Kufufuza Kwakukulu Kumaphatikiza Chizindikiro
Kwa kanthawi, akatswiri amaganiza kuti matenda amene anapezeka ali wakhanda-monga kutsekula m'mimba kapena chimfine-akhoza kuthandiza panthawi yambiri kuti adziwe matendawa. Koma, kafukufuku waposachedwapa wakuchitikira ku Germany angapereke chakudya chodalirika pazinthu izi.
Matenda a Celiac ndi matenda otetezeka m'thupi omwe munthu sangathe kudya gluteni chifukwa adzatulutsa ndi kuwononga matumbo aang'ono.
Zizindikiro ndizofala kwambiri kwa ana ndipo zimaphatikizapo kuphulika, kutsekula m'mimba, kupweteka m'mimba, ndi kusanza. Kudya chakudya chamaguten, komabe, kawirikawiri kumathetsa vuto lirilonse lokhudzana ndi chikhalidwe.
Matenda oyambirira-Matenda a Celiac Disease Link
Ofufuza anafufuza zolembedwa za ana 295,420 obadwa pakati pa 2005 ndi 2007 ku Bavaria, Germany. Poyamba anazindikira chiwerengero cha matenda omwe anachitika m'chaka choyamba cha moyo omwe amafunika kuchipatala. Kenaka anawerengera zoopsa zomwe zimagwirizanitsidwa ndi matenda a ubongo wa ana. Ana adatsatidwa pakati pa kubala ndi zaka zapakati pazaka 8.5.
Pafupifupi ana asanu ndi atatu (853) ali ndi matenda a celiac pa zaka zapakati pazaka zisanu. Mwa ana awa, 820 mwa iwo (95.5 peresenti) anayamba matenda a celiac pambuyo pa chaka choyamba cha moyo. Ofufuzawo anapeza kuti m'mimba-komanso pang'ono kupuma matenda-anawonjezera chiopsezo cha matenda a ululuwa.
Kuwonjezera pamenepo, matenda opatsirana m'mimba mobwerezabwereza amachititsa ngozi zambiri.
Mu kafukufuku wina wam'mbuyomo, yomwe inafalitsidwa mu The American Journal of Gastroenterology , ofufuza anafufuza ana 72,921 a ku Norway kuyambira pa kubadwa ndi zaka zapakati pa zaka 8.5. Ofanana ndi ofufuza a ku Germany, ofufuza a ku Norway anapeza kuti panali mgwirizano pakati pa matenda a celeac ndi matenda omwe anabadwa pakati pa kubadwa ndi miyezi 18.
Zowonjezera Zowonjezera ndi Zochita Zina
Pakadali pano, kafukufuku wowonjezera anthu akuwonetsa kuti kugwirizana pakati pa matenda oyambirira komanso matenda a chilliyali amatha. Funso lalikulu kwambiri ndi momwe matenda oyambirira amachititsira matendawa. Pali njira zambiri zotheka kuti matenda angathandizire matenda a leliac. Nazi ziganizo ziwiri:
- Mavairasi angapangitse kupanga mapuloteni opatsirana kwambiri (interferons) ndipo amachititsa kuti transglutaminase, yomwe imathandiza kwambiri kuti pakhale guteni.
- Kugonjera kungapangitse kuperewera kwa matumbo kumalo kotero kuti mphutsi ikhale yoyendetsedwa-gawo lofunika kwambiri pakukula kwa matenda a leliac.
Mwinamwake, zifukwa zingapo-osati matenda okha-zimathandiza kwambiri pakukula kwa matenda a leliac. Mwachitsanzo, mu kafukufuku wina wam'mbuyo, akutsatira ana ochokera ku United States ndi Europe, ofufuza adapeza kuti zinthu zingapo zinkakhudzidwa pakapita patsogolo kwa matenda a leliac kuwonjezera pa matenda oyambirira a m'mimba. Zina mwazi ndizo majini, mavitamini a rotavirus, zaka zowonongeka, komanso akuyamwitsa.
Zowoneka kuti, ofufuza adapeza kuti chiopsezo cha matendawa chochepa chija chinachepa pamene ana omwe anali ndi matenda opatsirana pogonana adalandira katemera wa rotavirus ndipo adayamba kulandira katemera musanafike miyezi isanu ndi umodzi.
(Katemera wa Rotavirus amateteza rotavirus, chifukwa chachikulu cha kutsekula m'mimba mwa ana ndi ana aang'ono.)
Mawu Ochokera
Zotsatira zatsopano zopenda kafukufuku zimangotsimikizira kuti kugwirizanitsa pakati pa matenda oyambirira ndi matenda a leliac alipo-osati kuti kugwirizana kumeneku ndizovuta. M'mawu ena, ngakhale matenda oyambirira ndipo patapita nthawi matenda a leliac amangiriridwa, sitidziwa ngati matenda oyambirira amachititsa kuti tizilombo toyambitsa matendawa tizilombo toyambitsa matenda.
Kafukufuku wina akusonyeza kuti katemera woyambirira wa rotavirus angapereke chithandizo choteteza matendawa. Komanso, kuyambika koyamba kwa mkate wa tirigu kapena mitundu ina ya gluten kungathandizenso kuchepetsa ngozi.
Panthawiyi, sitidziwa zokwanira kuti tidziwiratu. Kufufuzanso kwina kuyenera kuchitidwa.
Kumbukirani kuti CDC imalimbikitsa kuti, atakwanitse miyezi isanu ndi umodzi, ana onse atenge katemera ku rotavirus. Ndiponsotu, rotavirus ikhoza kukhala yowopsya, zomwe zimapangitsa kuti muzipatala 60,000 ku United States chaka chilichonse. Pakalipano, kuthekera koti katemera wa rotavirus akhoza kugwira ntchito yotetezera mwana ku matenda amtundu wa m'tsogolo, akhoza kuwonedwa ngati bonasi yowonjezera. Koma, musadye chakudya cha mwana wanu, musamalankhule ndi dokotala wanu makamaka ngati muli ndi vuto la kusagwirizana kwa banja la banja la gluten.
> Zotsatira:
> Beyerlein A, Donnachie E, Ziegler AG. Matenda mu Moyo woyambirira ndi chitukuko cha matenda a celiac. Am J Epidemiol. 2017.
> MedlinePlus. Matenda a Celiac.
> Kemppainen, KM, ndi al. Zinthu Zowonjezera Kuopsa kwa Matenda Omwe Amadzimva Odzipatula Pambuyo pa Matenda a Mimba Kumayambiriro kwa Moyo. Clinical Gastroenterology ndi Hepatology 2017; 15: 694-702.
> Mårild, K, ndi al. Matenda ndi Kuopsa kwa Matenda a Kachilombo mu Ubwana: Phunziro la Ophunzira Padziko Lonse. Am J Gastroenterol. 2015; 110: 1475-1484;