Kodi mwana wanu wamasiyeyo angathenso kutayika patatha msinkhu ataphunzira?
Ana ambiri omwe ali ndi matenda a leliac ndi achifupi kwambiri kuposa anzawo omwe si achilendo. Ndipotu, zomwe zimatchedwa "msinkhu wochepa" zinganene kuti mwana (ngakhale wopanda zizindikiro zina za matenda a leliac) kwenikweni amavutika ndi vutoli.
Koma mwanayo atapezeka kuti ayamba kutsatira zotsatira za zakudya zopanda thanzi , kodi akhoza kubwezeretsanso zina kapena kukula kwake komweku?
Umboni wochokera ku maphunziro azachipatala ndi zochitika zenizeni za moyo wa ana otero zikuyankha yankho ndi "inde" woyenera.
Matenda a Celiac Omwe Amagwiritsidwa Ntchito Mwachindunji kwa Ana Okhala ndi Nthawi Yochepa
Popeza ana akukula mosiyana kwambiri, ndizowoneka kuti akuwona anzanu okalamba omwe ali ndi chidwi choposa china. Kungokhala kofupikitsa kusiyana ndi kuchuluka kwakwanira sikukwanira kuti mwana afikidwe msinkhu - mwana amaonedwa kuti ali ndifupikitsa ngati ali wofupika kuposa 95% mpaka 97% anzake.
Ngakhale, nthawi yayitaliyo siingakhale chifukwa chodetsa nkhaŵa ngati mwana wanu akukula mofulumira ndipo akuwoneka kuti akupita kumtunda (ngakhale kuti ndi wochepa). Ndi pamene ana "amachoka pamatcha okula," kapena mwadzidzidzi amalepheretsa kapena kukula, kuti mufunikire kufufuza chifukwa cha vutoli ndi dokotala wanu wa ana.
Kafukufuku wochulukirapo adafufuza kuti ndi ana angati omwe ali ndifupipafupi omwe amavutika ndi matendawa.
Apeza mitengo ya celiac kuyambira pafupifupi 3% mpaka 8% mwa ana omwe ali ndi nthawi yochepa yosadziwika. (Monga momwe tafotokozera, matenda a celiac amapezeka pafupifupi 1% mwa anthu onse.)
Ambiri mwa ana omwe amapezeka chifukwa cha maphunzirowa analibe zizindikiro zoonekeratu za matenda a malaria omwe amapezeka mwa ana .
Ndipotu olemba ena anachenjeza kuti madokotala sangathe kugwiritsa ntchito zizindikiro za m'mimba monga chizindikiro chifukwa ana ambiri omwe amaphunzira maphunzirowa sanawapeze.
Kukula Pomwe Ana Aang'ono Omwe Amapita Kulibe Gluten
Makolo ambiri ndi ana omwe ali ndi chiyembekezo chimodzi chokha chokula msanga kamwana akayamba kudya zakudya zopanda thanzi, ndipo mauthenga achikale amasonyeza kuti izi zimachitika nthawi zambiri. Ndipotu, mnyamata wina wachinyamata yemwe ndimamudziwa amamudziwa mwamsangamsanga kamodzi akapita kumalo osasuka, ndipo tsopano akukwera ambiri a anzake.
Kafukufuku wochepa amene wapangidwa pa nkhaniyi amatha kutsimikizira lingaliro la kukula, ngakhale kuti ochita kafukufuku apeza kuti kukula sikukugwira kwathunthu.
Kafukufuku wina, omwe adachitidwa ku India, adapeza kuti maphunziro makumi asanu ndi limodzi (60%) amaphunzira chifukwa cha kusowa kwa zakudya m'thupi chifukwa cha matenda osadziwika omwe alibe matendawa . Kuonjezera apo, ana oposa atatu pa ana a anawo anali ofupika kuposa 97.5% a anzawo.
Pa nthawi yotsatila yomwe inatha zaka zoposa zitatu ndi theka, 84% mwa anawo adachira chifukwa cha kusowa kwa zakudya m'thupi, ndipo ambiri anayamba kukula mofulumira - ana adapeza pafupifupi masentimita asanu chaka choyamba. Komabe, kukula kwawo kunachepera pafupifupi 2.2 mainchesi m'zaka zotsatira.
Phunziro lina, ili ku Serbia, linapeza zotsatira zofanana. Ofufuzawa anawona ana 90 a zaka zapakati pa miyezi isanu ndi umodzi ndi zisanu ndi zisanu ndi ziwiri ndi "matenda ovuta kwambiri achilendo," ndipo anapeza kuti ana akukula mofulumira kusiyana ndi anzawo pa nthawi yoyamba mpaka zaka zitatu pa zakudya zopanda thanzi.
Kukula Kwakukula Kungakhale Kosavomerezeka Kwathunthu
Maphunzirowa amasonyeza kuti pali chiyembekezo cha mwana wamng'ono kwambiri, asanakwane msinkhu kapena ngakhale wachinyamatayo yemwe ali atangophunzira kumene ali ndi matenda a leliac ndipo amafuna kuti akhale wamtali. Komabe, kafukufuku wina amasonyeza kuti kukula komweku sikungakhale ndi zotsatira zabwino.
Pa kafukufuku amenewo, ofufuza a ku India adawona ana 50 omwe ali ndi zaka 2 mpaka 10 panthawi yomwe anadziŵa.
Apeza kuti kudyetsa zakudya zopanda thanzi kunachititsa kuti chiwerengero chachikulu cha "msinkhu wa zaka" chikhale chonchi mwa ana osapitirira zaka 4.
"Komabe, kutalika kwa msinkhu kunali kosakwanira, ndipo kudodometsa kwa khumi ndi zisanu ndi chimodzi (55.4%) mwa ana 29 pambuyo pa zaka zitatu ndi zisanu ndi ziwiri (46.6%) mwa ana khumi ndi anai (15) pambuyo pa zaka zinayi pa zakudya zopanda thanzi," iwo adati, "Zotsatira zathu zimasonyeza kuti, kwa ana omwe ali ndi matenda a celiac omwe atulukira kale, chithandizo cha zakudya zopanda thanzi chimapangitsa kuti thupi likhale lodziwika bwino komanso kuchepetsa kuperewera kwa [zaka zapakati pa zaka] londola."
Kodi Izi Zikutanthauza Chiyani kwa Mwana Wanu?
Zotsatira za maphunzirowa zikusonyeza kuti n'zomveka kuyembekezera kukula, makamaka m'chaka choyamba kapena ziwiri mukutsatira matenda a mwanayo.
Sizidziwikiratu pa kafukufuku ngati ziri zovuta ngati mwana wanu akutsatira zakudya zenizeni; maphunziro ena amati ayenera kuchita zimenezi kuti apindule, pamene ena amasonyeza kuti ana amakula ngakhale kuti amadya chakudya, malinga ngati sakubwezeretsanso chakudya chokwanira cha gluten. (Zoonadi, pali zifukwa zina zambiri zopewera pa zakudya zopanda thanzi.)
Pangakhalenso zifukwa zina, zomwe sizingatheke ngati mwana wanu akupitirizabe kumbuyo pambuyo pa msinkhu ngakhale atakhala kuti alibe gluteni. Mwana wanu akhoza kukhala ndi vuto la kutentha kwa hormone kapena vuto lina la mahomoni, kapena akhoza kungokhala lalifupi ngati wamkulu. Ngati muli ndi nkhawa za kukula kwa mwana wanu wa chilili, muyenera kukambirana nawo ndi ana anu.
Zotsatira:
Cacciari E. et al. Mfupi yochepa ndi matenda a leliac: ubale woganizira ngakhale odwala omwe alibe zizindikiro za m'mimba. Journal of Pediatrics. 1983 Nov; 103 (5): 708-11.
Dehghani S. et al. Matenda a Celiac ana omwe ali ndifupikitsa. Indian Journal of Pediatrics. 2008 Feb; 75 (2): 131-3.
Patwari A. et al. Kukula-kwina kwa ana omwe ali ndi matenda a celiac oterewa. British Journal of Nutrition. 2005 Sep; 94 (3): 437-42.
Queiroz M. et al. Kukula kwa matenda a leliac ku ana a ku Brazil offupika. Brazilian Journal of Medical ndi Biological Research. 2004 Jan; 37 (1): 55-60. Epub 2003 Dec 18.
Radlović N. et al. Zotsatira za zakudya zopanda chakudya cha gluten pa kukula ndi zakudya za ana omwe ali ndi matenda a celiac. Srp Arh Celok Lek. 2009 Nov-Dec; 137 (11-12): 632-7.
Yachha S. et al. Zotsatira za zakudya zopanda zakudya za gluten pa kukula ndi kachilombo kakang'ono ka hertology kwa ana omwe ali ndi matenda a celiac ku India. Journal of Gastroenterology ndi Hepatology. 2007 Aug; 22 (8): 1300-5. Epub 2007 Jun 12.