Yawancin masana sun ce a, kuna buƙatar hanya don ganewa daidai
Idan kana son zanewar zinare na zinariya don cutar celiac , to, a mafi yawan masana sun yarda za ku buƙaci samun endoscopy da biopsy, kodayake gwajin jinin celiac ya kasance mai kyau. Amma akwai tabbaci game da wannan shawarwarin, kuma likitoci kaɗan sun ce yana yiwuwa a tantance cututtukan celiac ba tare da hanya ba.
Hanyar bincikar maganin cutar celiac kullum yana farawa tare da gwaje-gwaje na jini wanda allon don cutar celiac. Wadannan gwaje-gwaje na neman samurai masu maye gurbin da ke yawan jini a lokacin da kake da yanayin.
Idan waɗannan gwaje-gwajen sun dawo da kyau (ko a wasu lokuta, idan sun kasance mummunan amma ku da likitan ku har yanzu suna jin cutar cutar celiac), to likita zai ba da shawara ku tabbatar da ganewar cutar ta Celiac ta hanyar ciwon kwayar halitta. Don cika wannan, ta buƙaci ya tattara kananan samfurori na ƙananan hanji don gwaji a cikin hanyar da ake kira endoscopy .
Idan waɗannan samfurori na intestinal, idan an gwada su a ƙarƙashin kwayar microscope, suna nuna irin lalacewa na ciki wanda aka sani da atrophy maras kyau , to za a gano ku da cutar celiac.
Wasu Masanan sunyi Imanin Endoscopy Ba Wajibi ne ba
Gaskiya ne: yawancin masu bincike na cututtukan celiac sun bayyana cewa ba ku buƙatar samun biopsy don gano cutar ta Celiac.
Alal misali, Dokta Alessio Fasano, darektan cibiyar Cibiyar Celiac a Massachusetts General Hospital, ta ce kana bukatar hudu daga cikin abubuwan biyar don gano cutar ta Celiac. Abubuwan biyar Dokta Fasano sun hada da:
- bayyanar cututtuka na cutar celiac
- sakamako mai kyau a kan samfurin TTG-IgA da kwayoyin EMA-IgA musamman celiac
- Sakamakon gwajin gwajin samfurin Celiac mai kyau
- wani endoscopy da biopsy nuna villous atrophy
- ƙaddamar da bayyanar cututtuka akan rage cin abinci maras amfani
A ra'ayin Dr. Fasano, idan kuna da komai a cikin jerin sai dai sakamakon sakamako mai kyau na biopsy daga endoscopy, to, za ku iya tsallake endoscopy.
Wasu masana sun lura cewa samfurin jini da aka yi amfani da shi a cikin binciken bincike daidai ne cewa biopsy don tabbatar da ganewar asali ba ya zama dole lokacin da sakamakon gwajin jini ya kasance tabbatacce ko karfi. Alal misali, masu bincike sun ruwaito a jaridar likita BMC Gastroenterology cewa sun iya bincikar ko cire cuta ta celiac ba tare da wata kwayar halitta ba a cikin kashi 78% na marasa lafiya.
Kuna Bukatan Kutawa da Kayan Ciki?
Akwai wasu yanayi waɗanda zasu iya haifar da bayyanar cututtuka kamar waɗanda aka samu a cikin celiac cuta, da kuma endoscopy tare da biopsy zai iya taimakawa likita ƙayyade abin da yanayin da kuke da (da abin da ba ku da). Har ila yau, jarabawar jini da aka yi amfani da shi don dubawa ga cutar celiac ba daidai ba ne 100, kuma daidaitarsu na iya bambanta dangane da lab da aka yi amfani da ita don sarrafa gwajin.
Saboda haka, yawancin masu cin gastroenterologists har yanzu sunyi imanin cewa yana da mahimmanci don tafiya kai tsaye zuwa asalin (watau ƙananan hanji) don ganin kai tsaye ko lalacewar lalacewar celiac.
A gaskiya ma, Cibiyar Kwalejin Gastroenterology ta Amurka ta sake nunawa a cikin tsarin kulawa na asibiti don bincikar cutar da kuma kula da cutar celiac cewa endoscopy tare da biopsy "yana da mahimmanci na binciken gwaji ga mutanen da ake zaton CD [celiac cuta] kuma an bada shawarar su tabbatar da ganewar. "
Duk da haka, akwai wasu ƙananan don samun jimillar, kuma. Kodayake hanya bata zama mummunan aiki ba (gaske!), Yana iya ɗaukar lokaci don tsarawa, kuma zai iya zama tsada (ko da kuna da inshora).
Bugu da ƙari, yayin da kake jira don maganin ka, za a buƙatar ci gaba da cin abinci , tun da gwajin ya yi la'akari da lalata ƙwayar cuta a cikin ƙananan ƙwayarku.
(Ƙara koyo: Me ya sa nake buƙata cin cin abinci don gwajin cutar na celiac daidai? )
Kalma daga
Saboda haka a, yayin da akwai dalilai masu kyau don yarda da hanyar, akwai wasu dalilan da za a iya tsalle shi, ma ... musamman idan jinin ku yana gwadawa yana nuna cewa kuna da cutar celiac.
Har ila yau, yiwuwar ra'ayin masana kan wannan zai canja a nan gaba. Shekaru talatin da suka wuce, masana sun yarda cewa kana buƙatar cikewar endoscopies guda uku tare da biopsies don tantance cutar cutar celiac: daya don rubuta lalacewa na farko, na biyu bayan farawa da abinci marar yalwa don rubuta rubutun, da kuma na uku don rubuta sabon lalacewa bayan kalubalanci .
Daga qarshe, idan baku da tabbacin idan ya kamata ku shawo kan maganin cututtuka da biopsy don tabbatar da asirin ku na cuta na Celiac, ya kamata ku tattauna dasu da fursunoni daki-daki tare da likitan ku.
Sources:
Bürgin-Wolff A. et al. Kwayoyin halitta ba a koyaushe ake buƙatar gano asibiti na celiac: nazarin nazarin nazarin gwaje-gwajen antibody. BMC Gastroenterology. 2013 Janairu 23; 13: 19. Doi: 10.1186 / 1471-230X-13-19.
Rubio-Tapia A. et al. Dokokin Gudanarwa na ACG: Binciken da Gudanarwa na Celiac Cutar. Jaridar American Journal of Gastroenterology. 2013 May, 108 (5): 656-76. Doi: 10.1038 / ajg.2013.79. Afrilu 2013 Apr 23.
Wakin-Fleming J. et al. Sanin asalin cutar cutar Celiac a cikin tsofaffi bisa sakamakon binciken gwaji, ba tare da kananan kwayar halitta ba. Clinical Gastroenterology da Hepatology. 2013 May, 11 (5): 511-6. Doi: 10.1016 / j.cgh.2012.12.015. Afrilu 2013 Janairu 7.