Ingabe uzwa ukulunywa , ukubomvu, kanye nobunzima bokuphefumula uma udla ukudla okuthile? Noma uzizwa ungajwayelekile noma ungakhululekile uma unika ingane yakho ukudla okuthile? Ingabe udidekile ngokuthi lokhu kuyi-allergy ngempela noma okunye? Ngezikhathi ezinjalo, indlela engcono kakhulu nethembekile yokuqeda ngokuphelele lokho kungabaza yi-Food Challenge Test esizokhuluma ngayo.
Kalula nje, luyini lolu vivinyo lwenselele yokudla?
Ukuhlolwa kwenselele yokudla ukuhlolwa kwezokwelapha okwenziwa ukuze kutholakale ukuthi umuntu une-allergy ngempela ekudleni okuthile. Ngezinye izikhathi, lokhu kuhlolwa kwenziwa futhi ukuze kubonakale ukuthi i-allergy eyayikhona ebuntwaneni isiphelile yini.
Lokhu kuhilela ukukufaka kancane kancane ukudla osola ukuthi une-allergy kukho, ngaphansi kokuqondisa okuqondile kukadokotela noma udokotela we-allergy .
Okubaluleke kakhulu: Ungazami lokhu kuhlolwa ekhaya nganoma yisiphi isizathu . Ngenxa yokuthi ukusabela okukhulu kokungezwani komzimba ngezinye izikhathi kungaba khona, kufanele kwenziwe kuphela esikhungweni sezokwelapha. Yingakho lokhu kuhlolwa kubhekwa njenge-"Gold Standard" yokuxilonga ukungezwani kokudla .
Ulwenza kanjani lolu vivinyo?
Izinyathelo zokwenza lokhu kuhlola zilula kakhulu. Ake sithi usola ukuthi unesifo sokungezwani komzimba namantongomane. Nakhu okwenzekayo:
- Isinyathelo 1: Udokotela wakho uzokunika inani elincane kakhulu lamakinati ongawadla. Kungaba yi-peanut kernel. Ngezinye izikhathi lokhu kufakwa ku-capsule ongayigwinya njengephilisi.
- Ukuqaphela: Udokotela uzobe esekuqaphela ngokucophelela cishe imizuzu eyi-15, efuna izimpawu zokungezwani komzimba (isib. ukulunywa , amaqhubu , ubunzima bokuphefumula ).
- Umthamo olandelayo: Uma kungekho zimpawu zokungezwani komzimba, udokotela uzokuvumela ukuthi udle amakinati engeziwe.
- Phinda: Khulisa kancane kancane umthamo kuze kube yilapho kuvela ukusabela kokungezwani komzimba, noma uze udle lonke inani lamakinati umuntu angalidla ngesikhathi esisodwa (lihlukaniswe ngezilinganiso ezingu-4-6).
- Ukuphela kokuhlolwa: Uma uba nanoma yiziphi izimpawu zokungezwani komzimba nganoma yisiphi isikhathi,Ukuhlolwa kuzomiswa ngokushesha . Ngaleso sikhathi, udokotela uzoqinisekisa ukuthi une -allergy futhi akunike imithi edingekayo yokulawula izimpawu zakho.
- Uma ungenazo izinto ezibangela ukungezwani komzimba: Uma udla umthamo wonke futhi ungabi nazo izimpawu zokungezwani komzimba, kusho ukuthi awunazo izinto ezibangela ukungezwani komzimba kulokho kudla.
Ngokuvamile, uhlobo olulodwa lokudla luhlolwa esivivinyweni esisodwa.
Kudingeka nini ukuhlolwa kwenselele yokudla?
Ngokuvamile, isinyathelo sokuqala sokuthola ukungezwani nokudla ukuhlolwa kokuhlatshwa isikhumba noma ukuhlolwa kwegazi. Kodwa-ke, ngezinye izikhathi imiphumela yalezi zivivinyo ayicaci. Ezimweni lapho kusolwa khona ukuthi ukungezwani nokudla kungenzeka noma cha, kwenziwa i-Food Challenge Test ukuqinisekisa ukuthi konke lokhu kuyiqiniso .
Lokhu kuhlolwa kuvame ukwenziwa uhlobo lokungezwani komzimba olubizwa ngokuthi `IgE-mediated`. Kalula nje, lolu uhlobo lokungezwani komzimba olubangelwa yi- antibody `IgE` emizimbeni yethu futhi lubangela izimpawu ngokushesha ngemva kokudla ukudla.
Yiziphi izindlela zokwenza lokhu kuhlolwa?
Kunezindlela ezintathu eziyinhloko zokwenza lokhu kuhlolwa. Zonke lezi zindlela zenzeka ngaphansi kokuqashwa kwezokwelapha esibhedlela noma emtholampilo.
| Indlela yokuhlola | Incazelo elula |
|---|---|
| Impumputhe ephindwe kabili, elawulwa yi-placebo | Kulesi simo , awazi ukuthi ukudla (noma i-capsule) okunikezwayo kuqukethe yini i-allergen noma cha, futhi nodokotela wakho akanalo ulwazi. Enye iqukethe i-allergen, kanti enye iqukethe i-placebo. Lena yindlela enembe kakhulu. Kodwa-ke, le ndlela ivame ukusetshenziselwa izinjongo zocwaningo hhayi ezivivinyweni zemitholampilo. |
| Impumputhe eyodwa | Ngale ndlela, udokotela uyazi ukuthi hlobo luni lokudla olubangela ukungezwani komzimba nokuthi yiluphi olubangela ukungezwani komzimba, kodwa wena awukwazi. |
| Inselele Yokudla Okuvulekile | Lena yindlela evame ukusetshenziswa kakhulu. Kulokhu , uyazi ukuthi hlobo luni lokudla osola ukuthi une-allergy kulo, futhi nodokotela uyazi ukuthi lukhona. Ukuhlolwa kwenziwa obala ngaphandle kokufihla lutho. |
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzokunikeza isethi yemiyalelo ngaphambi kokuhlolwa. Lezi zibalulekile ukuze uthole imiphumela enembile.
- Ungase ucelwe ukuthi uyeke ukudla konke ukudla owaziyo ukuthi une-allergy kukho cishe amasonto amabili ngaphambi kokuhlolwa.
- Uzocelwa ukuthi uyeke ukuthatha noma yimiphi imithi yokungezwani komzimba (ama-antihistamine) ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
- Ungase ucelwe ukuthi ungadli noma ungaphuzi lutho amahora ambalwa ekuseni ngosuku lokuhlolwa.
- Okubalulekile: Uma usebenzisa imithi ebalulekile njenge-inhaler yesimo esifana ne -asthma , qiniseka ukuthi ukhuluma nodokotela wakho ngayo. Sebenzisa imithi njengoba kuqondiswe.
- Uma unomkhuhlane noma umkhuhlane ekuseni kokuhlolwa, yazisa udokotela bese uhlehlisa ukuhlolwa.
Kwenzekani ngesikhathi sokuhlolwa nangemva kwalokho?
Kujwayelekile ukuzizwa ukhathazekile kancane ngaphambi kokuhlolwa okunje. Kodwa khumbula, usendaweni ephephile ngokuphelele. Ithimba lezokwelapha liqapha konke (ukuphefumula kwakho, ukushaya kwenhliziyo yakho).
Ukuhlolwa kungathatha amahora angu-3-4 noma ngaphezulu. Uma uba nanoma yiziphi izimpawu zokungezwani komzimba, uzoqashwa amahora amaningana ukuze uzilawule. Ngisho noma kungekho zimpawu ezivelelayo, ungase uqashwe amanye amahora amabili ngemva kokuthatha umthamo ogcwele.
Imiphumela ngemva kokuhlolwa
Imiphumela ingabonakala ngokushesha.
- Uma umphumela uthi "Kubekezelelwe": Lokhu kusho ukuthi awuzange ube nezimpawu zokungezwani komzimba. Ungakudla lokho kudla ngaphandle kokwesaba.
- Uma umphumela uthi "Usabela": Lokhu kusho ukuthi usunezimpawu zokungezwani komzimba. Udokotela wakho uzokweluleka ngokuthi ungakugwema kanjani lokho kudla. Bangase bakunike nemithi, njenge-'Epinephrine' auto-injector (isb. `EpiPen®`), ongayisebenzisa esimweni esiphuthumayo.
Ingabe lokhu kuphephile ngempela? Ingabe kukhona ingozi?
Yebo, kukhona ingozi ethile. Yingakho lolu vivinyo lwenziwa ngaphansi kokuqondisa kukadokotela.
Iningi labantu liba nezimpawu ezincane zokungezwani komzimba, njengokuqunjelwa kanye nokulunywa. Lokhu kungelashwa ngokushesha ngemithi.
Ukusabela okukhulu nokusongela impilo okufana nobunzima bokuphefumula noma i-'Anaphylaxis' akuvamile kakhulu. Kodwa uma kwenzeka, unemishini yezokwelapha, imithi, kanye nethimba lezokwelapha eliqeqeshiwe eliseduze ukuze libhekane nakho. Ngakho-ke akukho okufanele ukwesabe.
Amakhithi okuthiwa "okuhlola ukuzwela kokudla" atholakala ku-inthanethi noma kumakhemisi awafani nalolu vivinyo lokulwa nokudla. Imiphumela ayinikezayo ayamukeleki ngokwezokwelapha. Ngakho-ke, uma ungabaza, hlala uthintana nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Indlela engcono kakhulu nethembekile yokwazi ngokuqinisekile ukuthi unesifo sokungezwani nokudla noma cha yi-Food Challenge Test.
- Ungalokothi wenze lokhu kuhlolwa ekhaya. Njalo kwenze esibhedlela noma emtholampilo, ngaphansi kokuqondisa kukadokotela.
- Kuvamile ukuzizwa ukhathazekile kancane ngaphambi kokuhlolwa, kodwa khumbula ukuthi usendaweni ephephile nethimba lezokwelapha elilungele ukusingatha noma yisiphi isimo esiphuthumayo.
- Imiphumela yokuhlolwa izokunikeza impendulo ecacile, ikuvumele ukuthi ulungise ukudla kwakho ngaphandle kokwesaba noma ugweme ngendlela efanele ukudla okubangela ukungezwani komzimba.
- Ungathembi amakhithi okuhlola angagunyaziwe atholakala ku-inthanethi, futhi xhumana nodokotela wakho ukuze uthole iseluleko esifanele uma usola ukuthi kukhona ukungezwani komzimba.
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