Vanachiremba vanoongorora chirwere cheecliac chinenge chisingaiti apo utumbo hwako muduku hukundikana kuporesa, pasinei nekudya kwakanaka kweguten-kusina. Heano humwe humwe hutano nezvehutano, hutachiona, uye hutano hwako.
Overview
Vanhu vakawanda vanoona kuti vane chirwere chechiliac- zvichida vanenge 90 muzana-vanowana zororo kubva kune zviratidzo zvavo, uye matumbo avo anotanga kuporesa mukati memavhiki mashomanana ekutanga kudya kwe-gluten .
Zvisinei, mumwe muvatori vecherac 10 haaoni rubatsiro irworwo kana kuti anoona kuti chirwere chake chisingaoneki chinodzokorora mushure mekunge ave muchero kwenguva yakati. Kana izvi zvikaitika kwauri, chiremba wako angataura nezvehutano hwehutachiona hwechiliac.
Chirwere chinokonzera chirwere chechiliac chinoitika apo utumbo hwako huduku hukundikana kuporesa uye iwe unoramba uchitambura nehupenzi hunotyisa , kunyange iwe wakanga uchitevera kudya kwakasimba uye kwakanyatsonaka kwe gluten kwegore kana kupfuura. Vanhu vane chirwere chechokwadi chinokonzera cecliac-iyo inonyanya kumira-inowanzova pangozi yakakura yezvinetso zvakakomba, kusanganisira maitiro evanhu vasiri Hodgkin lymphoma inosangana nechirwere chechiliac.
Kuwanda
Izvi zvingaita sezvinotyisa, asi usazvirega zvichikutyisa iwe: pamwe iwe hauna chirwere cheecliac chinokanganisa. Nzira dzako dzekuvandudza mamiriro acho ezvinhu chaizvoizvo zvishoma: imwe yongororo yakawana kuti 1.5 muzana chete yezvirwere zvose zvechiliac dzakagadzira chirwere chinokonzerwa neecliac.
Uye kune vanhu vazhinji vanoona zviratidzo zvinoramba zvichiripo, kune chimwe chikonzero-kazhinji, inenge yakawanda zvikuru ye gluten mune zvekudya zvako izvo zvinokonzera kupfuurira kwako zviratidzo , kunyange mune dzimwe nguva zviremba chiremba wako angawana kuti hauna chirwere cheliacac shure kwezvose .
Asi pasinei nemafungiro ehutachiona hwechiliac, kana uri kunyatsoteerera kudya uye uchiwana kuti iwe hausati uchinzwa zviri nani, chiremba wako angangoda kuongorora zvakare kuti awane dambudziko.
Uye kana iwe uchinge uchinge uchitaridzirwa neecalac refractory, kune marapirwo angakubatsira kuporesa.
Mamiriro
Kuratidzira chirwere chechiliac chirwere chinosanganisira zvinhu zvakasiyana-siyana zvakajairika: vakawanda vari pakati pezera remakore kana kupfuura (chirwere chacho hachina kumboonekwa nevana), vazhinji vakaremerwa, uye mana kubva kune mashanu ane chirwere.
Mukuwedzera pane zvinoramba zvichiratidza zviratidzo, vanhu vazhinji vane chirwere chekudya chinokonzera kukanganisa vane kushaya zvokudya zvinovaka muviri uye kushaya simba kwevhitamini kunoratidzira malabsorption yakaoma.
Zvisinei, mamwe mamiriro ezvinhu anogona kukonzera zviratidzo izvi. Nhanho yekutanga mukutsvaga chirwere chinokonzerwa neecliac (kana, zvichida, kutonga mamiriro acho ezvinhu) chichava chiremba wako kuti aone kana chirwere chako chechiliac uye kuongororwa chakanga chakarurama pakutanga.
Kuziva
Kuti unyatsozivikanwa une chirwere ichi, iwe unofanira kuva ne-endoscopy ne-biopsy inoratidzira maitiro anonyadzisa atrophy: kukuvara kwediki villi mumukomana wako muduku unobatsira iwe kugadzira zvokudya zvako. Kunyangwe zvisinganzwisisiki, kune zvimwe zviitiko izvo zvinogona kukonzera kufanana kwemukakumbo.
Kuti uchengetedze hutachiona hwako hwepakutanga, chiremba wako angada kuita kudzokorora kuongororwa kweropa uye kuongorora kuti uone kana iwe une imwe yezvirwere zvechiliac .
Kana iwe zvechokwadi une chirwere chechiliac, danho rinotevera mukutsvakurudza richave kuongorora kana iwe uri kutevera kudya-gluten kusina zvakakwana. Izvo zvinogona kusanganisira musangano nemunhu ane unyanzvi hwezvokudya muhutano hwekudya.
Kutaura chokwadi, vanhu vakawanda vanonyanya kufungidzira kuti vanotevedzera sei kudya. Somuenzaniso, imwe chiremba yezvokurapa yakawana kuti vazhinji vevarwere vakaramba vachiine zviratidzo zvinotevera kuongorora kwavo vakanga vachiri kudya dzimwe gluten , kunyange zvazvo vaifunga kuti vainzwisisa kudya uye kuti vangaona sei zvakavanzika zvinokonzerwa nezvokudya. Kurwisana kwemazuva ose kunosanganisira kushayikwa kunokanganisa pamavara ezvokudya , kudya kunze zvakare uye kudya zvakanyanya zvekudya zvinoshandiswa nekunyoresa mazita.
Zvinonyatsoita kuti "kubvumira" kwekudya kwako kunogona kubatsira kugadzirisa matambudziko ose nekuenderera kwezviratidzo. Asi kana zvikasadaro, chiremba wako anofanira kutarisa zvimwe zvinokonzera zvinokonzera, kusanganisira lactose malabsorption, madumbu emukaka akawandisa, pancreatic insufficiency uye kushungurudzika kwehutano syndrome .
Kamwe izvi zvimwe zvinokonzera zviratidzo zvinoramba zvichiratidzika kunze, ipapo chiremba wako angarangarira kufungidzirwa kwechirwere chinokonzera chirwere ichi. Kune dzimwe chirwere chechiliac, masayendisiti ari kushandisa capsule endoscopy kuti aone yose duku yemukati uye kusimbisa kuongororwa.
Aina
Kana iwe wakabatwa nechirwere cheecliac, iwe wakamboudzwa kuti une imwe yemhando mbiri: Tonga I kana Type II. Mhando yako inotsanangurwa nekuongororwa kwakajeka kwesero rega rega rega rega, rinozivikanwa saT-cell, riri mumatumbo ako maduku.
Vanhu vane Rudzi rwekutanga I vane madiki T-masero mumakumbo avo emimba, asi vanhu vane Rudzi rwechipiri vane T-seli dzisina kunaka. Chimbo I ndechekujairika kupfuura Rudzi rweChipiri: mune rumwe ruzivo rwakaitwa muBoston, inenge 15 muzana yevaya vose vanoratidzira chirwere chechiliac vane chirwere chechimiro chechipiri.
Mukuwedzera pakuva rarer, Rudzi rwechipiri nderwokuvhiringidza dambudziko rekudzivisa chirwere chechiliac: haisi nguva dzose inopindura zvakanaka kurapwa, uye ndiyo inonyanya kutungamirira kune vasiri Hodgkin lymphoma. Ichokwadi, vanachiremba vanoona kuti iyo inoratidzika-yepamusoro-soro ye lymphoma - imwe ine hurombo husina kunaka.
Shoko Rinobva
Sezvo chirwere chechokwadi chisingakanganwiki chisingawanzwisisiki, varwere vakamboonekwa kuti vane fomu imwechete vachazoendeswa kunzvimbo yeecliac vane ruzivo rwekurapa mafungiro ezvirwere zvechirwere. Ikoko, vanachiremba vane nzira dzakasiyana-siyana dzavanogona kuedza kudzivisa kufambira mberi kwechirwere uye kuita kuti kuporesa.
> Sources:
> Malamut G. et al. Refractory Celiac Disease. Dumbu Rekupedzisira Endoscopy Makliniki eNorth America. 2012 Oct; 22 (4): 759-72. doi: 10.1016 / j.giec.2012.07.007. Epub 2012 Aug 24.
> Mooney PD et al. Kurapa Kwechirwere muCeliac Disease: Nhungamiro Inobatsira Kuongorora uye Kurapwa kweMusingaiti Mhinduro uye Inopikisa Celiac Disease. Nhaurwa Yezvirwere uye Chiropa Zvirwere. 2012 Jun; 21 (2): 197-203.
> Roshan B. et al. The Incidence and Clinical Spectrum of Refractory Celiac Disease muNorth American Referral Center. American Journal of Gastroenterology. 2011 May; 106 (5): 923-8. doi: 10.1038 / ajg.2011.104. Epub 2011 Apr 5.