Kapena Zonsezi?
Nanga bwanji ngati mtsikana wotchuka kwambiri yemwe mumamuganizira, mwinamwake sukulu ya sekondale kapena wophunzira wa koleji, akunena kuti alibe chilakolako? Mayiyo akuwonda kwambiri, koma akunena kuti alibe njala, ndipo mumadziwa kuti akusanza akamadya. Ndipotu, akusonyeza zizindikiro za matenda odwala monga anorexia nervosa kapena bulimia. Kodi mungaganize kuti mwinamwake ali ndi vuto la kudya, kapena matenda osowa ...
kapena onse awiri?
Ku koleji ku Florida, makosiwa adakumana ndi vuto ili. Pulogalamu ya preseason conditioning, mmodzi wa othamanga awo otchuka, National Collegiate Athletics Association Division I mkazi wa volleyball wamkazi, anayamba kutaya katundu wolemera. Anataya mtima ndipo anali ndi kutsekula m'mimba komanso kusanza. Anatopa kwambiri. Anagona pa chakudya, m'galimoto yamagulu kapena basi, komanso asanayambe kuchita nawo nthawi ndi nthawi. Mpikisano wake wothamanga unasokonekera. Ankavutikanso ndi kutopa panthawi ya maphunziro ake ndipo anayamba kulephera kuchita nawo chibwenzi.
Chifukwa chakuti wothamanga uyu anali akupanikizika kwambiri kuchokera kwa mphunzitsi wake, anzake omwe amacheza nawo timagulu, komanso anzake kuti apititse patsogolo luso lake, ophunzirawo amaganiza kuti mwina akuyesera kuwonjezera thupi lake ndi kuchitapo kanthu mopitirira malire ake, ndikuti adayambitsa vuto la kudya monga kuthawa kupsinjika ndikuyesera kukwaniritsa zokhumbazi.
Ndipotu, othamanga ali ndi vuto lalikulu la kudya kusiyana ndi anthu onse.
Koma ndikuganiza chiyani? Iye analibe anorexia nervosa kapena bulimia - anali ndi matenda a celiac. Mwamwayi, aphunzitsiwo anamutumiza kwa gastroenterologist, yemwe mwamsanga anazindikira matenda ake oopsa. Atayamba kudya zakudya zopanda thanzi, njala yake inakula, analemera, ndipo adayanjananso ndi gulu la volleyball.
Malinga ndi makosi ake ndi anzake omwe amacheza nawo masewera, maseĊµera ake othamanga amakula bwino komanso amaposa momwe amachitira kale matenda.
Zitatero, msungwanayu analibe vuto la kudya - koma matenda achilendo ndi matenda odwala akhoza kukhalapo mwa munthu yemweyo nthawi zambiri kuposa momwe anthu amazindikira. Dr. Daniel Leffler ndi anzake ochokera ku The Celiac Center ku Beth Israel-Deaconess Medical Center ku Boston adalemba lipoti pa mutu uwu. Pazaka zisanu, 2.3% a odwala omwe amachiza omwe anali nawo anali ndi matenda a leliac ndi matenda odwala, kapena anali ndi matenda a leliac omwe ankasokoneza matendawa.
Madokotala a ku Boston adalongosola mwatsatanetsatane odwala 10 otero. Mmodzi yekha wodwala anazindikira komanso akuchiza matenda a leliac akuwongolera bwino matenda odwala. Kwa ena, zoletsedwa za zakudya zopanda thanzi zimapangitsa kuti zikhale zovuta (koma zosatheka) kwa madokotala kuti azichiza matendawa. Kwa odwala ena, kupeza kuti anali ndi matenda a celiac ndi kulemera kwa zakudya zopanda thanzi kunayambitsa matenda awo odwala. Ndipo potsiriza, panapezeka kuti wodwala analibe vuto lililonse la kudya - kutaya kwake ndi kusala kudya kunali kokha chifukwa cha matenda a celiac.
Choncho, ambiri mwa odwala, panali kugwirizana pakati pa matenda awo a leliac ndi matenda awo odwala. Mgulu la odwala lomwe Dr. Leffler ndi anzake adalengeza, 80% adakwanitsa kukwaniritsa kapena kukhululukidwa ku matenda awo odwala ndi matenda awo odwala.
Mfundo yaikulu? Matenda a Celiac ndi matenda odwala nthawi zina zimakhala zovuta kusiyanitsa. Odwala omwe ali ndi zifukwa ziwiri kapena zonsezi ayenera kuyesedwa kuchokera kumaganizo osiyanasiyana: kusamalidwa, gastroenterology, zakudya, ndi psychiatry / psychology. Ndiyo njira yokhayo yotsimikizirira kuti munthuyo sakuvutika ndi zovuta zochitika pakati pa matenda a thupi ndi a m'maganizo.
Zotsatira:
Lindsey E Eberman ndi Michelle A Cleary. Matenda a Celiac Mnyamata Wophunzira Wokwera Volleyball Wachikwati: A Report Report. Journal of Athletic Training 2005 Oct-Dec; 40 (4): 360-364.
Leffler DA et al. Kuyanjana pakati pa matenda okhudzana ndi matenda a leliac: kufufuza kwa milandu 10. European Journal of Gastroenterology & Hepatology 2007; 19: 251-255.