Mubvunzo: Nhengo yangu yepedyo yemhuri yakaonekwa kuti ine chirwere ichi. Ndinofanira kuongororwa here?
Mhinduro: Zvichida, iwe uchada kuongororwa zvakare, kunyanya kana iwe une zviratidzo zvechirwere ichi. Izvi zvinogona kubva pane zvinokanganisa kudya zvakadai sekurara uye kuzvirambidza kune zvinetso zvepfungwa zvakadai semagraine musoro , pamwe nekusawirirana kweganda uye kurwadziwa pamwe chete .
Vanhu vane chirwere chisina kukwana vanogonawo kuva nekushaya simba, osteoporosis, kuora mwoyo uye utachiona husingaiti.
Mhuri dzinenge ine imwe inowanikwa iine celiac, yekutanga-degree hama - vabereki, vana nehanzvadzi - vanotakura kana mukana we-mu-22 wekuva nemamiriro ezvinhu, asi yechipiri-degree hama (vanamainini, vanambuya, vanababa, vanasekurukuru, vazukuru kana hafu-vakoma) vanotakura chikamu chimwe chete-mu-39 chekuita.
Zvimwe zvidzidzo zvakaratidza zvakakosha zvakasiyana: Mukumwe kuongorora, somuenzaniso, 12% yekutanga-degree yehama (iyo imwe chete mumhuri imwe neimwe yepfumbamwe) yakaratidza unhu hwemuviri hunokanganisa hunozivikanwa sevillous atrophy , zvinoreva kuti vaiva nechirwere chechiliac.
Mamwe mapoka ane simba, kusanganisira American Gastroenter Association Association uye World Gastroenterology Organization, vanoshevedza vose vekutanga-degree hama dzevanhu vane celiac kuti vaongorore ivo pachavo. Mapoka maviri aya anotsigirawo kuedza kwechipiri-degree relative; kunyange zvazvo dzimwe hama dziri kure dzisingatauri pangozi, mhuri dzakawanda dzine vana vaviri kana vanopfuura vakwegura vane chirwere.
Zvisinei, tsvakurudzo haisati yanyatsozivikaniswa kusvika ikozvino zvakakosha here kuti zvakakosha kukanganisa kuedza yechipiri-degree hama dzisina zviratidzo.
Nhengo dzeMhuri Dzinoratidzwa neCeliac Blood Test
Kana iwe uri nhengo yemhuri kune mumwe munhu akaonekwa kuti ane chirwere checelac, iwe unofanirwa kuongororwa uchishandiswa kuongorora ropa iri . Kuongororwa kweropa (pane zvishanu mumagadzirirwo akazara echoliac, kunyange zvazvo vamwe vanachiremba vasingarongeri zvose zvishanu) tsvaga zvirwere zvinokonzerwa ne gluten zvinopararira muropa rako.
Kana uine zvirwere zvekutsvaga ropa (zvinoreva kuti miedzo inoratidza kuti muviri wako uri kutaridzika kune gluten), iwe uchada kuve ne endoscopy , nzira yekuvhiya inoshandiswa kuongorora musikana wako muduku. Munguva yekupedzisira, chiremba achabvisa zviduku zviduku zvemukati mako kuti uongorore pasi pe microscope. Muvanhu vane chirwere chechiliac, iyo sampuli inofanira kuratidza kukanganisa kweguten.
Kuti kuedza kuve kwakarurama, unofanirwa kunge uri kutevera kudya kwakakwana kwe-gluten, izvo zvinoreva kudya zvokudya zvine gorosi, nebhari uye rye. Izvozvo ndezvokuti kuedza kunotarisa kuti muviri wako unoita sei kune izvo zvikafu; kana zvikafu zvisipo mune zvekudya zvako, kuitika mumuviri wako hakuzovipo, zvimwe.
Kudzokorora Kuongorora Kwechigarire Kunogona Kudiwa
Kunyange kana kuedza kwako kwekutanga kwechirwere chechiliac kuchiratidza kuti hachina kunaka, iwe haugoni kufunga iwe pachako zvakajeka - iwe unogona kuzvikurira chero nguva. Chimwe chidzidzo kubva kuColumbia University's Celiac Disease Center chakawana kuti kupfuura 3% yevamwe vemumhuri avo avo vakaedza kushaya maitiro eecliac vakaedzwa apo vakaedzwa rwechipiri kana yechitatu.
Hazvina kutora nguva refu, kana: nguva iri pakati pezvakaipa uye mhinduro dzakanaka dzakawanikwa dzakabva pane zvishoma semwedzi mitanhatu kune vamwe vanhu kwemakore matatu nemwedzi miviri kune vamwe.
Ivhareji yenguva pakati pezvakaipa uye dzakanaka miedzo yaingova gore nehafu, maererano nekudzidza.
Mumwe chete wevanhu vakaidza zvakaipa pakutanga asi vakanaka pashure pacho vaiva nemararamiro - vamwe vanhu vose vakashuma zviratidzo, vachiita izvo zvinonzi " celiacs dzinyararire ," kana vanhu vane chirwere chisina zviratidzo. Mukuwedzera, hapana mumwe wevanhu ivavo vakatsanangura kuchinja kwezviratidzo pakati pekuedza, zvinoreva kuti haugone kuvimba nezviratidzo zvako kuti uone kana uri kukura chirwere ichi.
Vatsvakurudzi vakapedzisa kuti kuongorora nguva imwechete muhama dzevanhu vane chirwere chechiliac hazvina kukwana, uye kuti kudzokorora kuedza kunofanira kuitika kunyange kana hama isina zviratidzo.
Zvisinei, kumwe kutsvakurudza kunodiwa kuti uone kana nhengo dzemhuri dzichifanira kuongororwa zvakare kana dzisina kuratidza zviratidzo zvakaedzwa zveecliac.
Sources:
Sangano reEalthcare Research uye Quality National Guideline Clearinghouse. Kuongororwa uye Kutungamirirwa kwezvirwere zveCeliac. Yakapinda musi waNovember 28, 2011.
Goldberg D. et al. Kuchengetedza chirwere chechiliac mumhuri dzemhuri: kuongorora kunotevera kunodiwa here? Digestive Diseases and Sciences. 2007 Apr; 52 (4): 1082-6.