Kab mob ntawm plab hnyuv muaj ntau ntawm cov neeg laus thiab menyuam yaus. Cov no suav nrog ntau yam kev noj zaub mov tsis zoo, o ntawm lub cev (gastritis, enteritis, cholecystitis), phais pathologies (appendicitis, volvulus). Ntxiv rau qhov paub cov kab mob ntawm txoj hnyuv, muaj cov kab mob tsawg dua uas cuam tshuam nrog enzyme deficiency. Ib qho piv txwv yog kab mob celiac. Cov tsos mob thiab ua rau gluten intolerance tau kawm ntev, tab sis tseem tsis tau nkag siab tag nrho. Feem ntau, tus kab mob no yog thawj zaug ntsib los ntawm cov niam txiv, txij li thaum nws tshwm sim tau pib txij li thaum yau. Txawm hais tias muaj qhov tshwm sim loj heev uas tuaj yeem tshwm sim vim muaj kab mob celiac, nrog rau txoj hauv kev, pathology tsis suav tias yog kab lus.
YGluten intolerance - yog dab tsi?
Gluten protein muaj nyob hauv ntau yam khoom noj. Ib tug loj concentration ntawm cov tshuaj no muaj nyob rau hauv cov nplej thiab lwm yam cereals. Yog li ntawd, cov tais diav uas muaj cov khoom xyaw no,ua rau kev txhim kho cov tsos mob ntawm cov neeg uas muaj kab mob celiac. Cov ntaub ntawv hais txog xws li ib tug pathology tshwm nyob rau hauv ancient sij hawm. Ces tus kab mob no hu ua "kab mob plab." Nyob rau hauv lub xyoo pua 17th, tus kab mob celiac tau pib kawm ua haujlwm. Cov kev tshwm sim zoo sib xws tau piav qhia hauv cov menyuam yaus. Tsuas yog nyob rau hauv nruab nrab ntawm lub xyoo pua 20th puas tau paub tias tus kab mob yog tshwm sim los ntawm kev noj cov protein "gluten".
Intolerance, cov tsos mob sib txawv ntawm cov menyuam yaus thiab cov neeg laus, zoo ib yam li cov duab kho mob ntawm cov kab mob hauv plab, enterocolitis, pancreatitis. Yav dhau los, nws tau ntseeg tias tus kab mob no tsis tshua muaj (1 tus neeg rau 3 txhiab tus neeg). Tam sim no nws tau raug pov thawj tias pathology yog ntau dua. Qhov nruab nrab, kab mob celiac cuam tshuam txog 0.5 mus rau 1% ntawm cov pejxeem thoob ntiaj teb. Txawm li cas los xij, tsis yog txhua tus neeg mob muaj qhov hnyav gluten intolerance. Cov tsos mob ntawm "cov kab mob zais zais" txawv ntawm cov ntaub ntawv mob.
Ua rau gluten intolerance
Tus kab mob "celiac kab mob" (gluten enteropathy) tshwm sim hauv cov neeg uas tsis muaj enzyme. Qhov laj thawj ntawm qhov tsis xws luag tsis tau tsim. Txawm li cas los xij, muaj ntau txoj kev xav rau kev loj hlob ntawm tus kab mob celiac.
Ua ntej ntawm tag nrho, qhov no yog lub hauv paus caj ces ntawm pathology. Feem ntau, cov enzyme "gliadinaminopeptidase" muaj nyob rau hauv txoj hnyuv. Yog hais tias nws yog secreted nyob rau hauv me me los yog tsis tag, kab mob celiac tsim. Hauv qhov no, cov protein - gluten - tsis yog digested tag. Yog li ntawd, ib qho ntawm nws cov feem cuam tshuam rau lub cev. Namely, nws ua rau cov phab ntsa ntawm cov nyias nyiastxoj hnyuv ua rau atrophy. Raws li qhov no, qhov tseem ceeb ntawm qhov tshwm sim ntawm tus kab mob celiac yog lub cev tsis kam lees gluten protein, intolerance. Cov tsos mob ntawm qhov tsis txaus enzyme loj tshwm sim nyob rau thawj xyoo ntawm tus menyuam lub neej. Yog tias cov protein no tseem digested, tab sis maj mam, thawj cov tsos mob ntawm pathology yuav tshwm sim tom qab (thaum me nyuam yaus thiab cov neeg laus).
Dhau li ntawm qhov no, muaj lwm txoj kev xav ntawm kev txhim kho tus kabmob. Raws li nws, qhov ua rau ntawm tus kab mob celiac nyob rau hauv cov tshuaj tiv thaiv kab mob ntawm lub cev tiv thaiv kab mob gluten. Intolerance (cov tsos mob nyob ntawm lub hnub nyoog thiab qhov hnyav ntawm tus kab mob) tshwm sim vim tsis txaus cov tshuaj tiv thaiv ntawm plab hnyuv mucosa rau cov protein no. Cov kws tshawb fawb tau xav tias qhov ua rau muaj tus kab mob yog qhov sib xyaw ua ke ntawm ntau yam.
Gluten intolerance: Dab tsi yog cov tsos mob ntawm tus menyuam mos?
Daim duab kho mob pom hauv gluten intolerance tuaj yeem sib txawv. Tias yog vim li cas cov tsos mob ntawm pathology feem ntau cuam tshuam nrog lwm yam mob. Yog li ntawd, kev kho mob txaus rau tus kab mob celiac tsis tau ua hauv ntau tus neeg mob. Thawj qhov cim, vim tias qhov tsis txaus enzyme tuaj yeem xav tias, yog cov quav xoob frothy nrog cov ntxhiab tsw. Cov tsos mob no feem ntau pom nyob rau hauv cov menyuam mos tom qab kev qhia txog cov khoom noj ntxiv (porridge). Lwm qhov tshwm sim ntawm tus kab mob celiac hauv cov menyuam yaus suav nrog:
- Npaj paug quav, raws plab. Nws nyuaj rau kev ntxhua khaub ncaws me nyuam thaum ntxuav.
- Npaj plab. Cov tsos mob notuaj yeem pom nyob rau hauv lwm yam pathologies (piv txwv li, nrog rickets). Yog li ntawd, nws tsis yog tshwj xeeb thiab raug coj mus rau hauv tus account tsuas yog nyob rau hauv lub xub ntiag ntawm lwm yam nta.
- Slow yuag. Qhov no yuav tsum ceeb toom cov niam txiv yog tias tus tsos mob no tshwm sim tom qab kev qhia txog cov khoom noj ntxiv.
- Kev tshwm sim ntawm atopic dermatitis: ua pob khaus ntawm daim tawv nqaij ntawm lub ntsej muag, tev tawm.
- muscular hypotonia.
Muab cov duab kho mob zoo li no rau ntau yam kab mob, cov niam txiv yuav tsum xyuam xim rau cov kev hloov pauv ntawm tus menyuam tom qab noj mov, thiab tseem paub seb cov txheeb ze puas muaj cov tsos mob zoo sib xws. Tom qab tag nrho, genetic predisposition yog qhov tseem ceeb hauv kev loj hlob ntawm tus kab mob celiac.
Gluten protein: intolerance (cov tsos mob hauv menyuam yaus)
Yog tias thawj xyoo ntawm lub neej tus menyuam tsis noj zaub mov uas muaj gluten, ces qhov tshwm sim ntawm tus kab mob celiac yuav tshwm sim tom qab. Tsis tas li ntawd, vim muaj teeb meem digestive heev hauv cov me nyuam mos, cov kws kho mob thiab cov niam txiv tsis tas yuav koom nrog thawj cov cim qhia ntawm tus kab mob nrog qhov tseeb ua rau - kab mob celiac. Nyob rau hauv cov ntaub ntawv no, nrhiav kom tau ntawm pathology yog ncua rau ob peb lub hlis thiab txawm xyoo. Yuav ua li cas xav tias gluten intolerance? Cov tsos mob hauv menyuam yaus yog:
- Stunting. Daim paib no txhim kho tom qab 2 xyoos.
- yam ntxwv tsos: lub plab loj thiab nyias qis qis.
- mob ntshav qab zib.
- History of nquag fractures (cov pob txha tsis muaj zog).
- Nyob zoo ib tsoom phooj ywg.
- daim tawv nqaij qhuavintegument thiab plaub hau.
- Ntxawm nails.
- YDermatitis.
- Nyob.
- Lethargy lossis, ntawm qhov tsis sib xws, tshwm sim ntawm kev ua phem.
- Tearfulness.
Ntxiv rau cov tsos mob teev tseg, cov tsos mob tseem ceeb ntawm tus kab mob tseem nyob - enterocolitis. Nws tuaj yeem tshwm sim tas li lossis qee zaus - tom qab noj zaub mov uas muaj gluten. Cov tsos mob tseem ceeb ntawm enterocolitis yog raws plab (txog 5 zaug hauv ib hnub) thiab mob plab.
Cov tsos mob ntawm gluten intolerance hauv cov neeg laus
Nyob tsis tshua muaj tshwm sim, thawj cov tsos mob ntawm tus kab mob tshwm sim thaum laus. Nyob rau hauv cov ntaub ntawv no, lub pathology muaj ib tug atypical los yog latent chav kawm. Qhov tshwm sim tam sim ntawm tus kab mob celiac tej zaum yuav cuam tshuam nrog kev hloov pauv ntawm cov khoom noj khoom haus, raug rau cov teeb meem tsis zoo (yog tias tus neeg muaj tus kab mob predisposition). Cov cim qhia ntawm daim ntawv latent ntawm cov kab mob no txawv ntawm qhov tshwm sim. Yuav ua li cas to taub tias gluten intolerance tau tshwm sim hauv cov neeg laus? Cov tsos mob muaj nyob hauv qab no:
- Kev tshwm sim ntawm lub paj hlwb. Cov no muaj xws li migraine, mus ob peb vas swings (ib ntu ntawm kev nyuaj siab, chim siab).
- teeb meem hniav. Kab mob Celiac hauv cov neeg laus feem ntau nrog aphthous stomatitis, kev puas tsuaj rau cov hniav enamel, atrophic glossitis.
- Daim tawv nqaij tshwm sim - dermatitis.
- mob pob qij txha tsis cuam tshuam nrog lwm yam pathologies.
- Nephropathy.
- Teeb meem xeeb.
Feem ntau, cov neeg laus muaj kev sib xyaw ua ke ntawm cov duab kho mob(enterocolitis) thiab cov tsos mob ntawm lub plab. Nrog daim ntawv latent, tus kab mob tuaj yeem ua rau nws tus kheej hnov qee zaus.
Cov txheej txheem kuaj mob rau tus kab mob celiac
Cov tsos mob dab tsi ntawm gluten intolerance qhia pathology? Feem ntau, qhov kev xav tias tus neeg mob tau tsim kab mob celiac tshwm sim tom qab kev cais tawm ntawm lwm yam kab mob ntawm lub plab zom mov. Kev kuaj pom tseeb tuaj yeem ua los ntawm kev tshawb fawb txog kev tiv thaiv kab mob. Hauv cov ntshav, cov tshuaj tiv thaiv rau gliadin, reticulin thiab endomysium raug txiav txim. Yog tias muaj txiaj ntsig, kev kuaj mob plab hnyuv tau ua tiav.
Cov teeb meem ntawm gluten intolerance
Ua raws li kev noj haus tso cai rau koj ua neej nyob ib txwm, txawm tias kuaj tau tus kab mob celiac. Cov tsos mob ntawm gluten intolerance yog txaus ntshai yog tias tsis kho. Kev noj zaub mov tsis zoo hauv tus kab mob no tuaj yeem ua rau muaj kev cuam tshuam loj. Feem ntau lawv tshwm sim nrog ntev asymptomatic chav kawm ntawm pathology. Ntawm lawv, kev txhim kho yog qhov txawv:
- kab mob oncological ntawm lub plab zom mov.
- Autoimmune pathologies (hepatitis, thyroiditis, rheumatoid mob caj dab, scleroderma).
- Insulin-dependant diabetes mellitus.
- YMyasthenia gravis.
- Pericarditis.
Kev noj zaub mov rau gluten intolerance
Yuav kom cov tsos mob ntawm tus kab mob celiac ploj mus, nws yog ib qho tsim nyog yuav tsum tsis suav cov khoom noj uas muaj gluten los ntawm kev noj haus. Ntawm lawv: confectionery thiab hmoov khoom (bread, pasta), sausages, sausages. Koj yuav tsum tsis suav qee yam ntawm cereals (semolina, pearl barley,oatmeal). Tsis tas li ntawd, nws raug nquahu kom tsis txhob noj mayonnaise, ice cream, kua ntses, npias, kas fes, kaus poom zaub mov. Kev noj zaub mov ntawm tus neeg muaj kab mob celiac yuav tsum muaj cov khoom noj hauv qab no:
- txiv hmab txiv ntoo thiab zaub.
- Yuav khoom noj.
- Eggs.
- Ntses thiab nqaij.
- Chocolate.
- Cereals: millet, pob kws thiab buckwheat.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Kev kho tus kab mob celiac hauv cov menyuam yaus thiab cov neeg laus
Nrog gluten intolerance hauv cov menyuam mos, tus niam laus yuav tsum ua raws li kev noj haus. Raws li cov khoom noj ntxiv, cov menyuam yaus tau txais cov khoom noj tsis muaj gluten, cov khoom sib xyaw casein. Qee zaum, yuav tsum tau kho cov tsos mob. Rau lub hom phiaj no, cov tshuaj enzymatic "Creon", "Pancreatin" raug sau tseg. Nws kuj pom zoo kom siv cov tshuaj probiotics (cov tshuaj "Linex", "Bifiform"). Txhawm rau tshem tawm raws plab, decoction ntawm Oak bark, tshuaj "Imodium", "Smektu" raug sau. Ua ntej koj yuav ib tug tshuaj, koj yuav tsum tau them sai sai rau nws muaj pes tsawg leeg. Qee cov tshuaj muaj gluten.
