chinthu chokhacho chomwe chingakhale ndi katemera ndi matenda a celiac chimakhala ndi katemera wa hepatitis B, omwe sungagwire ntchito mwa iwo omwe ali ndi celiac.
Pali zambiri zambiri zomwe zimafalitsa katemera komanso zomwe zingakhudze thanzi lanu. Ngati muli ndi nkhawa za katemera komanso momwe zingakhudzire inu kapena ana anu, kambiranani ndi dokotala wanu.
Zotsatira:
Eritem D. et al. Yankho la katemera wa hepatitis B: kodi ndi losiyana ndi matenda a celiac? . European Journal of Gastroenterology ndi Hepatology. 2010 Jul; 22 (7): 787-93.
Hivid A et al. Katemera wa Papillomavirus wa Akazi Achikulire ndi Ngozi ya Matenda Odzipatula ndi Okhudza Matenda a Edzi. Journal of Internal Medicine. 2017 Oct. 18.
Leonardi S. et al. Kupewa kwa chiwindi cha hepatitis B mu matenda a chililiyake: kodi pali chosowa chokhazikitsanso njira zamakono zogwirira ntchito? Katemera. 2009 Oct 9; 27 (43): 6030-3. Epub 2009 Aug 12.
Leonardi S. et al. Katemera ndi matenda osakaniza: zotsatira za phunziro lapamtima. Minerva Pediatrica. 2011 Oct; 63 (5): 363-7.
Myléus A. et a. Ma katemera oyambirira sizowopsa kwa matenda a leliac. Matenda. 2012 Jul; 130 (1): e63-70. Epub 2012 Jun 25.
Nemes E. Gluten kudya amalepheretsa kuyankha kwa chitetezo cha chitetezo cha chitetezo cha mthupi mwa odwala omwe ali ndi matenda a celiac. Matenda. 2008 Jun; 121 (6): e1570-6.