He aha te mate Celiac? Tōna tohu, take, me te rongoā

Ko te mate Celiac he āhuatanga autoimmune e whakaeke ana tō pūnaha mate ki tō whekau iti ina kai koe i te gluten, he pūmua kei roto i te witi, te parei, me te rai. Whakaarohia he rite tō tinana ki te whakamahi i te gluten hei kaiwhakaeke kino, e pā ana ki te mumura me te pakaru o te papanga o tō whekau i te wa roa.

E pā ana tenei āhuatanga ki te 1 o te 100 o te tangata puta noa i te ao, ahakoa he tokomaha kaore e mohio kei a rātou. Ko te rongo pai, i te wā i whakamāramahia ai, ka taea te whakahaere pai i te mate Celiac mā te huringa kai, ā, ka taea e koe te ora i te ora tino pai me te hauora.

He aha ngā tohu o te mate Celiac?

Ka rereke ngā tohu o te mate Celiac mai i te tangata ki te tangata, ā, kaore pea etahi e kite i ngā tohu. Ka tipu haere ngā tohu, ā, ka pā ki ngā wāhanga rerekē o tō tinana, nā te mea he mahi nui tō whekau iti ki te tango i ngā matūkai.

Ko ēnei ngā tohu o te pūnaha kai e tino kitea ana:

• Te korere roa, te ngākau rānei
• Te mamae o te kopu me te pupuhi
• Te hau me te mamae
• Te ruaki me te ruaki
• Te kōpū (kāore i te tino noa, engari ka taea)
• Ngā paru ma, he kakara kino, e rere ana

I tua atu i ngā raruraru o te pūnaha kai, ka taea e te mate Celiac te whakaeke i ngā tohu puta noa i tō tinana. Ka puta ēnei nā te kore e taea e ngā whekau kua pakaru te tango tika i ngā matūkai, e arahi ana ki ngā hapa e pā ana ki ngā kōpū me ngā pūnaha rerekē.

Ko ngā tohu kore-kai e tino kitea ana:

• Te ngenge me te ngoikore kaore i te whakamārama
• Te mate toto iti (iron-deficiency anemia)
• Te mamae o te wheua me te mamae o te uaua
• Te wiri, te kore rānei o te pūngāwerewere i ngā ringa me ngā waewae
• Te pupuhi o te kiri (dermatitis herpetiformis)
• Ngā mamae o te mahunga me te ngaro o te hinengaro
• Ngā huringa o te ngākau, tae atu ki te pouri me te awangawanga
• Te ngaro o te taumaha kaore i te whakamārama

I ngā tamariki, ka taea e te mate celiac te whakaeke i ētahi tohu atu e pā ana ki te tipu me te whanaketanga. Ka pā pea ki ngā tamariki te whakaroa o te pakehatanga, te poto o te teitei, ngā raruraru niho, me ngā take whāinga penei i te riri me te uaua ki te aro.

Ko ētahi tāngata kei a rātou te mea e kiia ana e ngā tākua ko te "mate celiac wahangu," kei reira te pakaru o te whekau e puta mai ana, kahore he tohu mārama. Koia tēnei te take ka taea ai te kore te kitea o te mate celiac mō ngā tau, ahakoa kei te haere tonu te whakaeke a te pūnaha ārai mate i te whekau.

He aha ngā momo o te mate celiac?

Ka wehewehea e ngā tākua te mate celiac ki ētahi momo e whakaū ana ki te āhua o te putanga o ngā tohu me te wā e whanake ana te āhuatanga. Ko te mārama ki ēnei rerekētanga ka āwhina i te whakamārama he aha i rereke ai te ahua o te mate celiac i te tangata ki te tangata.

Ko te mate celiac tuku iho kei roto ngā tohu tākuta o te pūnaha kai penei i te ruaki, te pupuhi, me te ngaro o te taumaha. Koinei te mea e whakaaro ana te nuinga o te iwi ina rongo ratou mō te mate celiac, ā, ka kitea wawe ake i te nuinga o te wā nā te mea he mārama ngā tohu.

Ko te mate celiac kore-tuku iho kei roto ngā tohu kei waho o te pūnaha kai, penei i te mate toto, ngā raruraru wheua, me ngā take neurological. Ka pā pea ki te hunga kei a rātou tēnei momo ngā tohu ngoikore, kāore rānei he tohu kai, e whai hua ai te kitea.

Ko te mate celiac wahangu te tikanga kei a koe te pakaru o te whekau, engari kahore he tohu e kitea ana. Ka kitea pinepine tēnei momo i te whakamātautau i ngā mema whānau, i ngā whakamātautau toto rānei i mahia mō ētahi take atu.

Ko te mate celiac pea te whakaahuatanga mō te hunga he whakamātautau toto pai mō te mate celiac, engari he pakaru whekau noa, iti rānei. Ka whanake pea ēnei tangata i te mate celiac katoa i te wā, ā, ka whai hua pinepine i te kai kore gluten.

Ko te mate celiac kore-whakaora he momo onge kei reira tonu ngā tohu me te pakaru o te whekau ahakoa te whai i te kai kore gluten tino tika mō te 12 marama neke atu. Ko tēnei momo e hiahia ana ki te tiaki hauora motuhake me ētahi atu maimoatanga i tua atu i te whakarerekētanga kai.

He aha te take o te mate celiac?

Ko te mate kirikiri e puta mai ana i te whakakotahitanga o te tūāpapa ira me ngā whakaoho taiao, ā, ko te gluten te mea nui e whakaoho ana i te tauhohenga ā-mate. Me whai i ētahi ira koe kia whanake te mate kirikiri, engari ki te whai koe i ēnei ira, kāo te whakaatu ka whiwhi koe i te mate.

Ko te wāhanga ira e pā ana ki ngā ira motuhake e kiia nei ko HLA-DQ2 me HLA-DQ8. E 95% te tokomaha o te hunga e pangia ana e te mate kirikiri e mau ana i te ira HLA-DQ2, ā, ko te nuinga o ētahi atu kei a rātou te HLA-DQ8. Heoi, tata ki te 30% o te taupori whānui e mau ana i ēnei ira, engari 1% anake te tokomaha e whanake ana i te mate kirikiri.

He mea nui te mahi a ngā take taiao ki te whakaoho i te mate ki ngā tāngata e pā ana ki te ira. Ka uru atu ēnei whakaoho ki ngā mate huaketo, te ahotea hinengaro, te hapu, te pokanga rānei, aha atu rānei te wā o te whakauru gluten i te wā iti.

E whakaatu ana etahi rangahau ko etahi mate, ina koa ki te rotavirus, adenovirus ranei, pea ka whakaoho i te mate kirikiri ki ngā tāngata ngoikore. Ko te whakaaro ko ēnei mate pea ka meinga te pūnaha ā-mate kia pohehe, ka tīmata te whakaeke i ngā pūmua gluten.

He mea whakamīharo, ko te huarahi e whakauruhia ai te gluten i te wā iti pea ka pā ki te whanaketanga o te mate kirikiri. E whakaatu ana etahi rangahau ko te whakauru gluten i te wā e whāngai u iho ana, ā, te mahi i te mea iti pea ka whakaiti i te tūponotanga, ahakoa kei te haere tonu te whanaketanga o tēnei wāhanga rangahau.

Ka taea te whanake o te mate i tetahi tau, mai i te tamarikitanga tae noa ki te pakeketanga. I etahi wā ka puta mai i muri i te wā o te ahotea tinana, hinengaro ranei, te hapu, te mate ranei, e whakaatu ana ko ēnei kaupapa pea ka whakaoho i te pūnaha ā-mate ki ngā tāngata e pā ana ki te ira.

Nōhea te haere ki te taote mō te mate kirikiri?

Me whakaaro koe ki te haere ki te taote ki te pāngia koe e ngā tohu pūnaha kai roa, ngā raruraru hauora kore whakamārama rānei e hono ana pea ki te mate kirikiri. Ka taea e te whakamātautau me te maimoatanga wawe te aukati i ngā raruraru me te whakapai ake i tō kounga ora.

Rapua te awhina hauora mena he raruraru o te pūnaha kai to koe e haere tonu ana, neke atu i ngā wiki torutoru, ā, ina koa ki te whai koe i te ruaki roa, te mamae o te kopu, te pupū, te ngaro o te taumaha kaore he take. He maha ngā take o ēnei tohu, engari me whakaarohia te mate celiac, ina koa ki te kore e awhina ngā huringa kai.

He mea nui hoki te haere ki te taote mena he tohu kāore i te pūnaha kai kei a koe e taea ai te tohu i te mate celiac, pēnei i te ngenge roa, te mate toto kaore he take, te mamae o te wheua, te tohu neurological pēnei i te wiri o ō ringa me ō waewae.

Mena he mema o tō whānau kei a ia te mate celiac, whakaarohia te whakamātautau ahakoa kaore koe e whai tohu. Ko ngā whanaunga o te tuatahi (mātua, teina, tamariki) he 1 i te 10 te tūponotanga o te whanake i te āhuatanga, nā reira he mea tika te whakamātautau.

Kaua e tīmata i te kai kore gluten i mua i te kite atu i tō taote mena kei te whakaaro koe he mate celiac koe. Me kai gluten koe hei whakamātautau tika, ā, ko te tango atu i tō kai ka āhei te arahi ki ngā hua whakapae-kino e uaua ai te whakatau.

Rapua te tiaki hauora tonu mena ka whanake koe i ngā tohu kino penei i te ruaki roa, ngā tohu o te ngau, te mamae nui o te kopu, tetahi rānei o ngā tohu e āwangawanga nui ana i ō mahi o ia rā.

He aha ngā take morearea mō te mate celiac?

He maha ngā take ka piki ake tō tūponotanga ki te whanake i te mate celiac, ko te hītori whānau te tohu kaha rawa. Ko te mārama ki ēnei take morearea ka āhei te awhina i a koe me tō taote ki te whakatau mena he tika te whakamātautau mō tō āhuatanga.

Ko ngā take ira te take morearea nui rawa. Ko te whai mātua, teina, tamaiti rānei e whai mate celiac ana ka piki ake tō tūponotanga ki te 1 i te 10, i te 1 i te 100 i te taupori whānui. He nui ake te tūponotanga ki te maha ngā mema o te whānau e whai āhuatanga ana.

Ka piki ake hoki te tūponotanga o te mate celiac i ētahi āhuatanga ira:

• Taurangi Down (ka piki te tūponotanga ki te 1 i roto i te 20)
• Taurangi Turner
• Taurangi Williams
• Te kore o te IgA tīpakanga

Ko te whai i ētahi atu āhuatanga autoimmune ka piki haere te tūponotanga o te whanaketanga o te mate celiac. Ka puta mai tenei nā te mea he rite ngā pūtake ira me ngā tauira pūnaha ārai mate.

Ko ngā āhuatanga autoimmune e hono ana ki te piki o te tūponotanga o te mate celiac ko:

• Te mate huka momo 1 (tūponotanga o te 3-8%)
• Te mate thyroid autoimmune
• Te mate ate autoimmune
• Te mate rewiti rheumatoid
• Te mate Sjögren
• Te mate Addison

He wāhi hoki te pakeke me te ira tangata ki te tūponotanga. Ahakoa ka taea te whanake o te mate celiac i tetahi tau, ka kitea pinepine i te tamarikitanga, i waenga i ngā tau 30-40. Ka kitea ngā wāhine kia rua te maha atu i ngā tāne, ahakoa ka whakaatu pea tenei i ngā rerekētanga i te mohiotanga tohu, ehara i te tūponotanga o te mate.

E whakaaro ana etahi rangahau ko etahi take o te oranga wawe pea ka awe i te tūponotanga, tae atu ki te whanautanga caesarean, te whakaurunga wawe o te gluten, me te whāngai pūmua i te wāhi o te whāngai u. Heoi, kei te whakawhanake tonu te rangahau i tenei wāhi, ā, he iti rawa enei take i te ira me te hītori whānau.

He aha ngā raruraru pea o te mate celiac?

Ka taea e te mate celiac kore i te rongoā te arahi ki ngā raruraru nui i te roa o te wā, nā te kino tonu o te kopu ka kore e taea te tango pai i ngā matūkai. Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati, te whakapai rānei me te kai kore gluten.

Ko ngā ngoikore o te kai te nuinga o ngā raruraru, ka whanake nā te kore e taea e ngā villi kopu kino te tango pai i ngā matūkai. Ka taea e ēnei ngoikore te pā ki ngā pūnaha tinana maha, me te whakaeke i ngā raruraru hauora maha.

Ko ngā raruraru kai noa ko:

• Te ngoikore o te rino e arahi ana ki te ngenge me te ngoikore
• Te kore o te kōhiū me te wītamini D e pā ana ki ngā raruraru o ngā wheua
• Te kore o ngā wītamini B e pā ana ki te kaha me te mahi o ngā tūpuna
• Te kore o te folate, he mea nui rawa i te wā hapu
• Te kore o ngā wītamini ngota-ngota (A, D, E, K)

Ka tupu ngā raruraru hauora o ngā wheua i te mate celiac kaore i te rongoa, nā te kore e tangohia te kōhiū me te wītamini D. Ka taea e koe te whiwhi i te osteoporosis (ngā wheua ngoikore, pakaru) te osteomalacia rānei (ngā wheua ngawari), ka nui ake ai te tūponotanga o te pakaru.

Ka pā te hauora whakaū ki ngā tāne me ngā wāhine. Ka raru pea ngā wāhine ki ngā wā o te marama, te uaua ki te hapu, te nui ake rānei o te ngaronga o te kopu. Ka iti pea te hua o ngā tāne, te kore rānei o te rite o ngā homoni.

Ko te mate celiac kaore i te rongoa mō te wā roa he maha ngā raruraru kino, engari he iti noa iho. Ka tupu ēnei i roto i ngā tau maha o te kino tonu o te pūnaha whekau me te mumura puta noa i te tinana.

Ko ngā raruraru kino engari he iti noa iho:

• Te lymphoma o te whekau iti (he momo kēnē)
• Te adenocarcinoma o te whekau iti (he kēnē anō)
• Te mate celiac kaore e taea te rongoa (ka mau tonu ngā tohu ahakoa he kai kore gluten)
• Ngā raruraru neurological pēnei i te neuropathy taha
• Ngā raruraru ate tae atu ki te hepatitis

Ka raru pea ngā tamariki me te mate celiac kaore i te rongoa ki te whakaroa o te tipu, te whakaroa o te pakeke, ngā raruraru niho, me ngā raruraru whānau. Ka taea e te whakatau me te rongoa wawe te awhina i ngā tamariki ki te hopu i te tipu me te whanaketanga.

Ko te rongo pai, ko te whai i te kai kore gluten ka taea te aukati i te nuinga o ngā raruraru, ā, ka taea te whakahoki i ngā raruraru maha kua tupu. Ka ora ngā whekau, ka pai ake te tango kai, ā, ka pai ake te hauora katoa.

Me pēhea te aukati i te mate celiac?

I te wā nei, kāore he huarahi e mohiotia ana hei ārai i te mate kirikiri, ki te mea kua whakaritea koe ki te whanake. Heoi, kei te ako ngā kairangahau i ngā huarahi rerekē ka taea te whakaiti i te tūponotanga, te whakaroa rānei i te tīmatanga i ngā tāngata ngoikore.

Kua tirohia e ētahi rangahau te āhua o ngā tikanga whāngai tamariki ki te whanaketanga o te mate kirikiri. E kī ana te rangahau ko te whakauru mā te iti i te gluten i waenganui i te 4-6 marama te pakeke, ā, kei te whāngai u, ka pai pea, ahakoa he wāhanga tonu tēnei o te ako.

Ko te pupuri i te hauora pai katoa mā te kai tōtika, te whakakori tinana auau, me te whakahaere i te ahotea ka tautoko pea i tō pūnaha mate, ahakoa kāore ēnei mahi i whakamāramahia hei ārai motuhake i te mate kirikiri.

Ki te pēnei koe i te whānau o te mate kirikiri, ko te huarahi pai ko te tirotiro auau, kāore i ngā whakamātautau ārai. Ka taea te āwhina i te tirohanga wawe ki te rongoā tere, ka taea te ārai i ngā raruraru, ka whakapai ake i tō kounga ora.

Mō ngā tāngata kua tōmua te whakatau i te mate kirikiri, ka waiho hei arotahi te ārai i ngā raruraru. Ko te pupuri pono ki te kai kore gluten te huarahi tino whai hua hei ārai i te whanake me te whakaora i te kino o te whekau.

Kei te haere tonu te rangahau ki ngā rongoā ārai pea, tae atu ki ngā ako o ngā enzymes ka taea te wawahi i te gluten me ngā rongoā whakahaere-mate. Heoi, kei te whakamātautau tonu ēnei huarahi, kāore ano hoki i te wātea mō te whakamahinga whānui.

Me pēhea te whakatau i te mate kirikiri?

Ko te whakatau i te mate kirikiri kei roto he whakakotahitanga o ngā whakamātautau toto, te whakamātautau ira, me te nuinga o te biopsy whekau hei whakau i te whakatau. Me kai koe i te gluten i ia rā, na kaua e tīmata i te kai kore gluten i mua i te whakamātautau.

Ka tīmata tonu tō tākuta ki ngā whakamātautau toto e titiro ana ki ngā antibodies motuhake e hanga ana tō pūnaha mate ina whakaaturia ki te gluten. Ko te whakamātautau tino noa me te pono e ine ana i ngā antibodies tissue transglutaminase (tTG-IgA).

Ko ētahi atu whakamātautau toto pea e uru ana ki:

• Anti-endomysial antibodies (EMA)
• Anti-deamidated gliadin peptides (DGP)
• Taumata katoa o te IgA (kia tika ai ngā hua)
• Anti-gliadin antibodies (kāore i te whakamahia te nuinga o te wā inaianei)

Mēnā ka whakaatu ngā whakamātautau toto he mate celiac, ka tūtohutia pea e tō tākuta te endoscopy o runga me te biopsy. Ko te mahi nei ko te whakauru i te pūkaha angiangi, ngawari me te kamera i roto i tō waha hei tirotiro i tō whekau iti me te tango i ngā tauira iti o te kiko.

Ka rapu te biopsy i ngā huringa āhuatanga o ō villi whekau, ngā pūtake iti rite ki ngā maihao e tango ana i ngā kai. I te mate celiac, ka pōturitia ēnei ka pakaru, ka kitea mārama i raro i te microscope.

Ka taea e te whakamātautau ira te awhina i te whakakore i te mate celiac ki te kore koe e mau i ngā ira HLA-DQ2, i ngā ira HLA-DQ8 rānei. Heoi, ko te mau i ēnei ira kāore e tikanga kei a koe te mate celiac, nā te mea he tokomaha ngā tāngata e mau ana i ēnei ira, kāore hoki e whāiti te mate.

I ētahi wā, ka tūtohutia pea e tō tākuta ētahi atu whakamātautau hei tirotiro i ngā ngoikore o te kai, i ngā raruraru rānei. Ka uru pea ēnei ki ngā karapa o te mātotorutanga o te wheua, ngā ine o te taumata o te huaora, i ngā whakamātautau mahi ate rānei.

Mō ngā tamariki, he rite te huarahi whakamātautau, ahakoa ka taea pea te karo i te biopsy ki te tino teitei ngā hua whakamātautau toto, ā, he tino ngā tohu. Me whai whakatau tika tēnei e te gastroenterologist tamariki.

He aha te rongoā mō te mate celiac?

Ko te rongoā matua me te tino whai hua mō te mate celiac ko te whai i te kai kore gluten, ora tonu. Ko te tikanga tenei ko te karo katoa i te witi, te parei, te rai, me ētahi kai, me ētahi hua rānei e whai ana i ēnei witi.

Ka taea e te kai kore gluten te whakaora i tō paparinga whekau, ā, ka oti te whakakore i ngā tohu i roto i ngā wiki ki ngā marama. Ko te nuinga o ngā tāngata ka pai ake te ahua i roto i ngā wiki torutoru, ahakoa ka roa pea te whakaora katoa o te whekau tae atu ki te rua tau mō ngā pakeke.

Ko te ako ki te whai i te kai kore-karamu he mea nui te matauranga ki te kai he karamu kei roto, me te kimi i ētahi atu kai hei whakakapi. Ko ngā kai kore-karamu tūturu ko ngā hua, ngā huawhenua, te mīti, te manu, te ika, ngā hua waiū, ngā pīni, ngā nati, me te nuinga o ngā hua raihi me te kākano.

Ko ngā kai me karo e koe ko:

• Wiiti, parei, rai, me te traikara
• Te nuinga o ngā paraoa, pāstā, kākano, me ngā kai tunu
• Piwa me ngā inu mura
• Te maha o ngā kai whakamahia kua whakauruhia te karamu hei kai
• Ētahi rongoā me ngā taapiri
• Ngā hua i pā te paru ki ngā witi karamu

He mea nui te pānui i ngā tohu kai, i te mea ka huna te karamu i ngā wāhi kaore e tūmanakohia penei i te hinu pīni, ngā ranunga hupa, te keke, ā, tae atu ki ētahi rongoā. Rapua ngā hua kua tohua motuhake ko te "kore-karamu" hei whakarite i te ora.

He mea nui te aukati i te paru-pānga mō te whakaora angitu. Ko te tikanga tenei te whakamahi i ngā taputapu tunu motuhake, ngā mīhini tunu paraoa, me ngā papa tapa mō ngā kai kore-karamu, me te tupato ki ngā papa umanga o te kīhini.

Ka taea e tō tākuta te tūtohutia ngā taapiri kai i te tīmatanga hei whakatika i ngā hapa e noho pūmau ana i te mate celiac i whakatauhia hou. Ko ēnei e whakauru pinepine ana i te rino, ngā hua B, te kārati, te hua D, ā, i ētahi wā te konutea, te māheni rānei.

Ko te mahi tahi me te kaiwhakaako kai kua rehitatia he wheako ki te mate celiac ka tino whai hua. Ka taea e rātou te āwhina i a koe ki te whakarite i ngā kai tōtika, te kimi i ngā puna huna o te karamu, me te whakarite kei te whiwhi koe i te kai tika i runga i te kai kore-karamu.

I ngā take onge o te mate celiac kore-whakaora kei reira tonu ngā tohu ahakoa he kai kore-karamu tino kaha, ka taea e tō tākuta te whakahau i ngā rongoā penei i ngā corticosteroids, ngā rongoā whakakore-mate rānei. Koinei te mea e hiahia ana ki te tiaki motuhake mai i te gastroenterologist.

Me pēhea te whakahaere i te mate celiac i te kāinga?

Ko te whakahaere angitu o te mate celiac i te kāinga e anga whakamua ana ki te hanga i te taiao haumaru, kore-gluten, me te whakawhanake i ngā mahi ā-rangi e ngāwari ai te huringa o te oranga. Mā te whakamahere pai me te whakarite, ka taea e koe te pupuri i te hauora pai me te pai o ngā kai rerekē, reka.

He mea nui te whakarite pai i tō kīhini hei aukati i te whakaūkūkū. Tūtohutia ngā wāhi me ngā taputapu motuhake mō te whakarite kai kore-gluten, tae atu ki ngā papa tapahi motuhake, ngā taputapu, me ngā taputapu iti penei i ngā mīhini tunutunu.

Whakaritetia tō pouaka kai me tō pouaka whakamātao ki ngā wāhanga tohu mārama kore-gluten. Tāpirihia ngā taonga kore-gluten ki ngā papa teitei ake hei aukati i te whakaūkūkū mai i ngā kongakonga e hinga ana i ngā hua kei roto i te gluten.

Ka waiho te mahere kai hei hoa pai mō te whakahaere angitu i te kāinga. Whakaritea ngā tahua wiki e pā ana ki ngā kai kore-gluten, me te tunu nui i ngā kai ka taea te whakamatao mō ngā rā kōtiti. Ka aukati tenei i te whakamātautau ki te hopu i ngā kai ngāwari kore-haumaru.

Whakatūria tō kīhini ki ngā mea matua kore-gluten:

• Raihi, quinoa, me ngā ota kore-gluten kua whakamanahia
• Hua hou me ngā huawhenua
• Kiko ngako iti, manu, me ngā ika
• Pīni, nati, me ngā purapura
• Hararei kore-gluten mō te tunu keke
• Ngā mea reka me ngā mea kakara haumaru

Ako ki te pānui tika i ngā tohu o ngā kai, kaua e titiro noa ki ngā puna gluten marama, engari ki ngā kupu penei i te “reka taiao,” “stāti waihanga kai,” rānei “whakakōkō miraka” e āhei ana te gluten.

Whakawhanakehia ngā rautaki mō te kai i waho me ngā hui pāpori. Rangahauhia ngā tahua kai o ngā wharekai i mua, waea atu ki te kōrero mō ngā tikanga whakarite, ā, kaua e whakaroa ki te kōrero ki ngā kaimahi kīhini mō ō hiahia.

Pupurihia he rārangi kai i roto i ō marama tuatahi hei aroturuki i tō ahua me te tohu i ngā kai raru. Ka āwhina tenei ki a koe ki te mohio mena kei te kai ngaro koe i te gluten, mena kei a koe ētahi atu mate kai.

Whakapa atu ki ngā rōpū tautoko mō te mate celiac, ahakoa i tō rohe, i rānei i runga i te ipurangi. Ko te ako i ngā tāngata kē atu e whakahaere pai ana i te mate ka taea te whakawhiwhi i ngā tohutohu whai hua me te tautoko ngākau i te wā e whakaritea ana koe.

Me pēhea te whakarite mō tō whakatau ki te taakuta?

Ko te whakarite pai mō tō whakatau ki te taakuta ka āwhina i te whakarite kia whiwhi koe i te tautuhi tika me te mahere rongoā whai hua. Ko te whakarite pai ka āwhina hoki i a koe ki te mahara ki ngā pātai nui me te whakamahi pai i tō wā tahi.

Tūhonohia he tātai tohu taipitopito mo te rua wiki i mua atu i tō whakatau. Tuhia te wā e puta mai ai ngā tohu, tōnā kaha, ngā mea i kai koe, me ngā tauira e kitea ana e koe. Whakauruhia ngā tohu o te pūnaha kai me ngā tohu kāore i te pūnaha kai.

Kohikohia tō hītori hauora katoa, tae atu ki ngā tautuhi o mua, ngā pokanga, ngā rongoā, me ngā taapiri. Tūhia tetahi hītori whānau o te mate celiac, ngā āhuatanga autoimmune, i rānei ngā raruraru o te pūnaha kai.

Haere tonu ki te kai gluten noa i mua i tō whakatau me te whakamātautau. Ko te karo i te gluten ka āhei te arahi ki ngā hua whakamātautau teka-kino, ka nui ake te uaua o te tautuhi.

Whakaritea he rārangi o ngā pātai hei ui ki tō taakuta:

• He aha ngā whakamātautau e hiahia ana ahau, me pēhea taku whakarite?
• E hia te roa o te whiwhi hua?
• He aha te mea ka puta mai mena he pai ngā whakamātautau, i rānei he kino?
• Me whakamātautau rānei ō whānau?
• He aha ngā rauemi e wātea ana hei āwhina i ahau ki te ako mō te noho kore gluten?

Mau mai he rārangi katoa o ngā rongoā, ngā huaora, me ngā taapiri katoa e inu ana koe. Ko etahi o ēnei pea kei roto te gluten, i rānei ka pā ki ngā maimoatanga.

Tuhia ētahi āwangawanga motuhake, i rānei ngā wehi e pā ana ki te mate celiac, i rānei te noho kore gluten. Ka taea e tō taakuta te whakautu tika ki ēnei, ka hono atu koe ki ngā rauemi tika.

Whakaarohia te kawe mai i te hoa pono, i te mema rānei o te whānau ki tō whakatau. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio i kōrerotia, ā, hei tautoko hoki i te wā e ātaahua ana te kōrero.

Mēnā kei te tūtaki koe ki tetahi tohunga, kawe mai i ngā hua whakamātautau o mua, ngā rēkōti hauora, i ngā reta tohutoro rānei mai i ētahi atu tākuta. Ka āwhina tenei ki te karo i te whakahokinga mai o ngā whakamātautau kāore i te tika, ā, ka whakarato hoki i te kōrero nui.

He aha te mea nui mō te mate celiac?

He mate ārai-whakaheke te mate celiac e taea te whakahaere, ā, ka tino pai te whakautu ki te rongoā ina whai koe i te kai kore gluten. Ahakoa ka ātaahua pea te whakatau i te tīmatanga, he miriona te tokomaha o te iwi e ora ana i te ora tino pai, hauora me te mate celiac.

Ko te mea nui rawa atu hei mahara ko te mate celiac ehara i te mate pāwera kai, i te kore-whakaae kai rānei – he mate ārai-whakaheke tēnei e hiahia ana ki te karo katoa i te gluten, ehara i te whakaiti noa iho. Ahakoa ngā iti o te gluten ka taea te pakaru i te whekau, ahakoa kaore koe e kite i ngā tohu.

Ka ārai te whakatau me te rongoā wawe ki ngā raruraru nui, ā, ka tuku i ō whekau ki te ora katoa. Ka tino pai ake te ahua o te nuinga o te iwi i roto i ngā wiki i muri i te tīmatanga o te kai kore gluten, me te pai tonu i roto i ngā marama me ngā tau.

Ko te angitu me te mate celiac i puta mai i te mātauranga, te whakamahere, me te hanga i te pūnaha tautoko kaha. Ko te mahi tahi me ngā kaiwhakarato hauora e whai wheako ana i te mate celiac, te hono atu ki ngā rōpū tautoko, me te ako mai i ētahi atu e whakahaere ana i te mate pai ake te huri.

Kia mahara kei te āhei tonu koe ki te pai ki te kai, ki te haereere, ki te whai wāhi rānei ki ngā mahi pāpori ahakoa he mate celiac koe. Mā te mātauranga me te whakarite tika, ka taea e koe te pupuri i te oranga kaha, whai hua, me te tiaki i tō hauora mā te karo tika i te gluten.

Ngā pātai maha e ui ana mō te mate celiac

Ka puta pēhea te mate celiac ki ngā pakeke?

Ae, ka taea te whanake o te mate celiac i tetahi tau, ahakoa kua kai koe i te gluten kahore he raruraru i to oranga katoa. He tokomaha te tātaritanga i o rātou tau 30, 40, me te muri atu rānei. Ka puta mai te āhuatanga i muri i tetahi kaupapa whakaoho penei i te hapu, te pokanga, te mate huaketo, te ahotea nui rānei i roto i te hunga e whakaū ana ki te ira.

He rite te mate celiac ki te ngawari ki te gluten?

Kāo, he rerekē ngā āhuatanga o te mate celiac me te ngawari ki te gluten ehara i te celiac. He āhuatanga mate ā-tinana te mate celiac e pā ana ki te pakaru o te whekau e taea te ine me ngā tohu toto motuhake me ngā tauira ira. Ka puta mai ngā tohu o te ngawari ki te gluten ehara i te celiac ina kai ana i te gluten, engari kāo e pā ana ki ngā mahi ā-tinana, ki te pakaru rānei o te whekau. Ka pai ake ngā āhuatanga e rua me ngā kai kore gluten, engari me karo rawa atu te gluten mō te mate celiac.

Ka taea te whakakore i te mate celiac?

Kāo, he āhuatanga ora tonu te mate celiac e kore e taea te whakakore. Ka taea pea e ētahi tamariki te whai i ngā whakamātautau toto kino i muri i te whai i te kai kore gluten, engari ko te tikanga tenei kei te mahi te kai, ehara i te mea kua whakakorehia te āhuatanga. Ko te whakahoki mai o te gluten ka tino puta mai ngā tohu me te pakaru o te whekau. Me karo tonu te gluten mō te hunga katoa kua tātarihia te mate celiac.

Kia pehea te kaha o te kai kore gluten?

Me tino kaha te kai kore gluten mō te mate celiac – ahakoa ngā iti o te gluten ka taea te pakaru i te whekau. Ko te tikanga tenei ko te karo i te whakauru, te pānui tika i ngā tohu katoa, me te tupato ki ngā rongoā, ngā taapiri, me ngā hua tiaki whaiaro. He iti rawa te taumata e pā ana ki te pakaru, na ‘te nuinga o te kore gluten’ kāo e ranea mō te hunga he mate celiac.

Me tango tonu au i ngā huaora mō te mate celiac?

Kāore i te tino. He tokomaha ngā tāngata e hiahia ana ki ngā taapiri huaora me ngā kohuke i te tīmatanga hei whakatika i ngā hapa e puta mai ana i te pakaru o te whekau. I te whakaorangotanga o ō whekau i runga i te kai kore gluten, ka tino pai ake te tango o ngā matūkai. Ka tirotirohia e tō tākuta ō taumata matūkai ka whakaritea ngā tohutohu taapiri kia rite. Ko ētahi tāngata ka hiahia noa ki ngā taapiri i etahi wā, ka whai hua ētahi atu i te taapiri roa e whakahaeretia ana e ō rātou hiahia takitahi me te pai o te whakaorangotanga o ō rātou whekau.