Vanhu vane chirwere chechiliac vanowanzoburitsa zvinetso zveganda.
Hazvisi zvisizvo kune vanhu vane chirwere chechiliac kuti varondedze vane matambudziko pamwe chete nemaronda avo. Sezvarinoitika, kubatana pakati peecliac uye nharo dzemakumbo zvingave zvisina kungova imwechete yekuongorora: tsvakurudzo dzakawanda dzakabatanidza chirwere chechiliac uye mamwe marudzi ehurbladder chirwere.
Zvisinei, kune dzimwe nharo pamusoro pekuti vanhu vane celiac zvechokwadi vari pamwero wepamusoro wechinonyanya kukanganisa chirwere chenduru: gallstones.
Izvi zvinowanzoshungurudza uye zvinorwadza zvinokanganisa vanhu vakawanda vane chirwere chechiliac, asi hapana humwe humwe uchapupu hunoratidza kuti vanhu vane celiac vari pangozi yepamusoro yezvishongo zvinopfuura vanhu vasina chirwere cheliacac.
Kunyange zvakadaro, vamwe vatsvakurudzi vakafungidzira kuti rudzi rwemukumbo kunokanganisa runowanikwa kune avo vane chirwere chechiliac kunogona kutungamirira kune anonzi "ane usimbe nyobladder," iyo iyo inogona kutungamirira pakuumbwa kwemarudzi akasiyana-siyana emaronda.
Verenga pamusoro pemashoko ekuti chirwere chechiliac chinogona kuchinja sei gorosi yako, uye nekuda kwezvipingamupinyi zvako zvekuwedzera chirwere chenduru.
Kuti Gallbladder Yenyu Inobatsira Sei muDzimba
Huru yako inenge iri duku, nhengo yakagadzirwa nemapuranga iri pasi pechiropa chako kuruoko rwako rworudyi, pasi pebvu rako. Icho chinonyanya chigadziko chekuchengetedza: chinangwa chayo ndechokuunganidza micherechedzo yekudya inonzi bibi (kana kuti, nduru-naizvozvo zita rokuti "gallbladder") kubva pachiropa chako uye kubata iyo enzyme kusvikira ichidiwa kuti ikubatsire kudya zvokudya.
Zvadaro, mazamu ako emagetsi uye anosunungura maitiro ezvakachengetwa mumukati mako maduku, uko kunyanya kudya kunowanikwa.
Apo gorova rako rinoshanda zvakanaka, hauzoni kuziva iro richiita basa rayo. Asi, zvinosuruvarisa, pane nzira dzakasiyana-siyana kuti gorofu yako inogona kushanda uye inokonzera matambudziko.
Common Gallbladder Matambudziko
Dambudziko rinowanzoitika kuvanhu vanowanikwa nehuro yavo ndeyekugadzirwa kwemakumbo. Mune vamwe vanhu, "mabwe" maduku akaumbwa mu bile, uye izvozvo zvinogona kukonzera kurwadziwa kukuru nekuputika. Hazvisi pachena nei izvi zvichiitika, asi zvikonzero zvinokonzera zvinosanganisira cholesterol yakawandisa mu bile yako kana kuti yakawandisa bilirubin (kemikemikari yakagadzirwa nemuviri wako apo inoputsa masero matsvuku eropa) mune yako bile.
Iko kune marudzi maviri akasiyana-siyana emagurusa emvura: cholesterol mavara emvura, ayo anowanzoonekwa, uye mavara emapururu, asingasviki uye anovandudza apo bheri yako inowedzera bilirubin. Iwewo unogona kukura mazamu emvura kana duru rako risina kuvhara zvakanaka.
Haasi munhu wose ane gallstones ane zviratidzo. Asi zviratidzo zvemasvivheti zvinogona kusanganisira: kurwadziwa kwakanyanya mumakumbo ako ekumusoro kwakadzika kunogona kutamira kufudzi rako nepamusoro chaidzo kumashure, kusuruvara, uye kurutsa. Zviratidzo zvinogona kupedza maminetsi mashomanana kana kupfuurira kwemaawa akawanda. Izvo bile yakachengetwa mumaronda ako inokubatsira kuti ucheke mafuta mukudya kwako, uye kuitira kuti uve ne "kurwisa" kwakadaro uchitevera kudya zvakanyanya zvakapfuma kana mafuta sezvo nyoka yako ichiedza kubvumirana.
Kana uine mazamu-kunyanya kana mazamu ako ari kudzivirira duct apo bhati inopinda mumukati mako maduku-yako gorofu inogona kupisa.
Ichi chiitiko chinonzi secholecystitis. Zviratidzo zve cholecystitis zvinosanganisira: marwadzo (kazhinji akaoma) kurutivi rworudyi rwemuviri wako, pasi pechibhakera chako, nenyota uye kurutsa, uye fever. Kazhinji kazhinji, uchaona zviratidzo izvi mukati meawa kana maviri mushure mekudya kukuru. Zvokudya zvine mafuta mazhinji zvinogona kuita kuti zviratidzo zve cholecystitis zvirwe.
Cholecystitis yakawanda inogona kutungamirira kune hutachiona hwakaipa mumaruva ako uye zvinogona kuita kuti dutu rako ribvarure kana kuputika. Kana chiremba wako achikuongororai iwe nemamiriro acho ezvinhu, iwe uchada maantibiotics kuti uchengetedze utachiona, uye iwe unogona kutoda kupinda muchipatara.
Kana iwe uchitambudzika kupfuura imwechete ye cholecystitis, chiremba wako acharondedzera zvaunogona kuita. Vanhu vazhinji vanogara vachiita cholecystitis vanoda kubudiswa kweguruva yavo.
Maitiro eCeliac Mafuro Angave Akabatanidzwa neGallbladder Disease
Chirwere cheCeliac chinokonzera kuti chigadziko chemukati mako chirwere chisvike muitiro unonzi villous atrophy . Asi iwe unogona kunge uchiziva kuti chirwere chechiliac chinokanganisa zvakanyanya kupfuura chirwere chako chekudya: zviratidzo izvi zvinogona kukanganisa hurongwa hwako hwemitsipa , kubereka kwako, manotsi ako, uye kunyange ganda rako.
Sezvo zvinokonzerwa neecliac zvakanyanyisa, hazvishamisi kuti mamiriro acho angave akabatanidzwa nehutubu hwemibvunzo. Zvechokwadi, zvakajairika kune vanhu vane chirwere chechiliac kuti vataure kuti vane chirwere chavo chakabviswa kana vasati vasvika kana mushure mekunge vaongororwa. Vanhu vashomanana vataura kuti vanotenda chirwere chavo chakakonzerwa negurubladder kubviswa, asi ndezvechokwadi kuti hazvigoneki kusimbisa izvo zvingave zvakakonzera chirwere cheseliac .
Zvidzidzo muvanhu vane chirwere chechiliac asi avo vasiri kutevera kudya kweguten-vakawana matambudziko ne gallbladder kubuda vachitsvaga kudya kwemafuta. Dambudziko iri rinogona kuita kuti munhu awedzere kutarisa rudzi rwemakonduru anogadzirwa necholesterol.
Vatsvakurudzi muItaly vakadzidza vanhu 19 vane chirwere chechiliac vakanga vasati vachitevera kudya kwe-gluten, uye vakawana kuti vhudzi ravo rakadurura zvishoma nezvishoma kupfuura vhudzi muvanhu vasina mamiriro. Vatsvakurudzi vakabva vadzidza gallbladder basa mumunhu mumwe chete kana vanga vaenda gumbo-pasina, uye vakawana kuti kuvhara ropa kwakange kwakanaka.
Zvisinei, chidzidzo ichocho chakawanawo kuti zvokudya zvakafamba zvishoma nezvishoma kuburikidza nematumbu maduku evanhu vane chirwere chechiliac kupfuura icho chakaitwa kuvanhu vasina mamiriro avo pasinei nokuti vanhu vane celiac vakanga vachitsvaka kudya kweguten kana kwete.
Humwe humwe huripo huripo hwekuti vanhu vane chirwere chechiliac vanogona kunge vasina kukwana gallbladder function pasinei nokutevera zvokudya zvisina kuchena.
Ko Celiac Inowedzera Ngozi Yako yeMatombo?
Pasinei nouchapupu hwokuti kuva nechirwere chechiliac chinogona kukanganisa basa reruru rako, tsvakurudzo yakawanda inowanika inoratidza kuti vanhu vane celiac havasi ivo vari pangozi yakakura yezviputi. Zvisinei, vamwe vatsvakurudzi vari kupokana nemaonero iwayo.
Chidzidzo chakaitwa makumi emakore akapfuura chakaratidza kuti vanhu vanopfumbamwe chete kubva ku 350 vane chirwere chechiliac vakave nehombodo yavo yakabviswa nekuda kweguruva. Munguva iyi, kumwe kuongorora kwemazuva ano kunoratidza kuti vanhu vanorwara vane chirwere chechiliac mushure mezera remakore makumi matanhatu nematatu vangave vari pangozi yakakura yematombo emvura-makumi maviri kubva muzana evaya vanobatanidzwa mukutsvakurudza ikoko vaiva nemaronda.
Zvakare zvakare, vatsvakurudzi vanonyora muEuropean Journal of Clinical Investigation vakafungidzira kuti chirwere chechiliac chinogona kuva chinhu chinokonzera njodzi inogadziriswa nematombo-kunyanya, kuumbwa kweiyo yakajairika yakawanda yekodermoni-maziso-nokuti chirwere ichi chinogona kutungamirira kumazinga mashoma ehomoni muviri wako anoshandisa kuudza yako gallbladder kusunungura bile.
Iyo hormone, inozivikanwa se'cholecystokinin, inobudiswa nekamuri yemukumbo muduku, iyo inokuvara kana iwe une chirwere ichi. Pashoma cholecystokinin inogona kureva kuti chirwere chako hachishandi pamwe chete uye chinofanira-chichiita icho chinonzi "sviggish gallbladder" -kuti iyo inogona kutungamirira pakuumbwa kwemashoko aya emashoko echolesterol, vatsvakurudzi vanoti. Zvisinei, dzidziso iyi haisati yatsigirwa neongororo yezvokurapa.
Zvirwere zvose zveceliac uye matombo emhangura zvinowanzoonekwa kune vakadzi kupfuura varume. Vakadzi vanoongororwa vane chirwere chechiliac kaviri kacho kakawanda sevarume. Saizvozvowo, vakadzi vari mumakore avo anobereka vanenge kaviri vanogona kuonekwa kuti vane nduru dzemajeri sevarume, kunyange zvazvo kusiyana pakati pevarume kunopesana nevanhu vakwegura. Zvisinei, chokwadi chekuti celiac uye matombo ematombo zvinowanzoonekwa kune vakadzi kupfuura varume hazvirevi kuti mamiriro maviri aya akabatanidzwa. Kutsvakurudza kwakawedzerwa kunodiwa kuti uone kana chirwere chechiliac zvechokwadi chiri chikonzero chekutengesa kwemajoni.
Kubatana neBile Duct Disease
Chirwere cheCeliac chinokanganisa chiropa chako , icho chinokonzera kuita bile yakachengetwa nehuturu yako. Semuenzaniso, celiac inobatanidza nekusingaperi kwechiedza chekuedza uye kune chimiro chechiropa chinonzi autoimmune hepatitis, umo maunofunga maune immune anokonzera chiropa chako. Muzviitiko zvakasiyana-siyana zvinorondedzerwa, chirwere chinonzi celiac uye kuchinja kunotevera kuchidya chisina kudya-gluten chakagadzirisa kuora kwechiropa kune vanhu vaimbove vakagadzwa pachiropa chekupemha.
Celiac inogonawo kubatanidzwa nechiitiko chinonzi primary sclerosing cholangitis, iyo inogara isingagadziriswi inosanganisira kukanganisa zvishoma nezvishoma kumidha inotendesa bile kubva pachiropa kusvika kunduru.
Vatsvakurudzi vanonyora mu World Journal of Gastroenterology vanoti primary primary sclerosing cholangitis inogona kugovana zvimwe zvakajairika zvechiini nechirwere cheecliac, icho chingave chingaverengera kukwanisa kuwirirana pakati pemamiriro maviri aya. Zvisinei, maererano nevanotsvakurudza, hapana humwe uchapupu hwokuti kudya kwe-gluten-kunogona kuderedza rudzi urwu rwekuvadza kune bile ducts.
Shoko Rinobva
Kuchengeta inzira yakaoma, uye nduru yako ine basa rinokosha. Zvisinei, haufaniri kutora chirwere chako, naizvozvo kana chiremba wako achikurudzira kubvisa iyo nemhaka yehutachiona hwehutachiona , haufaniri kuva nehanya nekubvumirana nekuvhiyiwa.
Vakiriniki vashomanana vanokurudzira kuti vanhu avo vachangobva kuongororwa vane chirwere chechiliac vanotarisana nemuedzo anoshandisa ultrasound kuti vaone kana vashandi vavo vari kushanda zvakanaka, uye kana pane izvo zvinonzi "sludge," kana kuti chinotangira kusvika kumatombo emvura, aripo mumvura. Zvisinei, havasi vanachiremba vose vanobvumirana nekuedzwa uku kunokosha. Kana iwe uine hutachiwana ane ma-gallstones munguva yakapfuura, unogona kufunga kukurukura izvi nechiremba wako.
Vamwe vanhu vanoda zvokudya zvenguva pfupi, zvakaderera-mafuta zvinowedzerawo mu fiber iri kutevera chirwere chegorofu apo chirwere chavo chekudya chinogadzirisa kusava neguruva. Kana uine chirwere cheliliac uye uri kutariswa negorobladder removal, iwe unofanira kutaura nachiremba wako pamusoro pezvokudya zvekudya paunenge uchiwana. Haasi yose fiber supplement is gluten-isina, asi zvakawanda zvinokonzerwa ne-gluten-zvisina zvekudya zvine zvakawanda zve fiber. Kana uchida rubatsiro kuronga chikafu chako, bvunza chiremba wako kuti akutsanangurire kune unyanzvi wezvokudya uyo anonyanya kugadzirisa kudya kwe-gluten.
> Sources:
> Benini F et al. Slow Gallbladder Kubva Kudzokera Kunowiririka asi Kudukuka Kwechidiki Kumuviri wePhysiological Meal Kunogara Slow muCeliac Patients Panguva yeGluten-Free Diet. Neurogastroenterology uye Motility . 2012 Feb; 24 (2): 100-7, e79-80.
> Farnetti S et al. Matambudziko anoshanda uye Masabetamu muCeliac Disease: New Implications for Nutritional Treatment. Nyaya yeMishonga Yezvokudya . 2014 Nov; 17 (11): 1159-64.
> Freeman HJ. Hepatobiliary uye Pancreatic Disorders muCeliac Disease. World Journal of Gastroenterology . 2006 Mar 14; 12 (10): 1503-1508.
> Wang HH et al. Dambudziko reMucheche Cholecystokinin Secretion, Rinofadza asi Rakanganiswa Kusangana pakati peCeliac Disease uye Cholesterol Gallstone Disease. European Journal of Clinical Investigation . 2017 Apr; 47 (4): 328-333.