So ɛtɔ mmere bi a wo yafunu yɛ wo yaw anaasɛ wo yafunu yɛ wo yaw bere a wudi biribi te sɛ paanoo anaa bisket? Anaasɛ nnipa binom wɔ su bi a ɛne sɛ wɔrenni biribiara? Ɛnnɛ yɛrebɛka tebea bi a ebetumi ne biribi a ɛte saa wɔ abusuabɔ ho asɛm. Ɛno ne Celiac Yare. Ɛwom sɛ ebia eyi bɛyɛ te sɛ nea ɛyɛ den kakra de, nanso momma yɛnte ase kɛkɛ.
Dɛn ne celiac yare?
Sɛ yɛbɛka no tiawa a, celiac yare yɛ tebea a
ɔhaw bi a ɛwɔ yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa mu na ɛde ba . Wɔfrɛ eyi ``autoimmune disorder``. Nea ɛba wɔ eyi mu ne sɛ, sɛ yedi aduan a protein bi a wɔfrɛ no ``gluten`` wom a, yɛn nipadua no nipadua mu ahoɔden a ɛko tia nyarewa no dan tia. Sɛ yɛbɛka no pɛpɛɛpɛ a, yɛn nipadua susuw sɛ saa gluten yi yɛ ɔtamfo. Afei ɛyɛ nnuru a ɛko tia nyarewa a ɛbɛtow ahyɛ saa ɔtamfo no so. Nanso, saa ``antibody`` yi sɛe
yɛn ankasa dwensɔtwaa ketewaa no mu ɔfasu (mucosa) . Esiane ɔsɛe yi nti, dwensɔtwaa ketewa no ntumi nnye aduannuru a ɛwɔ aduan no mu no yiye. Ɛno ne bere
a aduannuru a wonnya nni ba. Saa protein a wɔfrɛ no ``gluten`` yi wɔ aburow mu titiriw. Titiriw wɔ nneɛma te sɛ
awi, atoko, ne rye mu . Wunim, nnuan dodow no ara a yedi, te sɛ paanoo, pasta, keeki, ne bisket no, wɔde saa aburow yi na ɛyɛ. Ɛnyɛ ɛno nko, na mmom ɛtɔ mmere bi mpo a, sauce, soup, ne nnuan a wɔakyekyere a yensusuw ho mpo betumi akura saa gluten yi mu. Wɔtaa de atoko anaa rye nso na ɛyɛ beer.
Ɔkwan bɛn so na celiac yare ka me nipadua?
Celiac yare no ka wo
dwensɔtwaa ketewaa no titiriw . Ɛha na aduannuru dodow no ara a ɛwɔ aduan a yedi mu no kɔ. Nea ɛka eyi ho ne protein ahorow te sɛ gluten. Nanso sɛ wowɔ celiac yare a, sɛ gluten hyɛn wo dwensɔtwaa ketewa no mu a, wo nipadua mu tumi a ɛko tia nyarewa no yɛ ho biribi. Ɛne sɛ, nipadua no mu tumi a ɛko tia nyarewa no soma nkwammoaa ne nnuru a ɛko tia nyarewa ma wɔsɛe gluten molecule ahorow no. Saa nkwammoaa yi sɛe dwensɔtwaa ketewaa no mu ntini, mucosa no. Susuw ho hwɛ, wɔayɛ yɛn dwensɔtwaa ketewa no mu yiye ma ɛyɛ nwonwa. Ne mu ɔfasu no nyɛ torotoro kɛkɛ. Ɛwɔ mpopaho pii, na nneɛma nketenkete a ɛte sɛ nsateaa a wɔde kyerɛ, a wɔfrɛ no
villi , ahyɛ mu ma. Saa villi yi ma w’aduan no yɛ kɛse ma ɛtwetwe aduannuru pii sɛnea ɛbɛyɛ yiye bere a woreyam no. Sɛ wotrɛw mu a, ebetumi ayɛ kɛse te sɛ tɛnis agodibea! Nanso nkwammoaa a ɛko tia nyarewa a ɛde celiac yare ba no ma saa `(villi)` yi nyinaa
yɛ petee na ɛyɛ petee , na ɛtew asase ani a ɛwɔ hɔ a wɔde twetwe aduannuru no so.
So celiac yare no yɛ nea asiane wom?
Yiw, sɛe dwensɔtwaa ketewaa no betumi de
ɔhaw kɛse aba . Sɛnea madi kan aka no, dwensɔtwaa ketewa no ne baabi a aduannuru a ɛwɔ aduan mu no nam `(mucosa)` so twetwe. Enti sɛ `(mucosa)` no sɛe a, ɛnyɛ adwuma yie. Yɛfrɛ eyi
Wɔfrɛ eyi sɛ ‘malabsorption’. Saa `(malabsorption)` yi betumi ama 'aduan pa a wonnya nni' aba . Afei nso, nyarewa afoforo pii betumi aba esiane aduannuru ahorow a enni hɔ nti. Sɛ tebea yi ka mmofra nkumaa titiriw a, wɔn nyin ne wɔn nkɔso betumi asɛe. Henanom na wonya celiac yare?
Celiac yare no abu so kɛse wɔ nnipa a wofi Europa Atifi fam mu. Wobu akontaa sɛ nnipa a wɔwɔ Europa ne Amerika Atifi fam no mu bɛyɛ 1% na wɔwɔ yare no. Sɛ obi a ɔwɔ w’abusua mu (busuani a ɔdi kan, te sɛ ɛna, agya, anaa abofra) wɔ yareɛ no a, wowɔ hokwan bɛyɛ 10% sɛ wo nso wobɛnya bi. Nnipa a wɔahu sɛ wɔwɔ celiac yare no mu 97% wɔ awosu mu abɔde pɔtee bi a ɛne no wɔ abusuabɔ. Wɔfrɛ eyinom `(HLA-DQ2)` anaa `(HLA-DQ8)`. So asiane afoforo wɔ hɔ?
Celiac yare abu so wɔ nnipa a wɔwɔ nkwaboaa mu nyarewa bi a wonya fi awo mu , te sɛ Down syndrome so. Ɛtaa ba nnipa a wɔwɔ nyarewa afoforo bi a nipadua no tumi ko tia nyarewa nso so kɛse . Saa nyarewa yi taa nya awosu mu nkwaadɔm, na ebetumi akanyan wɔn ho wɔn ho. Te sɛ nyarewa afoforo a nipadua no tumi ko tia nyarewa no, celiac yare abu so wɔ mmea so sen mmarima . Nkyɛmu no bɛyɛ mmienu ne baako (2:1). Ɛda adi sɛ wubenya celiac yare sɛ wowɔ:
- se woye fitaa a.
- se obi a ɔwɔ w'abusua mu wɔ saa yareɛ yi a.
- se wowɔ chromosomal a ɛnyɛ ne kwan so te sɛ `(Turner syndrome)`, `(Williams syndrome)` anaa `(Down syndrome)`.
- se wowɔ yareɛ foforɔ a nipadua no tumi ko tia nyarewa te sɛ `(Asikreyareɛ a ɛtɔ so 1)`, `(rheumatoid arthritis )`, `(microscopic colitis)` anaa `(Addison yareɛ)`.
- se woye obaa a.
Dɛn na ɛde celiac yare ba?
Anyɛ yiye koraa no, nyarewa pii a nipadua no tumi ko tia nyarewa te sɛ celiac yare no fã bi yɛ awosu mu nyarewa . Ɛne sɛ, ɛda adi sɛ wubenya bi esiane awosu mu nkwaadɔm pɔtee bi a wɔde fi awo ntoatoaso so kɔ awo ntoatoaso so wɔ mmusua mu nti. Nanso, ɛnyɛ obiara a ɔwɔ saa awosu mu nkwaadɔm no na obenya yare no, na ɛnyɛ obiara a obenya yare no na obenya saa awosu mu nkwaadɔm a wɔahu no. Ɛte sɛ nea nneɛma afoforo nso di dwuma ma yare no fi ase. Ɔkwan bɛn so na obi nya celiac yare?
Nsusuwii biako ne sɛ nipadua mu nhyɛso kɛse betumi asɛe yɛn nipadua mu ahoɔden a ɛko tia nyarewa no.Wogye di sɛ asɛm bi a ɛyɛ awerɛhow na ebetumi akanyan no. Nnuruyɛfo ahu sɛ saa yare yi pue wɔ nipadua mu adeyɛ bi te sɛ oprehyɛn, yare, nyinsɛn, anaa adwenemhaw a emu yɛ den akyi. Nsusuwii foforo ne sɛ mmoawa nketenkete a wɔte yɛn dwensɔtwaa mu (nkwaboaa nketenkete a ɛwɔ wo dwensɔtwaa mu) na ɛka ho. Saa nsusuwii yi hia nhwehwɛmu foforo. Bere bɛn na celiac yare no da adi?
Celiac yare betumi anya mfe biara bere a wo anaa wo ba afi ase adi gluten akyi . Nnuruyɛfo taa hu no wɔ mfe abien mu: mmofraase, asram 8 kosi 12 , ne mfinimfini mfe, fi mfe 40 kosi 60 . Nea enti a ɛda adi ntɛm ne sɛ mmofra taa fi ase di nnuan a ɛyɛ den te sɛ bisket ne aburow a gluten wom. Dɛn ne celiac yare ho sɛnkyerɛnne ahorow?
Celiac yare ho sɛnkyerɛnne tumi gu ahorow kɛse wɔ onipa biara mu, enti ebetumi ayɛ den sɛ wobehu. Nnipa binom nni sɛnkyerɛnne biara koraa. Nnipa binom nya yafunu mu sɛnkyerɛnne (GI) bere a wɔadi gluten awie no. Ebia afoforo benya aduannuru a wonnya nni ho sɛnkyerɛnne a emu nna hɔ bere a wɔasɛe nneɛma no akyi nkutoo. Wɔ saa nnipa yi mu no, ebia mogya a ɛtɔ kɔ nipadua mu no ne tebea no ho sɛnkyerɛnne a edi kan. Ebia wubenya yare no ho sɛnkyerɛnne te sɛ eyinom:
Yafunu mu yare no ho sɛnkyerɛnne:
Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya a ɛtɔ kɔ nipadua mu a dade nnim:
- Mmerewa ne ɔbrɛ
- Sɛnea ɛte sɛ nea ɛyɛ bruu (Pallor) .
- Nsa ne anan a ɛyɛ nwini
- Nnadewa a ɛyɛ mmerɛw anaasɛ ɛyɛ kurukuruwa
- Tipaeɛ
- Ano mu akuru
Nsɛnkyerɛnne afoforo a ɛkyerɛ sɛ aduan pa a wonnya nni:
- Mu duru a wɔtew so a wɔanhyɛ da
- Mmofra nyin a ɛkyɛ ne nkɔso a entumi nyɛ yiye (Wɔntumi nnya nkɔso) .
- Ntini a wɔsɛe no anaasɛ ntini a ɛba fam
- Sɛ nhwɛso no, nsensan mu ntini a ɛtɔ sin, ɛyɛ abon, nkekae, anaasɛ sɛnea ɛte sɛ nea ɛyɛ hann
- Brayɛ a ɛnkɔ so daa anaasɛ ɛyɛ den sɛ obenyinsɛn
- Adwene mu nsakrae, nea ɛtaa ba mmofra mu dadwen ne mpanyimfo adwenemhaw
Honam ani yare a ɛma obi ho yɛ hyew:
Nnipa a wɔwɔ celiac yareɛ no mu bɛyɛ 15% nya saa honam ani yareɛ a enni sabea yi sɛ nea ɛde ba. Wɔsan frɛ no ‘gluten akisikuru’ anaa ‘celiac akisikuru’ . Gluten antibodies koro no ara a ɛsɛe dwensɔtwaa ketewaa wɔ celiac yare mu no na ɛde tebea yi ba. Dermatitis herpetiformis yɛ akisikuru a ɛyɛ yaw, ɛyɛ akuwakuw a ɛte sɛ akisikuru anaa akisikuru. Ɛtaa pue wɔ nsateaa, nkotodwe, akyi, anaa ti nhwi so. Wobɛyɛ dɛn ahu sɛ wowɔ celiac yare anaa?
Sɛ wunya aduan mu haw ahorow bere a woadi gluten awie a, ebia wubesusuw sɛ wowɔ celiac yare. Ɛte sɛ nea nnipa pii wɔ gluten anaa awi nneɛma ho nkate wɔ wɔn aduan mu. Aduan a wontumi nnyina ano no betumi de sɛnkyerɛnne a ɛnyɛ dɛ aba bere a woadi nnuan akyi, nanso ɛnsɛe dwensɔtwaa no te sɛ celiac yare. Nea ɛbɛyɛ na nnuruyɛfo ahu celiac yare no, wɔhwehwɛ adanse a ɛkyerɛ sɛ saa ɔsɛe yi. Ade a ɛho hia sen biara ne sɛ wobɛkɔ akɔyɛ celiac yare ho nhwehwɛmu ansa na woafi ase adi aduan a gluten nnim. Ɛno ne bere a sɔhwɛ ahorow no bɛda sɛnea gluten renya wo nipadua so nkɛntɛnso ankasa no adi. Sɛ wugyae gluten di a, wo dwensɔtwaa befi ase ayɛ yiye. Ayaresa ye, nanso afei adanse a ɛkyerɛ sɛ celiac yare no befi hɔ. Ɛsɛ sɛ wo ne wo duruyɛfo hu no yiye sɛ wowɔ bi anaa, sɛnea ɛbɛyɛ a mubetumi asi ayaresa ko a wuhia ho gyinae kɔ w’anim.
Ɔkwan bɛn so na nnuruyɛfo yɛ nhwehwɛmu sɛ ebia obi anya celiac yare anaa?
Nnuruyɛfo fa akwan abien so hwehwɛ celiac yare mu. Wɔpɛ sɛ wɔde abien no nyinaa bom de si nea wɔahu no so dua. Nea edi kan ne mogya mu nhwehwɛmu . Nnuruyɛfo hwehwɛ nnuru a ɛko tia nyarewa wɔ wo mogya mu a ɛyɛ nea ɛko tia gluten. Afei, wɔhwehwɛ nneɛma a asɛe. Nea ɛka eyi ho ne sɛ wubegye ntini ketewaa bi (biopsy) afi wo dwensɔtwaa ketewaa no mu na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Sɛ wobɛfa saa nhwɛsode yi a, yafunu mu ɔyaresafo bɛyɛ wo dwensɔtwaa ketewaa no mu nhwehwɛmu wɔ endoscopic mu. Endoscopy yɛ sɔhwɛ a ɛfa afiri tenten a ɛyɛ tratraa a wɔde mfoninitwa afiri ketewaa bi hyɛ mu. Bere a wɔreyɛ atifi endoscopy , wɔde endoscope bi fa menewa no mu kɔ dwensɔtwaa ketewaa no atifi, a wɔfrɛ no duodenum . Oduruyɛfo a ɔreyɛ endoscopy no gyina mfonini ahorow a wohu fi mfoninitwa afiri no mu so betumi de nnwinnade afa afiri no mu na wayɛ nipadua no mu nhwehwɛmu. Sɔhwɛ afoforo
Sɛ wohu celiac yare no wie a, wo duruyɛfo bɛpɛ sɛ ɔhwɛ wo mogya mu hwɛ sɛ vitamin ne mineral pɔtee bi nni mu anaa . Sintɔ a emu yɛ den betumi anya wo nipadua so nkɛntɛnso ahorow na ebia ebehia sɛ wode nnuru a wɔde ka ho sa wo yare tẽẽ. Nea ɛtaa ba ne mogya a ɛtɔ kɔ nipadua no mu a dade nnim , mogya a ɛtɔ kɔ nipadua mu a enni vitamin , ne vitamin D a enni nipadua mu . Ebia wowɔ electrolytes te sɛ calcium nso a ɛba fam. Ɔkwan bɛn so na wɔsa celiac yare?
Ade a edi kan ne nea ɛho hia sen biara wɔ celiac yare a wɔsa mu ne sɛ wobegyae gluten a wodi koraa . Worentumi nsakra ɔkwan a wo nipadua fa so yɛ n’ade wɔ gluten ho, nanso wubetumi asiw gluten kwan sɛ ɛremma saa adeyɛ no mma. Sɛ wugyae gluten di a, wo dwensɔtwaa ketewaa no befi ase ayɛ yiye na ɛrenkyɛ atumi atwe aduannuru no bio. Nanso, ɛho behia sɛ wudi aduan a ɛyɛ katee a gluten nnim mu wo nkwa nna nyinaa na amma wo dwensɔtwaa ketewa no ansɛe bio. Ayaresa afoforo betumi ayɛ:
* Sɛ sintɔ ahorow a anibere wom wɔ hɔ a, fa aduannuru a wɔde ma na fa siesie.
* Fa nnuru pɔtee bi te sɛ dapsone sa dermatitis herpetiformis yare.
* Corticosteroids a wɔde sa ɔfe a emu yɛ den a ɛnyɛ nea ɛyɛ adwuma ntɛm wɔ aduan ho.
* Ɔhwɛ a wɔkɔ so di akyi, a nhwehwɛmu a wɔyɛ no daa ka ho, de hwɛ hu sɛ wɔatumi adi yare no so.
Bere tenten ahe na egye ansa na obi ho atɔ no wɔ ayaresa mu?
Wɔ nnipa dodow no ara fam no , ɛkame ayɛ sɛ yare no ho sɛnkyerɛnne fi ase tu mpɔn bere a wɔafi aduan a gluten nnim ase akyi pɛɛ . Ebetumi agye adapɛn kakraa bi ansa na wɔadi wo aduannuru a enni mu no ho dwuma, na ebetumi agye asram kakraa bi ansa na wo dwensɔtwaa no ayɛ yiye koraa. Wɔ tebea horow bi mu no, ebetumi agye bere tenten, a egyina sɛnea nneɛma asɛe no kɛse ne bere tenten a atra hɔ so. Sɛ woanni aduan a ɛyɛ katee akyi a, wobetumi akyɛ sɛ wo ho bɛtɔ wo. Dɛn ne nnipa a wɔwɔ celiac yare no anim?
Nnipa pii a wohu sɛ wɔwɔ bi na wogyae gluten a wodi no betumi ahwɛ kwan sɛ wɔn ho bɛtɔ wɔn yiye . Wobetumi asan asɛe nneɛma a celiac yare de ba no mu dodow no ara. Sɛ wokɔ so nya yare no ho sɛnkyerɛnne ahorow a, ebia woredi gluten kakraa bi a wunnim, anaasɛ ebia wowɔ tebea a ɛto so abien. Nnipa bɛyɛ 5% pɛ na wɔwɔ celiac yare a ɛnyɛ den ankasa, a ɛnyɛ nea ɛyɛ adwuma wɔ aduan a wɔde di dwuma ho. Sɛ woannyae gluten a wodi a, dɛn na ɛba? Dɛn ne nsɛnnennen a ɛtra hɔ kyɛ?
Sɛ wohu sɛ wowɔ akyiri mfe pii, anaasɛ wuntumi nkwati gluten a wubedi wɔ ɛno akyi a, celiac yare no nkɛntɛnso betumi ayɛ kɛse na atra hɔ akyɛ . Nsɛnnennen a efi aduan pa a wonnya nni a enni sabea mu ba:
- Rickets wɔ mmofra mu anaasɛ osteomalacia wɔ mpanyimfo mu.
- Osteopenia ( nnompe a ɛyɛ teateaa) ne osteoporosis ( nnompe a ɛyera).
- Nsõ a ɛyɛ mmerɛw a ɛtra hɔ daa.
- Nkɛntɛnso a enya wɔ ntini ahorow so (peripheral neuropathy), a nea ɛka ho ne akisikuru ne akisikuru, ntini a ɛtwetwe, ne kari pɛ ne nhyehyɛe ho haw ahorow (ataxia).
- Mmofra nyin ne wɔn nkɔso a ɛkyɛ, wɔn a wɔn ho yɛ den.
- Ɛyɛ den sɛ wode w’adwene besi biribi so na woasua ade.
Nsɛnnennen a efi ɔfe a enni sabea mu ba:
- Nkwammoaa a ɛko tia nyarewa a asɛe : Sɛ wo nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma boro so bere nyinaa a, enni nneɛma kakraa bi a ɛbɛma wɔadi tebea horow a egye ntɛmpɛ te sɛ ɔyare mmoawa ho dwuma. Eyi betumi ama asiane a ɛwɔ hɔ sɛ wobɛyare no ayɛ kɛse.
- Aduan foforo a wontumi nnye ntom : Bere a wo dwensɔtwaa mu ntini kɔ so sɛe no, ebia worentumi nnya aduannuru a kan no na wutumi yam no. Sɛ nhwɛso no , ebia lactose a wontumi nnyina ano no bɛba.
- Akuru ne akuru : Ɔfe a emu yɛ den betumi ama akuru aba wo dwensɔtwaa ketewa no mu. Akuru a emu yɛ den betumi afa dwensɔtwaa no fasu (yafunu mu tokuru) no mu mpo, a ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Ɔfe no betumi ama akuru ayɛ dwensɔtwaa no mu na ayɛ dwensɔtwaa no mu teateaa (stricture), na ebetumi ama dwensɔtwaa no asiw .
- Collagenous sprue : Saa yare a ɛntaa nsi yi ma collagen kɔ dwensɔtwaa ketewa no mu daa, na ebetumi asɛe aduannuru a wɔtwe no daa.
- Mmɛn mu yare : Bere kɔ so no, wubetumi anya mmerɛbo mu yare a enni sabea na mmerɛbo no asɛe nkakrankakra.
- Kokoram : Ɔfe a enni sabea ma asiane a ɛwɔ hɔ sɛ wubenya kokoram a ɛwɔ dwensɔtwaa mu (intestinal lymphomas, intestinal adenocarcinoma) ne esophageal kokoram no yɛ kɛse .
Wobɛyɛ dɛn ayɛ wo su wɔ aduan a gluten nnim ho?
Mfiase no, gluten nyinaa a wobɛkwati no betumi ayɛ te sɛ nea ɛyɛ den. Ɛsɛ sɛ wusua sɛnea wobɛkenkan nneɛma a wɔakyerɛw so na wohwɛ yiye wɔ gluten a ɛbɛba wɔ akwanhyia mu no ho. Asɛmpa no ne sɛ nneɛma pii wɔ hɔ a ɛbɛboa wo ma woafi w’aduan foforo no ase. Wo duruyɛfo betumi de wo akɔma aduan ho ɔbenfo a wɔakyerɛw ne din , a obetumi aboa wo ma woafi ase. Nnuan bɛn na ɛkanyan celiac sɛnkyerɛnne ahorow?
Gluten fi awosu mu wɔ aburow ne nneɛma bi a wɔde aburow ayɛ mu. Ɛno kyerɛ sɛ:- Awi (ahorow nyinaa te sɛ semolina, durum, bulgur, spelt, couscous) .
- Atoko (ne malt a wɔde atoko ayɛ) .
- Rye
Wɔde saa aburow yi yɛ:- Abodoo ne nneɛma a wɔde yɛ paanoo
- Aburow a ɛyɛ hyew ne nea ɛyɛ nwini
- Noodles ne pasta ahorow
- Beer, Lager ne Ale
- Nsã a malt wom
- Malt vinegar a wɔde yɛ aduru
Bio nso, wɔde gluten nso ka nnuan pii a wɔayɛ ho adwuma ho . Nhwɛsoɔ:- Soup ne sauce a wɔde yɛ aduan
- Salad a wɔde hyɛ mu ne nneɛma a wɔde yɛ aduan
- Nam a wɔayɛ ho adwuma (te sɛ hot dogs, deli nam) .
- Cheese, yogurt ne ice cream a wɔayɛ ho adwuma
- Aduan a wɔakyekyere
- Aduan a ɛyɛ dɛ
Nea ɛho hia: Ansa na wubedi nnuan a wɔayɛ no foforo no, hwɛ nea wɔakyerɛw so no mu hwɛ sɛ gluten biara nni hɔ a ahintaw.
Afotusɛm bi a wɔde ma ntɛm a wode bɛtra ase wɔ celiac yare ho:
- Yɛ menu a wobɛkɔ fie. Hwɛ aduannoa ho nhoma ahorow mu na paw aduannoa ho akwankyerɛ kakraa bi a wubetumi adi daa na ɛnyɛ den sɛ wobɛyɛ. Fa yɛ wo su sɛ wode nneɛma a wuhia no bɛto fie bere nyinaa.
- Fa nnuan kakraa bi a gluten nnim sie wo kar, bag, anaa ɔfese pon mu. Wɔbɛboa wo sɛ woannya biribi foforo biara a wubedi bere a wufi fie no a.
- Hwehwɛ adidibea kakraa bi a ɛwɔ nnuan a wotumi de ho to so a gluten nnim anaasɛ wunim sɛ wubetumi akra nneɛma afi hɔ dwoodwoo.
- Sɛ wunnim nea ɛwɔ aduan foforo mu ankasa a, ɛyɛ papa nso sɛ wode gluten sɔhwɛ nhama bɛto wo nsam de ahwɛ sɛ gluten wɔ mu anaa.
Awiei koraa no, nea ɛsɛ sɛ yɛkae
Sɛ wohu sɛ wowɔ celiac yare a, ɛbɛsakra w’aduan ne w’asetra kwan koraa. Na ɛbɛsakra w'asetra ma ayɛ papa . Ansa na wɔrehu sɛ wowɔ yare no, ebia na woredi gluten na woresɛe wo dwensɔtwaa ketewaa no nkakrankakra. Ebia woanya yare no ho sɛnkyerɛnne ahorow a ɛyɛ nwonwa a ɛnyɛ dɛ mfe pii a wunnim nea ɛyɛ mpo. Seesei a wunim no, wowɔ tumi a wode bɛsan akyekye w’akwahosan. Mma ɛnhaw wo, sɛ wudi ho dwuma yiye a, wubetumi akɔ so anya apɔwmuden!
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