Vakadzi vane chirwere chimwe chete vanogona kunge vane imwe
Pakutanga, chirwere chechiliac -chinoitika apo kushandiswa kwemapuroteni gluten kunokonzera kukanganisa kwemimba-kunoratidzika kusina zvishoma kufanana nechirwere chekudya anorexia nervosa. Pamusoro pezvo, vose vari vaviri vanosanganisira kudya, asi celiac ndiyo mamiriro ezvinhu ega , uye anorexia inoonekwa sehutano hwepfungwa.
Zvisinei, vatsvakurudzi vakazarura zvavanotaura sezviri kuwirirana pakati pemamiriro maviri aya.
Kunyanya, vakadzi avo vakamboonekwa kuti vane chirwere cheecliac vanowanzoonekwa kuti vane anorexia, uye zvakare, vakadzi avo vakamboonekwa kuti vane anorexia vanowanzove vaine chirwere ichi.
Hazvisi pachena nei izvi zvichiitika-zvinhu zvakawanda, kusanganisira genetics, inogona kuita basa. Asi kutsvakurudza kunoratidza kudikanwa kwekuwedzera kuzivikanwa kwezvinogona kuwirirana, uye nekuda kwezvinetso zvinotarisana nomumwe munhu ane zvinhu zvose.
Celiac uye Anorexia: Chii Chinonzi Connections?
Chirwere cheCeliac inongova chimiro chemoto chinokonzerwa kana iwe uchidya zvokudya kana kunwa zvine imwe yemaguta (gorosi, bhari, kana rye). Zvirwere zvemuviri wako zvinopindira kune puroteni ye gluten nekurwisana nendima yemukati mako maduku , izvo zvinogona kutungamirira kune zviratidzo zvakasiyana-siyana uye kusakwana kwezvokudya . Hazvisi pachena zvinokonzera chirwere chechiliac - genetics inobata basa rakasimba , asi vatsvakurudzi vari kuedzawo kuziva zvinokonzera zvinokonzera.
Panguva iyi, hazvisi pachenawo kuti chinonyatsokonzera anorexia nervosa. Kudya kunetseka kunoita kunge kunomhanya mumhuri, iyo inoratidza kuti kune mazita ehutano, asi zvipo zvepakati uye zvepfungwa zvinogonawo kutamba basa rakaoma.
Chirwere cheCeliac uye anorexia nervosa haisi mamiriro ezvinhu asingawanzoiti-celiac inopindira zvishoma kudarika 1 muzana yevanhu veUnited States, asi anorexia inogona kuwedzera kusvika 1 muzana yevakadzi pamusoro pehupenyu hwavo.
Zvose izvi zvinowanzoonekwa kune vakadzi kupfuura varume.
Kwemakore, vanachiremba vakacherechedza mamiriyoni emamiriro ezvinhu aya maviri ari kuitika pamwe chete mumunhu mumwechete, zvichiita kuti vatsvakurudzi vatarise zvakanyanya pane zvingave zvayo. Mukuwedzera, vatsvakurudzi vanotarisa mazita ehutachiona hwechiliac, chirwere chechirwere cheshuga (chimwe chimiro chechimiro), uye anorexia nervosa yakawanikwa pamwe mazita ekugadzirisa zvinhu pakati pevatatu, vachiratidza kuti chidzidzo chacho chinonzi chii "maitiro evanhu vakawanda" kune izvozvi.
Ngozi Dzakakwirira Kwavose Celiac uye Anorexia
Chidzidzo chinobva kuSweden chakabudiswa mumagazini ezvokurapa Pediatrics kuongorora hukama huri kutarisa vakadzi vanosvika 18 000 avo vakanga vaongororwa vane chirwere ichi, vachienzanisa ivo nevakadzi vanoda kusvika 90 000 vasina mamiriro ezvinhu.
Vatsvakurudzi vakawana kuti vakadzi vane chirwere chechiliac vakange vaine 1.46 mara yakawanda zvakare kuti vawane chirwere chinonzi anorexia nervosa mugore rekutanga mushure mekutsvaga kwavo, uye 1.31 dzimwe nguva zvinowanzoonekwa neine anorexia kunze kwegore rokutanga mushure mekutsvaga kwavo.
Vakadzi vakanga vava kunyanya kuongororwa kuti vaine anorexia uye zvakare neecliac: kuva nerexixia yakatarwa kare yakagadziriswa yakagadziriswa chiitiko chekudzivirirwa kwechipiri 2.18 dzimwe nguva zvishoma, chidzidzo chakawana.
Kuongororwa hakutsananguri njodzi dzinowedzera kune varume, asi vatsvakurudzi vakanyevera kuti chidzidzo chacho chakanga chisina kukwana kuti aone mikana inowanikwa mumarume.
Zvinhu zvakasiyana-siyana zvingave zvakakonzera kuwedzera kwengozi kuvakadzi, vanyori vakanyora. Chokutanga, zvinoita kuti mumwe munhu ane chirwere ichi chisati chave chave asina kunyatsozivikanwa ne anorexia, sezvo zvose zviri zviviri zvinogona kukonzera kuora muviri nekushaya zvokudya zvinovaka muviri. Chechipiri, pane zvingave izvo vatsvakurudzi vanodana kuti "kukanganisa," zvinoreva kuti vanhu vari pasi pekuongororwa kwezvokurapa zvinowanzoita kuti zvirwere zvionekwe. Uye chechitatu, zvikamu zvinokonzera ngozi, kusanganisira genetics, inogona kuita basa.
Chii Chinoitika Iye Zvino?
Zvinogona kuti kuonekwa kuti une chirwere checelac-chinoda kudya zvakasimba -kusina -kutora-kunogona kukonzera chirwere chekudya mune mumwe munhu aimbova asina.
"Kwete nguva dzose, chirwere chekudya chinotanga nechinangwa chakanaka, kuzviedza kuedza 'kudya zvakanaka' kuburikidza nekubvisa zvokudya zvakaonekwa kuti hazvina kunaka," akanyora Drs. Neville Golden, MD naKT Park, vose veStanford University vanachiremba, mune imwe nyanzvi inoperekedza chidzidzo muPediatrics. "Ongororo yemazuva ano inoratidza kuti kunyanya kufunga nezvekudya mune varwere vane chirwere chechiliac kunogona kutungamirira kukura kweanorexia nervosa kune vanhu vanogona kuzvidya."
Ichokwadi chokuti vatsvakurudzi vakawana izvo zvavaidaidza kuti "sangano rekusimudzira vanhu" -vanhu vanorwara vane humwe mamiriro ezvinhu vaigona kuonekwa kune imwe, pasinei nokuti ndiani akaonekwa kuti anotanga kutanga-zvinoreva vanachiremba vanofanira kunyatsocherechedza vanhu vane chirwere chechiliac kana anorexia nervosa kutarisa kuti kune imwe mamiriro ezvinhu anobudirira.
Chimwe chinetseka ndechokuti kuva neorexia kunoita kuti zvive zvakaoma kutevera kudya kwema gluten. Avo vanodya gluten-havazivi vanoziva dzimwe nguva vanomanikidzwa kushaya nzara mumamiriro ezvinhu kana pasina chinhu chakachengetedza kudya, asi icho chinogona kuva nengozi kune munhu ane anorexia. Zvinogonawo, vatsvakurudzi vanoti, vamwe vanhu vane anorexia uye celiac vanonyatsoziva kudya zvinhu zvinokonzerwa ne gluten nokuti zvichaita kuti zviitike uye kupera kwekukura kwekukura.
Kurapa vanhu vane chirwere cheliacac uye anorexia nervosa inogona kuva yakaoma, sezvo chimwe nechimwe chinoda nzira yakasiyana kwazvo. Chirwere cheCeliac chinowanzoongororwa ne gastroenterologist, uye munhu ane celiac angaona vamwe vezvechiremba, zvichida kusanganisira chirwere chezvokudya chinonyanya kushandiswa muzvokudya zvisina guten. Anorexia nervosa, panguva iyo, kazhinji inobatwa neboka rinotungamirirwa neyanzvi hwehutano hwepfungwa, uye munhu ane chirwere chacho angangodaro anoona mucheri wezvokudya anonyanya kugadzirisa zvirwere zvekudya. Kuti zvibatwe nemamiriro ezvinhu maviri panguva imwe chete, vashandi vezvoutano vanogara vachizviona ivo vachada kushanda pamwechete.
Drs. Golden and Park inoti zvakare vanhu vakawanda vari kusarudza kuenda kune guten pasina hutachiona, izvo zvinokonzera imwe dambudziko rinogona kuitika: kutevera kudya kweguten kusina nzira yekuvanza dambudziko rekudya. "Kukurukurirana pakati pezvokudya zvisina kugadzikana uye zvinetso zvekudya nderimwe dambudziko guru," vanogumisa kudaro. "Chidzidzo chinokosha chinongova chidimbu chechando."
> Sources:
> Golden NH nePakita KT. Dambudziko reCeliac uye Anorexia Nervosa-Chikwata Zvakakodzera Kufungisisa. Pediatrics . 2017 Apr 3. Yakabudiswa paIndaneti March 30, 2017.
> Marild K et al. Dambudziko reCeliac uye Anorexia Nervosa: Chidzidzo CheNyika Yose. Pediatrics. 2017 Apr 3. Yakabudiswa paIndaneti March 30, 2017.
> Mostowy J et al. Yakagadzirwa neGenetic Factors Inobatanidza muCeliac Disease, Rudzi rwechipiri Chirwere cheshuga uye Anorexia Nervosa Purogiramu Inowanikwa Maitiro Evanhu Maitiro Ezvirwere Zvisingaperi. PLoS One. 2016 Aug 2; 11 (8): e0159593.