Matenda a Celiac , omwe nthawi zina amawatcha kuti spine kapena sprue, ndi matenda omwe amachititsa maselo kukhala m'kati mwa matumbo. Kuwombera uku kumakhudza kukhalapo kwa gluten, mapuloteni omwe amapezeka tirigu, rye ndi balere. Kudya zakudya zimenezi kumayambitsa kutupa, zomwe zimapangitsa kuti thupi likhale lovuta kudya zakudya zofunikira.
Matenda a Celiac ndi omwe amawononga ubongo wamng'ono. Anthu omwe ali ndi matenda oopsawa sangathe kudya gluteni, mapuloteni omwe amapezeka tirigu, balere, ndi rye.
Zina mwa zizindikiro zofala za matendawa ndi awa:
- Matenda a m'mimba
- Mimba yamimba ndi ululu
- Nausea
- Gasi
- Kutsekula m'mimba
- Kutsekedwa
- Kutopa
- Chisoni chophatikizana
- Kusokonezeka maganizo
- Nkhawa
- Matenda a ubongo (kupweteka, kupweteka kapena kupweteka m'manja ndi m'mapazi)
- Nthawi yosiya kumwezi
- Kusadziletsa
- Kuperewera kwadzidzidzi komweko
- Kuphulika kwa khungu kumatchedwa dermatitis herpetiformis
- Zowawa zolimbitsa thupi / zowawa
- Utsi wa ubongo
- Mikoko
Malinga ndi National Institute of Diabetes and Digestive and Kidney Diseases, matenda a celiac angayendetsere mabanja, ndipo pafupifupi 10 mpaka 20 peresenti ya achibale apamtima a anthu omwe ali ndi matenda a chililichi amakhudzidwa.
Akatswiri ena amanena kuti kusiyana kwa majini kungachititse kuti munthu asamavutike kwambiri ndi mapuloteni a gluten. Pambuyo pake, thupi limatulutsa magazi, limatulutsa mimba m'matumbo, ndipo imayambitsa matumbo.
Matenda a Celiac amadziwikanso kuti amayambitsa anthu okhudzidwa ndi mimba, kupsinjika maganizo, kapena kuvutika maganizo. Matenda a Celiac amakhalanso ofala pakati pa anthu omwe ali ndi matenda a shuga a mtundu wa 1 ndi zina zotero, kuphatikizapo matenda a chithokomiro.
Malingana ndi ofufuza, pali mgwirizano woonekera pakati pa matenda a leliac ndi matenda a chithokomiro.
- Matenda a Celiac amapezeka kuyambira 2 mpaka 5 peresenti ya odwala omwe ali ndi matenda a chithokomiro.
- Odwala omwe ali ndi matendawa ndi odwala katatu.
Chifukwa cha zoopsa zimenezi, akatswiri ena amaganiza kuti odwala omwe ali ndi matenda a chithokomiro amafunika kuyang'anitsitsa matendawa, ndipo awo omwe ali ndi matendawa ayenera kuyang'anitsitsa matenda a chithokomiro.
Zotsatira za Odwala a Chithokomiro
Omwe amachititsa anthu odwala matenda a chithokomiro omwe amadzipangitsa kuti asamakhale ndi matendawa, sangachite chilichonse kuti athe kuchepetsa matendawa, kapena kuti athetse vuto la chithokomiro cha "autoimmune".
Komabe, akatswiri ena amalimbikitsa zakudya zopatsa thanzi kuti azitha kudwala matenda a chithokomiro. N'zochititsa chidwi kuti kafukufuku wina wasonyeza kuti maselo a chithokomiro anatsika kapena atatha ngakhale patapita miyezi itatu kapena 6 ya zakudya zopanda thanzi.
Kuzindikira ndi Kuchiza Matenda a Kachilombo
Kuti mudziwe matenda a chilliac, dokotala wanu amakhoza kuyesa magazi kuti aone kuchuluka kwa ma antibodies kuti asamalire. Mankhwalawa amatchedwa antigliadin, anti-endomysium, ndi antitireticulin. Kutulukira kwa matenda a celiac kungatsimikizidwe ndi chiberekero cha m'mimba.
Chithandizo chenicheni chokha cha matenda a celiac ndichotsatira mwamphamvu chakudya cha 100% cha gluten pa moyo.
Kudya zakudya zopanda thanzi kungathetsere mavuto onse omwe amabwera chifukwa cha matendawa. Zakudya zopanda thanzi zimatanthauza kupeĊµa chilichonse chomwe chili ndi tirigu, rye ndi balere, kapena zinthu zina zomwe amagulitsa.
Zakudya zomwe zingadye pa zakudya zopanda zakudya zowonjezera ndizo:
- Zakudya zatsopano, nsomba ndi nkhuku
- Mkaka ndi tchizi zosagwiritsidwa ntchito
- Nyemba zouma
- Zipatso ndi ndiwo zamasamba zatsopano kapena zowonongeka
- Mbewu ndi mpunga
- Zakudya zopanda Gluten, pasitala, ndi zinthu zina zopanda tirigu za gluten
- Mbatata, soya, amaranth, quinoa, buckwheat, ndi ufa wa nyemba m'malo mwa ufa wa tirigu.
Chakudya choletsedwa pa zakudya zopanda chakudya:
- Mkate uliwonse, chakudya kapena zakudya zina zopangidwa ndi tirigu, rye, balere ndi mafuta odzola kapena zosakaniza ndi mankhwala opangidwa kuchokera ku mbewuzo.
- Zakudya zopangidwa ndi tirigu, zotupa za gluten, kapena thickeners. Zakudya izi ndi monga agalu otentha, ayisikilimu, zokometsera saladi, supu zam'chitini, zosakaniza zouma zouma, zosakaniza za mkaka, tchizi zosakaniza, zonona za kirimu, ndi zakudya zina zambiri.
Ngati mukutsata zakudya zopanda thanzi, muyenera kudziwa zina zomwe zimapezeka m'malo mwa gluten, kuphatikizapo:
- zitsamba, vitamini, mchere, ndi zakudya zowonjezera zakudya
- mankhwala ovomerezeka
- mankhwala osokoneza bongo
- zodzoladzola, lip gloss ndi lip mankhwala
- Mankhwala ochapa pamlomo, monga kutsuka kwa mano ndi pakamwa
Nthawi zina, mayesero samasonyeza kuti matenda a celiac akudziwika bwino, komabe wodwalayo akhoza kukhala ndi zizindikiro zambiri. Pachifukwa ichi, ngati zizindikiro zimatsimikiziranso kudyetsa zakudya zopanda thanzi, vutoli limatchedwa kuti si-celiac gluten sensibvity (NCGS) kapena kuchepa kwa tirigu wosagwira ntchito (NCWS), kapena kusagwirizana kwambiri kwa gluten.
Zotsatira za Odwala Chithokomiro
Nazi zina zomwe zingakuthandizeni kumvetsa mgwirizano pakati pa gluten ndi matenda a chithokomiro:
> Zotsatira:
> Ch'ng, CL, ndi. al. "Matenda a Celiac ndi Matenda a Chithokomiro Odzichepetsa." Clinical Medicine & Research. 2007; 5 (3): 184-192. do: 10.3121 / cmr.2007.738.
> Metso S, et. al. "Zakudya zopanda Gluten komanso autoroidmunune thyroiditis kwa odwala omwe ali ndi matenda a celiac." Scandinavia Journal of Gastroenterology. 2012 Jan; 47 (1): 43-8. do: 10.3109 / 00365521.2011.639084. 2011
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. "Zaumoyo wathanzi: Matenda a Celiac." June 2016. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/celiac-disease/Pages/overview.aspx
> Roy, A, ndi. al. "Kukula kwa Matenda a Kachilendo Odwala Odwala Matenda a Chithokomiro Omwe Amasintha: Meta-Analysis." Chithokomiro. 2016 Jul; 26 (7): 880-90. do: 10.1089 / thy.2016.0108.