Ngati mwapezeka kuti muli ndi matenda a celiac , mumakhala ndi mafunso ambiri. Nazi asanu ndi atatu omwe mungafunse dokotala wanu:
Kodi Kuwonongeka Kwanga Kwambiri Kwambiri M'thupi?
Pofufuza matenda a celiac, gastroenterologist imatenga zitsanzo za katumbu kakang'ono ka m'mimba kuti muwononge kuwonongeka kwazitsulo zomwe zimadya zakudya zanu. Kuwonongeka kuli pamtunda pa 0-4 mlingo wotchedwa mphotho ya Marsh; Mapiritsi a Marsh amatanthauza kuti thupi lonse limatuluka m'mimba, pomwe Marsh ali ndi gawo lachinayi (4).
Kuwonongeka sikumagwirizana nthawi zonse ndi zizindikiro zowopsa koma kumagwirizanitsa ndi kusowa kwa zakudya ndi zoopsa zina zaumoyo. Ngati kuwonongeka kwanu kuli koopsa, inu ndi dokotala wanu mungasankhe kuti mukufunika kuwonetsa matenda ena.
Kodi Ndiyenera Kuyesedwa Chifukwa Chosowa Zakudya?
Odwala omwe ali ndi kachilombo ka matendawa kawirikawiri amavutika chifukwa cha kusowa kwa zakudya m'thupi chifukwa sakhala ndi zakudya zopatsa thanzi, ngakhale kuti amadya chakudya choyenera. Nthendayi sizimawonekera nthawi zonse kuchokera ku zizindikiro, makamaka ngati zizindikiro zanu zolimbana ndizoopsa.
Zofooka zambiri zimaphatikizapo chitsulo, mavitamini a B monga folate ndi B12, calcium, magnesium, vitamini D ndi mafuta ofunika kwambiri. Dokotala wanu angaganizire mayesero kuti adziwe ngati mulibe zakudya zowonjezera.
Kodi Ndiyenera Kuwerengedwa Kuti Ndizikhala ndi Osteoporosis ndi Osteopenia?
Matenda a osteoporosis ndi matenda pomwe mafupa amakhala ochepa thupi, opunduka kwambiri komanso osweka. Mu osteopenia , pakadali pano, kutsika kwapafu kuli kochepa kusiyana ndi kawirikawiri koma sikunakwaniritsidwe ndi zofunikira zachipatala za matenda odwala matenda a m'mimba. Zonsezi zimakhala zachilendo kwa odwala omwe ali atangoyamba kumene kupeza matendawa chifukwa chiwalo cha m'mimba cha celiac chingathe kuteteza thupi kuti lisatenge kashiamu, magnesium ndi vitamini D - mafupa.
Kugwiritsirana kwa mafupa kumabwereranso kwachilendo mkati mwa zaka ziwiri ndikudya zakudya zopanda thanzi, koma kupyapyala kwapfupa kumathandiza kuthandizira mafupa osakanikirana ndikudziwa ngati mukufunikira mankhwala owonjezera kapena mankhwala monga Fosamax (alendronate) kumanga fupa mwamsanga.
Kodi Ndiyenera Kutenga Zakudya Zolimbitsa Thupi?
Madokotala ambiri amalimbikitsa odwala awo odwala matendawa kuti azitenga multivitamin tsiku lililonse, ndipo kafukufuku wamankhwala akuthandiza izi. Madokotala ena angapereke zina zowonjezerapo kuti apange zofooka za zakudya. Koma khalani wothandizira mosamala popanda chithandizo cha dokotala: A Celiac Sprue Association (CSA) amachenjeza kuti odwala okhawo sayenera kumwa mankhwala owonjezera popanda kufunsa ndi dokotala wawo.
Mwachitsanzo, CSA imachenjeza kuti n'zotheka kuthetsa mphamvu yambiri ya mfupa mwa kutenga vitamini D kwambiri - zomwe zingatheke ngati mukuyesera kukhala ndi vitamini pang'ono m'dongosolo lanu mwa kutenga mavitamini ambiri.
Kodi Mungalimbikitse Wopereka Thanzi Labwino Amene Amamvetsa Matenda a Kachilombo?
Nthawi zambiri, odwala omwe ali atangoyamba kumene kulandira mankhwalawa amapindula ndi kukambirana ndi katswiri wokhudzana ndi zakudya zomwe zimagwirizana ndi matenda enaake. Kudula gluteni - zoonekeratu ndi zobisika - kuchokera ku zakudya zanu kungakhale ntchito yovuta, makamaka ngati ndinu munthu amene sanadziwe za zakudya zakudya kale.
Wopatsa thanzi akhoza kukuthandizani kuphunzira kuwerenga zolemba za zakudya ndikukuphunzitsani zakudya zomwe mwachibadwa zimakhala zosasuka. Komabe, ndizofunikira kusankha munthu wathanzi yemwe amadziwa bwino kwambiri mankhwala ndi zakudya zopanda zakudya za gluten; ndikukhulupirira, dokotala wanu akhoza kulangiza wina.
Kodi Ndingadye Zakudya Zamakaka?
Odwala atsopano ambiri a laliac sangathe kulekerera mkaka umene uli ndi lactose, mtundu wa shuga umene umapezeka mkaka. Chifukwa chakuti lactose yathyoledwa ndi enzyme yotchedwa lactase , yomwe imapangidwa ndi nsonga za m'mimba villi. Ngati villi yanu imasokonekera chifukwa cha matenda a leliac, ndiye kuti simungathe kupanga lactase ndipo simungathe kukumba lactose.
Lactose kusalolera zizindikiro zimapweteka m'mimba ndi kupuma, kutsegula m'mimba ndi gasi. Kuyezetsa kumatha kudziwa odwala omwe ali ndi vuto la lactose. Mwamwayi, kusagwirizana kwa lactose nthawi zambiri kumasintha mutakhala pa zakudya zopanda thanzi kwa kanthawi kuchokera pamene villi amachiza ndikuyamba kutulutsa lactase kachiwiri.
Kodi Ndiyenera Kuyembekezera Tsogolo Lotani?
Mayeso a matenda a celiac mwina amaphatikizapo magazi kugwira ntchito yowononga mabakiteriya a gluten, kuphatikizapo matumbo a m'mimba kuti awononge villi. Madokotala ena amafuna kuti ayambe kutsatila magazi kuti apeze magazi omwe amachititsa kuti magazi asapitirire.
Dokotala wanu angalimbikitsenso kubwereza mobwerezabwereza kumapeto kwa miyezi isanu ndi umodzi kapena chaka chimodzi pa zakudya zopanda thanzi kuti zitsimikizire kuti kuwonongeka ndiko kuchiritsa bwino.
Kodi Banja Langa Lingayesedwe Matenda Omwe Akudwala?
Matenda a Celiac ndi amtundu wina, ndipo kamodzi mukapezeka, akatswiri amalimbikitsa kuti achibale anu onse (makolo, abale, alongo, ndi ana) ayesedwe, nawonso. Achibale oyambirira amakhala ndi chiopsezo chimodzi mwa 22 cha celiac pa nthawi ya moyo wawo.
Kuyesedwa kwa nthawi imodzi sikokwanira kugwira milandu yonse yamakono, mwina. Mwachitsanzo, kafukufuku wina anapeza kuti, mwa anthu 171 omwe anali achibale omwe anali osayanjanitsika poyang'aniridwa, 3.5% anayesedwa kuti ayang'ane kachiwiri, ngakhale kuti ambiri anali otetezeka. Olemba ophunzirira analimbikitsa nthawi ndi nthawi kuyesedwa kwa mamembala awo, mosasamala kanthu za zizindikiro.
> Zotsatira:
> Ann Cranney, Marion Zarkadas ndi. al. "Kafukufuku wa zaumoyo wa Canada Celiac." Matenda ndi Sayansi ya Digestive 2007 April; 52 (4): 187-95.
> Leon H. Rottmann, Ph.D. "Nthawi Yowonjezeretsa Mavitamini Ambiri Omwe Sungatheke." Celiac Sprue Association Lifeline 1997 Kugwa, XV (4): 1.