Miedzo inotarisa kuti muviri wako unoita sei kune zvokudya zvine gluten
Kana uri kuongororwa nechirwere chechiliac , iwe wakangodaro wakaona kunyeverwa kuti urambe uchidya "chemazuva ose," kudya kweguten kusvikira nguva yako yese yekuedzwa yakwana. Asi nei izvi zvichidiwa?
Chikonzero chacho chaicho chiri nyore nyore: Celiac zvirwere zvinotarisa zvinotarisa muviri wako apo iwe unodya zvokudya zvine gluten sechingwa chegorosi, pasta, uye pizza.
Kana ukarega kudya izvozvi zvekudya, mungozi inogona kutanga kupora nekukurumidza-uye iwe unogona kuedza kusakanganiswa kunyange kana iwe unenge uine mamiriro acho ezvinhu.
Maitiro eCeliac Dhiyabhorosi Kuedzwa Kunoshanda
Kuti uwane chirwere chechiliac chiongororwa, chiremba wako kazhinji anotanga kuraira kuongororwa kweropa kunotarisa zvirwere izvo muviri wako unobereka paunodya gluten. Izvi zvinoratidzira zviratidzo zvinokonzerwa nemukati wako muduku nemaune immune system yako inopindura gluten ingestion. Kana kusina gluten mune zvekudya kwako, muviri wako wekudzivirira muviri hauzoiti ma antibodies aya, saka hapana anozoonekwa muropa rako.
Kana iwe ukayera uine chokwadi pamusoro pekuongororwa kweropa, danho rinotevera nderoposcopy . Kana iwe uchitarisa zvisina kunaka asi uine zvirwere zvinotyisa zvechikaac nechirwere kana zvimwe zvikonzero zvekufunga kuti une chirwere checliac, zvakadai semhuri yemamiriro ezvinhu ezvo, iwe unogonawo kupfuurira kusvika kumagumoko pasinei nemigumisiro isina kunaka yeropa.
An endoscopy ndeye nzira iyo gastroenterologist inokurudzira chiridzwa pasi pahuro mako uye chaizvoizvo inounganidza zviduku zvemuviri kubva mumuviri wako muduku.
Izvo zviyeuchidzo zvino zvinoongororwa nokuda kwezviratidzo zvekuvhiringidza , kana kuora mumimba kunokonzerwa nemagadzirirwo emagadzirirwo emagadziro ako kune gluten ingestion. Zvakare, kana iwe usisiri kunwisa gluten, pangasave nekukuvara kwakanyanya kuwanikwa, uye samples inogona kuedza kutadza kune chirwere chechiliac, kunyange zvazvo iwe unenge uine mamiriro acho ezvinhu.
Miedzo Yako Ichashanduka Isina Mhinduro Pakupedzisira
Kana uchinge waenda gluten-isina, muviri wako ucharega kumira kune gluten uye uwandu hwako hwea anti-gluten antibodies hunotanga kupera. Hazvisi pachena, zvisinei, zvichange zvichitora nguva yakareba sei kuti ma antibodies arambe ari kure kusvikira kuedza kusatora. Kutaura zvazviri, kuongororwa hakusi kwemazana zana kubva kune yakarurama kunyange kune avo vari kudya gluten.
Vanenge 10 kubva muzana kusvika kune 15 kubva muzana yevanhu vane izvo zvinonzi "nhema-zvisina" kuongororwa kwepuroviso yeropa (mhinduro dzisina kuongerwa ropa asi maitiro akanaka ) kunyange pavanenge vachidya zvokudya zvakazara-gluten, maererano naDr. Alessio Fasano, musoro yeMassachusetts General Hospital Centre yeCeliac Research. Sezvo vanachiremba vazhinji vasingazogoni kukurudzira endoscopy kana kuongorora kweropa kusina kunaka, vanhu vazhinji vane mhinduro dzisina kunaka dzekuongorora ropa havazowedzera kuongororwa chirwere chechiliac, kunyange zvazvo vashomanana vavo vanogona kunge vane mamiriro ezvinhu.
Saka kana iwe ukarega kudya gluten isati yaongororwa ropa uye woedza kuipa, iwe haugoni kuziva kana kuti hauna chirwere ichi, kana kuti nokuti wakamira kudya gluten usati waedzwa.
Dambudziko Risinganzwisisi Ropa, Zvakanaka Endoscopy?
Ikoko kwakange kuripo maitiro evanhu avo vaiva neropa rakanaka rekuongorora uye endoscopy results (kureva kuti vainge vazivikanwa zviri pamutemo nechirwere checelac) kunyange zvazvo vakadonha gluten kubva kuzvokudya zvavo mavhiki mashoma vasati vaedzwa.
Asi isu hatizivi kuti zvigaro zvipi zvinobudirira zviyero zvinowanzoguma kana iwe ukaenda-usina-vanhu vangave vasina kuratidza chimiro.
Chimwe chidzidzo chakatarisa kuongororwa kweropa EMA-IgA , inofungidzirwa yakanyanya kunyanya kune chirwere chechiliac, uye yakawana kuti 58 muzana yeiiiiiiiiiiiiiiii (vanhu vakange vagara vatsigira kuti chirwere ichi chakanga chiripo) chaizvoizvo chakaedzwa zvisina kunaka pane EMA-IgA mushure memwedzi mitatu yekudya gluten -free. Zvigaro zvitatu zvakanga zvisina kunaka paEEMA-IgA kuongororwa ropa pashure pemwedzi mitanhatu uye 87 muzana vakanga vasina kunaka pashure pemwedzi gumi nemaviri.
Saka zvakajeka kuti uri kutora mukana wekuwana zviratidzo zvekushaya zvirwere zvechiliac zvakaipa kana iwe usingadyi gluten panguva yekuedzwa.
Shoko Rinobva
Kana iwe wakatotaurirwa gluten munguva yapfuura, ndezvipi zvisarudzo zvaunofanira kuongororwa nezvirwere zvechiliac?
Zvinosuruvarisa, nokuti iwe unofanirwa kunge uchidya gluten kuti uongororwe zvakajeka, zvako chete kupfurikidza pane kujekeswa kwakakwana inetso ye gluten . Chaizvoizvo, iwe uchada kudya gluten zvakare kwenguva yakareba-yakakwana yekuti muviri wako uite ma antibodies kwairi.
Iwe unofanirwa kuita chinetso cheguteni mukuedza kuwana chirwere chakakwana chechiliac chiongororwa here? Iwe chete iwe unogona kusarudza (mukukurukurirana nachiremba wako). Asi zvino unoziva kuti nei usingafaniri kurega kudya gluten usati wapedza chero kuongororwa kwechirwere chechiliac nokuti zvinogona kunge zvisingakwanisi kuwana zvakajeka kana usiri kudya gluten.
Sources:
W. Dickey et al. Kuparara kwemagumisiro ekupedzisira ekurapwa kwechiriacia hakuratidzi kuratidzika kwekudzorera kwake. American Journal of Gastroenterology. 2000 Mar; 95 (3): 712-4.
Inowanzobvunzwa Mibvunzo. Celiac Disease Center paColumbia University Medical Center.