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According to the Mayo clinic
來自馬約診所的信息表明
often celiac disease appears after a bout of trauma
通常情況下乳糜瀉會在發生外傷之后出現
including infection, a bodily injury, stress
比如感染，身體創傷
or stress of pregnancy.
以及壓力或者孕期抑郁
If you have a close relative with celiac disease
如果你有近親患有乳糜瀉
it is important to be aware of the symptoms of
你應該意識到
celiac disease and complete regular screens
乳糜瀉的癥狀
for the diagnosis.
并進行全面的常規排查
According to the American diabetes association
根據美國糖尿病協會公布的數據
about 1 in 20 people diagnosed with celiac disease
1/20的乳糜瀉患者
have type 1 diabetes.
也同時患有I型糖尿病
Type 1 diabetes is when the pancreas does not make
當胰腺不能分泌胰島素
insulin for the body which allows cells
無法促進葡萄糖的
to take up glucose and
氧化分解
therefore must be obtained from an outside source.
那么體內缺少的物質就需要從外界來獲取
It is also an autoimmune disease and is thought to
這也是一種自身免疫性疾病
develop the same way celiac disease does;
原理與乳糜瀉相同
a genetic disposition with an environmental factor
患病原因與基因相關
such as viral infection, stresses, etc.
以及受到外界因素的影響
So it makes sense that one may
比如病毒性感染以及壓力等等，所以一者
elicit the others response.
可能會引發另外一者的反應也是說得通的
This depiction is of the three components
這里顯示的是引發自身免疫性疾病的
that cause an autoimmune disease;
三種因素
a genetic disposition shown by the pink circle
用粉色圓圈顯示的基因因素
an environmental trigger shown in blue
用藍色圓圈顯示的外界因素的引發作用
and a defective immune system regulation
以及用黃色圓圈顯示的
shown here in yellow.
有缺陷的免疫系統調節
According to gastroenterologist
澳大利亞墨爾本的
Dr. Robert Anderson
著名胃腸病學專家果
who is a leading gastroenterologist
羅伯特，安德森博士
from Melbourne Australia
在尋找
and has dedicated a lot of his work to
治療乳糜瀉的
finding treatment options for people
方法領域
with celiac disease.
有許多研究成果
One possible treatment for people
根據他的設想，治療乳糜瀉的一種可能的
with celiac disease is the development of a pill
方法就是研制一種藥劑
that contains enzymes that will break down gluten.
這種藥劑中含有可以分解麥膠蛋白的酶
Theoretically a person with celiac disease
理論上來說，乳糜瀉患者可以在食用
could take this pill
含有麥膠蛋白的食品
before consuming a meal containing gluten.
前吃這種藥
This would then allow celiac disease sufferers
這樣的話乳糜瀉患者
the ability to eat gluten at least
就可以至少在有些時候可以吃
some of the time without having adverse effects.
含有麥膠蛋白的食品，而不會發生危害作用
Other research being conducted by Dr. Anderson
安德森博士進行的另一項研究
includes immunotherapy.
包括免疫療法
Immunotherapy means training the
免疫療法是指讓免疫系統
immune system to tolerate gluten.
可以適應麥膠蛋白
This would be done by having injections of
這種方式可以通過皮下注射
gluten peptides under the skin
蛋白肽來使得免疫系統對麥膠蛋白
to desensitize the immune system to gluten
不再敏感
so the body would no longer have a gluten
然后身體也就不會
induced immune response.
再出現由麥膠蛋白引發的免疫反應
This treatment would be similar to
這種治療方法與嚴重過敏的治療方法
how people with severe allergies are treated.
有些類似
Although these treatment options sound promising
雖然這些治療方法看起來
they are new to research
很有發展前景，但是它們還是比較新的研究
and there are no conclusions that can yet be made.
對于是否可行并沒有確定的結論
After following this presentation
聽完這些之后
you should now be aware of celiac disease
你應該已經對乳糜瀉
and the implications it has on those who have it.
以及乳糜瀉的患病預兆有所了解
Be sure to see a doctor
如果你出現了一些可能
if you have unexplainable symptoms
與乳糜瀉有關的
that may be caused by celiac disease
無法解釋的癥狀，或者
or if an immediate family member has celiac disease.
你有近親患有乳糜瀉，記得一定要去看醫生
