Azimayi omwe ali ndi matenda a celiac amavutika ndi vuto la mimba komanso mavuto awiri kapena anayi omwe ali ndi chiwerengero cha amayi omwe alibe vutoli. N'zotheka, komatu, kuti kutsatira chakudya chosasamala cha gluten panthawi yoyembekezera kungathandize kuthetsa mavuto enawa.
Kafukufuku amasonyeza kuti amayi omwe ali ndi matenda a celiac amakhala ndi chiwerengero chokwanira cha kuperewera komanso kuperewera kwa mayi ngati asanakumanepo.
Koma zikuwoneka kuti mavuto omwe amabwera chifukwa cha mimba satha. Kafukufuku amasonyezanso kuti amayi omwe ali ndi matenda a celiac (omwe amapezeka mosavuta ndi matendawa) amakhala ndi mavuto oposa khumi ndi awiri omwe amakhalapo pakati pathu, kuphatikizapo kuperewera kwa amayi ndi mantha komanso kuchepa kwa magazi m'thupi .
Amakhalanso ndi mimba yochepetsetsa, pafupifupi, ndi ana ocheperako kubala.
Mavuto Okhudzana ndi Mimba Amakhudza Ambiri mwa Akazi Odwala Matenda Aakulu
Matenda okhudzana ndi mimba amachitika pamlingo waukulu kwambiri kwa amayi omwe ali ndi matenda a celiac, malinga ndi kafukufuku wowonjezera wa ku Italy okhudzana ndi moyo wa kubereka kwa amayi achikazi. Ena mwa 65% a celiacs adanena vuto limodzi lopweteka, poyerekeza ndi 31% a amayi opanda celiac omwe anali olamulira pa phunziroli. Malingana ndi phunzirolo:
- Kuchuluka kwa magazi m'thupi kunkachitika kawirikawiri, kumakhudza 41% ya akazi achikazi okha koma 2% mwazolamulira.
- "Kuchotsa mimba," kapena kuopseza kuperewera kwa mimba, kunakhudzanso 39% ya celiacs, koma ndi 9 peresenti ya mphamvu zopanda malire.
- Kuwonongeka koopsa, chiwopsezo chimene placenta chomwe chimadyetsa mwana wosabadwa chimayamba kupatukana ndi khoma la chiberekero, chinachitika mwa amayi oposa 18 peresenti ya akazi okhaokha koma ndi 1% yokha.
- Gestational hypertension, yomwe imatchedwanso kuti mimba-imayambitsa matenda oopsa, inachitikira 10 peresenti ya amayi okhaokha ndipo palibe chilichonse chomwe chimayambitsa matendawa.
- Uterine hyperkinesia, kapena yachilendo yowonjezera mazira a chiberekero, amachitikira ndi 10% mwa amayi omwe ali ndi matenda a celiac ndipo palibe mwazidziwitso.
- Kulepheretsa kukula kwa ana, omwe mwana wosabadwa amalephera kukula pamlingo woyenera, anachitika mwa amayi oposa 6% a akazi okhaokha koma osati mwa amayi omwe amatumikira monga maulamuliro.
Pafupifupi 85 peresenti ya amayi omwe anali mu phunziroli anali asanakumanepo ndi matenda a celiac panthawi yomwe ali ndi pakati, ndipo olembawo amanena kuti kutsatira zakudya zopanda thanzi kungachepetse mavuto a mimba.
Vuto la C-Gawo ndi Ana Ochepa-Kumeta Ana
Kafukufuku wowonjezera wasonyeza zogwirizana pakati pa matenda a leliac ndi mavuto ena omwe angakhale ndi mimba.
Mwachitsanzo, chiŵerengero cha ana ochepa kwambiri obadwa kubawoneka ngati pafupifupi asanu ndi limodzi kuposa amayi omwe ali ndi matenda a leliac kuposa amayi ena.
Akazi omwe ali ndi matenda a chililili amakhala ndi mimba yochepa-mu phunziro la Italy, masabata awiri ochepa-omwe angakhale okhudzana ndi chiwerengero cha ana omwe ali ndi zolemera zobadwa.
Ndipo, zigawo zowonongeka zingaperekedwe kawirikawiri kwa amayi omwe ali ndi matenda a celiac, omwe angakhale ofunika chifukwa cha kafukufuku watsopano omwe amasonyeza kuti ana omwe ali ndi kachigawo ka C akhoza kukhala ndi chiopsezo chachikulu cha matendawa.
Komabe, sikuti kafukufuku wonse wa zachipatala watsimikizira zapamwamba za mavutowa kwa amayi omwe ali ndi matenda a celiac, ndipo maphunziro angapo apeza kugwirizana kochepa pakati pa matenda a leliac ndi mavuto a mimba.
Mavuto Ambiri Amapezeka Amayi Osazindikira
Ambiri mwa mavuto okhudzana ndi mimba omwe ali ndi matendawa amapezeka kuti amapezeka mwa amayi omwe sanapezepo ndi celiac, kapena amayi amene amapezeka koma osatsatira zakudya zopanda thanzi.
Monga kafukufuku wa ku Italy, kafukufuku wina apeza mavuto ofanana ndi omwe ali ndi pakati pa amayi omwe ali ndi matenda osadziwika omwe ali ndi matendawa, ndipo amatsimikizira kuti kutsatira zakudya zopanda thanzi kungathandize kuti asatenge mimba ya mtsogolo.
Mwachitsanzo, kafukufuku wochokera ku India anayerekezera amayi omwe ali ndi mbiri ya mimba yokhazikika ndi amayi omwe anali ndi mbiri ya mavuto obereka, kuphatikizapo kusawerengedwa kwa intrauterine, ndipo anapeza mlingo wapamwamba wa mayeso a magazi a celiac ndi matenda osakanizika a m'mimba mwa amayi kuperewera kwa intrauterine ndi mavuto ena obereka.
Akatswiri ofufuza apeza kuti madokotala ayenera kuganizira momwe amai amaonera mavuto omwe ali ndi mimba osadziwika komanso mavuto ena obereka chifukwa cha matenda a celiac, chifukwa chotsatira zakudya zopanda thanzi kungathandize kupewa mavuto amtsogolo.
Kodi Muyenera Kuyang'anitsitsa Ngati Mukudwala Matenda?
Popeza anthu ambiri omwe amawonekeratu kuti ali ndi vuto la matendawa amasonyeza zizindikiro zochepa chabe za vutoli, n'zovuta kunena ngati muyenera kuyang'anitsitsa ngati muli ndi vuto la mimba.
Azimayi amene amapezeka kuti ali ndi matenda opweteka kwambiri amatha kukhala ndi mayeso abwino a matenda a celiac, koma amapezeka ndi akazi omwe alibe zizindikiro za m'mimba.
Pamapeto pake, ngati mukuganiza kuti matenda osakwanira omwe ali ndi vutoli amachititsa kuti mukhale ndi vuto la mimba, makamaka ngati muli ndi zizindikiro zina zapachilombo , lankhulani ndi dokotala wanu za kuyesa magazi.
Zotsatira:
> A. Kumar et al. Matenda achilendo otchedwa laliac m'mabanja oterewa. Utsi ndi Wofooka. Inasindikizidwa pa intaneti pa November 24, 2010.
D. Martinelli et al. Matenda okhudzana ndi moyo wobereka m'mayi achikazi a Italy. Phunziro lolamulira. BMC Gastroenterology. 2010 Aug 6; 10: 89.
LJ Tata et al. Zochitika zowonjezera ndi zochitika zokhudzana ndi mimba kwa amayi omwe ali ndi matenda a chililiyake: Kuphunzira kwa gulu la anthu. Gastroenterology. 2005 April, masamba 849-855.
National Institutes of Health. Matenda a Celiac ndi Matenda Odzabereka.