So wotaa yɛ wo yafunu mu yaw, wo ho yɛ wo yaw, anaasɛ wote nka sɛ wo ho ayɛ wo hyew ɛmfa ho sɛnea wudi no? Ebia wubesusuw sɛ eyi yɛ ade a ɛfata, anaasɛ esiane sɛ aduan a woredi no yɛ nnuhwam dodo nti. Nanso saa sɛnkyerɛnne ahorow yi betumi ayɛ tebea bi a nnipa pii nnim ho sɛnkyerɛnne, nanso sɛ wohu no yiye a, wobetumi adi so koraa. Ɛnnɛ yɛreka ho asɛm, Celiac Yareɛ, a nnipa pii ntee ho asɛm da. Nokwarem no, nhwehwɛmufo ka sɛ nnipa baanum biara a wɔwɔ saa yare yi mu biako pɛ na onim sɛ ɔwɔ bi. Ɛno nti na ɛho hia paa sɛ yɛma yɛn ani da hɔ no.
Sɛ yɛbɛka no tiawa a, dɛn ne Celiac Yare?
Sɛ yɛbɛka no tiawa a, ɛyɛ ɔhaw wɔ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no ho. Sɛ yedi nnuan a wɔde aburow te sɛ awi ne atoko (abodoo, buns, noodles, keeki) ayɛ a, yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fi ase ko tia protein a wɔfrɛ no gluten a ɛwɔ mu no. Saa ɔko yi sɛe yɛn ankasa dwensɔtwaa ketewaa no. Bere kɔ so no, saa ɔsɛe yi ma yɛn nipadua no ntumi nnye aduannuru a ehia no. Eyi ne nea yɛfrɛ no Celiac Yare. Eyi nyɛ aduan ho akisikuru a ɛtaa ba, na mmom ɛyɛ tebea a emu yɛ den kɛse.
Nhwehwɛmu: Yɛbɛyɛ dɛn ahu no yiye?
Yare yi ho sɛnkyerɛnne betumi ayɛ soronko koraa wɔ onipa biara ho. Bere a nnipa binom nya sɛnkyerɛnne ahorow te sɛ yafunu a ɛyɛ yaw, yafunu a ɛyɛ den, ne akisikuru no, afoforo nso betumi anya sɛnkyerɛnne ahorow te sɛ mu duru a ɛso tew, nkwaa mu yaw, honam ani haw, anaa ɔbrɛ a ɛba bere nyinaa. Esiane sɛ saa sɛnkyerɛnne ahorow yi mfi ase prɛko pɛ nti, ɛtɔ mmere bi a ebetumi agye mfe pii ansa na wɔahu yare no.
Nanso sɛ wususuw sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, hwɛ nneɛma yi so titiriw:
- Abusua abakɔsɛm: Sɛ obi a ɔwɔ w’abusua mu (ɛna, agya, onua, onuawa, abofra) wɔ Celiac Yare a, wowɔ asiane mu sɛ wo nso wubenya yare no. Enti, nyansa wom sɛ wo ne wo duruyɛfo bɛkasa na woayɛ nhwehwɛmu a ɛho hia.
- Ayaresa mu tebea afoforo: Sɛ wowɔ nyarewa afoforo a nipadua no tumi ko tia nyarewa, te sɛ Asikreyare a Ɛto so 1, mmerɛbo mu yare a nipadua no tumi ko tia nyarewa, anaa thyroid yare a, ɛho hia yiye sɛ wobɛyɛ Celiac Yare ho nhwehwɛmu.
Kae sɛ, sɛ wowɔ sɛnkyerɛnne anaa asiane bi a, hwɛ hu sɛ wobɛkɔ w’abusua oduruyɛfo nkyɛn na woaka eyi ho asɛm.
Nea ɛho hia kɛse: Nnyae gluten a wubedi ansa na woayɛ sɔhwɛ ahorow no!
Eyi yɛ mfomso kɛse a nnipa pii di. Wosusuw sɛ ebia wɔwɔ Celiac Yare na wɔagyae nnuan a gluten wom (te sɛ paanoo ne roti) a wodi ansa na wɔakɔ oduruyɛfo nkyɛn. Mesrɛ mo, monyɛ saa.
Nea enti a ɛte saa ne sɛ, sɛ sɔhwɛ ahorow no bɛyɛ pɛpɛɛpɛ a, ɛsɛ sɛ wunya gluten wɔ wo nipadua mu. Sɛ wugyae gluten a wudi a, ebia nhwehwɛmu ahorow no renhu yare no. Afei ebia wubenya nhwehwɛmu a ɛnteɛ.
Sɛ woadan akɔ aduan a gluten nnim so dedaw a, ɛda adi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ yɛ "gluten asɛnnennen." Eyi kyerɛ sɛ ɛsɛ sɛ wudi nnuan a gluten wom dodow bi (sɛ nhwɛso no, paanoo anan da biara) da biara adapɛn pii (mpɛn pii no bɛyɛ adapɛn 8) ansa na wɔayɛ sɔhwɛ ahorow no. Eyi betumi ayɛ den kakra, nanso ɛho hia na ama wɔahu yare no pɛpɛɛpɛ.
Dɛn ne sɔhwɛ ahorow yi?
Nhwehwɛmu atitiriw pii wɔ hɔ a wɔde hu Celiac Yare. Nea edi kan ne mogya ne awosu mu nhwehwɛmu.
Mogya ne Awosu mu Nhwehwɛmu
Eyinom yɛ sɔhwɛ ahorow a wodi kan yɛ. Nea ebefi eyinom mu aba no na ɛbɛkyerɛ nea ɛsɛ sɛ wɔyɛ akyi.
- Mogya mu Nhwehwɛmu: Eyi hwehwɛ sɛ nipadua mu nkwammoaa a ɛko tia nyarewa ahorow bi wɔ wo mogya mu anaa. Sɛ obi a ɔwɔ Celiac Yare no di gluten a, wɔn nipadua no yɛ saa nnuru a ɛko tia nyarewa yi. Enti sɛ nnuru a ɛko tia nyarewa yi dodow dɔɔso sen sɛnea ɛte daa a, ɛkyerɛ denneennen sɛ ebia wowɔ Celiac Yare.
- Awosu mu Nhwehwɛmu: Eyi sɔ wo awosu mu nkwaadɔm hwɛ sɛ ebia HLA-DQ2 ne HLA-DQ8 awosu mu nkwaadɔm no wɔ. Sɛ wunni saa awosu mu nkwaadɔm yi a, ɛnyɛ den koraa sɛ wubenya Celiac Yare. Wobetumi de mogya, nnompe, anaa nkwammoaa a wɔde fi w’ano mu ayɛ nhwehwɛmu yi.
Nanso kae sɛ, saa nhwehwɛmu ahorow yi nkutoo ntumi nsi so dua 100% sɛ wowɔ Celiac Yare. Sɛ nhwehwɛmu ahorow yi ma adwenem naayɛ sɔre wɔ yare no ho a, sɔhwɛ a edi hɔ a ɛho hia sen biara a ɛsɛ sɛ wɔyɛ ne endoscopy.
| Sɔhwɛ no din | Ɔkwan bɛn so na wɔyɛ? | Dɛn na worehwɛ? |
|---|---|---|
| Mogya mu Nhwehwɛmu | Mogya a wɔbɛfa sɛnea wɔtaa yɛ no. | Nnuru a ɛko tia gluten dodow. |
| Awosu mu Nhwehwɛmu | Nkwammoaa a wogye fii mogya, nnompe, anaa afono mu nhwɛsode. | HLA-DQ2/DQ8 awosu mu nkwaadɔm a ɛne Celiac Yare wɔ abusuabɔ. |
Endoscopy de si yare no so dua
Ebia nnipa binom bɛbɔ hu bere a wɔte saa din yi, nanso ɛnyɛ hu saa. Eyi ne sɔhwɛ a wɔde di dwuma de si so dua koraa sɛ ebia wowɔ Celiac Yare anaasɛ wunni bi.
Nea ɛka eyi ho ne sɛ wode afiri (scope) a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri ketewaa bi fa w’ano abata ho na wode sian wo menewam kɔ wo dwensɔtwaa ketewa no mu bɛhyɛ mu. Eyi ma wo duruyɛfo hu sɛ ebia biribi asɛe wo dwensɔtwaa ketewa no mu anaa.
Saa bere yi de, oduruyɛfo no yi ntini ketewaa bi fi dwensɔtwaa ketewa no fasu mu. Wɔfrɛ eyi biopsy . Afei wɔde saa ntini yi kɔ aduruyɛdan mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.
Dɛn na wɔrehwehwɛ wɔ biopsy mu?
Yɛn dwensɔtwaa ketewaa a ɛte apɔw no mu ɔfasu no wɔ nneɛma nketenkete ɔpepem pii a ɛte sɛ nsateaa a wɔfrɛ no villi . Wɔte sɛ nhama a ɛwɔ kapet a ɛyɛ den mu. Wɔn adwuma titiriw ne sɛ wɔbɛtwe aduannuru a efi aduan a yedi mu.
Wɔ obi a ɔwɔ Celiac Yare mu no, saa villi yi sɛe na ɛyɛ petee. Biopsy bɛhwɛ sɛ wo villi no asɛe wɔ saa kwan yi so anaa. Sɛ wɔasɛe a, ɛno ne adanse a emu yɛ den sen biara a ɛkyerɛ sɛ wowɔ Celiac Yare.
Saa endoscopy yi gye bɛyɛ simma 15. Na oduruyɛfo no yɛ nea obetumi biara de hwɛ hu sɛ worente nka sɛ wo ho nyɛ wo dɛ bere a woreyɛ saa oprehyɛn yi.
Nkrasɛm a Wɔde Kɔ Fie
- Ebia ɛbɛyɛ te sɛ nea Celiac Yare ho sɛnkyerɛnne (yafunu a ɛyɛ yaw, ɔbrɛ, mu duru a ɛso tew) yɛ nea ɛfata koraa, enti mmu w’ani ngu so.
- Sɛ wowɔ sɛnkyerɛnne bi anaa obi a ɔwɔ w’abusua mu wɔ saa yare yi a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.
- Mma w’ankasa nnyae nnuan a gluten wom a wubedi a wunni aduruyɛfo afotu. Saa a wɔbɛyɛ no bɛma ayɛ den sɛ wobehu yare no pɛpɛɛpɛ.
- Mogya mu nhwehwɛmu yɛ ade a wodi kan yɛ ara kwa. Wɔnam endoscopy ne biopsy so si yare no so dua 100%.
- Saa yare yi a wobehu no nyɛ ɔhaw, na mmom ade a edi kan a wɔfa so nya ano aduru. Sɛ woyɛ wo su sɛ wubedi aduan pa a, wubetumi atra ase a ahoɔden wom koraa.
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