Chhang emaw, biscuit emaw ang chi i ei hian a chang chuan pum na emaw, pum a na emaw i nei thin em? A nih loh leh mi ṭhenkhat chuan engmah ei loh duhna an nei em? Vawiin hian chutiang thil nena inzawm thei dinhmun kan sawi dawn a ni. Chu chu Celiac Disease a ni. Hei hi thil buaithlak deuh angin lang mahse, awlsam takin i hrethiam ang u.
Celiac natna hi eng nge ni?
A awlsam zawngin, celiac natna hi
kan taksa hriselna lama harsatna avanga lo awm a ni . Hei hi ``autoimmune disorder`` an ti a. Hemi kawngah hian thil thleng chu ``gluten`` an tih protein awmna ei tur kan ei hian kan taksa immune system hian a dodal thin a ni. A dik tak chuan kan taksa hian he gluten hi hmêlma niin a ngai a. Tichuan chu hmelma bei turin antibody a siam chhuak ta a ni. Mahse, heng ``antibodies`` te hian
kan intestine te tak te chhungril (mucosa) chu a tichhe vek a ni . Hetianga chhiatna avang hian small intestine hian eitur chhunga nutrient awmte chu a hip lut tha thei lo. Chu chu
ei leh in lama harsatna a awm lai a ni. He protein ``gluten`` an tih hi thlai chi hrang hrangah a awm ber. A bîk takin
, buhfai, barley, leh rye ang chi thilteah chuan . I hria em, kan ei tur tam zawk, chhang, pasta, cake, leh biscuit te hi heng thlai chi hrang hrang atanga siam a ni. Chu mai pawh ni lovin, a chang chuan kan ngaihtuah ngai loh sauce, soup leh packaged foods te pawh hian he gluten hi a pai thei a ni. Beer pawh hi barley emaw rye emaw atanga siam a ni fo bawk.
Engtin nge celiac natna hian ka taksa a nghawng?
Celiac natna hian i
small intestine a nghawng ber a ni . Hei hi kan eitur chhunga nutrient tam zawk hi a hip lut thin a ni. Hei hian gluten ang chi protein te pawh a huam tel bawk. Mahse celiac disease i neih chuan gluten i small intestine a luh chuan i immune system chuan a chhang let thin. Chu chu immune system hian cell leh antibodies a thawn chhuak a, gluten molecule te chu a tichhia tihna a ni. Heng cell te hian small intestine chhungril lining, mucosa chu a tichhia a ni. Ngaihtuah teh, kan small intestine chhungril hi a design tha hle tih chu rin theih a ni. A chhung lam bang chu a hrual mai lo. Fold tam tak a nei a, kut zungtang ang maia projection te tak te,
villi an tih te nen a khat bawk. Heng villi te hian i ei tur chu a chunglam zau tak a pe a, chu chuan chaw ei laiin nutrient tam thei ang ber a hip lut thei a ni. Tennis court ang maia lian a ni thei a, i hrual chhuak a nih chuan! Mahse celiac natna nena lo kal immune cells te hian heng `(villi)` zawng zawng hi
an flatten leh flatten a , chu chuan nutrients lakluhna tur surface area awm chu a ti tlem a ni.
Celiac natna hi a hlauhawm em?
Ni e, small intestine chhiatna hian
nghawng na tak a nei thei a ni . Ka sawi tawh ang khan small intestine hi ei leh in chhunga nutrient awmte `(mucosa)` kaltlanga kan lakluhna hmun a ni. Chuvangin `(mucosa)` a chhiat chuan a thawk tha lo. Hei hi kan ti a
Hei hi ‘malabsorption’ an ti a. He `(malabsorption)` hian 'malnutrition' a thlen thei a ni. Tin, nutrient chi hrang hrang tlakchham vangin natna dang tam tak a awm thei bawk. Hetiang dinhmun hian naupang tête a bik takin a nghawng a nih chuan an thanlenna leh an thanlenna a tichhe thei a ni. Tute nge celiac natna vei?
Celiac natna hi Europe hmar lam hnam chhuak zingah a tam ber. Europe leh North America-a mipui 1% velin he natna hi an vei nia chhut a ni. I chhungkuaa mi (first-degree relative, nu, pa emaw fa emaw) hian he natna hi a vei a nih chuan nang pawhin i vei theihna chance 10% vel i nei a ni. Celiac natna vei hmuhchhuah zinga 97% chuan gene variant bik an nei a, hei hi a kaihhnawih a ni. Chungte chu `(HLA-DQ2)` emaw `(HLA-DQ8)` emaw an ti a. Risk factor dang a awm em?
Celiac natna hi inherited chromosomal disorders thenkhat , Down syndrome ang chi nei te zingah a tam zawk. Autoimmune natna dang thenkhat nei zingah pawh a tam zawk bawk . Heng natnate hian gene an insem fo a, an insiam chhuak thei bawk. Autoimmune natna dang ang bawkin celiac natna hi mipa aiin hmeichhiaah a tam zawk . Ratio chu pahnih leh pakhat (2:1) vel a ni. Celiac natna i vei theihna a sang zawk a, chu chu:
- I var a nih chuan.
- I chhungkuaa tu pawhin he natna hi an vei a nih chuan.
- Chromosomal abnormality `(Turner syndrome)`, `(Williams syndrome)` emaw `(Down syndrome)` ang chi i neih chuan.
- Autoimmune natna dang `(Type 1 diabetes)`, `(rheumatoid arthritis )`, `(microscopic colitis)` emaw `(Addison's disease)` te i neih chuan.
- Hmeichhia i nih chuan.
Eng thilin nge celiac natna hi a thlen?
Autoimmune natna tam tak, celiac natna ang chi hi a tlem berah chuan genetic disorder an ni . Chu chu, chhungkaw hrang hranga thlah khat atanga thlah danga inthlak danglam thin gene variant bik avang hian i nei tam zawk tihna a ni. Mahse, chu gene variant nei zawng zawng chuan natna chu an nei vek dawn lo va, chu natna nei zawng zawng chuan chu gene variant hriat chhuah chu an nei vek dawn lo. Natna lo chhuahnaah hian thil dang pawhin chanvo an nei niin a lang. Engtin nge mi pakhatin celiac natna a neih theih?
Theory pakhat chu taksa lama harsatna nasa tak hian kan immune system a tichhe thei tih hi a ni.Thil rapthlak tak avanga lo awm thei niin an ngai. Doctor-te chuan he natna hi taksa lama thil thleng, operation, natna, naupai emaw, rilru lama harsatna nasa tak emaw hnuah a lo lang tih an hmuchhuak a. Theory dang chu kan intestine-a awm microorganisms (i gut-a microorganisms) te hi an inrawlh tih a ni. He theory hi zirchian belh a ngai a ni. Engtikah nge celiac natna hi a lo chhuah?
Celiac natna hi nangmah emaw i fain emaw gluten an ei tan hnuah kum eng pawhah a lo awm thei a ni . Doctor-te chuan kum hnih-ah an hmu tam ber a: naupan lai, thla 8 leh 12 inkar , leh kum chanve, kum 40 leh 60 inkar . A lo lan hma chhan chu naupangte hian ei tur solid tak tak, biscuit leh cereal te, gluten awmna te an ei tan tlangpui vang a ni. Celiac natna lan chhuah dan chu engte nge ni?
Celiac natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle a, chuvangin hriat chian a harsa thei hle. Mi thenkhat chuan symptom engmah an nei lo. Mi thenkhat chuan gluten an ei hnuah gastrointestinal (GI) symptoms an nei thin. Mi dangte chuan chhiatna a thlen hnuah chauh ei leh in lama harsatna chhinchhiahna chiang lo tak tak an nei thei bawk. Heng miteah hian thisen tlakchhamna (anemia) hi an natna chhinchhiahna hmasa ber a ni thei. Hetiang symptoms hi i nei thei ang:
Gastrointestinal natna lan chhuah dan:
Iron tlakchhamna avanga thisen tlakchhamna chhinchhiahna:
- Chak lohna leh hahna
- A hmel dum (Pallor) .
- Kut leh ke lum vawt
- Nail brittle emaw concave emaw a awm
- Lu na
- Kawngkhar natna
Ei leh in lama harsatna lan chhuah dan dangte:
- Tum loh vanga taksa rihna tihtlem
- Naupangte thanlenna tlai leh hmasawnna tlahniam (Failure to thrive) .
- Muscle wasting emaw muscle tone hniam emaw
- Ha enamel chhiatna, entirnan, pitting, staining, emaw, translucent appearance emaw
- Thlasik mumal lo emaw, naupai harsat emaw
- Mood swings, naupangte zingah lungkhamna leh puitlingah lungngaihna a tam ber
Celiac natna vei zinga 15% vel chuan he vun natna khirh tak hi side effect angin an nei thin. ‘Gluten rash’ emaw ‘celiac rash’ emaw an ti bawk. Celiac natnaah hian small intestine tichhe thei gluten antibodies ang chiah hian he natna hi a thlen thin. Dermatitis herpetiformis hi itchy, clustered rash a ni a, blisters emaw eczema emaw ang mai a ni. A tlangpuiin elbows, khup, buttocks emaw lu vunah emaw a lang thin. Engtin nge celiac natna i vei tih i hriat theih ang?
Gluten i ei hnua chaw ei lama harsatna i neih chuan celiac natna i nei tih i ringhlel mai thei. Mi tam tak chuan an ei leh inah gluten emaw wheat products emaw hi sensitivity an nei niin a lang. Food intolerances hian chaw ei zawhah symptoms nuam lo tak tak a thlen thei a, mahse celiac disease angin intestine a tichhe lo. Celiac natna hriat theih nan doctor-te chuan he chhiatna hi finfiahna an zawng thin. A pawimawh ber chu gluten-free diet i tan hmain celiac disease test hmasa phawt tur a ni. Chutih hunah chuan test-naah chuan gluten hian i taksa a nghawng tak tak dan chu a hriat theih ang. Gluten i ei tawh loh chuan i gut chu a dam tan ang. Damna a tha a, mahse chutih hunah chuan celiac natna finfiahna chu a bo vek ang. Nang leh i doctor hian in neih leh neih loh in hriat chian a ngai a, chutiang chuan hmalam pan zelin eng ang enkawlna nge in mamawh tih in rel thei ang.
Engtin nge doctor te hian celiac natna an test thin?
Doctor-te chuan celiac natna test nan hian kawng hnih an hmang a. Diagnosis confirm nan an pahnih hi hman dun an duh ber. A hmasa ber chu thisen test a ni . Doctor te chuan i thisenah hian gluten laka antibody siam chhuah an zawng thin. Tichuan, chhiatna an zawng ta a ni. Hei hian i intestine te tak te atanga tissue sample te tak te (biopsy) lak a, microscope hmanga enfiah a huam a ni. He sample lak tur hian gastroenterologist chuan i small intestine chu endoscopic examination a ti ang. Endoscopy chu test a ni a, a chhungah hian camera te tak te dahin tube sei leh te tak te dah a ni. Upper endoscopy -ah hian endoscope chu rilru chhungril hnuai lam leh small intestine chunglam, duodenum tia koh chhungah an kal lut a. Camera atanga thlalak a hmuh dan azirin endoscopy titu doctor chuan instrument te chu tube chhungah a pass thei a, biopsy a la thei bawk. Test dang pawh a awm bawk
Celiac natna a awm tih finfiah a nih chuan i doctor chuan i thisenah vitamin leh mineral tlakchhamna bik a awm leh awm loh enfiah a duh ang . Tlakchhamna nasa tak chuan i taksaah nghawng hrang hrang a nei thei a, supplement hmanga enkawl nghal a ngai thei bawk. A tam ber chu iron tlakchham vanga thisen tlakchhamna , vitamin tlakchham vanga thisen tlakchhamna , leh vitamin D tlakchhamna te hi an ni. Electrolyte, calcium ang chi pawh i nei tlem thei bawk. Celiac natna hi engtin nge enkawl a nih?
Celiac natna enkawlna atana hmalakna hmasa ber leh pawimawh ber chu gluten ei hi tihtawp vek hi a ni . I taksain gluten a react dan chu i thlak thei lo a, mahse gluten hian chutiang reaction a thlen loh nan i veng thei a ni. Gluten i ei tawh loh chuan i small intestine chu a dam tan ang a, rei lo teah nutrients te chu a hip lut leh thei tawh ang. Mahse, i rilru natna (small intestine) a tihchhiat belh loh nan i dam chhung zawngin gluten-free diet khauh tak i neih a ngai dawn a ni. Enkawlna dangte chu:
* Tlakchhamna lian tak a awm chuan siamthat nan nutritional supplement ei thin ang che.
* Dermatitis herpetiformis hi damdawi bik dapsone ang chi hmangin enkawl tur a ni.
* Corticosteroids hi inflammation na tak, ei leh in lama chhanna rang lo tan.
* Natna hi control theih a nih leh nih loh enfiah nan enkawl chhunzawm zel, check-up neih fo te pawh a tel.
Enkawlna atanga dam leh theih nan eng chen nge a duh?
Mi tam zawk tan chuan gluten-free diet an tan hnuah symptoms chu a lo tha chho nghal mai thin . I ei leh in lama harsatna i neihte chinfel nan kar engemaw zat a ngai thei a, i gut pawh a dam kim theih nan thla engemaw zat a ngai thei bawk. A then phei chuan a chhiat nasat dan leh eng chen nge a awm tawh tih a zirin a rei thei hle. Ei leh in khauh tak i zawm loh chuan dam lehna a tikhawtlai thei a ni. Celiac natna vei te tan engtin nge hma an sawn ang?
Mi tam tak chuan gluten an vei tih hmuhchhuah a nih chuan an dam tha hle tih an beisei thei . Celiac natna avanga chhiatna tam zawk chu tihdanglam theih a ni. Symptoms i neih chhunzawm zel chuan i hriat lohvin gluten tlemte i ei mai thei a, secondary condition i nei thei bawk. Mi 5% vel chauh hian refractory celiac disease dik tak an nei a, hei hian dietary control a chhang lo. Gluten ei i bansan loh chuan eng nge thleng ang? Hun rei tak chhunga harsatna awm thei te chu engte nge ni?
Kum tam tak i tlai tih hmuhchhuah a nih chuan, a nih loh leh a hnua gluten ei loh i theih loh chuan, celiac natnain a nghawng chu a na zawk thei a, rei tak a daih thei bawk . Chronic malnutrition avanga harsatna awm thei:
- Naupangah rickets emaw puitlingah osteomalacia emaw a awm thei.
- Osteopenia ( ruh hring) leh osteoporosis ( ruh hloh).
- Ha enamel chhiatna awm reng.
- Nervous system (peripheral neuropathy) a nghawng dan, chutah chuan rilru hahna leh tingling, muscle twitching, leh balance leh coordination lama harsatna (ataxia) te pawh a tel.
- Naupangte thanlenna leh thanlenna tlai, stunting.
- Thil ngaihtuah leh zir harsa.
Chronic inflammation avanga harsatna awm thei:
- Compromised immunity : I immune system a overactive reng chuan infection ang chi emergency hmachhawn turin resources a nei tlem zawk. Hei hian natna i neih theihna a tipung thei a ni.
- Additional food intolerances : I intestinal lining a chhiat zel avangin a hmaa i ei theih tawh nutrients te chu i ei thei lo mai thei. Entirnan , lactose intolerance a lo awm thei.
- Ulceration leh scarring : Inflammation na tak chuan i small intestine-ah ulcer a thlen thei. Ulcer na tak chuan intestinal wall (gastrointestinal perforation) pawh a paltlang thei a, hei hi medical emergency a ni. Inflammation hian intestine chhungah hliam a siam thei a, intestine a ti tawi thei bawk (stricture), chu chuan bowel obstruction a thlen thei bawk .
- Collagenous sprue : He natna hmuh tur awm lo tak hian small intestine-ah collagen a awm reng a, chu chuan nutrient absorption a tichhe thei reng a ni.
- Liver disease : Hun a kal zel chuan liver natna rei tak i nei thei a, liver a ti chhe zual thei bawk.
- Cancer : Chronic inflammation hian small intestine cancer (intestinal lymphomas, intestinal adenocarcinoma) leh esophageal cancer te i vei theihna a tipung a ni
Engtin nge gluten-free diet hi i hman thiam theih ang?
A tirah chuan gluten zawng zawng ei loh chu thil harsa tak angin a lang thei. Label chhiar i zir a ngai a, accidental gluten contamination lakah fimkhur a ngai bawk. Thu lawmawm tak chu i ei leh in thar ei tan theihna tur thil tam tak a awm a ni. I doctor chuan registered dietitian hnenah a refer thei che a, ani chuan a tanpui thei che a ni. Eng ei tur nge celiac symptoms tichhuak?
Gluten hi a pianphungah thlai chi thenkhat leh buh atanga siam thilah a awm a. Chumi awmzia chu:- Wheat (chi hrang hrang semolina, durum, bulgur, spelt, couscous te) .
- Barley (leh barley atanga siam malt) .
- Rye a ni
Heng buhfai te hi siam nan an hmang thin:- Chhang leh Bakery atanga siam thil te
- Cereal lum leh vawt
- Noodles leh pasta chi hrang hrang
- Beer, Lager leh Ale te a ni
- Malt awmna zu a ni
- Malt vinegar hmanga siam a ni
Chu bâkah, gluten hi processed food product tam takah pawh dah tel a ni bawk . Entir nan:- Soup leh sauce te pawh a awm
- Salad dressing leh condiment te pawh a awm bawk
- Sa siam chhuah (hot dog, deli sa ang chi) .
- Processed cheese, yogurt leh ice cream atanga siam a ni
- Chaw ei tur packaged a ni
- Chaw thlum tak tak
Pawimawh: Processed foods i ei hmain a label-ah gluten thup a awm loh leh awm loh enfiah hmasa phawt ang che.
Celiac natna nena nun dan tur tips awlsam thenkhat:
- Go-to home menu siam rawh. Recipe bu hrang hrang en la, i ei fo theih tur leh siam awlsam tak tak recipe tlemte thlang rawh. I mamawh thilte chu in lamah dah reng thin ang che.
- Gluten tel lo snack tlemte chu i car, bag emaw office desk-ah emaw dah la. In atanga i chhuah dawna ei tur dang i hmuh loh chuan an tangkai hle ang.
- Restaurant tlemte, gluten-free menu rintlak tak tak emaw, him taka order theih i hriat emaw zawng rawh.
- Chaw thara thil awm dik tak i hriat chian loh chuan gluten test strip te hi i kutah dah la, gluten a awm leh awm loh enfiah a tha bawk.
A tawp berah chuan eng nge hriat reng tur
Celiac natna i neih nia hriat chuan i ei leh in leh nunphung chu chatuan atan a thlak danglam ang. Tin , i nun chu a tha zawngin a thlak danglam ang . I natna hmuhchhuah hma khan gluten i ei a, zawi zawiin i intestine te chu i tichhia a ni mai thei. Kum tam tak chhung chu symptom mak tak tak, nuam lo tak tak i nei tawh a, chu chu eng nge a nih pawh hre lovin i nei tawh mai thei. Tunah chuan i hriat tawh chuan i hriselna siam that leh theihna thiltihtheihna i nei ta a ni. Ngaihtuah buai suh, uluk taka i enkawl chuan hrisel takin i awm thei ang!
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh