Kodi kudya zakudya zina kumawonjezera vuto la mphumu? Kungakhale vuto la sulfite!

Kodi munayamba mwadzifunsapo kuti n’chifukwa chiyani mutadya zipatso zouma, vinyo, kapena msuzi, mwadzidzidzi mumamva ngati mukuchita misala, mukuvutika kupuma, komanso mukumva kupweteka m’mimba? Mwina mphumu yanu ikukulirakulira mwadzidzidzi. Chifukwa cha izi chingakhale chosavuta kuposa momwe mukuganizira. Nthawi zambiri, munthu amene amachititsa izi ndi mankhwala otchedwa sulfite. Lero, tikambirana za sulfite allergy kapena sensitivity.

Mwachidule, kodi sulfite n’chiyani?

Ma sulfite ndi mankhwala omwe amagwiritsidwa ntchito ngati zosungira. Izi zikutanthauza kuti amawonjezeredwa ku zakudya ndi mankhwala kuti asawonongeke. Mwina mwazindikira kuti apulo wodulidwa amasanduka bulauni pakapita nthawi. Ma sulfite amagwiritsidwa ntchito poletsa zakudya zotere kuti zisasinthe mtundu ndikuletsa mabakiteriya kukula ndi kuwonongeka. Mwachitsanzo, ma sulfite akhala akugwiritsidwa ntchito popanga vinyo kwa zaka mazana ambiri kuti asunge mtundu ndi kukoma kwa vinyo. Zakudya ndi zakumwa zina zimatha kukhala ndi ma sulfite mwachilengedwe.

Zapezeka kuti pakati pa 4% ndi 5% ya anthu omwe ali ndi mphumu akhoza kukhala ndi vuto la sulfite. Ndipotu, vuto la sulfite limeneli ndi lofala kwambiri kuposa vuto lenileni la sulfite (IgE-mediated allergy).

Kodi zizindikiro za ziwengo za sulfite ndi ziti?

Zizindikiro za poizoni wa sulfite zimatha kusiyana malinga ndi munthu. Anthu ena amamva kupweteka pang'ono, pomwe ena amamva kupweteka kwambiri. Tiyeni tiwone zomwe zizindikirozi zili.

Nchifukwa chiyani ma sulfite awa ndi oipa ku matupi athu?

Asayansi sakudziwabe chifukwa chake matupi a anthu ena amachitapo kanthu ndi ma sulfite motere, koma pali zinthu zingapo zomwe amaganiza kuti zingathandize.

• Kupuma mpweya wa sulfur dioxide: Tikamadya kapena kumwa chakudya chokhala ndi sulfites, chimapanga mpweya wotchedwa sulfur dioxide. Mpweya umenewu ukalowa m'njira zathu zopumira, ukhoza kuyambitsa maselo omwe ali m'njira zopumira, zomwe zimapangitsa kuti adzipete komanso azipapatiza. Kwa munthu amene ali ndi mphumu, izi zingapangitse mphumu yake kukhala yoipa kwambiri.
• Kuyankha kwa IgE: Chitetezo cha mthupi lathu chili ndi mtundu wa antibody wotchedwa `IgE`. Zili ngati alonda a thupi lathu. Ntchito yawo ndi kuzindikira zinthu zovulaza, monga majeremusi, omwe amalowa m'thupi ndikupereka zizindikiro zowawononga. Koma nthawi zina alonda awa amalakwitsa. Amalakwitsa chinthu chomwe sichili chovulaza kwenikweni, monga sulfites, ngati mdani wamkulu ndikutumiza chenjezo ku chitetezo cha mthupi. Pamenepo ndi pomwe zizindikiro za ziwengo zimawonekera.
• Kusowa kwa enzyme ya Sulfite oxidase: Iyi ndi enzyme m'thupi mwathu. Mwachidule, enzyme ndi puloteni yomwe imathandiza ndi njira zamakemikolo m'thupi mwathu. Sulfite oxidase iyi imaphwanya sulfur dioxide ndikuichotsa m'thupi. Odwala ena a mphumu amakhala ndi enzyme yochepa m'thupi mwawo. Kenako, sulfite imatha kudziunjikira m'thupi m'malo mosweka ndikuchotsedwa bwino, zomwe zimayambitsa ziwengo.

Ndani ali pachiwopsezo chachikulu cha izi? Ndipo mumazindikira bwanji?

Anthu omwe ali ndi mphumu nthawi zambiri amakhala ndi vuto la sulfite, ndipo anthu omwe ali ndi vuto lina la zakudya nawonso ali pachiwopsezo chachikulu.

Kodi munthu wopanda mphumu angayambe kukhala ndi vuto la sulfite? Inde, koma sizimachitika kawirikawiri. Ndipo sizimachitika kawirikawiri kuti munthu wopanda mphumu achite zinthu zambiri ndi sulfite.

Kuzindikira matenda

Pakadali pano palibe mayeso a magazi kapena khungu omwe angathandize kuzindikira molondola vuto la sulfite allergy. Chifukwa chake, dokotala wanu adzazindikira vutoli mwa kukufunsani mafunso angapo.

• Kodi zizindikiro zanu ndi ziti?
• Mbiri yanu yonse yazachipatala
• Kaya muli ndi mphumu kapena ziwengo zina
• Mwa kuchita mayeso okhudzana ndi vuto la chakudya

Mu mayeso oyesera chakudya awa, dokotala adzayamba kumwa mankhwala a sulfite pang'ono kwambiri ndikuwonjezera pang'onopang'ono. Nthawi zambiri amaperekedwa ngati madzi kapena kapisozi. Dokotala adzakuyang'anirani kuti awone ngati muli ndi zotsatirapo zilizonse. Ngati muli ndi zotsatirapo, ntchito ya mapapo anu idzayesedwa pogwiritsa ntchito chipangizo chotchedwa spirometer. Izi zimachitika kuchipatala chomwe chili ndi zipatala zadzidzidzi, kotero palibe chifukwa chochita mantha.

Kodi mungachiritse bwanji ndikuwongolera?

Ngati mwapezeka ndi vuto la sulfite allergy kapena kusagwirizana ndi mankhwala enaake, chinthu chofunika kwambiri komanso chabwino kwambiri ndi kupewa zakudya, zakumwa, ndi mankhwala omwe ali ndi sulfites momwe mungathere.

Komabe, dokotala wanu angakupatseni mankhwala ena kuti muchepetse zizindikiro.

• Cromolyn: Ichi ndi mankhwala omwe amalimbitsa maselo a mast omwe amayambitsa ziwengo.
• Corticosteroids: Mankhwala omwe amachepetsa kutupa ndi kutupa m'thupi.
• Ma bronchodilator: Izi ndi mitundu ya ma inhalers omwe amagwiritsidwa ntchito ndi anthu omwe ali ndi mphumu. Amakulitsa njira zopumira mpweya ndipo amapangitsa kupuma kukhala kosavuta.
• Mankhwala oletsa kugwidwa ndi matenda a chifuwa: Mankhwalawa amathandiza ndi zizindikiro za ziwengo, monga kuyabwa kwa khungu ndi mphuno yotuluka madzi, m'malo mwa zizindikiro za mphumu.
• Vitamini B12: Kafukufuku wina wasonyeza kuti vitamini B12 imatha kuchepetsa ziwengo zomwe zimachitika chifukwa cha ma sulfite. Komabe, ndikofunikira kulankhula ndi dokotala wanu za izi.

Kodi mungapewe bwanji zinthu zomwe zili ndi sulfite?

Iyi ndi gawo lofunika kwambiri. Tiyeni tiwone zakudya ndi mankhwala omwe ali ndi sulfites yambiri. Khalani ndi chizolowezi chowerenga chizindikirocho mukamagula china chake kusitolo.

Zakudya zomwe zingakhale ndi ma sulfite ambiri

Mankhwala omwe angakhale ndi sulfites

Mankhwala ena angakhalenso ndi ma sulfite ngati chotetezera, choncho ndikofunikira kuuza dokotala wanu za kusagwirizana kwanu ndi sulfite mukapatsidwa mankhwala aliwonse.

Zitsanzo zina:

• Mankhwala monga adrenaline (Epinephrine), noradrenaline (Norepinephrine) (kuphatikizapo mankhwala ena oletsa ululu m'mano)
• Mankhwala ena a corticosteroid (mafuta ndi jakisoni), monga dexamethasone
• Mankhwala ena ophera tizilombo toyambitsa matenda
• Dopamine
• Maantibayotiki monga aminoglycosides ndi doxycycline ( Doxycycline )
• Propofol (mankhwala ogwiritsidwa ntchito pochiza ululu)

Kodi muyenera kupita kwa dokotala liti?

Ngati mukuona kuti mphumu kapena ziwengo zanu sizikulamuliridwa bwino, onetsetsani kuti mwaonana ndi dokotala. Angakuthandizeni kuzindikira chomwe chikukuyambitsani ndikukupatsani malangizo amomwe mungapewere.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Ngati mukuyamba kudwala mphumu yoopsa yomwe siikulamuliridwa ndi mankhwala anu (monga ma inhalers), kapena ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi za ziwengo , pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo.

• Kuvutika kupuma kapena kumeza
• Kutupa kwa milomo, lilime, nkhope, kapena pakhosi
• Kugunda kwa mtima
• Kumva mutu wopepuka kapena chizungulire
• Kutaya chidziwitso