Era oteebereza nti olina alergy y’emmere? Olwo katumanye ku kino (Food Challenge Test)!

Abantu bangi bafuna obubonero obw’enjawulo ng’okutabuka mu lubuto, okusiiyibwa ku lususu, n’okukaluubirirwa okussa nga balya emmere ezimu, nedda? Oluusi kizibu okumanya oba ddala alergy oba kirala. Mu biseera nga bino, wabaawo okukebera okw’enjawulo okuyinza okukuyamba okumanya obulungi era mu ngeri enkakafu oba ddala olina allergy eri emmere emu oba nedda. Leero, tugenda kwogera ku kye bayita ``Food Challenge Test'', oba ekigezo ky'okusoomoozebwa kw'emmere.

Kino ``Ekigezo ky'okusoomoozebwa kw'emmere'' kye ki?

Mu ngeri ennyangu, eno y’engeri esinga okwesigika ey’okuzuula oba omuntu alina alergy ku mmere emu . Kuba akafaananyi ng’owulira ekintu ekyewuunyisa ng’olya entangawuuzi. Olwo okukebera kuno kuyinza okuzuula oba ddala olina allergy eri entangawuuzi, oba oba nga ya figment yokka ey’okulowooza kwo. Ate era abantu abamu basinga alergy gye baalina nga bakyali bato nga bakuze. Okukebera kuno era kusobola okuzuula oba alergy eweddewo oba olina okugenda mu maaso n'okwewala emmere eyo .

Kino kizingiramu okuleeta mpolampola emmere gy’oteebereza nti olina alergy mu ddoozi eyongezebwa, ng’olabirirwa mu bujjuvu omusawo wo oba omusawo akola alergy.

Ekisinga obukulu kwe kugezaako kennyini kwekebeza kuno awaka, kuba oluusi alergy ey’amaanyi eyinza okubaawo.

Laba engeri okugezesebwa kuno gye kutera okukolamu:

• Okusooka omusawo ajja kukuwa ddoozi entono ennyo ey’emmere gy’oteebereza nti olina alergy. Oluusi kino kijja kukuweebwa mu ngeri y’akapiira.
• Olwo omusawo ajja kukulondoola nnyo okulaba oba olina obubonero bwonna obulaga alergy.
• Singa tewabaawo kuddamu oluvannyuma lw’eddakiika nga 15, waayo ddoozi endala entono ey’emmere eteeberezebwa.
• Mu ngeri eno, emitendera gino giddibwamu okutuusa nga alergy ebaawo oba nga ddoozi yonna eragiddwa (ebiseera ebisinga egabanyizibwamu ddoozi nnya oba mukaaga) n’eweebwa.
• Singa obubonero bwonna obulaga alergy, okukebera kujja kuyimirizibwa mangu era omusawo ajja kukakasa nti olina allergy ku mmere eyo.
• Singa tewabaawo reaction ne bw’omala okuwa ddoozi enzijuvu, kitegeeza nti tolina allergy ku mmere eyo.
• Ebiseera ebisinga, emmere emu yokka y’egezesebwa mu ngeri eno omulundi gumu .

Kino kitwalibwa nga "omutindo gwa zaabu" okuzuula alergy y'emmere.

Lwaki okugezesebwa kuno kukolebwa? Ddi lwe kyetaagisa?

Ebiseera ebisinga, ekintu ekisooka mu kuzuula alergy y’emmere kwe kukebera okufumita olususu oba okukebera omusaayi gwa alergy. Kyokka oluusi ebigezo bino biyinza obutaba bikakafu.. Awo we wava kino `(Food Challenge Test)` Naye jjukira, okukebera okulala (okukebera olususu n'omusaayi) nabyo byesigika era bya mugaso nnyo eri abasawo.

Abantu bangi bakola okukebera kuno okulaba oba balina alergy y'emmere eya ``IgE-mediated''. ``IgE-mediated'' ye allergy eva ku buziyiza bwa ``IgE'' mu mubiri gwaffe. Mu alergy ng’ezo, ekitera okubaawo amangu ddala ng’omaze okulya emmere eyo.

Kino `(Food Challenge Test)` okikola otya ddala?

Abasawo bakozesa enkola ez’enjawulo okukola okukebera kuno. Enkola zonna zirimu okwongera mpolampola ddoozi z’emmere eteeberezebwa nga balabirirwa abasawo.

Kiki ekibaawo mu kiseera ky’okugezesebwa?

Oluusi omuntu ateeberezebwa emmere amuwa nga bweri. Okugeza bw’oba ​​okebera alergy y’entangawuuzi, oyinza okumuwa entangawuuzi ntono. Oluusi, emmere eno bagitabulamu ekintu ekirala, gamba nga butto w’entangawuuzi asaasaanyiziddwa ku kuki. Oluusi, okukaluubiriza okuzuula emmere, bagiteeka mu kkapu ne bagimira ng’empeke.

Enkola zino ez’okuteekateeka emmere zikozesebwa okukendeeza ku mikisa gy’omuntu oyo okutegeera emmere ng’alaba oba ng’awunyiriza , ekiyinza okukosa ebivaamu.

Mu mbeera ezimu, omusawo ayinza okukusaba okuleeta emmere yo okukeberebwa. Oyinza n’okusabibwa okuteekateeka enkola ey’enjawulo erimu emmere eteeberezebwa. Oluvannyuma lw’okulya emmere, oba ng’omaze okumira kkapu, ojja kulondoolebwa nnyo okulaba oba olina ky’okola.

Ani atasobola kwetaba mu kugezesebwa kuno?

Abantu ababadde n’obulwadde bwa alergy obw’amaanyi emabega tebakkirizibwa kukola kukeberebwa kuno. Kyokka bakyasobola okukeberebwa kuno okulaba oba omuntu oyo takyalina alergy. Jjukira nti abantu abasinga bakebera emmere emu yokka omulundi gumu.

Bika ki ebya `(Oral Food Challenge)` ebiriwo?

Waliwo ebika bisatu eby'ebigezo bya ``Oral Food Challenge''. Okukebera kuno kwonna kukolebwa mu ddwaaliro oba mu ddwaaliro.

1. `(Double-blind, placebo-controlled)` okugezesebwa

Mu nkola eno, ggwe oba omusawo wo temumanyi kkapu oba emmere ki erimu ekirungo ekiteeberezebwa okuba ekivaako alergy, era erimu ekirungo kya ``Placebo`` (ekintu ekitali kya bulabe ekitaliimu alergy). Allergen eno ne ``Placebo`` biweebwa buli luvannyuma lwa ssaawa ntono, oba buli luvannyuma lwa nnaku ntono.

Ekirungi ekiri mu kino kiri nti ebyava mu kukeberebwa tebitera kukwatibwako kutya kw’omuntu oba endowooza z’omusawo nga tezinnabaawo. Mu ngeri ennyangu, ebifuga byonna eby’ebweru biggyibwawo . Wadde nga eno y'engeri esinga okukola ``Food Challenge Test'', tetera kukozesebwa mu bujjanjabi era esinga kukozesebwa mu kunoonyereza.

2. `(Omuzibe w'amaaso)` okugezesebwa

Mu kukebera kuno, omusawo wo yekka y’amanyi.Emmere oba kkapu ki erimu ekirungo ekivaako allergen, era erimu ekirungo kya ``Placebo''. Kino nakyo kiweebwa buli luvannyuma lwa ssaawa oba ennaku ntono.

3. `(Emmere enzigule)` okugezesebwa

Mu kino, ggwe n’omusawo wo mumanyi allergen ki gy’oweebwa. Omusawo atera okugabanya emmere mu bitundutundu n’agikuwa mu ddoozi ezigenda zeeyongera mpolampola okumala essaawa nga emu. Mu kiseera kino, olondoolebwa oba tewali alergy yonna. Eno y’enkola esinga okukozesebwa.

Olina okwetegekera ekigezo kino nga bukyali?

Yee, ddala. Omusawo ajja kukuwa ebiragiro nga tonnakeberebwa okukakasa nti ebivuddemu byesigika. Ebiragiro bino biyinza okuli ebintu nga:

• Weewale okulya emmere gy’omanyi nti olina alergy okumala wiiki nga bbiri nga tonnakeberebwa.
• Lekera awo okumira eddagala lyonna eriwandiikiddwa oba eritali lya ddagala eriziyiza okuzimba (eddagala eriwonya alergy) nga tonnakeberebwa .
• Weewale okulya oba okunywa ekintu kyonna okumala essaawa ntono nga tonnakeberebwa.

Kikulu nnyo: Yogerako n’omusawo wo ku alergy yonna gy’olina n’eddagala lyonna ly’omira. Tolwawo kumira ddagala eriweweeza ku bulwadde bwa asima oba okumira eddagala eriyitibwa epinephrine mu mbeera ey’amangu olw’okuba olina okukeberebwa. Omusawo ajja kukubuulira eddagala ly’olina okumira, ddi, n’engeri gy’olina okumira .

Ekirala, bw’oba ​​olina obubonero ng’omusujja oba omusujja ku makya g’okukeberebwa, omusawo ayinza okukusaba okwongezaayo okukebera.

Kiki ky’oyinza okusuubira mu kiseera ky’okugezesebwa?

Kya bulijjo okuwulira ng’otya katono oba ng’olina obunkenke olw’okukeberebwa kuno. Naye teweeraliikiriranga, kigezo ekitali kya bulabe . Omusawo wo ajja kulondoola obubonero bwo obukulu mu kiseera kyonna eky’okukeberebwa.

Omusawo ajja kukuwa akatono ku mmere gy’oteebereza nti olina allergy era atunuulire engeri gy’okwatamu. Singa tewabaawo bubonero, ddoozi eyookubiri ejja kuweebwa. Ojja kulondoolwa nnyo oluvannyuma lwa buli ddoozi.

Bw’olaga allergy yonna, okukebera kuba kuwedde. Omusawo ajja kukuwa eddagala erikuyamba ku bubonero bw’allergy.

Okukebera kutwala bbanga ki?

Ka kibeere ngeri ki gy’oddamu, okukebera kuyinza okutwala essaawa nga ssatu oba nnya okumaliriza . Abasawo abasinga bakuwa obutundutundu obutono obw’ekirungo kino buli luvannyuma lwa ddakiika 15. Bw’oba ​​olina allergy nga bukyali mu kukebera, okukebera kujja kuyimirizibwa. Wabula ojja kulondoolwa okumala essaawa nga bbiri oluvannyuma lw’ekyo. Obudde buno buyinza okuba obuwanvu okusinziira ku ngeri gy’oddamu. Ne bw’oba ​​ofunye ddoozi enzijuvu ate nga tolina ky’okola, omusawo ayinza okukukuuma okumala essaawa nga bbiri oluvannyuma lw’ekyo.

Kiki ekibaawo oluvannyuma lw’okukeberebwa?

Singa omusawo akukakasa nti olina alergy, ajja kukubuulirira ku ngeri gy’oyinza okwewala emmere eyo. Era bajja kukuwa eddagala, gamba nga epinephrine auto-injector (nga EpiPen®). Bw’oba ​​tolina allergy ku mmere eyo, osobola okwongera emmere eyo mu mmere yo eya bulijjo. Okutwalira awamu, oluvannyuma lw’okuyita ekigezo ky’okusoomoozebwa kw’emmere, tekitera kuddamu kuba na ngeri gye weeyisaamu ku mmere eyo.

Kino ``Oral Food Challenge'' tekirina bulabe?

Waliwo akabi akali mu kukebera kuno. Y’ensonga lwaki kikolebwa nga balabirirwa omusawo, mu ofiisi yaabwe oba mu ddwaaliro. Abantu abasinga bafuna obuzibu obutonotono, gamba ng’okusiiyibwa ku lususu n’okusiiwa. Omusawo asobola okukuwa eddagala okuyamba okumalawo obubonero buno.

Severe reactions are rare , naye bwe bibaawo, omusawo wo ajja kuba mwetegefu okukuwa obujjanjabi bwe weetaaga. Obulabe obw’amaanyi obw’okusoomoozebwa kw’emmere ey’omu kamwa buyinza okuli okukaluubirirwa okussa oba okusannyalala (allergy ey’amaanyi eyinza okuteeka obulamu mu matigga) .

Migaso ki egiri mu kukebera kuno?

Emigaso gy’okukebera kuno kwe kuba nti kukusobozesa okugaziya emmere gy’osobola okulya era kikusobozesa okumanya obulungi oba ddala emmere entongole ereeta alergy. Okumanya oba olina alergy kiyinza okukuyamba obutafuna alergy mu biseera eby’omu maaso.

Ebyava mu kukeberebwa bigamba ki?

Ebyava mu kugezesebwa kw'okusoomoozebwa kw'emmere ey'omu kamwa bitera okumanyibwa kumpi amangu ddala . Abasawo batera okugabanya ebivuddemu mu kibinja kya "Tolerated" oba "Reacted."

• `Tolerated`: Kino kitegeeza nti tewalina allergy yonna ku mmere eyo, kale emmere eyo terina bulabe okulya.
• `Reacted`: Kino kitegeeza nti allergic reaction yagwawo mu kiseera ky'okukebera.

Oluusi oyinza okufuna ``Inconclusive result.'' Ekyo bwe kibaawo, omusawo wo ayinza okukuwa amagezi okwewala emmere eyo okubeera ku ludda olutaliiko bulabe.

Ka tuyige ne ku ``Food Sensitivity Test'' eyinza okukolebwa awaka.

Okukebera kuliko ebika bibiri: okukebera emmere okusoomoozebwa omusawo w’akola n’okukebera emmere y’omuntu gy’osobola okukikola awaka. Ebisinga ku bino ebikeberebwa awaka ku katale tebikkirizibwa kitongole kya Food & Drug Administration (FDA) era tebirina mugaso gwonna mu bujjanjabi. Kino kitegeeza nti ebigezo bino by’osobola okugula ku yintaneeti oba mu dduuka ly’eddagala, si bidda mu kifo ky’okuzuula obulwadde obukoleddwa omusawo.

Omutindo gwa ``Gold Standard`` ogw'okuzuula alergy y'emmere ye ``Oral Food Challenge Test``. Kino kizingiramu okumira emmere gy’olowooza nti olina alergy mu bugenderevu .Kiyinza okukutiisa okugambibwa nti olina okulya. Naye jjukira nti omusawo wo ajja kuba naawe mu kukeberebwa kwonna. Yogerako n’omusawo wo ku kutya kwonna oba ebikweraliikiriza by’oyinza okuba nabyo. Totya kubuuza bibuuzo, gamba ng’ebyo ebibaawo mu mbeera ey’amangu.

N’ekisembayo, ebintu by’olina okujjukira

Kale, kino `(Food Challenge Test)` kigezo kikulu nnyo era ekyesigika ekiyinza okuzuula obulungi oba olina allergy y'emmere oba nedda. Kino mazima ddala kisaana okukolebwa wansi w’obulabirizi bw’abasawo, mu kifo ekirimu ebifo ebituufu eby’obujjanjabi. Kino kijja kukuyamba okuvvuunuka okutya emmere ezimu n’okutereeza endya yo. Bw’oba ​​naawe oyagala okumanya ku kukeberebwa ng’okwo, tewerabira kwogera n’omusawo wo.

` Alergy y’emmere, okugezesebwa kw’okusoomoozebwa kw’emmere, okukebera alergy, alergy y’emmere, alergy ya IgE, okukeberebwa kw’abasawo, okubuulirira ku by’obulamu