Xanuunka Celiac waa run caadi ah, laakiin maahan inaadan ogaan karin sida caadiga ah ee ay tahay sababtoo ah dad badan oo aan haysanin lama ogaan. Sababtoo ah celiacku waa xaalad hidda - si kale haddii loo dhigo, waxaad u baahan tahay in aad leedahay hiddaha "saxda ah" si aad u kobciso - heerka cudurka baruurta (cirro) way ka duwan tahay waddanka oo dhan.
Dalka Mareykanka, qiyaastii 133-kii qofba mid ayaa qaba cudurka baruurta , taas oo macnaheedu yahay qiyaastii 2.4 milyan oo qof ayaa qaba xaalad.
Si kastaba ha ahaatee, in ka badan 2 milyan oo kuwan ah ayaan weli la ogaan, sidaas darteed ma oga inay qabaan xaalad sidaas darteedna waxay u baahan yihiin inay raacaan cuntada aan lahayn gluten-free .
Dadka haysta aabayaashii Caadiga ah inta badan waxay u muuqdaan in ay leeyihiin khatar aad u weyn oo lagu kobcin karo xaaladdan marka loo eego kuwa haysta Afrika, Hispanic ama Aasiya.
Tusaale ahaan, hal daraasad oo Maraykanku ku salaysan yahay ayaa lagu ogaaday in 1% lamid ah non-Hispanic in ay leeyihiin xajmiga, marka la barbar dhigo 0.2% of madow non-Hispanic iyo 0.3% ee Hispanics.
Daraasad kale waxay heshay heerar aad u sarreeya xajmiga - qiyaastii 3% - dadka ku nool Koonfurta Hindiya (Punjab), iyo qiimaha hoose ee kuwa leh Bariga Aasiya, Koonfurta Hindiya, iyo asaliga Hispanic. Dadka haysta Yahuuda iyo Yahuuda Bariga Dhexe waxay leeyihiin heerarka cudurka cirrooliga ee kudhacay celcelis ahaan Maraykanka, laakiin kuwa reer Isaaqa ah ee reer Ashkenazi waxay lahaayeen sicir barar sareeya, halka kuwa la yiraahdo awoowayaasha Yuhuudda Sephardic ay hoos u dhaceen.
Sidaa daraadeed, daraasaddan oo kale ayaa lagu ogaaday heerka raajada ee ragga iyo dumarka labadaba. Cilmi-baaris hore ayaa soo jeedisay in baruurtu ay aad ugu badan tahay dumarka .
Cudurka baruurta (Celiac disease) waxaa loo arkaa inay ku yar tahay waddamada ay dadka intiisa badani aanay ahayn caddaan ah Hispanic, inkastoo cilmi-baarayaashu ay sidoo kale rumaysan yihiin in cudurku uu sii kordhayo adduunka.
Maxay Tilmaamtay Khatartaydu Inay Ka Sareysaa ama Ka Hooseeyso?
Laba eray: geedkaaga.
Cudurka baruurta (Celiac) ayaa si aad ah loola xiriiriyay laba hiddadood oo kala duwan: HLA-DQ2 (hidda-wadaha cudur-daarka ee asaasiga ah) iyo HLA-DQ8 . Haddii aad qaadato hal nuqul mid ka mid ah hidde-yadaas, khatartaada waxay ka sarreysaa kuwa guud. Haddii aad qaadato laba nuqul, khatartaada way sii sarreysaa.
Dabcan, kaliya qaadista hidda micnaheedu maahan inaad dhab ahaantii horumarinayso baruurta (xaqiiqda, runtii weli way ka soo horjeedaa).
Waxa loogu yeero "genen genes" waa mid aad u caan ah, gaar ahaan haddii aad leedahay aabaha Caucasian, keliya oo keliya inta u dhaxaysa 1% iyo 4% dadka qaba hiddo-wadaha ayaa sii wadi doona in ay horumariyaan baruurta. Waxaa jira arrimo kale oo cayaar ah, qaar badan oo ka mid ah cilmi-baarayaasha caafimaadku weli wali go'aan kama gaarin.
Anigu ma aanan laheyn baaritaanka hiddesidaha - Waa maxay khatartaydu?
Xitaa haddii aadan ogeyn sifo hidde ah, waxaad awoodi kartaa inaad xukuntid khatartaada ku saleysan taariikhdaada caafimaad ee qoyskaaga, tan iyo kuwa qaraabada dhow ee la ogaaday ayaa sidoo kale khatar sare ugu ah baruurta.
Haddii aad tahay qaraabada ugu horreysa - waalid, ilmo, walaalo ama walaash - qof qaba cudur-sidaha cudurrada, cilmi-baadhis ayaa muujinaysa inaad haysato 1-dii 22-kii fursad u helidda cudurka cudurka noloshiisa. Haddii aad tahay qaraabo labaad - eedada, adeerka, adeerka, adeerka, awoowe, awoowe ama nus nus-nus - khatartaada waa 1 39.
Iyadoo aan loo eegin khatartaada shakhsiyeed ee cudurka baruurta, cilmi baaris ayaa muujisay inay caadi tahay (inkastoo aan la ogeyn) xaalad caafimaad oo la xiriirta. Xaqiiqdii, sida laga soo xigtay wm. Xarunta Cilmi-baarista Cilmi-baarista Caafimaadka ee Cudurka Cudurka Cudurka Cudurka San Diego, Cudurka baruurta waa laba jeer sida caadiga ah cudurka Crohn, cudurka ulcerative, ulcerative colitis iyo cystic fibrosis .
( Waxaa qoray Edited by Jane Anderson )
Ilaha:
Choung RS et al. T Is-beddelka iyo sinjiga / farqiga qowmiyadeed ee dhibaatooyinka xasaasiyadda gluten ee Maraykanka: Natiijooyinka ka soo baxa baaritaanada Imtixaanka Caafimaadka Qaranka iyo Nafaqada laga bilaabo 1988 ilaa 2012. Somali Journal of Gastroenterology. 2015 Mar; 110 (3): 455-61.
Fasano A et al. Ka hortagga cudurada baruurta ee halista ugu jira khatarta halista ah ee Maraykanka iyo Maraykanka: Daraasad ballaadhan oo ballaaran. Archives Daawada Gudaha ee 2003; 163: 286-92.
Krigel A et al. Isbeddelka Qoomiyadaha ee Duodenal Villous Atrophy Qaadashada Cudurka Cudaajo ee Maraykanka. Gastroenterology iyo Hepatology . 2016 May 4 pii: S1542-3565 (16) 30145-8.
Machadyada Qaranka ee Caafimaadka. Lagu heley: Febraayo 2, 2009. http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/index.htm#common
Rubio-Tapio A et al. Cudurka 'celiac' ee Maraykanka. Somali Journal of Gastroenterology. 2012 Oct; 107 (10): 1538-44.
Jaamacadda Chicago Xarunta Cudurka Celiac. Lagu heley: Febraayo 2, 2009. http://www.uchospitals.edu/specialties/celiac/
Jaamacadda Maryland Xarunta Celiac Research. Gaaray; Febraayo 2, 2009. http://www.celiaccenter.org/celiac/faq.asp#common
Wm. Xarunta Cilmi-baarista Caafimaadka K. Warren ee Cilmi-baarista Cudurka Cudurka. Lagu heley: Febraayo 2, 2009. http://celiaccenter.ucsd.edu/learn_more.shtml