Chingwa, roti, kottu, keke... Dzimwe nguva unonzwa kusagadzikana here kana kuti zvinokuomera kudya chikafu chakagadzirwa neupfu hwegorosi? Pamwe unonzwa kuda kurutsa, une matambudziko emudumbu, kana kuti unonetseka kufema? Pamwe unewo allergy yegorosi, kureva kuti, 'Allergy yegorosi'. Usazvidya moyo, ichi chirwere chine vanhu vazhinji. Ngatitaurei nezvazvo zvakajeka uye zviri nyore nhasi.
Zvichitaurwa zviri nyore, chii chinonzi allergy yegorosi?
Kurwara negorosi chinhu chinowanzoitika mukudya. Zvichitaurwa zviri nyore, kana ukadya chimwe chinhu chine gorosi, kana dzimwe nguva kutofema chimwe chinhu chakaita sehupfu hwegorosi, masoja emuviri wako anongoerekana aita zvekudhakwa. Kazhinji, basa remasoja edu ekudzivirira muviri nderekurwisa zvinhu zvakaita semavhairasi nemabhakitiriya anokonzera kurwara. Asi kana gorosi rikapinda mumuviri wemunhu ane chirwere chegorosi, masoja ekudzivirira muviri anofunga zvisirizvo kuti gorosi muvengi ane njodzi uye anotanga kurwisa. "Kurwa" uku ndiko kwatinosangana nako sezviratidzo zvekurwara.
Chinhu chinonyanya kukosha ndechekuti dzimwe nguva kusawirirana negorosi kunogona kuva kwakanyanya . Kana zviratidzo zvakakomba zvakaita sekuoma kwekufema uye kuzvimba kwehuro zvikaitika, zvinogona kutokonzera njodzi kuhupenyu. Kana izvi zvikaitika, unofanira kuenda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza .
Dambudziko iri rinogona kukanganisa chero munhu, asi kana mumwe munhu mumhuri mako aine zvimwe zvirwere zvinokanganisa muviri, unogona kunge uine mukana wekuti uzvibate.
Chii chinoitika chaizvo kana gorosi rapinda mumuviri?
Pane nzira mbiri huru dzinogona kutorwa nemunhu ane allergy yegorosi. Izvi zvinganzwika sesainzi, asi ngatizvichengetedzei zviri nyore.
1. Kukurumidza kuita (IgE)
Iyi ndiyo nzira inonyanya kuonekwa nayo. Kana gorosi rikapinda mumuviri, masoja edu ekudzivirira muviri anogadzira rudzi rwakakosha rweantibody inonzi Immunoglobulin E (IgE) . Aya maIgE antibodies anoziva gorosi se "muvengi" uye anobva atanga kurwisa gorosi.
- Nguva: Izvi zvinoitika nekukurumidza . Zviratidzo zvinogona kuonekwa mukati memaminitsi mashoma kusvika maawa mana mushure mekudya gorosi.
- Kuomarara: Rudzi urwu rwemhinduro ndirwo runokonzera chirwere chakanyanya kuipa, chinotyisidzira hupenyu chinonzi anaphylaxis .
2. Kunonoka kuita (Non-IgE mediated reaction)
Kuita uku kunosanganisirawo masoja emuviri, asi ma antibodies eIgE ataurwa kare haana basa.
- Nguva: Kuita uku kunononoka.Zvinogona kutora maawa anosvika makumi mana nemasere kuti zviratidzo zvionekwe.
- Zviratidzo: Matambudziko makuru anokonzerwa neizvi iEosinophilic Esophagitis (EoE) , kunova kuzvimba kwegurokuro redu (chikafu), uye Eosinophilic Gastritis (EG) , kunova kuzvimba kwemadziro emudumbu.
Ndezvipi zviratidzo zveallergy iyi?
Zviratidzo zvinogona kusiyana kubva kumunhu kusvika kumunhu. Vamwe vanhu vanogona kuona zviratidzo zvisina kunyanya kuoma, nepo vamwe vanogona kuona zviratidzo zvakakomba. Ngatizvitsanangure kuti zvive nyore kunzwisisa.
| Zviratidzo zvemuviri zvinokonzeresa zviratidzo | Zviratidzo zvinogona kuonekwa |
|---|---|
| Ganda | Mapundu, kutsvuka kweganda, kuvaviwa, kuzvimba. |
| Sisitimu Yekugaya | Kurwadziwa kwemudumbu, kuda kurutsa, kurutsa, kuzvimba, manyoka. |
| Sisitimu Yekufema | Mhino dzakazadzwa, mhino inoyerera, kuhotsira, kufemera, kuoma kufema. |
| Zvimwe zvinhu | Musoro, maziso ane mvura, kuzvimba kwemuviri. |
Dambudziko! Zviratidzo zvakakomba zve anaphylaxis
Kana ukaona chimwe chezviratidzo zviri pazasi, chirwere ichi chakakomba uye chinokurumidzira . Izvi zvinonzi anaphylaxis. Muzviitiko zvakadaro, unofanira kuenda kuchipatara nekukurumidza .
| Anaphylaxis - Zviratidzo zveEmergency | |
|---|---|
| Kuoma kukuru kwekufema (dyspnea) | Kunzwa kubatwa muchipfuva. |
| Kuoma kumedza (dysphagia) | Kuzvimba kwehuro, rurimi, kana kumeso. |
| Kudonha kamwe kamwe kweBP (hypotension) | Dzungu, maziso ebhuruu, kurasikirwa nepfungwa (syncope). |
| Kurova kwemoyo | Kurova kwemoyo kusina simba, kusagadzikana. |
| Kurwadziwa kwakanyanya mudumbu, kurutsa | Muviri unotonhora wobva wavhunduka. |
Sei chirwere ichi chichiitika?
Chikonzero chikuru chekurwara uku mapuroteni anowanikwa mugorosi. Masoja edu ekudzivirira muviri anoita zvisizvo nemapuroteni aya. Mhando huru ina dzemapuroteni ndeidzi:
- Albumin
- Gliadin
- Globulin
- Gluten
Ndingaziva sei kuti izvi zviripo zvechokwadi?
Kana uchifungidzira kuti une allergy yegorosi, chinhu chakanakisa chekuita ndechekuona chiremba weallergy . Achakubvunza mibvunzo mishoma uye, kana zvichidikanwa, oita bvunzo kuti asimbise izvi.
Mibvunzo yaunogona kubvunza chiremba:
- Pane mumwe munhu mumhuri mako ane allergies dzakadai here?
- Une zvimwe zvinhu zvinokukanganisa chikafu here?
- Zviratidzo zvako ndezvipi?
- Zviratidzo izvi zvinoonekwa kwenguva yakareba sei mushure mekudya?
- Uri kutora mushonga wezviratidzo izvi here?
- Unonyora pasi zvekudya zvaunodya here?
Miedzo ipi inoitiswa?
1. Kuedzwa kweKubaya Paganda:Chaunoita kuisa donhwe remvura rine protein yegorosi paganda reruoko rwako wobva warikwenya zvishoma netsono diki. Kana uine allergy, mukati memaminitsi angangoita gumi nemashanu nzvimbo yacho inotsvuka uye kuzvimba zvishoma, sekunge warumwa neumhutu.
2. Blood IgE Test: Pano, ropa diki rinotorwa kubva kwauri uye huwandu hwema antibodies eIgE anorwisa gorosi hunoongororwa.
3. Kuongororwa Kwemuromo Kwakarongwa: Kana mimwe miedzo isinganyatsojekeswi, chiremba anogona kukupa huwandu hushoma hwegorosi kuchipatara kana kukiriniki vari pasi pavo kuti vaone kana paine mhinduro. Usambofa wakaedza izvi kumba.
Nzira yekurapa uye kubata nayo sei?
Mushonga wakanakisa uye wega wekurapa allergy yegorosi ndeyekudzivisa zvachose gorosi nezvikafu zvese nezvigadzirwa zvine gorosi .
Vana vazhinji vanokura vachipfuura allergy yavo yegorosi pavanokura. Sekureva kweongororo, vana vanosvika 66% vanokura vachipfuura allergy yavo. Zvisinei, kana zvikaitika mukukura, zvinogona kugara kweupenyu hwese.
Ndechipi chikafu chinofanira kubviswa?
Gorosi rinowanikwa muzvikafu zvakawanda kupfuura zvatinofunga, saka zvakakosha kuverenga zvakanyorwa papepa rega rega raunotenga muchitoro.
| Chikamu chezvekudya | Mienzaniso yekudzivisa |
|---|---|
| Zvigadzirwa zvebhekari | Chingwa, mabhanzi, makeke, mabhisikiti, mamuffin, makeke. |
| Pasta nemanoodles | Mhando dzese dzepasta, spaghetti, manoodles (akagadzirwa negorosi). |
| Zviyo zveKudya Kwemangwanani | Mhando dzakawanda dzezviyo, Kirimu yegorosi. |
| Zvimwe zvekudya | Masosi, hot dog, ice cream, soy sauce, pizza. |
Pamusoro pezvo, zvimwe zvinhu zvisiri zvekudya zvinogona kunge zvine gorosi. Semuenzaniso, zvimwe zvekuzora, sipo, uye Play-Doh yevana zvinogona kunge zvine gorosi.
Pane mishonga here?
Kana uine zviratidzo zvidiki zvekurwara nepfungwa (semuenzaniso, mapundu), chiremba wako anogona kukupa mishonga inorwisa mabhakitiriya . Dzimwe nguva, corticosteroids inogonawo kupihwa kwenguva pfupi.
Kune vanhu vane allergies dzakakomba, chiremba wenyu angangokukurudzirai kuti mugare makabata jekiseni re epinephrine (rakadai seEpiPen) . Izvi zvinoshandiswa kana paine emergency senge anaphylaxis. Chiremba wenyu achatsanangura mashandisirwo azvo.
Kurwara negorosi, kusawirirana negluten, uye chirwere checeliac zvakafanana here?
Kwete. Apa ndipo panovhiringika vanhu vazhinji. Mamiriro ezvinhu aya matatu, matatu.
| Chinzvimbo | Tsananguro | Mhinduro yemuviri |
|---|---|---|
| Kurwara negorosi | Kusawirirana nemapuroteni ari mugorosi. | Masoja emuviri anoita basa rawo nekugadzira ma antibodies eIgE. Muzviitiko zvakakomba, anaphylaxis inogona kuitika. |
| Chirwere cheCeliac | Ichi hachisi chirwere chinokonzerwa neallergy. Ichi chirwere chinokonzerwa ne autoimmune. Chinokonzereswa neprotein inonzi gluten, inowanikwa muzviyo zvakaita segorosi nebhari. | Masoja emuviri anokuvadza madziro eura hwawo hudiki. Ichi chirwere chehupenyu hwese. |
| Kusashivirirana/Kunzwa kweGluten | Ichi hachisi chirwere chekusawirirana nemuviri kana chirwere che autoimmune. Inyaya yekusashivirira gluten. | Kusagadzikana kwekugaya chikafu (kuzvimba, kurwadziwa mudumbu, musoro) kunoitika, asi hapana zviratidzo zvinotyisidzira hupenyu zvinoitika. |
Mharidzo Yekuenda Nayo Kumba
- Kurwara negorosi kunokonzerwa nemuviri wako kana masoja emuviri wako asingakwanise kurwisa gorosi.
- Zviratidzo zvinogona kubva pakuvaviwa kudiki kusvika pakufa kweanaphylaxis.
- Kana ukaona zviratidzo zvakakomba zvakaita sekuoma kufema uye kuzvimba pahuro, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Mushonga wakanakisisa weizvi ndeyekubvisa zvekudya zvese zvine gorosi kubva mukudya kwako uye kudya kwako.
- Zvakakosha kuverenga zviri pazita rekuti chikafu chega chega chaunotenga muchitoro nokungwarira.
- Kana uchifungidzira kuti une chirwere ichi, iva nechokwadi chekuona chiremba kuti akupe mazano.
- Kurwara negorosi, chirwere checeliac, uye kusawirirana negluten zvirwere zvitatu zvakasiyana.
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