Akazi omwe ali ndi chikhalidwe chimodzi amakhala ndi zina
Poyamba, matenda a celiac -omwe amapezeka pamene kumwa kwa mapuloteni amachititsa kuti m'mimba kuwonongeke-kumawoneka kuti sagwirizana kwambiri ndi matenda odwala anorexia nervosa. Momwemo, onsewa amafuna kudya, koma zosafunika ndizokhazikika, ndipo kutsekula kwa magazi kumaonedwa ngati matenda a maganizo.
Komabe, ofufuza apeza zomwe akunena zikuwoneka kuti zikugwirizana pakati pa zikhalidwe ziwirizi.
Mwapadera, akazi amene kale anapezeka ndi matenda a celiac amapezeka kuti ali ndi matenda a anorexia, ndipo makamaka amayi omwe anapezeka kuti ali ndi anorexia amapezeka kuti ali ndi celiac.
Sizomveka chifukwa chake izi zimachitika - zifukwa zambiri, kuphatikizapo genetics, zingakhale ndi gawo. Koma kafukufuku akuwonetsa kufunikira kokhala ndi chidziwitso chokwanira cha mgwirizano womwe ungakhalepo, komanso chifukwa cha zovuta zomwe zimayang'anizana ndi munthu amene ali ndi zovuta zonsezo.
Celiac ndi Anorexia: Kodi Chiyanjano N'chiyani?
Matenda a Celiac ndi omwe amachititsa kuti mukhale ndi chakudya kapena zakumwa zomwe zili ndi mbewu za gluten (tirigu, balere, kapena rye). Mmene thupi lanu limatetezera kumatenda kumatenda amtunduwu chifukwa chotsutsana ndi ubweya wanu wamkati , zomwe zingayambitse zizindikiro zosiyanasiyana komanso zofooka za zakudya . Sizidziwikiratu chomwe chimayambitsa matenda a celeac - chibadwa chimathandiza kwambiri , koma ochita kafukufuku akuyesa kuzindikira zomwe zingayambitse.
Pakalipano, sikudziwikiratu chomwe chimayambitsa anorexia nervosa. Matenda odyera amaoneka kuti amayendetsedwa m'mabanja, omwe amasonyeza kuti pali zowonongeka, koma zochitika zachilengedwe komanso zamaganizo zingakhale ndi maudindo akuluakulu.
Matenda a Celiac ndi anorexia nervosa sizodziwika bwino - chiwalochi chimakhudza pang'ono ndi 1 peresenti ya anthu a ku United States, pamene nthenda ya anorexia imakhudza 1 peresenti ya amayi pa moyo wawo wonse.
Zonsezi ndizofala kwambiri kwa akazi kusiyana ndi amuna.
Kwa zaka zambiri, odwala apeza zochitika zingapo zomwe zikuchitika palimodzi mwa munthu yemweyo, zomwe zimapangitsa ofufuza kuti aziyang'anitsitsa kwambiri zogwirizana. Kuwonjezera apo, ofufuza akuyang'ana ma genetic a matenda a leliac, mtundu wa shuga (chikhalidwe china), ndi anorexia nervosa omwe adagawana nawo ziwalo zofanana pakati pa atatuwo, kutanthauza zomwe phunziroli linatchedwa "common molecular pathways" pazochitikazo.
Ngozi Zapamwamba Zonse Zopanda Chilema ndi Anorexia
Kafukufuku wochokera ku Sweden wofalitsidwa m'magazini yachipatala Pediatrics akuyang'ana maulendowa anawona akazi pafupifupi 18,000 omwe anapezeka kuti ali ndi matenda a celiac, powayerekeza ndi akazi pafupifupi 90,000 opanda chikhalidwe.
Ofufuzawa adapeza kuti amayi omwe ali ndi matendawa ndi 1,46 nthawi zambiri omwe amapezeka kuti ali ndi anorexia nervosa m'chaka choyamba pambuyo pozindikira matenda awo, ndipo 1,31 nthawi zambiri amapezeka kuti ali ndi anorexia kupitirira chaka choyamba atatha kuzindikira.
Akazi anali otheka kwambiri kuti azindikire kuti ali ndi anorexia ndipo kenako ndi celiac: kukhala ndi matenda a anorexia am'mbuyomu anazindikira kuti nthawi zambiri matendawa anali ochulukirapo.
Kufufuza sikunazindikiritse kuti pangakhale zoopsa zowonjezereka kwa amuna, koma ochita kafukufukuwo adachenjeza kuti kuphunzira sikunali kokwanira kuti adziwe mavuto omwe angakhalepo mwa amuna.
Zifukwa zingapo zitha kuwonjezera chiopsezo cha amayi, olemba analemba. Choyamba, n'zotheka kuti munthu wina yemwe ali ndi matendawa amatha kusokonezedwa ndi matenda a anorexia, chifukwa zikhalidwe zonsezi zingayambitse kulemera ndi kusowa kwa zakudya m'thupi. Chachiwiri, pali zotheka zomwe ochita kafukufuku amatcha "kukondera," zomwe zikutanthawuza kuti anthu omwe akuyang'anitsitsa zachipatala amakhala odwala kwambiri. Ndipo chachitatu, zomwe zimayambitsa zoopsa, kuphatikizapo genetics, zingakhale ndi gawo.
N'chiyani Chimachitika Tsopano?
N'zotheka kuti kupezeka ndi matenda a celiac-omwe amafuna kudya zakudya zopanda thanzi kuti athetse-kungayambitse matenda osokoneza bongo kwa munthu amene kale analibe.
"Osati kawirikawiri, matenda oyamba kudya amayamba ndi zolinga zabwino, kudziyesa kuti azidya bwino mwa kuthetsa zakudya zomwe zimawoneka kuti sizili bwino," adatero Drs. Neville Golden, MD ndi KT Park, onse a ana a ku Yunivesite ya Stanford, mu ndemanga yophatikizapo phunziro mu Pediatrics. "Phunziroli likuwonetsa kuti kuganizira mozama zakudya pa odwala omwe ali ndi matenda a chililiyake kungachititse kuti chitukuko cha anorexia nervosa chikhale chitsimikizo."
Zomwe akatswiri ofufuza adapeza zomwe zimatchedwa "bidirectional association" -anthu odwala omwe amapezeka kuti ali ndi chikhalidwe chimodzi amapezeka kuti ali ndi ena, mosasamala kanthu komwe anapeza kuti poyamba-amatanthauza madokotala ayenera kuyang'anitsitsa anthu omwe ali ndi matenda enaake kapena anorexia nervosa kuti tiyang'ane kuti kuthekera kwa chikhalidwe china chikula.
Chodetsa nkhaŵa ndikuti kukhala ndi anorexia kumapangitsa kuti kukhale kovuta kutsatira chakudya cha gluten. Anthu amene amadya mchere amadziwa kuti nthawi zina amakakamizidwa kuti azikhala ndi njala panthawi yomwe palibe zakudya zotetezeka, koma zikhoza kukhala zoopsa kwa munthu amene ali ndi matenda a anorexia. N'zotheka, ofufuza amati, anthu ena omwe ali ndi anorexia ndi laliac amadya zakudya zam'madzi chifukwa amachititsa kuti awonongeke.
Kuchiza anthu omwe ali ndi matenda a leliac ndi anorexia nervosa kungakhale kovuta, chifukwa chikhalidwe chirichonse chimakhala ndi njira yosiyana kwambiri. Matenda a Celiac kawirikawiri amapezeka ndi gastroenterologist, ndipo munthu amene ali ndi celiac angawone akatswiri ena azachipatala, mwinamwake kuphatikizapo wodyetsa zakudya omwe amadziwika bwino ndi zakudya zopanda thanzi. Anorexia nervosa, panthawiyi, nthawi zambiri amathandizidwa ndi timu yoyendetsedwa ndi dokotala wa zamaganizo, ndipo munthu amene ali ndi vutoli akhoza kuona wodzinso yemwe ali ndi vuto la kudya. Kuti athetse mavuto onsewa panthaŵi imodzimodzi, akatswiri azachipatala omwe amadziŵa njira zawo adzafunika kugwira ntchito pamodzi.
Madokotala. Golden ndi Park amanenanso kuti anthu ambiri akusankha kukhala osasuka popanda kugwiritsidwa ntchito, zomwe zimayambitsa vuto lina: kutsata zakudya zopanda thanzi monga njira yosokoneza matenda odwala. "Kugwirizana pakati pa zakudya za gluten ndi matenda odwala ndi nkhani yaikulu kwambiri," akutero. "Kuphunzira kofunikira kumeneku ndi chabe nsonga zachinyumba."
> Zotsatira:
> Golden NH ndi Park KT. Matenda a Celiac ndi Anorexia Nervosa-Gulu Loyenera Kuganizira. Matenda . 2017 Apr 3. Lofalitsidwa pa Intaneti March 30, 2017.
> Marild K et al. Matenda a Celiac ndi Anorexia Nervosa: Phunziro Padziko Lonse. Matenda. 2017 Apr 3. Lofalitsidwa pa Intaneti March 30, 2017.
> Mostowy J et al. Kugawidwa kwa Ma Genetic Kuphatikizidwa mu Matenda Odziwika, Mtundu Wachiwiri wa shuga ndi Anorexia Nervosa Pangani Njira Yambiri Yambiri Yopangira Matenda Odwala. PLoS One. 2016 Aug 2; 11 (8): e0159593.