Yu kin gɛt bɛlɛ pen afta yu it bred ɔ nuts? Yu tink se dis kin bi Siliak Sik?

Yu dɔn ɛva wɔnda wetin mek, afta yu dɔn it sɔntin lɛk bred, roti, ɔ nuts, sɔntɛnde yu kin fil wan strenj, pen, ɔ ful filin na yu bɛlɛ? Fɔ sɔm pipul dɛn, dis kin apin ɔltɛm. Wi de tink to wi se, "Oh... A no fit it dat." Bɔt biɛn dis diskɔmfɔt we kin kam wit fɔ it flawa, sɔntɛm wan siriɔs stori de we wi nɔ no. Dat stori na celiac disease, ɔ as wi kin se na Inglish, `(Celiac Disease)`. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na Siliak Disease?

Imajin se yu gɛt wan rili smat, strɔng difens ami insay yu bɔdi. Wi kin kɔl dis di imyun sistɛm. Di wok we dis ami de du na fɔ fɛn, atak, ɛn pwɛl ɛnimi dɛn lɛk vayrɔs ɛn baktri dɛm we de kam insay yu bɔdi, we de protɛkt yu frɔm sik.

Bɔt pan pɔsin we gɛt kɔliak sik, dis difɛns sistɛm kin mek smɔl mistek. I mistek sɔntin we nɔ bad ɛn we nɔmal fɔ ɛnimi. insay dis kes, da "εnimi" de na wan protin we dεn k כl gluten .

So, we pɔsin we gɛt silia sik it it we gɛt gluten, di imyun sistɛm kin gɛt signal we se, "Na ya ɛnimi de kam!" Dɔn di imyun sistɛm go ɛn bigin fɔ fɛt di gluten. Bɔt dis fɛt kin apin insay yu smɔl intestinal . Insay dis fɛt, i sɔri fɔ no se nɔto di gluten nɔmɔ kin pwɛl, bɔt di wɔl dɛn na yu smɔl intestin kin pwɛl bak.

Okay, so wetin na dis gluten we ɔlman de tɔk bɔt?

Gluten na wan prɔtin we de insay grens lɛk wit, bali, ɛn rays. Na in de mek bred dɔti gɛt in kwaliti we strɛch, ɔ elastik we dɛn miks am. Dis na wetin de ɛp bred ɛn kek fɔ rayz ɛn rayz fayn fayn wan.

Insay Sri Lanka, bɔku pan di it dɛn we wi kin it gɛt gluten. Jɔs tink bɔt...

• Brekfas: Wit flawa, we dɛn kin ad to sɔm kɔri dɛn we dɛn kin it wit bred, bɔn, tost, ɛn milk rays.
• Fɔ it lɛnch: Sɔntɛnde a kin it nuts ɛn pasta.
• Aftanun ti tɛm: kek, biskit, pati, rol, fish kek.
• Fɔ dina: roti, paratha, kottu.

Apat frɔm dis, gluten kin ayd pan bɔku tin dɛn we wi nɔ kin tink bɔt. Fɔ ɛgzampul, dɛn kin ad gluten to sos, sup paket, sɔm mit dɛn we dɛn dɔn prosɛs, ɛn ivin ayskrim fɔ mek i tik. So, pɔrsin wae gɛt kɔliak sik nid fɔ tek tɛm bad bad wan.

Dis sik kin denja?

Yɛs, dis kin siriɔs if dɛn nɔ trit am. As wi bin dɔn tɔk, ɛvri tɛm we wi it gluten, di smɔl intestin kin pwɛl. Di insay wɔl na wi smɔl intestinal gɛt bɔku bɔku smɔl smɔl tin dɛn we tan lɛk finga. Wi de kol dis `(villi)`. di men wok we dεn de du na fכ tek di nyutriεnt dεm (vitamin, minral, protin) frכm di it we wi de it.

Insay di sik we dɛn kɔl celiac, we di imyun sistɛm atak, dɛn villi ya kin flat ɛn pwɛl. I tan lɛk se pɔsin de tramp wan fayn fayn lawn. Wetin kin apin da tɛm de? Di bɔdi nɔ de tek di tin dɛn we de insay di it fayn fayn wan. Wi kin kɔl dis kɔndishɔn malabsorpshɔn.

If dis kɔntinyu, pipul dɛn nɔ go gɛt bɛtɛ it . Dis na di tin we denja pas ɔl. Dis kin afɛkt yɔŋ pikin dɛn mɔ.

• Pikin dɛn kin dɔn stɔp fɔ gro (nɔ de gro lɔng, nɔ de big).
• I kin afɛkt di we aw pikin dɛn de tink ɛn dɛn bɔdi .

So, i nɔ fayn fɔ dismis dis as "jɔs nɔmal bɛlɛ pen."

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt kɔliak sik?

Wan prɔblɛm wit dis sik na dat di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn nɔ kin sho ɛni sayn atɔl. Bɔt di damej de apin insay di bɔdi. Bɔrku tɛm, tu ej grup de wae dis sik kin kam pan.

1. We yu smɔl: We yu ol wan ia, dat na we yu bigin fɔ gi smɔl pikin dɛn it we gɛt gluten, lɛk biskit ɛn siriɔs.

2. Midul ej: Bitwin 40 ɛn 60 ia.

Lɛ wi luk na di tebul we de dɔŋ fɔ si wetin na di men kayn sik dɛn.

Wetin mek dis sik kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Siliak sik na wan sik we pɔsin kin gɛt frɔm in mama ɛn papa . Dis min se i gɛt sɔntin we gɛt fɔ du wit in jɛnɛtiks. kכlכsכl כlman we gεt siliya sik gεt wan pan di jin mכtεshכn dεm we dεn kכl `(HLA-DQ2)` כ `(HLA-DQ8)`. Bɔt nɔto ɔlman we gɛt dɛn jin ya go gɛt dis sik.

Dɔktɔ dɛn biliv se apat frɔm di jin, ɔda tin dɛn kin ɛp fɔ mek dis sik bigin. Bɔt dɛn nɔ dɔn no yet ustɛm dɛn bi. Sɔm pipul dɛn se dis sik kin apin wantɛm wantɛm bikɔs ɔf sɔntin lɛk big ɔpreshɔn, siriɔs sik, ɔ bɛlɛ.

Dɛn pipul ya kin gɛt ay risk:

• If pɔsin na di famili (mama, papa, brɔda ɛn sista) gɛt kɔliak sik.
• If yu gɛt ɔda ɔtoimyun sik (e.g., Tayp 1 dayabitis, tayroyd sik).
• If di kromozom abnɔmal tin dɛn de lɛk Turner syndrome ɔ Down syndrome.
• Uman dɛn kin gɛt dis sik mɔ.

Wetin na di prɔblɛm dɛn we kin apin fɔ lɔng tɛm if dɛn nɔ trit am?

Dis na tin bak we rili impɔtant. If dɛn nɔ no ɔr nɔr no di sik, siriɔs prɔblɛm kin kam as tɛm de go.

Aw yu go no fɔ tru if yu gɛt dis sik?

If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, di fɔs ɛn impɔtant tin fɔ du na fɔ go to yu dɔktɔ. Nɔ jɔs disayd se, "A nɔ de tek gluten," ɛn stɔp fɔ it gluten. If yu du dat, dat kin mek yu nɔ gɛt di kɔrɛkt tɛst fɔ no if yu gɛt di sik.

Di dɔktɔ kin yuz tu we fɔ tɛst mɔ fɔ no if pɔsin gɛt di sik.

1. Blɔd Tɛst: Dis de chɛk fɔ si if yu blɔd gɛt spɛshal antibodi dɛn we di imyun sistɛm de mek agens gluten.

2. Ɛndoskopi: .If di blɔd tɛst rizɔlt na ``positiv,`` wan gastroenterologist go du dis tɛst afta dat. insay dis, dεn de put wan tin tכb we gεt kεmεra we dεn tay tru di mכt εn dεn de egzamin di sכmכl intestin. di sem tεm, dεn de tek wan rili sכm pat pan di tisu ``bayopsi`` frכm di wכl na di sכmכl intestin εn sεn am na di labכtכri. na de, dεn de egzamin di ``villi`` dεm we wi mεnshכn כnda maykroskכp fכ kכnfכm if dεn dכn damej.

Wetin na di tritmɛnt dɛn? A go gɛt fɔ tek mɛrɛsin fɔ di res ɔf mi layf?

Na dis na di gud nyus. Di onli ɛn di bɛst tritmɛnt fɔ di sik we dɛn kɔl celiac na fɔ it 100% gluten-fri it fɔ ɔl yu layf. Yɛs, yu nɔ nid fɔ tek bɔku bɔku pils. Na wetin yu fɔ du na fɔ chenj di tin dɛn we yu de it.

We yu stɔp fɔ it gluten kpatakpata, di damej pan yu smɔl intestin kin stɔp. Dɔn i kin bigin fɔ wɛl smɔl smɔl, ɔ i kin wɛl. כva fכ mכnt, di nyutriεnt abzכpshכn kin bigin fכ kam bak to nכmal.

Apat frɔm dis, yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:

• If yu nɔ gɛt bɛtɛ tin fɔ it bad bad wan, tink bɔt vaytamɛn ɛn minral sɔpɔtmɛnt (e.g. ayɔn tablɛt).
• Mɛrɛsin fɔ trit di skin we de rɔsh (dermatitis herpetiformis).
• If di inflamɛns na di intestin tu bad, dɛn kin yuz kɔtikosterɔyd fɔ shɔt tɛm fɔ kɔntrol am.

Aw yu kin adap to layf we nɔ gɛt gluten?

Dis kin tan lɛk se i at smɔl fɔs, bikɔs wi fɔ lɛf bɔku pan di it dɛn we wi dɔn yus to. Bɔt dis na invɛstismɛnt fɔ yu wɛlbɔdi. As tɛm de go, dis go bi nɔmal tin na yu layf.

Na sɔm advays dɛn ya we go ɛp yu:

• Gɛt di abit fɔ rid lɛbl: Rid di ``ingredients'' pan ɛvri paket we yu bay na di stoa. Chek fɔ si if i rayt ``I gɛt wit, bali, rays.''
• Fɔ no tin dɛn we nɔ gɛt gluten bay insɛf: Rays, vɛjitebul, frut, mit, fish, eg, ɛn tin dɛn we dɛn mek wit milk nɔ gɛt gluten.
• Wi lokal substitutes: Insted of bred flawa, yu kin it it dem we dem mek wit rays flawa, semolina flawa, chikpia flawa, en grin gram flawa (indiappa, pittu, roti, dem).
• Tek tɛm we yu de it na do:If yu de it na rɛstɔrant, aks dɛn if dɛn gɛt tin dɛn we nɔ gɛt gluten. Na ples dɛm we de mek tin dɛm lɛk kottu ɛn paratha, if yu kuk it we nɔ gɛt gluten na di sem pan, gluten kin gɛt ad pan am (krɔs-kɔntaminɛshɔn). Tek tɛm bɔt dat bak.
• Krio menyu na os: Tink bɔt sɔm it dɛn we izi fɔ mek we yu kin it, ɛn kip di tin dɛn we yu de yuz fɔ mek it na os. Dɔn yu nɔ go wɔri bɔt aw yu go angri.

We dɛn no se yu gɛt kɔliak sik na big chenj na yu layf. Bɔt na gud chenj. Naw yu no wetin de mek yu nɔ fil fayn fɔ lɔng tɛm. Di sɔlv de na yu an. If yu it di rayt tin, yu go ebul fɔ liv ful-ɔp, wɛlbɔdi, ɛn gladi-at.