Njengomama, uyazi ukuba xa abanye abantwana abancinci benesifo sokunganyamezelani nokutya okufana neepinati, babonisa iimpawu ngokukhawuleza. Izinto ezifana nokudumba, ubunzima bokuphefumla , njl. Kodwa esi sifo singaqhelekanga esithetha ngaso namhlanje esibizwa ngokuba yi-FPIES (Food Protein-Induced Enterocolitis Syndrome) sahlukile kancinci. Okwenzekayo apha kukuba iimpawu ziqala ukubonakala emva kweeyure ezimbalwa umntwana etye ukutya. Abazali abaninzi bacinga ukuba lo ngumkhuhlane nje oqhelekileyo wentsholongwane okanye sisisu esibuhlungu ngenxa yokutya ukutya okuphelelwe lixesha.
Yintoni kanye kanye i-FPIES?
Ngamafutshane, i-FPIES kukudumba okukhulu kwamathumbu okubangelwa ziiproteni zokutya. Ayibangeli iimpawu eziqhelekileyo ze-allergy eqhelekileyo, ezinje ngamaqhuqhuva, ukurhawuzelela, okanye ukudumba. Endaweni yoko, umntwana wakho usenokuba nokuhlanza okungapheliyo kunye norhudo.
Le meko idla ngokuqala xa umntwana enikwa ubisi lwebele okanye ukutya okuqinileyo. Uninzi lwexesha, le meko ayifumaneki kubisi lwebele. Nangona kunjalo, kunqabile kakhulu, inokwenzeka kwiintsana ezincanciswayo. Iindaba ezimnandi zezokuba uninzi lwabantwana lukhula luphele xa beneminyaka emi-3 okanye emi-4 ubudala .
Zithini iimpawu zoku?
Khawuthelekelele ukuba unike umntwana wakho ukutya okutsha. Emva kweeyure ezimbini okanye ezintathu, umntwana wakho uqala ukuhlanza rhoqo nangokungalawulekiyo. Emva koko, umntwana uqala ukuba nendle ekhululekileyo. Olu luphawu oluphambili lwe-FPIES.
Abanye abantwana banokufumana ezi mpawu zikhula kancinci kancinci ngokuhamba kwexesha. Basenokuphinda bafumane ubunzima obungako kunye nokukhula okungekuhle ngenxa yokuba abafumani izondlo ezifanelekileyo abazidingayo.
Kwiimeko ezinzima kakhulu, ukuhlanza kakhulu kunye norhudo kunokukhokelela ekuphelelweni ngamanzi emzimbeni kwanokothuka. Le yimeko eyingozi kakhulu.
| Iimpawu ezinokubonakala kwimeko enzima (ukothuka) - yiya esibhedlele ngoko nangoko! | |
|---|---|
| Uphawu | Inkcazo |
| Ukudideka | Umntwana usenokubonakala edidekile kwaye engazi ukuba kwenzeka ntoni kufutshane naye. |
| Ulusu olubandayo, oluthambileyo | Umzimba uziva ubanda ngendlela engaqhelekanga xa uwuchukumisa, kwaye uziva umanzi ngokungathi uyabila. |
| Ukoma okugqithisileyo | Umntwana kufuneka asele amanzi ngalo lonke ixesha. |
| Ulusu olukhanyayo okanye oluluhlaza okwesibhakabhaka | Ulusu lunokutshintsha umbala, lube mhlophe, okanye lube luhlaza okwesibhakabhaka ujikeleze imilebe. |
| Utshintsho lokuphefumla | Ukuphefumla kusenokuba ngokukhawuleza okanye kungabi nzulu. |
| Ukudinwa/ukozela | Umntwana ulele ngendlela engaqhelekanga, kunzima ukuvuka, kwaye akadlali. |
| Ukubetha kwentliziyo okubuthathaka | Intliziyo ibuthathaka kakhulu, phantse ayibonakali. |
Ukuba ubona naziphi na kwezi mpawu, thatha umntwana wakho uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa.
Kutheni oku kusenzeka?
Oku kungenxa yokuba ezinye iiseli kwinkqubo yomzimba yomntwana wakho azisabela ngendlela engafanelekanga kwiiproteni ezikwizinto ezithile zokutya. Le mpendulo ibangela impendulo enzima kwinkqubo yokwetyisa yomntwana (indlela yokugaya ukutya), oko kukuthi, amathumbu. Kodwa iimpawu zale mpendulo zithatha phakathi kweeyure ezi-2 nezi-8 ukuba zibonakale. Yiyo loo nto yahlukile kwezinye ii-allergies.
Imbali yosapho ibonisa ukuba phakathi kwama-40% nama-80% abantwana abane-FPIES banembali yosapho yabo yezinye ii-allergies, ezifana ne-hay fever okanye i-eczema. Okumangalisayo kukuba, ngama-20% kuphela abantwana abane-FPIES abanembali yosapho yabo yezinye ii-allergies zokutya.
Ziziphi ukutya ezibangela kakhulu ii-FPIES?
Le meko idla ngokubangelwa zezi zinto zilandelayo:
- Ubisi lwenkomo kunye neemveliso zobisi (umz. iyogathi, itshizi)
- Ubisi lwesoya kunye nesoya
- Ingqolowa nezinye iinkozo (umz. i-oats, irhasi)
Ukongeza kwezi zinto, abanye abantwana banokufumana ii-FPIES ngokutya esingenakucinga ukuba kunokubangela ii-allergies .
- Ibhali
- Inyama yenkukhu okanye i-turkey
- Intlanzi
- Iimbotyi
- Ii-oat
- Iimbotyi
- Irayisi
- Ithanga
- Izambane eliswiti
Musa ukothuka lolu luhlu. Asinguye wonke umntwana oza kuba ne-aleji kuzo zonke ezi zinto. Into ebangela i-aleji komnye umntwana isenokungabi yeyomnye.
Yenziwa njani le nto yokuxilonga?
Ukuba ucinga ukuba umntwana wakho une-FPIES, eyona nto ingcono onokuyenza kukuthetha nogqirha wabantwana ngayo. Angakuthumela kwi-allergies yabantwana okanye kwi-gastroenterologist yabantwana.
Ugqirha uza kuqala akubuze ngeempawu zomntwana wakho kunye nokuba kukho nabani na kusapho lwakho onayo nayiphi na i-allergies. Emva koko, baza kwenza uvavanyo ukuqinisekisa ukuba akukho ezinye izizathu eziqhelekileyo zokuhlanza norhudo (njengosulelo lwentsholongwane).
Ngamanye amaxesha, uvavanyo lwegazi kunye novavanyo lwesikhumba (Atopy Patch Test - APT) lunokunceda. I-APT ibandakanya ukubeka ipleyiti encinci yesinyithi yokutya okucingelwayo eluswini lomntwana malunga neeyure ezingama-48. Nangona kunjalo, olu vavanyo alunakuqinisekisa i-FPIES nge-100% yexesha.
Eyona ndlela yokuqinisekisa ukuba oku kunjalo na kukuvavanya i-Oral Food Challenge (OFC) . Oku kuquka ukunika umntwana ukutya okurhanelwayo, kancinci kancinci, phantsi kweliso likagqirha, esibhedlele okanye eklinikhi. Oku akuvumelekanga kwaphela ukukwenza ekhaya.
Iphathwa njani?
Unyango lulula kakhulu. Lubandakanya ukususa ngokupheleleyo ukutya okanye ukutya umntwana anokuba ne-allergy kuko ekutyeni kwakhe.
- Ukuba umntwana wakho usela ubisi lwenkomo, kufuneka usebenzise ubisi lwenkomo olungenalo ubisi lwenkomo okanye i-soy (iifomyula ezibangela ukuba umntwana angaluthandi ubisi). Ugqirha wakho uza kukucebisa ngale nto.
- Funda ilebheli ngononophelo kuyo yonke iphakheji yokutya oyithengayo evenkileni uze ujonge ukuba ayinazo na izinto ezibangela ukuba umntu angakwazi ukutya.
- Gcina inqaku elibhaliweyo elivela kugqirha wakho elichaza ukuba umntwana wakho une-FPIES. Kuya kuba luncedo kakhulu ekuchazeni imeko yomntwana wakho kubasebenzi bezonyango xa kukho imeko engxamisekileyo.
Kuqhelekile ukuba noloyiko nokukhathazeka xa ufunda ngale meko. Kodwa ukuba ilawulwa ngendlela eyiyo, umntwana wakho unokonwaba aze abe sempilweni.
Umyalezo Wokuya Ekhaya
- I-FPIES yimpendulo engaqhelekanga ye-allergy ebonakaliswa kukuhlanza kunye norhudo oluvela kwiiyure ezimbalwa emva kokutya ukutya.
- Iimpawu ezifana nokurhawuzelela nokurhawuzelela, njengakwi-allergies eqhelekileyo, azibonakali apha.
- Ukuba umntwana udiniwe ngendlela engaqhelekanga, unombala oluhlaza okwesibhakabhaka eluswini, okanye ubonisa iimpawu zokudideka, mse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Qiniseka ukuba ucela iingcebiso kugqirha wakho ukuze ufumane isigulo kunye nolawulo lwaso.
- Uninzi lwabantwana luyaphola kwesi sifo xa beneminyaka emi-3 ukuya kwemine ubudala, ngoko ke musani ukoyika kwaye nibe nomonde.
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