An yarda da cewa daya daga cikin mutane 133 suna da cututtukan Celiac , yanayin da ke haifar da cututtuka na ciki lokacin da suke cin abinci , abincin da ke cikin alkama, sha'ir, da hatsin rai.
Duk da haka, masu binciken kawai kwanan nan sun gano rashin lafiyar Celiac a matsayin jiki mai banbanci, wasu kuma a cikin filin likitan suna jira don tabbatar da waɗannan binciken har yanzu kafin su yarda da fahimtar sutura kamar yadda ake iya ganewa.
Haka ma yana iya yiwuwar cewa ba alwala ba ne a gaba - maimakon haka, yana iya zama wani abu dabam a alkama da sauran hatsi mai yalwaci waɗanda ke haifar da wasu ko duk halayen ga mutanen da suke "gluten" -mace.
Bisa ga dukkanin wannan, tare da gaskiyar cewa babu gwajin da aka yarda da shi don yin amfani da guguwa , ba zai iya yiwuwa a ce da gaske mutane da yawa za su iya zama masu haɗari ba. Masu bincike sun kiyasta cewa yana iya zama ƙasa da 0.6% na yawan (ko shida a cikin kowace 1,000) ko kuma kusan 6% na yawan (shida a kowace 100), amma har yanzu ba a samu wani bincike na musamman ba lambobi.
Duk da haka, wasu masu bincike uku a fannin - Dokta Alessio Fasano, Dr. Kenneth Fine, da Dokta Rodney Ford - kwanan nan sunyi magana da ni kuma sunyi la'akari da abin da zasu iya zama. Ka lura kawai kafin ka karanta cewa yawancin da suke ambata suna dogara ne akan binciken kansu (wanda ba a taba ba), kuma ba su wakilci ra'ayi na likita.
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Dokta Fasano, darektan Cibiyar Jami'ar Maryland Cibiyar Celiac Research, ta wallafa nazarin farko da ke kallo kan kwayoyin halitta don yaduwar hankali da kuma yadda yake bambanta da cututtukan Celiac. Ya kuma shiga cikin binciken da ya kammala cewa cutar rashin lafiyar Celiac daya daga cikin mutane 133.
A cewar Dr. Fasano, ƙwarewa mai yawa zai iya rinjayar mutane da yawa fiye da cutar celiac. Ya kiyasta kimanin kashi 6% zuwa kashi 7 cikin dari na yawan jama'ar Amurka na iya zama mai hankali, ma'ana kusan mutane miliyan 20 a Amurka kadai zasu iya samun yanayin.
Hanyoyin cututtukan ƙwayar ruwa a cikin wannan jama'a na iya hada da matsaloli masu ciwo, da ciwon kai, rashes da kuma irin ƙwayar cutar fata kamar ƙwaƙwalwar ƙwayar cuta , ƙwaƙwalwar kwakwalwa da gajiya, Dokta Fasano ya ce. Kusan kashi daya bisa uku na wadanda aka gano shi a matsayin mai kwakwalwa mai kwakwalwa da kuma ciwon kai kamar bayyanar cututtuka, in ji shi.
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Dr. Ford, wani dan makaranta a Christchurch, New Zealand da kuma marubucin The Gluten Syndrome , ya ce ya yi imanin yawan mutanen da suke da damuwa da gaske za su kasance mafi girma - wanda zai iya kasancewa tsakanin 30% da 50%.
"Akwai mutane da yawa marasa lafiya," in ji shi. "Akalla 10% suna da damuwa, kuma mai yiwuwa kusan 30 %.Da na yayyana wuyansa a cikin shekaru da suka wuce lokacin da na ce a kalla kashi 10 cikin 100 na yawan jama'a ne mai karfin gaske.Ubangiji na likitocin suna ikirarin cewa ' Akwai wanzuwa, za mu iya gano cewa yana da fiye da kashi 50 cikin dari idan muka gama kan lamba. "
Dr. Fine, wani likitan gastroenterologist wanda ya kafa kuma ya jagorantar aikin gwajin gwaji na Interolab , ya yarda da cewa mai hankali yana iya rinjayar rabin yawan jama'a.
Dokta Fine sunyi zaton cewa kashi 10% zuwa 15% na dukan Amirkawa suna da kwayar cutar jini (ko dai AGA-IgA ko AGA-IgG antibodies) zuwa gluten, wanda zai nuna cewa tsarin su na rigakafi ne akan sunadaran.
Wani babban adadin mutanen Amirkawa suna fama da rashin lafiyar jiki, rashin ciwo mai jijiyar zuciya , ciwon kai da kuma / ko microscopic colitis, wanda ya sa su a matsanancin haɗari don ƙwarewa. Kimanin 60% zuwa 65% na mutanen da ke da waɗannan ka'idoji sun gwada tabbatacciyar tabbatacce ta hanyar Enterolab, Dokta Fine ya ce.
A halin yanzu, kimanin kashi 20% zuwa 25% na mutanen da ba tare da alamar cututtuka an gano su ba tare da ƙwarewar ƙwayar cuta bisa ga binciken gwaji na Enterolab, Dokta Fine ya ce.
"Lokacin da muka yi math, mun zo tare da yawan adadin daya a cikin biyu suna da damuwa," in ji shi.
A halin yanzu, Dokta Fine ya ce ya yi imanin cewa wanda ke cikin 133 yana kimantawa ga mutanen da ke fama da cutar celiac zai iya kasancewa da tsayi - "Ina tsammanin cewa ya fi kamar 200 a cikin 200. Na fahimci wannan a cikin karatun 133 amma wannan ya gayyaci da kuma wani zaɓi mai ban sha'awa. " Sauran nazarin sun sanya mummunan cututtuka na celiac a kusa da daya daga mutane 200 zuwa daya daga cikin mutane 250, kuma Dokta Fine ya ce yana ganin waɗannan sun fi dacewa.
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A halin yanzu, wadannan nau'ikan kashi na mutanen da suke da hankali a hankali suna nuna alamar tsabta a kan wa] annan likitoci da masu bincike - ba a yi nazari ba ne don tabbatar da ko sun kasance daidai ne ko kuma ba da daɗewa ba.
Sources:
Czaja-Bulsa G. Ba Celiac Gluten Sensitivity - Sabuwar Ciwon Tare da Gluten rashin hankali. Gudanar da Gina Jiki (Edinburgh, Scotland). 2015 Afrilu 34 (2): 189-94.
Fasano A. et al. Bambanci na Gut Permeability da Mucosal Immune Gene Expression a cikin biyu Gluten-Associated Conditions: Celiac cuta da Gluten Sensitivity. BMC Medicine 2011, 9:23. Doi: 10.1186 / 1741-7015-9-23.
Fasano A. et. al. Abun Cutar Gluten-Related: Yarjejeniya akan Sabon Yanki da Ƙayyadewa. BMC Medicine. Medicine na BMC 2012, 10:13 pm: 10.1186 / 1741-7015-10-13. An buga: 7 Fabrairu 2012