Pafupifupi 10 peresenti kwa 20 peresenti ya anthu omwe ali ndi matenda a shuga amakhala ndi matenda a leliac
Kupezeka ndi matendawa ndi matenda a shuga, makamaka matenda a shuga (omwe amadziwikanso kuti ana a shuga), ndi ofala kwambiri. Malingaliro akuti chiwerengero cha matenda a chilili mwa anthu omwe ali ndi matenda a shuga amakhala a 10 peresenti mpaka 20 peresenti (kutanthauza kuti kwa anthu 100 alionse omwe ali ndi matenda a shuga a mtundu wa pakati, pakati pa 10 ndi 20 ali ndi matenda a celeac).
Poyerekeza, kuchuluka kwa matenda a leliac ambiri ku United States ndi pafupifupi 1 peresenti.
Chifukwa chake Combo ndi Yofanana
Kuwunikira chifukwa chake matendawa ndi matenda a shuga nthawi zambiri zimachitika limodzi ndizofukufuku ambiri. Asayansi akhoza kupeza zambiri zokhudza kugwirizana m'tsogolomu, koma apa pali zomwe zimadziwika pakali pano.
Matenda a Celiac ndi mtundu wa shuga 1 ndi matenda amodzi okha . Izi zikutanthawuza kuti zonsezi zimakhudza kuwonongeka kwa mthupi kuchokera ku zida zowonongeka. M'thupi lachilendo, chitetezo cha mthupi chimagonjetsa matumbo aang'ono, koma, mu matenda a shuga, thupi limapha ziphuphu. Matendawa onsewa amakhudzana ndi kusamvana kwa zakudya zomwe zimafunikira zakudya zinazake: palibe gluten kwa anthu omwe ali ndi matenda a diliet, komanso pang'ono kapena osatulutsa shuga kwa anthu omwe ali ndi shuga.
Komanso, matendawa amagawaniza majini ena. Ndipotu, ochita kafukufuku amakhulupirira kuti matenda a diabetes ndi matenda a shuga amakhala ndi majini asanu ndi awiri ofanana, ndipo pangakhale zambiri.
Kuyesedwa Zonse
Popeza kuti chibadwa chikugwirizanitsa pakati pa matendawa chikuyamba kumveka bwino, madokotala ambiri tsopano amalimbikitsa kuti aliyense amene apezeka ndi matenda a shuga a mtundu wa 1 ayesenso kuyesedwa kwa matenda a leliac . (Akatswiri ena amalangizanso kuti odwala omwe ali ndi matenda a shuga a mtundu wa 1 kapena matenda a celiac, kapena onse awiri, ayenera kuyesedwa kuti adziwe matenda a chithokomiro .
Ndikofunika kukumbukira kuti kungoyesedwa kamodzi kokha kwa matenda a celiac sikukwanira chifukwa matendawa akhoza kukula m'tsogolo. Choncho, anthu omwe ali ndi matenda a shuga amayenera kubwerezedwa nthawi ndi nthawi kuti apeze matenda enaake, makamaka ngati akulephera kukula, kulephera kulemera, kuchepa kwa thupi kapena zizindikiro za m'mimba.
Malinga ndi Kovler Diabetes Center ku yunivesite ya Chicago, anthu amapezeka kuti ali ndi matenda a shuga asanatenge kuti ali ndi matendawa. Izi makamaka chifukwa madokotala ndi anthu amadziwa bwino matenda a shuga.
Mmene Mungadziwire Ngati Mukudwala Matenda Aakulu
Ngati muli ndi matenda a shuga ndipo mukudabwa ngati mungakhale ndi matenda enaake, phunzirani pa zizindikiro zomwe zimapezeka. Kuphatikiza pa zizindikilozi, pali zizindikiro zina za matenda osapatsirana omwe ali odwala matenda a shuga, kuphatikizapo kusuntha kosadziŵika kapena kosadziŵika bwino m'magazi a shuga; Hypoglycemia maola angapo mutatha kudya kapena hypoglycemia yomwe ndi yovuta kuchiritsa; ndi kuchepetsa zosowa za insulini.
Zonsezi ndi chifukwa cha malabsorption yomwe imakhudzana ndi matenda a leliac. Mmawu osavuta: Chifukwa cha kuwonongeka kwa m'mimba mwathu, chakudya chomwe mukudya sichonchotsedwa bwino m'thupi lanu.
Chifukwa chake Matenda a Celiac Ayenera Kutengedwa
Kafukufuku wasonyeza kuti pamene anthu omwe ali ndi matenda a shuga ndi matenda a leliac ali pa zakudya zopanda thanzi, zigawo za hypoglycemia zimachepetsedwa, koma zimatenga miyezi ingapo kuti idye chakudya kuti ziwonekere. Komabe, anthuwa amakumana ndi mavuto ena. Kotero pali zowonjezera ndi zoyipa kuti mukhale ndi zakudya zopanda thanzi mukakhala ndi matenda a shuga ndi matenda a leliac, koma popeza matendawa ali ndi mavuto akuluakulu, ubwino wokhala wopanda gluten umaposa phindu.
Mwachitsanzo, phunziro limodzi lalikulu kuchokera ku Denmark linasonyeza kuti odwala omwe ali ndi matenda a shuga a mtundu wa 1 ndi matenda osakanizidwa omwe ali ndi matendawa, amakhala ochepa kwambiri poyerekeza ndi odwala matenda a shuga omwe alibe matendawa, ndipo anali aang'ono kwambiri pamene anayamba matenda a shuga.
Zaka ziwiri kuchokera pamene odwala okhawo ayamba kudya zakudya zopanda thanzi, anali atakhala wolemera, ndipo omwe anali a zaka zoposa 14 anali atakwera msinkhu. Aliyense anali ndi iron yambiri (hemoglobin ndi ferritin) m'magazi awo. Kafukufukuyu akutsindika kufunika kwa kuyesedwa kwa matenda a chililiyali ndikutsata zakudya zopanda thanzi ngati mutapezeka kuti muli ndi vutoli.
> Zotsatira:
> Juvenile Diabetes Research Foundation International: Kutulukira kawiri: Kukhala ndi mtundu wa shuga 1 ndi Matenda a Celiac.
> Kupper C, Higgins LA. Kuphatikiza Chiwindi ndi Zakudya Zogwiritsa Ntchito Zakudya Zopanda Gluten. Gastroenterology Yothandiza. 2007; 31 (3): 68-83.
> Maggie Moon, MS, RD. Vuto Lachiwiri - Omwe Akuthandizira Malangizo Odwala Ndi Matenda a Shuga ndi Matenda Ovuta. Masiku ano, Dietitian 2009; 11: 32.
> Simell S, Hoppu S, Simell T, et al. Zaka pa Kukula kwa mtundu wa shuga 1 ndi Matenda a Kachilombo ka Celiac ndi Matenda a Kachilombo kwa Ana Obadwa Ndi Amuna Omwe Amadziwika Kuchokera Kubadwa. Chisamaliro cha shuga. 2010 Jan 7. [Epub patsogolo pa kusindikiza]
> Sun S, Puttha R, Ghezaiel S, et al. Zotsatira za Matenda Omwe Amakhala Osasinthasintha Matenda Omwe Amachiritsidwa ndi Chithandizo Chakudya Chakudya Chotupanda Gluten pa Kukula ndi Kugonjetsa kwa Ana Omwe Ali ndi Mtundu Woperewera wa Shuga. Diabet Med. 2009 Dec; 26 (12): 1250-4.