Mayesero amayang'ana momwe thupi lanu limayendera ku zakudya zomwe zili ndi gluten
Ngati mukuyesedwa matenda a celiac , mwinamwake mwawona machenjezo kuti mudyetse kudya "koyenera," kowonjezera mpaka mayesero anu atatha. Koma n'chifukwa chiyani izi ndi zofunika?
Chifukwa chake chiri chosavuta kwambiri: Kuyeza kwa matenda a Celiac kuyang'ana kuwonongeka kwa thupi lanu pamene mudya chakudya chamaguteni monga mkate wa tirigu, pasta, ndi pizza.
Mukaleka kudya zakudya izi, zowonongeka zingayambe kuchiza mwamsanga-ndipo mukhoza kuyesa zovuta ngakhale mutakhala ndi vutoli.
Mmene Matenda a Celiac Akuyesera
Kuti mupeze matenda oopsa a dokotala, dokotala wanu nthawi zambiri amamuyesa mayeso a magazi omwe amayang'ana ma antibodies omwe thupi lanu limapanga mukamadya gluteni. Mankhwalawa amasonyeza kuwonongeka kwa m'matumbo anu aang'ono pogwiritsa ntchito chitetezo cha mthupi lanu poyang'anira matenda a gluten. Ngati mulibe gluteni m'thupi lanu, chitetezo chanu cha mthupi sichidzapangitsa ma antibodies awa, kotero palibe amene angayambe mu magazi anu.
Ngati mutayesa zowonongeka pamayeso awa, sitepe yotsatira ndikumapeto kwake. Ngati mutayesa zolakwika koma muli ndi zizindikiro zoopsa za matenda a celiac kapena zifukwa zina zoti muganizire kuti muli ndi matenda a Celiac, monga mbiri ya banja la chikhalidwecho, mungathe kupitanso kumapeto kwa zovuta zowonjezera.
Mapeto ake ndi njira yomwe gastroenterologist ikuwomba chida pamtima pako ndipo imatulutsa zitsulo kuchokera m'mimba mwako.
Zitsanzo zimenezi zimayesedwa ngati zizindikiro za atrophy , kapena kuwonongeka kwa m'matumbo chifukwa cha chitetezo cha mthupi lanu ku katemera wa gluten. Apanso, ngati simukugwiritsira ntchito gluten, sipangakhale zowonongeka kwambiri kuti mupeze, ndipo zitsanzo zingayese zovuta pa matenda a celiac, ngakhale kuti muli ndi vutoli.
Mayesero Anu Adzasintha Bwino Pambuyo pake
Mukangokhala wosasuka, thupi lanu lidzaleka kugwiritsira ntchito gluten ndipo mthupi lanu la anti-gluten antibodies liyamba kuchepa. Zilibe zomveka, komabe, zitatenga nthawi yayitali kuti ma antibodies apitirire mpaka mayesero sangasankhe. Ndipotu, kuyezetsa sikuli kolondola ngakhale kwa iwo amene amadya gluten.
Pafupifupi 10 peresenti mpaka 15 peresenti ya anthu amakhala ndi "zotsatira zabodza za magazi" (zotsatira zoipa zowononga magazi koma zotsatira zabwino ) ngakhale pamene akudyera zakudya zokhudzana ndi gluten, malinga ndi Dr. Alessio Fasano, mutu a Massachusetts General Hospital Center ya Kafukufuku Wodzichepetsa. Popeza kuti madokotala ambiri sangawalangize kuti mapeto a magazi ndi oipa, anthu ambiri omwe ali ndi zotsatira zoyezetsa magazi sangayese kuyesa matenda a celiac, ngakhale kuti ena mwa iwo ali ndi vutoli.
Kotero ngati musiya kudya gluten musanayese magazi ndikuyesera, simudziwa ngati mulibe matenda a celiac, kapena chifukwa chakuti mwasiya kumwa gluten musanayese.
Mayesero a Magazi Olakwika, Oposcopy Oyenera?
Kunena zoona pakhala pali malipoti a anthu omwe anali ndi mayeso abwino a magazi komanso mapeto a pososcopy (kutanthauza kuti anadziwika kuti ali ndi matenda a celiac) ngakhale kuti ataya mayeso masabata angapo asanayese.
Koma sitikudziwa kuti zotsatira zoterezi zimakhala zotani nthawi yayitali mukapanda kusuta-anthu sangathe kusonyeza zomwe zimachitika.
Kafukufuku wina adawunika magazi a EMA-IgA , omwe amawoneka kuti ndi ofunika kwambiri ku matenda a celiac, ndipo anapeza kuti 58 peresenti ya zilembo zamtunduwu (anthu omwe adatsimikizira kale matendawa) zimayesedwa ku EMA-IgA patatha miyezi itatu yodyera -masana. Gawo limodzi la magawo atatu linali loipa pamayesero a EMA-IgA pambuyo pa miyezi isanu ndi umodzi ndipo 87 peresenti inali yoipa pambuyo pa miyezi 12.
Ndizomveka kuti mukupeza mwayi wopezera zotsatira zowononga matendawa ngati mulibe zakudya zowonongeka pa nthawi yoyesedwa.
Mawu Ochokera
Ngati muli ndi gluten nthawi yayitali, ndi chiyani chomwe muyenera kuyesedwa pa matenda a chililiyali?
Mwamwayi, chifukwa mukuyenera kudya gudeni kuti muyesedwe bwino, kuwombera kwanu kokhazokha ndi vuto la gluten . Mwachidziwikire, mudzafunika kudya zakudya zowononga kwa nthawi yaitali kuti thupi lanu likhale ndi ma antibodies.
Kodi muyenera kuyambitsa vuto la gluten kuti mupeze matenda oyenera a matendawa ? Ndiwe nokha amene mungasankhe (pokambirana ndi adokotala). Koma tsopano mukudziwa chifukwa chake musayambe kudya zakudya zopatsa thanzi musanathe kuyesa matenda a celiac chifukwa zingakhale zosatheka kuti mudziwe bwinobwino pamene simukudya zakudya zamtundu wa gluten.
Zotsatira:
W. Dickey et al. Kulephera kwa ma antibodies omwe amachiritsidwa ku matenda a celiac sakusonyeza kupuma kwake. American Journal of Gastroenterology. 2000 Mar; 95 (3): 712-4.
Mafunso Ofunsidwa Kawirikawiri. Celiac Disease Center ku Columbia University Medical Center.