Ngaba nawe urhanela ukuba kukho i-allergy yokutya? Masifumanise ngale (Uvavanyo Lomngeni Wokutya)!

Abantu abaninzi bafumana iimpawu ezahlukeneyo ezifana nokuphazamiseka kwesisu, ukurhawuzelela kolusu, kunye nobunzima bokuphefumla xa besitya ukutya okuthile, akunjalo? Ngamanye amaxesha kunzima ukufumanisa ukuba ngaba yi-allergy okanye yinto enye. Ngamaxesha anje, kukho uvavanyo olukhethekileyo olunokukunceda wazi ngokuchanekileyo nangokuqinisekileyo ukuba ngaba une-allergy kukutya okuthile okanye akunjalo. Namhlanje, siza kuthetha ngento ebizwa ngokuba yi-"Food Challenge Test", okanye uvavanyo lwe-food challenge.

Yintoni le "Uvavanyo Lomngeni Wokutya"?

Ngamafutshane, le yeyona ndlela ithembekileyo yokufumanisa ukuba umntu une-allergy kukutya okuthile . Khawuthelekelele ukuba uziva into engaqhelekanga xa usitya amandongomane. Olu vavanyo lunokufumanisa ukuba ngaba une-allergy kumandongomane, okanye ukuba yinto nje oyicingayo. Kwakhona, abanye abantu bayayeka ukungakwazi ukutya amandongomane ababenawo besebancinci xa bebadala. Olu vavanyo lunokufumanisa nokuba i-allergy ayisekho okanye kufuneka uqhubeke nokuphepha ukutya oko .

Oku kuquka ukungenisa kancinci kancinci ukutya okucinga ukuba une-allergy kuko ngeedosi ezongeziweyo, phantsi kweliso elipheleleyo likagqirha wakho okanye ingcali ye-allergy.

Eyona nto ibalulekileyo kukuba ungaze uzame ukwenza olu vavanyo ngokwakho ekhaya, kuba ngamanye amaxesha kunokwenzeka ukuba kubekho ii-allergy ezinzima.

Nantsi indlela olu vavanyo oluhlala lusebenza ngayo:

• Okokuqala, ugqirha uza kukunika idosi encinci kakhulu yokutya ocinga ukuba unesifo se-allergy kuko. Ngamanye amaxesha oku uza kukunikwa ngendlela ye-capsule.
• Ugqirha uza kukubeka esweni ngenyameko ukuze ajonge naziphi na iimpawu zokunganyamezelani komzimba.
• Ukuba akukho mpendulo emva kwemizuzu eli-15, nika enye idosi encinci yokutya okurhanelekayo.
• Ngale ndlela, la manyathelo aphindaphindwa de kubekho i-allergy reaction okanye kunikwe yonke idosi emiselweyo (edla ngokwahlulwahlulwa ibe ziidosi ezine okanye ezintandathu).
• Ukuba kuvela naziphi na iimpawu zokunganyamezelani, uvavanyo luya kuyekiswa ngoko nangoko kwaye ugqirha uya kuqinisekisa ukuba unesifo sokunganyamezelani koko kutya.
• Ukuba akukho mpendulo emva kokuba unike idosi epheleleyo, oko kuthetha ukuba awunayo i-allergy kuloo nto yokutya.
• Uninzi lwexesha, kukutya okukodwa kuphela okuvavanywa ngale ndlela ngexesha .

Oku kuthathwa njengomgangatho "ophezulu" wokufumanisa ukuba kukho i-allergies yokutya.

Kutheni olu vavanyo lwenziwa? Lufuneka nini?

Ngokwesiqhelo, inyathelo lokuqala ekufumaniseni ukuba kukho into ebangela ukuba umntu angabi namdla wokutya kukwenza uvavanyo lwesikhumba okanye uvavanyo lwegazi olubonisa ukuba kukho into ebangela ukuba umntu angabi namdla wokutya. Nangona kunjalo, ngamanye amaxesha olu vavanyo lusenokungabi lolona luqinisekileyo.Kulapho ke olu `(Uvavanyo Lomngeni Wokutya)` luqala khona. Kodwa khumbula, ezinye iimvavanyo (uvavanyo lolusu negazi) nazo zithembekile kwaye ziluncedo kakhulu koogqirha.

Abantu abaninzi benza olu vavanyo ukuze babone ukuba banayo na i-"IgE-mediated food allergy". I-"IgE-mediated" yi-allergy ebangelwa yi-"IgE" antibodies emizimbeni yethu. Kwi-allergy enjalo, i-reaction idla ngokuvela kwangoko emva kokutya ukutya.

Uyenza njani kanye kanye le `(Uvavanyo Lomngeni Wokutya)`?

Oogqirha basebenzisa iindlela ezahlukeneyo ukwenza olu vavanyo. Zonke iindlela zibandakanya ukunyusa kancinci kancinci iidosi zokutya okucingelwayo phantsi kweliso likagqirha.

Kwenzeka ntoni ngexesha lovavanyo?

Ngamanye amaxesha ukutya okurhanelwayo kunikwa njengoko kunjalo. Umzekelo, ukuba uvavanya i-allergy yamandongomane, ungamnika amandongomane ambalwa. Ngamanye amaxesha, ukutya kuxutywa nenye into, njengebhotolo yamandongomane esasazwe kwikuki. Ngamanye amaxesha, ukuze kube nzima ukuchonga ukutya, kufakwa kwikhaphukhaphu kwaye kuginywe njengepilisi.

Ezi ndlela zokulungiselela ukutya zisetyenziselwa ukunciphisa amathuba okuba umntu akwazi ukubona ukutya ngokubona okanye ngokuvumba , nto leyo enokuchaphazela iziphumo.

Kwezinye iimeko, ugqirha wakho unokukucela ukuba uzise ukutya kwakho kuvavanyo. Ungacelwa ukuba ulungiselele iresiphi ekhethekileyo equlethe ukutya okurhanelwayo. Emva kokutya ukutya, okanye emva kokuginya ikhaphu, uya kuhlolwa ngokusondeleyo ukuba akukho mpendulo.

Ngubani ongenakukwazi ukuthatha inxaxheba kolu vavanyo?

Abantu ababene-allergy enzima ngaphambili abavumelekanga ukuba bathathe olu vavanyo. Nangona kunjalo, basenokwenza olu vavanyo ukuze babone ukuba umntu akasenayo na i-allergy. Khumbula, uninzi lwabantu luvavanya ukutya kube kanye ngexesha.

Zeziphi iintlobo ze-`(Oral Food Challenge)` ezikhoyo?

Kukho iintlobo ezintathu zovavanyo lwe-"Oral Food Challenge". Zonke ezi vavanyo zenziwa esibhedlele okanye kwiziko lezonyango.

1. Uvavanyo lwe-`(olungaboni kabini, olulawulwa yi-placebo)`

Ngale ndlela, wena okanye ugqirha wakho aniyazi ukuba yeyiphi i-capsule okanye ukutya okune-allergen ekrokrelwayo, kwaye yeyiphi equlethe i-"Placebo" (into engenabungozi engena-allergen). Le allergen kunye ne-"Placebo" zinikwa rhoqo emva kweeyure ezimbalwa, okanye qho emva kweentsuku ezimbalwa.

Inzuzo yoku kukuba iziphumo zovavanyo azinakuthi ziphenjelelwe luloyiko lomntu okanye ziingcinga zikagqirha. Ngamafutshane, zonke iimpembelelo zangaphandle ziyasuswa . Nangona le yeyona ndlela ilungileyo yokwenza "uVavanyo loMngeni woKutya", ayisetyenziswa rhoqo eklinikhi kwaye isetyenziswa kakhulu kwiinjongo zophando.

2. Uvavanyo `(olungaboniyo)`

Kolu vavanyo, ngugqirha wakho kuphela owaziyo.Kokuphi ukutya okanye ikhaphu equlethe i-allergen, kwaye kokuphi okuqulethe i-"Placebo". Oku kunikwa rhoqo emva kweeyure ezimbalwa okanye iintsuku.

3. Uvavanyo `(Ukutya okuvulekileyo)`

Kule nto, wena nogqirha wakho niyazi ukuba yeyiphi i-allergen eninikwa yona. Ugqirha uhlala ehlulahlula ubungakanani bokutya bube ziinxalenye aze akunike iidosi eziyandisa kancinci kancinci kangangexesha elingangeyure. Ngeli xesha, ujongwa ukuba akukho nanye i-allergy eninayo. Le yeyona ndlela ixhaphakileyo.

Ngaba kufuneka ulungiselele olu vavanyo kwangaphambili?

Ewe, ngokuqinisekileyo. Ugqirha wakho uza kukunika imiyalelo ngaphambi kovavanyo ukuqinisekisa iziphumo ezithembekileyo. Le miyalelo ingabandakanya izinto ezifana nezi:

• Kuphephe ukutya ukutya owaziyo ukuba une-allergy nako kangangeeveki ezimbini ngaphambi kovavanyo.
• Yeka ukuthatha nayiphi na imithi kagqirha okanye ii-antihistamines ezithengiswa ngaphandle kwemvume kagqirha (amayeza okulwa nee-allergies) ngaphambi kovavanyo .
• Kuphephe ukutya okanye ukusela nantoni na kangangeeyure ezimbalwa ngaphambi kovavanyo.

Kubaluleke kakhulu: Thetha nogqirha wakho malunga nazo naziphi na ii-allergies onazo kunye namayeza owasebenzisayo. Musa ukulibazisa ukuthatha i-inhaler ngenxa ye-asthma okanye ukuthatha i-epinephrine xa kukho imeko engxamisekileyo kuba nje uvavanyiwe. Ugqirha wakho uza kukuxelela ukuba zeziphi amayeza omawuwathathe, nini, kwaye njani .

Kwakhona, ukuba uneempawu ezifana nomkhuhlane okanye umkhuhlane kusasa lovavanyo, ugqirha wakho angakucela ukuba uhlehlise uvavanyo.

Yintoni onokuyilindela ngexesha lovavanyo?

Kuqhelekile ukuba noloyiko okanye ukhathazeke kancinci ngolu vavanyo. Kodwa ungakhathazeki, luvavanyo olukhuselekileyo . Ugqirha wakho uza kujonga iimpawu zakho ezibalulekileyo kulo lonke uvavanyo.

Ugqirha wakho uza kukunika inani elincinci lokutya ocinga ukuba une-allergy kuko aze ajonge ukuba kuza kwenzeka ntoni na. Ukuba akukho zimpawu, uza kunikwa elinye idosi. Uza kuhlolwa ngokusondeleyo emva kwedosi nganye.

Ukuba ubonisa naluphi na ulwazelelelo, uvavanyo luphelile. Ugqirha uza kukunika amayeza okunceda kwiimpawu zakho ze-allergy.

Uvavanyo luthatha ixesha elingakanani?

Nokuba uphendula njani na, uvavanyo lungathatha malunga neeyure ezintathu ukuya kwezine ukugqitywa . Uninzi loogqirha lukunika ubungakanani obuncinci be-allergen rhoqo emva kwemizuzu eli-15. Ukuba une-allergy reaction kwasekuqaleni kovavanyo, uvavanyo luya kuyekiswa. Nangona kunjalo, uya kuhlolwa malunga neeyure ezimbini emva koko. Eli xesha linokuba lide, kuxhomekeke kwindlela ophendula ngayo. Nokuba ufumana idosi epheleleyo kwaye awunayo impendulo, ugqirha wakho unokukugcina ujongiwe malunga neeyure ezimbini emva koko.

Kwenzeka ntoni emva kovavanyo?

Ukuba ugqirha wakho uyaqinisekisa ukuba une-allergy, uza kukunika iingcebiso malunga nendlela yokuphepha ukutya oko. Baza kukunika amayeza, anjenge-epinephrine auto-injector (efana ne-EpiPen®). Ukuba awuna-allergy kuloo kutya, ungakongeza ukutya oko kwakhona ekutyeni kwakho okuqhelekileyo. Ngokubanzi, emva kokuphumelela uvavanyo lomngeni wokutya, akunakwenzeka ukuba uphinde ube nempendulo kuloo kutya kwakhona.

Ingaba le "Oral Food Challenge" ikhuselekile?

Kukho iingozi ezithile kolu vavanyo. Yiyo loo nto lwenziwa phantsi kweliso likagqirha, eofisini yabo okanye esibhedlele. Uninzi lwabantu lufumana iimpendulo ezincinci, ezifana nokurhawuzelelwa lusu kunye nokurhawuzelelwa. Ugqirha wakho unokukunika amayeza okunceda ekunciphiseni ezi mpawu.

Iimpendulo eziqatha azixhaphakanga , kodwa ukuba ziyenzeka, ugqirha wakho uya kuba ekulungele ukukunika unyango olufunayo. Iingozi eziqatha zoMngeni woKutya oKutya okuMlonyeni zingabandakanya ubunzima bokuphefumla okanye i-anaphylaxis (impendulo eqatha ye-allergy enokuba yingozi ebomini) .

Zithini iingenelo zolu vavanyo?

Iingenelo zolu vavanyo kukuba lukuvumela ukuba wandise uluhlu lokutya onokukutya kwaye lukuvumela ukuba wazi ngokuqinisekileyo ukuba ukutya okuthile kubangela ukuba umntu angabi namdla wokutya. Ukwazi ukuba unayo na i-allergy kunokukunceda uthintele ukuba umntu angabi namdla wokutya kwixesha elizayo.

Zithini iziphumo zovavanyo?

Iziphumo zoVavanyo loMngeni woKutya oKuthethwayo zidla ngokuziwa ngoko nangoko . Oogqirha badla ngokuhlela iziphumo ngokuthi "Zinyamezelwe" okanye "Zisabela."

• `Iyanyamezela`: Oku kuthetha ukuba awuzange ube ne-allergy ekutyeni, ngoko ke ukutya kukhuselekile ukukutya.
• `Yasabela`: Oku kuthetha ukuba kubekho i-allergy ngexesha lovavanyo.

Ngamanye amaxesha unokufumana "isiphumo esingaphelelanga." Ukuba oko kuyenzeka, ugqirha wakho unokucebisa ukuba uphephe ukutya oko ukuze ube kwicala elikhuselekileyo.

Masifunde nangovavanyo "lokungakwazi ukutya" olunokwenziwa ekhaya.

Kukho iintlobo ezimbini zovavanyo: uvavanyo lomngeni wokutya oluqhutywa ngugqirha wakho kunye novavanyo lobuthathaka bokutya onokulwenza ekhaya. Uninzi lwezi vavanyo zasekhaya ezithengiswayo azivunywanga yi-Food & Drug Administration (FDA) kwaye azinaxabiso leklinikhi. Oku kuthetha ukuba ezi vavanyo, onokuzithenga kwi-intanethi okanye kwikhemesti, azithathi indawo yokuxilongwa okwenziwe ngugqirha.

``I-Gold Standard`` yokufumanisa ukuba kukho umntu ongakwaziyo ukutya yi-``Oral Food Challenge Test```. Oku kuquka ukutya ngabom ocinga ukuba une-aleji.Kungoyikisa ukuxelelwa ukuba kufuneka utye. Kodwa khumbula, ugqirha wakho uya kuba nawe kulo lonke uvavanyo. Thetha nogqirha wakho ngayo nayiphi na into oyicingayo okanye exhalabisayo onokuba nayo. Ungoyiki ukubuza imibuzo, efana nento eyenzekayo xa kukho imeko engxamisekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, olu vavanyo ((Uvavanyo Lomngeni Wokutya)` luvavanyo olubaluleke kakhulu nolunokuthenjwa olunokuchonga ngokuchanekileyo ukuba unesifo sokunganyamezelani nokutya okanye akunjalo. Oku kufanele kwenziwe phantsi kweliso likagqirha, kwindawo enezibonelelo zonyango ezifanelekileyo. Oku kuya kukunceda woyise uloyiko lwakho lokutya okuthile kwaye ulungise ukutya kwakho. Ukuba ufuna ukwazi ngovavanyo olunjalo, ungalibali ukuthetha nogqirha wakho.

Ukunganyamezelani kokutya , uvavanyo lomngeni wokutya, uvavanyo lokunganyamezelani, ukunganyamezelani kokutya, ukunganyamezelani kwe-IgE, uvavanyo lwezonyango, iingcebiso zempilo