Anthu omwe ali ndi matendawa amatha kubweretsa vutoli.
Si zachilendo kwa anthu omwe ali ndi matenda a chilondawa kuti afotokoze kuti ali ndi vuto ndi mabakiteriya awo. Zomwe zikutanthauza, kugwirizana pakati pa mankhwala a celiac ndi ndondomeko yamakono sizingakhale zongoganizira chabe: kafukufuku wambiri amathandizira matenda a leliac ndi mitundu ina ya matenda a ndulu.
Komabe, pali kutsutsana kwina ngati anthu okhala ndi celiac kwenikweni ali pachiopsezo chachikulu cha mtundu wambiri wa gallbladder disease: gallstones.
Izi zimakhala zowawa kwambiri komanso zimapweteka kwambiri anthu ambiri omwe ali ndi matendawa, koma palibe umboni wochuluka wosonyeza kuti anthu omwe ali ndi chilema amakhala pachiopsezo chachikulu kuposa anthu omwe alibe matendawa.
Komabe, ochita kafukufuku ena amaganiza kuti mtundu wa m'mimba owonongeka omwe umapezeka mwa iwo omwe ali ndi matenda a celiac ukhoza kutsogolera ku "otchedwa ndulu," zomwe zingayambitse kupanga mtundu wina wa gallstones.
Pemphani kuti mudziwe zambiri zokhudza momwe matenda a chililili angakhudzire ndulu yanu, komanso kuti mukhale ndi chiopsezo chotenga nthendayi.
Momwe Gallbladder Wanu Amathandizira Kuphika
Gulu lanu ndi chiwalo chokhala ndi peyala chomwe chiri pansi pa chiwindi chanu kumanja kwanu, pansi pa nthiti yanu. Ndicho chidebe chosungirako: cholinga chake ndikutenga mavitamini a m'mimba otchedwa bile (kapena, ndulu-choncho, "gallbladder") kuchokera pachiwindi ndi kugwira mavitaminiwa mpaka atakuthandizani kukumba chakudya.
Ndiye, chifuwa chanu chimagwirizanitsa ndi kutulutsa tizilombo tosungidwa m'matumbo anu aang'ono, kumene kwenikweni chimbudzi chikupezeka.
Pamene ndulu yanu ikugwira ntchito bwino, simungadziwe kuti ikugwira ntchitoyi. Koma, mwatsoka, pali njira zambiri zomwe ndulu yanu imatha kugwira ntchito ndipo imayambitsa mavuto.
Mavuto a Gallbladder Omwe Amagwira
Vuto lalikulu lomwe anthu amakumana nalo ndi ndulu yawo ndi chitukuko cha gallstones. Kwa anthu ena, "miyala" yaing'ono mu bile, ndipo iyo imatha kupweteka kwambiri ndi kutupa. Siziwonekeratu chifukwa chake izi zimachitika, koma zifukwa zowonjezera zimaphatikizapo mafuta ambiri m'thupi mwako kapena bilirubin (mankhwala achikasu opangidwa ndi thupi lanu pamene amathyola maselo ofiira a magazi).
Pali mitundu iwiri yosiyanasiyana ya malonda: cholesterol gallstones, zomwe zimakhala zofala kwambiri, ndipo zimakhala zosaoneka bwino ndipo zimakhalapo pamene bile yanu ili ndi bilirubin yambiri. Mwinanso mumakhala ndi zilonda zam'mimba pamene chifuwa chanu sichitha bwino.
Sikuti aliyense amene ali ndi gallstones ali ndi zizindikiro. Koma zizindikiro za ziphuphu zingaphatikizepo: kupweteka koopsa m'mimba mwako kumanja kumene kumatha kusunthira kumapiko anu ndi kumbuyo komwe, kunyoza, ndi kusanza. Zizindikiro zikhoza kukhala mphindi zingapo kapena zingapitirire maola angapo. The bile yosungidwa mu ndulu imakuthandizani kudyetsa mafuta mu zakudya zanu, kotero kuti mutha kukhala ndi "kukanika" kotereku mutadya chakudya chambiri kapena mafuta ngati ndulu yanu ikuyesera kugonana.
Ngati muli ndi ndondomeko-makamaka ngati ndondomeko zanu zimatseketsa njira yomwe imatuluka m'mimba mumatumbo anu aang'ono-ndulu yanu imatha kutentha.
Matendawa amadziwika kuti cholecystitis. Zizindikiro za cholecystitis zimaphatikizapo: ululu (nthawi zambiri wovuta) kumbali yoyenera ya mimba yako, pansi pa nthiti yako, nthata ndi kusanza, ndi malungo. Nthawi zambiri, izi zidzakuchitikirani mkati mwa ola limodzi kapena awiri mutadya chakudya chachikulu. Zakudya zomwe ziri ndi mafuta ambiri zingayambitse zizindikiro za cholecystitis.
Cholecystitis yoopsa ikhoza kutengera kachilombo koyipa mu ndulu yanu ndipo ikhozanso kuyambitsa ndulu yanu kugwedeza kapena kuphulika. Ngati dokotala akukudziwani kuti ali ndi vutoli, mungafunike mankhwala oletsa tizilombo toyambitsa matenda, ndipo mungafunikire kupita kuchipatala.
Ngati mukuvutika kwambiri ndi cholecystitis, dokotala wanu adzakufotokozerani zomwe mungachite. Anthu ambiri amene akhala ndi cholecystitis nthawi zonse amafunika kuchotsamo ndulu.
Mmene Matenda a Celiac Angakhudzire ndi Matenda a Gallbladder
Matenda a Celiac amachititsa kuti matumbo a m'mimba mwanu asokonezeke m'ntchito yotchedwa vrown atrophy . Koma mwinamwake mukudziwa kuti matenda a leliac amakhudza kwambiri kuposa momwe mungagwiritsire ntchito kudya: zizindikiro zolimbitsa thupi zingakhudze dongosolo lanu lamatenda , kubereka kwanu, ziwalo zanu, ngakhale khungu lanu.
Popeza zovuta za celiac zili zazikulu kwambiri, n'zosadabwitsa kuti vutoli likhoza kugwirizanitsidwa ndi vuto la ndulu. Ndipotu, zimakhala zachilendo kwa anthu omwe ali ndi matenda a chililichi kuti adziwe kuti chifuwa chawo chichotsedwe musanayambe kuchipatala. Anthu ochepa adanena kuti amakhulupirira kuti matenda awo omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda .
Maphunziro kwa anthu omwe ali ndi matenda a celiac koma omwe samatsatira zakudya zopanda thanzi amapeza vuto la ndulu pambuyo pa chakudya champhongo. Vutoli likhoza kumupangitsa munthuyo kukhala ndi vuto loti apange mtundu wa ndulu zomwe zimapangidwa kuchokera ku kolesterol.
Ochita kafukufuku ku Italy anaphunzira anthu 19 omwe ali ndi matenda oopsa omwe sankayambe kudya zakudya zopanda thanzi, ndipo anapeza kuti zida zawo zimatulutsa pang'onopang'ono kuposa anthu omwe ali ndi vutoli. Ofufuzawo anaphunzira ndondomeko ya ndulu mu anthu omwewo omwe kale anali atayendayenda, ndipo anapeza kuti kuchotsa ndulu kunali kozolowereka.
Komabe, phunziro lomwelo linapezanso kuti chakudya chinasunthika pang'onopang'ono kudzera m'matumbo aang'ono omwe ali ndi matenda a celiac kuposa momwe amachitira anthu opanda chikhalidwe mosasamala kanthu kuti anthu okhala ndi celiac akutsatira chakudya chopanda chakudya cha gluten kapena ayi.
Umboni wina ulipo wakuti anthu okhala ndi matenda a chililili akhoza kukhala opanda vuto la ndulu kugwira ntchito ngakhale akudya zakudya zopanda thanzi.
Kodi Kuli Kowonjezera Kowonjezera Kowopsa Kwako?
Ngakhale pali umboni wakuti kukhala ndi matenda oopsawa kungakhudze ntchito ya ndulu yanu, kufufuza kochepa komweku kukuwonetsa kuti anthu omwe ali ndi matendawa samakhala ndi chiopsezo chachikulu kwambiri cha galasi. Komabe, ena ofufuza akutsutsa maganizo amenewo.
Kafukufuku wopangidwa zaka zambiri zapitazo wasonyeza kuti anthu 9 okha mwa anthu 350 ali ndi matenda a celiac anali atachotsedwa ndi ndulu chifukwa cha ndulu. Pakalipano, kafukufuku waposachedwapa akuwonetsa kuti anthu omwe amapezeka ndi matenda oopsawa atakhala ndi zaka 60 akhoza kukhala pachiopsezo chachikulu chifukwa cha zitsamba zam'mimba.
Komanso posachedwapa, ofufuza olemba nyuzipepala ya European Journal ya Clinical Investigation anaganiza kuti matenda a celiac angakhale ofunika kwambiri chifukwa cha miyala yamtengo wapatali-mwachindunji, kupanga mapuloteni ambiri a cholesterol-chifukwa matendawa amachititsa kuti thupi lanu likhale lochepa amagwiritsa ntchito kuuza ndulu yanu kumasula bile.
Hormone imeneyi, yotchedwa cholecystokinin, imapangidwa ndi chikhomo cha m'mimba mwachinyama, chomwe chimawonongeka mukakhala ndi matenda enaake. Ochepa a cholecystokinin angatanthauze kuti chifuwa chanu sichigwira ntchito komanso chiyenera kukhala chomwe chimatchedwa "waulesi ndulu" -ndichomwe chingayambitse kupanga mapuloteni a cholesterol amenewo, ofufuza amati. Komabe, chiphunzitso ichi sichinavomerezedwe ndi kafukufuku wamankhwala.
Matenda aŵiri okha ndi amphongo amapezeka kwambiri mwa amayi kuposa amuna. Azimayi amapezeka kuti ali ndi matenda a celiac kawiri kawiri monga amuna. Mofananamo, amayi omwe ali m'zaka zawo zowonjezereka amakhala owirikiza kawiri kuti amapezeka ndi ndondomeko ngati amuna, ngakhale kuti kusiyana pakati pa amuna ndi akazi kumachepa ndi anthu achikulire. Komabe, kuti choliac ndi ndondomeko zimakhala zofala kwambiri kwa amayi kusiyana ndi amuna sizikutanthauza kuti zinthu ziwirizi zimagwirizana. Kafufuzidwe kafukufuku amafunika kudziwa ngati matenda a Celiac alidi chiopsezo cha mitsempha.
Kuyanjanitsa ndi Matenda Omwe Akudwala
Matenda a Celiac amachititsa chiwindi , chomwe chimayambitsa bile kusungidwa ndi ndulu yanu. Mwachitsanzo, celiac imagwirizanitsidwa ndi mayesero osalimba a chiwindi ndi mtundu wa matenda a chiwindi otchedwa autoimmune hepatitis, momwe chitetezo chanu cha mthupi chimagonjetsa chiwindi. M'mabuku angapo omwe adatchulidwa, matenda osokoneza bongo komanso kusintha kwa chakudya cha gluten anakonza kuwonongeka kwa chiwindi mwa anthu omwe kale anali ovomerezedwa ku chiwindikiro cha chiwindi.
Celiac imatha kugwirizanitsidwa ndi matenda otchedwa primary sclerosing cholangitis, omwe ndi matenda aakulu omwe amachititsa kuti pang'onopang'ono kuwonongeka kwa madontho omwe amachititsa kuti chiberekero chichoke ku chiwindi kupita ku ndulu.
Akatswiri olemba mu World Journal of Gastroenterology amanena kuti primary sclerosing cholangitis ingagwiritse ntchito zinthu zina zomwe zimabadwa ndi matenda a leliac, omwe mwina angakhalepo chifukwa chogwirizana pakati pa zikhalidwe ziwirizo. Komabe, malinga ndi ochita kafukufuku, palibe umboni wosonyeza kuti zakudya zopanda thanzi zimathetsa vutoli ku ma ducts.
Mawu Ochokera
Kudya ndi njira yovuta, ndipo ndulu yanu imathandiza kwambiri. Komabe, simukusowa ndulu yanu, kotero ngati dokotala wanu akuvomereza kuchotsa izo chifukwa cha matenda a ndulu , simuyenera kuganizira za kuvomereza opaleshoniyi.
Achipatala ochepa amavomereza kuti anthu omwe ali ndi kachilombo koyambitsa matendawa akuyesedwa kuti agwiritse ntchito ultrasound kuti adziwe ngati zida zawo zikugwira bwino ntchito, komanso ngati pali zotchedwa "sludge," kapena kuti zotsatila zitsulo, zomwe zikupezeka mu ndulu. Komabe, sikuti madokotala onse amagwirizana kuti mayesowa ndi ofunikira. Ngati mwapezeka kuti muli ndi gallstones m'mbuyomo, mungafune kulingalira kukambirana izi ndi dokotala wanu.
Anthu ena amafunika kudya zakudya zapakati pazing'ono, zomwe zimakhala ndi mafuta kwambiri omwe amatsatira opaleshoni ya ndondomekoyi pamene opaleshoni yawo imasintha kuti asakhale ndi ndulu. Ngati muli ndi matenda otchedwa Celiac ndipo mukudwala matendawa, muyenera kulankhula ndi dokotala wanu za zakudya zomwe mukudya pamene mukuchira. Sikuti zakudya zonse zowonjezera mavitamini ndi zowonjezereka, koma zakudya zambiri zowonongeka zimakhala ndi zida zambiri. Ngati mukufuna thandizo mukukonzekera chakudya, funsani dokotala wanu kuti akutumizireni kwa zakudya zamadyedwe omwe amagwiritsa ntchito zakudya zopanda thanzi.
> Zotsatira:
> Benini F et al. Kutsika Kwambiri Gallbladder Kutuluka Kumabwereranso Kwachibadwa Koma Kutsika Kwambiri Kwambiri kwa Zakudya Zachilengedwe Zimakhala Zochepa Pakati pa Odwala Pakati pa Zakudya Zakudya za Gluten. Neurogastroenterology ndi Motility . 2012 Feb; 24 (2): 100-7, e79-80.
> Farnetti S et al. Matenda Ogwira Ntchito ndi Mavitamini ku Matenda a Kachilombo: Zotsatira Zatsopano za Chithandizo cha Zakudya. Journal of Medicinal Food . 2014 Nov; 17 (11): 1159-64.
> Freeman HJ. Matenda Achilendo ndi Operewera M'madera Ovuta. World Journal of Gastroenterology . 2006 Mar 14; 12 (10): 1503-1508.
> Wang HH ndi al. Odwala Matenda a Chotupa Cholecystokinin Secretion, Chidwi Chodabwitsa koma Chosaoneka Chokhazikika pakati pa Matenda Omwe Amakhala ndi Matenda a Cholesterol. European Journal of Clinical Investigation . 2017 Apr; 47 (4): 328-333.