maʻi celiac He maʻi ʻai koʻikoʻi. He maʻi autoimmune ia ma muli o ka ʻai ʻana i ka gluten, kahi ʻano protein i loaʻa i nā ʻano meaʻai like ʻole e like me ka bale, ka palaoa, a me ka rai.
Wahi a ka Celiac Disease Foundation, 100 i 1 poʻe ma ka honua holoʻokoʻa i loaʻa i ka maʻi celiac. ʻO ka mua kēia maʻi Ua wehewehe ʻia ʻo 8.000 mau makahiki i hala e kahi kauka Helene i ʻike ʻole ʻo kēia maʻi he ʻano o ka hopena autoimmune i ka gluten.
ʻO ka poʻe me ka maʻi celiachāʻawi i nā pane maikaʻi ʻole i nā pūhui i loaʻa i ka gluten.Ke hoʻonui ka ʻōnaehana pale o ke kino i ka gluten, hiki i kēia ke hoʻoulu i ka malabsorption.
maʻi celiache kūlana ola ma muli o ka hopena gluten. maʻi autoimmuneKaʻa kaʻa. ʻO ka lāʻau lapaʻau wale nō no kēia maʻi ʻo ia ka meaʻai gluten-free ola.
"He aha ka celiac, he mea make", "he aha nā kumu a me nā hōʻailona o celiac", "he aha ka mea e ʻai ai nā maʻi celiac", "he aha ka mea e ʻai ʻole ai nā maʻi celiac", "pehea e ʻai ai nā maʻi celiac"? Eia nā pane i nā nīnau…
He aha nā hōʻailona o ka maʻi Celiac?
Pohā
He mea maʻamau ka noho ʻana o ka wai i nā kānaka he nui. hōʻailona maʻi celiac ʻO ia kekahi o nā hōʻailona mua i loaʻa iā ia ma mua o ka pae ʻana. Ma kahi haʻawina liʻiliʻi, nā maʻi celiac79% o nā maʻi ma mua o ka mālama ʻana diarrhea hoike mai e ola ana. Ma hope o ka mālama ʻana, ʻo 17% wale nō o nā maʻi i hoʻomau i ka maʻi maʻi maʻi.
ʻO kahi haʻawina o 215 poʻe i ʻike ʻaʻole mālama ʻia ka maʻi maʻi. maʻi celiacʻōlelo ʻia ʻo ia ka hōʻailona maʻamau o
No ka hapanui o nā maʻi, ua emi ka maʻi maʻi i loko o kekahi mau lā o ka mālama ʻana, akā ʻo ka manawa awelika e hoʻopau ai i nā hōʻailona he ʻehā pule.
pehu
pehu, nā maʻi celiacʻO ia kekahi hōʻailona maʻamau i ʻike ʻia e Hiki i kēia maʻi ke hoʻoulu i ka ʻeha i loko o ka digestive tract, hiki ke hoʻoulu i ka bloating a me nā pilikia ʻino ʻē aʻe he nui.
me ka maʻi celiac ʻO kahi noiʻi o 1,032 mau mākua i ʻike i ka bloating ʻo ia kekahi o nā hōʻailona maʻamau. Ua hoʻomaha maikaʻi ʻia kēia hōʻailona ma hope o ka wehe ʻana i ka gluten mai kā lākou ʻai.
Gluten maʻi celiac Hiki iā ia ke hoʻopilikia i ka digestive e like me ka pehu ʻana i ka poʻe i loaʻa ʻole. Ma kahi haʻawina maʻi celiac Ua hoʻomaikaʻi ʻia nā pilikia digestive e 34 poʻe i loaʻa ʻole ka ʻai ʻole gluten.
kinoea
kinoea nui, maʻi celiac i mālama ʻole ʻia He pilikia maʻamau ia i ʻike ʻia e ka poʻe me Ma kahi haʻawina liʻiliʻi, gas, maʻi celiac ʻO ia kekahi o nā hōʻailona maʻamau ma muli o ka hoʻohana ʻana i ka gluten i ka poʻe me
ma ka ʻāina ʻākau me ka maʻi celiac Ua hōʻike ʻia kahi noiʻi o 96 mau mākua i ka nui o ke kinoea a me ka bloating ma 9.4% o nā hihia.
Eia naʻe, nui nā kumu o ka pilikia kinoea. Ua ho'āʻo kekahi haʻawina i ka poʻe 150 e loaʻa ana i ke kinoea hoʻonui a loaʻa ʻelua wale nō e hoʻāʻo i ka maikaʻi no ka maʻi celiac.
Ua emi ka ikehu a me ka luhi ka poʻe me ka maʻi celiacʻo ia kekahi o nā hōʻailona. 51 maʻi celiac Ua ʻike ʻia kahi noiʻi ʻoi aku ka nui o ka luhi o ka poʻe i ka meaʻai gluten-free ma mua o ka poʻe i ka meaʻai gluten-free.
Ma kahi haʻawina ʻē aʻe, maʻi celiac ʻO ka poʻe i hana i ʻike ʻia e loaʻa i nā maʻi hiamoe e hiki ke kōkua i ka luhi.
Eia kekahi, mālama ʻole ʻia maʻi celiac hiki ke hōʻino i ka ʻōpū liʻiliʻi, ka hopena i ka hemahema o ka huaora a me ka mineral e hiki ai i ka luhi.
ʻO nā kumu ʻē aʻe o ka luhi ʻo ia ka maʻi, nā pilikia thyroid, ke kaumaha, a me ka anemia.
Ke poho kaumaha
Ka nui o ka poho kaumaha maʻi celiache mau hōʻailona mua o ʻO kēia no ka mea ʻaʻole lawa ka hiki o ke kino ke komo i nā meaʻai, e alakaʻi ana i ka pōʻino a me ke kaumaha.
maʻi celiac Ma kahi noiʻi o 112 mau mea komo me ka maʻi maʻi mellitus, ua ʻike ʻia ua pili ka pohō kaumaha i ka 23% o nā maʻi a ʻo ia kekahi o nā hōʻailona maʻamau ma hope o ka maʻi maʻi, ka luhi a me ka ʻeha o ka ʻōpū.
maʻi celiac ʻO kekahi haʻawina liʻiliʻi e nānā ana i nā poʻe maʻi kahiko i loaʻa i ka maʻi i hoʻoholo ʻia ʻo ka pohō kaumaha kekahi o nā hōʻailona maʻamau.
Ma muli o ka hoʻomaʻamaʻa ʻana, ua hoʻoholo loa nā hōʻailona a loaʻa i nā mea komo i ka awelika o 7,75 kg.
Anemia ma muli o ka nele o ka hao
maʻi celiachiki ke hoʻopilikia i ka lawe ʻana i nā meaʻai a alakaʻi i ka anemia deficiency hao, ka mea ma muli o ka nele o ke koko ʻulaʻula i loko o ke kino.
anemia hemahema haoʻO nā hōʻailona e like me ka luhi, nāwaliwali, ka ʻeha o ka umauma, ke poʻo, a me ka noʻonoʻo.
he haʻawina maʻi celiac ua nānā i nā keiki 34 me ka maʻi a me ka haʻahaʻa iron deficiency anemia, a ʻike ʻia ma kahi o 15% o lākou i loaʻa i ka anemia haʻahaʻa haʻahaʻa.
Ma kahi noiʻi o 84 poʻe me ka anemia hemahema hao o ke kumu ʻike ʻole ʻia, 7% maʻi celiac ua ʻike ʻia. Ua piʻi nui ka hao ma hope o ka ʻai ʻole gluten.
727 maʻi celiacMa kahi noiʻi ʻē aʻe, 23% o lākou i hōʻike ʻia he anemic. Eia kekahi, ʻo ka poʻe me ka anemia maʻi celiacUa ʻoi aku ka pālua o ka loaʻa ʻana o ka iwi haʻahaʻa a me ka pōʻino nui i ka ʻōpū liʻiliʻi i hana ʻia e
Paʻa paʻa
maʻi celiac, ʻoiai hiki ke hoʻoulu i ka diarrhea i kekahi poʻe, i ka constipation no ke aha i hiki ai. maʻi celiace hoʻopōʻino i ka ʻōpū o ka ʻōpū, ʻo ia nā hiʻohiʻona e like me nā manamana lima i loko o ka ʻōpū liʻiliʻi ke kuleana no ka lawe ʻana i nā meaʻai.
I ka hele ʻana o ka meaʻai ma ka ʻāpana hoʻoheheʻe, ʻaʻole hiki i ka villi ʻōpū ke komo piha i nā meaʻai a hiki ke hoʻopaʻa i ka wai hou mai ka waihona. ʻO kēia ke kumu o ka paʻakikī o ka ʻōpū a me ka constipation.
Eia nō naʻe, ʻoiai me ka ʻai ʻole gluten koʻikoʻi, me ka maʻi celiac He mea paʻakikī i ka poʻe ke hoʻopau i ka constipation.
ʻO kēia ke kumu no ka ʻoki ʻana o ka meaʻai gluten-free i nā meaʻai fiber kiʻekiʻe e like me nā kīʻaha, ka hopena i ka hoʻemi ʻana i ka lawe ʻana i ka fiber, ka hopena i ka hoʻemi ʻana i ke alapine stool. ʻO ka hana ʻole o ke kino, dehydration, a me ka ʻai maikaʻi ʻole hiki ke kumu i ka constipation.
Kaumaha
maʻi celiacme nā hōʻailona kino he nui, kaumaha He mea maʻamau nō hoʻi nā hōʻailona noʻonoʻo. Ua ʻike ʻia kahi loiloi o 29 mau haʻawina ʻoi aku ka maʻamau o ke kaumaha ma mua o ka lehulehu. me ka maʻi celiac ʻike ʻia ua ʻoi aku ka pinepine a me ke koʻikoʻi i nā pākeke.
ʻO kekahi haʻawina liʻiliʻi me 48 mau mea komo, maʻi celiac ʻike ʻia ʻo ka poʻe me nā hōʻailona depressive ʻoi aku ka nui o nā hōʻailona depressive ma mua o kahi hui mālama olakino.
Kāwili
maʻi celiachiki ke hoʻoulu i ka dermatitis herpetiformis, ka mea e ulu aʻe ma ke ʻano he ʻili ʻili ma nā kuʻekuʻe, nā kuli, a me nā ʻāʻī.
ʻO nā maʻi maʻi CeliacMa kahi o 17% o ka poʻe e ʻike i kēia ʻano ʻino a ʻo ia kekahi o nā hōʻailona hōʻailona e alakaʻi ana i kahi maʻi.
ʻO kekahi poʻe maʻamau maʻi celiac hiki ke ulu i kēia ʻili ʻili me ka ʻole o nā hōʻailona digestive ʻē aʻe i loaʻa mai
maʻi celiacMe nā hōʻailona ma luna aʻe nei, aia kekahi mau hōʻailona ʻē aʻe i liʻiliʻi loa ka ulu ʻana:
– Ka ʻeha a me ka ʻeha o ka ʻōpū
- Pilikia ka noʻonoʻo ʻana a i ʻole huikau noʻonoʻo
- Nā maʻi moe e like me ka insomnia
- Nā hemahema o ka meaʻai ma muli o nā pilikia absorption i loko o ka digestive system (malnutrition)
– Nā poʻo poʻo mau
– ʻEha hui a iwi paha
- Ke kani ʻana ma nā lima a me nā wāwae
- hopu
- Nā wā kūpono ʻole, ka hānau keiki ʻole a i ʻole ka hāʻule ʻana
- He ma'i 'a'a ma ka waha
- ʻO ka lahilahi o nā kaula lauoho a me ka ʻili o ka ʻili
– Anemia
- ʻAno maʻi maʻi diabetes
– ʻO ka maʻi sclerosis (MS)
– Osteoporosis
ʻO nā kūlana neurological e like me ka epilepsy a me ka migraine
– Nā maʻi maʻi ʻōpū
- Nā pilikia o ka ulu ʻana o nā keiki ma muli o ka lawa ʻole o ka lawe ʻana i nā meaʻai
Nā hōʻailona maʻi Celiac i nā keiki a me nā kamaliʻi
Hiki i nā keiki a me nā kamaliʻi ke loaʻa nā pilikia e like me ka maʻi maʻi, nā pilikia o ka ʻōpū, ka huhū, ka hiki ʻole ke ulu a i ʻole ka lohi o ka ulu ʻana.
I ka wā lōʻihi, hiki i nā keiki ke ʻike i ka pohō kaumaha, ka pōʻino i ka enamel niho, a me ka lohi ʻana i ka wā ʻōpio.
Nā kumu o ka maʻi Celiac
maʻi celiac He maʻi kino ia. me ka maʻi celiac Ke ʻai ke kanaka i ka gluten, hoʻāla ʻia kā lākou mau sela a me ka ʻōnaehana pale, hoʻouka a hōʻino i ka ʻōpū liʻiliʻi.
maʻi celiacI kēia hihia, hoʻouka hewa ka ʻōnaehana immune i ka villi i loko o ka ʻōpū liʻiliʻi. E ʻā a nalo paha kēia mau mea. ʻAʻole hiki i ka ʻōpū liʻiliʻi ke komo hou i nā meaʻai. Hiki i kēia ke alakaʻi i ka nui o nā pilikia olakino a me nā pilikia.
ʻO ka poʻe i loaʻa i ka maʻi celiac ka:
- ʻO ka poʻe me kekahi maʻi autoimmune, e like me ka maʻi diabetes type 1, rheumatoid arthritis, kahi maʻi autoimmune e pili ana i ka thyroid a i ʻole ate.
he maʻi genetic e like me Down syndrome a i ʻole Turner syndrome
– He lālā ʻohana me ka maʻi
Pehea e ʻike ʻia ai ka maʻi Celiac?
No ka hōʻoiaʻana,ʻo ka mea mua, ua hanaʻia kahi hoʻokolohua kino.
E holo pū ke kauka i nā hoʻokolohua like ʻole e kōkua i ka hōʻoia ʻana i ka ʻike. Loaʻa pinepine ka poʻe me ka maʻi celiac i nā antiendomysium (EMA) a me nā anti-tissue transglutaminase (tTGA). Hiki ke ʻike ʻia kēia me nā hoʻāʻo koko. ʻOi aku ka hilinaʻi o nā hoʻāʻo i ka wā e hoʻopau ʻia ana ka gluten.
ʻO nā hoʻokolohua koko maʻamau ka:
helu koko piha (CBC)
Nā ho'āʻo hana ʻāpaʻa
hōʻike cholesterol
hoʻāʻo pae alkaline phosphatase
ʻO ka hoʻāʻo albumin serum
ʻO ka maʻi maʻi Celiac
ʻAi ʻAʻai ʻAʻole Gluten
he maʻi autoimmune mau loa maʻi celiac ʻAʻohe lāʻau lapaʻau i ʻike ʻia no ka maʻi, no laila aia nā ala e hōʻemi ai i nā hōʻailona a kōkua i ke kūkulu hou ʻana i ka ʻōnaehana pale.
Ma mua o kekahi mea ʻē aʻe, maʻi celiacInā loaʻa iā ʻoe ka maʻi diabetes, pono ia e hahai i ka meaʻai gluten-free ʻole, e pale aku i nā huahana āpau i loaʻa ka palaoa, ka bale a me ka rai. Hana ʻia ʻo Gluten ma kahi o 80 pakeneka o ka protein i loaʻa i loko o kēia mau kīʻaha ʻekolu, akā loaʻa pū kekahi i nā huahana ʻē aʻe.
No ka mea ke hilinaʻi nei ka hapa nui o kā mākou meaʻai i nā meaʻai i hoʻopaʻa ʻia, aia mau ka pilikia kiʻekiʻe o ka launa pū ʻana me ka gluten.
nā ʻenehana hana meaʻai hou a hoʻohaumia kea Ma muli o kēia, ʻo nā kīʻaha gluten-free ʻē aʻe, e like me ka kulina a i ʻole ka gluten-free oats, loaʻa nā ʻāpana o ka gluten.
No laila, pono e heluhelu pono i nā lepili meaʻai.
ʻai ʻole gluten ʻO ka hoʻopili paʻa ʻana iā ia e ʻae i ka ʻōnaehana pale e hoʻoponopono iā ia iho, kahi e pale ai i nā hōʻailona mai ka lapalapa ʻana. Eia ka mea e ʻai ai a me ka mea ʻaʻole e ʻai i ka meaʻai gluten-free:
He aha ka mea e ʻai ai ka maʻi Celiac
Nā huaʻai a me nā mea ʻai
ʻO nā huaʻai a me nā huaʻai ka pōhaku kihi o ka meaʻai olakino a ʻaʻohe gluten maoli. Hāʻawi lākou i nā meaʻai koʻikoʻi koʻikoʻi, fiber a me nā antioxidants e hoʻoikaika i ka hana immune.
nā protein lean
Hāʻawi kēia i ka protein, omega 3 momona a me nā minela e hoʻemi ai i ka mumū. Loaʻa i nā kumu protein lean nā hua manu, nā iʻa (i hopu ʻia i ka nahele), ka moa, ka pipi, ka ʻōpala, nā meaʻai protein ʻē aʻe, a me nā meaʻai me ka omega 3.
nā momona olakino
ʻO ka pata, ka aila avocado, ka aila niu puʻupaʻa, ka aila hua waina, ka aila ʻoliva puʻupaʻa, ka aila flaxseed, ka aila hemp nā momona olakino.
Nati a me na anoano
ʻO nā ʻalemona, nā wōnati, nā hua flax, nā hua chia, ka paukena, ka sesame a me nā hua sunflower.
ʻO ka waiu (ʻoi aku ka maikaʻi o ke kino a me ka maka)
ʻO ka waiū kao a me ka yogurt, nā yogurt fermented ʻē aʻe, kao a hipa paha a me ka waiū maka
Legumes, beans, a me ka gluten-free grains
ʻO ka pīni, ka laiki ʻulaʻula, ka oats ʻole gluten, ka buckwheat, ka quinoa, a me ka amaranth
ʻO ka palaoa gluten-free
ʻO kēia mau mea e pili ana i ka palaoa laiki ʻulaʻula, ka ʻuala a i ʻole ka palaoa kulina, ka palaoa quinoa, ka palaoa ʻalemona, palaoa niu, ka palaoa chickpea, a me nā mea hoʻohui ʻē aʻe me ka gluten-free. E kūʻai mau i nā huahana i hōʻoia ʻia i ka gluten-free e palekana.
hupa iwi
collagen nui, glucosamine a me kahi kumu o nā waikawa amino.
ʻO nā mea ʻala ʻē aʻe me ka gluten-free, nā mea ʻala, a me nā mea kanu
ʻO ka paʻakai kai, ka koko, ka ʻāpala cider winika, nā mea kanu hou a me nā mea ʻala (i kapa ʻia ʻo gluten-free), ka meli maka
He aha nā mea maʻi Celiac e ʻai ʻole ai
ʻO nā huahana āpau i loaʻa i ka palaoa, ka bale, ka rai
E heluhelu pono i nā lepili mea hoʻohui a pale aku i nā huahana i loaʻa nā ʻano palaoa, couscous, semolina, rai, bale, a i ʻole ʻoats.
ʻO nā meaʻai carbohydrate i hana ʻia
Hana ʻia kēia me ka palaoa palaoa i hoʻomaʻemaʻe ʻia. ʻO nā hiʻohiʻona o nā kaʻa kaʻa i hana ʻia e pale aku ai, ʻo ia ka berena, pasta, nā kuki, nā keke, nā kīʻaha kīʻaha, nā cereals, nā donuts, ka palaoa bakena, etc. loaa.
ʻO ka hapa nui o nā ʻano palaoa
ʻO ka palaoa a me nā huahana e pili ana i ka bran, ka palaoa brominated, ka palaoa durum, ka palaoa i hoʻonui ʻia, ka palaoa phosphate, ka palaoa a me ka palaoa keʻokeʻo.
ʻO ka pia a me ka waiʻona malt
Hana ʻia kēia me ka bale a i ʻole ka palaoa.
I kekahi mau hihia, ʻo ka palaoa gluten-free
Ma muli o ka hoʻohaumia ʻana i ka wā o ka hana ʻana, hiki i nā kīʻaha gluten-free i kekahi manawa ke loaʻa ka liʻiliʻi o ka gluten. Pono e makaʻala i kēia no ka mea ʻo ka huaʻōlelo "free wheat" ʻaʻole ia he "gluten free".
ʻO nā mea ʻala a me nā ʻuala
Pono e heluhelu pono i nā lepili meaʻai a pale i nā huahana i hana ʻia me nā mea hoʻohui i loaʻa ka liʻiliʻi o ka gluten.
I kēia manawa, hoʻololi ʻia ka palaoa i nā preservatives, stabilizers a me nā mea hoʻohui ʻē aʻe i hoʻohana ʻia i loko o nā huahana wai.
Hiki ke loaʻa ma kahi kokoke i nā huahana palaoa a pau, soy sauce, ʻaʻahu salakeke a i ʻole nā mea ʻala i hana ʻia me nā marinades, malts, syrups, dextrin a me ka starch.
ʻAila i hana ʻia
ʻO kēia nā aila hydrogenated a hapa hydrogenated. nā momona trans a me nā aila mea kanu e hoʻonui ai i ka mumū, me ka ʻaila kulina, ka ʻaila soy, a me ka ʻaila canola.
Aia kahi papa inoa lōʻihi o nā meaʻai i hana malū ʻia me ka gluten:
- Mea hoʻomaʻemaʻe kope kope
- Malt (ma ke ʻano o ka malt extract, malt syrup, malt flavor a me ka malt vinegar me ka hōʻailona bale)
– Nā ʻuala pasta
– Soy sauce
– Bouillon
– Palani palani hau
– Ka lole salakeke
– Laiki palaka syrup
- Seitan a me nā mea ʻai ʻē aʻe
- Hamburger me nā mea kanu hau
- Candy
– iʻa kai hoʻohālike
– Nā ʻiʻo i hoʻomākaukau ʻia a i ʻole nā ʻoki anu (e like me nā ʻīlio wela)
- ʻO ka namu
- Kekahi mau mea ʻala
– ʻO ka ʻuala a i ʻole nā ʻāpana palaoa
- Ketchup a me ka ʻuala kōmato
– Makeke
- Mayonaise
– Ehu meaʻai meaʻai
– Kofe koke ʻono
– Nā kī ʻala
Hoʻoponopono i ka hemahema o ka meaʻai
me ka maʻi celiac Pono nā poʻe he nui e lawe i nā mea hoʻohui e hoʻomaikaʻi i nā hōʻailona i hana ʻia e ka malabsorption. Hiki i kēia ke lilo i mau huaora a me nā minela e like me ka hao, calcium, vitamina D, zinc, B6, B12 a me ka folate.
ʻO nā maʻi maʻi CeliacMa muli o ka pōʻino o ka ʻōnaehana digestive a hiki mai ka mumū, ʻaʻole hiki iā ia ke hoʻomoʻa i nā meaʻai, ma ia ʻano, ʻo ka meaʻai maʻamau a me ke kaulike ʻo ia ka nele o nā meaʻai.
I kēia hihia, e hoʻāʻo kāu kauka e hoʻoholo i ka hemahema o ka meaʻai a paipai i nā mea hoʻohui meaʻai pono.
E hōʻalo i nā huahana ʻē aʻe a i ʻole nā mea hoʻonaninani i hana ʻia me ka gluten
ʻAʻole ia wale nā meaʻai i loko o ka gluten e pale ʻia i ke ola o kēlā me kēia lā. Nui nō hoʻi nā huahana meaʻai ʻole i loaʻa i ka gluten a me nā hōʻailona hōʻailona:
- Paʻi niho
- Pauka holoi
- Ka lehelehe a me ka lehelehe
- Lotion kino a me ka pale lā
- Nā mea hoʻonani
- Nā lāʻau lapaʻau a me nā mea kūʻai aku
- E pāʻani i ka palaoa
– Shampoo
– Kopa
- Nā huaora
Loaʻa i ke kōkua ʻoihana
Hiki ke paʻakikī ka ʻai ʻana i ka gluten-free no kekahi poʻe. E kūkākūkā i kahi meaʻai meaʻai e kōkua i ka hoʻokumu ʻana i kahi meaʻai gluten-free olakino maoli. hiki ke hāʻawi i ke alakaʻi maʻi celiac Aia kekahi pūʻulu kākoʻo.
Ma ka hopena;
maʻi celiache maʻi autoimmune koʻikoʻi kahi e ʻai ai ka gluten i mea e pōʻino ai ka ʻōpū liʻiliʻi.
ʻO nā hōʻailona Celiac ka pehu, ka ʻeha a me ka ʻeha o ka ʻōpū, ka maʻi ʻaʻai a me ka constipation, ka pilikia o ka noʻonoʻo ʻana, nā maʻi naʻau, nā loli kaumaha, nā pilikia hiamoe, nā hemahema o nā meaʻai, a me nā mea hou aku.
I kēia manawa maʻi celiacʻAʻohe lāʻau lapaʻau no ka shingles, akā ʻo ka pale ʻana i ka gluten hiki ke hoʻomaha i nā hōʻailona a ʻae i ka ʻōpū e hoʻoponopono iā ia iho.
