Funso: Wachibale wanga wapamtima anapezeka ndi matenda a celiac. Ndiyenera kuyesedwa?
Yankho: Mwinanso muyenera kuyesedwa, makamaka ngati muli ndi zizindikiro za matenda a celiac. Izi zimatha kuchokera ku zowawa za m'mimba monga kutsegula m'mimba ndi kudzimbidwa ku mavuto a ubongo monga mutu wa mutu wa migraine , kuphatikizapo matenda a khungu ndi ululu wothandizira .
Anthu omwe ali ndi matendawa amatha kukhala ndi infertility, osteoporosis, depression ndi chithokomiro cholephera.
M'mabanja omwe ali ndi kachilombo kakang'ono kameneka kameneka, omwe amakhala pachiyambi-achibale, makolo, ana ndi abale awo - amatha kukhala ndi mwayi umodzi wokhala ndi chikhalidwe chimodzi, pamene achibale awo (achikazi, abambo, abambo, ana, agogo, zidzukulu kapena abambo) amanyamula mwayi umodzi wokhala nawo.
Kafukufuku wina wasonyeza kwambiri kuti: Mu phunziro limodzi, chiwerengero cha 12% cha achibale oyambirira (ndicho chimodzi mwa abale asanu ndi atatu) chinawonetsa khalidwe lopweteka m'mimba lodziwika kuti loopsa la atrophy , lomwe limatanthauza kuti anali ndi matenda a celiac.
Magulu angapo otchuka, kuphatikizapo American Gastroenter Association Association ndi World Gastroenterology Organisation, akuyitaniranso onse achibale a anthu omwe ali ndi chikhalire kuti ayesedwe okha. Magulu onsewa amalimbikitsanso kuyesa achibale achiwiri; ngakhale kuti achibale awo akutali sakhala ndi chiopsezo chachikulu, mabanja ambiri ali ndi zidzukulu ziwiri kapena ambiri omwe ali ndi vutoli.
Komabe, kafufuzidwe sikunakwaniritsidwe mpaka pano ndibwino kuti pakhale vuto kuti tiyesetse achibale achiwiri omwe alibe zizindikilo.
Anthu a M'banja Amayang'aniridwa ndi Mayeso Omwe Amagazi a Magazi
Ngati ndinu wachibale kwa munthu amene watengedwa ndi matenda a celiac, muyenera kuyang'anitsitsa pogwiritsa ntchito mayeso a magazi . Mayeso a magazi awa (alipo asanu mu gulu lonse laliac, ngakhale madokotala ena samapanga zonse zisanu) yang'anani ma antibodies a gluten omwe amazungulira m'magazi anu.
Ngati muli ndi mayeso abwino a magazi (kutanthauza kuti mayesero amasonyeza kuti thupi lanu likuyang'anitsitsa gluten), mudzafunika kugwiritsira ntchito mapulogalamu osakanikirana , opaleshoni yomwe mumagwiritsa ntchito poyesa intumbo yanu yaing'ono. Panthawi yopuma, dokotala amachotsa zitsanzo zazing'ono za m'mimba kuti azipenda pansi pa microscope. Kwa anthu omwe ali ndi matenda a leliac, zitsanzozi ziyenera kusonyeza kuwonongeka kwa gluten.
Kuti mayesero akhale olondola, muyenera kukhala ndi zakudya zamtundu wa gluten, zomwe zimatanthauza kudya zakudya zomwe zili ndi tirigu, balere ndi rye. Ndichifukwa chakuti kuyesa kukuyang'ana momwe thupi lanu likuyendera kwa zakudya zimenezo; Ngati zakudya sizipezeka mu zakudya zanu, zomwe zimakhala m'thupi lanu sizidzakhalapo.
Kuwunika Koyesedwa Kwachidule Kungakhale Kofunikira
Ngakhale ngati mayeso anu oyambirira a matenda a celiac akutsimikizika, simungadziganizire momveka bwino - mukhoza kulikulitsa nthawi iliyonse. Kafukufuku wochokera ku Columbia University's Celiac Disease Center anapeza kuti anthu oposa 3% a mamembala awo omwe ayesedwa koyesa kuti asayesedwe bwino atayesedwa kachiwiri kapena kachitatu.
Sizinatengere nthaƔi yaitali, mwina: nthawi pakati pa zolakwika ndi zotsatira zabwino zoyesa zotsatira zinachokera pa miyezi isanu ndi umodzi kwa anthu ena kwa zaka zitatu ndi miyezi iwiri kwa ena.
Nthawi yayitali pakati pa zovuta ndi zoyesedwa zabwino zinali chaka ndi hafu, malinga ndi phunzirolo.
Ndi anthu amodzi okha amene anayesera zoipa poyamba koma kenako amakhala otsekula m'mimba - anthu ena onse sananene zizindikiro, kuwatcha iwo " celiacs chete ," kapena anthu omwe alibe zizindikiro. Kuonjezerapo, palibe aliyense wa iwo amene adanena kuti kusintha kwa zizindikiro pakati pa kuyesedwa, kutanthauza kuti simungadalire zizindikiro zanu kuti mudziwe ngati mukukulitsa matenda a celiac.
Ofufuzawo anapeza kuti kuyesa nthawi imodzi mwa achibale a anthu omwe ali ndi matenda enaake sikwanira, ndipo kubwereza kuyesedwa kumachitika ngakhale kuti wachibale alibe zizindikiro.
Komabe, kufufuza kwina kuli kofunika kuti mudziwe ngati abambo ayenera kuyesedwa mobwerezabwereza ngati asasonyeze zizindikiro zosayesedwa za celiac.
Zotsatira:
Bungwe la Health Research Research and Quality National Guideline Clearinghouse. Kuzindikira ndi Kusamalira Matenda a Kachilombo. Inapezeka pa Nov 28, 2011.
Goldberg D. et al. Kuchepetsa matenda a chililili m'banja: kodi kuyesa kutsatila n'kofunika? Matenda a Simba ndi Sayansi. 2007 Apr; 52 (4): 1082-6.