Celiac kab mob: Ua thiab Kev Kho Mob

Nyob rau hauv xyoo tsis ntev los, loj-kis xws atypical pathology li celiac kab mob. Yuav ua li cas yog nws? Qhov no tiv thaiv kab mob cov tshuaj tiv thaiv rau noj gluten - ib tug protein uas yog pom nyob rau hauv cov nplej, barley thiab rye.

Nyob rau hauv celiac kab mob (celiac kab mob), cov kev siv ntawm hais tias protein fragment yog ib qho tsis tsim nyog teb ntawm lub cev nyob rau hauv cov hnyuv. Thaum lub sij hawm, cov tshuaj tiv thaiv ua rau txawv txav inflammatory txheej txheem, ua lub plhaub ntawm cov hnyuv thiab cuam tshuam nrog tus haum ntawm ib tug xov tooj ntawm cov as-ham (malabsorption).

Kev puas tsuaj rau cov hnyuv, nyob rau hauv lem, ua rau poob phaus, tsam plab thiab raws plab. Maj mam, lub cev pib tsis muaj cov as-ham tsim nyog rau lub neej zoo, thiab ces raug kev txom nyem lub hlwb, lub paj hlwb, cov pob txha, daim siab, thiab lwm yam hauv nruab nrog cev.

Nyob rau hauv cov me nyuam, celiac kab mob (yees duab uas qhia tawm sab nraud cov tsos mob ntawm nws, luam tawm nyob rau hauv kev kho mob txhua hnub) feem ntau ua rau ncua sij hawm ntawm txoj kev loj hlob thiab kev loj hlob. Voos nyob rau hauv cov hnyuv yuav ua rau mob plab, tshwj xeeb tshaj yog tom qab noj mov.

Celiac kab mob no yog incurable, tab sis nws cov tsos mob yuav alleviated, kev kawm mus rau ib tug nruj kev noj haus.

cov tsos mob

Tej yam tshwm sim thiab cov tsos mob ntawm tus kab mob nyob rau hauv lo lus nug yog heev ntau haiv neeg, raws li yog nkaus nyob rau ntawm ib tug neeg tus yam ntxwv ntawm tus neeg mob lub cev.

Txawm hais tias tus qauv nta ntawm celiac kab mob yog hais tias yuav poob thiab raws plab, ntau cov neeg mob tsis muaj tej yam tsis xis txuam nrog rau hauj lwm ntawm lub hnyuv ib ntsuj av. Tsuas yog ib feem peb ntawm cov neeg mob kev txom nyem los ntawm tus kab mob raws plab, thiab tsuas yog ib nrab ntawm cov neeg tsis txaus siab ntawm poob phaus.

Kwv yees li 20% ntawm cov neeg mob, rau lwm cov tes, raug kev txom nyem los ntawm tus kab mob cem quav; 10% - los ntawm rog (txawm hais tias tej zaum ntseeg hais tias cov kev ua txhaum tsis ua celiac kab mob). Cov tsos mob yuav tsis muaj feem rau kev zom, yuav grouped rau hauv lub nram qab no:

• anemia (feem ntau yog raws li ib tug tshwm sim ntawm hlau tsis muaj peev xwm);
• txha (pob txha dystrophy) los yog osteomalacia (softening ntawm cov pob txha);
• daim tawv nqaij sawv pob raws li khaus khaus blisters (herpetiformis dermatosis);
• Puas txha hniav laus;
• mob taub hau, qaug zog;
• lub paj hlwb puas tsuaj, xws li xws li loog loog thiab tingling nyob rau hauv lub ob txhais taw thiab txhais tes, thiab tau nyuaj nyob rau hauv kom tshuav nyiaj li cas;
• mob nyob rau hauv lub ligaments;
• txo po muaj nuj nqi (gipospleniya);
• acid reflux thiab kub siab.

Celiac kab mob: cov tsos mob nyob rau hauv cov me nyuam

Ntau tshaj 75% ntawm cov me nyuam nrog celiac kab mob nyhav dhau heev lawm los yog rog. Tej yam tshwm sim ntawm pathology txuam nrog rau hauj lwm ntawm tus mob huam, yog pom nyob rau hauv 20-30% ntawm cov tub ntxhais cov neeg mob. Ntau yog cov ntaub ntawv suab tsis yooj yim sua kom tau, vim cov tsos mob nyob feem nyob rau hauv lub hnub nyoog ntawm tus neeg mob.

Raug cov tsos mob ntawm tus kab mob celiac nyob rau hauv tus me nyuam mos:

• mob raws plab;
• tsam plab;
• mob;
• lub lag nyob rau hauv lub cev txoj kev loj hlob, malaise, poob phaus.

Nyob rau hauv cov me nyuam hlob, kev nyuaj siab nrog ib tug mob ntawm "celiac kab mob" cov tsos mob tej zaum yuav raws li nram no:

• raws plab;
• cem quav;
• luv luv stature;
• ncua tiav nkauj tiav nraug;
• neurological mob, xws li hyperactivity, xim sis tshaj, kev kawm xiam oob qhab, mob taub hau, tsis muaj nqaij sib haum.

Thaum mus ntsib ib tug kws kho mob

Teem ib tug hu rau ib tug kws yog lub plab chim los yog tsis xis nyob rau hauv lub plab mog tsis mus deb tsis pub dhau ob lub lim piam. Nco ntsoov hu mus rau koj cov menyuam yaus yog koj pom tias tus me nyuam yog daj ntseg, chim siab, tau ceased mus nce hnyav thiab loj hlob. Ntxhov siab vim cov tsos mob kuj tsam plab thiab nyuaj quav nrog ib tug phem tsw.

Koj yuav tsum tham nrog ib tug kws muaj txuj ua ntej koj mus nyob rau ib gluten-dawb noj. Yog hais tias koj tshem tawm cov nplej protein los ntawm cov khoom noj ua ntej lub pass muab kev ntsuam xyuas, kev soj ntsuam ntawm cov kev tshawb fawb no tej zaum yuav erroneous.

Celiac kab mob yog feem ntau nws los ntawm tiam mus rau tiam. Yog hais tias ib yam ntawm koj cov txheeb ze thiaj paub hais tias pathology, yuav tsis superfluous kom dhau kev soj ntsuam. Nyob rau hauv tas li ntawd, muaj kev pheej hmoo yog cov neeg uas nws cov txheeb ze raug kev txom nyem los ntawm cov ntshav qab zib ntawm cov thawj hom mob ntshav qab zib.

yog vim li cas

Txawm muaj coob tus neeg paub nyob rau hauv cov niaj hnub ntiaj teb no uas yog celiac kab mob, nws ua thiab kev loj hlob tseem nyob twj ywm ib tug paub tsis meej rau zaum.

Thaum lub cev reacts cia rau gluten muaj nyob rau hauv ib tug zaub mov, nws hu plig me me Zoo li cov plaub mos mos protrusions rau lub mucosa (fluff). Villi rau lub plhaub ntawm cov hnyuv yog lub luag hauj lwm rau lub nqus ntawm cov vitamins, minerals thiab lwm yam cov as-ham los ntawm khoom noj khoom haus noj. Nyob rau hauv lub tshuab kuaj kab, lawv zoo li ib tug mos mos tuab pawg ntaub pua tsev. Yog hais tias qhov kev puas tsuaj tshwm sim los ntawm celiac kab mob, lub puab nto hauv cov hnyuv pib zoo li nws cov tsos es tiled pem teb. Raws li ib tug tshwm sim, lub cev tsis muaj peev xwm mus nqus cov as-ham uas yuav tsum tau rau txoj kev loj hlob thiab noj qab haus huv txij nkawm.

Raws li kev soj ntsuam ntawm ib qho ntawm lub National Institutes of Health txoj kev tshawb no nyob rau hauv lub US pom tias hais txog ib tug American nyob rau hauv 140 cov neeg kev txom nyem los ntawm celiac kab mob. Nyob rau lwm cov tes, muaj ntau cov neeg mob rau ib tug ntev lub sij hawm tsis tau mus rau tus kws kho mob thiab yog li ntawd tsis txawm paub ntawm lub xub ntiag ntawm pathology. Feem ntau cov feem ntau, tus kab mob celiac muaj feem xyuam rau Caucasians.

Raws li tej kev tshawb fawb nws pom tias ib co tshuaj ntsuam genetic hloov (change) kom txoj kev pheej hmoo ntawm kev tsim celiac kab mob. Cuaj kaum, tus xub ntiag ntawm cov change tsis tau txhais hais tias cov neeg tas muaj mob.

Nyob rau hauv tej rooj plaub, lub pathology yog thawj pom tau hais tias tom qab niaj phais, cev xeeb tub, yug menyuam, txaus ntshai tus kab mob kab mob los yog mob loj heev lub siab lub ntsws overload.

muaj tej yam

Celiac kab mob muaj peev xwm tsim nyob rau hauv tej kab mob. Txawm li cas los, muaj tej yam uas ua rau kom txoj kev pheej hmoo ntawm tus kab mob cov tsos mob, xws li:

• muaj ib tug txheeb ze ze nrog celiac kab mob los yog dermatosis herpetiformis;
• ntaus 1 ntshav qab zib;
• Down syndrome los yog Turner lub syndrome;
• Hashimoto lub thyroiditis;
• Sjogren lub syndrome ;
• me me mob plab (collagenous los yog lymphocytic mob plab).

teeb meem

Yog hais tias tsis kho los yog tsis-raws li cov kev kho txoj kev kho, xws li kev noj haus, celiac kab mob no yuav ua rau kom cov nram qab no mob:

• Havzoov vim malnutrition. Kev puas tsuaj rau cov hnyuv ua rau malabsorption ntawm ib txoj lw ntsiab tsim nyog rau hauv lub cev. Tsis muaj as-ham yuav ua rau anemia thiab poob phaus. Nyob rau hauv cov me nyuam, nws leads mus rau stunted kev loj hlob thiab kev loj hlob.
• Poob ntawm calcium thiab txha. Tsis muaj calcium thiab vitamin D yuav ua rau softening ntawm cov pob txha nyob rau hauv cov me nyuam (osteomalacia) los yog degeneration ntawm cov pob txha cov ntaub so ntswg nyob rau hauv cov neeg laus (osteoporosis).
• Ntxiv lawm tshob thiab ncuav me nyuam tau. Tsis muaj calcium thiab vitamin D muaj exacerbates deev mob.
• Lactose intolerance. Kev puas tsuaj rau cov hnyuv ua mob plab thiab raws plab tom qab noj mov khoom noj siv mis uas muaj lactose, txawm yog hais tias lawv muaj xws li tsis muaj gluten. Tom qab ib tug kho mob kev noj haus, thaum lub plob tsis so tswj yog kiag li kho, lactose intolerance yuav kis tau los ntawm nws tus kheej, tab sis cov kws kho mob tsis tau muab tej guarantees: ib co neeg mob tseem muaj teeb meem digesting khoom noj siv mis, txawm tom qab lawv tau ua tiav rau thaum kawg ntawm kev kho mob ntawm celiac kab mob.
• Cancer. Tus yuam sij rau lub sib ntaus tawm tsam lub scourge los ntawm tus kab mob celiac - noj cov zaub mov raws li nyob rau hauv cov khoom tsis muaj teeb meem protein. Yog hais tias koj tsis txhob cia mus rau ib tug zaub mov thiab lwm yam lus qhia ntawm tus kws kho mob, nws yuav tsub kev pheej hmoo ntawm ob peb cov qog nqaij hlav, nrog rau cov hnyuv nqaij hlav thiab mob cancer hauv cov hnyuv.

diagnostics

Yuav kom txiav txim seb qhov kev coj cwj pwm ntawm celiac kab mob kev tshawb fawb thiab cov txheej txheem uas tau teev tseg hauv qab no:

• Kuaj ntshav. Kom ntau ntawm tej yam tshuaj nyob rau hauv cov ntshav (antibody) yog hais txog ib lub cev tsis teb rau gluten. Rau cov seev yuav ntes txawv txav txawm nyob rau hauv tus neeg mob qhov twg cov tsos mob zoo tsis ua rau tsis xis los yog uas tsis yog-existent.
• Endoscopy. Yog hais tias qhov kev tshwm sim ntawm cov ntshav los ntawm tus neeg mob kuaj celiac kab mob, mob yuav Nkij los txuam rau cov txheej txheem hu ua "endoscopy", raws li tus kws kho mob yuav tsum tau mus xyuas cov hnyuv thiab khaws ib daig me me ntawm cov ntaub so ntswg me txoj kev. Nyob rau hauv lub laboratory txoj kev tshawb no, cov kws txawj yuav tsim kom muaj seb puas mucosal villi puas.
• Tshuaj Ntsiav endoscopy. Yog hais tias cov tshuaj ntsiav endoscopy yog siv ib tug me me wireless koob yees duab uas yuav siv sij hawm ib tug yees duab ntawm tag nrho cov nyias hnyuv ntawm tus neeg mob. Lub chamber yog muab tso rau hauv lub tshuaj ntsiav loj nrog vitamin tshuaj, tom qab uas tus neeg mob swallows nws. Thaum peb mus los ntawm tus mob huam, lub koob yees duab yuav siv sij hawm txhiab ntawm cov duab kis tau mus rau ib tug recorder cov ntaubntawv povthawj siv ntaus ntawv.

Nws yog ib qho tseem ceeb ua ntej mus los ntawm tag nrho cov muab kev tshawb fawb qhia tau tias celiac kab mob thiab xwb ces mus rau ib tug gluten-dawb noj. Yog hais tias koj cais cov protein ntau ntawm cov khoom noj ua ntej koj kis tau kev ntsuam xyuas, diagnostic tau tej zaum yuav zoo li qub.

kev kho mob

Tib txoj kev uas koj yuav pab no kev mob nkees yog celiac kab mob - kev kho mob nyob rau hauv daim ntawv ntawm ib tug gluten-dawb noj. Nco ntsoov hais tias siab phem protein muaj tsis tau tsuas yog nyob rau hauv lub li ib txwm nplej. Lawv yog cov nplua nuj yuav nyob rau hauv cov nram no cov khoom:

• barley;
• bulgur;
• durum;
• semolina;
• Graham hmoov;
• malt;
• rye;
• semolina (semolina);
• spelled;
• triticale (a hybrid ntawm hom qoob mog thiab rye).

Tus kws kho mob yuav redirect koj mus rau ib tug dietitian rau ob leeg npaj pom gluten-dawb noj.

Thaum cov zaub protein yuav raug tshem tawm los ntawm cov khoom noj, cov inflammatory txheej txheem nyob rau hauv cov hnyuv yuav maj mam tuaj mus naught. Improvement yuav pom tom qab ob peb lub lis piam, txawm hais tias muaj ntau yam neeg mob pom ib tug tseem ceeb kev txhim kho nyob rau hauv kev noj qab nyob rau hauv ib qhov teeb meem ntawm hnub. Sau kom tiav zoo thiab obliteration ntawm lub villi yuav muab tau ob peb lub hlis mus rau tsheej xyoo. Txum Tim Rov Qab hnyuv tshwm sim sai nyob rau hauv cov me nyuam mos tshaj nyob rau hauv cov neeg laus.

Yog hais tias koj ntawd haus cov zaub mov uas muaj gluten, xws tus kab mob tej zaum yuav tshwm sim tsos mob xws li mob plab thiab raws plab. Nyob rau hauv ib co neeg, cov tsos mob yog tsis tuaj kiag li, tab sis hais tias tsis tau txhais hais tias cov nplej protein rau lawv yog kiag li harmless. Ua tib zoo nyeem cov muaj pes tsawg leeg qhia rau hauv lub ntim ntawm cov khoom hais tias txawm ib co kua nplaum ntawm gluten yuav ua kev puas tsuaj, tsis hais ntawm lub xub ntiag los yog tsis tuaj kawm ntawv ntawm tej yam tshwm sim ntawm tus kab mob.

Vitamin thiab mineral tshuaj

Tus kab mob ntawm "celiac kab mob" - dab tsi nws txhais li cas? Thawj kauj ruam yog kom tsis txhob tag nrho cov khoom noj uas muaj nplej, barley, rye thiab derivatives thereof. Txo ntim ntim nplej tej zaum yuav ua rau tsis muaj peev xwm ntawm cov as-ham - nyob rau hauv cov ntaub ntawv no, lub kws kho mob los yog kws qhia noj haus kom noj vitamin thiab pob zeb hauv av tshuaj pab kom txawm peem rau cov tsis muaj ntawm cov tshuaj nyob rau hauv cov khoom noj. Cov tseem ceeb heev tshuaj muaj xws li:

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

Vitamin tshuaj no feem ntau yog tshwm sim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Yog hais tias koj yog mob mob loj heev malabsorption cov as-ham, tus kws kho mob yuav muab tshuaj rau vitamins nyob rau hauv daim ntawv ntawm cov tshuaj.

O nyob rau hauv lub gut

Yog hais tias cov hnyuv yog heev puas, tus kws kho mob yuav pom zoo kom steroids mus suppress lub inflammatory txheej txheem. Cov tshuaj steriods kho tau alleviate qhov loj tshaj plaws tshwm sim ntawm tus kab mob thiab los tsim dej siab tej yam kev mob rau txoj kev kho zoo ntawm cov puas plab hnyuv mucosa.

tej

Yog hais tias koj muaj teeb meem thiab tsim kev koj celiac kab mob, tiv thaiv kab mob yuav tsum tau ib yam ntawm koj tus kheej ua ntej. Tsis txhob siav khoom noj khoom haus nyob rau hauv ntim yog bundles los yog tej pob khoom tsis muaj lub inscription "muaj tsis muaj gluten." Siab phem protein muaj tsis tau tsuas yog nyob rau hauv lub cuab tais diav li khoom ci, ncuav, pies thiab ncuav qab zib. Nws tseem yuav yog ib feem ntawm cov nram qab no cov khoom noj:

• npias;
• cov khoom qab zib;
• cov kua ntsw;
• kua nqaij los yog nqaij ntses nyoo;
• ua nqaij yob;
• nyias cov ntaub qhwv, xws li kua ntses;
• ib tug noog uas tsis yuav tsum tau rog thaum kib;
• kua zaub.

Tej yam cereals, xws li oats, tej zaum yuav muaj ib co kua nplaum ntawm gluten, raws li loj hlob thiab ua nyob rau hauv tib cheeb tsam thiab tib cov cuab yeej siv li nplej. Kom txog rau thaum tam sim no, science yog tsis paub seb oats aggravates nres xws li celiac kab mob rau cov neeg laus, tab sis cov kws kho mob feem ntau yog pom zoo kom tsis txhob muaj cov kev siv ntawm oat groats hlovev thiab, tshwj tsis yog tias kev cai tswjhwm rau hauv lub ntim tias cov khoom tsis muaj gluten. Nyob rau hauv tej rooj plaub, txawm ntshiab oats tsis muaj tej qhov cim tseg ntawm nplej exacerbate lub inflammatory txheej txheem nyob rau hauv cov hnyuv.

Tso Cai khoom

Yuav luag tag nrho cov khoom noj haum mus rau lub tej yam kev mob ntawm ib tug gluten-dawb noj. Nws yog muaj kev ruaj ntseg rau siv cov khoom no nyob rau hauv cov zaub mov:

• tshiab nqaij, ntses thiab nqaij qaib tsis muaj breading, qhov sib ntxiv ntawm lub xeem los yog lub marinade;
• txiv hmab txiv ntoo;
• feem ntau khoom noj siv mis;
• qos yaj ywm thiab lwm yam zaub;
• wine thiab distilled kua, dej thiab uas tsis yog-alcoholic txiv hmab txiv ntoo dej qab zib.

Cereal rau ib tug gluten-dawb noj cov zaub mov yog tso cai:

• amaranth;
• arrowroot;
• buckwheat;
• pob kws;
• polenta;
• txhua yam ntawm hmoov tsis muaj gluten (mov, kua, maize, qos yaj ywm, taum mog);
• quinoa (quinoa);
• mov;
• tapioca.

Zoo hmoo rau cov kiv cua ntawm celiac bakery khoom thiab pasta, lub sij hawm, ntau manufacturers tsim ntau thiab ntau cov khoom uas muaj ib tug tshwj xeeb daim ntawv lo "gluten free". Yog hais tias koj nrhiav tsis tau cov khoom nyob rau hauv lub zos bakery los yog tsev muag khoom noj, saib cov ntau yam ntawm online khw muag khoom noj. Muaj ntau cov khoom thiab tej zaub mov uas muaj gluten, muaj kev nyab xeeb thiab muaj gluten-dawb counterparts.