Kutuluka kwa gluten sikungakhale chinthu chokha
Pokubwera kuyesa koyambirira kwa maselo, madokotala tsopano akutha kuzindikira matenda a chromosomal mwina mwachindunji kapena mwachindunji okhudzana ndi matenda. Chimodzi mwa izi ndi matenda achililiac .
Mosiyana ndi zikhalidwe zina zomwe zotsatira zake zimagwirizanitsidwa ndi zizindikiro za matenda, zotsatira zabwino zowonongeka kwa jekeseni zimasonyeza kuti zingatheke, osati zowona.
Nthaŵi zambiri, mwayiwu ukhoza kukhala wawung'ono.
Kuzindikira Matenda Achilengedwe
Kusintha kwa chromosomal, komwe kumatchedwa HLA-DQ2 ndi HLA-DQ8 , kaŵirikaŵiri kumagwirizana ndi matenda a leliac.
Mwa kutanthauzira, HLA (munthu leukocyte antigen) ndi mapuloteni a ma cell omwe amachititsa chitetezo cha mthupi. Ndi matenda otchedwa Celiac, kuwonongeka kwa ma HLA kungachititse kuti chitetezo cha mthupi chiziyenda haywire pamaso pa ma gluten ndi maselo ochepa a m'mimba .
Ngakhale kuti HLA-DQ2 ndi HLA-DQ8 zonse zimagwirizana ndi zotsatirazi, kukhala ndi kusintha sikukutanthauza kuti mudzalandira matendawa. Ndipotu, pafupifupi 40 peresenti ya anthu a ku America ali ndi kusintha kumeneku, makamaka mwa anthu a ku Ulaya.
Mwa iwo omwe amanyamula kusintha kwa thupi, kokha pafupi peresenti imodzi mpaka 4 peresenti amapitiriza kukula ndi matendawa mu zaka zawo zazikulu. Zonse zanenedwa, kuzungulira munthu mmodzi mwa anthu 100 ku US adzalandira matenda ena omwe ali ndi zizindikiro zosiyana kwambiri ndi zosaonekapo .
Chimene Chimachitika Ngati Muyesa Zosangalatsa
Kuyesera zabwino kwa HLA-DQ2 kapena HLA-DQ8 sikukutanthauza kuti muyenera kusintha kadyedwe kokha pokhapokha muli ndi zizindikiro za matenda (kuphatikizapo kuwonongeka kwa villi yomwe imayika matumbo aang'ono). Mayesowa angokuuzani kuti muli ndi vuto la matendawa, palibe kenanso.
Pomwe zikunenedwa, akatswiri ochuluka kwambiri akukuchenjezani inu ndi banja lanu kuti muziyang'aniridwa nthawi zonse pamene wina kapena ambiri mwa inu atha kukhala chizindikiro.
Ichi ndi chifukwa chakuti kusintha kwa HLA kunaperekedwa kuchoka kwa kholo kupita kwa mwana, ndipo ana ena adzalandira mapepala awiri osinthika (mmodzi kuchokera kwa kholo lililonse) pamene ena amangobadwa. Mwachiwonekere, iwo omwe analandira awiriwo ali pangozi yaikulu.
Komabe, ngati muli ndi zizindikiro ndi zotsatira zina zonse zovuta, zotsatira zabwino za HLA zingagwiritse ntchito nthawi yoyesera pamene mukuyimitsa gluten kuti muwone ngati zizindikiro zanu zikupita patsogolo.
Mawu Ochokera
Anthu amene akuganiza kuti ali ndi matenda a Celiac nthawi zambiri amayambitsa zakudya zopanda thanzi kuti awone ngati matenda awo akukula. Ngakhale izi ziri bwino kwambiri ndipo sizidzapweteka, kuyambira mwakukhoza kungakulepheretseni kukwanitsa kupeza chidziwitso cholondola ngati mutasankha kuyesedwa.
Izi ndichifukwa chakuti gulu la magazi lalitali lidzayang'ana ma antibodies omwe ali ndi magazi m'magazi anu, pamene kuyembekezera kosatha kudzafufuza umboni wowonekera wa utumbo wa m'mimba. Popanda kulandira katemera, mayesero sangathe kuzindikira zomwe zimayambitsa matendawa ndipo amatha kubwezera zotsatira zabodza .
Pamene mukufunafuna kudziwa bwino, muyenera kukhala ndi gluten. Chiyeso cha majeremusi chingangopereka chithandizo cha matenda m'malo momapereka chitsimikizo chotsimikizira.
> Chitsime:
> Wessels, M ;; Vriezinga, S .; Koletzko, S. et al. "Zomwe zimakhudza makolo a HLA-DQ2 / DQ8 genotyping ana omwe ali ndi thanzi labwino kuchokera m'mabanja awo." Eur J Hum Genet. 2015; 23, 405-88. DOI: 10.1038 / ejhg.2014.113.