Nyanzvi dzakawanda dzinoti hungu, iwe unoda nzira yekufanirwa kuongororwa
Kana iwe uchida chirwere chegoridhe chekuongorora chirwere ichi , hongu, nyanzvi dzakawanda dzinobvumirana kuti iwe uchange uchida kuva ne-endoscopy uye biopsy, kunyange kana chirwere chako chechiliac chakanga chakasimba. Asi pane kubvumirana kuti pane kukakavara kwakapoteredza izvi zvinorayirwa, uye vanachiremba vashomanana zvino vanoti zvinogona kuongororwa chirwere chechiliac pasina nzira.
Nzira yekuongorora chirwere chechiliac inowanzotanga neropa rekuyera iro chinyorwa che chirwere chechiliac. Aya maedzo anotarisa maitiro anokonzerwa ne gluten anowanzopararira muropa rako kana iwe une mamiriro acho.
Kana zviedzo izvi zvichidzoka zvichiita zvakanaka (kana mune zvimwe zviitiko, kana zvisina kunaka asi iwe uye chiremba wako uchiri kukanganisa chirwere chechiliac), ipapo chiremba wako achakurudzira kuti usimbise chirwere cheecliac chichiongororwa kuburikidza nedumbu remakumbo. Kuti uite izvozvo, achada kuunganidza zviduku zviduku zvemukati mako kuti uongorore mune imwe nzira inonzi endoscopy .
Kana iyo yepamu inopisa, yakamboongororwa pasi pekroscope, inoratidza chimiro chemuviri chinokanganisa chakazivikanwa sevillous atrophy , iwe uchazoonekwa nehosha yeecliac.
Dzimwe Nyanzvi Dzinofunga Kuti Endoscopy Haifaniri Kudiwa
Ichokwadi ihwohwo: zviitiko zvakakurumbira zvechireac chirwere vatsvakurudza vakati hausi kunyatsoda biopsy kuti uongorore chirwere ichi.
Semuenzaniso, Dr. Alessio Fasano, mutungamiriri weCent for Celiac Research kuMassachusetts General Hospital, anotaura kuti iwe unongoda mana pane zvishanu kuti uone chirwere ichi. Zvinhu zvishanu izvo Dr Fasano anotaura zvinosanganisira:
- zviratidzo zvehosha yeecliac
- migumisiro inofadza pane zvakanyanya-celiac-zvakananga tTG-IgA uye EMA-IgA kuongororwa ropa
- positive celiac gene test results
- chinogumira uye chiziviso chinoratidza kuipa kwekurohwa
- kugadzirisa kwezviratidzo pane kudya kweguten-pasina
Mukufungidzira kwaDkt. Fasano, kana iwe une zvinhu zvose zviri muurongwa kunze kwemigumisiro yakanaka yebhiopsy kubva kune endoscopy, iwe unogona kudarika endoscopy.
Dzimwe nyanzvi dzinotaura kuti kuongorora kweropa kunoshandiswa mukugadzirisa chirwere kwakarurama kwazvo zvokuti biopsy kugonesa kuongororwa haisisina kukosha kana mitsva yekuongorora ropa iri yakanaka kana yakasimba. Semuenzaniso, vatsvakurudzi vakabvunzurudza mubhuku rezvokurapa BMC Gastroenterology kuti vakakwanisa kuongorora kana kubvisa chirwere chechiliac pasina chirwere chemuviri mukati me 78% yevarwere.
Iwe Uchiri Kuda Iko Kusingaperi uye Nyaya Dzakanaka Here?
Pane dzimwe mimwe mamiriro ezvinhu anogona kukonzera zviratidzo zvakafanana neainowanikwa mune chirwere chechiliac, uye kugumira kwenguva yakareba nechinangwa chinogona kubatsira chiremba wako kuti aone kuti chii chaunacho (uye chausina). Uyewo, kuongororwa kweropa kunoshandiswa kuvhara zvirwere zvechiliac hazvirevi 100% zvakajeka, uye kutendeseka kwavo kunogona kusiyana zvichienderana nebasa raishandiswa kuita chirongwa.
Nokudaro, vazhinji gastroenterologists vachiri kutenda kuti zvinokosha kuenda kune zvakakosha (kureva, mucheche wako muduku) kuona zvakananga kana pane zvakakanganisika zvine chokuita neseriac.
Ichokwadi, iyo American College of Gastroenterology inodzokorora mumakiriniki ayo mazano ekuongorora uye kugadzirisa chirwere chechiliac icho chinopedzisira chiine bhiopsy "chinonyanya kukosha chekuongorora kuongororwa kwevanhu vanofungidzirwa CD [chirwere ichi] uye inorumbidzwa kutsigira kuongororwa. "
Zvisinei, pane zvimwe zvishoma kuti uwane endoscopy, zvakare. Kunyange zvazvo nzira iyi haisi yakaipa kuti iite (zvirokwazvo!), Inogona kutora nguva yekugadzirisa, uye inogona kudhura (kunyange kana iwe une inshuwarisi).
Mukuwedzera, iwe paunenge wakamirira endoscopy yako, uchafanira kuramba uchidya kudya , sezvo chiyero chichitarisa kukuvadzwa kweguten kumucheto wako muduku.
(Dzidzai zvimwe: Sei ndichida kudya guten nokuda kwekuongorora kwechirwere ichi kuti ive yakarurama? )
Shoko kubva
Saka hongu, kunyange zvazvo pane zvikonzero zvakanakisisa zvekubvumirana nekugadzirisa, pane zvimwe zvikonzero zvekutamba, zvakare ... kunyanya kana kuongororwa kweropa kuchiratidza kuti une chirwere checliac.
Zvinogonawo zvakare kuti mazano evadzidzisi pane izvi achachinja mune ramangwana. Makumi makumi matanhatu adarika, nyanzvi dzakabvumirana kuti waida katatu zvinyorwa uye biopsies kuti uongorore chirwere chechiliac: chimwe chekunyora kutanga kukanganisa, yechipiri inotevera kutangwa kwekudya-gluten kusina kunyora kuporeswa, uye chetatu kuburitsa hutsva hutsva hunotevera dambudziko re gluten .
Pakupedzisira, kana iwe usina chokwadi kana iwe uchifanira kuve nekugadzirisa uye kugadzirisa zvirwere kuti uone kuti iwe unorwara chirwere ichi, unofanirwa kukurukura nezvehutano uye hunoita zvakadzama pamwe nechiremba wako.
Sources:
Bürgin-Wolff A. et al. Utachiona hwechiropa hahuwanzodiwa nguva dzose kuti uongorore chirwere chechiliac: a retrospective analysis of combine antibody tests. BMC Gastroenterology. 2013 Jan 23; 13: 19. doi: 10.1186 / 1471-230X-13-19.
Rubio-Tapia A. et al. ACG Clinical Guidelines: Kuongororwa uye Kutungamirirwa kwezvirwere zveCeliac. American Journal of Gastroenterology. 2013 May; 108 (5): 656-76. doi: 10.1038 / ajg.2013.79. Epub 2013 Apr 23.
Wakin-Fleming J. et al. Kuongororwa kwechirwere chechiliac muvanhu vakuru zvichienderana neserology test results, kunze kwechidiki-chidziro chechipiri. Clinical Gastroenterology uye Hepatology. 2013 May; 11 (5): 511-6. doi: 10.1016 / j.cgh.2012.12.015. Epub 2013 Jan 7.