Koj puas tau xav tias yog vim li cas tom qab koj noj qee yam txiv hmab txiv ntoo qhuav, qee yam cawv txiv hmab, lossis qee yam kua ntses, koj mam li xav tias koj vwm, ua pa nyuaj, thiab mob plab? Tej zaum koj tus mob hawb pob tam sim ntawd zuj zus tuaj. Qhov laj thawj rau qhov no yuav yooj yim dua li koj xav. Feem ntau, tus neeg ua rau qhov no yog tshuaj lom neeg hu ua sulfite. Hnub no, peb yuav tham txog qhov kev ua xua lossis kev rhiab heev ntawm sulfite.
Hauv lwm lo lus, sulfite yog dab tsi?
Cov tshuaj sulfites yog cov tshuaj siv los ua cov tshuaj preservatives. Ntawd yog, lawv raug ntxiv rau hauv cov khoom noj thiab tshuaj kom lawv tsis txhob lwj. Tej zaum koj yuav tau pom tias ib lub txiv apple uas raug txiav ua tej daim me me hloov xim av tom qab ib ntus. Cov tshuaj sulfites yog siv los tiv thaiv cov khoom noj no kom tsis txhob hloov xim thiab kom tiv thaiv cov kab mob kom tsis txhob loj hlob thiab lwj. Piv txwv li, cov tshuaj sulfites tau siv rau hauv kev ua cawv txiv hmab tau ntau pua xyoo los khaws cov xim thiab saj ntawm cawv txiv hmab. Qee cov khoom noj thiab dej haus yuav muaj cov tshuaj sulfites ntuj.
Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov: Sulfite tsis yog kev ua xua rau cov tshuaj sulfa. Ob qho no sib txawv kiag li. Thiab lawv tsis yog cov khoom sulfur, thiab tsis yog cov sulfates uas pom muaj nyob rau hauv xab npum thiab tshuaj zawv plaub hau.
Tau pom tias muaj li ntawm 4% thiab 5% ntawm cov neeg uas muaj mob hawb pob yuav muaj qhov kev tsis haum tshuaj sulfite no. Qhov tseeb, qhov kev tsis haum tshuaj sulfite no feem ntau tshwm sim ntau dua li qhov kev tsis haum tshuaj sulfite tiag tiag (kev tsis haum tshuaj IgE).
Cov tsos mob ntawm kev ua xua rau sulfite yog dab tsi?
Cov tsos mob ntawm kev lom sulfite yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg yuav muaj kev tsis xis nyob me ntsis, thaum lwm tus yuav muaj cov tsos mob hnyav. Cia peb saib seb cov tsos mob no yog dab tsi.
| Hom tsos mob | Kev piav qhia |
|---|---|
| Cov tsos mob tshwm sim (feem ntau cuam tshuam nrog mob hawb pob) |
|
| Cov tsos mob hnyav tsawg heev (Anaphylaxis) |
Vim li cas cov sulfites no thiaj tsis zoo rau peb lub cev?
Cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas qee tus neeg lub cev thiaj li teb rau sulfites li no, tab sis muaj ob peb yam uas lawv xav tias yuav ua lub luag haujlwm.
- Kev nqus pa roj sulfur dioxide: Thaum peb noj lossis haus cov khoom noj uas muaj sulfites, nws tsim cov roj hu ua sulfur dioxide. Thaum cov roj no nkag mus rau hauv peb txoj hlab pa, nws tuaj yeem ua rau cov hlwb hauv txoj hlab pa ua haujlwm, ua rau lawv o thiab nqaim. Rau ib tus neeg uas muaj mob hawb pob, qhov no tuaj yeem ua rau lawv mob hawb pob hnyav dua.
- Kev tiv thaiv kab mob los ntawm IgE: Peb lub cev tiv thaiv kab mob muaj ib hom tshuaj tiv thaiv kab mob hu ua 'IgE'. Nws zoo li peb lub cev cov neeg saib xyuas. Lawv txoj haujlwm yog paub txog cov tshuaj lom neeg, xws li cov kab mob, uas nkag mus rau hauv lub cev thiab muab cov cim qhia kom rhuav tshem lawv. Tab sis qee zaum cov neeg saib xyuas no ua yuam kev. Lawv yuam kev qee yam uas tsis muaj teeb meem, xws li sulfites, rau tus yeeb ncuab loj thiab xa kev ceeb toom rau lub cev tiv thaiv kab mob. Thaum ntawd cov tsos mob ntawm kev ua xua tshwm sim.
- Tsis muaj peev xwm ua cov enzyme sulfite oxidase: Qhov no yog ib qho enzyme hauv peb lub cev. Hais yooj yim xwb, ib qho enzyme yog ib qho protein uas pab nrog cov txheej txheem tshuaj lom neeg hauv peb lub cev. Cov enzyme sulfite oxidase no rhuav cov sulfur dioxide thiab tshem nws tawm ntawm lub cev. Qee tus neeg mob hawb pob muaj cov enzyme no qis hauv lawv lub cev. Tom qab ntawd, sulfites tuaj yeem sib sau ua ke hauv lub cev es tsis txhob raug rhuav tshem thiab tshem tawm kom raug, ua rau muaj kev ua xua.
Leej twg muaj feem yuav muaj qhov teeb meem no ntau dua? Thiab koj paub li cas?
Cov neeg uas muaj mob hawb pob feem ntau yuav muaj kev tsis haum tshuaj sulfite, thiab cov neeg uas muaj lwm yam kev tsis haum zaub mov kuj tseem yuav muaj kev pheej hmoo siab dua me ntsis.
Ib tug neeg uas tsis muaj mob hawb pob puas tuaj yeem ua rau muaj kev tsis haum tshuaj sulfite? Yog, tab sis nws tsis tshua muaj. Thiab nws kuj tsis tshua muaj rau ib tug neeg uas tsis muaj mob hawb pob kom muaj kev tsis haum tshuaj sulfites hnyav.
Kev kuaj mob
Tam sim no tsis muaj kev kuaj ntshav lossis kev kuaj tawv nqaij uas tuaj yeem kuaj pom qhov ua xua sulfite. Yog li ntawd, koj tus kws kho mob yuav kuaj mob no los ntawm kev nug koj ob peb lo lus nug.
- Koj cov tsos mob yog dab tsi?
- Koj cov keeb kwm kho mob tag nrho
- Txawm koj muaj mob hawb pob lossis lwm yam kev ua xua
- Los ntawm kev ua qhov kev sim zaub mov sib tw
Hauv qhov kev xeem sib tw zaub mov no, tus kws kho mob yuav pib koj noj me me ntawm sulfites thiab maj mam nce nws. Feem ntau nws yog muab ua kua lossis tshuaj ntsiav. Tus kws kho mob yuav saib xyuas koj kom pom tias koj puas muaj kev tsis haum tshuaj. Yog tias koj muaj kev tsis haum tshuaj, koj lub ntsws ua haujlwm yuav raug ntsuas siv lub cuab yeej hu ua spirometer. Qhov no ua tiav hauv tsev kho mob nrog cov chaw kho mob thaum muaj xwm txheej ceev, yog li tsis tas yuav ntshai.
Yuav kho thiab tswj li cas?
Yog tias koj raug kuaj pom tias muaj kev ua xua rau sulfite lossis kev ua xua rau sulfite, qhov tseem ceeb tshaj plaws thiab zoo tshaj plaws ua yog zam cov khoom noj, dej haus, thiab tshuaj uas muaj sulfites ntau li ntau tau.
Txawm li cas los xij, koj tus kws kho mob yuav sau ntawv rau qee cov tshuaj kom tswj tau cov tsos mob.
- Cromolyn: Qhov no yog ib yam tshuaj uas ua rau cov hlwb mast ruaj khov uas ua rau muaj kev ua xua.
- Corticosteroids: Cov tshuaj uas txo qhov o thiab o hauv lub cev.
- Cov tshuaj ua pa rau lub ntsws: Cov no yog cov tshuaj ua pa uas cov neeg mob hawb pob siv. Lawv ua rau txoj hlab pa dav dua thiab ua rau ua pa yooj yim dua.
- Cov tshuaj Antihistamines: Cov no pab nrog cov tsos mob ntawm kev ua xua, xws li khaus tawv nqaij thiab ntswg ntws, es tsis yog cov tsos mob ntawm kev mob hawb pob.
- Vitamin B12: Qee qhov kev tshawb fawb tau qhia tias vitamin B12 tuaj yeem txo cov kev tsis haum tshuaj rau sulfites. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog qhov no.
Yuav ua li cas kom tsis txhob muaj cov khoom uas muaj sulfites?
Qhov no yog qhov tseem ceeb tshaj plaws. Cia peb saib cov khoom noj thiab tshuaj uas muaj sulfites ntau tshaj plaws. Ua kom nws yog ib qho kev coj ua los nyeem daim ntawv lo thaum koj yuav ib yam dab tsi los ntawm lub khw.
| Xyuas seb cov npe no puas muaj nyob rau ntawm daim ntawv lo. | |
|---|---|
| Sulfur dioxide | Potassium bisulfite |
| Potassium metabisulfite | Sodium bisulfite |
| Sodium metabisulfite | Sodium sulfite |
Cov khoom noj uas muaj cov sulfites ntau
| Hom khoom noj/haus dej | Piv txwv |
|---|---|
| Hom cawv | Npias, cawv (tshwj xeeb yog cawv dawb) |
| Khoom noj qhuav | Cov txiv hmab qhuav (txiv hmab, txiv duaj), qos yaj ywm qhuav |
| Cov dej haus uas tau npaj tseg lawm | Kua txiv qaub fwj, dej haus txiv hmab txiv ntoo, dej qab zib |
| Cov kua ntses thiab cov kua zaub | Cov kua ntses fwj, cov kua zaub sib tov, cov suab thaj |
| Cov khoom noj hiav txwv | Cov cw, cov qav ntses, thiab lwm yam tsiaj txhu hauv hiav txwv uas muaj plhaub |
| Cov khoom siv ua mov ci | Qee hom khoom qab zib (biscuits, pies, pizza) |
Cov tshuaj uas muaj sulfites
Qee cov tshuaj kuj tseem yuav muaj sulfites ua ib qho tshuaj preservative, yog li nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog koj qhov kev tsis haum sulfite thaum koj tau txais tshuaj.
Piv txwv li:
- Cov tshuaj xws li adrenaline (Epinephrine), noradrenaline (Norepinephrine) (xws li qee cov tshuaj loog hniav)
- Qee cov tshuaj corticosteroid (tshuaj pleev thiab tshuaj txhaj), xws li dexamethasone
- Qee cov tshuaj tua kab mob antifungal sab nraud
- Dopamine
- Cov tshuaj tua kab mob xws li qee cov aminoglycosides thiab doxycycline ( Doxycycline )
- Propofol (ib yam tshuaj siv rau kev siv tshuaj loog)
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog koj xav tias koj tus mob hawb pob lossis ua xua tsis tau zoo, nco ntsoov mus ntsib kws kho mob. Lawv tuaj yeem pab koj txheeb xyuas seb yam dab tsi ua rau koj mob thiab qhia koj yuav ua li cas kom tsis txhob mob.
Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU)?
Yog tias koj muaj mob hawb pob hnyav uas tsis raug tswj los ntawm koj cov tshuaj (piv txwv li cov tshuaj nqus pa), lossis yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob ua xua hnyav hauv qab no , mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd.
- Ua pa nyuaj heev los yog nqos
- O ntawm daim di ncauj, tus nplaig, lub ntsej muag, lossis caj pas
- Lub plawv dhia ceev
- Hnov mob taub hau los yog kiv taub hau
- Kev poob siab
Yog tias koj muaj kev ua xua rau sulfite, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham thiab paub txog cov tshuaj uas koj yuav tsum siv thaum muaj xwm txheej ceev (piv txwv li, epinephrine auto-injector).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev rhiab heev ntawm sulfite yog ib qho mob tiag tiag, tshwj xeeb tshaj yog cov neeg mob hawb pob.
- Qhov no txawv kiag li ntawm kev ua xua rau cov tshuaj "sulfa".
- Txoj kev tswj hwm tseem ceeb yog kom tsis txhob noj cov khoom noj, dej haus, thiab tshuaj uas muaj sulfites. Rau qhov no, nyeem cov ntawv lo rau cov khoom noj yog qhov tseem ceeb heev.
- Yog koj muaj cov tsos mob zoo li no, tsis txhob kwv yees thiab mus ntsib kws kho mob kom paub tseeb tias koj muaj mob dab tsi.
- Yuav tsum paub txog cov tsos mob ntawm kev ua xua hnyav thiab yuav ua li cas tam sim ntawd yog tias muaj xwm txheej zoo li no.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus