Kwayar cututtukan Celiac mai banƙyama na iya zama mummunan ganewar asali: ta ma'anar ma'anarta, wannan ma'anar shine maganin kulawa da cututtukan Celiac - abincin mai cin abinci maras amfani - ya kasa yin aiki, kuma dole ne a nemi yanzu.
Gaskiya, duk da haka, wannan mai ban mamaki celiac ne mai wuya. A mafi yawancin lokuta, matsalarka ba cutar cututtukan celiac ba ne - maimakon haka, yawancin gurasar ƙwayar cuta a cikin abincinka ko wani yanayin likita yana haifar da ci gaba da ciwo.
Duk da haka, idan likitanka ya keta wasu ƙananan cututtuka kuma an gano ku da cututtukan celiac na yaudara, ya kamata ku sani cewa likitoci zasu iya magance mafi yawancin lokuta; magani zai dogara ne akan abin da ke ciki na celiac da ke fama da shi, tare da wasu dalilai a tarihin lafiyarka da yanayinka.
Irin Kwayoyin Celiac Refractory Ya ƙaddara Jiyya Zɓk., Course
Akwai nau'o'i biyu na cututtukan celiac masu cutarwa: Rubutun Na da Type II. Lokacin da aka gano ku, likitanku zai gaya muku abin da kuke da shi. Kullum, Rubutun I yafi kowa kuma mafi sauƙi a bi da shi, amma binciken kwanan nan ya ruwaito sakamako masu alamar magance irin na II.
A mafi yawancin yanayi, za a bi da ku don cutar cututtukan celiac a cibiyar celiac tare da kwarewa da kuma kulawa da yanayin; saboda ƙananan celiac yana da ban mamaki, yawancin masu binciken gastroenterologists basu damu da lokuta ba.
Jiyya na iya Farawa tare da Taimakon Abinci
Kwayar cututtukan Celiac mai banƙyama zai iya haifar da asarar nauyi da rashin abinci mai gina jiki , koda kuwa kuna ci abinci mai kyau, mai cin abinci mara kyau. Wancan ne saboda lalacewar ƙananan hanji, wanda aka sani da atrophy maras kyau , bai warke ba - duk da cin abinci mai kyau.
Don haka likitanku na iya fara aikinka ta hanyar kula da bitamin, ma'adanai, da sauran kayan jiki na jikinka, da kuma bayar da tallafin abinci mai gina jiki don taimakawa wajen kawar da abincin gina jiki. Don har zuwa kashi 60 cikin dari na marasa lafiya, wannan goyon baya mai gina jiki ya hada da abin da ake kira Total Parenteral Nutrition, wanda shine bayani mai gina jiki wanda ya kai tsaye a cikin wani abu, ta hanyar kewaye da gastrointestinal tract.
Kwararka na iya yanke shawara don gwada abin da ake kira mai cin gashin abinci mai mahimmanci - cin abinci mai gina jiki da ke samar da kayan gina jiki a cikin nau'in hypo-allergenic da aka rushe a cikin asalin amino acid. Ɗaya daga cikin karamin bincike ya gano cewa mutum takwas daga cikin marasa lafiya 10 tare da irin na cututtukan cututtuka sun nuna kyautatawa game da irin abubuwan da suke ciki a irin wannan cin abinci; shida daga cikin wadanda kuma sun sami cigaban ingantaccen bayyanar cututtuka.
A cikin wasu lokuta da suka shafi cutar ta I, na taimakawa mai gina jiki da abinci marar yalwaci mai yalwaci shine duk abin da kake buƙatar fara warkar. Amma yawancin mutane suna karbar magani.
Drug far for Type Na Yawancin lokaci ya hada da Steroids
Har zuwa yau, maganin miyagun ƙwayoyi na cututtukan Celiac da ke ƙyama ya mayar da hankali kan hanyoyin kwantar da hankalin da aka tsara domin kawar da tsarin rigakafi a cikin ƙoƙari na ba da hankalin ku a kwance daga harin kai tsaye.
(Ka tuna, ba lallai ba ne abin da ke haifar da lalacewa na ciki a cikin cutar celiac - shine maganin da ake yi na rigakafi a cikin gubar dalma.A cikin cutar cututtukan Celiac da ke rikicewa, tsarin rigakafi ya ci gaba da kai hari ga hanjiyarka, ko da yake baka da sauran abinci a cikin abincinka.)
A cikin irin nau'ikan I da Type II na kyamarar cutar celiac, magungunan maganin miyagun ƙwayoyi na farko shine yawan nau'in magani na steroid wanda ake kira glucocorticoids. Ana amfani da glucocorticoids akai-akai don magance wasu yanayi irin su cututtuka na rheumatoid da cututtukan zuciya.
Wani miyagun ƙwayoyi wanda za'a iya amfani dasu a cikin maganin ku shine azathioprine, wanda ke aiki tare ta hanyar kawar da tsarin rigakafi.
Mutane masu fama da cututtuka na rheumatoid mai tsanani da waɗanda ke rayuwa tare da kwayar da aka sassauki suna amfani da azathioprine.
Bincike ya nuna cewa mafi yawan mutanen da ke da nau'i na cututtukan Celiac masu rauni zasu shiga cikin remission -, a wasu kalmomi, ga su bayyanar cututtuka da kuma hankalin su fara warkar - ta hanyar amfani da steroids, watakila hade tare da azathioprine.
Nau'in II Celiac Cigac na Ƙari Mafi Girma Don Biyan
Magunguna da nau'i na II na yau da kullum suna ganin taimako daga alamun su daga irin wannan tsari na miyagun ƙwayoyi, amma rashin tausayi, rufin intestinal basu warkar da ita ba, kuma ba ze kare su daga mummunan irin wadanda ba Hodgkin ba lymphoma hade da cutar celiac .
Sauran gwaje-gwaje na asibiti sun gwada magungunan da ake kira Cladribine - maganin ƙwayar cutar sankarar da ke cikin ƙwayar cutar ta hanyar amfani da cutar sankarar bargo - a cikin magunguna na II. Ɗaya daga cikin gwaji, wanda aka gudanar a Netherlands, ya gano cewa Cladribine ya kwantar da hankulan cutar ya isa ya saka shi a cikin remission a cikin 18 daga cikin marasa lafiya 32. Amma duk da cewa cewa miyagun ƙwayoyi yana sanya wasu marasa lafiya zuwa gafara, akwai damuwa cewa bazai hana kwayar T-cell lymphoma (EATL) mai cututtuka irin ta mahaukaci: irin wannan ƙwayar lymphoma da ke mutuwa. EATL sun kamu da marasa lafiya na marasa lafiya II.
Duk da haka, wasu likitoci sun fara amfani da Cladribine a matsayin zabi na farko don magance cututtukan Celioc na kyamara na II, kuma sun gano cewa suna iya sanya kusan rabin marasa lafiya a cikin gyare-gyare tare da miyagun ƙwayoyi. A cikin wannan gwajin, tsawon shekaru biyar na rayayyen marasa lafiya na II da suka amsa maganin likita na Cladribine kashi 83 ne, idan aka kwatanta da kashi 22 cikin wadanda ba su sami sakamako mai kyau ba tare da magani. Yawancin mahimmanci, babu alama a ƙara yawan kwayoyin lymphoma. Duk da haka, waɗannan sakamako na magani basu riga sun kasance duplicated ba.
A ƙarshe, ga wadanda ke dauke da nau'in cututtukan Celiac masu banƙyama da basu kasa amsa duk wasu jiyya ba, ciki har da Cladribine, akalla ɗakin celiac - wanda ya buga ma'anar sakamakon gwaji na Cladribine - ya gwada autologus tsire-tsire-tsire-tsire-tsire, hanyar da ta dace Kwayoyin daga kasusuwa na kasusuwa suna girbe, suna girma a cikin laka sannan kuma sun sake dawowa zuwa gare ku bayan bin chemotherapy mai girma. Wannan hanya ce mai matukar damuwa tare da babban matsala na rikitarwa, ciki har da mutuwa.
A cikin wani gwaji na likita da ya shafi nau'in II na kyamarar celiac da ƙwayar mikiyar jiki, 11 na 13 marasa lafiya sun kamu da kyau a cikin shekara daya daga cikin hanyar salula. Mutum daya ya mutu daga hanyar dashi na kanta, kuma kashi biyu cikin uku na marasa lafiya suna rayuwa har shekara hudu. Ɗaya daga cikin masu haƙuri ya ci gaba da EATL.
Karancin Celiac na Cikec zai iya ci gaba da dogon lokaci
Don hana sake dawowa da cutar cututtukan celiac na yaudara, zaka iya buƙatar ɗaukar steroid din gaba daya. Amma yin amfani da tsire-tsire masu amfani da dogon lokaci yana da haɗari (ciki har da jini mai yawan jini, ƙananan ƙasusuwa da haɗarin haɗari). Bugu da ƙari, yin amfani da steroid din na dogon lokaci yana ƙara yawan kwayar cutar lymphoma - kuma ba shakka, marasa lafiya na Celiac suna da yawa fiye da haɗarin al'ada ga irin wannan ciwon daji.
Saboda haka masu binciken suna binciken wasu maganin miyagun ƙwayoyi don cutar cututtukan Celiac, ciki har da magani da ake kira mesalazine, wani magani mai ƙin ƙwayar cuta a yau ana amfani dashi don magance cututtukan ƙwayar cutar ƙwayar cuta wanda aka gwada shi a cikin marasa lafiya na irin I. Za'a iya sakin bincike a kan irin wannan cuta ta hanyar celiac a nan gaba.
A halin yanzu, ba tare da magani na tsawon lokaci da ake ba maka shawara ba, za a buƙaci ka ci gaba da kusantawa tare da likitanka kuma ka kasance a kan ido don kowane alamomi (kamar sabunta asarar hasara da zawo) cewa cutar lafiyar celiac yana fita daga gafara.
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