The autoimmune condition Celiac Disease, also known as coeliac disease, is characterized by an aberrant immune response to gluten, a protein present in wheat, barley, and rye. Gluten consumption in those with celiac disease causes an immune response that harms the small intestine, particularly the villi, which line the small intestine. The nutrients from meals cannot be absorbed as a result of this injury.
Симптомы
Gastrointestinal symptoms include nausea, vomiting, bloating, diarrhea, and constipation.
Non-digestive symptoms include depression, mouth ulcers, dermatitis herpetiformis, anemia, bone and joint discomfort, and exhaustion.
Причины
Although the precise causation of Celiac Disease is unknown, it seems to be a result of a mix of hereditary and environmental factors. Both the presence of gluten in the diet and specific genes enhance the likelihood of acquiring the disease.
Патофизиология
People who have Celiac Disease develop antibodies, notably anti-tissue transglutaminase (tTG) antibodies because their immune systems wrongly perceive gluten as a threat. These antibodies trigger an inflammatory reaction that harms the small intestine’s villi, causing villous atrophy and flattening. This results in malabsorption, which impairs the normal intake of nutrients.
Диагноз
There are numerous steps involved in the diagnosis of Celiac Disease:
a blood test Initial screening involves checking the levels of certain antibodies, such as anti-endomysial antibodies (EMA) and antibodies against tissue transglutaminase (tTG).
Endoscopic biopsy: An endoscopy is carried out to collect a tiny tissue sample from the small intestine if blood tests indicate Celiac Disease. The biopsy aids in determining the degree of intestinal villi destruction.
Лечение
A stringent gluten-free diet must be followed for the rest of one’s life as the main treatment for Celiac Disease. This entails abstaining from all gluten-containing foods and goods, such as those made from wheat, barley, rye, and their derivatives. It is okay to eat gluten-free substitutes and naturally gluten-free foods such as fruits, vegetables, meats, and dairy products. To correct nutritional deficits, people may occasionally need supplementary vitamins.
Прогноз
For those with Celiac Disease, the prognosis is typically positive with rigorous adherence to a gluten-free diet. Intestinal villi can regenerate, and symptoms typically get better with time. To guarantee correct management of the illness, however, constant monitoring and follow-up with healthcare specialists are required.
Осложнения
Malnutrition
Остеопороз
Intolerance to lactose
Miscarriage and infertility
risk of developing some autoimmune diseases
Gluten intolerance in ayurveda
Celiac Disease is frequently referred to in Ayurveda as “Grahani Roga” or “Grahani Dosha.” Roga or Dosha denotes illness or an imbalance, while Grahani is the term for the small intestine. Ayurvedic principles define Grahani Roga as a digestive condition that interferes with digestion and nutrient absorption and has an impact on how the small intestine functions.
Нидана
Agnimandya (weak digestion): It is believed that grahni doshas are mostly caused by poor digestion. It may be caused by irregular eating patterns, overeating on dense, difficult-to-digest foods, or a weak digestive fire (agni).
Consuming unsuitable food combinations, such as milk with fish or fruits with dairy products, might result in the development of grahni doshas.
Ama (toxic accumulation): Ama, a toxic chemical produced by defective digestion, can accumulate and play a role in the emergence of the grahni doshas.
Mental factors: Stress, worry, and mental problems can all disrupt the digestive system and cause grahni doshas to become active.
Poorvaroopana (Premonitory symptoms):
a lack of appetite or a diminished desire to eat.
Aversion to food _ A strong distaste of some foods or a general indifference in eating are both examples of food aversion.
Agnimandya: Poor digestion that causes heaviness, bloating, and incomplete bowel evacuation.
Abdominal discomfort _Uncomfortable feelings in the belly, such as pain, swelling, or cramping.
Malaise: A feeling of general ache, lassitude, or weakness.
Сампрапти
The following steps are involved in the samprapti of the grahni doshas, according to Ayurveda:
Ama (a poisonous chemical) is created when digestion is hindered, or angimandya.
Ama builds up in the gastrointestinal system and aggravates the doshas (vata, pitta, and kapha), which obstructs the channels (srotas).
The obstruction causes the digestive fire (agni) to become vitiated, which impairs nutrient absorption and assimilation and causes irregular bowel movements.
Vataj Grahni (related to vata dosha), Pittaj Grahni (related to pitta dosha), and Kaphaj Grahni (related to kapha dosha) are a few examples of the grahni doshas that are caused by the vitiated doshas.
Лакшана
Depending on the dosha involved, the clinical characteristics of grahni doshas may vary, but some typical symptoms include:
Changes in bowel habits include constipation, diarrhoea, or alternating periods of the two.
Colicky or crampy discomfort in the belly is referred to as abdominal pain.
Bloating, gas, and a sensation of heaviness after meals are symptoms of indigestion.
Malabsorption: Deficiency signs like vitamin deficits, anaemia, and weight loss.
Generalized weakness and exhaustion brought on by impaired nutrient absorption and digestion.
Чикитса
External chikista
External therapies and practices are the emphasis of external chikitsa, which aims to treat Grahani Dosha. Among the often applied exterior therapies are:
Abdominal massages (Udvarthana): By massaging the abdomen with specialized herbal oils or powders, digestion is aided and digestive problems are lessened.
Warm herbal poultices or steam applied to the abdomen as part of a heat therapy regimen can aid in promoting digestion and reducing Grahani Dosha symptoms.
Basti (enema therapy): The rectum is used to deliver medicated herbal oils or decoctions, which aid in the cleansing and balancing of the digestive system.
Herbal packs (Upanaha): The abdomen is covered with a towel after being treated with a particular herbal paste or poultice. This treatment aids in reducing inflammation and restoring regular digestive processes.
Internal (Abhyantara) Chikitsa:
To treat Grahani Dosha, internal chikitsa entails the consumption of oral drugs and dietary adjustments. The following methods are frequently employed:
herbal treatments To enhance digestion, lessen inflammation, and regain the equilibrium of the digestive system, Ayurvedic practitioners may prescribe particular herbs or herbal formulations. Formulations using herbs like Triphala, Musta, Kutaja, and Bilva are some examples.
Panchkarma _ A thorough Ayurvedic detoxification and regeneration procedure, panchakarma. To detoxify the digestive system, get rid of toxins, and regain equilibrium, panchakarma therapies including purgation and enema are used.
Часто используемые лекарства
Hingvastak Churna
Kutajarishta
Bilwadi churna
Mustakarishta
Dadimavaleha
Chitrakagrandhyadi Qwath
Vaiswanara Churna
Chiruvilwadi Qwath
Dadimashtak Churna
Бренд в наличии
Zandu
Himalaya herbals
Байдьянатх
AVP
Коттаккал
Patanjali
Домашние средства
Ginger: Ginger is well-known for aiding with digestion. It can ease bloating, calm inflammation, and encourage digestion. You can use it in your cuisine or make tea by steeping grated ginger in hot water.
Трифала: Before going to bed, take 1-2 tablespoons of Triphala powder dissolved in warm water.
Fennel seeds: Fennel seeds can aid in reducing indigestion, gas, and bloating. After meals, chew on a teaspoon of fennel seeds or make fennel tea by steeping fennel seeds in hot water for ten minutes.
Cumin Seeds: Cumin seeds are yet another fantastic help to digestion. Cumin seeds should be roasted and then ground into a powder. Before meals, combine the powder with a grain of salt and drink warm water with it.
Aloe Vera: Aloe vera juice is well-known for its calming effects and can aid in reducing digestive system inflammation. On an empty stomach, consume half a cup of pure aloe vera juice in the morning.
Stress management: Digestive problems might get worse under stress. To lower your stress levels, try relaxing activities like yoga, meditation, or deep breathing exercises.
Диета
Dietary changes are essential for controlling Grahani Dosha. In general, warm, wet foods that are simple to digest are preferred. Examples include warmed herbal teas, easily absorbed grains like rice, and prepared vegetables. Foods that are greasy, heavy, or hot should be avoided.
Avoid Trigger Foods: Recognise and stay away from foods that make your digestive issues worse. Caffeine, dairy products, fried, spicy, and processed foods are some common triggers.
Practice Mindful Eating: Eat your meals in a quiet and relaxed atmosphere by engaging in mindful eating. Avoid overeating and eating quickly during meals by chewing your food fully.
Keep Hydrated: To support healthy digestion and avoid constipation, drink enough water throughout the day.
Йога
Pawanmuktasana (Wind-Relieving Pose):
Lay backward with your legs extended.
Your right knee should be bent as you bring it up to your chest.
Gently wrap your hands around your knee and hold it to your chest.
For 30 to 1 minute, maintain this position while inhaling deeply.
After releasing the leg, repeat with the left knee.
This position improves digestion and eliminates bloating and gas.
Half Lord of the Fishes Pose, or Ardha Matsyendrasana, involves sitting on the ground with your legs extended in front of you.
Your right foot should be on the outside of your left leg, your right knee should be bent, and you should be standing straight.
Your left elbow should be on the outside of your right knee as you twist your torso to the right.
While inhaling deeply, maintain this posture for 30 to 60 seconds.
Keep on to the other side.
Improved digestion results from the stimulation of the digestive system and massage of the abdominal organs.
Vajrasana _ With your legs straight in front and your toes pointing backward, assume the Vajrasana, often referred to as the Thunderbolt Pose, and kneel on the ground.
Lean back while standing on your heels, hands on your thighs.
Straighten your back and keep your shoulders loose.
Hold this posture for five to ten minutes while inhaling deeply.
By reducing gas and easing constipation, this position encourages a healthy digestive system.
Research link
Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235874/
Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4545488/
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