Kachilombo Kakang'ono Kowopsya Kungakuthandizenso Kuthetsa Gluten kachiwiri
Zimveka zopweteka kwambiri: kumeza matumbo a m'mimba n'cholinga chofuna kuchiza matenda anu. Koma ochita kafukufuku ku Australia kwenikweni ali ndi mwayi pogwiritsa ntchito manyowa a anthu kuti apeze momwe angathandizire oleacas kulekerera gluten kachiwiri.
Sizomwe mukuganiza, komabe, kufufuza kungakhale kusonyeza malonjezano (ngakhale kuti akuyesera kwambiri komanso osagwiritsidwa ntchito), komabe sizingatheke kuti dokotala wanu adzatsimikizira kuti mphutsi za mphutsi zimatulutsa matenda anu.
M'malo mwake, ochita kafukufuku akuyembekeza kuti adziwe bwino momwe zimakhalira ndi njoka zazing'onoting'ono zomwe zimapangitsa kusintha kwabwino m'matumbo anu, ndikusandutsa chidziwitso kukhala mankhwala osakayika.
"Cholinga chachikulu ndicho kuyika zifukwa zinazake zomwe zimachokera ku zinyama, zimatha kufotokoza zotsatirazi zowonongeka pakati pa odwala, omwe angapangidwe ngati mankhwala ophikira mapiritsi kuti apitirize kulekerera," anatero Paul Giacomin, Ph.D.. ku yunivesite ya James Cook ku Australia, kumene maphunzirowa akuchitika.
Kodi Hookworm Ndi Chiyani?
Chenjerani: ichi si cha squeamish. Mankhwalawa - omwe amatha kupitirira theka la inchi yaitali ndipo ali ndi milomo yopanda pake amayenera kuwopsya mafilimu - alowetsani pazitsulo za m'mimba mwanu ndi kumwa magazi anu. Amakhala zaka zambiri kapena kuposa.
Mukhoza kuwagwira pamene mukuyenda opanda nsapato pa nthaka yomwe ili ndi nyansi zochokera kwa munthu amene ali ndi matenda a njoka, popeza mphutsi zazing'onoting'ono zimatha kulowa mu khungu la anthu ndikupita kumalo osakaniza.
Mankhwalawa ankakhala vuto lalikulu ku United States, ndipo amatha kulandira anthu oposa theka la biliyoni padziko lonse, makamaka m'malo omwe ali ndi miyezo yoyera. Anthu ambiri omwe ali ndi ziphuphu samasonyeza zizindikiro zirizonse, koma ziwombankhanga zingayambitse matenda. Zowonongeka kwambiri zimayambitsa matenda a m'thupi mwa kuwonongeka kwa magazi.
Zowonjezera Zopindulitsa za Hookworm kwa Osowa
Panthawiyi, mukuganiza kuti, "Kutaya zabwino!" kuti tizilombo toyambitsa matenda, zomwe sizinali zachilendo ku US ndi mayiko ena otukuka. Koma kodi pali nsomba zazing'ono?
Pamene zikuchitika, pakhoza kukhala.
Asayansi ena amakhulupirira kuti kuwonjezeka kwakukulu kwa anthu omwe ali ndi matenda monga leliac ndi chifuwa kungakhale chifukwa cha mtundu wathu wonse, komanso wabwino .
Mfundo imeneyi, yomwe imadziwika kuti "hygiene hypothesis," imanena kuti kuyesa kwathu kuthetsa tizilombo toyambitsa matenda ndi matenda komanso kudziteteza ku "majeremusi" ochuluka momwe tingathere iwo ayamba kumenyana ndi maselo athu omwe molakwika.
Achipatala akufufuza kugwiritsa ntchito zipangizo zamakono m'magulu oterewa amakhulupirira kuti poika tizilombo toyambitsa matenda m'thupi mwa munthu amene ali ndi celiac, zingatheke "kubwezeretsa" chitetezo cha mthupi kuti gluten isayambitse kupweteka ndi m'mimba.
Kafukufuku Wokhudzana ndi Chiwombankhanga M'mayambiriro Oyamba
Gulu lofufuzira ku Yunivesite ya Cook Cook lachita maphunziro angapo mpaka pano omwe akuphatikizapo kuika tizilombo toyambitsa matenda kwa anthu okhala ndi matenda a celiac, omwe ali ndi zotsatira zosiyana.
Phunziro limodzi, linalembedwa mu PLoS One mu March 2011, odzipereka khumi okhaokha omwe anali ndi kachilombo koyambitsa matendawa, kenaka anadya tirigu kwa masiku asanu. Amodzi mwa asanu ndi awiri aliwonse amakhalitsa kanthawi kochepa - koma opweteka - kutupa kwa m'mimba chifukwa cha matendawa. Komabe, ndowezi sizinathandize kuwongolera chitetezo cha mthupi mwa odzipereka pamene adadya gluten, chifukwa zotsatira zowonetsera zimasonyeza kuwonongeka kwa kuwonongeka kwa gluten.
Zotsatira mu maphunziro ena a ziphuphu zinasakanizidwa, komanso. Phunziroli, lofalitsidwa kumayambiriro kwa 2013 ku International Journal for Parasitology , gululi linapeza odzipereka ambiri omwe ali ndi matenda a chilonda omwe anavomera kutenga kachilomboka.
Zikopazo zinkawoneka kuti zimachepetsa kutupa, koma sizinalepheretse kupweteketsa mtima , zomwe zimawonongeka m'mimba yomwe imapezeka m'matumbo achilendo.
Phunziro lachitatu, linalembedwa mu Journal of Allergy and Clinical Immunology mu February 2015, ochita kafukufukuwo anadwala akuluakulu 12 omwe ali ndi mphutsi 20 za nkhono aliyense ndipo anawapatsa chakudya chochulukitsa cha gluten, mpaka kufika pa magalamu atatu tsiku lililonse (monga 60 mpaka 75) nsalu zapaghetti). Phunziroli, ziwombankhanga zinkawoneka kuti zimalimbikitsa kulekerera kwa gluten - iwo omwe ali ndi ndowe zomwe zimadya gluten zinakhala ndi zizindikiro zabwino komanso zotsatira za mankhwala.
Kafukufuku waposachedwapa, wofalitsidwa mu Scientific Reports mu September 2015, adawona mitundu yambiri ya mabakiteriya amene amakhala m'matumbo mwathu, ndipo adawona mmene kukhazikitsidwa kwa tizilombo toyambitsa matenda kunakhudzidwa ndi mitundu imeneyi mwa anthu omwe ali ndi matenda a leliac. Anapeza matenda a hookworm akuwoneka kuti amathandiza anthu omwe ali ndi matenda a chililili amasunga mitundu yosiyanasiyana ya mabakiteriya m'matumbo awo, ngakhale atakumana ndi vuto la gluten .
Ochita kafukufuku amati, mabakiteriya osiyanasiyana, angakhale ofunika kwambiri pogwiritsa ntchito ziboliboli kapena zidziwitso zochokera ku maphunziro a njoka - pochiza matenda a leliac. Lingaliroli likhoza ngakhale kukhala lothandiza kwambiri: gulu lina lochita kafukufuku linafufuzira tizirombo ta m'mimba mu multiple sclerosis , matenda ena enieni, ndi zotsatira zodalirika.
Kodi Pamwamba pa Matenda a Hookworms ndi Matenda a Celiac?
Kugwiritsiridwa ntchito kwa ndowe zochizira matendawa ndizomwe sizowona, ndipo ochita kafukufuku sanawonetsere kuti ndowe zazing'ono zingathandize kuchepetsa kapena kuchepetsa kuwonongeka pamene munthu amene ali ndi matenda a chilondawa amatha kusuta.
Komabe, Dr. Giacomin akunena kuti sitepe yotsatira pa kafukufuku wa gulu lake ndi kufufuza momwe mbewa zogwirira ntchito zingasinthire tizilombo toyambitsa matenda (tizilombo toyambitsa matenda m'mimba mwathu). Njirayi ingathandize ochita kafukufuku kunena kuti pali mitundu ina ya mabakiteriya omwe amatha kukhala ndi mavitamini omwe amachititsa kuti zizindikiro zowonongeka komanso kupweteka kwa m'mimba zisokonezeke.
Potsirizira pake, akuti, sakuyembekeza kuti am'patsire munthu aliyense ndi matenda a chililili ndi khola lawo lomwelo. M'malo mwake, gulu lake likufuna kudziwa zomwe zimakhalapo ndi tizilombo toyambitsa matenda - komanso machitidwe awo ndi ma chitetezo chathu a chitetezo cha m thupi - zomwe zingayambitse kusamalidwa bwino kwa gluten mu celiacs, ndipo agwiritse ntchito chidziwitsochi kuti apange chithandizo chabwino kwa matendawa.
Zotsatira:
Croese J et al. Chitetezo cha gluten chosinthika mu matenda achiliyake ndi Necator americanus amapereka nzeru zatsopano zodzipangira okhaokha. International Journal for Parasitology . 2013 Mar; 43 (3-4): 275-82.
Croese J et al. Matenda omwe amagwiritsidwa ntchito poyesa matendawa ndi gluten microchallenge amalimbikitsa kupirira pakati pa matendawa. The Journal of Allergy and Clinical Immunology . 2015 Feb; 135 (2): 508-16.
Daveson AJ et al. Zotsatira za matenda opatsirana pogwiritsira ntchito vuto la tirigu mu matenda a celiac - kuyesedwa kwapadera komwe kumayesedwa. PLoS One . 2011 Mar 8; 6 (3): e17366.
Giacomin P et al. Matenda omwe amadziwika ndi matendawa ndi omwe amachititsa kuti matendawa akhale olemera kwambiri. Scientific Reports . 2015 Sep 18; 5: 13797.
McSorley HJ et al. Kuchepetsa kutentha kwa chitetezo cha mthupi ku matenda a chilliyoni ndi matenda opatsirana pogonana. PLoS One . 2011; 6 (9): e24092.