Mayeserowa angapereke chitsimikizo ngati muli ndi vutoli
Kafukufuku wamakono wamakono amatsimikizira kuti lingaliro losaleta la gluten ndilo chenicheni. Komabe, sikuti madokotala onse amavomereza kuti alipo, ndipo palibe mgwirizanowu wa momwe angayeserere kutengeka kwa gluten.
Kotero ngati mukuganiza kuti mungakhale ndi mphamvu yokhudzana ndi gluten, kodi izi zikuchokera kuti? Muli ndi ziganizo zingapo zomwe zingakuwonetseni mkhalidwe wanu, kuphatikizapo njira imodzi ya mayesero mungadzipeze nokha popanda dokotala wanu akukhudzidwa.
Palibe mwa njirazi zomwe zingatsimikizire kuti muli ndi mphamvu zowonongeka - ndipo mwina sangapereke chithandizo chomwe adokotala adzalandira. Komabe, mayeserowa a gluten angakupatseni umboni kuti thupi lanu likukulirakulira kuti chitetezo cha mthupi chithane ndi gluten ... chomwe chingasonyeze kuti zakudya zopanda thanzi zimathandiza kuchepetsa zizindikiro za mphamvu za gluten .
Chenjezo: madokotala ambiri amalimbikitsa kuti muyambe kuyesedwa kwa matenda a kansalu koyambirira ngati mukuganiza kuti mukuchita ndi gluten. Komabe, ngati matenda anu osowa ayesetseratu ndi oipa (kapena ngati mukuganiza kuti musamayesedwe bwinobwino), mungapeze mayesero achidziwitso a gluten kuti mudziwe zambiri.
Mayesero a Magazi Omwe Amapezeka Poyesedwa Anagwiritsidwa Ntchito Kuti Azindikire Kutengeka kwa Gluten
Musanayambe kugwiritsira ntchito mankhwala osokoneza bongo kuti apeze matenda a celiac, madokotala amagwiritsa ntchito gulu la mayesero a magazi kuti ayang'ane ma antibodies omwe amasonyeza chizindikiro.
Pali umboni wina wakuti mayesero awiriwa - AGA-IgA ndi AGG-IgG - angasonyeze kutengeka kwa gluten kosaleliac.
AGA imayimira "anti-gliadin antibodies," kapena thupi lanu limapanga motsutsana ndi gliadin, mbali ya molecule ya gluten. IgA ndi IgG ndi mitundu yosiyanasiyana ya immunoglobulin, ma antibodies omwe amapangidwa ndi thupi lanu kuti amenyane ndi adani achilendo.
Ngati AGA-IgA kapena AGA-IgG ilipo m'magazi anu, zikutanthauza kuti thupi lanu limapanga ma antibodies motsutsana ndi molekulu ya gluten - m'mawu ena, amawona kuti moleculeyo ili pangozi.
Zowonjezereka za AGA-IgG zimapezeka pafupifupi 10 peresenti ya anthu onse ndipo nthawi zambiri zimawoneka m'mabvuto ena omwe amadziwika ndi matendawa , monga matenda a shuga, mtundu wa chithokomiro , matenda a chiwindi, ndi matenda opatsirana.
Kafukufuku wokhudzana ndi ulemerero wa Gluten wofalitsidwa mu 2011 ndi University of Maryland's Center for Celiac Research anapeza kuti pafupifupi theka la odwala omwe ali ndi matenda odwala gluten anayesedwa kuti akhale ndi chithandizo cha AGA-IgA kapena AGA-IgG, zomwe zimasonyeza kuti ma chitetezo cha mthupi awo akuyang'ana ku gluten. Madokotala ena, kuphatikizapo dokotala wa ana komanso katswiri wokhudzidwa ndi gluten Dr. Rodney Ford ku New Zealand, amagwiritsanso ntchito kugonana kwa AGA-IgG kuti asamalire kutengeka kwa gluten.
Komabe, Dr. Alessio Fasano, yemwe ndi mkulu wa ofunikira za University of Maryland, adandiwuza ine poyankha kuti AGA-IgA ndi AGA-IgG mayesero a magazi amangogwiritsa ntchito "monga malemba. Chifukwa chakuti pafupifupi theka la odwala omwe ali ndi mphamvu zowonongeka sagonjetsedwa ndi ma antibodies a AGA-IgA ndi AGA-IgG amachititsa kuti mayesero awiriwa asapindule ngati mayeso a kutengeka kwa gluteni, akuti.
EnteroLab Imapereka Mayeso Osatsutsika Akutetezedwa kwa Gluten
Odwala ena omwe amakhulupirira kuti akutsutsana ndi gluten amapita ku testo ya InoLab yowonongeka .
EnteroLab, labotolo la zachipatala ku Dallas lomwe likudziwidwa bwino "m'matumbo" (ie, zitsanzo za m'mimba) kuti zikhale ndi zokhudzana ndi zakudya, zimapereka kuyerekezera kwa ogulutsidwe, komanso odwala ambiri asonyeza kuti ali ndi mphamvu zowonongeka. zizindikiro pambuyo poyesedwa bwino ndikuchotseratu zakudya zamagetsi.
Komabe, polojekiti yoyesera ya EnteroLab, yopangidwa ndi gastroenterologist Dr. Dr. Kenneth Fine, sichiyenera kuyang'aniridwa ndi kutsimikiziridwa, ndipo Dr. Fine wakhala akutsutsidwa kwambiri ndi madokotala ena ndi anthu omwe ali m'dera lovomerezeka la gliten chifukwa chosaleketsa kufufuza kwake ndi zotsatira.
Chifukwa chake, madokotala ochepa amalandira kuyezetsa kwa EnteroLab monga umboni wokhudzidwa kwa gluten.
Kuyesedwa kwa sitima ya Enterolab kumayang'ana ma antibodies kuti akhale a gluten mwachindunji m'matumbo anu. Dr. Fine anandiuza pofunsa kuti njirayi ikuyang'ana ma antibodies omwe kwenikweni akuchitidwa - m'matumbo anu - mosiyana ndi m'magazi anu, kumene sangakhale ochepa. Ananenanso kuti ndi zopusa kuganiza kuti gluten, zomwe amakhulupirira ndi antigen wamphamvu, yokha ingayambitse matenda a Celiac , osati zizindikiro zina zosagwirizana ndi machitidwe oipa a celiac.
Kodi Mungatani Panopa Kuti Muyesedwe Chifukwa cha Kukhudzidwa Kwaulemerero?
Padakali pano, madokotala omwe akudziwika kuti ali ndi mphamvu zowonjezera za gluten akhoza kuchita motengera zotsatira za mayeso a AGA-IgA ndi AGA-IgG, kuyezetsa magazi a Enterolab, kapena zakudya zomwe zimaphatikizapo ndikubwezeretsanso gluteni.
Palibe mwazinthu izi zatsimikiziridwa ndi kafukufuku wodziimira. Komabe, kuyesa kugwidwa ndi matenda a gluten kumayambira pa kamphindi. Ngati ochita kafukufuku wamankhwala amatsimikizira kuti akukhutira kuti chikhalidwecho chilipo, ndibwino kuti njira zabwino zowonjezera zidzakonzedweratu m'tsogolomu.
> Zotsatira:
> J. Biesiekierski et al. Gluten Zimayambitsa Zisonyezo za M'mimba M'magulu Opanda Matenda Odziwika: Kachilombo kawiri kamene kamakhala kosawerengeka. American Journal of Gastroenterology. Idasindikizidwa pa intaneti Jan. 11, 2011. doi: 10.1038 / ajg.2010.487.
> A. Fasano et al. Kusokonezeka kwa matumbo kumapangidwe ndi ma genetic immune mucosal m'maganizo awiri ogwirizanitsa: matenda a celiac ndi mphamvu ya gluten. BMC Medicine 2011, 9:23. lembani: 10.1186 / 1741-7015-9-23.
> Fasano A. et. al. Matenda okhudzana ndi umoyo wa gluten: mgwirizanowu pa dzina latsopano ndi mndandanda. BMC Medicine. BMC Medicine 2012, 10:13 chiku: 10.1186 / 1741-7015-10-13. Lofalitsidwa: 7 February 2012
> E. Verdu. Kodi gluten ingathandize bwanji ku matenda oopsa a m'mimba? American Journal of Gastroenterology. March 2011, masamba 516-518.