ʻO ka maʻi Celiac: Ma mua o ka Intolerance Gluten

Anter

• He aha nā hōʻailona o ka maʻi celiac?
• ʻO nā maʻi maʻi Celiac i nā keiki
• ʻO nā maʻi maʻi celiac i ka poʻe mākua
• ʻO wai ka mea e makaʻu i ka maʻi celiac?
• Pehea e ʻike ʻia ai ka maʻi celiac?
• Pehea e mālama ʻia ai ka maʻi celiac?
• Ka mālama ʻana i ka meaʻai no ka poʻe me ka maʻi celiac

He aha ka maʻi celiac?

ʻO ka maʻi Celiac kahi maʻi digestive i hoʻokumu ʻia e kahi hopena pale ʻole i gluten. ʻO ka maʻi Celiac kekahi i kapa ʻia:

• sprue
• sprue nontropical
• enteropathy gluten-sensitive

ʻO Gluten kahi protein i loaʻa i nā meaʻai i hana ʻia me ka palaoa, ka bale, ka rai, a me ka triticale. ʻIke ʻia i loko o nā ʻoka i hana ʻia i ka hana ʻana i nā mea kanu e mālama i nā hua ʻē aʻe. Hiki ke loaʻa ʻo Gluten i kekahi mau lāʻau, nā wikamina, a me nā lipsticks. ʻO ka intolerance gluten, i ʻike ʻia hoʻi me ka ʻike gluten, ʻike ʻia e ka hiki ʻole o ke kino ke hoʻomake a wāwahi paha i ka gluten. ʻO kekahi poʻe me ka intolerance gluten i ka maʻalahi i ka gluten, ʻoiai ʻo kekahi he maʻi celiac kahi maʻi autoimmune.

I ka maʻi celiac, hana ka pale pale i ka gluten i nā toxins e luku i ka villi. ʻO Villi kahi protrusions liʻiliʻi e like me ka manamana lima i loko o nā ʻōpū liʻiliʻi. Ke hōʻino ʻia ka villi, ʻaʻole hiki i ke kino ke omo i nā meaʻai mai ka meaʻai. Hiki i kēia ke alakaʻi i ka malnutrisi a me nā pilikia olakino koʻikoʻi ʻē aʻe, me ka hōʻino ʻana o ka ʻōpū mau.

Wahi a ka National Institute of Diabetes and Digestive and Kidney Diseases, ma kahi o 1 o ka ʻAmelika i loaʻa i ka maʻi celiac. Pono nā poʻe me ka maʻi celiac e hoʻopau i nā ʻano gluten āpau mai kā lākou papaʻai. Hoʻopili kēia i ka nui o nā huahana berena, nā mea i hoʻomoʻa ʻia, pia, a me nā meaʻai kahi e hoʻohana ʻia ai ka gluten ma ke ʻano he mea paʻa.

He aha nā hōʻailona o ka maʻi celiac?

Hoʻopili pinepine nā maʻi maʻi celiac i ka ʻōpū a me ka ʻōnaehana digestive, akā hiki iā lākou ke hoʻopili i nā ʻāpana ʻē aʻe o ke kino. Loaʻa i nā keiki a me nā mākua nā ʻano ʻōuli ʻokoʻa.

ʻO nā maʻi maʻi Celiac i nā keiki

Hiki i nā keiki me ka maʻi celiac ke luhi a me ka huhū. Ua liʻiliʻi paha lākou ma mua o ka maʻamau a hoʻolohi i ka wā ʻōpio. ʻO nā ʻōuli maʻamau e pili pū me:

• Kaumaha emi
• ka luaʻi
• ʻōpū ʻōpū
• abdominal eha
• kūpikipiki paʻa ʻole a paʻa paʻa paha
• hulupala, momona, ʻaʻala ʻaʻala

ʻO nā maʻi maʻi celiac i ka poʻe mākua

Hiki i nā mākua me ka maʻi celiac ke ʻike i nā ʻōnaehana o ka digestive. I ka hapanui o nā hihia, eia kekahi, pili nā ʻōuli i nā wahi ʻē aʻe o ke kino. Pākuʻi ʻia paha kēia mau ʻōuli:

• anemia hemahema hao
• ʻeha puʻupuʻu a me ka ʻoʻoleʻa
• iwi palupalu, palupalu
• luhi
• ka hopu ʻana
• nā maʻi ʻili
• numbness a me ke kani ʻana i nā lima a me nā wāwae
• kuʻi niho a i ʻole nalo o ka enamel
• ʻeha keʻokeʻo ma loko o ka waha
• wā kūleʻa maʻamau
• infertility a me ka hāpai keiki ʻole

ʻO Dermatitis herpetiformis (DH) kekahi hōʻailona maʻamau o ka maʻi celiac. ʻO DH kahi ʻili ʻili ʻeleʻele loa i hana ʻia i nā puʻupuʻu a me nā puʻupuʻu. Hiki paha ke hoʻomohala ma nā kuʻekuʻe, ka ʻūlū, a me nā kuli. Hoʻopili ka DH ma kahi o 15 a 25 pakeneka o ka poʻe me ka maʻi celiac. ʻO ka poʻe i ʻike DH ʻaʻole maʻa mau nā ʻōnaehana digestive.

He mea nui e hoʻomaopopo he hiki ke hoʻololi i nā hōʻailona mai kahi kanaka a kahi kanaka e hilinaʻi ana i nā kumu like ʻole, e like me:

• ka lōʻihi o ka manawa hānai ʻia o kekahi e like me ke pēpē
• ka makahiki i hoʻomaka ai kekahi e ʻai i ka gluten
• ka nui o ka gluten e ʻai ai kekahi
• ke koʻikoʻi o ka pohō o ka ʻōpū

ʻO kekahi poʻe me ka maʻi celiac ʻaʻohe ʻōuli. Eia nō naʻe, hoʻomohala paha lākou i nā pilikia lōʻihi ma ke ʻano he hopena o ko lākou maʻi.

E hoʻonohonoho koke i kāu manawa me kāu kauka inā manaʻo ʻoe he maʻi celiac kāu a kāu keiki. Ke lohi nei ka ʻike a me ka hoʻomaʻamaʻa ʻana, e hiki nō paha nā pilikia.

ʻO wai ka mea e makaʻu i ka maʻi celiac?

Holo ka maʻi Celiac i loko o nā ʻohana. Wahi a ke Kulanui o Ke Kulanui Lapaʻau ʻo Chicago, loaʻa i ka poʻe he 1 i ka 22 manawa e loaʻa ai ka maʻi celiac inā loaʻa ka maʻi i ko lākou makua a kaikunāne paha.

ʻO ka poʻe i loaʻa i nā maʻi autoimmune ʻē aʻe a me kekahi mau maʻi kūlohelohe e loaʻa paha i ka maʻi celiac. ʻO kekahi mau ʻano pili i ka maʻi celiac me:

• lupus
• rumatika
• ʻano diabetes 1
• maʻi thyroid
• maʻi maʻi autoimmune
• Maʻi ʻo Addison
• ʻO Sjogren's Syndrome
• Down syndrome
• Turner maʻi maʻi
• hoʻomanawanui ʻole lactose
• maʻi ʻaʻai ʻōpū
• lymphoma ʻōpū

Pehea e ʻike ʻia ai ka maʻi celiac?

Hoʻomaka ka diagnostics me kahi loiloi kino a me ka mōʻaukala olakino.

E hana pū nā kauka i nā hoʻokolohua like ʻole e kōkua i ka hōʻoia ʻana i kahi hōʻailona. ʻO ka poʻe me ka maʻi celiac i loaʻa pinepine i nā kiʻekiʻe o ka antiendomysium (EMA) a me nā anti-tissue transglutaminase (tTGA) antibodies. Hiki ke ʻike ʻia kēia mau mea me nā hoʻokolohua koko. Kūpono loa nā hoʻokolohua ke hana ʻia lākou ʻoiai ʻo gluten i ka papaʻai.

ʻO nā hoʻokolohua koko maʻamau ka:

• helu piha koko (CBC)
• nā hoʻāʻo hana ate
• hoʻāʻo kolesterol
• hoʻāʻo pae pae alkaline
• hōʻike albumin serum

I ka poʻe me DH, hiki i kahi biopsy ʻili ke kōkua i nā kauka e hōʻoia i ka maʻi celiac. I ka wā o kahi biopsy o ka ʻili, e wehe ke kauka i nā ʻāpana ʻili o ka ʻili no ka nānā ʻana me kahi microscope. Inā hōʻike ka biopsy o ka ʻili a me nā hopena hōʻike i ke koko i ka maʻi celiac, ʻaʻole pono ka biopsy o loko.

I nā hihia kahi i hōʻoia ʻole ai nā hopena biopsy o ka ʻili, hiki ke hoʻohana ʻia kahi endoscopy luna e hoʻāʻo no ka maʻi celiac. I ka manawa o ka endoscopy o luna, ua ulana ʻia ka paipu lahilahi i kapa ʻia he endoscope ma o ka waha a i lalo i loko o nā ʻōpū liʻiliʻi. ʻO kahi kāmela liʻiliʻi i hoʻopili ʻia i ka endoscope e hiki ai i ke kauka ke nānā i nā ʻōpū a nānā no ka hōʻino ʻia o ka villi. Hiki i ke kauka ke hana i kahi biopsy ʻōpū, kahi e pili ana i ka lawe ʻia ʻana o kahi kiko kiko mai nā ʻōpū no ka loiloi.

Pehea e mālama ʻia ai ka maʻi celiac?

ʻO ke ala wale nō e mālama ai i ka maʻi celiac ka hoʻopau mau ʻana i ka gluten mai kāu papaʻai. ʻAe kēia i ka villi ʻōpū e hoʻōla a hoʻomaka i ke ʻimi pono ʻana i nā meaola. E aʻo aku kāu kauka iā ʻoe pehea e hōʻalo ai i ka gluten ʻoiai e ukali nei i kahi papaʻai momona a olakino hoʻi. Hāʻawi lākou iā ʻoe i nā ʻōkuhi pehea e heluhelu ai i ka meaʻai a me nā lepili huahana i hiki iā ʻoe ke ʻike i nā mea hoʻohui i loaʻa ka gluten.

Hiki ke hoʻomaikaʻi i nā ʻōuli i loko o nā lā o ka hemo ʻana i ka gluten mai ka papaʻai. Eia naʻe, ʻaʻole pono ʻoe e hōʻoki i ka ʻai ʻana i ka gluten a hiki i ka manawa e loaʻa ai kahi hōʻailona. Ke kāpae nei i ka gluten prematurely i nā hopena hōʻike a alakaʻi i kahi ʻike pololei ʻole.

Ka mālama ʻana i ka meaʻai no ka poʻe me ka maʻi celiac

ʻAʻole maʻalahi ka mālama ʻana i ka papaʻai gluten-ʻole. ʻO ka mea pōmaikaʻi, hana nui nā ʻoihana i kēia manawa i nā huahana gluten-ʻole, hiki ke loaʻa ma nā hale kūʻai a me nā hale kūʻai meaʻai kūikawā. E ʻōlelo nā lepili ma kēia mau huahana ʻo "gluten-free."

Inā loaʻa ʻoe i ka maʻi celiac, he mea nui e ʻike i nā meaʻai e palekana. Eia kahi o nā kulekele meaʻai e hiki ke kōkua iā ʻoe e hoʻoholo i ka mea e ʻai ai a me nā mea e hōʻalo ai.

Pale i nā mea hoʻohui aʻe:

• palaoa
• pela pela
• rai
• barley
• triticale
• bulgur
• durum
• farina
• palaoa graham
• semolina

Hōʻalo ke ʻole ka ʻōlelo lepili-ʻole:

• pia
• berena
• nā pōpō a me nā pai
• kanakē
• palaʻai
• nā kuki
• pahūpahū
• nā kōkō
• gravies
• ʻiʻo hoʻopāpā a iʻa iʻa paha
• ʻoka
• pasta
• nā ʻīlio awakea i hana ʻia, nā sausages, a me nā ʻīlio wela
• lole saladi
• nā sausa (komo pū me ka soy sauce)
• moa hoʻāʻo iho
• ʻāpala

Hiki iā ʻoe ke ʻai i kēia mau hua ʻole gluten a me nā starches:

• palaoa
• kulina
• ʻĀmare
• kakaka pua
• palaoa palaoa
• ka palaoa i hana ʻia mai ka laiki, ka soy, ka palaoa, kaʻuala, a i ʻole nā ​​pi
• tortilla palaoa maʻemaʻe
• quinoa
• laiki
• tapioka

ʻO nā meaʻai olakino, gluten-ʻole e komo pū me:

• nā ʻiʻo hou, nā iʻa, a me nā moa ʻaʻole i berena ʻia, lole ʻia, a marino ʻia
• huaʻai
• ka nui o nā huahana waiū
• ʻO nā mea kanu starchy e like me ka pī, kaʻuala, me nā ʻuala, a me ka palaoa
• laiki, nā pi, a me nā lihi
• nā mea kanu
• ka waina, nā mea inu lama, nā cider, a me nā ʻuhane

Pono e hoʻomaikaʻi i kāu mau hōʻailona i loko o nā lā i mau pule e hana ai i kēia mau hoʻoponopono dietary. I nā keiki, hoʻōla ka ʻōpū i ʻekolu a ʻeono mahina.Lawe ka hoʻōla Intestinal i mau makahiki i ka poʻe mākua. I ka manawa e hoʻōla loa ai ka ʻōpū, hiki i ke kino ke omo pono i nā meaʻai.