Chirwere chinokonzerwa neecliac chinogona kuva chinotyisa kuongororwa: netsanangudzo, zvinoreva kurapa kwakakwana kwechirwere chechiliac - kudya kweguten-kusina kushanda, uye zvino unofanira kutsvaga dzimwe nzira.
Nhau dzakanaka, zvisinei, ndeyekuti celiac inopesana isingawanzoitiki. Muzviitiko zvakawanda, dambudziko rako harisi kurapa chirwere chechiliac - panzvimbo pacho, zviyero zviduku zvejuten muzvokudya zvako kana imwe mamiriro ezvehutano zvichida zviri kukonzera kupfuurira kwako zviratidzo.
Zvisinei, kana chiremba wako ari kutonga zvimwe zvinokonzera uye iwe pakupedzisira unorwara une chirwere chinokonzerwa neecliac, iwe unofanirwa kuziva kuti vanachiremba vanokwanisa kubata vazhinji vezviitiko kubudirira; kurapwa kunobva pane rudzi rwekudzivisa kwechiliac iwe unotambura kubva, pamwe nezvimwe zviitiko muhutano hwako hwehutano uye mamiriro ezvinhu.
Type of Refractory Celiac Disease Determines Treatment Options, Nzira
Kune marudzi maviri ehutachiona hwechiliac: Chimbo I uye Chipiri II. Paunenge uongororwa, chiremba wako achakuudza rudzi rwepi. Kazhinji, Rudzi I rwakawanda uye rinorapwa nyore nyore, asi zvidzidzo zvenguva ichangobva kupa migumisiro yakavimbika yekurapa Tsika II.
Pasi pemamiriro ezvinhu akawanda, iwe ucharasikirwa nechirwere chechiliac chinokanganisa pane imwe nzvimbo iripo ine ruzivo rwekugadzirisa nekutarisa mamiriro acho; nokuti kukanganisa celiac hakunzwisisike, vazhinji gastroenterologists havasati vabata matambudziko kare.
Chirwere Chingave Chengetedza Noutsigiro Rutsigiro
Chirwere chinokonzerwa nehutachiona chinogona kutungamirira kukurasikirwa kwekurema uye kusakondwa , kunyange iwe wakanga uchidya kudya kwakanaka, kwakagadzikana kwejuten. Izvi zvinokonzerwa nekukuvara kwemukati mako, iyo inozivikanwa sevillous atrophy , haina kupora - pasinei nekudya kwako kwakanyatsonaka.
Saka chiremba wako angatanga kurapa kwako nekuongorora hutano hwemuviri wako wevhithamini, zvicherwa, uye zvimwe zvekudya, uye kuronga kubatsirwa kwekudya kunobatsira kuderedza kusadya kwako. Kubva kusvika kune 60 muzana yevarwere, rubatsiro urwu hunosanganisira izvo zvinonzi Total Parenteral Nutrition, iyo inogadzirisa mishonga yakananga yakananga mumvura, ichipfuura nepamuviri wako.
Chiremba wako anogonawo kusarudza kuedza izvo zvinonzi kushanda zvakasimba zvekudya-chikafu chinodhaka chinopa mishonga mune fomu ye hypo-allergenic yakatozoputsika mukati mawo maitiro ekutanga amino acid. Chimwe chidiki chekudzidza chakawana kuti vasere vevatatu vane chirwere cheTe I refractory chirwere vakaratidza kuvandudzika mukati mavo emukaka villi pakudya kwakadaro; vatanhatu veavo vakaonawo kubudirira mune zviratidzo zvavo.
Muzviitiko zvishomanana zvinosanganisira chirwere cheTe I, ruviriro rwekudya uye kudya kwakanyanya kwakanyanya-gluten kunogona kunge iwe wose unoda kutanga kupora. Asi vanhu vazhinji vanogamuchirawo kurapwa kwemishonga.
Kurapa Kwemishonga yeTi I Kazhinji Kunosanganisira Steroids
Kusvika iye zvino, kurapwa kwezvinodhaka kwechirwere chinokonzera chirwere chinonzi cecliac chave chaisa pfungwa pamishonga yakagadzirirwa kukanganisa maitiro ezvirwere zvemuviri wako mukuedza kupa matumbo ako kupumha kubva pakurwisa kusinganzwisisiki kwehondo.
(Yeuka, haisi gluten pachayo inokonzera mumatumbo kukanganisa mune chirwere chechiliac - ndiyo mafungiro ezvirwere zvemuviri wako kune gluten. Muzvirwere zvinokonzerwa neecliac, zvirwere zvako zvemuviri zvinoramba zvichirwisa matumbo ako, kunyange zvazvo pasina guten mukudya kwako.)
Muchidimbu chechipiri I uye Type II inoratidzira chirwere chechiliac, mishonga yokutanga yemishonga inorapwa inowanzoita maitiro emishonga inonzi steroid inonzi glucocorticoids. Glucocorticoids inowanzoshandiswa mukurapa mamwe mamiriro ekudzivirira anonzi rheumatoid arthritis uye chirwere chinoputira chirwere.
Imwe mishonga inogona kushandiswa mukurapa yako ndeye azathioprine, iyo inoshandawo nekudzvinyirira muviri wako wesimba.
Vanhu vane rheumatoid arthritis yakaoma uye avo vanorarama nechirongwa chekushandiswa vanoshandisa azathioprine.
Kutsvakurudza kunoratidza kuti vanhu vazhinji vane Rudzi rwekutanga I refractory cecliac chirwere vachipinda muchikanganiso -, mune mamwe mazwi, kuona zviratidzo zvavo kugadzirisa uye matumbu avo anotanga kupora-kuburikidza nekushandiswa kwe steroid, pamwe pamwe pamwe neazatioprine.
Ropa II Refractory Celiac Disease Zvakaoma Kuita
Varwere vane chirwere chechipiri II vanoratidzira zvirwere vanowanzoona ruzivo rwezviratidzo zvavo kubva mumhando iyi yemishonga yezvinodhaka, asi zvinosuruvarisa kuti matumbo avo emubhedha haaporeri kubva, uye haisi kuratidzivirira kuvadzivirira kurudzi rwakaipa rweHodgkin lymphoma inobatanidza nechirwere chechiliac .
Zvimwe zvipatara zvinokonzera mishonga inonzi Cladribine - ine simba rakasimba remakemikari remishonga rinoshandiswa neukweukemia - muChirungu II chekufungidzira varwere. Chimwe chiedzo, chakaitwa muNetherlands, chakawana kuti Cladribine yakadzikama chirwere ichi chakakwana kuti chigone kuregererwa mune vane 18 kubva kune 32 varwere. Asi pasinei nokuti iyo mishonga inoisa vamwe varwere mukuregererwa, kune zvimwe kutya kuti inogona kutadzisa kupindira-inosanganiswa neT-cell lymphoma (EATL): iyo isingawanzovi, yakaipa yomuviri weropa. EATL inoshungurudza varwere Vechipiri II vasingaverengeki.
Kunyange zvakadaro, vamwe vanachiremba vakatanga kushandisa Cladribine sechisarudzo chavo chokutanga mukurapa chirwere chechipiri che reflicory cecliac, uye vanoona kuti vanogona kuisa hafu yevarwere vavo mukuregererwa nemishonga. Muedzo iwoyo iwoyo, kupona kwemakore mashanu muhutachipiri hwechipiri II avo vakapindura kuCladribine kurapwa kwaiva 83 muzana, zvichienzaniswa ne22 muzana kune avo vasina kuona zviitiko zvakanaka nekurapa. Chinonyanya kukosha, pakanga pasina kuonekwa sekuwedzera kwe lymphoma. Zvisinei, zviitiko izvi zvekurapa hazvisati zvanyorwa.
Pakupedzisira, kune avo vane chirwere chechipiri che reflicory celiac chirwere chinokundikana kupindura kune dzimwe mishonga dzose, kusanganisira Cladribine, panzvimbo imwe chete yeecliac - yakafanana iyo yakabudisa mhinduro yeCladribine - yakaongorora autologous stem cell transplant, nzira inoshandiswa nayo masero kubva mumapfupa ako anokohwewa, akakurira mubasa uye anobva adzorerwa mukati mako achitevera chemotherapy yakakura. Iyi inzira inokuvadza nehuwandu hwedambudziko, kusanganisira kufa.
Mune imwe chirongwa chechiremba chinosanganisira chirwere chechipiri che reflicory celiac uye an autologous stem cell transplant, 11 kubva ku13 zviratidzo zvevarwere zviri nani zvikuru mukati megore re stem cell maitiro. Mumwe munhu akafa kubva pakugadzirisa chirongwa chacho pachavo, uye zviviri zvezvitatu zvevarwere vakanga vachiri vapenyu makore mana gare gare. Mumwe murwere akawana EATL.
Your Refractory Celiac Treatment May Ramba Uchingogara Nguva refu
Kuti udzivirire kudzokerazve kwechirwere chako chinokonzera chirwere ichi, iwe ungada kutora steroidhi nekusingaperi. Asi kushandiswa kwenguva refu kweSteroids kune ngozi dzaro (kusanganisira shuga yepamusoro yeropa, kudonha mapfupa uye kuwedzerwa ngozi yezvirwere). Mukuwedzera, kushandisa steroid kwenguva yakareba kunowedzera dambudziko rako re lymphoma - uye zvechokwadi, vanokanganisa vecliac varwere vatove vari pangozi yakawanda kudarika yemazuva ose yeiyi yekenza.
Saka vatsvakurudzi vari kutsvaga zvimwe zvinogona kurapa zvinodhaka zvechirwere chinokonzera chirwere ichi, kusanganisira mishonga inonzi mesalazine, mishonga inopesana nekuputira ikozvino inoshandiswa kuporesa chirwere chechirwere chechirwere chakaongororwa muchirwere cheTe I. Kutsvakurudza kwakawanda pamusoro pechimiro chisingawanzo che chirwere chechiliac chichasunungurwa munguva yemberi iri pedyo.
Panguva ino, pasinei nekurapa kwenguva refu iyo inokurudzirwa iwe, iwe uchafanira kuramba uchiwadzana nachiremba wako uye ugare wakatarisa chero zviratidzo (zvakadai sokuvandudzwa kwekurema kwemazivi uye chirwere) kuti chirwere chako chinonzi cecliac iri kubuda mukuregererwa.
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