Heng chaw ei zawh hian i pum a na bawk em? Celiac Disease chungchang hi han sawi ila!

A chang chuan kan chaw ei hi kan taksa nen a inmil lo a ni lawm ni? Pum na tlem, emaw, harsatna tenau dang emaw, a mah chauhin a dam leh thin. Mahse a chang chuan hetiang thil hi a pawi deuh thei. Awle, vawiinah hian mi tam takin an hriat loh, mahse enkawl ngai dinhmun kan sawi dawn a ni. Hei hi Celiac Disease an ti a .

Chuti a nih chuan, Celiac Disease hi eng nge ni?

A awlsam zawngin, Celiac Disease hi autoimmune disorder a ni . Chumi awmzia chu kan taksa peng hrang hrang kan taksa peng hrang hrangte chu kan taksa hriselna (immune system) hian a rawn bei tan tihna a ni. Hei hi protein gluten an tih kan ei hian a thleng thin . Gluten hi protein hi buh chi hrang hrang, wheat , barley, leh rye-a awm a ni.

Celiac Disease vei miin gluten awmna thil a ei chuan an taksa chuan gluten hi hmelma lian tak niin a ngai thin. Tichuan immune system chuan a do tan ta a ni. He inbeihna avang hian kan intestine te chhungril bang chu a chhiat phah a ni. Hetianga chhiatna avang hian taksain a mamawh ei tur tha tak tak a hip lut thei lo. Tichuan, malnutrition ang chi condition a awm thei a ni.

Doctor-te chuan engvangin nge immune system hian gluten hi hetiang hian a chhan tih chiang takin an la hre lo. Mahse celiac natna i neih chuan i symptoms te enkawl dan tur leh i intestines tihchhiat loh dan tur a awm. Chuvangin ngaihtuahawm tur a awm lo.

Celiac Disease natna lan chhuah dan chu engte nge ni?

Celiac natna hi hming dangin an sawi bawk a, chu chu celiac sprue, gluten-sensitive enteropathy, leh non-tropical sprue te hi a ni. Mahse, a hming hman tlanglawn ber chu celiac disease a ni. Mi tin hian symptom set hrang hrang an nei thei a. Mi thenkhat chuan symptom engmah an nei lo mai thei. Hei hi hriat reng a pawimawh.

Heng symptoms te hi i hriat lar angin a lang em tih en rawh:

• Kawthalo
• Ek khal
• Pale, rimchhia tak tak stools
• Pum na leh pum na
• Rihna tihtlem
• Chauhna reng reng
• Lu na
• Vun natna - a bik takin elbow leh khup vel

Ngaihtuah teh, mi thenkhat chuan naupan lai atang tawhin gluten awmna ei tur ei kawngah harsatna an tawk thin. Mahse mi dangte chuan kum tam tak chhung harsatna nei lovin an awm thei a, chutah chuan rang takin symptoms an nei thei a ni. Chuvangin heng symptoms te hi kum eng pawhah a lang thei a ni.

Engvangin nge Celiac Disease kan neih?

Celiac Disease-ah chuan gluten kan ei hian kan immune system hian kan small intestine-a villi te chu a tichhia a ni. Heng villi te hi kan intestine te tak te chhungril bang-a kut zungtang ang chi thil te tak te ang mai an ni. An hnathawh ber chu kan ei leh in atanga nutrients te hip lut a, kan thisena kan dah luh hi a ni.

Chuvangin, heng villi te hi a chhiat chuan kan taksa hian vitamin leh mineral ang chi nutrient pawimawh tak tak te chu a hip lut tha thei lo.

Celiac Disease awm chhan dik tak hi hriat a la ni lo a, mahse chhungkaw zingah a kal tlangpui . Chumi awmzia chu i chhungkuaa mi tu emaw chuan he natna hi a nei a nih chuan i vei theihna a sang zawk tihna a ni.

Engtin nge Celiac Disease hi hmuhchhuah a nih?

Celiac natna hriat theihna hmasa ber chu thisen test a ni tlangpui . Hei hian intestinal wall-a gluten leh protein dangte laka antibody i neih leh neih loh a enfiah thin. Antibodies hi kan immune system siam protein bik a ni. Taksa chhunga lut tur hlauhawm, hrik ang chi, hrethiam tur leh tichhe thei tura siam an ni.

Thisen test-naah gluten dotu antibodies a tam tih hmuhchhuah a nih chuan i doctor chuan i small intestine a\anga a tlem ber chu test (biopsy) atan a la mai thei.

He biopsy hi hetiang hian tih a ni: Doctor chuan tube ang chi hmanraw te tak te ( endoscope an tih) chu i hmui kaltlangin, i pum kaltlangin, i intestine tenauah a thun a, test nan tissue te tak te a la a. Hetiang tih lai hian sedate emaw general anesthesia emaw pek i ni thei bawk. Hei hian engmah hrehawmna i neih loh nan a pui ang.

Celiac Disease i vei tih hmuhchhuah a nih chuan i nu leh pa, unau leh pi leh pute pawh test tir a pawimawh hle. He natna hi an nei ve thei bawk a, mahse a lanchhuahna erawh a lang lo thei bawk. Celiac Disease hi puitlingah hun rei tak hriat loh a awm chuan hriselna lama harsatna lian tak a thlen thei a ni.

Celiac Disease hi engtin nge enkawl a nih?

Vanduaithlak takin celiac natna hi damdawi a la awm lo. Zirchiangtute chuan enkawlna thar an siam mek a, a then chuan result duhawm tak an nei a ni. Mahse tuna enkawlna ber chu gluten-free diet a ni . Hei hian i intestinal lining a ti dam a, i symptoms te pawh a ti tha thei bawk.

Ei leh in lama inthlak danglamna

Celiac Disease i neih chuan i doctor chuan eng ei tur nge i ei theih leh ei theih loh tur chiang takin a hrilh ang che. Heng inthlâk danglamnate hian i nunah nghawng lian tak a neih theih avângin, i doctor chuan dietitian hnênah pawh a refer thei che a ni . An hnen atangin thurawn tam zawk i dawng thei ang.

I ei leh in atang hian buhfai, barley, rye leh a kaihhnawih buhfai te chu i paih vek a ngai dawn a ni.

Ram zawng zawng hian ei tur label-a gluten a awm leh awm loh tarlanna dan an nei vek lo va, chuvangin gluten tel lo ei tur hmuh a harsa thei hle. Ram thenkhatah (United States ang chi) eitur pakhatah hian ei tur allergen lian pariat zinga pakhat (buhfai pawh tel) a awm chuan chiang taka ziah a ngai a ni. Mahse , ‘wheat-free’ tih pawh ni se, ‘gluten-free’ tihna a ni hauh lo. Hei hi a chhan chu wheat tel lo thil thenkhatah chuan gluten awmna buh dang, barley leh rye te a awm thei a ni.

Chuvangin, ei tur i lei hmain a label chu ngun takin chhiar hmasa phawt ang che. I fimkhur tur ei tur chi hrang hrangte chu Celiac Disease Foundation website ang chi hmunah te i hmu thei ang.

Engtin nge duhthlan tur him tak tak kan zawn theih ang?

I tanpui thei tura ka ngaih tips thenkhat chu hetiang hi a ni:

• A hmasa berin ei tur i ei theih turte ngaihtuah hmasa phawt ang che. Corn, buhfai, buckwheat, sorghum, arrowroot, garbanzo beans/chickpeas, quinoa, tapioca, teff, leh potato flour te hi a him. Sa chhum loh, sangha, vawk, nut, chi, hriak, bawnghnute, cheese, artui, thei leh thlai te pawh i ei thei bawk.
• Cross-contamination chungchangah fimkhur hle ang che. A awlsam zawngin, gluten telna chaw tlemte chu gluten tel lo chaw chhunga a luh hian a ni. Ngaihtuah teh, gluten-free chhang chu chhangphut slicer pangngai ang bawka chemte hmanga i tan chuan chhangphut pangngai atanga a hnah (clumbs) pawh he miah hian a lut thei a ni lawm ni? Chuvangin jam leh butter ang chi thil atan chuan chemte/spoon thar hmang fo ang che. A theih chuan Celiac Disease vei tan chuan butter leh jam hran hranin squeezable bottle-ah dah a tha. Gluten tel lo chhang toast nan toaster hran i dah thei bawk.
• Gluten tel lo ei tur siam hmainThil hmanrua, dish leh hnathawhna hmunte chu uluk takin silfai la, tifai rawh. Chaw i buatsaih dawnin sahbawn leh tuiin uluk takin kut sil fo thin ang che.
• Restaurant-ah: Chaw i order dawnin waiter emaw kitchen staff emaw hnenah i dinhmun hrilh thin ang che. I ei tur chu gluten tel lo leh gluten nena inzawm thil tel lo a nih theih nan an enkawl ang.
• Grocery store-ah: Gluten tel lo chhang, cereal, cake mix, biscuit, leh crackers te chu tunah hian hmun tam takah a awm tawh a. Heng thilte hi health food dawr leh natural food market-ah te pawh i hmu tam zawk thei bawk. Bulk food bins atanga gluten-free products lei loh tur , cross-contamination hlauhawmna a sang zawk avangin.

Ka hriat loh vanga gluten awmna thil ka ei chuan eng nge thleng ang?

Hetiang fimkhur zawng zawng nen pawh hian a châng chuan i hriat lohvin gluten awmna thil i ei mai thei. Hei hi thil pangngai a ni a, ngaihtuah lutuk suh. Tlemte i ei pawhin i intestines-ah inflammation na lo tak i nei thei a, mahse symptoms i nei nghal lo thei. A tlangpuiin kan small intestine lining hi ni 3-4 chhungin a thar vek thin. Chuvangin, vawi khat i tihsual chuan cell thar a lo lut a, rang takin cell chhia chu a thlak leh thin. Mahse, gluten i ei fo chuan hun kal zelah intestinal wall a chhe thei a ni. Chuvangin a theih ang anga fimkhur a tha.

Eng thil dang nge kan hriat ngai? (In lama hruai tur thuchah)

Gluten-free diet hman thiam hi a harsa deuh thei a, a bik takin a tir lamah chuan. Chu chu a dik a ni. Mahse hun kal zelah eng ei tur nge i ei theih leh ei theih loh tih i hrethiam zawk ang. Tichuan, ei tur him, snack, leh thil siamna atana hman tur chi hrang hrang hmuh a awlsam zawk ang.

Heng ei leh in lama harsatna nei hi nangmah chauh i ni lo tih hre reng ang che. I doctor chuan i awmna hmuna support group pakhat chungchang a hrilh thei che a ni. Support group leh organization te pawh online ah i hmu thei bawk. Entirna thenkhat chu:

• Celiac Disease Foundation atanga lo chhuak a ni
• Celiac piah lam a ni
• Ram pum huapa Celiac Association

Hetiang hmunte hian thu belhchian dawl zawk, recipe thar leh midangte thil tawn te a pe thei che a ni. He zinkawng hi nangmah chauhin i paltlang a ngai lo. Mi tanpui thei tur leh hrethiam thei che mi tam tak an awm a.

Celiac Disease, gluten, ei leh in lama allergy, pum lam harsatna, ei leh in lama harsatna, gluten-free diet, autoimmune disease