Omwana wo asesema nnyo ate ng’olubuto lumuluma nga wayise essaawa eziwera ng’alya? Kiyinza okuba nga kya FPIES (Food Protein-Induced Enterocolitis Syndrome)!

Omwana wo omuto atandise okusesema oba okulwala ekiddukano mu ssaawa ntono ng’alya emmere empya? Oba kiruma lubuto lwokka? Oluusi kino kiyinza okusinga okulumwa olubuto. Leero tugenda kwogera ku mbeera eyawukana katono, naye nga kikulu nnyo okumanya. Ekyo kiyitibwa FPIES (Obulwadde bw’obulwadde bw’omu lubuto obuleetebwa obutoffaali bw’emmere) . Wadde erinnya lino liyinza okuwulikika nga ddene katono, liba lya kuddamu mu mibiri gyaffe naddala mu byenda ku puloteyina eziri mu mmere ezimu.

FPIES kye ki? Ka tukitegeere mu ngeri ennyangu.

Mu ngeri ennyangu, FPIES (Food Protein-Induced Enterocolitis Syndrome) nkola etali ya bulijjo abaserikale b’omubiri gwaffe gye baddamu emmere ezimu. Okusinga kikosa enkola yaffe ey’okugaaya emmere (Gastrointestinal - GI system) . Ekyo kitegeeza nti obubonero ng’okusesema n’ekiddukano bwe businga okulabika.

Obutafaananako alergy y’emmere, obubonero bwa FPIES butandika okulabika nga wayise essaawa ntono ng’omaze okulya . Kino kye kifuula embeera eno ey’enjawulo ennyo. Teebereza, olya ekyenkya n’otandika okuwulira ng’olwadde ku ssaawa nga 12 ez’emisana.

Newankubadde FPIES esinga kubeera mu baana abawere n’abaana abato , oluusi esobola okukosa abantu abakulu , kale kikulu buli muntu okugimanya.

Mmere ki ereeta FPIES?

Wadde emmere yonna esobola okuleeta FPIES, waliwo emmere ntono esinga okuleeta embeera eno. Bbo bali:

• Amata: Amata g’ebisolo ng’amata g’ente n’embuzi.
• Ensigo y’abaana abawere: Abalongo abamu bayinza okuba nga tebalina alergy ku mmere y’abaana abawere.
• Soya.
• Oats.
• Omuceere.
• Ejji.
• Eby’ennyanja: Naddala ebisusunku nga enseenene, enseenene, n’ebika by’ebyennyanja ebirala.

Emmere enkulu ereeta FPIES eyinza okwawukana okusinziira ku nsi n’ekitundu ky’obeera Mu Sri Lanka, emisango gya FPIES egireetebwa emmere zino nagyo gibadde gimanyiddwa. Kuba akafaananyi ng’omwana waakatandika ku muceere, oba ng’omuwadde yogati, ate nga wayise essaawa ntono, omwana wo n’asesema obutasalako n’olubuto lwe lutabuka. Olwo kino olina okwekengera.

Waliwo ebika bya FPIES bibiri ebikulu:

FPIES esobola okwawulwamu ebika bibiri ebikulu:

1. FPIES ez’amaanyi:

• Mu mbeera eno, obubonero bulabika mu ssaawa emu oba nnya ng’omaze okulya emmere eyogerwako.
• Okusesema n’ekiddukano oluusi biyinza okuba eby’amaanyi ennyo. Omwana ajja kweyongera okusesema, okutuuka n’okubulwa amagezi.
• Naye ekirungi, obubonero buno butera okukka ddala mu ssaawa 12 ku 24 ng’emmere ereeta alergy eyimiriziddwa.

2. 2. .FPIES ezitawona:

• Embeera eno ebaawo ng’emmere gy’olina alergy eriibwa obutasalako era emirundi mingi.
• Kino kireeta okuzimba mu byenda okumala ebbanga eddene.
• Wadde ng’obubonero si bwa maanyi ng’obw’obulwadde bwa FPIES obw’amaanyi, busobola okujja ne bugenda. Omwana wo ayinza okuba n’obubonero obumu ng’ekiddukano, obutayagala mmere n’okugejja.
• Kiyinza okutwala ennaku ssatu oba kkumi obubonero buno okuggwaawo ng’omaze okulekera awo okuwa emmere ereeta alergy.

Bubonero ki obulaga obulwadde bwa FPIES? Okitegeera otya?

Obubonero obukulu obwa FPIES bwe buno:

• Ekiddukano: Oluusi kiyinza okuba nga kirimu amazzi oba n’okubeeramu omusaayi omutono.
• Obulumi mu lubuto: Abalongo abato bakaaba, bakwata embuto, era balwana.
• Pallor: Omulambo gufuuka muddugavu mangu ne gufuna langi etaliimu musaayi.
• Obukoowu: Omwana akooye bukoowu, tazannya, era amaaso ge galabika nga gazibye.
• Okugejja nga togenderedde: Kino kiyinza okulabibwa naddala mu FPIES ez’ekiseera ekiwanvu.
• Hypothermia: Omubiri gufuuka omunnyogovu.

Ekikulu, mu FPIES, obubonero buno bulabika essaawa eziwerako oluvannyuma lw’okulya emmere eyogerwako , ebiseera ebisinga wakati w’essaawa 1 ne 4. Mu FPIES ezitawona, obubonero buyinza okujja ne bugenda.

Kuba akafaananyi ng’omwana wo yanywa eccupa y’amata ku makya. We butuukira emisana, atandika okusesema obutasalako, olubuto lwe luzimba, omubiri gwe gufuukuuse, era alabika ng’atalina bulamu. Ekyo bwe kibaawo, kikulu okuteebereza FPIES.

Lwaki FPIES ebaawo? Kiki ekivaako?

Ensonga enkulu lwaki tukola FPIES eri nti abaserikale baffe abaserikale mu bukyamu balowooza nti puloteyina eziri mu mmere ezimu "za bulabe" ne zizirumba. Abaserikale b’omubiri batunuulira emmere zino ng’elinga omulabe.

Ekibaawo mu kino kwe kuba nti obutoffaali bw'abaserikale b'omubiri mu nkola yaffe ey'okugaaya emmere (olubuto n'ebyenda) bugezaako okugoba emmere gye balowooza nti "ey'obulabe". Kino kireeta okuzimba n’okuzimba mu lubuto n’ebyenda. Kino kye kivaako okusesema n’ekiddukano.

FPIES kika kya nkola ekiyitibwa `non-IgE-mediated` . Mu ngeri ennyangu, tekizingiramu `IgE antibodies` ezivunaanyizibwa ku alergy nnyingi ze tumanyi (e.g., alergy y'entangawuuzi). Mu kifo ky’ekyo, obutoffaali obulala obuziyiza endwadde bukwatibwako. Ekirala ekikulu kiri nti FPIES tereeta kuzimba mubiri gwonna okubaawo mu alergy endala ezimu ez’amaanyi. Kino kitegeeza nti obulwadde obw’amaanyi, obutta obulamu bwa `anaphylaxis` , obuleeta obuzibu mu kussa, tebutera kubaawo (wadde ng’okuggwaamu amazzi mu mubiri ennyo n’okukankana bisobola okuvaako embeera endala ez’amaanyi).

Bizibu ki ebiyinza okuva ku FPIES?

Ebikolwa bya FPIES oluusi bisobola okuvaako embeera ez’amaanyi, n’okutta omuntu. Ebikulu ku bino bye bino:

• Okusannyalala: Kino kibeera kya mangu, puleesa ekka ennyo. Kino kya bulabe nnyo.
• Okubulwa amazzi mu mubiri: Okusesema n’ekiddukano bwe bigenda mu maaso, amazzi n’eminnyo bingi bibula mu mubiri. Kino kiyinza okubaawo amangu ddala mu baana abato, n’olwekyo olina okwegendereza ennyo.

Omusawo azuula atya obulwadde bwa FPIES?

Omusawo ajja kwekengera FPIES oluvannyuma lw'okukubuuza oba omwana wo ku bubonero bwe mu bujjuvu . Ebintu nga emmere ki gye walya, ebbanga ki obubonero bwe bwatandika, n’obubonero bwe bwali bikulu nnyo.

Oluusi omusawo ayinza n'okukola ``okukebera okusoomoozebwa kw'emmere.'' Kino kizingiramu okuwa omwana, ng'alabirirwa omusawo, akatono ku mmere eteeberezebwa okulaba oba waliwo ekikolwa. Kino si kirungi kukikola waka, kubanga omuntu bw’akola ennyo kyetaagisa okugenda mu ddwaaliro mu bwangu.

FPIES oluusi eyinza okuba enzibu okuzuula kubanga obubonero bwayo buyinza okufaananako n’obw’embeera endala, gamba ng’okukwatibwa obuwuka. N’olwekyo, omusawo ayinza okulagira okukeberebwa omusaayi gw’omuntu alina alergy oba okukebera olususu lwa alergy okusobola okukebera oba alina alergy endala. Wabula okukebera kuno tekulaga nti omuntu alina FPIES alina alergy.

Bujjanjabi ki obuweebwa FPIES?

Abasawo bayinza okukozesa bino wammanga okujjanjaba obubonero obw’amaanyi obuva ku FPIES:

• Steroids: Zino ziweebwa okukendeeza ku buzimba (okuzimba) mu byenda.
• Amazzi agayingira mu misuwa (IV fluids): Ebintu nga saline biweebwa okuziyiza okuggwaamu amazzi oba okujjanjaba okuggwaamu amazzi singa kibaawo.
• Eddagala eriweweeza ku kuzimba: Okugeza, eddagala nga ``Ondansetron (Zofran®)`` liyamba okufuga okusesema.

Obujjanjabi buno bwonna buweebwa mu ddwaaliro, nga balabirirwa abasawo.

Kiki ekibaawo singa nze oba omwana wange tulina FPIES?

Amawulire amalungi gali nti abaana abato abasinga bakula okusinga FPIES nga bawezezza emyaka 3 oba 4. Kino kitegeeza nti basobola okulya emmere gye baali bafunye allergy emabegako. Wabula kirungi okwogera n'omusawo mpozzi n'okukola ``okukebera okusoomoozebwa kw'emmere'' nga tonnaddamu kuleeta mmere ezo.

Okutuusa olwo, ekisinga obukulu kwe kuzuula ddala emmere ki ereeta kino n’okulekera awo okuziriisa. Okusesema okw’amaanyi n’ekiddukano biyinza okuba eby’akabi ennyo, n’olwekyo ekyo nakyo kikuume eriiso.

Singa abantu abakulu bafuna FPIES, engeri esinga obulungi ey’okugiddukanyaamu kwe kuzuula emmere gye balina alergy n’okugyewala. Oluusi, abantu abakulu basobola okukula okusinga FPIES okumala ekiseera. Wabula emirundi mingi, FPIES etandika mu bukulu esobola okumala obulamu bwonna.

FPIES esobola okuziyizibwa?

Bw’oba ​​okimanyi nti ggwe oba omwana wo olina FPIES, engeri esinga okuziyiza okuddamu okukola kwe kwewala ddala okubawa emmere gy’alina alergy.

Okukuuma diary y’emmere kiyinza okuyamba ennyo okuzuula emmere ki ereeta obuzibu. Kino kitegeeza okuwandiika buli kimu omwana wo ky’alya ne ddi. Olwo obubonero bwe bubaawo, osobola okutunuulira bye baalidde nga tebannatandika. Oluusi, omusawo ayinza n’okumuwa amagezi okukozesa ‘endya ey’okumalawo’ (endya erimu okugezesa emmere ezimu) .

Singa omwana wo alina FPIES, omusawo ayinza okukuwa amagezi bino wammanga okuyamba okuziyiza ebikolwa bino ate ng’akyawa omwana wo ebiriisa by’ayagala:

• Okukozesa enkola z'abaana ezitaliimu allergenic . Zino zikolebwa mu ngeri ey’enjawulo okusobola obutaba na alergy.
• Bw’oba ​​otandika emmere enkalu eri omwana wo, sooka oyingize ebibala n’enva endiirwa mu kifo ky’empeke (e.g., omuceere, oats).
• Okugoberera amadaala g'okwanjula emmere ya FPIES . Kino kinnyonnyola ensengeka n’enkola emmere empya gy’erina okuyingizibwamu omwana wo.

Nkole ki ng’omuntu alina FPIES?

Bw’oba ​​olina FPIES – oba oteebereza nti olina – ojja kwetaaga okukuuma ebiwandiiko n’obwegendereza ku by’olya n’ebyo by’onywa. Kino kijja kukuyamba okuzuula emmere ki ekuleetera okuddamu. Bw’omala okuzuula ekivaako, olina okwewala emmere ezo.

Biseera ki ebisinga obulungi okulaba omusawo?

Bw’oba ​​olowooza nti omwana wo alina embeera y’emmere, ka kibeere ku mata ga formula oba ag’ente, kakasa nti ogenda ew’omusawo. Ne bwe kiba kitono kiyinza okutaataaganya omwana wo okufuna ebiriisa bye yeetaaga. Mu mbeera y’okukwatibwa ennyo, olina okugenda mu basawo amagezi amangu ddala.

Ddi lwe weetaaga okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Singa ggwe oba omwana wo mufuna obubonero bwonna ku buno wammanga, genda mangu mu kisenge ky’abalwadde ab’amangu mu ddwaaliro:

• Okutabulwa oba enkyukakyuka mu mbeera y’ebirowoozo.
• Okufulumya omusulo kitono nnyo oba obutasiiyibwa n’akatono.
• Amaaso agabbira – Kano kabonero ka kuggwaamu mazzi.
• Okuzimba mu maaso, emimwa oba olulimi .
• Obuzibu mu kussa oba okumira .

Obubonero buno bulaga nti embeera eno ya maanyi.

Ebibuuzo ebikulu by’olina okubuuza omusawo

Kiyamba okubuuza ebibuuzo bino ng’ogenda ew’omusawo wo:

• Kino alergy y’emmere eya bulijjo, oba FPIES?
• Omanya otya emmere ki ereeta FPIES?
• Nnyinza ntya okwewala emmere zino ezireeta alergy nga nkyafuna endya entuufu nze/omwana wange gye nneetaaga?
• Nkole ntya singa nze/omwana wange aba n’enneeyisa eno?

Ka tuyige ebisingawo katono ku FPIES?

• Emyaka gy’okutandika FPIES: FPIES etera okutandika mu baana abawere nga balina emyezi nga 4 , oba emmere gy’ekwatibwako alergy bw’esooka okuyingizibwa. Singa FPIES ekula mu bantu abakulu, etera okulabibwa oluvannyuma lw’emyaka 40 .
• FPIES etera etya mu bantu abakulu?: FPIES tetera nnyo mu bantu abakulu okusinga mu baana abato. Nga omu ku buli bantu abakulu 450 (0.22%) alina FPIES. Emmere enkulu ereeta FPIES mu bantu abakulu ye bisusunku .
• Abalongo abayonsebwa gokka basobola okufuna FPIES?: Kino tekitera kubaawo nnyo, naye yee, kisoboka. Oluusi, puloteyina mu mmere maama ayonsa gy’alya zisobola okuyita mu mata g’amabeere okutuuka ku mwana we ne zireeta FPIES. Kyokka okunoonyereza ku nsonga eno tekunnaba kuggwa.
• FPIES bulwadde bwa autoimmune disease?: Nedda, FPIES si `autoimmune disease.` Endwadde z'abaserikale b'omubiri bwe ziba nga abaserikale baffe balumba obutoffaali bwaffe mu nsobi. FPIES ye nkola y’abaserikale b’omubiri okuddamu emmere eyingira mu nkola y’okugaaya emmere.

Ekisinga obukulu - obubaka obutwala awaka

FPIES mbeera etatera kubaawo, naye oluusi ya maanyi eyinza okukaluubiriza omwana wo oba ggwe okufuna ebiriisa bye yeetaaga. Oluusi kiyinza okukoppa endwadde endala, n’olwekyo kyetaagisa okukeberebwa n’okugezesa okuzuula emmere ki ekigireeta.

Tofaayo. Omusawo asobola okukuyamba okuzuula emmere gy’olina okwewala, n’okwogera naawe ku ngeri gy’oyinza okusigala ng’oli mulamu bulungi n’okufuna ebiriisa by’olina. Bw’ogikwata nga bukyali n’ogiddukanya obulungi, osobola okusigala ng’oli mulamu bulungi ng’olina embeera eno. Ekisinga obukulu kwe kufuna amagezi g’omusawo bw’oba ​​olina ekikweraliikiriza.

` FPIES, alergy y’emmere, okusiiyibwa kw’abaana, ekiddukano ky’abaana, puloteyina z’emmere, enterocolitis syndrome, abaserikale b’omubiri