Ese urya umunwa wawe n'iminwa yawe nyuma yo kurya? Wenda ibi ni (Oral Allergy Syndrome)! Ese tuvuge kuri ibi?

Ese wigeze ugira ikibazo cyo kubabara mu kanwa, kubura ibinure, cyangwa kumva ubabaye mu kanwa, ku minwa, cyangwa ku rurimi nyuma yo kurya imbuto, imboga, cyangwa imbuto? Cyangwa wumvaga wabyimbye gato? Akenshi iyo habayeho ikintu nk'iki, dutekereza tuti: "Oh, ibi bigomba kuba ari allergie." Yego, ni ukuri. Ubu mu by'ukuri ni ubwoko bwa allergie mu biribwa. Mu buvuzi, iyi ni "Oral Allergy Syndrome" cyangwa "OAS". Hari igihe yitwa "Pollen-Food Allergy Syndrome" cyangwa "PFAS". None rero uyu munsi, reka tubiganireho mu buryo burambuye .

Iyi ndwara yo kurwara indwara yo mu kanwa ni iyihe?

Muri make, indwara yo kurwara indwara yo mu kanwa ni ubwivumbure buterwa n’imboga zimwe na zimwe, imbuto n’imbuto z’ibinyampeke. Ariko, muri iki gihe, ubwivumbure bukunze kugaragara ku minwa, mu kanwa no mu muhogo.

Ibi ni ibintu bidasanzwe. Kubera ko impamvu nyamukuru y’iyi allergie ari ukuvangwa n’umukungugu w’ibimera (nk’umukungugu w’ibiti, umukungugu w’ibyatsi, n’umukungugu w’ibyatsi). Tekereza, niba ufite allergie ku bwoko bumwe na bumwe bw’umukungugu, hari n’ibiribwa bimwe na bimwe birimo poroteyine zisa na poroteyine ziri muri uwo mukungugu. Rero iyo uriye ibyo biribwa, ubudahangarwa bw’umubiri bwawe butekereza ko uwo mukungugu winjiye mu mubiri wawe. Niyo mpamvu iyi allergie ibaho.

Ni nde ushobora kugira ibi? Ni mu rugero rungana iki?

Iyi ndwara yitwa "Oral Allergy Syndrome" yibasira cyane abantu bafite ubwivumbure ku biti, ibyatsi n'ibimera by'ibyatsi. Ibi kandi tubyita "Seasonal Allergies" cyangwa "Allergies Rhinitis", bivuze abantu bafite ibimenyetso nko kugira izuru riseseka no kwitsamura buri gihe.

Ariko hari ikintu gito. Iyi ""(OAS)"" ikunze kugaragara ku bana bari munsi y'imyaka 3. Impamvu ni uko bifata imyaka myinshi kugira ngo umuntu agire ubwivumbure ku mbuto z'umuhondo.

Nubwo nta mibare nyayo igaragaza uburyo iyi "syndrome yo kurwara indwara yo mu kanwa" ikunze kugaragara, ifatwa nk'indwara ikunze kugaragara cyane mu bantu bakuru. Ubushakashatsi bumwe bwerekana ko hagati ya 47% na 70% by'abantu bafite ubwivumbure bw'umukungugu bashobora kugira iyi ndwara. Rero ikunze kugaragara kurusha uko ubitekereza, si byo se?

Ese iki ni ikibazo giteje akaga?

Ikibazo abantu benshi bibaza ni ukumenya niba ibi ari bibi. Akenshi, "Oral Allergy Syndrome" si indwara ikomeye. Abantu benshi bakunze kugira uburyaryate cyangwa kubyimba gato mu kanwa no mu minwa.

Ariko, ni gake cyane, munsi ya 2% by'abantu barwaye OAS bashobora kugira allergie ikomeye yitwa anaphylaxis. Anaphylaxis ni indwara ishobora gushyira ubuzima mu kaga ishobora gutera kugorwa no guhumeka. Kubwibyo, ni ngombwa kumenya ibimenyetso.

Ibi bigira ingaruka zite ku mibiri yacu?

Allergie, cyangwa allergie, ni uburyo umubiri wacu ugira ku kintu ubona ko cyangiza. Ibi ni byo bibaho muri Oral Allergie Syndrome. Iyo uriye ibiryo bitera allergie, ubudahangarwa bw'umubiri bwawe butekereza ko hari ikintu kibi cyinjiye mu mubiri wawe. Iminwa yawe n'umunwa wawe birabyimba bitewe n'ibyo.

Ariko ikintu cyiza hano ni uko ubusanzwe aside yo mu gifu iri mu gifu yawe yangiza poroteyine ziri muri ibyo biribwa, bityo iyi allergie ntikwirakwira mu bindi bice by'umubiri wawe.

Ni ibihe bimenyetso by'ibi?

Ibimenyetso bya Allergy Syndrome yo mu kanwa akenshi bitangira mu minota mike nyuma yo kurya ibiryo bitera allergy.

Ibimenyetso bikunze kugaragara ni ibi bikurikira:

• Iminwa yawe, umunwa, ururimi, cyangwa umuhogo biraryana, birananutse, cyangwa birabyimbye gato.
• Udusebe duto ku minwa cyangwa mu kanwa.

Ibi ni byo bimenyetso bikunze kugaragara. Akenshi bigabanuka ubwabyo mu minota 30.

Izindi bimenyetso bidakunze kugaragara ariko bishobora kubaho ni izi:

Hari igihe ibimenyetso bishobora no kugira ingaruka ku bindi bice by'umubiri, ariko ibi ntibikunze kugaragara cyane.

• Isesemi.
• Bimwe mu biribwa bibisi bishobora gutuma uruhu rushya, rutukura, cyangwa rubyimba iyo rukozeho.
• Uduheri cyangwa uduheri.
• Guhumeka bigoranye (Anaphylaxis) n'izindi ngaruka zikomeye ni gake cyane. Iki ni cyo kintu cy'ingenzi cyane ugomba kwibuka.

Ni ibihe biribwa bitera ibi?

Imbuto, imboga n'imbuto z'ibinyampeke ni byo bintu by'ingenzi bitera indwara yo kurwara indwara yo mu kanwa. Nkuko twabiganiriyeho mbere, poroteyine ziri muri ibi biribwa zisa cyane na poroteyine ziri mu ruhu rw'ibinyampeke bimwe na bimwe. Kubwibyo, umubiri wawe ukira ibi biribwa nk'uko wakira iruhu ry'ibinyampeke riva mu biti, ibyatsi cyangwa ibyatsi bibi.

Tekereza nk'igice cy'amayobera. Ntabwo bihuye neza n'ahantu hakwiye, ariko bisa cyane ku buryo ubona ko biri ahantu hakwiye. Ibyo nibyo bibaho hano. Ibyo kurya ubyitwaramo muri ubu buryo biterwa n'izindi allergie zawe (cyane cyane allergie y'umukungugu).

Reka turebe ubwoko bw'umukungugu bufitanye isano n'ibiribwa:

Niba ufite ubwivumbure ku bimera bimwe na bimwe, ushobora kugira ubwivumbure ku biribwa bifitanye isano n’ibyo bimera. Ariko, ibi ntibivuze ko uzaba ufite ubwivumbure ku biribwa byose bifitanye isano n’ibimera bimwe na bimwe. Hari igihe, nubwo waba udafite ubwivumbure ku bimera bimwe na bimwe, ushobora kugira ubwivumbure ku biribwa bimwe na bimwe.

Dore ingero zimwe na zimwe. Nubwo ibi bitari ibya Sri Lanka gusa, ni ngombwa gusobanukirwa iyi miterere. Muganga wawe ashobora kubisobanura neza mu buryo bukubereye.

Niba ufite ubwivumbure ku mbuto z'ibiti bya birch:

• Ubwoko bw'ibirungo:Anise, Caraway, Coriander, Fennel, Persley.
• Ibinyamisogwe: Ubunyobwa, Soya.
• Imbuto zirimo imbuto: Avoka, Pome, Kiwi, Amapera.
• Imbuto z'amabuye: Impeke, Cherry, Peaches, Plums.
• Imbuto: Amande, Hazelnuts.
• Imboga: Karoti, Seleri.

Niba ufite ubwivumbure ku mbuto z'ibyatsi:

• Amashu nka watermelon na concombre.
• Amacunga.
• Ibirayi.
• Ifu y'icyatsi kibisi (ubwoko bw'icyatsi kibisi).
• Inyanya.

Niba ufite ubwivumbure ku mbuto za ragweed:

• Artichokes (ubwoko bw'imboga).
• Ibitoki.
• Inkeri.
• Amashu nka watermelon na concombre.
• Zukini.

Niba ufite ubwivumbure ku mungu wa mugwort:

• Tungurusumu.
• Ibirungo: Anise, Caraway, Coriander, Fennel, Persley.
• Sinapi.
• Urusenda nk'urusenda rw'amafi n'urusenda rw'ubururu.
• Imboga: Ishu, Karoti, Kolifulawa, Seleri, Brokoli, Parsnip (ubwoko bw'ibirayi), Igitunguru.

Ibindi biribwa ugomba kwitondera:

Byongeye kandi, imbuto z'umutobe, imbuto z'imitini, inzabibu, imyembe, inanasi, n'amakomamanga nabyo bishobora gutera OAS ku bantu bamwe na bamwe.

Icy'ingenzi: Ntugahangayikishwe n'uru rutonde. Ntabwo uzaba ufite ubwivumbure kuri ibyo biribwa byose. Ni byiza gushaka inama kwa muganga kugira ngo umenye neza ibyo kurya bigutera ibibazo.

Ni gute wasuzuma neza iyi ndwara?

Ni gute umuganga abimenya?

Ubusanzwe umuganga w’indwara ziterwa n’ubwivumbure asuzuma indwara yo mu kanwa (Oral Allergy Syndrome) atega amatwi witonze ibimenyetso byawe. Azakubaza ibibazo bijyanye n’ibyo urya, igihe bibera, igihe bimara, n’icyabitera.

Hanyuma, ashobora gukora ibizamini by’ubwivumbure kugira ngo yemeze ko arwaye.

Ni ibihe bizamini biri gukorwa kuri ibi?

Hari ubwoko bubiri bw'ingenzi bw'ibizamini:

1. Ikizamini cy'uruhu rufite aleriji:Icyaba gihari ni uko agace gato k'uruhu rwawe gakubitwa buhoro buhoro hanyuma hagashyirwamo ibintu bike bishobora gutera ubwivumbure (urugero, impongo y'ibiti, umutobe w'ibiribwa ufite ingaruka ku mubiri wawe). Iyo ufite ubwivumbure kuri iyo ngingo, agace kazahinduka umutuku kagahinduka uduheri nk'uduheri (umutiba).

2. Ikizamini cy’ikibazo cy’ibiribwa: Ugenzurwa na muganga, uhabwa ingano nto y’ibiryo bike ukeka ko urya. Ibi bikorwa kugira ngo harebwe niba ufite ubwivumbure. Ibi bigomba gukorwa gusa imbere ya muganga.

Ni ubuhe buryo bwo kuvura ibi?

Ni iki gikunze kubaho?

Mu by’ukuri, nta buryo bwihariye bwo kuvura ``(Oral Allergy Syndrome)``. Iyo ufite ubwivumbure, akenshi bugenda bukira ubwabwo mu minota 30 nyuma yo guhagarika kurya ibiryo byabuteye.

Hari igihe gufata umuti urwanya indwara ya antihistamine bishobora gufasha guhagarika iyo ndwara cyangwa kuyirinda ko irushaho kuba mbi. Ariko, akenshi, ibi bimenyetso byoroheje bishira vuba kurusha uko umuti utangira gukora.

Ubwoko bw'imiti ikoreshwa:

Muganga wawe ashobora kukwandikira imiti nk'iyi ivura indwara yo kutagira allergie mu kanwa:

• Antihistamines: Iyi ikora mu kuziba imiti mu mubiri wawe itera allergie nto. Hari imiti igurishwa mu iduka ry’imiti iboneka muri farumasi. Urugero, harimo diphenhydramine (Benadryl®), fexofenadine (Allegra®), na loratadine (Claritin®). Uzakenera gushaka imwe ikubereye.
• Epinephrine: Iyi ikoreshwa gusa mu gihe habayeho ubwivumbure bukomeye. Itangwa nk'urushinge. Ikora mu kugabanya kubyimba, gufungura inzira z'ubuhumekero, no koroshya guhumeka. Niba warigeze kugira ubwivumbure bukomeye mbere, muganga wawe ashobora kukwandikira ikaramu ya epinephrine (urugero: Auvi-Q®, EpiPen®) kugira ngo uyikoreshe mu buryo bwihutirwa.

Ni iki ushobora kurya niba ufite OAS? Wayirinda ute? (Kwirinda no Kuyicunga)

Ntugatekereze ko kugira indwara yo kutagira allergie mu kanwa bivuze ko udashobora kurya ibiryo byinshi. Abantu benshi bahura n'ikibazo cyo kubura ibiryo byinshi bitewe n'imbuto nke, imboga n'imbuto nke, si byose.

Nta buryo nyabwo bwo "kuvura" indwara yo mu kanwa yitwa "Oral Allergy Syndrome". Ariko, hari uburyo bwo kuvura bushobora gufasha gukumira ingaruka z'ejo hazaza. Indwara ya OAS y'abantu bamwe igenda irushaho kuba nziza uko igihe kigenda gihita, cyangwa ingaruka zabo ku biribwa bimwe na bimwe zigahita zibaho.

None se, wakwirinda ute ibi, cyangwa ukagabanya ingaruka?

• Guteka no kurya ibiryo ufite ubwivumbure:Iyo imbuto n'imboga bishyushye, ni ukuvuga bitetse, imiterere ya poroteyine zitera allergie muri byo irahinduka. Icyo gihe ntugira allergie. Abantu benshi barwaye OAS bashobora kurya ibiryo bitetse, amasosi, n'imitobe y'imbuto zasizwe pasteurized nta kibazo.
• Kwirinda ibiryo ufite ubwivumbure mu bihe bimwe na bimwe by'umwaka: Abantu benshi bagira ubwivumbure mu gihe cy'impeshyi, icyi, cyangwa igihe cy'impeshyi (muri Sri Lanka, igihe ikirere kiba cyumye kandi gishyushye). Rero, uko umara igihe kirekire ufite ubwivumbure mu gihe cy'impeshyi, niko urushaho kugira ubwivumbure bukomeye kuri ibyo biryo.
• Kuvura indwara ziterwa n'ubwivumbure bw'umubiri (allergies) mu buryo butunguranye: Gufata imiti ya buri munsi ishobora gufasha bamwe mu bantu kwirinda ingaruka z'ibyo biribwa.
• Inkongoro zo gutera indwara z’ubwivumbure/Ubuvuzi bw’umubiri: Ibi bikubiyemo kongera buhoro buhoro dose z’ibintu bitera indwara z’ubwivumbure nk’inshinge. Ibi bifasha umubiri wawe kumenyera ibintu bitera indwara z’ubwivumbure. Ushobora kutagira ingaruka, cyangwa zishobora kuba zoroheje cyane. Hari abantu bashobora no kugabanya indwara ya Oral Allergy Syndrome (OAS).

Ni iki twakwitega mu gihe tubana n'iki kibazo? Ese ibi bizashira?

Wibuke ko ingaruka zikomeye z'ubwivumbure ku "Syndrome y'Ubwivumbure bwo mu Kanwa" zidakunze kubaho. Niba ubangamiwe n'ibimenyetso by'ibiryo runaka, ugomba kwirinda ibyo biryo.

Nubwo nta muti urambye w’ibi, indwara yo kurwara indwara yo mu kanwa ishobora kugenda uko igihe kigenda gihita kuri bamwe. Uko igihe kigenda gihita, umubiri wawe ushobora kumenyera ibiryo byateraga ikibazo mbere.

Ese ngomba kujya kwa muganga? Ni ryari ngomba kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufite ubwivumbure ku biribwa, ganira na muganga wawe ku bibazo byose ufite. Ashobora kugufasha kumenya niba ari ikibazo gusa cyangwa ikindi kintu gikomeye gikeneye kuvurwa.

Ugomba kujya kwa muganga kugira ngo uhabwe ubuvuzi bwihutirwa (ETU) niba ufite ibimenyetso by'allergie ikomeye nka:

• Kubyimba mu maso.
• Ururimi rubyimbye.
• Kugorwa no guhumeka cyangwa kumira.

Niba ufite kimwe muri ibi bimenyetso, ntutinde , jya kwa muganga vuba.

Ibibazo byo kubaza muganga wawe:

Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi:

• Allergie yanjye ikomeye gute?
• Ni ibihe biribwa nshobora kurya nta kibazo?
• Ese hari uburyo bwo kuvura cyangwa uburyo bwo kuvura bushobora gufasha muri ibi?
• Ni ibihe bimenyetso by'ingaruka zikomeye nkwiye kwitondera?

Nubwo indwara yo kutagira allergie mu kanwa ikunze kuba ikibazo gikomeye, hari abantu bashobora kugira ingaruka zikomeye. Niba rero ufite impungenge ku bijyanye n'allergie mu biribwa, vugana na muganga wawe cyangwa inzobere mu by'allergie. Ushobora gukomeza kurya ibyo ukunda, cyangwa ushobora gushaka ubundi buryo bwo kugabanya ububabare.

Ese twibuke muri make ibyo twaganiriyeho? (Ubutumwa bwo kujyana mu rugo)

Sawa, reka dusubiremo ingingo z'ingenzi cyane mu byo twavuzeho.

• Indwara yo kurwara indwara yo mu kanwa (OAS) ni indwara aho ibimenyetso nko kubyimba no kurira bigaragarira mu kanwa, mu minwa no mu muhogo nyuma yo kurya imbuto zimwe na zimwe, imboga n'imbuto.
• Ibi biterwa no guhura kw'ingaruka mbi ku ruhu rw'umukungugu.
• Ibi akenshi ntabwo ari bibi cyane, ariko ni gake cyane, indwara zikomeye nka "Anaphylaxis" zishobora kubaho.
• Ushobora gufasha mu kubigenzura uteka kandi ukarya ibiryo ufite ubwivumbure, ukirinda ibyo biryo mu bihe runaka, kandi ugafata imiti nk'uko muganga yabigutegetse.
• Niba ugize ibimenyetso bikomeye nko kugorwa no guhumeka, kubyimba isura cyangwa ururimi, ugomba kwihutira gushaka abaganga.
• Niba ufite gushidikanya kuri ibi, jya kwa muganga kandi umugire inama. Nta cyo ugomba gutinya, icy'ingenzi ni ukubimenya.

Ndizera ko aya makuru wayabonye ari ingirakamaro! Komeza kugira ubuzima bwiza!

` Indwara yo Kurwara Ibiryo mu Kanwa, OAS, Indwara yo Kurwara Ibiryo mu Mutwe, PFAS, Kurwara Ibiryo mu Kanwa, Kurwara Ibiryo mu Mutwe, Kurwara Ibiryo mu Mutwe, Kurwara Ibiryo mu Mutwe