Ngatidzidzei zvakawanda nezve allergies dzechikafu. Ziva zvinhu izvi kuti usazvidya mwoyo!

Nhasi tichataura nezvechimwe chinhu chakakosha kuvanhu vazhinji, uye dzimwe nguva chinotyisa zvishoma. Izvozvo zvinoreva allergies yechikafu, kana sezvatinoti muchiRungu, "Food Allergies". Wakambosangana nekurwara kamwe kamwe, kunetseka kufema, kana kushushikana mudumbu mushure mekudya chikafu here? Pamwe zvakamboitika kwauri. Ngationei kuti izvi chii chaizvo, nei zvichiitika, uye kuti tingachenjerera sei.

Chii chinonzi Allergies yeChikafu?

Zvichitaurwa zviri nyore, chirwere chekudya chinonzi allergy chinoitika kana muviri wako ukakanganisa kuona chikafu chisina njodzi sechinokuvadza wobva waita chimwe chinhu. Funga nezvazvo senzira yekudzivirira muviri wako, iyo inoona chikafu chakajairika yobva yati, "Aa, uyu muvengi!" Saka, vanoita zvavanofunga kuti "zviri kukudzivirira", uye unotanga zviratidzo. Izvi zvinogona kusanganisira mapundu, kuzvimba, kurwadziwa mudumbu, kurutsa, manyoka, uye kunetseka kufema .

Dzimwe nguva chirwere ichi chinogona kuva nengozi zvikuru. Tinochidana kuti `(Anaphylaxis)`. Apa ndipo apo nzira dzekufema dzinozvimba uye haugone kufema, kana kuti BP yako inodonha zvishoma nezvishoma. Kana ukazvimba kumeso, muromo, miromo kana pahuro, uchinetseka kufema kana kumedza, kana kunzwa kupera simba, unofanira kufonera 911 kana kuenda kuchipatara chiri pedyo nekukurumidza. Izvi hazvisi zvekuseka, zvakanaka here?

Kune mhando dzakasiyana dzeallergies dzechikafu here?

Ehe, kune mhando dzakawanda huru. Patinowanzoti "allergies yechikafu," tinoreva allergies dzinokonzera pakarepo uye dzimwe nguva mhedzisiro dzakakomba kune zvinhu zvakaita senzungu, nzungu dzemiti, uye cashews. Chiremba wako anogona kudana izvi kuti "allergies chaiyo" kana kuti "allergies inokonzerwa neIgE." Iyi "IgE" imhando yeantibody mumuviri wedu. Idzi ndidzo dzinoita "kusazivikanwa" sezvambotaurwa.

Kunewo rudzi runonzi `(Oral allergy syndrome)`. Izvi ndezverudzi rwe`(IgE-mediated)`. Zvisinei, muchiitiko ichi, pane kungoitika kwemumuromo chete nemukati memuromo. Izvi hazviwanzoitiki kuti zvienderere mberi ku`(Anaphylaxis)`.

Pamusoro pezvo, kunewo mhando dzemaitiro echikafu anonzi `(Non-IgE-mediated)`. Kureva kuti, ayo asina hukama nemasoja ekudzivirira chirwere e`IgE`. Mimwe mienzaniso ndeiyi:

• `(Food protein-induced enterocolitis syndrome - FPIES): Izvi zvinonyanya kusanganisira kurutsa uye manyoka.
• Eosinophilic esophagitis: Uku kuzvimba kwegurokuro .
• Gastritis inouraya dumbu: Kuzvimba kwedumbu kunoitika.
• `(Food protein-induced proctitis)`: Ichi chinhu chinowanzoitika kuvana vadiki, uye zviratidzo zvinosanganisira ropa diki rinobuda mutsvina.

Ndezvipi zvinonyanya kukonzera allergies pakudya?

Kune chikafu chinoverengeka chinokonzera allergies dzakawanda pasi rose, pamwe chete nemunyika medu. Izvi ndizvo zvikuru:

• Nzungu
• Nzungu dzemiti dzakadai semacashew, maarumondi, mawalnuts(semuenzaniso maarumondi, walnuts, pistachios, hazelnuts, pecans, cashews, Brazil nzungu)
• Mukaka ( kunyanya mukaka wemombe)
• Mazai
• Hove
• Hove dzeshellfish ( senge shrimp, crab, squid)
• Soya
• Gorosi
• Sesame

Zvikafu izvi zvinoumba 90% yezvirwere zvese zvinokonzerwa nekudya. Zvisinei, zvakakosha kuyeuka kuti unogona kuva neallergies kune chero chikafu, kunyangwe chisiri pane urongwa uhwu . Vamwe vanhu vane allergies kumichero nemiriwo zvakare.

Ndezvipi zviratidzo zvinogona kuitika kana munhu aine allergy yechikafu?

Zviratidzo zvekusawirirana nechikafu zvinogona kusiyana kubva pamunhu nemunhu. Kune vamwe vanhu, zvinogona kunge zvisina kunyanya kuipa, nepo kune vamwe, zvinogona kunge zvakanyanya. Heano mamwe ezviratidzo zvakajairika:

• Mapundu paganda: Izvi zvinongoerekana zvatsvuka, zvokwenya, uye zvozvimba, sekunge zvarumwa neumhutu. Izvi zvinokwenya zvikuru.
• Ganda rinokwenya: Kukwenya muviri wese kunogona kusakuvadza.
• Kuzvimba kwechiso, miromo, muromo, kana rurimi: Ichi chiratidzo chinotyisa zvishoma.
• Muromo nepahuro zvinokwenya: Kunzwa kwekunyenya pahuro paunenge uchidya.
• Inzwi rakashoshoma: Kuchinja kamwe kamwe kwezwi.
• Kuoma kumedza: Kunzwa sekunge pane chinhu chakanamira pahuro.
• Kufemera: Kurira kwemuridzo kunobva pachipfuva.
• Kushaya mweya kana kufema zvakaoma: Izvi zvakare idambudziko rekukurumidza.
• Kukosora: Ungangove uchikosora nguva dzose.
• Kurwadziwa mudumbu: Dumbu rinorwadza uye rinonzwa sekunge riri kupindurwa.
• Kurutsa
• Manyoka
• Kushaya simba kana kufenda: Izvi zvinogona kunge zvichikonzerwa neBP yakaderera.
• Mhino inoyerera
• Kuhotsira

Chinhu chinonyanya kukosha: Ngatitii wakambonzwa kushushikana zvishoma nezvechimwe chikafu kare. Asi nguva inotevera paunodya chikafu chimwe chete , unogona kunzwa kushushikana kwakanyanya. Saka, kana ukaona zviratidzo zvakakomba (kunyanya kunetseka kufema, kuzvimba kwechiso), enda kuchipatara nekukasika.

Zvinotora nguva yakareba sei kuti zviratidzo zvekusawirirana nechikafu zvitange?

Kazhinji, zviratidzo zvinotanga kuonekwa mukati memaawa maviri mushure mekudya chikafu chausingade. Dzimwe nguva zvinogona kutanga mukati memaminitsi mashoma. Kashoma, zviratidzo zvinoonekwa mushure memaawa mashoma.

Sei vanhu vane allergies dzechikafu ichi?

Inyaya yakaoma zvishoma, asi muchidimbu, yakaita seizvi. Kana uine allergy yechikafu, masoja emuviri wako, ayo anotidzivirira kubva kuzvirwere, anoona zvisirizvo puroteni iri muchikafu se "inokuvadza." Inoita sekunge ivhairasi kana mabhakitiriya.

Saka, kana ukadya chikafu chaunonzwa une allergy nacho, masoja emuviri aya anotanga nzira dzakasiyana siyana dzekubvisa chinhu "chinokuvadza" (allergen) mumuviri wako. Ndipo panotanga zviratidzo zvese zvataurwa pamusoro apa. Dzimwe nguva maitiro aya anogona kunge akakomba zvekusvika pakuisa hupenyu panjodzi.

Ndiani ane mukana mukuru wekurwara nechirwere chekudya?

Vamwe vanhu vane mukana mukuru wekurwara nechikafu nekuda kwezvikonzero zvinotevera:

• Kana uine zvimwe zvinhu zvinokukanganisa: Semuenzaniso, kana uine allergy yekubereka kana guruva, unogona kunge uine allergy yechikafu.
• Kana uine eczema kana asthma: Vamwe vanhu vane eczema, asthma, uye allergies zvese panguva imwe chete. Chirwere ichi chinonziwo "Atopy".
• Kana mumwe munhu mumhuri yako (amai, baba, vanun'una kana hanzvadzi) aine allergies, asthma, kana eczema: Panogona kunge paine genetic predisorder.

Ndezvipi zvinetso zvinogona kuitika nekuda kwekurwara nechikafu?

Dambudziko guru rinokonzerwa nekusawirirana nechikafu ndiro dambudziko rataurwa pamusoro apa rekuti `(Anaphylaxis)`. Izvi zvinogona kukonzera kuzvimba mumuviri, kurutsa kusingadzoreki, kuoma kufema zvakanyanya, uye kuderera kwakanyanya kweropa (anaphylactic shock). `(Anaphylaxis)` yakanyanya inogona kutokonzera rufu. Saka, unofanira kungwarira zvikuru nezveizvi.

Vanachiremba vanoongorora sei allergies yechikafu?

Kana uchifunga kuti une allergy yechikafu, unofanira kuona chiremba. Achakubvunza nezvezviratidzo zvako uye, kana zvichidikanwa, oraira kuti uongororwe allergy . Zvakanaka kuva neruzivo runotevera paunenge uchishanyira chiremba wako:

• Ndezvipi zvekudya zvinokonzera zviratidzo zvako (kana uchiziva).
• Chikafu chacho chaidyiwa chisina kubikwa here kana kuti chisina kubikwa.
• Wakadya chikafu chakawanda sei pakaonekwa zviratidzo zvacho?
• Zviratidzo zvipi zvauri kuona, uye zvakakomba sei?
• Zvinotora nguva yakareba sei kuti zviratidzo zvitange mushure mekudya?
• Paiva nezvimwe zvinhu zvingadai zvakakanganisa zviratidzo zvako here? (semuenzaniso, waive nechirwere chehutachiona panguva iyoyo here? Waive wakasangana nechimwe chinhu chinokanganisa muviri - senge mukume wemaruva here?)
• Wakamboedza here kurapwa kumba, uye kwakakubatsira here kuti upore?
• Zviratidzo zvinogara zvichiitika here kana uchidya chikafu ichi, kana kuti dzimwe nguva chete?
• Zviratidzo izvi zvave nenguva yakareba sei zviripo?
• Une zvimwe zvinhu zvinokunetsa here (kune chikafu, mukume, guruva, mhuka, nezvimwewo)?
• Une eczema here kana kuti asthma?
• Pane mumwe munhu mumhuri ane allergies, asthma, kana eczema here?

Mashoko aya achabatsira zvikuru chiremba kunzwisisa dambudziko racho nemazvo.

Ndezvipi zviedzo zvekuongorora allergies dzechikafu?

Kana chiremba achifunga kuti zvakakodzera, anogona kuita bvunzo dzinotevera:

• Kuongororwa kweganda rine allergy: Izvi zvinosanganisira kuisa chinhu chidiki kwazvo chaunofunga kuti une allergy nacho paganda rako (kazhinji ruoko rwako kana musana), kubaya ganda netsono diki, wobva wamirira kwemaminitsi gumi nemashanu kusvika makumi maviri kuti uone kana paine chero chinhu chinoitika (kutsvuka, kuzvimba).
• Kuongororwa kweropa rine allergy: Izvi zvinosanganisira kutora sampuro yeropa rako woritarisa kuti harina ma antibodies eIgE here kana kuti kwete pachikafu chaunofunga kuti une allergy nacho.
• Kuongororwa kwedambudziko rechikafu: Izvi zvinoitwa nokungwarira, uchitarisirwa nachiremba, uye muchipatara chete. Mukuita izvi, unopiwa zvishoma nezvishoma huwandu hwechikafu chaunofungidzira kuti une allergy nacho. Izvi zvinoitirwa kuona kana paine chikonzero chekurwara nacho. Sezvo izvi zvine njodzi, kutarisirwa nachiremba kunofanirwa kuitwa.

Kurwara nechikafu kunorapwa sei?

Kutaura zvazviri, nzira yakanakisisa yekudzivirira allergies yechikafu ndeyekudzivirira allergies yako. Izvi zvinoreva kuti usadye chikafu ichocho. Zvisinei, ikozvino kune nzira dzakasiyana siyana dzekurapa dzinogona kuderedza njodzi yekusawirirana. Izvi zvinosanganisira majekiseni, mishonga yemuromo, uye mishonga isinganyanyi kutaurwa.

Zvakare, zvakakosha kuchengetedza mishonga yekukurumidzira, kunyanya `(Epinephrine)` auto-injector (semuenzaniso `(EpiPen®)`, `(Auvi-Q®)`, iri pedyo kana ukadya chikafu chausingade.

Majekiseni eOmalizumab

Chiremba wako anogona kukupa jekiseni rinonzi Omalizumab (zita rekuti Xolair®) kamwe chete kana kaviri pamwedzi. Kana kuti unogona kuzvidzidzisa kuisa jekiseni. Izvi zvinogona kubatsira kuderedza njodzi yekubatwa nechirwere ichi kana ukasaziva uchisangana nechikafu chausingade.

Kurapa nekudzivirira muviri nemuromo (OIT)

Oral Immunotherapy (OIT) chirongwa chinokubatsira iwe kana mwana wako kuti akwanise kushivirira chikafu chaune allergy nacho zvishoma nezvishoma. Uchitungamirirwa nachiremba, unopiwa huwandu hunowedzera zvishoma nezvishoma hwechikafu chaune allergy kwachiri kwemwedzi yakati wandei. Chinangwa ndechekuva "chisingakuvadzi" kuitira kuti kunyangwe chikafu chidiki chaune allergy chisakonzere kurwara kwakanyanya. Vamwe vanhu vanogona kudya chikafu chaimbova neallergy pasina matambudziko mushure mekurapwa neOIT.

Kurapa nekudzivirira muviri kuburikidza nekushandisa simbi (SLIT)

Sublingual Immunotherapy (SLIT) yakafanana neOIT. Inosanganisira kupa muviri wako huwandu hushoma hweallergen zuva rega rega kuti uwedzere kushivirira kwayo. Asi pachinzvimbo chekuidya, unoisa mvura kana piritsi rine allergen pasi perurimi rwako worega ichinyunguduka.Kurapwa uku kwe "(SLIT)" kunofanirwa kuitwa pasi pekutarisirwa kwachiremba kuti pave nechokwadi chekuti hapana dambudziko.

Mishonga yekukurumidzira

Kana uine chirwere cheallergy mushure mekudya chikafu chauri kurwara nacho netsaona, chiremba wako anogona kukurudzira mishonga inotevera:

• Mushonga we epinephrine auto-injector (semuenzaniso, EpiPen® kana Auvi-Q®) : Chiremba wako achakukurudzira kuti ushandise kana wangoona zviratidzo zvekurwara zvakanyanya (anaphylaxis). Zvakakosha kuti ugare uine mushonga uyu.
• Corticosteroids : Masteroid aya anoshanda nekuderedza kuzvimba.
• Mishonga inorwisa mabhakitiriya : Iyi mishonga inogona kubatsira kumisa kana kuderedza allergy. Zvisinei, hainyorerwi kudzivirira allergy inokonzerwa nefood allergies.

Ko kana ndiine allergy yechikafu?

Kana iwe kana mwana wako muine allergy yechikafu, munofanira kugara muchiverenga zvakanyorwa muchikafu uye kudzivirira chikafu chingave chine allergy yacho . Munogona kutaura nenyanzvi yeallergy kuti mukurukure nzira dzekurapa uye zvekuita kana paine reaction. Anogonawo kukurudzira kuti allergy iongororwe nguva nenguva kuti aone kana allergy yemwana wenyu yakaderera kana kuti kurapwa kwacho kwave kusashanda zvakanaka.

Kurwara neallergy hakugone kufungidzirwa. Saka, kunyangwe ukaita chimwe chinhu chisina kunaka pane imwe nguva, pane imwe nguva chinogona kunge chakanyanya. Zvakare, hapana bvunzo inogona kukuudza kuti uchaita sei chikafu chisina kudya. Saka, usazvidya mwoyo nekuti chimwe chinhu chidiki chakaitika kare, uye gara wakangwarira.

Kurwara nechikafu kunopera here?

Dzimwe nguva hongu. Vana vadiki vazhinji vanokura vasingachakwanisi kurwara nemukaka nemazai pavanosvika makore matanhatu. Zvisinei, kusawirirana nenzungu, nzungu dzemiti, hove, nehove hazviwanzoitiki (zvisingasviki 20%).

Kusawirirana nechikafu kunogona kudzivirirwa here?

Kunyange zvazvo pasina nzira chaiyo yekudzivirira allergies yechikafu, unogona kuedza zvinhu izvi kuderedza njodzi yemwana wako yekurwara neallergies:

• Kana uchiyamwisa (kunze kwekunge uine allergies kune zvekudya izvozvo) , wedzera nzungu nezvimwe zvinhu zvinowanzokonzera allergies mukudya kwako kwemazuva ese.
• Bvunza chiremba wemwana wako kuti ungamupa zvekudya zvitsva riini uye sei. Anogona kukurudzira kuti umupe zvekudya zvinogona kukonzera allergies pakutanga, kana kuti uchitarisirwa nachiremba, zvichienderana nezvimwe zvirwere zvemwana wako.
• Kana mwana wako angotanga kudya zvekudya zvakachengeteka zvinogona kumukonzera allergy, ramba uchimupa zvekudya zvakasiyana-siyana zvaasingazokonzere allergy nazvo (kusanganisira nzungu, mukaka, nemazai). Izvi zvinogona kuderedza njodzi yekuzopedzisira arwara neallergy.

Ndingazvichengeta sei ini kana mwana wangu?

Kuti iwe kana mwana wako musadye chikafu chamusingazive chine allergy, ita zvinotevera:

• Tarisa zviri muchinyorwa chezvikafu zvakabikwa kare. Izvi zvinogona kuoma zvishoma muSri Lanka, asi edza nepaunogona napo. Munyika dzekunze, kana chikafu chacho chine chimwe chezvinhu zvipfumbamwe zvinokonzera allergies, chinofanira kunyorwa pachinyorwa chacho. Zivawo mazwi akadai sekuti "chingave ne" kana "chakagadzirwa pamidziyo yakagovaniswa".
• Gara uchitarisa pane zviri papepa paunotenga chikafu muchitoro, paunouya nacho kumba, uye usati wadya.
• Tanga kutaura nemwana wako achiri mudiki nezvekungwarira zvaanodya uye kusagovana chikafu nevamwe vausingazive kuti chakachengeteka.
• Kana uchidya kunze, chenjerera zvikuru kumaresitorendi. Bvunza kana chikafu chacho chine chero chinhu chaunonzwa uine allergies. Asi yeuka kuti vangasakwanisa kukupa vimbiso yakakwana.
• Udza munhu wese ari pedyo nemwana wako nezve allergies dzake uye kuti ndezvipi zvekudya zvakachengeteka kuti adye.
• Taura nechikoro chemwana wako kana kuti nzvimbo inochengeterwa vana vako nezvechirwere cheallergy uye bvunza kuti ndeapi marongero avanofanira kuita kuti vasadye chikafu chavasingadye vasingazive.
• Ronga zvakanaka paunenge uchifamba uye dzimwe nguva paunenge usiri kumba. Tora chikafu chakachengeteka, kana kuti tsvaga nzvimbo dzakachengeteka dzekudya pachine nguva.
• Kana muine mibvunzo pamusoro pezvamunogona kudya nezvamusingakwanise kudya, bvunzai chiremba wenyu.

Gadzirira kana paine allergic reaction:

• Gara uine epinephrine auto-injector. Bvunza chiremba wako kuti ungaishandisa sei nemazvo.
• Iva nechokwadi chekuti chikoro chemwana wako kana nzvimbo yekuchengetera vana ine chirongwa cheFood Allergy & Anaphylaxis Emergency Care Plan kubva kuna chiremba wemwana wako. Izvi zvinotsanangura zvekuita kana mwana wako aine allergic reaction.
• Ipai mwana wenyu peni ye epinephrine pamwe nemimwe mishonga yaangada kuchikoro kana kukireshi.

Ndinofanira kuona chiremba rini?

Kana muchifunga kuti imi kana mwana wenyu mungave nechirwere chekudya, kurumidzai kuonana nachiremba. Anogona kukutumirai kuna chiremba wezvekudya uye kukupai gwara rezvekuita.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Pasina kurapwa, kusawirirana kunogona kuisa upenyu panjodzi.Kana ukaona chimwe chezviratidzo izvi, enda kuchipatara nekukurumidza kana kufonera 1990:

• Kuzvimba kwechiso, miromo, rurimi, kana pahuro
• Kuoma kufema
• Kusimba kwechipfuva
• Makoko (makoko)
• Kushaya simba mumaoko, tsoka, kana miromo
• Kushaya simba, dzungu, kana kupera simba
• Kutya kusinganzwisisike, kunzwa kwekuparadzwa kuri kuuya

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Zvingabatsira kubvunza chiremba wako mimwe mibvunzo yakaita seiyi:

• Pane nzira dzekurapa ini/mwana wangu here?
• Chii chandinofanira kuita kana ini/mwana wangu aine allergy kana kuti netsaona ndikadya chimwe chinhu chandine allergy nacho?
• Ndedzipi dzimwe nzira dzekudzivirira kusangana neallergen usingazive?
• Ndingashandisa sei mushonga uyu?
• Ndirini pandinofanira kushandisa `(Epinephrine)`?
• Une hurongwa hwekuita zvinhu zvine chekuita neallergy here?

Kurwara nechikafu kwakajairika zvakadii?

Ongororo dzinoratidza kuti pakati pe6% ne11% yevanhu vakuru vane allergies yechikafu. Uyewo, vana vanosvika 8% vane allergies yechikafu.

Zvingave mwana wako, kana kuti zvingave chimwe chinhu chawakaonekwa kuti une. Zvisinei, allergy yechikafu inogona kuchinja hupenyu hwako. Kudzivisa zvimwe zvekudya, kufungidzira kuti iwe kana mwana wako mungadyei, uye kutya kusazombodyazve kuresitorendi zvinogona kukukunda. Zvisinei, kune vanhu vazhinji, kutya uku kunogara kuripo hakugari nekusingaperi.

Kune dzimwe sarudzo dzakawanda kupfuura kare kune avo vanofanirwa kungwarira zvakanyanya pavanenge vachidya kunze. Kune maapplication nemapoka epamhepo anogona kukubatsira kuwana chikafu chakachengeteka chekuchengetedza pantry yako. Vanhu vazhinji vanowana maresitorendi nechikafu chavanovimba nacho uye chavanogara vachidya. Kurarama neallergy kunova nyore kana kwava chikamu chehupenyu hwako hwezuva nezuva.

Pakupedzisira, meseji yekuenda nayo kumba:

Kurwara nechikafu chinhu chinofanira kutyiwa, asi kana ukaziviswa nezvazvo zvakanaka uye ukatora matanho anodiwa, unogona kurarama hupenyu hwakajairika.

• Ziva kuti ndezvipi chaizvo zvekudya zvaunorwara nazvo. Tsvaga rubatsiro rwechiremba.
• Nguva dzose verenga zvinyorwa zvekudya. Kana usina chokwadi, dzivisa chikafu.
• Gara uine epinephrine auto-injector (kana uri panjodzi yekurwara zvakanyanya) uye ziva mashandisirwo ayo.
• Udza mhuri yako, shamwari, uye vaunoshanda navo kuchikoro/kubasa nezve allergy yako.
• Usatya kubvunza mibvunzo. Tsvaga mazano kubva kuna chiremba wako kana nyanzvi yezvekudya.

Yeuka, hausi wega. Kune vanhu vazhinji vanorarama nechirwere chekudya. Wana rubatsiro nerutsigiro rwaunoda. Chenjerera!

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