Title Zdravstvena njega djeteta sa celijakijom Title (english) Health care in children with celiac disease Author Ivana Pigac Mentor Štefanija Munivrana (mentor) Committee member Ivana Živoder (predsjednik povjerenstva)Committee member Štefanija Munivrana (član povjerenstva) Committee member Melita Sajko (član povjerenstva)Granter University North Defense date and country 2017-09-27, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Celijakija ili glutenska enteropatija kronična je bolest tankog crijeva zbog trajne nepodnošljivosti glutena, prevenstveno iz pšenice, raži i ječma. Zbog imunološke reakcije na gluten u sluznici tankog crijeva dolazi do upale koja je obično klinički obilježena malapsorpcijom. Zahvaća sve dobne skupine i oba spola. Najčešće se javlja u ranom djetinjstvu, a može se javiti odmah nakon prvog uvođenja hrane koja sadrži gluten. Rjeđe je javljanje u kasnijoj dobi, a traje cijelog života. Prema istraživanjima javlja se u 1-2% stanovništva. Simptomi su različiti kod svakog bolesnika. Tipični simptomi su kronični proljev, česte obilne stolice, gubitak ili stagniranje na tjelesnoj težini, gubitak apetita, hipotrofija mišića, meteorizam. Atipični simptomi su gubitak tjelesne težine, anemija, opstipacija, zastoj u rastu, neplodnost, impotencija, hipoplazija zubne cakline, odgođena pojava puberteta. Uz celijakiju se javljaju i druge bolesti kao što su endokrine bolesti (dijabetes melitus tip I), neurološki poremećaji (cerebralna ataksija, migrena), srčane bolesti (autoimuni miokarditis), bolesti jetre (primarna bilijarna ciroza, autoimuni hepatitis). Sumnja na celijakiju postavlja se na temelju kliničke slike i laboratorijskih nalaza, dok je za postavljanje konačne dijagnoze potrebno učiniti biopsiju sluznice tankog crijeva.
Liječenje celijakije zahtijeva provođenje strogu doživotnu bezglutensku dijetu, što znači isključenje svih proizvoda od pšenice, raži i ječma. Danas postoji vrlo široka ponuda industrijskih dijetnih pripravka bez glutena.
Abstract (english) Celiac disease or gluten enteropathy is a chronic small bowel disease due to the persistent intolerance of gluten, primarily from wheat, rye and barley. Because of the immune response to gluten in the small intestine, inflammation is usually associated with maladsorption. Affirmations of all ages and both sexes. It is most common in early childhood and may occur immediately after the first introduction of gluten-containing foods. It is less frequent at a later age, it lasts for a lifetime. According to research, it occurs in 1-2% of the population. Symptoms are different in each patient. Typical symptoms are chronic digestive system, frequent large stools, loss or stagnation of body weight, loss of appetite, muscle hypotrophy, meteorism. Atypical symptoms include weight loss, anemia, constipation, growth failure, infertility, impotence, dental plaque hypothalamus, delayed puberty. Other disorders include celiac disease such as endocrine disorders (diabetes mellitus type I), neurological disorders, cerebral ataxia, cardiovascular disease, autoimmune hepatitis. Celiac disease is based on clinical images and laboratory findings, while the small intestinal mucosa biopsy for the final diagnosis should be made.
Celiac treatment requires the implementation of strict life-threatening diet, meaning exclusion of all products of wheat, rye and barley. Today there is a very wide range of industrial dietetic gluten-free products.
Keywords
Celijakija
gluten
medicinska sestra
dijeta
prehrana
Keywords (english)
Celiac disease
gluten
nurse
diet
nutrition
Language croatian URN:NBN urn:nbn:hr:122:543613 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2017-10-17 12:04:30
