Tabbatar da Yanayinka na Ci Gaban Celiac
Celiac cutar tana hade da ladabi, ma'ana za ku iya bunkasa celiac idan kun ɗaukar kwayoyin da ke sa ran ku. Saboda haka, likitoci sun ƙara yin amfani da gwajin kwayar cutar celiac don tantance idan wani yana da predisposition don bunkasa yanayin.
Kusan kowane mutum yana cin abinci, wani sinadaran da ake samu a hatsin alkama, sha'ir da hatsin rai.
Duk da haka, a cikin mutanen da ke da gwargwadon jinsin, gubar dalma zai iya haifar da cututtukan celiac, yanayin da zai iya haifar da kullun jinin jinin ku don ya kai hari ga ƙananan ƙwayarku.
Ba duk wanda ke ɗauke da kwayar cututtuka na Celiac zai iya ci gaba da cutar celiac-a gaskiya, yayin da kashi 40 cikin 100 na yawan jama'a na da daya ko biyu na kwayoyin da ake bukata, kawai kashi 1 cikin 100 na yawan mutanen suna da cutar celiac. Saboda haka, samun ciwon kwayoyin halitta ba yana nufin za a gano ku da cutar celiac kuma buƙatar kuɓutar da gugu; a gaskiya, ana iya tsai da rashin daidaito akan shi.
Duk da haka, gwajin kwayar cutar cutar Celiac zai iya samar da wani yanki ga ƙwaƙwalwar binciken, musamman ma a lokuta da rashin ganewar asirinku ba a yanke ba ko kuma inda kake kokarin ƙayyade bukatun gwaji.
Celiac Cutar Kwayoyin Halitta Yana Binciken Yankuna Biyu
Kuyi tare da ni-wannan yana da rikitarwa.
Kwayoyin da ke sanya ka zuwa cutar celiac suna samuwa a jikin HLA-class II na DNA, kuma an san su da kwayoyin DQ.
Kowane mutum yana da nau'i biyu na mahaɗan DQ daga mahaifiyarsu kuma ɗaya daga mahaifinsu. Akwai nau'ukan Dabbobin DQ masu yawa, amma akwai wasu biyu da suke cikin yawancin cutar cutar celiac: HLA-DQ2 da HLA-DQ8 .
Daga cikin wadannan, HLA-DQ2 mafi yawanci ne a yawancin jama'a, musamman ma tsakanin mutane da al'adun Turai - wasu 30% ko fiye da mutanen da kakanninsu suka kira daga wannan ɓangare na duniya suna dauke da HLA-DQ2.
HLA-DQ8 an yi la'akari da raguwa, yana bayyana kusan kimanin kashi 10 cikin dari na yawan jama'a, kodayake yawancin mutane ne daga tsakiya da kudancin Amirka.
Nazarin ya nuna cewa kimanin 96% na mutanen da aka gano da kwayoyin halitta tare da cutar celiac suna ɗauke da DQ2, DQ8 ko wasu hadewar biyu. Tun da kana da wata DQ daga mahaifiyarka kuma daya daga mahaifinka, zai iya yiwuwa ka sami nau'i biyu na DQ2, biyu kofe na DQ8, ɗaya kofi na DQ2 da ɗaya daga DQ8, ko ɗayan ko dai DQ2 ko DQ8 haɗe tare da wani nau'in DQ.
A kowane hali, idan kun ɗauki kwafin ko dai DQ2 ko DQ8, ana la'akari ku da cutar mafi girma ga cutar celiac. Akwai wasu shaidu cewa ɗaukar nau'i biyu daga cikin kwayoyin (ko dai DQ2 ko DQ8) na iya kara yawan haɗarin ku.
Akalla binciken daya ya nuna cewa wani nau'i na musamman, HLA-DQ7 , kuma yana sa ran mutane zuwa ga cutar celiac. A gaskiya, a wannan binciken, kashi 2 cikin dari na mutanen dake dauke da kwayar celiac da aka tabbatar da kwayoyin halitta sun dauki HLA-DQ7, amma ba DQ2 ko DQ8 ba. Duk da haka, akwai rikice-rikice a kan ko samun DQ7 a zahiri yana zaton ka ga cutar celiac, kuma gwajin kwayoyin cutar a Amurka ba a gane DQ7 a matsayin "kwayar cuta na celiac" ba.
Bugu da ƙari, sababbin bincike sun nuna maka bazai buƙatar ɗaukar HLA-DQ2 ko HLA-DQ8 don bunkasa ƙwarewar celiac ba .
Akwai wasu nau'o'in HLA-DQ da suke da alaka da hankali a hankali; Ƙara karantawa a Kuna buƙatar ƙwayoyin gwiwar musamman don bunkasa ƙwarewa?
Celiac Gene Test ya ƙunshi sauki allon
Jaraba ga kwayoyin cututtuka na celiac ba ƙyama ba ne. Kuna iya samar da dakin gwaje-gwaje tare da samfurin jininka, yi amfani da swab don tattara wasu daga cikin sel daga cikin kuncinka, ko amfani da sirinji ko vial don tara wasu daga cikin salin ka. Jininka, kwayoyin kunnuwan ko salina sannan ana nazari ta dakin gwaje-gwaje; kowane daga cikin waɗannan hanyoyin samar da cikakkiyar sakamako.
Mafi yawancin mutane suna gwajin kwayoyin da aka yi tare da wasu gwaje-gwaje da likita suka ba su.
Duk da haka, yana yiwuwa (ko da yake yana da tsada) don samun gwajin ba tare da kasancewar likita ba.
Akwai wurare biyu inda za a iya gwada gwaji ba tare da izinin likita: Enterolab, wani ɗakunan kimiyya na musamman a Dallas ( Enterolab kuma yana gwada gwajin gwagwarmaya ), da kuma gwaji na gwaji 23andMe.com.
Don kimanin $ 150 (biya a lokacin da ka sanya umarnin), Enterolab za ta bincika kwayoyin halittarka kuma ta gaya maka abin da HLA-DQ kwayoyin da kake ɗauka, ciki har da idan kana dauke da daya daga cikin manyan kwayoyin cututtuka na celiac biyu. An gwada gwajin tare da kwayoyin da aka tattara tare da swab a cikin kuncin ku, saboda haka babu jini da ya shiga. Da zarar ka ske kuncin ka da kuma kaya daga samfurinka, ana aiko maka da sakamakon a cikin makonni uku.
Tare da 23andMe.com, a halin yanzu, za ku zube a cikin rami kuma ku tura vial don a jarraba ku. Kamfanin yana samar da gwajin cutar ta Celiac ta hanyar "Lafiya da Asalin" wani zaɓi, wanda ya kai kimanin $ 200. Rahotonka zai samar da cikakkun bayanai game da kakanninku, da kuma bayanan dangi.
Gwajin Halitta Ba Daidai Daidai ba
Tun da yake ba duk wanda ke dauke da kwayar celiac ba har sai an gano shi tare da cutar celiac (mafi yawan mutane ba su inganta yanayin ko da tare da jinsi ba, a gaskiya), gwajin kwayoyin kirki ba daidai ba ne a ganewar asali. (Dubi: Na gwada tabbatacce a gwajin gwajin na celiac. Ya kamata in je kyauta maras amfani? )
Duk gwajin gwajin kwayar halitta na celiac mai kyau ya sanya ka a cikin abin da likitoci suka yi la'akari da rukunin "babban haɗari" ga cutar celiac. Saboda haka, gwaje gwaje-gwaje na cututtukan Celiac yafi amfani da shi don yin sarauta daga cututtukan Celiac a lokuta inda alamun lafiyar celiac ke samuwa. A wasu lokuta, mutum zai iya samun sakamakon gwajin celiac wanda ba a yanke shi ba, kuma gwajin gwaji zai iya taimaka likita don yin ganewar asali.
Kayan gwaje-gwajen Gene yana da taimako wajen yin sarauta daga cututtukan Celiac a cikin 'yan uwan gidan celiac da aka gano. An gwada gwajin cutar Celiac ga dangi da zarar an gano wani a cikin iyalinka, amma idan kun san kuna ɗauke da cutar cutar celiac, ya kamata a bi ku sosai.
A ƙarshe, yana yiwuwa a yi amfani da gwaje-gwajen gwajin don ganin ko cutar celiac wani yiwuwar ne a cikin wanda ya rigaya cin abinci marar abinci .
Kuna buƙatar cin abinci mai yalwa don gwajin gwajin cutar celiac na musamman. Duk da haka, wasu mutane sun gane cewa cin abinci ba tare da yalwaci ba zai sa su ji daɗi, kuma cire albarkatun sunadaran daga abincin su kafin suyi gwajin gwajin cutar celiac. Idan suka yanke shawara a baya sunyi son ganewar asali, suna da zabi biyu: ƙoƙarin ƙoƙari na ƙalubalanci , ko shawo kan kwayoyin halitta.
Ba ku buƙatar cin abinci mai cin abinci ba don gwajin gwajin cutar celiac, gwajin kawai ya ƙayyade idan kuna da yiwuwar bunkasa cutar celiac, ba idan kuna da shi ba. Saboda haka, kodayake gwajin kwayoyin baza su iya samar da cikakkun amsoshi game da ko kuna da cututtukan Celiac ba, mutane da yawa sun fi son shi don kalubalantar kalubalanci saboda bazai buƙatar su komawa kan gurasar don samun ƙarin bayani game da yanayin su.
Akwai abubuwa da yawa ba mu sani ba game da cutar celiac, kuma ba a bayyana dalilin da yasa wasu mutane tare da kwayoyin cututtuka na Celiac sun bunkasa shi yayin da wasu ba su. Duk da haka, gwajin kwayar cutar ta Celiac zai iya taimakawa wajen ƙayyade yanayin haɗari a cikin 'yan uwan gida, da kuma a lokuta waɗanda ba a share su ba.
Sources:
Cibiyar Ciwon Celiac a Jami'ar Columbia. Nazarin Serologic da gwaji. Samun dama ga Janairu 5, 2012.
Cibiyoyin Lafiya na Ƙasar. Cibiyar Harkokin Kasuwancin NIH kan Cathyc. Samun dama ga Janairu 5, 2012.
Sacchetti L. et al. Nuna bambanci tsakanin Celiac da sauran cututtuka na Gastrointestinal a cikin yara ta hanyar Rapid Human Lymphocyte Abiginal Typing. Mahimmin Kimiyya. Aug. 1998, Vol. 44, No. 8, p. 1755-1757.
Jami'ar Chicago Celiac Cutar Cibiyar. Nazarin Halitta . Samun dama ga Janairu 5, 2012 ..