Chaw thenkhat i ei hian harsatna mak tak tak i tawk bawk em? (Histamine Intolerance) chungchang hi han sawi ila!

Engvangin nge ei tur thenkhat i ei hnuah chauh i pum a na, i sen, i vun a na, emaw, i hnar a luang emaw tih i ngaihtuah ngai em? A chang chuan, "Aw my, engvangin nge hetiang hi keimah chauh hi a lo thlen?" Hei hi a chhan a awm tak tak mai thei. Vawiin hian chutiang dinhmun pakhat chu kan sawi dawn a ni. `(Histamine Intolerance)` tih a ni.

`(Histamine Intolerance)` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

Awle, a hmasain `(Histamine)` tih hi eng nge a nih kan en ang u. `(Histamine)` hi kan taksaah a pianphung anga awm chemical a ni. Tin, kan eitur thenkhatah pawh `(Histamine)` a awm bawk. Kan taksaah hmun pawimawh tak a chang a ni. Entirnan, kan taksa hriselna (immune system) a pui a, natna hrik a do a, kan chaw ei (digestive system) a thawk thei bawk.

Tunah chuan `(Histamine Intolerance)` tih hi eng nge ni? A awlsam zawngin sawi ila, i taksain ei tur atanga `(Histamine)` a ei that theih loh vang emaw, taksaa `(Histamine)` awm zat a thunun theih loh vang emawa lo awm thin a ni. Hetianga thil thleng chu taksaa `(Histamine)` level a sang a, symptom hrang hrang a thlen thin.

Mahse hei hi a ni. Khawvel hmun hrang hranga damdawi lam pawl lar tak tak, American Academy of Allergy and Immunology te chuan official takin histamine intolerance hi natna anga an pawm lo. Thupui sawisel hlawh tak a ni. Mithiam thenkhat chuan taksaa histamine tihchhiatna tura puitu Diamine Oxidase (DAO) tih enzyme hnathawh a tlahniam vang a ni thei niin an sawi. Mahse zirchianna thar chuan heng symptoms nei tam tak hian histamine intolerance an nei tak tak lo mai thei a, hriselna lama harsatna dang an nei zawk mai thei tih a tarlang. Chuvangin hemi chungchangah hian rinhlelhna i neih chuan Doctor nen inbiakna neih a tha ber.

`(Histamine Intolerance)` hi ei leh in lama allergy a ni em? A nih loh leh `(Histamine)` hi reaction a ni em?

Ni lo, `(Histamine Intolerance)` hi ei leh in allergy a ni lo. Mahse, mi thenkhat chuan a natna lan chhuah dan a inang deuh avangin an buaipui mai thei. Hei hi `(Pseudoallergy)` an ti bawk. Chu chu, allergy ang maia lang mah se, a chhan chu a danglam tihna a ni. Allergy-ah chuan kan immune system hian thil pakhat (e.g. ei leh in) lakah a chhang let thin. Mahse `(Histamine Intolerance)` ah chuan chutiang chu a thleng lo.

Hei hi `(Histamine Intoxication)` nge `(Histamine Poisoning)` tih nen a inang em? Chutiang bawkin a ni lo. `(Histamine Intoxication)` hi a tlangpuiin mi tam takin `(Histamine)` tamna chaw, sangha chhe tawh ang chi an ei a, rang takin food allergy an neih hian a thleng thin. Hei hi document tha takin a awm tawh a ni. Amaherawhchu `(Histamine Intolerance)` ah chuan taksaa `(Histamine)` a lo pungkhawm zauh zauh vangin a lan chhuah dan a awm thin.

`(Histamine Intolerance)` natna lan chhuah dan chu engte nge ni?

Hei hi a pawimawh ber a ni. `(Histamine Intolerance)` natna lan chhuah danMi tin a inang lo thei. Mi thenkhat chuan symptom pakhat chauh an nei thei a, thenkhat erawh chuan vawi khatah vawi engemaw zat an nei thei thung. Heng symptoms te hi eng nge ni tih hi han thlir ila:

• Diarrhea: Luak chhuak fo thin.
• Bloating: Pum chhunga a khat tih hriatna.
• Nausea or vomiting: Ei theih lohna emaw, luak duhna emaw.
• Lu na: A chang chuan lu na na tak, migraine ang chi a awm thei.
• Hnar luang emaw, hnar khar emaw: Khawsik ang mai.
• Thâwk a tawi (Dyspnea): Thâwk harsa.
• Itching: Vun a na a, a chang chuan eczema a thlen thin.
• Rash emaw hives emaw: Vunah a sen, sang tak a awm .
• Flushing: Hmai sen nghal vat.
• Thisen sang hniam: Hei hian luak chhuak leh chak lohna a thlen thei.
• Heart rate mumal lo emaw, chak lo emaw (Arrhythmia): Heart beat rate inthlak danglamna.
• Hmeichhia hian thlasik laiin natna nasa tak an nei thin (Painful menstruation).
• I hmui, i lei emaw i beng emaw a hring: Hei hi a hlauhawm deuh deuh a ni.

I hmu em, a dik em? Heng symptoms te hi natna dang nen a inang fo thin. Chuvang chuan eng nge dik lo tih chiang taka hriat tumin doctor pan a pawimawh.

Engvangin nge hetiang `(Histamine Intolerance)` hi a lo awm?

Hei hi a chhan chungchangah hian theory hrang hrang a awm a. Theory lian ber pakhat chu kan taksaa enzyme Diamine Oxidase (DAO) tih, histamine tihchhiat puitu hi a tlahniam emaw, a hnathawh a tlahniam emaw tih hi a ni. Ngaihtuah teh, kan taksa hian ei tur a\angin histamine a hmu a, taksa chhungah pawh a siam chhuak bawk. Histamine a tam chuan enzyme DAO hian a control theih nan hna a thawh a ngai a ni. Chuvangin enzyme DAO hian hna a thawk tha lo a nih chuan taksaah histamine a pungkhawm a, a hmaa kan sawi tawh ang khan symptoms te chu a lo lang tan thin.

Mahse, he ``(DAO)`` enzyme level a tlahniam chhan, a hnathawh a tlahniam chhan hi scientifically-in a la finfiah lo. Chuvang chuan he thil hi mithiamten an la zirchiang mek a ni. Hei hi genetic factors, damdawi thenkhat emaw, intestinal natna dang emaw hian a nghawng thei niin an ngai.

Eng ei tur nge histamine tipung?

Chaw thenkhatah chuan a pianphungah histamine a tam hle. A bik takin ei tur upa tawh leh vawn thatna atana fermented tawhte hi histamine a tam hle.Tin, ei tur thenkhat chu ei a nih chuan kan taksaa `(Mast cells)` an tih cell atanga `(Histamine)` chhuahna tipungtu a awm bawk. Chungte chu `(Histamine liberators)` an ti a. Heng ei tur chi hnih hian taksaa `(Histamine)` level a tisang thei a ni.

Entirna thenkhat han en ila:

• Zu: a bik takin wine, beer, champagne.
• Sa siam: Sausage, ham, bacon ang chi thil.
• Cheese: A bik takin cheese upa tawh, khauh tak tak.
• Sauerkraut: Cabbage hmin (fermented) a ni.
• Thlai: Thlai thenkhat chu tomato, eggplant, spinach te an ni.
• Tropical fruit: Citrus thei chi hrang hrang, pineapple, banana, papaya, leh orange te.
• Nga leh sangha: A bik takin sangha, mackerel, halibut, sardines, leh herring te. Preserved leh canned fish-ah pawh histamine a tam hle.
• Strawberry chi hrang hrang a awm.
• Nuts leh peanuts te pawh a awm.
• Licorice a ni.
• Chocolate.
• Vawksa.
• Egg var a ni.
• Food additives: Chaw ei tur atana rawng leh preservative thenkhat dah tel.

Party-ah i kal a, wine tlem leh cheese i in lai kha han mitthla teh. I pum na i neih emaw, a hnu deuh deuha i nat tan chuan `(Histamine)` i ei tam vang pawh a ni thei.

He list hian hlauthawng suh. Mi zawng zawng hian heng ei tur zawng zawng hi allergy an nei vek dawn lo. Mi tinte tana allergy nei ei tur chi hrang hrang a inang lo thei.

Engtin nge `(Histamine Intolerance)` i nei tih i hriat theih ang?

Hei hi a harsa ber a ni. A chhan chu, a hmaa kan sawi tawh ang khan, doctor tam zawk chuan `(Histamine Intolerance)` hi official diagnosis atan an pawm lo. Tin, a natna hriat theihna tur test bik a la awm lo bawk.

Mahse, doctor i hmuh hunah chuan i natna lan chhuah dan chu uluk takin an ngaithla ang a, a chhan dang pawh an paih chhuak ang. Allergist emaw gastroenterologist emaw hnenah pawh an refer thei bawk.

A tlangpuiin, doctor chuan hetiang hi a ti thei a:

• Food diary vawn: Hetah hian nitin i ei leh in zawng zawng, i natna lan chhuah dan eng emaw, eng chen nge a lo intan tawh tih te i ziak vek a ni. Hei hian nang leh i doctor te pawhin pattern an hriat theih nan a pui thei a ni. Buaina hi chaw pakhat vang ni lovin, ei tur engemaw zat inzawmkhawm vang a ni thei.
• Allergy vun test emaw thisen test emaw: Hengte hi ei leh in allergy i nei tak tak em tih hriat nan emaw, a awm loh nan emaw tih thin a ni.
• Food challenge test: Hei hian doctor enkawlna hnuaiah ei tur nia rinhlelh tlemte pek che a, a lan chhuah dan enfiah a huam a ni. Hei hi damdawi inah tih a ni fo.

`(Histamine Intolerance)` hi engtin nge kan enkawl ang?

Food intolerances hi i rilru hahna thlentu ei tur hriatchhuah a, pumpelh hmanga enkawl a ni tlangpui.

Chutianga tih theih dan pakhat chu `Elimination Diet` tih a ni. Chu chu `(Histamine)` tamna i rinhlelh zawng zawng chu kar tlemte chhung i ei tawh loh tihna a ni. Chutih lai chuan symptoms i neih loh chuan chu ei tur chu pakhat hnu pakhatin, ni engemaw zat danah i dah leh thin. Tichuan eng eitur nge symptoms thlentu tih i hmu thei ang. Chu chu i symptoms thlentu ei tur te chu an ni. Tichuan chutiang ei tur chu i pumpelh thei tawh ang.

`(Histamine Intolerance)` damdawi a awm em?

Ni e, heng symptoms te tihziaawmna tur damdawi thenkhat a awm. Mahse , heng damdawi chauh hi a tawk lo; ei leh in hrisel nen ei dun tur a ni. Doctor chuan damdawi a pe thei a, chungte chu:

• `(H1 leh H2 antihistamines)`: Hengte hian taksaa `(Histamine)` chhanna petu `(receptors)` te chu block-in hna an thawk a ni. Tichuan, `(Histamine)` awm mahse a thawk thei lo. Damdawi chi hrang hrang `(Cetirizine)`, `(Loratadine)`, `(Fexofenadine)` ang chi, allergy avanga pek thin te hi `(H1 antihistamines)` a ni. Damdawi chi hrang hrang `(Ranitidine)`, `(Famotidine)`, pumpui harsatna atana pek thin te hi `(H2 antihistamines)` category-ah an tla a.
• `(Mast cell stabilizers)`: Damdawi `(Cromolyn sodium)` ang chi hian `(Mast cells)` atanga `(Histamine)` chhuah chu a titawp thin. Natural substance thenkhat, entirnan, `(Flavonoids)`, `(Luteolin)` leh `(Quercetin)` te pawhin he property hi an nei tih hmuhchhuah a ni bawk.

Engtikah nge damdawi inah ka kal nghal ang? (Engtikah nge ER kal tur)

A chang chuan heng symptoms te hi a na hle thei bawk. Chutiang hunah chuan , allergy na tak ``Anaphylaxis'' an tih chu a awm thei a, chu chu nunna atana hlauhawm tak a ni thei . A hnuaia symptoms te hi i neih chuan hospital emergency department hnai ber pan nghal la, a nih loh leh 1990 ah call rawh:

• Ka hmui, lei emaw, kawr emaw a hring nghal vek.
• Thâwk lak harsa lutuk tih hriat.
• Thisen sang tlahniam nghal (hei hian chak lohna nasa tak, luak chhuak, muthilh, leh buaina a thlen thei).

Damdawi thenkhat hian taksaa histamine level a tisang thei em?

Ni e, damdawi thenkhat ei hian taksaa `(Histamine)` level tisang thei a awm. Entirnan, natna tidamtu \henkhat `(Opioids/Narcotics)` leh \henkhat `(Contrast agents)` medical test-na atana hman (a bik takin `(X-ray)`, `(CT scan)` etc. hmaa pek te) te chu hemiah hian a tel a ni.

`(Histamine Intolerance)` vei hian eng ang hmalam hun nge a beisei theih ang?

Hei hian hlauthawng suh. Food sensitivity nei tam tak chuan an ei leh in lama inthlak danglamna siamin an dinhmun an enkawl thei a ni. A nasat chuan damdawi an ei a ngai mai thei.

A tha ber chu a chang chuan he inngaihtlawmna hi hun eng emaw chen atan a ni thei. Hun a kal zel a, a hmaa i off-putting thin ei tur te chu i ei leh thei tawh mai thei a, a tlem berah.

Engtikah nge ka doctor ka hmuh ang?

I sawifiah theih loh symptom i neih chuan emaw, ei tur pakhatah intolerance emaw sensitivity emaw i nei nia i hriat chuan chhungkaw doctor pan ngei ngei tur a ni. Allergy emaw, intolerance emaw, thil dang emaw a nih leh nih loh a hre thei a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hian hetiang zawhna hi zawh hi a \angkai thei ang:

• "Doctor, hei hi allergy nge intolerance?"
• "Engtin nge eng eitur nge ka allergy tih chiang taka ka hriat theih ang?"
• "Hetiang hian reaction ka dawng a nih chuan engtin nge ka tih ang?"

A chang chuan kan taksa hi a thuruk deuh thin. Eng thilin nge min tibuai tih hriat kan duh chauh a ni. Kan taksaa thil thleng hriat leh enkawlna dik tak zawn kan duh vek a ni. `(Histamine Intolerance)` tih ang chi natna dang tam tak a awm bawk. Mahse a tam zawkah chuan sawifiahna dang a awm thin. I doctor chuan natna dang a test thei che a, i natna lan chhuah chhan zawng turin a pui thei bawk che a ni. I natna lan chhuah dan leh a lo awm hun tur diary-a ziah pawh a \angkai thei bawk. I doctor nen tangkawpin hahdamna i hmuh theih nan tips i rawn siam thei ang.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

• Histamine intolerance hi sawisel hlawh tak a ni a, taksain histamine a ei tha thei lo a nih chuan a thleng thin. Official-a pawm natna a ni lo.
• A lan chhuah dan a inang lo va, pum na, vun lama harsatna, leh lu na te pawh a tel thei.
• Hei hi ei leh in allergy a ni lo.
• Fermented leh preserved foods-ah hian `(Histamine) a tam hle.` Chocolate, tomato, leh thei thenkhatah pawh hmuh tur a awm bawk.
• Test bik a awm lo. Food diary siam a, doctor nena inbiakna neih a pawimawh.
• Enkawlna ber chu ei tur tithinur thei te hriatchhuah leh pumpelh hi a ni. Damdawi thenkhat pawhin a pui thei bawk.
• Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni a, thurawn la rawh. Mahni inhriatthiamna nei suh la, nangmah chauhin i ei leh in thunun tum ang che. Heng chhinchhiahnate hi natna khirh tak dang chhinchhiahna a ni thei bawk.

Hriselna tha neih duhsakna kan hlan e!

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