kab mob Celiac yog ib qho kev txiav txim ntawm caj ces ntawm txoj haujlwm ntawm txoj hnyuv me, uas cuam tshuam nrog qhov tsis txaus ntawm cov enzymes uas ua rau gluten. Tawm tsam keeb kwm ntawm pathology, malabsorption tsim, uas muaj qhov sib txawv ntawm qhov hnyav thiab nrog rau cov kab mob raws plab, nrog rau cov tsos mob xws li flatulence, poob phaus, tawv nqaij qhuav thiab ncua lub cev kev loj hlob ntawm cov menyuam yaus.
txhawm rau txhawm rau kuaj kab mob celiac, siv cov txheej txheem tiv thaiv kab mob nrog rau kev kuaj mob ntawm cov hnyuv me. Yog tias qhov kev kuaj mob tau lees paub, yuav tsum ua raws li kev noj zaub mov tsis muaj gluten tsis tu ncua, nrog rau qhov yuav tsum tau kho qhov tsis txaus ntawm cov khoom tseem ceeb thiab cov khoom. Hauv peb tsab xov xwm peb yuav tham txog kab mob celiac hauv cov menyuam yaus, xav txog seb cov tsos mob zoo li cas hauv qhov no thiab seb yuav kho li cas.
Kev piav qhia kab mob
Kab mob Celiac yog ib yam kab mob uas tshwm sim los ntawm kev mob ntev ntawm txoj hnyuv mucosa, uas yog nrog los ntawm kev ua txhaum ntawm txoj kev nqus, uas ua raugluten intolerance. Nws yog ib qho protein uas muaj nyob rau hauv cereals xws li nplej, rye, barley, thiab lwm yam. Nws muaj cov tshuaj L-gliadin, uas muaj cov tshuaj lom rau hauv cov mucous daim nyias nyias thiab ua rau muaj kev cuam tshuam ntawm kev nqus ntawm cov as-ham hauv txoj hnyuv. Feem ntau, hauv yim caum-tsib feem pua ntawm cov neeg mob, kev tshem tawm tag nrho ntawm gluten los ntawm kev noj zaub mov ua rau rov ua haujlwm ntawm cov hnyuv me tom qab rau lub hlis. Cov tsos mob ntawm tus kab mob celiac hauv cov menyuam yaus thiab cov duab yuav tau tham hauv qab no.
Nws tsis yog qhov txawv rau cov menyuam yaus uas raug kuaj mob uas tuaj yeem ua rau niam txiv ntshai thiab coj lawv mus rau qhov tsis txaus ntseeg. Ntau tus menyuam niaj hnub no raug kev txom nyem los ntawm tus kab mob no uas tshwm sim los ntawm qhov tshwm sim los yog tau txais gluten intolerance.
Etiology thiab pathogenesis
Kab mob Celiac hauv cov menyuam yaus muaj cov caj ces predisposition. Qhov no tau lees paub los ntawm cov kab mob ntawm cov hnyuv hauv kaum tsib feem pua ntawm cov neeg hauv tsev neeg ntawm cov neeg mob uas raug tus kab mob no.
Tsis tas li ntawd, muaj kev vam khom ntawm tus kab mob ntawm kev tiv thaiv kab mob. Hauv lub cev, muaj qhov nce hauv cov tshuaj tiv thaiv kab mob rau cov tshuaj L-gliadin, nrog rau cov ntaub so ntswg transglutaminase thiab cov protein uas pom hauv cov leeg nqaij. Cov tsos mob ntawm tus kab mob celiac hauv cov menyuam yaus yog qhov txaus siab rau ntau tus.
Kev tiv thaiv kab mob tiv thaiv kab mob feem ntau tau lees paub los ntawm comorbidities uas yog autoimmune hauv xwm, piv txwv li:
- Kev txhim kho ntshav qab zib.
- Kev muaj kab mob sib txuas.
- Kev txhim kho ntawm cov menyuam yaus rheumatoidmob caj dab.
- Kev muaj autoimmune thyroiditis.
- Zoo ntawm daim tawv nqaij dermatitis herpetiformis.
- Kev muaj tus mob Sjögren's syndrome.
Qee lub cev xeeb tub nrog rau cov yam ntxwv ntawm lub plab zom mov tuaj yeem ua rau muaj kev nkag siab ntawm cov hlwb epithelial rau gliadin. Enzyme deficiency yuav tsum raug ntaus nqi rau cov xwm txheej zoo li no, vim tias peptides tuaj yeem nqus tau tsis zoo, tiv thaiv qhov kev tawg ntawm gliadin yuav tsis tshwm sim. Ib tug loj npaum li cas ntawm gliadin accumulated nyob rau hauv txoj hnyuv tuaj yeem ua rau muaj qhov tshwm sim ntawm cov tshuaj lom.
Cov kab mob autoimmune nyob rau hauv cov xwm txheej uas cov hlwb epithelial yog lub hom phiaj rau cov tshuaj tiv thaiv tus kheej ua rau txo qis hauv kev tiv thaiv kev ua haujlwm thiab ua rau rhiab heev rau gliadin. Tsis tas li ntawd, yam uas ua rau muaj qhov tshwm sim ntawm gliadin intolerance yog cov yam ntxwv ntawm kev txiav txim ntawm cov cell membranes ntawm txoj hnyuv epithelium, nrog rau cov txiaj ntsig ntawm kev hloov pauv ntawm cov khoom siv receptor vim qee yam kab mob.
Yog vim li cas thiaj pom
Kab mob Celiac hauv cov menyuam yaus tuaj yeem tshwm sim los ntawm kev sib txawv, nrog rau vim muaj lwm yam sib xyaw ua ke uas tuaj yeem ua rau tus kab mob no. Tus menyuam feem ntau yuav tau txais kev pheej hmoo ntawm nws los ntawm ib tug lossis ob leeg niam txiv. Raws li txoj cai, tus kab mob no tsis tshwm sim tam sim ntawd, tab sis tsuas yog los ntawm kev noj zaub mov uas muaj gluten ntau.
kab mob celiac yog qhov txawv ntawm cov nplej tsis haum. Kev ua xua ncaj qha tuaj yeem tshwm simthaum ntau qhov chaw ntawm lub cev tiv thaiv kab mob tsis zoo rau cov ntsiab lus uas cov nplej muaj nyob rau hauv nws cov muaj pes tsawg leeg. Qhov no ua rau cov tsos mob sib xws, xws li khaus khaus lossis mob ntsws.
Cov tsos mob dav dav
Qhov nyuaj yog qhov tseeb tias cov tsos mob ntawm tus kab mob celiac hauv cov menyuam yaus tsis tshwm sim txij thaum yug los, tab sis ntau tom qab. Cov menyuam mos uas pub niam mis tuaj yeem tsim cov tsos mob nrog kev qhia txog cov khoom noj uas muaj gluten rau hauv kev noj haus. Feem ntau lawv tshwm sim thaum muaj hnub nyoog yim lub hlis, tab sis qee zaum tus kab mob tuaj yeem nyob hauv lub cev mus txog peb xyoos. Koj tuaj yeem paub txog nws qhov tshwm sim raws li cov cim hauv qab no:
- Kev poob qis nrog rau kev loj hlob stunted.
- Hloov cov quav, quav ua rau khaus thiab frothy.
- Kev mob plab.
- Kev txhim kho ntawm rickets.
- Ntev teething.
- Nqaij mis protein intolerance.
Cov tsos mob ntawm tus kab mob celiac hauv cov menyuam yaus hnub nyoog qis dua ib xyoos
Me nyuam mos thaum yug los txog rau ib xyoos tuaj yeem muaj cov tsos mob hauv qab no:
- Hloov pauv hauv qhov sib xws thiab kuj nyob rau hauv cov tsos ntawm cov quav. Hauv qhov no, cov quav ua rau cov quav thiab cov quav.
- Bloating, plab hnyuv colic.
- Tsis tu ncua regurgitation. Feem ntau, cov tsos mob no tau pom ntawm cov menyuam yug tshiab.
- Lub teeb hnyav nrog rau kev loj hlob qeeb.
- Kev loj hlob ntawm rickets, uas yog, qhov tshwm sim ntawm cov txheej txheem ntawm curvature ntawm cov pob txha.
- Late teethcov hniav nrog rau cov kab mob thaum ntxov.
Xav txog cov tsos mob ntawm tus kab mob celiac hauv cov menyuam yaus preschool.
Cov tsos mob hauv cov menyuam kawm ntawv preschools
Cov menyuam yaus hnub nyoog preschool tej zaum yuav muaj cov tsos mob hauv qab no ntawm tus kab mob no:
- Kev mob raws plab lossis cem quav.
- Qhov ntuav ntuav. Tsis tas li, qee zaum muaj qhov xeev siab tas li.
- Bloating.
- Qhov tshwm sim ntawm qhov mob hauv plab ntawm qhov sib txawv ntawm qhov kev siv.
- Kev tsis qab los noj mov.
- Kev ceeb toom ceeb hauv qhov siab thiab qhov hnyav. Cov menyuam yaus no yuav nyuaj rau qhov hnyav.
- -ntau dhau kev tawm tsam thiab kev xav.
Tag nrho cov tsos mob no tuaj yeem tshwm sim thaum twg los tau thaum tus menyuam pib noj cov zaub mov uas muaj gluten hauv lawv cov zaub mov. Qhov no tuaj yeem tshwm sim los ntawm me nyuam mos mus rau cov neeg laus. Hauv qee lub sijhawm, tus menyuam yuav tsis pom cov tsos mob tshwm sim, tab sis lawv yuav muaj ntau yam teeb meem cuam tshuam nrog kev loj hlob stunted, iron deficiency anemia, pob khaus tawv nqaij, lossis teeb meem hniav loj.
Cov duab ntawm cov menyuam yaus uas muaj kab mob celiac muaj nyob rau hauv tsab xov xwm.
Cov tsos mob hauv cov menyuam yaus
Hauv cov menyuam yaus, cov tsos mob muaj xws li:
- Ntau cem quav lossis raws plab. Txawm li cas los xij, lawv tuaj yeem hloov pauv.
- Muaj cov quav oily ntab raunto.
- Bloating.
- Cov menyuam yaus uas muaj kab mob celiac feem ntau poob qab lawv cov phooj ywg siab.
- Kev txhim kho ntshav qab zib nrog rau pob txha nyias.
Cov tsos mob ntawm tus kab mob celiac hauv cov menyuam yaus tuaj yeem sib txawv. Raws li txoj cai, lawv tshwm sim ib tus zuj zus hauv txhua kis.
Cov kab mob celiac
Tus kab mob no yog dab tsi? Hauv kev kho mob gastroenterology, cov kws kho mob tshwj xeeb paub qhov txawv peb hom kab mob celiac:
- Daim ntawv zoo, tsim nyob rau thawj xyoo ntawm tus menyuam lub neej thiab yog tus yam ntxwv ntawm kev kho mob tshwm sim.
- Daim ntawv tshem tawm tshwm sim nws tus kheej li cov tsos mob ntawm plab hnyuv hauv daim ntawv ntawm cov hlau tsis muaj peev xwm, anemia, los ntshav thiab osteoporosis.
- daim ntawv tsis txaus ntseeg feem ntau dhau mus yam tsis muaj kev tsis txaus siab.
Kev kuaj mob ntawm cov menyuam yaus
Txog tam sim no, kev kuaj mob celiac hauv cov menyuam yaus (daim duab) tsis muaj qhov tseeb algorithm. Kev kuaj mob tau txiav txim, raws li txoj cai, raws li cov kev tshawb fawb hauv qab no:
- Kev kuaj ntshav ntawm tus menyuam.
- Kev kho mob tshwm sim.
- Cov txiaj ntsig ntawm coprogram, hauv qhov kev tshuaj ntsuam quav quav.
- Colonoscopy results. Raws li ib feem ntawm cov txheej txheem no, kev kuaj mob ntawm cov hnyuv yog siv lub koob yees duab tshwj xeeb.
- Biopsy ntawm plab hnyuv mucosa.
- X-ray ntawm txoj hnyuv.
- kuaj ultrasound ntawm lub plab kab noj hniav.
Kev kuaj mob celiac hauv cov menyuam yaus yuav tsum tau sijhawm.
Thaum kuaj pom kab mob ua ntej, cov kws kho mob ua ke nrog cov niam txiv sai sai yuav tuaj yeem txo tus menyuam mob. Kev kho kom raug thiab raws sij hawm ua rau nws muaj peev xwm rov qab tau tus menyuam mus rau txoj kev ua neej puv npo.
Kev kho tus kab mob celiac hauv cov menyuam yaus
Raws li txoj cai, kev kho mob ntawm cov menyuam yaus ntawm tus kab mob no suav nrog ntau cov lus qhia. Nyob rau tib lub sijhawm, ib qho ntawm lawv suav hais tias yog qhov txiav txim siab tshaj plaws thiab tseem ceeb, yam tsis muaj qhov yuav tsis muaj kev rov ua tiav. Qhov no yog ib qho khoom noj tshwj xeeb uas tsis suav cov khoom noj uas muaj gluten.
Cov me nyuam muaj kab mob celiac noj li cas?
Kev noj zaub mov rau cov kab mob no
Kev noj zaub mov tsis muaj gluten yog ib qho tseem ceeb hauv kev kho tus kab mob no. Kev cais tag nrho ntawm gluten los ntawm tus menyuam txoj kev noj zaub mov yog lav kom tshem tawm nws cov kev puas tsuaj rau cov phab ntsa ntawm cov hnyuv. Yog li ntawd, cov tsos mob ntawm tus kab mob yuav ploj mus. Kev noj zaub mov rau tus kab mob celiac hauv cov menyuam yaus suav nrog kev txwv tsis pub noj cov khoom noj hauv qab no:
- Txhua yam khoom noj, nrog rau cov tais diav nrog ntxiv ntawm oats, rye, barley lossis nplej.
- pasta lossis bakery khoom nrog rau ncuav qab zib, ncuav qab zib, pastries thiab lwm yam.
- Ice cream thiab yogurts.
- tais raws li cov nqaij ib nrab tiav los yog hnyuv ntxwm.
- Ntau cov kua ntses thiab khaws cia.
- Tag nrho cov mis nyuj kuj suav tias yog qhov tsis xav tau rau tus menyuam.
Ntawm cov zaub mov tso cai yog cov hauv qab no:
- qos yaj ywm, mov, buckwheat thiab soybeans.
- Ntsuab tais nrog pob kws thiab tsev cheese.
- Txiv thiabzaub.
- taum.
- tais raws li nqaij ntshiv thiab zaub roj.
khoom noj kom zoo rau menyuam yaus tawm tsam keeb kwm ntawm kab mob celiac yog qhov tseem ceeb ntawm kev noj qab haus huv ntawm tus menyuam uas raug tus kab mob no.
Kev kho mob Enzyme rau kab mob celiac
Cov menyuam yaus thaum muaj tus kab mob hnyav tau muab tshuaj kho enzyme los pab txhawb kev ua haujlwm thiab kev ua haujlwm ntawm lub txiav thiab daim siab. Cov tshuaj, nrog rau cov kev kho mob regimen thiab lub sij hawm ntawm chav kawm, yuav tsum tau xaiv los ntawm ib tug gastroenterologist. Feem ntau, cov kws kho mob tau sau tshuaj xws li Pancitrate, Pancreatin thiab Mezim.
Kev kho mob ntawm pathology nrog probiotics
Probiotics yog cov tshuaj tsim los kho cov microflora ib txwm nyob hauv cov hnyuv. Cov tshuaj xws li Hilak-forte, Bifidumbacterin, Lacidophil thiab lwm yam tshuaj. Cov tshuaj no feem ntau yog muab rau cov menyuam yaus raws li kev tiv thaiv kev kawm, nrog rau thaum lub sijhawm exacerbations.
YVitamin therapy
Thaum tus menyuam muaj hnub nyoog ib xyoos, tus kab mob celiac yuav tsum tau kho nrog cov vitamins. Qhov no yuav tsum tau them nyiaj rau qhov tsis muaj cov kab kawm, qhov nqus ntawm qhov tsis zoo vim kev loj hlob ntawm pathology. Nws yog ib qho tseem ceeb heev rau cov menyuam yaus siv cov multivitamin complexes, uas yuav tsum tau xaiv tshwj xeeb los ntawm kws kho mob.
Tus me nyuam kab mob celiac yog nyob deb ntawm cov kab mob txaus ntshai tshaj plaws, tab sis nws tseem yuav tsum tau ua raws li kev noj zaub mov kom nruj thiab ua rau tus menyuam muaj lub neej tag nrho.
Kev Tiv Thaivkab mob
Yog li ntawd, tsis muaj qhov tshwj xeeb tiv thaiv kab mob uas tau piav qhia. Kev tiv thaiv theem nrab ntawm kev txhim kho cov tsos mob tshwm sim muaj, raws li twb tau sau tseg, hauv kev soj ntsuam kev noj zaub mov tsis muaj gluten. Yog hais tias tus me nyuam tsev neeg tam sim no muaj kab mob celiac, nws raug nquahu kom kuaj xyuas tus menyuam lub cev ib ntus txhawm rau tsim cov tshuaj tiv thaiv tshwj xeeb.
Cov poj niam cev xeeb tub uas raug kev txom nyem los ntawm cov kab mob tuaj yeem poob rau hauv pawg pheej hmoo rau kev loj hlob ntawm cov kab mob plawv hauv fetus. Kev tswj kev xeeb tub hauv cov neeg mob no yuav tsum tau ua nrog kev saib xyuas ntxiv.
Kev kuaj mob thiab kev kuaj mob rau tus kabmob no
Kho qhov rhiab ntawm cov hlwb epithelial rau cov khoom xws li gluten tam sim no tsis tuaj yeem ua tau, vim li no, cov menyuam yaus uas muaj kab mob celiac yuav tsum ua raws li kev noj zaub mov tsis muaj gluten thoob plaws hauv lawv lub neej. Ua tib zoo saib xyuas nws yuav pab khaws cia lub neej zoo thiab ua kom nws lub sijhawm ntev. Nyob rau hauv cov ntaub ntawv ntawm tsis ua raws li kev noj haus, qhov ciaj sia taus ntawm cov neeg mob no poob sharply. Qhov kev tuag ntawm cov neeg uas ua txhaum kev noj zaub mov tsis muaj gluten yog txog li peb caug feem pua. Nws yuav tsum tau hais tias, raws li nruj raws li kev noj haus, daim duab no, raws li txoj cai, tsis pub tshaj ib feem pua.
Txhua tus menyuam yaus uas muaj kab mob celiac yuav tsum tau sau npe nrog kws kho mob plab thiab raug kuaj txhua xyoo. Rau cov neeg mob uas ua tsis tau zoo rau kev tshem tawm gluten los ntawm kev noj zaub mov, kev kuaj mobteem ob zaug ib xyoos. Qhov kev cia siab ntawm cov kab mob pathology tuaj yeem tshwm sim yog tias tus kab mob no nyuaj los ntawm qhov tshwm sim ntawm plab hnyuv lymphoma.
Yog li, kab mob celiac hauv cov menyuam yaus yog ib yam kab mob uas tuaj yeem ua rau muaj ntau yam tsos mob, xws li raws plab, poob phaus nrog rau tsam plab, mob plab lossis tsis qab los noj mov. Qhov kev mob tshwm sim no tshwm sim vim tus menyuam txoj kev tiv thaiv tsis raug rau cov protein uas muaj nyob hauv qee yam khoom noj. Sib nrug los ntawm kev kho mob yooj yim, qhov kev ntsuas tseem ceeb tshaj plaws yuav tsum yog tias tus menyuam noj zaub mov tsis muaj gluten.
