Wheat allergy chungchangah pawh harsatna i nei em? Kan sawi dawn nia!

Wheat flour hmanga siam chaw, chhangphut emaw, cake emaw, chhangphut emaw pawh a ni thei, i ei hnuah thil mak emaw, nuam lo emaw i ti ngai em? Vun rawng i nei a, pum na i nei a, thawk harsa tlemte pawh i nei mai thei. Heng thilte hi i chunga thil thleng mai ni lovin, wheat allergy vang pawh a ni thei . Vawiin hian he thu hi chipchiar takin sawi ila, a tha em?

Wheat Allergy hi eng nge ni?

A awlsam zawngin sawi ila, wheat allergy hi kan taksa hriselna (immune system) -in kan ei leh inah buhfai a lak tam lutuk hi a ni a, a châng chuan kan thawk thilah pawh buhfai lakah a inrawlh lutuk a ni. Ngaihtuah teh, buhfai hi a tlangpuiin mi tam zawk tan chuan a hlauhawm lo va, eitur tha tak a ni. Mahse wheat allergy i neih chuan i taksa defense system, immune system chuan wheat chu "invader" angin a enkawl a, bacteria emaw virus emaw ang maiin a enkawl a ni. Chutah chuan heng symptoms te hi a lo lang ta a ni.

Hei hi a châng chuan nunna atana hlauhawm tak a ni thei . A bik takin allergic symptom na tak tak, kawr hring leh thawk harsa tih te hi `(Anaphylaxis)` kan ti a, chutiang thil a lo thlen chuan damdawi in hnai ber pan nghal tur a ni emaw, kum 1990 ang khan emergency ambulance service ko la, sawn hlat a tha lo.

He dinhmun hian tute nge a nghawng? Engtiang chiahin nge a awm?

Dik tak chuan tu pawhin wheat allergy an nei thei. Mahse i chhûngkuaa mi tu emaw chuan allergy a neih chuan i nei tam zâwk . Chumi awmzia chu i nu emaw, i pa emaw, i unaute emaw, i chhungkaw member dangte pawhin leivut, ei leh in emaw thil dang emaw allergy an neih chuan buhfai ang chi thilah allergy i nei tam zawk tihna a ni.

Hei hi engtiang chiahin nge a hluar tih ngaihtuah chuan zirchianna hrang hrangah khawvel mihring 0.2% leh 1.3% inkar hian wheat allergy an nei tih a tarlang. United States-ah chuan naupang 0.4% velin an vei a ni. Kan ramah hian engtiang chiahin nge a hluar tih hi statistics dik tak awm lo mah se, he dinhmun hi kan zingah pawh kan hmu thei a ni. Tlemin a tam zawk a, a bik takin naupang tê tê zingah hmuh tur a awm.

Wheat allergy hian engtin nge taksa a nghawng?

Wheat allergy kan neih hian kan immune system hian a chhan dan tlangpui pahnih a awm.

1. Immunoglobulin E (IgE) nena inzawm thil

Hei hi reaction tam ber a ni. Wheat awmna thil i ei emaw, i thawk emaw hian i taksa chuan antibody chi khat `(Immunoglobulin E)` emaw `(IgE)` emaw a siam a. Heng `(IgE)` antibodies te hi allergic reaction tichhuaktu an ni.

Heng `(IgE)` reaction te hi buhfai ei atanga minute tlemte chhungin a intan tlangpui thin . A chang chuan darkar li thleng an tlai thei bawk. Hei hi a hlauhawm ber chu allergy na tak, nunna atana hlauhawm tak `(Anaphylaxis) an tih hi a ni.`

2. IgE ni lo mediated reaction

Hei hian immune system pawh a huam tel a, mahse `(IgE)` antibodies erawh a inrawlh lo. He reaction hi a hmaa kan sawi tawh `(IgE)` reaction aiin a thleng zawi zawk a ni . Symptoms a lan theih nan darkar 48 vel a ngai thei.

Chutiang thil tih dan entir nan `(Eosinophilic esophagitis - EoE)` (kan ka atanga kan pum, esophagus thlenga kal tube chu a inflamed) leh `(Eosinophilic gastritis - EG)` (chutah chuan kan pum bang a inflamed) te hi a ni. Hengte hi a buaithlak deuh deuh a ni.

Wheat allergy natna lanchhuahna chu engte nge ni?

Okay, tunah chuan a symptoms chu eng nge ni tih i en ang u. Heng symptoms te hi mi hrang hrangah a inang lo thei a , a nasat dan pawh a inang lo thei bawk . Ṭhenkhatin tlemte chauh an nei thei a, ṭhenkhat erawh chuan vawi khatah an nei vek thei bawk.

Hmuh theih thil langsar ber berte chu:

• Vun natna lan chhuah dan: 1.1.
• Hives emaw urticaria (itchy rash) emaw a awm thei.
• A bik takin hmui, lei leh hmaiah a hring chhuak
• Skin rash a awm
• Digestive system natna lan chhuah dan:
• Pum a na hle
• Indigestion, puak chhuak
• Nausea leh luak chhuak
• Kawthalo
• Thluak lam natna lan chhuah dan: 1.1.
• Hnar a khar
• Hnar luang chhuak
• Hriak chhuak
• A rilru a buai hle
• Thil dangte chu:
• Lu na
• Pun
• Tin, kan sawi tawh zawng zawng zingah chuan natna hlauhawm ber chu ``Anaphylaxis`` hi a ni

Anaphylaxis natna lan chhuahna na tak takte chu engte nge ni?

Hei hi fimkhur hle tur thil a ni . Heng symptoms te hi i neih chuan doctor thurawn lak nghal a pawimawh hle .

• Thâwk harsa (dyspnea) .
• Chaw ei harsa (dysphagia) .
• A rilru a na hle
• Doom emaw hlauhna emaw hriatna
• Thisen sang tlahniam nghal (hypotension), chu chu pulse chak lo leh lungkhamna nen a inzawm a ni
• Heart rate a sang chho zel
• Shock a ni
• A rilru a hah thut
• Luak chhuak , hriatna hloh (syncope) .
• Hmai, lei leh kawr a hring
• Thah, khuh, khuh
• Pum natna nasa tak
• Nausea, luak chhuak, luak chhuak

Pawimawh: Heng `(Anaphylaxis)` symptoms te hi emergency medical treatment mamawh tak a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Wheat ei hnuah eng chen nge symptoms a lo lang thin?

I allergy nasat dan azirin a danglam thei.

Mi thenkhat chuan buhfai an ei atanga minute tlemte chhungin symptoms an nei thei . Midang tan chuan darkar 48 thleng a daih thei bawk.Mahse, symptoms a la lang lo mai thei a, chuvangin symptoms engtikah nge a lan dawn tih chiang taka sawi a harsa hle.

Eng thilin nge wheat allergy a thlen?

He allergy thlentu ber chu buhfai-a protein bik awmte a ni. Kan immune system hian heng protein te hi a overreact thin. Heng protein te hi chi li a awm a, chungte chu:

• Albumin a ni
• Gliadin chuan a ti a
• Globulin a ni
• Gluten (ni e, chu chu gluten an tih i hriat tawh chu a ni) .

Wheat hi allergy nei nghal mai theih a ni em?

Ni e, a thleng thei. A bik takin, `(IgE)` nena inzawm reaction hi a lo lang nghal thei a, kum naupan lai pawhin a lo lang thei a ni. A lehlamah chuan `(Non-IgE)` nena inzawm reaction hi hun kal zelah a lo lang zauh zauh niin a lang a, a bik takin definitive diagnosis siam a nih hma chuan.

Wheat allergy hi a kai thei em?

Ni lo, ni lo . Wheat allergy hi a kai thei lo. I neih vang mai maiin midang hnenah i thehdarh thei lo.

Engtin nge wheat allergy i neih leh neih loh i hriat theih ang? (Diagnosis) tih a ni.

Wheat allergy i neih i rinhlelh chuan allergist i hmu tur a ni . Chu chu finfiah nan test hrang hrang a ti thei a ni.

Doctor chuan hetiang zawhnate hi a zawt thei che a ni:

• I chhungkuaah hian wheat allergy emaw allergy dang emaw nei an awm em?
• Tun hmain ei tur dang allergy i nei tawh em?
• I symptoms te chu engte nge ni?
• Heng symptoms te hi over-the-counter damdawi i hmang em?
• Engtik lai khan nge heng symptoms te hi a lo lan tan?
• Food journal i vawng reng em?

Chumi hnuah chuan doctor chuan hetiang test hi a ti thei ang:

1. Skin prick test neih thin a ni

Thil thleng chu i vunah buhfai protein tlemte chauh a inject a ni.

A tlangpuiin i kut emaw, i hnungzang emaw vun i tifai a, vunah liquid wheat protein drop khat i hnawih a, vun chu needle te tak te hmangin zawi zawiin i hrual thin. Hei hian a ti na vak lo, tickle tlem ang maiin a lang. Thisen chhuak a awm lo.

Wheat allergy i neih chuan minute 15 vel chhungin a hmun chu a sen ang a, a hring deuh ang a, rulhut seh ang maiin a hring ang. Doctor chuan a hring lian leh te chu a teh ang.

2. Thisen test (Blood IgE test) .

Hei hian i thisen sample lak a, lab-a thawn a huam a ni. Lab hian i thisena buhfai proteins laka ``IgE'' antibodies awm zat a teh thin.

Results a lo thlen theih nan kar khat vel a la ngai mai thei.

3. Graded oral challenge neih a ni

A chunga kan sawi tak test pahnihte hian thutlukna chiang tak an siam thei lo a nih chuan doctor chuan he test hi a ti thei a ni.

Hei hi doctor enkawlna hnuaiah a thleng thin .Buhfai awmna ei tur tlemte chauh pek i ni ang a, tlemte atanga tan tur a ni. Zawi zawiin tipung la, i taksain a chhân lêt dân chu en rawh.

Mahse he test hi allergic reaction na tak neih theihna chance tlem i neih chauhvin tih thin a ni. Hei hian darkar li vel a daih thei.

Wheat allergy hi a dam vek thei ang em?

Dik tak chuan, a tam zawkah chuan a ni lo . Mahse, thu lawmawm a awm. Naupang 66% vel chuan an lo puitlin chuan he natna hi an outgrow thin .

Hei hi enkawl dan tha ber chu buhfai awmna ei tur ei loh hi a ni . United States ang ramah chuan dan a awm a, ei tur bungruaah buhfai a awm a nih chuan a label-ah ziah luh a ngai a ni. Kan ramah hian hetiang hi a ni fo.

Mahse ngaihtuah tur dang a awm:

• Chaw ni lo: A chang chuan naupang infiamna Play-Doh® te, makeup product thenkhat te, sahbawn leh toothpaste ang chi toiletries thlengin buhfai a awm thei. Heng ei tur ni lo thilte hi an label-ah ‘contains wheat’ tia ziah a ni lo mai thei. Chuvangin rinhlelhna i neih chuan a siamtu website en emaw, an customer service call emaw a tha ber.
• Thil hmanraw inang hman: Factory thenkhatah chuan buhfai tel lo ei tur pawh buhfai atanga siam chaw siamna machine-ah hian siam theih a ni bawk. Chutiang a nih chuan buhfai tlem tal chu ei tur dangteah a lut thei a ni. Chuvangin label-ah hian "Made on equipment shared with wheat" tih ang chi hi en la.

Wheat allergy i neih chuan eng ei tur nge i ei loh tur?

Buhfai emaw, buhfai emaw protein awmna ei leh in tur tam tak a awm a. Entirna tlemte chu hetiang hi a ni:

• Bakery thil siam, chhang, bun, cake, cookies, muffin te ang chi te
• Chawhmeh cereal thenkhat
• Couscous chuan a rawn ti a
• Sausage chi hrang hrang (Hot dogs) .
• Malted drink thenkhat
• Pasta leh noodles chi hrang hrang
• Pizza dough a ni
• Seitan (sa aiah buh gluten atanga siam) .
• Wheat beer a ni
• Wheat flour chi hrang hrang (All-purpose, enriched, pastry, steel ground, stone ground etc.) hman tur a ni.

He list hi a kim lo tih hre reng ang che. Chaw i hriat chian loh i ei hmain a label kha en hmasa phawt ang che.

Wheat allergy damdawi te chu engte nge ni?

Allergy na lo emaw, na lo emaw i neih chuan i doctor chuan i natna lan chhuah dan control turin antihistamine emaw corticosteroid emaw a pe thei che a ni.

Mahse, wheat allergy na tak i neih chuan , chu chu ``anaphylaxis'' tih natna i nei thei tihna a ni a, i doctor chuan epinephrine injection a pe thei che a ni., entirnan, `(EpiPen®)`, chu engtik lai pawhin a bul hnaia dah thin niin an sawi. Hei hian `(Anaphylaxis) symptoms chu rang takin a control thei a ni.` He injector hi marker pen lian tak ang vel a ni. Buhfai awmna thil i ei palh a nih chuan hei hi i kekawr hnung lamah inject a ni tlangpui. Chutiang injection pahnih chu engtik lai pawhin a bulah dah reng a tha.

Adrenaline injection hian side effect a nei em?

Adrenaline injection i lak hian a hnuaia thilte hi a thleng thei a ni:

• Hlauhthawnna
• Luak chhuak thei
• Kawng a vawt
• Lu na
• Thawmhnaw a tipung
• Luhai
• Racing heart rate a ni

Mahse, allergy i neih laiin hei hi i ei chuan hahdamna i nei nghal vat thin.

Damdawi ka ei hnuah engtiang chiahin nge ka dam rei ang?

• Antihistamines hian minute 30 vel chhungin hna a thawk tan a, darkar tlemte chhungin a thawk tha ber.
• Corticosteroids hian darkar khat vel chhungin hna a thawk tan tlangpui.
• Adrenaline injection hian a inject hnuah hna a thawk tan nghal a.

Wheat allergy hi ven theih a ni em?

Allergic reaction venna tha ber chu buhfai awmna thil ei leh hman loh vek hi a ni .

Food package-a ingredients label kha uluk takin chhiar fo ang che . Thil engemaw i rinhlelh chuan a siamtu hnena i confirm hma loh chuan hman loh chu a finthlak hle ang.

Wheat allergy nei hi engtin nge kan nun theih ang?

Wheat allergy neia nun chu thil harsa tak a ni thei. Symptoms hi a lo thleng thei a, a lo kal thei bawk a, a chang chuan a na hle thei bawk. Tin, i taksain engtin nge a tih ang tih pawh i sawi lawk thei lo bawk.

Mahse, i fimkhur chuan nun pangngai leh hlim takin i nung thei ang . I doctor chuan thu ṭangkai tak tak, ṭanpuitu pawl, leh ei leh in lama mithiamte a hrilh thei che a ni. Nitin ei leh in dan siamrem turin an pui thei che a ni.

Naupangte hian puitling aiin wheat allergy an nei tam zawk. Mahse, naupang 80% vel chuan kum 16 an tlin chuan he natna hi an outgrowt a , chu chu thu lawmawm a ni lawm ni?

Engtikah nge Doctor ka hmuh ang?

Wheat allergy symptoms i neih fo chuan, emaw, wheat awmna thil i ei hnua heng symptoms te hi a lo awm tih i hriat chuan doctor pan rawh .

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

`(Anaphylaxis)` (a hmaa kan sawi tawh ang chi natna khirh tak tak) symptoms i neih tan chuan hospital emergency room hnai ber pan nghal la , 911 ah call rawh.

Doctor hnenah eng nge ka zawh ang?

Doctor i hmuh hunah hetiang zawhna hi i zawt thei ang:

• Engtin chiah nge wheat allergy ka neih leh neih loh i hriat?
• Allergy na lo, a hniam emaw, na tak emaw ka nei em?
• Eng ang damdawi nge i rawt?
• Chu damdawi te side effect list kimchang chu eng nge ni?
• Wheat allergy nei tan emaw, chutiang allergy nei naupang nu leh pate tan emaw support group a awm em?
• Dietitian tha tak i recommend thei ang em?

Wheat allergy leh gluten allergy hi thil inang an ni em?

Ni lo, an pahnih hi a inang lo. Dik tak chuan damdawi lam hawi chuan ``Gluten allergy'' tih hi a awm lo.

Mi tam tak chuan celiac disease an tih hi "gluten allergy" tiin an sawi thin. Celiac natna hi gluten (wheat, barley, leh rye ang chi thlai chi hrang hranga protein awm) i ei hian i taksa hriselna (immune system) hian i taksa peng (small intestine) a tichhe thin.

Wheat allergy leh gluten intolerance hi eng nge a danglamna?

Wheat allergy avanga thil thleng chu i immune system hian wheat i ei hian a overreact thin.

Gluten intolerance hi ei leh in lama harsatna a ni. I taksain gluten a ei tha thei lo a nih chuan a thleng thin. Hei hian hahna, luak chhuak, leh puak ang chi symptoms a thlen thei a ni. Allergy a ni lo.

Wheat allergy leh Celiac natna hi eng nge a danglamna?

Heng pahnih hi an inhmeh lo fo thin. Mahse heng pahnih hi an danglam a ni.

Wheat allergy -ah chuan immune system hian wheat hi ``IgE'' emaw ``Non-IgE'' emaw hmangin a chhang let thin.

Celiac natna ah chuan immune system hian gluten hi a bik takin a chhang let thin . Gluten hi buhfai leh buhfai dangah a awm a. Hetiang dinhmunah hian immune system chuan i small intestine lining chu a bei thin . Hei hian inflammation a thlen a, small intestine-a fiber ang chi structures (villi) te chu a tichhia a ni. Heng villi te hian ei tur atanga nutrients te hip lut turin a pui thin. Hengte hi a chhiat chuan eng ang pawhin ei mah la, i taksain ei leh in a hmu tlem a, hun kal zelah ei leh in tha lo ang chi dinhmun a lo awm thei a ni.

Chuvangin, ngaihtuahna chu i nei em? Wheat allergy, celiac disease, leh gluten intolerance te hi natna chi hrang hrang pathum a ni. Chuvangin i thil neih dik tak hriat tumin doctor thurawn lak a tha ber.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuti a nih chuan wheat allergy chungchang hi kan sawi nasa hle a ni lawm ni?

• Wheat allergy hi i immune system-in wheat a duh loh zawnga a chhanletna a ni.
• Hei hi a features teA lan chhuah dan chu vun natna, pum na, leh thawk harsa atanga nunna atana hlauhawm anaphylaxis thlengin a awm thei.
• Allergist hnenah a dik tih hriat theih nan en rawh . Hei hi vun test leh thisen test hmanga finfiah theih a ni.
• Hei hi enkawl dan ber chu buhfai awmna thil ei loh hi a ni . Food label te ngun takin chhiar la. Chaw ei chauh ni lovin, thil dang dangah pawh fimkhur rawh.
• Allergy na tak nei tan chuan , adrenaline injection hnaih taka dah chu nunna chhanhim thei a ni.
• Naupang tam tak chu an lo puitlin chuan he dinhmun atang hian an lo thang chhuak thin , chu pawh chu hahdamna a ni.
• Zawhna emaw rinhlelhna emaw i neih chuan doctor zawt hlau suh . I tanpui turin an awm reng a ni.

Wheat allergy i nei tih i hriat chuan hlauthawng suh. Ni e, a harsa deuh thei a, a bik takin ei tur thlan chungchangah chuan. Mahse, hriatthiamna leh fimkhur takin he dinhmun hi hlawhtling takin i nung thei a ni.

` Wheat Allergy, Allergy Symptoms, Anaphylaxis, IgE, Ei leh In Allergy, Gluten