Celiac cuta: Fiye da Gluten rashin haƙuri
Wadatacce
- Menene alamun cututtukan celiac?
- Alamar cutar Celiac a cikin yara
- Celiac cututtuka bayyanar cututtuka a cikin manya
- Wanene ke cikin haɗari don cutar celiac?
- Yaya ake gano cutar celiac?
- Yaya ake magance cutar celiac?
- Kariyar abinci ga mutanen da ke fama da cutar celiac
Menene cutar celiac?
Celiac cuta cuta ce ta narkewa ta haifar da mummunan tasirin rigakafi ga maye. Celiac cuta kuma ana kiranta da:
- sprue
- nontropical sprue
- cututtukan da ke cike da maye
Gluten shine furotin da aka samo a cikin abincin da aka yi da alkama, sha'ir, hatsin rai, da triticale. Hakanan ana samun shi a cikin hatsin da aka yi shi a cikin tsire-tsire masu sarrafawa waɗanda ke kula da sauran hatsi. Ana iya samun maƙarƙashiya a cikin wasu magunguna, bitamin, da man shafawa. Rashin haƙuri na Gluten, wanda aka fi sani da suna gluten sensitivity, ana alakanta shi da rashin iyawar jiki na narkewa ko farfashe alkama. Wasu mutane tare da rashin haƙuri na alkama suna da ƙarancin hankali ga gluten, yayin da wasu suna da cutar celiac wanda shine rashin lafiyar autoimmune.
A cikin cututtukan celiac, amsawar rigakafi ga gluten yana haifar da gubobi masu lalata villi. Villi kankanta ce kamar yatsu a cikin kananan hanji. Lokacin da villi ya lalace, jiki ba zai iya shan abinci daga abinci ba. Wannan na iya haifar da rashin abinci mai gina jiki da sauran matsaloli masu haɗari ga lafiya, gami da lalacewar hanji na dindindin.
Dangane da Cibiyar Nazarin Ciwon Suga ta Duniya da Cututtukan narkewar abinci da Koda, kusan 1 cikin 141 Amurkawa na da cutar celiac. Mutanen da ke fama da cutar celiac suna buƙatar kawar da duk nau'ikan alkama daga abincinsu. Wannan ya hada da yawancin kayayyakin burodi, kayan gasa, giya, da abinci inda za'a iya amfani da alkama a matsayin kayan kara kuzari.
Menene alamun cututtukan celiac?
Kwayar cututtukan Celiac yawanci suna ƙunshe da hanji da tsarin narkewa, amma kuma suna iya shafar sauran sassan jiki. Yara da manya suna da alamun alamun daban.
Alamar cutar Celiac a cikin yara
Yaran da ke fama da cutar celiac na iya jin gajiya da fushi. Hakanan zasu iya zama ƙasa da al'ada kuma sun jinkirta balaga. Sauran cututtuka na kowa sun haɗa da:
- asarar nauyi
- amai
- kumburin ciki
- ciwon ciki
- ciwan gudawa ko maƙarƙashiya
- kodadde, mai kitse, ɗakuna mara ƙamshi
Celiac cututtuka bayyanar cututtuka a cikin manya
Manya da cutar celiac na iya fuskantar alamun narkewar abinci. A mafi yawan lokuta, kodayake, alamun cutar suna shafar wasu yankuna na jiki. Wadannan alamun na iya haɗawa da:
- rashin isasshen ƙarfe
- haɗin gwiwa da taurin kai
- kasusuwa, kasusuwa
- gajiya
- kamuwa
- rikicewar fata
- numbness da tingling a cikin hannaye da ƙafa
- canzawar hakori ko asarar enamel
- kodadde cikin bakin
- lokacin al'ada
- rashin haihuwa da zubar ciki
Dermatitis herpetiformis (DH) wata alama ce ta gama gari ta cutar celiac. DH wani mummunan rauni ne na fata wanda ya kasance cike da kumburi da kumburi. Yana iya bunkasa akan gwiwar hannu, gindi, da gwiwoyi. DH yana shafar kusan kashi 15 zuwa 25 na mutanen da ke fama da cutar celiac. Wadanda ke fuskantar DH yawanci ba su da alamun narkewa.
Yana da mahimmanci a lura cewa bayyanar cututtuka na iya bambanta daga mutum zuwa mutum dangane da dalilai daban-daban, gami da:
- tsawon lokacin da wani ya sha nono kamar jariri
- shekarun wani ya fara cin abinci
- adadin alkama da wani zai ci
- tsananin lalacewar hanji
Wasu mutanen da ke fama da cutar celiac ba su da wata alama. Koyaya, har yanzu suna iya haifar da rikitarwa na dogon lokaci sakamakon cutar su.
Shirya alƙawari tare da likitanka nan da nan idan kun yi zargin cewa ku ko yaranku suna da cutar celiac. Lokacin da aka jinkirta ganewar asali da magani, rikitarwa na iya faruwa.
Wanene ke cikin haɗari don cutar celiac?
Celiac cuta yana gudana a cikin iyalai. A cewar Cibiyar Kiwon Lafiya ta Jami'ar Chicago, mutane suna da damar 1 a cikin 22 na ɓarkewar cutar celiac idan mahaifansu ko siban uwansu suna da yanayin.
Mutanen da ke da wasu cututtukan autoimmune da wasu cututtukan kwayar halitta suma suna iya kamuwa da cutar celiac. Wasu halaye masu alaƙa da cutar celiac sun haɗa da:
- Lupus
- rheumatoid amosanin gabbai
- rubuta 1 ciwon sukari
- cututtukan thyroid
- autoimmune cutar hanta
- Cutar Addison
- Ciwon Sjogren
- Ciwon rashin lafiya
- Ciwon Turner
- rashin haƙuri na lactose
- ciwon hanji
- lymphoma na hanji
Yaya ake gano cutar celiac?
Ganewar asali yana farawa ne da gwajin jiki da tarihin likita.
Likitocin kuma za su yi gwaje-gwaje iri-iri don taimakawa tabbatar da cutar. Mutanen da ke fama da cutar celiac galibi suna da babban matakan antiendomysium (EMA) da anti-nama transglutaminase (tTGA) antibodies. Ana iya gano waɗannan tare da gwajin jini. Gwaje-gwaje sun fi dogara yayin da aka yi su yayin da alkama take cikin abincin.
Gwajin jini na yau da kullun sun haɗa da:
- cikakken jini (CBC)
- gwajin hanta
- gwajin cholesterol
- gwajin alkaline phosphatase
- serum albumin gwajin
A cikin mutanen da ke da DH, nazarin halittar fata na iya taimaka wa likitoci su gano cutar celiac. A yayin nazarin halittun jikin mutum, likita zai cire kananan abubuwa na fata don bincike tare da madubin likita. Idan biopsy na fata da sakamakon gwajin jini suna nuna cutar celiac, ƙashin ciki na ciki bazai zama dole ba.
A cikin yanayin da gwajin jini ko sakamakon binciken biopsy na fata ba su da mahimmanci, ana iya amfani da endoscopy na sama don gwada cutar celiac. Yayinda ake yin maganin karshe, zaren bakin ciki wanda ake kira endoscope ana zare shi ta bakin da kuma zuwa cikin kananan hanji. Wata karamar kyamarar da aka makala a jikin kyandir din ta bai wa likitan damar bincikar hanjin da kuma duba lalacewar villi. Hakanan likita zai iya yin biopsy na hanji, wanda ya haɗa da cire samfurin nama daga hanjin don bincike.
Yaya ake magance cutar celiac?
Hanyar hanyar magance cutar celiac ita ce cire alkama daga abincinku har abada. Wannan yana ba da damar jijiyoyin ciki su warke kuma su fara shan abubuwan gina jiki da kyau. Likitanku zai koya muku yadda za ku guji yawan alkama yayin bin abinci mai gina jiki da ƙoshin lafiya. Hakanan zasu ba ku umarni kan yadda zaku karanta abinci da tambarin samfura don ku iya gano duk wani sinadaran da ke dauke da alkama.
Kwayar cututtuka na iya inganta cikin kwanakin cire alkama daga abincin. Koyaya, bai kamata ku daina cin abincin alkama ba har sai an gano asalin cutar. Cire alkama ba tare da lokaci ba na iya tsoma baki tare da sakamakon gwaji kuma haifar da rashin ganewar asali.
Kariyar abinci ga mutanen da ke fama da cutar celiac
Kula da abinci maras alkama ba sauki. Abin farin ciki, kamfanoni da yawa yanzu suna yin samfuran da basu da alkama, wanda za'a iya samun su a shagunan kayan abinci daban-daban da kuma shagunan abinci na musamman. Alamomin da ke kan waɗannan kayayyakin za su ce “ba tare da alkama ba.”
Idan kana da cutar celiac, yana da mahimmanci a san wane irin abinci ne mai lafiya. Anan akwai jerin jagororin abinci waɗanda zasu iya taimaka muku ƙayyade abin da za ku ci da abin da za ku guji.
Guji abubuwa masu zuwa:
- alkama
- rubutawa
- hatsin rai
- sha'ir
- triticale
- bulgur
- durum
- farina
- gari graham
- semolina
Guji sai dai idan lakabin ya ce kyauta:
- giya
- burodi
- waina da pies
- alewa
- hatsi
- kukis
- masu fasa
- croutons
- gravies
- kwaikwayo na nama ko abincin teku
- hatsi
- taliya
- sarrafa abincin abincin rana, tsiran alade, da karnuka masu zafi
- kayan salatin
- biredi (ya hada da waken soya sauce)
- kaji-basting kaji
- miya
Kuna iya cin waɗannan ƙwayoyin da ba su da alkama da yunwa:
- buckwheat
- masara
- amaranth
- Kibiya
- garin masara
- gari da aka yi da shinkafa, waken soya, masara, dankali, ko wake
- tsantsar masara
- quinoa
- shinkafa
- tapioca
Lafiya, abinci mara yalwar abinci sun haɗa da:
- sabo ne da nama, kifi, da kaji wanda ba a gasa shi ba, ko an rufe shi, ko kuma ba a dafa shi ba
- 'ya'yan itace
- mafi yawan kayayyakin kiwo
- kayan lambu irin su peas, dankali, gami da dankali mai dadi, da masara
- shinkafa, wake, da wake
- kayan lambu
- ruwan inabi, ruwan giya, ruwan inabi, da sihiri
Yakamata alamun cutar ku su inganta a cikin kwanaki zuwa makonni na yin waɗannan gyaran abincin. A yara, hanji yakan warke cikin watanni uku zuwa shida.Warkar da hanji na iya ɗaukar shekaru da yawa a cikin manya. Da zarar hanji ya warke gaba daya, jiki zai iya karbar abubuwan gina jiki da kyau.