Bɔku tɛm yu kin gɛt bɛlɛ pen, yu kin blo, ɔ yu kin fil lɛk se yu blo ilɛksɛf yu it bɔku tin? Yu kin tink se dis na nɔmal tin, ɔ na bikɔs di it we yu de it tu spays. Bɔt dɛn sik ya kin bi sayn fɔ wan sik we bɔku pipul dɛn nɔ no bɔt, bɔt dɛn kin kɔntrol am ɔl if dɛn no am kɔrɛkt wan. Tide wi de tɔk bɔt am, Celiac Disease, we bɔku pipul dɛn nɔ ɛva yɛri bɔt. Infakt, sɔm pipul dɛn we de stɔdi bɔt dis sik se na wan pan ɛvri fayv pipul dɛn we gɛt dis sik no se dɛn gɛt am. Na dat mek i rili impɔtant fɔ no bɔt am.
Fɔ tɔk am simpul wan, wetin na Siliak Disease?
Fɔ tɔk am simpul wan, na prɔblɛm wit wi imyun sistɛm. We wi it it dεm we dεn mek wit grens lεk wit εn bali (bred, bכn, nuts, kek), wi imyun sistεm de bigin fכ fכt di protin we dεn kכl gluten insay dεm. Dis fɛt de pwɛl wi yon smɔl intestinal. As tɛm de go, dis damej kin mek wi bɔdi nɔ ebul fɔ tek di tin dɛn we i nid. Dis na wetin wi kin kɔl Siliak Disease. Dis nɔto wan tipik alɛji fɔ it, bɔt na wan kɔndishɔn we kɔmpleks.
Diagnosis: Aw wi go no fɔ tru?
De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Pan ɔl we sɔm pipul dɛn kin gɛt sɔm sayn dɛn lɛk we dɛn bɛlɛ kin at, dɛn kin blo, ɛn dɛn kin gɛt dayarɛa, ɔda pipul dɛn kin gɛt sɔm kayn sik dɛn lɛk we dɛn kin gɛt bɔku bɔku bɔdi, dɛn jɔyn dɛn kin pen, dɛn kin gɛt prɔblɛm wit dɛn skin, ɔ dɛn kin taya ɔltɛm. Bikɔs dɛn sik ya nɔ kin bigin wan tɛm, sɔntɛnde i kin tek sɔm ia fɔ no di sik.
Bɔt if yu tink se yu gɛt dɛn sik ya, pe atɛnshɔn mɔ to dɛn tin ya:
- Famili histri: If pɔrsin na yu famili (mama, papa, brɔda, sista, pikin) gɛt Silia sik, yu de pan denja fɔ gɛt dis sik bak. So, i go fayn fɔ mek yu tɔk to yu dɔktɔ ɛn mek dɛn du di tɛst dɛn we yu nid.
- Ɔda sik dɛn we yu kin gɛt: If yu gɛt ɔda sik dɛn we yu kin gɛt we yu de fɛt, lɛk Tayp 1 Dayabitis, ɔtoimyun liva sik, ɔ tayroyd sik, i rili impɔtant fɔ mek dɛn tɛst yu fɔ no if yu gɛt Silia sik.
Mɛmba se if yu gɛt sayn ɔr tin wae kin mek yu gɛt dis sik, mek shɔ se yu go to yu fambul dɔktɔ ɛn tɔk bɔt dis.
I rili impɔtant: Nɔ stɔp fɔ it gluten bifo di tɛst dɛn!
Dis na big mistek we bɔku pipul dɛn kin mek. Dɛn kin tink se dɛn kin gɛt Celiac Disease ɛn dɛn kin stɔp fɔ it tin dɛn we gɛt gluten (lɛk bred ɛn roti) bifo dɛn go to dɔktɔ. Duya una nɔ du dat.
Di rizin na dat fɔ mek di tɛst dɛn kɔrɛkt, yu nid fɔ gɛt gluten na yu bɔdi. If yu stɔp fɔ it gluten, di tɛst dɛn nɔ go no di sik. Dɔn yu kin gɛt di kɔrɛkt diagnosis.
If yu dɔn ɔlrɛdi chenj to it we nɔ gɛt gluten, i go mɔs bi se yu dɔktɔ go aks yu fɔ du "gluten chalenj." Dis min se yu go gɛt fɔ it sɔm it dɛn we gɛt gluten (fɔ ɛgzampul, 4 slais bred wan de) ɛvride fɔ sɔm wiks (bɔku tɛm na lɛk 8 wiks) bifo di tɛst dɛn. Dis kin tranga smɔl, bɔt i impɔtant fɔ gɛt kɔrɛkt diagnosis.
Wetin na dɛn tɛst ya?
Bɔku men kayn tɛst dɛn de fɔ no if pɔsin gɛt Silia sik. Di fɔs wan na blɔd ɛn jenɛtik tɛst.
Blɔd ɛn Jɛnɛtik Tɛst
Dis na tɛst dɛn we dɛn kin du fɔs. Di tin dɛn we go kɔmɔt frɔm dɛn tin ya go sho wetin fɔ du nɛks.
- Blɔd Tɛst: Dis kin tɛst fɔ sɔm kayn antibodies na yu blɔd. We pɔsin we gɛt di sik we dɛn kɔl Celiac Disease it gluten, in bɔdi kin mek dɛn antibodi ya. So if di lɛvɛl fɔ dɛn antibodi ya na di blɔd bɔku pas aw i fɔ bi, dat na strɔng tin fɔ sho se yu kin gɛt Siliak Disease.
- Jεnεtik Tεst: Dis de tεst yu jin dεm fכ di HLA-DQ2 εn HLA-DQ8 jin dεm. If yu nɔr gɛt dɛn jin ya, yu nɔ go gɛt di sik we dɛn kɔl Celiac Disease. Yu kin du dis tɛst bay we yu yuz blɔd sɛmpul, saliva sɛmpul, ɔ swab pan sɛl dɛn frɔm insay yu mɔt.
Bɔt mɛmba se, dɛn tɛst ya nɔmɔ nɔ go ebul fɔ kɔnfɔm 100% se yu gɛt Siliak Disease. If dɛn tɛst ya mek pipul dɛn sɔprayz bɔt di sik, di nɛks tɛst we impɔtant pas ɔl we dɛn fɔ du na fɔ du ɛndoskopi.
| Nem fɔ di tɛst | Aw fɔ du am? | Wetin yu de luk? |
|---|---|---|
| Blɔd Tɛst | Fɔ tek blɔd sɛmpul lɛk aw yu kin tek am. | di lεvεl fכ di antibodi dεm we dεn prodyuz εgens gluten. |
| Jɛnɛtik Tɛst | Wan sampul fɔ sɛl dɛn we dɛn tek frɔm blɔd, saliva, ɔ chɛk. | HLA-DQ2/DQ8 jin dεm we gɛt fɔ du wit Siliak Disiz. |
Ɛndoskopi fɔ kɔnfɔm di sik
Sɔm pipul dɛn kin fred we dɛn yɛri dis nem, bɔt i nɔ kin fred so. Dis na di tɛst wae dɛn kin yuse fɔ definitivli kɔnfɔm if yu gɛt Celiac Disease ɔ nɔr gɛt.
Dis min se yu fɔ put wan tint, fleksibul tiub (skɔp) wit smɔl kamɛra we dɛn tay tru yu mɔt ɛn dɔŋ yu ɛsophagus insay yu smɔl intestin. Dis kin mek yu dɔktɔ si if ɛnitin dɔn pwɛl di insay layn na yu smɔl intestin.
Dis tεm, di dכkta de tek wan rili sכm pat pan di sכm pat pan di sכmכl intestin in wכl. Dɛn kɔl dis bayɔpsi . Dɔn dɛn kin sɛn dis pat pan di tisu to lɛbɔtri ɛn chɛk am ɔnda maykroskɔp.
Wetin dɛn de luk fɔ we dɛn de du bayɔpsi?
Di insay wɔl na wi smɔl intestinal we gɛt wɛlbɔdi gɛt bɔku bɔku smɔl smɔl tin dɛn we tan lɛk finga dɛn we dɛn kɔl villi . Dɛn tan lɛk fayv dɛn we de na tik tik kap. Di men wok we dɛn de du na fɔ tek di tin dɛn we de insay di it we wi de it.
Na pɔrsin wae gɛt Celiac Disease, dɛn villi ya kin pwɛl ɛn flat. bayɔpsi go chɛk fɔ si if yu villi dɛn dɔn pwɛl dis we. If dɛn dɔn pwɛl, dat na di strɔng pruf fɔ se yu gɛt Siliak Disease.
Dis endoskopi de tek lek 15 minit. Ɛn di dɔktɔ kin du ɔl wetin i ebul fɔ mek shɔ se yu nɔ fil fayn we yu de du dis ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Di sayn dɛm fɔ di Siliak Disease (bɛlɛ at, taya, we yu de lɔs) kin tan lɛk se i nɔrmal, so nɔr ignore dɛm.
- If yu gɛt sayn ɔr pɔrsin na yu famili gɛt dis sik, mek shɔ se yu tɔk to yu dɔktɔ.
- Nɔ stɔp fɔ it tin dɛn we gɛt gluten fɔ yusɛf if yu nɔ gɛt dɔktɔ advays. If yu du dat, i nɔ go izi fɔ mek yu no di pɔsin di rayt we.
- Blɔd tɛst na jɔs wan fɔs tin we dɛn fɔ du. di sik kin kכnfכm 100% bay εndoskopi εn bayopsi.
- Fɔ no dis sik nɔto prɔblɛm, bɔt na di fɔs tin we yu fɔ du fɔ sɔlv am. We yu dɔn yus to di rayt it, yu go ebul fɔ liv fayn layf.
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