Mukauzidwa kuti muli ndi matenda a celeacac , vuto lalikulu, ndilofala (ndilobwino!) Kuti mufunse zomwe zingatheke pa moyo wanu.
Nthawi zambiri, matenda a mpweya wosalala sali oopsa momwe timaganizira za matenda oopsa-sangapite patsogolo ndipo pamapeto pake akupha.
Komabe, nkhani zokhudzana ndi matenda a chililili ndi imfa zimakhala zosakanikirana: maphunziro ena, koma osati onse, amasonyeza kuti ali ndi chiopsezo chofera kumayambiriro kwa zifukwa zina pamene ali ndi celiac.
Komabe, palinso nkhani zina zabwino: osachepera kafukufuku wina amasonyeza kuti anthu omwe amatsatira mwatcheru zakudya zopanda thanzi sangakhale ndi chiopsezo chochepa cha imfa yoyamba. Izi zimakuwonetsani kuti pali chinachake chimene mungathe kuchita kuti mukhale ndi thanzi labwino komanso moyo wanu wautali.
Apa pali zomwe tikudziwa (ndi zomwe sitidziwa) za chiopsezo chanu chakufa ngati muli ndi matenda a celiac.
Matenda a Celiac Ali ndi Vuto Lambiri la Imfa mwa Ena
Pulojekiti yayikulu yofufuza yomwe inagwirizanitsa chiwerengero cha maphunziro asanu ndi asanu ndi asanu (17) ochipatala, anapeza kuti anthu omwe ali ndi matenda a chilili-kuphatikizapo omwe amapezeka kupyolera mu mapeto osakanikirana ndi omwe amapezeka kuti ali ndi mayeso abwino a magazi. -Hodgkin lymphoma.
Matenda a Celiac omwe sagonjera zakudya zopanda thanzi angapite patsogolo ku mtundu wina wa imfa ya lymphoma , kotero kuti chotheka kuti choliacs chiri ndipamwamba kwambiri kuposa chibadwa cha imfa kuchokera ku lymphoma sizosadabwitsa.
Mwachidziwitso, chiopsezo chofera ndi chifukwa chirichonse chinali chokwanira pang'ono kuposa chachizolowezi-koma chinali chapamwamba.
Anthu omwe ali ovuta kwambiri kuwatengera kuchipatala akuwoneka akuipiraipira, malinga ndi kafukufuku wina.
Kafukufukuyu, odwala khumi ndi awiri (10,032) ochokera ku Sweden amene adalandira chipatala cha matendawa (kutanthauza kuti anali odwala kuposa anthu ambiri omwe amapezeka kuti ali ndi vutoli), anawonjezeka kawiri pa imfa yoyamba mwa odwala aja.
Anthu omwe ali ndi vutoli, koma palibe vuto linalake panthawi ya chipatala (kutanthauza kuti anali odwala kuposa odwala koma osacheperapo kusiyana ndi ena mwa anthu ena omwe anaphatikizidwa mu phunziro lino), adawona kuwonjezereka kwa patsiku la 1.4-patsiku la imfa yoyamba.
Imfayi inali yowonjezereka m'gulu lino chifukwa cha matenda osiyanasiyana, kuphatikizapo omwe si a Hodgkin lymphoma, khansa ya m'mimba mwachinyamatayo, matenda omwe amadzimadzimadzimadzimodzi, matenda osokoneza bongo monga asthma, matenda opatsirana, shuga, chifuwa chachikulu, chibayo ndi nephritis (matenda a impso ).
Ofufuzawo adawona kuti ngoziyi idawonjezeka chifukwa chochepetsetsa zakudya zofunikira monga vitamini A ndi vitamini E. Komabe, pofufuza zotsatira za phunziroli, kumbukirani kuti anthuwa anali odwala kwambiri kuposa anthu ambiri pa nthawi ya matenda.
N'zochititsa chidwi kuti phunziroli linapezanso kuti makanda ndi ana omwe ali m'zipatala ndi matenda a chilili asanakwanitse zaka ziwiri, amakhala ndi chiopsezo chakufa, mwinamwake kuwonetsa phindu loyambitsa zakudya za gluten mofulumira kwambiri.
Kodi Zakudya Zosafunikira za Gluten Zimatanthauza Imfa ya Kumunsi?
Sikuti maphunziro onse anali ndi nkhani zoipa. Ndipotu, zida ziwiri zomwe zimatsatira zakudya zopanda thanzi zowonjezereka zimatha kuchepetsa chiopsezo chanu chakufa.
Mwachitsanzo, kafukufuku wina anapeza chiwerengero cha imfa chochepa kwambiri kuposa chiwerengero cha anthu a ku Finnish omwe anapeza kuti ali ndi dermatitis herpetiformis , kutuluka kwa khungu komwe kumakhudza kwambiri matendawa. Chiwerengero cha imfa chiyenera kuti chinafika 110 pa maphunziro a zaka 39; mmalo mwake, anthu 77 okha anafa.
Mu phunziroli, ambiri mwa omwe anapezeka ndi dermatitis herpetiformis nayenso anali ndi atrophy yoopsa (zomwe zikutanthauza kuti anali ndi matenda a celiac kuphatikizapo chifuwa chake herpetiformis).
Panali kusiyana kwakukulu kwakukulu pakati pa anthu omwe amaphunzirawa poyerekeza ndi kafukufuku wina: 97.7% mwa iwo omwe amamangidwa motsatira zakudya zopanda thanzi, mwinamwake chifukwa chakudya chodabwitsa kwambiri ndi njira yokhayo yothetsera kuyabwa kosasimbika kwa dermatitis herpetiformis yaitali -mph.
Kafukufuku winanso apeza zakudya zochepa kwambiri za kudya zakudya-kuyambira 42 mpaka 91% -wa anthu omwe ali ndi matendawa (koma osati dermatitis herpetiformis).
Phunziroli silinaganize kuti zakudya zowonjezera za gluten zimachepetsa imfa mwa anthu omwe ali ndi leliac ndi dermatitis herpetiformis-siinayankhidwe kuti ayankhe funso limenelo. Komabe, olembawo anaganiza kuti kudya zakudya zolimbitsa thupi kungakhale kovuta (ndipo tawonanso kuti gulu la gulu la anthu 97.7% limagwiritsidwa ntchito mopambanitsa).
Phunziro lina-ili lochokera ku Mayo Clinic College of Medicine ku Rochester, Minn.-lingabwererenso molakwika malingaliro amenewo. Phunziroli linayang'ana anthu akuluakulu 381 omwe ali ndi matenda a celiac omwe amatsimikiziridwa ndi biopsy ndipo adapeza kuti iwo omwe anali osasamala kapena omwe ankanyengerera zakudya zawo zopanda thanzi anali ndi vuto lopweteka m'mimba. Amene matumbo awo adachiritsidwa (monga atatsimikiziridwa ndi kuyesedwa) anali ndi chiwerengero cha imfa yochepa.
Kudya pa zakudya sikunali chinthu chokha chomwe chinachititsa kuti chiwonongeko chikhalepo komanso chiwerengero cha imfa chapamwamba: Kutsegula m'mimba komanso kuchepa kwa thupi komanso kuwonongeka kwa m'mimba panthawi ya matendawa kunapezeka kuti ndiwothandiza. Kuphatikizanso apo, mgwirizano pakati pa kutsimikizika kwa m'mimba ndikutsika kwafupika kwa imfa inali yofooka chabe, phunziroli linalembedwa.
Komabe, ochita kafukufukuwo ananena kuti kudya zakudya zopatsa thanzi-kaya kudzera mwachinyengo pa zakudya kapena chifukwa cha kutayirira kwa gluten, monga "zakudya zopanda thanzi" -kukhoza kuchititsa kuti anthu ena awonongeke m'mimba.
Mawu ochokera
Mwamwayi, sitingathe kuchita zambiri kuchokera ku maphunzirowa-pali kufufuza kochuluka kuti tithe kuchitidwa tisanakhale ndi mayankho olimba pa zoopsa za imfa za celiacs komanso momwe tingasinthire zovuta zathu.
Maphunzirowa amasonyeza chiwerengero chapamwamba cha imfa yoyamba pakati pa anthu omwe ali ndi matenda a celiac, makamaka pakati pa anthu odwala matendawa omwe makamaka amadwala matendawa. Matenda osadziwika a Hodgkin, matenda odzimadzimadzi, ndi matenda monga chibayo amachititsa ambiri mwa iwo omwe amafa kale.
Komabe, maphunziro amodzi kapena awiri amasonyeza kuti kumangirira zakudya zopanda thanzi (zovuta kuchiza matumbo anu a m'mimba kapena kuthetsa chifuwa chanu) kungachepetse chiwopsezo chanu chakufa. Ngakhale kuti maphunzirowa sali otsimikizika, izi ndi chifukwa chimodzi chokha chotsatira mokhulupirika chakudya chanu.
> Zotsatira:
Hervonen K. et al. Kuchepetsa kufa kwa munthu mu dermatitis herpetiformis: kufufuza kwa anthu 476 odwala. British Journal of Dermatology. 2012 Dec; 167 (6): 1331-7. lembani: 10.1111 / j.1365-2133.2012.11105.x.
Lebwohl B. et al. Kuchulukitsa machiritso ndi kufa m'thupi lachilli. Mankhwala Osokoneza Bwino ndi Opaleshoni. 2013 Feb; 37 (3): 332-9. onetsani: 10.1111 / apt.12164. Epub 2012 Nov 28.
Peters U. et al. Zifukwa za imfa mwa odwala omwe ali ndi matenda a leliac m'magulu a ku Sweden. Archives of Internal Medicine. 2003 Jul 14; 163 (13): 1566-72.
Rubio-Tapia A. et al. Mucosal amachira ndi kufa kwa anthu achikulire omwe ali ndi matenda oopsawa atatha kuchizidwa ndi zakudya zopanda thanzi. American Journal of Gastroenterology. 2010 Jun; 105 (6): 1412-20. do: 10.1038 / ajg.2010.10. Epub 2010 Feb 9.
Tio M. et al. Kusanthula meta: matenda a celiac ndi chiopsezo cha matenda onse, chiwonongeko chilichonse, ndi malungo a lymphoid. Mankhwala Osokoneza Bwino ndi Opaleshoni. 2012 Mar; 35 (5): 540-51. lembani: 10.1111 / j.1365-2036.2011.04972.x. Epub 2012 Jan 13.