Manyowa ndi mano anu nthawi zambiri amakhudzidwa ndi chikhalidwe ichi cha kugaya
Manyowa ndi mano anu amathandiza kwambiri m'thupi lanu. Koma zingakhale zodabwitsa kuti adziwe kuti matenda achilendo-omwe anthu ambiri amawagwirizanitsa ndi zizindikiro zochepa m'magulu-amatha kukhudza pakamwa panu.
Ndipotu, n'zotheka kuti mano anu ndi nsanamira zanu ziwonetsedwe zizindikiro za matenda a leliac musanakhale ndi zizindikiro zina, monga kutsegula m'mimba kapena kudzimbidwa , kupuma, kutopa kwambiri kapena kuthamanga kwa khungu .
Ndipo mavuto okhudzana ndi pakamwa awa akhoza kumangoyendayenda ngakhale mutayamba kudya zakudya zopanda thanzi .
Ndiye kodi iwe ndi dokotala wanu wa mano muyenera kuyang'anitsitsa chiyani? Pano pali mndandanda wa momwe matendawa amachitira pakamwa pako.
Mmene Matenda a Celiac Angakhudzire Amayi a Ana
Matenda a Celiac akhoza kuyamba ndi kupezeka pa msinkhu uliwonse, mwa wina aliyense kuyambira wamng'ono mpaka wamkulu . Koma ngati choyamba chimafika pamene mano a mwana amatha kukhalapo, omwe amawoneka asanakwanitse zaka zisanu ndi ziwiri, ndiye kuti mano osatha sangakhale bwino.
Mano a mwana wosalalayo sangakhale nawo ma enamel okwanira pa iwo, omwe angawawoneke kuwoneka ofiira ndi oyera, achikasu kapena obiriwira. Matendawa, omwe amatchedwa "enamel hypoplasia" ndi madokotala a mano, amachititsa kuzinthu zina ndipo nthawi zina amachititsa kuti aziwoneka bwino.
Misozi imatha kuwoneka ngati yowonongeka kapena yowonongeka mwa ana ena omwe ali ndi matenda a leliac, ndipo mu milandu yowopsya kwambiri, akhoza kukhala ndi phokoso looneka lopanda pang'onopang'ono.
Mphunoyi ndi mtundu waukulu kwambiri wa vuto la enamel. Popeza mano otha msinkhu amayamba kukhalapo nthawi yaitali asanayambe kukankhira mano mano aang'ono ndikupita kumalo amodzi, madokotala a mano amakhulupirira kuti maluwa oterewa amapezeka mkati mwa mano okhazikika pamene mwanayo akuyamba matenda otupa.
Kulephera kwa enamel sikungokhala kwa ana omwe ali ndi matenda a celiac-osauka zakudya, matenda, matenda opatsirana ndi ma ARV ena akhoza kuwonetsa chitukuko cha enamel.
Koma kafukufuku wasonyeza kuti vuto la enamel ndilofala kwambiri kwa iwo omwe ali ndi matenda a celiac kuposa anthu omwe alibe chikhalidwe.
Zifukwa Zowononga Matenda a Enamel mu Matenda Osavuta
Sizosamveka chifukwa chake ana omwe ali ndi matenda a chililili amapanga zofooka za enamel-ochita kafukufuku samangodziwa. Pali zifukwa ziwiri: ndizotheka kuti kufooka kwa zakudya zomwe zimachitika ndi kuwonongeka kwa celiac kwa kamimba kakang'ono kamene kumayambitsa vutoli molakwika, kapena chitetezo cha mwana chikhoza kuwononga mano omwe akutukuka mwachindunji.
Palinso umboni wina wotsimikizira kuti chitetezo cha m'thupi chimatayika: Mavuto a mano omwe amapezeka ndi anthu omwe amapezeka ndi matenda a celiac, koma omwe sanapeze kuti ali ndi vutoli. Izi zimasonyeza chifukwa cha zofooka za eamel ndizovuta kuchitetezera mu chitetezo cha mthupi lanu, kusiyana ndi kufooka kwa zakudya zomwe zimabwera chifukwa cha kuwonongeka kwa m'mimba.
Mwamwayi, pokhapokha kuwonongeka kwachitika, palibe njira yobweretsera. Ichi ndi chimodzi mwa zifukwa zomwe zimayambitsidwa kudziwa kuti matenda a leliac ndi ofunika kwambiri kwa ana-kuwonongeka kungakhale kovuta kwambiri ngati mwanayo akupezeka mwamsanga ndipo akuyamba kutsatira zakudya zopanda thanzi.
Pali njira zothandizira anthu omwe mano awo akuluakulu adakhudzidwa kwambiri ndi matenda osadziwika omwe ali ndi ubongo wawo. Lankhulani ndi dokotala wanu wa mano wokhudzana ndi kugwiritsidwa ntchito kwa tizilombo toyambitsa matenda, zomwe zingateteze mano kuti asawonongeke. Pa milandu yovuta kwambiri, dokotala wanu wa mano akhoza kulangiza korona kapena implants ya mano.
Kodi Kukula kwa mano Amodzi Pang'ono pa Ana Omwe Ali Ochepa?
Palinso umboni wina wakuti ana omwe ali ndi matenda a chililili amachedwa kuchepetsa mano - mwazinthu zina, mano awo a ana ndi mano okhazikika samatha nthawi.
Kafukufuku wina amene amawoneka otchedwa "msinkhu wa mano" (m'mawu ena, mano a zaka zambiri amawoneka mwa ana) ana omwe ali ndi matenda a chililiac anapeza kuti ana achilendo amawoneka kuti ali ndi nthawi yaying'ono yopititsa mano, monga momwe angakhalire amfupi kuposa omwe sanali -Aliacac ana .
Owerenga apeza kuti chakudya cha gluten chingathandize mano kupeza, monga momwe zimathandizira ana kupeza kutalika .
Mitsempha mwa Anthu Amene Ali Ndi Matenda Omwe Akudwala
Zidzakhala zachilendo kumva anthu omwe adapezeka kuti ali ndi matenda a celiac akulankhula za "mano awo oipa," omwe ali ndi zikhomo zambiri, kapena kuti akambirane momwe angapangidwire, iwo mwadzidzidzi anali ndi mizere yatsopano. Pamene zikutembenuka, pangakhale chowonadi kwa ichi, ngakhale kuti maphunziro asakanikirana.
Ngati mwakhala mukudwala matenda a leliac omwe simunawapeze kuyambira muli mwana, mwinamwake munapanga zofooka za enamel, zomwe zingakupangitseni kuti musamangidwe. Ochita kafukufuku amakhulupirira kuti zofooka za enamel zingakhalepo musanakhale ndi zizindikiro zina zooneka za matenda a malaria.
Kuonjezerapo, mavitamini D omwe amavutitsa anthu omwe ali ndi matenda a celiac-angapangitse chiopsezo chanu pazinthu zina. Zofooka zina zamtundu wa matenda a celiac , monga kusowa kwa calcium, zingathandizenso. Anthu omwe ali ndi matendawa amatha kukhala ndi vuto la zakudya zambiri kuyambira m'mimba mwawo osagwira ntchito bwino kuti adye zakudya zomwe amadya.
Monga momwe mukudziwira, dokotala wanu atapeza kale ndikugwiritsira ntchito chingwe, simungathe kusintha. Komabe, kutsatira zakudya zopanda thanzi komanso osayenga, ziyenera kuthandizira kuti mukhale ndi thanzi la mano ngati muli ndi matenda enaake.
Milonda ya m'milomo ndi Matenda a Celiac
Ngati mudakhalapo ndi zilonda zam'kamwa, zomwe zimadziwika ngati mankhwala a aphthous-mukudziwa momwe zimakhalira zopweteka.
Zilonda zoyerazi, zomwe zingathe kuchitika mkati mwa milomo yanu ndi kwina kulikonse mumatumbo anu kapena m'lilankhulo lanu, zikhoza kukula ngati mwakhala mukuvulazidwa pakamwa panu (monga kuvulaza mosaya kapena pamlomo wanu mwangozi). Zingakhalenso zooneka ngati zosasintha. Zilonda za Aphthous zimakhalapo kwa sabata kapena masiku khumi ndipo zimatha kuyankhula ndikudya zovuta. A
Kafukufuku amasonyeza kuti anthu omwe ali ndi matenda a leliac amakhala otheka kukhala ndi zilonda zam'mimba zambiri kuposa anthu omwe alibe vutoli. Ndipotu, kafukufuku wina anasonyeza kuti 16 peresenti ya ana omwe ali ndi celiac ndi 26% achikulire omwe ali ndi zilonda zam'mimba amanena kuti ali ndi zilonda zam'tsogolo zamlomo.
Mofanana ndi mavuto ena a mano amene amapezeka pamodzi ndi matendawa, siziwonekeratu kuti n'chifukwa chiyani mankhwalawa amachititsa kuti zilonda za m'thupi ziziwonjezeka. Njira ina ndi (kachiwiri) kuchepa kwa zakudya-makamaka, kusowa kwa chitsulo, folate ndi vitamini B12, zonse zomwe zimakhala zochepa kwa iwo okhala ndi celiac.
Izi zikunenedwa kuti pali zifukwa zambiri zomwe zingayambitse zilonda zam'mimba , kuphatikizapo kutupa kwa m'mimba ndi lupus. Ndipo, mwa anthu ambiri zilonda izi sizimayenderana ndi chikhalidwe chilichonse-ndizokhumudwitsa popanda chifukwa.
Choncho, simungaganize kuti muli ndi matendawa chifukwa chakuti nthawi zambiri mumakhala ndi zilonda zam'mimba. Komabe, ngati mumawadera nkhawa, muyenera kulankhula ndi dokotala kapena dokotala wanu za zomwe zingayambitse zothetsera vutoli.
Mitundu yambiri yamagetsi ndi abusa angathandize kuchepetsa kupweteka kwa zilonda zakumlomo, ngakhale kuti sangathe kuwathandiza mofulumira. Kugwiritsira ntchito madontho a chifuwa omwe ali ndi zinki gluconate angathandizenso. Pa milandu yoopsa, dokotala wanu kapena dokotala wanu angapereke mankhwala omwe ali ndi antibiotic.
Matenda a Celiac ndi Mlomo Wouma
Si zachilendo kwa anthu omwe ali ndi matenda a chililiac akudandaula ndi pakamwa youma, zomwe zingachititse kuti dzino liwonongeke. Pamene zikutuluka, vuto lalikulu lakumwa kwouma- Sjögren's syndrome- yogwirizana ndi matenda a celiac.
Matenda a Sjögren ndi matenda omwe amachititsa kuti chitetezo chanu cha mthupi chiteteze mavitamini omwe amachititsa kuti thupi lanu likhale ndi chinyezi. Zotsatira zake ndi maso owuma mwachilendo komanso pakamwa pang'onopang'ono. Popeza mphutsi imayambitsa kukula kwa mabakiteriya omwe amachititsa kuti dzino liwonongeke, anthu omwe ali ndi matenda a Sjögren ndi ovuta nthawi zina-kuwonongeka kwa dzino komanso kupweteka kwa dzino.
Ngakhale pali zambiri pakati pa zikhalidwe ziwiri, palibe paliponse pafupi ndi aliyense amene ali ndi matenda a Sjögren ali ndi matenda a celiac (kapena mosiyana). Kafukufuku wina amayerekezera kuti pafupifupi 15% mwa anthu omwe ali ndi matenda a Sjögren ali ndi matenda a celiac.
Komabe, ngati mwapezeka kuti muli ndi matenda a celiac ndipo mumakhala ndi pakamwa youma kapena maso owuma, muyenera kukambirana ndi dokotala kuti mwina Sjögren ali ndi matenda. Ngati zikutanthauza kuti muli ndi zonse, mankhwala omwe alipo angathe kuthandizira kutulutsa mkaka ndi kuteteza mano anu.
Mfundo Yofunika Kwambiri
Matenda a Celiac akhoza kukhala ndi mphamvu yaikulu pa umoyo wanu wamkati, ngakhale nthawi zambiri, zotsatirazi zimatha kuchiritsidwa kapena kutetezedwa. Mukawona chinthu china chachilendo chikuchitika, monga zilonda za m'kamwa, mapepala ochepa, kapena masentimita ambiri, muyenera kulankhula ndi dokotala wanu wa mano kapena dokotala wanu zomwe mukuwona. Mu chithandizo chamankhwala cham'kamwa, kupeza chisamaliro chabwino choteteza ndikofunika kwambiri kuti tipeŵe mavuto amtsogolo.
> Zotsatira:
> Condo R ndi al. M'badwo Wamano mwa Mwana Amene Ali ndi Matenda a Celiac. European Journal of Mankhwala Odwala Mankhwala Opaleshoni . 2011 Sep; 12 (3): 184-8.
> Majorana A et al. Zomwe zimachitika mu nthawi ya Gluten, Ma CD Clinical Form, ndi HLA Typing mu Association pakati pa Celiac Matenda ndi Dental Enamel Malingaliro kwa Ana. Phunziro Lolamulira Mlandu. International Journal of Mankhwala Odwala Mankhwala Opaleshoni. 2010 Mar; 20 (2): 119-24.
> Pastore L et al. Mawonetseredwe Amlomo a Matenda Aakulu. Journal of Clinical Gastroenterology . 2008 Mar; 42 (3): 224-32.
> Rashid M et al. Mawonetsere a Mlomo a Matenda a Kachilombo: A Clinical Guide kwa Madokotala a mano. Journal of the Canada Dental Association . 2011; 77: b39.