Kodi Zakudya Zopanda Gluten Zimagwira Ntchito Mu Gluten Ataxia?
Mwachidziwitso, muyenera kuthana ndi mavuto a gluten ataxia mwa kuthetseratu gluten pa zakudya zanu.
Kafukufuku amene adachitidwa pa atxia ya gluten (makamaka Dr. Marios Hadjivassiliou, katswiri wa zamagulu a chipatala ku Royal Hallamshire Hospital ku Sheffield, England yemwe adafufuza kaye kaye kaye koganizira za gluten ataxia) amasonyeza kuti izi zikhoza kukhala zoona - njira yokhudzana ndi ubongo chifukwa chotsatira zakudya zosafunikira kwambiri za gluten .
Komabe, kafukufuku wina wopitilira kwa odwala omwe akuganiza kuti aliyitini ya gluteni sagwiritsanso ntchito izi - sizinapezeke kusintha kwa chiwerengero cha zizindikiro za ataxia kwa odwala omwe amadya zakudya zopanda thanzi (ngakhale kuti deta ikuyendera).
Nthano ya Dr. Hadjivassiliou ndi yakuti zakudya zimayenera kukhala zolimba kuti zithetse mavutowa. Izi zimaphatikizapo kuchotsa mchere wochuluka monga momwe zingathere komanso zakudya zomwe zimakhala ndi jekeseni.
Mfundoyi - kuti muyenera kuchotsa zakudya zanu zamtundu wa gluten, ngakhale mchere wambiri womwe umapezekanso zakudya zosakanikirana ndi gluten - umathandizidwa ndi mauthenga achilendo a anthu omwe ali ndi gluten ataxia ndi zina. Zizindikiro zimenezi zokhudzana ndi matenda a ubongo zikuwoneka kuti zimatengera nthawi yaitali kuposa zizindikiro za m'mimba kuti ziwoneke bwino, ndipo zikuwoneka kuti zimakhala bwino pa zakudya zomwe sizingatheke.
Komabe, palibe kafukufuku wa zamankhwala monga momwe angatithandizire kumbuyo chiphunzitso ichi, ndipo kotero palibe madokotala onse kugula mu lingaliro la kugwiritsira ntchito zakudya zopanda thanzi kuti asamalire nayxia.
Ataxia ya Gluten Imapanga Zomwe Zimagwira Ntchito Mwachangu kwa Gluten
Gluten ataxia imadziwika ndi kuwonongeka kwa ubongo komwe kumabweretsa mavuto ndi gait, miyendo, ndi maso.
Zowonongekazi zikupita patsogolo, ndipo zizindikiro za matendawa zimawonekera m'ma 50s, malinga ndi chigwirizano chomwe chinafalitsidwa mu 2012 chofalitsidwa ku BMC Medicine .
Zizindikiro zimaphatikizapo kusakhazikika pamapazi anu, kukhumudwa, ndi mavuto kuyenda, kusintha kwa kulankhula ndi kuvutika kukumeza. Kuzindikira kumakhala kovuta chifukwa palibe mankhwala ovomerezeka omwe amavomereza a gluten ataxia.
Ngakhale kuti palibe madokotala onse omwe amavomereza kuti alipo gluten ataxia, chikalata chovomerezeka chimafotokoza momwe chikhalidwe chimakhalira ndi "gluten" mu "banja" lomweli monga matenda a leliac (omwe amapezeka m'mimba mwachinyamatayo) ndi dermatitis herpetiformis (yomwe imakhudza khungu).
Kodi Zakudya Zopanda Gluten Zimathandiza Gluten Ataxia?
Maphunziro awiri okha awona zotsatira za zakudya zopanda zakudya za gluten makamaka kwa odwala omwe ali ndi matenda osokoneza ubongo. Wina amaganiza kuti chakudyacho n'chothandiza kuchepetsa zizindikiro za ubongo, pamene winayo anatsimikizira kuti umboni umenewo ulipo.
Mu phunziro loyamba, lochitidwa ndi Dr. Hadjivassiliou ndi anzake, ochita kafukufuku adawona zotsatira za zakudya zopanda chakudya cha gluten pa anthu 43 omwe amapezeka kuti alixia amodzi. Ena mwa odwalawa anali ndi machitidwe oopsa a atrophy omwe anapezeka m'thupi lachilli ndipo ena sanatero, koma chakudyacho chinkawathandiza kuthandiza aliyense amene amatsatira.
Phunzirolo, odwala 26 amatsatira kwambiri zakudya, monga momwe amasonyezera zotsatira zawo zosayambitsa magazi za anti-gluten antibodies. Odwala ena 14 anakana kutsatira chakudyacho ndipo motero anali ngati gulu lolamulira.
Asanayambe phunzirolo, onsewa anali ndi ntchito zomwezo pa mayeso a ataxia. Komabe, chaka chimodzi mu phunziroli, zizindikiro za gulu la mankhwala a ataxia zakhala bwino kwambiri poyerekeza ndi gulu lolamulira. Kusintha kwa zizindikiro za ubongo kunachitika mosasamala kanthu kuti munthu amene amatsatira zakudya za gluten anali ndi atrophy oopsa ndipo anapezeka ndi matenda a celiac kapena ayi.
Akatswiri ofufuza anapeza kuti: "Anthu ambiri odwala matendawa amachititsa kuti anthu asamangokhalira kudya zakudya zopanda thanzi." - The New Times.
Komanso, kusintha kumeneku kunachitika mosasamala kanthu kuti odwala anali atatha nthawi yaitali bwanji kuchokera kwa ataxia, ndipo odwala omwe atulukira kumene posachedwa anapezeka zizindikiro zonse za ataxia ndipo anabwerera kuchipatala chotsatira ndi zakudya zopanda thanzi, ochita kafukufukuwo adanena.
Phunziro lachiwiri linalephera kupeza Zotsatira za Zakudya
Mu phunziro lachiwiri, lofalitsidwa mu 2011, gulu la ofufuza ochokera ku chipatala cha Mayo linatsatira odwala 57 omwe akuganiza kuti alixia amatha kugwidwa ndi matendawa, ena mwa iwo anali ndi mayesero abwino oletsa magazi komanso ena mwa iwo anali ndi matenda abwino a matendawa.
Pafupifupi hafu ya odwala adalandira zakudya zopanda thanzi, pamene theka lina silinayambe. Kwa odwala omwe alibe zakudya zopatsa thanzi, zizindikiro za ubongo zimapitirira 16%, zinakhazikika mwa 37%, ndipo zinawonjezeka mu 47%. Mgulu lomwe silinatsatire zakudya, 9% labwino, 18% adakhazikika ndipo 73% adakula kwambiri. Komabe, kusiyana kumeneku sikumene kunafikira ziwerengero.
Ofufuzawa analemba kuti: "Zikuoneka kuti zizindikiro za matenda a ubongo [ie, kugwedeza pamapeto] odwala omwe ali ndi matendawa amatha kukhala ndi mwayi wochuluka wopezera zakudya zopanda thanzi kuposa zizindikiro zowopsa." "Ife sitinawone kusintha kwa ataxia ndi zakudya zopanda chakudya cha gluten kaya mwa odwala okhaokha kapena osakhala a celiacs."
Ofufuzawo anapeza kuti "umboni wosatsutsika wakuti phindu la matenda a m'magazi ndilopabebe."
Palinso mauthenga angapo omwe amasonyeza kuti zakudya zopanda thanzi zimatha kuthetsa vutoli komanso zizindikiro zina za m'mimba mwa anthu omwe ali ndi matenda a celiac, ngakhale kuti m'makalata amenewa, ochita kafukufukuwa anali ndi chidwi kwambiri ndi zizindikiro za m'mimba ndipo sankayang'ana pa zizindikiro za ataxia .
Dr. Hadjivassiliou: Zakudya Zakudya za Gluten Ziyenera Kukhala Zolimba
Kuti mugwiritse ntchito ngati mankhwala a gluten ataxia, zakudya zopanda thanzi ziyenera kukhala zovuta: Simungathe kudzinyetsa pa zakudya zopanda thanzi, ndipo mungafunike kuthetsa "mankhwala opanda gluten" omwe ali ndi kakang'ono Mtundu wa gluten, malinga ndi Dr. Hadjivassiliou.
Izi zikhoza kukhala chakudya cholimbitsa thupi kuposa momwe kulili kofunikira kuthetsa vuto la m'mimba, akutero. "Ndikofunika ... kuti kuyang'anitsitsa kwakuyenera kuchitidwa ndi kugwiritsidwa ntchito kwa antitigliadin antibodies [ie, kuchepa kwa magazi ] ndi kuwonetsetsa kwadongosolo kuti aonetsetse kuti amadya zakudya," adatero Dr. Hadjivassiliou.
Ngati palibe kusintha pakapita chaka pa zakudya zopanda thanzi, phunziroli linapereka kuti mankhwala omwe ali ndi ma immunosuppressants ndi mankhwala ena akhoza kukhala oyenera.
Zotsatira:
Fasano A. et. al. Matenda okhudzana ndi umoyo wa gluten: mgwirizanowu pa dzina latsopano ndi mndandanda. BMC Medicine. 2012, 10:13 chiku: 10.1186 / 1741-7015-10-13. Lofalitsidwa: 7 February 2012.
Hadjivassiliou M. et al. Mankhwala a gluten ataxia . Journal of Neurology, Neurosurgery ndi Psychiatry. 2003 Sep; 74 (9): 1221-4.
Hadjivassiliou M. et al. Gluten Ataxia. Cerebellum. 2008; 7 (3): 494-8.
Rashtak S. et. al. Selogia ya matenda a celiac m'matenda otchedwa gluten-sensitive orxpathy: gawo la antiamidated gliadin antibody. Journal of Neuroimmunology. 2011 Jan; 230 (1-2): 130-4. Epub 2010 Nov 6.