Okulya emmere ezimu kyongera ku bulwadde bwa asima? Kiyinza okuba nga kiva ku alergy ya sulfite!

Wali weebuuzizzaako lwaki oluvannyuma lw’okulya ebibala ebimu ebikalu, omwenge oba ssoosi ezimu, owulira mangu ng’ogenda eddalu, n’ofuna obuzibu mu kussa, n’owulira ng’olwadde okutuuka mu lubuto? Mpozzi asima yo yeeyongera mangu. Ensonga lwaki kino kikoleddwa eyinza okuba ennyangu okusinga bw’olowooza. Ebiseera ebisinga omuntu avunaanyizibwa ku kino ye ddagala eriyitibwa sulfite. Leero, tugenda kwogera ku allergy eno eya sulfite oba sensitivity.

Mu ngeri ennyangu, sulfite kye ki?

Sulfites ddagala erikozesebwa ng’ebikuuma. Kwe kugamba, ziteekebwa mu mmere n’eddagala okuzikuuma obutayonooneka. Oyinza okuba nga wakirabye nti obulo obusaliddwamu bufuuka bwa kitaka oluvannyuma lw’akaseera. Sulfites zikozesebwa okutangira emmere ng’eno okukyuka langi n’okukomya obuwuka okukula n’okwonooneka. Ng’ekyokulabirako, ebirungo ebiyitibwa sulfites bibadde bikozesebwa mu kukola omwenge okumala ebikumi n’ebikumi by’emyaka okusobola okukuuma langi n’obuwoomi bwa wayini. Emmere n’ebyokunywa ebimu biyinza okubaamu ebirungo ebiyitibwa sulfites mu butonde.

Kizuuliddwa nti wakati wa 4% ne 5% ku bantu abalina asima bayinza okuba n’obuzibu buno obwa sulfite. Mu butuufu, okuwuliziganya kuno okwa sulfite kutera okusinga alergy ya sulfite entuufu (IgE-mediated allergy).

Bubonero ki obulaga nti omuntu alina alergy ya sulfite?

Obubonero bw’obutwa bwa sulfite buyinza okwawukana okusinziira ku muntu. Abantu abamu bafuna obuzibu obutonotono, ate abalala bayinza okufuna obubonero obw’amaanyi. Ka tulabe obubonero buno bwe buli.

Lwaki ebirungo bino ebiyitibwa sulfites bibi eri emibiri gyaffe?

Bannasayansi n’okutuusa kati tebamanyi bulungi lwaki emibiri gy’abantu abamu gikola ku sulfites mu ngeri eno, naye waliwo ebintu ebitonotono bye balowooza nti biyinza okukola kinene.

• Okussa omukka gwa salufa dayokisayidi: Bwe tulya oba okunywa emmere erimu ebirungo ebiyitibwa sulfites, tukola omukka oguyitibwa salufa dayokisayidi. Omukka guno bw’ayingira mu mifulejje gyaffe, asobola okusitula obutoffaali obuli mu mikutu gy’empewo, ne buzimba n’okufunda. Ku muntu alina asima, kino kiyinza okumwongera asima.
• IgE-mediated reaction: Abaserikale b’omubiri gwaffe balina ekika ky’ekirungo ekiziyiza endwadde ekiyitibwa `IgE`. Kiringa abakuumi b'omubiri gwaffe. Omulimu gwabwe kwe kutegeera ebintu eby’obulabe, gamba ng’obuwuka, ebiyingira mu mubiri ne biwa obubonero obubisaanyawo. Naye oluusi bano abakuumi bakola ensobi. Bakyamusa ekintu ekitali kya bulabe mu butuufu, nga sulfites, nti omulabe omunene ne basindika okulabula eri abaserikale b’omubiri. Wano obubonero bwa alergy we bulabika.
• Obutabeera na enzyme ya Sulfite oxidase: Eno enzyme mu mubiri gwaffe. Mu ngeri ennyangu, enziyiza ye puloteyina eyamba mu nkola z’eddagala mu mubiri gwaffe. Enziyiza eno eya sulfite oxidase emenyaamenya ekirungo kya sulphur dioxide n’agiggya mu mubiri. Abalwadde ba asima abamu baba n’ekirungo kino ekitono mu mibiri gyabwe. Olwo, sulfites zisobola okukuŋŋaanyizibwa mu mubiri mu kifo ky’okumenyekamenyeka ne ziggyibwamu obulungi, ekivaako alergy.

Ani ali mu bulabe obw’amaanyi olw’ensonga eno? Era okitegeera otya?

Abantu abalina asima basinga kufuna buzibu bwa sulfite, era abantu abalina alergy endala ku mmere nabo bayinza okuba mu bulabe obusingako katono.

Omuntu atalina asima asobola okufuna obulwadde bwa sulfite? Yee, naye tekitera kubaawo nnyo. Era era tekitera kubaawo nnyo omuntu atalina asima okubeera n’ekizibu eky’amaanyi ku sulfites.

Okuzuula obulwadde

Mu kiseera kino tewali kukebera musaayi oba kukebera lususu kuyinza okuzuula obulungi alergy ya sulfite. N’olwekyo, omusawo wo ajja kuzuula embeera eno ng’akubuuza ebibuuzo ebitonotono.

• Obubonero bwo bwe buliwa?
• Ebyafaayo byo byonna eby’obujjanjabi
• Oba olina asima oba alergy endala
• Nga okola ekigezo ky’okusoomoozebwa kw’emmere

Mu kugezesebwa kuno okw’okusoomoozebwa kw’emmere , omusawo ajja kukutandika ku ddoozi entono ennyo eya sulfites era ayongere mpolampola. Kitera okuweebwa ng’amazzi oba kkapu. Omusawo ajja kukutunuulira alabe oba olina ky’okwata. Bw’oba ​​olina ky’okola, enkola y’amawuggwe go ejja kupimibwa ng’okozesa ekyuma ekiyitibwa spirometer. Kino kikolebwa mu mbeera y’eddwaliro nga mulimu ebifo eby’obujjanjabi obw’amangu, n’olwekyo tekyetaagisa kusattira.

Ojjanjaba otya n’okuddukanya otya?

Bw’oba ​​ozuuliddwa nti olina allergy oba sensitivity, ekisinga obukulu era ekisinga obulungi kwe kwewala emmere, ebyokunywa n’eddagala eririmu sulfites nga bwe kisoboka.

Kyokka omusawo ayinza okukuwa eddagala erimu okusobola okufuga obubonero.

• Cromolyn: Lino ddagala eritebenkeza obutoffaali obuyitibwa mast cells obuleeta alergy.
• Corticosteroids: Eddagala erikendeeza ku kuzimba n’okuzimba mu mubiri.
• Bronchodilators: Bino bye bika by’eddagala erissa abantu abalina asima lye bakozesa. Zigaziya emikutu gy’empewo ne zikwanguyira okussa.
• Antihistamines: Zino ziyamba ku bubonero bwa alergy, gamba ng’olususu okusiiwa n’okukulukuta kw’ennyindo, okusinga obubonero bwa asima.
• Vitamiini B12: Okunoonyereza okumu kulaga nti vitamiini B12 esobola okukendeeza ku alergy eri sulfites. Kyokka kikulu okwogera n’omusawo wo ku nsonga eno.

Okwewala otya ebintu ebirimu ebirungo ebiyitibwa sulfites?

Kino kye kitundu ekisinga obukulu. Katutunuulire emmere n’eddagala erisingamu ebirungo ebiyitibwa sulfites. Gufuule omuze okusoma ekiwandiiko ng’ogula ekintu mu dduuka.

Emmere eyinza okubaamu ebirungo ebiyitibwa sulfites ebingi

Eddagala eriyinza okubaamu ebirungo ebiyitibwa sulfites

Eddagala erimu era liyinza okubaamu ebirungo ebiyitibwa sulfites ng’ekirungo ekikuuma. N’olwekyo, kyetaagisa okubuulira omusawo wo ku buzibu bwo ku sulfite ng’owandiikiddwa eddagala lyonna.

Ebimu ku byokulabirako:

• Eddagala nga adrenaline (Epinephrine), noradrenaline (Norepinephrine) (nga mw’otwalidde n’eddagala erimu eribudamya amannyo) .
• Eddagala erimu erya corticosteroid (ebizigo n’empiso), gamba nga dexamethasone
• Ebimu ku ddagala eritta obuwuka eriweebwa ku mubiri
• Ekirungo kya Dopamine
• Eddagala eritta obuwuka nga aminoglycosides ezimu ne doxycycline ( Doxycycline ) .
• Propofol (eddagala erikozesebwa mu kubudamya) .

Ddi lw’osaanidde okulaba omusawo?

Bw’oba ​​owulira ng’asima oba alergy tezifugibwa bulungi, kakasa nti ogenda ew’omusawo. Bayinza okukuyamba okuzuula ddala ekikuleetera okukuleetera n’okukuwa amagezi ku ngeri y’okubyewala.

Ddi lw’osaanidde okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU)?

Bw’ofuna asima ow’amaanyi atafugibwa ddagala lyo (e.g. inhalers), oba bw’ofuna obubonero bumu oba obusingawo ku bubonero buno obw’amaanyi obw’allergy , genda mu ddwaaliro erikuli okumpi Emergency Department (ETU) amangu ddala.

• Okukaluubirirwa ennyo okussa oba okumira
• Okuzimba emimwa, olulimi, mu maaso oba emimiro
• Okukuba kw’omutima
• Okuwulira ng’omutwe guweweevu oba ng’oziyira
• Okufiirwa okutegeera