Koma kutsatira Zakudya Zopanda Gluten Kungakuthandizeni Kuteteza Inu
Ngati muli ndi matenda a celiac , mumakhalanso ndi chiopsezo choposa kukhala Hodgkin lymphoma .
Izi zingawoneke zochititsa mantha, ndipo ndithudi ndizofunika kuziganizira mozama - ndipo mukambirane ndi dokotala wanu. Koma kuyang'anitsitsa kwa manambala kukuwonetsa kuti chiopsezo chanu chokhala ndi lymphoma, ngakhale chapamwamba koposa, chiri chochepa kwambiri ...
ndipo mungathe kuchepetsa chiopsezo chotere mwa kutsatira zakudya zowonjezereka za gluten .
Ngati muli ndi mphamvu zowonongeka zopanda ululu , kafukufuku wina wasonyeza kuti inunso mungakhale ndi chiopsezo chachikulu cha mtundu wosakhala wa Hodgkin lymphoma. Komabe, umboniwo sungamveke bwino kwa iwo omwe ali ndi kutengeka kwa gluten .
Phunziro: Osati Hodgkin Lymphoma Yopezeka mu 3.1% ya Celiacs
Non-Hodgkin lymphoma ndi khansa yothandizira thupi, yomwe imaphatikizapo zigawo zina za thupi lanu monga minofu yanu ndi mpeni. Pafupifupi mmodzi mwa anthu 50 - kapena 2 peresenti - adzakhazikitsa osakhala Hodgkin lymphoma panthawi ya moyo wawo.
Sizodziwika bwinobwino kuti ndi anthu angati omwe ali ndi matenda a leliac omwe angayambe kukhala osakhala Hodgkin lymphoma pa moyo wawo wonse. Kafukufuku wina - womwe unayang'ana zochitika za matenda a lymphoma ndi zofanana ndizo ku Columbia University Celiac Disease Center - anapeza milandu 40 ya odwala omwe si a Hodgkin lymphoma ochokera kwa odwala 1,285 okhaokha omwe anali pakati pa 1981 ndi 2010, chifukwa cha chiwerengero cha 3.1 peresenti.
Kafukufuku wina anapeza chiŵerengero chapamwamba kwambiri mwa anthu omwe matenda awo omwewa anali atapita kuchipatala (kutanthauza kuti anali oposa kwambiri). Anthuwa anali ndi chiopsezo chowonjezeka cha 5.35 pokhapokha ngati palibe Hodgkin lymphoma, yomwe ingatanthawuze kuti pafupifupi mmodzi pa khumi mwa gulu lodwala kwambiri akhoza kukhala ndi vuto pa moyo wawo wonse.
Choncho, ngakhale kuti chiopsezo chachikulu cha anthu omwe si a Hodgkin lymphoma ndi apamwamba kwambiri kwa anthu omwe ali ndi matenda a celiac kuposa omwe alibe chikhalidwe, sikuti ndi apamwamba kwambiri kwa anthu omwe sanapite kuchipatala. Koma anthu amene ali kuchipatala amakhala ndi matenda oopsa a kachesi , omwe amachititsa kuti asamadye zakudya zopanda thanzi.
N'zochititsa chidwi kuti ofufuza apeza kuti ali ndi chiopsezo chokwanira cha ana omwe si a Hodgkin lymphoma mwa abale awo omwe sali ana aakazi omwe amapezeka kuti ali ndi matenda enaake, omwe amasonyeza kuti pali majeremusi ena omwe amachititsa kuti pakhale matenda oopsa komanso a lymphoma.
Fomu Yeniyeni ya Lymphoma Yogwirizana Kwambiri ndi Matenda Aakulu
Anthu omwe amapezeka kuti ali ndi matenda a celiac akuoneka kuti ali pachiopsezo chachikulu cha mitundu yonse ya anthu omwe si a Hodgkin lymphoma (pali mitundu yoposa 30). Koma chiopsezo cha mtundu wina - mtundu wa T-cell lymphoma, kapena EATL, womwe umayamba m'matumbo aang'ono - umagwirizana kwambiri ndi matenda a leliac.
EATL ndi khansara yosawerengeka - osachepera munthu mmodzi pa milioni m'mayiko akumadzulo amapanga EATL chaka chilichonse. Mwa kutanthauzira, EATL imakula mwa odwala omwe ali ndi matenda a leliac, ngakhale kuti nthawi zina amapezeka pa nthawi yomweyo kapena ngakhale munthuyo asanatengedwe ndi celiac.
N'zomvetsa chisoni kuti malingaliro a mtundu uwu wa khansa ndi osauka: kafukufuku wosiyana awiri apeza kuti moyo wapakati ndi zaka zitatu kapena zitatu ndi theka, poyerekeza ndi zaka khumi ndi zisanu ndi zina za mtundu wina wosakhala wa Hodgkin lymphoma. Phunziro lina linapeza kuti kupulumuka kwa miyezi khumi yokha, pamene wina analengeza kuti miyezi isanu ndi iŵiri yapulumuka.
Kuwonjezeka kwa EATL ku US kukuwoneka chikuwonjezeka, malinga ndi kafukufuku wa 2012 m'nyuzipepala ya Cancer . Olembawo akuti izi zikhoza kuwonetsa kuchuluka kwa matenda a leliac ndi kuzindikira bwino mitundu yosaoneka ya T-cell lymphomas.
Odwala Lymphoma Okalamba Okalamba, Amasonyeza Zizindikiro Zambiri Zachikhalidwe
Lymphoma mwa anthu omwe ali ndi matenda a leliac amayamba zaka zisanu mpaka 10 akutsatira matendawa, ngakhale kuti madokotala alemba milandu ya zaka 60 zatha pakati pa zizindikiro ziwirizi.
Zimakhala zachilendo kwa omwe amapezeka kuti ali ndi lymphoma kuti abwererenso ndi matenda awo (ngakhale kuti zizindikiro zawo zakhala zikuyang'aniridwa kale). Komabe, anthu ena amatha kuwonongeka mosalekeza, amapezeka kuti ali ndi matenda opatsirana , ndipo amayamba kukhala ndi lymphoma.
Kafukufuku amasonyeza kuti odwala matendawa amayamba kukhala okalamba pa nthawi ya matenda awo odwala matendawa, ndipo amavutika kwambiri ndi zizindikiro za kutsekula m'mimba, kupweteka kwa m'mimba komanso kulemera kwa thupi (zizindikiro zowopsa zoopsa za atrophy ndi malabsorption) kuposa ena celiacs.
Kodi Kudya Thandizo la Gluten Kungadwale Lymphoma Your Risk?
Ngakhale kuti sikuti maphunziro onse amavomereza, kafukufuku wamakono wamakono akuwoneka kuti akutsatila kuti kudya zakudya zopanda thanzi kungachepetse chiopsezo chanu chokhala ndi Hodgkin lymphoma ndi mitundu ina ya khansa.
Akatswiri ofufuza a ku Italy, omwe analemba m'magazini yotchedwa Digestive Diseases and Sciences , anafotokoza odwala 1,757 odwala matendawa, omwe asanu ndi anayi ali ndi matumbo a m'mimba. Mwa anthu asanu ndi anayi, ambiri sankatsatira chakudya chokwanira cha gluten, ofufuza anati.
Zikuwoneka kuti mukudya nthawi yayitali kuti musadye gluten musanayambe kudziwa kuti muli ndi matenda otani komanso kuti mumakhala nthawi yayitali bwanji mukutsatira matenda. Kafukufuku wochokera ku Sweden akuti ana anapeza kuti asanakwanitse zaka 10 sakusonyeza kuwonjezeka kwa chiopsezo cha khansa. Kuonjezera apo, akuluakulu atatha zaka 10 kapena kupitirira pa zakudya zopanda thanzi, phunzirolo linasonyeza kuti khansara yawo ikhoza kubwerera kwachibadwa. Kafukufuku wina amasonyezeranso kuti chiopsezo cha khansa chimachepetsa nthawi yomwe mulibe gluteni.
Choncho, ngakhale kuti pangakhale chiopsezo chokhala ndi lymphoma, ndiye kuti chinthu chabwino kwambiri chimene mungachite kuti muteteze ku matendawa ndi kusala kudya zakudya zopanda thanzi.
Kuonjezerapo, ngati mutayamba kukhala ndi zizindikiro za non-Hodgkin lymphoma (zomwe zingaphatikizepo kutupa kwa maselo, kutopa, kutaya thupi, kutentha thupi ndi kutuluka usiku), muyenera kulankhula ndi dokotala mwamsanga, ndipo muonetsetse kuti akudziwa kugwirizana pakati pa matenda a lymphoma ndi matenda oopsa.
> Zotsatira:
> Catassi C. et al. Mgwirizano wa matenda a leliac ndi matumbo a m'mimba ndi ena khansa. Gastroenterology. 2005 Apr; 128 (4 Suppl 1) >: S79-86 >.
> Delabie J. et al. Kuthandizana ndi makina a T-cell lymphoma: zofufuza zachipatala ndi zapadera kuchokera kuntchito yapadziko lonse T-cell lymphoma. Magazi. 2011 Jul 7; 118 (1): 148-55. > doi >: 10.1182 / magazi-2011-02-335216. Epub 2011 May 12.
> Gao Y. et al. Kuwonjezeka kwa chiopsezo cha anthu omwe si a Hodgkin lymphoma mwa anthu omwe ali ndi matenda a chililiyake komanso mayanjano omwe angakhale nawo m'banja. Gastroenterology. 2009 Jan; 136 (1): 91-8. > doi >: 10.1053 / j.gastro.2008.09.031. Epub 2008 Sep 25.
> Leslie LA ndi al. Kuwonjezeka kwa matenda a mpweya wodwala mthupi mwa odwala omwe ali ndi matenda a celiac. American Journal of Hematology. 2012 Aug; 87 (8): 754-9. > doi >: 10.1002 / ajh.23237. Epub 2012 May 28.
> Sharaiha RZ et al. Chiwerengero cha T-cell lymphoma ku United States, 1973-2008, chikuwonjezeka kwambiri. Khansa. 2012 Aug 1; 118 (15): 3786-92. > doi >: 10.1002 / cncr.26700. Epub 2011 Dec 13.
> Silano M. et al. Zotsatira za zakudya zopanda thanzi zomwe zingayambe kugwiritsidwa ntchito pogwiritsa ntchito T-cell lymphoma m'thupi lachiliac. Matenda a Simba ndi Sayansi. 2008 Apr; 53 (4): 972-6. Epub 2007 Oct 13.