Ese nawe ukeka ko hari allergie iterwa n'ibiryo? Noneho reka tumenye kuri iki '(Ikizamini cy'Ibiryo)'!

Abantu benshi bagira ibimenyetso bitandukanye nko kubabara mu nda, kubyimba uruhu, no kugorwa no guhumeka iyo bariye ibiryo bimwe na bimwe, si byo se? Hari igihe bigorana kumenya niba koko ari aleriji cyangwa ikindi kintu. Mu bihe nk'ibi, hari ikizamini cyihariye gishobora kugufasha kumenya neza kandi neza niba koko ufite aleriji ku biryo runaka cyangwa utabifite. Uyu munsi, tugiye kuvuga ku cyo bita "Ikizamini cy'Indwara y'Ibiryo", cyangwa ikizamini cy'Indwara y'Ibiryo.

Iki "kizamini cy'igeragezwa ry'ibiribwa" ni iki?

Mu magambo make, ubu ni bwo buryo bwizewe bwo kumenya niba umuntu afite ubwivumbure ku biryo runaka . Tekereza ko wumva ikintu kidasanzwe iyo uriye ubunyobwa. Iki kizamini gishobora kumenya niba koko ufite ubwivumbure ku bunyobwa, cyangwa niba ari igitekerezo cyawe gusa. Nanone, hari abantu bakura barenga ubwivumbure bari bafite bakiri bato. Iki kizamini gishobora kandi kumenya niba ubwivumbure bwarashize cyangwa niba ukwiye gukomeza kwirinda ibyo biryo .

Ibi bikubiyemo gushyira buhoro buhoro ibiryo ukeka ko ufite ubwivumbure mu rugero rwo hejuru, uyobowe neza na muganga wawe cyangwa umuganga w’indwara z’ubwivumbure.

Igikuru ni ukudashaka kwipimisha ubwawe mu rugo, kuko rimwe na rimwe hashobora kubaho ubwivumbure bukomeye.

Dore uko iki kizamini gisanzwe gikora:

• Ubwa mbere, muganga azaguha dose nto cyane y'ibiryo ukeka ko ufite ubwivumbure. Hari igihe uzabihabwa mu buryo bwa kapsule.
• Hanyuma muganga azagukurikiranira hafi niba hari ibimenyetso by'ubwivumbure.
• Niba nta mpungenge igaragaye nyuma y'iminota 15, tanga indi doze nto y'ibiryo bikekwaho.
• Muri ubu buryo, izi ntambwe zisubirwamo kugeza igihe habayeho ubwivumbure cyangwa hagatangwa dose yose yagenwe (ubusanzwe igabanyijemo dose enye cyangwa esheshatu).
• Iyo hagaragaye ibimenyetso by'ubwivumbure, ikizamini kizahita gihagarikwa kandi muganga azemeza ko ufite ubwivumbure kuri ibyo biribwa.
• Niba nta mpungenge igaragara ndetse na nyuma yo gutanga dose yuzuye, bivuze ko udafite ubwivumbure kuri ibyo biryo.
• Akenshi, ibiryo bimwe gusa ni byo bigeragezwa muri ubu buryo icyarimwe .

Ibi bifatwa nk' "igipimo ngenderwaho cy'agaciro" mu gusuzuma ubwivumbure bw'ibiryo.

Kuki iki kizamini gikorwa? Ni ryari gikenewe?

Ubusanzwe, intambwe ya mbere mu gusuzuma ubwivumbure bw'ibiryo ni ugupima uruhu cyangwa gupima amaraso y'ubwivumbure. Ariko, rimwe na rimwe ibi bizamini bishobora kuba bitaragaragara neza.. Ni bwo iki `(Ikizamini cy'Indwara y'Ibiryo)` kiza. Ariko ibuka ko ibindi bizamini (ibizamini by'uruhu n'amaraso) nabyo byizewe kandi bifite akamaro kanini ku baganga.

Abantu benshi bakora iki kizamini kugira ngo barebe niba bafite ubwivumbure bw'ibiribwa buterwa na "IgE". "IgE-mediated" ni ubwivumbure buterwa na antibodies za "IgE" mu mubiri wacu. Muri ubwo bwivumbure, ubwivumbure bukunze kubaho ako kanya nyuma yo kurya ibiryo.

Ni gute wakora iki `(Ikizamini cy'Indwara y'Ibiryo)`?

Abaganga bakoresha uburyo butandukanye kugira ngo bakore iki kizamini. Uburyo bwose bukubiyemo kongera buhoro buhoro ibiryo bikekwaho ubugenzuzi bw'abaganga.

Ni iki kibaho mu gihe cy'ikizamini?

Hari igihe ibiryo bikekwaho bitangwa uko biri. Urugero, niba urimo gupima allergie y'ubunyobwa, ushobora gutanga ubunyobwa buke. Hari igihe ibiryo bivangwa n'ikindi kintu, nk'amavuta y'ubunyobwa ashyizwe ku gikoma. Hari igihe, kugira ngo bigorane kumenya ibiryo, bishyirwa mu kapsule hanyuma bikamirwa nk'ikinini.

Ubu buryo bwo gutegura ibiryo bukoreshwa mu kugabanya amahirwe y'uko umuntu ashobora kumenya ibiryo akurikije uko abibona cyangwa abyumva , ibyo bikaba bishobora kugira ingaruka ku musaruro.

Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba kuzana ibiryo byawe bwite kugira ngo bipimwe. Ushobora kandi gusabwa gutegura resept yihariye irimo ibiryo bikekwa. Nyuma yo kurya ibiryo, cyangwa nyuma yo kumira kapsule, uzakurikiranirwa hafi kugira ngo urebe niba hari ingaruka iyo ari yo yose.

Ni nde udashobora kwitabira iki kizamini?

Abantu bahoze bagira ubwivumbure bukomeye mu bihe byashize ntibemerewe gukora iki kizamini. Ariko, baracyashobora gukora iki kizamini kugira ngo barebe niba umuntu atagifite ubwivumbure. Wibuke ko abantu benshi bapima ibiryo bimwe icyarimwe.

Ni ubuhe bwoko bwa `(Ikigeragezo cy'ibiribwa byo mu kanwa)`?

Hari ubwoko butatu bw'ibizamini bya "Oral Food Challenge". Ibi bizamini byose bikorerwa mu bitaro cyangwa mu kigo nderabuzima.

1. Igerageza rya `(Gukoresha imiti idafite ubumuga bworoshye, igenzurwa na placebo)`

Muri ubu buryo, wowe cyangwa muganga wawe ntawe uzi kapsule cyangwa ibiryo birimo ikintu gikekwaho kugira ngo umuntu agire allergen, n'ikirimo ``Placebo``` (ikintu kitagize ingaruka mbi kidafite icyo kintu gitera allergen). Iyi allergen na ``Placebo`` bitangwa buri masaha make, cyangwa buri minsi mike.

Akamaro k'ibi ni uko ibisubizo by'ibizamini bidakunze kugerwaho n'ubwoba bw'umuntu cyangwa ibitekerezo bya muganga. Mu magambo make, ingaruka zose ziturutse hanze zirakurwaho . Nubwo ubu ari bwo buryo bwiza bwo gukora "Ikizamini cy'Indwara y'Ibiryo", ntabwo gikoreshwa cyane mu buvuzi kandi gikoreshwa cyane mu bushakashatsi.

2. Ikizamini cya `(Gukoresha rimwe gusa)`

Muri iki kizamini, ni muganga wawe wenyine ubizi.Ni irihe funguro cyangwa kapsule irimo ibintu bishobora gutera allergie, n'irihe ririmo "Placebo". Ibi kandi bitangwa buri masaha make cyangwa iminsi mike.

3. Ikizamini cya `(Gufungura amafunguro)`

Muri ibi, wowe na muganga wawe murabizi ubwoko bw'ibintu bitera allergie muhabwa. Muganga asanzwe agabanya ingano y'ibiryo mu bice hanyuma akabiguha buhoro buhoro mu gihe cy'isaha imwe. Muri icyo gihe, ukurikiranwa niba nta mpungenge iyo ari yo yose ya allergie mu mubiri. Ubu ni bwo buryo bukunze gukoreshwa cyane.

Ese ukeneye kwitegura iki kizamini mbere y'igihe?

Yego rwose. Muganga wawe azaguha amabwiriza mbere yo gupimwa kugira ngo arebe neza ibisubizo byizewe. Aya mabwiriza ashobora kuba arimo ibintu nk'ibi:

• Irinde kurya ibiryo uzi ko ufite ubwivumbure mu gihe cy'ibyumweru bibiri mbere yo kwipimisha.
• Hagarika gufata imiti iyo ari yo yose yanditswe na muganga cyangwa imiti ivura allergies (imiti ivura allergies) mbere yo gupimwa .
• Irinde kurya cyangwa kunywa ikintu icyo ari cyo cyose amasaha make mbere yo kwipimisha.

Icy'ingenzi cyane: Vugana na muganga wawe ku byerekeye aleriji ufite n'imiti iyo ari yo yose ufata. Ntugatinde gufata inhaler kubera asima cyangwa gufata epinephrine mu gihe cyihutirwa kubera ko wapimwe. Muganga wawe azakubwira imiti ugomba gufata, igihe, n'uburyo bwo gufata .

Nanone, niba ufite ibimenyetso nk'ibicurane cyangwa umuriro mu gitondo cyo gupimwa, muganga wawe ashobora kugusaba gusubika ikizamini.

Ni iki wakwitega mu gihe cy'ikizamini?

Ni ibisanzwe kumva ufite ubwoba cyangwa ukagira ubwoba kuri iki kizamini. Ariko ntugahangayike, ni ikizamini cyiza . Muganga wawe azakurikirana ibimenyetso by'ubuzima bwawe mu gihe cyose cy'ikizamini.

Muganga wawe azaguha ingano nto y'ibiryo ukeka ko ufite ubwivumbure kandi arebe niba hari icyo bizagutwara. Niba nta bimenyetso bigaragaye, uzahabwa indi doze. Uzakurikiranirwa hafi nyuma ya buri doze.

Iyo ugaragaje ko hari ubwivumbure, ikizamini kiba cyarangiye. Muganga azaguha imiti igufasha mu bimenyetso by'ubwivumbure.

Ikizamini kimara igihe kingana iki?

Uko wakwitwara kose, ikizamini gishobora gufata amasaha atatu kugeza kuri ane kugira ngo kirangire . Abaganga benshi baguha ingano nto ya allergen buri minota 15. Iyo ugize allergy mu ntangiriro z'ikizamini, ikizamini kizahagarikwa. Ariko, uzakurikiranwa mu gihe cy'amasaha abiri nyuma y'icyo kizamini. Iki gihe gishobora kuba kirekire, bitewe n'uko wakwitwara. Nubwo wahabwa dose yuzuye kandi nta response ufite, muganga wawe ashobora kugukurikirana mu gihe cy'amasaha abiri nyuma y'icyo kizamini.

Bigenda bite nyuma y'ikizamini?

Niba muganga wawe yemeje ko ufite aleriji, azakugira inama y'uburyo wakwirinda ibyo biryo. Bazakwandikira kandi imiti, nka epinephrine auto-injector (nka EpiPen®). Niba udafite aleriji kuri ibyo biryo, ushobora kongeramo ibyo biryo mu mirire yawe isanzwe. Muri rusange, nyuma yo gutsinda ikizamini cy'ikibazo cy'ibiribwa, ntabwo bishoboka ko uzongera kugira icyo urya kuri ibyo biryo.

Ese iyi "Oral Food Challenge" itekanye?

Hari ingaruka zimwe na zimwe kuri iki kizamini. Niyo mpamvu gikorwa ku bugenzuzi bwa muganga, mu biro byabo cyangwa mu bitaro. Abantu benshi bagira ingaruka nke, nko kurwara uduheri no kuribwa mu ruhu. Muganga wawe ashobora kukwandikira imiti igufasha kugabanya ibi bimenyetso.

Ingaruka zikomeye ntizikunze kubaho , ariko iyo zibayeho, muganga wawe azaba yiteguye kuguha ubuvuzi ukeneye. Ingaruka zikomeye zo kugira ikibazo cyo kurya mu kanwa zishobora kuba zirimo kugorwa no guhumeka cyangwa anaphylaxis (ingaruka zikomeye zo kugira allergie zishobora gushyira ubuzima mu kaga) .

Ni izihe nyungu z'iki kizamini?

Akamaro k'iki kizamini ni uko kigufasha kwagura ubwoko bw'ibiribwa ushobora kurya kandi kikagufasha kumenya neza niba ibiryo runaka bitera ubwivumbure. Kumenya niba ufite ubwivumbure bishobora kugufasha kwirinda ubwivumbure mu gihe kizaza.

Ibisubizo by'ibizamini bivuga iki?

Ibisubizo by'ikizamini cyo kurwanya ibiryo byo mu kanwa bikunze kumenyekana hafi ako kanya . Abaganga bakunze gushyira ibisubizo mu byiciro nka "Bihanganishijwe" cyangwa "Byarasubitswe."

• `Ihanganirwa`: Ibi bivuze ko nta mpungenge na mba wagize ku biryo, bityo ibiryo ni byiza kubirya.
• `Yagize ingaruka`: Ibi bivuze ko habayeho ubwivumbure mu gihe cyo gupima.

Hari igihe ushobora kubona "igisubizo kidasobanutse neza." Iyo bibaye, muganga wawe ashobora kukugira inama yo kwirinda ibyo biryo kugira ngo ube ufite umutekano.

Reka kandi twige ku "Ikizamini cyo Kumenya Gukoresha Ibiryo" gishobora gukorerwa mu rugo.

Hari ubwoko bubiri bw'ibizamini: ikizamini cy'ikibazo cy'ibiribwa muganga wawe akora n'ikizamini cy'uburyo umuntu yumva ibiryo ashobora kubikorera mu rugo. Ibyinshi muri ibi bizamini byo mu rugo biri ku isoko ntibyemewe n'Ikigo gishinzwe ibiribwa n'imiti (FDA) kandi nta gaciro bifite mu buvuzi. Ibi bivuze ko ibi bizamini, ushobora kugura kuri interineti cyangwa muri farumasi, bidasimbura isuzuma ryakozwe na muganga.

"Icyitegererezo cya zahabu" cyo gusuzuma ubwivumbure bw'ibiryo ni "Ikizamini cy'Indwara y'Ibiryo byo mu kanwa". Ibi bikubiyemo kurya nkana ibiryo ubona ko ufite ubwivumbure.Bishobora gutera ubwoba kubwirwa ko ugomba kurya. Ariko ibuka ko muganga wawe azaba ari kumwe nawe mu gihe cyose cy'isuzuma. Ganira na muganga wawe ku bwoba cyangwa impungenge ushobora kuba ufite. Ntutinye kubaza ibibazo, nk'ibiba mu gihe cy'impanuka.

Amaherezo, ibintu byo kwibuka

Rero, iki kizamini (Ikizamini cy’Ibiryo) ni ingenzi cyane kandi cyizewe gishobora kumenya neza niba ufite ubwivumbure ku biribwa cyangwa udafite. Ibi bigomba gukorwa uyobowe na muganga, ahantu hakwiye ubuvuzi. Ibi bizagufasha gutsinda ubwoba bw’ibiribwa bimwe na bimwe no guhindura imirire yawe. Niba ushaka kandi kumenya ibijyanye n’ikizamini nk’icyo, ntukibagirwe kuvugana na muganga wawe.

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