Yog tias koj muaj teeb meem zom zaub mov thaum koj noj qhob cij lossis nplej zom, nws tuaj yeem tshwm sim los ntawm kab mob celiac. Kab mob Celiac yog kab mob autoimmune uas txwv tsis pub lub cev muaj peev xwm zom cov gluten. Kev kuaj mob tus kab mob celiac pib nrog txheeb xyuas cov tsos mob cuam tshuam nrog tus kab mob thiab sib txawv lawv los ntawm lwm yam kab mob, xws li gluten rhiab heev. Thaum koj xav tias mob thiab tham nrog koj tus kws kho mob, kev kuaj mob tuaj yeem siv los txheeb xyuas kab mob celiac meej. Nrog kev kuaj mob tseeb los ntawm kws kho mob, koj yuav tuaj yeem pib kho thiab hloov pauv txoj kev ua neej uas tuaj yeem txo koj cov tsos mob thiab nce koj lub neej zoo.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Xyuas Cov tsos mob
Kauj Ruam 1. Paub cov tsos mob ntawm lub cev cuam tshuam nrog kab mob celiac
Qee qhov tshwm sim feem ntau muaj xws li tsam plab, raws plab, thiab mob ntau zaus hauv plab. Lwm cov tsos mob kuj tseem tuaj yeem pom, xws li mob leeg, mob hauv pob qij txha, thiab txawm tias tingling ntawm caj npab thiab txhais ceg.
- Cov quav uas tsis hnov tsw tsw txawv thiab xim me ntsis hauv cov xim yog lwm qhov cim qhia tias muaj kab mob celiac.
- Osteoporosis, hlau tsis muaj ntshav tsis txaus, thiab tsis muaj lub caij coj khaub ncaws (hauv poj niam) yog lwm yam qhia txog kab mob celiac.
- Cov tsos mob hauv menyuam yaus tuaj yeem suav nrog teeb meem nrog kev loj hlob thiab kev loj hlob, suav nrog ncua sijhawm pub dawb, teeb meem kho hniav vim tsis muaj kev txhim kho txha hniav laus, qeeb kev loj hlob, ua tsis tau zoo, thiab txawm tias rog dhau.
- Cov no tseem tuaj yeem yog cov tsos mob ntawm lwm yam teeb meem kev kho mob, yog li koj yuav tsum sab laj nrog kws kho mob txhawm rau txiav txim siab tias koj cov tsos mob tshwm sim los ntawm gluten.
Tswv yim: Raws li muaj tseeb nrog ntau yam teeb meem kev noj qab haus huv, cov neeg uas muaj tus kab mob celiac tuaj yeem ntsib qhov sib txawv ntawm cov tsos mob. Tsuas yog vim tias koj tsis muaj tag nrho cov tsos mob tau teev tseg, tsis tau txhais hais tias koj tsis tuaj yeem muaj tus kab mob celiac.
Kauj Ruam 2. Ntsuam xyuas koj lub siab
Ib qho ntawm qhov tshwm sim ntawm tus kab mob celiac yog muaj qhov ua rau muaj kev chim siab ntau yam tsis muaj laj thawj pom. Cov neeg raug kev txom nyem nrog tus mob no tseem muaj feem ua rau muaj kev nyuaj siab ntau thiab txawm tias muaj kev ntxhov siab thiab ntshai.
Kauj Ruam 3. Saib rau qhov pib mob tshwm sim thaum tseem me
Cov neeg feem coob uas muaj kab mob celiac thawj zaug pib pom cov tsos mob thaum lawv tseem yog menyuam yaus. Thaum qee tus neeg tau kuaj pom tus kab mob thaum lawv yog neeg laus, nws tsis tshua muaj tshwm sim thiab cov neeg ntawd feem ntau muaj cov tsos mob thoob plaws hauv lawv lub neej.
Kauj Ruam 4. Txheeb xyuas qhov sib txawv ntawm kab mob celiac, gluten rhiab heev, thiab a ua xua ua xua.
Cov neeg uas muaj gluten rhiab heev thiab ua xua ua xua muaj ntau cov tsos mob zoo ib yam nrog cov neeg mob celiac tab sis lawv tsis muaj lub plab puas thiab cov tshuaj tiv thaiv kab mob uas cov neeg mob celiac muaj. Cov uas muaj gluten rhiab heev yuav ua rau muaj cov tsos mob tsis zoo dua, xws li mob taub hau, pos huab, mob sib koom, thiab loog ntawm qhov nqua. Cov neeg uas ua xua tsis tuaj yeem zom cov nplej kom zoo tab sis tuaj yeem zom lwm qhov chaw ntawm gluten.
Lub plab puas thiab cov tshuaj tiv thaiv cuam tshuam nrog kab mob celiac thiab tsis nrog gluten rhiab lossis ua xua pob khaus tuaj yeem txheeb xyuas los ntawm kev kuaj ntshav
TSWV YIM TSHUAJ
Katie Marks-Cogan, MD
Board Certified Pediatric & Adult Allergist Dr. Katie Marks-Cogan is a board certified Pediatric & Adult Allergist at Clear Allergy based in Los Angeles, California. She is the Chief Allergist for Ready, Set, Food!, an infant dietary supplement designed to reduce the risk of childhood food allergies. She received her M. D. with honors from the University of Maryland. She then completed her residency in Internal Medicine at Northwestern University and fellowship in Allergy/Immunology at the University of Pennsylvania and CHOP.
Katie Marks-Cogan, MD
Board Certified Pediatric & Adult Allergist
Our Expert Agrees:
There are significant differences between a wheat allergy, celiac disease, and gluten intolerance. If you have a wheat allergy, you cannot consume anything with wheat in it, or you might go into anaphylaxis. With celiac disease, small amounts of gluten can give you serious digestive symptoms. With gluten intolerance, you have non-specific symptoms that are less severe than those of celiac disease.
Method 2 of 3: Getting a Medical Diagnosis
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog koj cov tsos mob
Teem sijhawm teem sijhawm nrog koj tus kws kho mob xub thawj. Qhia lawv txog koj cov tsos mob thiab mus kuaj lub cev. Lawv tuaj yeem txuas nrog kev sim lossis lawv tuaj yeem xa koj mus rau tus kws tshaj lij, xws li kws kho mob plab hnyuv.
- Koj tus kws kho mob yuav nug koj txog keeb kwm ntawm kab mob celiac hauv koj tsev neeg. Qhov no vim tias celiac cuam tshuam nrog cov noob tshwj xeeb uas tau dhau los ntawm ntau tiam neeg.
- Tus kws kho mob plab zom mov yog kws kho mob tshwj xeeb hauv kev kho lub plab zom mov.
Tswv yim: Yog koj xav tias koj muaj tus kab mob celiac, nug tsev neeg yog tias muaj keeb kwm ntawm tus kab mob hauv koj tsev neeg. Qhov no yuav pab koj thiab koj tus kws kho mob nqaim nqes koj qhov kev kuaj mob.
Kauj Ruam 2. Ua kom kuaj ntshav tiav
Kev kuaj mob rau tus kab mob celiac feem ntau suav nrog kuaj ntshav txhawm rau txiav txim siab yog tias muaj qee yam tshuaj tiv thaiv kab mob nyob hauv qib siab. Koj tus kws kho mob yuav zoo li coj mus kuaj ntshav thaum koj nyob hauv lawv lub chaw haujlwm thiab tom qab ntawd lawv yuav xa cov qauv ntawd mus rau ib lub chaw kuaj ntshav.
- Cov neeg uas muaj tus kab mob celiac feem ntau pom tias gluten tau lees paub los ntawm lub cev tiv thaiv kev tiv thaiv zoo li yog kev ua phem, ua rau muaj kev tsim cov tshuaj tiv thaiv ntxiv los tiv thaiv kev hem thawj. Yog tias koj muaj tus kab mob celiac, koj qhov kev sim yuav qhia pom Immunoglobulin A-dependent transglutaminase antibodies. Qee qhov xwm txheej, koj yuav ua tsis tau zoo hauv Immunoglobulin A (IgA), uas tuaj yeem ua rau muaj qhov tsis raug qhov tseeb.
- Nco ntsoov tias koj yuav tsum tau noj cov zaub mov gluten tsawg kawg 4 lub lis piam ua ntej koj kuaj ntshav kom cov tshuaj tiv thaiv kab mob uas qhia tias muaj kab mob celiac tuaj.
- Yog tias koj cov ntshav ntsuas tau zoo rau tus kab mob celiac thiab koj muaj lub cev pob liab hu ua dermatitis herpetiformis, qhov no ib leeg yuav txaus rau kev txheeb xyuas tseeb.
Kauj Ruam 3. Tau ua txoj kev kuaj kab mob ua tiav yog xav tias muaj kab mob celiac
Cov txheej txheem tshwj xeeb no tuaj yeem siv los sau ib ntu me me ntawm txoj hnyuv yog tias koj cov kev kuaj ntshav qhia tias koj yuav muaj kab mob celiac. Cov txheej txheem cuam tshuam nrog kev tso lub endoscope, hauv daim ntawv ntawm lub raj me, nqes caj pas thiab nkag mus rau txoj hnyuv. Thaum cov ntaub so ntswg raug sau, lub endoscope raug tshem tawm thiab cov ntaub so ntswg tuaj yeem tshuaj xyuas cov cim qhia tias muaj tus kab mob no.
- Endoscopy yog txheej txheem kho mob sab nrauv uas xav kom koj ua kom sedated. Yog tias koj tau ua tiav, koj yuav tsum tau npaj los ntawm kev tsis noj mov rau 12 teev ua ntej thiab los ntawm kev muaj ib tus neeg tuaj tos kom coj koj mus tsev tom qab.
- Koj yuav tsum tau npaj rau kev kuaj lub cev los ntawm kev noj zaub mov thiab haus dej rau 12 teev ua ntej ua ntej, yog li koj yuav tsum tau teem sijhawm txheej txheem ua ntej.
Txoj Kev 3 ntawm 3: Kho Kab Mob Celiac
Kauj Ruam 1. Tham nrog koj tus kws kho mob
Thaum koj tau kuaj pom tias muaj kab mob celiac, nws yog ib qho tseem ceeb kom pib kho mob txhawm rau tswj hwm koj cov tsos mob. Koj tus kws kho mob yuav hais qhia tshuaj kom kho qee yam ntawm koj cov tsos mob thiab tuaj yeem muab tswv yim rau koj ntxiv rau cov tshuaj uas tuaj yeem pab nrog qhov tsis txaus koj muaj.
- Piv txwv li, ntau tus neeg uas tau kuaj pom tus kab mob celiac me me tau hais kom noj cov tshuaj calcium, folate, ferrous sulfate, lossis cov vitamins ntau yam.
- Koj kuj tseem yuav raug tshuaj xyuas qhov tsis txaus ntawm cov vitamins D thiab B12, tooj liab, zinc, folic acid, thiab hlau.
- Kab mob Celiac tuaj nrog kev pheej hmoo ntxiv rau txha. Ua kom ntseeg tau tias koj tau txais cov vitamin D thiab calcium txaus thiab txiav txim siab ua tiav DEXA scan txhawm rau ntsuas rau pob txha ntom ntom thiab pob txha.
- Xyuas kom koj mus txog hnub tim ntawm txhua qhov koj txhaj tshuaj, suav nrog txhaj tshuaj tiv thaiv kab mob ntsws.
Kauj Ruam 2. Txais kev noj zaub mov tsis pub muaj gluten
Ntxiv rau kev siv tshuaj, cov tsos mob ntawm tus kab mob celiac kuj tseem tuaj yeem txo qis nrog kev hloov pauv rau koj cov zaub mov noj. Kev txo qis lossis tshem tawm cov gluten los ntawm kev noj zaub mov tuaj yeem ua rau muaj kev nplij siab ntau. Kev noj zaub mov tsis pub muaj gluten xav kom koj txiav tawm txhua yam uas muaj nplej, rye, lossis barley.
- Ntau yam khoom noj muaj feem ntau ntawm cov gluten hauv lawv. Koj yuav tsum zam ntau ntau dua li tsuas yog khob cij. Piv txwv li, cov khoom lag luam xws li kua zaub, kua ntses, thiab mis nyuj khov feem ntau muaj qee qhov gluten hauv lawv thiab yuav tsum zam. Gluten kuj tseem siv hauv qee yam tshuaj thiab cov khoom kom zoo nkauj, suav nrog daim di ncauj.
- Txij li thaum koj yuav txiav tawm gluten, nce koj cov fiber ntau los ntawm lwm cov zaub mov lossis tshuaj ntxiv txhawm rau tiv thaiv cem quav.
- Cov nplej koj tuaj yeem noj suav nrog mov, millet, buckwheat, quinoa, oats, thiab pob kws.
- Qee tus neeg uas raug tus kab mob celiac tuaj yeem muaj pob khaus hu ua dermatitis herpetiformis. Hmoov tsis zoo, qhov no yuav siv sijhawm txog ib xyoos los daws qhov teeb meem txawm tias tom qab pib noj zaub mov tsis pub muaj gluten.
Kauj Ruam 3. Tham nrog koj tus kws noj zaub mov noj
Thaum kho lub neej nrog tus kab mob celiac, nws tuaj yeem pab tau zoo tham nrog tus kws noj zaub mov noj. Cov kws noj zaub mov tuaj yeem pab koj xam seb koj tuaj yeem noj dab tsi thiab noj tsis tau. Lawv yuav pab koj tsim cov phiaj xwm kev noj zaub mov uas yuav ua rau kom zam tau cov zaub mov uas ua rau muaj mob hnyav ntxiv thaum suav nrog cov zaub mov uas muab cov zaub mov muaj txiaj ntsig zoo sib luag txhua hnub.
- Lawv kuj tuaj yeem yog cov peev txheej zoo rau cov zaub mov tshiab lossis cov tswv yim yuav hloov kho koj cov zaub mov nyiam rau koj li cas.
- Thaum muaj mob hnyav, kab mob celiac feem ntau tuaj yeem tswj tau nrog kev noj zaub mov nruj.
Kauj Ruam 4. Koom nrog pab pawg txhawb nqa, yog tias koj nyiam
Koom nrog pab pawg txhawb nqa nrog lwm tus nrog kab mob celiac tuaj yeem yog qhov muaj txiaj ntsig zoo ntawm cov ntaub ntawv thiab kev taw qhia thaum koj hloov kho koj cov zaub mov tshiab. Kev nkag siab ntawm kev sib raug zoo thiab kev txhawb nqa uas koj tuaj yeem tau txais los ntawm cov pab pawg no tuaj yeem pab nrog kev nyuaj siab lossis kev nyuaj siab uas koj muaj txog koj kev kuaj mob.
- Koj tseem tuaj yeem tshawb nrhiav online rau pawg hauv koj thaj chaw. Tsuas tshawb nrhiav lo lus "pab pawg kab mob celiac" thiab lub npe ntawm koj thaj chaw.
- Kuj tseem muaj ntau pab pawg txhawb nqa online uas suav nrog tib neeg los ntawm thoob plaws. Ua kev sib cuag nrog cov pab pawg no los ntawm cov vev xaib ntawm cov koom haum kab mob hauv lub tebchaws, xws li Beyond Celiac.
Tswv yim: Yog tias koj muaj kws kho mob uas cuam tshuam nrog ntau tus neeg mob kab mob celiac, nug lawv seb lawv puas paub txog pab pawg twg hauv koj cheeb tsam.
