Zizindikiro za matenda a Celiac
Zizindikiro zodziwika bwino (koma osati zofala) za matenda a leliac zikuphatikizapo kutsekula m'mimba, ululu m'mimba, kulemera kwa thupi, ndi kutopa. Komabe, matenda a celiac angakhudze pafupifupi machitidwe onse m'thupi lanu, kuphatikizapo khungu lanu, mahomoni anu, ndi mafupa anu ndi ziwalo zanu, ndipo zingayambitse zizindikiro zomwe simungaganize kuti muzigwirizana nazo.
Anthu omwe ali ndi matendawa amatha kupweteka chifukwa cha kutsekula m'mimba , amapeza kupweteka kolemera m'malo molemetsa , komanso amatha kupweteka mtima m'malo mwa (kapena kuphatikizapo) kupweteka m'mimba.
Angakhalenso alibe zizindikilo konse, kapena amawoneka ku ofesi yawo ya dokotala ndi chizindikiro chimodzi chowoneka chosagwirizana, monga kuchepa kwa magazi m'thupi .
> Penyani ma villi mumatumbo anu kuchokera kumalo okhwima.
Ndipotu, n'zodziwikiratu kuti pali "chenicheni" cha matenda a celiac; chikhalidwechi chingakhudze machitidwe ambiri a thupi pa zizindikiro zina zomwe ziyenera kuonedwa ngati zowoneka. Azimayi, amuna, makanda, ndi ana amatha kukhala ndi matenda a chililili m'njira zosiyana.
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Matenda a Celiac Angachititse Dzino Lowopsya ndi Kuwononga Mlomo
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Kodi Zimakukhudzani Bwanji Mukalandira Ulemerero?
Ndipo nthawi zina, ukhoza kukhala wolimba kwambiri koma osakhala ndi zizindikiro zilizonse .
Apa pali kuwonongeka kwa zizindikiro za matenda a leliac ndi zikhalidwe zofanana, zomwe zimagwiritsidwa ntchito ndi thupi lomwe limakhudza.
Zizindikiro za m'mimba za Matenda a Celiac
Osati aliyense amene ali ndi matenda a celiac amakumana ndi zizindikiro za m'mimba, koma ambiri amatha. Mwachitsanzo, kafukufuku wina adapeza zizindikiro zoterezi pafupifupi pafupifupi atatu pa anthu omwe adapezeka kuti ali ndi vutoli.
Kutsekula m'mimba ndi chizindikiro chimodzi cha matenda a celiac, ndipo zikuwoneka kuti chikukhudza theka kapena kuposa ena omwe atulukira kumene. Kawirikawiri, kutsekula m'madzi ndi madzi, kununkhira, ndi kosavuta, ndipo kumayandama m'malo mozama.
Komabe, anthu ambiri omwe ali ndi matenda a chililili amakhala ndi chitetezo osati kutsekula m'mimba , ndipo ena amawona zizindikiro zawo zikhale zosiyana pakati pa ziwirizi.
Kuonjezerapo, mitundu ina ya zizindikiro za m'mimba zimatha kuonekera. Mwachitsanzo, kugwiritsira ntchito ulemu ndi mafuta ochepa kwambiri ndizofala, monga momwe zimakhalira m'mimba (anthu ambiri amadzifotokoza kuti akuyang'ana "mimba ya miyezi isanu ndi umodzi"). Zimakhalanso zachilendo kukhala ndi ululu m'mimba, zomwe zingakhale zovuta nthawi zina.
Zizindikiro zowonjezera m'mimba za matenda a celiac zingaphatikizepo kupweteka kwa mtima ndi reflux (anthu ena kale auzidwa kuti ali ndi matenda a reflux, kapena a GERD), kunyoza ndi kusanza, ndi kusagwirizana kwa lactose . Nthawi zina anthu osadziwika bwino amakhala ndi matenda opatsirana kapena nthendayi, ndipo ambiri amapezeka kuti ali ndi matenda opweteketsa mtima (zizindikiro za IBS nthawi zambiri zimachepa kapena zimatheratu zikutsatira matenda a celiac).
Kuonjezera apo, sikuti aliyense amataya kulemera monga chilembo chosadziwika. Ndipotu, anthu ambiri amapeza kulemera asanayambe kudziwa.
Anthu ena amanena kuti sangathe kukhetsa mapaundi owonjezera, mosasamala kanthu za zakudya zawo komanso zolimbitsa thupi. Zomwe ndimakumana nazo, kulemera kwa thupi kapena kukhala wonenepa nthawi zambiri kumagwirizana ndi kudzimbidwa (osati kutsegula m'mimba) monga chizindikiro choyamba cha munthu.
Zizindikiro Zachilendo za Matenda a Nkhono
Anthu ambiri omwe ali ndi vuto lachilendo losazindikira lomwe limawathandiza kuti asamachite ntchito za tsiku ndi tsiku ndi kusintha moyo wawo. Kawirikawiri, kutopa kumakuwoneka kuti kukukukhudzani, kukupangitsani kukhala kosavuta kunena kuti mukukula (mosiyana ndi matenda ochiritsira).
Pa nthawi yomweyi, kusowa tulo ndi matenda ena ogona ndi ofala kwambiri kwa anthu omwe ali ndi celiac. Ndipotu, kafukufuku wina anayerekeza zozizwitsa za matendawa ndi zakudya zopanda thanzi, ndipo anapeza kuti onse omwe ali ndi matenda a leliac-kaya alibe gluteni kapena sakuyenda bwino pamaganizo a khalidwe la kugona.
Ndizovuta kwambiri padziko lonse lapansi: Mudatopa patsiku koma simungagone kapena kugona usiku.
Kuonjezera apo, anthu ambiri omwe ali ndi matenda a leliac amakhala ndi "ubongo wa ubongo" chifukwa cha gluten . Pamene muli ndi ubongo wa ubongo, mumakhala ndi vuto loganiza bwino-zimamva ngati ubongo wanu ukugwira ntchito mu fumbi. Mwina mungakhale ndi vuto lokhala ndi mawu olondola kuti mupitirize kukambirana ndi anzeru, kapena mungasokoneze makiyi anu kapena musasokoneze ntchito zina zomwe mumakonda.
Ma celiacs atsopano omwe amapezeka kale atulukira kale mutu wa mutu wa migraine ; Nthawi zambiri (koma osati zonse), mitu imeneyi imachepetsanso mwamphamvu komanso nthawi zambiri pamene mutenga chakudya chamaguteni.
Maganizo a maganizo monga kupsinjika maganizo , nkhawa, kusamala-kutaya mtima matenda oopsa , ndi kukhumudwa kumachitika kawirikawiri kwa anthu omwe ali ndi matenda osadziwika omwe alibe matendawa. Ndipotu, mankhwalawa amatha kudziwa kuti ali ndi gluten chifukwa cha kukwiya kwawo-chizindikiro chimenecho chikhoza kuonekera patangotha maola angapo kuti chiwonongeke komanso kumatha masiku angapo. Mu ana aang'ono omwe ali ndi matendawa, nthawi zina kukwiya ndi chizindikiro chokha.
Phunzirani momwe Dermatitis Herpetiformis ndi Matenda a Celiac Amagwirira ntchito
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Kodi Ndingapeze Matenda Osavuta Ngati Chizindikiro Changa Chachikulu Ndi Kutengedwa?
Matenda a ubongo , omwe mumamva ululu, kumenyedwa kwa mapepala ndi singano, ndipo mwinamwake zofooka pamapeto anu, ndi chimodzi mwa zizindikiro zokhudzana ndi mitsempha ya matenda a leliac. Kuphatikizanso apo, anthu ena amapezeka kuti ali ndi gluten ataxia , zomwe zimawonongeka ndi ubongo chifukwa cha kusowa kwabwino ndi kugwirizana komwe kumayambira chifukwa cha kugwiritsidwa ntchito kwa gluten.
Matenda osalimba ngakhale atchulidwa ngati chizindikiro chofala cha matenda a leliac. Mu kafukufuku wina, 31 peresenti ya celiacs inali ndi matenda osabisala a m'mimba, poyerekeza ndi anthu 4 peresenti ya anthu omwe alibe matendawa.
Matenda a Celiac ndi Mahomoni Anu
Matenda a Celiac angakhudze ma hormoni ndi ntchito zina zadongosolo lanu lakumapeto, lomwe limayendetsa chirichonse kuchokera mu njira yanu yobereka mpaka kumaganizo anu. Ndipotu, matenda a leliac amapezeka 2 mpaka 5 peresenti ya odwala omwe ali ndi matenda a chithokomiro kapena mtundu wa shuga 1 , komanso amapezeka kawirikawiri kwa odwala omwe ali ndi matenda a Sjogren (vuto limene mumamwa ndi maso anu amakhala ouma kwambiri).
Odwala ndi matenda a Addison (pamene majeremusi anu amalephera kubereka mahomoni awiri ofunikira), hypophysitis (kutupa kwa chifuwa chanu), kapena matenda ambiri omwe amachititsa kuti matendawa asapitirire.
Matenda okhudzana ndi uchembere, kuphatikizapo kusabereka kwa amayi ndi abambo , kuchepa nthawi , kutha msinkhu , ndi kutha msinkhu kumayambiriro amatha kusonyeza kuti matendawa ndi otheka (ngakhale, pali zifukwa zina zomwe zingayambitse matendawa). Azimayi okhala ndi celiac ndi ochepa kwambiri kuposa amayi ena kuti apeze mavuto okhudzidwa ndi mimba ndi kubwereka mobwerezabwereza.
Ndipo, choliac zingakhudze kugonana kwanu , nanunso.
Matenda a Khungu Okhudzana ndi Matenda Ovuta
Mutha kuona zizindikiro za matenda a chilili m'thupi lanu lalikulu: khungu lanu.
Kwa munthu mmodzi mwa anayi aliwonse omwe ali ndi matendawa amatha kudwala matenda a dermatitis herpetiformis (aka "kuthamanga kwa gluten") , kuthamanga khungu kwambiri. Ngati muli ndi dermatitis herpetiformis pamodzi ndi mayeso abwino a magazi , muli ndi matenda a celiac-palibe kuyesedwa kotheka.
Komabe, anthu omwe ali ndi vutoli amavutika ndi mavuto ena a khungu , kuphatikizapo psoriasis , eczema , alopecia areata (malo omwe mumasowa tsitsi lanu) , ming†™ oma, komanso mavuto ambiri omwe amakhala nawo ngati khungu lamakono ndi khungu louma.
Ngakhale palibe umboni wotsimikizirika wakuti kusuta kwa gluten kumayambitsa kapena kumapangitsa mavuto a khungu awa, chakudya cha gluten chomwe chimathandiza kumawamasula nthawi zina.
Zizindikiro Zosafunika Zokhudzana ndi Maunyolo Anu ndi Zida
Ngakhale kuti simungagwirizanitse mafupa ndi mafupa anu ku matenda omwe amachititsa kuti thupi lanu likhale ndi matenda, matenda a celiac angakhudze kwambiri ziwalo za thupi lanu.
Matenda a mitsempha , omwe mafupa anu amakhala ofooka ndi ofooka, kawirikawiri amawoneka mogwirizana ndi matenda a celiac, popeza mutakhala ndi celiac simungakhoze kutenga zakudya zomwe zikufunikira kuti mafupa anu akhale olimba.
Koma nkhani zina zokhudzana ndi mafupa, kuphatikizapo ululu wamphongo , kupweteka kwa mafupa, nyamakazi ya nyamakazi , ndi fibromyalgia zimachitika nthawi zonse kwa iwo omwe ali ndi matenda a leliac. Sichikuwoneka chomwe kugwirizana kuli; Zingaphatikizepo kufooka kwa zakudya zomwe zimayambitsa ubongo wa m'mimba, zomwe zimakulepheretsani kutenga mavitamini ndi mchere.
Nthawi zina, zakudya zopanda thanzi zimachepetsa kupweteka kwazimenezi.
Ana omwe ali ndi matenda osadziwika omwe sagwiritsidwa ntchito nthawi zambiri amatha kuseri kwa kukula, ndipo kuchepetsa kukula kapena "kusalephera" kungakhale chizindikiro chokha cha matenda a leliac m'mwana. Ngati mwanayo atapezeka kuti asanatenge msinkhu ndipo amayamba kudya zakudya zopanda thanzi, nthawi zambiri amatha kupanga zina kapena kutalika kwake . Akuluakulu omwe ali ndi matenda omwe sakudziwika bwino nthawi zambiri amakhala ochepa .
Matenda a Celiac ndi Mavuto Amanja
Anthu omwe ali ndi matenda oopsawa nthawi zambiri amakhala ndi mano owopsa komanso nsomba zovuta.
Kwa akuluakulu omwe ali ndi matenda osadziwika omwe sapezeka, maulendo amodzi, omwe amawombera mazira, ndi mavuto ena a mano amatha kusonyeza vutoli. Ana omwe ali ndi leliac osadziwika akhoza kukhala ndi mawanga pa mano awo atsopano popanda kopanda maolivi, kuchedwa kwa mano awo (mwina mwana kapena wamkulu), ndi mizere yambiri.
Zilonda zazitsulo (zomwe zimatchedwanso kuti aphthous ulcers ) zimapezeka mwa akuluakulu ndi ana omwe ali ndi matenda osadziwika omwe ali ndi matendawa (komanso omwe amapezeka kale omwe amawopsa mwachangu). Zilonda zopweteketsa pakamwazi nthawi zambiri zimakhala mkati mwa milomo yanu m'madera omwe mwakhala ndi zovulaza zazing'ono (monga chowombera kuchokera ku chakudya chakuthwa, chida, kapena mano anu). Akangoyamba, amatha kufika pa sabata kuti agonjetse.
Komanso si zachilendo kupeza matenda achilendo m'mimba mwa munthu amene ali ndi matenda a periontal kapena mimba yovuta kwambiri. Nthawi zina, zakudya zopanda thanzi zimathandiza kuthetsa mavuto ena omwe awonongeka.
Matenda a Khansa ndi Celiac
Muzochitika zosazolowereka kwambiri, chizindikiro choyamba chodziwika kuti wodwala sanazindikire choliac ndicho chowopsya chodziwika cha mtundu wina wa lymphoma womwe umagwirizana kwambiri ndi matenda a celiac . Mwamwayi, mtundu uwu wa khansa ndi wosawerengeka, ngakhale mwa anthu omwe ali ndi zizindikiro zolimbitsa zaka zambiri koma akhalabe osadziwika.
Pambuyo pa lymphoma, zotsatira za matenda a leliac pa matenda anu a khansa ndi osakanikirana: Celiac ikhoza kukupatsani chiopsezo cha mitundu ina ya khansara, koma ikhoza kuchepetsa chiopsezo chanu kwa ena.
Mwachitsanzo, anthu omwe ali ndi matendawa ali ndi chiopsezo chachikulu cha khansa ya m'mimba yaing'ono (khansa yosazolowereka), zotupa za thupi (kansalu kawirikawiri, yocheperapo pang'onopang'ono yomwe imatha kupezeka m'magazi), ndi zotupa m'mimba za stromal (khansa ina yosazolowereka).
Zizindikiro za mitundu iyi ya khansa ndikumva kupweteka kwa m'mimba komanso kulemera kosazindikiritsa-zizindikiro ziwiri zomwe zingasonyeze kuti ndi matenda a leliac. Komabe, ngakhale mutakhala ndi zizindikiro ziwirizi, musadandaule. Ndizosatheka kwambiri kuti muli ndi khansa imodzi, yomwe sizimafala.
Sizodziwika ngati anthu omwe ali ndi matendawa (omwe amapezeka kapena osadziwika) amavutika ndi chiwopsezo cha khansa ya m'mimba , ngakhale kuti kafukufuku wina anapeza kuti laliacs sangafanane kwambiri ndi omwe alibe chikhalidwe chopezeka kuti ali ndi mapulotoni, omwe amawoneka kuti ndiwowonongeka kwa koloni khansa.
Ngakhale kuti kafukufuku wakale wosonyeza kuti matendawa amachititsa kuti kansalu ya khansa iwonongeke, kafukufuku waposachedwapa sanawonetse kuti pali kusiyana pakati pa zinthu ziwirizi.
Ndipo, pali umboni wakuti kukhala ndi celiac kungathe kuchepetsa chiopsezo cha khansa ya m'mawere , mwina chifukwa chakuti matenda a leliac akuwoneka kuti amachititsa kuti mahomoni obadwa omwe amatha kukhala okhudzana ndi khansa ya m'mawere. Kuchepetsa chiopsezochi kungaperekedwe ku khansa ya ovari ndi khansa yotchedwa endometrial, mitundu iwiri ya khansara yomwe imakhudzidwa ndi mahomoni.
Mfundo Yofunika: Zizindikiro Zachizindikiro Ndizo Zitsogolere, Koma Zosasinthika
Matenda a Celiac amatha kusokoneza zinthu zambiri (mwachitsanzo, ndamva za anthu oposa amodzi omwe sanagwiritsidwe ntchito ndi multiple sclerosis pamene kwenikweni anali ndi matendawa). Komabe, chifukwa chakuti muli ndi zizindikiro izi (kapena ambiri a iwo), sizikutanthauza kuti muli ndi matenda a celiac-kumangotanthauza kuti muyenera kuganizira kuti mukuyesedwa.
Chifukwa chakuti munthu aliyense amasonyeza zizindikiro za matenda a leliac mosiyana, ndizovuta kwambiri kwa madokotala kuti azindikire bwinobwino . Ndipotu ngakhale kuti chiwerengero cha matenda odwala matenda odwala matendawa amayamba kusintha, zaka zapitazo munthu akhoza kupita kwa zaka 10 asanatuluke, ngakhale ndi zizindikiro zazikulu komanso zofooketsa.
Inde, kumbukirani kuti zonsezi zomwe zikhoza kudwala matendawa ndizimene zimayambitsidwa ndi matenda ena, mwina kuphatikizapo mphamvu zowonongeka , zomwe zimaganiziridwa kuti ndizosiyana. Ichi ndi chifukwa china chachikulu chomwe matendawa ndi ovuta kwambiri.
Njira yokha yomwe mungatsimikizire kuti muli ndi celiac ndiyo kukhala ndi matumbo a m'mimba omwe amasonyeza kuti ndi oopsa kwambiri.
Mukapezeka kuti muli ndi matenda a celiac, ndiwo moyo. Pofuna kupewa mavuto aakulu a nthawi yaitali (kuphatikizapo khansa yokhudzana ndi matenda a celiac), muyenera kutsatira zakudya zopanda thanzi . Komabe, mwinamwake mungakhale wokondwa kwambiri kudziwa kuti kutsatira zakudya zowonjezereka za gluten nthawi zambiri kumatsimikiza kwambiri kapena zizindikiro zanu zonse .
Ndipotu, ngakhale mukuyembekezera kuti zakudyazo zidzathetse vuto lanu la kuchepa kwa zakudya-ndipo nthawi zambiri zidzasintha kapena kuzikonza-zimakhala zofala kwambiri kuti zitha kusintha bwino, zina zowonongeka zomwe simungaganize zokhudzana ndi matenda a chililiac .
Choncho, uthenga wabwino ndi wakuti, mungaone kuti madandaulo azing'ono akudwala amatha posachedwapa mutapezeka ndikudya zakudya zopanda thanzi.
> Zotsatira:
> Collin P et al. Matenda a Endocrinological ndi Matenda Ovuta. Zotsatira za Endocrine . 2002 Aug, 23 (4): 464-83.
> Chitukuko cha National Diabetes ndi Digestive ndi Impso Matenda. Matenda a Celiac. Inapezeka pa July 17, 2016.
> Msonkhano Wachigawo wa Health Consensus Development pa Mayendedwe a Celiac, June 28-30, 2004.