E-United States, abantu abangaphezu kwezigidi ezingu-2.4 banesifo se-celiac, esilingana nomunye kubo bonke abantu abangu-33. Kodwa-ke, iningi labantu abanesifo se-celiac empeleni abazi ukuthi banalo.
Isifo se-Celiac singenye yezimo ezingaphansi kwe-diagnostic e-United States, okusho ukuthi odokotela abayicaboni njalo ngaso sonke isikhathi noma ukuthi abantu abafuni usizo kuqala endaweni yezibonakaliso zabo.
Futhi isifundo esisha se-American Academy of Pediatrics sigcizelele ukuthi elinye lamaqembu amakhulu kunazo zonke, izinsana, kungenzeka ukuthi ayitholakali ukuhlolwa kwezifo ze-celiac.
Kuyini Izifo Ezibucayi?
Isifo se-Celiac yisifo esizimele esisodwa lapho umzimba ongeke ukwazi ukugaya amaprotheni wegoroti gluten. I-Gluten, esikhundleni sokuncelisa umzimba, ingamlimaza ngempela amathumbu amancane.
Isixhumanisi Phakathi Kokuziphatha Nezifo Ezibucayi Kwabancane
Ucwaningo olunyatheliswa ku- Pediatrics ngo-March ka-2017 luhlolisise izinkinga zokuziphatha eminyakeni ehlukene ebikwe omama ababengazi ukuthi izingane zabo zinesifo se-celiac, uma kuqhathaniswa nokuziphatha okubikwe oomama ababeyazi ukuthi izingane zabo zazinama-celiac nabomama bezingane abangekho unesifo se-celiac nhlobo.
Ucwaningo lwaqala ngokuhlola izingane ezingu-8 676 ezineminyaka emibili yezinyamazane ze-transglutaminase autoantibodies (tTGA), ekhombisa lapho ingane ine-celiac isifo.
Ngakho-ke, uma i-tTGA antibodies ikhona, ingane inesifo se-celiac. Abacwaningi base beqoqa imibiko yomama yokuziphatha kwengane yabo eminyakeni engu-3.5 ubudala futhi futhi eminyakeni engu-4.5 ubudala.
Lokho Abathola
Ekuphetheni kwalolu cwaningo, abacwaningi bathola ukuthi eminyakeni engama-3.5 ubudala, omama ababengazi ukuthi izingane zabo zinezifo ezile ndawo zibika ukuziphatha okubi kakhulu ezinganeni zabo.
Abomama abangama-66 ababenesifo se-celiac kodwa bebengasazi okwamanje ukukhathazeka kwengane nokucindezeleka, ukuziphatha okuhoxisiwe, ukuziphatha okubi, nezinkinga zokulala uma kuqhathaniswa nomama abangaphezu kuka-3,651 omantfwana abangenayo isifo se-celiac nhlobo. Owesifazane abangamazi futhi babika ukuziphatha okunonya, izinkinga zokulala, nokukhathazeka kwengane nokucindezeleka kunomama owazi ukuthi izingane zabo zinesifo se-celiac.
Kusho ukuthini?
Okushiwo lolu cwaningo ukuthi kungase kube nokuhlobana phakathi kwesifo se-celiac nokuziphatha ezinganeni, ikakhulukazi esemncane futhi okungenzeka kakhulu uma abazali bengazi ukuthi kungaba khona inkinga yezempilo ebangela ukuziphatha kwengane yabo. Nakuba abacwaningi bengacacile ngokuphelele ezindleleni eziqondile ukuthi i-gluten ingathinta kanjani ubuchopho, kunezinkolelo ukuthi izinhlayiya ze-gluten ezingakwazi ukugaya umzimba zingabangela ukuvuvukala ebuchosheni, okungaholela ekuziphatheni okubi.
Ngenxa yokuthi ucwaningo lubuye lwathola ukuthi ngesikhathi esidala, bekungabikho umehluko ekuboniseni izimpawu zokuziphatha, abacwaningi baye baveza ukuthi izimpawu zokuziphatha zingase zikhulume ngokukhethekile ezinganeni ezincane ezingakwazi ukucubungula noma ukukhuluma ngemizwa yazo okuningi.
Isibonelo, ingane encane ingenza okuningi ngenxa yokuthi isisu sayo sibuhlungu, ngenkathi ingane endala ingalalisa noma yenza umsebenzi othulile esikhundleni salokho.
Ingabe Kufanele Ube Nomntwana Wakho Evivinywa Izifo Ezibucayi?
Ngakho-ke uma ingane yakho encane noma isenkulisa isenza kahle futhi ibe nokuziphatha okubi, ingabe lokho kusho ukuthi unesifo se-celiac? Ngokusobala, izinsana akuzona iqembu elinengqondo kakhulu noma eliziphethe kahle labantu abakuzungezile, ngakho-ke lolu cwaningo lusho ukuthi zonke izinsana ezihlukumezayo kufanele zihlolwe i-celiac? Cishe cha.
Kodwa uma ingane yakho inomlando womndeni wesifo se-celiac, kungaba umqondo omuhle ukuba umvivinye, ngoba kungenzeka ukuba nesifo uma isihlobo sokuqala (okusho umzali noma umntakwabo) sinalo.
Kuyasiza futhi ukukhuluma nodokotela wakho kunoma yisiphi isimo lapho ingane yakho inenkinga yokuziphatha. Ukudla kungaba yisici, futhi kungaba khona izixhumanisi eziningi zokungena ebuchosheni ezingasiza ekuziphatheni okubi ezinganeni. Ukulalela nje lokho ingane yakho edlayo nokuthi uyakwenza kanjani emva kokudla okuthile kungasiza. Futhi uma uqaphela ukuthi ingane yakho ibonakala sengathi inokwanda kwezimpawu ngemuva kokudla, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokuhlola okufanelekile kwe-celiac.
Imithombo:
Smith LB, Lynch KF, Kurppa K, et al, Iqembu le-TEDDY (2017, Mashi). Ukubonakaliswa kwengqondo kwe-celiac disease autoimmunity ezinganeni ezincane. Izifo zengqondo, 139 (3): e20162848. Ibuyiselwe kusuka ku- http://pediatrics.aappublications.org/content/139/3/e20162848
UFasano, A. (2017, Mashi). Izifo ze-Celiac, i-gut-brain brain, nokuziphatha: Umphumela, umphumela, noma nje i-epiphenomenon? Izifo ze-Pediatrics , 139 (3): e20164323. Ibuyiselwe kusuka ku- http://pediatrics.aappublications.org/content/139/3/e20164323
I-Rubio-Tapio A et al. Ukusabalala kwesifo se-celiac e-United States. I-American Journal of Gastroenterology. 2012 Oct; 107 (10): 1538-44.