Celiac Disease Diagnosis

Celiac Disease Testing

Iwe unogona kuva nechimwe (kana zvimwe) zvikonzero zvakasiyana-siyana zvekutsvaga kuongororwa chirwere chechiliac. Zvichida iwe unotambura nezviratidzo zvechirwere zvechirwere , izvo zvinogona kubva pakubvisa uye kuora kurasikirwa nematambudziko emagetsi uye kuwedzera kuwedzera.

Iwe unogona kuva nhengo yepedyo yemhuri iyo yakaonekwa kuti ine chirwere checelac uye yakadzidza kuti mazano ekurapa anorayira kuti chirwere chechiliac chiongorore hama , sezvo mamiriro acho ari mumhuri.

Kana, iwe unogona kutambura kubva kune imwe kana zvimwe zvakasangana nemamiriro ezvinhu, zvakadai sematambudziko ehutori kana chirwere cheshuga cheshuga . Dzidzo dzakaratidza kuti chirwere chechiliac chinowanzoonekwa kuvanhu vane mamiriro aya.

Pasinei nezvikonzero zvako zvekuda kufunga nezvechirwere chechiliac kuongororwa, kuongororwa kwechirwere chechiliac inenge yakareba kwenguva yakawanda. Muzviitiko zvakawanda, iwe unotanga kuve nekuongororwa kweropa, uye pakupedzisira, kuchava neitiro inonzi inozivikanwa se endoscopy, umo vanachiremba vanotarisa zvakananga pamatumbo ako maduku.

Cherechedza: Iwe unofanira kunge uchidya gluten yekuenzanisa chirwere chechiliac kuti ive yakarurama. Kana uri kuongororwa chirwere chechiliac, usaenda gluten-kusununguka kusvikira kuedza kwako kwose kwapera.

Munzvimbo yakanakisisa-mamiriro ezvinhu, iwe uchave nemhinduro yako mukati memazuva mashomanana kana vhiki, asi chirongwa chekuongorora chinogona kutora nguva yakareba kune dzimwe nzvimbo, kunyanya apo gastroenterologists (nyanzvi mumagadzirirwo emagetsi) haashoma. Hezvino izvo zvingatarisira kubva pane imwe nhanho yemutambo.

Dambudziko reCeliac Rinoedzwa

Chirwere cheCeliac chiitiko chinosanganisira kutora muviri wako kumapuroteni gluten , anowanikwa muzviyo zvinowiriwa gorosi, bhari, uye rye.

Kuedzwa kwechirwere chechiliac kutarisa izvi zvinoitika kune gluten.

Muvanhu vane chirwere ichi, kudya zvinhu zvine gluten (izvo zvinowanikwa munenge imwe yezvokudya pane kudya kwakakwana) zvinokonzera izvo zvinonzi autoimmune reaction , umo muviri wako-kurwisa mavara matsvuku eropa kunokanganisa zvimwe zvezvimedu zvako.

Zvirwere zvakasiyana-siyana zvinokonzerwa nehutachiona zvinokonzera zvakasiyana siyana zvekukuvara mumuviri. Muchiitiko chechirwere chechiliac, masero machena eropa anorwisa chigadziko chemukati mako mudumbu, zvichiita izvo zvinozivikanwa sevillous atrophy . Pakupedzisira, izvi zvinogona kuparadza rwonzi rwemukati mako, zvichireva kuti haugone kunwa mishonga kubva pane zvekudya zvako.

Nokuti zviedzo zvechirwere chechiliac zviri kutarisa zvakananga kuti zviratidzo zvemukati mudumbu hukuvara, iwe unofanira kunge uchidya gluten kuti zviongorori zvive zvakarurama . Kana iwe usingadyi zvokudya zvine gluten-uye kwete kudya zvakakwana kwavari-zvinogona kuti kuedza kuve kusina kunaka, kunyange kana iwe unotova nechirwere checeliac. Nokudaro, iwe unofanira kuramba uchingodya kudya kwemazuva ose, uye zvokudya zvine gluten kakawanda pazuva, kusvikira kuedza kwako kwose kwapera.

Zvechokwadi, vamwe vanhu vanopinda-gluten-vasati vasarudza kuongororwa chirwere chechiliac. Kana uchitotanga kutevera kudya kweguten , iwe unogona kufunga nezvezvinonzi " gluten dambudziko ," umo iwe unodya mararamiro akaenzana e gluten kwenguva yakati, uye zvino unoedzwa chirwere chechiliac. Nzira iyi inotakura njodzi, asi, uye haigoni kuunza mhinduro yaunoda, saka taura nachiremba wako pamusoro pezvinetso zvingangodaro uye zvinobatsira.

Kutanga Kutora Muchiedza Celiac Kuedzwa: Kuedza Kweropa

Muzviitiko zvakawanda, chirwere chechiliac chirwere cheropa (icho chinogona kurayirwa nemukuru wako chiremba) chichava danho rokutanga kusvika pakuongorora. Kune mahlanu kuedza kweropa kunowanzoshandiswa kugamuchira chirwere ichi, kunyange zvazvo vanachiremba vakawanda vachingokumbira imwe chete kana mbiri dzekuedzwa.

Kana muviri wako uri kutarisana nemagadzirirwo emuviri, kune imwe kana yakawanda yeropa idzi dzinogona kunge dzichiuya zvakanaka, zvichiratidza kudikanwa kwekuwedzera kuongororwa kuti uone kana iwe une chirwere ichi.

Zvisinei, zvinokwanisika kuti iwe uve nemigumisiro yeropa rekuongorora uye uye uchiri nechirwere chechiliac.

Vamwe vanhu vane mamiriro ezvinhu anozivikanwa seAgA kushayikwa kunogona kukonzera mhinduro dzisina kururama pane dzimwe chirwere chechiliac chirwere cheropa. Kana iwe uine izvi (pane imwezve kuongororwa ropa kunotarisa kwayo), iwe uchada kuongororwa kwakaenzana kune chinyorwa che chirwere chechiliac.

Mune mamwe maitiro mashomanana, migumisiro yekuongororwa ropa haisi kuratidzira huwandu hwemuviri hunokanganisa huripo. Izvozvi inozivikanwa se "uipi hwenhema" mhinduro yekutsvaga.

Saka, kana ropa rako risiri kuipa, asi zviratidzo zvako uye nhoroondo yezvechiremba yemhuri zvinoramba zvichiratidza kuti pane chirwere chakakosha chetachiona, iwe unofanirwa kutaura nechiremba wako nezvekuwedzera kwekuedzwa.

Nhanho Inotevera: Endoscopy uye Intestinal Biopsy

> Fungidzira kufungidzira kwekudya kunogona kuitika nechirwere chechiliac.

Kana chirwere chako chechiliac chidzoka ropa chichidzoka-kana kana chisina kunaka, asi iwe nachiremba wako munobvumirana pamusoro pekudiwa kwekuongororwa chero zvakadaro-danho rako rinotevera inzira inonzi endoscopy . Izvi zvinowanzoitwa ne gastroenterologist, imwe yemhando dzakawanda dzechiremba dzinobata chirwere ichi .

Pakupedzisira, chiridzwa chine kamera kamakabatanidzwa chinoiswa pasi pasi pamutsipa wako kuitira kuti chiremba wako atarise zvakananga pachigadziko chemukati mako kuti aone kana yakaipa inrophy iripo. Mune zvimwe zviitiko (asi kwete zvose), kukanganisa kubva kune chirwere chechiliac kunogona kuonekwa pakarepo panguva ino.

Zvisinei, kuti usimbise kuongororwa, chiremba wezvechiremba achashandisawo chiridzwa kutora sampuli maduku emukumbo wako. Nokuti kukanganisa kubva kune chirwere cheecliac kunogona kuva chigadzikana, chiremba wacho anofanira kutora zvingasvika mana kusvika matanhatu. Iyi sampuli inobva iongororwa pasi pekirosikopu nechirwere chechirwere (chiremba anoongorora zvirwere nokuongorora mishonga yemuviri zvakananga) kuti aone kana matumbo ako akakuvara. Kana muchengeti wezvirwere achiona kukuvadzwa, iwe uchaonekwa kuti une chirwere ichi.

Chikamu chokupedzisira kune puzzles ndeyekuti iwe unonzwa sei kune kudya kwe-gluten-kana zviratidzo zvako zvinotanga kuvandudzwa kana iwe ukaenda usina-gluten, iwe wakangobva watsidzira kuongorora kwako.

Zvimwe zvipatara zvinoshandisawo capsule endoscopy , umo iwe unomedza piritsi nekamera kfupi kuti uone nezvechirwere ichi. Izvi zvine ruzivo rwekuona zvikamu zvemukati mako mudumbu izvo zvisingakwanisi kuwanikwa nezvigadzirwa zvekare zvekupedzisira. Zvisinei, capsule endoscopy haibvumiri chiremba chiremba kutora sampuli yemukumbo wako, uye inogona kunge isiri yakarurama pakutsvaga kukuvadza semagumo endoscopy.

Sezvo zvichiita kuti urege kuongororwa ropa asi chirwere chinoratidza kuti une chirwere checliac, Zvinogonawo kuva nehutachiona hwehutano asi hutsika husina kunaka. Izvi zvinozivikanwa se " chirwere chinonzi latent celiac " kana dzimwe nguva se "chingava chirwere chechiliac." Kana iwe ukawira munharaunda iyi, chiremba wako angangodaro anokurudzira nguva dzose kudzokorora kuguma kwenguva refu, sezvo vanhu vakawanda vane chirwere chekupedzisira chetachika pakupedzisira vanozogadzirisa matumbo. Iwewo unogona kukurukura mukana wekutevera kudya kwe-gluten-sekutengesa, kuona kana zviratidzo zvikabuda pachena.

Dermatitis Herpetiformis Diagnosis inoreva Celiac, Too

Pane imwe nzira iyo iwe unogona kuwana kuongororwa kwechirwere cheliacac kunze kwekunge uine endoscopy uye mumatumbo bhiopsy.

Kana iwe uine dambudziko, kupisa kunorwadza kwepachivara kunonzi dermatitis herpetiformis , pamwe nemaonero akanaka emuviri, iwe unofanirwa kuonekwa kuti une chirwere chechiliac uyewo-hapana kuongororwa kunodiwa. Ndizvo zvinoratidza kuti zvidzidzo zvakaratidza kuti inenge yese munhu ane dermatitis herpetiformis-iyo, yakafanana nechirwere chechiliac, inokonzerwa nehutachiona hwemotokari kune gluten-zvakare ine ucheche hwemucheche kubva kune gluten inodya.

Zvisinei, kuti uwane chirwere chegoridhe-chirwere chinonzi dermatitis herpetiformis, iwe uchadikanwa kupinda mucheche yeganda . Iyi biopsy inotarisa mavharo e anti-gluten antibodies pasi peganda rako.

Zvirwere zveCeliac Genetic Testing Uyewo Inotamba Basa

Mune zvimwe zviitiko, chiremba wako anogona kukurudzira maitiro ekuongorora maitiro echirwere ichi . Dambudziko reCeliac rinobatanidzwa kune maviri emagetsi, ayo anodarika nemhuri.

Maitiro eGenetic haagoni kukuudza kana iwe unenge uine chirwere cheliacac-nokuda kweizvozvo, iwe uchada kuongororwa ropa uye endoscopy inotsanangurwa pamusoro apa. Asi zviyero zvemazwi zvinogona kukuudza kana iwe une rimwe remagetsi iwe unowanzodikanwa kukura chirwere ichi.

Kana iwe usina imwe yezviviri zvemajini, maitiro ako ane chirwere checelac ishoma kwazvo, kunyange zvazvo mamwe mamiriro ezvinhu eecliac akanyorwa mune vanhu vasingatakuri kana jini.

Iko maitiro ekuedza kwechiliac ndiyo imwe yero iwe unogona kuitisa pasinei nokuti iwe uri kudya iye zvino gluten kana kwete-muedzo unotarisa maitiro ekugadzirisa mararamiro kune mamiriro ezvinhu, kwete kwezvirwere zvinoratidzira chiitiko chinoshanda chezvirwere zvechiliac. Nokudaro, inogona kukupa mamwe mashoko kana iwe wakatoenda kune gluten-pasina nekuda kwekuita zvakaipa kune zvokudya zvinokonzerwa ne gluten, asi zvino unoda kuziva kana iwe unogona kunge une chirwere cheliacac.

Kana uine hutano hwakanaka hwechirwere chechiliac , hazvirevi kuti iwe zvechokwadi une chirwere cheecliac-kusvika makumi mana kubva muzana yevanhu vanoenda kune rimwe remagenhi aya, uye vazhinji vacho havambogadziri chiliacac. Zvisinei, zvinoreva kuti iwe unogona kukudziridza mamiriro acho ezvinhu. Iwe unoda kuzokurukura nachiremba wako matanho anotevera kana chirwere chako chechiliac chiedza chekuberekwa chinodzoka chakanaka, kunyanya kana iwe uine mhuri yehutachiona hwechiliac.

Chirwere cheCeliac Disease Diagnosis Chine Zvokudya Zvisingabviri

Miedzo inofadza yekuguma kwechirwere chechiliac pane yako yekupedzisira uye yakagadzirisa zvinoreva kuti iwe une mamiriro ezvinhu, uye unofanirwa kutevera kudya kweguten kweupenyu. Kunyange zvazvo izvi zvingaita sekunetseka pakutanga, iwe pakupedzisira ungawana hutano hwako hunovandudza zvinoshamisa uye kuti hausi kunyatsofunga kudya gluten-isina. Chokwadi, pane zvakawanda, zvakawanda zvekudya zvaunogona kudya kana iwe uri gluten-isina.

Kuongorora kusina kunaka, panguva iyoyo, hazvirevi kuti iwe hauna dambudziko ne gluten. Iwe unogona kuedza kusakanganiswa pamadziro ekudzivirira ropa uye biopsy uye achiri kutambura nezvinetso zvakabatana neGuten ingestion.

Vamwe vanhu vanoedza kutadza kune chirwere chechiliac zvisinei zvakadaro vane zviratidzo zvinonzwisisika pane kudya kwe-gluten. Mune zvimwe zviitiko, vanhu vari kuongororwa nevasina-celiac gluten senitivity (dzimwe nguva dzinonziwo gluten kusawirirana kana gluten allergies ), inozivikanwa munguva pfupi uye ino-asi isina kunzwisisa. Iko hakuna maitiro anowanzogamuchirwa kuti uone kana iwe une gluten senzwi -nzira chete yekuziva ndeyekusiya guten uye kuona kana zviratidzo zvako zvichiratidza.

Pakupedzisira, kana iwe uchitarisa zvakaipa kune chirwere ichi, hazvirevi kuti iwe haungatauri mune ramangwana. Zvidzidzo zvehama dzepedyo dzezvirwere zvechiliac (avo ivo pachavo vane ngozi yakawanda yekuvandudza mamiriro acho ezvinhu) kuratidza kuti kudzokorora kudzokorora pamusoro pemakore emakore kungave kwakakosha kubata matambudziko ose.

Saka, kana uine zvipingamupinyi zvechirwere chechiliac- "jenifer" yejena, nhengo dzepedyo dzemhuri pamwe nemamiriro ezvinhu, zvimwe zvirwere zvinodzivirira muviri, kana zviratidzo zvakashata-ungada kufunga kuisa purogiramu yenguva dzose yekuedza nechiremba wako. Kana ukabata chirwere chechiliac kare, unogona kuderedza dambudziko mumuviri wako uye zvinogona kubvisa zvinetso, zvakadai sewasteoporosis uye kusagadzikana .

Sources:

National Digestive Diseases Information Clearinghouse. Celiac Disease. Yakasvika muna Jan. 16, 2016.

University of Chicago Celiac Disease Center. Anoripodza Dambudziko reRopa . Yakasvika muna Jan. 16, 2016.

University of Chicago Celiac Disease Center. Genetic Testing . Yakasvika muna Jan. 16, 2016.