Ingaba umntwana wakho uhlanza ngamandla kwaye uneentlungu esiswini emva kweeyure emva kokutya? Isenokuba yi-FPIES (Food Protein-Induced Enterocolitis Syndrome)!

Ngaba umntwana wakho uqalile ukuhlanza okanye ukuba norhudo kwiiyure ezimbalwa emva kokutya ukutya okutsha? Okanye ngaba yintlungu yesisu nje? Ngamanye amaxesha oku kunokuba yinto engaphezulu kwentlungu yesisu. Namhlanje siza kuthetha ngemeko eyahlukileyo kancinci, kodwa kubaluleke kakhulu ukuyazi. Oko kubizwa ngokuba yi -FPIES (Food Protein-Induced Enterocolitis Syndrome) . Nangona igama lisenokuvakala lide kancinci, yindlela nje yokusabela emizimbeni yethu, ingakumbi emathunjini, kwiiproteni zokutya ezithile.

Yintoni i-FPIES? Masiyiqonde ngokulula.

Ngamafutshane, i-FPIES (i-Food Protein-Induced Enterocolitis Syndrome) yindlela engaqhelekanga yokusabela komzimba wethu ekutyeni okuthile. Ichaphazela kakhulu inkqubo yethu yokugaya ukutya (inkqubo yesisu - GI) . Oko kuthetha ukuba iimpawu ezifana nokuhlanza kunye norhudo zezona zixhaphakileyo.

Ngokungafaniyo nokunganyamezelani nokutya, iimpawu ze-FPIES ziqala ukubonakala emva kweeyure ezimbalwa emva kokutya . Yiyo le nto eyenza le meko ibe yeyodwa. Khawuthelekelele, utya isidlo sakusasa uze uzive ugula malunga nemini emaqanda.

Nangona ii-FPIES zixhaphake kakhulu kwiintsana nakubantwana abancinci , ngamanye amaxesha zinokuchaphazela abantu abadala , ngoko ke kubalulekile ukuba wonke umntu azi ngayo.

Ziziphi ukutya ezibangela ii-FPIES?

Nangona naluphi na ukutya kunokubangela ii-FPIES, kukho ukutya okumbalwa okunokubangela esi sifo. Nazi:

• Ubisi: Ubisi lwezilwanyana olufana nobisi lwenkomo nobisi lwebhokhwe.
• Ifomyula yosana: Abanye abantwana banokuba ne-allergy kwifomyula yosana.
• Isoya.
• Ii-oat.
• Irayisi.
• Iqanda.
• Ukutya kwaselwandle: Ingakumbi iintlanzi ezifana neenkala, iishrimp, kunye nezinye iintlobo zeentlanzi.

Ukutya okuphambili okubangela ii-FPIES kunokwahluka ngokuxhomekeke kwilizwe kunye nommandla ohlala kuwo. ESri Lanka, iimeko ze-FPIES ezibangelwa zezi zinto zokutya nazo ziye zaxelwa. Khawuthelekelele, usandul' ukuqala umntwana wakho irayisi, okanye umnike iyogathi, kwaye emva kweeyure ezimbalwa, umntwana wakho uhlanza rhoqo kwaye isisu sakhe siyaphazamiseka. Ngoko ke kufuneka ukrokrele oku.

Kukho iintlobo ezimbini eziphambili ze-FPIES:

Ii-FPIES zinokwahlulwa zibe ziintlobo ezimbini eziphambili:

1. Iintsholongwane ezihlaselayo:

• Kwimeko enjalo, iimpawu zibonakala kwisithuba seyure enye ukuya kwezine emva kokutya ukutya okukhankanyiweyo.
• Ukuhlanza norhudo ngamanye amaxesha kunokuba nzima kakhulu. Umntwana uya kuqhubeka ehlanza, ade alahlekelwe zingqondo.
• Kodwa into entle kukuba, ezi mpawu zihlala ziphela ngokupheleleyo kwiiyure ezili-12 ukuya kwezingama-24 emva kokuba ukutya okubangela i-allergies kuyekiwe.

2.Iintsholongwane ezingapheliyo:

• Le meko yenzeka xa ukutya okubangela i-aleji kutyiwa rhoqo.
• Oku kubangela ukudumba kwamathumbu ixesha elide .
• Nangona iimpawu zingekho nzima njengezo ze-FPIES ezibukhali, zinokufika zihambe. Umntwana wakho usenokuba neempawu ezithile ezifana norhudo, ukungabi namdla wokutya, kunye nokwehla kobunzima.
• Kungathatha iintsuku ezintathu ukuya kwezilishumi ukuba ezi mpawu ziphele emva kokuba uyekile ukunika ukutya okubangela i-allergies.

Zithini iimpawu ze-FPIES? Uzibona njani?

Iimpawu eziphambili ze-FPIES zezi:

• Urhudo: Ngamanye amaxesha lunokuba namanzi okanye lube negazi elincinci.
• Intlungu yesisu: Iintsana ezincinci ziyakhala, zibambe izisu zazo, kwaye ziyalwa.
• Ubumhlophe: Umzimba ujika ube mdaka ngequbuliso uze ube nombala ongenagazi.
• Ukudinwa: Usana ludiniwe nje, aludlali, kwaye amehlo alo abonakala ngathi ayavaleka.
• Ukunciphisa umzimba okungalindelekanga: Oku kunokubonwa ngakumbi kwi-FPIES yexesha elide.
• I-Hypothermia: Umzimba uyabanda.

Okubalulekileyo kukuba, kwi-FPIES, ezi mpawu zibonakala emva kweeyure ezimbalwa emva kokutya ukutya okukhankanyiweyo , zihlala ziphakathi kweyure e-1 neye-4. Kwi-FPIES ezingapheliyo, iimpawu zinokuvela ziphele.

Khawuthelekelele umntwana wakho esela ibhotile yobisi kusasa. Emini, uqala ukuhlanza rhoqo, isisu sakhe sidumbile, umzimba wakhe umhlophe, kwaye ubonakala ngathi akaphili. Ukuba oko kuyenzeka, kubalulekile ukurhanela ii-FPIES.

Kutheni ii-FPIES zenzeka? Yintoni unobangela?

Eyona sizathu siphambili se-FPIES kukuba inkqubo yethu yomzimba yokuzikhusela icinga ngempazamo ukuba iiproteni ezikukutya okuthile "ziyingozi" kwaye ziyazihlasela. Inkqubo yomzimba yokuzikhusela ibona oku kutya ngokungathi lutshaba.

Okwenzekayo koku kukuba iiseli zomzimba ezikhusela umzimba kwinkqubo yethu yokugaya ukutya (isisu namathumbu) zizama ukulahla ukutya ezicinga ukuba "kuyingozi". Oku kubangela ukudumba nokudumba esiswini nasemathunjini. Yiyo le nto ibangela ukuhlanza norhudo.

I-FPIES luhlobo lokuphendula olubizwa ngokuba yi -`non-IgE-mediated` . Ngamafutshane, ayibandakanyi i-`IgE antibodies` ezibangela uninzi lwe-allergies esizaziyo (umz., i-peanut allergies). Endaweni yoko, kukho nezinye iiseli zomzimba ezibandakanyekayo. Enye into ebalulekileyo kukuba i-FPIES ayibangeli ukudumba komzimba wonke okwenzeka kwezinye ii-allergies ezinzima. Oku kuthetha ukuba i -`anaphylaxis` enzima, esongela ubomi, ebangela ubunzima bokuphefumla, ayinakwenzeka kangako (nangona ukuphelelwa ngamanzi emzimbeni kunye nokothuka kakhulu kunokukhokelela kwezinye iimeko ezinzima).

Zeziphi iingxaki ezinokubakho ngenxa ye-FPIES?

Iimpendulo ze-FPIES ngamanye amaxesha zinokukhokelela kwiimeko ezinzulu, nezisongela ubomi. Ezona zibalulekileyo kwezi zezi:

• Ukothuka: Oku kukwehla ngequbuliso, uxinzelelo lwegazi oluphantsi kakhulu. Oku kuyingozi kakhulu.
• Ukuphelelwa ngamanzi emzimbeni: Xa ukuhlanza norhudo kuqhubeka, amanzi amaninzi kunye neetyuwa ziyalahleka emzimbeni. Oku kunokwenzeka ngokukhawuleza kakhulu kubantwana abancinci, ngoko ke kufuneka ulumke kakhulu.

Ugqirha uyixilonga njani i-FPIES?

Ugqirha uza kurhanela ii-FPIES emva kokubuza wena okanye umntwana wakho ngeempawu zabo ngokweenkcukacha . Izinto ezifana nokutya okutyileyo, ukuba iimpawu zaqala nini, kunye neempawu zazo zibaluleke kakhulu.

Ngamanye amaxesha ugqirha angenza uvavanyo "lomngeni wokutya." Oku kuquka ukunika umntwana, phantsi kweliso likagqirha, inani elincinci lokutya okucingelwayo ukuze kubonwe ukuba kukho impendulo na. Oku akulunganga ukwenziwa ekhaya, njengoko impendulo enzima ifuna unyango olukhawulezileyo.

I-FPIES ngamanye amaxesha kunokuba nzima ukuyifumanisa kuba iimpawu zayo zinokufana nezezinye iimeko, ezifana nosulelo lweebhaktheriya. Ngoko ke, ugqirha wakho unokuyalela uvavanyo lwegazi lwe-allergy okanye uvavanyo lwesikhumba lwe-allergy ukuze kuhlolwe ezinye ii-allergy. Nangona kunjalo, olu vavanyo alubonisi ukuba umntu one-FPIES une-allergy.

Ziziphi iindlela zonyango lwe-FPIES?

Oogqirha banokusebenzisa oku kulandelayo ukunyanga iimpawu ezibukhali ezibangelwa yi-FPIES:

• IiSteroids: Ezi zinikwa ukunciphisa ukudumba (ukudumba) emathunjini.
• Ulwelo olufakwa kwimithambo yegazi (ii-IV fluids): Izinto ezifana ne-saline zinikwa ukuthintela ukuphelelwa ngamanzi emzimbeni okanye ukunyanga ukuphelelwa ngamanzi emzimbeni ukuba kuyenzeka.
• Imithi yokulwa nokugabha: Umzekelo, amayeza anjenge-"Ondansetron (Zofran®)" anceda ekulawuleni ukugabha.

Zonke ezi ndlela zonyango zinikwa esibhedlele, phantsi kweliso likagqirha.

Kuza kwenzeka ntoni ukuba mna okanye usana lwam lune-FPIES?

Iindaba ezimnandi zezokuba uninzi lwabantwana abancinci bayayeka ukuba ne-FPIES xa beneminyaka emi-3 okanye emi-4 ubudala. Oku kuthetha ukuba banokutya ukutya ababekade benazo i-allergy ngako kamva. Nangona kunjalo, kungcono ukuthetha nogqirha kwaye mhlawumbi wenze uvavanyo "lomngeni wokutya" ngaphambi kokuba uphinde uqalise ukutya oko.

Kude kube ngoko, eyona nto ibalulekileyo kukuchonga ukuba zeziphi ukutya ezibangela oku uze uyeke ukuzondla. Ukuhlanza kakhulu kunye norhudo kunokuba yingozi kakhulu, ngoko ke lumkele naloo nto.

Ukuba abantu abadala banesifo se-FPIES, eyona ndlela ilungileyo yokusilawula kukuchonga ukutya abakubangelayo i-allergy kwaye bakuphephe. ​​Ngamanye amaxesha, abantu abadala banokukhula badlule kwi-FPIES ngokuhamba kwexesha. Nangona kunjalo, kwiimeko ezininzi, i-FPIES eqala ebudaleni inokuhlala ubomi bonke.

Ngaba ii-FPIES zinokuthintelwa?

Ukuba uyazi ukuba wena okanye umntwana wakho une-FPIES, eyona ndlela ilungileyo yokuthintela ukusabela kukungabaniki ngokupheleleyo ukutya abanokukwala kuko.

Ukugcina idayari yokutya kunokuba luncedo kakhulu ekufumaneni ukuba zeziphi ukutya ezibangela ingxaki. Oku kuthetha ukubhala phantsi yonke into etyiwa ngumntwana wakho kwaye nini. Emva koko, ukuba kuvela iimpawu, ungajonga ukuba utye ntoni ngaphambi kokuba aqale. Ngamanye amaxesha, ugqirha unokucebisa 'ukutya okuphelisa' (ukutya okubandakanya ukuzama ukutya okuthile) .

Ukuba umntwana wakho une-FPIES, ugqirha wakho unokucebisa oku kulandelayo ukunceda ukuthintela ezi mpendulo ngelixa enika umntwana wakho isondlo asidingayo:

• Ukusebenzisa iifomyula zomntwana ezibangela ukuba umntwana angabi na-allergies . Ezi zenzelwe ngokukodwa ukuba zingabi na-allergies kakhulu.
• Xa uqala ukutya okuqinileyo komntwana wakho, qala ngokumnika iziqhamo nemifuno endaweni yokutya okuziinkozo (umz., irayisi, i-oats).
• Ukulandela ileli yokwazisa ukutya ye-FPIES . Oku kuchaza ulandelelwano kunye nendlela ekufuneka ukutya okutsha kungeniswe ngayo kumntwana wakho.

Ndingenza ntoni njengomntu one-FPIES?

Ukuba une-FPIES – okanye ukrokrela ukuba unazo – kuya kufuneka ugcine irekhodi elicokisekileyo lento uyityayo neyiselayo. Oku kuya kukunceda ubone ukuba zeziphi ukutya ezibangela impendulo yakho. Wakuba ufumene unobangela, kufuneka uziphephe ezo zinto zokutya.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba ucinga ukuba umntwana wakho usabela ngendlela atya ngayo, nokuba kubisi lwefomyula okanye ubisi lwenkomo, qiniseka ukuba ubona ugqirha. Nokuba yinto encinci esabela ngayo inokuphazamisana nokukwazi komntwana wakho ukufumana izondlo azifunayo. Kwimeko yeempendulo eziqatha, kufuneka ufune ingcebiso kagqirha ngoko nangoko.

Kunini apho kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba wena okanye umntwana wakho nifumana naziphi na kwezi mpawu zilandelayo, yiyani kwigumbi likaxakeka esibhedlele ngokukhawuleza:

• Ukudideka okanye ukutshintsha kwesimo sengqondo.
• Ukuchama kancinci kakhulu okanye ukungachami konke konke.
• Amehlo atshonile – Olu luphawu lokuphelelwa ngamanzi emzimbeni.
• Ukudumba kobuso, imilebe okanye ulwimi .
• Ubunzima bokuphefumla okanye bokuginya .

Ezi mpawu zibonisa ukuba imeko imbi kakhulu.

Imibuzo ebalulekileyo yokubuza ugqirha

Kuluncedo ukubuza le mibuzo xa undwendwela ugqirha wakho:

• Ingaba le yi-allergy yokutya eqhelekileyo, okanye ii-FPIES?
• Ufumanisa njani ukuba zeziphi ukutya ezibangela ii-FPIES?
• Ndingaziphepha njani ezi zinto zokutya ezibangela i-allergies ngelixa ndisafumana isondlo esifanelekileyo endisidingayo/esifunekayo kumntwana wam?
• Ndingenza ntoni ukuba mna/umntwana wam uneso simo sengqondo?

Masifunde okungakumbi malunga nee-FPIES?

• Ubudala bokuqala kwe-FPIES: I-FPIES idla ngokuqala kwiintsana ezimalunga neenyanga ezi-4 ubudala , okanye xa ukutya okubangelwa yi-allergy kungeniswa okokuqala. Ukuba i-FPIES ikhula kubantu abadala, idla ngokubonakala emva kweminyaka engama-40 ubudala .
• Zixhaphake kangakanani ii-FPIES kubantu abadala?: Ii-FPIES azixhaphakanga kakhulu kubantu abadala kunakubantwana abancinci. Malunga nomntu omnye kubantu abadala abangama-450 (0.22%) une-FPIES. Ukutya okuphambili okubangela ii-FPIES kubantu abadala yi -shellfish .
• Ngaba abantwana abancanciswayo kuphela banokufumana ii-FPIES?: Oku kunqabile kakhulu, kodwa ewe, kunokwenzeka. Ngamanye amaxesha, iiproteni ekutyeni okutyiwa ngumama oncancisayo zinokudlulisela kumntwana wakhe ngobisi lwebele kwaye zibangele ii-FPIES. Nangona kunjalo, uphando malunga noku alukafikeleli kwisigqibo.
• Ngaba ii-FPIES sisifo sokuzikhusela komzimba?: Hayi, ii-FPIES asiso `isifo sokuzikhusela komzimba.' Izifo zokuzikhusela komzimba zenzeka xa inkqubo yethu yokuzikhusela komzimba ihlasela iiseli zethu ngempazamo. Ii-FPIES yindlela yokusabela kwenkqubo yokuzikhusela komzimba ekutyeni okungena kwindlela yokugaya ukutya.

Okubaluleke kakhulu - umyalezo wokubuyela ekhaya

I-FPIES yimeko engaqhelekanga, kodwa ngamanye amaxesha imbi kakhulu enokwenza kube nzima kumntwana wakho okanye kuwe ukufumana isondlo abasidingayo. Ngamanye amaxesha inokulinganisa ezinye izifo, ngoko ke kufuneka uvavanyo kunye novavanyo oluthile ukuze kufunyaniswe ukuba zeziphi ukutya ezibangela oku.

Ungakhathazeki. Ugqirha angakunceda ufumane ukutya omawukuphephe, aze athethe nawe ngeendlela zokuhlala usempilweni kwaye ufumane isondlo osidingayo. Ukuba uyifumana kwangethuba kwaye uyilawule kakuhle, unokuhlala usempilweni ngale meko. Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ukuba uneengxaki.

Iintsholongwane , ukungezwani nokutya, ukuhlanza umntwana, urhudo lomntwana, iiproteni zokutya, isifo se-enterocolitis, inkqubo yomzimba yokuzikhusela