Celiac Disease i nei em? Hetah hian chiang taka hriat theih dan tur chu a awm! (Celiac natna) 1.1.

Eng ang pawhin ei mah la, pum na, pum na emaw, pum na emaw i nei fo em? Hei hi thil pangngaiah i ngai mai thei a, a nih loh leh i ei tur chu a rimtui lutuk vang niin i ngai mai thei. Mahse heng symptoms te hi mi tam takin an hriat loh, mahse dik taka hriat chian chuan control vek theih tur dinhmun chhinchhiahna a ni thei. Vawiin hian kan sawi dawn a, mi tam takin an la hriat ngai loh Celiac Disease a ni. Dik tak chuan zirchiangtute chuan he natna vei mi panga zinga pakhat chauhvin an vei tih an hria niin an sawi. Chuvang chuan fimkhur a pawimawh em em a ni.

A awlsam zawngin, Celiac Disease hi eng nge ni?

A awlsam zawngin sawi ila, kan immune system lama harsatna a ni. Buh leh barley ang chi thlai chi hrang hrang (chhang, buns, noodles, cake) atanga siam kan ei hian kan immune system hian a chhunga protein an tih chu a do tan thin. He insual hian keimahni intestine te tak te a tichhia a ni. Hun a kal zel a, he chhiatna hian kan taksain a mamawh ei tur tha tak tak a hip lut thei lo a ni. Hei hi Celiac Disease kan tih chu a ni. Hei hi ei leh in allergy pangngai a ni lo va, a buaithlak zawk a ni.

Diagnosis: Engtin nge chiang taka kan hriat theih?

He natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle. Mi thenkhat chuan pum na, pum na, leh riltam ang chi natna lanchhuahna an neih laiin, thenkhat erawh chuan taksa rihna tlahniam, ruh na, vun lama harsatna, emaw, hah reng reng ang chi te an nei thei thung. Heng symptoms te hi vawi khatah a intan vek loh avangin, a chang chuan natna hriat theih nan kum tam tak a ngai thei bawk.

Mahse heng symptoms te hi i nei nia i hriat chuan heng thilte hi a bik takin ngaihven rawh:

• Chhungkaw chanchin: I chhungkuaa mi (nu, pa, unaupa, unaunu, fa) pakhatin Celiac Disease a neih chuan nang pawhin he natna hi i vei theihna a hlauhawm hle. Chuvangin Doctor nen inbia a, a tul anga test tihsak hi a finthlak hle ang.
• Damdawi lam thil dang: Autoimmune natna dang, Type 1 Diabetes, autoimmune liver disease, thyroid disease emaw i neih chuan Celiac Disease test neih a pawimawh hle.

A pawimawh hle: Test hmain gluten ei kha bansan suh!

Hei hi mi tam takin an tihsual lian tak a ni. Celiac Disease an vei mai thei niin an ngai a, doctor an hmuh hmain gluten awmna ei tur (chhang leh roti ang chi) an ei tawh lo. Khawngaihin chutiang chu ti suh.

A chhan chu test te hi a dik tur chuan i taksaah gluten i neih a ngai a ni. Gluten ei i chawlhsan chuan test-ah hian natna hi a lang lo mai thei. Tichuan diagnosis dik lo i hmu mai thei.

Gluten-free diet i thlak tawh a nih chuan i doctor chuan "gluten challenge" tih turin a ti mai thei. Hei hian test neih hmain kar engemaw zat (a tlangpuiin kar 8 vel) chhung nitin gluten awmna ei tur engemaw zat (entir nan, ni khatah chhangphut slice pali) i ei a ngai dawn tihna a ni. Hei hi a harsa deuh thei a, mahse diagnosis dik tak neih nan chuan a pawimawh hle.

Heng test te hi engte nge ni?

Celiac Disease hriat theihna tur test chi hrang hrang a awm a. A hmasa ber chu thisen leh genetic test a ni.

Thisen leh Genetic Test te

Hengte hi test hmasa ber a ni. Chûngte rah chhuah chuan a hnua tih tûr chu a hril ang.

• Blood Test: Hei hian i thisenah antibody chi hrang hrang a test thin. Celiac Disease vei miin gluten a ei hian an taksain heng antibody te hi a siam chhuak thin. Chuvangin thisenah heng antibodies level hi a tlangpui aia sang zawk a nih chuan Celiac Disease i vei thei tih hriattirna nghet tak a ni.
• Genetic Test: Hei hian i genes te chu HLA-DQ2 leh HLA-DQ8 genes te a test thin. Heng genes te hi i neih loh chuan Celiac Disease i neih a rinawm loh hle. He test hi thisen sample emaw, saliva sample emaw, i hmui chhung atanga cell swab emaw hmangin tih theih a ni.

Mahse hre reng ang che, heng test te chauh hian Celiac Disease i nei tih 100% in a nemnghet thei lo. Heng test te hian natna chungchangah rinhlelhna a siam a nih chuan test pawimawh ber tur chu endoscopy a ni.

Endoscopy hmangin natna a awm tih finfiah theih a ni

Mi thenkhat chuan he hming an hriat hian an hlau mai thei a, mahse chutiang chuan a hlauhawm lo. Hei hi Celiac Disease i neih leh neih loh chiang taka finfiahna atana hman thin test a ni.

Hei hian tube (scope) te tak te, flexible tak, i hmui atanga camera te tak te dah luh a, i esophagus hnuai lam atanga i intestine te tak te chhunga dah luh a ni. Hei hian i doctor chuan i small intestine inner lining-ah chhiatna a awm leh awm loh a en thei a ni.

Hetih lai hian doctor chuan small intestine wall atang hian tissue te tak te tak te a la a. Hei hi biopsy an ti a . He tissue piece hi laboratory-ah thawn a ni a, microscope hmangin an enfiah leh thin.

Biopsy-ah eng nge zawn mek?

Kan intestine hrisel tak chhungril bang hian kut zungtang ang chi projection te tak te maktaduai tam tak, villi . Carpet thuk takah fiber ang mai an ni. An hnathawh ber chu kan ei leh in atanga nutrients te hip luh hi a ni.

Celiac Disease vei mi pakhatah chuan heng villi te hi a chhe a, a flattened thin. Biopsy hmangin i villi chu hetiang hian a chhiat em tih a enfiah ang. An chhiat tawh chuan chu chu Celiac Disease i vei tih finfiahna nghet ber a ni.

He endoscopy hi minute 15 vel a ni. Tin, doctor chuan he procedure chhung hian i rilru a hah loh nan theihtawp a chhuah bawk.