Ake sifunde kabanzi mayelana nokungezwani nokudla. Yazi lezi zinto ukuze ungakhathazeki!

Namuhla sizokhuluma ngento ebalulekile kubantu abaningi, futhi ngezinye izikhathi eyethusa kancane. Lokho ukungezwani nokudla, noma njengoba sisho ngesiNgisi, "Ukungezwani Nokudla". Wake wabhekana nokuhlaselwa okungazelelwe kwesicanucanu, ubunzima bokuphefumula, noma ukuphazamiseka kwesisu ngemva kokudla ukudla? Mhlawumbe sekwenzekile kuwe. Ake sibone ukuthi ziyini ngempela lezi zinto, ukuthi kungani zenzeka, nokuthi singaqaphela kanjani.

Kuyini Ukungezwani Nokudla?

Kalula nje, ukungezwani nokudla kwenzeka lapho umzimba wakho ukhomba ngephutha ukudla okungenangozi “njengokuyingozi” bese usabela kukho. Cabanga ngakho njengohlelo lokuzivikela lomzimba wakho, olubona ukudla okuvamile bese luthi, “O, lesi yisitha!” Ngakho-ke, benza lokho abacabanga ukuthi “kuyakuvikela”, bese uba nezimpawu. Lokhu kungafaka phakathi amaqhubu, ukuvuvukala, ubuhlungu besisu, ukuhlanza, uhudo, kanye nobunzima bokuphefumula .

Ngezinye izikhathi lesi simo singaba yingozi kakhulu. Sikubiza ngokuthi `(Anaphylaxis)`. Lokhu kwenzeka lapho izindlela zomoya zivuvukala futhi ungakwazi ukuphefumula, noma umfutho wegazi lakho wehla ngokuzumayo kakhulu. Uma ngokuzumayo uvuvukala ebusweni bakho, emlonyeni, ezindebeni noma emphinjeni, unenkinga yokuphefumula noma yokugwinya, noma uzizwa uphelelwa amandla, kufanele ushayele u-911 noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Lokhu akuyona ihlaya, kulungile?

Ingabe kunezinhlobo ezahlukene zokungezwani nokudla?

Yebo, kunezinhlobo eziningana eziyinhloko. Uma sivame ukuthi “ukungezwani nokudla,” sisho ukungezwani nokudla okubangela ukusabela okusheshayo futhi ngezinye izikhathi okunzima ezintweni ezifana namakinati, amantongomane ezihlahla, kanye nama-cashew. Udokotela wakho angase akubize ngokuthi “ukungezwani nokudla kwangempela” noma “ukungezwani nokudla okubangelwa yi-IgE.” Le “IgE” uhlobo lwe-antibody emzimbeni wethu. Lezi yizo ezenza “ukungahlonzi kahle” njengoba kushiwo ngaphambili.

Kukhona futhi uhlobo olubizwa ngokuthi `(Oral allergy syndrome)`. Lolu futhi lungolohlobo `(IgE-mediated)`. Kodwa-ke, kulokhu, kukhona ukusabela kwendawo kuphela ezindebeni nangaphakathi emlonyeni. Lokhu akuvamile kakhulu ukuqhubekela ku-`(Anaphylaxis)`.

Ngaphezu kwalokho, kunezinhlobo zokusabela kokudla okubizwa ngokuthi `(Non-IgE-mediated)`. Okusho ukuthi, lezo ezingahlobene nama-antibodies `IgE`. Ezinye izibonelo yilezi:

• `(I-Food protein-induced enterocolitis syndrome - FPIES): Lokhu kuhilela kakhulu ukuhlanza kanye nesifo sohudo.
• I-Eosinophilic esophagitis: Lokhu ukuvuvukala komphimbo .
• I-Eosinophilic gastritis: Ukuvuvukala kwesisu kwenzeka.
• `(I-proctitis ebangelwa amaprotheni okudla)`: Lokhu kuyinto evame ukwenzeka ezinganeni ezincane, futhi izimpawu zifaka phakathi igazi elincane elidlula esitulweni.

Yiziphi izinto ezivame kakhulu ukungezwani nokudla?

Kunokudla okuningana okubangela ukungezwani komzimba okukhulu emhlabeni jikelele, kanye nasezweni lethu. Lokhu yilokhu okuyinhloko:

• Amantongomane
• Amantongomane ezihlahla afana nama-cashew, ama-almond, ama-walnuts(isib. ama-alimondi, ama-walnut, ama-pistachio, ama-hazelnuts, ama-pecan, ama-cashew, ama-Brazil nuts)
• Ubisi ( ikakhulukazi ubisi lwenkomo)
• Amaqanda
• Inhlanzi
• I-Shellfish ( njenge-shrimp, crab, squid)
• Isoya
• Ukolweni
• I-Sesame

Lokhu kudla kuqukethe cishe u-90% wazo zonke izinhlobo zokungezwani nokudla. Kodwa-ke, kubalulekile ukukhumbula ukuthi ungaba nomzimba wokungezwani nokudla, noma ngabe akukho kulolu hlu . Abanye abantu bane-allergy nezithelo nemifino.

Yiziphi izimpawu ezingaba khona uma umuntu enokungezwani nokudla?

Izimpawu zokungezwani nokudla zingahluka kuye ngomuntu nomuntu. Kwabanye abantu, kungaba mnene kakhulu, kanti kwabanye, kungaba nzima kakhulu. Nazi ezinye zezimpawu ezivame kakhulu:

• Ukuqubuka kwesikhumba noma ukuqhuma kwesikhumba: Lokhu kuba bomvu ngokuzumayo, kuyaluma, futhi kuvuvuke, njengokulunywa umiyane. Lokhu kuyaluma kakhulu.
• Isikhumba esilumayo: Ukuluma umzimba wonke kungaba yingozi.
• Ukuvuvukala kobuso, izindebe, umlomo, noma ulimi: Lesi yisibonakaliso esethusa kancane.
• Umlomo nomphimbo okulunywayo: Umuzwa wokuluma emphinjeni lapho udla.
• Izwi elihoshozelayo: Ushintsho oluzumayo ezwini.
• Ubunzima bokugwinya: Kuzwakala sengathi kukhona okubambeke emphinjeni.
• Ukushaya komoya: Umsindo wokukhala kwekhwela ovela esifubeni.
• Ukuphefumula kanzima noma ukuphefumula kanzima: Lokhu nakho kuyisimo esiphuthumayo.
• Ukukhwehlela: Ungase ube nokukhwehlela okuqhubekayo.
• Ubuhlungu besisu: Isisu sibuhlungu futhi sizwakala sengathi siyaphendulwa.
• Ukuhlanza
• Uhudo
• Ukucasuka noma ukuquleka: Lokhu kungase kubangelwe umfutho wegazi ophansi.
• Impumulo egobhozayo
• Ukuthimula

Into ebaluleke kakhulu: Ake sithi uke waba nokusabela okuncane ekudleni okuthile ngaphambili. Kodwa ngesikhathi esizayo uma udla ukudla okufanayo , ungaba nokusabela okubi kakhulu. Ngakho-ke, uma uzwa izimpawu ezimbi kakhulu (ikakhulukazi ubunzima bokuphefumula, ukuvuvukala kobuso), hamba esibhedlela ngokushesha.

Kuthatha isikhathi esingakanani ukuthi izimpawu zokungezwani nokudla ziqale?

Ngokuvamile, izimpawu ziqala ukuvela zingakapheli amahora amabili udle ukudla okubangela ukungezwani komzimba. Ngezinye izikhathi zingaqala zingakapheli imizuzu. Akuvamile kakhulu ukuthi izimpawu zivele ngemva kwamahora.

Kungani kwenzeka lokhu kungezwani nokudla?

Indaba eyinkimbinkimbi kancane, kodwa ngamazwi alula, inje. Uma une-allergy yokudla, isimiso sakho somzimba sokuzivikela , uhlelo olusivikela ezifweni, lubona ngephutha iphrotheni ekudleni njenge "eyingozi." Isabela kuyo njengokungathi igciwane noma amagciwane.

Ngakho-ke, uma udla ukudla okubangela ukungezwani komzimba, lesi simiso somzimba sokuzivikela siqala uchungechunge lwezindlela zokususa into "eyingozi" (i-allergen) emzimbeni wakho. Yilapho zonke izimpawu ezishiwo ngenhla zivela khona. Ngezinye izikhathi lokhu kusabela kungaba kubi ngokwanele ukuba kusongela impilo.

Ubani onamathuba amaningi okuba nokudla okungezwani nokudla?

Abanye abantu banamathuba amaningi okuthola ukungezwani nokudla ngenxa yezizathu ezilandelayo:

• Uma unezinye izinto ezibangela ukungezwani komzimba: Isibonelo, uma une-allergy kumpova noma uthuli, ungase ube ne-allergy nokudla.
• Uma une-eczema noma i-asthma: Abanye abantu bane-eczema, i-asthma, kanye nokungezwani komzimba konke ngesikhathi esisodwa. Lesi simo sibizwa nangokuthi "i-Atopy".
• Uma othile emndenini wakho (umama, ubaba, izingane zakini) enesifo sokungezwani komzimba, i-asthma, noma i-eczema: Kungase kube nokuthambekela kofuzo.

Yiziphi izinkinga ezingaba khona ngenxa yokungezwani nokudla?

Inkinga eyingozi kakhulu yokungezwani nokudla yisimo esishiwo ngenhla se-`(Anaphylaxis)`. Lokhu kungabangela ukuvuvukala ezicutshini eziningi zomzimba, ukuhlanza okungalawuleki, ubunzima obukhulu bokuphefumula, kanye nokwehla okukhulu komfutho wegazi (ukushaqeka kwe-anaphylactic). I-`(Anaphylaxis)` eyingozi ingaholela ngisho nasekufeni. Ngakho-ke, udinga ukuqaphela kakhulu ngalokhu.

Odokotela bakuthola kanjani ukuthi kukhona ukungezwani nokudla?

Uma ucabanga ukuthi une-allergy yokudla, kufanele nakanjani ubone udokotela. Uzokubuza ngezimpawu zakho futhi, uma kudingeka, acele ukuhlolwa kwe-allergy . Kungumqondo omuhle ukuba nolwazi olulandelayo lulungile uma uvakashela udokotela wakho:

• Yikuphi ukudla okubangela izimpawu zakho (uma wazi).
• Kungakhathaliseki ukuthi ukudla kwakudliwa kuluhlaza noma kuphekiwe.
• Udle ukudla okungakanani lapho kuvela izimpawu?
• Yiziphi izimpawu ozibonayo, futhi zinzima kangakanani?
• Kuthatha isikhathi esingakanani ukuthi izimpawu ziqale ngemva kokudla?
• Ingabe kwakukhona ezinye izici ezazingathinta izimpawu zakho? (isib., ingabe wawunesifo esibangelwa yigciwane ngaleso sikhathi? Ingabe wawuvezwe kwenye i-allergen - njenge-pollen?)
• Ingabe uzame noma yiluphi uhlobo lokwelashwa ekhaya, futhi ingabe lukusizile ukuthi ululame?
• Ingabe izimpawu zihlala zivela uma udla lokhu kudla, noma ngezinye izikhathi kuphela?
• Sekuyisikhathi esingakanani lezi zimpawu zikhona?
• Ingabe unayo eminye imikhuhlane eyaziwayo (ekudleni, empova, othulini, ezilwaneni, njll.)?
• Ingabe une-eczema noma i-asthma?
• Ingabe ukhona emndenini one-allergies, i-asthma, noma i-eczema?

Le mininingwane izoba usizo olukhulu kudokotela ekuqondeni inkinga ngendlela efanele.

Yiziphi izivivinyo zokungezwani nokudla?

Uma udokotela ebona ukuthi kuyadingeka, angenza lezi zivivinyo ezilandelayo:

• Ukuhlolwa kwesikhumba okubangelwa ukungezwani komzimba: Lokhu kuhilela ukufaka inani elincane kakhulu lento ocabanga ukuthi une-allergy kuyo esikhumbeni sakho (ngokuvamile ingalo noma umhlane wakho), ukuhlaba isikhumba ngenaliti encane kakhulu, bese ulinda imizuzu eyi-15-20 ukuze ubone ukuthi kukhona yini ukusabela (ububomvu, ukuvuvukala).
• Ukuhlolwa kwegazi okubangelwa ukungezwani komzimba: Lokhu kuhilela ukuthatha isampula yegazi lakho bese ulihlola ukuthi likhona yini ama-antibodies e-IgE ekudleni ocabanga ukuthi une-allergy kukho.
• Ukuhlolwa kwenselele yokudla: Lokhu kwenziwa ngokucophelela okukhulu, ngaphansi kokuqondisa kukadokotela, futhi esibhedlela kuphela. Kulokhu, unikezwa kancane kancane inani lokudla osola ukuthi une-allergy kukho. Lokhu kwenziwa ukuze kubonakale ukuthi kukhona yini okusabelayo. Njengoba lokhu kuyingozi kancane, ukubhekwa kwezokwelapha kuyadingeka.

Kulashwa kanjani ukungezwani nokudla?

Eqinisweni, indlela engcono kakhulu yokulawula ukungezwani nokudla iwukugwema i-allergen yakho. Lokho kusho ukungakudli lokho kudla. Kodwa-ke, manje kunezindlela eziningana zokwelapha ezinganciphisa ingozi yokusabela kokungezwani nokudla. Lokhu kufaka phakathi imijovo, imithi yomlomo, kanye nemithi engaphansi kwezilimi.

Futhi, kubaluleke kakhulu ukugcina imithi ephuthumayo, ikakhulukazi i-`(Epinephrine)` auto-injector (isb. `(EpiPen®)`, `(Auvi-Q®)`, iseduze uma kwenzeka udla ukudla okubangela ukungezwani komzimba ngengozi.

Imijovo ye-Omalizumab

Udokotela wakho angakunikeza umjovo obizwa ngokuthi i-Omalizumab (igama lomkhiqizo elithi Xolair®) kanye noma kabili ngenyanga. Noma ungaziqeqesha ukuwujova. Lokhu kungasiza ekunciphiseni ingozi yokusabela uma ubhekene nokudla okungafanele okubangela ukungezwani komzimba.

Ukwelashwa nge-immunotherapy yomlomo (OIT)

I-Oral Immunotherapy (i-OIT) uhlelo olusiza wena noma ingane yakho ukuthi ikwazi kancane kancane ukubekezelela ukudla okune-allergy kukho. Ngaphansi kokuqondisa kukadokotela, unikezwa kancane kancane ukudla okune-allergy kukho esikhathini esiyizinyanga ezithile. Umgomo uwukuba "ungabi nobunzima" ukuze ngisho nokudla okuncane okune-allergy kungabangela ukusabela okubi. Abanye abantu bangadla ukudla okune-allergy ngaphambilini ngaphandle kwezinkinga ngemva kokwelashwa nge-OIT.

Ukwelashwa nge-immunotherapy ngaphansi kolimi (i-SLIT)

I-Sublingual Immunotherapy (SLIT) ifana ne-OIT. Ihilela ukunikeza umzimba wakho inani elincane le-allergen nsuku zonke ukuze wakhe ukubekezelela kwakho. Kodwa esikhundleni sokuyidla, ubeka uketshezi noma ithebhulethi equkethe i-allergen ngaphansi kolimi lwakho bese uyivumela ukuthi incibilike.Lokhu kwelashwa `(SLIT)` kumele kwenziwe ngaphansi kokuqondisa kukadokotela ukuqinisekisa ukuphepha.

Imithi ephuthumayo

Uma unesifo sokungezwani komzimba ngemva kokudla ukudla okubangela ukungezwani komzimba ngephutha, udokotela wakho angase akuncomele imithi elandelayo:

• I-epinephrine auto-injector (isib., i-EpiPen® noma i-Auvi-Q®) : Udokotela wakho uzokweluleka ukuthi uyisebenzise lapho kuvela izimpawu zokuqala zokusabela okukhulu kwe-allergy (i-anaphylaxis). Kubalulekile ukuyigcina nawe.
• Ama-Corticosteroids : Lawa ma-steroid asebenza ngokunciphisa ukuvuvukala.
• Ama-antihistamine : Lawa angasiza ekumiseni noma ekunciphiseni ukusabela kokungezwani komzimba. Kodwa-ke, awanikezwanga ukuvimbela ukusabela okuvela ekungezwani kokudla.

Kuthiwani uma nginesifo sokungezwani nokudla?

Uma wena noma ingane yakho ninokungezwani nokudla, kufanele nikwenze umkhuba ukufunda amalebula okudla futhi nigweme ukudla okungase kube ne-allergen . Ungakhuluma nodokotela we-allergy ukuze nixoxe ngezinketho zokwelapha nokuthi yini okufanele uyenze uma usabela kabi. Angase futhi ancome ukuhlolwa okuphindaphindwayo kokungezwani nokudla ngezikhathi ezithile ukuze abone ukuthi ukungezwani nokudla kwengane yakho kuye kwehla noma ukuthi ukwelashwa sekubekezelele yini.

Ukusabela kokungezwani komzimba akubikezeleki. Ngakho-ke, noma ngabe usabela kancane ngesinye isikhathi, ngesikhathi esilandelayo kungaba nzima kakhulu. Futhi, akukho ukuhlolwa okungakutshela ukuthi ukusabela okungakanani okuzoba nakho ekudleni ngaphandle kokukudla. Ngakho-ke, ungazethembi ngoba nje kukhona into encane eyenzekile ngaphambili, futhi qaphela njalo.

Ingabe ukungezwani nokudla kuyaphela?

Ngezinye izikhathi yebo. Iningi lezingane ezincane likhula lidlule ekuzweleni ubisi namaqanda lapho lineminyaka engu-6. Kodwa-ke, ukungezwani nokudla kwamakinati, amantongomane ezihlahla, i-shellfish, kanye nezinhlanzi akuvamile kakhulu (ngaphansi kuka-20%).

Ingabe ukungezwani nokudla kungavinjelwa?

Nakuba kungekho ndlela eqinisekile yokuvimbela ukungezwani nokudla, ungazama lezi zinto ukunciphisa ingozi yengane yakho yokuthola ukungezwani nokudla:

• Uma uncelisa (ngaphandle kokuthi nawe une-allergy kulokho kudla) , faka amantongomane nezinye izinto ezibangela i-allergy ekudleni kwakho okuvamile.
• Buza udokotela wengane yakho ukuthi uzokwethula nini futhi kanjani ukudla okusha. Angase ancome ukuthi ukwethula ukudla okungase kubangele ukungezwani komzimba kusenesikhathi, noma ngaphansi kokuqondisa kukadokotela, kuye ngezinye izimo zempilo zengane yakho.
• Uma ingane yakho isiyithumele ngokuphephile ukudla engase ibe nomzimba wokungezwani nakho, qhubeka uyipha ukudla okunhlobonhlobo engase ibe nomzimba wokungezwani nakho (kufaka phakathi amantongomane, ubisi, namaqanda). Lokhu kunganciphisa ingozi yokuba nomzimba wokungezwani nakho kamuva.

Ngingazinakekela kanjani mina noma ingane yami?

Ukuze uzivikele wena noma ingane yakho ekudleni ukudla okubangela ukungezwani komzimba ngokungazi, yenza okulandelayo:

• Hlola ilebula yezithako zokudla okwenziwe kusengaphambili. Lokhu kungaba nzima kancane eSri Lanka, kodwa zama konke okusemandleni akho. Emazweni angaphandle, uma ukudla kuqukethe noma yiziphi izinto ezingu-9 ezibangela ukungezwani komzimba, kufanele kubhalwe kulebula. Qaphela futhi amagama anjengokuthi "kungase kuqukethe" noma "kwenziwe emishinini ehlanganyelwe".
• Hlola njalo ilebula uma uthenga ukudla esitolo, uma ukulethe ekhaya, nangaphambi kokuba ukudle.
• Qala ukukhuluma nengane yakho isencane mayelana nokuqaphela lokho ekudlayo nokungabelani ngokudla nabanye ongazi ukuthi kuphephile.
• Uma udla ngaphandle, qaphela kakhulu ezindaweni zokudlela. Buza ukuthi ukudla kuqukethe yini into ekwenza ungezwani nokudla. Kodwa khumbula ukuthi bangase bangakwazi ukunikeza isiqinisekiso esingu-100%.
• Yazisa wonke umuntu oseduze nengane yakho ngokungezwani komzimba kwayo nokuthi yikuphi ukudla okuphephile ukuthi ikudle.
• Khuluma nesikole sengane yakho noma indawo yokunakekela izingane mayelana nokungezwani komzimba kwayo bese uthola ukuthi yiziphi izinhlelo abanazo zokuvimbela ukuthi ingazichayi ekudleni enokungezwani komzimba nayo.
• Hlela kahle lapho uhamba nangezinye izikhathi lapho ungekho ekhaya. Thatha ukudla okuphephile, noma uthole izindawo eziphephile zokudla kusenesikhathi.
• Uma unemibuzo mayelana nokuthi yini ongayidla nokuthi yini ongeke uyidle, buza udokotela wakho.

Lungela uma kwenzeka ukusabela kokungezwani komzimba:

• Hlala uphethe i-epinephrine auto-injector. Buza udokotela wakho ukuthi ungayisebenzisa kanjani ngendlela efanele.
• Qiniseka ukuthi isikole noma indawo yokunakekela izingane enkulisa ingane yakho inohlelo lokunakekelwa okuphuthumayo lwe-Food Allergy & Anaphylaxis oluvela kudokotela wengane yakho. Lokhu kuchaza ukuthi yini okufanele uyenze uma ingane yakho inokusabela kokungezwani komzimba.
• Nikeza ingane yakho ipeni le-epinephrine kanye nanoma yimiphi eminye imithi engase iyidinge esikoleni noma endaweni yokunakekela izingane.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi wena noma ingane yakho ningase nibe nokungezwani nokudla, bonana nodokotela ngokushesha. Angakudlulisela kuchwepheshe futhi akunike isiqondiso salokho okufanele ukwenze ngokulandelayo.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Ngaphandle kokwelashwa, ukusabela kokungezwani komzimba kungaba yingozi empilweni.Uma uhlangabezana nanoma yiziphi zalezi zimpawu, iya ekamelweni eliphuthumayo ngokushesha noma ushayele u-1990:

• Ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo
• Ubunzima bokuphefumula
• Ukuqina kwesifuba
• Ama-hives (ama-hives)
• Ukuba ndikindiki ezandleni, ezinyaweni, noma ezindebeni
• Ubuthakathaka, isiyezi, noma ukuquleka
• Ukwesaba okungajwayelekile, umuzwa wenhlekelele ezayo

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungaba usizo ukubuza udokotela wakho imibuzo efana nale:

• Ingabe kukhona izindlela zokwelapha mina/ingane yami?
• Yini okufanele ngiyenze uma mina/ingane yami iba nokusabela kokungezwani komzimba noma ngephutha idla into engiyizwayo?
• Yiziphi ezinye izindlela zokuvimbela ukuchayeka ngokungazi ku-allergen?
• Ngingawusebenzisa kanjani lo muthi?
• Ngidinga nini i-`(Epinephrine)`?
• Ingabe unalo uhlelo lokusebenza mayelana nokungezwani komzimba?

Kuvame kangakanani ukungezwani nokudla?

Ucwaningo lubonisa ukuthi phakathi kuka-6% no-11% wabantu abadala bane-allergies yokudla. Futhi, cishe u-8% wezingane une-allergies yokudla.

Kungaba ingane yakho, noma kungaba yinto osanda kutholakala ukuthi unayo. Kodwa-ke, ukungezwani nokudla kungaba yinto eshintsha impilo. Ukugwema ukudla okuthile, ukuzibuza ukuthi wena noma ingane yakho ningadlani, kanye nokwesaba ukungaphinde nidle endaweni yokudlela kungaba yinto ekhungathekisayo. Kodwa-ke, kubantu abaningi, lokhu kwesaba okuqhubekayo akuhlali phakade.

Kunezinketho eziningi kunanini ngaphambili kulabo okudingeka baqaphele kakhulu lapho bedla ngaphandle. Kunezinhlelo zokusebenza namaqembu aku-inthanethi angakusiza ukuthola ukudla okuphephile ongakugcina ekhabetheni lakho. Abantu abaningi bathola izindawo zokudlela nokudla abakwethembayo nabavame ukukudla. Ukuphila nokungezwani komzimba kuba lula uma kuba yingxenye yempilo yakho yansuku zonke.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ukungezwani nokudla kuyinto okufanele uyesabe, kodwa uma unolwazi olufanele ngakho futhi uthatha izinyathelo ezidingekayo, ungaphila impilo evamile.

• Thola ukuthi yikuphi ukudla okubangela ukungezwani komzimba. Funa iseluleko sezokwelapha.
• Funda njalo amalebula okudla. Uma ungabaza, gwema ukudla.
• Njalo phatha i-epinephrine auto-injector (uma usengozini yokuba nokusabela okukhulu kokungezwani komzimba) futhi wazi kahle ukuthi uyisebenzisa kanjani.
• Yazisa umndeni wakho, abangani, kanye nozakwenu besikole/basemsebenzini mayelana nokungezwani komzimba kwakho.
• Ungesabi ukubuza imibuzo. Cela iseluleko kudokotela wakho noma kuchwepheshe wezokudla.

Khumbula, awuwedwa. Kunabantu abaningi abaphila nokungezwani nokudla. Thola usizo nokusekelwa okudingayo. Ziqaphele!

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