Tiyeni tiphunzire zambiri zokhudza ziwengo za chakudya. Dziwani zinthu izi kuti musadandaule!

Lero tikambirana za chinthu chofunika kwa anthu ambiri, ndipo nthawi zina chowopsa pang'ono. Chimenecho ndi chifuwa cha chakudya, kapena monga momwe timanenera mu Chingerezi, "Chakudya Choopsa". Kodi mudayamba mwakumanapo ndi vuto la nseru, kuvutika kupuma, kapena kusokonezeka m'mimba mutadya chakudya? Mwina zachitika kwa inu. Tiyeni tiwone zomwe izi zilidi, chifukwa chake zimachitika, komanso momwe tingasamalire.

Kodi Matenda a Chakudya Ndi Chiyani?

Mwachidule, vuto la chakudya ndi pamene thupi lanu limazindikira molakwika chakudya chosavulaza ngati "choopsa" ndipo limachichita. Ganizirani ngati chitetezo cha thupi lanu, chomwe chimawona chakudya chabwinobwino kenako n’kunena kuti, "O, uyu ndi mdani!" Chifukwa chake, amachita zomwe akuganiza kuti "zikukutetezani", ndipo mumakhala ndi zizindikiro. Izi zitha kuphatikizapo ziphuphu, kutupa, kupweteka m'mimba, kusanza, kutsegula m'mimba, komanso kupuma movutikira .

Nthawi zina vutoli limakhala loopsa kwambiri. Timalitcha kuti `(Anaphylaxis)`. Izi zimachitika pamene njira zopumira mpweya zimatupa ndipo simungathe kupuma, kapena kuthamanga kwa magazi kumatsika mwadzidzidzi. Ngati mwadzidzidzi mukutupa nkhope yanu, pakamwa, milomo kapena pakhosi, mukuvutika kupuma kapena kumeza, kapena mukumva kukomoka, muyenera kuyimba 911 kapena kupita ku dipatimenti yapafupi yadzidzidzi yachipatala nthawi yomweyo. Izi si nthabwala, chabwino?

Kodi pali mitundu yosiyanasiyana ya ziwengo pa chakudya?

Inde, pali mitundu ingapo ikuluikulu. Tikamanena kuti "zilakolako za chakudya," timatanthauza zilakolako zomwe zimayambitsa nthawi yomweyo komanso nthawi zina zovuta ku zinthu monga mtedza, mtedza wa mitengo, ndi cashews. Dokotala wanu angatchule izi kuti "zilakolako zenizeni" kapena "zilakolako zomwe zimayambitsidwa ndi IgE." "IgE" iyi ndi mtundu wa antibody m'thupi lathu. Izi ndi zomwe zimapangitsa "kuzindikira molakwika" monga tafotokozera kale.

Palinso mtundu wotchedwa `(Oral allergy syndrome)`. Uwu ndi mtundu wa `(IgE-mediated)`. Komabe, pankhaniyi, pali vuto la m'kamwa lokha pamilomo ndi mkati mwa pakamwa. Izi sizimachitika kawirikawiri kuti zikhale `(Anaphylaxis)`.

Kuphatikiza apo, palinso mitundu ya machitidwe a chakudya otchedwa ``Non-IgE-mediated''. Ndiko kuti, omwe sali okhudzana ndi ma antibodies a ``IgE''. Zitsanzo zina ndi izi:

• `(Food protein-induced enterocolitis syndrome - FPIES): Izi makamaka zimakhudza kusanza ndi kutsegula m'mimba.
• Eosinophilic esophagitis: Uku ndi kutupa kwa m'mero .
• Eosinophilic gastritis: Kutupa kwa m'mimba kumachitika.
• `(Proctitis yoyambitsidwa ndi mapuloteni a chakudya)`: Izi nthawi zambiri zimachitika kwa ana aang'ono, ndipo zizindikiro zake zimaphatikizapo magazi pang'ono omwe amatuluka m'chimbudzi.

Kodi ndi zinthu ziti zomwe zimayambitsa ziwengo pa chakudya zomwe zimafala kwambiri?

Pali zakudya zingapo zomwe zimayambitsa ziwengo kwambiri padziko lonse lapansi, komanso m'dziko lathu. Izi ndi zazikulu:

• Mtedza
• Mtedza wa mitengo monga ma cashew, amondi, ndi walnuts(monga amondi, walnuts, pistachios, hazelnuts, pecans, cashews, Brazil nuts)
• Mkaka ( makamaka mkaka wa ng'ombe)
• Mazira
• Nsomba
• Nsomba za Shellfish ( monga nkhanu, squid, shrimp)
• Soya
• Tirigu
• Sesame

Zakudya zimenezi zimapanga pafupifupi 90% ya ziwengo zonse za chakudya. Komabe, ndikofunikira kukumbukira kuti mutha kukhala ndi ziwengo ku chakudya chilichonse, ngakhale sichili pamndandandawu . Anthu ena alinso ndi ziwengo ku zipatso ndi ndiwo zamasamba.

Ndi zizindikiro ziti zomwe zingachitike ndi vuto la chakudya?

Zizindikiro za vuto la chakudya zimatha kusiyana malinga ndi munthu. Kwa anthu ena, zimatha kukhala zochepa kwambiri, pomwe kwa ena zimatha kukhala zoopsa kwambiri. Nazi zina mwa zizindikiro zodziwika bwino:

• Ziphuphu kapena ziphuphu pakhungu: Izi zimafiira mwadzidzidzi, zimayabwa, komanso zimatupa, ngati kulumidwa ndi udzudzu. Izi zimayabwa kwambiri.
• Khungu loyabwa: Kuyabwa thupi lonse kungakhale kopanda vuto.
• Kutupa kwa nkhope, milomo, pakamwa, kapena lilime: Ichi ndi chizindikiro choopsa pang'ono.
• Kuyabwa pakamwa ndi pakhosi: Kuyabwa pakhosi mukamadya.
• Mawu okweza: Kusintha kwadzidzidzi kwa mawu.
• Kuvuta kumeza: Kumva ngati chinachake chatsekeredwa pakhosi.
• Kupuma movutikira: Phokoso la mluzu lochokera pachifuwa.
• Kupuma movutikira kapena kupuma movutikira: Izi ndi zadzidzidzi.
• Kutsokomola: Mungakhale ndi chifuwa chosalekeza.
• Kupweteka m'mimba: M'mimba mumakhala ululu ndipo mukumva ngati mukutembenuzidwa.
• Kusanza
• Kutsegula m'mimba
• Kufooka mutu kapena kukomoka: Izi zitha kukhala chifukwa cha kuthamanga kwa magazi.
• Mphuno yotuluka madzi
• Kutsimula

Chofunika kwambiri: Tiyerekeze kuti munayamba mwadya chakudya china chake pang'ono kale. Koma nthawi ina mukadya chakudya chomwecho , mungakhalenso ndi vuto lalikulu. Choncho, ngati mukumva zizindikiro zoopsa (makamaka kupuma movutikira, kutupa kwa nkhope), pitani kuchipatala nthawi yomweyo.

Kodi zimatenga nthawi yayitali bwanji kuti zizindikiro za ziwengo za chakudya ziyambe?

Kawirikawiri, zizindikiro zimayamba kuonekera pasanathe maola awiri mutadya chakudya chomwe muli nacho. Nthawi zina zimatha kuyamba pasanathe mphindi zochepa. Nthawi zambiri, zizindikiro zimawonekera patatha maola angapo.

N’chifukwa chiyani ziwengo za chakudya zimenezi zimachitika?

Nkhani yake ndi yovuta pang'ono, koma mwachidule, ili motere. Mukakhala ndi vuto la zakudya, chitetezo chanu cha mthupi, chomwe chimatiteteza ku matenda, chimazindikira molakwika kuti puloteni yomwe ili mu chakudya ndi "yoopsa." Imayankha ngati kuti ndi kachilombo kapena mabakiteriya.

Choncho, mukadya chakudya chomwe muli ndi vuto la ziwengo, chitetezo cha mthupi chimayamba kugwira ntchito zosiyanasiyana kuti chichotse chinthu "choopsa" (allergen) m'thupi lanu. Pamenepo ndi pomwe zizindikiro zonse zomwe zatchulidwa pamwambapa zimawonekera. Nthawi zina izi zimatha kukhala zoopsa kwambiri moti zimatha kupha munthu.

Ndani amene ali ndi mwayi waukulu wokhala ndi vuto la zakudya?

Anthu ena amakhala ndi vuto la ziwengo chifukwa cha zakudya pazifukwa izi:

• Ngati muli ndi ziwengo zina: Mwachitsanzo, ngati muli ndi ziwengo chifukwa cha mungu kapena fumbi, mukhoza kukhala ndi ziwengo chifukwa cha chakudya.
• Ngati muli ndi eczema kapena mphumu: Anthu ena ali ndi eczema, mphumu, ndi ziwengo nthawi imodzi. Matendawa amatchedwanso "Atopy".
• Ngati wina m'banja mwanu (amayi, abambo, abale ndi alongo) ali ndi ziwengo, mphumu, kapena eczema: Pakhoza kukhala matenda enaake m'majini.

Kodi ndi mavuto ati omwe amabwera chifukwa cha ziwengo za chakudya?

Vuto loopsa kwambiri la ziwengo za chakudya ndi vuto lomwe latchulidwa pamwambapa la `(Anaphylaxis)`. Izi zingayambitse kutupa m'thupi lonse, kusanza kosalamulirika, kuvutika kupuma kwambiri, komanso kuchepa kwa kuthamanga kwa magazi (anaphylactic shock). `(Anaphylaxis)` yoopsa kwambiri ingayambitse imfa. Chifukwa chake, muyenera kusamala kwambiri ndi izi.

Kodi madokotala amazindikira bwanji kuti munthu ali ndi vuto la zakudya zomwe zimamuvutitsa?

Ngati mukuganiza kuti muli ndi vuto la chakudya, muyenera kuonana ndi dokotala. Iye adzakufunsani za zizindikiro zanu ndipo, ngati kuli kofunikira, alamuleni kuti muyesedwe . Ndibwino kukhala ndi mfundo zotsatirazi mukapita kwa dokotala wanu:

• Zakudya zomwe zimayambitsa zizindikiro zanu (ngati mukudziwa).
• Kaya chakudyacho chinadyedwa chosaphika kapena chophikidwa.
• Kodi munadya chakudya chochuluka bwanji pamene zizindikirozo zinayamba kuonekera?
• Ndi zizindikiro ziti zomwe mukukumana nazo, ndipo ndi zoopsa bwanji?
• Kodi zimatenga nthawi yayitali bwanji kuti zizindikiro ziyambe mutadya?
• Kodi panali zinthu zina zomwe zikanakhudza zizindikiro zanu? (monga, kodi munali ndi matenda opatsirana ndi mavairasi panthawiyo? Kodi munali ndi vuto lina la allergen - monga mungu?)
• Kodi munayesapo mankhwala aliwonse kunyumba, ndipo kodi anakuthandizani kuchira?
• Kodi zizindikiro nthawi zonse zimakhalapo mukadya chakudya ichi, kapena nthawi zina?
• Kodi zizindikirozi zakhalapo kwa nthawi yayitali bwanji?
• Kodi muli ndi vuto lina lililonse lodziwika bwino (chakudya, mungu, fumbi, nyama, ndi zina zotero)?
• Kodi muli ndi eczema kapena mphumu?
• Kodi pali aliyense m'banjamo amene ali ndi ziwengo, mphumu, kapena eczema?

Mfundo zimenezi zithandiza kwambiri dokotala kumvetsa bwino vutoli.

Kodi mayeso a ziwengo za chakudya ndi ati?

Ngati dokotala akuona kuti ndikofunikira, akhoza kuchita mayeso otsatirawa:

• Kuyesa khungu la ziwengo: Izi zimaphatikizapo kugwiritsa ntchito mankhwala ochepa kwambiri omwe mukuganiza kuti muli ndi ziwengo pakhungu lanu (nthawi zambiri mkono kapena msana), kubaya khungu ndi singano yaying'ono kwambiri, kenako kudikira kwa mphindi 15-20 kuti muwone ngati pali vuto lililonse (kufiira, kutupa).
• Kuyezetsa magazi chifukwa cha ziwengo: Izi zimaphatikizapo kutenga chitsanzo cha magazi anu ndikuyang'ana ngati muli ndi ma antibodies a IgE motsutsana ndi zakudya zomwe mukuganiza kuti muli ndi ziwengo.
• Kuyesa vuto la chakudya: Izi zimachitika mosamala kwambiri, moyang'aniridwa ndi dokotala, komanso kuchipatala chokha. Pa izi, mumapatsidwa pang'onopang'ono kuchuluka kwa chakudya chomwe mukuganiza kuti muli ndi vuto la chifuwa. Izi zimachitika kuti muwone ngati muli ndi vuto. Popeza izi ndi zoopsa pang'ono, kuyang'aniridwa ndi dokotala ndikofunikira.

Kodi ziwengo za chakudya zimachiritsidwa bwanji?

Ndipotu, njira yabwino yothetsera ziwengo za chakudya ndi kupewa ziwengo zomwe zimayambitsa ziwengo. Izi zikutanthauza kuti musadye chakudyacho. Komabe, tsopano pali njira zingapo zochizira zomwe zingachepetse chiopsezo cha ziwengo. Izi zikuphatikizapo jakisoni, mankhwala omwa, ndi mankhwala ochepetsa ululu.

Komanso, ndikofunikira kwambiri kukhala ndi mankhwala ochizira mwadzidzidzi, makamaka `(Epinephrine)` auto-injection (monga `(EpiPen®)`, `(Auvi-Q®)`, pafupi ngati mwangozi mwadya chakudya chomwe muli ndi vuto la ziwengo.

Jakisoni wa Omalizumab

Dokotala wanu angakupatseni jakisoni wotchedwa Omalizumab (dzina lodziwika kuti Xolair®) kamodzi kapena kawiri pamwezi. Kapena mungadziphunzitse nokha kuibaya jakisoni. Izi zingathandize kuchepetsa chiopsezo cha kudwala ngati mwadzidzidzi mwakumana ndi chakudya chomwe muli ndi vuto la ziwengo.

Chithandizo cha matenda a m'kamwa (OIT)

Oral Immunotherapy (OIT) ndi pulogalamu yomwe imakuthandizani inu kapena mwana wanu kuti pang'onopang'ono mukhale ndi vuto la kudya chakudya chomwe muli ndi vuto la ziwengo. Motsogozedwa ndi dokotala, mumapatsidwa pang'onopang'ono kuchuluka kwa chakudya chomwe muli ndi vuto la ziwengo kwa miyezi ingapo. Cholinga chake ndikukhala "chosaluma" kotero kuti ngakhale chakudya chochepa chomwe muli ndi vuto la ziwengo sichingayambitse vuto lalikulu. Anthu ena amatha kudya zakudya zomwe kale zinali ndi vuto la ziwengo popanda vuto lililonse atalandira chithandizo cha OIT.

Chithandizo cha Sublingual immunotherapy (SLIT)

Sublingual Immunotherapy (SLIT) ndi yofanana ndi OIT. Imaphatikizapo kupatsa thupi lanu kuchuluka kwa allergen tsiku lililonse kuti muwonjezere kupirira kwanu. Koma m'malo modya, mumayika madzi kapena piritsi lomwe lili ndi allergen pansi pa lilime lanu ndikulisiya kuti lisungunuke.Chithandizo cha ``(SLIT)``chi chiyenera kuchitika motsogozedwa ndi dokotala kuti chikhale chotetezeka.

Mankhwala adzidzidzi

Ngati mwakhala ndi vuto la ziwengo mutadya mwangozi chakudya chomwe muli ndi vuto la ziwengo, dokotala wanu angakulangizeni mankhwala otsatirawa:

• Mankhwala odzipangira okha a epinephrine (monga EpiPen® kapena Auvi-Q®) : Dokotala wanu adzakulangizani kuti mugwiritse ntchito mankhwalawa mukangoyamba kuzindikira kuti muli ndi vuto lalikulu la ziwengo (anaphylaxis). Ndikofunikira kuti muzisunga izi.
• Corticosteroids : Ma steroid awa amagwira ntchito pochepetsa kutupa.
• Mankhwala oletsa kugwidwa ndi matenda a chiwindi : Mankhwalawa angathandize kuletsa kapena kuchepetsa kuchuluka kwa ziwengo. Komabe, saperekedwa kuti apewe ziwengo zomwe zimachitika chifukwa cha zakudya.

Nanga bwanji ngati ndili ndi vuto la chakudya?

Ngati inu kapena mwana wanu muli ndi vuto la zakudya, muyenera kukhala ndi chizolowezi chowerenga zolemba za zakudya ndikupewa zakudya zomwe zingakhale ndi vuto la zakudya . Mutha kulankhula ndi katswiri wa ziwengo kuti mukambirane za njira zamankhwala ndi zomwe mungachite ngati mutakumana ndi vuto linalake. Angakulimbikitseninso kuti muyesedwe mobwerezabwereza nthawi ndi nthawi kuti muwone ngati ziwengo za mwana wanu zachepa kapena ngati chithandizocho chayamba kulekerera.

Matenda a ziwengo samadziwika. Choncho, ngakhale mutachitapo kanthu pang'ono kamodzi kokha, nthawi ina kungakhale koopsa kwambiri. Komanso, palibe mayeso omwe angakuuzeni momwe mungachitire ndi chakudya popanda kudya. Choncho, musamadandaule chifukwa choti china chake chaching'ono chinachitika kale, ndipo nthawi zonse khalani osamala.

Kodi ziwengo za chakudya zimatha?

Nthawi zina inde. Ana ambiri aang'ono amakula kuposa ziwengo za mkaka ndi mazira akafika zaka 6. Komabe, ziwengo za mtedza, mtedza wa mitengo, nkhono, ndi nsomba ndizosowa kwambiri (zosakwana 20%).

Kodi ziwengo za chakudya zingapewedwe?

Ngakhale kuti palibe njira yodalirika yopewera ziwengo za chakudya, mutha kuyesa zinthu izi kuti muchepetse chiopsezo cha mwana wanu chokhala ndi ziwengo:

• Ngati mukuyamwitsa (pokhapokha ngati muli ndi vuto la ziwengo ndi zakudya zimenezo) , onjezerani mtedza ndi zinthu zina zomwe zimayambitsa ziwengo muzakudya zanu zachizolowezi.
• Funsani dokotala wa mwana wanu nthawi komanso momwe mungayambitsire zakudya zatsopano. Iye angakulangizeni kuti muyambe kudya zakudya zomwe zingayambitse ziwengo msanga, kapena motsogozedwa ndi dokotala, kutengera matenda ena a mwana wanu.
• Mwana wanu akangoyamba kudya zakudya zomwe angakhale ndi vuto la ziwengo, pitirizani kumudyetsa zakudya zosiyanasiyana zomwe alibe vuto la ziwengo (kuphatikizapo mtedza, mkaka, ndi mazira). Izi zingachepetse chiopsezo chokhala ndi ziwengo pambuyo pake.

Kodi ndingadzisamalire bwanji ine kapena mwana wanga?

Kuti inuyo kapena mwana wanu asadye chakudya chomwe simukudziwa chomwe chimayambitsa ziwengo, chitani izi:

• Yang'anani chizindikiro cha zosakaniza za zakudya zophikidwa kale. Izi zitha kukhala zovuta pang'ono ku Sri Lanka, koma yesetsani momwe mungathere. M'maiko akunja, ngati chakudyacho chili ndi chimodzi mwa zinthu 9 zomwe zimayambitsa ziwengo, chiyenera kulembedwa pa chizindikirocho. Dziwaninso mawu monga "chingakhale ndi" kapena "chopangidwa pa zida zogwiritsidwa ntchito limodzi".
• Nthawi zonse yang'anani chizindikiro cha chakudya mukamagula chakudya kusitolo, mukachibweretsa kunyumba, komanso musanadye.
• Yambani kulankhula ndi mwana wanu ali wamng'ono za kusamala ndi zomwe amadya komanso kusagawana chakudya ndi ena omwe simukudziwa kuti ndi otetezeka.
• Mukadya kunja, samalani kwambiri m'malesitilanti. Funsani ngati chakudyacho chili ndi chilichonse chomwe chimayambitsa ziwengo. Koma kumbukirani kuti mwina sangakupatseni chitsimikizo chokwanira.
• Uzani aliyense amene ali pafupi ndi mwana wanu za ziwengo zake komanso zakudya zomwe zili zotetezeka kuti adye.
• Lankhulani ndi sukulu kapena malo osamalira ana anu za ziwengo zomwe mwana wanu ali nazo ndipo fufuzani mapulani omwe ali nawo kuti asamupatse chakudya chomwe ali nacho.
• Konzani bwino mukamayenda komanso nthawi zina mukachoka panyumba. Tengani chakudya chotetezeka, kapena pezani malo otetezeka oti mudyere pasadakhale.
• Ngati muli ndi mafunso okhudza zomwe mungadye ndi zomwe simungadye, funsani dokotala wanu.

Khalani okonzeka ngati muli ndi vuto la ziwengo:

• Nthawi zonse nyamulani epinephrine auto-injector. Funsani dokotala wanu momwe mungagwiritsire ntchito bwino.
• Onetsetsani kuti sukulu kapena malo osamalira ana anu ali ndi Dongosolo Lothandizira Kudwala ndi Kupewa Matenda a Chakudya kuchokera kwa dokotala wa mwana wanu. Izi zikufotokoza zomwe mungachite ngati mwana wanu ali ndi vuto la ziwengo.
• Perekani mwana wanu peni ya epinephrine ndi mankhwala ena aliwonse omwe angafunike kusukulu kapena ku malo osamalira ana.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti inuyo kapena mwana wanu muli ndi vuto la zakudya, pitani kwa dokotala nthawi yomweyo. Angakutumizireni kwa katswiri ndikukupatsani malangizo a zomwe mungachite kenako.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Popanda chithandizo chamankhwala, zotsatira za ziwengo zimatha kupha munthu.Ngati mukukumana ndi zizindikiro izi, pitani kuchipatala mwamsanga kapena imbani 1990:

• Kutupa kwa nkhope, milomo, lilime, kapena pakhosi
• Kuvuta kupuma
• Kulimba pachifuwa
• Ziphuphu (hives)
• Kusanza m'manja, mapazi, kapena milomo
• Kufooka, chizungulire, kapena kukomoka
• Mantha achilendo, kumverera kwa chiwonongeko chomwe chikubwera

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Zingakhale zothandiza kufunsa dokotala wanu mafunso monga awa:

• Kodi pali njira zina zochiritsira ine/mwana wanga?
• Kodi ndiyenera kuchita chiyani ngati ine/mwana wanga ali ndi vuto la ziwengo kapena mwangozi wadya chinthu chomwe ndili nacho chifukwa cha ziwengo?
• Kodi njira zina zopewera kuti munthu asakumane ndi zinthu zomwe zimayambitsa allergen ndi ziti?
• Kodi ndingagwiritse ntchito bwanji mankhwalawa?
• Kodi ndiyenera kumwa mankhwala a `(Epinephrine)` liti?
• Kodi muli ndi dongosolo lothana ndi ziwengo?

Kodi ziwengo za chakudya zimakhala zofala bwanji?

Kafukufuku akusonyeza kuti pakati pa 6% ndi 11% ya akuluakulu ali ndi ziwengo chifukwa cha chakudya. Komanso, pafupifupi 8% ya ana amadwala ziwengo chifukwa cha chakudya.

Kungakhale mwana wanu, kapena kungakhale chinthu chomwe mwangopezeka nacho kumene. Komabe, vuto la zakudya likhoza kusintha moyo wanu. Kupewa zakudya zina, kudabwa kuti inu kapena mwana wanu mungadye chiyani, komanso kuopa kusadyanso ku lesitilanti kungakhale kovuta kwambiri. Komabe, kwa anthu ambiri, mantha amenewa samakhalapo kwamuyaya.

Pali njira zambiri kuposa kale lonse kwa iwo omwe ayenera kusamala kwambiri akamadya kunja. Pali mapulogalamu ndi magulu apaintaneti omwe angakuthandizeni kupeza zakudya zotetezeka kuti musunge chakudya chanu chosungiramo chakudya. Anthu ambiri amapeza malo odyera ndi chakudya chomwe amachidalira komanso chomwe amakonda. Kukhala ndi vuto la ziwengo kumakhala kosavuta pamene limakhala gawo la moyo wanu watsiku ndi tsiku.

Pomaliza, uthenga wopita nawo kunyumba:

Kudwala matenda okhudzana ndi zakudya ndi chinthu choopsa, koma ngati mwadziwitsidwa bwino za izi ndikuchitapo kanthu, mutha kukhala moyo wabwinobwino.

• Dziwani zakudya zomwe muli ndi vuto la ziwengo. Funsani upangiri kwa dokotala.
• Nthawi zonse werengani zolemba za chakudya. Ngati mukukayika, pewani chakudyacho.
• Nthawi zonse nyamulani epinephrine auto-injector (ngati muli pachiopsezo cha ziwengo zazikulu) ndipo dziwani bwino momwe mungagwiritsire ntchito.
• Uzani banja lanu, anzanu, ndi anzanu akusukulu/antchito za ziwengo zanu.
• Musaope kufunsa mafunso. Funsani upangiri kwa dokotala wanu kapena katswiri wa zakudya.

Kumbukirani, simuli nokha. Pali anthu ambiri omwe ali ndi vuto la zakudya. Pezani thandizo ndi chithandizo chomwe mukufuna. Samalani!

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