Дискуссионные вопросы профилактики целиакии

СтатьяМЕД СОВЕТ. 2015; № 14: 119–122. DOI:10.21518/2079-701X-2015-14-119-122

Захарова И. Н.^[1]

Дмитриева Ю.А.^[1]

Климов Л.Я.^[2]

Дзебисова Ф.С.^[1]

^[1]Российская медицинская академия последипломного образования (Москва)

^[2]Ставропольский государственный медицинский университет

С момента формирования современных представлений о патогенезе целиакии стало активно обсуждаться значение средовых факторов в ее развитии. Наибольший интерес ученых привлекало возможное влияние характера вскармливания ребенка в раннем возрасте на риск развития заболевания. В статье авторами проанализированы исследования, опубликованные в течение последних 15 лет, демонстрирующие изменение представлений о роли грудного вскармливания и сроков введения глю-тенсодержащих продуктов в патогенезе глютеновой энтеропатии. Результаты последних опубликованных крупных контролируемых исследований позволили достоверно показать, что возможность выработки оральной толерантности к глютену при целиакии как генетически детерминированном заболевании невозможно, при этом риск и сроки дебюта заболевания в первую очередь обусловлены особенностями генотипа пациентов.

целиакия

дети

профилактика

грудное вскармливание

сроки введения глютена

генотип

Боли

Больные

Время

Генотип

Глиадин

Грудное вскармливание

Дети

Животные

Инфекции

Кинез

Молоко

Обзор

Пшеница

Работа

Риск

Характер

Целиакия

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Язык текста: Русский

ISSN: 2079-701X