Pamene mukuwerenga maphunziro a zachipatala, mawu awa amakula bwino
Mawu akuti "chivomezi" ndi "kufalikira" amatanthauza chiwerengero cha anthu omwe ali ndi matenda enaake. "Kuchuluka" kumatanthauza chiwerengero cha anthu omwe atangoyamba kumene kupeza kuti ali ndi vuto, pamene "kufalikira" kumaphatikizapo anthu atsopano omwe ali ndi matenda, kuphatikizapo anthu amene anapezeka kale, ndipo ngati chidziŵitsocho chikapezeka, anthu omwe sanapezepo.
Mawu awa ndi osokoneza, ndipo anthu ena amawagwiritsa ntchito mosiyana (ngakhale osasinthasintha!).
Chiwerengerochi chimalongosola zoopsa zomwe zimakhalapo pakadwala matenda ena, pamene kufalikira kumatiuza kuchuluka kwa anthu omwe akukhala nawo panopa, mosasamala kuti (kapena ngakhale) atapezeka kuti ali ndi matenda omwewo.
Chikoka ndi Kukula Kwambiri Kuchokera ku Epidemiology
Zomwe zimachitika ndi kufalikira ndi mawu ogwiritsidwa ntchito pa matenda a matenda. Epidemiology ndi ofesi ya mankhwala yomwe mukuyang'ana (mwina mukuganiza kuti ndiyi) ndi anthu angati omwe ali ndi matenda enaake, zomwe zimawopsa chifukwa cha matenda, zomwe zimachitika kwa anthu omwe ali ndi matendawa, ndipo potsiriza, momwe angapewere matenda kuti asachitike .
Chinthu chimodzi chokha kuchokera ku matenda a matenda muyenera kudziwa: chiwerengero cha anthu. Akatswiri odziwa za matenda a Edzi amaphunzira anthu ambiri-mwachitsanzo, akhoza kuphunzira akuluakulu omwe amakhala ku US ngati anthu ena.
Anthu amatha kukhala ochuluka (ana onse ku China) kapena ena enieni (onse okalamba a ku Asia akukhala ku New York City). Kutanthauzira anthu enieniwo kumathandiza akatswiri a matenda a matenda kudziwa kuti ndi zifukwa ziti zomwe zimapangitsa kuti matenda awo aziopseza, komanso momwe zifukwa zomwe zingawonongeke zingakhale zosiyana ndi zoopsa za anthu ena.
Zowonjezerapo pa Zowonjezera vs. Kukula
Nazi zitsanzo zenizeni zomwe zingakuthandizeni kupeza chochita pa zochitika ndi kufalikira.
Mwachitsanzo, ngati tikunena kuti chiwerengero cha matenda a chililiac omwe ali m'gulu la asilikali ku US anali 6.5 pa 100,000 mu 2008, amatanthauza asilikali asanu ndi limodzi ndi theka omwe amamenyera nkhondo amtundu wa asilikali 100,000 omwe ali ndi matendawa 2008. (Pali kwenikweni phunziro lowonetsa izi.)
Chiwerewere chimakuuzani momwe anthu ambiri anapezera kuti ali ndi matenda ena mwa anthu ena. Zikatero, matendawa anali matenda a leliac, ndipo chiwerengero cha anthu anali kuphunzira ntchito ya asilikali a US.
Kufalikira, komabe, kukuuzani momwe anthu angapo alili ndi vuto linalake, mosasamala kanthu kuti atangotenga kumene, kapena ngakhale atapezekapo konse.
Kuti tigwiritse ntchito chitsanzo chathu cha matenda a celiac, chiwerengero chaposachedwa cha matenda a leliac ku United States mwa anthu asanu ndi limodzi kapena kuposerapo chikuwonetsa kuti kuchulukitsa ndi 0.71%. Izi zikutanthauza pafupifupi mmodzi mwa anthu 141 a zaka zisanu ndi chimodzi kapena kupitirira ku United States ali ndi matenda a celiac, ngakhale malingana ndi zomwe akuphunzira, anthu ambiri omwe ali ndi vuto (pafupifupi 83%) sazindikira kuti ali nawo.
Chenjezo pa Kugwiritsa Ntchito ndi Kukula
Simungakhoze kutenga nambala mu phunziro limodzi pa zochitika kapena kufalikira kudzagwiritsidwa ntchito kwa anthu ena.
Mwachitsanzo, chifukwa chiwerengero cha matenda a chilili ku United States ndi 0.71% (mmodzi mwa anthu 141 alionse osapitirira zaka zisanu ndi chimodzi), simungaganize kuti m'mayiko ena muli kuchuluka kwa celiac - kunena kuti, m'mayiko a Asia - ndi ofanana monga zilili ku US, popeza anthuwa ali ndi mitundu yosiyanasiyana ya mazira ndi kutsatira zakudya zosiyanasiyana ndi moyo wawo.
Ndipotu, kufalikira kwa matenda a leliac ndi otsika kwambiri m'mayiko ambiri a ku Asia, makamaka chifukwa chakuti majeremusi a matendawa ndi ofala kwambiri ku Asia.
Komabe, kufalikira kwa matenda a leliac ku Ulaya kuli pafupi ndi kufalikira ku US, popeza kuti majini ndi zakudya mwa anthu awiriwa ndi ofanana.
Zotsatira:
Altobelli E et al. Mtolo wa matenda a celiac ku Ulaya: kubwereza ubwana wake komanso kufalikira kwa anthu akuluakulu mu September 2014. Annali di Igiene. 2014 Nov-Dec; 26 (6): 485-98.
Cummins AG ndi al. Kukula kwa matenda a celiac ku Asia-Pacific. Journal of Gastroenterology ndi Hepatology . 2009 Aug; 24 (8): 1347-51.
Rubio-Tapia A et al. Kukula kwa matenda a leliac ku United States. American Journal of Gastroenterology . 2012 Oct; 107 (10): 1538-44; funso 1537, 1545.