Dokotala wa mwana wanu akhoza kukumbukira kuti matenda a celiac akakhala kuti mwana wanu akuwonetsa zizindikiro za "classic" za kutsekula m'mimba ndi kutopa kuphatikizapo mimba ndi zowawa. Komabe, zizindikiro za matenda a chilliac kwa ana zingakhale zonyenga: Nthawi zina, mwana wanu sangakhale akukula mwamsanga monga anzako, kapena akhoza kukwiya komanso osamvetsetsa.
Pali zizindikiro zambiri za matenda omwe ali ndi matendawa (pali zoposa 200) zikutanthawuza kuti mungafune kulingalira za kuyesedwa kwa matenda a celiac pamene mwana wanu alibe zotsatira zoyenera kugaya ... makamaka ngati muli ndi mbiri ya banja ya chikhalidwecho.
Zizindikiro Zambiri za Matenda a Celiac kwa Ana
Matenda a Celiac kawirikawiri amapezeka mwa ana amene amavutika ndi kutsegula m'mimba, kuphatikizapo kupweteka m'mimba ndi kupweteka. Ana awa nthawi zambiri amawoneka ngati ali ndi vuto la kusowa kwa zakudya m'thupi (zomwe amachichita, popeza kuti zakudya zawo sizidya zakudya zomwe zimadya). Ngakhale kuti ana awa akhoza kukhala ochepa kwambiri, m'mimba mwawo akhoza kutuluka kunja kwambiri chifukwa cha kuphulika.
M'malo mwa kutsegula m'mimba, ana amatha kudwala chifukwa chodwala matendawa . Kudzikongoletsa kwachilendo kumachitika ndi kupweteka kwa m'mimba komanso m'mimba, ndipo ana ena akhoza kutsekula m'mimba komanso kudzimbidwa.
Chizindikiro china cha "matenda" omwe ali ndi matenda a chilema ndi ana omwe amalephera kukula-ana awa amatha kugwedezeka pa kukula kwake, kusonyeza kutalika ndi kulemera kwapamwamba komwe kuli pansi pa anzawo a msinkhu wawo. Ngati sakudziwa, ana awa akhoza kufupika kwambiri kuposa anzawo monga akulu chifukwa cha matenda awo oopsa.
Komabe, ana omwe ali ndi matenda a chililili samakhala ochepa poyerekeza ndi ochepa, kotero simungathe kudziwa ngati ali ndi chikhalidwe chokha chifukwa cha kulemera kwake ndi kutalika kwake (ngakhale kuti mungathe kuchiganizira, makamaka ngati pali mbiri ya banja). Kafukufuku wina anapeza kuti pafupifupi ana mmodzi mwa ana asanu anali olemera kwambiri pa matendawa, pamene 75% amaonedwa kuti ndi olemera. Ambiri mwa ana omwe anali olemetsa kwambiri atapezeka kuti ataya miyendo atangoyamba kudya zakudya zopanda thanzi .
Ana omwe amasonyeza zizindikiro za matenda a leliac amapezeka kale kuposa omwe amasonyeza zizindikiro zosachepera zochepa, mwina chifukwa chakuti madokotala awo amadziwa kuti akhoza kukhala mosavuta. Amakhalanso ndi zowonongeka za m'mimba zowonjezereka kuposa ana omwe ali ndi zizindikiro zoopsa za m'mimba.
Zizindikiro Zosati Zowoneka Mu Ana
Sikuti mwana aliyense amasonyeza zizindikiro zomwe "zimakhala". Ana ambiri ochepa-kafukufuku wina wasonyeza pafupifupi 30% - ali ndi vuto lochepa la kuchepa kwa magazi monga chizindikiro chachikulu cha matenda a celiac . Matendawa, omwe amaganiziridwa kuti amapezeka mwa ana ndi akulu omwe ali ndi celiac chifukwa sangathe kutenga chitsulo kuchokera ku zakudya zomwe amadya, nthawi zambiri amadzipangitsa msanga kamodzi akapezeka kuti ali ndi matenda a leliac ndipo amayamba kudya zakudya zopanda thanzi .
Ana ambiri omwe ali ndi lasiac osadziŵika amasonyezeranso kukhumudwa kosalekeza, ngakhale kuti sizikuwonekera chifukwa chake izi zimachitika. N'zotheka kuti iwo samangomva bwino, kapena akhoza kugwirizana ndi mavitamini B-12 omwe amatha kukhala ochepa mu vitamini B-12 ndi mafuta ofunika kwambiri, omwe amakhudza maganizo ndi mitsempha. Ana ambiri omwe ali ndi laliac yatsopanoyo ali ndi vuto la vitamini D, iron ndi zinc.
Pomalizira, kupezeka kwa vuto la kuchepa kwa matenda (ADHD) mwa mwana wanu kungakhale chizindikiro choyenera kuti ayesedwe ku matenda oopsa. Anthu okwana 15% omwe ali ndi ADHD akhoza kukhala ndi matenda a celiac , ndipo kudya zakudya za gluten kumawonekeratu kuthetsa zizindikiro za ADHD mwamsanga komanso bwinobwino.
Nthawi Yoyesedwa
Mofanana ndi akuluakulu, ana amatha kukhala ndi matenda a leliyake nthawi iliyonse, choncho ayenera kuyesedwa ngati akuonetsa zizindikiro ... ngakhale zizindikirozi zili zonyenga kapena zachilendo.
Kuwonjezera apo, ana omwe ali ndi achibale apamtima omwe ali ndi celiac amayenera kuyesedwa, ngakhale ngati sakuwoneka kuti alibe zizindikiro. Zimakhala zachizoloŵezi kupeza "mwakachetechete" kapena matenda osachiritsika achilendo a achilendo omwe ali ndi achilendo omwe amapezeka kumene posachedwapa, ndipo anthuwa adzalandira zakudya zopanda thanzi kuti asakhale ndi vuto la mtsogolo.
Kuzindikira matendawa kumaphatikizapo gulu la mayesero a magazi omwe amafufuza magazi . Ngati iwo abwereranso kapena amatsutsa za matenda a leliac, sitepe yotsatira ndi yotsitsimutsa yomwe ikuyang'ana kuwonongeka kwa m'mimba.
Ngati mwana wanuyo atapezeka kuti ali ndi celiac, mankhwala okhawo amapezeka ndi zakudya zopanda thanzi. Uthenga wabwino: Mwana wanu akhoza kusangalala ndikukula msanga kamodzi , ndipo akhoza kutaya msanga ndikukhumudwitsa mwamsanga. Makolo ambiri amapeza mwana wawo watsopano yemwe amamupeza akuoneka kuti akusangalala kwambiri, ali ndi mphamvu komanso amasukulu bwino atangoyamba kudya.
Zotsatira:
Dinler G. et al. Matenda a Celiac ali ndi ana 87 omwe ali ndi zizindikiro zowoneka bwino komanso zosaoneka za m'nyanja ya Black Sea dera la Turkey. World Journal of Matenda. 2009 Nov; 5 (4): 282-6.
Erdem T et al. Kulephera kwa vitamini ndi mineral kwa ana omwe atulukira kumene ali ndi matenda enaake. Turkish Journal ya Medical Sciences. 2015; 45 (4): 833-6.
Massachusetts General Hospital Center ya Kafukufuku Wodzichepetsa. Matenda a Celiac FAQs.
Reilly N. et al. Matenda a Celiac mu Zolemetsa Zowonongeka ndi Kuposa Ana: Zotsatira za Chipatala ndi Zowonjezera Zotsatira Zakudya Zakudya za Gluten. Journal of Pediatric Gastroenterology & Nutrition. 2011 Nov; 53 (5): 528-531.
Chipatala cha Chicago Celiac Disease Center. Zizindikiro .
Van der pals M et al. Mndandanda wa misala ya thupi sichidali chodalirika polosera matenda a chilliyali kwa ana. BMC Mankhwala. 2014 Jun 30; 14: 165.