Anthu omwe ali ndi matenda oopsawa ali ndi chiopsezo chowonjezeka cha mitundu ina ya khansa, kafukufuku wasonyeza. Koma kodi anthu omwe ali ndi mphamvu zowononga za gluten amakhalanso ndi chiopsezo chachikulu cha khansa? Nazi zomwe tikudziwa (ndipo sitikuzidziwa).
Kafukufuku wokhudzidwa ndi matenda a gluten ali akhanda - makamaka, madokotala asanagwiritse ntchito coalesced kuzungulira tanthauzo la chikhalidwe, ndipo palibe njira yovomerezeka yolandirira.
Choncho, kafukufuku wochepa chabe adayang'ana mwachindunji pangozi ya khansa mwa anthu omwe atsimikizika kuti akhale otupa.
Kuonjezera apo, maphunziro akulu awiri omwe apangidwa amatsutsana wina ndi mzake: wina amasonyeza ngozi yowonjezereka ya mitundu ina ya khansa, pamene ina imasonyeza kuti palibe chiopsezo chowonjezeka. Ndizotheka kuti chisokonezo chimachokera ku njira zophunzirira (phunziro lirilonse limagwiritsa ntchito tanthauzo losiyana la kutchuka kwa gluten), koma zikuwonekeratu kuti mafunso alionse okhudzana ndi kutengeka kwa gluten ndi chiopsezo cha khansa sanayankhidwebe.
- Zowonjezera: Ndiziopsezo Zowonjezera Zowonjezera Zotani Zomwe Anthu Ali ndi Gluten Sensitivity Face?
Phunziro: Kufa Kwambiri kwa Khansa Yonse mu Gluten-Sensitive Individuals
Mu mayesero akuluakulu azachipatala omwe anachitidwa ku Ireland, ofufuza anapeza ambiri akufa kuchokera ku khansara - kuphatikizapo imfa zambiri kuchokera ku zifukwa zonse - mwa anthu omwe amadziwika kuti ndi ofunika kwa gluten.
Ofufuzawa ankayang'ana pa khansa ya anthu omwe amawoneka kuti ndi "gluten," omwe amawamasulira kuti ndi munthu amene ali ndi HIV / AGA-IgG magazi omwe amayesedwa bwino (kutanthauza kuti ma chitetezo cha mthupi awo akutsutsana ndi gluten), koma zotsatira zoipa pa EMA- IgA mayeso a magazi, omwe amadziwika ndi mtundu wa matumbo omwe amapezeka mumtenda wa celiac.
(Zomwe magazi a AGA-IgA ndi AGA-IgG akuwonetsa kuti alipo ma antibodies motsutsana ndi mapuloteni a gluten , koma sangathe kudziwa ngati pali vuto la m'mimba.)
Khansa ya anthu omwe ali ndi vuto la gluten inali yaikulu kuposa yachibadwa, koma izi sizinena nkhani yonseyi: Amuna omwe ali m'gululi anali ndi chiopsezo chachikulu kuposa onse omwe ali ndi khansa, pamene amayi anali ndi chiopsezo chochepa, makamaka chifukwa za chiopsezo chochepa cha khansa ya m'mawere.
Sizowoneka bwino chifukwa chake amayi omwe ali ndi mphamvu zokhudzana ndi matenda a gluten amakhala ndi chiwopsezo chochepa cha khansa ya m'mawere, koma chikhoza kuchitika chifukwa cha matenda ambiri a chitetezo cha mthupi, olembawo analemba.
Panalibe anthu okwanira omwe anaphatikizidwa kuti ayambe kusonkhana pamodzi ndi mitundu ina ya khansa, kupatulapo osakhala Hodgkin lymphoma - chiopsezo cha non-Hodgkin lymphoma chinkawoneka kuti chikukwera kwa anthu omwe ali ndi mphamvu zowonongeka, ndipo panali chiopsezo chachikulu cha imfa kuchokera ku lymphoma mwa anthu omwe ali ndi chikhalidwe, phunzirolo linapezedwa.
Potsirizira pake, imfa ndi imfa zakufa makamaka za khansara zinawonjezeka mwa anthu omwe ali ndi mphamvu zowonongeka osati zowona - koma kachiwiri, sizomveka chifukwa chake. Ofufuzawa analimbikitsa kufufuza kwina kuti aone ngati chomwe chimayambitsa matendawa ndi a gluten okha kapena chikhalidwe china.
Phunziro lachiwiri Silipeza Mowonjezereka Woopsa wa Khansa
Ofufuza ku Sweden, panthawiyi, anafufuza zolemba zachipatala kuti apeze anthu angati omwe ali ndi matenda a leliac, kutupa m'mimba (matenda omwe angayambe kutsogolera matenda a celiac) ndi matenda osachiritsika achilendo (osaganiziridwa kuti ndi odwala onse omwe amafunika kudya zakudya zopanda thanzi) anali ndi khansa ya m'mimba, kuphatikizapo khansara ya pharynx, mphuno, m'mimba, katumbo kakang'ono, colon, rectum, chiwindi kapena kapangidwe.
Kafukufukuyu anapeza kuti chiopsezo cha mimba ya khansa m'magulu onse atatu - omwe ali ndi matenda a celiac, matenda a m'mimba otchedwa laliac, ndi kutupa kwa m'mimba - adawonjezeka chaka choyamba atatha kuzindikiridwa muzochitika zonse zitatu, koma osati m'zaka zotsatira. Olembawo adanena kuti kuwonjezeka kwa zaka zoyamba za khansa kungakhale chifukwa chakuti khansara yayambitsa zizindikiro zomwe zimabweretsa matenda ena.
"Ngakhale wina anganene kuti chiopsezo chochepa cha khansa ya m'mimba m'thupi lachilendo kupitirira chaka choyamba chakutsatila ndi chifukwa cha zakudya zopanda thanzi, izi sizingatheke chifukwa zofanana ndizo zinkawonekeranso mu kutupa ndi matenda osachiritsika otchedwa laliac.
Ku Sweden, odwala omwe amatupa ndi matenda osakanikirana oterewa sakhala ndi zakudya zopanda thanzi, "anatero ochita kafukufuku.
Pansi: Sitidziwa Zokwanira Ngakhale Kuti Tidziwa
Ndiye kodi izi zikutiuza chiyani za chiopsezo cha khansa kwa anthu omwe ali ndi mphamvu zowonongeka?
Mwatsoka, osati zambiri. Zikuwoneka kuti kutsekemera kosakhala koliyake kungapangitse chiopsezo chanu cha khansa. Komabe, palibe kufufuza kokwanira komwe kwatsimikiziridwa kuti mudziwe ngati izi siziri zoona ... kapena ngati kutsata zakudya zopanda mphamvu za gluten kungachepetse mavuto anu, monga momwe zingathere ndi matenda a soliac.
> Zotsatira:
> Anderson LA ndi al. Kuchuluka kwa Malignant ndi Mort mu gulu la anthu odwala matenda oopsa kapena "Gluten Sensitivity". World Journal of Gastroenterology. 2007 Jan 7; 13 (1): 146-51.
> Elfström P. et al. Kuopsa Kwambiri kwa Khansa ya M'mimba Pakati pa Odwala Odwala Matenda Aakulu, Kutupa, kapena Matenda a Latent Celiac. Clinical Gastroenterology ndi Hepatology. 2012 Jan; 10 (1): 30-6. lembani: 10.1016 / j.cgh.2011.06.029. Epub 2011 Jun 30.
> Gao Y. et al. Kuwonjezeka kwa Ngozi > kwa > Non-Hodgkin Lymphoma mwa Anthu Omwe Ali ndi Matenda a Celiac ndi Association Potential Familial Association. Gastroenterology. 2009 Jan; 136 (1): 91-8. lembani: 10.1053 / j.gastro.2008.09.031. Epub 2008 Sep 25.
> Hoggan R. Kuwona Tirigu, Rye, ndi Mapuloteni a Barley monga Zothandizira Mankhwala a Kachipjeni. Zolemba Zamankhwala. 1997 Sep; 49 (3): 285-8.