Kana Uine Chirwere Zvirwere, Ungagonawo Kuva Nezvirwere Zvisingaiti Here?
Chiropa chako chinonyanya kukosha mumuviri wako, uchibatsira kuchenesa ropa rako doro nedzimwe tsvina, kubudisa bile iyo iwe unoshandisa mukudya, uye kushanda pakugadzira mapuroteni anokosha. Zvisinei, kufanana nedzimwe muviri wako, chiropa chako hachidziviriri pamigumisiro yechiracia -muchokwadi, celiac inowanzokonzera chiropa chako.
Hazvisi zvisiri izvo kune vanhu vane chirwere chechiliac chine chirwere ichi kuti vanzwe kuti ivo vakanyatsokonzera masimba emuviri, izvo dzimwe nguva-asi kwete nguva dzose-zvinoratidza chinetso nechiropa chako.
Nenzira yakanaka, kana chirwere chinonzi cecliac chinotanga nenzira yezvokudya zvisina-gluten, idzi enzyme dzinowanzodzoka kuhutano hwakanaka.
Asi chirwere chechiliac chinosanganiswa nehuwandu hwehutachiwana hwehutachiwana hwehutachiwana hwehutachiwana hwehutachiona, kubva pahutachiona hwehutachiona hwekushaya simba kwechiropa.
Muzviitiko zvizhinji-asi kwete vose-vanhu vane celiac vakaona zvichikwanisa kuvandudza kana kutomisa mamiriro ezvinhu aya nekutevera kudya kweguten-pasina . Zvisinei, hazvisi pachena kana kushandiswa kweguten kunokonzera zvirwere zvechiropa mukati mevanhu vane chirwere chechiliac, kana kana chimwe chimwe chinhu-zvichida genetics-iri kutamba.
Zvokurapa Muedzo Wokurapa: Mavhinga Envirme Kazhinji Akawedzerwa
Vanachiremba vanoshandisa mapurisa evanhu vanoedza kuongorora zvirwere zvekuropa, izvo zvinosanganisira zviyero zvechiropa chespine aspartate aminotransferase (AST) uye alanine aminotransferase (ALT). Kana chiropa chako chisina kushanda zvakanaka nekuda kwekukuvara kana kurwara, uongorori uhwu hucharatidza chigumisiro chakakwirira, kureva, mazwi enzymes akakwirira.
Kunyangwe iwe wakasimudza maitiro emuropa, hazvirevi kuti une dambudziko nechiropa chako. Imwe ongororo yezvokurapa yakawana kuti 42% yevachangobva kuongororwa vese celiac vakanga vanyatsonyanya kuwedzera masimba emuviri. Sezvo idzi maantimiti akadzoka kumagariro akangoitika vanhu pavakatanga kudya-gluten-pasina, vatsvakurudzi vakapedzisa kuti vakanga vasingarevi dambudziko.
Chimwe chidzidzo chakawana chikamu chepakati chezvikamu zvechiliacs zvangobva kuongororwa-zvisingaverengeki zvinokosha kubva kune boka risina cheliac rinodzora-rainge rawedzera mapenzi enzymes. Zvisinei, chidzidzo chacho chakawanawo kuti chiropa chekushaya chiropa chinowira zvakanyanya mumakisikoni apo pavakatanga kutevera kudya kusina gluten, kunyange kana iyo enzyme mazinga aiva mumamiriro akasiyana-siyana pre-gluten-asina.
Fatty Chiver Disease, Celiac Disease Linked
Izvo zvisina kunwa zvinodhaka zvirwere zvechiropa (kureva kuti, mafuta ane chiropa chechiropa asingabatanidzwi nedoro rinodhaka) iri kuwedzera muUnited States uye pasi rose, zvikurukuru nokuti yakanyatsobatanidzwa nekudarika uye chirwere cheshuga. Paunenge uine mafuta ane chiropa, chiropa chako chinowanikwa "mafuta" - masero eropa yako anowedzera maserolekisi ane mafuta, uye nhengo yose inowedzera.
Vanhu vakawanda vane mafuta ane chiropa haana zviratidzo, uye mamiriro acho chete anonzi akaoma kana ikatanga kufambira mberi kuchiropa chekuvhiringidza uye kukanganisa.
Tsvakurudzo dzinoverengeka dzezvokurapa dzakabatanidza mafuta ane chiropa chirwere nechirwere chechiliac. Muchidzidzo chikuru uye chekupedzisira, chakabudiswa muna June 2015 mu Journal of Hepatology , vatsvakurudzi vakafananidza nengozi yekusava nechirwere chisina kunwa doro chechiropa mune vanhu vanoda kusvika 27 000 vane chirwere chechiliac kune ngozi kune vanhu vakafanana vasina celiac.
Chidzidzo chacho chakawana mukana wekuva nehutachiona hwehutachiona hwehutachiwana hunenge katatu hukuru kune avo vane chirwere chechiliac. Zvinotoshamisa kuti vana vane chiremera vaiva nemukana wepamusoro wehutachiona hwechiropa. Dambudziko rekuwedzera chiropa chechiropa rakange rakakwirira zvikuru mugore rokutanga mushure mekunyatsoongorora chirwere asi yakaramba "yakasimudzirwa" kunyange makore gumi nemashanu kudarika chirwere chekudzivirira.
Mune imwe dzidzo, iyo yakaitika muIran, vatsvakurudzi vakawana chirwere chechiliac mu 2.2% yevarwere vane vasiri doro rinodhaka chirwere chechiropa, vazhinji vavo vakanga vasina kunyanya kuwandisa kana kuwedzera. Vakagumisa kuti makiriniki anofanirwa kuongorora kuongorora chirwere chechiliac kuvanhu vane mafuta ane hosha ane chirwere chisingaoneki mungozi yemamiriro ezvinhu akadaro, akadai kuwedzererwa kana kuoma.
Pakupedzisira, vanachiremba kubva kuGermany vakanyora pamusoro pemukadzi ane makore makumi maviri nemasere ane makore makumi maviri nemasere ane chirwere chechiropa. Akaonekwa kuti aiva nechirwere chechiliac uye akatanga chironga chisina-gluten, uye maitiro enyama emuviri wake akasimuka kwenguva pfupi asi akazopedzisira asvika zvakakwana.
Celiac Inowanikwa Muchikamu 6-Percent yeAVMA Hepatitis Patients
Haisi chakavanzika chekuti vanhu vane chirwere chimwechete chekuzvimirira - somuenzaniso, chirwere chechiliac - ngozi inowanikwa kune imwe. Sezviri pachena, autoimmune hepatitis haisi imwechete - mazana ehutachiona hwechiliac muhurmimune hepatitis varwere vanopfuura zvakakwirira kudarika zviyero zve celiac munharaunda yakawanda.
Muchiedza chekushaya hepatitis, muviri wako wesimba unorwisa chiropa chako. Kushandisa zvinodhaka ne corticosteroids kunogona kuderedza hurumende yekufambira mberi, asi pakupedzisira, inogona kuenderera kuchirwere nekushaya simba kwechiropa, izvo zvinoita kuti chiropa chiwedzere.
Chidzidzo kubva kuItaly chakatarisa chiyero chechirwere chisina kuongororwa chisingawaniki kuvanhu vane autoimmune hepatitis. Vatatu vezviitiko makumi mana nemakumi mashanu zvinotevera vanorwara ne-autoimmune hepatitis vakaedzwa zvakanaka mumuchirongwa weieriac yeropa uye biopsy nokuda kwechirwere ichi , chinoratidza chiyero chema 6%.
Nemhaka yemigumisiro iyi, vanyori vakakurudzira kuongorora zvose autoimmune hepatitis varwere kune chirwere ichi.
Kudzidza: Gluten-Free Zvokudya Inogona Kuchinja Kushaya Kwechiropa
Kunyanya imwe yenyaya yekuongorora kuti kuisa kudya kwe-gluten-pasina vanhu muhutano hunoonekwa nehutachiona hwechiliac uye kusakundikana kwechiropa zvechokwadi kunogona kushandura chiropa chisakundikana.
Kudzidza, kwakaitwa muFinland, kwakatarisa varwere vana vane chirwere chisina kupomerwa uye chisimba chisina kukwana. Mumwe wevarwere ava aiva congenital chiver fibrosis, imwe yakanga ine hepatic steatosis (kureva, mafuta ane chiropa chirwere), uye maviri aiva nehupatitis inopfuurira. Vatatu vevanhu vakanga vari kuongororwa nokuda kwekuisa chiropa.
Vose vana vakakwanisa kuchinja zvirwere zvavo zvepachiropa pavakatanga kutevera kudya kweguten.
Chidzidzo chacho chakacherechedza 185 chiropa chekuisa chiropa kuvanhu vane chirwere ichi. Eight yevarwere ava (4.3%) pakupedzisira vakaongororwa vane chirwere chinonzi biopsy-proven cecliac. Kutaura zvazviri, vatanhatu vevane vasere vakanga vaongororwa kare asi vakange vakakundikana kutevedzera kudya kwema gluten.
Vanyori vedzidzo vakaratidza kuti kuora kwechiropa hakugone kuratidza malabsorption; panzvimbo iyo, vakati, kuora kwechiropa "kunogona kunge kuine gluten-inofanirwa nehutachiona hunoita kuti zviratidzo zvive pachena zvechirwere ichi." Mune mamwe mazwi, gluten mune zvekudya kwako inogona kuita kuti muviri wako wekuzvidzivirira utarise chiropa chako pamwe nematumbo ako maduku .
Zvizhinji Zvirwere Zvoutachiona Hazviremekedzi
Kunyange kana iwe uine chiropa chechirwere cheseliac, haufaniri kufunga kuti izvo zviviri zvakabatana; yakawanda yeropa chimiro-kusanganisira hepatitis uye chirwere chinodhaka chechiropa-hachisi.
Zvisinei, kana zvisina kufanisika zvinokonzera chirwere chako cheropa, pamwe chete iwe une zviratidzo zvinogona kuratidza chirwere chechiliac, unofanira kufunga kutaura nachiremba wako pamusoro pekuedzwa kweecliac sezvo zvisiri zvisinganzwisisiki kuti chirwere chechiliac uye chiropa chiratidze mukambani.
Mashoko akanaka ndeokuti, pane humwe uchapupu hunoratidza kuti unogona kukwanisa kuderedza chirwere chako cheropa kana uchitevera kudya kwe-gluten.
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Kaukinen K. et al. Dambudziko reCeliac muvarwere vane chiropa chakakomba Zvirwere: Gluten-Free Zvokudya Inogona Kuchinja Kukundikana kweHepatic. Gastroenterology 2002; 122: 881-888.
Korpimäki S. et al. Gluten-Sensitive Hypertransaminasemia Muchiedza cheCeliac: Chimwe Chisinganzwisisiki uye kazhinji Chinyorwa Chekuwana. American Journal of Gastroenterology. 2011 Sep; 106: 1689-96.
Mounajjed T. et al. Chiropa mune chirwere chechiliac: kliniki zviratidzo, histologic features, uye kupindura kwekudya kusina gluten mumatwere makumi matatu. American Journal of Clinical Pathology. 2011 Jul; 136 (1): 128-37.
Rahimi AR et al. Kuwanda kwechirwere chechiliac pakati pevarwere nevasiri vasiri doro rakawanda chechiropa muIrish ". Turkish Journal yeGastroenterology 2011 Jun; 22 (3): 300-4.
Reilly NR et al. Kuwedzera kwengozi yekusagadzikana kwechirwere chechiropa chirwere mushure mekuongororwa kwechirwere ichi. Nyaya yeHepatology. 2015 Jun; 62 (6): 1405-11.
Villalta D. et al. Kuwanda kwehutachiona hwechiliac mu autoimmune hepatitis inowanikwa nema anti-tissue tranglutaminase autoantibodies. Nyaya yeCliniki Laboratory Analyysis. 2005; 19 (1): 6-10.