Matenda a Celiac ndi Multiple Sclerosis: Kodi Pali Chizindikiro?

Zogwirizana ndizotheka koma zosatsutsika pakati pazikhalidwe ziwiri

Mwinamwake mwamvapo kuti pali kugwirizana komwe kuli pakati pa matenda a leliac ndi multiple sclerosis (MS). Anthu omwe ali ndi matendawa amatha kukhala ndi mawonetseredwe a ubongo ndipo anthu omwe ali ndi MS angathe kukhala ndi matenda a celiac. Ndipotu, anthu ena omwe ali ndi MS amati amamva bwino pa zakudya zopanda thanzi. Kodi kafukufukuyu akutiuza chiyani za kugwirizana kumeneku?

Kugwirizana pakati pa Matenda a Celiac ndi Multiple Sclerosis (MS)

Kugwirizana pakati pa matenda a leliac ndi multiple sclerosis (MS) kungawoneke bwino poyamba. Matenda awiriwa ndi omwe amachititsa kuti thupi likhale lopatsirana, zomwe zikutanthauza kuti zonsezi zimakhudza kuwonongeka kwa matenda ndi ziwalo zomwe zimapangidwa ndi chitetezo chanu cha mthupi, ndipo zonsezi zimachitika mobwerezabwereza mwa amayi kuposa amuna.

Kuonjezera apo, zikhalidwe zonsezi zikuphatikizapo zizindikiro zofanana, zomwe zimakhala zosavuta kunyalanyaza kapena kuzinena zina. Ndipo onse awiri sangadabwe ndi madokotala, makamaka chifukwa cha zizindikiro zambiri.

Chifukwa cha zonsezi, kuphatikizapo kukula kwachidziwitso cha kusintha kwa anthu ena omwe ali ndi lipoti la MS pamene akutsata zakudya zopanda thanzi , n'zosavuta kuganiza kuti pali mgwirizano pakati pa zinthu ziwirizi.

Chabwino, pakhoza kukhala chiyanjano. Ndipotu, matenda ambiri omwe amadzimadzimadzimadzi amadziwika ngati akugawanika ndi zina zomwe zimayambitsa zamoyo. Komabe, sizikuwonekeratu ngati pali kuwonjezeka kwa matenda a celiac pakati pa anthu omwe ali ndi matenda osiyanasiyana, kapena ngati kudya zakudya zopanda thanzi kungathandize anthu omwe ali ndi MS kuthetsa vuto lawo.

Tiyeni tiyang'ane zomwe zingatheke kuti zikhale zofanana ndi izi ndikuyesa kufufuza ku gulu.

Zizindikiro Zambiri za Sclerosis

Mafupa ambiri amapezeka pamene chitetezo chanu cha mthupi chimagonjetsa chiwalo cha myelin chozungulira mitsempha yanu, zomwe zimayambitsa kutupa komanso kuwonongeka kwapang'onopang'ono.

Pambuyo podzivulaza, mitsempha yanu imachepa kapena imasiya.

Zizindikiro zambiri za matenda a sclerosis zimaphatikizapo kutayika komanso kugwirizana, mavuto oyenda kapena kusuntha manja ndi miyendo, kuthamanga, kuthamanga kwa minofu, kapena kutopa ndi kutopa. Anthu ambiri omwe ali ndi MS amakhala ndi "ziwonongeko" kapena nthawi yowonjezera zizindikiro, zomwe zingatsatidwe ndi chimodzi kapena zambiri kubwereza.

Ndi kovuta kudziwa matenda ambiri a sclerosis. Dokotala wanu angakayikire MS chifukwa cha zizindikiro zanu, koma choyamba, ayenera kutulutsa zizindikiro zina zofanana.

Zizindikiro Zogwirizana Nawo MS ndi Celiac Matenda

Zizindikiro zomwe zimapezeka ndi matenda a MS ndi a Celiac ndi kudzimbidwa , ubongo wa ubongo (kumverera kwa fogginess, kusasamala kapena kulingalira kovuta), kuvutika maganizo , ndi mavuto ndi masomphenya.

Kupangitsa kuti nkhaniyi ikhale yosokoneza kwambiri ndi yakuti zambiri mwazizindikirozi (monga ubongo wa ubongo, kugonana, kuvutika maganizo ndi kutopa), zingayambitsenso chifukwa cha nkhawa. izi zingapangitse kuti ayambe kuchedwa.

Zizindikiro zolimbana ndi Matenda a Kachilombo ndi Matenda a Mitsempha

Zizindikiro zowopsa za matenda a leliac zimaphatikizapo kudzimbidwa kapena kutsekula m'mimba, kusagwirizana kwa zakudya, ndi kupweteka kwa m'mimba, koma monga tawonetsera, zizindikiro zina zikhoza kukhala crossover ndi MS, kuphatikizapo ubongo wa ubongo, kupsinjika maganizo, komanso ngakhale kupweteka kwa m'mimba.

Ndizodziwika bwino kuti matenda a leliac akhoza kugwirizanitsidwa ndi matenda ena a ubongo ndi maganizo. Zonsezi, mawonetseredwe a ubongo wa matenda a leliac amapezeka pafupifupi 10 peresenti ya anthu omwe ali ndi vutoli. Zinthu zomwe zapezeka zikuphatikizapo:

Phunziro Loyamba Limasonyeza Kukhazikika Kwambiri Koti Pakati pa Celiac ndi MS

Kudziwa zizindikiro za zikhalidwe zonsezi, momwe zingakhalire zofanana m'njira zina, kodi pali kusiyana kotani pakati pa matendawa?

Kafukufukuyu akuphatikizidwa, monga tidzakambirana, koma mwinamwake chingwe cholimba kwambiri pakati pa zovuta ziwiri chikupezeka mu phunziro la 2011.

Madokotala a ku Spain anafufuza kuchuluka kwa mayeso abwino a magazi ndi ma biopsies mwa anthu omwe ali otsimikiziridwa ndi multiple sclerosis, komanso pachibale chawo choyamba. Ofufuzawa anaphatikizapo anthu 72 omwe ali ndi MS, 126 mwa achibale awo oyambirira, ndi 123 maphunziro oyenera.

Kafukufukuyu anapeza matenda a celiac - omwe ali ndi nthenda ya Marsh III yomwe imakhala yoopsa kwambiri. Pa 11.1 peresenti ya anthu omwe ali ndi multiple sclerosis poyerekezera ndi 2.4 peresenti ya nkhani zolamulira. Matenda a Celiac anali ofala kwambiri pachibale cha anthu omwe ali ndi matenda osiyanasiyana. Ofufuzawa anapeza kuti 32 peresenti ya achibale awo. Maphunziro ena sanapeze mgwirizano woterowo.

Anthu onse omwe ali ndi MS akupezeka kuti ali ndi matenda a celiac omwe amaikidwa pa zakudya zopanda thanzi, ndipo "zonsezi zimakhala bwino kwambiri pokhudzana ndi m'mimba komanso chizindikiro cha mitsempha mu nthawi yotsatira."

Kafukufuku wokhudzana ndi zochitika ziwirizi sizowonekera

Ngakhale kuti maphunzirowa akuchokera ku Spain, sakudziwikabe ngati anthu okhala ndi multiple sclerosis ali ndi miyeso yapamwamba ya matenda a celiac. Maphunziro ena awiri, mmodzi kuchokera ku Italy ndi wina wochokera ku Iran, magulu oyesedwa a odwala omwe ali ndi matenda ambiri a matendawa ndipo sanapeze mitengo kuposa anthu onse.

N'zotheka kukhala ndi ma antibodies apamwamba motsutsana ndi gluten koma alibe matenda a celiac.

Mwachitsanzo, kufufuza kwa Israeli komwe kunafalitsidwa mu 2009 kunapeza mthupi la anti-gluten anti-gluten anti-gluten kwa anthu omwe ali ndi multiple sclerosis koma sanapeze kuchulukitsitsa kwa matenda a celiac. "Ntchito yeniyeni ya tizilombo toyambitsa matenda mu tizilombo toyambitsa matenda a multiple sclerosis imakhala yosatsimikizika ndipo imafuna kufufuza kwina," anatero ofufuza.

Kafukufuku wina anayang'ana zotsatira za mayeso kwa antibodies a AGA-IgG ndi IGA-IgA anti-gluten kwa odwala okhala ndi matenda osiyanasiyana a ubongo, kuphatikizapo multiple sclerosis. Ofufuzawa anapeza antibodies motsutsana ndi gluten mwa 57 peresenti ya anthu amenewo ndipo pamapeto pake anapeza matenda a celiac mu 17 peresenti.

Nutrition ndi Multiple Sclerosis

Funso lofunsidwa pakuganizira momwe udindo wa gluten umakhudzidwira m'matenda ambiri ndi ngati pali zakudya zina zomwe zingakhalepo pakuyamba kapena kusintha kwa chikhalidwecho. N'zoonekeratu kuti vitamini D ikhoza kukhala ndi zotsatira pa MS onse pa zochitika ndi matenda a MS, ngakhale pali vitamini D kunja kwa chakudya (monga kutentha kwa dzuwa.) Zakudya zina zomwe zawoneka pamodzi ndi gluten , zimaphatikizapo mankhwala a mkaka, ma probiotics, antioxidants, polyphenols, Ginkgo biloba, ndi curcumin, koma sichikukayikitsa ngati zina mwa izi (kuphatikizapo gluten) zimathandizira patsogolo pa MS.

Kodi Mungatani Kuti Mukhale ndi Matenda a Multiple Sclerosis Ndi Zakudya Zopanda Gluten?

Ngakhale zili zosayembekezereka zokhudzana ndi kusintha kwa odwala ambiri omwe amayamba kutsatira zakudya zopanda thanzi, palibe umboni wolimba wosonyeza kuti kutsatira chakudya kungakuthandizeni ndi zizindikiro za MS.

Ofufuza ena a MS asankha lingaliro la Best Bet Diet kwa multiple sclerosis, lomwe limachotsa mchere, mkaka, nyemba, ndi shuga woyengedwa. Palibe umboni wotsimikizirika wa momwe chakudyachi chikuyendera, koma anthu ena omwe ali ndi MS amavomereza kuti amamva bwino kwambiri akamakhalabe ndi zakudya m'thupi.

Pansi pa Kugwirizana Pakati pa MS ndi Celiac Matenda kapena Gluten Sensitivity

Kotero ndi chiyani chomwe chiri maziko? Ngati muli ndi multiple sclerosis kuphatikizapo zizindikiro za matenda a celiac, muyenera kulingalira kuti mukuyesedwa kwa celiac. Muyenera kuyesedwa koyambirira musanayambe kusuta, kapena mumayesa zotsatira zovuta; kuyesa kumadalira kufalitsa ma antibodies, omwe amatha pamene mutayambitsa zakudya zopanda thanzi. Ngati mutayesa kutsimikiza, muyenera kuganizira dokotala wanu za interferon komanso zakudya za gluten.

Ngakhale ngati zotsatira zanu zowonongeka sizili bwino, mukhoza kupeza zotsatirapo za zizindikiro zanu za MS pakupita kusaluka kapena kuchotsa zakudya zina monga mkaka kapena nyemba, kuchokera ku zakudya zanu. Ngati mukuganiza kuti izi zikhoza kukhala choncho, kambiranani ndi dokotala wanu za kuyesa kudya zakudya zowonongeka kuti mudziwe omwe angayambe kudya.

> Zotsatira:

> Batur-Caglayan, H., Irkec, C., Yidririm-Capraz, I., Atalay-Akyurek, N. ndi S. Dumlu. Mlandu wa Multiple Sclerosis ndi Matenda a Celiac. Malipoti a Mlandu mu Mankhwala Okhudza Mitsempha . 2013. 2013: 576921.

> Casella, G., Bordo, B., Schalling, R. et al. Matenda a Neurological ndi Matenda Ovuta. Minerva Gastroenterology ndi Dietology . 2016. 62 (2): 197-206.

> Rodrigo, L., Hernandez-Lahoz, C., Fuentes, D. ndi al. Kukula kwa Matenda a Kachilombo ku Multiple Sclerosis. BMC Neurology . 2011. 11:31.