Ua noʻonoʻo paha ʻoe no ke aha, ma hope o ka ʻai ʻana i kahi mea e like me ka berena, roti, a i ʻole noodles, manaʻo ʻoe i kekahi manawa i kahi manaʻo ʻē, ʻeha, a piha paha i loko o kou ʻōpū? No kekahi poʻe, hana mau kēia. Manaʻo mākou iā mākou iho, "Auē... ʻaʻole hiki iaʻu ke ʻai i kēlā." Akā ma hope o kēia ʻoluʻolu ʻole e hele mai me ka ʻai ʻana i ka palaoa, aia paha he moʻolelo koʻikoʻi a mākou i ʻike ʻole ai. ʻO kēlā moʻolelo ka maʻi celiac, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, `(Celiac Disease)`. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka maʻi Celiac?
E noʻonoʻo ʻoe he pūʻali koa pale akamai a ikaika hoʻi kou i loko o kou kino. Kāhea mākou i kēia ʻo ka ʻōnaehana pale. ʻO ka hana a kēia pūʻali koa, ʻo ia ka ʻimi, hoʻouka, a luku i nā ʻenemi e like me nā maʻi a me nā bacteria e komo i loko o kou kino, e pale ana iā ʻoe mai nā maʻi.
Akā i loko o kekahi me ka maʻi celiac, hana kēia ʻōnaehana pale i kahi hewa liʻiliʻi. Kuhi hewa ia i kahi mea ʻino ʻole a maʻamau no ka ʻenemi. I kēia hihia, ʻo kēlā "ʻenemi" he protein i kapa ʻia ʻo gluten .
No laila, ke ʻai kekahi me ka maʻi celiac i kahi meaʻai i loaʻa ka gluten, loaʻa i ka ʻōnaehana pale kahi hōʻailona e ʻōlelo ana, "Eia mai kahi ʻenemi!" A laila hele ka ʻōnaehana pale a hoʻomaka e hakakā i ka gluten. Akā ke hana nei kēia kaua i loko o kou ʻōpū liʻiliʻi . I kēia kaua, ʻo ka mea pōʻino, ʻaʻole wale ka gluten i hōʻino ʻia, akā ua hōʻino ʻia nā paia o kou ʻōpū liʻiliʻi.
I ka ʻōlelo maʻalahi, ʻo ka celiac kahi maʻi kahi e hoʻouka hewa ai ka ʻōnaehana pale o kou kino i kahi protein i kapa ʻia ʻo gluten. ʻAʻole ia he allergy maʻalahi, akā he maʻi autoimmune hohonu.
ʻAe, he aha kēia gluten a nā mea a pau e kamaʻilio nei?
He protein ka gluten i loaʻa i loko o nā palaoa e like me ka palaoa, ka bale, a me ka rai. ʻO ia ka mea e hāʻawi ai i ka palaoa berena i kona ʻano palupalu, a palupalu paha, i ka wā e kāwili ʻia ai. ʻO kēia ka mea e kōkua ai i nā berena a me nā keke e piʻi aʻe aʻe me ka nani.
Ma Sri Lanka, nui nā meaʻai a mākou e ʻai ai he gluten. E noʻonoʻo wale...
- ʻAina kakahiaka: Palaoa huita, kahi i hoʻohui ʻia i kekahi mau kari i ʻai ʻia me ka berena, nā buns, ka toast, a me ka laiki waiū.
- No ka ʻaina awakea: I kekahi manawa ʻai au i nā noodles a me ka pasta.
- Ka manawa kī awakea: nā keke, nā biscuits, nā patties, nā ʻōwili, nā keke iʻa.
- No ka ʻaina ahiahi: roti, paratha, kottu.
Eia kekahi, hiki ke hūnā ʻia ka gluten i loko o nā mea he nui a mākou e noʻonoʻo ʻole ai. No ka laʻana, hoʻohui ʻia ka gluten i nā mea ʻono, nā ʻeke sopa, kekahi mau ʻiʻo i hana ʻia, a me ka ice cream e hoʻomānoanoa ai. No laila, pono ka mea me ka maʻi celiac e makaʻala loa.
Hiki i kēia maʻi ke lilo i mea weliweli?
ʻAe, hiki ke koʻikoʻi kēia inā ʻaʻole mālama ʻia. E like me kā mākou i kūkākūkā ai ma mua, i kēlā me kēia manawa a mākou e ʻai ai i ka gluten, ua hōʻino ʻia ka ʻōpū liʻiliʻi. Loaʻa i ka paia o loko o ko mākou ʻōpū liʻiliʻi he miliona mau ʻōpuʻu liʻiliʻi e like me nā manamana lima. Kāhea mākou i kēia mau mea he `(villi)`. ʻO ka hana nui o kēia mau mea, ʻo ia ke omo i nā meaʻai (nā huaora, nā minelala, nā protein) mai ka meaʻai a mākou e ʻai ai.
I ka maʻi celiac, ke hoʻouka ka ʻōnaehana pale, palahalaha kēia mau villi a luku ʻia. Ua like ia me kekahi e hehi ana i kahi lau nahele nani. He aha ka mea e hana ai? ʻAʻole omo pono ke kino i nā meaʻai mai ka meaʻai. Kāhea mākou i kēia ʻano he malabsorption.
Inā hoʻomau kēia, e loaʻa ka ʻai ʻole . ʻO kēia ka mea weliweli loa. Hoʻopilikia nui kēia i nā keiki ʻōpio.
- Hiki i nā keiki ke ulu iki aʻe (ʻaʻole e ulu lōʻihi, ʻaʻole e nui).
- Hiki iā ia ke hoʻopilikia i ka ulu ʻana o ka noʻonoʻo a me ke kino o nā keiki.
No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻokuʻu i kēia me he "ʻeha ʻōpū maʻamau wale nō."
He aha nā hōʻailona o ka maʻi celiac?
ʻO kahi pilikia me kēia maʻi, ʻo ia ka ʻokoʻa loa o nā hōʻailona mai kēlā kanaka a kēia kanaka. ʻAʻole paha e hōʻike iki kekahi poʻe i kekahi mau hōʻailona. Akā, ke hana nei ka pōʻino i loko o ke kino. ʻElua mau pūʻulu makahiki maʻamau kahi e loaʻa ai kēia maʻi.
1. I ka wā kamaliʻi: Ma kahi o hoʻokahi makahiki, ʻo ia hoʻi, ke hoʻomaka ʻoe e hāʻawi i nā keiki liʻiliʻi i nā meaʻai i loaʻa ka gluten, e like me nā biscuits a me nā cereals.
2. Makahiki waena: Ma waena o 40 a me 60 mau makahiki.
E nānā kākou i ka papa ma lalo nei e ʻike i nā ʻano hōʻailona nui.
| Māhele hōʻailona | Nā mea e ʻike ai |
|---|---|
| Nā ʻano e pili ana i ka ʻōnaehana digestive |
|
| Nā hōʻailona o ka nele i ka hao (anemia) | |
| Nā hōʻailona ʻē aʻe o ka nele i ka meaʻai | |
| Nā hōʻailona ʻili |
No ke aha e loaʻa ai kēia maʻi? He aha nā kumu pilikia?
He maʻi hoʻoilina ka maʻi Celiac. ʻO ia hoʻi, he pilina genetic kona. Loaʻa i ka hapa nui o nā kānaka me ka maʻi celiac kekahi o nā hoʻololi gene i kapa ʻia ʻo `(HLA-DQ2)` a i ʻole `(HLA-DQ8)`. Eia naʻe, ʻaʻole nā kānaka a pau i loaʻa kēia mau gene e loaʻa i ka maʻi.
Manaʻo nā kauka ma waho aʻe o nā genes, hiki i nā kumu ʻē aʻe ke pāʻani i kahi kuleana i ka ulu ʻana o kēia maʻi. Akā, ʻaʻole lākou i ʻike pono i ke ʻano o lākou. Wahi a kekahi poʻe hiki ke ʻike koke ʻia kēia maʻi ma muli o kekahi mea e like me ke ʻoki kino nui, kahi maʻi koʻikoʻi, a i ʻole ka hāpai ʻana.
Aia kēia poʻe i ka pilikia nui aʻe:
- Inā loaʻa i kekahi o ka ʻohana (makuahine, makuakāne, kaikaina) ka maʻi celiac.
- Inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe (e.g., Type 1 diabetes, maʻi thyroid).
- Inā he mau maʻi chromosomal e like me Turner syndrome a i ʻole Down syndrome.
- ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine.
He aha nā hopena lōʻihi inā ʻaʻole mālama ʻia?
He mea nui loa nō hoʻi kēia. Inā ʻaʻole ʻike ʻia a hoʻowahāwahā ʻia paha ka maʻi, hiki ke ulu aʻe nā pilikia koʻikoʻi i ka hala ʻana o ka manawa.
| Ka pilikia | He wehewehe maʻalahi |
|---|---|
| Ka ʻai ʻole ʻana | ʻO ka nele o nā huaora a me nā minelala hiki ke alakaʻi i nā mea e like me nā iwi nāwaliwali (osteoporosis) a me ka hōʻino ʻana i ka ʻōnaehana nerve. He hopena nui kēia i ka ulu ʻana o nā keiki. |
| Ka hoʻomanawanui ʻole i nā meaʻai ʻē aʻe | ʻO ka hōʻino ʻana i ka ʻōpū liʻiliʻi hiki ke hana i kahi kūlana i kapa ʻia ʻo 'Lactose Intolerance', kahi hiki ʻole iā ʻoe ke hoʻoheheʻe i nā mea e like me ka waiū (lactose) āu i inu ai ma mua me ka ʻole o nā pilikia. |
| Ka pale ʻana i ka maʻi | ʻO ka loaʻa ʻana o hoʻokahi maʻi autoimmune e hoʻonui i kou pilikia o ka loaʻa ʻana o kekahi. Hoʻonui kēia pilikia i ka lōʻihi o ka waiho ʻole ʻia ʻana. |
| Maʻi akepaʻa | Hiki i kekahi mau maʻi ke hoʻomohala i nā pae enzyme ate kiʻekiʻe, hiki ke alakaʻi i ka maʻi ate mau loa i ka hala ʻana o ka manawa. |
| Ka pilikia o ke kanesa | ʻO ka maʻi celiac i mālama ʻole ʻia he liʻiliʻi loa ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻōpū liʻiliʻi (ma kahi o 7%). Hiki i kēia ke hala i nā makahiki he ʻumi e ulu ai. No laila, mai hopohopo, ʻo ka loaʻa ʻana o ka lāʻau lapaʻau ka mea nui loa. |
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe kēia maʻi?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea mua a koʻikoʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka. Mai hoʻoholo wale, "He gluten intolerant wau," a hoʻōki i ka ʻai ʻana i ka gluten. ʻO ka hana ʻana pēlā e alakaʻi ai i nā hopena hoʻāʻo diagnostic pololei ʻole.
Hoʻohana nui ke kauka i ʻelua mau ʻano hoʻāʻo e hōʻoia i ka maʻi.
1. Hoʻāʻo Koko: Nānā kēia e ʻike inā loaʻa i kou koko nā antibodies kūikawā a ka ʻōnaehana pale e hana ai e kūʻē i ka gluten.
2. Endoscopy:Inā he "maikaʻi" nā hopena o ka hoʻāʻo koko, a laila e hana kahi gastroenterologist i kēia hoʻāʻo. Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia ma o ka waha a ua nānā ʻia ka ʻōpū liʻiliʻi. I ka manawa like, ua lawe ʻia kahi ʻāpana liʻiliʻi loa o ka "biopsy" mai ka paia o ka ʻōpū liʻiliʻi a hoʻouna ʻia i ka hale hana. Ma laila, ua nānā ʻia nā "villi" a mākou i ʻōlelo ai ma lalo o kahi microscope e hōʻoia inā ua hōʻino ʻia.
He mea nui loa: A hiki i kou ʻike ʻana i kāu kauka a hana ʻia kēia mau hoʻokolohua a pau, he mea nui e hoʻomau ʻoe i ka ʻai ʻana i nā meaʻai i loaʻa ka gluten e like me ka maʻamau. A i ʻole, e ho'ōla iki paha kou ʻōpū liʻiliʻi a ʻaʻole paha e hōʻike ka hoʻokolohua i ka maʻi.
He aha nā lāʻau lapaʻau? Pono anei au e lawe i ka lāʻau lapaʻau no ke koena o koʻu ola?
Eia ka nūhou maikaʻi. ʻO ka lāʻau lapaʻau wale nō a ʻoi loa ka maikaʻi no ka maʻi celiac he ʻai gluten-free 100% no ke ola holoʻokoʻa. ʻAe, ʻaʻole pono ʻoe e lawe i nā pila he nui. ʻO kāu wale nō e hana ai, ʻo ia ke hoʻololi i kāu ʻai.
Ke hoʻōki loa ʻoe i ka ʻai ʻana i ka gluten, e pau ka hōʻino ʻana i kou ʻōpū liʻiliʻi. A laila e hoʻomaka mālie ia e hoʻōla, a hoʻōla paha. I loko o kekahi mau mahina, hoʻomaka ka omo ʻana o nā meaʻai e hoʻi i ka maʻamau.
Ma waho aʻe o kēia, hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- Inā koʻikoʻi nā hemahema i nā meaʻai, e noʻonoʻo i ka lawe ʻana i nā mea hoʻopihapiha wikamina a me nā minelala (e like me nā papa hao).
- Nā lāʻau lapaʻau e mālama ai i ka ʻili ʻulaʻula (dermatitis herpetiformis).
- Inā koʻikoʻi loa ka mumū i loko o ka ʻōpū, hiki ke hoʻohana ʻia nā corticosteroids pōkole e kāohi iā ia.
Pehea ʻoe e hoʻololi ai i ke ola gluten-free?
He mea paʻakikī paha kēia i ka wā mua, no ka mea, pono mākou e haʻalele i ka nui o nā meaʻai a mākou i maʻa mau ai. Akā, he hoʻopukapuka kālā kēia no kou olakino. I ka hala ʻana o ka manawa, e lilo kēia i mea maʻamau o kou ola.
Eia kekahi mau ʻōlelo aʻoaʻo e hiki ke kōkua iā ʻoe:
- E hoʻomaʻamaʻa i ka heluhelu ʻana i nā lepili: E heluhelu i nā "mea hoʻohui" ma kēlā me kēia pūʻolo āu e kūʻai ai mai ka hale kūʻai. E nānā inā ʻōlelo ʻia "Aia ka palaoa, ka bale, ka rai."
- E ʻike i nā mea i ʻole ka gluten: ʻO ka laiki, nā mea kanu, nā huaʻai, ka ʻiʻo, ka iʻa, nā hua manu, a me nā huahana waiū he ʻole ka gluten.
- ʻO kā mākou pani kūloko: Ma kahi o ka palaoa berena, hiki iā ʻoe ke ʻai i nā meaʻai i hana ʻia mai ka palaoa laiki, ka palaoa semolina, ka palaoa chickpea, a me ka palaoa gram ʻōmaʻomaʻo (indiappa, pittu, roti, kēlā).
- E makaʻala i ka wā e ʻai ai i waho:Inā ʻoe e ʻai ana ma kahi hale ʻaina, e nīnau iā lākou inā he mau koho gluten-free kā lākou. Ma nā wahi e hana ai i nā mea e like me ke kottu a me ka paratha, inā ʻoe e kuke i ka meaʻai gluten-free i loko o ka pā hoʻokahi, hiki ke hoʻohui ʻia ka gluten iā ia (cross-contamination). E makaʻala hoʻi i kēlā.
- E hana i kahi papa kuhikuhi home: E noʻonoʻo i kekahi mau meaʻai maʻalahi e hoʻomākaukau ai hiki iā ʻoe ke ʻai, a mālama i nā mea hoʻohui ma ka home. A laila ʻaʻole ʻoe e hopohopo e pili ana i ka pōloli.
He loli nui ka loaʻa ʻana o ka maʻi celiac i kou ola. Akā he loli maikaʻi ia. I kēia manawa ua ʻike ʻoe i ke kumu o kou ʻeha lōʻihi. Aia ka hopena i kou mau lima. Me ka ʻai kūpono, hiki iā ʻoe ke ola i kahi ola piha, olakino, a hauʻoli hoʻi.
Leka Lawe-Home
- ʻO ka maʻi Celiac kahi pane maʻamau ʻole o ka ʻōnaehana pale o ke kino i ka gluten protein. ʻAʻole ia he maʻi allergy maʻamau.
- Hoʻopōʻino kēia maʻi i ka ʻōpū liʻiliʻi a hoʻopilikia i ka omo ʻana o nā meaola mai ka meaʻai. Hiki i kēia ke alakaʻi i ka ʻai ʻole.
- ʻO ka ʻeha o ka ʻōpū, ka pehu ʻana, ka maʻi pākīkī, ka luhi, a me ka pohō kaumaha he mau hōʻailona maʻamau ia, akā ʻaʻohe hōʻailona o kekahi poʻe.
- Inā loaʻa iā ʻoe nā hōʻailona, e ʻike koke i kāu kauka. E pale i ka hoʻōki ʻana i nā meaʻai i loaʻa ka gluten me ka ʻole o ke aʻo ʻana a ke kauka.
- Hiki ke ʻike pololei ʻia ka maʻi ma o nā hoʻāʻo koko a me ka endoscopy.
- ʻO ka hahai ʻana i ka papaʻai 100% gluten-free no ke ola wale nō ka lāʻau lapaʻau a kūleʻa loa.
- Ma ka hahai ʻana i ka ʻai kūpono, hiki iā ʻoe ke ola i kahi ola olakino a ikaika hoʻi.
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