Paunenge uchangobva wataurirwa kuti une chirwere chechiliac , chiitiko chakakomba, chinowanzoitika (uye chinowanikwa!) Kubvunza kuti mamiriro ezvinhu angaita sei muupenyu hwako.
Muhuwandu hwemhosva, chirwere chechiliac hachisi chinouraya munzira yatinofunga nezvezvirwere zvinouraya-hazvizofambi uye pakupedzisira zvinokuuraya.
Zvisinei, nhau kana zvasvika kune chirwere chechiliac uye kufa kwemafuti zvakanyanya kuvhenganiswa: zvimwe zvidzidzo, asi kwete zvose, kuratidzira vanhu vari pangozi yekufa nekutanga kune zvimwe zvinokonzera kana vane celiac.
Kunyange zvakadaro, pane mamwe mashoko akanaka, zvakare: kunyanya kuongorora kunoratidza kuti vanhu vanonyatsoteerera mukutevera zvokudya zvisina kuchena zvine gluten vanogona kunge vane ngozi shoma yekufa kwekutanga. Izvozvo zvinokuratidza kuti pane chimwe chinhu chinoita kuti iwe unogona kuita kuti uvandudze hutano hwako uye hupenyu hwako hurefu.
Hezvino izvo zvatinoziva (uye zvatisingazivi) pamusoro pengozi yako yekufa kana uine chirwere cheliliac.
Dambudziko reCeliac Rinowedzera Kufa Kwepamusoro Njodzi mune Vamwe
Purojekiti yakawanda yekutsvakurudza iyo yakabatanidza data kubva kuongorori 17 dzakasiyana-siyana dzekliniki yakagumisa kuti vanhu vane chirwere chechiliac-kusanganisira avo vanoongororwa kuburikidza ne- endoscopy uye avo vanoongororwa neine maonero akanaka emuropa ekuongorora- kune ngozi yakawanda yekufa kare kubva kune zvese zvinokonzera, kunyanya kubva kune -Hodgkin lymphoma.
Chirwere cheCeliac chisingatauri kune kudya kwe-gluten kunogona kufambira mberi kune rudzi rwakanyanya kuuraya lymphoma , saka kuwana kuti celiacs ine yakakwirira kwazvo-kupfuura-yakawanda yekufa kubva ku lymphoma hazvishamisi.
Kakawanda, mukana wekufa kubva kune chimwe chinokonzera chakanga chiri chepamusoro zvishoma chete-asi chaive chakakwirira.
Vanhu avo vakanga vasina kukwana kuti vaise muchipatara vanoita sevari kuipa, maererano nedzimwe dzidzo.
Ichi chidzidzo, chinosanganisira 10,032 varwere veSweden vakange vapfigirwa nezvirwere zvechiliac (zvinoreva kuti vairwara kupfuura vanhu vazhinji vanoonekwa kuti vane chirwere), vakawana kuwedzera kaviri pakufa kwekutanga kune avo varwere.
Vanhu vane chiremera, asi hapana zvimwe zvinowanikwa panguva yekurapwa (zvinoreva kuti vairwara kupfuura vashoma asi varwere vashoma kupfuura vamwe vevamwe vanhu vakabatanidzwa muchidzidzo chino), vakaona kuwedzera kwe4-fold muhutano hwekufa kare.
Rufu rwekufa rwakanga rwakawedzerwa mune boka iri nekuda kwezvirwere zvakasiyana-siyana, kusanganisira kwete Hodgkin lymphoma, kenza yemukomana muduku, zvirwere zvemoto, zvirwere zvinokonzerwa nehutachiona, zvirwere zvinokonzera zvirwere, chirwere cheshuga, chirwere chetachiona, pneumonia nephritis (chirwere chepfungwa ).
Vatsvakurudzi vanoti izvi zvinowedzera ngozi yekufa zvinogona kunge zvakakonzerwa nekuderedza kunwa kwezvinhu zvinokosha zvekudya, zvakadai se vitamini A uye vitamini E. Kunyange zvakadaro, kana uchitarisisa mhinduro dzekudzidza kwakadaro, ramba uchifunga kuti vanhu ava vairwara kupfuura vanhu vazhinji panguva yekuongororwa.
Zvinofadza kuti chidzidzo chacho chakawanawo kuti vana nevana vaduku vakapinda muchipatara nechirwere chechiliac vasati vava nemakore maviri vane ngozi shomanana yekufa, zvichireva kuratidza kubatsira kunotangira kudya kwema gluten kare kare.
Kune Zvokudya Zvikurusa zveGluten Zvinoreva Kufa Kwezasi Here?
Kwete zvidzidzo zvose zvine mashoko akaipa. Zvechokwadi, mairi maviri ane mazano anotevera zvokudya zvakanyanya zvakanyanya-gluten zvinogona kuderedza zvakanyanya ngozi yako yekufa kwekutanga.
Somuenzaniso, imwe tsvakurudzo yakawana yepamusoro-kudarika-inotarisirwa kufa muvashandi veFinland avo vakanga vaonekwa kuti vane dermatitis herpetiformis , kuputika kweganda kunokonzerwa ne gluten iyo yakabatana zvikuru nehosha yechiliac. Nhamba yevakafa inofanira kunge yakazara zana negore makumi matatu nemakore pamusoro pemakore makumi matatu nemakore ekudzidza; panzvimbo pacho, vanhu 77 bedzi vakafa.
Muchidzidzo chacho, vazhinji veavo vakaonekwa vane dermatitis herpetiformis vaivewo nevanokuvadza atrophy (izvo zvinoreva kuti vaiva nechirwere chechiliac pamwe nekudematitis herpetiformis).
Ikoko kwakanga kune rumwe musiyano mukuru munharaunda iyi yekuenzanisa kana uchienzaniswa nedzimwe tsvakurudzo: zvimwe 97.7% yeavo vaisanganiswa kutevedza zvakakwana kudya kwekudya-gluten, zvichida nokuti kudya kwakanyanya-kwakanyanya ndiyo nzira chete yekudzora kusingagumi kusinganzwisisiki kwemaermermitis herpetiformis yakareba -term.
Zvimwe zvidzidzo zvakawana zvidimbu zvakaderera zvekutengesa kudya-kubva ku 42% kusvika ku 91%-mune vanhu vane chirwere chechiliac (asi kwete zvekuti dermatitis herpetiformis).
Chidzidzo chacho hachina kugumisa kuti kudya kwakakwana kwe-gluten kunokonesa kufa kwehuwandu kune vanhu vane celiac uye dermatitis herpetiformis-yakanga isati yakagadzirirwa kupindura mubvunzo iwoyo. Zvisinei, vanyori vaifungidzira kuti kudya kwakasimba kunogona kunge kwakaita basa (uye rakaratidza kuti boka re 97.7% rekutevedza kudya kwepamusoro kwaive rakakwirira kwazvo).
Chimwe chidzidzo-ichi chinobva kuMayo Clinic College yeMishonga muRochester, Minn.-inogona kusimbisa zvakananga iyo pfungwa. Chidzidzo chacho chakatarisa vanhu 381 vane chirwere chinonzi biopsy-proven cecliac uye vakaona kuti avo vakanga vasina hanya zvikuru kana ivo vaibiridzira pamararamiro avo asina kugadzikana vaiva nehutachiona hwekuvhiringidza. Vaya vane matumbo maduku akadzoka (sekusimbiswa nekuedzwa) aiva nehuwandu hwekufa.
Kubiridzira pazvokudya haisi iyo chete iyo inobatanidzwa mukuramba ichikuvadzwa uye kuwedzera kwekufa kwehutachiwana: chirwere chakanyanya uye kuora muviri kunobatanidza nekurwadziwa kwepachiviri mumatambudziko panguva yekuongororwa kwakaonekwa zvakare kuti iite basa. Mukuwedzera, sangano iri rakagadziriswa mukati mekudzivirira mumimba uye kuderedzwa kwehuwandu hwekufa kwaingova isina simba chete, chidzidzo chacho chakashuma.
Kunyange zvakadaro, vatsvakurudzi vakaona kuti kuisa kwekutsvaga gluten-kana kuburikidza nokubiridzira nemaune pazvokudya kana nekuda kwekusvibiswa kwe-gluten kunonzi "gluten-isina" zvokudya-zvinogona kupomera mhosva yekuramba yakakuvara mumatumbo kune vamwe vanhu.
Shoko kubva
Zvinosuruvarisa, hatigoni kupedzisa zvakanyanya kubva kune zvidzidzo izvi-pane zvakawanda zvitsvakurudzo zvinofanira kuitwa tisati tava nemhinduro dzakasimba pamatambudziko ekufa eecliacs uye kuti tingavandudza sei matanho edu.
Zvidzidzo zvinoratidza chikwata chapamusoro chekufa kwekutanga pakati pevanhu vane chirwere chechiliac, kunyanya pakati pevacliacs avo vainyanya kurwara vanorwara. Hasi-Hodgkin lymphoma, zvirwere zvinodzivirira muviri, uye zvirwere zvakadai sepineumonia yakaverengera vazhinji veavo vakafa kare.
Zvisinei, imwechete kana maviri zvidzidzo zvinoratidza kuti kunamatira kune zvokudya zvakanyanya-zvakasimba-zvisina kudya (zvakasimba zvakakwana kuporesa mumimba yako vilini kana kubvisa dermatitis yako herpetiformis) kunogona kuderedza ngozi yako yekufa yakawanda zvikuru. Kunyange zvazvo zvidzidzo zviri kure nekugadzirisa, izvi zvinokosha sechimwe chikonzero chakanaka chekutevera zvakakwana kudya kwako.
> Sources:
Hervonen K. et al. Kuderedza kufa kwechirwere mu dermatitis herpetiformis: kuongororwa kwevanhu-476 varwere. British Journal yeDermatology. 2012 Dec; 167 (6): 1331-7. doi: 10.1111 / j.1365-2133.2012.11105.x.
Lebwohl B. et al. Kurapa kuporesa nekufa mune chirwere chechiliac. Alimentary Pharmacology & Therapeutics. 2013 Feb; 37 (3): 332-9. doi: 10.1111 / apt.12164. Epub 2012 Nov 28.
Peters U. et al. Zvinokonzera rufu muvarwere vane chirwere chechiliac muvanhu vanobva kuSweden cohort. Archives of Internal Medicine. 2003 Jul 14; 163 (13): 1566-72.
Rubio-Tapia A. et al. Mucosal kupora uye kufa kwevanhu vakuru vane chirwere chechiliac mushure mekurapwa nejuten-isina kudya. American Journal of Gastroenterology. 2010 Jun; 105 (6): 1412-20. doi: 10.1038 / ajg.2010.10. Epub 2010 Feb 9.
Tio M. et al. Meta-tsananguro: chirwere cheliyacia uye njodzi yezvose-zvinokonzera kufa, chero upi zvake hutsinye, uye lymphoid malignancy. Alimentary Pharmacology & Therapeutics. 2012 Mar; 35 (5): 540-51. doi: 10.1111 / j.1365-2036.2011.04972.x. Epub 2012 Jan 13.