Kodi mwana wanu ali ndi vuto la ziwengo? Tiyeni tikambirane za jakisoni wa 'Allergen Immunotherapy'!

Kodi mwana wanu nthawi zambiri amakhala ndi ziwengo? Nthawi zina amayetsemula, kuyabwa, komanso amavutika kupuma, sichoncho? Lero tikambirana za 'majakisoni a ziwengo' omwe angathandize kuthetsa mavuto awa a ziwengo. Musadandaule, uwu ndi mankhwala omwe athandiza anthu ambiri.

Kodi jakisoni wa ziwengo ndi chiyani?

Mwachidule, 'majakisoni a ziwengo' awa ndi mankhwala a mitundu ina ya ziwengo. Izi zimatchedwanso 'allergen immunotherapy'. Izi zingakhale zothandiza makamaka ngati mwana wanu ali ndi ziwengo pazinthu monga:

• Zinthu zokhudzana ndi chilengedwe: Ganizirani za mungu, nkhungu, kapena nthata za fumbi. Izi zitha kukhala zoopsa kwambiri kwa ana ena akakumana nazo.
• Matenda a ziweto: Ana ena amatuluka ziphuphu m'thupi lonse ndipo amayamba kuyetsemula akakhudza mphaka kapena galu. Pamenepo ndiye zimachitika.
• Kuluma kwa tizilombo: Mwachitsanzo, ngati mwalumidwa ndi nyama monga mavu, nyanga, kapena nyerere, mungakumane ndi vuto lomwe limapangitsa khungu lanu kutupa kwambiri ndikupangitsa kuti zikhale zovuta kupuma.

Koma chinthu chimodzi ndi chofunika kwambiri - "majakisoni a ziwengo" awa nthawi zambiri sathandiza ndi ziwengo za chakudya. Izi zikutanthauza kuti, sizigwira ntchito pa ziwengo zomwe zimachitika mutamwa mkaka kapena kudya mtedza. Pali mankhwala osiyana a zimenezo.

Nchifukwa chiyani jakisoni wa ziwengo izi amagwiritsidwa ntchito?

Chabwino, tsopano tiyeni tiwone chifukwa chake 'majakisoni a ziwengo' awa amaperekedwa. Ziwengo ndi pamene chinthu chomwe chili m'chilengedwe (monga fumbi, mungu) chomwe nthawi zambiri sichimavulaza thupi lathu chimalowa m'thupi lathu, ndipo chitetezo cha mthupi lathu chimayankha mwadzidzidzi mopitirira muyeso. Zili ngati kukwiya kwambiri pa chinthu chaching'ono.

Timatcha zinthu zomwe zimayambitsa ziwengo motere ``Allergens.'' Zinthu zambiri zimatha kukhala ``Allergens'', monga fumbi, ubweya wa amphaka, mungu, tizilombo tina, ndi zakudya zina.

Pamene chinthu choyambitsa matenda a allergen chilowa m'thupi, thupi limatulutsa mankhwala. Chimodzi mwa izo ndi histamine . Pamene histamine iyi ndi mankhwala ena atulutsidwa, zizindikiro monga kuyetsemula, kupuma movutikira, kutsokomola, mphuno yotsekeka, kuyabwa, ndi ming'oma zimawonekera. Matenda ena a allergy amatha kukhala oopsa kwambiri , choncho muyenera kusamala nawo. Matenda oopsa monga anaphylaxis amathanso kuchitika.

Ndipotu, njira yabwino kwambiri yopewera kapena kuletsa zizindikiro za ziwengo ndikukhala kutali ndi zinthu zomwe zimayambitsa ziwengo.Koma n'zovuta kukhala choncho nthawi zonse. Madokotala omwe ali ndi ziwengo, madokotala omwe ali akatswiri pa ziwengo, angakuthandizeni kudziwa ngati mwana wanu ali ndi ziwengo komanso zomwe ali nazo. Amayesa mayeso ena, monga kuyezetsa khungu ndi magazi. Kutengera zotsatira za mayesowo, angakupatseni upangiri pa chithandizo, mankhwala (monga antihistamines), ndi momwe mungapewere ziwengozo.

Choncho, ngati mankhwala ndi mankhwala omwe mwatchulawa sakuthandiza kwambiri, kapena ngati kupewa zinthu zomwe zimayambitsa ziwengo n’kovuta, ndiye kuti katswiri wa ziwengo angakuuzeni za chithandizochi chotchedwa majekeseni a ziwengo.

Kodi jakisoni wa ziwengo amathandiza bwanji?

Tsopano tiyeni tiwone momwe 'majakisoni a ziwengo' awa amagwirira ntchito. Chomwe chimachitika ndichakuti, thupi la mwana limazolowera pang'onopang'ono '(Allergens)' yeniyeni yomwe ali ndi ziwengo. Kenako, thupi silimavutikira kwambiri ndi '(Allergens)' ngati kale. Kunena zoona, thupi limapanga '(Mtetezi Wachitetezo`)` motsutsana ndi '(Allergen`). Izi zikutanthauza kuti, thupi limakhala losakhudzidwa kwambiri ndi '(Allergen`).

Chinanso n'chakuti kwa ana omwe ali ndi ziwengo ndi mphumu, jakisoni wa ziwengo uwu ukhozanso kuchepetsa kuchuluka kwa kuphulika kwa mphumu. Kodi si chinthu chabwino? Kuchepetsa vuto la kupuma ndi mpumulo waukulu kwa mwana.

Majakisoni a ziwengo awa ali ndi zinthu zochepa kwambiri zoyeretsera zomwe zimayambitsa mavuto kwa mwana wanu. Madokotala amawonjezera pang'onopang'ono mlingo m'miyezi itatu mpaka isanu ndi umodzi yoyambirira. Izi zimatchedwa gawo lomanga thupi. Panthawiyi, chitetezo cha mthupi chimatha kuzolowera bwino zinthuzi ndikumanga chitetezo cholimbana nazo. Panthawiyi, mungafunike kulandira jakisoni kamodzi kapena kawiri pa sabata.

Pambuyo pake, mlingo wapamwamba kwambiri, wogwira mtima kwambiri, komanso wotetezeka kwambiri womwe ungaperekedwe kwa mwana ndi "mlingo wawo wosamalira." Izi nthawi zambiri zimaperekedwa kamodzi pamwezi. Madokotala amapereka "mlingo wosamalira" kwa ana mpaka atakwanitsa zaka 3 mpaka 5. Komabe, pakapita nthawi, ana ambiri amatha kuchepetsa kuchuluka kwa jakisoni omwe amalandira.

Zizindikiro zina za ziwengo za ana zimayamba kusintha panthawi ya "Bulkup Phase." Amamva mpumulo nthawi yomweyo. Ena samva mpumulo waukulu mpaka atafika pa "Maintenance Phase." Izi zimatha kusiyana malinga ndi mwana. Komabe, patatha zaka zambiri akulandira "majakisoni a ziwengo," ana ena amatha kupeza mpumulo kwa nthawi yayitali ku zizindikiro zawo za ziwengo . Mpumulowu ukhoza kupitirira ngakhale chithandizo chitasiya.

Kodi jakisoni wa ziwengo izi ndi wotetezekadi?

Funso limene makolo ambiri amakhala nalo ndi ili. Jakisoni wa ziwengo, ukaperekedwa bwino ndi katswiri wazachipatala wodziwa bwino ntchito yake, ndi mankhwala otetezeka komanso othandiza kwambiri.Izi zitha kuperekedwa ngakhale kwa ana aang'ono ngati zaka 5.

Komabe, pang'ono chabe zingachitike pamalo omwe mwalandira jakisoni. Izi zitha kuchitika nthawi yomweyo mutalandira jakisoni kapena maola angapo pambuyo pake. Malo omwe mwalandira jakisoni akhoza kukhala ofiira pang'ono, kuyabwa, komanso kutupa. Ngati izi zitachitika, mutha kupeza mpumulo popaka paketi ya ayezi kapena kumwa mankhwala oletsa kupha tizilombo toyambitsa matenda monga momwe dokotala wanu wanenera .

Kuchuluka pang'ono, kutanthauza ziphuphu ndi kuyabwa thupi lonse, sikuchitika kawirikawiri. Zotsatira zoopsa kwambiri - kuganiza kuti ziphuphu, kuvutika kupuma, kutupa pakhosi, nseru, chizungulire - sizichitika kawirikawiri. Koma ngati zotsatirapo zoopsa zachitika, ziyenera kuthandizidwa nthawi yomweyo. Ndicho chifukwa chake ana omwe amalandira jakisoni wa ziwengo amasungidwa ku ofesi ya dokotala kwa mphindi pafupifupi 30 pambuyo pa jakisoni. Chifukwa ngati chinthu chonga chimenecho chichitika, chimayamba kugwira ntchito mwachangu.

Chofunika: Kuchitika kwadzidzidzi ndi vuto ladzidzidzi. Chifukwa chake, ndikofunikira kukhala ndi dokotala pafupi. Ngati chinthu chonga ichi chichitika, dokotalayo akhoza kuchiletsa mwachangu pokupatsani mankhwala monga `Adrenaline`.

Pali malangizo ena angapo:

• Ana ayenera nthawi zonse kupatsidwa jakisoni wa ziwengo poyang'aniridwa ndi katswiri wa ziwengo/katswiri wa chitetezo chamthupi, kutanthauza dokotala yemwe ndi katswiri wa ziwengo ndi chitetezo chamthupi.
• Ngati mwana akudwala, makamaka ngati ali ndi mphumu kapena akuvutika kupuma, si bwino kupereka jakisoni mpaka dokotala atanena kuti, "Chabwino, tsopano ndi bwino." Ndi bwino kulankhula ndi dokotalayo ngakhale atakhala ndi malungo kapena chimfine.
• Ngati mwana wanu akumwa mankhwala ena aliwonse, muyenera kuuza dokotala musanamupatse jakisoni wa ziwengo. Mankhwala ena angagwirizane ndi chithandizochi.

Musadandaule, ngati mutasamalira zinthu izi, iyi ndi njira yotetezeka kwambiri yothandizira.

Kodi tingatani kuti tipeze katswiri wabwino wa ziwengo?

Chabwino, tsopano mwina mukudabwa momwe mungapezere katswiri ngati uyu. Sizovuta kwenikweni.

• Mungafunse dokotala wa banja lanu (dokotala wa chisamaliro chachikulu kapena dokotala wa ana) kuti akupatseni dokotala wabwino wa ziwengo. Nthawi zambiri amadziwa akatswiri abwino kwambiri m'derali.
• Kapena, ngati muli ndi wachibale kapena mnzanu amene ali kale ndi vuto la ziwengo, mungawafunse amene akulangiza. Ndikoyeneranso kumva kuchokera ku zomwe zinachitikira wina.
• Ku Sri Lanka, m'zipatala zazikulu za boma (monga National Hospital, Lady Ridgeway Children's Hospital) komanso m'zipatala zachinsinsi.Pali zipatala ndi akatswiri omwe amachiza ziwengo. Muthanso kuyang'ana pa zimenezo.

Chofunika kwambiri ndikuchita kafukufuku wanu ndikusankha dokotala wodalirika komanso woyenerera. Ngati dokotalayo ndi munthu amene amakufotokozerani zonse, mudzakhala omasuka.

Kodi makolo angathandize bwanji? Kodi izi zimamupweteka mwana?

Chimodzi mwa zinthu zomwe makolo ambiri amada nkhawa nacho ndi chakuti ngati jakisoni iyi ingavulaze mwana wawo. Ndipotu, singano zomwe zimagwiritsidwa ntchito popangira "katemera wa ziwengo" ndi zazing'ono kwambiri. Ndi zazing'ono kuposa singano zomwe zimagwiritsidwa ntchito popangira "katemera" zomwe timapatsa ana athu ali aang'ono, kotero ululuwo ndi wochepa kwambiri. Zimakhala ngati kuluma pang'ono, ngati kulumidwa ndi nyerere.

Koma, kodi si zachilendo kuti ana ena achite mantha pang'ono akamva mawu oti 'jakisoni'? Apa ndi pomwe thandizo la makolo ndi malingaliro abwino ndizofunikira kwambiri. Makolo akakhala odzidalira komanso odzipereka ku njira iyi yothandizira (Immunotherapy), ndi mphamvu yayikulu kwa mwana. Ngati mukuopa, mwanayo akhoza kuchita mantha kwambiri.

Mukamapereka jakisoni, mutha kugwira dzanja la mwana wanu mwamphamvu, kuimba nyimbo yomwe amakonda, kuwonetsa kanema pafoni yanu, kapena kuchita china chake kuti chimusokoneze. Izi ziwathandiza kuti asaganizire kwambiri za jakisoniyo. Madokotala ena alinso ndi zoseweretsa zazing'ono zothandizira kusokoneza ana.

"Amayi ndi abambo akamamwetulira osachita mantha, zimapatsa mwanayo chidaliro chachikulu! Amamva ngati, 'Izi ndi zabwino kwa ine.'"

Kumvetsetsa ubwino wa "majakisoni a ziwengo" awa ndi momwe amagwirira ntchito kudzathandiza kwambiri mwana wanu kuwalandira ngati gawo la zochita zawo za tsiku ndi tsiku. Taganizirani izi, "Izi ndi zazing'ono, izi zithandiza ziwengo zanga, zidzandipangitsa kukhala kosavuta kusewera, kuthamanga, ndi kulumpha," ndipo sizidzakhala zolemetsa kwambiri kwa iwo.

Kotero, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera apa?

Chabwino, tiyeni tiwone mfundo zina zofunika kwambiri zokhudza 'mankhwala ochizira matenda a allergen' omwe takambirana lero.

• Majakisoni a ziwengo ndi njira yabwino yothandizira ziwengo zina zoopsa komanso zosatha, makamaka zomwe zimachitika chifukwa cha ziwengo zomwe zimayambitsidwa ndi zinthu zachilengedwe komanso zilonda za tizilombo.
• Izi zikutanthauza kuti thupi la mwana wanu limayamba kukhudzidwa pang'onopang'ono ndi zinthu zomwe zimayambitsa ziwengo zomwe zimamupangitsa kukhala ndi ziwengo, ndipo zimapangitsa kuti chitetezo cha mthupi chizilimba.
• Izi nthawi zambiri sizigwira ntchito pa ziwengo za chakudya. Pali njira zosiyanasiyana zochitira zimenezo.
• Chithandizo nthawi zambiri chimatenga zaka zingapo (nthawi zambiri 3-5) kuti chipeze zotsatira zabwino kwa nthawi yayitali. Ulendo wautali, koma zotsatira zake zingakhale zabwino.
• Izi zimakhala zotetezeka kwambiri zikachitika motsogozedwa ndi dokotala wodziwa bwino ntchito. ``(Reactions)`` zazing'ono zingachitike pamalo obayira jakisoni, koma zoopsa sizimachitika kawirikawiri.
• Ndithu mukaonane ndi dokotala wa ziwengo,Chithandizochi chiyenera kuyambika motsatira malangizo ake. Izi sizili zoyenera kwa mwana aliyense, choncho ndi udindo wa dokotala kusankha.
• Chithandizo, kuleza mtima, ndi malingaliro abwino a makolo ndi mphamvu yaikulu kwa mwana kuti amalize bwino chithandizochi.

"Kumbukirani kuti mwana aliyense ndi wosiyana. Choncho lankhulani ndi dokotala wanu mosamala za momwe chithandizochi chilili choyenera kwa mwana wanu komanso momwe chidzachitikire."

Choncho, ngati mwana wanu ali ndi vuto la ziwengo ndipo akuyenera kumwa mankhwala nthawi zonse, lankhulani ndi dokotala wanu za njira yogwiritsira ntchito 'jakisoni wa ziwengo'. Mwina izi zingakuthandizeni kupeza mpumulo waukulu!

Jakisoni wa ziwengo , chithandizo cha chitetezo chamthupi cha allergen, ziwengo mwa ana, ziwengo, histamine, anthu omwe ali ndi ziwengo, chitetezo chamthupi