Iyo umwana wawe atangiye kurya ibiryo bikomeye, wumva ufite ubwoba bwo kumuha ibintu nk'ubunyobwa n'amagi? "Ese, bazarwara, bazagorwa no guhumeka?" Ushobora kuba urimo kwibaza, si byo se? Ubwo bwoba ni ikintu ababyeyi benshi baterwa na bwo. Mu by'ukuri, ubwivumbure bw'ubunyobwa ni ikintu gishobora guteza akaga. Niyo mpamvu, kuva kera, twese twatekerezaga ko tugomba gutinda guha abana bato ubunyobwa. Ariko, ubu iki gitekerezo mu buvuzi cyarahindutse burundu. Reka tubiganireho uyu munsi.
Ishusho ya kera n'uburyo bushya dutekereza ubu
Mu myaka ibarirwa muri za mirongo, abaganga b’indwara z’ubwivumbure n’abaganga b’abana bemeye ibintu bibiri. Kimwe ni uko imbuto z’ibishyimbo zigomba gushyirwa ku bana bakiri bato, bizera ko ibyago byo kurwara indwara y’ubwivumbure biri hasi. Icya kabiri ni uko iyo umwana agize indwara y’ubwivumbure, imbuto z’ibishyimbo zigomba kwirindwa burundu ubuzima bwe bwose.
Ariko ubu ibi bitekerezo birimo guhinduka. Uyu munsi tuzi ko ubunyobwa atari imbuto, ahubwo ari ibinyamisogwe . Inama nshya ni uko gutanga ubunyobwa ku bana bakimara gutangira ibiryo bikomeye, bingana n'amezi 4-6, bishobora gufasha mu kwirinda allergie.
Tekereza kuri ibi, ntabwo ari ibiryo bya mbere bikomeye by'umwana wawe. Ushobora kuvanga oatmeal n'amavuta make y'ubunyobwa .
Ariko ibi ni ingenzi cyane: Niba umwana wawe asanzwe afite indwara y'uruhu nka eczema cyangwa indi allergie y'ibiryo, uwo mwana agwa mu cyiciro cy'abantu bashobora guhura n'ingaruka zikomeye . Ugomba gutanga ubunyobwa ku mwana nk'uwo gusa uyobowe na muganga w'abana.
Byagaragaye kandi ko n'abana n'abantu bakuru basanzwe bafite ubwivumbure ku bijumba by'ubunyobwa bashobora gucika intege buhoro buhoro ku bw'ubwivumbure binyuze mu kugabanya ubushobozi bwo kumva. Muri make, guhura buhoro buhoro n'ibijumba by'ubunyobwa munsi y'ubuyobozi bwa muganga bishobora gukumira ingaruka zikomeye (anaphylaxis) zishobora guterwa no kurya ibijumba ku buryo butunguranye.
Ni izihe ngaruka zo gutanga ubunyobwa hakiri kare?
Iri hinduka rikomeye ryatewe n'ibyavuye mu igerageza rikomeye ryitwa LEAP (Learning Early About Pea Nut Allergy ) , ryasohotse mu 2015.
Ubu bushakashatsi bwagaragaje ko gutanga imbuto z'ibishyimbo ku bana bari mu kaga gakomeye (abasanzwe bafite aleji cyangwa izindi aleji z'ibiribwa) bakiri bato bigabanya amahirwe yo kurwara aleji z'ibishyimbo.Byagabanutseho 81%. Abana barenga 600 bari hagati y'amezi 4-11 ni bo bakoreshejwe muri ibi. Itsinda rimwe ryahawe ubunyobwa kugeza ku myaka 5, irindi tsinda ntiryahawe na rimwe.
Ibisubizo byaratangaje. 17% by'abana bari mu itsinda batariye ubunyobwa bari bafite aleriji y'ubunyobwa ku myaka 5. Ariko, 3% gusa by'abana bari mu itsinda bariye ubunyobwa ni bo bari bafite iyo ndwara. Ibi bigaragaza akamaro ko kubanza kubukoresha hakiri kare.
Itandukaniro riri hagati yo kwirinda no kudatuma umuntu yumva ibintu neza
Igerageza rya LEAP ryibanze ku gukumira allergie. Ariko se bite ku bantu basanzwe bafite allergie? Ni cyo gikorwa cyo kuvura indwara ziterwa n'umunwa (OIT) .
OIT ni ugutoza gusa ubudahangarwa bw'umubiri bw'umuntu usanzwe afite aleriji y'ubunyobwa. Ibi bikubiyemo gutangirana n'urugero ruto cyane rwa poroteyine y'ubunyobwa, ukurikiranwe na muganga, hanyuma ukongera buhoro buhoro urugero mu mezi cyangwa imyaka. Ibi bituma umubiri ureka kugira icyo ukora ku bunyobwa no kwiga kubwihanganira .
Ubu buryo ubu buri gukoreshwa mu bitaro bimwe na bimwe byo muri Sri Lanka. Uretse OIT, hari ubushakashatsi burimo gukorwa ku bundi buryo, nko gusiga ibinyabutabire mu binyabutabire binyuze mu ruhu no mu bitonyanga bya sublingual.
Kuki ubwivumbure bw'ibinyamisogwe bukunze kugaragara cyane?
Ikibazo ababyeyi benshi bafite ni iki: "Ntabwo twari dufite ibi bintu mu gihe cyacu, none kuki ubu ari byinshi?" Abaganga bakeka impamvu nyinshi zibitera.
- Igitekerezo cy'isuku: Kubera ko muri iki gihe turi abasukuye cyane, ubudahangarwa bwacu bw'umubiri bufite amahirwe make yo kurwanya mikorobe bakiri bato. Bityo birashoboka ko ari ugutangira "intambara" n'ikintu kitagize ingaruka mbi nk'ubunyobwa.
- Kubura Vitamine D: Abana ubu bamara igihe gito hanze bakinira ku zuba. Bamara igihe kinini mu nzu bafite mudasobwa na telefoni. Ibi bikekwa ko ari byo bituma babura Vitamine D.
- Uburyo bwo gukora ibiryo: Iyo ibiryo bikozwe ku bwinshi, kwanduzwa n'ibindi biribwa no gukoresha imiti yica udukoko nabyo bishobora kuba impamvu.
Iyi si yo mpamvu yonyine, ishobora kuba ari uruvange rw'ibi byose.
Ubunararibonye nyakuri: Uburyo ubuvuzi bwa OIT bwagenze neza
Bazi ukuntu ari umutwaro kuba umubyeyi w'umwana ufite allergie ikomeye y'ubunyobwa. Ugomba gusuzuma witonze buri funguro. Ugomba gusoma icyapa kiri ku kintu cyose uguze mu iduka. Ugomba guhora ufite inshinge za epinephrine (inshinge z'umuti wihutirwa) aho uri.
Jemma ni umukobwa w'imyaka 12 wari ufite ubwivumbure bukomeye ku bijumba by'ubunyobwa n'ibindi bijumba byinshi. Yavuwe na OIT. Nyina yasobanuye uko byagenze muri ubu buryo:
"Ubwa mbere, ku ivuriro rya muganga, Gemma yahawe mililigarama imwe y'ifu y'ubunyobwa. Twarakurikiranwe amasaha make. Igihe nta kibazo cyabaye, yagarutse mu rugo. Nyuma y'ibyo, nahaye Gemma ifu ingana buri joro mu rugo. Ndetse naguze umunzani wo gupima diyama kugira ngo nyipime neza. Twakomeje kumuha iyo dose mu gihe cy'amezi menshi kugeza igihe muganga yabidutegetse."
"Igihe cyose dose yongerewe, byakorerwaga mu bitaro. Hanyuma yategerezaga amasaha menshi mbere yo gutaha. Hari igihe Gemma yarwaraga igifu no gushwanyagurika mu muhogo. Bamuhaga umuti wo kuvura. Buhoro buhoro, umubiri we waramenyereye."
"Tumaze imyaka irenga 2 dukora ubu buvuzi. Gemma ntakinywa ibiyobyabwenge, kandi arya ubunyobwa bubiri busanzwe buri joro. Nta ngaruka mbi."
Intego y'ubu buryo bwo kuvura ni ukugera ku gipimo cyo kubungabunga . Ni ukuvuga ingano igomba gufatwa buri munsi kugira ngo ibungabungwe umutekano. Ibi ni ukugira ngo hirindwe ingaruka zikomeye mu gihe uramutse uriye ikintu kirimo ubunyobwa ku bushake.
Ibintu by'ingenzi n'imibare ugomba kumenya
Ni ingenzi cyane kuzirikana izi ngingo.
| Ukuri | Ibisobanuro birambuye |
|---|---|
| Ingaruka ku bundi bwoko bw'imbuto | Niba ufite ubwivumbure bw'ibishyimbo, ibyago byawe byo kurwara ubwivumbure bw'ibiti, nka almond na cashews, biri hejuru ya 25% - 40%. |
| Indwara zikomeye (Anaphylaxis) | Abana barenga 40% bafite ubwivumbure bw'ibiribwa bagiye bagira ubwivumbure bukomeye nibura rimwe mu buzima bwabo, aho ubunyobwa ari bwo bukunze kugaragara cyane. |
| Isano n'izindi allergie | Abana bafite ubwivumbure bw'ibiribwa bafite amahirwe akubye kabiri cyangwa kane yo kurwara izindi ubwivumbure, nka asima n'umukungugu. |
| Uburyo bwo kuvura mu gihe kizaza | Umuti wa OIT witwa AR101 , utangwa nk'ikinini, ubu uri gusuzumwa kugira ngo wemerwe. Uyu ushobora kuba ari umuti uvura abana bari hagati y'imyaka 4 na 17. |
Ubutumwa bwo kujyana mu rugo
- Buri gihe vugana na muganga wawe cyangwa muganga w’abana mbere yo kuzana ibiryo bishobora gutera allergie, nk’ibinyamisogwe, ku mwana wawe.
- Igitekerezo gishya ni uko gutanga ubunyobwa mu gihe gito (amezi 4-6) bishobora gukumira allergie.
- Niba umwana wawe afite eczema cyangwa izindi allergie (zishobora gutera ibyago byinshi), imbuto z'ubunyobwa zigomba gushyirwa mu nzu gusa arinzwe na muganga.
- Niba usanzwe ufite aleriji, Oral Immunotherapy (OIT) ni uburyo bwo kuvura. Ntukigere ubigerageza uri mu rugo wenyine. Bigomba gukorwa gusa ukurikiranwe neza n'abaganga mu bitaro cyangwa ku ivuriro.
- Niba ubonye ibimenyetso by'uko ufite ubwivumbure bukomeye (urugero: kugorwa no guhumeka, kubyimba, kuruka), hita umujyana mu ishami rishinzwe ubutabazi bwihuse (ETU) riri hafi yawe.











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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.