Managing Celiac Disease for Women
| Autor: | Megan Peterson, Sheila Grossman |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Infertility
medicine.medical_specialty Anemia media_common.quotation_subject MEDLINE Fertility Primary care Disease 03 medical and health sciences 0302 clinical medicine Nursing medicine Humans Medical history Family history Intensive care medicine media_common Advanced and Specialized Nursing 030219 obstetrics & reproductive medicine Primary Health Care business.industry Gastroenterology nutritional and metabolic diseases medicine.disease digestive system diseases Celiac Disease Female 030211 gastroenterology & hepatology business |
| Zdroj: | Gastroenterology Nursing. 39:186-194 |
| ISSN: | 1042-895X |
| Popis: | Although many people have symptoms of celiac disease, it can take a while to diagnose. Villous atrophy may be present long before any gastrointestinal symptoms. An important point to acknowledge is that celiac disease could be identified earlier in some women with a positive family history. The disease also could be the cause of some women's reproductive problems. Primary care providers, using comprehensive history taking, are in the unique position to identify individuals who may have celiac disease, assist women in gaining knowledge about a gluten-free diet, order diagnostic testing, and refer to a gastroenterologist. The positive change in fertility with a simultaneous improvement of nutrient deficiencies shortly after adopting a gluten-free diet indicates a possible link between such nutrients and sex hormone function. High levels of homocysteine, which can negatively impact fertility, have also been linked to individuals with problems, such as celiac disease, that decrease vitamin B12 absorption. The purpose of this article is to review the literature and the evidence-based care guidelines for comprehensive screening, diagnostics, and pathophysiology of celiac disease, with a specific focus on the female reproductive system, anemia management, and gluten-free diet integration. |
| Databáze: | OpenAIRE |
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