Parāoa, rōti, kōttu, keke... He wā anō kāore koe i te pai ki te kai i ngā kai i hangaia mai i te paraoa witi? Tērā pea kei te whakapairuaki koe, kei te raru tō puku, kei te uaua rānei te manawa? Kātahi anō pea kei a koe he mate pāwera witi, arā, he 'Mate Pāwera Wiiti'. Kaua e manukanuka, he mate tēnei e pāngia ana e te tini tāngata. Me kōrero mārama, me te ngāwari hoki i tēnei rā.
He aha te mate pāwera witi?
He mate pāwera kai tino noa te mate pāwera witi. Ki te kī māmā noa, ina kai koe i tētahi mea kei roto he witi, i ētahi wā ka hongihia e koe tētahi mea pērā i te paraoa witi, ka tere te kaha o te pūnaha ārai mate o tō tinana. I te nuinga o te wā, ko te mahi a tō tātou pūnaha ārai mate he whawhai ki ngā mea pērā i ngā huaketo me ngā huakita e mate ai. Engari ina uru te witi ki te tinana o tētahi he mate pāwera witi, ka whakaaro hē te pūnaha ārai mate he hoariri kino te witi, ā, ka tīmata te whawhai ki a ia. Ko tēnei "whawhai" te mea e pāngia ana e tātou hei tohu mate pāwera.
Ko te mea nui , he tino kino te mate pāwera ki te witi i ētahi wā . Mēnā ka puta he tohu kino pērā i te uaua ki te manawa me te pupuhi o te korokoro, ka taea te whakararu i te ora. Mēnā ka puta tēnei, me haere tonu koe ki te Tari Ohotata (ETU) o te hōhipera tata .
Ka pāngia te tangata katoa e tēnei mate, engari ki te mea he mate pāwera anō tō tētahi o tō whānau, tera pea ka pāngia koe e tētahi.
He aha te mea ka tupu ina uru te witi ki roto i te tinana?
E rua ngā huarahi matua ka pāngia ai te tangata e mate pāwera ana ki te witi. Tērā pea he ahua pūtaiao tēnei, engari kia māmā noa iho.
1. Tauhohenga tonu (tauhohenga i raro i te IgE)
Koinei te huarahi tino kitea. Ina uru te witi ki te tinana, ka whakaputahia e tō tātou pūnaha ārai mate tētahi momo paturopi motuhake e kiia nei ko te Immunoglobulin E (IgE) . Ka mōhio ēnei paturopi IgE ki te witi hei "hoariri" ā, ka mahi tonu ki a ia.
- Te Wā: Ka tino tere te puta o tēnei tauhohenga. Ka puta pea ngā tohu i roto i ētahi meneti ki ngā haora e whā i muri i te kai witi.
- Te Kaha: Ko tēnei momo tauhohenga te take o tētahi mate tino kino, e morearea ana ki te ora, e kiia nei ko te anaphylaxis .
2. Tauhohenga whakaroa (tauhohenga kore-IgE)
Ka uru atu hoki te pūnaha ārai mate ki tēnei tauhohenga, engari kāore ngā paturopi IgE i whakahuatia i mua ake nei e whai wāhi ana.
- Wā: He puhoi tēnei tauhohenga.E 48 hāora pea te roa ka puta mai ai ngā tohu.
- Ngā Tohu: Ko ngā mate matua e puta mai ana i tēnei ko te Eosinophilic Esophagitis (EoE) , arā, te mumura o te korokoro (te paipa kai), me te Eosinophilic Gastritis (EG) , arā, te mumura o ngā pakitara o te puku.
He aha ngā tohu o tēnei mate pāwera?
Ka rerekē ngā tohu i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi e ngā tohu ngawari , ko ētahi ia ka pāngia e ngā tohu tino kino. Me wehewehe ēnei kia māmā ake te mārama.
| Ngā tohu e puta mai ana i te pūnaha tinana | Ngā tohu ka kitea |
|---|---|
| Kiri | He whewhe, he whero te kiri, he mākūkū, he pupuhi. |
| Pūnaha Nakunaku | Mamae puku, whakapairuaki, ruaki, pupuhi, korere. |
| Pūnaha Manawa | Te ihu pupuhi, te ihu pupuhi, te tihe, te whewhe, te uaua ki te manawa. |
| Ētahi atu āhuatanga | Te mamae o te upoko, te wai o ngā kanohi, te pupuhi o te tinana. |
Āwhati! Ngā tohu kino o te anaphylaxis
Ki te pāngia koe e tētahi o ngā tohu i raro nei, he mate tino kino, he mate tere hoki tēnei. Ka kiia tēnei ko te anaphylaxis. I roto i ēnei āhuatanga, me haere tonu koe ki te rūma ohorere (ETU) o te hōhipera .
| Anaphylaxis - Ngā Tohumate Āwhina | |
|---|---|
| Te uaua nui ki te manawa (dyspnea) | Te ahua o te kikī o te uma. |
| Te uaua ki te horomi (dysphagia) | Te pupuhi o te korokoro, te arero, te mata rānei. |
| Te hekenga ohorere o te toto toto (hypotension) | Pōuriuri, kanohi kikorangi, ngaro te māramatanga (syncope). |
| Ngā tere o te ngakau | Te ngoikore o te manawa, te kore okiokinga. |
| Mamae nui te puku, te ruaki | Ka mātao te tinana, ka pāngia e te ohorere. |
He aha i puta ai tēnei mate pāwera?
Ko te tino take o tēnei mate pāwera ko ngā pūmua kei roto i te witi. Ka tauhohe hē tō tātou pūnaha ārai mate ki ēnei pūmua. Ko ngā momo pūmua matua e whā ko:
- Pūmua
- Gliadin
- Globulin
- Kuruteni
Me pēhea taku mōhio mēnā kei reira tēnei?
Ki te whakapae koe he mate pāwera witi tōu, ko te mea pai ko te toro atu ki tētahi tākuta mate pāwera . Ka pātai atu ia ki a koe i ētahi pātai, ā, ki te tika, ka whakahaerehia ētahi whakamātautau hei whakaū i tēnei.
Ngā pātai ka taea e koe te pātai ki te tākuta:
- He mate pāwera pēnei kei roto i tō whānau?
- He mate pāwera kai anō āu?
- He aha ō tohumate?
- Kia pēhea te roa i muri i te kai ka puta mai ai ēnei tohu?
- Kei te tango rongoā koe mō ēnei tohu?
- Kei te pupuri koe i tētahi puka kai mō ngā mea e kainga ana e koe?
He aha ngā whakamātautau e mahia ana?
1. Whakamātautau Wero Kiri:Ko tāu mahi he pata wai kei roto he pūmua witi ki te kiri o tō ringaringa, ka waru mārire mārire ki te ngira iti. Mēnā he mate pāwera tōu, i roto i te 15 meneti pea ka whero te wāhi, ka pupuhi paku, me te mea kua ngaua koe e te waeroa.
2. Whakamātautau Toto IgE: I konei, ka tangohia he tauira toto iti mai i a koe, ā, ka whakamatautauria te taumata o ngā paturopi IgE ki te witi.
3. Te Wero ā-Waha Kua Whakataurangahia: Mena kāore i te tino kitea he hua o ētahi atu whakamātautau, ka hoatu pea e te tākuta he iti noa te witi ki a koe i te hōhipera, i te whare hauora rānei kei raro i tā rātou tirotiro hei tirotiro mēnā he tauhohenga kei a koe. Kaua rawa e whakamātau i tēnei ki te kāinga.
Me pēhea te whakahaere me te rongoā?
Ko te rongoā pai rawa atu, ko te rongoā anake hoki mō te mate pāwera ki te witi, ko te karo rawa i te witi me ngā kai me ngā hua katoa kei roto te witi .
Ka mutu te mate pāwera witi i te nuinga o ngā tamariki i a rātou e pakeke haere ana. E ai ki ngā rangahau, tata ki te 66% o ngā tamariki ka mutu. Heoi, ki te puta i te pakeketanga, ka roa pea mō te wā katoa.
He aha te momo kai me whakakore?
He nui ake ngā kai e kitea ana te witi i tā tātou e whakaaro nei, nō reira he mea nui kia pānuihia te tapanga i runga i ia kete ka hokona e koe i te toa.
| Kāwai kai | Ngā tauira hei karo |
|---|---|
| Ngā hua tunu taro | Taro, paina, keke, pihikete, muffin, pēkana. |
| Pāta me ngā nūru | Ngā momo rimurapa katoa, spaghetti, nūru (i hangaia mai i te witi). |
| Ngā Wīti Parakuihi | He maha ngā momo pata witi, te kirīmi witi. |
| Ētahi atu kai | He ranu, he hot dog, he aihikirimi, he ranu soya, he piza. |
Hei tāpiritanga, tera pea kei roto i ētahi hua ehara i te kai he witi. Hei tauira, tera pea kei roto i ētahi mea whakapaipai, hopi, me ngā Play-Doh a ngā tamariki he witi.
He rongoā kei reira?
Mena he iti noa ngā tohu mate pāwera kei a koe (hei tauira, he whewhe), ka tohua pea e tō tākuta he rongoā antihistamine . I ētahi wā, ka hoatu pea he corticosteroids mō te wā poto.
Mō te hunga he mate pāwera nui tō rātou, ka tūtohu pea tō tākuta kia mau tonu koe i tētahi werohanga epinephrine (pēnei i te EpiPen) . Ka whakamahia tēnei i ngā wā ohorere pēnei i te anaphylaxis. Mā tō tākuta e whakamārama me pēhea te whakamahi i tēnei.
He rite tonu te mate pāwera witi, te kore e manawanui ki te kuruteni, me te mate celiac?
Kāo. Koinei te wāhi e pōhēhē ai te tini o te tangata. Ko ēnei āhuatanga e toru, e toru.
| Tūnga | Whakaahuatanga | Te urupare a te tinana |
|---|---|---|
| Mate pāwera witi | He mate pāwera ki ngā pūmua i roto i te witi. | Ka tauhohe te pūnaha ārai mate mā te whakaputa i ngā paturopi IgE. I ngā wā tino kino, ka pā mai pea te anaphylaxis. |
| Mate Celiac | Ehara tēnei i te mate pāwera. He mate pūnaha ārai mate tēnei. Ka tauhohe ki tētahi pūmua e kiia nei ko te kuruteni, e kitea ana i roto i ngā witi pēnei i te witi me te parei. | Ka pakaru ngā pakitara o tōna ake whekau iti e te pūnaha ārai mate. He mate tēnei mō te wā katoa. |
| Te Ātete/Te Tairongo ki te Kuruteni | Ehara tēnei i te mate pāwera, ehara hoki i te mate pūnaha ārai mate. He take tēnei o te kore e taea te kai i te kuruteni. | Ka pā te mamae ki te pūnaha nakunaku (pupuhi, mamae puku, ānini), engari kāore he tauhohenga morearea e puta ana. |
Karere Tangohia ki te Kāinga
- Ko te mate pāwera witi he urupare hē a te pūnaha ārai mate o tō tinana ki te witi.
- Ka rerekē pea ngā tohu mai i te mākūkū iti ki te anaphylaxis e morearea ana ki te ora.
- Ki te pāngia koe e ngā tohu kino pēnei i te uaua ki te manawa me te pupuhi o te korokoro, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera.
- Ko te rongoā pai rawa atu mō tēnei ko te whakakore i ngā kai katoa kei roto te witi i roto i tāu kai me tāu kai.
- He mea tino nui kia pānuihia te tapanga o ia kai ka hokona e koe i te toa.
- Ki te whakapae koe kei a koe tēnei mate, me toro atu ki te tākuta mō ētahi tohutohu.
- E toru ngā āhuatanga rerekē o te mate pāwera witi, te mate celiac, me te aro ki te kuruteni.
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