ENFERMEDAD CELIACA.ALGUNAS RESPUESTAS.
Dra. Susana Russo
Afortunadamente la difusión que han realizado enfermos y médicos, ha favorecido la obtención de diagnósticos precoces. Pero sigue habiendo muchos pacientes sin respuestas, es que es necesario”pensar en la enf. celiaca “,ante tan diversos síntomas.
Hace algunos años hablar de Enfermedad Celíaca era todo un desafío, ya que la mayoría de la población no sabía de su existencia.
Hoy gracias a la difusión que han realizado enfermos y médicos, hace que sea posible obtener diagnósticos precoces.
Hay muchas preguntas, pero estimo que estas son las más frecuentes:
¿Qué es la enfermedad celíaca?
Es una intolerancia al glúten , que es una proteína que se encuentra en el trigo, avena,cebada y centeno (TACC) Genera las pérdidas de las vellosidades intestinales, éstas son las encargadas de ingresar al organismo los nutrientes, vitaminas,calcio,hierro, etc. Por lo tanto si se afecta esa estructura el paciente tiene síntomas muy importantes.
¿Es una alergia?
No, se podría comparar con una alergia, ya que el paciente cuando está expuesto a el glúten padece síntomas, pero es una enfermedad genética, que afecta a niños y adultos.
¿Cuáles son los síntomas?
Los síntomas más frecuentes son dolor abdominal, distensión, diarrea,perdida de peso, anemia, trastornos en la piel, pelo, retraso del crecimiento en niños, pérdida de masa muscular, infertilidad, abortos espontáneos reiterados, todos estos son el resultado de la falta de absorción de diferentes vitaminas.
¿Cómo se llega al diagnostico?
Se realizan estudios en sangre, que llamamos anticuerpos y un estudio llamado endoscopía, que es un procedimiento sencillo, no doloroso, que permite ver el instestino y tomar muestras de biopsia para visualizar los cambios en las vellosidades.
¿Tiene cura?
El único tratamiento es la eliminación de el glúten de la dieta, el paciente reemplaza esas harinas por otras( madioca, maiz, arroz) Actualmente en todos los supermercados existen góndolas con los productos identificados como aptos para celíacos. Desde el 2011, existe una ley que reglamenta a obra sociales,asi como también obliga a la identificación de los producots como libres de gluten.
Si el paciente elimina de su dieta el glúten tendrá una vida absolutamente normal.
Es verdad que los cambios no son fáciles, pero la mejoría es tan rápida y evidente, que el paciente se adapta a su situación. Por otra parte existen grupos de ayuda, y mucha información y orientación. Los pacientes no deben desesperarse porque podrán tener una vida saludable y normal. Es verdad que no podrán improvisar, es un cambio en la rutina de la vida, que obliga a pensar en la comida para no caer en la transgresión. Pero, al revertir todos los sintomas, y sentirse bien, con energia, con animo, mejorando el estado de humor, la adptación a estos cambios se logra rapidamente.
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