Yawancin mutane suna gwadawa bayan sun tafi kyauta
Kwararren likitanku sunyi amfani da samfurin jini na celiac a matsayin ɓangare na gwajin gwaji na celiac . Yawancin likitoci (da kuma mutane da dama a cikin ƙwayar cututtuka na celiac) sun yi imani cewa yana yiwuwa a yi amfani da waɗannan gwaje-gwaje na jini don duba yadda kake bin abinci mai cin abinci maras amfani ,
Abin baƙin ciki, wannan kawai yana aiki sosai a cikin lokuta inda kake zahiri samun yawan alkama a cikin abincinka akai-akai.
A nan ne hujjoji akan wannan gwajin rashin fahimta.
Menene Gwajin Celiac na Tunawa Ya Bayyana?
Yin gwagwarmayar jini zai iya gano mutanen da suke yin yaudara a kan cin abinci marasa cin abinci, ko mutanen da ba su fahimci yawan wuraren guragu ba za su iya ɓoyewa, da kuma wanda ya ɓatar da ƙwaƙwalwa da yawa.
Amma gwaje-gwajen jini bazai iya nunawa lokacin da kake ci gaba da samun ƙananan manya ba. Yawancin ilimin likita sun nuna cewa mutanen da suke cin abinci marar amfani da abinci maras amfani - ko da raguwa da ke haifar da alamun cututtuka - ba za su iya samun gwajin jini ba duk da irin waɗannan lapses.
Alal misali, a cikin binciken daya da aka tsara don ƙayyade ƙofa mai "aminci" don ganowa mai yalwaci, mutane 26 tare da cutar celiac da aka tabbatar sun sami kora 10mg ko 50mg na gluten kowace rana don kwanaki 90. Wasu daga cikin mutane suna da alamun bayyanar cututtuka, amma babu wanda ya sami kwarewar jini na jini bayan wannan gwagwarmaya, ya sa masu bincike su yanke shawarar cewa gwaje-gwaje na jini ba su da matukar damuwa don gano wadannan matakan da ake yi na giciye.
Wani nazarin ya yi amfani da ƙwayar abinci na yau da kullum mafi girma: har zuwa 5 grams (ko game da kashi ɗaya cikin rabi na yankakken gurasar abinci). A cikin wannan binciken, wanda ya hada da mutane 21 da cutar Celiac wanda ya cinye masallaci na kimanin watanni uku, kashi biyu bisa uku na batutuwa sunyi lalacewa ta hanzari, amma tara kawai sunyi gwajin jini na jini a sakamakon kalubale.
Duk da haka, 15 daga cikin mutane 21 a cikin binciken sun bada rahoton bayyanar cututtuka na tsaka-tsaki a lokacin nazarin.
A ƙarshe, bincike na uku ya hada da mutane takwas da cutar Celiac wanda ya cinye gurasa 10 na gurasa kowace rana (ko rabin rabi na gurasar gurasa) don makonni uku. Babu wanda ya nuna canji a sakamakon gwajin su, ko da yake shida daga cikin takwas sun kamu da cutar ta ranar 15.
Jaraba na jini ba za su nuna ba idan ka warke
Wasu nazarin da aka nuna sun nuna cewa sakamakon binciken gwajin jini ba dole ba ne ya nuna cewa abincinku na ciki ya dawo dasu, ko dai.
Alal misali, a cikin binciken daya da aka gudanar a Ireland ta Arewa, masu bincike sunyi amfani da gwajin jini na Celiac EMA-IgA - sunyi la'akari da gwajin musamman don gano asrophy marar lahani wanda ke haifar da cutar celiac - don kula da marasa lafiya.
Daga cikin mutane 53 da suka fara gwajin EMA-IgA mai kyau, 87% sun sami sakamako mai kyau na EMA-IgA bayan shekara guda bayan cin abinci marasa cin abinci. Duk da haka, 32 daga cikin waɗannan mutane har yanzu suna da mummunan ciwon gurasar bayan shekara ta farko a kan abinci.
To me ya sa ya sake dawowa?
Maimaita gwaje-gwaje na jini zai iya nuna lokacin da mutum yayi watsi da abinci na kyauta, wanda zai iya taimaka wa likitocin gano mutanen da zasu buƙaci karin taimako (ko ƙarfafawa).
A cikin nazarin daga Ireland ta Arewa, mutane hudu daga cikin mutane biyar da suka sami gwajin EMA-IgA a shekara guda bayan ganewar asali yana da abin da masu bincike suka kira "rashin yarda da abinci."
Bugu da ƙari, maimaita gwaje-gwaje na jini zai iya taimakawa wajen lura da ci gabanku a kan abincin abincin a cikin shekara ta farko ko don haka bayan ganewar asali; Lambobin gwajin jini ya kamata a cigaba da ƙananan ƙananan, koda kuwa idan ba su kai mummunar labaran ba.
Amma idan kun kasance mai biyan abinci mai tsanani na shekaru, sake maimaita gwajin jini bazai ba ku ƙarin bayani game da yadda kuke yin ba. Idan kun damu (ko kuma idan kun ci gaba da samun alamun bayyanar), kuna iya tambayar likitan ku don mai ba da shawara ga likitan likitancin wanda ke da masaniya a cikin matsala-harbi abin cin abinci marar amfani.
Sources:
Catassi C. et al. Mai yiwuwa, mai makafi biyu, gwajin gwagwarmayar wuribo don kafa wani masogin burodi mai lafiya don marasa lafiya da cutar Celiac. American Journal of Clinical Nutrition. 2007 Janairu 85 (1): 160-6.
Dickey W. et al. Cutar da cututtuka na endomysial a bi da cutar Celiac ba ya nuna tarihin farfadowa. Jaridar American Journal of Gastroenterology. 2000 Mar, 95 (3): 712-4.
Mista M. et al. Ƙananan mucosal canje-canje da kuma maganin antibody bayan ƙananan ƙananan ƙalubalen ƙwayar cuta a cikin cutar celiac. BMC Gastroenterology. 2011 Nuwamba 24, 11: 129. Doi: 10.1186 / 1471-230X-11-129.
Pyle G. et al. Ƙalubalen ƙalubalen rashin ƙarfi a cikin celiac sprue: malabsorptive da antibody amsa. Clinical Gastroenterology da Hepatology. 2005 Yuli; 3 (7): 679-86.
Zanchi C. et al. Ragowar rikici mai saurin transglutaminase da haƙuri don yin nazarin abin da ake ci dashi a cikin cutar celiac. Scandinavian Journal of Gastroenterology. 2013 Apr 5. [Epub gaba da buga]