Ingabe ingane yakho ihlanza kakhulu futhi inezinhlungu esiswini emahoreni ambalwa ngemva kokudla? Kungaba yi-FPIES (Food Protein-Induced Enterocolitis Syndrome)!

Ingabe ingane yakho encane isiqalile ukuhlanza noma ukuba nesifo sohudo emahoreni ambalwa ngemva kokudla ukudla okusha? Noma ingabe kumane kuyisisu esibuhlungu? Ngezinye izikhathi lokhu kungaba okungaphezu nje kobuhlungu besisu. Namuhla sizokhuluma ngesimo esihlukile kancane, kodwa kubaluleke kakhulu ukwazi ngaso. Lokho kubizwa ngokuthi i-FPIES (Food Protein-Induced Enterocolitis Syndrome) . Nakuba igama lingase lizwakale lide kancane, limane nje liyindlela yokusabela emizimbeni yethu, ikakhulukazi emathunjini, kumaprotheni ekudleni okuthile.

Kuyini ama-FPIES? Masikuqonde kalula.

Kalula nje, i-FPIES (i-Food Protein-Induced Enterocolitis Syndrome) iyindlela engavamile yokusabela kwamasosha omzimba wethu ekudleni okuthile. Ithinta kakhulu uhlelo lwethu lokugaya ukudla (i-Gastrointestinal - GI system) . Lokho kusho ukuthi izimpawu ezifana nokuhlanza kanye nesifo sohudo yizona ezivame kakhulu.

Ngokungafani nokungezwani nokudla, izimpawu ze-FPIES ziqala ukuvela emahoreni ambalwa ngemva kokudla . Yilokhu okwenza lesi simo sibe sikhethekile kangaka. Cabanga nje, udla isidlo sasekuseni bese uqala ukuzizwa ugula cishe emini.

Nakuba ama-FPIES evame kakhulu ezinsaneni nasezinganeni ezincane , ngezinye izikhathi angathinta abantu abadala , ngakho-ke kubalulekile ukuthi wonke umuntu aqaphele.

Yikuphi ukudla okubangela ama-FPIES?

Nakuba noma yikuphi ukudla kungabangela ama-FPIES, kunezinhlobo ezimbalwa zokudla okungenzeka kakhulu ukuthi zibangele lesi simo. Yilezi:

• Ubisi: Ubisi lwezilwane olufana nobisi lwenkomo nobisi lwembuzi.
• Ifomula yosana: Ezinye izingane zingase zibe nokungezwani komzimba nefomula yosana.
• Isoya.
• Ama-oat.
• Ilayisi.
• Iqanda.
• Ukudla kwasolwandle: Ikakhulukazi ama-shellfish afana nezinkalankala, ama-shrimp, nezinye izinhlobo zezinhlanzi.

Ukudla okuyinhloko okubangela ama-FPIES kungahluka kuye ngokuthi uhlalaphi kanye nesifunda ohlala kuso. ESri Lanka, kuye kwabikwa amacala ama-FPIES abangelwa yilokhu kudla. Cabanga nje, usanda kuqalisa ingane yakho ilayisi, noma uyinike i-yogurt, futhi ngemva kwamahora ambalwa, ingane yakho ihlanza njalo futhi isisu sayo siyaphazamiseka. Khona-ke kufanele usole ngalokhu.

Kunezinhlobo ezimbili eziyinhloko zama-FPIES:

Ama-FPIES angahlukaniswa ngezinhlobo ezimbili eziyinhloko:

1. Ama-FPIES Acute:

• Kulesi simo, izimpawu zivela zingakapheli ihora elilodwa kuya kwamane ngemva kokudla ukudla okukhulunywa ngakho.
• Ukuhlanza kanye nohudo ngezinye izikhathi kungaba kubi kakhulu. Ingane izoqhubeka nokuhlanza, kuze kube seqophelweni lokulahlekelwa ukwazi.
• Kodwa okuhle ukuthi, lezi zimpawu zivame ukuphela ngokuphelele zingakapheli amahora ayi-12 kuya kwangu-24 ngemva kokuyeka ukudla okubangela ukungezwani komzimba.

2.Ama-FPIES Angalapheki:

• Lesi simo senzeka lapho ukudla okubangela ukungezwani komzimba kudliwa njalo futhi njalo.
• Lokhu kubangela ukuvuvukala isikhathi eside emathunjini.
• Nakuba izimpawu zingenzima njengeze-FPIES eziphuthumayo, zingafika zidlule. Ingane yakho ingaba nezimpawu ezithile ezifana nesifo sohudo, ukuphelelwa yisifiso sokudla, kanye nokwehla kwesisindo.
• Kungathatha izinsuku ezintathu kuya kweziyishumi ukuthi lezi zimpawu ziphele ngemva kokuyeka ukunikeza ukudla okubangela ukungezwani komzimba.

Ziyini izimpawu ze-FPIES? Uzibona kanjani?

Izimpawu eziyinhloko ze-FPIES yilezi:

• Uhudo: Ngezinye izikhathi kungaba namanzi noma kube negazi elincane.
• Ubuhlungu besisu: Izingane ezincane ziyakhala, zibambe izisu zazo, futhi ziyalwa.
• Umbala ophuzi: Umzimba uphenduka umbala ophuzi ngokuzumayo bese ushintsha umbala ungabi nagazi.
• Ukudinwa: Ingane imane idinwa, ayidlali, futhi amehlo ayo abonakala sengathi ayavaleka.
• Ukwehlisa isisindo okungahlosiwe: Lokhu kungabonakala ikakhulukazi kuma-FPIES esikhathi eside.
• I-Hypothermia: Umzimba uyabanda.

Okubalulekile, kuma-FPIES, lezi zimpawu zivela emahoreni ambalwa ngemva kokudla ukudla okukhulunywa ngakho , ngokuvamile phakathi kwehora eli-1 neli-4. Kuma-FPIES angapheli, izimpawu zingase zivele ziphele.

Cabanga ngengane yakho iphuze ibhodlela lobisi ekuseni. Emini, iqala ukuhlanza njalo, isisu sayo sivuvukele, umzimba wayo uphaphathekile, futhi ibonakala sengathi ayinampilo. Uma lokho kwenzeka, kubalulekile ukusola ama-FPIES.

Kungani kwenzeka ama-FPIES? Iyini imbangela?

Isizathu esiyinhloko sama-FPIES ukuthi amasosha ethu omzimba acabanga ngephutha ukuthi amaprotheni ekudleni okuthile "ayingozi" futhi awahlasele. Amasosha omzimba abheka lokhu kudla njengokungathi kuyisitha.

Okwenzekayo kulokhu ukuthi amangqamuzana omzimba ohlelweni lwethu lokugaya ukudla (isisu namathumbu) azama ukuqeda ukudla acabanga ukuthi "kuyingozi". Lokhu kubangela ukuvuvukala nokuvuvukala esiswini nasemathunjini. Yilokhu okubangela ukuhlanza nohudo.

I-FPIES uhlobo lokusabela olubizwa ngokuthi `okungeyona i-IgE-mediated` . Kalula nje, ayibandakanyi `ama-antibodies e-IgE` abangela ukungezwani okuningi esikwaziyo (isb., ukungezwani kwamantongomane). Esikhundleni salokho, kuhilelekile amanye amangqamuzana omzimba. Enye into ebalulekile ukuthi i-FPIES ayibangeli ukuvuvukala komzimba wonke okwenzeka kwezinye izifo zokungezwani okukhulu. Lokhu kusho ukuthi i -`anaphylaxis' enzima, esongela impilo, ebangela ubunzima bokuphefumula, ayivamile ukwenzeka (yize ukuphelelwa amanzi emzimbeni okukhulu kanye nokushaqeka kungaholela kwezinye izimo ezimbi).

Yiziphi izinkinga ezingaba khona ngenxa ye-FPIES?

Ukusabela kwe-FPIES ngezinye izikhathi kungaholela ezimweni ezimbi kakhulu, ngisho nezisongela impilo. Okubaluleke kakhulu kulezi yilokhu:

• Ukushaqeka: Lokhu kungumfutho wegazi ophansi kakhulu, ozumayo. Lokhu kuyingozi kakhulu.
• Ukuphelelwa amanzi emzimbeni: Uma ukuhlanza nohudo kuqhubeka, inani elikhulu lamanzi nosawoti liyalahleka emzimbeni. Lokhu kungenzeka ngokushesha kakhulu ezinganeni ezincane, ngakho-ke kudingeka uqaphele kakhulu.

Udokotela uhlonza kanjani ama-FPIES?

Udokotela uzosola ama-FPIE ngemuva kokubuza wena noma ingane yakho ngezimpawu zawo ngokuningiliziwe . Izinto ezifana nokudla okudlile, ukuthi izimpawu zaqala kudala kangakanani, nokuthi zaziyini izimpawu zibaluleke kakhulu.

Ngezinye izikhathi udokotela angase enze "isivivinyo sokulwa nokudla." Lokhu kuhilela ukunikeza ingane, ngaphansi kokuqondisa kukadokotela, inani elincane lokudla okusolwayo ukuze kubonakale ukuthi kukhona yini ukusabela. Lokhu akuwona umqondo omuhle ukukwenza ekhaya, njengoba ukusabela okukhulu kudinga ukunakekelwa kwezokwelapha okusheshayo.

Ama-FPIES ngezinye izikhathi kungaba nzima ukuwaxilonga ngoba izimpawu zawo zingafana nezezinye izimo, njengokutheleleka ngamagciwane. Ngakho-ke, udokotela wakho angase ayale ukuhlolwa kwegazi kokungezwani komzimba noma ukuhlolwa kwesikhumba kokungezwani komzimba ukuze ahlole ezinye izinto zokungezwani komzimba. Kodwa-ke, lezi zivivinyo azibonisi ukuthi umuntu one-FPIES une-allergy.

Yiziphi izindlela zokwelapha ama-FPIES?

Odokotela bangase basebenzise okulandelayo ukwelapha izimpawu ezibukhali ezibangelwa ama-FPIES:

• Ama-Steroids: Lawa anikezwa ukunciphisa ukuvuvukala (ukuvuvukala) emathunjini.
• Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Izinto ezifana nosawoti zinikezwa ukuvimbela ukuphelelwa amanzi emzimbeni noma ukwelapha ukuphelelwa amanzi emzimbeni uma kwenzeka.
• Imithi yokulwa nokugabha: Isibonelo, imithi efana ne-"Ondansetron (Zofran®)" isiza ukulawula ukuhlanza.

Zonke lezi zindlela zokwelapha zenziwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha.

Kwenzekani uma mina noma ingane yami ine-FPIES?

Izindaba ezinhle ukuthi iningi lezingane ezincane likhula lidlule ama-FPIES ngesikhathi lineminyaka emi-3 noma emi-4 ubudala. Lokhu kusho ukuthi zingadla ukudla ezazikugulisa ngaphambilini kamuva. Kodwa-ke, kungcono ukukhuluma nodokotela futhi mhlawumbe wenze "isivivinyo sokulwa nokudla" ngaphambi kokuphinda ukwethula lokho kudla.

Kuze kube yileso sikhathi, into ebaluleke kakhulu ukuhlonza ukuthi yikuphi ukudla okubangela lokhu bese uyeka ukumupha ukudla. Ukuhlanza okukhulu kanye nesifo sohudo kungaba yingozi kakhulu, ngakho-ke qaphela nalokho.

Uma abantu abadala beba nama-FPIES, indlela engcono kakhulu yokuwaphatha iwukubona ukudla abangezwani nakho bese bekugwema. Ngezinye izikhathi, abantu abadala bangakhula badlule ama-FPIES ngokuhamba kwesikhathi. Kodwa-ke, ezimweni eziningi, ama-FPIES aqala lapho abantu abadala angahlala impilo yonke.

Ingabe ama-FPIES angavinjelwa?

Uma wazi ukuthi wena noma ingane yakho ine-FPIES, indlela engcono kakhulu yokuvimbela ukusabela ukugwema ngokuphelele ukuyinika ukudla enokungezwani nakho.

Ukugcina idayari yokudla kungaba usizo kakhulu ekutholeni ukuthi yikuphi ukudla okubangela inkinga. Lokhu kusho ukubhala phansi konke okudliwa yingane yakho nokuthi nini. Uma kuvela izimpawu, ungabheka ukuthi idle ini ngaphambi kokuba iqale. Ngezinye izikhathi, udokotela angase futhi ancome 'ukudla kokuqeda' (ukudla okuhilela ukuzama ukudla okuthile) .

Uma ingane yakho ine-FPIES, udokotela wakho angase ancome okulandelayo ukusiza ukuvimbela lokhu kusabela ngenkathi enikeza ingane yakho ukudla okunomsoco akudingayo:

• Ukusebenzisa amafomula ezingane angafaki ukungezwani komzimba . Lawa aklanyelwe ngokukhethekile ukuze angafaki ukungezwani komzimba kakhulu.
• Uma uqala ukudla okuqinile kwengane yakho, qala ngokufaka izithelo nemifino esikhundleni sokusanhlamvu (isb. ilayisi, i-oats).
• Ukulandela ileli lokwethula ukudla le-FPIES . Lokhu kuchaza uhlelo nendlela okufanele kuthulwe ngayo ukudla okusha enganeni yakho.

Yini okufanele ngiyenze njengomuntu one-FPIES?

Uma une-FPIES - noma usola ukuthi unazo - kuzodingeka ugcine irekhodi eliqaphile lalokho okudlayo nokuphuzayo. Lokhu kuzokusiza ukuthi uthole ukuthi yikuphi ukudla okubangela ukusabela kwakho. Uma usuyitholile imbangela, kufanele ugweme lokho kudla.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma ucabanga ukuthi ingane yakho isabela ekudleni, kungaba ubisi lwefomula noma ubisi lwenkomo, qiniseka ukuthi ubona udokotela. Ngisho nokusabela okuncane kungaphazamisa ikhono lengane yakho lokuthola ukudla okunomsoco elikudingayo. Ezimweni zokusabela okukhulu, kufanele ufune iseluleko sezokwelapha ngokushesha.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma wena noma ingane yakho nizwa noma yiziphi zalezi zimpawu ezilandelayo, iya ekamelweni lezimo eziphuthumayo esibhedlela ngokushesha:

• Ukudideka noma isimo sengqondo esishintshile .
• Ukuchama okuncane kakhulu noma ukungachami nhlobo.
• Amehlo acwile - Lokhu kuwuphawu lokuphelelwa amanzi emzimbeni.
• Ukuvuvukala kobuso, izindebe noma ulimi .
• Ubunzima bokuphefumula noma ukugwinya .

Lezi zimpawu zibonisa ukuthi isimo sibi kakhulu.

Imibuzo ebalulekile okufanele uyibuze udokotela

Kuyasiza ukubuza le mibuzo uma uvakashela udokotela wakho:

• Ingabe lokhu kuyisifo sokudla esivamile, noma ama-FPIES?
• Uthola kanjani ukuthi yikuphi ukudla okubangela ama-FPIES?
• Ngingakugwema kanjani lokhu kudla okubangela ukungezwani komzimba kuyilapho ngisathola ukudla okufanele engikudingayo/ingane yami?
• Yini okufanele ngiyenze uma mina/ingane yami sinalokhu kusabela?

Ake sifunde okwengeziwe ngama-FPIES?

• Ubudala bokuqala kwama-FPIES: Ama-FPIES avame ukuqala ezinsaneni ezineminyaka engaba ngu-4 ubudala , noma lapho ukudla okubangelwa ukungezwani komzimba kuqala. Uma ama-FPIES eqala kubantu abadala, avame ukubonakala ngemva kweminyaka engu-40 .
• I-FPIES ivame kangakanani kubantu abadala?: I-FPIES ivame kakhulu kubantu abadala kunasezinganeni ezincane. Cishe oyedwa kubantu abadala abangu-450 (0.22%) une-FPIES. Ukudla okuyinhloko okubangela i-FPIES kubantu abadala yi -shellfish .
• Ingabe izingane ezinceliswa ubisi lwebele kuphela zingayithola i-FPIES?: Lokhu akuvamile kakhulu, kodwa yebo, kungenzeka. Ngezinye izikhathi, amaprotheni ekudleni okudliwa ngumama oncelisayo angadlulisela enganeni yakhe ngobisi lwebele futhi abangele i-FPIES. Kodwa-ke, ucwaningo ngalokhu alukakaqiniseki.
• Ingabe i-FPIES iyisifo sokuzivikela komzimba?: Cha, i-FPIES akuyona 'isifo sokuzivikela komzimba.' Izifo zokuzivikela komzimba zenzeka lapho isimiso sethu somzimba sokuzivikela komzimba sihlasela ngephutha amangqamuzana ethu. I-FPIES iyimpendulo yesimiso somzimba sokuzivikela komzimba ekudleni okungena emgudwini wokugaya ukudla.

Okubaluleke kakhulu - umyalezo okufanele uwuthathe uye nawo ekhaya

I-FPIES iyisimo esingavamile, kodwa ngezinye izikhathi esibucayi esingenza kube nzima ngengane yakho noma kuwe ukuthola ukudla okudingayo. Ngezinye izikhathi ingalingisa ezinye izifo, ngakho-ke kudinga ukuhlolwa nokuhlolwa okuthile ukuthola ukuthi yikuphi ukudla okubangela lokhu.

Ungakhathazeki. Udokotela angakusiza ukuthola ukuthi yikuphi ukudla okufanele ukugweme, futhi akhulume nawe ngezindlela zokuhlala uphilile futhi uthole ukudla okunomsoco okudingayo. Uma ukuqaphela kusenesikhathi futhi ukulawule kahle, ungahlala uphilile ngalesi simo. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma unenkinga.

` Izifo ezibangelwa amagciwane, ukungezwani nokudla, ukuhlanza umntwana, isifo sohudo somntwana, amaprotheni okudla, i-enterocolitis syndrome, isimiso somzimba sokuzivikela