Kutsvakurudza Kunokurudzira Kubatana pakati peGERD neCeliac Disease
Kunyange zvazvo gastric reflux, iyo inonziwo gastroesophageal reflux chirwere ( GERD ), haifaniri kuonekwa sechirwere chechikamu chechirwere chechiliac , tsvakurudzo inoratidza kuti vazhinji vanenge 30 muzana yevanhu vane chirwere chechiliac vachaonawo zviratidzo zveGERD, dzimwe nguva yakaoma.
Nenzira, pane humwe uchapupu hwokuti kushandura kune kudya kweguten kunogona kubatsira kugadzirisa zviratidzo zvezvirwere zvose.
Izvo zvinoita sokuti ndezvechokwadi kune vanhu vane GERD uye kwete-senecacac gluten sensibility , zvichiratidza kuti pane kungoerekana kwakabatana pakati pezvirwere zvakasiyana-siyana.
Kunzwisisa GERD
GERD, inowanzonzi asidi reflux, inokonzerwa apo valve inoparadzanisa dumbu uye nhengo dzesimba uye inobvumira asidi kuti iite shure (reflux) muchidembo. Pane zvakawanda zvinokonzera kukonzera GERD kusanganisira zilonda , gastritis , uye H. pylori hutachiona , humwe hwahwo hunoporesa kupfuura vamwe.
GERD inoratidzirwa nekunzwa kushungurudzika mukati mebhokisi nekuda kwekudzoka kwechidimbu iyo inogona kuwedzera mukati mehuro. Vanhu vane GERD yakaoma vanowanzoomerwa nekugwinya uye vanogona kunzwa sechinhu chinoramba chiri mumutsipa. Chirwere chisingagumi, chisina kubereka chinowanzonzi.
Kushamwaridzana pakati peCeliac Disease neGERD
Vanhu vane chirwere chechiliac vane chikwata chapamusoro cheGERD kupfuura vanhu vazhinji, kunyanya nenguva yekuongororwa .
Mune rumwe ruzivo rwakaitwa muna 2011, masayendisiti akaongorora vanhu vanenge vatatu vachangobva kuwanikwa vane chirwere chechiliac pamwe chete nemasitori 70 asina kukwana. Panguva yekuongororwa kwavo, vanhu vane chirwere chechiliac vaiva nekuwedzera kashanu muhutano hweGERD vachienzaniswa nevatori vasiri vemuviri. Uyezve, vanhu vane zviratidzo zvechirwere chechiliac (iko kusanganisira kubuda, kubhururuka, kuora muviri, uye kuneta) zvakapetwa kakawanda kuva neGERD kune avo vasina.
Chikuru chikuru chakasiyana-siyana chakaonekwa pakugamuchirwa kwekudya kusina-gluten. Maererano nevatsvakurudzi, vatori vechikamu avo vakachengeta kudya kwe-gluten kusingasviki pasi rose kwaive ne "kukurumidza uye kunoramba kuchivandudza muzviratidzo zvekudzivirira" kana zvichienzaniswa nevaya vasina. Zvisinei, hazvisi pachena kana kushandiswa kweguten kwakakonzera GERD kana kuti GERD yakanga iri mamiriro ezvinhu chete.
Zvatinoziva nechokwadi ndezvokuti vatachiwana veGERD mukudzidza vakawana kugadziriswa kwezviratidzo mumwedzi mitatu yekutanga kudya kweguten. Izvo zvakaonekwa mune zvimwe zvakafanana muna 2008 umo vanhu vakuru vane chirwere chechiliac vaiva nemakore maviri ekuregererwa kweGERD zviratidzo mushure mekutora mararamiro asina mararamiro.
Dambudziko reCeliac seChikonzero cheGERD
Kunyange zvazvo kudya kwe-gluten kusingagoni kugadzirisa zviratidzo zveGERD mumakumbo aya akachangobva kuongororwa, zvakafanana zvingasava zvechokwadi kune vanhu vanoona GERD mune chirwere chinotevera.
Chimwe chidzidzo chaive nevakuru makumi manomwe vane chirwere chechiliac chakawana kuti avo vane uchapupu hwevillous atrophy (kugadzika kwechigunwe-sezvakaitwa mumakumbo ematumbo) kwaive kanopfuura kaviri inogona kuva neGERD kupfuura avo vane vel health .
Izvi zvinoratidza kuti chirwere chakasiyana chinogona kugadziriswa neGERD mumashure ekupedzisira-stade celiacs.
Kunyangwe kubvumidzwa kwekudya kwe-gluten-kusagadzirisa kunogona kuvandudza zviratidzo zvakanga zvisingatauri muchidzidzo.
Izvi Zvinotitaurira
Pasinei nokuti munhu ane chirwere chechiliac ane GERD panguva yekufungidzirwa kana kuti gare gare, kubvumirwa kwekudya kusina-gluten kunogona kubatsira kubvisa zviratidzo zvezvose.
Isu tinoita, somuenzaniso, tinoziva kuti kudya kwe-gluten kusina kukwanisa kushandura zvinotyisa zvakanyanya. Izvozvo zvinomira pakufunga, saka, kuti kugadziriswa kwepamuviri kwemuviri kunogona, kana zvishoma, kubvisa zvimwe zviratidzo zvakanyanya zveGERD.
Nezvo zvataurwa, kana GERD inokonzerwa nemamiriro asina kusanganiswa akadai seH H. pylori , hazvina kujeka kuti chii, kana chero chinhu, kudya kwe-gluten kwaizoita.
Ndicho chikonzero chekuti chero chiitiko cheGERD chinofanira kuongororwa zvakasiyana kuitira kuti chigadzirise chinokonzera chikonzero. Pasina izvi, zvimwe zvinokonzera kukanganisa zvinogona kuregererwa kana kupa zvikonzero (zvakadai sekuputa, kuneta, kana kushandiswa kweAspirin) zvisingatongogadziriswa zvakanaka.
> Sources:
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> Lebwohl, B .; Blaser, M .; Ludwigsson, J. et al. "Kuderedza Dambudziko rezvirwere zveCeliac muvarwere neHelicobacter pylori Colonization." American Journal of Epidemiology. 2013; 178 (12): 1721-30. DOI: 10.1093 / aje / kwt234.
> Nachman F .; Vasquez, H .; Gonzalez, A. et al. "Gastroesophageal Reflux Symptoms in Patients With Celiac Disease uye Migumisiro yeGluten-Free Diet." Clinical Gastroenterology uye Hepatology. 2011 Mar; 9 (3): 214-9. DOI: 10.1016 / j.cgh.2010.06.017.
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