Gaskiya ne ko Ƙarya: Ƙarƙashin Celiac Cigaba Ƙarƙwara Ƙari Ƙari a cikin yara
Yana da yawa don karantawa a kan wasu cututtuka na yanar gizo na celiac cewa yara suna da mummunan sakamako akan gwaje-gwaje don cutar celiac (musamman a kan samfurin jini ).
Wani gwajin gwagwarmaya "mummunan" ya faru ne lokacin da sakamakon gwajin likita ya nuna cewa ba ku da wani yanayi (a wannan yanayin, cutar celiac), amma kuna aikatawa. Kwararrun likita ba kuskure ne a kwance zuwa ku-ƙananan gwaje-gwaje sun bada 100% tabbacin a sakamakon su.
Dalilin da ke baya ra'ayin cewa gwaje-gwaje na jini ba aiki sosai a cikin yara shi ne cewa lalacewar ciwon ciki na Celiac da aka sani da atrophy mai cin gashin kansa yana da lokaci mai tsawo don ci gaba, don haka yara da sakamakon lalacewa ba su da isasshen lokaci ga yanayin da zai cigaba da ci gaba da lalacewa (gwajin jini nagari yana nuna lalacewa ba a halin yanzu) ba.
Wannan yana kama da kyakkyawan ka'idar, amma rashin alheri babu wata shaidar likita don mayar da ita-binciken da aka yi ba a yi ba.
Me muka sani game da jarraba yara ga Celiac?
Alessio Fasano, wanda ke jagorantar Cibiyar Gidajen Masarautar Massachusetts ta Cibiyar Celiac, ta nuna cewa duk wani mummunar karya ne a kan wani gwajin cutar celiac na jini-gwajin tTG-IgA-yana faruwa a kusan 10-15% na dukkan lokuta. Duk da haka, babu wani binciken da zai iya gano ko yara sun fi dacewa da wadannan abubuwan karya fiye da manya.
"Don tantance lafiyar gwajin kamar tTG, da farko ka yi endoscopies tare da biopsies sannan ka tabbatar da yawancin biopsies suna nuna lalacewa da ke nuna cutar cutar celiac tabbatacce ne ga tTG," Dokta Fasano ya gaya wa TruswellFit.com.
"Wadannan nau'o'in karatu sun yi a cikin tsofaffi waɗanda zasu iya shawo kan maganin ƙwaƙwalwa da yawa kuma don dalilai da yawa fiye da yara. A cikin yawan yara, wannan tsarin ba zai zama daidai ba, kuma ban san irin waɗannan nazarin ba."
Akwai wasu shaidun shaidar mummunar ƙananan yara a cikin yara wanda ya fi girma fiye da 10-15%.
Wani binciken da aka buga a mujallar Clinical Chemistry da Laboratory Medicine ya dubi gwajin jini da sakamakon biopsy a cikin rukuni na yara yara celiac da ke da shekaru shida da suke da gwaje-gwajen biyu. Binciken ya gano cewa kashi 80 cikin 100 na marasa lafiya marasa lafiya na Celiac sun sami sakamako masu gwaji a cikin gwagwarmayar jini ta IgD (DGP) na IgA ko a cikin tTG-IgA jini. Kusan kashi 84 cikin 100 na yara sun kasance mai kyau a cikin DGP-IgG ko tTG-IgA jini.
Saboda haka, marubutan sun yanke shawarar cewa mafi kyawun damar da za a samu na gwajin gwajin jini ya zo ne yayin da ake amfani da gwajin TTG-IgA tare da gwajin DGP IgG. A cikin wannan binciken, "nauyin ƙarya" na wadannan gwaje-gwaje da aka yi amfani da shi a cikin kashi 16%. Amfani da wasu nau'i na gwaje-gwaje ya haifar da mummunan kashi 20%.
Kalma daga
Idan kun yi imani da sakamakon binciken gwajin cutar celiac dinku ya dawo da mummunar sakamako, kuna iya samun wasu zaɓuɓɓuka waɗanda za ku iya tattauna tare da likitancinku, musamman idan bayyanar yaronku ya yi kira "celiac." (Bincika labarin na game da cutar Celiac na Yara idan ba a tabbatar ba.)
Zai yiwu cewa, duk da magungunan gwajin jini, likitan danku zai iya bayar da shawarar ci gaba tare da endoscopy don sanin idan akwai lalacewa na ciki wanda zai iya nuna celiac.
Kodayake iyaye da yawa sun damu akan ba da yarinyar zuwa ga endoscopy (kuma akwai wasu hadari, kamar dai yadda yake da kowace hanyar likita), gaskiyar ita ce yara sukan jimre fiye da iyaye a ranar endoscopy.
Hakanan zaka iya yanke shawarar kawar da endoscopy, amma ka yi la'akari da ci gaba da gwaji na cin abinci mai cin abinci maras amfani don ganin idan bayyanar cututtuka ta warware. Yaronku bazai da cutar ta Celiac, amma a maimakon haka yana da ƙwarewar celiac, wanda ya saba da ganewa tare da bayyanar cututtuka da ke ɗaukar celiac. A halin yanzu babu hanyar da aka yarda a duniya don jarraba hankali , amma idan yaronka ya sha wahala daga yanayin, dole ne bayyanar cutar ta inganta cikin sauri lokacin da ta guje wa gluten a cikin abincinta.
A ƙarshe, za ku iya la'akari da gwajin kwayoyin cutar cutar celiac . Wadannan gwaje-gwaje ba za su iya gano ɗakin celiac; maimakon haka, kawai zasu iya ƙayyade idan kana da kwarewar halitta don bunkasa yanayin. (Don ƙarin bayani a kan wannan, duba labarin na Idan idan har na samfurori na celiac ya tabbata? )
Ƙasa ita ce, akwai ƙaramin shaida akan mummunan ƙwayar ƙwayoyin cuta na Celiac na yaudarar sakamakon gwajin jini a cikin yara fiye da yadda ake samu a cikin manya-yana yiwuwa cewa game da ɗaya daga cikin yara biyar ko shida da ake gwadawa suna karɓar sakamakon mummunan sakamako. Abin farin ciki, kuna da wasu zaɓuɓɓuka idan kun yi imani da sakamakon gwajinku na ɗanku ba daidai bane.
> Sources:
> Brusca I et al. Tsohon Yara da Sabuwar Gwajin Celiac Ciki: Wanne ne Mafi kyawun Juyin Hanya don Gano Ciwon Celiac a Abokan Cutar Cutar? Clinical Chemistry da Laboratory Medicine. 2011 Zabi 26, 50 (1): 111-7.
> Werkstetter KJ et al. Tabbatar da hankali a cikin Sanin asalin Celiac Cutar Ba tare da Labaran Halittu ba a Tsarin Clinical Practice. Gastroenterology . 2017 Oktoba; 153 (4): 924-935.