Sɔntɛnde yu kin gɛt bɛlɛ at ɔ yu bɛlɛ kin at we yu it sɔntin lɛk bred ɔ biskit? Ɔ sɔm pipul dɛn kin gɛt di abit fɔ nɔ it ɛnitin? Tide wi go tɔk bɔt wan kɔndishɔn we kin gɛt fɔ du wit sɔntin lɛk dat. Dat na Siliak Sik. Pan ɔl we dis kin tan lɛk se i kɔmplikt smɔl, lɛ wi ɔndastand am simpul wan.
Wetin na di sik we dɛn kɔl celiac?
Fɔ tɔk am simpul wan, sik we dɛn kɔl celiac disease na wan prɔblɛm we de kam wit
prɔblɛm na wi yon imyun sistɛm . dis dεn kכl am ``autoimmune disorder``. wetin de apin insay dis na we wi it it we gεt wan protin we dεn kכl ``gluten``, wi bכdi in imyun sistεm de tכn agens am. Fɔ tɔk di kɔrɛkt tin, wi bɔdi kin tink se dis gluten na ɛnimi. Dɔn i kin mek antibodi dɛn fɔ atak da ɛnimi de. כltu, dεn ``antibodi dεm`` ya de pwεl
di insay wכl (mכkus) fכ wi כwn sכm sכm intestin . biכs fכ dis damej, di sכmכl intestכn nכ kin ebul fכ abzכp di nyutriεnt dεm we de insay di it fayn fayn wan. Na da tɛm de
pipul dɛn we nɔ gɛt bɛtɛ tin fɔ it kin apin. dis protin we dεn kכl ``gluten`` de mεntal fכ fכm insay grens. Ɛspɛshali pan tin dɛn lɛk
wit, bali, ɛn rays . Yu no, bɔku pan di it dɛn we wi kin it, lɛk bred, pasta, kek, ɛn biskit, na dɛn grens ya dɛn kin mek am. Nɔto dat nɔmɔ, bɔt sɔntɛnde ivin sos, sup, ɛn it dɛn we dɛn pak we wi nɔ kin ivin tink bɔt kin gɛt dis gluten. Bɔku tɛm, dɛn kin mek bia bak wit bali ɔ rays.
Aw di sik we dɛn kɔl celiac kin afɛkt mi bɔdi?
Siliak sik kin afɛkt yu
smɔl intestin mɔ . Dis na di say we bɔku pan di tin dɛn we de insay di it we wi de it kin tek. Dis inklud protin dεm lεk gluten. Bɔt if yu gɛt kɔliak sik, we gluten go insay yu smɔl intestinal, yu imyun sistɛm kin ansa. Dat min se di imyun sistεm de sεnd sεl dεm εn antibodi dεm fכ pwεl di gluten mכlikul dεm. dis sεl dεm de pwεl di insay layn na di sכmכl intestin, di mכkus. Tink bɔt am, di insay pat pan wi smɔl intestinal dɛn dɔn mek am fayn fayn wan. Di wɔl we de insay de nɔ jɔs smɔl. I gɛt bɔku fold dɛn, ɛn i ful-ɔp wit smɔl smɔl tin dɛn we tan lɛk finga, we dɛn kɔl
villi . dis villi dεm de gi yu it big sכfa εria fכ abzכp כl di nyutriεnt dεm we i ebul we i de digεst. I kin big lɛk tɛnis kɔt if yu stret am! bכt di imyun sεl dεm we de kam wit siliya sik
de flat εn flat כl dεn `(villi)` dεm, we de ridyus di sכfayz εria we de fכ abzכp di nyutriεnt dεm.
Yu tink se di sik we dɛn kɔl celiac sik denja?
Yɛs, if di smɔl intestinal pwɛl kin gɛt
siriɔs prɔblɛm dɛn . as a bin se bifo, di sכmכl intestכn na di say we di nyutriεnt dεm we de insay it de abzכp tru di `(mucosa)`. So we di `(mucosa)` dכn dכn, i nכ de wok fayn. Wi de kɔl dis
dis dεn kכl am 'malabsכpshכn'. Dis `(malabsorption)` kin mek 'malnutrition' . Dɔn bak, bɔku ɔda sik dɛn kin apin bikɔs dɛn nɔ gɛt difrɛn tin dɛn fɔ it. If dis sik afɛkt yɔŋ pikin dɛn mɔ, dɛn kin pwɛl ɛn divɛlɔp. Udat kin gɛt sik we dɛn kɔl celiac?
Siliak sik kin bɔrku pan pipul dɛm wae kɔmɔt na Nɔtan Yurop. Dɛn se na lɛk 1% pan di pipul dɛm na Yurop ɛn Nɔt Amɛrika gɛt dis sik. If pɔsin na yu famili (fɔs digri fambul, lɛk mama, papa, ɔ pikin) gɛt dis sik, yu gɛt lɛk 10% chans fɔ gɛt am bak. 97% pan di pipul dεm we dεn no se dεn gεt siliya sik gεt wan spεsifi k jin vεryכnt we de asai wit am. Dɛn kɔl dɛn tin ya ɛni wan pan dɛn `(HLA-DQ2)` ɔ `(HLA-DQ8)`. Ɔda tin dɛn de we kin mek pɔsin gɛt prɔblɛm?
Siliak sik kin kam pan pipul dɛm wae gɛt sɔm kayn kromozom disɔda wae dɛn kin gɛt frɔm dɛn mama ɛn papa , lɛk Down syndrome. I kin mɔs bak pan pipul dɛn we gɛt sɔm ɔda sik dɛn we dɛn kin gɛt we dɛn de fɛt dɛnsɛf . Bɔku tɛm, dɛn sik ya kin gɛt wanwɔd wit dɛn jin, ɛn dɛn kin mek dɛn kɔmpin dɛn. Lɛk ɔda sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, di sik we dɛn kɔl celiac kin bɔku pan uman dɛn pas man dɛn . Di ratio na lɛk tu to wan (2: 1). Yu kin gɛt sik we dɛn kɔl celiac disease if yu gɛt:
- If yu na wayt pɔsin.
- If ɛnibɔdi na yu famili gɛt dis sik.
- if yu gεt kromozom abnכmaliti lεk `(Turner syndrome)`, `(Williams syndrome)` כ `(Down syndrome)`.
- If yu gɛt ɔda ɔtoimyun sik lɛk `(Tayp 1 dayabitis)`, `(rheumatoid arthritis )`, `(maycroscopic colitis)` ɔ `(Addison’s disease)`.
- If yu na uman.
Wetin kin mek pɔsin gɛt sik we dɛn kɔl celiac?
Bɔku sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, lɛk di sik we dɛn kɔl celiac disease, na at le sɔm pan di sik dɛn we pɔsin kin gɛt we i kam pan in jɛnɛtiks . dat min se yu go ebul fכ divεlכp am biכs fכ wan patikyula jin vεryכnt we de pas dכn frכm jεnereshכn to jεnereshכn insay famili. Bɔt nɔto ɔlman we gɛt da kayn jin de go gɛt di sik, ɛn nɔto ɔlman we gɛt di sik go gɛt da kayn jin de we dɛn dɔn no. I tan lɛk se ɔda tin dɛn bak kin ɛp fɔ mek di sik bigin. Aw pɔrsin kin gɛt kɔliak sik?
Wan tin we pipul dɛn kin tink na dat, bɔku bɔku strɛs we wi kin gɛt na wi bɔdi kin pwɛl wi imyun sistɛm.Dɛn biliv se na sɔntin we kin mek pɔsin fil bad, kin mek i apin. Dɔktɔ dɛn dɔn si se dis sik kin apin afta sɔntin we apin na in bɔdi lɛk ɔpreshɔn, sik, bɛlɛ, ɔr bad bad tin we kin apin to pɔsin in maynd. כda tiori na se maykro כganism dεm we de liv na wi intestכn (maykro כganism dεm na yu gכt) de involv. Dis tiori nid fɔ du mɔ risach. Ustɛm di sik we dɛn kɔl celiac disease kin apia?
Silia sik kin kam pan ɛni ej afta yu ɔ yu pikin bigin fɔ it gluten . Dɔktɔ dɛn kin si am mɔ pan tu ej grup dɛn: we dɛn smɔl, we ol bitwin 8 ɛn 12 mɔnt , ɛn we ol bitwin 40 ɛn 60 ia . Di rizin we mek i kin apia kwik na bikɔs pikin dɛn kin bigin fɔ it tin dɛn we strɔng lɛk biskit ɛn siriɔs tin dɛn we gɛt gluten. Wetin na di sayn dɛm wae de sho se pɔrsin gɛt kɔliak sik?
De sayn dɛm fɔ kɔliak sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, so i kin tranga fɔ no bɔt am. Sɔm pipul nɔr kin gɛt ɛni sayn at ɔl. Sɔm pipul dɛn kin gɛt sik dɛn na dɛn bɛlɛ (GI) afta dɛn dɔn it gluten. Ɔda pipul dɛn kin jɔs gɛt sɔm kayn sayn dɛn we nɔ klia fɔ se dɛn nɔ gɛt bɛtɛ tin fɔ it afta dɛn dɔn du di damej. Na dɛn pipul ya, anemia kin bi di fɔs sayn fɔ dis sik. Yu kin gɛt sɔm kayn sik lɛk dis:
Di simptom dɛm we kin kam na di bɛlɛ:
Di sayn dɛn we pɔsin kin gɛt we i nɔ gɛt ayɔn:
- Wiknɛs ɛn taya
- Pale apinans (Pallor) .
- Kol an ɛn fut
- Nɛl dɛn we kin brok ɔ we kin kɔnkav
- Ed de at
- Sɔl dɛn na yu mɔt
Ɔda sayn dɛn we de sho se pɔsin nɔ de it fayn:
- We yu nɔ bin want fɔ lɔs yu wet
- dilay we pikin dεn de gro εn divεlכpmεnt we dεn nכ de gro fayn (Failure to thrive) .
- Mɔsul dɛn we de west ɔ we di mɔsul dɛn nɔ de tɔn bɛtɛ
- Dental enamel defekt, fכ egzampl, pitting, staining, כ wan translucent appearance
- I nɔ kin gɛt bɛlɛ ɔltɛm ɔ i nɔ kin izi fɔ gɛt bɛlɛ
- Mud swing, bɔrku tɛm na wae pikin dɛn kin wɔri ɛn pwɛl hat na big pipul dɛm
Dɛmatitis hɛpɛtifɔmis:
Na lɛk 15% pan di pipul dɛm wae gɛt siliya sik kin gɛt dis krɛse sik na dɛn skin as sayd ɛfɛkt. Dɛn kin kɔl am bak ‘gluten rash’ ɔ ‘celiac rash’ . di sem gluten antibodi dεm we de pwεl di sכmכl intestכn na di siliya sik de mek dis kכndyushכn. Dɛmatitis hεpifכmis na wan it we de it, we de kכlכs we tan lεk blista ɔ ɛkzema. Bɔku tɛm, i kin apia na di ɛlb, ni, bɔt, ɔ skel. Aw yu go no if yu gɛt kɔliak sik?
If yu gɛt prɔblɛm wit di dijestiv afta yu it gluten, yu kin sɔprayz se yu gɛt kɔliak sik. I tan lɛk se bɔku pipul dɛn kin fil lɛk gluten ɔ wit tin dɛn we dɛn kin it. If yu nɔr de it it kin mek yu gɛt sɔm kayn sik wae yu nɔr kin fil fayn afta yu it it, bɔt i nɔr kin mek yu gɛt pwɛl hat lɛk siliya sik. Fɔ no if pɔsin gɛt di sik we dɛn kɔl celiac disease, dɔktɔ dɛn kin luk fɔ pruf fɔ se dis bad tin dɔn pwɛl. Di tin we impɔtant pas ɔl na fɔ mek dɛn tɛst yu fɔ silia sik bifo yu bigin it tin dɛn we nɔ gɛt gluten. Na da tɛm de di tɛst dɛn go sho aw gluten de rili afɛkt yu bɔdi. We yu dɔn stɔp fɔ it gluten, yu gut go bigin fɔ wɛl. I fayn fɔ mɛn, bɔt afta dat di pruf fɔ se pɔsin gɛt silia sik go dɔn. Yu ɛn yu dɔktɔ nid fɔ no fɔ tru if yu gɛt am, so dat yu go disayd us kayn tritmɛnt yu nid fɔ go bifo.
Aw dɔktɔ dɛn kin tɛst fɔ si if dɛn gɛt sik we dɛn kɔl celiac?
Dɔktɔ dɛn kin yuz tu we fɔ tɛst fɔ no if pɔsin gɛt silia sik. Dɛn kin lɛk fɔ yuz dɛn tu togɛda fɔ kɔnfirm di diagnosis. Di fɔs wan na fɔ tɛst blɔd . Dɔktɔ dɛn kin luk fɔ antibodi dɛn na yu blɔd we kin mek agens gluten. Dɔn, dɛn kin luk fɔ damej. Dis min se yu fɔ tek smɔl smɔl tisu (bayopsi) frɔm yu smɔl intestin ɛn chɛk am ɔnda maykroskɔp. Fɔ tek dis sampul, wan dɔktɔ we de mɛn yu bɛlɛ go du ɛndoskopik ɛgzamin fɔ yu smɔl intestin. Ɛndoskopi na tɛst we dɛn kin put wan lɔng, tin tiub wit smɔl kamɛra insay. we dεn de du כp εndoskopi , dεn de pas εndoskop dכn di trot εn insay di כp pat pan di sכmכl intestin we dεn kכ l di duodenum . Bay di pikchɔ dɛn we dɛn si frɔm di kamɛra, di dɔktɔ we de du di ɛndoskopi kin pas inschrumɛnt dɛn tru di tiub ɛn tek bayɔpsi. Ɔda tɛst dɛn we dɛn kin du
We dɛn dɔn no se yu gɛt di sik we dɛn kɔl celiac disease, yu dɔktɔ go want fɔ chɛk yu blɔd fɔ si if yu gɛt sɔm patikyula vaytamɛn ɛn minral dɛn . Bɔrku prɔblɛm kin gɛt difrɛn ifɛkt pan yu bɔdi ɛn yu kin nid fɔ trit yu dairekt wit sɔpɔtmɛnt. Di wan dɛn we kin bɔku pas ɔl na we pɔsin nɔ gɛt ayɔn , we pɔsin nɔ gɛt bɛtɛ vaytamɛn , ɛn we i nɔ gɛt vaytamɛn D . Yu kin gɛt smɔl smɔl ilɛktrɔlayt dɛn lɛk kalsiɔm bak. Aw dɛn kin trit di sik we dɛn kɔl celiac disease?
Di fɔs ɛn impɔtant tin fɔ trit di sik we dɛn kɔl celiac na fɔ stɔp fɔ it gluten kpatakpata . Yu nɔ go ebul chenj di we aw yu bɔdi de riak to gluten, bɔt yu kin mek gluten nɔ mek da riakshɔn de. We yu dɔn stɔp fɔ it gluten, yu smɔl intestinal go bigin fɔ wɛl ɛn i nɔ go te igen i go ebul fɔ tek di tin dɛn we yu nid bak. Bɔt yu go nid fɔ it strikt it we nɔ gɛt gluten fɔ di res ɔf yu layf fɔ mek yu nɔ pwɛl yu smɔl intestin mɔ. Ɔda tritmɛnt dɛn kin bi:
* If siriɔs tin dɛn we nɔ de, tek tin dɛn we de mek yu it fɔ kɔrɛkt am.
* Trit dɛmatitis hɛpɛtifɔmis wit sɔm patikyula mɛrɛsin dɛm lɛk dapsone.
* Kɔtikosterɔyd fɔ siriɔs inflamɛns we nɔ de ansa kwik to it.
* Kɔntinyu fɔ fala di sik, inklud fɔ chɛk-ap ɔltɛm, fɔ mek shɔ se dɛn kɔntrol di sik.
Aw lɔng i kin tek fɔ mek yu wɛl afta yu dɔn gɛt tritmɛnt?
Fɔ bɔku pipul dɛn , di sik kin bigin fɔ bɛtɛ lɛk aw dɛn dɔn bigin fɔ it tin dɛn we nɔ gɛt gluten . I kin tek sɔm wiks fɔ mek dɛn adrɛs yu nyutrishɔn dɛfisiɛns, ɛn i kin tek sɔm mɔnt fɔ mek yu gut wɛl ful wan. Sɔntɛnde, i kin tek lɔng tɛm, i kin dipen pan aw di damej dɔn pwɛl ɛn aw lɔng i dɔn de. If yu nɔ fala strikt it, yu kin delay fɔ wɛl. Wetin na de luk fɔ pipul dɛm wae gɛt kɔliak sik?
Bɔrku pipul dɛm wae dɛn kin no se dɛn gɛt dis sik ɛn stɔp fɔ it gluten kin ɛkspɛkt fɔ wɛl fayn fayn wan . Bɔku pan di damej we di sik we dɛn kɔl celiac sik kin mek kin chenj. If yu kɔntinyu fɔ gɛt di sik, yu kin de it smɔl smɔl gluten we yu nɔ no, ɔ yu kin gɛt sɛkɔn sik. Na lɛk 5% nɔmɔ pan pipul dɛn gɛt tru tru refractory celiac disease, we nɔ de ansa to di it we dɛn de kɔntrol. Wetin go apin if yu nɔ stɔp fɔ it gluten? Wetin na di prɔblɛm dɛn we kin apin fɔ lɔng tɛm?
If dɛn no se yu gɛt di sik fɔ lɔng lɔng tɛm, ɔ if yu nɔ ebul fɔ avɔyd fɔ it gluten afta dat, di tin dɛn we kin apin to yu we yu gɛt di sik we dɛn kɔl celiac sik kin rili bad ɛn i kin de fɔ lɔng tɛm . Di prɔblɛm dɛn we kin apin we pɔsin nɔ de it fayn fɔ lɔng tɛm:
- Riket na pikin ɔ osteomalacia na big pipul.
- Osteopenia ( di bon dεm we de tכn) εn osteoporosis ( bon dεm we de lכs).
- Di tut inɛmel we nɔ fayn fɔ ɔltɛm.
- di ifekt dεm pan di nεv sεstem (pεrifεral nyuropathy), inklud nכmb εn tingling, mכsul dεm we de twitch, εn bεlε εn kכdכnayshכn prכblεm (ataxia).
- Dilay we di pikin dɛn de gro ɛn divɛlɔp, we de stɔp.
- I nɔ kin izi fɔ pe atɛnshɔn ɛn lan.
Di prɔblɛm dɛn we kin apin we pɔsin gɛt inflamɛns we nɔ de dɔn:
- Imuniti we dɔn kɔmprɔmis : We yu imyun sistɛm de wok pasmak ɔltɛm, i nɔ gɛt bɔku tin fɔ dil wit imejensi lɛk infɛkshɔn. Dis kin mek yu gɛt mɔ sik.
- Ɔda tin dɛn we yu nɔ kin it : As yu intestinal layn de kɔntinyu fɔ pwɛl, yu nɔ kin ebul fɔ dayjɛst di tin dɛn we yu bin dɔn ebul fɔ dayjɛst bifo. fכ egzampl , di laktose intolerance kin divεlכp.
- Ɔlsa ɛn skata : If yu inflamɛns bad bad wan, dat kin mek yu gɛt ɔlsa na yu smɔl intestinal. Wan siriɔs ɔlsa kin ivin go tru di intestinal wɔl (gastrointestinal perforation), we na mɛdikal imejensi. di inflameshn kin mek skata insay di intestinal εn narrow di intestine (stricture), we kin mek di bowel obstruction .
- Collagenous sprue : Dis sik we nɔ kin bɔku kin mek di kolagen depɔsit fɔ ɔltɛm na di smɔl intestinal, we kin mek di nyutriɛnt absɔpshɔn nɔ fayn fɔ ɔltɛm.
- Liva sik : As tɛm de go, yu kin gɛt krɛse sik ɛn yu liva kin pwɛl smɔl smɔl.
- Kansa : If yu gɛt inflamɛns we nɔ de dɔn, dat kin mek yu gɛt smɔl intestinal kansa (intestinal lymphomas, intestinal adenocarcinoma) ɛn esophageal kansa .
Aw yu kin yus to it we nɔ gɛt gluten?
Fɔs, fɔ avɔyd ɔl di gluten kin tan lɛk se i nɔ izi fɔ yu. Yu fɔ lan fɔ rid lɛbl dɛn ɛn tek tɛm wit aksidɛntal gluten kɔntaminɛshɔn. Di gud nyus na dat, bɔku tin dɛn de we go ɛp yu fɔ bigin it nyu it. Yu dɔktɔ kin rifer yu to wan rɛjista dietist , we go ɛp yu fɔ bigin. Us it dɛn kin mek yu gɛt di sik we dɛn kɔl celiac?
Gluten na tin we dɛn kin si na sɔm grens ɛn tin dɛn we dɛn mek wit grens. Dat min se:- Wit (ɔl kayn lɛk sɛmɔlina, durum, bulgur, spɛlt, kɔskɔs)
- Bali (ɛn malt we dɛn mek wit bali) .
- Ray
Dɛn kin yuz dɛn grens ya fɔ mek:- Bred ɛn tin dɛn we dɛn kin mek fɔ mek bred
- Sirial dɛn we gɛt ɔt ɛn kol
- Tayp dɛn fɔ nuts ɛn pasta
- Bia, Lager ɛn Ale
- Alkol we gɛt malt
- Malt vinega we dɛn kin yuz
Apat frɔm dat, dɛn kin ad gluten bak to bɔku tin dɛn we dɛn kin mek fɔ it . Fɔ ɛgzampul:- Sup ɛn sos dɛn
- Salad dresin ɛn kɔndimɛnt dɛn
- Mit dɛn we dɛn dɔn prosɛs (lɛk hot dɔg, deli mit) .
- Chiz, yogɔt ɛn ayskrim prɔdak dɛn we dɛn dɔn prosɛs
- Di it dɛn we dɛn pak
- Swit it fɔ it
Impɔtant: Bifo yu it tin dɛn we dɛn dɔn prosɛs, chɛk di lɛbl fɔ mek shɔ se gluten nɔ de we ayd.
Sɔm kwik advays fɔ liv wit kɔliak sik:
- Krio wan go-to home menu. Luk tru risɛp buk dɛn ɛn pik sɔm rɛsipɛkt dɛn we yu kin it ɔltɛm ɛn we izi fɔ mek. Mek yu abit fɔ kip di tin dɛn we yu nid na os ɔltɛm.
- Kip sɔm snek dɛn we nɔ gɛt gluten na yu motoka, bag, ɔ ɔfis dɛsk. Dem go kam in handy if yu no fain eni oda tin fo it wen yu komot fo haus.
- Fɛn sɔm rɛstɔrant dɛn we gɛt mɛnyu dɛn we nɔ gɛt gluten we yu kin abop pan ɔ we yu no se yu kin ɔda frɔm sef wan.
- We yu nɔ shɔ bɛtɛ bɛtɛ wan wetin de insay nyu it, i fayn bak fɔ kip gluten tɛst strip dɛn na yu an fɔ chɛk if i gɛt gluten.
Fɔ dɔn, wetin fɔ mɛmba
If yu no se yu gɛt sik we dɛn kɔl celiac disease, dat go chenj di we aw yu de it ɛn aw yu de liv yu layf sote go. Ɛn i go chenj yu layf fɔ bɛtɛ . Bifo dɛn no se yu gɛt di sik, sɔntɛm yu bin de it gluten ɛn de pwɛl yu smɔl intestin smɔl smɔl. Yu kin dɔn gɛt strenj, nɔr kin fil fayn fɔ lɔng tɛm ɛn yu nɔr kin ivin no wetin na dɛn. Naw we yu dɔn no, yu gɛt di pawa fɔ bil yu wɛlbɔdi bak. Nɔ wɔri, if yu manej am fayn, yu go ebul fɔ gɛt wɛlbɔdi!
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