Ngaba umntwana wakho une-aleji yokutya? Ngaba uhlala uxhalabile ukuba nokuba yincinci i-peanuts, ubisi, okanye amaqanda aya kubangela ukurhawuzelela kwaye kwenze kube nzima ukuphefumla? Nokuba uya kwitheko okanye kwisiganeko, ukhathazeka malunga nokuba umntwana wakho uza kutya ntoni. Namhlanje, siza kuthetha ngonyango olukhethekileyo olunokuba sisisombululo kolu loyiko kunye nokuxhalaba.
Ngamafutshane, yintoni i-Oral Immunotherapy (OIT)?
I-Oral Immunotherapy, okanye i-OIT ngamafutshane, lunyango lwe-allergies zokutya. Khawuthelekelele ukuba umzimba wakho ufumanisa ngempazamo iproteni ekutyeni ebangela i-allergies (siyibiza ngokuba yi-'allergen') njengotshaba. Ngoko ke umzimba uqala umlo omkhulu wokukukhusela kuloo "tshaba." Loo mlo yinto esiyibona njenge-allergy reaction.
Unyango lwe-OIT luquka ukukunika inani elincinci kakhulu lokutya okubangela i-allergy, phantsi kweliso lengcali ye-allergy. Emva koko, ngokuhamba kwexesha, inani liyandiswa kancinci kancinci ngendlela ecwangcisiweyo necwangcisiweyo. Kufana nokuthetha nomntu onomsindo kwaye umenza azive ngcono. Injongo ephambili yoku kukwenza kancinci kancinci inkqubo yakho yomzimba iqhele 'utshaba' (i-allergen) kwaye ikwenze uqonde ukuba ayiyongozi. Le nkqubo siyibiza ngokuba yi-'desensitization'. Injongo kukukufikelela kwinqanaba apho, nokuba ngengozi utye inani elincinci lokutya, awuyi kuba nempendulo enzima ngokwaneleyo ukuba ibe yingozi kubomi.
Ndingenza ntoni ngaphambi kokuba ndiqalise olu nyango?
Ngaphambi kokuba uqalise unyango lwe-OIT, ugqirha wakho uza kukuxelela ukuba wenze izinto ezithile.
- Uvavanyo lwesikhumba negazi lokujonga ukuba kukho i-allergies: Olu vavanyo luyimfuneko ukuqinisekisa ukuba ngokwenene unayo i-allergies yokutya kwaye lulinganise impumelelo yonyango. Ngokukodwa, banokulinganisa inqanaba lee-antibodies egazini ezibizwa ngokuba yi-`(IgE)` baze babone ukuba linciphe kangakanani emva konyango.
- Ulawulo olufanelekileyo lwe-asthma kunye ne-eczema: Ukuba unezifo zokuphefumla ezifana ne-asthma okanye ezinye iimeko ze-allergy, kubalulekile ukuba uzigcine zilawulwa kakuhle. Ngaphandle koko, usemngciphekweni omkhulu wokuba nempendulo eqatha ngexesha lonyango lwe-OIT.
- Ukulungiselela ukutya okufunekayo kunye nezixhobo zokulinganisa: Kuya kufuneka uthenge ukutya okufuneka ukutye imihla ngemihla ukuze ufumane unyango (umz., umgubo wamandongomane - njenge-`Palforzia®`) kunye nezixhobo ezifunekayo ukuze ukulinganise ngokuchanekileyo.
- Fumana i-epinephrine auto-injector: Le yinto osenokuba uyivile ibizwa ngokuba yi-EpiPen® okanye i-Auvi-Q®. Le yinaliti engxamisekileyo esindisa ubomi enokuthi inikwe xa kukho impendulo enzima ye-allergy. Ugqirha wakho uza kukunika i-prescription yale nto. Awunakuqala unyango lwe-OIT ngaphandle kwayo.
Unyango lwenzeka njani?
Unyango lwe-OIT lunezigaba ezibini eziphambili: isigaba sokunyuka kunye nesigaba sokugcina. Ukuba unesifo sokunganyamezelani nangaliphi na ixesha ngeli xesha, ugqirha wakho unokukuthumela kwidosi yokugqibela oyithathileyo ngempumelelo okanye axoxe ngenye indlela.
Isigaba Sokuqala: Isigaba Sokuhlaziya
Nantsi into eyenzekayo kweli nqanaba:
1. Utyelelo lokuqala lwenziwa eofisini kagqirha. Ngaloo mini, uza kunikwa ukutya okuncinci kakhulu okubangela ukuba ungabi namdla (mhlawumbi ukutya okuncinci onokukubamba kwincam yomnwe wakho omncinci).
2. Ugqirha uza kukujonga iiyure ezimbalwa ukuze abone ukuba kukho ukusabela na.
3. Emva kokuba ubuyele ekhaya, kufuneka uthathe idosi efanayo ngexesha elifanayo yonke imihla .
4. Ufanele udibane nogqirha wakho kwakhona rhoqo emva kweeveki ezimbini . Emva koko, phantsi kweliso likagqirha, umthamo uya kwandiswa kancinci. Oku kuya kuqhubeka iinyanga ezininzi.
Isigaba sesibini: Ukugcina inqanaba umzimba oqhelene nalo (Isigaba soLondolozo)
Wakuba ufikelele kwidosi ethile ekujoliswe kuyo (oku kumiselwa ngugqirha wakho), inqanaba lokugcina liqala. Kweli nqanaba, uza kuthatha idosi yokugqibela oyifikelele ngempumelelo yonke imihla ubuncinane iinyanga ezintandathu . Emva kweenyanga ezintandathu, ugqirha wakho uza kuphinda enze uvavanyo lwegazi ukuze abone ukuba ii-antibodies ze-allergen zinciphile na. Emva koko, unokucelwa ukuba uthathe idosi iintsuku ezimbalwa ngeveki endaweni yemihla ngemihla.
Zeziphi izinto ekufuneka zilandelwe ngexesha lonyango?
Kukho imithetho embalwa ukuze unyango lwe-OIT luphumelele. Ukulandela le mithetho kunokunciphisa umngcipheko we-allergies.
Musa, nangayiphi na imeko, ukuzama oku ekhaya ngaphandle kolwalathiso lukagqirha. Oku kunokuba yingozi kakhulu.
| Ingongoma ekufuneka iqwalaselwe | Inkcazo kunye nesizathu |
|---|---|
| Ukugcina i-EpiPen® kufutshane | Soloko ugcina i-EpiPen® kunye namanye amayeza okulwa nee-allergy kufutshane, ingakumbi xa uthatha idosi. |
| Musa ukuthatha isisu esingenanto. | Yitya ukutya ngaphambi kokuba uthathe idosi. Ukuthabatha idosi esiswini esingenanto kunokubangela ukusabela okubi. |
| Ukuzilolonga kunye namanzi ashushu | Kuphephe ukuzilolonga okunzima, ukubaleka, kunye nokuhlamba ngamanzi ashushu iiyure ezimbini ngaphambi nasemva kokuthatha idosi. Oku kwandisa ukujikeleza kwegazi emzimbeni kwaye kwandisa umngcipheko we-allergies. |
| Izibulali-ntlungu (i-Ibuprofen) | Kuphephe ukuthatha amayeza okunciphisa iintlungu afana ne-ibuprofen (Advil®, Motrin®) kwiiyure ezi-3-4 ngaphambi nasemva kokuthatha idosi yakho. |
| Izifo | Musa ukuthatha idosi ukuba unomkhuhlane, ukhohlela, okanye uhlanza. Usethubeni lokuba nempendulo xa ugula. Qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba utsibe idosi. |
Yintoni omawuyenze ukuba une-allergy?
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. I-allergy eqatha (i-anaphylaxis) yimeko engxamisekileyo. Ukuba ufumana enye okanye ngaphezulu kwezi mpawu zilandelayo, sebenzisa i-EpiPen® yakho ngoko nangoko kwaye uye kwicandelo lezonyango ezingxamisekileyo lesibhedlele (ETU) elikufutshane.
- Ukudumba kobuso, imilebe, ulwimi, okanye umqala
- Ubunzima bokuphefumla okanye ukuqina kwesifuba
- Iimpuku ezinkulu ezininzi emzimbeni wonke
- Ukuhlanza
- Ubungqindilili ezandleni, ezinyaweni, okanye emilebeni
- Ubuthathaka, isiyezi, okanye ukuphelelwa ngamandla
- Ndiziva ndoyika ukuba kuza kwenzeka into enkulu
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Iinzuzo
Eyona nzuzo iphambili yoku kukuba "ayinakulunywa" . Oko kukuthi, nokuba ukutya okuncinci okubangela i-allergy kutyiwe ngempazamo, akuyi kubangela impendulo ebuhlungu. Oku kunciphisa kakhulu uloyiko kunye nokuxhalaba kwabazali kunye nomntwana. Umgangatho wobomi uyanda kakhulu. Kukho iimeko apho abanye abantwana abancinci, emva kokugqiba unyango lwe-OIT, banokutya ukutya okwakubangela i-allergy ngaphandle koloyiko.
Iingozi
Ingozi ephambili yi-allergy enzima ebizwa ngokuba yi-"anaphylaxis" esithethe ngayo ngaphambili.Yiyo loo nto olu nyango kufuneka lwenziwe phantsi kweliso likagqirha.
Ukongeza, kukho umngcipheko wokuba nesifo esibizwa ngokuba yi-`(eosinophilic esophagitis)`. Oku kwenzeka xa umphimbo kunye nomqala zivuvukala. Ukuba ufumana ukuhlanza okanye ukuziva ukutya kubambekile emqaleni wakho, kufuneka uxelele ugqirha wakho ngoko nangoko. Umntwana omncinci usenokungavumi ukutya. Kodwa iindaba ezimnandi zezokuba le meko idla ngokuphela xa unyango lwe-OIT luyekisiwe.
I-OIT lunyango olufuna ukuzinikela okukhulu nexesha elininzi. Kwaye alufanelekanga kuye wonke umntu. Ke ngoko, ngaphambi kokuba uthathe isigqibo sokuba olu nyango lufanelekile na kumntwana wakho okanye kuwe, kubaluleke kakhulu ukuthetha nogqirha wakho ngalo kwaye ubuze yonke imibuzo onayo.
Umyalezo Wokuya Ekhaya
- Unyango lwe-Oral Immunotherapy (OIT) yindlela yokunyanga i-allergies yokutya. Ibandakanya ukwandisa kancinci kancinci inani lokutya okubangela i-allergies, uqale ngesixa esincinci kakhulu, ukuze umzimba ukwazi ukuqhelana nako.
- Injongo ephambili yolu nyango kukuthintela ukuba kwenzeke impendulo eqatha nokuba ukutya okubangela i-allergies kutyiwe ngengozi.
- Oku kufanele kwenziwe phantsi kweliso likagqirha kwaye akufuneki kwenziwe wedwa ekhaya.
- Kubaluleke kakhulu ukulandela imithetho ngexesha lonyango, njengokugcina i-EpiPen® kuwe, ukuthatha idosi ngexesha, kunye nokuphepha ukwenza umthambo.
- Nangona unyango lwe-OIT luhambo olufuna ukuzinikela okukhulu, ukuba luphumelele, lunokuba luncedo olukhulu ekulweni noloyiko kunye nokuxhalaba okubangelwa kukunganyamezelani nokutya kunye nokuphila ubomi obukhululekileyo.
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