Ichokwadi kana Inhema: Nhema-Inonyangadza Ropa Rinoyerera Rinoedza Zvakawanda Inowanikwa muvana
Zvakajairika kuverenga pane zvakasiyana-siyana zvechirwere zvirongwa zvekuti vana vanowanzova nemigumisiro yakaipa pamusana pekuedzwa kwechirwere chechiliac (kunyanya pamucherechedzo weropa ).
Izvozvo zvinonzi "nhema zvisina kururama" mhinduro inowanikwa apo migumisiro yechipimo chekurapa inoratidza kuti hauna humwe mamiriro ezvinhu (munyaya ino, chirwere chechiliac), asi iwe unonyatsoita. Kuongororwa kwehutano hakurevi nhema nemaune-maedzo mashomanana anopa kuvimbika kwe 100% mumigumisiro yavo.
Kufunga kwechikonzero chekuti kuongorora kweropa hakushande zvakanaka kuvana ndeyekuti chirwere chinokonzerwa nemakumbo chakakonzerwa sevillous atrophy chinotora nguva yakareba kukura, uye saka vana vane mhinduro dzakaipa havana kungova nenguva yakakwana ye mamiriro ezvinhu ekupfuurira mberi kusvika padanho rakakanganisika (maitiro akanaka eropa anoratidza kukuvara kuripo).
Izvi zvinonzwika semafungiro akanaka, asi zvinosuruvarisa kuti hapana uchapupu hwezvokurapa kuti hudzoke shure-zvidzidzo zvisati zvaitwa.
Chii chatinoziva pamusoro pekuedza vana veCeliac?
Maererano naDr. Alessio Fasano, uyo anotungamirira Massachusetts General Hospital yeCeliac Research, maitiro asina kukanganisa mune imwe chirwere chechiliac chirwere cheropa-chirongwa cheTT-IgA-chinowanzoitika munenge 10-15% yezviitiko zvose. Kunyange zvakadaro, hakuna kumbove nekutsvakurudza kutarisa kana vana vakanyanya kutarisana nematambudziko anhema kupfuura vanhu vakuru.
"Kuti uone kunzwisisika kwekuedzwa kwakafanana neTTG, kutanga iwe unogumira magumo ekusimbisa uye uchitsigira kuti zvii zvakawanda zvezvirwere zvinoratidza kukanganisa kwezvirwere zvechiliac zvakanaka kune tTG," Dr. Fasano anotaura nezveTewellFit.com.
"Izvozvi zvidzidzo zvakaitwa kune vanhu vakuru vanogona kugadziriswa zvinyorwa kakawanda uye nekuda kwezvikonzero zvakawanda kupfuura vana." Muhutachiwana hwevanhu, nzira iyi haizove yakarurama, uye ini handizivi chero zvidzidzo zvakadaro. "
Kune humwe uchapupu hwehutachiwana hwehuipi hwakashata muvana humwe hwakanyanya kupfuura 10-15%.
Chimwe chidzidzo chakabudiswa mubhuku rinonzi Clinical Chemistry uye Laboratory Medicine chakaona kuongororwa kweropa uye zviitiko zvechiopsy muboka revana veceliac vasati vava nemakore matanhatu avo vakaedzwa. Chidzidzo chacho chakawana kuti makumi mapfumbamwe ematatu aya e-biopsy-aitsigira chirwere chechiliac chirwere chacho chaive nemigumisiro yakanaka yekuedza mune chero deamidated gliadin peptide (DGP) IgA yeropa rekuongorora kana muTTG-IgA ropa test. Zvose makumi mapfumbamwe nezana makumi mana nezana (84%) zvevana zvaive zvakanaka mune DGP-IgG kana tTG-IgA ropa test.
Nokudaro, vanyori vakapedzisa kuti mikana yakanakisisa yekuti chirwere chekuongorora ropa chakarurama chinouya apo chiratidzo cheTTG-IgA chinoshandiswa pamwe chete neDGP IgG test. Mune chidzidzo ichocho, "uipi hwenhema" yehuwandu hwezviviri zvekuongororwa kweropa rakashandiswa pamwe chete waiva 16%. Kushandisa imwe sangano yekuongororwa kwakabereka uwandu husina kunaka hwe20%.
Shoko kubva
Kana iwe uchitenda kuti chirwere chemwana wako chepachiyero chekuedza chakadzoka nemugumisiro wakaipa wenhema, iwe unogona kunge une zvimwe zvingasarudzwa zvaungakurukura nevana vako, kunyanya kana zviratidzo zvemwana wako zvinodanidzira "celiac." (Tarisa chinyorwa changu pamusoro peCeliac Disease Symptoms in Vana kana iwe usina chokwadi.)
Zvingaita kuti, pasinei nemigumisiro isina kunaka yekutarisa ropa, chiremba wemwana wako angakurudzira kuenda mberi ne-endoscopy kuti aone kana pane dumbu rakakanganisika rinogona kuratidza celiac.
Kunyange zvazvo vabereki vakawanda vachinetseka pamusoro pekuisa mwana wavo pasi pakupedzisira (uye kune ngozi shoma shoma, sezvinongova neipi nzira ipi zvayo yezvehutano), chokwadi ndechekuti vana vanowanzotarisana zvakanyanya kupfuura vabereki pane zuva rekupedzisira.
Iwe unogonawo kusarudza kudarika kuperacopy, asi funga kufambira mberi nemuedzo we -gluten-isina kudya kuti uone kana zviratidzo zvinogadzirisa. Mwana wako angave asina chirwere cheliacac, asi panzvimbo pacho angave asina-celiac gluten senzwi , chiitiko changobva kuzivikanwa ine zviratidzo zvinonyanya kuenzanisa celiac. Parizvino hapana nzira yakagamuchirwa yenyika yose yekuedza kutaridzika kweguten , asi kana mwana wako ane chirwere ichi, zviratidzo zvake zvinofanira kukurumidza kukurumidza kana achidzivirira gluten mukudya kwake.
Pakupedzisira, iwe unogona kufunga nezvemajini ekuedzwa kwechirwere ichi . Iyi miedzo haigoni kuongororwa neecliac; panzvimbo pezvo, ivo chete vanogona kugona kana iwe une simba rekuberekwa kuti uwedzere chimiro. (Kuti uwane zvakawanda pamusoro peizvi, ona chinyorwa changu Ko ini kana my ceicac gene test yakanaka? )
Chinonyanya kukosha ndechokuti, pane humwe humwe uchapupu hwehuwandu hwepamusoro hwehutachiona hwehutachiona hwehutachiona hwekutsvaga kwehutano hwevana muhutano kupfuura huri mune vanhu vakuru-zvinoita kuti kana mumwe chete muvashanu kana vatanhatu vana vanoedzwa vanogamuchira mhinduro dzisina kururama. Nenzira yakanaka, iwe une zvimwe zvingasarudzwa kana iwe uchidavira mhinduro dzemwana wako hazvina kukodzera.
> Sources:
> Brusca I et al. Dzekare uye Zitsva Mutsva Dzechirwere cheCeliac: Ndeipi Muongorori Wakanakisisa Wekuedza Kuongorora Matambudziko Echiri muVachipatara? Clinical Chemistry uye Laboratory Medicine. 2011 Sep 26; 50 (1): 111-7.
> Werkstetter KJ et al. Kururamisira Mukuziva Kuora Kwezvirwere Zvisina Kurwisa Pasina Zvirwere Muzvipatara Zvokuita. Gastroenterology . 2017 Oct; 153 (4): 924-935.