EUnited States, abantu abangaphezu kwezigidi ezi-2.4 banesifo se-celiac, esilingana nomntu ngamnye kubantu abangama-33. Nangona kunjalo, uninzi lwabantu abanezifo ezinqwenelekayo ngokwenene alukwazi nokuba banalo.
Isifo seCeliac sisinye sezimo ezingaphantsi kwe-diagnosti e-United States, nto leyo ithetha ukuba oogqirha abayifumani rhoqo ngokufanelekileyo okanye ukuba abantu abafunanga uncedo kwindawo yokuqala kwimpawu zabo.
Kwaye uphando olutsha olwenziwa yi-American Academy of Pediatrics lubonise ukuba elinye lamaqela amakhulu abantu, abancinci, abanokuthi balahlekelwe yi-diagnosis ye sifo.
Ziziphi izifo eziCeliac?
Isifo seCeliac sisifo esizimelayo apho umzimba awukwazi ukugaya i-protein yeglein gluten. UGluten, esikhundleni sokuncedisa umzimba, unokonakalisa intlungu encinci.
Ikhonkco phakathi kokuziphatha kunye neCeliac kwiintsholongwane
Uphando olupapashwe kwi- Pediatrics ngo-Matshi ka-2017 luhlolisise imiba yokuziphatha kwiminyaka eyahlukeneyo echazwe ngoomama abangazange baqonde ukuba abantwana babo banesifo se-celiac, xa kuthelekiswa nokuziphatha okubangelwa oomama abaqaphela ukuba abantwana babo babenabantwana be-celiac kunye noomama wabantwana abangazange unesifo se-celiac nonke.
Uvavanyo lwaqala ngokuvavanya abantwana abangama-8,676 abaneminyaka emi-2 kwi-auto -bobodies (tTGA) ze-transglutaminase (tTGA), ezibonisa xa umntwana ephethe isifo esiqhekezayo.
Ngaloo ndlela, ukuba i-TTGA antibodies ikhona, umntwana unesifo se-celiac. Abaphandi baqokelela iingxelo zomama zokuziphatha komntwana kwiminyaka eyi-3.5 ubudala kwaye kwakhona kwi-4.5 ubudala.
Oko Bafumene
Ekupheleni kwesifundo, abaphandi bafumanisa ukuba kwiminyaka eyi-3.5 ubudala, oomama ababengazi ukuba abantwana babo banesifo se-celiac babika ukuziphatha kakubi kakhulu kubantwana babo.
Unina wabantwana abangama-66 ababenesifo se-celiac kodwa bengayazi kodwa baninzi ukukhathazeka kwengane kunye nokuxinezeleka, ukuziphatha kakubi, ukuziphatha kakubi, kunye neengxaki zokulala xa kuthelekiswa nabantwana abangaphezu kwama-3,651 oomntwana abangenayo isifo se-celiac. Oomama abangaqapheliyo baphinde baxela ukuziphatha okunobundlobongela, iingxaki zokulala, kunye nokukhathazeka kwengane kunye nokudandatheka kunomama owaziyo ukuba abantwana babo banezifo ezingekho.
Ingaba ithetha ntoni?
Oko oku kuthethwa ngolu hlobo lubakho ukuba kunokunxibelelana phakathi kwesifo se-celiac kunye nokuziphatha kwabantwana, ngokukodwa kwisebancinci kwaye kunokwenzeka ukuba ngaba abazali abaqapheli ukuba kunokubakho umba wempilo obangela ukuziphatha komntwana. Nangona abaphandi bengacacanga ngokupheleleyo kwiindlela ezichanekileyo zokuthi i-gluten inokuphazamisa ingqondo, kukho iingcamango ukuba i-particle ye-gluten engakwazi ukugaya ingabangela ukuvuvukala kwengqondo, engakhokelela ekuziphatheni okubi.
Ngenxa yokuba uphando lufumene ukuba ekudala, akukho mmahluko kwiimpawu zokuziphatha ezichazwe, abaphandi baye bathi iimpawu zokuziphatha zingabonakaliswa ngokukhethekileyo kubantwana abancinci abangakwazi ukuqhuba okanye ukuthetha ngeemvakalelo zabo.
Umzekelo, umntwana omncinci angenza okungakumbi ngenxa yokuba isisu sakhe sibuhlungu, ngelixa umntwana omdala elele okanye enze umsebenzi ozolileyo endaweni yoko.
Ngaba Ngaba Unayo Umntwana Wakho Uvavanywa Izifo Ezigulayo?
Ngoko ukuba umntwana wakho okanye umntwana ongasesikolweni usebenza kwaye unendlela yokuziphatha okubi, ngaba oko kuthetha ukuba unesifo se-celiac? Kucacile ukuba, abantwana abaselula abayona iqela elinokuqonda okanye eliziphethe kakuhle labantu abakujikelezayo, ngaba le nto ithetha ukuba zonke iintsana ezinokuziphatha kakubi zifanele zihlolwe i-celiac? Mhlawumbi akunjalo.
Kodwa ukuba umntwana wakho unenkqubela yentsapho yeliliac, ingaba yinto efanelekileyo yokuzama ukuvavanya, kuba banako ukufumana isifo ukuba isihlobo esithile sokuqala (esichazela umzali okanye umntakwabo) sinalo.
Kukunceda nokuba uthethe ugqirha wakho kunoma yintoni na imeko apho umntwana wakho enenkinga yokuziphatha. Ukutya kungaba yinto, kwaye kukho iinxibelelwano ezininzi zeengqondo ezinokubangela ukuziphatha okubi kumntwana. Ukuqwalasela ngokukhawuleza oko umntwana wakho adlayo kunye nendlela azenza ngayo emva kokutya okuthile kunokunceda. Yaye ukuba uyaphawula ukuba umntwana wakho ubonakala enokwanda kweempawu emva kokuchitha, qiniseka ukuthetha nodokotela wakho malunga novavanyo olufanelekileyo lwe-celiac.
Imithombo:
USmith LB, uLynch KF, uKurppa K, et al, Iqela le-TEDDY (2017, Matshi). Ukubonakaliswa kwengqondo kweso sifo kwisifo sengqondo esisodwa kubantwana abancinci. Iipediatrics , 139 (3): e20162848. Ukufunyanwa kwi-http: //pediatrics.aappublications.org/content/139/3/e20162848
UFasano, A. (2017, Matshi). Izifo zeCeliac, i-gut-brain-axis, kunye nokuziphatha: Isizathu, isiphumo, okanye nje i-epiphenomenon? Izifo zengqondo, 139 (3): e20164323. Ukufunyanwa kwi-http: //pediatrics.aappublications.org/content/139/3/e20164323
Rubio-Tapio A et al. Ukuxhaphaka kwesifo se-celiac e-United States. I-American Journal yeGastroenterology. 2012 Oct; 107 (10): 1538-44.