Maʻi Celiac

ʻO ka ʻōpū liʻiliʻi o kou kino ua uhi ʻia me nā mea liʻiliʻi e like me ka lauoho i kapa ʻia ʻo villi, kahi e hoʻomoʻi ai i nā kō, nā momona, nā protein, nā wikamina, nā minelala a me nā meaʻai ʻē aʻe mai ka meaʻai āu e ʻai ai. ʻO ka hōʻike ʻana i ka gluten i loko o nā kānaka me ka maʻi celiac e hōʻino i nā villi, e hoʻopilikia ai i ke kino e hoʻomoʻi i nā meaʻai e pono ai no ke olakino a me ka ulu ʻana.

ʻO ka maʻi celiac he maʻi ia i hana ʻia e ka pane ʻana o ke kino pale i ka ʻai ʻana i ka gluten. ʻO ka gluten he protein i loaʻa i nā meaʻai e loaʻa ana i ka palaoa, ka bale, a i ʻole ka rai.

Inā loaʻa iā ʻoe ka maʻi celiac, ʻo ka ʻai ʻana i ka gluten e hoʻoulu ai i ka pane ʻana o ke kino pale i ka protein gluten i loko o kou ʻōpū liʻiliʻi. I ka hala ʻana o ka manawa, e hōʻino kēia pane i ka uhi o kou ʻōpū liʻiliʻi a pale aku i ka hoʻomoʻi ʻana i nā meaʻai, kahi kūlana i kapa ʻia ʻo malabsorption.

ʻO ka hōʻino ʻana i ka ʻōpū pinepine e hoʻokumu ai i nā hōʻailona e like me ka diarrhea, ka luhi, ka nalowale o ke kaumaha, ka pupu a i ʻole ka anemia. Hiki nō hoʻi ke alakaʻi i nā pilikia nui inā ʻaʻohe hoʻokele a i ʻole lapaʻau. I nā keiki, hiki i ka malabsorption ke hoʻopilikia i ka ulu ʻana a me ka hoʻomohala ʻana ma waho aʻe o nā hōʻailona gastrointestinal.

ʻAʻohe lāʻau lapaʻau maopopo no ka maʻi celiac. Akā no ka hapa nui o nā kānaka, ʻo ka hahai ʻana i ka ʻai gluten-free paʻa e kōkua i ka hoʻokele ʻana i nā hōʻailona a kōkua i ka ho'ōla ʻana o nā ʻōpū.

Hiki i nā hōʻailona o ka maʻi celiac ke ʻokoʻa loa. Hiki nō hoʻi ke ʻokoʻa ma nā keiki a me nā mākua. ʻO nā hōʻailona o ka ʻōnaehana digestive no nā mākua, ʻo ia hoʻi: Diarrhea. Luhi. Pau ke kaumaha. Pū a me ka gas. ʻEha ʻōpū. Nāʻeha a me ka luaʻi. Paʻa ka ʻōpū. Akā naʻe, ʻoi aku ma mua o ka hapalua o nā mākua me ka maʻi celiac he mau hōʻailona ʻaʻole pili i ka ʻōnaehana digestive, e like me: Anemia, maʻamau mai ka nele o ka hao ma muli o ka emi ʻana o ka hoʻomoʻi ʻana o ka hao. Pau ke kaumaha o ka iwi, i kapa ʻia ʻo osteoporosis, a i ʻole ka palupalu ʻana o nā iwi, i kapa ʻia ʻo osteomalacia. ʻIli ʻili ʻili, i kapa ʻia ʻo dermatitis herpetiformis. ʻO nā ʻeha waha. Poʻo ʻeha a me ka luhi. Hōʻeha o ka ʻōnaehana nerve, me ka numbness a me ka tingling i nā wāwae a me nā lima, nā pilikia paha me ke kaulike, a me ka cognitive impairment. ʻEha hui. Emi ka hana o ka spleen, i ʻike ʻia ʻo hyposplenism. Kiʻekiʻe nā enzyme o ke ate. ʻOi aku ka nui o nā keiki me ka maʻi celiac ma mua o nā mākua i loaʻa nā pilikia digestive, e like me: Nāʻeha a me ka luaʻi. Diarrhea mau. ʻŌpū pehu. Paʻa ka ʻōpū. Gas. Pale, nā wai ʻōpala ʻala ʻole. ʻAʻole hiki ke hoʻomoʻi i nā meaʻai e hopena ai: ʻAʻole ulu nā pēpē. Hōʻino i ka enamel niho. Pau ke kaumaha. Anemia. Hoʻonāukiuki. Pōkole ke kiʻekiʻe. Hoʻokaʻulua ʻia ka puberty. Nā hōʻailona neurological, me ka attention-deficit/hyperactivity disorder (ADHD), nā pilikia aʻo, nā poʻo ʻeha, ka nele o ka hoʻohuihui ʻana o nā ʻiʻo a me nā seizures. Hiki i ka gluten intolerance ke hoʻokumu i kēia maʻi ʻili ʻili. Maʻamau ka ʻili ma nā kuʻekuʻe, nā kuli, ka torso, ka scalp a i ʻole nā ​​buttocks. Hoʻopili pinepine ʻia kēia kūlana me nā loli i ka lining o ka ʻōpū liʻiliʻi e like me nā mea o ka maʻi celiac, akā ʻaʻole paha e hoʻokumu ka maʻi ʻili i nā hōʻailona digestive. Hoʻoponopono nā limahana mālama ola i ka dermatitis herpetiformis me ka ʻai ʻole gluten a i ʻole ka lāʻau lapaʻau, a i ʻole nā ​​ʻelua, e kaohi i ka ʻili. E kūkā me kāu hui mālama ola inā loaʻa iā ʻoe ka diarrhea a i ʻole ka ʻoluʻolu digestive e lōʻihi ana ma mua o ʻelua pule. E kūkā me ka hui mālama ola o kāu keiki inā: Pale kāu keiki. Hoʻonāukiuki kāu keiki. Ke hāʻule nei kāu keiki i ka ulu ʻana. Loaʻa i kāu keiki kahi potbelly. Loaʻa i kāu keiki nā wai ʻōpala ʻala ʻole, nui. E hōʻoia e kūkā me kāu hui mālama ola ma mua o ka ho'āʻo ʻana i ka ʻai ʻole gluten. Inā ʻoe e hoʻōki a hoʻemi paha i ka nui o ka gluten āu e ʻai ai ma mua o kou hoʻokolohua ʻia no ka maʻi celiac, hiki iā ʻoe ke hoʻololi i nā hopena hoʻokolohua. Hoʻomau ka maʻi celiac i nā ʻohana. Inā loaʻa i kekahi i kou ʻohana ka maʻi, e noi i kahi lālā o kāu hui mālama ola inā pono ʻoe e hoʻokolohua ʻia. E noi pū no ka hoʻokolohua inā loaʻa iā ʻoe a i ʻole kekahi i kou ʻohana kahi kumu pilikia no ka maʻi celiac, e like me ka maʻi diabetes type 1.

E kūkā me kāu kime mālama ola inā loaʻa iā ʻoe ka maʻi ʻōpū a i ʻole ka ʻoluʻolu ʻole o ka ʻōpū no ka lōʻihi ma mua o ʻelua pule. E kūkā me ke kime mālama ola o kāu keiki inā:

• He ʻili keʻokeʻo kona.
• He huhū kona.
• Ke ulu ʻole nei.
• Loaʻa iā ia ka ʻōpū nui.
• Loaʻa iā ia nā wai ʻōpū ʻala ʻino a nui. E hōʻoia e kūkā me kāu kime mālama ola ma mua o ka ho'āʻo ʻana i ka ʻai gluten-free. Inā e ho'ōki a ho'emi paha ʻoe i ka nui o ka gluten āu e ʻai ai ma mua o kou ho'āʻo ʻia no ka maʻi celiac, hiki iā ʻoe ke hoʻololi i nā hopena o ka ho'āʻo. Hoʻomau pinepine ka maʻi celiac i nā ʻohana. Inā loaʻa i kekahi i loko o kou ʻohana ka maʻi, e nīnau i kahi lālā o kāu kime mālama ola inā pono ʻoe e ho'āʻo ʻia. E nīnau pū e pili ana i ka ho'āʻo inā loaʻa iā ʻoe a i ʻole kekahi i loko o kou ʻohana kahi kumu pilikia no ka maʻi celiac, e like me ka maʻi diabetes type 1.

Hiki i kāu mau gene, i hui pū ʻia me ka ʻai ʻana i nā meaʻai me ka gluten a me nā kumu ʻē aʻe, ke kōkua i ka maʻi celiac. Akā, ʻaʻole maopopo ka kumu kūpono. Hiki i nā hana hānai pēpē, nā maʻi maʻi gastrointestinal a me nā bacteria ʻōpū ke kōkua, akā ʻaʻole i hōʻoia ʻia kēia mau kumu. I kekahi manawa, e hana hou ka maʻi celiac ma hope o ka ʻoki kino, ka hāpai keiki, ka hānau keiki, ka maʻi viral a i ʻole ka pilikia manaʻo nui.

Ke overreact ka ʻōnaehana pale o ke kino i ka gluten i loko o ka meaʻai, e hōʻino ka pane i nā projections liʻiliʻi, lauoho-like, i kapa ʻia ʻo villi, e uhi ana i ka ʻōpū liʻiliʻi. Hoʻomoʻa nā villi i nā wikamina, nā minelala a me nā meaʻai ʻē aʻe mai ka meaʻai āu e ʻai ai. Inā hōʻino ʻia kāu mau villi, ʻaʻole hiki iā ʻoe ke loaʻa nā meaʻai lawa, ʻoiai inā nui kāu ʻai.

Hānai pinepine ʻia ka maʻi celiac i nā kānaka i loaʻa iā lākou:

• Lālā o ka ʻohana me ka maʻi celiac a i ʻole ka dermatitis herpetiformis.
• Ka maʻi diabetes type 1.
• Ka maʻi Down syndrome, William syndrome a i ʻole Turner syndrome.
• Ka maʻi autoimmune thyroid.
• Ka maʻi microscopic colitis.
• Ka maʻi Addison.

Hiki i ka maʻi celiac i mālama ʻole ʻia ke alakaʻi aku i kēia mau mea:

• Ka nele o ka meaʻai. Hana kēia inā ʻaʻole hiki i kou ʻōpū liʻiliʻi ke komo i nā meaʻai lawa. Hiki i ka nele o ka meaʻai ke alakaʻi aku i ka maʻi palupalu koko a me ka emi ʻana o ke kaumaha. I nā keiki, hiki i ka nele o ka meaʻai ke hoʻopōʻino i ka ulu ʻana a me ka pōkole o ke kiʻekiʻe.
• Ka nāwaliwali o nā iwi. I nā keiki, hiki i ka nele o ka calcium a me ka huaora D ke alakaʻi aku i ka palupalu ʻana o ka iwi, i kapa ʻia ʻo osteomalacia a i ʻole rickets. I nā mākua, hiki ke alakaʻi aku i ka emi ʻana o ka mānoanoa o ka iwi, i kapa ʻia ʻo osteopenia a i ʻole osteoporosis.
• Ka nele o ka hānau keiki a me ka hānau ʻole. Hiki i ka nele o ka calcium a me ka huaora D ke komo i nā pilikia o ka hānau keiki.
• Ka nele o ka lactose. Hiki i ka pōʻino i kou ʻōpū liʻiliʻi ke hoʻoulu i kou ʻeha ʻōpū a me ka luaʻi ma hope o ka ʻai ʻana a i ʻole ka inu ʻana i nā huahana waiū e loaʻa ana i ka lactose. I ka manawa e hoʻōla ai kou ʻōpū, hiki paha iā ʻoe ke ʻae hou i nā huahana waiū.
• Ka maʻi kanesa. Loaʻa i nā kānaka me ka maʻi celiac i mālama ʻole i ka ʻai ʻole gluten ka nui o ka pilikia o ka loaʻa ʻana o kekahi mau ʻano o ka maʻi kanesa, me ka lymphoma intestinal a me ka maʻi kanesa o ka ʻōpū liʻiliʻi.
• Nā kūlana o ka ʻōnaehana nerve. Hiki i kekahi poʻe me ka maʻi celiac ke loaʻa i nā kūlana e like me nā hoʻoulu a i ʻole ka maʻi o nā nerve i nā lima a me nā wāwae, i kapa ʻia ʻo peripheral neuropathy.

ʻAʻole pane kekahi poʻe me ka maʻi celiac i ka mea a lākou e manaʻo ai he ʻai ʻole gluten. ʻO ka maʻi celiac pane ʻole pinepine ʻia ma muli o ka haumia ʻana o ka ʻai me ka gluten. Hiki i ka hana pū ʻana me ka dietitian ke kōkua iā ʻoe e aʻo pehea e pale aku ai i ka gluten a pau.

Hiki i nā kānaka me ka maʻi celiac pane ʻole ke loaʻa:

• Ka nui o nā bacteria i loko o ka ʻōpū liʻiliʻi.
• Ka colitis microscopic.
• Ka hana maikaʻi ʻole o ka pancreas, i ʻike ʻia ʻo pancreatic insufficiency.
• Ka irritable bowel syndrome.
• Ka pilikia o ka hoʻoheheʻe ʻana i ke kō e loaʻa ana i nā huahana waiū (lactose), ke kō papa (sucrose), a i ʻole ke ʻano o ke kō e loaʻa ana i ka meli a me nā hua (fructose).
• Ka maʻi celiac refractory maoli ʻaʻole pane i ka ʻai ʻole gluten.

I nā hihia kakaikahi, ʻaʻole pane ka hōʻeha ʻōpū o ka maʻi celiac i ka ʻai ʻole gluten paʻa. ʻIke ʻia kēia ʻo ka maʻi celiac refractory. Inā loaʻa nō nā hōʻailona ma hope o ka hahai ʻana i ka ʻai ʻole gluten no 6 mau mahina a 1 makahiki, pono ʻoe e kamaʻilio me kāu hui mālama ola e ʻike inā pono ʻoe i ka hoʻokolohua hou aku e ʻimi i nā wehewehe no kāu mau hōʻailona.

Endoscopy Hoʻonui i ke kiʻi E pani i ka Endoscopy Endoscopy I ka wā o ka endoscopy o luna, e hoʻokomo kekahi limahana ola kino i kahi pūpū lahilahi, palupalu i hoʻolako ʻia me kahi kukui a me ke kāmela i lalo o ka ʻāʻī a komo i loko o ka esophagus. Hāʻawi ka kamera liʻiliʻi i kahi hiʻohiʻona o ka esophagus, ka ʻōpū a me ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi, i kapa ʻia ʻo ka duodenum. Capsule endoscopy camera Hoʻonui i ke kiʻi E pani i ka Capsule endoscopy camera Capsule endoscopy camera ʻO kahi kaʻina hana capsule endoscopy e pili ana i ka ʻai ʻana i kahi kamera liʻiliʻi e like me ka nui o kahi hua lāʻau nui. Loaʻa i loko o ke kapuaʻi nā kukui e hoʻomālamalama i ka ʻōnaehana digestive, kahi kāmela e lawe i nā kiʻi a me kahi antenna e hoʻouna i kēlā mau kiʻi i kahi mea hoʻopaʻa i kau ʻia ma kahi kāʻei. He nui nā kānaka me ka maʻi celiac ʻaʻole ʻike lākou i loaʻa iā lākou. Hiki i ʻelua mau hoʻokolohua koko ke kōkua i ka ʻike ʻana: ʻO ka hoʻokolohua Serology e ʻimi i nā antibodies i loko o kou koko. Hōʻike ka nui o ke kiʻekiʻe o kekahi mau protein antibody i kahi pane ʻimi i ka gluten. Hiki ke hoʻohana ʻia ka hoʻokolohua genetic no nā antigens leukocyte kanaka (HLA-DQ2 a me HLA-DQ8) e kāpae i ka maʻi celiac. He mea nui ia e hoʻokolohua ʻia no ka maʻi celiac ma mua o ka hoʻāʻo ʻana i kahi meaʻai gluten-free. Hiki i ka hoʻopau ʻana i ka gluten mai kāu meaʻai ke hoʻolilo i nā hopena o nā hoʻokolohua koko i ʻike ʻia i ka laulā maʻamau. Inā hōʻike nā hopena o kēia mau hoʻokolohua i ka maʻi celiac, e kauoha ʻia kekahi o nā hoʻokolohua aʻe: Endoscopy. Hoʻohana kēia hoʻokolohua i kahi pūpū lōʻihi me kahi kamera liʻiliʻi i waiho ʻia i loko o kou waha a hele i lalo o kou ʻāʻī. Hāʻawi ka kamera i ka mea hoʻomaʻamaʻa e ʻike i kou ʻōpū liʻiliʻi a lawe i kahi laʻana ʻiʻo liʻiliʻi, i kapa ʻia ʻo ka biopsy, e kālailai no ka pōʻino i nā villi. Capsule endoscopy. Hoʻohana kēia hoʻokolohua i kahi kamera uea ʻole liʻiliʻi e lawe i nā kiʻi o kou ʻōpū liʻiliʻi holoʻokoʻa. Noho ka kamera i loko o kahi kapuaʻi nui o ka hua lāʻau, āu e ʻai ai. I ka hele ʻana o ke kapuaʻi ma o kou ʻōnaehana digestive, lawe ka kamera i nā tausani o nā kiʻi i hoʻouna ʻia i kahi mea hoʻopaʻa. Hoʻohana ʻia kēia hoʻokolohua i kekahi mau kūlana kahi i makemake ʻia ai kahi hoʻokolohua o ka ʻōpū liʻiliʻi holoʻokoʻa a i ʻole ka hopena. Inā loaʻa paha iā ʻoe ka dermatitis herpetiformis, hiki i kāu limahana mālama ola ke lawe i kahi laʻana liʻiliʻi o ka ʻili ʻiʻo e nānā ma lalo o ka microscope. Inā ʻike ʻia ʻoe me ka maʻi celiac, hiki ke ʻōlelo ʻia nā hoʻokolohua hou aku e nānā i kou kūlana nutritional. ʻO kēia e komo pū ana i nā pae o nā huaora A, B-12, D a me E, a me nā pae mineral, hemoglobin a me nā enzyme ate. Hiki nō hoʻi ke nānā ʻia kou olakino iwi me kahi scan density iwi. Mālama ma Mayo Clinic Hiki i kā mākou hui mālama o nā loea Mayo Clinic ke kōkua iā ʻoe me kāu mau pilikia olakino e pili ana i ka maʻi celiac Hoʻomaka Maanei ʻIke hou aku Mālama maʻi celiac ma Mayo Clinic Capsule endoscopy

ʻO kaʻai ʻole gluten, i ke ola a pau, wale nō ke ala e mālama ai i ka maʻi celiac. Ma waho aʻe o ka palaoa, ʻo nā meaʻai e loaʻa ai ka gluten, ʻo ia nā mea penei: Barley. Bulgur. Durum. Farina. Palaoa Graham. Malt. Rye. Semolina. Spelt (ʻano palaoa). Triticale. Hiki i ka dietitian e hana pū me nā kānaka me ka maʻi celiac ke kōkua iā ʻoe e hoʻolālā i kaʻai olakino ʻole gluten. ʻO nā wahi liʻiliʻi o ka gluten i kāu meaʻai hiki ke hōʻino, ʻoiai inā ʻaʻole lākou e hoʻoulu i nā hōʻailona. Hiki ke hūnā ʻia ka gluten i nā meaʻai, nā lāʻau lapaʻau a me nā huahana ʻole meaʻai, me kēia mau mea: Modified food starch, nā mea mālama a me nā mea hoʻoikaika meaʻai. Nā lāʻau lapaʻau kuhikuhi a me nā lāʻau lapaʻau kūʻai. Nā mea hoʻohui huaora a me nā minelala. Nā mea hoʻohui lāʻau a me nā meaʻai. Nā huahana lipstick. Toothpaste a me ka mouthwash. Communion wafers. Envelope a me ka leka kāpili. Play dough. Kekahi mau huahana hoʻonaninani. ʻO ka wehe ʻana i ka gluten mai kāu meaʻai e hoʻemi maʻamau i ka mumū i loko o kou ʻōpū liʻiliʻi, e hoʻomaikaʻi ai i kou manaʻo a hoʻōla ma hope. Hoʻōla koke nā keiki ma mua o nā mākua. Nā mea hoʻohui huaora a me nā minelala Inā nui kou anemia a i ʻole nā ​​kūpono ʻai, hiki ke kuhikuhi ʻia nā mea hoʻohui, me kēia mau mea: Copper. Folic acid. Iron. Vitamin B-12. Vitamin D. Vitamin K. Zinc. Lawe pinepine ʻia nā huaora a me nā mea hoʻohui ma ke ʻano o ka pīlī. Inā pilikia kou ʻōpū i ka ʻai ʻana i nā huaora, hiki paha iā ʻoe ke loaʻa ma ka injection. Mālama hoʻomau Hiki i ka mālama hoʻomau ma nā manawa maʻamau ke hōʻoia i ka pane ʻana o kāu mau hōʻailona i kaʻai ʻole gluten. Hiki i kāu hui mālama ola ke nānā i kāu pane me nā hoʻokolohua koko. Nānā pinepine ʻia nā māka meaʻai. No ka hapa nui o nā kānaka me ka maʻi celiac, ʻae kaʻai ʻole gluten i ka hoʻōla ʻana o ka ʻōpū liʻiliʻi. No nā keiki, ʻo ia ka mea maʻamau i 3 a 6 mau mahina. No nā mākua, hiki ke mau makahiki ke hoʻōla piha. Inā mau kāu mau hōʻailona a i ʻole inā hoʻi hou nā hōʻailona, ​​hiki paha iā ʻoe ke pono i ka endoscopy me nā biopsies e hoʻoholo ai inā ua hoʻōla kāu ʻōpū. Nā lāʻau lapaʻau e kaohi i ka mumū o ka ʻōpū Inā hōʻino nui ʻia kāu ʻōpū liʻiliʻi a i ʻole loaʻa iā ʻoe ka maʻi celiac refractory, hiki ke kuhikuhi ʻia nā steroids e kaohi i ka mumū. Hiki i nā steroids ke hoʻoluʻolu i nā hōʻailona nui o ka maʻi celiac i ka wā e hoʻōla ai ka ʻōpū. Hiki ke hoʻohana ʻia nā lāʻau ʻē aʻe, e like me ka azathioprine (Azasan, Imuran) a i ʻole budesonide (Entocort EC, Uceris). Ke mālama nei i ka dermatitis herpetiformis Inā loaʻa iā ʻoe kēia ʻili ʻili, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau i kapa ʻia ʻo dapsone ma waho aʻe o kaʻai ʻole gluten. Lawe ʻia ka dapsone ma ka waha. Inā lawe ʻoe i ka dapsone, pono ʻoe i nā hoʻokolohua koko maʻamau e nānā i nā hopena ʻaoʻao. Maʻi celiac refractory Me ka maʻi celiac refractory, ʻaʻole hoʻōla ka ʻōpū liʻiliʻi. Hiki i ka maʻi celiac refractory ke lilo i mea koʻikoʻi loa, a ʻaʻohe lāʻau lapaʻau i hōʻoia ʻia i kēia manawa. Inā loaʻa iā ʻoe ka maʻi celiac refractory, makemake paha ʻoe e ʻimi i ka mālama lapaʻau ma kahi kikowaena kūikawā. Noi i kahi manawa He pilikia me ka ʻike i hōʻike ʻia ma lalo nei a hoʻouna hou i ka palapala. Loaʻa i nā ʻike olakino hou loa mai Mayo Clinic i hoʻouna ʻia i kāu pahu leka. Kākau inoa no ka manuahi a loaʻa kāu alakaʻi hohonu i ka manawa. Kaomi ma aneʻi no ka manaʻo mua o ka leka uila. Leka uila hewa Pono ka māla leka uila Hewa Hoʻokomo i ka leka uila kūpono Helu 1 Kākau inoa E aʻo hou e pili ana i ka hoʻohana ʻana o Mayo Clinic i ka ʻikepili. No ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a kōkua loa, a hoʻomaopopo i ka ʻikepili e pono ai, hiki iā mākou ke hoʻohui i kāu leka uila a me ka ʻike hoʻohana pūnaewele me nā ʻike ʻē aʻe e loaʻa ana iā mākou e pili ana iā ʻoe. Inā ʻoe he mea maʻi Mayo Clinic, hiki ke komo pū kēia i ka ʻike olakino palekana. Inā hoʻohui mākou i kēia ʻike me kāu ʻike olakino palekana, e mālama mākou i kēlā ʻike a pau ma ke ʻano he ʻike olakino palekana a e hoʻohana wale a hōʻike i kēlā ʻike e like me ka mea i kau ʻia i loko o kā mākou leka hoʻomaopopo o nā hana pilikino. Hiki iā ʻoe ke koho i nā kamaʻilio leka uila i kēlā me kēia manawa ma ke kaomi ʻana i ka loulou unsubscribe i loko o ka leka uila. Mahalo no kāu kākau inoa E loaʻa koke kāu alakaʻi olakino digestive hohonu i loko o kāu pahu leka. E loaʻa nō hoʻi iā ʻoe nā leka uila mai Mayo Clinic ma nā nūhou olakino hou loa, noiʻi, a me ka mālama. Inā ʻaʻole ʻoe e loaʻa kā mākou leka uila i loko o 5 mau minuke, e nānā i kāu waihona SPAM, a laila e hoʻokaʻaʻike mai iā mākou ma [email protected]. ʻAʻole kūleʻa kekahi mea me kāu kākau inoa E ʻoluʻolu, e ho'āʻo hou i loko o kekahi mau minuke E ho'āʻo hou

He mea paʻakikī, a me ke kaumaha, ke hahai i ka ʻai ʻole o ka gluten. Eia kekahi mau ala e kōkua ai iā ʻoe e hoʻomanawanui a me ka manaʻo ʻoi aku ka mana. E hoʻonaʻauao a aʻo i nā ʻohana a me nā hoaaloha. Hiki iā lākou ke kākoʻo i kou mau hoʻoikaika i ka mālama ʻana i ka maʻi. E hahai i nā ʻōlelo a kāu kauka. He mea nui loa ke kāpae i ka gluten a pau mai kāu ʻai. E ʻimi i kahi hui kākoʻo. Malia paha ʻoe e ʻoluʻolu i ka kaʻana like ʻana i kou mau pilikia me nā poʻe e kū nei i nā pilikia like. Hiki i nā hui e like me ka Celiac Disease Foundation, Gluten Intolerance Group, ka National Celiac Association a me Beyond Celiac ke kōkua iā ʻoe e launa pū me nā poʻe ʻē aʻe e kaʻana like ana i kou mau pilikia.