Tangoganizani mwana wanu ali ndi vuto la mtedza. Choncho nthawi iliyonse mukamutenga ku phwando kapena kumusiya kusukulu, mumakhala ndi mantha aakulu m'maganizo mwanu. "Nanga bwanji wina akakupatsani keke yokhala ndi mtedza? Nanga chingachitike n'chiyani ngati chidutswa chaching'ono chikalowa mkamwa mwa mwana wanu mwangozi?" Mantha awa, kupanikizika kumeneku, mwina ndi odziwika bwino kwa inu. Ndi okhawo omwe adakumanapo ndi vutoli omwe amadziwa momwe zimakhalira zovuta kukhala ndi vuto la zakudya zotere. Koma, kodi mwamvapo za chithandizo chatsopano chomwe chingakuthandizeni kusiya mantha awa? Ndicho chimene tikambirana lero.
Mwachidule, kodi Oral Immunotherapy (OIT) ndi chiyani?
Ngakhale dzinali lingamveke lovuta, lingaliro lake ndi losavuta. Oral Immunotherapy (OIT) ndi mankhwala a ziwengo za chakudya. Zimaphatikizapo kukupatsani chakudya chochepa kwambiri chomwe muli ndi ziwengo (chomwe chimatchedwa allergen) pansi pa kuyang'aniridwa ndi katswiri wa ziwengo.
Taganizirani izi motere. Mumapatsidwa chakudya chomwe muli ndi vuto la ziwengo, monga mankhwala, motsogozedwa ndi dokotala. Choyamba, mumayamba ndi chakudya chochepa kwambiri chomwe simungathe kuchiwona. Kenako, pakapita nthawi, mumawonjezera chakudyacho mosamala kwambiri.
Cholinga chachikulu cha izi ndikupangitsa pang'onopang'ono "kudwala" chitetezo chanu cha mthupi ku chakudya chomwe muli nacho. Nthawi zambiri, thupi lanu limaona puloteni yomwe ili mu chakudya kukhala "mdani woopsa" ndipo limayamba kulimbana nayo. Ndicho chimene chimayambitsa ziwengo. Koma mu chithandizo cha OIT, pang'onopang'ono timayambitsa "mdani" m'thupi lanu, kotero pakapita nthawi chitetezo chanu cha mthupi chimazindikira kuti, "O... si woopsa kwambiri." Timatcha izi kuti "kuchepetsa mphamvu ya thupi." Izi zikutanthauza kuti, thupi limakhala losakhudzidwa ndi chakudya chimenecho.
Chofunika kwambiri ndichakuti mukatha kulandira chithandizochi, ngati mwangozi mwadya pang'ono chakudya chomwe chili ndi ziwengo, mudzatha kupewa kudwala kwambiri.
Kodi ndi kukonzekera kotani komwe kuyenera kupangidwa musanayambe chithandizo cha OIT?
Izi sizinthu zomwe mungayambe nazo. Ziyenera kuchitika mwadongosolo kwambiri, mutakambirana ndi dokotala wanu. Nthawi zambiri, muyenera kumaliza izi musanayambe.
| Zoyenera kuchita | Ndichoncho chifukwa chiyani? |
|---|---|
| Kuyesa ziwengo Kuyezetsa khungu ndi magazi. | Kuti mutsimikizire ngati muli ndi vuto la chakudya chimenecho, komanso kuti muwone ngati chithandizocho chili chothandiza, kuti mudziwe bwino momwe chakudyacho chilili musanayambe komanso mutalandira chithandizocho. Makamaka, mulingo wa antibody wotchedwa IgE umayesedwa. |
| Kusamalira bwino mphumu ndi eczema | Ngati matenda ena a ziwengo ngati awa sakulamuliridwa bwino, chiopsezo cha zotsatira zoopsa panthawi ya chithandizo cha OIT chimakhala chachikulu . |
| Kugula zinthu zofunika Zipangizo zoyezera ndi chakudya chomwe chikukambidwa (monga supuni, phala). | Ndikofunikira kumwa izi tsiku lililonse mu mlingo womwe dokotala wanu wakupatsani. Pali ufa wapadera wa ziwengo za mtedza, monga Palforzia®. |
| Kupeza Epinephrine Auto-Injector Mwachitsanzo: EpiPen®, Auvi-Q® | Ichi ndi chinthu chofunikira kwambiri komanso chofunikira kwambiri . Ichi ndi katemera amene angapulumutse moyo wanu ngati muli ndi vuto lalikulu ladzidzidzi la ziwengo (anaphylaxis). Simungayambe chithandizo cha OIT popanda ichi . Dokotala wanu adzakupatsani mankhwala a izi. |
Kodi njira imeneyi ya chithandizo imachitika bwanji?
Njira yonseyi ingagawidwe m'magawo awiri akuluakulu: "gawo lokwera" ndi "gawo lokonza."
1. Gawo Losintha
Iyi ndi nthawi yogwira ntchito kwambiri ya chithandizo.
- Tsiku 1: Choyamba muyenera kupita ku ofesi ya dokotala kapena kuchipatala. Kumeneko, motsogozedwa ndi dokotala, mudzapatsidwa chakudya chochepa kwambiri chomwe chimayambitsa ziwengo. Dokotalayo adzakufotokozerani zonse zokhudza kuchuluka kwa chakudya chomwe mungadye komanso momwe mungachiyezere. Adzakhala okonzeka kukuthandizani ngati muli ndi vuto lililonse.
- Kunyumba: Kenako, mlingo woyamba umene dokotala adakupatsani, muyenera kuitenga kunyumba tsiku lililonse. Ndi bwino kuitenga nthawi yomweyo momwe mungathere.
- Masabata awiri aliwonse: Mudzapemphedwa kuti mubwererenso kukaonana ndi dokotala wanu masabata awiri aliwonse. Kumeneko, pansi pa utsogoleri wa dokotala, mlingo wanu udzawonjezeka pang'ono. Kenako mudzapita kunyumba ndikumwa mlingo watsopano tsiku lililonse.
Mwanjira imeneyi, mlingo umawonjezeka pang'onopang'ono milungu iwiri iliyonse mpaka dokotala atafika pa mlingo womwe akufuna.
2. Gawo Lokonza
Mukafika pa mlingo womwe mukufuna, "gawo losamalira" limayamba.
- Chomwe chimachitika apa ndichakuti mupitiliza kumwa mlingo wapamwamba kwambiri womwe mudamwa bwino tsiku lililonse .
- Mlingo wosamalira uwu uyenera kumwedwa kwa miyezi yosachepera isanu ndi umodzi.
- Pambuyo pa miyezi isanu ndi umodzi, dokotala wanu adzayesanso magazi kuti awone ngati kuchuluka kwa ma antibodies m'thupi lanu motsutsana ndi chakudyacho kwatsika.
- Nthawi zina, mungathenso kuchita "Mayeso Ovuta a Chakudya." Izi zikutanthauza kuti kuchipatala, motsogozedwa ndi dokotala, mumapatsidwa chakudya chochepa chomwe chimayambitsa ziwengo kuti muwone ngati muli ndi vuto.
- Kutengera ndi zotsatira za mayesowa, dokotala wanu adzasankha ngati muyenera kupitiriza kumwa mlingo wosamalira tsiku lililonse, kapena ngati kumwa masiku angapo pa sabata kungakhale kokwanira.
Kumbukirani, ngakhale panthawi yokonza, ndikofunikira kuti nthawi zonse muzinyamula epinephrine auto-injection yanu , chifukwa kuthekera kwa kuyankha mwadzidzidzi sikungatheke konse.
Ndi malamulo ati omwe ayenera kutsatiridwa panthawi ya chithandizo?
Kuti chithandizochi chipambane, komanso kuti mukhale otetezeka, pali zinthu zingapo zomwe muyenera kutsatira. Kutsatira izi kungathandize kuchepetsa zoopsa zambiri zosafunikira.
| Lamulo loti litsatidwe | Ndichoncho chifukwa chiyani? |
|---|---|
| Sungani mankhwala pafupi. Nthawi zonse sungani mankhwala anu a ziwengo ndi EpiPen yomwe siitha ntchito. | Chifukwa ngati pachitika ngozi, pamafunika kuchitapo kanthu mwachangu. |
| Musamwe mowa pamimba yopanda kanthu. Idyani chakudya musanamwe mlingo. | Kumwa mlingowo pamimba yopanda kanthu kumawonjezera chiopsezo cha zotsatirapo kapena zotsatirapo zina. |
| Tengani pa nthawi yake. Imwani mlingo wa lero mkati mwa maola awiri kuchokera pamene munalandira mlingo wa dzulo (maola awiri m'mbuyomo kapena mochedwa). | Sungani kuchuluka kwa mankhwala m'thupi komwe kukhazikika ndipo muchepetse chiopsezo cha zotsatirapo. |
| Pewani kuchita masewera olimbitsa thupi komanso kusamba m'madzi otentha. Pewani kuchita masewera olimbitsa thupi kwambiri komanso kusamba m'madzi otentha kwa maola awiri musanayambe kumwa komanso mutamwa mankhwalawa. | Zinthu zimenezi zimatha kuwonjezera kuyenda kwa magazi m'thupi ndikuwonjezera chiopsezo cha ziwengo. |
| Musamwe ibuprofen. Musamwe mankhwala ochepetsa ululu a ibuprofen (monga Advil®, Motrin®) maola 3-4 musanayambe kumwa komanso mutamwa. | Mankhwalawa angawonjezere chiopsezo cha ziwengo. |
| Musamwe mlingo ngati mukudwala. Pewani kumwa mankhwala ngati muli ndi matenda monga malungo, chifuwa, kapena kusanza. | Mukadwala, thupi lanu limakhala losavuta kuyankha. Komanso, mutha kusokoneza zizindikiro za matenda ndi zizindikiro za vuto la ziwengo. Onetsetsani kuti mwalankhula ndi dokotala musanadumphe mlingo. |
Kodi mumatani ngati mwadzidzidzi mwakumana ndi vuto linalake?
Iyi ndi gawo lofunika kwambiri lomwe aliyense ayenera kudziwa. Dokotala wanu adzakupatsani malangizo omveka bwino a zizindikiro zomwe muyenera kuyang'anira, nthawi yogwiritsira ntchito EpiPen, komanso nthawi yopita ku Dipatimenti Yodzidzimutsa ya chipatala (ETU).
Ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zoopsa izi , musazengereze .
- Kutupa kwa nkhope, milomo, lilime, kapena pakhosi
- Kuvuta kupuma
- Kumva kupsinjika pachifuwa
- Kuoneka kwa matuza ambiri akuluakulu (ma thrush) thupi lonse
- Kusanza
- Kusanza m'manja, mapazi, kapena milomo
- Kufooka kwa thupi, chizungulire, kukomoka
- Kumva kuti tsoka likubwera (kumva mantha aakulu, ngati kuti "chinachake chindichitikira").
Ngati mukukumana ndi zizindikiro izi, gwiritsani ntchito EpiPen yanu nthawi yomweyo ndipo pitani ku chipatala chapafupi cha Emergency Department (ETU) mwachangu momwe mungathere.
Kodi palibe zoopsa zilizonse pa chithandizochi?
Monga chithandizo chilichonse chamankhwala, OIT ili ndi zoopsa zina.
- Chiwopsezo chachikulu ndi vuto lalikulu la ziwengo lotchedwa ``anaphylaxis'' lomwe tidakambirana kale. Ichi ndichifukwa chake chithandizochi chiyenera kuchitika nthawi zonse moyang'aniridwa ndi dokotala ndipo sichiyenera kuyesedwa kunyumba nokha .
- Kuphatikiza apo, zinthu zazing'ono monga matuza ang'onoang'ono pakhungu ndi kusokonezeka pang'ono m'mimba zimatha kuchitika.
- Chiwopsezo china chosowa koma chachikulu ndi matenda otchedwa Eosinophilic Esophagitis . Ichi ndi kutupa kwa m'mero. Ngati mukumva zizindikiro monga kusanza kapena kumva chakudya chikukakamira pakhosi panu, muyenera kuuza dokotala wanu nthawi yomweyo. Ana aang'ono angakane kudya. Matendawa nthawi zambiri amatha chithandizo cha OIT chikatha.
Kodi ubwino ndi kuchuluka kwa chipambano cha chithandizo cha OIT ndi chiyani?
Phindu lalikulu la chithandizochi ndilakuti chimachotsa mavuto ambiri pa moyo wanu. Chinthu chokhacho chabwino chokhala popanda mantha a ngozi yaikulu ngati mwangozi mwadya chakudya chomwe chili ndi ziwengo. Anthu ena, makamaka ana omwe amayamba chithandizo ali aang'ono , amazolowera kudya chakudyacho mwachizolowezi popanda mantha akamaliza OIT.
Ponena za kupambana, kafukufuku akusonyeza kuti chithandizochi ndi chothandiza kwambiri kwa ana osakwana zaka 4. Mwachitsanzo, mu kafukufuku wa OIT wokhudza ziwengo za mtedza, ana opitirira 70% azaka zapakati pa 1 ndi 4 adatha kudya mapuloteni ofanana ndi mtedza popanda vuto lililonse.
Dokotala wanu ndiye munthu wabwino kwambiri wosankha ngati izi ndi zoyenera kwa inu kapena mwana wanu. Uwu ndi chithandizo chomwe chimafuna kudzipereka kwambiri ndipo chimatenga nthawi. Chifukwa chake, ndikofunikira kukambirana mafunso anu onse ndi mantha anu ndi dokotala wanu ndikupanga chisankho chodziwikiratu.
Uthenga Wopita Nawo Kunyumba
- Kuchiza ndi Immunotherapy (OIT) si njira yodzichitira nokha. Ndi njira yochizira yomwe iyenera kuchitika motsogozedwa ndi katswiri .
- Cholinga chachikulu cha izi ndikuteteza ku zotsatira zoopsa zomwe zingachitike ngati chakudya chomwe chili ndi vuto la ziwengo chadyedwa mwangozi.
- Izi zimafuna kudzipereka kwakukulu komanso nthawi yochuluka kuchokera kwa banja. Ndi ulendo wautali .
- Pa nthawi yonse ya chithandizo,Ndikofunikira nthawi zonse kunyamula EpiPen ndikudziwa momwe mungagwiritsire ntchito.
- Ngati inu kapena mwana wanu muli ndi vuto la zakudya, lankhulani ndi dokotala wanu kuti mudziwe zambiri zokhudza chithandizo cha OIT.
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