Tsvakurudzo Yakakura-Nyaya Inopa Link
Kwenguva yakati, nyanzvi dzakafunga kuti zvirwere zvinowanikwa mucheche-zvakadai sehuvha yakaoma kana kuti inotonhora-inogona kuve nechinzvimbo chekuita kwechirwere ichi. Asi, kuongorora kwechangobva kuitwa kwakaitwa muGermany kunogona kugovera fodder yakawanda kune izvozvi.
Chirwere cheCeliac chirwere chekuzvidzivirira mumuviri umo munhu haagoni kudya gluten nokuti ichapisa uye kukuvadza utumbo muduku.
Zviratidzo zvinowanzoonekwa muvana uye zvinosanganisira kubvisa, kurwara kwezuva, kurwadziwa kwepamuviri, uye kurutsa. Kutevera kudya-guten-kusina, zvisinei, kazhinji kacho kunopedza nyaya ipi neipi-yakabatana.
Kuberekwa Kwekutanga-Celiac Disease Link
Vatsvakurudzi vakaongorora zvinyorwa zvevana 295.420 vakaberekerwa pakati pe2005 ne2007 muBavaria, Germany. Vakatanga kuziva nhamba yehutachiona hwakaitika mugore rokutanga rehupenyu raida kurapwa. Zvadaro vakaverenga mungozi inobatanidzwa yekuonekwa kuti mune chirwere chechiriac. Vana vakateverwa pakati pekuberekwa uye nemakore ekunze makore 8.5.
Pamwechete, vana vana 853 vakagadzira chirwere chechiliac panguva yemakore mashanu. Pakati pevana ava, 820 vavo (95.5 muzana) vakagadzira chirwere chechiliac mushure megore rokutanga rehupenyu. Vatsvakurudzi vakawana kuti matumbu-uye kusvika pamwero wekupemha chirwere-yakawedzera dambudziko rekupedzisira kwechirwere ichi.
Uyezve, kudzokorora kwezvirwere zvirwere zvakakonzera njodzi.
Mune imwe nzvimbo yakawanda yakawanda-yakadzidza, yakabudiswa muThe American Journal yeGastroenterology , vatsvakurudzi vakaongorora 72 921 vana vokuNorway pakati pekuberekwa uye nguva yepakati pemakore 8.5. Kufanana nevatsvakurudzi veGermany, vatsvakurudzi veNorway vakaona kuti pakanga pane kuwirirana pakati pekupedzisira chirwere chechiliac uye zvirwere zvinowanikwa pakati pekuberekwa nemwedzi 18.
Zvinogona Kukonzera Zvimwewo Zvimwe
Kusvika iye zvino, tsvakurudzo yakawanikwa nevanhu yakaratidza chete kuti kubatana pakati pekutapurirwa kwekutanga uye gare gare chirwere chechiliac chiripo. Mubvunzo mukuru ndeyekuti utachiona hwepakutanga hunoita sei kuti chirwere chechiliac. Kune nzira dzakawanda dzinogona kuitika kuti utachiona hunogona kuunza chirwere chechiliac. Heano mafungiro maviri:
- Virusi inogona kukurudzira kugadzirwa kwepro-inflammatory proteins (interferons) uye inotungamirira kusunungurwa kwe transglutaminase, iyo enzyme inobata basa rinokosha mukukwanisa kwe gluten kunokonzera mhinduro dzomuviri.
- Utachiona hunogona kuwedzera kupora kwegomba rinotakura saka kubvumira gluten kupfuurira kupinda mumhepo-danho rinokosha mukukudziridza chirwere chechiliac.
Pamwe pose, zvikonzero zvakawanda-kwete kungofanana nehutachiona-zvinobatsira mukurudzirwa kwechirwere ichi. Somuenzaniso, pane kumwe kuongorora kwemazuva ano, kutevera vana vanobva kuUnited States neEurope, vatsvakurudzi vakawana kuti zvinhu zvakasiyana-siyana zvakakonzerwa nekugadzirwa kwenguva refu kwechirwere chechiliac mukuwedzera kune kutanga kwepachiviri chetachiona. Izvozvi zvimwe zvikonzero zvinonzi genetics, chirwere chekurwisa rotavirus, makore ekutanga ekudya, uye yekuyamwisa.
Zvinonzwisisika, vatsvakurudzi vakaona kuti njodzi yechirwere chekupedzisira ichi yakaderera apo vana avo vakave vachigadziriswa zvirwere zvechiliac vakagamuchira chirwere che rotavirus uye vakaiswa kune gluten vasati vava nemwedzi mitanhatu.
(Rotavirus vaccine inodzivirira kurwisana nerotavirus, chikonzero chikuru chekurara mukati mecheche nevana vaduku.)
Shoko Rinobva
Nhamba itsva yekutsvaga kutsvakurudza kunongotsigira kuti kubatana pakati pepachirwere chekutanga uye chirwere chechiliac chiripo-kwete kuti kubatanidza uku kuri kukonzera. Mune mamwe mazwi, kunyange utachiona hwepakutanga uye gare gare chirwere chechiliac chakasungwa, hatizivi kana zvirwere zvepakutanga zvinokonzera chirwere ichi.
Imwe tsvakurudzo inoita seyo inoratidza kuti chirwere chinonzi rotavirus chokutanga chinogona kupa zvimwe zvidziviriro zvinorwisana nechirwere chechiliac. Uyezve, kutanga kwokutanga kwechingwa chegorosi kana mamwe maitiro e gluten kunogonawo kuderedza ngozi.
Panguva ino, isu hatizivi chete zvakakwana kuti tive nekufanotaura. Dzimwe tsvakurudzo dzinoda kuitwa.
Ramba uchiyeuka kuti CDC inokurudzira kuti, nemwedzi mitanhatu yemakore, vana vose vanofanirwa kurongwa nerotavirus. Mushure mezvose, rotavirus inogona kuva nengozi, inokwana 60 000 hospital hospitations muUnited States gore negore. Kubva ikozvino, mukana wekuti chirwere che rotavirus chinogona kutamba chikamu chinogona kuitwa mukuchengetedza mwana kubva kune chirwere chekupedzisira chechiecac inogona kuonekwa sebhonasi yakawedzerwa. Asi, usati watanga gluten muzvokudya zvemwana wako, taura nechiremba wako-kunyanya kana iwe une mhuri yekusangana kusagadzikana kweguten.
> Sources:
> Beyerlein A, Donnachie E, Ziegler AG. Zvirwere muhupenyu hwekutanga nekuvandudza chirwere chechiliac. Am J Epidemiol. 2017.
> MedlinePlus. Celiac Disease.
> Kemppainen, KM, et al. Zvinokonzera Kuwedzera Kwengozi yeCeliac Disease Autoimmunity Mushure meKubata Kwepabonde muHupenyu Hwekutanga. Clinical Gastroenterology uye Hepatology 2017; 15: 694-702.
> Mårild, K, et al. Zvirwere uye Njodzi yezvirwere zveCeliac muhuduku: Chidzidzo Chinoitika Munyika Yose Cohort. Am J Gastroenterol. 2015; 110: 1475-1484;