Omwana wo alina alergy y’emmere? Ka twogere ku kukebera abasawo kwe bakozesa okuzuula (Food Allergy Testing)!

Ggwe oba omwana wo omuto owulira ekintu kyonna ekyewuunyisa oba ekitanyuma oluvannyuma lw’okulya emmere? Wali ofunyeeko okusiiwa, okusiiyibwa okumyufu oba okukaluubirirwa okussa oluvannyuma lw’okulya ekika ky’emmere ekimu? Bino biyinza okuba obubonero obulaga nti omuntu alina alergy y'emmere . Kale, ka twogere ku ngeri abasawo gye bayinza okuzuulamu alergy y’emmere n’okukebera ki kwe bakola, nedda? Tekyetaagisa kutya oba kweraliikirira mu ngeri eteetaagisa ku bintu bino. Naye okumanya amawulire gano kijja kuba kya mugaso nnyo gy’oli.

Abasawo bakebera batya alergy y’emmere?

Ebiseera ebisinga, omusawo naddala omusawo mukugu mu alergy – era tumuyita "allergist" – akozesa enkola bbiri enkulu ez'okukebera okukakasa oba alergy y'emmere eriwo. Bino kwe kukebera olususu n'okukebera omusaayi . Mu mbeera ezimu, omusawo ayinza okusalawo okukola ebigezo bino byombi. Kino kizuulibwa nga tulowooza ku bintu ebiwerako, gamba ng’embeera y’omulwadde n’engeri y’obubonero.

Okukebera okufumita olususu kye ki? Kikolebwa kitya?

Kino si kinene oba kizibu nga bw’oyinza okulowooza. Kye kigezo kyangu nnyo. Kuba akafaananyi ng’oteebereza nti omwana wo omuto bw’anywa amata alina alergy ku kintu. Olwo omusawo wa allergy oba nnansi omutendeke ajja kukola okukebera kuno bwati:

1. Sooka olongoose bulungi olususu ku mukono gwo oba ogw’omwana wo oba ekitundu ky’omugongo.

2. Olwo, alergy eri mu mmere gy’oteebereza (mu kyokulabirako kyaffe, amata) – kwe kugamba, ekintu ekiyinza okuleeta alergy, tukiyita "allergen" – kitwalibwa nga ekitono ennyo ku kyo mu ngeri y’amazzi, era amazzi ago ne gakwatagana n’olususu nga tukozesa ekintu ekitono ennyo, ekitono nga ppini, oba nga bakola akaseko akatono ku ngulu w’olususu. Kino si kiruma kinene, kiwulikika ng’ekiwujjo ekitono ennyo, ng’okuluma ensiri. Tewali kintu kya kutya.

3. Amazzi gano gasiige ku lususu lwo bw’otyo olindeko eddakiika nga 15.

4. Kati ekisinga obukulu. Singa ekitundu amazzi ga "allergen" we gaasiigibwa kifuuka ekimyufu, ne kizimba katono, n'akazimba akatono akalinga ekizimba (kino nakyo abasawo bakiyita "wheal" ) ne kirabika, kiwa ekiraga nti wayinza okubaawo allergy ku mmere eyogerwako.

5. Olwo, omusawo oba nnansi ajja kukozesa ekyuma ekipima obulungi obunene bwa nnamuziga n’ekitundu ekimyufu ekikyetoolodde n’akiwandiika.

Kati teebereza, bw'oteebereza nti olina allergy si ku mmere emu yokka, wabula ebika by'emmere ebiwerako, oba singa kiba kizibu okuzuula ddala emmere ki ereeta obubonero buno obw'allergy, omusawo asobola okukebera olususu lwo ng'aluteekako "allergens" eziwerako mu kiseera kye kimu.

Oluvannyuma lw’okukebera olususu, oyinza okukunya ekitundu we baakeberedde okumala akaseera katono. Kino kya bulijjo. Kyokka okusiiwa kutera okukka mu ddakiika 30 zokka. Omwana bw’aba asiiwa ekisusse, omusawo ayinza okukuwa eddagala eriweweeza ku buwuka obuleeta endwadde oba ekizigo kya steroid ekisiiga ku mubiri n’osiiga mu bitundu ebisiiyibwa. Kino kijja kuyamba okukendeeza ku kusiiwa amangu.

Kiki ddala eky’okukebera omusaayi?

Mu mbeera ezimu, ng’oggyeeko okukebera olususu okwayogeddwako waggulu, oba singa wabaawo ensonga ezimu lwaki okukebera olususu tekusobola kukolebwa (okugeza, omuntu alina obulwadde bw’olususu obw’amaanyi oba omuntu amira eddagala erimu), omusawo ayinza n’okumuwa amagezi okukebera omusaayi.

Kino kizingiramu okuggya omusaayi omutono ennyo ku ggwe oba omwana wo n’ogusindika mu laboratory okukeberebwa mu ngeri ey’enjawulo. Ekikulu kwe kukebera oba omusaayi gulimu "IgE antibodies," ezikolebwa abaserikale baffe abaziyiza emmere entongole.

Mu ngeri ennyangu, obuziyiza buno obwa IgE kika kya puloteyina eky’enjawulo abaserikale b’omubiri gwaffe, abaserikale b’omubiri, kye bakola bwe kizuula mu bukyamu emmere ezimu nti “embi” oba “omulabe,” n’egezaako okuzirwanyisa. Kale, singa omusaayi gw’omuntu guzuulibwa nga gulimu obutoffaali buno obwa IgE obuziyiza emmere emu, kitegeeza nti kisoboka okuba nti alina alergy eri emmere eyo. Kiba kisumuluzo kyokka, ng’ebyava mu kukebera olususu.

Abasawo bataputa batya ebyava mu kukeberebwa? Kino kikulu nnyo!

Wano waliwo ky’olina okukuuma mu birowoozo. Olw'okuba okukebera olususu oba omusaayi kivaamu " positive" reaction ku mmere tekitegeeza nti omuntu mukakafu 100% nti alina allergy eri emmere eyo. Kiraga kyokka nti waliwo okusobola okufuna alergy.

Lowooza ku nsonga eno bw’otyo. Abantu abamu bazaalibwa n’olususu oluzibu ennyo. Olususu lwabwe ne bwe luba nga lunyiize katono olw’ekintu, gamba ng’ekintu ekitali kigezo, luyinza okumyuuka, okuzimba katono oba n’okuvaamu ebizimba. Tekirina kuba nga alergy. Ate era, abantu abamu bayinza okuba n’obutoffaali obuziyiza obulwadde bwa IgE mu musaayi gwabwe eri emmere emu, naye bayinza obutalaga bubonero bwonna bwa alergy nga balya emmere eyo. Kino tukiyita "sensitization," eky'enjawulo ku "allergy."

N’olwekyo, omusawo tajja kusalawo ku nkomerero oba omuntu alina alergy y’emmere ng’asinziira ku bivudde mu kukeberebwa kuno kwokka. Mazima ddala ajja kukubuuza ebintu ebirala bingi, gamba nga:

• Bubonero ki obw’enjawulo ggwe oba omwana wo bw’olaba? (e.g., okusiiwa? okusiiyibwa? okukaluubirirwa okussa? okutabuka olubuto?)
• Oluvannyuma lw’okulya emmere obubonero buno bulabika bbanga ki? (Eddakiika? Ssaawa?)
• Obubonero buno bwa maanyi butya? (Kisiiwa katono? Oba kizibu nnyo ne kiba nti omubiri gwonna guzimba n’otosobola kussa?)
• Waliwo omuntu omulala yenna mu maka go (maama, taata, baganda bo) alina alergy y’emmere ey’ekika kino oba alergy endala (e.g. asima, allergy y’enfuufu)?

Omusawo atuuka ku kigambo ekituufu ku alergy y’emmere oluvannyuma lw’okwekenneenya ebyafaayo by’omulwadde mu bujjuvu, engeri y’obubonero, n’ebyava mu kukeberebwa.

Okusoomoozebwa kw’emmere ey’omu kamwa kye ki? Kya bulabe?

Kati teebereza nti ebyava mu kukebera olususu n’omusaayi byombi ebyogeddwako waggulu tebitegeerekeka bulungi. Oba, singa omwana wo yalina alergy y'emmere ng'akyali mwana muto, era kati nga akuze katono, oyagala okumanya okukakasa oba allergy eyo yabula, that is , "outgrown", omusawo ayinza okukuwa amagezi okukebera okulala okwetongodde. Kino kye tuyita "okusoomoozebwa kw'emmere ey'omu kamwa" .

Bino bye bigenda mu maaso:

1. Emmere eteeberezebwa okuba nga ya allergen (potential food allergen) eyingizibwa mu bungi butono nnyo, mpozzi nga kimu kya kkumi eky’ekijiiko kya caayi, era mpolampola ng’obudde buyise.

2. Bino byonna bikolebwa wansi w’obulabirizi obutereevu era obw’okumpi obw’omusawo. Omusawo oba abakozi abatendeke bajja kuba batunuulidde nnyo obubonero bwonna obw’allergy. Ebintu ng’okukuba omukka, engeri y’okussa, n’enkyukakyuka mu lususu birondoolebwa buli kiseera.

3. Togezaako kukola kukebera kuno awaka. Kino kisaana kukolebwa mu ofiisi y’omusawo (clinic) oba mu ddwaaliro lyokka, eririna ebikozesebwa byonna ebyetaagisa okujjanjaba embeera ey’amangu. Kino kiri bwe kityo kubanga alergy ey'amangu, ey'amaanyi, eyitibwa "anaphylaxis," esobola okubaawo.Singa embeera eyinza okutta obulamu (allergic reaction ey’amaanyi) ebaawo, eddagala ery’amangu n’abasawo abatendeke n’abasawo (abakugu n’abasawo) balina okubaawo okugijjanjaba mu bwangu.

Kino kikulu nnyo: Togezaako, olw'ensonga yonna, "Oral Food Challenge" awaka nga tolina kulabirirwa musawo, okay? Kubanga alergy y’emmere oluusi eyinza okuba ey’akabi ennyo. Kiyinza n’okuteeka obulamu bw’omuntu mu matigga.

Ebiseera ebisinga, okugezesebwa kuno okwa "oral food challenge" kukolebwa okukakasa oba allergy y'emmere eyasooka kati eweddewo, ekitegeeza nti tewali buzibu kulya mmere eyo kati. Ng’ekyokulabirako, omwana eyalina alergy eri amagi ng’akyali mwana muto, mu butonde ayinza okukula okusinga alergy eyo mu myaka mitono nga bakaddiwa. Kale okugezesebwa kuno kwa mugaso nnyo okuzuula ekyo kyennyini.

Kiki ekiddako singa okukeberebwa kukakasa nti alina alergy?

Okay, kati katugambe nti okukebera okwogeddwako waggulu kukakasizza nti omwana wo oba ggwe olina allergy y’emmere. Tosattira mu kiseera ekyo, si nkomerero ya nsi. Omusawo wo ajja kukuyamba nnyo okuvaayo n’enteekateeka entegeerekeka ey’okuddukanya engeri y’okubeera mu mbeera ennungi era eya bulijjo n’embeera eno empya.

Ebikulu ebirina okukola bye bino:

1. Okwewala ennyo emmere erimu alergy:

• Omusawo ajja kukuwa olukalala olutegeerekeka obulungi ku mmere etali nnungi gy’oli oba omwana wo, era ajja kukuwa n’okutegeera obulungi emmere ki eyinza okubaamu ebirungo ebikusike.
• Olina okufuna omuze gw’okusoma ebiwandiiko ebikwata ku mmere ku buli ppaasi oba eccupa y’emmere gy’ogula mu dduuka n’obwegendereza ennyo. Kubanga oluusi emmere gye tutalowoozaako wadde, okugeza, ssoosi, ssupu, ne bisikiiti, eyinza okubaamu emmere eyo ereeta alergy (e.g., amata, amagi, soya, entangawuuzi , eŋŋaano).
• Omwana wo bw’aba agenda ku ssomero, kikulu nnyo okutegeeza omusomesa w’ekibiina, abakozi mu kafeero n’ebirala ku nsonga eno. Ate era, bw’ogenda mu maka g’ab’eŋŋanda, mu maka g’emikwano, oba ku mbaga, okutegeeza abalala ku nsonga eno nga bukyali kiyinza okwewala ebizibu bingi ebiteetaagisa.

2. Okukuuma eddagala ery’amangu mu ngalo:

• Alergy z’emmere ezimu ziyinza okuba ez’amaanyi ennyo. Ekyo kitegeeza nti, nga bwe kyayogeddwako emabegako, ekizibu eky'amaanyi, ekiyinza okutta obulamu ekiyitibwa "anaphylaxis" kiyinza okubaawo, ekiyinza okuvaako obuzibu mu kussa mu bwangu, puleesa okukka amangu, n'okubulwa amagezi.
• Singa wabaawo embeera ey’amangu ng’eyo, gikozese mangu. Omusawo ajja kukuwa eddagala ery’enjawulo. Kiyitibwa "Adrenaline" (Epinephrine).Kino kitera okujja mu kyuma ekiringa ekkalaamu eky’angu ennyo okukozesa (epinephrine auto-injector). Omusawo oba nnansi ajja kukutendeka engeri y’okugikozesaamu.
• Bulijjo olina okukuuma eddagala lino erya "Adrenaline" (Epinephrine) naawe, oba n'omwana wo, ekiseera kyonna. Olina okugitwala mu nsawo yo ey’essomero, ng’ogenda okuzannya, ng’ogenda ku lugendo, yonna gy’ogenda. Kiringa ekyuma ekitaasa obulamu.
• Ate era, kyetaagisa nnyo ggwe, ab’omu maka go, n’abo abagenda okulabirira omwana wo, gamba ng’abasomesa b’omwana wo, okumanya ddala engeri y’okukozesaamu eddagala lino mu mbeera ey’amangu. Omusawo ajja kukunnyonnyola bulungi era ajja kukutendeka bwe kiba kyetaagisa.

Obubaka obusinga obukulu obw’okutwala awaka okuva mu bino byonna bwe buno:

Bw’oba ​​olina n’okuteebereza okutono nti olina alergy y’emmere, tosalawo kumala gasala oba kutandika mmere mpya nga bw’oyagala. Kakasa nti olaba omusawo alina ebisaanyizo, okufuna amagezi amatuufu, era n’okukeberebwa okutuufu bwe kiba kyetaagisa.

• Okukebera okufumita olususu n’okukebera omusaayi nga banoonya obutoffaali obuziyiza endwadde za IgE ze nkola enkulu ezikozesebwa okuzuula alergy y’emmere.
• Ebyava mu kukeberebwa "positive" byokka tebikakasa nti omuntu alina alergy. Omusawo ajja kulowooza ku bintu bingi, omuli obubonero, ebyafaayo by’omulwadde, n’alergy y’amaka, okusobola okusalawo ekisembayo.
• Oluusi naddala singa ebivaamu tebitegeerekeka bulungi, okusoomoozebwa kw’emmere ey’omu kamwa kuyinza okukolebwa okulaba oba alergy eweddewo. Kyokka kino kisaana okukolebwa nga mulabirirwa obutereevu omusawo era mu mbeera y’eddwaliro.
• Singa omusawo akukakasa nti olina alergy, tosattira wadde okutya, era ogoberere ddala ebiragiro by’omusawo. Ebisinga obukulu kwe kwewala ddala emmere ereeta alergy n'okukuuma bulijjo "adrenaline" (epinephrine) auto-injector okumpi okugikozesa mu bwangu.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kubuuza musawo wa famire yo oba omusawo akola alergy. Baliwo okukuwa obulagirizi obutuufu. Sigala nga oli mulamu bulungi!

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