Ingabe nawe uhlangabezana nezinkinga ezingajwayelekile uma udla ukudla okuthile? Ake sixoxe ngokuthi (Ukungabekezelelani kwe-Histamine)!

Wake wazibuza ukuthi kungani uphathwa kabi yisisu, ubomvu, isikhumba esilumayo, noma impumulo egobhozayo ngemva kokudla ukudla okuthile? Ngezinye izikhathi ungase ucabange, "O, kungani lokhu kwenzeka kimi kuphela?" Kungenzeka ukuthi kukhona isizathu salokhu. Namuhla sizokhuluma ngesimo esisodwa esinjalo. Sibizwa ngokuthi `(Histamine Intolerance)`.

Kuyini `(Ukungabekezelelani kwe-Histamine)`? Ake sikuqonde kalula!

Kulungile, ake siqale sibheke ukuthi iyini i-`(Histamine)`. I-`(Histamine)` iyikhemikhali eyenzeka ngokwemvelo emizimbeni yethu. Futhi okunye kokudla esikudlayo kuqukethe ne-`(Histamine)`. Idlala indima ebaluleke kakhulu emizimbeni yethu. Isibonelo, isiza amasosha omzimba wethu, ilwa nezifo, futhi isiza uhlelo lwethu lokugaya ukudla ukuthi lusebenze.

Manje, kuyini `(Ukungabekezelelani i-Histamine)`? Kalula nje, yisimo esenzeka lapho umzimba wakho ungakwazi ukugaya kahle `(i-Histamine)` ekudleni, noma lapho ungakwazi ukulawula inani `(i-Histamine)` emzimbeni. Okwenzekayo kulokhu ukuthi izinga `(i-Histamine)` emzimbeni liyakhuphuka, okubangela izimpawu ezahlukahlukene.

Kodwa nansi indaba. Izinhlangano zezokwelapha ezihamba phambili emhlabeni jikelele, njenge-American Academy of Allergy and Immunology, azikaze ziqaphele ngokusemthethweni ukungabekezeleli i-histamine njengesifo. Kuyisihloko esiphikisanayo. Abanye ochwepheshe bathi kungabangelwa ukwehla komsebenzi we-enzyme ebizwa ngokuthi i-Diamine Oxidase (DAO), esiza ekuhlukaniseni i-histamine emzimbeni. Kodwa ucwaningo olusha luphakamisa ukuthi abantu abaningi abanalezi zimpawu kungenzeka bangabi nokubekezeleli i-histamine, kodwa kunalokho babe nezinye izinkinga zempilo. Ngakho-ke uma unokungabaza ngalokhu, kungcono ukukhuluma nodokotela.

Ingabe i-`(Histamine Intolerance)` iwukungezwani nokudla? Noma i-`(Histamine)` iyimpendulo?

Cha, `(Histamine Intolerance)` akuyona i-food allergy. Kodwa-ke, abanye abantu bangase bayidide ngoba izimpawu zifana kancane. Lokhu kubizwa nangokuthi `(Pseudoallergy)`. Okusho ukuthi, nakuba kubukeka njenge-allergy, imbangela ihlukile. Ku-allergy, amasosha ethu omzimba ayasabela entweni ethile (isib. ukudla). Kodwa ku-`(Histamine Intolerance)`, lokho akwenzeki.

Ingabe lokhu kufana nokuthi `(Histamine Intoxication)` noma `(Histamine Poisoning)`? Futhi akunjalo. `(Histamine Intoxication)` kuvame ukwenzeka lapho inani elikhulu labantu lidla ukudla okunokuqukethwe okuphezulu kwe-`(Histamine)`, njengenhlanzi eyonakele, bese ngokuzumayo liba nokungezwani nokudla. Lokhu kuye kwabhalwa kahle. Kodwa-ke, ku-`(Histamine Intolerance)`, izimpawu zenzeka ngenxa ye-`(Histamine)` eqoqana kancane kancane emzimbeni.

Ziyini izimpawu `(Ukungabekezelelani kwe-Histamine)`?

Lokhu kuyinto ebaluleke kakhulu. Izimpawu `(Ukungabekezelelani i-Histamine)`Kungahluka kumuntu nomuntu. Abanye abantu bangase babe nophawu olulodwa nje, kanti abanye bangase babe noluningana ngesikhathi esisodwa. Ake sibheke ukuthi ziyini lezi zimpawu:

• Uhudo: Uhudo oluvame ukwenzeka.
• Ukuqunjelwa: Umuzwa wokugcwala esiswini.
• Isicanucanu noma ukuhlanza: Ukungakwazi ukudla noma ukuzizwa sengathi uhlanza.
• Ikhanda elibuhlungu: Ngezinye izikhathi, ikhanda elibuhlungu elinjenge-migraine lingaba khona.
• Impumulo egobhozayo noma evalekile: Njengomkhuhlane.
• Ukuphefumula kanzima (Dyspnea): Ubunzima bokuphefumula.
• Ukuluma: Isikhumba siyaluma, ngezinye izikhathi sibangele i-eczema.
• Ukuqubuka noma ukuqubuka: Ukuqubuka okubomvu, okuphakanyisiwe esikhumbeni .
• Ukuhlanzwa: Ukubomvu kobuso ngokuzumayo.
• Umfutho wegazi ophansi: Lokhu kungabangela isiyezi kanye nobuthakathaka.
• Isilinganiso senhliziyo esingajwayelekile noma esisheshayo (i-Arrhythmia): Ushintsho esilinganisweni sokushaya kwenhliziyo.
• Abesifazane bazwa ubuhlungu obukhulu ngesikhathi sokuya esikhathini (Ukuya esikhathini okubuhlungu).
• Ukuvuvukala kwezindebe zakho, ulimi noma umphimbo: Lokhu kuyimpawu eyesabisayo kancane.

Uyabona, akunjalo? Lezi zimpawu zivame ukufana nezezinye izifo. Yingakho kubalulekile ukubona udokotela ukuze uthole ukuthi yini ngempela engalungile.

Kungani lokhu `(Ukungabekezelelani kwe-Histamine)` kwenzeka?

Kunemibono eyahlukene mayelana nembangela yalokhu. Enye inkolelo-mbono eyinhloko ukuthi inani le-enzyme ebizwa ngokuthi i-Diamine Oxidase (DAO) emzimbeni wethu, esiza ekuqhekekeni kwe-histamine, liyancipha noma umsebenzi wayo uyancipha. Cabanga nje, umzimba wethu uthola i-histamine ekudleni, futhi uyikhiqiza ngaphakathi emzimbeni. Lapho inani le-histamine landa, i-enzyme i-DAO idinga ukusebenza ukuze iyilawule. Ngakho-ke uma i-enzyme i-DAO ingasebenzi kahle, i-histamine iyanqwabelana emzimbeni futhi izimpawu okukhulunywe ngazo ekuqaleni ziqala ukubonakala.

Kodwa-ke, akukafakazelwa ngokwesayensi ukuthi kungani izinga lale enzyme ethi "(DAO)" lehla, noma ukuthi kungani umsebenzi wayo wehla. Ngakho-ke, ochwepheshe basacwaninga ngalokhu. Kukholelwa ukuthi izici zofuzo, imithi ethile, noma ezinye izifo zamathumbu zingathinta lokhu.

Yikuphi ukudla okwandisa i-histamine?

Okunye ukudla kugcwele i-histamine ngokwemvelo. Ikakhulukazi, ukudla okuye kwaguga futhi kwavundiswa ukuze kulondolozwe kugcwele i-histamine.Futhi, kukhona ukudla okuthile, lapho kudliwa, okwandisa ukukhishwa kwe-`(Histamine)` emaseli abizwa ngokuthi `(Mast cells)` emzimbeni wethu. Lokhu kubizwa ngokuthi `(Histamine liberators)`. Zombili lezi zinhlobo zokudla zingakhuphula izinga le-`(Histamine)` emzimbeni.

Ake sibheke ezinye izibonelo:

• Utshwala: ikakhulukazi iwayini, ubhiya, i-champagne.
• Inyama ecutshunguliwe: Izinto ezifana nesoseji, i-ham, i-bacon.
• Ushizi: Ushizi oqinile ikakhulukazi osekhulile.
• I-Sauerkraut: Iklabishi elibilisiwe.
• Imifino: Eminye imifino efana notamatisi, isitshalo seqanda, isipinashi.
• Izithelo zasezindaweni ezishisayo: Izithelo ze-citrus ezifana nephayinaphu, ubhanana, i-papaya, nama-orenji.
• Izinhlanzi kanye ne-shellfish: Ikakhulukazi izinhlanzi ezifana ne-mackerel, i-halibut, ama-sardine, kanye ne-herring. Izinhlanzi ezigciniwe nezisemathinini nazo zinokuqukethwe okuphezulu kwe-histamine.
• Ama-strawberry.
• Amantongomane namakinati.
• I-Licorice.
• Ushokoledi.
• Inyama yengulube.
• Iqanda elimhlophe.
• Izithasiselo zokudla: Ezinye izithasiselo zokudla kanye nezithako zokulondoloza ezifakwe ekudleni.

Ake sithi uye ephathini waphuza iwayini noshizi. Uma uzwa ubuhlungu besisu noma uqala ukulunywa kamuva, kungenzeka ukuthi udle kakhulu i-`(Histamine)`.

Ungakhathazeki ngalolu hlu. Akuwona wonke umuntu ozoba nomzimba ongezwani nakho konke lokhu kudla. Izinhlobo zokudla ezingezwani nomuntu ngamunye zingahluka.

Wazi kanjani ukuthi une-`(Histamine Intolerance)`?

Lena yingxenye enzima kakhulu. Ngoba, njengoba kushiwo ngaphambili, odokotela abaningi abakwamukeli `(Histamine Intolerance)` njengokuxilongwa okusemthethweni. Futhi, akukho ukuhlolwa okuqondile kokuxilonga okwamanje.

Kodwa-ke, uma ubona udokotela, bazolalela ngokucophelela izimpawu zakho futhi basuse ezinye izimbangela. Bangase futhi bakuthumele kudokotela wezifo zokungezwani komzimba noma kudokotela wezifo zamathumbu.

Ngokuvamile, udokotela angenza izinto ezifana nalezi:

• Ukugcina idayari yokudla: Yilapho ubhala khona konke okudlayo nokuphuzayo nsuku zonke, noma yiziphi izimpawu ozizwayo, nokuthi zaqala nini. Lokhu kungasiza wena nodokotela wakho ukuthi nibone amaphethini. Kungenzeka ukuthi inkinga ayibangelwa ukudla okukodwa, kodwa ukudla okuningana ndawonye.
• Ukuhlolwa kwesikhumba okubangelwa ukungezwani komzimba noma ukuhlolwa kwegazi: Lokhu kwenziwa ukuze kutholakale ukuthi unesifo sokungezwani komzimba ekudleni, noma ukuze kunqunywe ukuthi asinaso.
• Ukuhlolwa kwenselele yokudla: Lokhu kuhilela, ngaphansi kokuqondisa kukadokotela, ukukunikeza inani elincane lokudla okusolwayo ukuze ukudle nokubheka noma yiziphi izimpawu. Lokhu kuvame ukwenziwa esibhedlela.

Indlela yokwelapha `(Ukungabekezelelani kwe-Histamine)`?

Ukungabekezelelani ukudla kuvame ukwelashwa ngokuhlonza ukudla okukubangela ukungakhululeki bese ukukugwema.

Enye indlela yokwenza lokhu ibizwa ngokuthi `Ukudla Okuqeda Ukugula`. Okusho ukuthi, uyeka ukudla konke ukudla osola ukuthi kuningi ku-`(Histamine)` amasonto ambalwa. Uma ungaboni zimpawu phakathi naleso sikhathi, bese ufaka lokho kudla ekudleni kwakho ngakunye, njalo ezinsukwini ezimbalwa. Ngemuva kwalokho ungabona ukuthi yikuphi ukudla okubangela izimpawu. Lokho ukudla okubangela izimpawu zakho. Ngemuva kwalokho ungakugwema lokho kudla.

Ingabe ukhona umuthi `wokungabekezeleli i-Histamine)`?

Yebo, kunemithi ethile engasiza ekunciphiseni lezi zimpawu. Kodwa-ke , le mithi yodwa ayanele; kufanele ithathwe kanye nokudla okunempilo. Udokotela angase akunike imithi efana nalokhu:

• `(Ama-antihistamine e-H1 kanye ne-H2)`: Lawa asebenza ngokuvimba `(ama-receptor)` aphendula ku-`(Histamine)` emzimbeni. Khona-ke, noma ngabe `(Histamine)` ikhona, ayikwazi ukusebenza. Imithi efana ne-`(Cetirizine)`, `(Loratadine)`, `(Fexofenadine)`, evame ukunikezwa ngenxa yokungezwani komzimba, yi-`(ama-antihistamine e-H1)`. Imithi efana ne-`(Ranitidine)`, `(Famotidine)`, enikezwa ngenxa yezinkinga zesisu, iwela esigabeni se-`(ama-antihistamine e-H2)`.
• `(Ama-Mast cell stabilizers)`: Imithi efana ne-`(Cromolyn sodium)` imisa ukukhishwa kwe-`(Histamine)` kusuka ku-`(Mast cells)`. Ezinye izinto zemvelo, isibonelo, `(Flavonoids)`, `(Luteolin)` kanye ne-`(Quercetin)`, nazo zitholakale zinalesi sici.

Kufanele ngiye nini esibhedlela ngokushesha? (Kufanele ngiye nini esibhedlela)

Ngezinye izikhathi lezi zimpawu zingaba zimbi kakhulu . Ezimweni ezinjalo , ukusabela okukhulu kokungezwani komzimba okubizwa ngokuthi "i-Anaphylaxis" kungenzeka, okungaba yingozi empilweni . Uma unezinye zezimpawu ezilandelayo, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele u-1990:

• Ukuvuvukala okungazelelwe kwezindebe, ulimi, noma umphimbo.
• Ukuzizwa uphelelwa umoya kakhulu.
• Ukwehla kwengcindezi yegazi ngokuzumayo (lokhu kungabangela ubuthakathaka obukhulu, isiyezi, ukuquleka, kanye nokudideka).

Ingabe imithi ethile ingakhuphula amazinga e-histamine emzimbeni?

Yebo, kuneminye imithi engakhuphula izinga le-`(Histamine)` emzimbeni uma ithathwa. Isibonelo, eminye imithi yokwelapha izinhlungu `(Opioids/Narcotics)` kanye neminye `(Contrast agents)` esetshenziswa ezivivinyweni zezokwelapha (ikakhulukazi leyo enikezwe ngaphambi kwe-`(X-ray)`, `(CT scan)` njll.) ifakiwe kulokhu.

Hlobo luni lwekusasa umuntu `onokungabekezeleli i-Histamine)` angalulindela?

Ungakhathazeki ngalokhu. Abantu abaningi abanokuzwela kokudla bangaphatha isimo sabo ngokwenza izinguquko ekudleni kwabo. Ezimweni ezimbi kakhulu, kungadingeka bathathe imithi kadokotela.

Ingxenye engcono kakhulu ukuthi ngezinye izikhathi lokhu kungabekezeleli ukudla kungaba okwesikhashana. Ngokuhamba kwesikhathi, ungase ukwazi ukudla ukudla obekukubi kakhulu futhi, ngobuningi obuncane.

Kufanele ngimbone nini udokotela wami?

Uma unezimpawu ongakwazi ukuzichaza, noma uma ucabanga ukuthi awukwazi ukubekezelela ukudla okuthile, qiniseka ukuthi ubona udokotela womndeni wakho. Anganquma ukuthi ingabe kuyi-allergy, ukungabekezelelani ukudla, noma okunye.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma ubona udokotela, kungaba usizo ukubuza imibuzo efana nale:

• "Dokotela, ingabe lokhu kuwukungezwani komzimba noma ukungabekezeleli?"
• "Ngingazi kanjani ukuthi yikuphi ukudla engikuzwelayo?"
• "Kufanele ngenzenjani uma ngithola impendulo enje?"

Ngezinye izikhathi imizimba yethu iyinkimbinkimbi kancane. Sifuna nje ukwazi ukuthi yini esikhathazayo. Sonke sifuna ukwazi ukuthi kwenzekani emizimbeni yethu futhi sithole ukwelashwa okufanele. Kunezinye izimo eziningi ezingabangela izimpawu ezifana nalezo zokungabekezeleli i-Histamine (ukungabekezeleli i-Histamine)`. Kodwa ngokuvamile kunenye incazelo. Udokotela wakho angakuhlola ezinye izimo futhi akusize uthole imbangela yezimpawu zakho. Kungasiza futhi ukugcina idayari yezimpawu zakho nokuthi zenzeka nini. Kanye nodokotela wakho, ningaqhamuka namathiphu okukusiza uthole impumuzo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukungabekezelelani ne-histamine kuyisimo esiphikisanayo esenzeka lapho umzimba ungakwazi ukugaya i-histamine kahle. Akusona isifo esaziwa ngokusemthethweni.
• Izimpawu ziyahlukahluka, futhi zingabandakanya ukucasuka kwesisu, izinkinga zesikhumba, kanye nekhanda elibuhlungu.
• Lokhu akusikho ukungezwani nokudla.
• Ukudla okubilisiwe nokugciniwe kugcwele i-'(Histamine).' Kungatholakala futhi kushokoledi, utamatisi, kanye nezithelo ezithile.
• Akukho ukuhlolwa okuqondile. Kubalulekile ukugcina idayari yokudla bese ukhuluma nodokotela wakho.
• Ukwelashwa okuyinhloko ukuhlonza nokugwema ukudla okulimazayo. Eminye imithi ingasiza futhi.
• Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela bese uthola iseluleko. Ungazihlolisisi futhi uzame ukulawula ukudla kwakho wedwa. Lezi zimpawu zingaba futhi izimpawu zesinye isifo esibi kakhulu.

Ngikufisela impilo enhle!

I- Histamine, Ukungabekezeleli i-Histamine, Ukungabekezeleli Ukudla, i-enzyme ye-DAO, Ukugaya ukudla, i-Histamine, Ukungabekezeleli i-Histamine, Ukungabekezeleli Ukudla, i-enzyme ye-DAO, Ukugaya ukudla