Anthu ambiri amayesedwa atakhala opanda gluten
Dokotala wanu mwinamwake anagwiritsa ntchito mayeso a magazi awa ngati mbali ya kuyezetsa matenda a chiwembu . Madokotala ambiri (ndi ambiri m'magulu a matenda a celiac) amakhulupirira kuti n'zotheka kugwiritsa ntchito mayeso omwewo kuti aone momwe mukutsatira zakudya zopanda thanzi ,
Mwatsoka, izi zimagwira ntchito bwino pamene mukupeza chakudya chambiri nthawi zonse.
Pano pali zenizeni pa yesero losavuta kumva.
Kodi Mayesero A Magazi Ochepa Amasonyeza Chiyani?
Mayeso a magazi amatha kuzindikira anthu omwe amanyenga nthawi zonse pa zakudya zopanda thanzi, kapena anthu omwe samvetsa malo ambiri omwe amatha kubisala, ndipo omwe mosadziwa amatha kudya zambiri.
Koma kuyezetsa magazi sikungathe kusonyeza pamene mudakali ndi pang'onopang'ono. Kafukufuku wambiri wa zachipatala amasonyeza kuti anthu omwe nthawi zina amadya zakudya za gluten amatha - ngakhale kutaya kumene kumabweretsa zizindikiro zosasangalatsa - zikanakhalabe ndi mayeso opha magazi ngakhale kuti izi zatha.
Mwachitsanzo, mu kafukufuku wina wopangidwira kuti "malo otetezeka" omwe amapezeka kuti asamalidwe, amakhala ndi anthu 26 omwe amatsimikizira kuti matendawa ali ndi 10mg kapena 50mg wa tsiku ndi tsiku kwa masiku 90. Ena mwa anthuwa anali ndi zizindikiro, koma palibe omwe anali ndi mayeso abwino a magazi pambuyo pa vutoli, ndikuwatsogolera ochita kafukufuku kuti awonetsetse kuti magazi sakuyesa kuti azindikire njira zomwe zimayambitsa matenda a gluten.
Phunziro lina linagwiritsira ntchito mlingo wambiri wosasuka: mpaka 5 magalamu (kapena pafupifupi kotala limodzi la magawo atatu a mkate wokhudzana ndi gluten). Phunzirolo, lomwe linali ndi anthu 21 omwe ali ndi matenda a chililiac omwe adadya gluten kwa miyezi itatu, magawo awiri mwa magawo atatu mwa magawo atatu aliwonse anali ndi vuto lopweteka m'mimba, koma asanu ndi anayi okha anali ndi mayeso abwino a magazi omwe amapezeka pamatendawa.
Ngakhale zili choncho, anthu 15 mwa anthu 21 ali mu phunzirolo anafotokoza zizindikiro za m'mimba mofatsa mpaka pamtima panthawi yophunzira.
Pomaliza, phunziro lachitatu linaphatikizapo anthu asanu ndi atatu omwe ali ndi matenda a leliac omwe amadya makilogalamu 10 a gluten patsiku (kapena theka la magawo a mkate wa gluten) kwa milungu itatu. Palibe amene adawonetsa kusintha kulikonse mu zotsatira za kuyesa magazi, ngakhale asanu ndi limodzi mwa asanu ndi atatu aliwonse ali ndi kutsekula m'mimba tsiku la 15.
Mayesero a Magazi Ndiponso Sangasonyeze Ngati Mwachiritsa
Kafukufuku wina amasonyeza kuti zotsatira zosayambitsa magazi sizikutanthauza kuti matumbo anu a m'mimba atha.
Mwachitsanzo, mu kafukufuku wina womwe unachitikira kumpoto kwa Ireland, ofufuza anagwiritsa ntchito mayeso a magazi a EMA-IgA - ankawona mayesero odziwika bwino kuti adziwe matenda oopsa omwe amachititsa matendawa.
Pa anthu 53 omwe poyamba anali ndi mayeso abwino a EMA-IgA, 87% anali ndi zotsatira zolakwika za EMA-IgA zotsatira patatha chaka chimodzi kutsata chakudya cha gluten. Komabe, anthu 32 mwa iwo adakali ndi vuto loopsa la atrophy atatha chaka choyamba pa zakudya.
N'chifukwa Chiyani Tiyenera Kubwerera Kumbuyo?
Kubwereza kuyesedwa kwa magazi kungasonyeze pamene munthu akunyalanyaza zakudya zopanda thanzi, zomwe zingathandize madokotala kupeza anthu omwe angafune thandizo lina (kapena chilimbikitso).
Phunziro kuchokera kumpoto kwa Ireland, anthu anayi mwa asanu omwe adali ndi zotsatira zabwino za EMA-IgA chaka chimodzi atatha kupeza matendawa anali ndi zomwe ochita kafukufuku ananena kuti "kudya zakudya zosayenera."
Kuphatikiza apo, kubwereza kuyesedwa kwa magazi kungakuthandizeni kufufuza momwe mukudyera pa chaka choyamba kapena chithandizo chotsatira; nambala za kuyezetsa magazi ziyenera kukhala zikuyenda mofulumira, ngakhale ngati sizifika pamtunda pomwepo.
Koma ngati mwakhala mukudya zakudya zovuta kwa zaka zambiri, kubwereza kuyesa magazi sikungakupatseni zowonjezera zowonjezera zomwe mukuchita. Ngati mukudandaula (kapena ngati mukupitirizabe kukhala ndi zizindikiro), mungafunse dokotala wanu kuti atumizidwe kwa katswiri wa zamaphunziro amene amadziwa kuti akudya zakudya zopanda thanzi.
Zotsatira:
Catassi C. et al. Chiyeso chodziwika bwino, chokhala ndi maso awiri, chokhala ndi malo omwe amachititsa kuti odwala ali ndi matenda a leliac akhale otetezeka. American Journal of Clinical Nutrition. 2007 Jan; 85 (1): 160-6.
Dickey W. et al. Kulephera kwa ma antibodies omwe amachiritsidwa ku matenda a celiac sakusonyeza kupuma kwake. American Journal of Gastroenterology. 2000 Mar; 95 (3): 712-4.
Lähdeaho M. et al. Nkhumba za mucosal zimasintha ndi mayankho a anti-antibody pambuyo pa vuto lochepa komanso laling'ono la matenda a gluten mu matenda a celiac. BMC Gastroenterology. 2011 Nov 24; 11: 129. lembani: 10.1186 / 1471-230X-11-129.
Pyle G. et al. Vuto la gluten loperewera m'matope a laliac: mayankho a malabsorptive ndi antibody. Clinical Gastroenterology ndi Hepatology. 2005 Jul; 3 (7): 679-86.
Zanchi C. et al. Kupewera mofulumira-transglutaminase kuyesera ndi kuyankhulana mwachidwi pofuna kuyang'anira zokhudzana ndi zakudya mu matenda a celiac. Scandinavia Journal of Gastroenterology. 2013 Apr 5. [Epub patsogolo pa kusindikiza]