Mavuto awiri omwe amachititsa kuti munthu asamangodzimva amapezeka nthawi zambiri
Ngati muli ndi matendawa , muli ndi chiopsezo chachikulu cha matenda a chithokomiro . Ndipotu, mpaka 10 peresenti ya anthu omwe ali ndi matenda a chililili amakhala ndi chikhalidwe cha chithokomiro chokha, chomwe chimapitirira kwambiri kuposa anthu ambiri, maphunziro amasonyeza. Pakalipano, pakati pa 1.5 peresenti ndi 6.7 peresenti ya anthu omwe ali ndi matenda a chithokomiro omwe amachititsa kuti thupi lawo likhale ndi matendawa amakhalanso ndi matendawa.
Zikuoneka kuti zikhalidwe ziwirizi zimayambira kumayambiriro a chibadwa ndi njira zowonongeka. Celiac kawirikawiri imawoneka ndi matenda ena, makamaka mtundu wa shuga, matenda a nyamakazi, ndi matenda a chiwindi . Kafukufuku wa 2016 wasonyeza kuti kukhala ndi matenda a leliac kuwonjezera chiopsezo cha matenda a chithokomiro kwa anthu omwe ali ndi shuga ya mtundu wa 1, mwachitsanzo.
Sayansi sinafotokozebe chifukwa chake matenda amadzimadzimadzi , koma ofufuza ena amanena kuti chilengedwechi chingayambitse matendawa poyambitsa matenda omwe amapezeka m'magazi.
Ngakhale kuti sizosatsimikiziridwa, kafukufuku umodzi wa zachipatala amasonyeza kuti chilengedwe cha matenda a chithokomiro chingakhale gluten, makamaka mwa anthu ena. Odwala omwe ali ndi matenda osokoneza bongo amachepetsa mwayi wawo wodwala matenda a chithokomiro, malinga ndi kafukufukuwo, zomwe zimachititsa kuti anthu asamakhale ndi matenda a chithokomiro.
Mitundu Yothetsera Matenda a Chithokomiro
Kwa anthu omwe ali ndi matenda okhaokha, maselo oyera amagazi a thupi amaukira ziwalo kapena mitundu ina ya minofu molakwika. Mliri wamtunduwu, makamaka maselo oyera a m'magazi akuukira chida cha m'mimba. Ndipo, pokhala ndi vuto la chithokomiro lokha, maselo oyera a m'magazi amachititsa khungu la chithokomiro-kamene kakang'ono kooneka ngati gulugufe kamene kali m'kati mwako kamene kamayambitsa matenda a thupi lanu.
Kusokoneza matenda a chithokomiro kungachititse kuti chithokomiro chanu chikhale chopitirira muyeso, chotchedwa Graves matenda, kapena kuti chosachiritsika, chotchedwa matenda a Hashimoto.
Matenda a Manda
Mu matenda a Graves, chithokomiro chimatulutsa mahomoni ambiri thyroxine, otchedwa T4, ndi triiodothyronine, kapena T3. Azimayi oposa zaka 20 ali ndi chiopsezo chachikulu pa vutoli, koma amuna ali pangozi.
Zizindikiro za chithokomiro zowonjezereka zikuphatikizapo kugona , kukhumudwa, kutaya thupi, kutenthetsa kutentha, ndi kufooka kwa minofu. Odwala matenda a Graves angakhalenso ndi maso otupa komanso maso otchuka.
Matenda a Hashimoto
Pakali pano, mu matenda a Hashimoto, chithokomiro chimapanga T3 pang'ono ndi T4. Zizindikiro zochepa za chithokomiro ndizokutopa, kulemera, kufooka, kukhudzidwa kwa kuzizira, minofu yopweteka, ziwalo zolimba, kudzimbidwa, ndi kutupa kwa nkhope. Apanso, amayi ali ndi chiopsezo chachikulu cha matendawa kusiyana ndi amuna.
Kulumikizidwa kwa Gluten mu Matenda Odzidzimutsa
Phunziroli likusonyeza kuti kuchiza matenda a leliac ndi zakudya zopanda thanzi kungachepetse chiopsezo chokhala ndi vuto la chithokomiro chokha, gulu lina la akatswiri a ku Italy linayesa kuchuluka kwa matenda a leliac kwa anthu abwino, odwala chithokomiro, "odwala odwala" omwe alibe matenda a chithokomiro, a khansa, ndi matenda a mtima.
Kafukufukuyu analemba kuti: "Kulimbana ndi matenda a chithokomiro m'magulu a matenda a chithokomiro " kunali kwakukulu kwambiri kuposa magulu onse odwala komanso odwala. " Iwo anati, "Ndibwino kuti mgwirizano pakati pa matenda a leliac ndi kudziletsa kwa odwala omwe alibe mankhwalawa amayamba chifukwa chodya cha gluten."
Kafukufuku wina wasonyeza kuti ma antibodies omwe ali ndi thupi-omwe amasonyeza kuti maselo oyera a thupi amatsutsa ziwalo zenizeni, monga chithokomiro chakodzo, zimatha kutha miyezi itatu kapena sikisi pa zakudya zopanda thanzi.
N'zotheka, ochita kafukufuku analemba, kuti "matenda osadziwika omwe alibe matendawa angayambitse mavuto ena mwa kusintha njira zina zosadziŵika za thupi." Ngati izo ziri zoona, ndiye kuti kutsatila mwatsatanetsatane zakudya zopanda thanzi kungachepetse chiopsezo cha odwala matendawa omwe ali ndi matenda enaake omwe amachititsa kuti azidzipatula, kuphatikizapo matenda a chithokomiro.
Phunziroli linafalitsidwa mu Digestive Diseases and Sciences mu February 2000.
Kuchepetsa Zilonda Zachilengedwe Zachilengedwe Zonse Sizinavomerezedwe
Gulu la kafukufuku wa ku Italy linanena kuti onse odwala matenda a chithokomiro amatha kupindula ndi kuyang'ana matenda oopsa. Komabe, pali kusagwirizana pakati pa achipatala chifukwa ngati kuyang'ana koteroko kuli kofunikiradi.
Nyuzipepala ya American Gastroenterological Association Institute, yomwe inafotokozedwa mu 2006 pofotokoza za matenda ndi matendawa, inanena kuti odwala omwe ali ndi matenda a chithokomiro omwe ali ndi matendawa amapezeka pachiopsezo chachikulu, koma anawonjezera kuti "palibe chifukwa chomveka chowonetsera odwala matenda a chithokomiro chifukwa cha matenda oopsawa popanda zizindikiro zosonyeza kapena zolimbana ndi matenda a leliac. "
M'malo mwake, bungweli linanena kuti madokotala amathandizira odwala matenda a chithokomiro omwe amakhalanso ndi zizindikiro zomwe zimasonyeza matenda achilendo . Madokotala ambiri amatsatira malangizo awa.
Zotsatira:
American Gastroenterological Association (AGA) Institute. "Bungwe la AGA Institute Medical Medical Position Statement on Discrimination and Management of Celiac Disease." Gastroenterology 2006; 131: 1977-1980
Ch ching CY et al. Matenda a Celiac ndi Matenda a Chithokomiro. Clinical Medicine and Research 2007 October; 5 (3): 184-192.
Elfström P et al. "Kuopsa kwa Matenda a Chithokomiro mwa Anthu Omwe Ali ndi Matenda a Celiac." Journal of Clinical Endocrinology & Metabolism. lembani: 10.1210 / jc.2008-0798
Matenda a Manda. Chidziwitso cha Ogulitsa. National Endocrine ndi Dipatimenti ya Mauthenga Opatsirana Matenda a Mavitamini.
Matenda a Hashimoto. Chidziwitso cha Ogulitsa. National Endocrine ndi Dipatimenti ya Mauthenga Opatsirana Matenda a Mavitamini.
Kurien M et al. Matenda a Celiac Akuwonjezereka Matenda a Chithokomiro Odwala Odwala Amene Ali ndi Matenda a Shuga 1: Phunziro la Nationwide Cohort. Chisamaliro cha shuga . 2016 Mar; 39 (3): 371-5.