Ko te mate Celiac ko te tino tikanga noa, engari kaore koe e mohio he pehea te mea he mea na te mea he maha nga tangata kei a ratau kuaore i kitea. No te mea ko te celiac he huru ira - i etahi atu kupu, me whai i nga ira "tika" ki te whakawhanake - he rereke te rere o te mate celiac mai i tetahi whenua ki tetahi whenua.
I roto i te United States, e pā ana ki te kotahi i roto i nga 133 nga tangata he mate pukupuku , ko te tikanga ko te 2.4 miriona nga tangata kei te mate.
Heoi, neke atu i te 2 miriona o enei kaore ano kia kitea, kaore e mohio ana kei a ratou te ahua me te mea me whai tonu koe i te kai o te gluten .
Ko te nuinga o te iwi ko te whanau Caucasian te ahua nui ake o te raruraru ki te whakawhanake i te ahuatanga atu i nga tangata whai rawa ki te Hainamana, ki te Himapanui, ki nga tupuna Ahia ranei.
Hei tauira, ko tetahi rangahau nui a Amerika kua kitea ko te 1% o nga kiri-kiri-korepanana o te Hepanihi he celiac, he rite ki te 0.2% o nga poakapanana-korepanana me te 0.3% o nga Hepanihi.
Ko tetahi atu rangahau i kitea he reiti nui o te celiac - e 3% - i waenga i nga iwi o te Tai Tokerau (Punjab), me te iti rawa o te hunga e noho ana ki Ahia-a-Kiwa, South Indian, me te whanau Herpanihi. Ko nga tangata i roto i nga whanau Hurai me waenganui o te Tai Rawhiti he mate o te mate celiac e tata ana ki te US, engari ko nga tupuna Hurai o Ashkenazi he nui ake o te celiac, i te mea he iti iho nga reanga o nga tupuna o Sephardic Hurai.
Ma te mea miharo, ko taua rangahau ano i kitea he rite te rite o te celiac i roto i nga tane me nga wahine. Ko nga rangahau o mua i tohu ko te celiac he nui atu i nga wahine .
Ko te mate Celiac e kiia ana ko te nuinga o nga whenua kei te nuinga o nga tangata ehara i te mea he maana a Herpaniana, ahakoa e whakapono ana nga kairangahau kei te tipu haere te tupu o te ao.
He aha te mea e nui ake ai toku Risk neke atu ranei?
I roto i nga kupu e rua: o ou ira.
Ko te mate Celiac kua tino hono ki nga momo momo e rua: HLA-DQ2 (te momo mate pukupuku tuatahi o te celiac) me te HLA-DQ8 . Mena kei te kawe koe i tetahi kape o tetahi o aua ira, he nui ake te painga ki a koe mo te taupori whānui. Mena kei te kawe koe i nga kape e rua, kei te piki ake to tupono.
Ko te tikanga, ko te kawe noa i te ira kaore e tika ana ka whakawhanake koe i te celiac (i te mea, kei te raru tonu te kore).
Ko nga momo "celiac genes" he tino painga, mehemea he tupuna Caucasian koe, me anake i waenga i te 1% me te 4% o te hunga whai ira ka haere tonu ki te whakawhanake i te celiac. He maha atu nga wahanga kaore i te whakatauhia e te nuinga o nga kairangahau hauora.
Kaore au i te Tatau Tauira - He aha toku Risk?
Ahakoa kaore koe e mohio he aha nga ira e kawe ana koe, ka taea e koe te whakatau i to paanga ake e pa ana ki te hitori o to whanau a te whanau, no te mea ko te hunga e tata ana ki te whanaungatanga he nui ake te mate mo te celiac.
Mena he matua matua koe, he papa, he tamaiti, he teina, he tuahine ranei - o te tangata e mate ana i te mate celiac, ka whakaatuhia e te rangahau he 1 ki te 22 o te whakawhanaketanga o te mate i to wa ora. Mena he whanaunga tuarua koe - he whaea, he matua, he mokopuna, he panae, he koroua, he mokopuna, he hawhe-teina ranei - he 1 kei roto i te 39.
Noa'tu o to outou iho fifi no te ma'i ma'i celiac, te faaite ra te mau hi'opo'araa hauora e mea taa ê noa (noa'tu te vai ra) te huru hauora. Ko te tikanga, i runga i te Wm. K. Warren Medical Center mo te Celiac Disease Research i roto i San Diego, ko te mate celiac e rua rite rite Crohn mate, colitis ulcerative , me te cystic fibrosis whakakotahi.
( He mea whakatikatika na Jane Anderson )
Kaupapa:
Choung RS et al. T Nga ahuatanga me nga rerekētanga iwi / iwi i roto i nga raruraru raruraru i te United States: nga kitenga mai i nga tauranga a te National Health and Nutrition Examination from 1988 to 2012. Te American Journal of Gastroenterology. 2015 Maehe 110 (3): 455-61.
Fasano A et al. Ko te mate o te mate celiac i roto i nga roopu-kore, me te kore-i-morea i roto i te United States: he rangahau maha maha. Nga Whakamaharatanga o te Toi Whakauru 2003; 163: 286-92.
Krigel A et al. Ngā rerekētanga o te iwi i roto i te Atrophy Maama Duodenal E rite ana ki te Celiac Disease i roto i te United States. Gastroenterology Clinical me Hepatology . 2016 Mei 4. piki: S1542-3565 (16) 30145-8.
National Institute of Health. Kua tae mai: February 2, 2009. http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/index.htm#common
Rubio-Tapio A et al. Ko te mate o te mate celiac i te United States. Te American Journal of Gastroenterology. 2012 Oketopa; 107 (10): 1538-44.
University of Chicago Celiac Disease Center. Kua tae mai: February 2, 2009. http://www.uchospitals.edu/specialties/celiac/
Whare Wānanga o Maryland mo te Celiac Research. Kua uru atu; Pepuere 2, 2009. http://www.celiaccenter.org/celiac/faq.asp#common
Wm. K. Warren Medical Research Center mo te Celiac Disease Research. Kua tae atu ki: Fepuere 2, 2009. http://celiaccenter.ucsd.edu/learn_more.shtml