Matenda Celiac: Zoyambitsa ndi Chithandizo

M'zaka zaposachedwapa, lalikulu-kufalitsa ngati atypical kudwala matenda celiac. Ndi chiyani icho? Izi zimachitika m'thupi kudya gilateni - mapuloteni yomwe imapezeka mu tirigu, balere, rye.

Mu matenda celiac (matenda celiac), ntchito anati mapuloteni mpukutu ndi yankho zosayenera kwa chitetezo cha m'thupi ili mu intestine yaing'ono. M'kupita kwa nthawi, anachita kumabweretsa nthenda yotupa ndondomeko, kuwononga chipolopolo za m'mimba ang'ono ndi kusokoneza mayamwidwe angapo a zakudya (malabsorption).

Kuwonongeka kwa intestine yaing'ono, nayenso kuyambitsa kuwonda, bloating ndi kutsekula m'mimba. Pang'onopang'ono, thupi limayamba kuti alibe zakudya zofunikira kwa moyo wabwinobwino, ndiyeno azivutika ubongo, mantha dongosolo, mafupa, chiwindi ndi ziwalo zina za m'kati.

Ana, matenda celiac (chithunzi chosonyeza kunja zizindikiro za iye, m'magazini zachipatala) zimayambitsa akuchedwa kukula ndi chitukuko. Kuyabwa mu matumbo kumapweteketsa m'mimba, makamaka mutadya.

matenda Celiac osachiritsika, koma zizindikiro zake Mungathe kuchepetsa kuvutitsana phunziro zakudya kwambiri.

zizindikiro

Zizindikiro za matenda funso ndi yosiyanasiyana, monga amadalira kotheratu maonekedwe munthu wa thupi la wodwalayo.

Ngakhale mbali muyezo wa matenda celiac amaonedwa kukhala kuwonda ndi kutsekula m'mimba, odwala ambiri Samva kusapeza chilichonse chogwirizana ndi kugwira ntchito pa mundawo m'mimba. Only chitatu cha odwala matenda otsekula m'mimba aakulu, ndi theka la anayankha kudandaula za kuwonda.

Pafupifupi 20% odwala, Komano, akudwala kudzimbidwa aakulu; 10% - kuchokera kunenepa (ngakhale asayansi ena amakhulupirira kuti kuyan'anila izi amayambitsa matenda celiac). zizindikiro ndi zosagwirizana ndi chimbudzi, angathe kuikidwa m'magulu mu mndandanda:

• magazi m'thupi (zambiri chifukwa cha kuperewera chitsulo);
• kufooka kwa mafupa (fupa dystrophy) kapena osteomalacia (olimbikitsa mafupa);
• ziwengo monga kuyabwa matuza (herpetiformis dermatosis);
• Kuwonongeka kwa dzino enamel;
• litsipa, kutopa;
• mantha dongosolo kuwonongeka, kuphatikizapo dzanzi ndi kumva kulasalasa mapazi ndi manja, ndi zotheka vuto kusunga bwino;
• ululu Mitsemphayi ya;
• yafupika ndulu ntchito (gipospleniya);
• asidi Reflux ndi kutentha.

matenda Celiac: zizindikiro ana

Zoposa 75% ya ana ndi matenda celiac ali onenepa kwambiri. Zizindikiro za kudwala kugwirizana ndi kugwira ntchito pa mundawo m'mimba zimapezeka 20-30% ya achinyamata amene akudwala. deta More molondola sizingatheke kupeza, kuyambira zizindikiro chimadalira kwenikweni zaka wodwalayo.

Zizindikiro Chitsanzo cha matenda celiac mu ana akhanda:

• aakulu m'mimba;
• bloating;
• kupweteka;
• ndi kwanthawi mu kukula, malaise, kuwonda.

Mu ana okulirapo, anakumana ndi matenda a "matenda celiac" Zizindikiro akhale motere:

• m'mimba;
• kudzimbidwa;
• aafupi;
• anachedwa msinkhu;
• matenda a ubongo, kuphatikizapo ofuntha, kuchepekedwa tcheru, kulumala kuphunzira, mutu, kusowa kwa mugwirizano minofu.

Pamene kuwona dotolo

Sankhani foni ku katswiri ngati kusokonekera kwa m'mimba kapena kusamva pamimba si chokani milungu iwiri. Onetsetsani kuti funsani dokotala anu ngati inu mungazindikire kuti mwanayo wotumbululuka, kukwiya, watha kunenepa ndi kukula. Zizindikiro nkhawa komanso bloating ndi chimbudzi zovuta ndi fungo loipa.

Muyenera kukaonana ndi katswiri musanapite pa zakudya gilateni wopanda. Ngati inu kuthetsa mapuloteni tirigu ndi chakudya pamaso mayesero chikudutsa anapatsidwa, zotsatira za kafukufuku akhoza olakwika.

matenda Celiac kawirikawiri adutsa pansi ku mibadwomibadwo. Ngati wachibale wanu matenda kudwala, sadzakhala superfluous kuti mayesowo. Komanso, pa chiopsezo ndi anthu amene achibale amadwala matenda a shuga a mtundu woyamba wa matenda a shuga.

zifukwa

Ngakhale anthu ambiri sadziwa mu dziko amakono ndi matenda celiac, zimayambitsa matendawo ndi chitukuko akali chinsinsi chachikulu kwa asayansi.

Chitetezo cha m'thupi amachitira zosayenera kwa gilateni ali chakudya, umawononga ting'onoting'ono Mofanana ndi tsitsi protrusions pa mucosa (kufwanyulira). Villi pa chipolopolo za m'mimba wamng'ono ali ndi udindo mayamwidwe a mavitamini, mchere ndi zakudya zina chakudya ankadya. Mu maso, iwo ngati zofewa wandiweyani mulu pamphasa. Ngati kuwonongeka chifukwa cha matenda celiac, pamwamba mkati za m'mimba yaing'ono akuyamba amafanana maonekedwe ake m'malo tiled pansi. Chifukwa, thupi sangathe mayamwidwe zakudya zofunika kukula ndi kukonza thanzi.

Malinga ndi zotsatira za umodzi wa mabungwe a National kuphunzira Health mu US anapeza kuti pafupifupi munthu American pa anthu 140 matenda celiac. Komano, odwala ambiri kwa nthawi yaitali sanapite kwa dokotala choncho n'komwe cha kukhalapo kudwala. Nthawi zambiri, matenda celiac amakhudza Caucasians.

Malinga ndi kafukufuku izo ananena kuti kusintha majini (masinthidwe) azitaya kudwala matenda celiac. Komabe, pamaso pa masinthidwe izi sizikutanthauza kuti anthu kwenikweni kudwala.

Mu zina, kudwala koyamba anazindikira pambuyo likufa opaleshoni, mimba, pobereka, matenda oopsa tizilombo kwambiri kapena maganizo zimamuchulukira.

Zina mwa zifukwa

matenda Celiac kukula chamoyo chilichonse. Komabe, pali zinthu zimene azitaya zizindikiro matenda, kuphatikizapo:

• ndi wachibale ndi matenda celiac kapena dermatosis herpetiformis;
• kutayipa 1 shuga;
• Pansi ndi matenda kapena matenda Turner ndi;
• thyroiditis Hashimoto ndi;
• syndrome Sjogren ndi ;
• tosaoneka matenda a m'matumbo (collagenous kapena lymphocytic matenda a m'matumbo).

zosokonezeka

Ngati Popanda kuchitapo kanthu kapena osakhala kugwilizana ndi mankhwala zotchulidwa, kuphatikizapo chakudya, matenda celiac kungachititse kuti mavuto otsatirawa:

• Wakuta chifukwa kutupikana. Kuwonongeka kwa intestine yaing'ono zikubweretsa malabsorption wa kufufuza zinthu zofunika m'thupi. Kusowa zakudya zingachititse magazi m'thupi ndi kuwonda. Ana, tidzapeza kukula kungokhala ndi chitukuko.
• Loss kashiamu ndi kufooka kwa mafupa. Kupanda kashiamu ndi vitamini D zingachititse olimbikitsa a mafupa ana (osteomalacia) kapena alibe minofu fupa akuluakulu (kufooka kwa mafupa).
• Osabereka ndi padera. Kupanda kashiamu ndi vitamini D zilipo pofuna kukwaniritsa zolinga matenda ubereki.
• Lactose tsankho. Kuwonongeka kwa intestine yaing'ono amayambitsa kupweteka m'mimba ndi matenda otsekula m'mimba atatha kudya mkaka kuti muli lactose, ngakhale zikuphatikizapo palibe gilateni. Pambuyo zakudya mankhwala, pamene matumbo kwathunthu wachiritsidwa, lactose tsankho akhoza pochitika palokha, koma madokotala sanapereke wosatsimikizika: ena odwala ndi mavuto chosinkhasinkha mkaka, ngakhale pambuyo anamaliza maphunziro a mankhwala a matenda celiac.
• Cancer. Chinsinsi polimbana ndi mliri wa matenda celiac - zakudya zochokera mankhwala popanda mapuloteni zoipa. Ngati inu musakhale zakudya ndi malangizo ena a dokotala, kumaonjezera ngozi ya matenda a khansa angapo, kuphatikizapo lymphoma matumbo ndi khansa za m'mimba yaing'ono.

diagnostics

Kudziwa khalidwe la kafukufuku matenda celiac ndi njira imene ili pansipa:

• MAGAZI. misinkhu okwera zinthu zina mu magazi (oteteza) amanena kuti ayankhe ndi chitetezo kwa gilateni. Pakuti kafukufuku izi angazindikire kuvutika ngakhale pa nthawi imene zizindikiro pafupifupi sayambitsa kusapeza kapena osakhala sakupezeka.
• Endoscopy. Ngati zotsatira za magazi ku mtima wapezeka matenda celiac, matenda adzakhala yothandizana ndondomeko amatchedwa "endoscopy" ngati mmene dokotala afunika kufufuza intestine kakang'ono ndi kukatenga kachidutswa kakang'ono njira minofu biopsy. Mu phunziro choyezera, akatswiri adzakhazikitsa ngati mucosal villi kuonongeka.
• Kapisozi endoscopy. Ngati kapisozi endoscopy ntchito kakang'ono opanda zingwe kamera kuti amatenga chithunzi pa intestine tambirimbiri wodwala. chipinda aikidwa mu kukula kapisozi ndi mankhwala vitamini, kenako mtima kumeza izo. Monga ife adutsa thirakiti m'mimba, kamera akutenga zikwi zithunzi kuwapereka kwa chipangizo wolemba kujambula.

Nkofunika woyamba ipyole pa kafukufuku onse anatumizidwa kudziwa matenda celiac kenako kokha kupita pa zakudya gilateni wopanda. Ngati inu amapatula mapuloteni zakudya patsogolo panu mayeso, zotsatira matenda ingaoneke.

chithandizo

Njira yokhayo imene mungathe kuthetsa matenda izi ndi matenda celiac - mankhwala mu mawonekedwe a zakudya gilateni wopanda. Kumbukirani kuti mapuloteni njiru zili osati mu tirigu mwachizolowezi. Iwo ali olemera mu zinthu zotsatirazi:

• balere
• bulgur;
• durum;
• semolina;
• Graham ufa;
• chimera;
• rye;
• semolina (semolina);
• alembedwa;
• triticale (a wosakanizidwa wa tirigu ndi rye).

dokotala zambiri kufika ku dietitian pokonza olowa mulingo woyenera gilateni wopanda zakudya.

Kamodzi mapuloteni masamba sadzalandira chakudya, ndi yotupa ndondomeko mu intestine yaing'ono pang'onopang'ono alinkuthedwa. Kupititsa patsogolo maphunziro Tingaone pambuyo masabata awiri kapena atatu, ngakhale odwala ambiri muzindikire kusintha kwambiri thanzi mu nkhani masiku. Complete machiritso ndi kufafaniza wa villi akhoza kutenga kuchokera miyezi ingapo zaka zingapo. Kubwezeretsa za m'mimba yaing'ono amapezeka mofulumira mu makanda kuposa akuluakulu.

Ngati mwangozi zakudya zokhala gilateni, matenda amenewa akhoza kusonyeza zizindikiro monga kupweteka m'mimba ndi matenda otsekula m'mimba. Mu anthu ena, zizindikiro ndi kwina kwathunthu, koma zimenezo sizitanthauza kuti mapuloteni tirigu iwo kulibe vuto kwathunthu. Powerenga zikuchokera anasonyeza pa ma CD a mankhwala ngakhale kuda gilateni kungawononge, kaya kukhalapo kapena kusapezeka kwa zizindikiro za matenda.

Vitamini ndi mchere zowonjezera

The matenda a "matenda celiac" - zikutanthauza chiyani? Sitepe yoyamba ndi kupewa zakudya zonse munali tirigu, balere, rye ndi ena ofanana zace. Yafupika buku ankadya mbewu zingachititse kuti akusowa zakudya - mu nkhani iyi, dokotala kapena kadyedwe amalangiza kutenga vitamini ndi mchere zowonjezera kukwaniritsa chosowa zinthu mu chakudya. zinthu zofunika kwambiri monga:

• kashiamu;
• kupatsidwa folic acid;
• chitsulo;
• vitamini B-12;
• vitamini D;
• Vitamini K;
• nthaka.

mavitamini zambiri anatengedwa mu mawonekedwe a mapiritsi. Ngati inu amapezeka ndi malabsorption choopsa cha zakudya, dokotala mankhwala mavitamini mu mawonekedwe a jekeseni.

Kutupa m'matumbo

Ngati intestine zochepa kwambiri kuonongeka, adokotala amalangiza mankhwala kupondereza ndondomeko yotupa. Mankhwala amatha kuchepetsa zizindikiro chachikulu kwambiri matenda ndi kulenga zinthu yabwino kwa machiritso a mucosa kuonongeka matumbo.

woopsawo

Ngati muli pa chiopsezo ndi likuoneka inu matenda celiac, kupewa matenda akhale umodzi wa zinthu zofunika munthu. Pewani zakudya yophika muli ngati mitolo kapena phukusi mulibe mawu akuti "liribe gilateni." Njiru mapuloteni zili osati mu mbale zoonekeratu ngati anaphika katundu, makeke, mapayi ndi makeke. Zingakhalenso gawo zakudya izi:

• mowa;
• maswiti;
• sauces;
• soya nyama kapena nsomba;
• kukonzedwa masikono nyama;
• saladi Mavalidwe, kuphatikizapo msuzi soya;
• mbalame sikutanthauza mafuta pamene Frying;
• soups.

Ena dzinthu, monga Mapila, anyamula kuda gilateni, monga kukula ndi kukonzedwa mu dera limodzi ndi zida chimodzimodzi ngati tirigu. Kufikira tsopano, sayansi Sizikudziwika ngati Mapila kukuwonjezera kuukira monga matenda celiac akuluakulu, koma madokotala zambiri amalangiza ankapewa kugwiritsa ntchito oat groats hlovev ndi pokhapokha mwachindunji pa ma CD kuti mankhwala lilibe gilateni. Nthawi zina, ngakhale oyera Mapila popanda kufufuza aliyense wa tirigu vutoli ndi yotupa ndondomeko mu intestine yaing'ono.

mankhwala ovomerezeka

Pafupifupi onse chakudya bwino wosakanikirana ndi zikhalidwe za zakudya gilateni wopanda. Tikhoza kugwiritsa ntchito mankhwala mu chakudya:

• nyama yatsopano, nsomba ndi nkhuku popanda breading, Kuwonjezera mayeso kapena marinade;
• zipatso
• kwambiri mkaka;
• mbatata ndipo masamba ena;
• vinyo ndi madzi otchezedwa, mowa ndi zakumwa mopanda mowa zipatso.

Monga chimanga pa chakudya chopanda mchere wosasungunuka saloledwa:

• amaranth;
• arrowroot;
• buckwheat;
• chimanga;
• polenta;
• mtundu uliwonse wa ufa popanda gilateni (mpunga, soya, chimanga, mbatata, mtola);
• Kinoya (Kinoya);
• mpunga;
• tapioca.

Mwamwayi mafani wa mankhwala celiac ophika buledi ndi pasta, pa nthawi opanga ambiri kubala mankhwala zambiri ndi chizindikiro chapadera "gilateni ufulu". Ngati simungathe kupeza mankhwala amenewa mu ophika buledi m'deralo kapena golosale, yang'anani osiyanasiyana masitolo Intaneti. mankhwala ambiri ndi zakudya zokhala gilateni, pali otetezedwa ndi kupezeka gilateni wopanda Anzawo.