Loaʻa iā ʻoe ka maʻi Celiac? Eia pehea e ʻike pono ai! (Maʻi Celiac)

Loaʻa pinepine iā ʻoe ka ʻeha o ka ʻōpū, ka pehu ʻana, a i ʻole ka manaʻo o ka pehu ʻana me ka nānā ʻole i ka nui o kāu ʻai ʻana? Manaʻo paha ʻoe he mea maʻamau kēia, a i ʻole no ka mea ʻala loa ka meaʻai āu e ʻai nei. Akā, hiki i kēia mau hōʻailona ke hōʻailona o kahi maʻi i ʻike ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻomalu loa ʻia inā ʻike pololei ʻia. I kēia lā ke kamaʻilio nei mākou e pili ana i ia mea, ʻo ia hoʻi ka maʻi Celiac, kahi i lohe ʻole ʻia e ka poʻe he nui. ʻO ka ʻoiaʻiʻo, ua ʻōlelo nā kānaka noiʻi hoʻokahi wale nō o ka poʻe ʻelima me kēia maʻi i ʻike ua loaʻa iā lākou. ʻO ia ke kumu he mea nui loa ka makaʻala iā ia.

I ka ʻōlelo maʻalahi, he aha ka maʻi Celiac?

I ka ʻōlelo maʻalahi, he pilikia ia me ko mākou ʻōnaehana pale. Ke ʻai mākou i nā meaʻai i hana ʻia mai nā palaoa e like me ka palaoa a me ka bale (berena, buns, noodles, keke), hoʻomaka ko mākou ʻōnaehana pale e hakakā i ka protein i kapa ʻia ʻo gluten i loko o lākou. Hoʻopōʻino kēia hakakā i ko mākou ʻōpū liʻiliʻi ponoʻī. I ka hala ʻana o ka manawa, ʻo kēia hōʻino ke kumu o ko mākou kino e hiki ʻole ke omo i nā meaola e pono ai. ʻO kēia ka mea a mākou e kapa nei he maʻi Celiac. ʻAʻole kēia he maʻi allergy meaʻai maʻamau, akā he ʻano paʻakikī.

Hōʻike: Pehea mākou e ʻike maopopo ai?

Hiki ke ʻokoʻa loa nā hōʻailona o kēia maʻi mai kēlā kanaka a kēia kanaka. ʻOiai kekahi poʻe e ʻike i nā hōʻailona e like me ka ʻōpū ʻeha, ka pehu ʻana, a me ka maʻi kahe, hiki i kekahi ke ʻike i nā hōʻailona e like me ka pohō kaumaha, ka ʻeha hui, nā pilikia ʻili, a i ʻole ka luhi mau. ʻOiai ʻaʻole hoʻomaka kēia mau hōʻailona i ka manawa hoʻokahi, hiki i kekahi manawa ke hala nā makahiki e ʻike ai i ka maʻi.

Akā inā manaʻo ʻoe he mau hōʻailona kēia iā ʻoe, e makaʻala pono i kēia mau mea:

• Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana (makuahine, makuakāne, kaikunāne, kaikuahine, keiki) ka maʻi Celiac, aia ʻoe i ka pilikia o ka loaʻa ʻana o ka maʻi pū kekahi. No laila, he mea naʻauao ke kamaʻilio me kāu kauka a hana i nā hoʻokolohua e pono ai.
• Nā kūlana olakino ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi autoimmune ʻē aʻe, e like me ka Type 1 Diabetes, ka maʻi autoimmune ate, a i ʻole ka maʻi thyroid, he mea nui loa ia e hoʻāʻo ʻia no ka maʻi Celiac.

He mea nui loa: Mai ho'ōki i ka ʻai ʻana i ka gluten ma mua o nā hoʻokolohua!

He kuhihewa nui kēia a ka poʻe he nui e hana ai. Manaʻo lākou he maʻi Celiac paha ko lākou a hoʻōki i ka ʻai ʻana i nā meaʻai i loaʻa ka gluten (e like me ka berena a me ka roti) ma mua o ke kipa ʻana i ke kauka. E ʻoluʻolu, mai hana ʻoe i kēlā.

ʻO ke kumu, i mea e pololei ai nā hoʻokolohua, pono ʻoe e loaʻa ka gluten i loko o kou kino. Inā ʻoe e hoʻōki i ka ʻai ʻana i ka gluten, ʻaʻole paha e ʻike nā hoʻokolohua i ka maʻi. A laila e loaʻa paha iā ʻoe kahi hōʻailona hewa.

Inā ua hoʻololi mua ʻoe i kahi papaʻai gluten-free, e noi paha kāu kauka iā ʻoe e hana i kahi "gluten challenge." ʻO ke ʻano kēia, pono ʻoe e ʻai i kahi nui o nā meaʻai i loaʻa ka gluten (no ka laʻana, ʻehā ʻāpana berena i ka lā) i kēlā me kēia lā no kekahi mau pule (ma kahi o 8 mau pule) ma mua o nā hoʻokolohua. Hiki ke paʻakikī iki kēia, akā he mea nui ia no ka loaʻa ʻana o kahi hōʻailona pololei.

He aha kēia mau hoʻāʻo?

Aia kekahi mau ʻano hoʻāʻo nui e ʻike ai i ka maʻi Celiac. ʻO ka mua, ʻo ia nā hoʻāʻo koko a me nā hoʻokolohua genetic.

Nā hoʻāʻo koko a me nā hoʻokolohua genetic

He mau hoʻokolohua mua kēia. Na nā hopena o kēia mau mea e hoʻoholo i ka mea e hana ai ma hope.

• Hoʻāʻo Koko: Hoʻāʻo kēia no kekahi mau ʻano antibodies i loko o kou koko. Ke ʻai kekahi kanaka me ka maʻi Celiac i ka gluten, hana ko lākou kino i kēia mau antibodies. No laila, inā ʻoi aku ka kiʻekiʻe o kēia mau antibodies i loko o ke koko ma mua o ka maʻamau, he hōʻailona ikaika ia e loaʻa paha iā ʻoe ka maʻi Celiac.
• Hoʻāʻo Hoʻoilina: Hoʻāʻo kēia i kāu mau genes no nā genes HLA-DQ2 a me HLA-DQ8 . Inā ʻaʻohe ou genes kēia, ʻaʻole paha e loaʻa iā ʻoe ka maʻi Celiac. Hiki ke hana ʻia kēia hoʻāʻo me ka hoʻohana ʻana i kahi hāpana koko, kahi hāpana lawai, a i ʻole kahi swab o nā cell mai loko mai o kou waha.

Akā e hoʻomanaʻo, ʻaʻole hiki i kēia mau hoʻokolohua wale nō ke hōʻoia 100% he maʻi Celiac kou. Inā hāpai kēia mau hoʻokolohua i ka kānalua e pili ana i ka maʻi, ʻo ka hoʻokolohua koʻikoʻi aʻe e hana ai he endoscopy.

Endoscopy e hōʻoia i ka maʻi

Makaʻu paha kekahi poʻe ke lohe lākou i kēia inoa, akā, ʻaʻole ia he mea weliweli loa. ʻO kēia ka hoʻāʻo e hoʻohana ʻia e hōʻoia pono ai inā he maʻi Celiac kou.

ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi a palupalu (scope) me kahi kāmela liʻiliʻi i hoʻopili ʻia ma kou waha a i lalo i kou esophagus i loko o kou ʻōpū liʻiliʻi. Hiki i kāu kauka ke ʻike inā he pōʻino i ka uhi o loko o kou ʻōpū liʻiliʻi.

I kēia manawa, lawe ke kauka i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka paia o ka ʻōpū liʻiliʻi. Ua kapa ʻia kēia he biopsy . A laila hoʻouna ʻia kēia ʻāpana ʻiʻo i kahi keʻena hoʻokolohua a nānā ʻia ma lalo o kahi microscope.

He aha ka mea e nānā ʻia ana i loko o kahi biopsy?

Aia i loko o ka paia o loko o ko kākou ʻōpū liʻiliʻi olakino he miliona mau ʻōpuʻu liʻiliʻi e like me nā manamana lima i kapa ʻia he villi . Ua like lākou me nā olonā i loko o kahi kāpeti mānoanoa. ʻO kā lākou hana nui ka omo ʻana i nā meaola mai ka meaʻai a kākou e ʻai ai.

I loko o kekahi kanaka me ka maʻi Celiac, ua hōʻino ʻia a palahalaha ʻia kēia mau villi. E nānā kahi biopsy e ʻike inā ua hōʻino ʻia kāu villi ma kēia ʻano. Inā ua hōʻino ʻia lākou, ʻo ia ka hōʻike ikaika loa e loaʻa ana iā ʻoe ka maʻi Celiac.

Ma kahi o 15 mau minuke ka lōʻihi o kēia endoscopy. A hana ke kauka i nā mea āpau e hiki ai iā ia ke hōʻoia ʻaʻole ʻoe e ʻoluʻolu ʻole i ka wā o kēia kaʻina hana.