Ese nawe uhura n'ikibazo cyo kurya ibishyimbo? Bishobora kuba ari allergie y'ibishyimbo!

Ese ukunda ibiryo biryoshye, cyangwa nkuko twese tubizi, ibiryo biryoshye? Tekereza, wariye hummus ubyishimiye cyane mu birori hamwe n'inshuti zawe. Nyuma y'igihe gito, hagaragaye ibibyimba bitukura ku mubiri wawe wose maze utangira kubyimbirwa. Cyangwa wagize ikibazo cyo guhumeka. Ese ibi byaba byarakubayeho? Ushobora kuba utari uzi ko hari abantu bashobora kugira ubwivumbure kuri ibi biribwa biryoshye. Niba wigeze kugira ubwivumbure, indwara zo mu nda, cyangwa indwara zo mu nda nyuma yo kurya ibiryo biryoshye, uyu ashobora kuba ari wowe.

Allergie y'ibishyimbo ni iki? Ni isanzwe ingana iki?

Muri make, allergie y'ibishyimbo ni igihe umubiri wawe ugize ikibazo iyo uriye (cyangwa rimwe na rimwe ukozeho) ibishyimbo. Ibishyimbo ni bimwe mu bigize umuryango w'ibishyimbo, hamwe n'ubunyobwa, lentile na soya. Allergie ibaho iyo ubudahangarwa bw'umubiri bwawe bwibeshye ko ibishyimbo ari bibi. Hanyuma umubiri wawe usohora imiti yitwa histamine . Iyi histamine ni yo ituma uruhu rwawe rurya, rubyimba, kandi rugahumeka nabi. Nubwo hari abantu bashobora kugira allergie ikomeye ku biryo ishobora gushyira ubuzima bwabo mu kaga, ibishyimbo ni bike cyane.

Allergie y'ibishyimbo by'ubunyobwa ntabwo ikunze kugaragara cyane. Allergie y'ibishyimbo by'ubunyobwa na soya ni yo ikunze kugaragara cyane. Nubwo umubare nyawo w'abantu bafite allergie y'ibishyimbo by'ubunyobwa utazwi neza, abashakashatsi bemeza ko iyi ndwara ikunze kugaragara cyane mu bihugu aho abantu barya ubunyobwa bwinshi. Rero, niba ufite ibimenyetso by'allergie y'ibishyimbo by'ubunyobwa, ugomba kwirinda kurya ubunyobwa n'ibiribwa birimo ubunyobwa (urugero, hummus cyangwa falafel). Ni byiza kureba umuganga w'indwara z'allergie kugira ngo amenye niba nawe ufite allergie ku bindi bishyimbo by'ubunyobwa. Kuko ibi bishyimbo byose birimo poroteyine zisa.

Ni ibihe bimenyetso by'uburwayi bw'ibishyimbo?

Si abantu bose bagira ibimenyetso bimwe, ariko dore bimwe mu bimenyetso bikunze kugaragara by’ubwivumbure bw’ibishyimbo:

• Uko uruhu rukora: gushyuha, gutukura, kubyimba kw'uruhu, cyangwa kubyimba kw'uruhu.
• Ibibazo by'igogora: Impiswi, kubabara mu gifu no kuruka.
• Impinduka mu muvuduko w'amaraso: Umuvuduko w'amaraso ushobora kugabanuka cyangwa kuzamuka mu buryo butunguranye.
• Kugorwa no guhumeka: gukorora cyangwa guhumeka.
• Impinduka mu muhogo: Kumva umuhogo ufunganye, kugorwa no kumira.
• Ibimenyetso byo mu kanwa no mu kanwa: Kurya cyangwa gushya mu kanwa cyangwa ku minwa.

Indwara ikomeye y'ubwivumbure: Anaphylaxis

Mu bihe bimwe na bimwe by’ubwivumbure bukomeye, indwara iteje akaga yitwa `anaphylaxis` ishobora kubaho. Iyi ni ikibazo cyihutirwa cy’ubuvuzi gisaba kuvurwa vuba. Ibimenyetso bya `anaphylaxis` ni ibi bikurikira:

• Kubyimba mu muhogo, kugorwa no kumira, cyangwa kumva umuhogo ufunze.
• Guhumeka bigoranye cyane, guhumeka nabi.
• Kumva ufite intege nke cyangwa urujijo, guta ubwenge mu buryo butunguranye, cyangwa ibindi bimenyetso by'umuvuduko w'amaraso uri hasi (urugero: uruhu rukonje, umutima utera nabi).

Dore ikintu cy'ingenzi: Kudakunda kurya no kurwara indwara ni ibintu bibiri bitandukanye. Kudakunda kurya bigira ingaruka cyane cyane ku gifu cyawe no ku ruhu. Bishobora gutera ibimenyetso nko kubyimba, impiswi, no kubyimba. Ariko, ingaruka z'ubwirinzi bw'umubiri zishobora kugira ingaruka ku ngingo nyinshi, nko mu buryo bw'ubuhumekero, uruhu, n'imitsi. Kubwibyo, ibimenyetso bishobora kugaragara mu bice bitandukanye by'umubiri.

Ni iki gitera allergie kuri chickpeas?

Umubiri ugira ubwivumbure bw'umubiri iyo wibeshye ko ibiryo cyangwa ikindi kintu byakwangiza. Hanyuma umubiri ukora ubwoko bwihariye bwa antibody yitwa `IgE antibodies` (immunoglobulin E antibodies) . Izi antibody zituma umubiri wawe usohora imiti itandukanye, harimo na `histamine`, ibi bigatuma ugira ibimenyetso bya allergy.

By’umwihariko, iyo bigeze ku biyobyabwenge by’inkoko, abashakashatsi bemeza ko ubudahangarwa bw’umubiri wawe bugira ingaruka kuri poroteyine zitwa `globulin`, `prolamin`, cyangwa `albumin` ziri mu biyobyabwenge by’inkoko. Izi poroteyine ntizikurwaho no guteka cyangwa guteka ibiyobyabwenge by’inkoko. Ibi bivuze ko uko ibiyobyabwenge byategurwa kose, umuntu ufite allergie ashobora kugira ingaruka.

Ni nde ufite amahirwe menshi yo kugira allergie y'ubunyobwa?

Umuntu wese ashobora kugira allergie y'ubunyobwa. Ariko, ushobora kuba ufite amahirwe menshi yo kurwara iyi ndwara kubera impamvu zikurikira:

• Allergie ku bindi binyamisogwe: Niba ufite allergie ku bindi binyamisogwe, nk'ubunyobwa cyangwa soya. Ubushakashatsi bumwe bwagaragaje ko umuntu umwe kuri makumyabiri ufite allergie ku binyamisogwe bimwe ashobora no kugira allergie ku bindi binyamisogwe. Ibi biterwa nuko ibinyamisogwe byose birimo poroteyine zimwe.
• Izindi allergie: Niba ufite izindi allergie ku biribwa cyangwa allergie ku bintu nk'umukungugu, pollen, nibindi.
• Asima cyangwa eczema: Niba urwaye asima cyangwa eczema (indwara y'uruhu nka eczema).
• Aho utuye: Niba utuye mu gace karibwa cyane n'ibishyimbo, nko mu Buhinde n'ibihugu bikikije inyanja ya Mediterane.

Ese abantu bafite ubwivumbure bw'ibishyimbo na bo bafite ubwivumbure bw'ibishyimbo?

Oya, si ukuri gusanzwe. Nubwo bifitanye isano kuko byombi ari ibinyamisogwe kandi bikubiyemo poroteyine zisa, kugira allergie y'ibinyamisogwe ntibivuze ko uzaba ufite allergie kuri chickpeas. Ariko, kubwira muganga wawe niba ufite allergie y'ibinyamisogwe cyangwa soya bishobora gufasha mu gusuzuma. Muganga wawe ni we muntu mwiza wo kuganira nawe ku bindi binyamisogwe ushobora kuba ufite. Ashobora kuguha inama zihariye.

Ni izihe ngorane ziterwa n'ubwivumbure bw'ibishyimbo?

Ingorane ikomeye cyane iterwa n'ubwivumbure bw'ibishyimbo ni shock ya anaphylactic.Kujya mu gihe cy’indwara ya anaphylaxis. Ibi bishobora gutuma umuvuduko w’amaraso ugabanuka mu buryo butunguranye, guhumeka bigoranye cyane, ndetse no guta ubwenge. Niba ubonye ibimenyetso bya anaphylaxis, ugomba guhita ujya mu cyumba cy’ubutabazi cya hafi. Ariko ibuka ko ingaruka nyinshi z’ubwivumbure bw’ibishyimbo bya peanut ziba zoroheje kandi ntizishyira ubuzima mu kaga. Ntugatinye rero, ariko ni ngombwa kumenya ibimenyetso.

Wamenya ute neza ko ufite allergie y'ibishyimbo?

Niba ubona ko ufite allergie y'ubunyobwa, gana muganga. Ashobora gukora ibizamini bya allergie kugira ngo amenye allergie y'ubunyobwa. Bimwe muri ibyo bizamini birimo:

• Ikizamini cyo gutobora uruhu: Ibi bikubiyemo gushyira igitonyanga cy'umuti ukozwe mu mashaza ku ruhu rwawe (ubusanzwe mu gahanga cyangwa mu mugongo), gutobora agace gato ukoresheje urushinge, no gusuzuma niba nta ubwivumbure (nk'umutuku cyangwa kubyimba) mu minota 15-20.
• Gupima amaraso: Muri ibi, icyitegererezo cy'amaraso yawe gifatwa kigapimwa muri laboratwari kugira ngo harebwe niba umubiri wawe warakoze ubudahangarwa bwa IgE burwanya ibinure.
• Ikizamini cy’ikibazo cy’ibiribwa: Ibi bikubiyemo kuguha ingano nto y’ibishyimbo ukurikiranwe na muganga hafi, hanyuma ukongera buhoro buhoro ingano kugira ngo urebe niba ufite ubwivumbure. Iki kizamini ni cyiza gukorwa mu bitaro cyangwa ivuriro, kuko gifite ibikoresho byo kuvura ubwivumbure bukomeye ako kanya.

Kumenya allergie y'ibishyimbo rimwe na rimwe bishobora kugorana. Niba warigeze kugira allergie ku bindi binyamisogwe cyangwa imbuto, bibwira muganga wawe. Ni byiza kandi kubaza muganga wawe ibindi biribwa ugomba kwirinda kugira ngo wirinde izindi allergie.

Ni gute wavura allergie y'ubunyobwa? Wakora iki?

Uburyo bwiza kandi bw'ingenzi bwo kuvura indwara y'ubunyobwa ni ukureka kuburya burundu. Bimwe mu biribwa bisanzwe bishobora kuba birimo ubunyobwa ni ibi bikurikira:

• Hummus
• Falafel
• Isupu zimwe na zimwe (cyane cyane isupu zo mu Burasirazuba bwo Hagati cyangwa iz'Abahinde)
• Uruvange rw'ibiryo byumye birimo ubunyobwa, nk'uruvange rw'ibiribwa biryoshye cyangwa uruvange rw'inzira
• Ibisuguti, imigati, n'ibindi bicuruzwa byo mu ifu ya besan (urugero: amafunguro amwe n'amwe aryoshye)

Wibuke ko nubwo handitseho ibishyimbo bya garbanzo, biracyari ibishyimbo bya chickpea, ntukabirye. Mu gihe uguze isupu zipakiye, utuntu two kurya, cyangwa ibindi bicuruzwa, soma witonze icyapa cy'ibikubiye mu bicuruzwa. Niba uri kurya hanze, baza umukozi cyangwa umukozi mbere yo gutumiza ibiryo bishobora kuba birimo ibishyimbo bya chickpea. Ni byiza kwitonda, kuko n'ingano nto ya chickpea ishobora gutera ikibazo.

Koresha muganga wawe mu gihe cy'impanuka.EpiPen® (epinephrine yinjiza mu mubiri) ishobora kandi kwandikirwa. Iki ni igikoresho kirokora ubuzima mu gihe habayeho ubwivumbure bukomeye (anaphylaxis). Ubundi buryo, imiti ivura indwara zo mu bwoko bwa OTC cyangwa antihistamines ishobora gufasha mu kurwanya ibimenyetso byoroheje kugeza ku biri hagati y’ubwivumbure (nk’ubushye, imisonga).

Nanone, ni byiza kugisha inama umuganga w’indwara ziterwa n’ubwivumbure kugira ngo amenye neza ingano y’ubwivumbure bwawe. Abantu bafite ubwivumbure bw’ibishyimbo bashobora no kugira ubwivumbure ku bindi binyamisogwe n’imbuto z’ibinyamisogwe birimo ubwoko bumwe bwa poroteyine, nk’amashu, amashaza, ibishyimbo byirabura, n’ibishyimbo by’impyiko. Ibi byitwa "cross-reactivity." Kubwibyo, ni ngombwa gukora ibizamini bikenewe ku nama za muganga.

Ese ushobora kwirinda allergie y'ibishyimbo?

Oya, ntabwo bishoboka kwirinda burundu ubwivumbure bw'ibiryo nk'ubwivumbure bw'ibishyimbo. Ibi akenshi biterwa n'uruvange rw'ibintu bigize imiterere y'umubiri n'ibidukikije. Ariko, niba ufite ubwivumbure ku bintu nk'ubunyobwa, soya, cyangwa lentile, ushobora kugira ubwivumbure ku bishyimbo. Rero, ni byiza kwitonda mu gihe urya ibishyimbo muri bene ibyo bihe.

Ni ryari ngomba kujya kwa muganga?

Niba ubonye ibimenyetso by'ubwivumbure nyuma yo kurya ibishyimbo (urugero: uduheri ku ruhu, ibibyimba, kubabara mu nda, guhumeka nabi), menya neza ko wagiye kwa muganga. Ashobora kugufasha kumenya niba ibishyimbo ari byo bitera. Kubera ko ingaruka ku bindi bishyimbo nazo zikunze kugaragara, muganga wawe ashobora no gukora ibizamini by'inyongera kugira ngo arebe uko wakira ibindi biribwa.

By’umwihariko, niba ugize ibimenyetso bikomeye (ibimenyetso bya 'anaphylaxis') nko kugorwa cyane no guhumeka, kumva umuhogo ufunganye, cyangwa gucika intege, jya mu cyumba cy’ubutabazi cya hafi yawe vuba. Ibi ni ingenzi kugira ngo ubuzima bwawe bugire umutekano.

Ese ibishyimbo bitera ububyimbirwe?

Oya, ibirayi ntabwo bifatwa nk'ibiryo bitera ububyimbirwe. Mu by'ukuri, abaganga benshi n'inzobere mu mirire babona ibirayi nk'ibiryo birwanya ububyimbirwe . Ibi bivuze ko ibirayi bifasha kurwanya ububyimbirwe bwangiza umubiri. Ibirayi kandi bikungahaye kuri fibre, poroteyine ikomoka ku bimera, kandi birimo intungamubiri z'ingenzi nka feri na folate. Rero ibirayi ni ifunguro ryiza cyane ku muntu udafite allergie.

Ibintu by'ingenzi ugomba kwibuka muri iyi nkuru

Nubwo ibiryo by'ibishyimbo bitakunze gutera ubwivumbure, ntabwo bishoboka ko umuntu agira ubwivumbure kuri byo. Nubwo hari abantu bagira ibimenyetso byoroheje, umubare muto w'abantu bashobora kugira ingaruka zikomeye zishobora gushyira ubuzima bwabo mu kaga, nko kurwara indwara ya anaphylaxis.

• Menya ibimenyetso: Witondere niba ugize ibimenyetso nko kuribwa k'uruhu, kubyimba, kubabara mu nda, cyangwa guhumeka nabi nyuma yo kurya ibiryo birimo ibiryo.
• Shaka inama kwa muganga: Niba ugaragaje ibimenyetso by'ubwivumbure, menya neza ko wagiye kwa muganga. Ashobora kumenya ubwivumbure, kandi byaba ngombwa akagupima niba nta ubwivumbure buhari ku biribwa bisa, nk'amashu cyangwa soya.
• Soma ibyapa by'ibiribwa: Soma neza ibyapa by'ibiribwa kugira ngo urebe niba birimo ibishyimbo by'inkoko (cyangwa ibishyimbo bya garbanzo).
• Irinde: Iyo byemejwe ko hari allergie y'ibishyimbo, uburyo bwiza bwo kuvura ni ukwirinda ibishyimbo n'ibiribwa byose birimo ibishyimbo.
• Itegure ikibazo cyihutirwa: Menya uburyo bwo gutwara no gukoresha EpiPen®, yanditswe na muganga wawe, mu gihe ugize ikibazo gikomeye cy’ubwivumbure.

Witinya, iyo umenye kandi ugafata ingamba zikenewe, ushobora guhangana neza n'allergie y'ibiryo nka allergie y'ibishyimbo kandi ukabaho ubuzima bwiza!

` Allergy y'ibishyimbo, allergy y'ibishyimbo, allergy y'ibiryo, uduheri tw'uruhu, ingorane zo guhumeka, anaphylaxis, histamine