Zoona Kapena Zonama: Magazi Onyenga-Olakwika Amodzi Amayesedwa Wowonjezereka Mwa Ana
Kawirikawiri amawerengera pazigawo zosiyanasiyana za matenda a celiac omwe ana amakhala ndi zotsatira zoipa zabodza pa matenda a celiac (makamaka pa kuyesedwa kwa magazi ).
Chomwe chimatchedwa "chonyenga" chiyeso choyesa chimapezeka pamene zotsatira za mayeso a zamankhwala zikusonyeza kuti mulibe vuto linalake (panopa, matenda a celiac), koma mukuchitadi. Mayeso a zachipatala samangokhalira kunama kwa inu-mayesero angapo amapereka zowonjezera zedi mu zotsatira zawo.
Chifukwa choganiza kuti kuyesa magazi sikugwira ntchito bwino kwa ana ndiko kuti kuwonongeka kwa m'mimba mwadzidzidzi komwe kumadziwika kuti kuopsa kwa atrophy kumatenga nthawi yaitali kuti ikule, choncho ana okhala ndi zotsatira zoipa sankakhala ndi nthawi yokwanira chikhalidwe kuti chifike patsogolo pa siteji yowonongeka (kuyesera magazi kumasonyeza kuwonongeka kulipo).
Izi zikumveka ngati lingaliro labwino, koma mwatsoka palibe umboni wachipatala kuti uwerenge izi-maphunziro omwe sanachitikepo.
Kodi Timadziwa Zotani Poyesa Ana Kuti Akhale Ovuta?
Malinga ndi Dr. Alessio Fasano, yemwe akuyang'anira malo a Massachusetts General Hospital of Research Celiac, mayesero ambiri onyenga pa mayesero ena a magazi omwe amapezeka m'magazi-a TTG-IgA mayeso-amapezeka pafupifupi 10-15% mwa milandu yonse. Komabe, palibe kafukufuku wowonetsetsa kuti ana ali ndi zovuta zonyenga izi kuposa anthu akuluakulu.
"Kuti muwone kuwona kwa chidziwitso ngati tTG, choyamba muzipanga mapepala osakanikirana ndi biopsies ndikuwonetsani kuti pali zifukwa zingati zomwe zikuwonetsa kuwonongeka kwa matenda a leliac omwe ali abwino kwa tTG," Dr. Fasano akuwuza a VerywellFit.com.
"Zophunzira za mtundu umenewu zakhala zikuchitidwa kwa anthu akuluakulu omwe angapangitse zolembapo zambiri mobwerezabwereza komanso zifukwa zina zambiri kuposa ana. Pachiwerengero cha ana, njirayi sichiyenera kukhala yolondola, ndipo sindikudziwa maphunziro omwewo."
Pali umboni wina wa ana olakwika omwe ali oposa 10-15%.
Kafukufuku wofalitsidwa m'nyuzipepala ya Clinical Chemistry ndi Laboratory Medicine anayang'ana kuyezetsa magazi ndi zotsatira za chiwerengero cha ana omwe ali ndi zaka zosachepera zisanu ndi chimodzi omwe anali ndi mayesero onsewa. Kafukufukuyu anapeza kuti 80% mwa odwala matendawa a chiopsezo cha biopsy omwe anali ndi zotsatira zabwino zowonetsera magazi muyeso la magazi la deamidated gliadin peptide (DGP) IgA kapena mu test test tTG-IgA. Ana okwana 84 peresenti anali okhutira mu DGP-IgG kapena kuyesa magazi kwa tTG-IgA.
Choncho, olembawo anatsimikizira kuti mwayi wabwino kwambiri wopeza chidziwitso choyenera cha magazi umabwera pamene mayeso a tTG-IgA amagwiritsidwa ntchito limodzi ndi mayeso a DGP IgG. Mu phunzirolo, "kuchuluka kwachinyengo" kwa mayeso awiri omwe analangizidwa ku magazi ogwiritsidwa ntchito pamodzi ndi 16%. Kugwiritsa ntchito mayesero enawo kunabweretsa chiwerengero cholakwika cha 20%.
Mawu ochokera
Ngati mukukhulupirira kuti zotsatira za mayeso a mwana wanu wamwamuna ndi zobvuta, mungakhale ndi njira zingapo zomwe mungakambirane ndi ana anu, makamaka ngati zizindikiro za mwana wanu zikufuula "choliac." (Fufuzani nkhani yanga pa zizindikiro za matenda a Celiac kwa ana ngati simukudziwa.)
N'zotheka kuti, ngakhale kuti zotsatira zowononga magazi siziwoneka bwino, dokotala wa mwana wanu angapangire kuti apite patsogolo ndi cholembera kuti aone ngati pali vuto lililonse la m'mimba lomwe lingasonyeze kuti ndiloliac.
Ngakhale kuti makolo ambiri akuda nkhawa kuti apereke mwana wawo ku malo osungirako mankhwala (ndipo pali chiopsezo pang'ono, monga momwe ziliri ndi njira iliyonse yachipatala), zoona zake n'zakuti ana nthawi zambiri amakumana ndi mavuto kuposa makolo pa tsiku lomaliza.
Mukhozanso kusankha kupumula mapeto ake, koma ganizirani kupitiliza ndi mayesero a zakudya zopanda thanzi kuti muone ngati zizindikirozo zithetsa. Mwana wanu sangakhale ndi matenda a celiac, koma m'malo mwake amatha kukhala ndi mphamvu zowonongeka , zosadziwika bwino zomwe zili ndi zizindikiro zomwe zimatsanzira celiac. Pakalipano palibe njira yodzivomerezeratu yomwe imayesedwa kuti iwononge mphamvu ya gluten , koma ngati mwanayo akudwala matendawa, zizindikiro zake ziyenera kusintha mofulumira pamene amapewa zakudya zam'madzi.
Pomaliza, mungaganizire za kuyesa kwa majeremusi a matendawa . Mayeserowa sangathe kudziwa kuti laliac; M'malo mwake, iwo amatha kudziwa ngati muli ndi mphamvu zowonjezera kuti mukhale ndi vutoli. (Kuti mumve zambiri, onani nkhani yanga Nanga bwanji ngati mayeso anga a jekeseni anali abwino? )
Mfundo yaikulu ndi yakuti, pali umboni wosaneneka wa kuchuluka kwa mankhwala osokoneza bongo a m'magazi a ana omwe sali akuluakulu - ndizotheka kuti pafupifupi mmodzi mwa ana asanu kapena asanu ndi mmodzi anayesedwa amalandira zotsatira zoipa zabodza. Mwamwayi, muli ndi zosankha zina ngati mukukhulupirira zotsatira za mayesero a mwana wanu siziri zolondola.
> Zotsatira:
> Brusca I et al. Mayesero akale ndi atsopano kwa Matenda a Kachilombo: Kodi Ndi Njira Yabwino Yoyeseramo Yotani Yodziwa Matenda a Kachilombo kwa Odwala? Clinical Chemistry ndi Laboratory Medicine. 2011 Sep 26; 50 (1): 111-7.
> Werkstetter KJ et al. Zolondola pa Kuzindikira Matenda Osayembekezereka Osaphatikizapo Mchitidwe Wopangira Zipatala. Gastroenterology . 2017 Oct; 153 (4): 924-935.