Loaʻa iā ʻoe i kekahi manawa ka ʻeha o ka ʻōpū a i ʻole ka ʻōpū huhū ke ʻai ʻoe i kahi mea e like me ka berena a i ʻole nā biscuits? A i ʻole he ʻano ko kekahi poʻe e ʻai ʻole i kekahi mea? I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e pili ana i kahi mea like. ʻO ia ka maʻi Celiac. ʻOiai he mea paʻakikī kēia, e hoʻomaopopo maʻalahi kākou.
He aha ka maʻi celiac?
I ka ʻōlelo maʻalahi, ʻo ka maʻi celiac kahi maʻi i hoʻokumu ʻia e
kahi pilikia i loko o kā mākou ʻōnaehana pale ponoʻī . Ua kapa ʻia kēia he "maʻi autoimmune". ʻO ka mea e hana ʻia ma kēia, ke ʻai mākou i ka meaʻai i loaʻa kahi protein i kapa ʻia ʻo "gluten", huli ka ʻōnaehana pale o ko mākou kino iā ia. I ka pololei, manaʻo ko mākou kino he ʻenemi kēia gluten. A laila hana ia i nā antibodies e hoʻouka i kēlā ʻenemi. Eia naʻe, hōʻino kēia mau "antibodies"
i ka paia o loko (mucosa) o ko mākou ʻōpū liʻiliʻi ponoʻī . Ma muli o kēia hōʻino, ʻaʻole hiki i ka ʻōpū liʻiliʻi ke omo pono i nā meaʻai i loko o ka meaʻai. ʻO ia ka manawa e loaʻa ai
nā hemahema meaʻai . Loaʻa nui kēia protein i kapa ʻia ʻo "gluten" i nā palaoa. ʻOi loa i nā mea e like me
ka palaoa, ka bale, a me ka rai . ʻIke ʻoe, ʻo ka hapa nui o nā meaʻai a mākou e ʻai ai, e like me ka berena, ka pasta, nā keke, a me nā biscuits, ua hana ʻia mai kēia mau palaoa. ʻAʻole wale ia, akā i kekahi manawa hiki i nā mea ʻono, nā sopa, a me nā meaʻai i hoʻopaʻa ʻia a mākou i noʻonoʻo ʻole ai ke loaʻa kēia gluten. Hana pinepine ʻia ka pia mai ka bale a i ʻole ka rai.
Pehea ka hopena o ka maʻi celiac i koʻu kino?
ʻO ka maʻi Celiac ka mea nui e hoʻopilikia i kou
ʻōpū liʻiliʻi . ʻO kēia kahi e omo ʻia ai ka hapa nui o nā meaolaola i loko o ka meaʻai a mākou e ʻai ai. Hoʻokomo pū kēia me nā protein e like me ka gluten. Akā inā loaʻa iā ʻoe ka maʻi celiac, ke komo ka gluten i loko o kou ʻōpū liʻiliʻi, pane mai kāu ʻōnaehana pale. ʻO ia hoʻi, hoʻouna ka ʻōnaehana pale i nā cell a me nā antibodies e luku i nā mole gluten. Hoʻopōʻino kēia mau cell i ka uhi o loko o ka ʻōpū liʻiliʻi, ʻo ia ka mucosa. E noʻonoʻo e pili ana, ua hoʻolālā maikaʻi loa ʻia ka loko o ko mākou ʻōpū liʻiliʻi. ʻAʻole wale ka palahalaha o kona paia o loko. He nui nā pelu, a ua piha i nā ʻōpuʻu liʻiliʻi e like me nā manamana lima, i kapa ʻia ʻo
villi . Hāʻawi kēia mau villi i kāu meaʻai i kahi ʻili nui e omo i nā meaolaola he nui i ka wā o ka ʻai ʻana. Hiki ke nui e like me kahi kahua tennis inā ʻoe e hohola iā ia! Akā ʻo nā cell pale e hele mai me ka maʻi celiac
e hoʻopālahalaha a hoʻopālahalaha i kēia mau '(villi)' āpau, e hōʻemi ana i ka ʻili i loaʻa no ka omo ʻana i nā meaolaola.
He mea weliweli anei ka maʻi celiac?
ʻAe, hiki i ka hōʻino ʻana i ka ʻōpū liʻiliʻi ke loaʻa
nā hopena koʻikoʻi . E like me kaʻu i ʻōlelo ai ma mua, ʻo ka ʻōpū liʻiliʻi kahi e omo ʻia ai nā meaola i loko o ka meaʻai ma o ka `(mucosa)`. No laila, ke hōʻino ʻia ka `(mucosa)`, ʻaʻole ia e hana pono. Kāhea mākou i kēia he
Ua kapa ʻia kēia ʻo 'malabsorption'. Hiki i kēia '(malabsorption)' ke kumu i ka 'malnutrition' . Eia kekahi, hiki ke loaʻa nā maʻi ʻē aʻe he nui ma muli o ka nele o nā meaʻai like ʻole. Inā pili kēia ʻano i nā keiki ʻōpio, hiki ke hoʻopilikia ʻia ko lākou ulu ʻana a me ka ulu ʻana. ʻO wai ka mea e loaʻa ana i ka maʻi celiac?
ʻO ka maʻi Celiac ka mea maʻamau i nā poʻe o ka ʻāina ʻEulopa ʻĀkau. Ua manaʻo ʻia aia ma kahi o 1% o ka heluna kanaka ma ʻEulopa a me ʻAmelika ʻĀkau i loaʻa i ka maʻi. Inā loaʻa i kekahi o kou ʻohana (he hoahānau mua, e like me ka makuahine, ka makuakāne, a i ʻole ke keiki) ka maʻi, aia ma kahi o 10% ka manawa e loaʻa ai iā ia. 97% o ka poʻe i ʻike ʻia me ka maʻi celiac he ʻano gene kikoʻī e pili ana me ia. Ua kapa ʻia kēia mau mea ʻo `(HLA-DQ2)` a i ʻole `(HLA-DQ8)`. Aia kekahi mau kumu pilikia ʻē aʻe?
ʻOi aku ka maʻamau o ka maʻi Celiac i nā poʻe me kekahi mau maʻi chromosomal hoʻoilina , e like me Down syndrome. ʻOi aku ka maʻamau i nā poʻe me kekahi mau maʻi autoimmune ʻē aʻe . Hoʻokaʻawale pinepine kēia mau maʻi i nā genes, a hiki iā lākou ke hoʻoulu kekahi i kekahi. E like me nā maʻi autoimmune ʻē aʻe, ʻoi aku ka maʻamau o ka maʻi celiac i nā wahine ma mua o nā kāne . ʻO ka lakio ma kahi o ʻelua i hoʻokahi (2:1). ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi celiac inā loaʻa iā ʻoe:
- Inā he keʻokeʻo ʻoe.
- Inā loaʻa i kekahi o kou ʻohana kēia maʻi.
- Inā he ʻano ʻē kou o ka chromosome e like me `(Turner syndrome)`, `(Williams syndrome)` a i ʻole `(Down syndrome)`.
- Inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe e like me ka `(Diabetes Type 1)`, `(rheumatoid arthritis )`, `(microscopic colitis)` a i ʻole `(Maʻi ʻo Addison)`.
- Inā he wahine ʻoe.
He aha ke kumu o ka maʻi celiac?
He nui nā maʻi autoimmune, e like me ka maʻi celiac, ma ka liʻiliʻi he mau maʻi genetic . ʻO ia hoʻi, ʻoi aku ka nui o kou loaʻa ʻana ma muli o kahi ʻano gene kikoʻī i hoʻoili ʻia mai kēlā hanauna a i kēia hanauna i loko o nā ʻohana. Eia nō naʻe, ʻaʻole nā kānaka a pau i loaʻa kēlā ʻano gene e loaʻa i ka maʻi, a ʻaʻole nā kānaka a pau i loaʻa i ka maʻi e loaʻa i kēlā ʻano gene i ʻike ʻia. Me he mea lā he kuleana ko nā kumu ʻē aʻe i ka hoʻomaka ʻana o ka maʻi. Pehea e loaʻa ai i kekahi ka maʻi celiac?
ʻO kekahi kumumanaʻo, hiki i ke kaumaha kino nui ke hōʻino i kā mākou ʻōnaehana palekana.Ua manaʻoʻiʻo ʻia hiki ke hoʻāla ʻia e kahi hanana traumatic. Ua ʻike nā kauka ua ʻike ʻia kēia maʻi ma hope o kahi hanana kino e like me ke ʻoki kino, ka maʻi, ka hāpai ʻana, a i ʻole ka trauma noʻonoʻo koʻikoʻi. ʻO kekahi kumumanaʻo ʻē aʻe, pili nā microorganism e noho ana i loko o ko kākou ʻōpū (nā microorganism i loko o kou ʻōpū) . Pono kēia kumumanaʻo i ka noiʻi hou aku. I ka manawa hea e ʻike ʻia ai ka maʻi celiac?
Hiki ke ulu ka maʻi Celiac i kēlā me kēia makahiki ma hope o kou hoʻomaka ʻana a i ʻole kāu keiki e ʻai i ka gluten . ʻIke pinepine nā kauka iā ia i ʻelua mau hui makahiki: ka wā kamaliʻi, ma waena o 8 a me 12 mau mahina , a me ka makahiki waena, ma waena o 40 a me 60 mau makahiki . ʻO ke kumu e ʻike mua ʻia ai, no ka mea, hoʻomaka pinepine nā keiki e ʻai i nā meaʻai paʻa, e like me nā biscuits a me nā cereals, nona ka gluten. He aha nā hōʻailona o ka maʻi celiac?
Hiki ke ʻokoʻa loa nā hōʻailona o ka maʻi celiac mai kēlā kanaka a kēia kanaka, no laila hiki ke paʻakikī ke ʻike. ʻAʻohe hōʻailona o kekahi poʻe. Loaʻa i kekahi poʻe nā hōʻailona gastrointestinal (GI) ma hope o ka ʻai ʻana i ka gluten. Hiki i kekahi ke ʻike wale i nā hōʻailona maopopo ʻole o ka nele i nā meaʻai ma hope o ka hana ʻia ʻana o ka pōʻino. I loko o kēia poʻe, ʻo ka anemia paha ka hōʻailona mua o ke kūlana. Loaʻa paha iā ʻoe nā hōʻailona e like me kēia:
Nā hōʻailona o ka ʻōpū:
Nā hōʻailona o ka anemia nele i ka hao:
- Ka nāwaliwali a me ka luhi
- Ke ʻano mae (Pallor)
- Nā lima a me nā wāwae anu
- Nā kui palupalu a ʻūlū paha
- ʻEha poʻo
- ʻEha waha
Nā hōʻailona ʻē aʻe o ka nele i ka meaʻai:
- Ka pohō kaumaha i manaʻo ʻole ʻia
- Ka lohi o ka ulu ʻana a me ka hoʻomohala ʻana o nā keiki (ʻAʻole hiki ke ulu pono)
- Ka emi ʻana o nā ʻiʻo a i ʻole ke kani haʻahaʻa o nā ʻiʻo
- nā hemahema o ka enamel niho, no ka laʻana, ka pitting, staining, a i ʻole kahi hiʻohiʻona translucent
- Ka menstruation kūpono ʻole a i ʻole ka pilikia o ka hāpai ʻana
- Nā loli o ke ʻano, ʻo ka hopohopo pinepine i nā keiki a me ke kaumaha i nā pākeke
Ma kahi o 15% o ka poʻe me ka maʻi celiac e loaʻa i kēia maʻi ʻili mau loa ma ke ʻano he hopena ʻaoʻao. Ua kapa ʻia hoʻi ia he 'gluten rash' a i ʻole 'celiac rash' . ʻO nā antibodies gluten like e hōʻino ana i ka ʻōpū liʻiliʻi i ka maʻi celiac ke kumu o kēia kūlana. ʻO ka Dermatitis herpetiformis kahi ʻulaʻula ʻāʻī, he ʻūlū e like me nā pehu a i ʻole eczema. ʻIke pinepine ʻia ia ma nā kuʻekuʻe lima, nā kuli, nā puʻupuʻu, a i ʻole ke poʻo. Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka maʻi celiac?
Inā loaʻa iā ʻoe nā pilikia ʻōpū ma hope o ka ʻai ʻana i ka gluten, hiki iā ʻoe ke manaʻo he maʻi celiac kou. Me he mea lā he maʻalahi ka nui o ka poʻe i ka gluten a i ʻole nā huapalaoa palaoa i kā lākou meaʻai. Hiki i nā mea ʻai ʻole ke hana i nā hōʻailona ʻoluʻolu ʻole ma hope o ka ʻai ʻana i nā meaʻai, akā ʻaʻole lākou e hōʻino i nā ʻōpū e like me ka maʻi celiac. No ka ʻike ʻana i ka maʻi celiac, ʻimi nā kauka i nā hōʻike o kēia pōʻino. ʻO ka mea nui loa, ʻo ia ka hoʻāʻo ʻia no ka maʻi celiac ma mua o kou hoʻomaka ʻana i kahi papaʻai gluten-free. ʻO ia ka manawa e hōʻike ai nā hoʻokolohua pehea e hoʻopilikia maoli ai ka gluten i kou kino. Ke hoʻōki ʻoe i ka ʻai ʻana i ka gluten, e hoʻomaka ana kou ʻōpū e ho'ōla. Maikaʻi ka ho'ōla ʻana, akā a laila e nalowale nā hōʻike o ka maʻi celiac. Pono ʻoe a me kāu kauka e ʻike pono inā loaʻa iā ʻoe, i hiki iā ʻoe ke hoʻoholo i ke ʻano o ka lāʻau lapaʻau āu e pono ai i ka wā e hiki mai ana.
Pehea e ho'āʻo ai nā kauka no ka maʻi celiac?
Hoʻohana nā kauka i ʻelua mau ʻano hana e hoʻāʻo ai no ka maʻi celiac. Makemake lākou e hoʻohana pū i nā mea ʻelua e hōʻoia i ka hōʻailona. ʻO ka mea mua he hoʻāʻo koko . Ke nānā nei nā kauka i nā antibodies i loko o kou koko i hana ʻia e kūʻē i ka gluten. A laila, ke nānā nei lākou i ka pōʻino. Pili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi o ka ʻiʻo (he biopsy) mai kou ʻōpū liʻiliʻi a nānā iā ia ma lalo o kahi microscope. No ka lawe ʻana i kēia laʻana, e hana kahi gastroenterologist i kahi hoʻokolokolo endoscopic o kou ʻōpū liʻiliʻi. ʻO ka endoscopy kahi hoʻāʻo e pili ana i ka hoʻokomo ʻana i kahi paipu lōʻihi a lahilahi me kahi kāmela liʻiliʻi i loko. I ka wā o ka endoscopy luna , ua hoʻouna ʻia kahi endoscope i lalo o ka puʻu a i loko o ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi, i kapa ʻia ʻo duodenum . Ma muli o nā kiʻi i ʻike ʻia mai ke kāmela, hiki i ke kauka e hana ana i ka endoscopy ke hoʻouna i nā mea hana ma o ka paipu a lawe i kahi biopsy. Nā hoʻokolohua hou aʻe
Ke hōʻoia ʻia ka maʻi celiac, makemake kāu kauka e nānā i kou koko no nā hemahema kikoʻī o ka wikamina a me nā minelala . Hiki i nā hemahema koʻikoʻi ke loaʻa nā hopena like ʻole i kou kino a pono paha e mālama pololei ʻia me nā mea hoʻohui. ʻO ka mea maʻamau ka anemia nele i ka hao , ka anemia nele i ka wikamina , a me ka nele i ka wikamina D. Loaʻa paha iā ʻoe nā pae haʻahaʻa o nā electrolytes, e like me ka calcium. Pehea e mālama ʻia ai ka maʻi celiac?
ʻO ka hana mua a koʻikoʻi loa i ka mālama ʻana i ka maʻi celiac, ʻo ia ka hoʻōki loa ʻana i ka ʻai ʻana i ka gluten . ʻAʻole hiki iā ʻoe ke hoʻololi i ke ʻano o ka pane ʻana o kou kino i ka gluten, akā hiki iā ʻoe ke pale aku i ka gluten mai ke kumu o kēlā hopena. Ke hoʻōki ʻoe i ka ʻai ʻana i ka gluten, e hoʻomaka ana kou ʻōpū liʻiliʻi e ho'ōla a hiki koke ke omo hou i nā meaʻai. Eia nō naʻe, pono ʻoe e mālama i kahi papaʻai gluten-free paʻa no ke koena o kou ola e pale aku ai i ka hōʻino hou ʻana i kou ʻōpū liʻiliʻi. Hiki ke komo pū me nā lāʻau lapaʻau ʻē aʻe:
* Inā he mau hemahema koʻikoʻi, e lawe i nā mea hoʻopihapiha meaʻai e hoʻoponopono ai iā lākou.
* E mālama i ka dermatitis herpetiformis me nā lāʻau lapaʻau kikoʻī e like me ka dapsone.
* Nā Corticosteroids no ka mumū koʻikoʻi i pane koke ʻole i ka ʻai.
* Ka mālama hoʻomau ʻana, me nā nānā kino maʻamau, i mea e kaohi ai i ka maʻi.
ʻEhia ka lōʻihi e ho'ōla ai mai ka lāʻau lapaʻau?
No ka hapa nui o nā kānaka , hoʻomaka koke nā hōʻailona e hoʻomaikaʻi ma hope o ka hoʻomaka ʻana i kahi papaʻai gluten-free . Hiki ke hala i kekahi mau pule no ka hoʻoponopono ʻana i kou mau hemahema meaʻai, a hiki ke hala i kekahi mau mahina no ka ho'ōla piha ʻana o kou ʻōpū. I kekahi mau hihia, hiki ke lōʻihi, ma muli o ka nui o ka pōʻino a me ka lōʻihi o kona noho ʻana. Inā ʻaʻole ʻoe e hahai i kahi papaʻai paʻa, hiki ke hoʻopaneʻe ʻia ka hoʻōla ʻana. He aha ka manaʻolana no nā poʻe me ka maʻi celiac?
Hiki i nā poʻe he nui i ʻike ʻia a hoʻōki i ka ʻai ʻana i ka gluten ke manaʻo e hoʻōla maikaʻi loa . Hiki ke hoʻohuli ʻia ka hapa nui o ka pōʻino i hana ʻia e ka maʻi celiac. Inā hoʻomau ʻoe i nā hōʻailona, hiki iā ʻoe ke ʻai i nā liʻiliʻi o ka gluten me ka ʻike ʻole, a i ʻole he maʻi lua paha kāu. Ma kahi o 5% wale nō o ka poʻe i loaʻa i ka maʻi celiac refractory maoli, ʻaʻole ia e pane i ka kaohi ʻana i ka ʻai. He aha ka mea e hana ai inā ʻaʻole ʻoe e hoʻōki i ka ʻai ʻana i ka gluten? He aha nā pilikia lōʻihi?
Inā ua ʻike ʻia ʻoe he mau makahiki ma hope, a inā ʻaʻole hiki iā ʻoe ke pale aku i ka ʻai ʻana i ka gluten ma hope, hiki i nā hopena o ka maʻi celiac ke ʻoi aku ka koʻikoʻi a me ka lōʻihi . Nā pilikia o ka ʻai ʻole mau loa:
- ʻO ka rickets i nā keiki a i ʻole ka osteomalacia i nā pākeke.
- ʻO ka Osteopenia ( ka lahilahi o nā iwi) a me ka osteoporosis ( ka nalowale o ka iwi).
- Nā hemahema o ka enamel niho mau loa.
- Nā hopena ma ka ʻōnaehana nerve (peripheral neuropathy), me ka numbness a me ke kani ʻana, ka ʻūlū ʻana o nā ʻiʻo, a me nā pilikia kaulike a me ka hoʻonohonoho ʻana (ataxia).
- Ka lohi o ka ulu ʻana a me ka hoʻomohala ʻana i nā keiki, ka stunting.
- Ka paʻakikī i ka noʻonoʻo a me ke aʻo ʻana.
Nā pilikia o ka mumū mau loa:
- Palekana i hoʻopilikia ʻia : Ke hana nui mau nei kāu ʻōnaehana pale, ʻaʻohe ona kumuwaiwai e hoʻoponopono ai i nā pilikia e like me nā maʻi. Hiki i kēia ke hoʻonui i kou pilikia o ka maʻi.
- Nā maʻi ʻaʻai hou aʻe : Ke hoʻomau nei ka hōʻino ʻia ʻana o ka uhi o kou ʻōpū, hiki iā ʻoe ke lilo i mea hiki ʻole ke hoʻoheheʻe i nā meaʻai āu i hiki ai ke hoʻoheheʻe ma mua. No ka laʻana , hiki ke ulu ka maʻi ʻaʻai ʻole i ka lactose .
- ʻUlu a me ka ʻōpala : Hiki i ka mumū nui ke hana i nā ʻōpala i loko o kou ʻōpū liʻiliʻi. Hiki i kahi ʻōpala nui ke hele ma waena o ka paia o ka ʻōpū (gastrointestinal perforation), he pilikia olakino ia. Hiki i ka mumū ke hana i nā ʻōpala i loko o ka ʻōpū a hoʻohaiki i ka ʻōpū (stricture), hiki ke hana i ka ʻōpū .
- ʻO ka sprue collagenous : ʻO kēia maʻi laha ʻole ke kumu o nā waihona collagen mau loa i loko o ka ʻōpū liʻiliʻi, hiki ke hoʻopilikia mau loa i ka omo ʻana o nā meaʻai.
- Maʻi akepaʻa : I ka hala ʻana o ka manawa, hiki iā ʻoe ke hoʻomohala i ka maʻi akepaʻa mau loa a me ka hōʻino ʻana o ke akepaʻa.
- Kanesa : Hoʻonui ka mumū mau i kou pilikia o ka hoʻomohala ʻana i nā maʻi ʻaʻai ʻōpū liʻiliʻi (nā lymphomas ʻōpū, adenocarcinoma ʻōpū) a me nā maʻi ʻaʻai esophageal .
Pehea ʻoe e hoʻomaʻamaʻa ai i ka papaʻai gluten-free?
I ka wā mua, hiki ke ʻike ʻia he mea paʻakikī ka pale ʻana i nā gluten āpau. Pono ʻoe e aʻo e heluhelu i nā lepili a e makaʻala e pili ana i ka haumia gluten ulia. ʻO ka nūhou maikaʻi, he nui nā kumuwaiwai i loaʻa e kōkua iā ʻoe e hoʻomaka i kāu papaʻai hou. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi meaʻai meaʻai i hoʻopaʻa inoa ʻia , hiki ke kōkua iā ʻoe e hoʻomaka. He aha nā meaʻai e hoʻoulu ai i nā hōʻailona celiac?
Loaʻa maoli ka Gluten i kekahi mau palaoa a me nā huahana i hana ʻia mai nā palaoa. ʻO ia hoʻi:- ʻO ka palaoa (nā ʻano āpau e like me ka semolina, durum, bulgur, spelt, couscous)
- Bale (a me ka malt i hana ʻia mai ka bale)
- Rai
Hoʻohana ʻia kēia mau mea kanu no ka hana ʻana i:- Berena a me nā huahana bakena
- Nā meaʻai wela a me ke anu
- Nā ʻano noodles a me ka pasta
- Pia, Lager a me Ale
- ʻO ka waiʻona i loaʻa ka malt
- Vīneka malt
Eia kekahi, ua hoʻohui ʻia ka gluten i nā huahana meaʻai i hana ʻia he nui. Eia kekahi laʻana:- Nā sopa a me nā mea ʻono
- Nā ʻaʻahu salakeke a me nā mea ʻala
- Nā ʻiʻo i hana ʻia (e like me nā ʻīlio wela, nā ʻiʻo deli)
- Kāhi i hana ʻia, yogurt a me nā huahana ice cream
- Nā meaʻai i hoʻopaʻa ʻia
- Meaʻai ʻono
Mea nui: Ma mua o ka ʻai ʻana i nā meaʻai i hana ʻia, e nānā i ka lepili e hōʻoia i ʻaʻohe gluten huna.
ʻEkolu mau ʻōlelo aʻoaʻo wikiwiki no ke ola ʻana me ka maʻi celiac:
- E hana i kahi papa kuhikuhi home e pono ai. E nānā i nā puke meaʻai a koho i kekahi mau meaʻai hiki iā ʻoe ke ʻai mau a maʻalahi hoʻi e hana. E hoʻomaʻamaʻa i ka mālama mau ʻana i nā meaʻai āu e pono ai ma ka home.
- E mālama i kekahi mau meaʻai māmā ʻole gluten i loko o kāu kaʻa, ʻeke, a i ʻole ka pākaukau keʻena. He mea pono lākou inā ʻaʻole hiki iā ʻoe ke loaʻa i kahi mea ʻē aʻe e ʻai ai ke haʻalele ʻoe i ka hale.
- E huli i kekahi mau hale ʻaina i loaʻa nā menus gluten-free hilinaʻi a i ʻole ʻoe i ʻike hiki iā ʻoe ke kauoha palekana mai.
- Inā ʻaʻole ʻoe maopopo i ka mea i loko o kahi meaʻai hou, he mea maikaʻi nō hoʻi e mālama i nā ʻāpana hoʻāʻo gluten e nānā inā he gluten.
ʻO ka mea hope loa, he aha e hoʻomanaʻo ai
ʻO ka hōʻoia ʻana o ka maʻi celiac e hoʻololi i kāu meaʻai a me kou nohona no ka wā pau ʻole. A e hoʻololi ia i kou ola no ka maikaʻi . Ma mua o kou hōʻoia ʻia ʻana, ua ʻai paha ʻoe i ka gluten a hōʻino mālie i kou ʻōpū liʻiliʻi. Ua loaʻa paha iā ʻoe nā hōʻailona ʻē a ʻoluʻolu ʻole no nā makahiki me ka ʻike ʻole i ko lākou ʻano. I kēia manawa ua ʻike ʻoe, loaʻa iā ʻoe ka mana e kūkulu hou i kou olakino. Mai hopohopo, inā ʻoe e hoʻokele pono, hiki iā ʻoe ke noho olakino!
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