Ngati Muli Ndi Matenda a Chiwindi, Kodi Muli ndi Matenda Ovuta?
Chiwindi chanu chimakhudza thupi lanu, kumathandiza kuyeretsa magazi anu a mowa ndi ena poizoni, kutulutsa bile yomwe mumagwiritsa ntchito mu chimbudzi, ndikugwiritsanso ntchito kupanga mapuloteni ofunikira. Komabe, monga thupi lanu lonse, chiwindi chanu sichitha kuwonongeka ndi matenda a celiac - inde, kawirikawiri zimakhudza chiwindi chanu.
Si zachilendo kwa anthu omwe ali ndi matenda okhaokha omwe amapezeka kuti ali ndi chiwindi, omwe nthawi zina-koma nthawi zonse-amasonyeza vuto la chiwindi.
Mwamwayi, ngati matenda a celeacac akuyamba monga zakudya zopanda thanzi, ma enzyme amatha kubwerera kumalo oyenera.
Koma matenda a chililiyo amathandizidwa ndi chiopsezo chachikulu cha chiwindi chachikulu, kuyambira ku matenda a chiwindi cha chiwindi kuti chiwindi chilephereke.
Nthaŵi zambiri-koma osati onse-anthu omwe ali ndi celiac apeza kuti n'zotheka kusintha kapena kusintha zinthu izi mwa kutsatira zakudya zopanda thanzi . Komabe, sizikuwonekeratu ngati kugwiritsidwa ntchito kwa gluten kumayambitsa matendawa a chiwindi mwa anthu omwe ali ndi matenda a celiac, kapena ngati chinthu china chomwe chimachititsa kuti azitha kubadwa.
Zotsatira Zopaleshoni Zamankhwala: Mavitamini a Chiwindi Nthawi Zambiri
Madokotala amagwiritsa ntchito mayeso omwe amachititsa kuti thupi lanu liziyenda bwino, kuphatikizapo kuchuluka kwa mavitamini a chiwindi a aspartate aminotransferase (AST) ndi alanine aminotransferase (ALT). Ngati chiwindi chanu sichigwira ntchito bwino chifukwa cha kuvulala kapena matenda, mayeserowa adzasonyeza zotsatira zabwino, mwachitsanzo, mavitamini a chiwindi.
Ngakhale mutakhala ndi mavitamini a chiwindi, sizitanthauza kuti muli ndi vuto ndi chiwindi chanu. Kafukufuku wina anapeza kuti 42 peresenti ya odwala omwe anali atangoyamba kumene kupeza mankhwalawa anali atakweza kwambiri michere ya chiwindi. Popeza kuti mavitaminiwa anabwerera kumalo omwe anthu adayamba kudya zakudya zopanda thanzi, ochita kafukufukuwo anatsimikizira kuti sizinali zovuta.
Kafukufuku wina anapeza kuti peresenti yochepa ya maselo atsopano omwe anali atangoyamba kumene-osati ofunika kwambiri kuchokera ku gulu losalamulira lachilendo-anali atapanga mavitamini a chiwindi. Komabe, phunziroli linapezanso kuti mavitamini a chiŵindi cha chiwindi anagwa kwambiri mu celiacs atangoyamba kutsata zakudya zopanda thanzi, ngakhale kuti mapuloteni awo anali m'zinthu zoyenera kutsogolo kwa gluten.
Matenda a Chiwindi Oyera, Matenda a Celiac LinkedIn
Matenda omwe si oledzeretsa a chiwindi (ie, matenda a chiwindi a mafuta omwe sagwiriridwa ndi mowa) akuwonjezeka ku United States ndi padziko lonse lapansi, makamaka chifukwa chogwirizana kwambiri ndi kunenepa kwambiri ndi shuga. Mukadwala matenda a chiwindi, chiwindi chanu chimakhala "mafuta" - maselo a chiwindi amapeza ma molekyulu, ndipo chiwalo chonse chimakula.
Anthu ambiri omwe ali ndi matenda a chiwindi cha mafuta alibe zizindikilo, ndipo vutoli limangotengedwa ngati likuyamba kukula mpaka kutentha ndi chiwindi.
Kafukufuku wambiri wa zachipatala wagwirizanitsa matenda a chiwindi cha mafuta ndi matenda a leliac. Pa kafukufuku wamkulu kwambiri komanso waposachedwapa, yofalitsidwa mu June 2015 mu Journal of Hepatology , ofufuza anayerekezera chiopsezo chokhala ndi matenda osakwaniridwa ndi chiwindi cha mafuta omwe sali oledzera pafupifupi anthu 27,000 omwe ali ndi matenda a leliac omwe ali pangozi kwa anthu ofanana omwe alibe laliac.
Kafukufukuyu anapeza kuti chiopsezo cha matenda a chiwindi cha mafuta chiyenera kukhala pafupifupi katatu kwa iwo omwe ali ndi matenda a leliac. Chodabwitsa n'chakuti ana omwe anali ndi celiac anali ndi chiopsezo chachikulu cha matenda a chiwindi cha mafuta. Chiopsezo chokhala ndi chiwindi cha chiwindi chinali chokwera kwambiri chaka choyamba chidziwitso chodziwika koma chinakhala "chokweza kwambiri" ngakhale patatha zaka 15 kupyolera mu matendawa.
Mufukufuku wina, womwe unachitikira ku Iran, ofufuza adapeza matenda a celiac mu 2.2% a odwala omwe sali oledzeretsa mafuta a chiwindi, ambiri mwa iwo sanali olemera kwambiri kapena owonjezera. Anaganiza kuti odwala ayenera kuganizira za matenda a chiwindi mwa anthu omwe ali ndi matenda a chiwindi cha mafuta omwe alibe zifukwa zomveka zowononga chikhalidwe chimenecho, monga kunenepa kwambiri kapena kunenepa kwambiri.
Potsirizira pake, madokotala ochokera ku Germany analemba za mayi wazaka 31 wolemera kwambiri yemwe ali ndi matenda a chiwindi cha mafuta. Anapezeka kuti ali ndi matenda a leliac ndipo anayamba kudya zakudya zopanda thanzi, ndipo mavitamini ake a chiwindi ananyamuka mwachidule koma kenako anafika pang'onopang'ono.
Celiac Inapeza 6 Peresenti ya Odwala Opatsirana Ndi Matenda a Chiwindi
Si chinsinsi kuti anthu omwe ali ndi matenda amodzi okha - mwachitsanzo, matenda a celiac - omwe amapezeka ndi wina. Mwachiwonekere, matenda a chiwindi a m'magazi sali osiyana - malingana ndi matenda a celiac omwe ali ndi matenda a chiwindi a m'mimba omwe ali ndi chiwerengero cha odwala matenda a chiwindi ndi omwe ali apamwamba kwambiri kusiyana ndi mitengo ya celiac.
Mu matenda a chiwindi, chitetezo chanu cha mthupi chimayambitsa chiwindi. Mankhwala ochiritsira ndi corticosteroids angachepetse vutoli, koma potsiriza, lingapitirire ku chiwindikiro cha chiwindi ndi chiwindi, zomwe zimayambitsa kuika chiwindi.
Kafukufuku wochokera ku Italy anayang'ana pa mlingo wa matenda osadziwika omwe sapezeka ndi anthu omwe ali ndi matenda a chiwindi. Odwala atatu mwa odwala 47 omwe akutsatiridwa ndi matenda a hepatitis omwe amayendetsa magazi amachititsa kuti magazi azitha kuyeza magazi komanso kuti asatengere magazi .
Chifukwa cha zotsatirazi, olembawo adalimbikitsa kuyang'ana onse odwala matenda a chiwindi a chiwindi a matendawa.
Phunziro: Zakudya Zakudya za Gluten Zingasinthe Kulephera kwa Chiwindi
Zolemba limodzi zofufuza zomwe zimayambitsa kudya zakudya zopanda thanzi kwa anthu omwe amapezeka ndi matenda a chilili ndi chiwindi, zimatha kusintha chiwindi.
Phunzirolo, lomwe linachitidwa ku Finland, linayang'ana odwala anayi omwe ali ndi matenda osakanizidwa opanda chiwindi komanso matenda aakulu a chiwindi. Mmodzi mwa odwalawa anali ndi congenital chiwindi fibrosis, wina anali ndi matenda oopsa a chiwindi (ie, mafuta a chiwindi), ndipo awiri anali ndi chiwindi chakumtunda. Anthu atatu mwa anthuwa anali kuganiziridwa chifukwa cha kuika chiwindi.
Onse anayi adatha kusintha matenda awo a chiwindi pamene anayamba kudya zakudya zopanda thanzi.
Maphunzirowa adawonanso 185 odwala matenda a chiwindi chifukwa cha matendawa. Odwala asanu ndi atatu (4,3%) anamaliza kupeza kuti ali ndi matenda a celiac. Ndipotu, asanu ndi atatu mwa asanu ndi atatuwo adapezeka kale koma sanalekerere kudya zakudya zopanda thanzi.
Olemba mabuku adawonetsa kuti kuwonongeka kwa chiwindi sikungasonyeze kuti malabsorption; M'malo mwake, iwo anati, kuwonongeka kwa chiwindi "kungakhale kokhudzana ndi matenda a immunologically, komwe kumapangitsa kuti thupi liwonongeke." M'mawu ena, gluten mu zakudya zanu zingayambitse chitetezo chanu cha mthupi komanso matumbo anu aang'ono .
Ambiri Matenda a Chiwindi Osagwirizana ndi Gluten
Ngakhale mutakhala ndi chiwindi ndi matenda a leliac, musaganize kuti awiriwa ndi ofanana; Matenda ambiri a chiwindi-kuphatikizapo chiwindi cha chiwindi ndi matenda a chiwindi-sali.
Komabe, ngati sizikudziwitsani chomwe chikuchititsa matenda a chiwindi, kuphatikizapo muli ndi zizindikiro zomwe zingasonyeze matendawa, muyenera kulingalira ndi kuyankhula ndi dokotala wanu za kuyesedwa kwa celiac popeza si zachilendo kwa matenda a chiwindi ndi chiwindi kuti awonekere.
Nkhani yabwino ndi yakuti, pali umboni wina umene umasonyeza kuti mukhoza kuthana ndi matenda a chiwindi mukangotsatira zakudya zopanda thanzi.
Zotsatira:
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Kaukinen K. et al. Matenda Aakulu Odwala Matenda Oopsa Kwambiri Matenda: Zakudya Zakudya Zopanda Gluten Zingasinthe Kulephera Kwambiri. Gastroenterology 2002; 122: 881-888.
Korpimäki S. et al. Matenda a Sultivitransaminasemia Mu Matenda a Celiac: Kawirikawiri Ndiponso Kawirikawiri Amapezeka M'magulu. American Journal of Gastroenterology. 2011 Sep; 106: 1689-96.
Mounajjed T. et al. Chiwindi mu matenda a celiac: mawonetseredwe am'chipatala, maonekedwe ake, komanso kuyanjana ndi zakudya za gluten kwa odwala 30. American Journal of Clinical Pathology. 2011 Jul; 136 (1): 128-37.
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Villalta D. et al. Kukula kwa matenda a leliac m'thupi lomwe limatulutsa matenda a chiwindi omwe amadziwika ndi anti-tissue tranglutaminase autoantibodies. Journal of Clinical Laboratory Analysis. 2005; 19 (1): 6-10.