Celiac chirwere: Zvinokonzera neMarapirwo

Mumakore achangopfuura, hombe-kuparadzira atypical zvokurwara akadai celiac chirwere. Chii? Izvi okurwisa zvirwere kuti kudya gluten - imwe puroteni kuti chinowanikwa gorosi, bhari uye rye.

In celiac chirwere (celiac chirwere), kushandiswa vakati mapuroteni ichi chinhu kukodzera kwaiita zvirwere riri ura duku. Nokufamba kwenguva, maitiro kunotungamirira kanganisika kushoma, kunokuvadza kuti goko pamusoro ura diki uye kuvhiringidza Absorção de Água vanoverengeka zvinovaka muviri (malabsorption).

Kuvadza ura duku, uyewo, kutungamirira uremu, bloating uye manyoka. Zvishoma nezvishoma, muviri unotanga vasina zvinovaka muviri zvinodiwa kuti kwomuzvarirwo upenyu, uye ipapo kutambura uropi, tsinga, mapfupa, chiropa uye dzimwe nhengo dzomukati.

In vana, celiac chirwere (mufananidzo kuratidza kunze zviratidzo wake, yakabudiswa mumagazini medical) kunowanzokonzera ari kunonoka kuti kukura. Kutsamwa ari muura zvinogona kukonzera abdominal marwadzo, kunyanya pashure kudya.

Celiac chirwere chisingarapiki, asi zviratidzo zvayo inogona kuderedzwa, pasi vaitofanira kudya.

zviratidzo

Zviratidzo uye zviratidzo zviri zvirwere mubvunzo vari siyana chaizvo, sezvo vari zvachose novimba munhu zvatariswa muviri murwere.

Kunyange zvazvo mwero zviri celiac chirwere vanoonekwa kuti uremu uye manyoka, varwere vakawanda hatiitirwi chero kusagadzikana chokuita kushanda nemudumbu. Chete chetatu varwere kutambura nekuora manyoka, uye chete nehafu vakabvunzwa vachinyunyuta pamusoro uremu.

Inenge 20% wevarwere, Ukuwo, vanotambura nekuora kupatira; 10% - kubva kufutisa (kunyange zvazvo mamwe masayendisiti anodavira kuti kutyorwa izvi regai kukonzera celiac chirwere). Zviratidzo hadzina chokuita kugaya, rinogona mumapoka anotevera zvawanyora:

• kupererwa neropa (kazhinji zvichikonzerwa simbi kushaikwa);
• osteoporosis (pfupa dystrophy) kana osteomalacia (kunyoroveswa mapfupa);
• ganda upundu sezvo itchy Maronda akasiyana (herpetiformis dermatosis);
• Kuzotadzira zino enamel;
• nomusoro, kurukutika;
• huta kukuvara hurongwa, kusanganisira chiveve uye tingling pamakumbo uye nemaoko, uye pazvinobvira kuoma mukuchengeta pachiyero;
• kurwadziwa nemarunda;
• akaderedza chirwatata basa (gipospleniya);
• iine acid reflux uye chirungurira.

Celiac chirwere: Zviratidzo muvana

Vanopfuura 75% vana vane celiac chirwere wakafuta kana wakafutisa. Zviratidzo zvokurwara chokuita kushanda nemudumbu, inowanikwa 20-30% wevarwere vaduku. Data More yakarurama zvisingaiti kuwana, sezvo zviratidzo zvinobva achinyanya nemakore murwere.

Typical zviratidzo celiac chirwere ari rusvava:

• chisingaperi manyoka;
• bloating;
• marwadzo;
• ari lag muna kwomuviri, zvakawanda zvive, uremu.

In vana vakura, vakasangana pamwe chirwere zviratidzo "celiac chirwere" angava sezvinotevera:

• manyoka;
• kupatira;
• nomumhu;
• kunonoka chipotera;
• chetsinga zvinetso, kusanganisira wokusagadzikana, kufunga dhefisiti, vakaremara kudzidza, kutemwa nomusoro, kushaya tsandanyama Kufambisa.

Kana kuona chiremba

Kuronga kushevedzera nyanzvi kana mudumbu rokurwadzisa kana kusagadzikana mudumbu asingadi kuenda mukati mevhiki mbiri. Iva nechokwadi kubata chiremba wako kana ukacherechedza kuti mwana akanga akacheneruka, kutsamwa, akarega uremu uye kukura. Kufunganya zviratidzo vari bloating uye zvituru zvakaoma ane kwakanaka yakaipa.

Unofanira kubvunza nyanzvi usati kuenda gluten-isina zvokudya. Kana kubvisa gorosi mapuroteni kubva kudya pamberi vanopfuura basa nemiedzo, migumisiro pakutsvakurudza vanogona kuva yakakanganiswa.

Celiac chirwere rinowanzoshandiswa apfuura pasi kubva kumarudzi namarudzi. Kana mumwe wehama dzako nechirwere zvokurwara, hakuzovi okushamisira kupfuura kuongorora. Mukuwedzera, pangozi ndivo vanhu ivavo vane hama vanotambura cheshuga yokutanga mhando cheshuga.

zvikonzero

Nepo vanhu vakawanda vanoziva vari ano nyika iri celiac chirwere, ayo chinokonzera uye kukura achiramba ari chakavanzika kuna masayendisiti.

Kana rokuzvidzivirira ikasakendenga zvisina kunaka kuti gluten zviri zvokudya, zvinokuvadza tuduku Similar kuti bvudzi dzakawanda pamusoro mucosa (Zvinhu Zvisina Basa). Villi pamusoro goko ari ura duku ndivo mhosva Absorção de Água mavhitamini, mamineral zvimwe zvinovaka muviri kubva zvokudya vapera. Pasi maikorosikopu, vanotarira akafanana dzakapfavirira gobvu murwi makapeti. Kana matambudziko anokonzerwa celiac chirwere, romukati pose ura duku dzinotanga kufanana ayo chitarisiko nani tiled paburiro. Somugumisiro, muviri haakwanisi Absorção de Água muviri zvinodiwa kuti kukura uye yokuzvigadzirisa utano.

Maererano migumisiro mumwe National Institutes of Health ongororo US akawana kuti anenge munhu American muna 140 vacho kutambura kubva celiac chirwere. Ukuwo, varwere vakawanda kwenguva refu nguva haana kuenda chiremba uye naizvozvo haana kutomboziva pamberi zvokurwara. Kakawanda, celiac chirwere chinobata kuvaRungu.

Maererano nezvimwe zvidzidzo izvozvo akacherechedza kuti vamwe majini kuchinja (kunotouraya) kuwedzera pangozi yokuita celiac chirwere. Kunyange zvakadaro, kuvapo kunotouraya izvi hazvirevi kuti vanhu hazvo kurwara.

Mune zvimwe zviitiko, zvokurwara ari kutanga kuzivikanwa pashure achirapwa pokuvhiyiwa, pamuviri, mwana, ngozi chaikonzerwa noutachiona kana zvakakomba mupfungwa zadzisa.

zvinokonzera njodzi

Celiac chirwere anogona kuva chero muviri. Zvisinei, pane mamiriro ezvinhu anowedzera ngozi chirwere zviratidzo, kusanganisira:

• kuva yepedyo pamwe celiac chirwere kana dermatosis herpetiformis;
• kutaipa 1 cheshuga;
• Down kuti urwere kana Turner kuti urwere;
• Hashimoto kuti thyroiditis;
• Sjogren kuti urwere ;
• nemaziso colitis (collagenous kana lymphocytic colitis).

yematambudziko

Kana untreated kana asiri zvaidiwa ushandiswe kurapa, kusanganisira zvokudya, celiac chirwere kungatungamirira zvinotevera matambudziko:

• Kuparadzwa nokuda zvokudya zvinovaka muviri. Kuvadza ura duku zvichitungamirira malabsorption kuti zvisaririra zvinhu zvakakodzera kuti muviri. Kushaya zvinovaka muviri anogona kukonzera kupererwa neropa uye uremu. In vana, inoenda kuupenyu kukakanganiswa kukura.
• Kurasikirwa calcium osteoporosis. Kushaikwa calcium vhitamini D zvinogona kukonzera kunyoroveswa mapfupa muvana (osteomalacia) kana degeneration repfupa rinenge nedzevakuru (osteoporosis).
• Kushaya mbereko uye kupfupfudzika. Kushaikwa calcium vhitamini D iripo exacerbates dzokubereka zvirwere.
• Lactose kusashivirirana. Kuvadza ura duku kunokonzera abdominal marwadzo uye manyoka pashure pokudya nomukaka zvinogadzirwa kuti ane lactose, kunyange kana zvinosanganisira pasina gluten. Pashure zvokurapa zvokudya, kana bowel yapora chose, lactose kusashivirira anogona kupfuura roga, asi vanachiremba havana kupa chero inopikira: vamwe varwere tichiri matambudziko digesting nomukaka zvigadzirwa, kunyange mushure mekunge vapedza yawapiwa ose celiac chirwere.
• Cancer. Kiyi pakurwisana dambudziko celiac chirwere - Kudya inobva zvigadzirwa pasina anokuvadza mapuroteni. Kana musingadi kuchengeta zvokudya uye zvimwe mirayiridzo chiremba, zvinoita kunowedzera ngozi yokubatwa nekenza anoverengeka, kusanganisira intestinal rwekenza yelymphoma uye kenza yacho ura duku.

Diagnostics

Kuti tizive zvinoitwa pakutsvakurudza celiac chirwere uye nzira dziri pazasi:

• miedzo ropa. Yakakwirira kwevari zvimwe zvinhu zviri muropa (antibody) rinoreva zvirwere mukupindura gluten. For assays izvi anogona kuziva abnormalities kunyange zviitiko apo zviratidzo zvinenge haakonzeri kusagadzikana kana vasiri aripo.
• Endoscopy. Kana zvabuda ropa kubva murwere padzakacherechedza celiac chirwere, chirwere ichava mukwanisi muitiro yainzi "endoscopy", sezvo chiremba vanofanira kuongorora diki ura uye atore chiduku piece zvinyama biopsy nzira. Murabhoritari yokudzidza, nyanzvi achagadza kana mucosal villi sousingabatsiri.
• Kamudzira endoscopy. Kana Kamudzira endoscopy rinoshandiswa duku Wireless kamera kuti zvinotora pikicha zvachose matete ura murwere. Kamuri anoiswa mukati Kamudzira kukura pamwe vhitamini mapiritsi, pashure idzo murwere rinozvipedza. Apo isu kufamba kuburikidza nemudumbu, kamera anotora zviuru mifananidzo chakasvitswa munhu sahwira yakarekodwa mudziyo.

Zvakakosha kuti kutanga kuenda ose basa pakutsvakurudza kuziva celiac chirwere uye chete ipapo kuenda gluten-isina zvokudya. Kana iwe haabatanidzi puroteni kubva kudya pamberi penyu zvakaitika nemiedzo, chirwere nemigumisiro angaita zvakajairika.

mabatiro

Nzira chete naro unogona kuderedza chirwere ichi ndicho celiac chirwere - kurapwa ari muchimiro gluten-isina zvokudya. Yeuka kuti ruvengo mapuroteni raiva kwete senguva gorosi. Ndivo akapfuma zvinotevera zvigadzirwa:

• bhari;
• bulgur;
• durum;
• semolina;
• Graham furawa;
• mumera;
• rye;
• semolina (semolina);
• Rinopereterwa;
• triticale (a chemasanganiswa yegorosi uye rye).

Chiremba chinowanzoitika Redirect kuti munhu dietitian kuti pamwe kuronga Zvakanyanya Kunaka Panguva Yepamuviri gluten-isina zvokudya.

Pakangotanga miriwo mapuroteni kuchaita kunze zvokudya, kushoma munyika ura duku zvishoma nezvishoma richarova. Improvement inogona kuonekwa mushure maviri nhatu, kunyange zvazvo varwere vakawanda kucherechedza chinokosha kuvandudza utano mukati panyaya mazuva. Complete kuporeswa uye obliteration pamusoro villi anogona kutora inoverengeka kune akawanda. Kudzoreredzwa ura duku kunoitika nokukurumidza mune vacheche pane nedzevakuru.

Kana iwe netsaona uchapedza zvokudya zvine gluten, chirwere kwakadaro kunogona kuratidza zviratidzo zvakadai abdominal marwadzo uye manyoka. Mune dzimwe vanhu, zviratidzo zviri zvachose ndisipo, asi izvozvo hazvirevi kuti gorosi mapuroteni kwavari chose isingakuvadzi. Nyatsoongorora verenga murwiyo yakaratidza pamusoro kavha mishonga kuti kunyange tichingoda gluten kunogona kukuvadza, zvisinei kuvapo kana kusavapo zviratidzo chirwere.

Vhitamini uye chicherwa zvokuwedzera

The chirwere kuti "celiac chirwere" - zvinorevei? Danho rokutanga kudzivisa zvokudya zvose zvine gorosi, nebhari, rye uye nomukaka ayo. Inzwi rakati dererei ukapisa tsanga kungaita kuti kushayikwa zvinovaka muviri - mune iyi, kuti chiremba kana yezvokudya dzinokurudzira kutora vhitamini uye chicherwa zvokuwedzera kuripa nokushaiwa nezvinhu zviri zvokudya. Izvi zvinokosha zvinhu zvinosanganisira:

• karusiyamu;
• folic asidhi;
• simbi;
• vhitamini B-12;
• vhitamini D;
• Vhitamini K;
• zinc.

Vhitamini zvokuwedzera kazhinji kubatwa muchimiro mahwendefa. Kana uri nechirwere chakakomba malabsorption nezvinovaka muviri, chiremba vanonyorera mavhitaminzi dziri majekiseni.

Kuzvimba ari dumbu

Kana ura duku iri zvikuru wakaremara, chiremba achaita varumbidze steroids kudzvinyirira kushoma. Steroids vanokwanisa kuderedza zvikuru kwazvo zviratidzo chirwere uye pakusika zvakanaka mamiriro ezvinhu nokuporesa dzaparadzwa intestinal mucosa.

va nenjodzi

Kana uri pangozi uye vanotyisidzira iwe celiac chirwere, ekudzivirira chirwere inofanira kuva yako pachako zvavanokoshesa. Dzivisa yakabikwa zvokudya mumidziyo kana mwanda kana Mabhokisi havana rakanyorwa "harina gluten." Ruvengo mapuroteni raiva kwete chete ndiro pachena zvakafanana zvinhu zvakabikwa, makeke, pizza uye makeke. Zvingavawo chikamu zvinotevera zvokudya:

• doro;
• zvihwitsi;
• sauces;
• Sou nyama kana zvomugungwa;
• kupatsanurwa nyama mabhanzi;
• saradhi dressings, kusanganisira Sou mumuto;
• Seshiri kuti haatarisiri mafuta kana chakabikwa;
• soups.

Vamwe zviyo, zvakadai oats, ingasanganisira tichingoda gluten, sezvo achikura uye kupatsanurwa mune imwe nzvimbo uye zvakafanana midziyo segorosi. Kusvikira ikozvino, sainzi Hazvizivikanwi kana oats kuwedzera kurwisa akadai celiac chirwere nedzevakuru, asi vanachiremba kazhinji kutokurudzira kudzivisa kushandiswa O groats hlovev uye, kunze kwekunge zvakatonyorwa pamusoro kavha kuti chigadzirwa harina gluten. Mune zvimwe zviitiko, kunyange oats wakachena pasina zvisaririra zvose gorosi kuwedzera kushoma munyika ura duku.

mvumo zvigadzirwa

Zvinenge zvose yaizivikanwa zvokudya wakanyatsokodzera zvinhu mumwe gluten-isina zvokudya. Zvinokuchengetedzai kushandisa zvigadzirwa izvi zvokudya:

• kutsva nyama, hove uye shiri pasina breading, Kuwedzerwa bvunzo kana marinade;
• michero;
• vakawanda dheri zvinogadzirwa;
• matapiri nezvimwe miriwo;
• waini uye kwakadonhera mvura, chidhakwa uye asiri doro muchero.

Chipiriso uri gluten isina kudya vanobvumirwa:

• Amaranth;
• arrowroot;
• Buckwheat;
• nezviyo;
• polenta;
• chero mhando hwakatsetseka pasina gluten (mupunga, Sou, chibage, mbatatisi, pizi);
• Quinoa (Quinoa);
• mupunga;
• tapioca.

Sezvineiwo Fans ose celiac bhekari zvinhu uye Pasta, pamusoro kwenguva, vagadziri vakawanda pave zvakawanda zvinogadzirwa chaiwo Chikwata "gluten akasununguka". Kana usingakwanisi kuwana zvigadzirwa izvi vari munharaunda bhekari kana Grocery, tarisai kuwanda paIndaneti zvitoro. zvakawanda uye zvokudya zvine gluten, pane njodzi uye iripo gluten isina dzomuzana.