Nyob rau xyoo tas los no, cov kab mob atypical xws li kab mob celiac tau dhau los. Nws yog dab tsi? Qhov no yog lub cev tiv thaiv kab mob rau kev noj gluten, muaj protein ntau pom nyob rau hauv nplej, barley thiab rye.
Nyob rau hauv kab mob celiac (kab mob celiac), kev siv cov protein no ua rau cov lus teb tsis txaus ntawm ib feem ntawm lub cev tiv thaiv kab mob nyob hauv cov hnyuv. Sij hawm dhau mus, cov tshuaj tiv thaiv kab mob ua rau muaj cov txheej txheem inflammatory uas ua rau cov kab mob ntawm cov hnyuv ua puas thiab cuam tshuam kev nqus ntawm cov as-ham (malabsorption).
Kev raug mob rau cov hnyuv me, dhau los, ua rau poob phaus, tsam plab thiab raws plab. Maj mam, lub cev pib tsis muaj cov as-ham uas tsim nyog rau lub neej ib txwm muaj, thiab tom qab ntawd lub paj hlwb, paj hlwb, pob txha, daim siab thiab lwm yam kabmob hauv nruab nrog cev raug kev txom nyem.
Nyob rau hauv cov menyuam yaus, kab mob celiac (cov duab qhia nws cov cim sab nraud tau luam tawm hauv phau ntawv kho mob) feem ntau ua rau kev loj hlob thiab kev loj hlob qeeb. Irritation nyob rau hauv cov hnyuvtuaj yeem ua rau mob plab, tshwj xeeb tshaj yog tom qab noj mov.
Tsis muaj kev kho rau tus kab mob celiac, tab sis nrog kev noj zaub mov nruj, cov tsos mob tuaj yeem txo tau.
Symptoms
Cov tsos mob thiab cov tsos mob ntawm tus kab mob hauv nqe lus nug muaj ntau haiv neeg, vim lawv nyob ntawm tus kheej tus yam ntxwv ntawm tus neeg mob lub cev.
Txawm tias poob phaus thiab plab zom mov yog suav tias yog cov cim qhia ntawm tus kab mob celiac, ntau tus neeg mob tsis muaj kev tsis xis nyob cuam tshuam nrog kev ua haujlwm ntawm plab hnyuv. Tsuas yog ib feem peb ntawm cov neeg mob raug mob raws plab, thiab tsuas yog ib nrab ntawm cov neeg tshawb fawb yws yws ntawm qhov hnyav.
Kwv yees li 20% ntawm cov neeg mob, ntawm qhov tsis sib xws, raug kev txom nyem los ntawm cem quav; 10% - los ntawm kev rog rog (txawm tias qee cov kws tshawb fawb ntseeg tias cov kab mob no tsis yog los ntawm kab mob celiac txhua). Cov tsos mob uas tsis yog digestive tuaj yeem muab faib ua cov npe hauv qab no:
- ntshav ntshav (feem ntau yog vim tsis muaj hlau);
- osteoporosis (pob txha degeneration) los yog osteomalacia (softening ntawm pob txha);
- daim tawv nqaij ua pob khaus khaus (dermatosis herpetiformis);
- kev puas tsuaj rau hniav hniav;
- mob taub hau, nkees nkees;
- ua rau cov hlab ntsha puas tsuaj, suav nrog loog loog thiab tingling ntawm ko taw thiab tes, thiab tuaj yeem nyuaj nrog kev sib npaug;
- mob hauv ligaments;
- txo qis spleen muaj nuj nqi (hyposplenia);
- acid reflux thiab heartburn.
Kab mob Celiac: Cov tsos mob hauv menyuam yaus
Tshaj 75%Cov menyuam yaus uas muaj kab mob celiac yog rog lossis rog. Cov cim qhia ntawm pathology cuam tshuam nrog kev ua haujlwm ntawm lub plab zom mov tshwm sim hauv 20-30% ntawm cov neeg mob hluas. Nws yuav luag tsis yooj yim sua kom tau txais cov ntaub ntawv tseeb dua, txij li cov tsos mob tshwm sim feem ntau nyob ntawm lub hnub nyoog ntawm tus neeg mob.
Cov cim qhia ntawm tus kab mob celiac hauv cov menyuam yug tshiab:
- mob raws plab;
- bloating;
- pain;
- kev txhim kho qeeb, tsis xis nyob, poob phaus.
Cov menyuam yaus uas tau kuaj pom tias muaj kab mob celiac tuaj yeem muaj cov tsos mob hauv qab no:
- mob plab;
- cem quav;
- qis nce;
- ncua kev puberty;
- Cov kab mob hauv lub paj hlwb suav nrog kev xav tsis txaus siab tsis txaus ntseeg, kev kawm tsis taus, mob taub hau, tsis muaj leeg nqaij sib koom ua ke.
Thaum mus ntsib kws kho mob
Sau npe rau kev sab laj nrog tus kws kho mob tshwj xeeb yog tias koj lub plab chim siab lossis mob plab tsis ploj mus hauv ob lub lis piam. Nco ntsoov tiv tauj koj tus kws kho mob yog tias koj pom tias tus menyuam tau daj ntseg, khaus khaus, tsis hnyav thiab loj hlob. Lwm cov cim ceeb toom muaj xws li tsam plab thiab tawv, cov quav tsw phem.
Koj yuav tsum sab laj nrog tus kws tshaj lij ua ntej mus noj zaub mov tsis muaj gluten. Yog tias koj tshem tawm cov nplej protein los ntawm koj cov zaub mov ua ntej koj qhov kev ntsuam xyuas tau teem tseg, cov txiaj ntsig ntawm cov kev tshawb fawb muaj feem ntautxhua yam yuav yuam kev.
Kab mob Celiac feem ntau dhau los ntawm ib tiam dhau ib tiam. Yog tias ib tus ntawm koj cov txheeb ze raug kuaj pom muaj kab mob, nws yuav tsis yog superfluous rau kev kuaj xyuas koj tus kheej. Tsis tas li ntawd, cov neeg uas nws cov txheeb ze raug mob ntshav qab zib hom 1 kuj muaj kev pheej hmoo.
Yog vim li cas
Txawm hais tias nyob hauv lub ntiaj teb niaj hnub no ntau tus neeg paub tias kab mob celiac yog dab tsi, qhov ua rau nws tshwm sim thiab kev loj hlob tseem yog qhov tsis paub tseeb rau cov kws tshawb fawb.
Thaum lub cev tiv thaiv kab mob tsis txaus rau gluten hauv cov zaub mov, nws ua rau me me, plaub hau zoo li qhov projections ntawm cov mucous membrane (villi). Lub villi ntawm lub hauv ob sab phlu ntawm txoj hnyuv me yog lub luag haujlwm rau kev nqus cov vitamins, minerals, thiab lwm yam khoom noj los ntawm cov zaub mov noj. Nyob rau hauv ib lub microscope, lawv zoo li tuab pawg ntawm cov ntaub pua plag mos. Nrog kev puas tsuaj los ntawm kab mob celiac, sab hauv ntawm cov hnyuv me pib zoo li ntau dua li cov nplais hauv pem teb. Vim li ntawd, lub cev tsis tuaj yeem nqus tau cov as-ham uas nws xav tau kom loj hlob thiab tswj kev noj qab haus huv.
Raws li cov txiaj ntsig ntawm ib qho kev tshawb fawb ntawm National Institutes of He alth hauv Tebchaws Meskas, nws tau qhia tias kwv yees li ib tus neeg Asmeskas ntawm 140 tus neeg teb raug mob los ntawm kab mob celiac. Ntawm qhov tod tes, ntau tus neeg mob tsis mus ntsib kws kho mob ntev thiab yog li tsis txawm xav tias muaj cov kab mob pathology. Feem ntau, kab mob celiac cuam tshuam rau Caucasians.
Raws li qee qhov kev tshawb fawb, nws tau pom tias qee qhov kev hloov pauv noob (mutations) ua rau muaj kev pheej hmookev loj hlob ntawm tus kab mob celiac. Txawm li cas los xij, qhov muaj qhov hloov pauv tsis tau txhais hais tias ib tus neeg yuav tsum mob.
Qee zaum, pathology thawj zaug tshwm sim nws tus kheej tom qab kev phais mob, cev xeeb tub, yug me nyuam, kis kab mob txaus ntshai lossis mob hnyav dhau.
Risk Factor
Kab mob Celiac tuaj yeem tsim nyob rau hauv txhua yam kabmob. Txawm li cas los xij, muaj cov xwm txheej uas ua rau muaj kev pheej hmoo ntawm kev tsim kab mob, suav nrog:
- muaj ib tus txheeb ze ze nrog tus kab mob celiac lossis dermatosis herpetiformis;
- mob ntshav qab zib mellitus hom 1;
- Down syndrome lossis Turner syndrome;
- autoimmune thyroiditis;
- Sjögren's syndrome;
- microscopic colitis (lymphocytic lossis collagenous colitis).
Kev nyuaj siab
Yog tias tsis kho lossis tsis ua raws li kev kho mob, suav nrog kev noj zaub mov, kab mob celiac tuaj yeem ua rau muaj teeb meem hauv qab no:
- Kev txom nyem los ntawm kev noj tsis txaus. Kev puas tsuaj rau cov hnyuv me ua rau muaj kev ua txhaum ntawm kev nqus cov kab mob tsim nyog rau lub cev. Cov zaub mov tsis txaus tuaj yeem ua rau mob ntshav qab zib thiab poob phaus. Hauv cov menyuam yaus, nws ua rau kev loj hlob thiab kev loj hlob.
- Calcium poob thiab pob txha. Kev tsis muaj calcium thiab vitamin D tuaj yeem ua rau cov pob txha mos hauv cov menyuam yaus (osteomalacia) lossis cov pob txha poob rau cov neeg laus (osteoporosis).
- Kev muaj menyuam tsis taus thiab nchuav menyuam. Qhov tsis muaj calcium thiab vitamin D exacerbates cov kev ua me nyuam uas twb muaj lawm.
- Kev tsis nkag siablactose. Kev puas tsuaj rau cov hnyuv ua rau mob plab thiab raws plab tom qab noj cov khoom noj mis nyuj uas muaj lactose, txawm tias lawv tsis muaj gluten. Tom qab kev noj zaub mov zoo, thaum cov hnyuv tau kho tag nrho, lactose intolerance tuaj yeem ploj mus ntawm nws tus kheej, tab sis cov kws kho mob tsis muab kev lees paub: qee cov neeg mob muaj teeb meem zom cov khoom noj siv mis txawm tias tom qab lawv tau ua tiav lawv cov kab mob celiac.
- mob qog noj ntshav. Tus yuam sij rau kev tawm tsam tus kab mob celiac yog kev noj zaub mov raws li cov zaub mov tsis muaj teeb meem protein. Yog tias koj tsis ua raws li kev noj zaub mov thiab lwm cov lus pom zoo ntawm tus kws kho mob, qhov kev pheej hmoo ntawm kev tsim ntau hom mob qog noj ntshav, suav nrog plab hnyuv lymphoma thiab mob qog noj ntshav ntawm cov hnyuv, nce ntxiv.
Diagnosis
Txhawm rau txiav txim siab tus kab mob celiac, cov kev sim thiab cov txheej txheem hauv qab no tau ua:
- kuaj ntshav. Kev nce qib ntawm qee yam tshuaj hauv cov ntshav (antibodies) qhia txog kev tiv thaiv kab mob rau gluten. Raws li cov kev txheeb xyuas no, pathology tuaj yeem kuaj pom txawm tias nws cov tsos mob ua rau me me lossis tsis xis nyob.
- Endoscopy. Yog tias tus neeg mob cov ntshav kuaj pom tus kab mob celiac, qhov kev kuaj mob yuav ua tiav los ntawm txoj kev hu ua "endoscopy", vim tias tus kws kho mob yuav tsum tau kuaj cov hnyuv me thiab nqa ib qho me me ntawm cov ntaub so ntswg los ntawm biopsy. Hauv kev tshawb fawb hauv chav kuaj, cov kws tshaj lij yuav txiav txim siab seb lub villi ntawm cov mucous membrane puas puas.
- Casule endoscopy. Nrog capsularEndoscopy siv lub koob yees duab wireless me me uas thaij duab ntawm tus neeg mob tag nrho cov hnyuv me. Lub koob yees duab tau muab tso rau hauv lub capsule qhov loj ntawm cov tshuaj vitamin, tom qab uas tus neeg mob nqos nws. Raws li nws txav mus los ntawm txoj hnyuv, lub koob yees duab siv ntau txhiab daim duab, uas tau pauv mus rau lub kaw lus.
Nws yog ib qho tseem ceeb heev uas yuav tsum ua ntej dhau tag nrho cov kev ntsuam xyuas rau tus kab mob celiac thiab tsuas yog tom qab ntawd mus noj zaub mov tsis muaj gluten. Yog tias koj tshem tawm cov protein no los ntawm koj cov zaub mov ua ntej koj mus kuaj, koj cov txiaj ntsig kev xeem yuav zoo li qub.
Kev kho mob
Tib txoj kev uas tus kab mob celiac tuaj yeem txo tau yog los ntawm kev kho mob nrog kev noj zaub mov tsis muaj gluten. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias cov teeb meem proteins pom tsis tau tsuas yog nyob rau hauv cov nplej zoo tib yam. Cov zaub mov hauv qab no kuj muaj nplua nuj nyob hauv lawv:
- barley;
- bulgur;
- durum;
- semolina;
- kev txom nyem;
- m alt;
- rye;
- Semolina (semolina);
- spelt;
- triticale (ib tug hybrid ntawm nplej thiab rye).
Koj tus kws kho mob yuav xa koj mus rau tus kws kho mob kom npaj noj zaub mov tsis muaj gluten ua ke.
Thaum cov zaub mov no tshem tawm ntawm cov zaub mov, cov txheej txheem inflammatory hauv cov hnyuv yuav maj mam pib zuj zus. Kev txhim kho tuaj yeem pom tom qab ob mus rau peb lub lis piam, txawm hais tias ntau tus neeg mob pom tias muaj kev txhim kho tseem ceeb hauv kev noj qab haus huv tom qab ob peb hnub. Kev kho kom tiav thiab overgrowth ntawm villi yuav siv sij hawm los ntawm ob pebhli mus rau ntau xyoo. Kev rov qab los ntawm txoj hnyuv me yog nrawm dua hauv cov menyuam yaus dua li cov neeg laus.
Yog tias koj noj cov khoom uas muaj gluten tsis raug, koj tuaj yeem ntsib cov tsos mob xws li mob plab thiab raws plab. Qee tus neeg tsis muaj tsos mob dab tsi, tab sis qhov no tsis txhais hais tias cov nplej protein tsis muaj teeb meem rau lawv. Nyeem cov khoom xyaw ntawm lub ntim kom zoo: txawm tias cov kab mob gluten tuaj yeem ua rau muaj kev puas tsuaj, txawm tias muaj lossis tsis muaj cov tsos mob ntawm tus kab mob.
kuaj kab mob Celiac - txhais li cas? Ua ntej tshaj plaws, nws yog ib qho tsim nyog kom tsis txhob muaj cov nplej, barley, rye thiab lawv cov derivatives. Kev noj zaub mov tsis txaus tuaj yeem ua rau muaj kev noj zaub mov tsis zoo - yog li tus kws kho mob lossis kws kho mob yuav pom zoo kom noj cov tshuaj vitamin thiab ntxhia los ua kom tsis muaj cov khoom tsim nyog hauv kev noj haus. Cov khoom tseem ceeb no suav nrog:
- calcium;
- folic acid;
- hlau;
- vitamin B-12;
- Vitamin D;
- Vitamin K;
- zinc.
cov tshuaj vitamin feem ntau yog noj ua ntsiav tshuaj. Yog tias koj tau kuaj pom tias muaj qhov tsis zoo ntawm cov as-ham, koj tus kws kho mob yuav sau cov tshuaj vitamin.
mob plab hnyuv
Yog tias txoj hnyuv me raug mob hnyav, tus kws kho mob yuav pom zoo cov tshuaj steroid rauinhibition ntawm inflammatory txheej txheem. Steroids tuaj yeem txo cov tsos mob hnyav tshaj plaws ntawm cov kab mob pathology thiab tsim cov av fertile rau kho cov hnyuv mucosa.
Cov khoom txaus ntshai
Yog tias koj raug tus kab mob celiac, kev tiv thaiv yuav tsum yog ib qho ntawm koj tus kheej qhov tseem ceeb. Tsis txhob ntim cov khoom noj tshwj tsis yog cov pob khoom lossis cov pob ntawv sau tias "gluten dawb". Cov protein tsis zoo pom tsis tsuas yog hauv cov tais diav zoo li cov khoom ci, ncuav, ncuav thiab ncuav qab zib. Nws kuj tseem tuaj yeem pom hauv cov khoom noj hauv qab no:
- beer;
- sweets;
- sauces;
- nqaij npuas lossis nqaij nruab deg;
- ua nqaij npuas;
- zaub xam lav nrog kua ntses;
- nqaij qaib uas tsis tas yuav rog thaum kib;
Qee cov nplej, xws li oats, tuaj yeem muaj cov kab mob gluten vim lawv tau loj hlob thiab ua tiav hauv tib cheeb tsam thiab ntawm tib yam khoom xws li nplej. Kev tshawb fawb tseem tsis paub meej tias oats exacerbate celiac kab mob hauv cov neeg laus, tab sis cov kws kho mob feem ntau pom zoo kom tsis txhob oatmeal thiab cereals tshwj tsis yog cov khoom hais tias gluten-dawb ntawm pob. Qee qhov xwm txheej, txawm tias cov oatmeal ntshiab tsis muaj ib qho kab mob ntawm cov nplej ua rau muaj kev cuam tshuam ntawm cov txheej txheem inflammatory hauv cov hnyuv.
Allowed Foods
Yuav luag txhua yam khoom nojhaum rau kev noj zaub mov tsis muaj gluten. Koj tuaj yeem noj cov zaub mov hauv qab no kom nyab xeeb:
- nqaij tshiab, ntses thiab nqaij qaib yam tsis muaj breading, ntxiv mov paj los yog marinade;
- fruit;
- khoom noj mis ntau;
- qos yaj ywm thiab lwm yam zaub;
- wine thiab distilled kua, cawv thiab txiv hmab txiv ntoo soft drinks.
Los ntawm cov khoom noj ntawm cov zaub mov tsis muaj gluten tau txais:
- amaranth;
- arrowroot;
- greek;
- pob kws;
- polenta;
- txhua yam gluten-dawb hmoov (nqaij, soy, pob kws, qos yaj ywm, taum mog);
- quinoa (quinoa);
- rice;
- tapioca.
Zoo hmoov zoo rau cov neeg ua mov ci thiab pasta lovers, dhau sijhawm, ntau lub tuam txhab tso tawm ntau cov khoom tshwj xeeb uas tau sau tias tsis muaj gluten. Yog tias koj tsis tuaj yeem pom cov khoom no ntawm koj lub khw muag khoom noj hauv zos lossis lub khw muag khoom noj, tshawb xyuas cov khw hauv online. Ntau yam khoom noj thiab tais diav uas muaj gluten muaj kev nyab xeeb thiab pheej yig gluten-dawb counterparts.
