Ka mamae tō puku, ka pōuri rānei ō puku i ētahi wā ina kai koe i tētahi mea pēnei i te taro, i te pihikete rānei? He āhua rānei kei ētahi tāngata te kore kai i tetahi mea? I tēnei rā ka kōrero tātou mō tētahi mate e pā ana ki tētahi mea pēnei. Ko te mate Celiac tēnā. Ahakoa he ahua uaua tēnei, kia mārama noa tātou.
He aha te mate celiac?
I roto i ngā kupu māmā, ko te mate celiac he mate e puta mai ana i
te raruraru o tō tātou ake pūnaha ārai mate . Ka kiia tēnei he "mate autoimmune". Ko te mea ka tupu i roto i tēnei, ina kai tātou i te kai kei roto he pūmua e kiia nei ko te "gluten", ka tahuri te pūnaha ārai mate o tō tātou tinana ki a ia. Hei tika, ka whakaaro tō tātou tinana he hoariri tēnei gluten. Kātahi ka whakaputa i ngā paturopi hei whakaeke i taua hoariri. Heoi, ka kino ēnei "paturopi"
i te pakitara o roto (mucosa) o tō tātou ake whekau iti . Nā tēnei kino, kāore e taea e te whekau iti te mimiti tika i ngā matūkai i roto i te kai. Koinā te wā ka puta ai
ngā ngoikoretanga kai . Ko tēnei pūmua e kiia nei ko te "gluten" ka kitea nuitia i roto i ngā witi. Ina koa i roto i ngā mea pēnei i
te witi, te parei, me te rai . E mōhio ana koe, ko te nuinga o ngā kai e kainga ana e tātou, pēnei i te taro, te rimurapa, te keke, me ngā pihikete, he mea hanga mai i ēnei witi. Ehara i te mea koinā anake, engari i ētahi wā ko ngā ranu, ngā hupa, me ngā kai kua tākaihia kāore tātou e whakaaro ana ka taea te whakauru i tēnei gluten. He maha hoki ngā wā ka hangaia te pia mai i te parei, i te rai rānei.
He aha te pānga o te mate celiac ki tōku tinana?
Ko te mate celiac te nuinga e pā ana ki tō
whekau iti . Koinei te wāhi e mimitihia ai te nuinga o ngā matūkai i roto i te kai e kainga ana e tātou. Kei roto i tēnei ko ngā pūmua pērā i te gluten. Engari ki te mea he mate celiac tōu, ina uru te gluten ki roto i tō whekau iti, ka whakautu tō pūnaha ārai mate. Arā, ka tukuna e te pūnaha ārai mate ngā pūtau me ngā paturopi hei whakangaro i ngā ngota gluten. Ka kino ēnei pūtau i te arai o roto o te whekau iti, te mucosa. Whakaarohia, he tino pai te hoahoa o roto o tō tātou whekau iti. Ehara i te mea he maeneene noa iho tōna pakitara o roto. He maha ngā kopa, ā, ki tonu i ngā kohao iti rite ki ngā maihao, e kiia nei ko
ngā villi . Ka hoatu e ēnei villi he mata nui ki tō kai hei mimiti i te maha o ngā matūkai i te wā e nakunaku ana. Ka taea te rahi rite ki te kooti tēnehi mēnā ka totorohia! Engari ko ngā pūtau ārai mate e haere mai ana me te mate celiac
ka whakaparapara, ka whakaparapara i ēnei '(villi)' katoa, ka whakaiti i te mata e wātea ana mō te mimiti i ngā matūkai.
He kino te mate celiac?
Ae, ka
pā kino pea te kino o te whekau iti. E ai ki taku kōrero i mua, ko te whekau iti te wāhi e mimitihia ai ngā matūkai o te kai mā te `(mucosa)`. Nō reira, ina pakaru te `(mucosa)`, kāore e mahi tika. Ka kiia tēnei he
Ka kiia tēnei ko te 'malabsorption'. Ka taea e tēnei 'malabsorption' te hua ake ko te 'malnutrition' . Waihoki, he maha atu anō ngā mate ka puta mai i te korenga o ngā momo matūkai. Mena ka pā tēnei āhuatanga ki ngā tamariki nohinohi, ka pāngia pea tō rātou tipu me te whanaketanga. Ko wai ka pāngia e te mate celiac?
Ko te mate celiac te mea tino noa i waenga i te hunga nō te raki o Ūropi. E kiia ana tata ki te 1% o te taupori i Ūropi me Amerika Te Raki kua pāngia e te mate. Mena kei roto i tō whānau (he whanaunga tuatahi, pērā i te whaea, te pāpā, te tamaiti rānei) te mate, tata ki te 10% te tūponotanga ka pāngia koe e te mate. 97% o te hunga kua tāpaetia he mate celiac he momo ira motuhake e pā ana ki tēnei. Ka kiia ēnei ko `(HLA-DQ2)` ko `(HLA-DQ8)` rānei. He ētahi atu āhuatanga mōrearea anō kei reira?
He nui ake te kitea o te mate celiac i roto i te hunga whai mate ira tuku iho , pērā i te Down syndrome. He nui ake hoki te kitea i roto i te hunga whai mate pūnaha ārai mate . He maha ngā wā ka rite ngā ira o ēnei mate, ā, ka taea e rātou te whakaoho tetahi i tetahi. Pērā i ētahi atu mate pūnaha ārai mate, he nui ake te kitea o te mate celiac i roto i ngā wāhine i ngā tāne . Ko te ōwehenga he tata ki te rua ki te kotahi (2:1). He nui ake te tūponotanga ka pāngia koe e te mate celiac mēnā kei a koe ēnei āhuatanga:
- Ki te mea he mā koe.
- Mena kei roto i tō whānau tētahi o tēnei mate.
- Mena he rerekētanga ira tangata tōu pērā i te `(Turner syndrome)`, `(Williams syndrome)` me te `(Down syndrome)` rānei.
- Mena he mate pūnaha ārai mate tōu pērā i te `(Te mate huka momo 1)`, `( te mate rumatiki)`, `(te mate koripi iti)` rānei `(te mate a Addison)`.
- Ki te mea he wahine koe.
He aha ngā take o te mate celiac?
He maha ngā mate pūnaha ārai mate, pērā i te mate celiac, he mate ira kei roto i te tinana . Arā, he nui ake te tūponotanga ka pāngia koe e tēnei mate nā tētahi momo ira motuhake e tukuna iho ana i roto i ngā whānau. Heoi, ehara i te mea ko te hunga katoa e pāngia ana e taua momo ira ka pāngia e te mate, ā, ehara i te hunga katoa e pāngia ana e te mate ka pāngia e taua momo ira kua tautuhia. Te āhua nei he wāhi anō hoki ō ētahi atu āhuatanga ki te tīmatanga o te mate. Me pēhea te pāngia o te tangata e te mate celiac?
Ko tētahi ariā e kī ana ka taea e te ahotea tinana nui te whakakino i tō tātou pūnaha ārai mate.E whakaponohia ana ka puta mai i tētahi huihuinga mamae. Kua kitea e ngā tākuta ka puta mai tēnei mate i muri i tētahi huihuinga tinana pēnei i te pokanga, te mate, te haputanga, te whara hinengaro nui rānei. Ko tētahi atu ariā ko ngā moroiti e noho ana i roto i ō tātou whekau (ngā moroiti i roto i tō puku) kei roto. Me rangahau anō tēnei ariā. Āhea ka puta te mate celiac?
Ka taea te whakawhanake i te mate celiac i ngā tau katoa i muri i te tīmatanga o tō tamaiti ki te kai i te gluten . E rua ngā rōpū tau e kitea ana e ngā tākuta: te kōhungahunga, i waenga i te 8 me te 12 marama , me te pakeke waenga, i waenga i te 40 me te 60 tau . Ko te take i puta wawe ai, nā te mea ka tīmata ngā tamariki ki te kai i ngā kai totoka, pērā i ngā pihikete me ngā witi, kei roto te gluten. He aha ngā tohu o te mate celiac?
Ka rerekē ngā tohu o te mate celiac i ia tangata, i ia tangata, nō reira he uaua ki te tautuhi i te mate. Kāore he tohu o ētahi tāngata. Ka pāngia ētahi e ngā tohu o te mate puku (GI) i muri i te kai i te gluten. Ko ētahi atu ka pāngia noa iho e ngā tohu o te korenga o ngā kai i muri i te kino. Mō ēnei tāngata, ko te anemia pea te tohu tuatahi o te mate. Tērā pea ka pāngia koe e ēnei tohu:
Ngā tohu o te mate puku:
Ngā tohu o te anemia ngoikore-rino:
- Ngoikore me te ngenge
- Te āhua mā (Parlor)
- Ngā ringa me ngā waewae makariri
- Ngā whao pakarukaru, piko rānei
- Ānini
- Ngā mate waha
Ētahi atu tohu o te kore kai pai:
- Te whakahekenga taumaha koretake
- Te whakaroa i te tipu me te kore e tupu pai ngā tamariki (Te kore e tupu pai)
- Te ngoikore o te uaua, te ngoikore rānei o te oro uaua
- Ngā hapa o te enamel niho, hei tauira, te pakaru, te tae, te āhua mārama rānei
- Te paheketanga koretake, te uaua rānei ki te hapu
- Ngā huringa wairua, ko te nuinga o te manukanuka i roto i ngā tamariki me te pouri i roto i ngā pakeke
Tata ki te 15% o te hunga whai mate celiac ka pāngia e tēnei mate kiri mau tonu hei pānga taha. Ka kiia hoki ko te 'raruraru gluten' ko te 'raruraru celiac' rānei. Ko ngā paturopi gluten kotahi e kino ana ki te whekau iti i roto i te mate celiac ka puta ai tēnei mate. Ko te Dermatitis herpetiformis he raruraru mākūkū, he rite ki te pupuhi, ki te eczema rānei. I te nuinga o te wā ka puta ki ngā tuke, ki ngā turi, ki te papa, ki te tumuaki rānei. Me pēhea koe e mōhio ai mēnā he mate celiac tōu?
Ki te pāngia koe e ngā raruraru nakunaku i muri i te kai i te gluten, tera pea ka whakapae koe he mate celiac koe. He maha ngā tāngata e ahua pāngia ana e te gluten, e ngā hua witi rānei i roto i ā rātou kai. Ka puta pea ngā tohu whakararuraru i muri i te kai i ngā kai e kore e taea te kai, engari kāore e kino ki ngā whekau pērā i te mate celiac. Hei tātaritanga i te mate celiac, ka rapu ngā tākuta i ngā taunakitanga o tēnei kino. Ko te mea nui ko te whakamātautau mō te mate celiac i mua i te tīmatanga o te kai kore-kutene. Ko te wā tēnā ka whakakitea mai e ngā whakamātautau te pānga o te kutene ki tō tinana. Kia mutu tō kai kutene, ka tīmata te ora o tō puku. He pai te whakaora, engari kātahi ka ngaro ngā tohu o te mate celiac. Me tino mōhio kōrua ko tō tākuta mēnā kei a koe tēnei mate, kia taea ai e kōrua te whakatau ko tēhea momo maimoatanga e hiahiatia ana e koe i roto i ngā rā kei mua.
Me pēhea te whakamātautau a ngā tākuta mō te mate celiac?
E rua ngā tikanga e whakamahia ana e ngā tākuta hei whakamātautau i te mate celiac. E pai ana ki a rātou te whakamahi ngātahi i ngā mea e rua hei whakaū i te mate. Ko te tuatahi he whakamātautau toto . Ka rapu ngā tākuta i ngā paturopi i roto i ō toto e hangaia ana hei ārai i te gluten. Kātahi ka rapu rātou i ngā kino. Ko te tikanga o tēnei ko te tango i tētahi tauira iti o te kiko (he koiora) mai i tō whekau iti ka tirotirohia i raro i te karuārai. Hei tango i tēnei tauira, ka tirotirohia e te tohunga gastroenterologist tō whekau iti mā te endoscopic. Ko te endoscopy he whakamātautau e whakauru ana i tētahi ngongo roa, angiangi me tētahi kāmera iti i roto. I te wā o te endoscopy o runga , ka tukuna he endoscope ki raro i te korokoro ka uru ki te wāhanga o runga o te whekau iti, e kiia nei ko te duodenum . I runga i ngā whakaahua e kitea ana mai i te kāmera, ka taea e te tākuta e mahi ana i te endoscopy te tuku i ngā taputapu mā roto i te ngongo ka tango i te koiora. Ngā whakamātautau tāpiri
Kia whakaūtia te mate celiac, ka hiahia tō tākuta ki te tirotiro i tō toto mō ngā ngoikoretanga huaora me ngā kohuke motuhake . Ka pāngia tō tinana e ngā ngoikoretanga kino, ā, me rongoā tika pea mā te whakamahi i ngā tāpiringa. Ko ngā mea tino noa ko te anemia ngoikore-rino , te anemia ngoikore-huaora , me te ngoikore huaora D. Tērā pea he iti hoki ō taumata electrolytes, pērā i te konupūmā. Me pēhea te rongoā i te mate celiac?
Ko te taahiraa tuatahi, ko te taahiraa tino nui hoki mō te rongoā i te mate celiac, ko te whakamutu rawa i te kai i te gluten . Kāore e taea te whakarerekē i te āhua o te urupare a tō tinana ki te gluten, engari ka taea e koe te ārai i te gluten kei puta taua urupare. Kia mutu tō kai gluten, ka tīmata te ora o tō whekau iti, ā, ka taea e ia te mimiti anō i ngā matūkai. Heoi, me pupuri tonu e koe he kai kore-gluten mō te toenga o tō oranga hei ārai i ngā kino atu ki tō whekau iti. Ko ētahi atu maimoatanga ka uru atu ki:
* Mena he nui ngā ngoikoretanga, me tango he tāpiringa kai hei whakatika.
* Whakaorahia te dermatitis herpetiformis me ngā rongoā motuhake pēnei i te dapsone.
* Ngā corticosteroids mō te mumura kino e kore e tere te urupare ki te kai.
* Te tiaki tonu i te mate, tae atu ki ngā tirotiro hauora auau, kia mōhio ai kei te whakahaeretia te mate.
Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?
Mō te nuinga o te tangata , ka tīmata te pai haere o ngā tohu tata tonu i muri i te tīmatanga o te kai kore-kutene . E rua wiki pea te roa ka whakatikahia ō ngoikoretanga kai, ā, e rua marama pea ka ora katoa tō puku. I ētahi wā, ka roa ake te wā, i runga i te nui o te kino me te roa o tōna noho. Ki te kore koe e whai i tētahi kai tino pakari, ka roa pea te ora. He aha te tirohanga mō te hunga whai mate celiac?
He tokomaha ngā tāngata kua tāpaetia te mate, ā, kua mutu te kai i te kuruteni, e tumanako ana ka ora pai rātou. Ka taea te whakakore i te nuinga o ngā kino i puta mai i te mate celiac. Ki te mau tonu ō tohu, tera pea he iti noa te kuruteni e kainga ana e koe me te kore e mōhio, tera pea he mate tuarua tōu. Tata ki te 5% noa iho o ngā tāngata he mate celiac tino uaua ki te pāngia, e kore nei e aro ki te whakahaere kai. He aha ngā mea ka puta mēnā kāore koe e mutu te kai i te kuruteni? He aha ngā raruraru mō te wā roa?
Mena ka kitea tō mate i muri i ngā tau maha, ki te kore rānei e taea e koe te karo i te kai i te gluten i muri mai, ka nui ake te kino me te roa o ngā pānga o te mate celiac. Ngā raruraru o te kore kai pai mau tonu:
- Te mate riki i roto i ngā tamariki, te mate wheua rānei i roto i ngā pakeke.
- Te Osteopenia ( te angiangi o ngā wheua) me te osteoporosis ( te ngaronga o te wheua).
- Ngā hapa o te enamel niho tuturu.
- Ngā pānga ki te pūnaha io (te neuropathy peripheral), tae atu ki te māuiui me te ngau, te wiri o ngā uaua, me ngā raruraru taurite me te taunga (ataxia).
- Te whakaroa i te tipu me te whanaketanga o ngā tamariki, te whakaiti i te tere o te tipu.
- Te uaua ki te arotahi me te ako.
Ngā raruraru o te mumura mau tonu:
- Te ngoikore o te ārai mate : Ina kaha rawa te mahi a tō pūnaha ārai mate, he iti ake ngā rauemi hei whakahaere i ngā āhuatanga ohorere pēnei i ngā mate urutā. Ka piki ake pea tō tūponotanga ki te pāngia e te mate.
- Ngā ātete kai tāpiri : I te mea ka pakaru tonu te arai o tō puku, tērā pea kāore e taea e koe te nakunaku i ngā matūkai i taea e koe te nakunaku i mua. Hei tauira , tērā pea ka puta te ātete lactose .
- Te puku me te whara : Ka taea e te mumura nui te whakaputa i ngā whara i roto i tō whekau iti. Ka taea e te puku kino te haere mā roto i te pakitara o te whekau (te pakaru o te puku), he āhuatanga ohorere hauora tēnei. Ka taea e te mumura te whakaputa i ngā whara i roto i te whekau me te whakawhāiti i te whekau (te stricture), ka taea ai te aukati i te whekau .
- Te mate koragenous : Ka puta he putunga koragen pumau i roto i te whekau iti i tēnei mate onge, ka taea ai te whakararu i te mimiti matūkai.
- Mate ate : I roto i te wā, ka pāngia koe e te mate ate mau tonu me te kino haere o te ate.
- Matepukupuku : Ka piki ake te mōrearea o te whakawhanake i ngā matepukupuku o te whekau iti (ngā lymphoma whekau, te adenocarcinoma whekau) me ngā matepukupuku o te esophagus nā te mumura mau tonu.
Me pēhea koe e taunga ai ki te kai kore-kutene?
I te tīmatanga, he ahua uaua te karo i te katoa o te kuruteni. Me ako koe ki te pānui i ngā tapanga me te tupato ki te poke o te kuruteni. Ko te rongo pai he maha ngā rauemi e wātea ana hei āwhina i a koe ki te tīmata i tō kai hou. Ka taea e tō tākuta te tuku i a koe ki tētahi tohunga kai kua rēhitatia , hei āwhina i a koe ki te tīmata. He aha ngā kai e whakaoho ana i ngā tohumate celiac?
Kei roto i ētahi witi me ngā hua i hangaia mai i ngā witi te kuruteni. Ko te tikanga o tēnei:- Wiiti (ngā momo katoa pēnei i te semolina, te durum, te bulgur, te spelt, te couscous)
- Parei (me te moro i hangaia mai i te parei)
- Rai
Ka whakamahia ēnei witi hei hanga:- Taro me ngā hua tunu kai
- Ngā witi wera me ngā witi matao
- Ngā momo nūru me te rimurapa
- Pia, Rāka me te Ale
- Waipiro kei roto he malt
- Winika māreti
Hei tāpiritanga, ka tāpirihia hoki te kuruteni ki te maha o ngā hua kai tukatuka . Hei tauira:- Ngā hupa me ngā ranu
- Ngā ranu huamata me ngā mea kakara
- Ngā mīti tukatuka (pērā i ngā hot dog, ngā mīti deli)
- Ngā hua tīhi tukatuka, miraka kawa me te aihikirīmi
- Ngā kai kua tākaihia
- Kai reka
He mea nui: I mua i te kai i ngā kai tukatuka, tirohia te tapanga kia kore ai he kuruteni huna.
Ko ētahi tohutohu tere mō te noho tahi me te mate celiac:
- Waihangahia he tahua kai matua mō te kāinga. Tirohia ngā pukapuka tunu kai, whiriwhiria ētahi tunu kai ka taea e koe te kai i ia wā, ā, he ngāwari hoki ki te hanga. Whakaritea kia mau tonu ngā kai e hiahiatia ana e koe ki te kāinga.
- Puritia ētahi kai kore-kutukutu i roto i tō waka, i tō putea, i tō tēpu tari rānei. He mea āwhina ēnei mēnā kāore e kitea he kai kē atu ina wehe atu koe i te whare.
- Kimihia ētahi wharekai he maha ā rātou tahua kai kore-kutene pono, e mōhio ana rānei koe ka taea e koe te tono haumaru mai.
- Ki te kore koe e tino mōhio he aha ngā mea kei roto i tētahi kai hou, he mea pai hoki kia mau tonu ngā rīpene whakamātautau kuruteni hei tirotiro mēnā kei roto he kuruteni.
Hei whakamutunga, he aha ngā mea hei maumahara
Mā te tātaritanga o te mate celiac ka huri tō kai me tō āhua noho ake tonu atu. Ā, ka huri anō hoki tō oranga kia pai ake . I mua i tō tātaritanga, i kai pea koe i te gluten, ā, i pōturi te kino o tō whekau iti. Tērā pea kua pāngia koe e ngā tohu rerekē, kāore i te pai mō ngā tau, kāore anō kia mōhio he aha aua tohu. Nā te mea kua mōhio koe, kei a koe te mana ki te hanga anō i tō hauora. Kaua e manukanuka, ki te whakahaere tika koe, ka taea e koe te noho hauora!
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