Isonka, i-roti, i-kottu, ikhekhe... Ngaba ngamanye amaxesha uziva ungakhululekanga okanye unengxaki yokutya ukutya okwenziwe ngomgubo wengqolowa? Mhlawumbi uziva unesicaphucaphu, uneengxaki zesisu, okanye unengxaki yokuphefumla? Mhlawumbi unesifo sokunganyamezelani nengqolowa, oko kukuthi, 'i-Wheat Allergy'. Ungakhathazeki, esi sisifo abantu abaninzi abanaso. Masithethe ngale nto ngokucacileyo nangokulula namhlanje.
Ngamafutshane, yintoni i-allergy yengqolowa?
Ukunganyamezelani nengqolowa yinto eqhelekileyo yokunganyamezelani nokutya. Ngamafutshane, xa usitya into enengqolowa, okanye ngamanye amaxesha uphefumla into efana nomgubo wengqolowa, amasosha omzimba wakho aqala ukusebenza kakhulu ngequbuliso. Ngokwesiqhelo, umsebenzi wamasosha omzimba wethu kukulwa nezinto ezifana neentsholongwane kunye neebhaktheriya ezibangela ukugula. Kodwa xa ingqolowa ingena emzimbeni womntu onesifo sokunganyamezelani nengqolowa, amasosha omzimba acinga ngempazamo ukuba ingqolowa lutshaba oluyingozi aze aqale ukulwa nayo. Olu "mlo" yinto esiyifumanayo njengeempawu zokunganyamezelani.
Eyona nto ibalulekileyo kukuba ukungezwani nengqolowa ngamanye amaxesha kunokuba nzima kakhulu . Ukuba kukho iimpawu ezinzima ezifana nobunzima bokuphefumla kunye nokudumba komqala, kunokuba yingozi ebomini. Ukuba oku kuyenzeka, kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa .
Le meko inokuchaphazela nabani na, kodwa ukuba umntu kusapho lwakho unezinye izinto ezibangela ukunganyamezelani komzimba, usenokuba namathuba amaninzi okuba nayo.
Kwenzeka ntoni ngokwenene xa ingqolowa ingena emzimbeni?
Kukho iindlela ezimbini eziphambili umntu one-allergy yengqolowa anokusabela ngazo. Oku kusenokuvakala ngathi yisayensi, kodwa masikwenze kube lula.
1. Impendulo ekhawulezileyo (impendulo ebangelwa yi-IgE)
Le yeyona ndlela ixhaphakileyo yokuyibona. Xa ingqolowa ingena emzimbeni, inkqubo yethu yokuzikhusela komzimba ivelisa uhlobo oluthile lwe-antibody ebizwa ngokuba yi -Immunoglobulin E (IgE) . La ma-antibodies e-IgE ayayiqonda ingqolowa "njengotshaba" aze ngoko nangoko asebenze nxamnye nayo.
- Ixesha: Olu hlobo lokusabela luvela ngokukhawuleza kakhulu . Iimpawu zingabonakala kwimizuzu embalwa ukuya kwiiyure ezine emva kokutya ingqolowa.
- Ubunzima: Olu hlobo lokusabela lubangela imeko enzima kakhulu, esongela ubomi ebizwa ngokuba yi -anaphylaxis .
2. Impendulo ebambezelekileyo (Impendulo engeyiyo i-IgE)
Le mpendulo ikwabandakanya inkqubo yomzimba yokuzikhusela, kodwa ii-antibodies ze-IgE ezikhankanyiweyo ngaphambili azibandakanyeki.
- Ixesha: Le mpendulo icotha.Kungathatha ukuya kuthi ga kwiiyure ezingama-48 ukuba iimpawu zibonakale.
- Iimpawu: Iimeko eziphambili ezibangelwa koku yi -Eosinophilic Esophagitis (EoE) , okukudumba komqala wethu (umbhobho wokutya), kunye ne -Eosinophilic Gastritis (EG) , okukudumba kweendonga zesisu.
Zithini iimpawu zale aleji?
Iimpawu zingahluka kumntu nomntu. Abanye abantu banokufumana iimpawu ezibuthathaka kakhulu , ngelixa abanye banokufumana iimpawu ezinzima kakhulu. Masizihlalutye ukuze kube lula ukuziqonda.
| Iimpawu zomzimba ezibangela | Iimpawu ezinokubonwa |
|---|---|
| Ulusu | Ukurhawuzelela, ukuba bomvu kwesikhumba, ukurhawuzelela, ukudumba. |
| Inkqubo yoKutya | Intlungu yesisu, isicaphucaphu, ukuhlanza, ukudumba, urhudo. |
| Inkqubo yokuphefumla | Ukuxinana kwempumlo, impumlo evuzayo, ukuthimla, ukuphefumla nzima. |
| Ezinye iimpawu | Intloko ebuhlungu, amehlo anamanzi, ukudumba komzimba. |
Ingxamiseko! Iimpawu eziqatha ze-anaphylaxis
Ukuba ufumana naziphi na iimpawu ezingezantsi, yimeko enzima kakhulu nengxamisekileyo . Oku kubizwa ngokuba yi-anaphylaxis. Kwiimeko ezinjalo, kufuneka uye kwigumbi longxamiseko (ETU) esibhedlele ngoko nangoko .
| I-Anaphylaxis - Iimpawu zeNgxamiseko | |
|---|---|
| Ubunzima obukhulu bokuphefumla (ukuphelelwa ngamandla) | Ukuziva uxinene esifubeni. |
| Ubunzima bokuginya (dysphagia) | Ukudumba komqala, ulwimi, okanye ubuso. |
| Ukwehla ngequbuliso koxinzelelo lwegazi (hypotension) | Ukudinwa, amehlo aluhlaza okwesibhakabhaka, ukulahlekelwa zingqondo (i-syncope). |
| Ukubetha kwentliziyo | Ukubetha kwentliziyo okubuthathaka, ukungazinzi. |
| Intlungu ebuhlungu yesisu, ukuhlanza | Umzimba uyabanda uze uqalise ukothuka. |
Kutheni le nto kukho le allergy?
Eyona nto ibangela le allergy ziiproteni ezifumaneka kwingqolowa. Inkqubo yethu yokuzikhusela komzimba isabela ngempazamo kwezi proteni. Iintlobo ezine eziphambili zeeproteni zezi:
- I-Albumin
- IGliadin
- I-Globulin
- Abanyolukile
Ndingaqiniseka njani ukuba oku kukho?
Ukuba ukrokrela ukuba une-allergy yengqolowa, eyona nto ilungileyo onokuyenza kukubona ingcali ye-allergy . Uza kukubuza imibuzo embalwa, aze, ukuba kuyimfuneko, enze uvavanyo oluthile ukuqinisekisa oku.
Imibuzo onokuyibuza ugqirha:
- Ngaba kukho umntu kusapho lwakho one-allergies efana nale?
- Ngaba unayo nayiphi na enye into ebangela ukuba ungabi namdla wokutya?
- Zithini iimpawu zakho?
- Ezi mpawu zibonakala emva kwexesha elingakanani emva kokutya?
- Ngaba usela amayeza anjalo kwezi mpawu?
- Ngaba ugcina ijenali yokutya malunga noko ukutyayo?
Zeziphi iimvavanyo ezenziwayo?
1. Uvavanyo lweNkonko yoLusu:Okwenzayo kukubeka ithontsi lolwelo oluneprotheyini yengqolowa eluswini lwesandla sakho uze ulikrwele kancinci ngenaliti encinci. Ukuba une-allergy, kwimizuzu eli-15 indawo iya kuba bomvu kwaye idumbe kancinci, ngokungathi ulunywe yingcongconi.
2. Uvavanyo lwe-IgE egazini: Apha, kuthathwa isampuli encinci yegazi kuwe kwaye kuvavanywa inqanaba le-IgE antibodies nxamnye nengqolowa.
3. Uvavanyo lomlomo oluHleliweyo: Ukuba ezinye iimvavanyo azicacanga, ugqirha angakunika ingqolowa encinci kakhulu esibhedlele okanye ekliniki phantsi kweliso lakhe ukuze abone ukuba unayo na impendulo. Ungaze uzame oku ekhaya.
Indlela yokunyanga nokulawula?
Unyango olungcono nolukuphela kwalo lokunganyamezelani nengqolowa kukuphepha ngokupheleleyo ingqolowa kunye nokutya kunye neemveliso ezinengqolowa .
Uninzi lwabantwana luyakhula ludlule kwi-allergy yabo yengqolowa njengoko bekhula. Ngokwezifundo, malunga nama-66% abantwana bayakhula badlule kwi-allergy yabo. Nangona kunjalo, ukuba iyenzeka xa sele bekhulile, inokuba yinto yobomi bonke.
Luhlobo luni lokutya olufanele lususwe?
Ingqolowa ifumaneka ekutyeni okuninzi kunokuba sicinga, ngoko ke kubalulekile ukufunda ilebheli ngononophelo kuyo yonke iphakheji oyithengayo evenkileni.
| Udidi lokutya | Imizekelo ekufuneka ithintelwe |
|---|---|
| Iimveliso zebhekile | Isonka, iibhanisi, iikeyiki, iibhisikithi, iimuffins, iipastries. |
| Ipasta kunye neenoodles | Zonke iintlobo zepasta, ispaghetti, iinoodles (ezenziwe ngengqolowa). |
| Iinkozo zesidlo sakusasa | Iintlobo ezininzi zeenkozo, iCream of Wheat. |
| Ezinye ukutya | Iisosi, iihot dog, ii-ayisikhrim ezimbalwa, isosi yesoya, ipizza. |
Ukongeza, ezinye iimveliso ezingezizo zokutya zinokuba nengqolowa. Umzekelo, ezinye izinto zokuthambisa, iisepha, kunye nePlay-Doh yabantwana zinokuba nengqolowa.
Ngaba kukho amayeza?
Ukuba uneempawu ezincinci zokunganyamezelani komzimba (umz., amaqhuqhuva), ugqirha wakho unokukunika amayeza okulwa neentsholongwane . Ngamanye amaxesha, ii-corticosteroids nazo zinokunikwa ixesha elifutshane.
Kubantu abane-allergies ezinzima, ugqirha wakho uya kucebisa ukuba uhlale uphethe inaliti ye -epinephrine (efana ne-EpiPen) . Le isetyenziswa kwiimeko ezingxamisekileyo ezifana ne-anaphylaxis. Ugqirha wakho uya kuchaza indlela yokusebenzisa le nto.
Ngaba i-allergy yengqolowa, ukunganyamezelani ne-gluten, kunye nesifo se-celiac ziyafana?
Hayi. Kulapho abantu abaninzi badideka khona. Ezi meko zintathu, zintathu.
| Imeko | Inkcazo | Impendulo yomzimba |
|---|---|---|
| Ukunganyamezelani nengqolowa | Ukwaliwa ziiproteni ezikwingqolowa. | Inkqubo yomzimba yokuzikhusela isabela ngokuvelisa ii-antibodies ze-IgE. Kwiimeko ezinzima, i-anaphylaxis inokwenzeka. |
| Isifo seCeliac | Esi asisosifo sokunganyamezelani komzimba. Esi sisifo esibangelwa kukuzikhusela komzimba. Sisabela kwiproteni ebizwa ngokuba yigluten, efumaneka kwiinkozo ezifana nengqolowa nerhasi. | Inkqubo yomzimba yokuzikhusela yonakalisa udonga lwamathumbu ayo amancinci. Le yimeko ehlala ubomi bonke. |
| Ukunganyamezelani/Ubuthathaka kwiGluten | Oku akusiso isifo sokunganyamezelani komzimba okanye isifo sokuzikhusela komzimba. Yimeko yokunganyamezelani kwe-gluten. | Ukungakhululeki kwenkqubo yokugaya ukutya (ukudumba, isisu esibuhlungu, intloko ebuhlungu) kwenzeka, kodwa akukho ziphumo ezisongela ubomi ezenzekayo. |
Umyalezo Wokuya Ekhaya
- I-allergy yengqolowa yindlela engalunganga umzimba wakho osabela ngayo kwi-ngqolowa.
- Iimpawu zingaqala ekurhawuzeleni okuncinci ukuya kwi-anaphylaxis esongela ubomi.
- Ukuba ufumana iimpawu ezinzima ezifana nobunzima bokuphefumla kunye nokudumba komphimbo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Eyona ndlela ilungileyo yokunyanga oku kukususa konke ukutya okunengqolowa ekutyeni nasekutyeni kwakho.
- Kubaluleke kakhulu ukufunda ilebheli ngononophelo kuyo yonke into oyithengayo evenkileni.
- Ukuba ukrokrela ukuba unale meko, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.
- Ukunganyamezelani nengqolowa, isifo se-celiac, kunye nokunganyamezelani negluten ziimeko ezintathu ezahlukeneyo.
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