Vanhu vazhinji vane chirwere chechiliac vanewo chirwere cheSjögren's syndrome , chiitiko chinokonzera maziso akaoma nemuromo wakaoma.
Sezvarinosvika, pane kuwirirana pakati pezvirwere zviviri. Zvidzidzo zvinoratidza kuti kusvika ku15% yevanhu vanoona kuti Sjögren's syndrome inewo chirwere chinonzi biopsy-proven cecliac, ichiita kuti zvive zvakajairika kuvarwere vaSjögren kupfuura kune vanhu vakawanda.
Asi sechirwere chechiliac nedzimwe zvirwere zvinokonzerwa nemhuka, hazvisi pachena kuti nei celiac uye Sjögren zvaitika pamwe chete. Zvinogona kuti ivo vanogovana maitiro evanhu vanowanikwa, zvichiita kuti munhu ave nechimwe chinogona kuwana imwe, zvakare. Kana, zvingangove kuti kune chinowanzogadzirisa-zvichida gluten, asi ichocho chiri kure kure-chinopupurirwa-chakabatanidzwa mune zvose zviri zviviri.
Sjögren's Syndrome Inosanganisira Kuzvidzivirira Kwemhuka
Paunenge uine chirwere ichi, chirwere chako chekudzivirira chitunha chinokanganisa villi mumukumbo wako muduku , zvichiita kuti vyro atrophy . Paunenge uine Sjögren's syndrome, panguva iyo, kurwisa kubva mumuviri wako wechirwere chekudzivirira muviri kunowanikwa muzvinyorwa zvinokonzera unyoro zvinoshumira meso ako nemuromo wako.
Vanhu vane Sjögren's syndrome vangaomerwa kukumedza, kukuvadza meno avo nekuda kwekushayiwa samate, uye kukuvara kumeso avo nekuda kwekushaya kwehutu.
Hapana mushonga weSjögren's, asi zvinogona kugadzirisa zviratidzo nemisodzi yekufungidzira, kunwa mvura nguva dzose kana gum chewing, kana kuti mishonga yemishonga inoita kuti saliva iyerere.
Vanachiremba vanokurudzira kushandisa mashuturizers kuti apore ganda rakaoma iro rinowanzouya neSjögren, uye vakadzi vanogona kushandisa mabheji emadzimai kana vane vaginha musikana nekuda kwechiitiko.
Varwere vaSjögren Vanogona Kuva Vakanyarara Celiacs
Mune zvimwe zviitiko, vanhu vane Sjögren's syndrome vanewo chirwere cheliliac vane chirwere chinonzi cecliac chinyararire , umo vasingatarisiri zviratidzo zvehutano asi vachiri nemigumisi yemukumbo.
Mune rumwe ruzivo, vamwe vane gumi nevaviri vevarwere veSjögren vaiva nezvirwere zveTTG-IgA , zvichiratidza mukana wakawanda wezvirwere zvechiliac. Hasi dzose idzi dzakanga dzine zviratidzo zvechiliac , asi zvikamu zvitanhatu kubva pane zvitanhatu zvaiva nezviratidzo kana zviitiko zvebiopsy zvakaenderana nechirwere chechiliac.
Mune imwe dzidzo, vatsvakurudzi muHungary vakawana zviitiko zvishanu zvebiopsy-zvakasimbiswa nezvirwere zvechiliac muna 111 vanhu vane Sjögren's syndrome, vazhinji vavo vasina kuzivisa zvirwere zvemuviri zvinogona kunge zvakaratidza chirwere chechiliac.
Kubva pane izvo zvinoguma, vaongorori veHungary vakurudzira "kuongorora, kutevera uye kurara kwepamusoro nguva dzose" kuvanhu vane Sjögren's syndrome kuti vabatsire kudzivisa kusagadzikana uye zvirwere zvinosangana nechirwere chisina kubatwa nechirwere ichi.
Non-Celiac Gluten Sensitivity, Sjögren's Zvichida Yakabatana
Zvinokwanisika kuti Sjögren's syndrome inobatanidzwa nekusava neecliac gluten senitivity . Mune chidzidzo chakaitwa muSweden uye chakabudiswa muScandinavian Journal of Gastroenterology , vatsvakurudzi vakatora vanhu makumi maviri neSjögren's syndrome, pamwe nevanhu 18 vasina mamiriro ezvinhu, uye vakaita kuti vawane matambudziko emagetsi emagetsi. Mune chinetso chekudya chinonzi gluten, samuenzaniso shomanana ye gluten inowanikwa mu rectum kwemaawa akawanda.
Chidzidzo chacho chakawana kuti maawa gumi nemashanu mushure mokunge gluten yaiswa mu rectums yavo, vashanu vevarwere vaSjögren vakaona kuchinja kwemucosal kwakaratidza kunzwa kwejuten.
Vaviri vevashanu ivavo vakanga vane chirwere cheTTG-IgA chetachiona, uye chimwe chaiva nechirwere chepachiviri chevilini uye saka chakaonekwa nechirwere cheecliac.
Pamberi pekutsvaira kwe gluten , vane makumi maviri vevarwere vaSjögren vakaratidza zviratidzo zvepamuviri, uye vasere vakati vakanga vasina hanya nezvinhu zvakasiyana-siyana, kusanganisira gluten zviyo. Kunyange zvakadaro, vanyori vekudzidza havana kuwana kuwirirana pakati pekunzwisisa kweguten uye kuzvitaura kwezvokudya kusagadzikana kana zviratidzo zvepamuviri.
Zvechokwadi, vanachiremba vadziri vachiri kutsvaga pfungwa yekusati iri-celiac gluten senzwi, uye haisi pachena chaiyo chaiyo iyo iyo ichave iyo iyo ichava iyo.
Somugumisiro, vanachiremba vazhinji havagoni kubvuma kuonekwa.
Zvose Izvi Zvinorevei Kune Vanhu vane Sjögren's?
Kune vanhu vane Sjögren's syndrome, zvese izvi zvinotsvakurudza zvinopa zvokudya zvekufunga asi kwete mazano akawanda. Somuenzaniso, hapana humwe uchapupu hwakajeka hwokuti kusiya guten kunogona kuvandudza zviratidzo zvako zveSjögren, pasinei nokuti une chirwere chechiliac kana kwete.
Zvisinei, kune humwe uchapupu hwokuti vanhu vane Sjögren vangada kufunga kuongororwa kwechirwere ichi, kunyanya kana vane zviratidzo zvinogona kuitika (yeuka, kwete munhu wese ane zvirwere zvepachiviri chetachiona-zviratidzo zvinogona kuva neurological kana ganda-based , pamwe chete ). Zvechokwadi, iwe unofanirwa kupedzisa chero upi noupi hwecliacac usati waenda gluten-isina, sezvo zvisingabviri kuwana mhinduro yekuwana yakarurama pane kudya kweguten-pasina .
Kutsvakurudza mumamiriro ose emagetsi, kusanganisira Sjögren's syndrome uye chirwere chechiliac, chiri kuenderera mberi, uye zvidzidzo zvemangwana zvinofanira kupa mhinduro dzakawanda pamusoro pehukama pakati pemamiriro maviri aya.
Sources:
Liden M. et al. Gluten senitivity muvarwere vane sjögren's syndrome. Scandinavia Journal of Gastroenterology. 2007 Aug; 42 (8): 962-7.
Luft L. et al. Autoantibodies kune tissue transglutaminase muSjögren's syndrome uye zvirwere zvakasiyana zvine rheumatic. Nyaya yeRheumatology. 2003 Dec; 30 (12): 2613-9.
Sjögren's disease. National Foundation yeCeliac Awareness Fact Sheet.
Szodoray P. et al. Chirwere cheCeliac muSjögren's syndrome - chidzidzo che1 chirwere cheHungarian. Rheumatology International. 2004 Sep; 24 (5): 278-82.