Kodi mukukayikiranso kuti muli ndi vuto la zakudya? Ndiye tiyeni tidziwe za (Mayeso Ovuta pa Chakudya) awa!

Anthu ambiri amakumana ndi zizindikiro zosiyanasiyana monga kusokonezeka m'mimba, ziphuphu pakhungu, komanso kuvutika kupuma akamadya zakudya zinazake, sichoncho? Nthawi zina zimakhala zovuta kudziwa ngati ndi vuto la ziwengo kapena china chake. Nthawi zina ngati izi, pali mayeso apadera omwe angakuthandizeni kudziwa bwino komanso motsimikiza ngati muli ndi ziwengo ku chakudya chinazake kapena ayi. Lero, tikambirana za zomwe zimatchedwa "Food Challenge Test", kapena mayeso a food challenge.

Kodi "Mayeso Ovuta a Chakudya" awa ndi otani?

Mwachidule, iyi ndi njira yodalirika kwambiri yodziwira ngati munthu ali ndi vuto la chakudya china chake . Tangoganizani kuti mukumva chinthu chachilendo mukamadya mtedza. Kuyesaku kungakuthandizeni kudziwa ngati muli ndi vuto la mtedza, kapena ngati ndi malingaliro anu chabe. Komanso, anthu ena amakula chifukwa cha vuto la ziwengo lomwe anali nalo ali ana ali akuluakulu. Kuyesaku kungakuthandizeninso kudziwa ngati vuto la ziwengo latha kapena ngati muyenera kupitiriza kupewa chakudyacho .

Izi zikuphatikizapo kuwonjezera pang'onopang'ono chakudya chomwe mukuganiza kuti muli ndi vuto la ziwengo powonjezera mlingo, motsogozedwa ndi dokotala wanu kapena katswiri wa ziwengo.

Chofunika kwambiri ndichakuti musayesere kudziyesa nokha kunyumba, chifukwa nthawi zina matenda angayambitse ziwengo.

Umu ndi momwe mayesowa amagwirira ntchito nthawi zambiri:

• Choyamba, dokotala adzakupatsani mlingo wochepa kwambiri wa chakudya chomwe mukuganiza kuti muli ndi vuto la ziwengo. Nthawi zina mudzapatsidwa mlingo uwu ngati kapisozi.
• Dokotalayo adzakuyang'anirani mosamala kuti aone ngati pali zizindikiro zilizonse za ziwengo.
• Ngati palibe chomwe chachitika patatha mphindi 15, perekani mlingo wina wa chakudya chomwe chikukayikiridwa.
• Mwanjira imeneyi, njira izi zimabwerezedwa mpaka patakhala vuto la ziwengo kapena mlingo wonse wolembedwa (nthawi zambiri umagawidwa m'magawo anayi kapena asanu ndi limodzi) uperekedwa.
• Ngati zizindikiro zilizonse za ziwengo zikuwonekera, mayesowo adzayimitsidwa nthawi yomweyo ndipo dokotala adzatsimikizira kuti muli ndi ziwengo ndi chakudya chimenecho.
• Ngati palibe chomwe chikuchitika ngakhale mutapereka mlingo wonse, zikutanthauza kuti mulibe vuto la chakudyacho.
• Nthawi zambiri, chakudya chimodzi chokha chimayesedwa mwanjira imeneyi nthawi imodzi .

Izi zimaonedwa kuti ndi "muyezo wabwino kwambiri" wodziwira matenda okhudzana ndi zakudya.

N’chifukwa chiyani mayesowa amachitidwa? Kodi amafunika liti?

Kawirikawiri, gawo loyamba pozindikira vuto la zakudya ndikuchita mayeso a pakhungu kapena magazi a ziwengo. Komabe, nthawi zina mayeso amenewa sangakhale otsimikizika.Apa ndi pamene `(Mayeso Ovuta pa Chakudya)` amabwera. Koma kumbukirani, mayeso ena (kuyesa khungu ndi magazi) ndi odalirika komanso othandiza kwambiri kwa madokotala.

Anthu ambiri amachita mayesowa kuti aone ngati ali ndi vuto la chakudya lotchedwa "IgE-mediated". "IgE-mediated" ndi vuto la ziwengo lomwe limabwera chifukwa cha ma antibodies a "IgE" m'thupi lathu. Mu ziwengo zotere, nthawi zambiri zimachitika nthawi yomweyo mutadya chakudyacho.

Kodi mumachita bwanji izi (Mayeso a Chakudya)?

Madokotala amagwiritsa ntchito njira zosiyanasiyana pochita mayesowa. Njira zonse zimaphatikizapo kuwonjezera pang'onopang'ono mlingo wa chakudya chomwe chikuganiziridwa kuti ndi chakudya chomwe chimayang'aniridwa ndi dokotala.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Nthawi zina chakudya chomwe chikukayikiridwa chimaperekedwa momwe chilili. Mwachitsanzo, ngati mukuyezetsa kuti muli ndi vuto la mtedza, mungapatse mtedza pang'ono. Nthawi zina, chakudyacho chimasakanizidwa ndi china chake, monga batala wa mtedza wothira pa keke. Nthawi zina, kuti zikhale zovuta kuzindikira chakudyacho, chimayikidwa mu kapisozi ndikumezedwa ngati piritsi.

Njira zokonzekera chakudya izi zimagwiritsidwa ntchito kuchepetsa mwayi woti munthuyo azindikire chakudyacho mwa kuona kapena kununkhiza , zomwe zingakhudze zotsatira zake.

Nthawi zina, dokotala wanu angakufunseni kuti mubweretse chakudya chanu kuti mukayesedwe. Mungapemphenso kuti mukonze njira yapadera yokhala ndi chakudya chomwe chikukayikiridwa. Mukadya chakudyacho, kapena mutameza kapisozi, mudzayang'aniridwa mosamala kuti mudziwe ngati pali chilichonse chomwe chingachitike.

Ndani amene sangachite nawo mayesowa?

Anthu omwe kale anali ndi vuto la ziwengo saloledwa kuchita mayesowa. Komabe, akhozabe kuchita mayesowa kuti aone ngati munthuyo alibe vuto la ziwengo. Kumbukirani kuti anthu ambiri amayesa chakudya chimodzi chokha panthawi imodzi.

Ndi mitundu iti ya `(Oral Food Challenge)` yomwe ilipo?

Pali mitundu itatu ya mayeso a ``Oral Food Challenge''. Mayeso onsewa amachitikira kuchipatala kapena kuchipatala.

1. Kuyesa kwa `(Kawiri-blind, kolamulidwa ndi placebo)`

Mu njira iyi, inu kapena dokotala wanu simukudziwa kapisozi kapena chakudya chomwe chili ndi allergen yomwe ikuganiziridwa kuti ndi yoopsa, komanso chomwe chili ndi ``Placebo`` (chinthu chopanda vuto chomwe chilibe allergen). Allergen iyi ndi ``Placebo`` zimaperekedwa maola angapo aliwonse, kapena masiku angapo aliwonse.

Ubwino wa izi ndikuti zotsatira za mayeso sizingakhudzidwe kwambiri ndi mantha a munthuyo kapena malingaliro a dokotala. Mwachidule, zinthu zonse zakunja zimachotsedwa . Ngakhale iyi ndiyo njira yabwino kwambiri yochitira "Mayeso a Chakudya Chovuta", siigwiritsidwa ntchito kawirikawiri kuchipatala ndipo imagwiritsidwa ntchito kwambiri pazifukwa zofufuzira.

2. Mayeso a `(Osawona Kamodzi)`

Mu mayeso awa, dokotala wanu yekha ndiye amadziwa.Ndi chakudya chiti kapena kapisozi iti yomwe ili ndi zinthu zomwe zimayambitsa allergen, ndi chiti chomwe chili ndi ``Placebo''. Izi zimaperekedwanso maola kapena masiku angapo aliwonse.

3. Mayeso a `(Open-food)`

Pankhaniyi, inu ndi dokotala wanu mukudziwa mtundu wa ziwengo zomwe mukupatsidwa. Dokotala nthawi zambiri amagawa kuchuluka kwa chakudya m'magawo ndipo amakupatsirani pang'onopang'ono mlingo wowonjezera kwa nthawi ya ola limodzi. Panthawiyi, mumayang'aniridwa kuti muwone ngati pali ziwengo zilizonse. Iyi ndi njira yodziwika kwambiri.

Kodi muyenera kukonzekera mayeso awa pasadakhale?

Inde, ndithudi. Dokotala wanu adzakupatsani malangizo angapo musanayesedwe kuti atsimikizire zotsatira zodalirika. Malangizo awa angaphatikizepo zinthu monga:

• Pewani kudya zakudya zomwe mukudziwa kuti muli ndi vuto la ziwengo kwa milungu iwiri musanayesedwe.
• Siyani kumwa mankhwala aliwonse olembedwa ndi dokotala kapena mankhwala oletsa ziwengo (mankhwala a ziwengo) musanayesedwe .
• Pewani kudya kapena kumwa chilichonse kwa maola angapo musanayesedwe.

Chofunika kwambiri: Lankhulani ndi dokotala wanu za ziwengo zilizonse zomwe muli nazo komanso mankhwala aliwonse omwe mumamwa. Musazengereze kumwa mankhwala opumira chifukwa cha mphumu kapena kumwa epinephrine pakagwa mwadzidzidzi chifukwa chongoyesedwa. Dokotala wanu adzakuuzani mankhwala oti mumwe, nthawi yake, komanso momwe mungamwere .

Komanso, ngati muli ndi zizindikiro monga chimfine kapena malungo m'mawa wa mayeso, dokotala wanu angakupempheni kuti muchedwetse mayesowo.

Kodi mungayembekezere chiyani panthawi ya mayeso?

Ndizachibadwa kumva mantha pang'ono kapena mantha ndi mayesowa. Koma musadandaule, ndi mayeso otetezeka . Dokotala wanu adzayang'anira zizindikiro zanu zofunika kwambiri panthawi yonse yoyesedwa.

Dokotala wanu adzakupatsani chakudya chochepa chomwe mukuganiza kuti muli ndi vuto la ziwengo ndipo adzayang'anira zomwe zingachitike. Ngati palibe zizindikiro, mudzapatsidwa mlingo wina. Mudzayang'aniridwa mosamala mukamaliza mlingo uliwonse.

Ngati mukusonyeza kuti muli ndi vuto lililonse la ziwengo, mayesowo atha. Dokotala adzakupatsani mankhwala okuthandizani ndi zizindikiro zanu za ziwengo.

Kodi mayesowa amatenga nthawi yayitali bwanji?

Kaya mwayankha bwanji, mayesowa angatenge maola atatu kapena anayi kuti amalizidwe . Madokotala ambiri amakupatsirani allergen pang'ono mphindi 15 zilizonse. Ngati muli ndi vuto la ziwengo kumayambiriro kwa mayeso, mayesowo adzayimitsidwa. Komabe, mudzayang'aniridwa kwa maola awiri pambuyo pake. Nthawi iyi ikhoza kukhala yayitali, kutengera momwe mwayankhira. Ngakhale mutalandira mlingo wonse ndipo mulibe vuto lililonse, dokotala wanu angakusungeni pansi pa kuyang'aniridwa kwa maola awiri pambuyo pake.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Ngati dokotala wanu atsimikiza kuti muli ndi vuto la ziwengo, adzakupatsani malangizo a momwe mungapewere chakudya chimenecho. Adzakupatsaninso mankhwala, monga epinephrine auto-injector (monga EpiPen®). Ngati mulibe vuto la ziwengo ndi chakudya chimenecho, mutha kuwonjezeranso chakudya chimenecho muzakudya zanu zachizolowezi. Kawirikawiri, mukapambana mayeso a vuto la chakudya, sizingakhale bwino kuti chakudyacho chiyambenso kuyankha.

Kodi "Challenge ya Chakudya Cham'kamwa" iyi ndi yotetezeka?

Pali zoopsa zina pa mayesowa. Ndicho chifukwa chake amachitidwa moyang'aniridwa ndi dokotala, mu ofesi yawo kapena kuchipatala. Anthu ambiri amakumana ndi zotsatira zazing'ono, monga ziphuphu pakhungu ndi kuyabwa. Dokotala wanu akhoza kukupatsani mankhwala othandizira kuchepetsa zizindikirozi.

Matenda oopsa ndi osowa , koma ngati achitika, dokotala wanu adzakhala wokonzeka kukupatsani chithandizo chamankhwala chomwe mukufuna. Mavuto aakulu a vuto la chakudya cham'kamwa angaphatikizepo kupuma movutikira kapena anaphylaxis (matenda oopsa omwe angakhale oopsa kwa moyo) .

Kodi ubwino wa mayesowa ndi wotani?

Ubwino wa mayesowa ndi wakuti amakupatsani mwayi wowonjezera zakudya zomwe mungadye komanso amakupatsani mwayi wodziwa ngati chakudya china chake chimayambitsa ziwengo. Kudziwa ngati muli ndi ziwengo kungakuthandizeni kupewa ziwengo mtsogolo.

Kodi zotsatira za mayeso zikuti chiyani?

Zotsatira za mayeso a Oral Food Challenge nthawi zambiri zimadziwika nthawi yomweyo . Madokotala nthawi zambiri amagawa zotsatirazo ngati "Zololedwa" kapena "Zomwe Zachitika."

• `Zololedwa`: Izi zikutanthauza kuti simunakhale ndi vuto lililonse la ziwengo ku chakudya, kotero chakudyacho ndi chotetezeka kudya.
• `Anayankha`: Izi zikutanthauza kuti panali vuto la ziwengo panthawi yoyezetsa.

Nthawi zina mungakhale ndi "zotsatira zosatsimikizika." Ngati zimenezo zitachitika, dokotala wanu angakulangizeni kuti mupewe chakudya chimenecho kuti mukhale otetezeka.

Tiyeni tiphunzirenso za "Mayeso Okhudza Kusamala ndi Chakudya" omwe angachitike kunyumba.

Pali mitundu iwiri ya mayeso: mayeso oyesera chakudya omwe dokotala wanu amachita ndi mayeso oyesera kukhudzidwa ndi chakudya omwe mungachite kunyumba. Mayeso ambiri a kunyumba omwe ali pamsika savomerezedwa ndi Food & Drug Administration (FDA) ndipo alibe phindu lililonse kuchipatala. Izi zikutanthauza kuti mayesowa, omwe mungagule pa intaneti kapena ku pharmacy, salowa m'malo mwa matenda omwe dokotala wapanga.

Mayeso a "Oral Food Challenge Test" amaonedwa kuti ndi " Gold Standard" pozindikira ziwengo za chakudya. Amaphatikizapo kudya dala chakudya chomwe mukuganiza kuti muli ndi ziwengo nacho.Zingakhale zoopsa kuuzidwa kuti muyenera kudya. Koma kumbukirani kuti dokotala wanu adzakhala nanu nthawi yonse yoyezetsa. Lankhulani ndi dokotala wanu za mantha kapena nkhawa zilizonse zomwe mungakhale nazo. Musaope kufunsa mafunso, monga zomwe zimachitika mwadzidzidzi.

Pomaliza, zinthu zoti muzikumbukira

Kotero, mayeso awa ((Mayeso Ovuta pa Chakudya)` ndi ofunikira kwambiri komanso odalirika omwe angadziwe molondola ngati muli ndi vuto la zakudya kapena ayi. Izi ziyenera kuchitika moyang'aniridwa ndi dokotala, pamalo omwe ali ndi zipatala zoyenera. Izi zidzakuthandizani kuthetsa mantha anu a zakudya zina ndikusintha zakudya zanu. Ngati mukufunanso kudziwa za mayeso otere, musaiwale kulankhula ndi dokotala wanu.

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