Isifo Celiac: Oonobangela and Treatment

Kwiminyaka yakutshanje, ezinkulu-ukusasaza ngezifo Nedlac nesifo celiac. Yintoni na? Le yokusabela omzimba ukuba ukutya gluten - iproteni olufumaneka ingqolowa, nerhasi rye.

Xa isifo celiac (isifo celiac), ukusetyenziswa uthe Iprothini Isiqwenga yi impendulo engeyiyo kwamajoni omzimba ibekwe apha emathunjini amancinci. Ekuhambeni kwexesha, indlela esa kwinkqubo olungaqhelekanga ukudumba, onakalise iqokobhe emathunjini amancinci kwaye iphazamise kukufakwa eziliqela izondlo (malabsorption).

Ukonakala emathunjini amancinci, yena, kungakhokelela ekubeni ukwehla kobunzima, ukuqumba kunye norhudo. Ngokuthe ngcembe, umzimba uqalisa ngokungabi izondlo eziyimfuneko ukuze ubomi obuqhelekileyo, uze ubunzima ingqondo, luvo, amathambo, isibindi kunye namanye amalungu zangaphakathi.

Xa abantwana, isifo celiac (ifoto ebonisa ngaphandle iimpawu zakhe, epapashwe kwiijenali zonyango) kubangela ukulibaziseka yokukhula kunye nophuhliso. Ukungavisisani emathunjini kungabangela intlungu esiswini, ingakumbi emva kokutya.

isifo Celiac asikuko nokuba kuyabulala, kodwa iimpawu yayo zinciphe, ngokuxhomekeka ukutya engqongqo.

iimpawu

Imiqondiso neempawu ze-sifo umbuzo zahlukahlukene kakhulu, njengoko ixhomekeke ngokupheleleyo iimpawu ngamnye womzimba yomguli.

Nangona iimpawu umgangatho isifo celiac zithathwa ekuthini ziyinkxwaleko ubunzima kunye nesifo sorhudo, izigulane ezininzi musa kukho ukungaphatheki enxulumene kunye nokusebenza phecana zesisu. Kuphela yesithathu izigulana lurhudo esinganyangekiyo, yaye kuphela isiqingatha sabaphenduli bekhalaza ngayo umzimba.

Malunga nama-20% yezigulane, kwelinye icala, ubunzima ngenxa kwesisu ezinganyangekiyo; 10% - ukusuka ukutyeba (nangona ezinye izazinzulu zikholelwa ukuba ezi iintshukumo zokwaphulwa kwemithetho musa ukuba isifo celiac). Ezi mpawu ezinxulumene kokudla, iziinxalenye luhlu lulandelayo:

• anaemia (idla ngenxa deficiency intsimbi);
• kwamathambo (muscular ithambo) okanye osteomalacia (ukuthamba amathambo);
• irhashalala namadyungudyungu njengoko silume (herpetiformis dermatosis);
• Umonakalo izinyo lwawo;
• intloko, nokudinwa;
• umonakalo luvo, kuquka imilenze ukuluma iinyawo nezandla, kunye nobunzima kunokwenzeka ngokugcina ibhalansi;
• ubuhlungu nemisipha;
• umsebenzi kwanciphisa spleen (gipospleniya);
• reflux acid heartburn.

isifo Celiac: iimpawu ebantwaneni

Ngaphezu kwama-75% abantwana abanesifo celiac nemizimba okanye sidudla. Iimpawu ze ngezifo ezinxulumene kunye nokusebenza phecana zesisu, zifumaneka 20-30% yezigulane abaselula. idatha echanekileyo kakhulu phantse kungenakwenzeka ukuba afumane, kuba iimpawu ixhomekeke ubukhulu becala ubudala umguli.

iimpawu eziye zezifo celiac sosana:

• sorhudo ezingapheliyo;
• ukuqumba;
• buhlungu;
• i ukuqhwalela kuphuhliso ngokwasemzimbeni, umkhuhlane, ukwehla kobunzima bomzimba.

Xa abantwana abadala, bejamelene unesifo "isifo celiac" iimpawu abe ngolu hlobo lulandelayo:

• sorhudo;
• nokuqunjelwa;
• omfutshane ngesithomo;
• imisiwe lokufikisa;
• zizigulo zemithambo, kuquka ukungahlaliseki, ingqalelo intsilelo, abakhubazekileyo zokufunda, intloko ebuhlungu, ukunganxibelelani kakuhle kwezihlunu.

Xa ukubona ugqirha

Cwangcisa lokutsalela ingcali xa isisu okanye kabi esiswini akayi kude kwisithuba seeveki ezimbini. Qiniseka ukuba uqhagamshelane wabantwana xa uphawula ukuba umntwana baluthuthu, udikwa ngokukhawuleza, uyekile ukuba mkhulu kwaye ukhule. Iimpawu Ukukhathazeka nazo nokuqunjelwa kunye ilindle nzima livumba embi.

Kufuneka iingcebiso zengcali phambi kokuba uye kwi ukutya gluten-free. Ukuba aphelise Iprothini ingqolowa ezityiwa phambi iimvavanyo yokupasa eyabelwe, iziphumo zophando kusenokwenzeka ukuba eziphosakeleyo.

isifo Celiac udla isuka kwizizukulwana ngezizukulwana. Ukuba omnye izalamane zakho kwafunyaniswa ngezifo, akuyi kuba akufuneki ukuba oyenzayo. Ukongeza, olusemngciphekweni abo bantu zabo izalamane bayahlupheka ukusuka seswekile lohlobo lokuqala seswekile.

izizathu

Ngoxa abantu abaninzi obaziyo ehlabathini mihla oko kukuthi izifo celiac, izizathu zalo kunye nophuhliso zisekho imfihlakalo izazinzulu.

Xa amajoni omzimba enza ngokungafanelekanga ukuba gluten laliwaphethe ukutya, nto yomonakalo ezincinane Ngokufanayo iinwele lunamaqoqo kwi isifo (Lutho). Villi kwi iqokobhe kwe emathunjini amancinci zinoxanduva kukufakwa weevithamini, iiminerali kunye nezinye izondlo ukutya ziphele. Phantsi ngemicroscope, ekhangeleka imfumba enkulu soft iikhaphethi. Ukuba umonakalo owenziwe sisifo celiac, umphezulu engaphakathi emathunjini amancinci iqale ukufana imbonakalo umgangatho walo kunokuba magumbi. Ngenxa yoko, umzimba akakwazi nokufunxwa izondlo ezifunekayo ukuze ukukhula kunye nolondolozo lwempilo.

Ngokutsho neziphumo enye National Institutes of study lezeMpilo kwi US wafumanisa ukuba malunga enye American 140 abaphenduli ukubandezeleka ngenxa yezifo celiac. Kwelinye icala, izigulane ezininzi ixesha elide akazange aye kugqirha kwaye ngoko nkqu bazazi phambi ngezifo. Amaninzi, isifo celiac sichaphazela Caucasians.

Ngokutsho kwezinye izifundo kuyo waphawula ukuba ezinye iinguqu genetic (zofuzo) kwandisa ingozi yokuba nesifo celiac. Kunjalo, ubukho ezi ukuziguqula akuthethi ukuba abantu ukuba bagule.

Kwezinye iimeko, le ngezifo kuqala baqaphela emva kokwenziswa kotyando, ukukhulelwa, ekuzaleni, usuleleko eziyingozi lohlobo okanye ukucima kombane kakhulu emphefumlweni.

ubungozi

isifo Celiac ingaqala na ephilayo. Nangona kunjalo, kukho iimeko kwandisa umngcipheko iimpawu sifo, kuquka:

• ukuba sisizalwane esisondeleyo nesifo celiac okanye dermatosis herpetiformis;
• chwetheza 1 diabetes;
• syndrome Down okanye Turner engqondweni;
• thyroiditis Hashimoto kaThixo;
• syndrome Sjogren kaThixo ;
• ukudumba okwenziwa sisilonda ezincane (collagenous okanye ukudumba okwenziwa sisilonda lymphocytic).

ukungaphili

Ukuba lunganyangwa okanye ukungathotyelwa nothomalaliso emiselweyo, kubandakanywa ukutya, isifo celiac kunokukhokelela iingxaki zilandelayo:

• Ukuncipha ngenxa ukungondleki. Ukonakala emathunjini amancinci ekhokelela malabsorption lweziqalelo zokulanda umkhondo eziyimfuneko ukuze umzimba. Ukungabikho zezondlo kunokubangela anemia kunye umzimba. Xa abantwana, oko kukhokelela ekukhuleni azikhuli kunye nophuhliso.
• Ukulahleka calcium kwamathambo. Ukunqongophala calcium kunye novithamini D kunokubangela ukuthamba amathambo ebantwaneni (osteomalacia) okanye ukonakala esiqwini kwamathambo abadala (osteoporosis).
• Ubudlolo kwakunye kwezisu. Ukunqongophala calcium kunye novithamini D ekhoyo kukhule ukonakala okuzala.
• nobandlululo Obumele. Ukonakala emathunjini amancinci ubangela iintlungu esiswini kunye ukurhuda emva kokutya iimveliso zobisi eziqulethe lactose, nokuba bathe iquka akukho gluten. Emva kokuba ukutya lonyango, xa kwamathumbu ephilisiwe ngokupheleleyo, ukunyamezelana lactose inokuwisa ngokwawo, kodwa oogqirha abazange ukunika eqinisekile: ezinye izigulane kuqhubeka sineengxaki ekwetyiseni iimveliso zobisi, nasemva kokuba begqibe ikhosi ye ukunyanga isifo celiac.
• Umhlaza. Isitshixo ukulwa nembandezelo lwesifo celiac - ukudla ezisekelwe imveliso ngaphandle protein yingozi. Ukuba awufuni ukugcina ukutya kunye neminye imiyalelo ugqirha, oku kukhulisa ubungozi zomhlaza eziliqela, kuquka lymphoma wamathumbu kwaye umhlaza emathunjini amancinci.

ekuxilongweni

Ukuze ubone ukuziphatha uphando sifo celiac kunye neenkqubo adweliswe apha ngezantsi:

• iimvavanyo wegazi. kumanqanaba angcono kwezinto ezithile egazini (omzimba) ubhekisela omzimba ukuba gluten. Kuba ezi zePCR nga ukungaphili nakumatyala apho iimpawu phantse akubangeli kabi okanye azikho kwaukubakho.
• Endoscopy. Ukuba iziphumo igazi isigulane ibhaqwe isifo celiac, uphethwe kuya kukhuthaza inkqubo ebizwa ngokuba "endoscopy", njengoko ugqirha kufuneka sihlole emathunjini amancinci uthabathe intwana encinane indlela inyama biopsy. Xa isifundo elebhu, iingcali ziza kuseka ukuba mucosal villi yonakele.
• Philisi endoscopy. Ukuba philisi endoscopy kusetyenziswa camera kweengcingo amancinane kuthatha ifoto kwi onke emathunjini obhityileyo yesigulana. Egumbini ifakwa kwi ubungakanani philisi kunye iipilisi vitamin, emva koko uyaziginya isigulane. Njengoko sisiya ngapha iphecana zesisu, ikhamera ithatha amawaka imifanekiso ezosulela kwisixhobo rekhoda ukurekhoda.

Kubalulekile ukuba kuqala iphumele lonke uphando eyabelwe ukuchonga isifo celiac yaye kuphela emva koko uye kwi ukutya gluten-free. Ukuba bucala neprothini ukusuka ukutya phambi kokuba udlule iimvavanyo, iziphumo diagnostic ukuze kubonakale eqhelekileyo.

unyango

Ekuphela kwendlela ngayo ephelisa le sifo sisifo celiac - unyango ngohlobo ukutya gluten-free. Khumbula ukuba leeprothini eyingozi eziqulathwe nje kuphela ingqolowa eqhelekileyo. Kwakhona zizityebi kwezi mveliso zilandelayo:

• yerhasi;
• bulgur;
• durum;
• semolina;
• umgubo Graham;
• mithombo;
• rye;
• semolina (semolina);
• abhalwe;
• nerorho (a gqith yengqolowa rye).

Ugqirha kungenzeka ukuba batshintshe ukuba ibe isazi kucwangciso oludityanelweyo ngokupheleleyo ukutya gluten-free.

Xa kwiproteni imifuno iza ngaphandle ekutyeni, inkqubo yokukrala ethunjini omncinci ngcembe ababhangayo. Improvement ingabonwa emva kweeveki ezimbini okanye ezintathu, nangona izigulane ezininzi uphawula ukuphucuka okubonakalayo impilo phakathi Neentsukwana nje ezimbalwa. Gqibezela ukuphiliswa kunye obliteration le villi ingathatha ukususela kwiinyanga ezimbalwa ukuya kwiminyaka emininzi. Ukubuyiselwa emathunjini amancinci kwenzeka ngokukhawuleza kwiintsana kunokuba abadala.

Ukuba ngempazamo ukudla eziqulathe gluten, isifo enjalo abonise iimpawu ezifana neentlungu esiswini kunye norhudo. Xa abanye abantu, iimpawu abangekhoyo ngokupheleleyo, kodwa oko akuthethi ukuba kwiproteni ingqolowa kubo akuyongozi kwaphela. Fundisisa ekwakhiweni eziboniswe kwiipakethe zemveliso ukuba nkqu imizila gluten kunokubangela umonakalo, kungakhathaliseki ukuba ubukho okanye ukungabikho kweempawu zesifo.

mzimba nezimbiwa

Lokufunyaniswa "isifo celiac" - yintoni ntoni oko? Inyathelo lokuqala kukuphepha zonke okune ingqolowa, nerhasi endaweni ephawuliweyo, nespelete nezakhi zayo. umthamo osetyenzisiweyo Iinkozo kuncitshiswa kungakhokelela ekubeni ukuswela izondlo - kulo mzekelo, i ingcali okanye nutritionist sincoma ukuthatha mzimba nezimbiwa ukubuyekeza ngokungabi zizinto ekutyeni. Ezi izinto ezibalulekileyo ziquka:

• calcium;
• folic acid;
• yesinyithi;
• vitamin B-12;
• vitamin D;
• Vitamin K;
• zinc.

mzimba ngokuqhelekileyo zithathwe ngohlobo amacwecwe. Ukuba ngaba une-malabsorption kakhulu kwezondlo, ugqirha uyakukumisela iivithamini ngohlobo lwezitofu.

Ukudumba ethunjini

Ukuba emathunjini amancinci yonakele kakhulu, ugqirha uza isiphakamiso steroids ukucinezela inkqubo arhabaxa. Steroid banako ukunciphisa iimpawu ezininzi kakhulu sisifo nokudala iimeko ithembisa ukuba impiliso le isifo emathunjini yonakele.

eziyingozi

Ukuba basengozini kunye nayo nayiphi na isifo celiac, nokuthintela izifo kufuneka kube yenye yezinto eziphambili zobuqu bakho. Kuphephe ukutya okuphekiweyo kwiziphathi ukuba iinyanda okanye iiphakheji abanayo othi "iqulethe akukho gluten." protein eyingozi eziqulathwe nje kuphela izitya ezicacileyo ezifana namaqebengwana impahla, nemiqhathane, ophaya cookies. Kwakhona kuba yinxalenye yeendidi zokutya zilandelayo:

• beer;
• iilekese;
• sauce;
• inyama soy okanye intlanzi;
• adlula inyama ukuqhubekekiswa;
• zokubopha isaladi, kuquka soy sauce;
• intaka engadingi ukuba amafutha xa ngembiza;
• isuphu.

ukutya okuziinkozo ezithile, ezifana oats, sinokuqulatha izinto ezidibene gluten, njengoko ekhula kwaye zilungiswe e kwindawo enye kunye nezixhobo efanayo ingqolowa. De kube ngoku, inzululwazi akwaziwa ukuba oats aggravates kuhlaselwa ezifana nesifo celiac kubantu abadala, kodwa oogqirha ngokuqhelekileyo sincoma kunqandwa ukusetyenziswa kwalo naluphi oat groats hlovev kwaye, ngaphandle kokuba kuchaziwe kwi-ezipakishwe imveliso aliqulathanga gluten. Kwezinye iimeko, nkqu oats esulungekileyo ngaphandle nabani na onomkhondo ingqolowa andzise inkqubo yokukrala kwi emathunjini amancinci.

iimveliso abagunyazisiweyo

Phantse zonke ukutya eziqhelekileyo zizwana imiqathango ukutya gluten-free. Kukhuselekile ukusebenzisa ezi mveliso ukutya:

• fresh inyama, intlanzi kunye neenkukhu ngaphandle breading, kongezwe uvavanyo okanye marinade;
• iziqhamo;
• ezininzi iimveliso zobisi;
• iitapile kunye neminye imifuno;
• iwayini kunye ulwelo Yek, obunxilisayo kunye neziselo iziqhamo non-ezinxilisayo.

Cereal umzimba gluten-free zivumelekile:

• amaranth;
• arrowroot;
• buckwheat;
• amabele;
• polenta;
• naluphi na uhlobo yomgubo ngaphandle gluten (irayisi, soy, umbona, iitapile, i-ertyisi);
• quinoa (quinoa);
• irayisi;
• tapioca.

Ngethamsanqa abalandeli celiac iimveliso yokubhaka kunye ipasta, ngokuhamba kwexesha, abenzi abaninzi ukuvelisa iimveliso ngakumbi ezinegama ekhethekileyo "gluten free". Ukuba awukwazi ukufumana ezi mveliso kwi yokubhaka okanye evenkileni, khangela uluhlu yeevenkile online. iimveliso ezininzi okune gluten, kukho isasetyenziswa gluten-free ekhuselekileyo kwaye luyafumaneka.