Nga maama, okimanyi nti abaana abato abamu bwe baba n’allergy ku mmere ng’entangawuuzi, balaga obubonero kumpi amangu ago. Things like hives, difficulty breathing , etc. Naye allergy eno etali ya bulijjo gye twogerako leero eyitibwa FPIES (Food Protein-Induced Enterocolitis Syndrome) ya njawulo katono. Ekibaawo wano obubonero butandika okulabika nga wayise essaawa ntono ng’omwana alya emmere. Kale abazadde bangi balowooza nti guno musujja gwa bulijjo ogw’akawuka oba nti lubuto lwokka olutabuse olw’okulya emmere eweddeko.
Ddala FPIES kye ki?
Mu ngeri ennyangu, FPIES buzimba bwa maanyi mu byenda obuva ku puloteyina z’emmere. Tekireeta bubonero bwa bulijjo obwa alergy eya bulijjo, gamba ng’ebizimba, okusiiwa oba okuzimba. Mu kifo ky’ekyo, omwana wo ayinza okusesema n’ekiddukano obutasalako.
Embeera eno etera okutandika ng’omwana ayingiziddwa mu mmere ey’ekika kya formula oba ekikalu. Ebiseera ebisinga embeera eno tebaawo ku mata g’amabeere. Wabula si bulijjo nnyo, kiyinza okubaawo mu baana abayonsebwa. Amawulire amalungi gali nti abaana abasinga basukka alergy eno nga bawezezza emyaka 3 oba 4 .
Bubonero ki obulaga kino?
Kuba akafaananyi ng’omwana wo owadde emmere empya. Oluvannyuma lw’essaawa bbiri oba ssatu, omwana wo atandika okusesema obutasalako era nga tafugibwa. Olwo, omwana atandika okuba n’omusulo ogutabuse. Kano ke kabonero akakulu akalaga FPIES.
Abaana abamu bayinza okufuna obubonero buno nga bweyongera mpolampola okumala ekiseera. Era bayinza okugejja n’okukula obubi kubanga tebafuna mmere nnungi gye beetaaga.
Mu mbeera enzibu, okusesema n’ekiddukano ekisusse kiyinza okuvaako okuggwaamu amazzi mu mubiri n’okutuuka n’okukubwa encukwe. Eno embeera ya bulabe nnyo.
| Obubonero obuyinza okulabibwa mu mbeera ey’amaanyi (okukankana) - genda mu ddwaaliro mu bwangu! | |
|---|---|
| Engeri | Okunnyonnyola |
| Okusoberwa | Omwana ayinza okulabika ng’atabuse era nga tamanyi bigenda mu maaso ebibeetoolodde. |
| Olususu olunnyogovu era olunyirira | Omubiri guwulira nga gunnyogoga mu ngeri etaali ya bulijjo ng’ogukwatako, era guwulira nga gunnyogovu ng’olinga atuuyana. |
| Ennyonta esukkiridde | Omwana yeetaaga okunywa amazzi buli kiseera. |
| Olususu oluddugavu oba olumyufu | Olususu luyinza okukyusa langi, okufuuka enzirugavu oba okufuuka bbululu okwetooloola emimwa. |
| Okussa kukyuka | Okussa kuyinza okuba okw’amangu oba okutali kwa maanyi. |
| Obukoowu/otulo | Omwana yeebaka mu ngeri etaali ya bulijjo, kizibu okuzuukuka, era tazannya. |
| Puleesa enafu | Omukka gw’omukka gunafu nnyo, kumpi teguzuulibwa. |
Bw’olaba obubonero buno bwonna, twala omwana wo mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) awatali kulwa.
Lwaki kino kigenda mu maaso?
Kino kiri bwe kityo kubanga obutoffaali obumu mu baserikale b’omubiri gw’omwana wo bukola bubi ku puloteyina eziri mu mmere ezimu. Okuddamu kuno kuleeta okuddamu okw’amaanyi mu nkola y’omwana ey’okugaaya emmere (enkola y’omu lubuto), kwe kugamba, ebyenda. Naye obubonero bw’enkola eno butwala wakati w’essaawa 2 ne 8 okulabika. Eno y’ensonga lwaki kyawukana ku alergy endala.
Ebyafaayo by’amaka biraga nti wakati wa 40% ne 80% ku baana abalina FPIES balina ebyafaayo by’amaka ga alergy endala, gamba ng’omusujja gw’omuddo oba eczema. Ekyewuunyisa, abaana 20% bokka abalina FPIES be balina ebyafaayo by’amaka ga alergy endala ez’emmere.
Mmere ki esinga okuleeta FPIES?
Embeera eno etera okuva ku:
- Amata g’ente n’ebiva mu mata (e.g. yogati, kkeeki) .
- Amata ga soya ne soya
- Eŋŋaano n’empeke endala (e.g. oats, barley) .
Ng’oggyeeko bino, abaana abamu basobola n’okufuna FPIES okuva mu mmere gye tutandirowoozezza nti mu budde obutuufu ereeta alergy .
- Ssayiri
- Ennyama y’enkoko oba ey’enkoko enganda
- Eky'enyanja
- Ebijanjaalo
- Oats
- Kawo
- Omuceere
- Ensujju
- Ebitooke ebiwoomerera
Totya olw’olukalala luno. Si buli mwana nti ajja kuba alergy ku bino byonna. Ekintu ekirina allergy eri omwana omu kiyinza obutaba kya mulala.
Okuzuula obulwadde buno kukolebwa kutya?
Bw’oba olowooza nti omwana wo alina FPIES, ekisinga obulungi kwe kwogera n’omusawo w’abaana ku nsonga eno. Ayinza okukusindika ew’omusawo w’abaana alergy oba omusawo w’abaana mu lubuto.
Omusawo ajja kusooka kukubuuza ku bubonero bw’omwana wo n’okumanya oba waliwo omuntu yenna mu maka alina alergy yonna. Olwo, bajja kukola okukebera okukakasa nti tewali birala bitera okuvaako okusesema n’ekiddukano (nga okukwatibwa akawuka).
Oluusi, okukebera omusaayi n’okukebera ebitundu by’olususu (Atopy Patch Test - APT) bisobola okuyamba. APT erimu okuteeka akasero akatono ak’ekyuma ak’emmere eteeberezebwa ku lususu lw’omwana okumala essaawa nga 48. Wabula ebigezo bino tebisobola kukakasa FPIES 100% of the time.
Engeri yokka ey’okukakasa oba kino bwe kiri kwe kuyita mu kukebera emmere ey’omu kamwa (OFC Food Challenge – OFC) . Kino kizingiramu okuwa omwana emmere eteeberezebwa, mpolampola, ng’alabirirwa abasawo, mu ddwaaliro oba mu ddwaaliro. Kino kigaaniddwa ddala okukikola awaka.
Kijjanjabwa kitya?
Enzijanjaba eno nnyangu nnyo. Kizingiramu okuggyawo ddala emmere oba emmere omwana gy’alina alergy mu mmere gy’alya.
- Omwana wo bw’aba anywa emmere ey’ekika kya formula, olina okukozesa emmere ey’enjawulo etaliimu mata ga nte oba soya (hypoallergenic formulas). Omusawo wo ajja kukubuulirira ku nsonga eno.
- Soma bulungi ekiwandiiko ku buli ppaasi y’emmere gy’ogula mu dduuka okebere oba erimu ebirungo ebivaako alergy.
- Kuuma ekiwandiiko okuva ew’omusawo wo nga kiraga nti omwana wo alina FPIES naawe. Kijja kuyamba nnyo mu kunnyonnyola embeera y’omwana wo eri abakozi b’ebyobujjanjabi singa wabaawo embeera ey’amangu.
Kya bulijjo okuwulira ng’otya katono n’okweraliikirira ng’otegedde embeera eno. Naye singa omwana wo addukanyizibwa bulungi, asobola okuba omusanyufu era nga mulamu bulungi.
Obubaka Obutwala Awaka
- FPIES bulwadde bwa allergy obutatera kulabika era nga buva ku kusesema n’ekiddukano ekibaawo nga wayise essaawa ntono ng’olidde emmere.
- Obubonero ng’okusiiyibwa n’okusiiyibwa, nga mu alergy eya bulijjo, tebirabibwa wano.
- Omwana bw’aba akooye mu ngeri etaali ya bulijjo, ng’alina langi ya bbululu ku lususu, oba ng’alaga obubonero bw’okutabulwa, mutwale mu kitongole ky’eddwaaliro ekijjanjaba abalwadde ab’amangu (ETU) mu bwangu.
- Kakasa nti onoonya amagezi g’omusawo wo okuzuula n’okuddukanya.
- Abaana abasinga bawona embeera eno nga bawezezza emyaka 3-4, kale tosattira era beera mugumiikiriza.
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