Nthawi zina, tikadya chinachake, timamva zachilendo kapena zosasangalatsa, eti? Kupweteka m'mimba, kumva kunjenjemera , kapena china chake. Kenako mwadzidzidzi timaganiza kuti, "O, sindimakonda chakudya ichi." Anthu ambiri amaganiza kuti ichi ndi 'chilakolako cha chakudya'. Koma kodi nthawi zonse chimakhala chilakolako cha chakudya? Chingakhalenso vuto lina lotchedwa 'kusalolera chakudya.' Lero, tiyeni tikambirane za kusiyana komwe kuli pakati pa ziwirizi.
Kodi Kusalolera Chakudya ndi Kusalolera Chakudya ndi zinthu zosiyana?
Inde, izi ndi zinthu ziwiri zosiyana kwambiri. Ngakhale anthu ambiri amasokoneza zinthu ziwirizi, momwe zimachitikira komanso momwe zimakhudzira thupi zimasiyana kwambiri.
Mwachidule, vuto la kusagwirizana ndi zakudya limachitika pamene chitetezo cha mthupi lanu chimayang'ana chakudya chomwe nthawi zambiri sichili ndi vuto lililonse n’kumadzifunsa kuti, “Ayi, uyu ndiye mdani!” n’kuyamba kulimbana nacho. Zimenezi zikutanthauza kuti chitetezo cha mthupi chimakhala chochita zinthu mopitirira muyeso mosayenera.
Koma kusadya bwino sikukhudzana ndi chitetezo cha mthupi . Chomwe chimachitika ndi chakuti kugaya chakudya sikungathe kugaya bwino chakudyacho.
Chitsanzo chabwino ndi chifuwa cha mkaka ndi kusagwirizana ndi lactose. Mu chifuwa cha mkaka, chitetezo cha mthupi chimayankha mapuloteni omwe ali mu mkaka. Mu chifuwa cha mkaka, thupi limakhala ndi kusowa kwa enzyme (lactase) yofunikira kuti igwire shuga wa lactose womwe uli mu mkaka. Kodi mukumvetsa kusiyana kwake?
Ngati makolo anu onse awiri ali ndi ziwengo (monga chakudya, fumbi, mphumu), inunso muli ndi mwayi waukulu woti muyambe kudwala ziwengo chifukwa cha chakudya.
Kodi ziwengo zimayamba bwanji m'thupi?
Njira imeneyi ndi yovuta pang'ono, koma tiyeni timvetse mosavuta. Tangoganizani kuti pafupifupi minofu yonse m'thupi lathu, makamaka m'mphuno, pakhosi, m'mapapo, pakhungu, ndi m'mimba, pali mtundu wa selo lotchedwa ' mast cells'.
1. Kukumana koyamba: Mukayamba kudya chakudya chomwe muli ndi vuto la ziwengo, thupi lanu limazindikira zomwe zimayambitsa ziwengo m'chakudyacho ndipo limapanga ma antibodies ambiri apadera otchedwa IgE (Immunoglobulin E) . IgE iyi imapita ndikumamatira pamwamba pa maselo a mast. Pakadali pano, simukuwonetsa zizindikiro zilizonse. Koma tsopano thupi lanu lakonzeka kuchitapo kanthu nthawi ina.
2. Kukumananso kachiwiri: Tsopano, mukadya chakudya chomwecho kachiwiri , zinthu zomwe zimayambitsa matenda a chiwindi zomwe zili mu chakudyacho zimakumana ndi IgE yomwe imamatirira pa maselo a mast. Panthawiyo, maselo a mast 'amaphulika', kutulutsaMankhwala ambiri monga histamine amatulutsidwa.
Mankhwalawa ndi omwe amayambitsa zizindikiro zosiyanasiyana za ziwengo monga kuyabwa, kutupa, kupuma movutikira, ndi kupweteka m'mimba. Chakudyacho chimayamba kuyabwa mukangochiyika mkamwa, kenako kusanza ndi kupweteka m'mimba kumachitika chikalowa m'mimba, ndipo pambuyo poti ziwengozo zalowa m'magazi, kuthamanga kwa magazi kumatha kutsika. Zonsezi zimachitika pakapita nthawi yochepa, kuyambira mphindi zochepa mpaka ola limodzi .
Kodi ndi zinthu ziti zomwe zimayambitsa ziwengo pa chakudya zomwe zimafala kwambiri?
Zakudya zodziwika bwino zomwe zimayambitsa ziwengo mwa akuluakulu ndi ana zimasiyana pang'ono.
| Gulu | Zakudya zomwe nthawi zambiri zimakhala ndi allergen |
|---|---|
| Akuluakulu |
|
| Ana |
|
Nkhani yabwino ndi yakuti ziwengo za mkaka, mazira, ndi soya zomwe ana amakumana nazo nthawi zambiri zimatha kutha akamakula. Komabe, ziwengo za mtedza, nsomba, ndi nkhanu nthawi zambiri zimakhala za moyo wonse.
Kodi izi ndi ziwengo zenizeni, kapena china chake?
Nthawi zina timaganiza kuti ndi vuto la chakudya, koma chifukwa chake chingakhale china chake. Mukapita kwa dokotala n’kumuuza kuti, “Ndili ndi vuto la chakudya,” iyenso adzakayikira zimenezi.
| Kusamvetsetsana | Kufotokozera kosavuta |
|---|---|
| Poizoni wa Chakudya | Matenda omwe amapezeka mukadya chakudya chodetsedwa ndi mabakiteriya kapena majeremusi. Ngati aliyense amene anadya chakudyacho anali ndi vuto lomwelo, likhoza kukhala poizoni wa chakudya osati chifukwa cha ziwengo. |
| Kuopsa kwa Histamine | Nsomba monga tuna ndi mackerel, komanso mitundu ina ya tchizi, zimatha kuwonjezera kuchuluka kwa histamine ngati sizisungidwa bwino mufiriji. Kudya izi kungayambitse zizindikiro zofanana ndi ziwengo. |
| Zowonjezera Zakudya | Anthu ena angakumanenso ndi zinthu monga sulfites, MSG, ndi mitundu ina yopangidwa. Izi si ziwengo. |
| Kusalolera kwa Lactose | Monga tanenera kale, kusagwirizana ndi lactose ndi kulephera kugaya shuga wopezeka mu mkaka ndi mkaka. Kumayambitsa zizindikiro monga kudzimbidwa, kupweteka m'mimba, ndi kutsegula m'mimba. |
| Matenda ena | Zizindikiro monga kupweteka m'mimba ndi kusanza zingachitikenso mutadya zakudya monga zilonda zam'mimba kapena khansa ya m'khosi. |
Kodi mumazindikira bwanji molondola vuto la chakudya?
Ngati mukuganiza kuti muli ndi vuto la zakudya, musamangoganiza chabe; pitani kwa dokotala . Dokotalayo adzatsatira njira izi kuti adziwe ngati muli ndi vuto.
1. Kufunsa mafunso ndi kulemba mbiri ya zachipatala
Dokotala adzakufunsani mafunso monga awa:
- Kodi zizindikirozo zinayamba kuonekera patapita nthawi yayitali bwanji mutadya?
- Kodi pali wina aliyense amene anadya nanu limodzi amene anakumana ndi mavuto?
- Munadya zotani musanayambe kuchitapo kanthu?
- Kodi chakudyacho chinakonzedwa bwanji (chachiwisi kapena chophikidwa)?
- Kodi munadya china chilichonse panthawiyo?
2. Buku la Zakudya
Dokotala wanu angakufunseni kuti mulembe chilichonse chomwe mumadya tsiku lonse komanso momwe mungachitire. Izi zingakuthandizeni kupeza njira zosiyanasiyana.
3. Mayeso
Ngati dokotala wanu akukayikira kuti muli ndi vuto linalake la zakudya kutengera zizindikiro zanu ndi mbiri yanu, akhoza kuchita mayeso ngati awa.
- Kuyesa Kuboola Khungu: Dontho la chakudya chomwe chikuganiziridwacho limayikidwa pakhungu la dzanja lanu ndipo kuboola pang'ono kumapangidwa kudzera pakhungu. Ngati malowo afiira ndi kutupa mkati mwa mphindi 15-20, ndiye kuti zotsatira zake ndi zabwino.
- Kuyezetsa Magazi: Kuyezetsa magazi monga RAST kapena ELISA kumayang'ana ma antibodies a IgE m'magazi mwanu motsutsana ndi chakudya china chake.
- Mayeso Ovuta pa Chakudya: Iyi ndi njira yolondola kwambiri . Komabe, iyenera kuchitidwa kuchipatala motsogozedwa ndi dokotala . Mu mayesowa, mumapatsidwa chakudya chochepa chomwe chikukayikiridwa, ndikuchiwonjezera pang'onopang'ono.
Chofunika: Ngakhale mayeso ena (kuyezetsa khungu, kuyezetsa magazi) atakhala ndi zotsatira zabwino, simungakumane ndi zizindikiro za ziwengo mutadya chakudyacho. Chifukwa chake, dokotala amangopeza matenda poyerekezera zotsatira za mayeso ndi zizindikiro zanu.
Kodi ndingathe kuchiza bwanji? Ndiyenera kuchita chiyani?
Chithandizo chachikulu komanso chabwino kwambiri cha ziwengo za chakudya ndi kupewa.
- Kupewa chakudya: Chofunika kwambiri ndikupewa kwathunthu chakudya chomwe chimayambitsa ziwengo. Anthu ena amatha kudwala kwambiri ngakhale atadya gawo limodzi mwa magawo 44,000 a mtedza.
- Werengani zilembo: Khalani ndi chizolowezi chowerenga mosamala mndandanda wa zosakaniza zomwe zili pa phukusi lililonse la chakudya lomwe mumagula kusitolo. Nthawi zina, zinthu zomwe zimayambitsa ziwengo zimatha kubisika muzakudya zomwe sitiganizira n'komwe.
- Konzekerani zadzidzidzi (Anaphylaxis): Ziwengo zina za chakudya zingayambitse matenda oopsa komanso oopsa otchedwa anaphylaxis . Ngati muli ndi mbiri ya izi,
- Dokotala wanu adzakulemberani epinephrine auto-injector (monga EpiPen). Muyenera kukhala nayo nthawi zonse.
- Musaope kugwiritsa ntchito ngakhale mutakhala kuti mukumva ngati mukuyamba kukhala ndi zizindikiro za ziwengo. Zingapulumutse moyo wanu.
- Mukalandira jakisoni, muyenera kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nthawi yomweyo .
- Mankhwala: Mankhwala monga antihistamines amatha kuchepetsa zizindikiro zochepa monga ziphuphu ndi kuyabwa. Komabe, sangathe kuletsa ziwengo kuti zisachitike.
Uthenga Wopita Nawo Kunyumba
- Matenda a ziwengo m'thupi (okhudzana ndi chitetezo chamthupi) ndi matenda a kusalolera chakudya (okhudzana ndi dongosolo la m'mimba) ndi matenda awiriwa.
- Ngati mukuganiza kuti chakudya chili choipa kwa inu, musaganize, koma pitani kwa dokotala kuti akakupatseni matenda oyenera.
- Ngati mukukumana ndi vuto lalikulu la ziwengo (anaphylaxis), nthawi zonse tengani epinephrine auto-injector yomwe dokotala wanu wakupatsani ndipo dziwani momwe mungagwiritsire ntchito.
- Werengani mosamala zilembo za zakudya mukamagula chakudya m'sitolo. Zinthu zomwe zimayambitsa ziwengo zimatha kubisika muzakudya zomwe simungayembekezere.
- Musanyengedwe ndi njira zina zosatsimikizika komanso zosagwiritsa ntchito sayansi zoyesera ziwengo. Nthawi zonse tsatirani upangiri wa dokotala wodziwa bwino ntchito.
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