Chhang emaw noodles emaw i ei hnuah i pum a na em? Hei hi Celiac Disease a ni thei ang em?

Engvangin nge chhang, roti, a nih loh leh noodles ang chi thil i ei hnuah, a châng chuan i pum chhungah thil mak tak, natna, emaw, a khat emaw i hriat ṭhin tih i ngaihtuah ngai em? Mi thenkhat tan chuan hetiang hi a thleng fo thin. Kan rilruin, "Aw... chu chu ka ei thei lo," tiin kan ngaihtuah thin. Mahse he chhangphut ei avanga lo awm hrehawmna hnung lamah hian kan hriat loh thawnthu pawi tak a awm thei. Chu thawnthu chu celiac disease a ni a, sap tawnga kan sawi angin `(Celiac Disease)` a ni. Vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.

A awlsam zawngin, Celiac Disease hi eng nge ni?

I taksa chhungah hian defense army fing tak, chak tak i nei tih han ngaihtuah teh. Hei hi immune system kan ti a. He sipai hna chu i taksaa lut, virus leh bacteria ang chi hmelma zawng chhuak, beih leh tihchhiat a ni a, natna laka venhim che hi a ni.

Mahse celiac natna vei pakhatah chuan he defense system hian tihsual tlemte a nei a ni. Thil hlauhawm lo leh pangngai tak chu hmêlma atan a ngai sual a ni. Chutiang a nih chuan, chu "hmêlma" chu protein pakhat gluten an tih a ni.

Chuvangin, celiac natna vei mi pakhatin gluten awmna ei tur a ei chuan, immune system chuan, "Hetah hian hmelma a lo kal!" Tichuan immune system chu a kal a, gluten chu a do tan ta a ni. Mahse he indona hi i small intestine chhungah a thleng thin . He indonaah hian vanduaithlak takin gluten chauh a chhe lo va, i small intestine wall pawh a chhiat phah a ni.

Okay, chuti a nih chuan eng nge he gluten hi mi zawng zawngin an sawi?

Gluten hi buhfai, barley, leh rye ang chi thlai chi hrang hranga awm protein a ni. Chhangphut hmin chu a hmin chuan a stretchy, a nih loh leh elastic quality petu a ni. Hei hian chhang leh cake te chu a lo tho chhuak a, mawi takin a lo tho chhuak thei a ni.

Sri Lanka ramah chuan kan eitur tam takah hian gluten a awm a. Ngaihtuah teh...

• Chawhmeh: Wheat flour, chu chu chhang, bun, toast, leh milk rice nena ei curry thenkhatah te dah a ni.
• Chawhmeh atan: A chang chuan noodles leh pasta ka ei thin.
• Chawhnu lam tea hun: cake, biscuit, patties, rolls, fish cake te.
• Zanriah ei tur: roti, paratha, kottu.

Hei bakah hian gluten hi kan ngaihtuah ngai loh thil tam takah a thup thei a ni. Entirnan, sauce-ah te, soup packet-ah te, sa processed thenkhatah te, ice cream-ah te pawh gluten an dah a, chu chu a thim zawk nan an dah a ni. Chuvangin, celiac natna vei tu emaw chuan fimkhur hle a ngai a ni.

He natna hi a hlauhawm thei ang em?

Ni e, hei hi enkawl loh chuan a pawi thei hle. Kan sawi tawh ang khan gluten kan ei apiangin small intestine a chhiat phah thin. Kan rilru chhungril bang hian kut zungtang ang maia projection te tak te maktaduai tam tak a nei a. Chungte chu `(villi)` kan ti a. Hengte hnathawh ber chu kan ei leh in atanga nutrients (vitamins, minerals, proteins) kan lakluh hi a ni.

Celiac natnaah chuan immune system-in a beih chuan heng villi te hi a flatten a, a chhe vek thin. Miin lawn mawi tak a rap ang mai a ni. Chuti a nih chuan eng nge thleng? Taksa hian ei leh in atanga nutrients a hip tha tawk lo. Hetiang dinhmun hi malabsorption kan ti a.

Hei hi a kal zel chuan malnutrition a awm dawn a ni. Hei hi thil hlauhawm ber a ni. Hei hian naupang tê tête a nghawng bîk hle.

• Naupangte chu an thanlenna (stunted growth) (a sang lo, lian lo) an nei thei.
• Naupang rilru leh taksa thanlenna a nghawng thei a ni.

Chuvangin, hei hi "rilru na pangngai mai mai" tia hnawl chu thil tha a ni lo.

Celiac natna lan chhuah dan chu engte nge ni?

He natna chungchanga harsatna pakhat chu a lan chhuah dan hi mi hrang hrangah a inang lo hle a ni. Mi thenkhat chuan symptom engmah an lantir lo mai thei. Mahse a chhiatna chu taksa chhungah a thleng mek a ni. He natna hi kum hnih a awm tlangpui.

1. Naupan lai: Kum khat vel, chu chu naupang te te te gluten awmna ei tur i pek tan tirh hian biscuit leh cereal te hi a ni.

2. Kum chanve: Kum 40 leh 60 inkar.

A hnuaia table hi han en ila, symptom category lian ber berte chu eng nge ni tih i hre ang.

Engvangin nge he natna hi a lo awm? Risk factors te chu engte nge ni?

Celiac natna hi thlahtute atanga lo chhuak a ni . Hei hian genetic link a nei tihna a ni. Celiac natna vei zawng zawng deuhthaw hian gene mutation pakhat `(HLA-DQ2)` emaw `(HLA-DQ8)` emaw an nei vek a. Mahse, heng genes nei zawng zawng hian natna hi an nei vek dawn lo.

Doctor-te chuan genes bakah hian thil dangin he natna lo piang tur hian chanvo a nei thei niin an ngai. Mahse eng nge an nih chiah an la hrechhuak lo. Ṭhenkhat chuan he natna hi major surgery emaw, natna khirh tak emaw, naupai emaw ang chi thil vangin a lo lang nghal thei niin an sawi.

Heng mite hi an hlauhawm zawk a ni:

• Chhungkaw zinga mi (nu, pa, unau) tu emaw chuan celiac natna a neih chuan.
• Autoimmune natna dang (e.g., Type 1 diabetes, thyroid natna) i neih chuan.
• Chromosomal abnormalities Turner syndrome emaw Down syndrome emaw a awm chuan.
• Hmeichhiain he natna hi an vei tam zawk.

Enkawl loh chuan hun rei tak chhunga nghawng a neih dan chu eng nge ni?

Hei pawh hi a pawimawh hle. Natna hi hriat chian loh emaw, ngaihthah a nih loh chuan hun kal zelah harsatna lian tak tak a lo awm thei a ni.

Engtin nge he natna hi i vei tih chiang taka i hriat theih ang?

A chunga kan sawi tak symptoms i neih chuan i tih hmasak ber leh pawimawh ber chu i doctor pan a ni. "Gluten intolerant ka ni" tih mai mai suh la , gluten ei kha bansan rawh. Chutianga tih chuan diagnostic test result dik lo a awm thei.

Doctor hian a natna finfiah nan testing method pahnih a hmang ber a ni.

1. Thisen Test: Hei hian i thisenah hian immune system-in gluten laka a siam chhuah special antibody a awm em tih a enfiah thin.

2. Endoscopy hmanga thil tih dan: 1.1.Thisen test result ``positive`` a nih chuan gastroenterologist chuan he test hi a ti ang. Hetah hian camera vuah tube te tak te chu ka chhungah dahin small intestine chu enfiah a ni. Chutih rual chuan tissue te tak te ``biopsy`` chu small intestine wall atang hian lakchhuah a ni a, laboratory-ah thawn a ni bawk. Chutah chuan kan sawi tak ``villi`` te chu microscope hmangin an enfiah a, an chhiat leh chhiat loh finfiah a ni.

Enkawlnate chu engte nge ni? Ka dam chhung zawng damdawi ka ei a ngai dawn em ni?

Hetah hian chanchin lawmawm chu a awm e. Celiac natna enkawlna awmchhun leh hlawk ber chu dam chhunga 100% gluten-free diet hi a ni. Ni e, pill bunch khat pawh i ei a ngai lo. I tih tur chu i ei leh in thlak mai a ni.

Gluten ei i chawlhsan vek chuan i small intestine chhiatna chu a tawp ta a ni. Tichuan zawi zawiin a lo dam leh tan a, a nih loh leh a dam leh tan ta a ni. Thla engemaw zat hnuah chuan nutrient absorption chu a normal leh tan ta a ni.

Hei bakah hian i doctor chuan a hnuaia mite hi a rawn rawt thei bawk ang:

• Nutritional deficiency a nasat chuan vitamin leh mineral supplement (e.g. iron tablets) te ngaihtuah thin ang che.
• Vun natna (dermatitis herpetiformis) enkawlna damdawi.
• Intestine-a inflammation a na lutuk chuan short-term corticosteroids hmangin control theih a ni.

Engtin nge gluten-free nun i hman theih ang?

Hei hi a tir lamah chuan a harsa deuhin a lang mai thei, a chhan chu kan ei leh in kan hman thin tam tak hi kan bânsan a ngai a ni. Mahse hei hi i hriselna atana investment a ni. Hun a kal zel a, hei hi i nunah thil pangngai a lo ni tawh ang.

I tanpui thei tur tips tlemte chu hetiang hi a ni:

• Label chhiar thiam rawh: Store atanga i thil lei apiangah ``ingredients'' tih kha chhiar thin ang che. ``Contains wheat, barley, rye'' tih a awm em tih enfiah rawh.
• Thil awm dan pangngaia gluten awm lote hriatchhuah: Buhfai, thlai, thei, sa, sangha, artui leh bawnghnute atanga siam te hi a pianphungah gluten nei lo an ni.
• Kan tualchhung thil chi hrang hrang: Chhangphut chi ai chuan buhfai chi, semolina chi, chickpea chi, leh green gram chi (indiappa, pittu, roti, those) atanga siam ei tur i ei thei.
• Pawn lama chaw ei hunah fimkhur rawh:Restaurant-a chaw i ei a nih chuan gluten-free option an neih leh neih loh zawt la. Kottu leh paratha ang chi thil siamna hmunah chuan gluten tel lo ei tur chu pan khatah i siam chuan gluten a awm thei (cross-contamination). Chu pawh chu fimkhur rawh.
• In lama menu siam: I ei theih tur chaw siam awlsam tlemte ngaihtuah la, a thil siamte chu in lamah dah rawh. Chuti a nih chuan riltam i ngaihtuah a ngai tawh lovang.

Celiac natna vei nia hriat hi i nunah danglamna lian tak a ni. Mahse, inthlak danglamna tha tak a ni. Tunah chuan hun rei tak chhunga i lungawi lohna chhan chu i hre tawh ang. A chinfelna chu i kutah a awm. Ei leh in dik tak nen chuan nun famkim, hrisel leh hlim takin i nung thei a ni.