Matenda a Celiac kapena kutengeka kwa gluten kungayambitse mitsempha
Kodi munayamba mwalola phazi lanu kugona ndikuyamba kufooka ndiyeno kuchokera kumang'oma, mapiko ndi singano pamene "zinadzuka"? Anthu omwe ali ndi mitsempha ya mitsempha ya m'mimba amavutika ndi zowawazo - zofooka ndi kupweteketsa mtima - nthawi zonse. Ndipo pali umboni wochuluka wosonyeza kuti mliri wa m'mimba umagwirizanitsa ndi matenda a leliac komanso kutengeka kwa gluten.
Pafupifupi 10 peresenti ya anthu omwe amapezeka kuti ali ndi matenda a leliac amavutika ndi matenda a ubongo , omwe nthawi zambiri amatha kudwala matenda a ubongo (omwe ndi osowa kwambiri) kapena gluten ataxia (yomwe ndi yochepa), maphunziro amasonyeza.
Pakalipano, kutengeka kosaleta ndikumangodziwika kumene sikuvomerezedwa konsekonse, ndipo sipanakhalepo maphunziro aliwonse omwe akuyang'anitsitsa phokoso la ubongo monga matenda omwe amagwirizana nawo. Komabe, madokotala omwe akuchita kafukufuku pa mutu uwu akuti kugwedeza ndi kupweteka kumapeto kumayimira chimodzi mwa zizindikiro zowonongeka za gluten .
Mmene Mliri Woperekera Mthupi Umakhudzira Mitsempha ya Mitsempha
Kuwomba, kupweteka, ndi ululu wa pulogalamu ya mitsempha ya ubongo kawirikawiri imachokera ku kuwonongeka kwa mitsempha mmanja ndi m'mapazi. Kuwonongeka kwa mitsempha - ndi zizindikiro - zimayambira mumitsempha yanu yaitali kwambiri, chifukwa chake mumatha kuona zizindikiro zoyamba kumapazi anu komanso mwina manja anu.
Zomwe zimamveka bwino (nthawi zina mapazi kapena manja anu amatha kuzizira, kapena kutenthedwa, kapena ngati kuwomba kwa munthu ndi chida chakuthwa) kawirikawiri kumayambira pamapeto ndikugwira ntchito mkati, miyendo yanu ndi manja anu. Mutha kukhala ndi mitsempha imodzi yokha kapena mitsempha yambiri.
Matenda a shuga ndi chiwerengero chimodzi cha matenda opatsirana m'mimba chifukwa kuyambira theka la onse omwe ali ndi matenda a shuga adzawonongeka.
Komabe, zikhalidwe zosadziwika (matenda a celiac amangochitika mwachisawawa m'chilengedwe) amakhalanso okhudzana ndi matenda a ubongo.
Mavuto Okhudza Mitsempha Yopanda Nthenda Zokhudzana ndi Zokhudzana ndi Ziphuphu M'mabwalo Ena
Nthawi zina, kupweteka kwa mphuno kumaoneka kuti kumagwirizana ndi zakudya zamaguteni - makamaka, kwa anti-gluten antibodies ena amachititsa kuti asamalidwe ndi gluten.
Pa kafukufuku wina, ofufuza anayeza odwala 215 omwe ali ndi matenda a ubongo, omwe amachititsa kuti thupi liwonongeke, kapena kuti magulu a mitsempha. Onse 140 mwa awa anali ndi "idiopathic neuropathy," kutanthauza kuti panalibe chifukwa chowonekera chachipatala cha matenda awo a ubongo.
Ofufuzawa anayezetsa anthu 140 kuti aziteteza magazi pogwiritsa ntchito mayeso aŵiri a magazi a leliac , mayeso a AGA-IgA , ndi mayeso a AGA-IgG . Ngakhale kuti mayeserowa saganiziridwa kuti ndi ofunika kwambiri ku matendawa, amatha kudziwa ngati thupi lanu limayang'ana gwero ngati nkhonya ndipo limapanga ma antibodies motsutsana ndi mapuloteni.
Anthu makumi atatu ndi anayi pa anthu omwe anayesedwa - anthu 47 - anali ndi ma antibodies ambiri m'thupi limodzi kapena awiriwa, poyerekezera ndi 12% ya ma antibodies ambiri omwe amachititsa kuti anthu asamawonongeke. Zotsatira za mayesowa zikhoza kusonyeza kuti anthu ali ndi mphamvu zowonongeka chifukwa akatswiri ena akuyamikira AGA-IgA ndi AGA-IgG monga mayeso okhwima a gluten .
Ochita kafukufuku adachitiranso mapepala osungirako zinthu zakale ndi anthu omwe ali mu phunziroli akuganiza kuti ali ndi matenda a celiac ndipo adapeza kuti 9% mwa iwo omwe ali m'gulu la "matenda osokoneza ubongo" ali ndi laliac. Matenda a tizilombo toyambitsa matenda - ie, HLA-DQ2 ndi HLA-DQ8 - adapezeka mu 80% mwa onse odwala matenda a m'mimba.
Mmene Mliri Woperekera Mthupi Umagwirira Chizindikiro Chachikulu cha Chisamaliro Chokhalitsa ndi Chikulire
Matenda a mphuno kwenikweni ndi amodzi mwa zizindikiro zosaoneka bwino za matenda a celiac , malinga ndi University of Chicago Celiac Disease Center. Ndipotu, n'zosatheka kukhala ndi zizindikiro za m'mimba za ziwalo za matendawa, koma m'malo mwake zimakhala ndi mitsempha ya m'mimba komanso zizindikiro zina zamaganizo.
Zizindikiro za matenda a ubongo monga matenda a ubongo, migraine , ndi ubongo wa ubongo zimakhala zofala kwambiri muzokhalitsa zosalimba za m'madzi, malinga ndi a Harvard Medical School a Dr. Alessio Fasano, mmodzi mwa ofufuza omwe amachititsa chidwi cha gluten. Dr. Fasano akuti kwa anthu 30 peresenti omwe amawoneka kuti ali ndi mphamvu zokhudzana ndi matenda a gluten ali ndi zizindikiro zokhudzana ndi ubongo ... kuchulukitsa kwakukulu kuposa anthu omwe ali ndi zizindikiro za m'mimba mwa matenda a chilili.
Ngati muli ndi nthenda ya ubongo ndipo mumapezeka kuti muli ndi mphamvu zowonjezera za gliten, mumatha kusintha kapena kuthetsa zizindikiro zanu mwa kudya zakudya zopanda thanzi - maphunziro ena apeza kuti zakudya zimathandiza. Komabe, kafukufuku wina apeza kuti "mawonetseredwe a mitsempha," kuphatikizapo mitsempha ya mitsempha, angapitirize kapena ngakhale atakula pambuyo pozindikira, posonyeza kuti pangakhale ndondomeko yotupa yomwe ikukhudzidwa.
Yunivesite ya Chicago imalimbikitsa kuti anthu omwe ali ndi matenda opatsirana m'mimba amachititsidwa ndi matenda a leliac onetsetsani kuti afunsane ndi madokotala awo za kusiya mankhwala omwe angayambitse matenda a m'mimba. Ogwira ntchito kumeneko amalimbikitsanso kuti leliacs ndi peripheral neuropathy zimapangitsa moyo kusintha kusintha kuchepetsa ululu, kuphatikizapo kupeŵa nthawi yaitali kapena kuyenda, kuvala nsapato (nthawi zina, inshuwalansi angapeze nsapato zakuthupi chapadera), ndi kumayendetsa mapazi mu madzi ayezi kuti athetse kupweteka ndi kumenyedwa.
Madokotala amatha kupatsanso mankhwala omwe amatha kuthetsa mavuto ena a m'mimba, makamaka ngati sakuwoneka ngati akudya zakudya zopanda thanzi. Pakalipano, anthu omwe ali ndi matenda a ubongo, kaya akuwoneka kuti ali okhudzana ndi matenda a leliac kapena kutentha kwa gluten, ayenera kuonetsetsa kuti asamala kwambiri pamene amayenda kapena kuyendayenda chifukwa chosowa chozizwitsa kumayambitsa ngozi .
Zotsatira:
Chin R. et al. Matenda a Mitsempha ndi Matenda Odwala. Zochitika Zamakono Zamakono mu Neurology. 2005 Jan; 7 (1): 43-48.
Hadjivassiliou M. et al. Matenda Okhudza Nthenda Yogwirizana ndi Gluten Sensitivity. Journal of Neurology, Neurosurgery, ndi Psychiatry. 2006 Nov; 77 (11): 1262-6. Epub 2006 Jul 11.
Rigamonti A. et al. Matenda a Celiac Akuyambitsa Ndi Msewu Neuropathy: Zotsatira za Zakudya Zakudya za Gluten. Minofu ndi Mitsempha. 2007 May; 35 (5): 675-7.
University of Chicago Center for Peripheral Neuropathy. Mitundu Yoperewera Nthenda ya Neuropathy - Kutupa - Matenda a Celiac.
Zelnik N. et al. Matenda Okhudza Matenda a Mitsempha Yambiri mwa Odwala Amene Ali Ndi Matenda Ovuta. Matenda. 2004 Jun; 113 (6): 1672-6.