Yu kin fil bak se yu ful-ɔp ɔltɛm? Yu kin gɛt strenj bɛlɛ pen? Sɔntɛnde yu kin gɛt prɔblɛm lɛk fɔ blo, ɛn ɔda tɛm dɛn yu bɛlɛ kin fil dray? Pan ɔl we bɔku pipul dɛn kin tink se dɛn tin ya na nɔmal tin, sɔntɛnde, rizin kin de biɛn dis we wi nɔ kin tink bɔt. Wan pan dɛn rizin ya kin bi wan sik we dɛn kɔl Celiac disease. So tide, lɛ wi tɔk bɔt wetin na Celiac disease ɛn di impɔtant blɔd tɛst we dɛn kɔl tTg-IgA we dɛn kin yuz fɔ no am.
Fɔ tɔk am simpul wan, wetin na di sik we dɛn kɔl Celiac disease?
Siliak sik na wan sik wae kin teik lɔng tɛm, wae kin afɛkt wi dijestiv sistɛm. I rili spɛshal bikɔs na ɔtoimyun disɔda. Imajin se yu bɔdi in difɛns sistɛm, di imyun sistɛm, mistek bigin fɔ atak sɔm pat dɛn na yu yon bɔdi. Na dat kin apin pan di sik we dɛn kɔl celiac. Dis sik kin apin we yu it it we gɛt wan prɔtin we dɛn kɔl gluten. Gluten na sɔntin we de insay grens lɛk wit ɛn bali. Gluten de insay bɔku tin dɛn we wi kin it ɛvride, lɛk bred, kek, pasta, ɛn roti. We pɔsin we gɛt silia sik it gluten, in imyun sistɛm kin si dis gluten as big ɛnimi. So fɔ mek wi go atak am, i sɔri fɔ no se di wɔl dɛn na wi yon smɔl intestinal sɛf kin pwɛl.
Mɛmba se dis nɔto jɔs we pɔsin kin fil lɛk gluten ɔ we i nɔ kin gri fɔ it wit. Siliak na wan sik we rili siriɔs. I kin mek yu gɛt prɔblɛm wit di dijestiv fɔ lɔng tɛm ɛn i kin mek di bɔdi nɔ ebul fɔ tek di tin dɛn we de insay di bɔdi fayn fayn wan.
Wetin mek di sik we dɛn kɔl Celiac disease kin apin?
I at fɔ no wan rizin fɔ dis, bɔt sɔm men tin dɛn de.
- Jɛnɛtiks: Dis kin bi tin we pɔsin kin gɛt frɔm in mama ɛn papa. If pɔsin we de nia yu fambul, lɛk mama, papa, ɔ brɔda ɛn sista gɛt dis sik, yu go gɛt dis sik.
- Di it we pikin dɛn kin it: Sɔm risach dɔn sho se pikin dɛn we it bɔku tin dɛn we gɛt gluten we dɛn yɔŋ kin gɛt dis sik smɔl.
- Ɔda sik dɛn we yu kin gɛt: If yu gɛt ɔda sik dɛn we yu kin gɛt we i de fɛt yu bɔdi , lɛk Tayp 1 Dayabitis ɔ Tayrɔyd Sik, yu kin gɛt Silia sik bak.
Wetin na di sayn dɛm fɔ di sik we dɛn kɔl Celiac disease?
De sayn dɛm fɔ kɔliak sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin gɛt dɛn kayn sik ya bad bad wan, ɛn ɔda wan dɛn nɔ kin gɛt dis sik. Lɛ wi brok dɔŋ di kɔmɔn sayn dɛm lɛk dis.
| Tayp we gɛt kwaliti dɛn | Tɔk bɔt |
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| di kכntribyushכn dεm fכ di dijestiv sistεm | |
| Ɔda tin dɛn we pɔsin kin du na in bɔdi | - Skin rash we de kɔmɔt na di skin
- Kansa sɔr dɛn
- Damej to di tut inɛmel
- Pikin dɛn: dɛn nɔ kin gro fayn, dɛn kin lɔs dɛn wet, dɛn kin delay fɔ bɔn pikin, dɛn nɔ kin gro fayn, ɛn dɛn kin chenj dɛn maynd.
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Dɛn kin notis dɛn sik ya mɔ pan pikin dɛn, bikɔs dɛn kin gɛt mɔ prɔblɛm as dɛn bɔdi nɔ kin ebul fɔ tek di tin dɛn we dɛn nid fayn fayn wan.
Aw yu go no fɔ tru if yu gɛt Silia sik?
If yu dɔktɔ sɔspɛkt dis sik, sɔm tɛst dɛn de fɔ no if i gɛt am.
| Di we aw dɛn de du di tɛst | Fɔ tɔk am simpul wan... |
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| Mɛdikal ɛn famili istri | De dɔktɔ go aks yu bɔt yu sik ɛn if ɛnibɔdi na yu famili gɛt dis sik. |
| Fɔ chɛk yu bɔdi | Dɛn kin chɛk di bɔdi fɔ si if i gɛt sɔm sayn dɛn lɛk we i de lɔs in wet, we i gɛt spat na in skin, ɛn we i de blo. |
| Blɔd tɛst dɛn | Dɛn kin tek blɔd sɛmpul ɛn tɛst di blɔd fɔ si if i gɛt sɔm patikyula antibodi dɛn we gɛt fɔ du wit di sik we dɛn kɔl Celiac disease. di tTg-IgA tεst we wi de tכk bכt tide na di mכst imכtant wan. |
| Bayopsi we dɛn kin du | dis involv fכ put wan tin tכb (εndoskop) wit kεmεra we dεn atak tru di mכt, tek wan rili sכm tisu frכm di sכmכl intestin εn egzamin am כnda maykroskכp. Dis kin asɛs kɔrɛkt wan di damej we di sik we dɛn kɔl celiac sik kin mek. |
| Test fɔ di jenɛtiks | Yu kin yuz blɔd sɛmpul ɔ sɔm sɛl dɛn we dɛn tek frɔm di insay pat na di chɛst fɔ tɛst if yu gɛt di jin dɛn we gɛt fɔ du wit di sik we dɛn kɔl celiac. |
Okay, so wetin na dis Tissue Transglutaminase IgA (tTg-IgA) test?
Dis na
di men ɛn mɔs sɛnsitiv blɔd tɛst fɔ no if pɔsin gɛt Silia sik. As wi bin dɔn tɔk, we pɔsin we gɛt Silia sik it gluten, di bɔdi in imyun sistɛm kin bigin fɔ fɛt am. fכ fכt dis fכs, i de mek "spεshal sojaman dεm" we dεn kכl antibodi dεm (Antibodies כ Immunoglobulins). di כnכfכs tin na dat dεn antibodi dεm ya de mistek atak wan εnzym na wi כwn bכdi we de εp fכ mek di sεl dεm bak. Dɛn kɔl da ɛnzaym de Tissue Transglutaminase. So wi kin kɔl dɛn antibodi ya anti-tissue transglutaminase antibodies. di lεvεl fכ dεn anti-tissue transglutaminase antibodi dεm ya na di bכdi fכ pכsin we gεt Siliak sik rili hכy.
di tTg-IgA tεst de mכsu di lεvεl fכ da antibodi de. Wetin mek dis tTg-IgA tɛst impɔtant so?
Dis na tɛst we rili kɔrɛkt.
Na lɛk 98 pan ɔl 100 pipul dɛm wae gɛt kɔliak sik wae de it tin dɛm wae gɛt gluten go gɛt fayn rizɔlt frɔm dis tɛst. Na dat mek dɔktɔ dɛn kin se yu fɔ du dis tɛst fɔs.
Bifo di tɛst ɛn aw fɔ tek di tɛst
Sɔntin de
we yu rili nid fɔ mɛmba na ya.
Bifo yu tek dis tɛst, yu nɔ fɔ stɔp fɔ it tin dɛn we gɛt gluten. If yu tink se yu gɛt Silia sik ɛn yu stɔp fɔ it gluten fɔ yusɛf, di lɛvɛl we dɛn antibodi dɛn de na yu blɔd kin go dɔŋ. Dɔn di tɛst rizɔlt kin kɔmɔt rɔng (fals-negative). Dat min se, i kin sho se yu gɛt di sik, bɔt nɔ gɛt am. So, nɔ kɔntrol di tin dɛn we yu de it if yu dɔktɔ nɔ advays yu.
Di tɛst rili simpul. 1. Dɛn kin tek smɔl blɔd frɔm wan vein na yu an we dɛn de yuz lancet. 2. afta dat dεn kin sεnd di bכdi sεmpl to labכtכri fכ tεst fכ anti-tissue transglutaminase antibodies. 3. If di antibodi lɛvɛl na yu blɔd rili ay, dɛn kin sɔprayz se yu kin gɛt Silia sik. Di risk dɛm fɔ dis tɛst nɔr so bɔku. Yu kin fil lɛk se yu de swɛt smɔl we dɛn put di nidul insay. Sɔm brus ɛn smɔl pen kin de bak usay dɛn pul di blɔd. Apat frɔm dat, no big big prɔblɛm nɔ de. Bɔt, wan tin de. Sɔntɛnde, mɔ pan yɔŋ pikin dɛn ɛn pipul dɛn we gɛt smɔl antibodi lɛvɛl, di rizɔlt fɔ dis tɛst nɔ kin kɔrɛkt 100%. Na dat mek, dipen pan di rizɔlt fɔ di blɔd tɛst, yu dɔktɔ kin nid fɔ du sɔntin lɛk bayɔpsi fɔ kɔnfirm di sik.
Mɛsej we dɛn kin kɛr go na os
- Siliak sik na siriɔs ɔtoimyun sik we gluten kin kam wit. I nɔto kɔmɔn alɛji.
- di tTg-IgA tεst na di men, mכst akכrd blכd tεst we dεn kin yuz fכ no dis sik.
- If yu gɛt sayn dɛm fɔ di sik we dɛn kɔl Celiac disease, yu gɛt famili histri bɔt dis, ɔr yu gɛt ɔda tin dɛm wae kin mek yu gɛt dis sik lɛk dayabitis, tɔk to yu dɔktɔ bɔt dis.
- Di tin we impɔtant pas ɔl: Nɔ stɔp fɔ it tin dɛn we gɛt gluten bifo yu tek kɔliak tɛst we yu nɔ gɛt dɔktɔ advays. If yu du dat, dat kin mek di tɛst rizɔlt nɔ kɔrɛkt.
- I rili impɔtant fɔ tɔk bɔt ɛni tɛst rizɔlt wit yu dɔktɔ fɔ ɔndastand am gud gud wan.
Siliak sik, tTg-IgA tɛst, gluten, ɔtoimyun sik, bɛlɛ prɔblɛm, blɔd tɛst, dijestiv sistɛm
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