Seamai, munoziva kuti kana vamwe vana vadiki vaine allergy yechikafu chakaita senzungu, vanoratidza zviratidzo nekukurumidza. Zvinhu zvakaita semapundu, kunetseka kufema , nezvimwewo. Asi iyi allergy isingawanzoitiki yatiri kutaura nezvayo nhasi inonzi FPIES (Food Protein-Induced Enterocolitis Syndrome) yakasiyana zvishoma. Chinoitika pano ndechekuti zviratidzo zvinotanga kuoneka maawa mashoma mwana adya chikafu. Saka vabereki vazhinji vanofunga kuti iyi ingori fever yehutachiona yakajairika kana kuti ingori dumbu rinogumbuka nekuda kwekudya chikafu chapera.
Chii chaizvo chinonzi FPIES?
Zvichitaurwa zviri nyore, FPIES kuzvimba kwakanyanya kwemudumbu kunokonzerwa nemapuroteni ezvekudya. Hazvikonzeri zviratidzo zveallergy yakajairika, senge mapundu, kuvaviwa, kana kuzvimba. Pane kudaro, mwana wako anogona kuramba achirutsa uye achirwara nemanyoka.
Dambudziko iri rinowanzotanga kana mwana apiwa mukaka wemusanganiswa kana chikafu chakasimba. Kazhinji, dambudziko iri hariitike nemukaka wemuzamu. Zvisinei, kashoma, rinogona kuitika kuvana vanoyamwiswa. Mashoko akanaka ndeekuti vana vazhinji vanokura vachipfuura chirwere ichi pavanosvika makore matatu kana mana ekuberekwa .
Ndezvipi zviratidzo zveizvi?
Fungidzira kuti wapa mwana wako chikafu chitsva. Mushure memaawa maviri kana matatu, mwana wako anotanga kurutsa nguva dzose uye asingadzoreki. Zvadaro, mwana anotanga kuita tsvina isina kusimba. Ichi ndicho chiratidzo chikuru cheFPIES.
Vamwe vana vanogona kuona zviratidzo izvi zvichiwedzera zvishoma nezvishoma nekufamba kwenguva. Vanogonawo kusawedzera huremu zvakanaka uye kukura zvakanaka nekuti havasi kuwana chikafu chakakodzera chavanoda.
Muzviitiko zvakakomba, kurutsa zvakanyanya uye manyoka zvinogona kukonzera kupera mvura mumuviri uye kutovhunduka. Ichi chirwere chine njodzi zvikuru.
| Zviratidzo zvinogona kuonekwa kana munhu abatwa nechirwere chakanyanya (shock) - enda kuchipatara nekukasika! | |
|---|---|
| Hunhu | Tsananguro |
| Kuvhiringidzika | Mwana anogona kuratidzika seasina kugadzikana uye asingazive zviri kuitika zvakamupoteredza. |
| Ganda rinotonhora, rinotonhora | Muviri unonzwa kutonhora zvisingawanzoitiki kana ukaubata, uye unonzwa wakanyorova sekunge uri kudikitira. |
| Nyota yakawandisa | Mwana anofanira kunwa mvura nguva dzese. |
| Ganda rakachenuruka kana kuti rebhuruu | Ganda rinogona kuchinja ruvara, kucheneruka, kana kuita bhuruu rakatenderedza miromo. |
| Kuchinja kwekufema | Kufema kunogona kukurumidza kana kusadzika. |
| Kuneta/hope | Mwana wacho ane hope dzisinganzwisisike, anonetsa kumuka, uye haasi kutamba. |
| Kurova kwemwoyo kusina simba | Kurova kwemoyo hakuna kusimba, hakuoneki. |
Kana mukaona chimwe chezviratidzo izvi, endai nemwana wenyu kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza.
Sei izvi zviri kuitika?
Izvi zvinodaro nekuti mamwe masero ari muimmune system yemwana wako haawirirane nemapuroteni ari mune zvimwe zvekudya. Mhinduro iyi inokonzera kusagadzikana kwakanyanya mudumbu remwana (mudumbu), kureva ura. Asi zviratidzo zvechiitiko ichi zvinotora maawa maviri kusvika masere kuti zvionekwe. Ndosaka zvakasiyana nezvimwe zvirwere.
Nhoroondo yemhuri inoratidza kuti pakati pe40% ne80% yevana vane FPIES vane nhoroondo yemhuri yavo yezvimwe zvirwere zvakaita sefuruwenza kana eczema. Zvinoshamisa kuti, 20% chete yevana vane FPIES vane nhoroondo yemhuri yavo yezvimwe zvirwere zvekudya.
Ndezvipi zvekudya zvinowanzo kukonzera FPIES?
Kazhinji mamiriro ezvinhu aya anokonzerwa ne:
- Mukaka wemombe nezvigadzirwa zvemukaka (semuenzaniso yogati, chizi)
- Soya nemukaka wesoya
- Gorosi nezvimwe zviyo (semuenzaniso oats, bhari)
Pamusoro peizvi, vamwe vana vanogonawo kuva neFPIES kubva muzvikafu zvatisingafungi kuti zvinokonzera allergies .
- Bhari
- Nyama yehuku kana yeTurkey
- Hove
- Bhinzi
- Oats
- Nyemba
- Mupunga
- Nhanga
- Mbambaira
Usavhunduke nerondedzero iyi. Havasi vana vese vanozorwara nezvinhu izvi. Chinokonzera allergies kune mumwe mwana chingasava kune mumwe.
Kuongororwa kwechirwere kunoitwa sei?
Kana uchifunga kuti mwana wako ane chirwere cheFPIES, chinhu chakanakisa chekuita ndechekutaura nachiremba wevana nezvazvo. Anogona kukutumira kuna chiremba wevana allergy kana chiremba wezvekudya zvevana.
Chiremba achatanga nekukubvunza nezvezviratidzo zvemwana wako uye kana paine munhu mumhuri ane allergies. Zvadaro, vachakubvunza kuti vaone kuti hapana zvimwe zvinokonzera kurutsa nemanyoka (sekutapukirwa nehutachiona).
Dzimwe nguva, kuongororwa kweropa uye bvunzo yeganda (Atopy Patch Test - APT) zvinogona kubatsira. APT inosanganisira kuisa ndiro diki yesimbi ine chikafu chinofungidzirwa paganda remwana kwemaawa angangoita makumi mana nemasere. Zvisinei, bvunzo idzi hadzigone kusimbisa FPIES 100% yenguva.
Nzira chete yekusimbisa kana izvi zviri izvo ndeyekuongororwa kweOral Food Challenge (OFC) . Izvi zvinosanganisira kupa mwana chikafu chinofungidzirwa, zvishoma nezvishoma, pasi pekutarisirwa nachiremba, muchipatara kana kukiriniki. Izvi hazvibvumirwi zvachose kuitwa kumba.
Inorapwa sei?
Kurapa kuri nyore kwazvo. Kunosanganisira kubvisa zvachose chikafu kana chikafu chinokonzerwa neallergies yemwana mukudya kwake.
- Kana mwana wako akanwa mukaka wemusanganiswa, unofanira kushandisa mukaka wemombe usina mukaka wemombe kana soya (unobvisa allergies). Chiremba wako achakupa mazano panyaya iyi.
- Verenga zviri papepa rezvekudya zvese zvaunotenga muchitoro uye tarisa kana zvine zvinhu zvinokonzera allergies.
- Chengetai tsamba yakanyorwa kubva kuna chiremba wenyu ichiti mwana wenyu ane FPIES. Zvichabatsira zvikuru mukutsanangura mamiriro emwana wenyu kuvashandi vezvehutano kana pakaitika emergency.
Zvakajairika kuti unzwe kutya uye kunetseka kana ukanzwa nezvechirwere ichi. Asi kana chikabatwa nemazvo, mwana wako anogona kufara uye kuva neutano hwakanaka.
Mharidzo Yekuenda Nayo Kumba
- FPIES chirwere chisingawanzoitiki chinokonzerwa nekurutsa uye manyoka anoitika maawa mashoma mushure mekudya chikafu.
- Zviratidzo zvakaita semapundu uye kuvaviwa, sezvinoitwa mune allergies zvakajairika, hazvionekwi pano.
- Kana mwana wacho asina simba zvakanyanya, aine ruvara rwebhuruu paganda, kana kuti achiratidza kuvhiringidzika, muendesei kuEmergency Treatment Unit (ETU) yechipatara nekukasika.
- Iva nechokwadi chekutsvaga mazano kubva kuna chiremba wako kuti uzive chirwere chako uye kuti chigadziriswe sei.
- Vana vazhinji vanopora kubva mudambudziko iri pavanosvika makore 3-4, saka musavhunduka uye shivirirai.
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