Kodi mwana wanu ali ndi vuto la zakudya? Tiyeni tikambirane za mayeso omwe madokotala amagwiritsa ntchito kuti adziwe (Kuyesa Kuopsa kwa Zakudya)!

Kodi inu kapena mwana wanu mumamva zachilendo kapena zosasangalatsa mutadya chakudya? Kodi mudayamba mwamvapo kuyabwa, ziphuphu zofiira, kapena kuvutika kupuma mutadya chakudya chamtundu wina? Izi zitha kukhala zizindikiro za vuto la chakudya . Ndiye, tiyeni tikambirane momwe madokotala angadziwire vuto la chakudya ndi mayeso omwe amachita, sichoncho? Palibe chifukwa choopa kapena kuda nkhawa ndi zinthuzi. Koma kudziwa izi kudzakuthandizani kwambiri.

Kodi madokotala amayesa bwanji ngati ali ndi vuto la chakudya?

Kawirikawiri, dokotala, makamaka dokotala amene amadziŵa bwino za ziwengo - timamutchanso "wodwala ziwengo" - amagwiritsa ntchito njira ziwiri zazikulu zoyesera kuti atsimikizire ngati pali ziwengo pa chakudya. Izi ndi kuyezetsa khungu ndi magazi . Nthawi zina, dokotala angasankhe kuchita mayeso onse awiriwa. Izi zimatsimikiziridwa poganizira zinthu zingapo, monga momwe wodwalayo alili komanso momwe zizindikiro zake zilili.

Kodi kuyezetsa khungu ndi chiyani? Kodi kumachitika bwanji?

Izi si zazikulu kapena zovuta monga momwe mungaganizire. Ndi mayeso osavuta kwambiri. Tangoganizani kuti mukukayikira kuti mwana wanu wamng'ono ali ndi vuto la ziwengo akamamwa mkaka. Kenako dokotala wa ziwengo kapena namwino wophunzitsidwa bwino adzachita mayeso awa motere:

1. Choyamba, tsukani bwino khungu lanu kapena la mwana wanu kapena mbali ina ya kumbuyo.

2. Kenako, zinthu zomwe zimayambitsa ziwengo zomwe zili mu chakudya chomwe mukukayikira (mwa chitsanzo chathu, mkaka) - ndiko kuti, chinthu chomwe chingayambitse ziwengo, timachitcha kuti "allergen" - chimatengedwa ngati madzi ochepa kwambiri, ndipo madziwo amafika pakhungu pogwiritsa ntchito chinthu chaching'ono kwambiri monga pini, kapena popanga kachikwapu kakang'ono pamwamba pa khungu. Izi si ululu waukulu, zimamveka ngati kukwawa pang'ono kwambiri, ngati kuluma kwa udzudzu. Palibe choopa.

3. Pakani madziwo pakhungu lanu motere ndipo dikirani kwa mphindi pafupifupi 15.

4. Tsopano chinthu chofunika kwambiri. Ngati malo omwe madzi a "allergen" adayikidwapo afiira, kutupa pang'ono, ndipo pakuwoneka kachiphuphu kakang'ono kofanana ndi matuza (izi zimatchedwanso "wheal" ndi madokotala), zimasonyeza kuti pakhoza kukhala vuto la chakudya chomwe chikukambidwa.

5. Kenako, dokotala kapena namwino adzagwiritsa ntchito rula kuti ayeze molondola kukula kwa gudumu ndi malo ofiira ozungulira ndikulemba.

Tangoganizirani, ngati mukukayikira kuti muli ndi vuto la kudya osati chakudya chimodzi chokha, komanso mitundu ingapo ya chakudya, kapena ngati n'kovuta kudziwa bwino lomwe chakudya chomwe chimayambitsa zizindikiro za matendawa, dokotala akhoza kuyesa khungu lanu poikapo "zifukwa" zosiyanasiyana za matenda a khungu nthawi imodzi.

Mukamaliza kuyezetsa khungu, mutha kukanda malo omwe mayesowo adachitikira kwa kanthawi kochepa. Izi ndizabwinobwino. Komabe, kuyabwa nthawi zambiri kumatha mkati mwa mphindi 30. Ngati mwana wanu akumva kuyabwa kwambiri, dokotala angakupatseni mankhwala oletsa antihistamine kapena mafuta a steroid kuti mupaka pamalo omwe akuyabwa. Izi zithandiza kuchepetsa kuyabwa mwachangu.

Kodi kuyezetsa magazi kumafuna chiyani kwenikweni?

Nthawi zina, kuwonjezera pa mayeso a pakhungu omwe atchulidwa pamwambapa, kapena ngati pali zifukwa zina zomwe sizingatheke kuyeserera pakhungu (monga munthu amene ali ndi vuto lalikulu la pakhungu kapena munthu amene akumwa mankhwala enaake), dokotala angalimbikitsenso kuti ayesedwe magazi.

Izi zikuphatikizapo kutenga magazi ochepa kwambiri kuchokera kwa inu kapena mwana wanu ndikutumiza ku labotale kuti akayesedwe mwapadera. Chofunika kwambiri ndikuwona ngati magazi ali ndi "ma antibodies a IgE," omwe amapangidwa ndi chitetezo chathu cha mthupi motsutsana ndi zakudya zinazake.

Mwachidule, ma antibodies a IgE awa ndi mtundu wapadera wa mapuloteni omwe chitetezo cha mthupi lathu, chitetezo cha mthupi, chimapanga pamene chimazindikira molakwika zakudya zina kuti ndi "zoipa" kapena "mdani," ndikuyesera kulimbana nazo. Chifukwa chake, ngati magazi a munthu apezeka kuti ali ndi ma antibodies a IgE awa ku chakudya china, zikutanthauza kuti pali kuthekera kuti ali ndi vuto la chakudya chimenecho. Ndi chidziwitso chabe, monga momwe zotsatira za mayeso a pakhungu zimakhalira.

Kodi madokotala amatanthauzira bwanji zotsatira za mayeso? Izi ndizofunikira kwambiri!

Nayi mfundo ina yofunika kukumbukira. Kungoti mayeso a pakhungu kapena magazi akuwonetsa kuti munthu ali ndi vuto la "chakudya " sizikutanthauza kuti munthu ali ndi chitsimikizo chonse kuti ali ndi vuto la chakudyacho. Zimangotanthauza kuti pali kuthekera kwa vuto la "allergy".

Taganizirani izi motere. Anthu ena amabadwa ndi khungu lofewa kwambiri. Ngakhale khungu lawo litakwiya pang'ono ndi chinthu china, monga chinthu chomwe sichili choyezetsa, likhoza kufiira, kutupa pang'ono, kapena ngakhale matuza. Siziyenera kukhala ziwengo. Komanso, anthu ena akhoza kukhala ndi ma antibodies a IgE m'magazi awo ku chakudya china, koma sangasonyeze zizindikiro zilizonse za ziwengo akadya chakudyacho. Timachitcha "sensitivity," chomwe ndi chosiyana ndi "allergy."

Choncho, dokotala sangapange chisankho chomaliza chokhudza ngati munthu ali ndi vuto la chakudya kutengera zotsatira za mayesowa. Iye adzakufunsani zinthu zina zambiri, monga:

• Kodi ndi zizindikiro ziti zomwe inu kapena mwana wanu mukukumana nazo? (monga kuyabwa? ziphuphu? kuvutika kupuma? kusokonezeka m'mimba?)
• Zizindikirozi zimawonekera nthawi yayitali bwanji mutadya chakudyacho? (Mphindi? Maola?)
• Kodi zizindikiro zake ndi zazikulu bwanji? (Kodi ndi kuyabwa pang'ono chabe? Kapena ndi zowopsa kwambiri moti thupi lanu lonse limatupa ndipo simungathe kupuma?)
• Kodi pali wina aliyense m'banja mwanu (amayi, abambo, abale) amene ali ndi vuto la mtundu uwu wa ziwengo pa chakudya kapena ziwengo zina (monga mphumu, fumbi)?

Dokotala amafika pa mfundo yolondola yokhudza vuto la ziwengo pa chakudya pokhapokha atafufuza mbiri yonse ya matenda a wodwalayo, mtundu wa zizindikiro zake, ndi zotsatira za mayeso.

Kodi vuto la chakudya cham'kamwa ndi chiyani? Kodi ndi loopsa?

Tsopano taganizirani kuti zotsatira za mayeso a pakhungu ndi magazi zomwe zatchulidwa pamwambapa sizikumveka bwino. Kapena, ngati mwana wanu anali ndi vuto la chakudya ali mwana, ndipo tsopano popeza wakula pang'ono, mukufuna kudziwa motsimikiza ngati vutolo latha, kutanthauza kuti , "latha", dokotala angakupatseni mayeso ena enieni. Ichi ndi chomwe timachitcha "vuto la chakudya cham'kamwa" .

Izi ndi zomwe zimachitika:

1. Chakudya chomwe chikuganiziridwa kuti chimayambitsa ziwengo (chingayambitse ziwengo m'zakudya) chimalowetsedwa pang'ono kwambiri, mwina pafupifupi gawo limodzi mwa magawo khumi a supuni ya tiyi, ndipo pang'onopang'ono chimawonjezeka pakapita nthawi.

2. Zonsezi zimachitika motsogozedwa ndi dokotala mwachindunji komanso mosamala . Dokotala kapena ogwira ntchito zachipatala ophunzitsidwa bwino aziyang'anira mosamala zizindikiro zilizonse za ziwengo. Zinthu monga kugunda kwa mtima, kapumidwe, ndi kusintha kwa khungu zimawunikidwa nthawi zonse.

3. Musayesere kuchita mayesowa kunyumba. Izi ziyenera kuchitikira ku ofesi ya dokotala (chipatala) kapena kuchipatala chokha, chomwe chili ndi zipangizo zonse zofunikira pochiza zadzidzidzi. Izi zili choncho chifukwa chakuti mwadzidzidzi, wodwalayo amakumana ndi vuto lalikulu la ziwengo, lotchedwa "anaphylaxis," lomwe limatchedwanso kuti anaphylaxis.Ngati vuto lomwe lingawononge moyo (allergy yayikulu) lichitika, mankhwala odzidzimutsa ndi madokotala ophunzitsidwa bwino komanso ogwira ntchito zachipatala (akatswiri ndi ogwira ntchito zachipatala) ayenera kupezeka kuti azitha kuchiza vutoli nthawi yomweyo.

Izi ndizofunikira kwambiri: Pazifukwa zilizonse, musayese "Oral Food Challenge" kunyumba popanda kuyang'aniridwa ndi dokotala, chabwino? Chifukwa nthawi zina ziwengo za chakudya zimatha kukhala zoopsa kwambiri. Zitha kukhala zoopsa ngakhale pa moyo.

Kawirikawiri, mayeso a "oral food challenge" amachitika kuti atsimikizire ngati vuto la zakudya lomwe linalipo kale latha, zomwe zikutanthauza kuti palibe vuto kudya chakudya chimenecho tsopano. Mwachitsanzo, mwana yemwe anali ndi vuto la mazira ali mwana akhoza kukula mwachibadwa popanda vuto la mazirawo pakapita zaka zingapo akamakula. Chifukwa chake mayesowa ndi othandiza kwambiri podziwa zimenezo.

Kodi chimachitika ndi chiyani ngati mayeso atsimikizira kuti pali vuto la ziwengo?

Chabwino, tiyeni tinene kuti mayeso omwe atchulidwa pamwambapa atsimikizira kuti mwana wanu kapena inu muli ndi vuto la chakudya. Musachite mantha panthawiyo, si mapeto a dziko. Dokotala wanu adzakuthandizani kupanga dongosolo lomveka bwino la momwe mungakhalire otetezeka komanso mwachizolowezi ndi vutoli latsopanoli.

Zinthu zazikulu zoyenera kuchita ndi izi:

1. Kupewa Kwambiri Zakudya Zomwe Zimayambitsa Matenda a Shuga:

• Dokotala adzakupatsani mndandanda womveka bwino wa zakudya zomwe sizili bwino kwa inu kapena mwana wanu, komanso adzakupatsani kumvetsetsa bwino zakudya zomwe zingakhale ndi zosakaniza zobisika.
• Muyenera kukhala ndi chizolowezi chowerenga mosamala kwambiri zilembo za chakudya zomwe zili pa phukusi lililonse la chakudya kapena botolo lomwe mumagula kusitolo. Chifukwa nthawi zina zakudya zomwe sitimaganizira nkomwe, mwachitsanzo, sosi, supu, ndi mabisiketi, zimatha kukhala ndi zakudya zomwe zimayambitsa ziwengo (monga mkaka, mazira, soya, mtedza , tirigu).
• Ngati mwana wanu akupita kusukulu, ndikofunikira kwambiri kudziwitsa mphunzitsi wa kalasi, ogwira ntchito ku cafeteria, ndi zina zotero za izi. Komanso, popita kunyumba kwa achibale, kunyumba kwa abwenzi, kapena maphwando, kudziwitsa ena za izi pasadakhale kungapewe mavuto ambiri osafunikira.

2. Kusunga mankhwala adzidzidzi pafupi:

• Matenda ena okhudzana ndi zakudya akhoza kukhala oopsa kwambiri. Izi zikutanthauza kuti, monga tafotokozera kale, matenda oopsa otchedwa "anaphylaxis" amatha kuchitika, omwe angayambitse kupuma movutikira mwadzidzidzi, kutsika kwadzidzidzi kwa kuthamanga kwa magazi, komanso kutaya chikumbumtima.
• Ngati mwadzidzidzi chonchi chichitika, gwiritsani ntchito nthawi yomweyo. Dokotala adzakulemberani mankhwala apadera. Amatchedwa "Adrenaline" (Epinephrine).Izi nthawi zambiri zimabwera mu chipangizo chosavuta kugwiritsa ntchito chofanana ndi cholembera (epinephrine auto-injector). Dokotala wanu kapena namwino adzakuphunzitsani momwe mungagwiritsire ntchito.
• Muyenera kusunga mankhwala a "Adrenaline" (Epinephrine) awa nthawi zonse, kapena ndi mwana wanu, nthawi zonse. Muyenera kuwatenga m'chikwama chanu cha kusukulu, mukapita kukasewera, mukapita paulendo, kulikonse komwe mupita. Zili ngati chipangizo chopulumutsa moyo.
• Komanso, ndikofunikira kuti inu, achibale anu, ndi omwe azisamalira mwana wanu, monga aphunzitsi a mwana wanu, mudziwe bwino momwe mungagwiritsire ntchito mankhwalawa pakagwa ngozi. Dokotala adzakufotokozerani bwino ndikukupatsani maphunziro ngati pakufunika kutero.

Uthenga wofunika kwambiri wochokera pa zonsezi ndi wakuti:

Ngati mukukayikira ngakhale pang'ono kuti muli ndi vuto la zakudya, musasankhe kusiya kapena kuyamba zakudya zatsopano nthawi iliyonse yomwe mukufuna. Onetsetsani kuti mwaonana ndi dokotala woyenerera, pezani upangiri woyenera, ndipo muyesedwe mayeso oyenera ngati pakufunika kutero.

• Kuyezetsa khungu ndi magazi komwe kumayang'ana ma antibodies a IgE ndi njira zazikulu zomwe zimagwiritsidwa ntchito pozindikira ziwengo za chakudya.
• Kupezeka ndi zotsatira zabwino zokha sikutsimikizira kuti munthu ali ndi vuto la ziwengo. Dokotala adzaganizira zinthu zambiri, kuphatikizapo zizindikiro, mbiri ya matenda a wodwalayo, ndi ziwengo za m'banja, kuti apange chisankho chomaliza.
• Nthawi zina, makamaka ngati zotsatira zake sizikudziwika bwino, kuyesedwa kwa chakudya cham'kamwa kungachitike kuti muwone ngati vuto la ziwengo latha. Komabe, izi ziyenera kuchitika motsogozedwa ndi dokotala komanso kuchipatala.
• Ngati dokotala watsimikiza kuti muli ndi vuto la ziwengo, musachite mantha kapena kuchita mantha, ndipo tsatirani malangizo a dokotala molondola. Chofunika kwambiri ndikupewa kwathunthu zakudya zomwe zimayambitsa ziwengo ndikukhala ndi "adrenaline" (epinephrine) auto-injection pafupi kuti mugwiritse ntchito mwadzidzidzi.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wa banja lanu kapena katswiri wa ziwengo. Iwo alipo kuti akupatseni malangizo oyenera. Khalani ndi thanzi labwino!

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