Anthu ena omwe ali ndi IBD amamva bwino kwambiri.
Matenda a Celiac, matenda osakanizidwa a gluten komanso matenda opatsirana ( IBD ) onse amakhudza thupi lanu. Koma kodi zinthu zitatuzi zikugwirizana bwanji? Ngati muli ndi matenda a celiac kapena osakanizidwa ndi mimba, kodi izi zikutanthauza kuti mumakhala ndi matenda opatsirana? Ndipo, kodi zakudya za gluten zingathe kuthandizira zizindikiro za IBD ngakhale kuti mulibe matendawa?
Zambiri mwa kafukufuku wokhudzana ndi momwe zinthuzi zingagwirizanane ndizomwe zilili posachedwapa, ndipo zina mwazinthuzi sizinatsimikizidwe ndi mayesero akuluakulu, opangidwa bwino.
Ngakhale zili choncho, kafukufuku wochepa ndi zochitika zina zimasonyeza kuti anthu omwe ali ndi matenda a Crohn's and ulcerative colitis (mitundu ikuluikulu ya matenda opatsirana a m'mimba) akhoza kukhala ndi chitsimikizo cha ma antibodies ku mapuloteni a gluten, mosasamala kanthu kuti alibe celiac kapena ayi matenda. Ndipo nthawi zina, zakudya zopanda thanzi zathandiza anthu omwe ali ndi matenda opatsirana amamva bwino, ngakhale kuti anthuwa analibe matendawa.
Apa pali zomwe tikudziwa (ndi zomwe sitidziwa) zokhudzana ndi zovuta zogwirizana pakati pa matenda a leliac, kutsekemera kosaleta, ndi kutentha kwa m'mimba.
Zizindikiro Zofanana ndi Celiac, Gluten Sensitivity, ndi IBD
Matenda a Celiac amapezeka pamene thupi lanu limaphwanya mapuloteni a gluten monga tirigu, balere, ndi rye kuti ziwonongeke, zomwe zimachititsa kuti chitetezo chanu cha mthupi chiteteze m'mimba mwanu.
Zizindikiro za matenda a chililili amasiyana kwambiri (pomwepo pali oposa zana, kuphatikizapo ambiri omwe samaphatikizapo dongosolo lanu la zakudya), koma anthu ambiri omwe ali ndi celiac amavutika ndi kutsekula m'mimba , kudzipweteka m'mimba, kutopa , ndi kuchepa kwa magazi m'thupi .
Zizindikilo za mphamvu zowononga zosalimba zimatha kufanana ndi matenda a leliac-zinthu zonsezi zimaphatikizapo mitundu yofanana ya zakudya zakuthupi.
Komabe, anthu amene ali ndi vuto la gluten amaoneka kuti akudwala matenda enaake a m'mimba komanso zizindikiro zina zamaganizo, monga kuwonongeka kwa mitsempha yomwe imayambitsa "zikhomo ndi singano" mmanja ndi miyendo, kusiyana ndi omwe ali ndi matenda a leliac.
Potsirizira pake, zizindikiro za matenda opweteka matumbo zimasiyana malinga ndi momwe muliri (Crohn's disease kapena ulcerative colitis). Matenda onse a Crohn ndi ulcerative amatha kupweteka m'mimba, kupondaponda, (nthawi zina wamagazi) kutsegula m'mimba, ndi kubvula.
Kufotokozera Kusiyanitsa Pakati pa Chikhalidwe
Mwachiwonekere, pali zochitika zambiri pakati pa zizindikiro za matenda a leliac, kutsekemera kosaleta kosaleta, ndi matenda opweteka, komanso zomwe zingapangitse kupeza chidziwitso cholondola.
Madokotala amagwiritsa ntchito mayeso a magazi kuti awonetsere matenda a leliac (ngakhale kuti si onse omwe ali ndi vuto loyesera zabwino), ndipo amatsimikiziranso kuti ali ndi matenda otchedwa endoscopy ndi biopsy kuti ayang'ane mwachindunji pamatumbo a m'mimba mwathu kuti awone ngati yawonongeka.
Kuti mudziwe matenda a Crohn kapena matenda a zilonda zam'mimba, adokotala anu akhoza kupanga colonoscopy ndi / kapena endoscopy kuti ayang'ane zizindikiro zomwe zimasiyana ndi za matenda a leliac. Palibe mayeso a magazi omwe amawotchera matenda opatsirana, ngakhale kuti mayeso ambiri a magazi-monga momwe angayang'anire kuchepa kwa magazi-angapereke zina.
Pomalizira, palibe mayeso ochiritsidwa omwe amavomerezedwa chifukwa cha mphamvu zowonongeka zopanda mphamvu (osati madokotala onse amagwirizana kuti alipo). Njira yokhayo yodziwira ngati muli nayo ndiyo kutsatira zakudya zopanda thanzi komanso kuona ngati mumakhala bwino. Koma ngakhale izi sizikutanthauza: mukhoza kumverera bwino chifukwa mwachepetsa kapena kuchotseratu zakudya zopanda thanzi kuchokera ku zakudya zanu pamodzi ndi gluten, mwachitsanzo, kapena lingaliro lakuti mukuchita chinachake cholimbikitsa pa thanzi lanu lingathandize kuchepetsa zizindikiro zanu. Komabe, kafukufuku amasonyeza kuti anthu ena amaoneka ngati amachititsa kuti mbewu za gluten zikhale ndi zizindikiro zofanana ndi za matenda a leliac, ngakhale kuti anthuwa alibe matendawa.
Kodi N'zotheka Kugwirizana Pakati pa Celiac ndi IBD?
Maphunziro ena oyambirira adapeza kuti anthu omwe ali ndi matendawa ndi omwe ali ndi chiopsezo chachikulu kwambiri-chowoneka ngati chowonjezeka cha 10-pangozi-kuti amapezeka ndi Crohn's disease kapena ulcerative colitis. Komabe, kafukufuku waposachedwapa wasonyeza kuti awo omwe ali ndi IBD ali ndi matenda a celiac omwe ali ofanana ndi a anthu ambiri.
Komabe, zikuwoneka kuti ndizogwirizana pakati pa zikhalidwe ziwirizi, ndipo majini angayambe kufotokoza mbali ya gululo. Kafukufuku waposachedwapa wapeza kuti matenda a leliac ndi matenda a Crohn amagawana magulu anayi omwe amawoneka kuti amachititsa ngozi zonsezi. Kuphatikiza apo, ofufuza apeza majeremusi omwe amawoneka kuti amachititsa ngozi zonse zosafunika komanso za ulcerative colitis.
Matenda onse a IBD ndi omwe amapezeka ndi matenda omwe amachititsa kuti thupi lawo lizigonjetsedwa , limatanthawuza kuti zikuphatikizapo kuwonongeka kwa chitetezo cha m'thupi lanu. Zinthu ziwirizi zikuwoneka kuti zikuphatikizapo kusintha kwabongo m'mimba yanu ya m'mimba (mabakiteriya omwe amakhala mumatumbo anu aakulu), omwe angayambitse kapena kuteteza kutupa.
Kusintha kwa IBD ndi Gluten Kungakhale Kofala Kwambiri
Zomwe zimakhala zosavuta zowonongeka zimakhala zosavuta kuposa matenda a leliac kwa anthu omwe ali ndi matenda a Crohn kapena ulcerative colitis, maphunziro angapo amasonyeza.
Mwachitsanzo, gulu la madokotala ku Italy ndi ku United Kingdom linafufuza odwala awo odwala matumbo ndipo anapeza kuti 28 peresenti ya iwo amakhulupirira kuti ali ndi mphamvu zowononga, zomwe zikutanthauza kuti zizindikiro zawo zikuwoneka ngati zikudya kwambiri pamene adya chakudya cha gluten. Anthu 6 peresenti yokha a anthuwa anali kutsatira chakudya cha gluten pa nthawi ya kafukufuku. Ofufuzawo anapeza kuti chomwe chimatchedwa "kudzidzimitsa yekha", chinali chogwidwa ndi matenda a Crohn, ndipo anafunanso kufufuza kuti adziwe ngati zakudya za gluten zingathandize pa milandu imeneyi.
Mu lipoti la 2014, madokotala ku Japan (kumene matendawa ndi osavuta) anawonetsa anthu 172 omwe anali ndi matenda opatsirana chifukwa cha ma antibodies kuti ayambe kuyeza magazi, ndipo amawayerekeza ndi anthu 190. Apeza kuti 13 peresenti ya anthu omwe ali ndi matenda opatsirana amatha kuyesa zitsulo zotsutsana ndi anti-gluten. Komabe, atatu mwa anthu omwewo adanyamula chimodzi mwa ziwalo ziwiri zazikuluzikulu zamtenda , ndipo palibe zomwe zinawonongera m'mimba mwawo, kotero palibe amene anali ndi matendawa.
Ngakhale zili choncho, asanu ndi atatu a anthu omwe ali ndi matenda opatsirana omwe amachititsa kuti thupi lawo liziyenda bwino, amayamba kudya zakudya zopanda thanzi (anthu ena asanu ndi atatu omwe amachokera kumalo omwewo amatsatira zakudya zamtundu wa gluten). Pambuyo pa miyezi isanu ndi umodzi pa zakudya zopanda thanzi, anthu asanu ndi atatuwo anali ndi zizindikiro zochepa, makamaka kutsegula m'mimba-kusiyana ndi zomwe zimachitika, phunzirolo linalongosola. Palibe aliyense m'magulu omwe anakula matenda a celiac.
Kotero kodi Zakudya Zopanda Gluten Zingakuthandizeni ku IBD?
Mwinamwake ikhoza, ngakhale mulibe matenda a celiac. Nthawi zingapo (kuphatikizapo m'maphunziro apamwambawa), madokotala apeza kuti zakudya zopanda thanzi zimakhala bwino kapena zithetsa zizindikiro za matenda a m'mimba, ngakhale mwa anthu omwe alibe matendawa. Anthu omwe ali ndi matenda a Crohn anali makamaka opindula.
Mwachitsanzo, pa kafukufuku amene adafalitsidwa mu 2013, Dr. David Perlmutter (wotchuka wa mbiri ya Grain Brain ) adalengeza za wodwala amene adapezeka kuti ali ndi matenda a Crohn, ndipo amene sanapeze bwino ndi Crohn's. Malinga ndi mayeso a magazi omwe amasonyeza kuti thupi lake limapanga ma antibodies ku mapuloteni a gluten ndi zigawo zina za tirigu, balere, ndi rye, munthuyo anapeza kuti ali ndi mphamvu zowonjezera za gluten komanso anayamba kudya zakudya zopanda thanzi.
Izi "zinatengera milungu isanu ndi umodzi mpaka kutha kutsekula m'mimba," adatero madokotala. "Pambuyo popitiriza kudya zakudya zopanda thanzi, sizinangokhala zokhazokha, koma wodwalayo nayenso anayamba kulemera. Pambuyo pake patapita chaka chimodzi wodwalayo anabwerera kudziko labwino ndipo anali atapitirira 80% kutaya thupi. " Matenda ake a Crohn adalowa m'magulu a zakudya zopanda thanzi.
Ofufuza kuchokera ku yunivesite ya North Carolina anapeza zotsatira zofanana (ngati zinavuta kwambiri) pamene adafunsa anthu 1,647 okhala ndi matenda opatsirana pogwiritsa ntchito ngati akuyesa kudya zakudya zopanda thanzi. Pafupifupi 19% adanena kuti adayesera kale, ndipo 8% adanena kuti akadali akugwiritsa ntchito zakudyazo. Pafupifupi, awiri mwa magawo atatu mwa anthu atatu omwe adayesa kudya zakudya za gluten amati chakudya chimapangitsa kuti zizindikiro zawo za m'mimba zikhale zosavuta, ndipo 28% amafotokoza zochepa za IBD. Komanso, omwe adatsata chakudya pa nthawi ya kafukufukuyo adathandiza kuti iwo asatope kwambiri.
Ofufuzawo ankanena kuti n'zotheka kuti mankhwala omwe sakhala a gluten omwe amakhalapo m'magulu a gluten (mosiyana ndi mapuloteni a gluten okha) angayambitse kutupa kwa m'mimba mwa anthu omwe ali ndi IBD, komanso kudya kwa gluten kungathandize kuthetsa kutupa (ndi zizindikiro zake) ). Iwo adati maphunziro awo "amatsindika kwambiri ntchito yodalirika imeneyi" mwa odwala ena a IBD, koma kuti kufufuza kwina kuli kofunika kuti mudziwe amene angapindule kwambiri.
Inde, ndizotheka kuti zakudya zopanda thanzi zingathandize kuthetsa zizindikiro za matenda opweteka, ngakhale anthu omwe alibe matendawa. Ngati mukudabwa ngati mungapindule, kambiranani ndi dokotala wanu za kuyesa zakudya.
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