Celiac Mob: Ntau Tshaj Li Gluten Intolerance

Zoo Siab

• Cov tsos mob ntawm tus mob celiac yog dab tsi?
• Celiac mob tshwm sim hauv cov menyuam yaus
• Celiac mob tshwm sim hauv cov neeg laus
• Leej twg ntxim yuav raug tus kab mob celiac no?
• Yuav kuaj li cas thiaj paub hais tias yog tus mob celiac?
• Yuav kho tus mob celiac no li cas?
• Kev ceev faj zaub mov rau cov neeg muaj tus mob celiac

Tus mob celiac yog dab tsi?

Celiac mob yog lub plab zom mov uas tshwm sim los ntawm kev tsis haum tshuaj tiv thaiv cov kab mob gluten. Celiac mob los yog:

• hlav
• nquam paj nquam nkoj
• gluten-rhiab enteropathy

Gluten yog cov protein nyob hauv cov khoom noj ua nrog cov nplej, txhuv, txhuv, thiab triticale. Nws kuj tseem pom muaj nyob hauv oats uas tau ua hauv cov nroj tsuag uas coj lwm cov nplej. Gluten tuaj yeem pom nyob hauv qee cov tshuaj, vitamins, thiab lipsticks. Gluten tsis nkag siab, tseem hu ua gluten rhiab heev, yog tus cwj pwm los ntawm lub cev tsis tuaj yeem zom lossis zom cov gluten. Qee tus neeg uas muaj kab mob gluten tsis haum nrog gluten, thaum lwm tus neeg muaj tus kab mob celiac uas yog lub cev tsis muaj zog.

Hauv cov kab mob celiac, lub cev tiv thaiv kab mob rau gluten tsim cov co toxins ua kom puas rau villi. Villi yog cov ntiv tes me me zoo li tiv thaiv sab hauv txoj hnyuv. Thaum lub villi ua puas, lub cev tsis tuaj yeem nqus cov khoom noj los ntawm cov khoom noj. Qhov no tuaj yeem ua rau lub cev tsis zoo thiab lwm yam kev mob txaus ntshai, nrog rau kev mob plab hnyuv tas mus li.

Raws li National Institute ntawm Diabetes thiab Digestive thiab Kab Mob hauv lub raum, li 1 tus ntawm 141 Asmeskas muaj kab mob celiac. Cov neeg muaj tus mob celiac yuav tsum tshem tawm txhua hom gluten los ntawm lawv cov zaub mov noj. Qhov no suav nrog feem ntau cov khoom siv qhob cij, cov khoom ci, npias, thiab cov zaub mov uas gluten yuav siv los ua cov khoom xyaw ruaj khov.

Cov tsos mob ntawm tus mob celiac yog dab tsi?

Celiac cov tsos mob tshwm sim feem ntau koom nrog txoj hnyuv thiab cov hnyuv, tab sis lawv kuj tuaj yeem cuam tshuam lwm qhov ntawm lub cev. Menyuam yaus thiab neeg laus muaj cov tsos mob sib txawv.

Celiac mob tshwm sim hauv cov menyuam yaus

Cov menyuam yaus uas muaj tus kab mob celiac tuaj yeem xav tias nkees nkees thiab npau taws. Tej zaum lawv tseem yuav me dua li ib txwm muaj thiab ncua sij hawm tiav nkauj tiav nraug. Lwm cov tsos mob tshwm sim suav nrog:

• poob phaus
• ntuav
• tsam plab mob plab
• mob plab
• raws plab quav tawv los yog tawv ncauj
• daj ntseg daj, ua roj, tsw-tsw ntxhiab

Celiac mob tshwm sim hauv cov neeg laus

Cov neeg laus uas muaj tus kab mob celiac tuaj yeem pom cov tsos mob raws plab. Feem ntau, txawm li cas los xij, cov tsos mob kuj tseem cuam tshuam lwm qhov ntawm lub cev. Cov tsos mob no yuav suav nrog:

• hlau tsis muaj zog
• sib koom tes mob thiab txhav
• tsis muaj zog, cov pob txha tawv
• nkees
• qaug dab peg
• kev mob ntawm daim tawv nqaij
• loog thiab tingling hauv tes thiab taw
• kho hniav ntxiv lossis ploj ntawm txha hniav laus
• mob ua paug ntawm qhov ncauj
• poj niam coj khaub ncaws tsis xwm yeem
• ntxiv lawm tshob thiab nchuav menyuam

Dermatitis herpetiformis (DH) yog lwm cov tsos mob ntawm tus mob celiac. DH yog ua pob khaus raws daim tawv nqaij ua pob thiab hlwv. Nws yuav pib ntawm lub lauj tshib, pob tw, thiab hauv caug. DH cuam tshuam kwv yees li ntawm 15 rau 25 feem pua ​​ntawm cov neeg muaj tus mob celiac. Cov uas paub DH feem ntau tsis muaj cov tsos mob plab zom mov.

Nws yog ib qho tseem ceeb kom nco ntsoov tias cov tsos mob tuaj yeem sib txawv ntawm ib tus neeg rau ib tus neeg nyob ntawm ntau yam, nrog rau:

• sijhawm ntev npaum li cas tus neeg pub niam mis rau menyuam mos noj
• lub hnub nyoog ib tug neeg pib noj gluten
• tus nqi ntawm gluten ib tug neeg noj
• qhov mob hnyav ntawm txoj hnyuv ua kom raug mob

Qee cov neeg uas muaj tus kab mob celiac tsis muaj cov tsos mob. Txawm li cas los xij, lawv tseem tuaj yeem tsim cov kev mob ntev mus ntev vim lawv qhov mob.

Teem sijhawm nrog koj tus kws kho mob tam sim ntawd yog tias koj xav tias koj lossis koj tus menyuam muaj tus kab mob celiac. Thaum kuaj pom thiab kho tau qeeb, qhov teeb meem muaj tshwm sim ntau dua.

Leej twg ntxim yuav raug tus kab mob celiac no?

Tus mob Celiac khiav hauv tsev neeg. Raws li University of Chicago Medical Center, tib neeg muaj 1 txog 22 ntawm kev muaj tus mob celiac yog tias lawv niam txiv lossis nus muag muaj tus mob.

Cov neeg uas muaj lwm yam kab mob autoimmune thiab qee yam mob caj ces kuj tseem muaj tus mob celiac. Muaj qee yam mob cuam tshuam nrog tus mob celiac xws li:

• lupus
• rheumatoid mob caj dab
• ntshav qab zib hom 1
• cov mob qog
• autoimmune mob siab daim siab
• Addison's disease
• Sjogren's syndrome
• Mob ntsws qis
• Turner syndrome
• lactose thev tsis tau
• mob hnyuv
• plab hnyuv lymphoma

Yuav kuaj li cas thiaj paub hais tias yog tus mob celiac?

Kev kuaj mob pib nrog kev kuaj mob lub cev thiab keeb kwm kev kho mob.

Cov kws kho mob tseem yuav ua ntau yam kev kuaj mob kom pab tshawb pom qhov mob. Cov neeg muaj tus mob celiac feem ntau muaj cov tshuaj tiv thaiv kab mob siab heev (EMA) thiab tiv thaiv cov nqaij mos transglutaminase (tTGA). Cov no tuaj yeem kuaj pom nrog kuaj ntshav. Kev ntsuam xyuas yog qhov ntseeg tau tshaj plaws thaum lawv ua thaum lub sijhawm gluten tseem nyob hauv kev noj haus.

Yuav kuaj ntshav sib xws li:

• ua tiav cov ntshav suav (CBC)
• daim siab ua haujlwm kuaj
• kev ntsuam xyuas cov roj (cholesterol)
• alkaline phosphatase qib sim
• ntshiab dej albumin xeem

Hauv cov neeg muaj DH, daim tawv nqaij xoo pob ntseg kuj tseem tuaj yeem pab kws kho mob txheeb xyuas tus kab mob celiac. Thaum kuaj cov tawv nqaij me, tus kws kho mob yuav tshem cov nqaij me me rau cov tawv nqaij txhawm rau kuaj nrog lub tshuab tsom. Yog tias daim tawv nqaij txiav cov ntshav thiab kuaj cov ntshav pom tias muaj kab mob celiac, yuav tsis muaj qhov txhab khoom nruab nrog cev sab hauv.

Thaum kuaj ntshav lossis kuaj nqaij daim tawv nqaij txiav tawm tsis muaj qhov tsis txaus, kev kuaj sab hauv siab tuaj yeem siv los kuaj tus mob celiac. Thaum lub qog nqaij hlav sab saud, txoj hlab nyias nyias hu ua endoscope yog xov los ntawm qhov ncauj tawm mus rau hauv cov hnyuv. Lub koob yees duab me me txuas rau ntawm qhov endoscope tso cai rau tus kws kho mob tuaj kuaj xyuas txoj hnyuv thiab kuaj kev puas tsuaj rau villi. Tus kws kho mob kuj tseem tuaj yeem ua tau nqaij hauv plab hnyuv, uas koom nrog kev tshem tawm cov nqaij mos los ntawm txoj hnyuv rau kev tshawb xyuas.

Yuav kho tus mob celiac no li cas?

Tib txoj kev los kho tus mob celiac yog txhawm rau tshem tawm gluten ntawm koj cov zaub mov noj mus tas li. Qhov no tso cai rau lub plab hnyuv villi kho kom zoo thiab pib nqus cov khoom noj kom zoo. Koj tus kws kho mob yuav qhia koj yuav ua li cas kom tsis txhob muaj gluten thaum ua raws li kev noj zaub mov zoo thiab noj qab haus huv. Lawv tseem yuav muab koj cov lus qhia yuav ua li cas nyeem cov khoom noj thiab cov ntawv cim khoom noj yog li koj tuaj yeem txheeb xyuas txhua yam khoom xyaw uas muaj gluten.

Cov tsos mob tuaj yeem hloov kho zoo nyob rau hnub dhau los ntawm kev tshem tawm gluten los ntawm kev noj haus. Txawm li cas los xij, koj yuav tsum tsis txhob tsum tsis txhob noj gluten kom txog thaum muaj kev kuaj pom tseeb. Kev tshem tawm gluten ntxov ntxov yuav cuam tshuam nrog cov txiaj ntsig kev xeem thiab ua rau kev kuaj tsis raug.

Kev ceev faj zaub mov rau cov neeg muaj tus mob celiac

Tswj cov khoom noj tsis muaj gluten tsis yooj yim. Hmoov zoo, ntau lub tuam txhab tam sim no ua cov khoom lag luam gluten, uas tuaj yeem nrhiav tau ntawm ntau lub khw muag khoom noj thiab khw muag khoom noj tshwj xeeb. Cov ntawv cim ntawm cov khoom lag luam no yuav hais tias “tsis muaj gluten.”

Yog tias koj muaj tus kab mob celiac, nws yog ib qho tseem ceeb kom paub tias cov khoom noj twg nyab xeeb. Nov yog qhia txog khoom noj khoom haus uas tuaj yeem pab koj txiav txim siab yam khoom noj thiab dab tsis yuav tsum tau zam.

Zam cov khoom xyaw hauv qab no:

• nplej
• sau yov
• rye
• barley
• triticale
• bulgur
• thaum ntxov
• farina
• nplej hmoov nplej
• semolina

Zam tshwj tsis yog daim ntawv qhia hais tias tsis pub gluten:

• npias
• mov ci
• ncuav thiab ncuav qab zib
• khaub noom
• cereals
• ncuav qab zib
• pob keej
• nkaub
• gravies
• qog nqaij lossis nqaij ntses
• oats
• nplej zom
• cov nqaij ua txheej, noj nqaij hnyuv ntxwm, thiab dev kub
• cov ntaub qhwv nyias ntim
• cov kua txob (nrog rau cov kua ntses)
• tus kheej nqa nqaij qaib ntim
• kua zaub

Koj tuaj yeem noj cov khoom noj muaj gluten thiab tsis pub dawb:

• thoob ham
• pob kws
• amaranth
• xubrooj
• pobkws
• hmoov nplej ua los ntawm mov, kua, pob kws, qos yaj ywm, lossis taum pauv
• cov ntshiab pob kws tortillas
• quinoa
• txhuv
• tapioca

Kev noj qab haus huv, gluten tsis pub noj zaub mov suav nrog:

• cov nqaij, nqaij ntses, thiab nqaij qaib uas tsis tau qhob cij, pleev, lossis nqaij nruab deg
• txiv ntoo
• feem ntau cov khoom noj siv mis
• cov hmoov txhuv nplej siab ib yam li taum pauv, qos yaj ywm, suav nrog qos qos, thiab pob kws
• mov, taum, thiab lentils
• zaub
• cawv txiv hmab, dej cawv, cov kab ntsig thiab ntsuj plig

Koj cov tsos mob yuav tsum zoo nyob rau hauv hnub mus rau lub lis piam ntawm kev ua cov kev hloov kho kev noj haus no. Hauv cov menyuam yaus, txoj hnyuv feem ntau kho nyob rau hauv peb mus rau rau lub hlis.Kev kho mob hnyuv yuav siv ntau xyoo rau cov neeg laus. Thaum cov hnyuv kho tag, lub cev yuav tuaj yeem nqus cov khoom noj kom zoo.