Kodi mwana wanu ali ndi vuto la chakudya chilichonse? Kodi nthawi zonse mumakhala ndi nkhawa kuti ngakhale mtedza, mkaka, kapena mazira pang'ono angayambitse ziphuphu ndikupangitsa kuti zikhale zovuta kupuma? Ngakhale mutapita ku phwando kapena chochitika, mumadandaula za zomwe mwana wanu adzadya. Lero, tikambirana za chithandizo chapadera chomwe chingakhale yankho la mantha ndi nkhawa imeneyi.
Mwachidule, kodi Oral Immunotherapy (OIT) ndi chiyani?
Mankhwala Oletsa Kutupa M'thupi, kapena OIT mwachidule, ndi mankhwala a ziwengo za chakudya. Tangoganizani kuti thupi lanu molakwika limazindikira puloteni yomwe ili mu chakudya yomwe imayambitsa ziwengo (timaitcha kuti 'allergen') ngati mdani. Choncho thupi limayamba nkhondo yayikulu kuti likutetezeni ku "mdani." Nkhondo imeneyo ndi yomwe timaiona ngati ziwengo.
Chithandizo cha OIT chimaphatikizapo kukupatsani chakudya chochepa kwambiri chomwe muli ndi vuto la ziwengo, motsogozedwa ndi katswiri wa ziwengo. Kenako, pakapita nthawi, kuchuluka kwake kumawonjezeka pang'onopang'ono mosamala komanso mokonzekera. Zili ngati kulankhula ndi munthu wokwiya ndikumupangitsa kumva bwino. Cholinga chachikulu cha izi ndikuzolowera pang'onopang'ono chitetezo chanu cha mthupi kuti chizigwira ntchito ndi 'mdani' (allergen) ndikumupangitsa kumvetsetsa kuti sichowopsa. Timatcha njira iyi kuti 'desensitization'. Cholinga chake ndikukufikitsani pamalo pomwe, ngakhale mutadya pang'ono mwangozi chakudyacho, simudzakhala ndi vuto lalikulu loti liwononge moyo wanu.
Kodi ndiyenera kuchita chiyani ndisanayambe chithandizochi?
Musanayambe chithandizo cha OIT, dokotala wanu adzakuuzani kuti muchite zinthu zina.
- Kuyezetsa khungu ndi magazi kuti mudziwe ngati muli ndi vuto la ziwengo: Kuyezetsa kumeneku ndikofunikira kuti mutsimikizire ngati muli ndi vuto la ziwengo la chakudya komanso kuti muyeze kupambana kwa chithandizo. Makamaka, amatha kuyeza kuchuluka kwa ma antibodies m'magazi otchedwa `(IgE)` ndikuwona momwe achepera pambuyo pa chithandizo.
- Kulamulira bwino mphumu ndi eczema: Ngati muli ndi matenda opuma monga mphumu kapena matenda ena a ziwengo, ndikofunikira kuwayang'anira bwino. Kupanda kutero, muli pachiwopsezo chachikulu chokhala ndi vuto lalikulu panthawi ya chithandizo cha OIT.
- Kukonzekera chakudya chofunikira ndi zida zoyezera: Muyenera kugula chakudya chomwe muyenera kudya tsiku lililonse kuti muchiritsidwe (monga ufa wa mtedza - monga `Palforzia®`) ndi zida zofunika kuti muyeze molondola.
- Pezani epinephrine auto-injector: Ichi ndi chomwe mwina mudamvapo chotchedwa EpiPen® kapena Auvi-Q®. Iyi ndi jakisoni yopulumutsa moyo yomwe ingaperekedwe ngati pali vuto lalikulu la ziwengo. Dokotala wanu adzakupatsani mankhwala a izi. Simungayambe kulandira chithandizo cha OIT popanda mankhwala.
Kodi chithandizochi chimachitika bwanji?
Chithandizo cha OIT chili ndi magawo awiri akuluakulu: gawo lokulitsa ndi gawo losamalira. Ngati mutakhala ndi vuto la ziwengo nthawi iliyonse panthawiyi, dokotala wanu angakubwezereni ku mlingo womaliza womwe mudamwa bwino kapena kukambirana njira ina.
Gawo Loyamba: Gawo Losintha
Izi ndi zomwe zimachitika pa siteji iyi:
1. Kukumana koyamba kumachitika ku ofesi ya dokotala. Pa tsiku limenelo, mudzapatsidwa chakudya chochepa kwambiri chomwe muli ndi vuto la ziwengo (mwina chakudya chochepa chomwe mungachigwire pa nsonga ya chala chanu chaching'ono).
2. Dokotala adzakuyang'anirani kwa maola angapo kuti aone ngati pali vuto lililonse.
3. Mukapita kunyumba, muyenera kumwa mlingo womwewo nthawi yomweyo tsiku lililonse .
4. Muyenera kukaonana ndi dokotala wanu milungu iwiri iliyonse . Kenako, motsogozedwa ndi dokotala, mlingo udzawonjezeka pang'ono. Izi zidzapitirira kwa miyezi ingapo.
Gawo Lachiwiri: Kusunga mulingo womwe thupi lazolowera (Gawo Losamalira)
Mukafika pa mlingo winawake womwe mukufuna (izi zimatsimikiziridwa ndi dokotala wanu), gawo losamalira limayamba. Mu gawoli, mudzatenga mlingo womaliza womwe mudakwanitsa tsiku lililonse kwa miyezi yosachepera isanu ndi umodzi . Pambuyo pa miyezi isanu ndi umodzi, dokotala wanu adzayesanso magazi kuti awone ngati ma antibodies a allergen achepa. Pambuyo pake, mungapemphedwe kuti mutenge mlingo masiku angapo pa sabata m'malo mwa tsiku lililonse.
Kodi ndi zinthu ziti zomwe muyenera kutsatira panthawi ya chithandizo?
Pali malamulo angapo kuti chithandizo cha OIT chikhale chopambana. Kutsatira malamulowa kungathandize kuchepetsa chiopsezo cha ziwengo.
Musayesere izi kunyumba popanda kuyang'aniridwa ndi dokotala. Izi zitha kukhala zoopsa kwambiri.
| Mfundo yoti ionedwe | Kufotokozera ndi chifukwa |
|---|---|
| Kusunga EpiPen® pafupi | Nthawi zonse sungani EpiPen® yomwe yatsala nthawi ndi mankhwala ena a ziwengo pafupi, makamaka mukatenga mlingo. |
| Musamwe mowa pamimba yopanda kanthu. | Idyani chakudya musanamwe mlingo. Kumwa mlingo m'mimba yopanda kanthu kungayambitse vuto lalikulu. |
| Kuchita masewera olimbitsa thupi ndi madzi otentha | Pewani kuchita masewera olimbitsa thupi kwambiri, kuthamangathamanga, ndi kusamba m'madzi otentha kwa maola awiri musanayambe kumwa komanso mutamwa. Izi zimawonjezera kuyenda kwa magazi m'thupi ndipo zimawonjezera chiopsezo cha ziwengo. |
| Mankhwala ochepetsa ululu (Ibuprofen) | Pewani kumwa mankhwala ochepetsa ululu monga ibuprofen (Advil®, Motrin®) maola 3-4 musanayambe kumwa komanso mutamwa. |
| Matenda | Musamwe mlingo ngati muli ndi malungo, chifuwa, kapena kusanza. Muli ndi mwayi wochitapo kanthu mukadwala. Onetsetsani kuti mwalankhula ndi dokotala musanadumphe mlingo. |
Kodi mungachite chiyani ngati muli ndi vuto la ziwengo?
Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi. Kudwala kwambiri kwa ziwengo (anaphylaxis) ndi vuto ladzidzidzi. Ngati mukukumana ndi chimodzi mwa zizindikiro zotsatirazi, gwiritsani ntchito EpiPen® yanu nthawi yomweyo ndikupita ku dipatimenti yapafupi yazadzidzidzi yachipatala (ETU).
- Kutupa kwa nkhope, milomo, lilime, kapena pakhosi
- Kuvuta kupuma kapena kulimba pachifuwa
- Ma ming'oma akuluakulu ambiri thupi lonse
- Kusanza
- Kusanza m'manja, mapazi, kapena milomo
- Kufooka, chizungulire, kapena kukomoka
- Kuopa kuti chinachake chachikulu chichitika
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Ubwino
Ubwino waukulu wa izi ndikuti "siwovulaza" . Izi zikutanthauza kuti, ngakhale chakudya chochepa chomwe chili ndi vuto la ziwengo chikadyedwa mwangozi, sichingayambitse vuto lalikulu. Izi zimachepetsa kwambiri mantha ndi nkhawa za makolo ndi mwana. Moyo wabwino umakula kwambiri. Pali nthawi zina pomwe ana ena aang'ono, akamaliza chithandizo cha OIT, amatha kudya zakudya zomwe kale zinali ndi vuto la ziwengo popanda mantha.
Zoopsa
Chiwopsezo chachikulu ndi vuto lalikulu la ziwengo lotchedwa ``anaphylaxis'' lomwe tidakambirana kale.Ndicho chifukwa chake chithandizochi chiyenera kuchitika motsogozedwa ndi dokotala.
Kuphatikiza apo, pali chiopsezo chotenga matenda otchedwa `(eosinophilic esophagitis)`. Apa ndi pamene pakhosi ndi m'mero zimatupa. Ngati mukumva kusanza kapena kumva chakudya chikukakamira pakhosi panu, muyenera kuuza dokotala wanu nthawi yomweyo. Mwana wamng'ono angakane kudya. Koma nkhani yabwino ndi yakuti vutoli nthawi zambiri limatha chithandizo cha OIT chikatha.
OIT ndi mankhwala omwe amafuna kudzipereka kwambiri komanso nthawi yambiri. Ndipo si oyenera aliyense. Chifukwa chake, musanasankhe ngati mankhwalawa ndi oyenera mwana wanu kapena inu, ndikofunikira kwambiri kulankhula ndi dokotala wanu za mankhwalawa ndikufunsa mafunso onse omwe muli nawo.
Uthenga Wopita Nawo Kunyumba
- Mankhwala Oletsa Kutupa M'thupi (OIT) ndi njira yochizira ziwengo za chakudya. Zimaphatikizapo kuwonjezera pang'onopang'ono kuchuluka kwa chakudya chomwe chimayambitsa ziwengo, kuyambira ndi chakudya chochepa kwambiri, kuti thupi lizolowere kudya.
- Cholinga chachikulu cha chithandizochi ndikuletsa kuti chakudyacho chisachitike ngakhale chakudya chomwe chili ndi allergen chikadyedwa mwangozi.
- Izi ziyenera kuchitika motsogozedwa ndi dokotala ndipo siziyenera kuyesedwa kunyumba nokha.
- Ndikofunikira kwambiri kutsatira malamulo panthawi ya chithandizo, monga kukhala ndi EpiPen® nanu, kumwa mlingo pa nthawi yake, komanso kupewa kuchita masewera olimbitsa thupi.
- Ngakhale kuti chithandizo cha OIT ndi ulendo womwe umafuna kudzipereka kwambiri, ngati chikuyenda bwino, chingathandize kwambiri kuthetsa mantha ndi nkhawa zomwe zimayambitsidwa ndi ziwengo za chakudya ndikukhala ndi moyo womasuka.
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