Njengomama, uyazi ukuthi uma ezinye izingane ezincane zingezwani nokudla okufana namakinati, zibonisa izimpawu ngokushesha. Izinto ezifana nokuqunjelwa, ubunzima bokuphefumula , njll. Kodwa lokhu kungezwani nokudla okungavamile esikhuluma ngakho namuhla okubizwa ngokuthi i-FPIES (Food Protein-Induced Enterocolitis Syndrome) kuhlukile kancane. Okwenzekayo lapha ukuthi izimpawu ziqala ukuvela emahoreni ambalwa ngemva kokuba ingane idle ukudla. Abazali abaningi bacabanga ukuthi lokhu kumane kuyimfiva evamile yegciwane noma ukuthi kumane kuyisisu esibuhlungu ngenxa yokudla ukudla okuphelelwe yisikhathi.
Iyini ngempela i-FPIES?
Kalula nje, i-FPIES ukuvuvukala okukhulu kwamathumbu okubangelwa amaprotheni okudla. Akubangeli izimpawu ezivamile zokungezwani komzimba okuvamile, njengokuqunjelwa, ukulunywa, noma ukuvuvukala. Esikhundleni salokho, ingane yakho ingase ihlanze futhi ihude njalo.
Lesi simo sivame ukuqala lapho umntwana ethola ubisi lwebele noma ukudla okuqinile. Esikhathini esiningi, lesi simo asiveli ngobisi lwebele. Kodwa-ke, akuvamile kakhulu, singenzeka ezinganeni ezinceliswa ubisi lwebele. Izindaba ezinhle ukuthi izingane eziningi ziyakhula zidlule kulokhu kungezwani komzimba lapho zineminyaka emi-3 noma emi-4 ubudala .
Ziyini izimpawu zalokhu?
Cabanga ukuthi unike ingane yakho ukudla okusha. Ngemva kwamahora amabili noma amathathu, ingane yakho iqala ukuhlanza njalo futhi ngokungalawuleki. Ngemuva kwalokho, ingane iqala ukuba nendle ekhululekile. Lolu uphawu oluyinhloko lwe-FPIES.
Ezinye izingane zingase zizizwe lezi zimpawu zikhula kancane kancane ngokuhamba kwesikhathi. Zingase futhi zikhule kancane ngenxa yokungatholi ukudla okufanele ezikudingayo.
Ezimweni ezimbi kakhulu, ukuhlanza kakhulu kanye nohudo kungaholela ekuphelelweni amanzi emzimbeni ngisho nokushaqeka. Lesi yisimo esiyingozi kakhulu.
| Izimpawu ezingase zibonakale esimweni esibi kakhulu (ukushaqeka) - hamba esibhedlela ngokushesha! | |
|---|---|
| Isici | Incazelo |
| Ukudideka | Ingane ingase ibonakale ididekile futhi ingazi ukuthi kwenzekani eduze kwayo. |
| Isikhumba esibandayo nesinomswakama | Umzimba uzizwa ubanda ngendlela engavamile uma uwuthinta, futhi uzizwa umanzi sengathi uyajuluka. |
| Ukoma ngokweqile | Ingane idinga ukuphuza amanzi ngaso sonke isikhathi. |
| Isikhumba esikhanyayo noma esiluhlaza okwesibhakabhaka | Isikhumba singashintsha umbala, sibe mhlophe, noma sibe luhlaza okwesibhakabhaka nxazonke zezindebe. |
| Izinguquko zokuphefumula | Ukuphefumula kungaba okusheshayo noma okungajulile. |
| Ukudinwa/ukozela | Ingane ilele ngendlela engavamile, kunzima ukuvuka, futhi ayidlali. |
| Ukushaya kwenhliziyo okubuthakathaka | Ukushaya kwenhliziyo kubuthakathaka kakhulu, cishe akubonakali. |
Uma ubona noma yiziphi zalezi zimpawu, thatha ingane yakho uyise e -Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha.
Kungani lokhu kwenzeka?
Lokhu kungenxa yokuthi amanye amangqamuzana ohlelweni lokuzivikela lomntwana wakho awasabela kahle kumaprotheni ekudleni okuthile. Lokhu kusabela kubangela ukusabela okukhulu ohlelweni lokugaya ukudla lomntwana (indlela yokugaya ukudla), okungukuthi, amathumbu. Kodwa izimpawu zalokhu kusabela zithatha phakathi kwamahora amabili kuya kwangu-8 ukuze zivele. Yingakho kuhlukile kwezinye izifo zokungezwani komzimba.
Umlando womndeni ukhombisa ukuthi phakathi kuka-40% no-80% wezingane ezine-FPIES zinomlando womndeni wezinye izinto ezibangela ukungezwani komzimba, njenge-hay fever noma i-eczema. Ngokumangalisayo, ama-20% kuphela ezingane ezine-FPIES anomlando womndeni wezinye izinto ezibangela ukungezwani komzimba kokudla.
Yikuphi ukudla okuvame ukubangela ama-FPIES?
Lesi simo sivame ukubangelwa yi:
- Ubisi lwenkomo kanye nemikhiqizo yobisi (isb. i-yogurt, ushizi)
- Ubisi lwesoya nolwesoya
- Ukolweni nezinye izinhlamvu (isib. i-oats, ibhali)
Ngaphezu kwalokhu, ezinye izingane zingaba nama-FPIES ngokudla esingeke sicabange ukuthi kubangele ukungezwani komzimba .
- Ibhali
- Inyama yenkukhu noma ye-turkey
- Inhlanzi
- Ubhontshisi
- Ama-oat
- Ubhontshisi
- Ilayisi
- Ithanga
- Ubhatata
Ungakhathazeki ngalolu hlu. Akuzona zonke izingane ezizoba ne-allergy kuzo zonke lezi zinto. Okubangela i-allergy komunye umntwana kungase kungabi njalo komunye.
Kwenziwa kanjani ukuxilongwa?
Uma ucabanga ukuthi ingane yakho ine-FPIES, into engcono kakhulu ongayenza ukukhuluma nodokotela wezingane ngakho. Angase akuthumele kudokotela wezifo zokungezwani komzimba ezinganeni noma kudokotela wezifo zamathumbu ezinganeni.
Udokotela uzoqala akubuze ngezimpawu zengane yakho nokuthi ngabe kukhona yini emndenini onesifo sokungezwani komzimba. Ngemuva kwalokho, bazokwenza izivivinyo ukuqinisekisa ukuthi azikho ezinye izimbangela ezivamile zokuhlanza nohudo (njengokutheleleka ngegciwane).
Ngezinye izikhathi, ukuhlolwa kwegazi kanye nokuhlolwa kwesiqeshana sesikhumba (i-Atopy Patch Test - APT) kungasiza. I-APT ihilela ukubeka ipuleti elincane lensimbi lokudla okusolwayo esikhumbeni sengane cishe amahora angu-48. Kodwa-ke, lokhu kuhlolwa akukwazi ukuqinisekisa ama-FPIES angu-100%.
Ukuphela kwendlela yokuqinisekisa ukuthi lokhu kunjalo yini ukuhlolwa kwe-Oral Food Challenge (OFC) . Lokhu kuhilela ukunikeza ingane ukudla okusolwayo, kancane kancane, ngaphansi kokuqondisa kwezokwelapha, esibhedlela noma emtholampilo. Lokhu akuvunyelwe nhlobo ukukwenza ekhaya.
Iphathwa kanjani?
Ukwelashwa kulula kakhulu. Kuhilela ukususa ngokuphelele ukudla noma ukudla ingane enokungezwani nakho ekudleni kwayo.
- Uma ingane yakho iphuza ubisi lwebhodlela, kufanele usebenzise amafomula akhethekile angenalo ubisi lwenkomo noma ubhontshisi (amafomula angenawo umdlavuza). Udokotela wakho uzokweluleka ngalokhu.
- Funda ilebula ngokucophelela kuyo yonke iphakheji yokudla oyithenga esitolo bese uhlola ukuthi inazo yini izinto ezibangela ukungezwani komzimba.
- Gcina inothi elibhaliwe elivela kudokotela wakho elisho ukuthi ingane yakho inazo izifo ezithathelwanayo. Kuzoba usizo kakhulu ekuchazeleni isimo sengane yakho kubasebenzi bezokwelapha uma kwenzeka isimo esiphuthumayo.
Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uthola ngalesi simo. Kodwa uma siphathwa kahle, ingane yakho ingajabula futhi ibe nempilo enhle.
Umlayezo Wokuya Nawe Ekhaya
- I-FPIES iyimpendulo engavamile yokungezwani komzimba ebonakala ngokuhlanza kanye nesifo sohudo esenzeka emahoreni ambalwa ngemva kokudla ukudla.
- Izimpawu ezifana nokuqubuka nokulunywa, njengasekuguleni okuvamile, azibonakali lapha.
- Uma ingane ibuthakathaka ngendlela engavamile, inebala eliluhlaza okwesibhakabhaka esikhumbeni, noma ikhombisa izimpawu zokudideka, yiyise e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Qiniseka ukuthi ufuna iseluleko sikadokotela wakho ukuze uthole ukuxilongwa nokuphathwa.
- Iningi lezingane liyalulama kulesi simo lapho lineminyaka engu-3-4 ubudala, ngakho-ke ningesabi futhi nibekezele.
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