Ho Hlahloba Maloetse a Celiac

Litaba

• Teko ea lefu lena la celiac ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka teko ea lefu lena?
• Ho etsahalang nakong ea teko ea lefu lena?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea lefu lena la celiac?
• Litšupiso

Teko ea lefu lena la celiac ke eng?

Lefu la Celiac ke boloetse bo ikemetseng bo bakang tšoaetso e matla ho "gluten".Gluten ke protheine e fumanoang ka koro, harese le rye. E boetse e fumanoa lihlahisoa tse itseng, ho kenyeletsoa tse ling tsa meno a meno, litlolo tsa molomo le meriana. Teko ea lefu lena le leng le le leng e sheba li-antibodies ho gluten maling. Masole a mmele ke dintho tse lwantshang malwetse tse entsweng ke masole a mmele.

Ka tloaelo, sesole sa hau sa 'mele se hlasela lintho tse kang livaerase le libaktheria. Haeba u na le lefu lena le leng le le leng, ho ja gluten ho etsa hore sesole sa hau sa 'mele se hlasele lesela la mala a manyane, joalo ka ha eka ke ntho e kotsi. Sena se ka senya tsamaiso ea hau ea lijo 'me sa u thibela ho fumana limatlafatsi tseo u li hlokang.

Mabitso a mang: teko ea antibody ea celiac, anti-tishu transglutaminase antibody (anti-tTG), lithibela-mafu tsa gliadin peptide, lisireletsi tsa anti-endomysial

E sebelisetsoa eng?

Teko ea lefu lena le leng e sebelisoa ho:

• Hlahloba lefu lena le leng le le leng
• Hlahloba lefu lena le leng le le leng
• Bona hore na lijo tse se nang gluten li imolla matšoao a lefu lena la celiac

Hobaneng ha ke hloka teko ea lefu lena?

U kanna ua hloka teko ea lefu lena le leng haeba u na le matšoao a lefu lena. Matšoao a fapane ho bana le ho batho ba baholo.

Matšoao a lefu lena le leholo ho bana a kenyelletsa:

• Ho nyekeloa le ho hlatsa
• Ho senya mpa
• Ho sokela
• Letšollo le sa foleng le setulo se nkhang hampe
• Ho theola boima ba 'mele le / kapa ho hloleha ho nona
• Ho lieha ho kena bonneng kapa bosaling
• Boitšoaro bo halefisang

Matšoao a lefu lena le leholo ho batho ba baholo a kenyelletsa mathata a tšilo ea lijo a kang:

• Ho nyekeloa le ho hlatsa
• Letšollo le sa foleng
• Ho fokotsa boima ba 'mele bo sa hlaloseheng
• Ho fokotsa takatso ea lijo
• Bohloko ba mpeng
• Ho ruruha le khase

Batho ba baholo ba bangata ba nang le lefu lena la leliac ba na le matšoao a sa amaneng le tšilo ea lijo. Tsena li kenyelletsa:

• Phokolo ea mali e haelloang ke tšepe
• Ho phatloha ho hlohlona ho bitsoang dermatitis herpetiformis
• Liso tsa molomo
• Ho lahleheloa ke masapo
• Ho sithabela maikutlo kapa ho tšoenyeha
• Mokhathala
• Ho tšoaroa ke hlooho
• Linakong tsa ho ilela khoeli
• Ho khabisa matsoho le / kapa maoto

Haeba u sena matšoao, u ka hloka tlhahlobo ea celiac haeba u le kotsing e kholo ea ho ba le lefu lena. U na le monyetla oa ho ba le lefu lena la celiac haeba setho se haufi sa lelapa se na le lefu lena la celiac. U kanna oa ba kotsing e kholo haeba u na le bothata bo bong bo ikemetseng, bo kang lefu la tsoekere la mofuta oa 1.

Ho etsahalang nakong ea teko ea lefu lena?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Haeba tlhahlobo e sebelisoa ho fumana lefu la celiac, o tla hloka ho tsoelapele ho ja lijo tse nang le gluten libeke tse 'maloa pele ho tlhahlobo. Mofani oa hao oa tlhokomelo ea bophelo o tla u fa litaelo tse tobileng mabapi le hore na u ka itokisetsa tlhahlobo joang.

Haeba tlhahlobo e sebelisoa ho lekola lefu la celiac, ha o hloke litokisetso tse khethehileng.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Ho na le mefuta e fapaneng ea lisireletsi tsa lefu lena. Liphetho tsa hau tsa teko ena li ka kenyelletsa tlhaiso-leseling ka mofuta o fetang o le mong oa lesole la mmele. Liphetho tse tloaelehileng li ka bonts'a e 'ngoe ea tse latelang:

• Mpe: Mohlomong ha u na lefu la celiac.
• E ntle: Mohlomong u na le lefu la celiac.
• Tse sa tsejoeng kapa tse sa tsejoeng: Ha ho hlake hore na u na le lefu lena la celiac.

Haeba liphetho tsa hau li le ntle kapa li sa tsitsa, mofani oa hau a ka laela tlhahlobo e bitsoang "intestinal biopsy" ho netefatsa kapa ho felisa lefu lena le leng le le leng. Nakong ea biopsy ea mala, mofani oa tlhokomelo ea bophelo o tla sebelisa sesebelisoa se khethehileng se bitsoang endoscope ho nka sekhechana sa lisele tse tsoang maleng a hao a manyane.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea lefu lena la celiac?

Batho ba bangata ba nang le lefu lena le leng le le leng ba ka fokotsa 'me hangata ba felisa matšoao haeba ba boloka lijo tse se nang gluten tse thata. Le hoja lihlahisoa tse ngata tse se nang gluten li fumaneha kajeno, ho ntse ho ka ba thata ho qoba ka botlalo gluten. Mofani oa hao oa tlhokomelo ea bophelo a ka u fetisetsa ho setsebi sa phepo ea lijo se ka u thusang ho thabela phepo e nepahetseng ntle le gluten.

Litšupiso

1. Mokhatlo oa Amerika oa Gastroenterological [Inthanete]. Bethesda (MD): Mokhatlo oa Amerika oa Gastroenterological; c2018. Ho Utloisisa Mafu a Celiac [ho qotsitsoe ka la 2018 Mmesa 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.gastro.org/patient-center/brochure_Celiac.pdf
2. Motheo oa Maloetse a Celiac [Inthanete]. Woodland Hills (CA): Motheo oa Mafu a Celiac; c1998–2018. Ho Hlahloba le ho Koaela Maloetse a Celiac [ho qotsitsoe ka la 2018 Mmesa 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://celiac.org/celiac-disease/understanding-celiac-disease-2/diagnosing-celiac-disease
3. Motheo oa Maloetse a Celiac [Inthanete]. Woodland Hills (CA): Motheo oa Mafu a Celiac; c1998–2018. Matšoao a Boloetse ba Celiac [e qotsitsoeng ka la 2018 Mmesa 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://celiac.org/celiac-disease/understanding-celiac-disease-2/celiacdiseasesymptoms
4. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Mathata a Autoimmune [e ntlafalitsoeng 2018 ka la 18; e qotsitsoeng 2018 Apr 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/autoimmune-diseases
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6. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Boloetse ba Celiac: Tlhahlobo le Phekolo; 2018 Mar 6 [e qotsitsoeng 2018 Apr 27]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/celiac-disease/diagnosis-treatment/drc-20352225
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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.