I fa hian heng chawte hi a ei harsat em? Celiac Disease chungchang hi han sawi ila!

A châng chuan i fa tê chu ei tûr ṭhenkhat, a bîk takin chhang leh biscuit ang chi buh chi aṭanga siam chaw a ei hian a pum a na emaw, a rilru hahna dang emaw a nei tih i hre tawh mai thei. Hei hi Celiac Disease an tih natna vang pawh a ni thei. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, a chhan chu hriat chian a pawimawh em em a ni.

Celiac Disease hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Celiac Disease hi autoimmune disorder a ni a, mi pakhatin Gluten an tih thil a tuar theih lohna a neih chuan a lo awm thin. Gluten hi buh chi hrang hrang, buhfai, rye, leh barley-a awm protein a ni.

Celiac Disease vei chuan eitur pawimawh tak tak a hip lut tha thei lo. Chutiang a nih chuan chu mi chuan ei leh in lama harsatna a tawk thei a ni. Doctor-te chuan engvangin nge immune system hian gluten hi hetiang hian a reacted tih chiang takin an la hre lo. Mahse i fa hian Celiac Disease a vei a nih chuan a natna lan chhuah dan tur leh a intestines tihchhiat loh dan tur a awm. Chuvangin ngaihtuahawm tur a awm lo.

Engtin nge Celiac Disease i vei tih i hriat theih ang? Eng nge a lan chhuah dan?

Celiac natna hi hming dang engemaw zat hmanga hriat a ni a, chung zingah chuan celiac sprue, gluten-sensitive enteropathy, leh non-tropical sprue te pawh an tel. Symptom hrang hrang a thlen thei.

Naute naupangteah chuan hei hi ``Failure to Thrive`` tia koh a ni thei a, chutah chuan naute chu beisei angin a rihna leh a san zawng a pung lo. Naupang kum upa zawkte chuan natna lan chhuahna an nei thei a, chungte chu:

• Diarrhea (ril a na) .
• Constipation (rilru vawt) .
• Pale, rimchhia tak tak stools
• Pum na leh pum na
• Rihna tihtlem
• Chau tih hriat reng reng
• Lu na (lu na) .
• Vun natna (hei hi naupang zawk leh puitlingah a tam ber a, a bik takin kutphah leh khup vel) .

Mahse, mi thenkhat chuan Celiac Disease an nei thei a , symptoms engmah an nei lo .

Heng symptoms te hi naupang nunah engtik lai pawhin a lang thei a ni. Naupang thenkhat chuan gluten awmna chaw an ei hmasak ber hian heng natna hi an nei thei a ni. Mahse, naupang dangte chuan natna lan chhuahna an neih hmain kum tam tak chhung chu harsatna nei lovin gluten awmna ei tur an ei tawh mai thei.

Nausen te tak teah chuan celiac natna chhinchhiahna hmasa ber chu chaw chi hrang hrang, cereal ang chi te an rawn luh hnuah a lang thei a ni. Entirnan, ril\am, pum na, leh taksa rihna \ha lo a awm thei. Hun a kal zel a, naupang chu beisei angin a sang lo thei a, thisen tlakchhamna a nei thei a, hmuiah natna a nei thei a, nungchang lamah pawh harsatna a nei thei bawk.

Engvangin nge hetiang (Celiac Disease) hi a lo awm? Eng nge a chhan?

Celiac Disease vei mi pakhatin gluten awmna thil a ei chuan chu gluten chuan immune system a tichak a, kan small intestine -a villi te chu a tichhia a ni . Villi hi kut zungtang ang maia projection te tak te, small intestine chhung lam line-a awm a ni. An hnathawh ber chu kan ei leh in atanga nutrients te hip lut a, thisenah thawn chhuah hi a ni. Chuvangin, heng villi te hi a chhiat chuan taksain naupang thanlenna atana mamawh vitamin leh mineral te chu a hip lut tha thei lo.

Celiac Disease awm chhan dik tak hi hriat a la ni lo . Mahse, chhungkuaa kal thei dinhmun a ni. Chumi awmzia chu chhungkuaa mi tu emaw hian Celiac Disease a neih chuan an fain a vei tam zawk tihna a ni. Tin, natna dang Down syndrome, Williams syndrome, Type 1 Diabetes , leh Autoimmune thyroid disorders te nen pawh a awm thei bawk.

Engtin nge Celiac Disease i vei tih chiang taka i hriat theih ang?

Celiac natna hriatchhuahna hi thisen test atanga tan a ni tlangpui. Hei hian small intestine lining-a gluten leh protein dangte laka antibody awm leh awm loh a enfiah thin. Antibodies hi kan immune system siam protein chi khat a ni. Kan taksain natna hrik leh hlauhawm dangte a hriat theih nan leh a tihchhiat theih nan an pui thin. A tlangpuiin heng antibodies te hi kan taksaah hian an awm reng a, an lo kir leh a nih chuan hrik te chu an do let thin.

Chuvangin, he thisen test hian gluten laka antibodies sang tak a hmuh chuan doctor chuan test (biopsy) atan small intestine atanga tissue te tak te lak a tum mai thei

Chutianga tih theih nân (biopsy) doctor-te chuan tube sei tak, te tak te ( endoscope tia koh) chu ka kal tlangin, pum chhungah an lut a, chumi hnuah chuan tissue sample tlemte la turin small intestine-ah an lut leh a. Hemi hun chhung hian naupang chu muthilh tir emaw, damdawi pek emaw a ni tlangpui a, chu chuan mut hahdam takin a awm thei a ni. Hei hi naupangin harsatna a neih loh nan a ni.

Pawimawh: Naupang pakhatin Celiac Disease a vei tih hmuhchhuah a nih chuan a unau, a nu leh pa leh a pi leh pu te pawh test tir a tha a, anmahni pawhin natna lanchhuahna nei lovin an vei thei bawk. Puitlingah Celiac Disease hi hun rei tak hriat loha awm a nih chuan hriselna lama harsatna lian tak a thlen thei a ni.

Celiac Disease hi engtin nge enkawl a nih?

He natna hi damdawi a la awm lo . Zirchiangtute chuan enkawlna thar an zawng reng a, a then chuan result duhawm tak tak an nei a ni. Mahse tunah chuan he natna hi gluten-free diet hmanga enkawl a ni. Hei hian intestines lining chu a tidam a, symptoms a ti reh bawk.

Ei leh in lama inthlak danglamna siam tur

I fain Celiac Disease a neih chuan i fain ei tur a ei theih leh ei theih loh tur chu i doctor chuan a kaihruai ang che. Heng inthlak danglamna te hian i chhungte nitin nun leh i fate ei leh inah nghawng lian tak a nei thei a ni. I doctor pawhin dietitian pan turin a rawt thei bawk .

I fate ei leh in atang hian buhfai, barley, rye leh a kaihhnawih buhfai te chu i paih vek tur a ni . Chaw siamtute chuan gluten hi label-ah an ziak tur a nih loh avangin i fain gluten a pumpelh tih chian a harsa deuh thei. United States ang ramah chuan thil siam pakhatah hian ei tur allergen lian 8 zinga pakhat (wheat pawh tel) a awm chuan chiang taka ziah a ngai a ni. Mahse, "wheat-free" tih hian "gluten-free" tihna a ni lo. Wheat tel lo thil thenkhatah chuan gluten awmna buh chi, barley leh rye te pawh a awm thei.

Chuvangin, thil i lei hmain emaw, i fa i pek hmain emaw a label chu ngun takin chhiar hmasa phawt ang che . I fa pawh chutiang bawka ti turin zirtir rawh. Celiac Disease Foundation website-ah hian ei tur tam tak fimkhur tur chungchang information a awm a.

Chaw him thlan dan tur tips tlemte

Chaw i thlan dawnin hengte hi hre reng ang che:

• A hmasa berin, i fain eng ei tur nge a ei theih tih zawng chhuak rawh. Chaw him leh thil telte chu corn, buhfai, buckwheat, sorghum, arrowroot, garbanzo beans/chickpeas, quinoa, tapioca, teff, leh potato flour atanga siam ei tur te a ni. Sa chhum loh, sangha, vawk, nut, chi, hriak, bawnghnute, cheese, artui, thei leh thlai te pawh i ei thei bawk.
• Cross-contamination chungchangah fimkhur rawh. A chang chuan gluten tel lo ei tur te hi gluten awmna ei tur nen an inzawm thei bawk. Hei hi cross-contamination an ti a. Entirnan, wheat chhang pangngai atanga crumbs chu jam jar, butter emaw spread dang emaw ah a lut thei a, chu chu chemte emaw spoon thar emaw i hman fo loh chuan a ni. Chuvangin, squeeze bottle-a lo awm spread hman a tha a, celiac natna vei tan chuan butter leh jam ang chi thil hi a hranpaa dah a tha. Gluten tel lo chhang toast nan toaster hran i dah thei bawk.
• Gluten tel lo thil siam hmain hmanrua, bungrua, leh hnathawhna hmunte chu uluk takin silfai la, tihthianghlim la , a bik takin gluten awmna ei tur i hman hnuah. Chaw i buatsaih lai hian uluk tak leh silfai fo thin ang che.
• Restaurant-ah: I fate dinhmun chu waiter emaw kitchen staff-te hnenah hrilh la, chutiang chuan an ei turah gluten leh a kaihhnawih thil telh loh an hriat theih nan.
• Grocery dawrah te chuan:Store tam takah chuan gluten tel lo chhang, chawhmeh cereal, baking mix, biscuit leh cracker te an keng tel a. Hengte hi health food dawr leh natural food market-ah te pawh i hmu thei bawk. Bulk food bins atanga gluten-free products lei loh tur , cross-contamination hlauhawmna a sang hle.

I fain gluten awmna thil a ei palh a nih chuan eng nge i tih ang?

Hetiang enkawlna zawng zawng nen pawh hian a châng chuan i fa chuan gluten awmna thil a ei thei a ni. Hei hi thil pangngai a ni a, lungngai suh . Vawikhat ei tlem chuan small intestine-ah inflammation tlemte a thlen thei a, mahse symptom lian tham a thlen nghal lo mai thei. A tlangpuiin ni 3-4 chhungin small intestine lining chu a thar vek a ni. Chuvangin, vawi khat tihsual hnuah cell thar a lo lut a, rang takin cell chhia chu an thlak leh thin. Mahse, gluten-a rei tak i awm chuan small intestine lining chu a chhe chhunzawm zel ang.

Engtin nge nu leh pate’n an ṭanpui theih?

I fain celiac natna a vei a nih chuan i fa nunah puitling dangte – enkawltu, zirtirtu, sikul nurse, camp counselor, nau enkawltu, leh ṭhiante nu leh pa te pawh hrilh rawh. Gluten awmna ei tur chu i fa hnen atanga hla taka dah a pawimawhzia hrilhfiah rawh. Naupang kum upa zawkte chu midang hnen atanga ei tur dawng lo turin zirtir rawh, chu chu gluten-free a nihzia chiang taka hretu hnen atanga lo chhuak a nih loh chuan.

I fa chu gluten-free diet a thiam theih nan tanpui rawh. Hei hi a harsa thei hle a, a bik takin a tir lamah chuan. Mahse hun a kal zel a, nang leh i fa pawhin eng ei tur nge an ei theih leh ei theih loh chu in hrethiam tawh ang. Tichuan ei tur him, snack, leh a siamna tur thil chi hrang hrang hmuh a awlsam tawh ang.

I fa chu ei leh in lama harsatna nei chu anmahni chauh an ni lo tih hriattir rawh. I doctor chuan i awmna hmuna support group awm turin a rawt thei mai thei. Online support group leh pawl hrang hrang tanpui thei tur pawh an awm bawk. Entir nan:

* (Celiac Disease Foundation) chuan a ti a.

* (Celiac piah lam) .

* (National Celiac Association) chuan a rawn ti a.

A tawp berah chuan thil hriat reng tur

Celiac natna hi dam chhung zawnga natna a ni a, mahse ei leh in dik leh hriatna tha tak nen chuan a enkawl tha thei a ni . A pawimawh ber chu i fa chu gluten-free nunphung a insiamrem theih nan tanpui hi a ni. A tir lamah chuan a harsa deuh mai thei, mahse hun kal zelah chuan thil pangngai a lo ni tawh ang. Doctor thurawn zawm te, ei leh in lama mithiamte nena inbiakna te, leh midangte zirtirna te hian i fate chu nun hrisel leh hlim tak a neih theih nan kawng thui tak a zawh ang. Hlau suh, hei hi huaisen takin hmachhawn rawh. I bulah kan awm vek!

`Celiac natna, Gluten, Autoimmune Disorder, Sinhala damdawi lam thuziak, Villi, Gluten tel lo ei leh in, Cross-contamination