Akatswiri ambiri amati inde, mukufunikira njira yothetsera matenda oyenera
Ngati mukufuna kugonana kwa matenda a celiac , ndiye kuti, akatswiri ambiri amavomereza kuti mukufunikira kukhala ndi mapepala osakanikirana, ngakhale kuti mayeso anu a magazi ndi ofunika kwambiri. Koma pali zotsutsana zotsutsana ndi izi, ndipo madokotala ochepa tsopano akunena kuti n'zotheka kudziwa matenda a leliac popanda njira.
Kafukufuku wa matenda a leliac amayamba ndi kuyesa magazi kuti chithunzi cha matenda a celiac. Mayeserowa amayang'ana ma antibodies a gluten omwe amazungulira m'magazi anu mukakhala ndi vuto.
Ngati mayeserowa abwereranso (kapena nthawi zina, ngati inu mulibe vuto koma inu ndi adokotala mukukayikirabe matenda a celiac), ndiye dokotala wanu angakulimbikitseni kuti mutsimikizire kuti matendawa ali ndi matenda a m'mimba. Kuti akwanitse kuchita zimenezi, adzalandira zitsanzo zazing'ono za m'mimba mwanu kuti ayesedwe mu njira yotchedwa endoscopy .
Ngati matumbo a m'mimba, omwe atayang'aniridwa ndi microscope, amawonetsa mtundu wa matumbo omwe amadziwika kuti villous atrophy , ndiye kuti mudzapezeka ndi matenda a celiac.
Akatswiri Ena Amakhulupirira Kuti Endoscopy Siyofunika
Zowona: Ofufuza ena ambiri omwe ali otchuka a matenda a leliac amanena kuti simukusowa chidziwitso chothetsera matenda a leliac.
Mwachitsanzo, Dr. Alessio Fasano, yemwe ndi mkulu wa bungwe lofufuza kafukufuku ku Massachusetts General Hospital, ananena kuti mumangogwiritsa ntchito zinthu zinayi zokha zisanu zokha kuti mupeze matenda a leliac. Mfundo zisanu zomwe Dr. Fasano akunena zikuphatikizapo:
- Zizindikiro za matendawa
- Zotsatira zabwino pa tTG-IgA ndi ma EMA-IgA
- zotsatira zabwino zowonongeka kwa jini
- zojambula zam'mbuyo ndi zojambula zosonyeza kuopsa kwa atrophy
- chisamaliro cha zizindikiro pa zakudya zopanda thanzi
Mu lingaliro la Dr. Fasano, ngati muli ndi zonse zomwe zili pamndandanda kupatula zotsatira zabwino zopezeka kumapeto kwa mapepala a endoscopy, ndiye kuti mukhoza kudumpha kumapeto kwake.
Akatswiri ena amanena kuti kuyezetsa magazi komwe amagwiritsidwa ntchito pa njira yofufuza ndi kovuta kwambiri kuti biopsy kutsimikizire kuti matendawa sali oyenerera pamene zotsatira zowunika magazi zili zabwino kapena zabwino. Mwachitsanzo, ofufuza anafotokoza m'magazini ya zachipatala BMC Gastroenterology kuti amatha kudziwa kapena kusaika matenda a celiac popanda chifuwa cha m'mimba mwa 78% mwa odwala.
Kodi Mukufunikirabe Kutenga Zinthu Zosasintha ndi Zovuta Kwambiri?
Pali zinthu zina zambiri zomwe zingayambitse zizindikiro zofanana ndi zomwe zimapezeka mu matenda achilli, ndipo kugwiritsira ntchito mankhwala osakanikirana ndi mapepala osakanikirana kumathandiza dokotala wanu kudziwa momwe mulili (ndi zomwe mulibe). Komanso, kuyezetsa magazi komwe kumagwiritsidwa ntchito poyang'ana matenda a celiac sizolondola 100%, ndipo kulondola kwawo kumasiyana malinga ndi labu yogwiritsidwa ntchito pokonza mayeso.
Chifukwa chake, ambiri a gastroenterologists amakhulupirira kuti ndikofunikira kuti mupite kumene kumapezeka (mwachitsanzo, matumbo anu aang'ono) kuti muwone ngati pali chowonongeka chomwe chilipo.
Ndipotu, American College of Gastroenterology imabwerezanso mu njira zake zothandizira kupeza ndi kuyang'anira matenda a Celiac kuti kusungunuka ndi chidziwitso "ndizofunikira kwambiri kuunika kwa anthu omwe akudziwika kuti ndi [CD] ndipo amavomerezedwa kuti atsimikizidwe. "
Komabe, pali zovuta zina kuti mupeze mapuloteni, komanso. Ngakhale kuti ndondomekoyi si yoyipa kuti ichitike (kwenikweni!), Ikhoza kutenga nthawi yokonza, ndipo ikhoza kukhala okwera mtengo (ngakhale mutakhala ndi inshuwaransi).
Kuonjezerapo, pamene mukudikirira mapeto anu, muyenera kupitiriza kudya zakudya zowonongeka , popeza kuyesera kukuwonongeka kwa m'mimba mwanu.
(Phunzirani zambiri: Ndichifukwa chiyani ndikuyenera kudya gluten kwa kuyesedwa kwachilendo koyali kuti zikhale zolondola? )
Mawu ochokera
Inde, ngakhale pali zifukwa zomveka zogwirizana ndi ndondomekoyi, palinso zifukwa zina zozembera, komanso ... makamaka ngati mayeso a magazi anu amasonyeza kuti muli ndi matenda a celiac.
N'zotheka kuti maganizo a akatswiri pankhaniyi adzasintha m'tsogolomu. Zaka makumi asanu ndi limodzi zapitazo, akatswiri adagwirizana kuti mukufunikira zolemba zitatu za biopsies kuti mudziwe matenda a leliac: chimodzi cholemba choyamba chowonongeke, chotsatira chotsatira cha zakudya zopanda thanzi kuti chidziwitse kuchiritsidwa, komanso chachitatu kuti chiwonetsetse kuwonongeka kwatsopano pambuyo pa vuto la gluten .
Pamapeto pake, ngati simukudziwa ngati mukuyenera kudziwa kuti mukudwala matenda otchedwa Celiac, muyenera kufotokoza mwatsatanetsatane zomwe mukupeza ndi dokotala wanu.
Zotsatira:
Bürgin-Wolff A. et al. Matenda a m'mimba sikuti nthawi zonse amafunika kudziwa kuti matendawa ndi otani. BMC Gastroenterology. 2013 Jan 23; 13: 19. lembani: 10.1186 / 1471-230X-13-19.
Rubio-Tapia A. et al. Zotsatira za ACG: Kuzindikira ndi Kusamalira Matenda a Celiac. American Journal of Gastroenterology. 2013 May; 108 (5): 656-76. do: 10.1038 / ajg.2013.79. Epub 2013 Apr 23.
Wakin-Fleming J. et al. Kuzindikira matenda a leliac mwa akuluakulu pogwiritsa ntchito zotsatira za serology, popanda zochepa. Clinical Gastroenterology ndi Hepatology. 2013 May; 11 (5): 511-6. do: 10.1016 / j.cgh.2012.12.015. Epub 2013 Jan 7.