Zimavomerezedwa kuti munthu mmodzi mwa anthu 133 ali ndi matenda a celiac , omwe amachititsa kuti thupi liwonongeke m'mimba nthawi iliyonse akamadya, amapuloteni omwe amapezeka tirigu, balere, ndi rye.
Komabe, posachedwapa akatswiri ofufuza atulukira kuti mphamvu zowonongeka ndizosiyana, zosiyana, ndi zina zachipatala zikuyembekezera kutsimikiziridwa kwa kafukufuku wamakono atsopano asanavomereze kutengeka kwa gluten ngati njira yothetsera matenda.
N'kuthekanso kuti si gluten pambuyo pa zonse - m'malo mwake, zikhoza kukhala zina mwa tirigu ndi mbewu zina zamtundu wa gluteni zomwe zikuyambitsa zina kapena zochitika zonse kwa anthu omwe ali "gluten" -masowa.
- Phunzirani zambiri: Kodi ndi chiyani mu mbewu za Gluten zomwe zimachititsa kuti 'Gluten' Sensitivity?
Chifukwa cha zonsezi, kuphatikizapo kuti palibe chiyeso chovomerezeka cha kutengeka kwa gluteni , ndizosatheka kunena motsimikiza kuti ndi angati omwe angakhaledi okhwima. Ochita kafukufuku akuganiza kuti mwina anthu oposa 0,6% (kapena asanu ndi mmodzi mwa anthu 1,000) kapena okwana 6% mwa anthu (asanu ndi mmodzi mwa anthu 100), koma pasanakhalepo kafukufuku wogwira mtima pa nambala.
Komabe, ochita kafukufuku atatu otchuka m'munda - Dr. Alessio Fasano, Dr. Kenneth Fine, ndi Dr. Rodney Ford - posachedwapa adayankhula ndi ine ndikuganiza kuti zigawo zingakhale zotani. Tangomaliza kulemba musanawerenge kuti magawo omwe amalembera amachokera pafukufuku wawo (osasindikizidwa kwambiri), ndipo sakuyimira maganizo ovomerezeka achipatala.
Dr. Fasano: Mayendedwe a Gluten May amachititsa 6% mpaka 7% Pafupipafupi
Dr. Fasano, mkulu wa yunivesite ya Maryland Center for Research Celiac, adafalitsa kafukufuku woyamba akuyang'anitsitsa mphamvu za khunyu za khunyu komanso momwe zimasiyanasiyana ndi matendawa. Iye adachita nawo kafukufuku wotsirizira kuti matenda a celiac ndi mmodzi mwa anthu 133.
Malingana ndi Dr. Fasano, kutengeka kwa gluten kungakhudze anthu ambiri kuposa matenda a leliac. Iye akuyesa pafupifupi 6% mpaka 7% a anthu a US akhoza kukhala amtundu wa gluten, kutanthauza kuti anthu pafupifupi 20 miliyoni ku United States okha akhoza kukhala ndi vutoli.
Zizindikiro za kuchepa kwa anthu amtunduwu zimaphatikizapo mavuto osokoneza bongo, kupwetekedwa mutu, kupwetekedwa kwa mitsempha komanso zizindikiro za khungu, matenda a ubongo ndi kutopa, Dr. Fasano akuti. Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe amawapeza kuti ali ndi vuto la ubongo ndi ubongo monga zizindikiro, akuti.
Madokotala. Ford, Zolingalira Zokoma Zingakhale Zazikulu Kwambiri - Mpaka 50%
Dr. Ford, dokotala wa ana ku Christchurch, New Zealand komanso wolemba buku la Gluten Syndrome , akuti akukhulupirira kuti chiwerengero cha anthu omwe ali ndi vuto la gluten akhoza kukhala apamwamba kwambiri - mwina pakati pa 30% ndi 50%.
"Pali anthu ambiri omwe akudwala," akutero. "Zopitirira 10% ndizosavuta, ndipo mwina ndizofanana ndi 30%. Ndinkamangiriza khosi langa zaka zambiri zapitazo pamene ndinanena kuti anthu khumi ndi awiri aliwonse ali ndi vuto la gluten. Tilipo. Tidzapeza kuti ndiposa 50% pamene potsiriza tidzakhala pa chiwerengero. "
Dr Fine, gastroenterologist yemwe adayambitsa ndi kuyang'anira ntchito yoyesera yovuta ya gluten Inolab , amavomereza kuti mphamvu ya gluten imakhudza hafu ya anthu.
Dr. Fine akudandaula kuti 10% mpaka 15% mwa anthu onse a ku America ali ndi ma antibodies (omwe ali AGA-IgA kapena AGA-IgG ) omwe amakhala ndi gluten, omwe angasonyeze kuti ma chitetezo cha mthupi akuchitapo kanthu pa mapuloteni.
Chiwerengero chachikulu cha anthu a ku America ali ndi matenda omwe amachititsa kuti thupi likhale ndi matenda , zilonda zopweteka kwambiri komanso / kapena kupweteka kwambiri kwa matendawa, zomwe zimawaika pamwero woopsa wa kutengeka kwa gluten. Pafupifupi 60% mpaka 65% mwa anthu omwe ali ndi vutoli amayesa kutsimikizika kwa kutengeka kwa gluteni kupyolera mu Enterolab, Dr. Fine akuti.
Pakalipano, pafupifupi 20% mpaka 25% mwa anthu omwe alibe zizindikiro amapezeka ndi ululu wa gluten wochokera ku zotsatira za kuyesa kwa Enterolab, Dr. Fine akuti.
"Pamene tinapanga masamu, tinabwera ndi chiwerengero cha pafupifupi chimodzi mwa magawo awiri aliwonse omwe ali otupa," akutero.
Panthawi imeneyi, Dr. Fine akuti amakhulupirira kuti anthu omwe ali ndi matenda a celiac angakhale apamwamba kwambiri - "Ndikuganiza kuti ndi chimodzimodzi mu 200. Ndimadziwa bwino lomwe maphunziro a 133 koma omwe adaitanidwa komanso kusasankhidwa pang'ono. " Kafukufuku wina anaika chiopsezo cha matenda a leliac m'modzi mwa anthu 200 mwa mmodzi mwa anthu 250, ndipo Dr Fine akuti akuganiza kuti izi ndi zolondola.
Kodi Nambala ya Kukhudzidwa kwa Gluten Imatanthauza Chiyani?
Pakalipano, kuchuluka kwa anthu omwe ali ndi mphamvu zowonjezera za gluten kumaimira zifukwa zenizeni za madokotala ndi ofufuza - maphunzirowa sakhala atakonzedwa kuti atsimikizire ngati ali olondola kapena olondola.
Zotsatira:
Czaja-Bulsa G. Osamva Celiac Gluten Sensitivity - Matenda atsopano omwe ali ndi ulemerero wa Gluten. Zakudya Zamakono (Edinburgh, Scotland). 2015 Apr; 34 (2): 189-94.
Fasano A. et al. Kuchulukana kwa Kutsekedwa kwa Gut ndi Mucosal Kufotokozera kwa Mthupi la Immune M'zochitika Zachiwiri Zogwirizana ndi Ulemelero: Matenda a Celiac ndi Gluten Sensitivity. BMC Medicine 2011, 9:23. lembani: 10.1186 / 1741-7015-9-23.
Fasano A. et. al. Maonekedwe a Matenda Okhudzana ndi Ulemelero: Kugwirizana pa Dzina Latsopano ndi Kafukufuku Watsopano. BMC Medicine. BMC Medicine 2012, 10:13 chiku: 10.1186 / 1741-7015-10-13. Lofalitsidwa: 7 February 2012