Wakambozvibvunza here kuti sei mushure mekudya mimwe michero yakaomeswa, waini, kana muto, unonzwa sekunge wava kupenga, kunetseka kufema, uye kunzwa seusingachanzwi zvakanaka mudumbu? Pamwe asthma yako iri kungoerekana yawedzera kuipa. Chikonzero cheizvi chingave chiri nyore kupfuura zvaunofunga. Kazhinji, munhu ane mhosva iyi ikemikari inonzi sulfite. Nhasi, tichataura nezve sulfite allergy kana sensitivity iyi.
Zvichitaurwa zviri nyore, chii chinonzi sulfite?
MaSulfite makemikari anoshandiswa semishonga yekuchengetedza. Kureva kuti, anowedzerwa muzvikafu nemishonga kuti asaora. Ungave wakaona kuti apuro rakachekwa rinoshanduka kuva brown mushure mechinguva. MaSulfite anoshandiswa kudzivirira chikafu chakadaro kuti chisashanduke ruvara uye kudzivirira mabhakitiriya kukura nekuora. Semuenzaniso, maSulfite ave achishandiswa mukugadzira waini kwemazana emakore kuchengetedza ruvara nekuravira kwewaini. Zvimwe zvekudya nezvinwiwa zvinogona kunge zvine maSulfite zvakasikwa.
Chinhu chakakosha kurangarira: Sulfite haisi allergy yemishonga yesulfa. Iyi miviri yakasiyana zvachose. Uye haisi iyo element yesulfur, kana kuti sulfates inowanikwa mu sipo neshampoos.
Zvakaonekwa kuti pakati pe4% ne5% yevanhu vane asthma vanogona kunge vaine sulfite sensitivity iyi. Kutaura zvazviri, sulfite sensitivity iyi yakajairika kupfuura sulfite allergy chaiyo (IgE-mediated allergy).
Ndezvipi zviratidzo zvekusawirirana kwe sulfite?
Zviratidzo zvemuchetura we sulfite zvinogona kusiyana kubva pamunhu kusvika pamunhu. Vamwe vanhu vanonzwa kusagadzikana kudiki, nepo vamwe vanogona kunzwa zviratidzo zvakakomba. Ngationei kuti zviratidzo izvi chii.
| Rudzi rwechiratidzo | Tsananguro |
|---|---|
| Zviratidzo zvakajairika (zvinowanzobatanidzwa neasthma) |
|
| Zviratidzo zvakanyanya zvisingawanzoitiki (Anaphylaxis) |
Sei ma sulfite aya asina kunaka kumuviri wedu?
Masayendisiti haasati aziva kuti sei vamwe vanhu vachiita ma sulfite nenzira iyi, asi pane zvimwe zvavanofunga kuti zvinogona kuita basa racho.
- Kufema gasi reSulfur dioxide: Patinodya kana kunwa chikafu chine sulfites, chinoburitsa gasi rinonzi sulfur dioxide. Gasi iri parinopinda mumhepo yedu, rinogona kukurudzira masero ari mumhepo, zvichiita kuti azvimbe uye atete. Kune munhu ane asthma, izvi zvinogona kuita kuti asthma yake iwedzere kuipa.
- Maitiro anokonzerwa neIgE: Masoja emuviri wedu ane rudzi rweantibody inonzi `IgE`. Zvakafanana nevarindi vemuviri wedu. Basa ravo nderekuziva zvinhu zvinokuvadza, zvakaita sehutachiona, zvinopinda mumuviri uye zvinopa zviratidzo zvekuzviparadza. Asi dzimwe nguva varindi ava vanoita zvikanganiso. Vanokanganisa chimwe chinhu chisina njodzi, senge sulfites, semuvengi mukuru uye vanotumira yambiro kumasoja emuviri. Ndipo panotanga kuoneka zviratidzo zvekusawirirana.
- Kushaikwa kwe enzyme ye sulfite oxidase: Iyi i enzyme mumuviri wedu. Zvichitaurwa zviri nyore, enzyme ipuroteni inobatsira nemaitiro emakemikari mumuviri wedu. Iyi enzyme ye sulfite oxidase inopwanya sulfur dioxide yoibvisa mumuviri. Vamwe varwere veasthma vane huwandu hwakaderera hwe enzyme iyi mumiviri yavo. Zvadaro, sulfites inogona kuungana mumuviri pane kupwanywa nekubviswa zvakanaka, zvichikonzera allergies.
Ndiani ari panjodzi huru yeizvi? Uye unozviziva sei?
Vanhu vane asima vanowanzova nechirwere chesulfite, uye vanhu vane zvimwe zvirwere zvekudya vanogonawo kuva nenjodzi yakakura zvishoma.
Munhu asina asthma anogona here kuva nekunzwa kwesulfite? Ehe, asi hazviwanzoitiki. Uye hazviwanzoitikiwo kuti munhu asina asthma anzwe kukanganiswa kwakanyanya nesulfite.
Kuongorora chirwere
Parizvino hapana kuongororwa kweropa kana ganda kunogona kunyatsoongorora chirwere chesulfite allergy. Saka, chiremba wako achaongorora chirwere ichi nekukubvunza mibvunzo mishoma.
- Zviratidzo zvako ndezvipi?
- Nhoroondo yako yese yezvekurapa
- Ungave uine asthma kana zvimwe zvirwere
- Nekuita bvunzo yedambudziko rezvekudya
Mubvunzo uyu wekutsvaga chikafu , chiremba achatanga newe kutora dose diki yesulfites oiwedzera zvishoma nezvishoma. Inowanzopihwa semvura kana kuti kapisi. Chiremba achakutarisa kuti aone kana paine reactions. Kana ukaita reaction, mashandiro emapapu ako achayerwa uchishandisa mudziyo unonzi spirometer. Izvi zvinoitwa muchipatara chine nzvimbo dzekurapa dzinokurumidzira, saka hapana chikonzero chekutya.
Nzira yekurapa uye kubata nayo sei?
Kana ukaonekwa uine allergy ye sulfite kana kuti sensitivity, chinhu chakakosha uye chakanakisa chekuita ndechekudzivisa chikafu, zvinwiwa, uye mishonga ine sulfites zvakanyanya sezvinobvira.
Zvisinei, chiremba wako anogona kukupa mimwe mishonga yekudzora zviratidzo.
- Cromolyn: Uyu mushonga unosimbisa masero emuviri anokonzera allergies.
- Corticosteroids: Mishonga inoderedza kuzvimba nekuzvimba mumuviri.
- Mishonga yeBronchodilator: Idzi ndidzo mhando dzemishonga yekufema inoshandiswa nevanhu vane asthma. Inopa nzira dzekufema dzakakura uye inoita kuti kufema kuve nyore.
- Mishonga inorwisa mabhakitiriya: Iyi inobatsira nezviratidzo zvekurwara, zvakaita seganda rinokwenya uye mhino inoyerera, pane zviratidzo zveasthma.
- Vhitamini B12: Dzimwe ongororo dzakaratidza kuti vhitamini B12 inogona kuderedza allergy kune sulfites. Zvisinei, zvakakosha kutaura nachiremba wako nezveizvi.
Nzira yekudzivirira sei zvinhu zvine sulfites?
Ichi ndicho chikamu chakakosha. Ngatitarisei zvekudya nemishonga ine sulfite yakawanda. Ita tsika yekuverenga zviri papepa paunotenga chimwe chinhu muchitoro.
| Tarisa kana mazita aya akanyorwa pane label. | |
|---|---|
| Sarufa dhayidhi | Potassium bisulfite |
| Potassium metabisulfite | Sodium bisulfite |
| Sodium metabisulfite | Sodium sulfite |
Zvikafu zvinogona kunge zvine huwandu hwakawanda hwe sulfites
| Rudzi rwechikafu/chinwiwa | Mienzaniso |
|---|---|
| Mhando dzedoro | Doro, waini (kunyanya waini chena) |
| Chikafu chakaomeswa | Michero yakaomeswa (mazambiringa, maapricots), mbatatisi dzakaomeswa |
| Zvinwiwa zvakagadzirwa | Muto wemuriwo wakabikwa mubhodhoro, zvinwiwa zvemichero, zvinwiwa zvisina doro |
| Masosi neGravy | Masosi akabikwa mubhodhoro, musanganiswa wemuto, molasses |
| Hove dzegungwa | Shrimp, lobster, nezvimwe zvisikwa zvegungwa zvine makobvu |
| Zvigadzirwa zvebhekari | Mamwe marudzi ezvikafu zvakabikwa (mabhisikiti, mapai, pizza) |
Mishonga inogona kunge iine sulfites
Mimwe mishonga inogona kunge iine sulfites semushonga unochengetedza, saka zvakakosha kuudza chiremba wako nezvekusagadzikana kwe sulfite kana wapihwa chero mushonga.
Mimwe mienzaniso:
- Mishonga yakaita seadrenaline (Epinephrine), noradrenaline (Norepinephrine) (kusanganisira mimwe mishonga inonyaradza mazino)
- Mimwe mishonga ye corticosteroid (mafuta ekuzora nemajekiseni), yakaita se dexamethasone
- Mimwe mishonga inorwisa fungal yeganda
- Dopamine
- Mishonga inorwisa mabhakitiriya yakaita seaminoglycosides uye doxycycline ( Doxycycline )
- Propofol (mushonga unoshandiswa pakurapa nekurwadziwa kwemutsipa)
Unofanira kuona chiremba rini?
Kana uchinzwa sekuti asthma kana allergies yako hazvina kudzorwa zvakanaka, iva nechokwadi chekuona chiremba. Vanogona kukubatsira kuona chaizvo zvinokukonzera uye kukupa mazano ekuti ungazvidzivirira sei.
Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?
Kana ukava neasthma yakanyanya isingadzoreki nemishonga yako (semuenzaniso mishonga yekufemesa), kana ukaona chimwe chezviratidzo zvinotevera zvekurwara zvakanyanya , enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
- Kuomerwa zvikuru kufema kana kumedza
- Kuzvimba kwemiromo, rurimi, chiso, kana pahuro
- Kurova kwemoyo
- Kunzwa kusuruvara kana kuti dzungu
- Kurasikirwa nepfungwa
Kana uine allergy ye sulfite, zvakakosha kuti utaure nachiremba wako uye uzive mishonga yaunofanira kushandisa panguva yekukurumidzira (semuenzaniso, epinephrine auto-injector).
Mharidzo Yekuenda Nayo Kumba
- Kunzwa kwesulfite mumuviri chirwere chaicho, kunyanya chinowanzoitika kune vane asthma.
- Izvi zvakasiyana zvachose ne allergy yemishonga ye "sulfa".
- Kudzora kukuru ndekwekudzivisa chikafu, zvinwiwa, nemishonga ine sulfites. Kuti izvi zviitike, kuverenga mazita ezvekudya kwakakosha zvikuru.
- Kana uine zviratidzo zvakaita seizvi, usafungidzire woenda kuna chiremba ane hunyanzvi kuti akubatsire kunyatsoongorora chirwere chako.
- Zivai zviratidzo zvekurwara zvakanyanya uye zvekuita nekukasika kana mukaitika chirwere chakadaro.
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