Inde, anthu ambiri amatsekula m'mimba. Koma inu mukhoza kupita mwanjira yina, inunso
Mukhoza kukhala ndi matenda a chililiyake ngati chizindikiro chanu chachikulu ndi kudzimbidwa, osati kutsegula m'mimba, komanso ngati muli ndi chidziwitso chokhalitsa pamodzi ndi zizindikiro zina za matendawa , muyenera kuyesedwa.
Zaka makumi angapo zapitazo, madokotala ankakonda kuganiza kuti matenda a leliac anangochitika mwa ana-makamaka, mwa ana omwe anawoneka kuti akusowa chakudya komanso omwe amatsegula m'mimba nthawi zambiri.
Koma zaka zambiri zopenda kafukufuku zasonyezera kuti ambiri a celiacs, onse, ndi akuluakulu, amavutika ndi kudzimbidwa kapena kuchotsedwa kumalo ndi kutsekula m'mimba.
Kodi Chikumbumtima N'chiyani?
Muli ndi chitetezo ngati muli ndi zochepera zosachepera zitatu pa sabata. Kudzimbidwa kwadzidzidzi kumachitika kwa anthu ambiri, koma kuvomereza kwanu kumaonedwa ngati kosalekeza ngati mutakonzedwa kwa milungu ingapo kapena motalika.
Phunziro la zachipatala lomwe linachitidwa ku Ireland linapeza kuti 76 peresenti ya odwala anali ndi zizindikiro za m'mimba pa nthawi ya matenda awo odwala matendawa, kuphatikizapo 56% ndi kutsekula m'mimba komanso pafupifupi 15% ndi kudzimbidwa. Gawo limodzi la gulu lonse linali ndi ululu m'mimba. Kafukufuku wina anapeza kudzimbidwa mwa ana 10 peresenti ya ana omwe pomaliza anapeza kuti ali ndi matenda a leliac.
Monga momwe phunziroli likusonyezera, simukusowa kuti mukhale ndi zizindikiro za m'mimba kuti muli ndi matenda a Celiac-pafupifupi kotala limodzi la anthu sanatero. Pamene kudzimbidwa kunali kosazolowereka kuposa kutsegula m'mimba (chomwe chimatchedwa "chachikale" chizindikiro cha celiac), sizinali zachilendo .
Anthu ambiri anali nazo.
Kuphunzira kwakukulu ku Italy kwa zizindikiro za matenda a chilombo cha m'mimba komanso osagwira ntchito pa nthawi ya matenda apeza kuti anthu 13 peresenti ali ndi chitetezo, 15% anali ndi kudzimbidwa kosakaniza ndi kutsekula m'mimba, ndipo 27% anali otchedwa "classic" m'mimba. Zizindikiro zina zamagetsi zomwe zimapezeka mu phunziroli zinaphatikizapo: kuphulika (anthu 20% anali nawo), zilonda zam'mimba (18%), ndi reflux (12%).
Madokotala akuzindikira izi. Mwachitsanzo, madokotala omwe amapanga phunziro la ana a ku Netherlands adapeza kuti celiac "adayimilira" ana omwe anali ndi chidziwitso chokhazikika komanso omwe sanathandizidwe ndi mankhwala osokoneza bongo. Anatsiriza kuti ana omwewo ayenera kuyesedwa kawirikawiri pa matendawa.
Mfundo Yofunika Kwambiri
Musatuluke (kapena mulole dokotala wanu atuluke) kuthekera kwa matenda a leliac chifukwa chakuti mumadzimangirira (kapena muli ndi kusakaniza ndi kutsekula m'mimba.
Monga momwe n'zotheka kukhala wonenepa kwambiri ndipo ali ndi matenda a celiac , n'zotheka kukhala ndi kudzimbidwa komanso kukhala ndi matenda a celiac. Ganizirani kuyesedwa, makamaka ngati muli ndi zizindikiro zina pa mndandanda waukulu wa zizindikiro za matendawa.
Zotsatira:
Egan-Mitchell B et al. Kugonjetsedwa Kwa Ana Achilendo Odwala. Archives of Disease In Childhood. 1972 April; 47 (252): 238-240.
McElvaney NG ndi al. Matenda a Celiac: mafotokozedwe a zachipatala, mgwirizano wotsatila zakudya, kuyankha kwachidziwitso ndi kubwereza zomwe zimachitika. Buku la Ulster Medical Journal. 1992 Oct; 61 (2): 134-8.
Pelleboer RA et al. Matenda a Celiac amavomerezedwa kwambiri kwa odwala omwe ali ndi chidziwitso. Jornal de pediatria. 2012 Mar-Apr, 88 (2): 173-6.doi: 10.2223 / JPED.2155.
Volta U et al. Kusintha kwa chithandizo chachipatala cha matenda a celiac: zaka khumi ndi zisanu (1998-2012) mu malo otsogolera a ku Italy. BMC Gastroenterology. 2014 Nov 18; 14: 194.