Ingabe uyalunywa umlomo nezindebe ngemva kokudla? Mhlawumbe lokhu kuyi-(Oral Allergy Syndrome)! Singaxoxa ngalokhu?

Wake waba nokuzwa ukuqaqamba okungazelelwe, ukungazweli, noma ukuqaqamba emlonyeni wakho, ezindebeni, noma olimini ngemuva kokudla isithelo, imifino, noma amantongomane? Noma ingabe kwazizwa kukhukhumele kancane? Ngokuvamile lapho kwenzeka into efana nale, sicabanga ukuthi, "O, lokhu kumelwe kube ukungezwani komzimba." Yebo, kuyiqiniso. Empeleni lokhu uhlobo lokungezwani komzimba nokudla. Kwezokwelapha, lokhu sikubiza ngokuthi "Oral Allergy Syndrome" noma "OAS". Ngezinye izikhathi kubizwa nangokuthi "Pollen-Food Allergy Syndrome" noma "PFAS". Ngakho-ke namuhla, ake sixoxe ngalokhu ngemininingwane ethe xaxa .

Iyini le-allergy syndrome yomlomo?

Kalula nje, i-Oral Allergy Syndrome iwukusabela kokungezwani komzimba nemifino ethile, izithelo namantongomane. Kodwa-ke, kulokhu, ukusabela kokungezwani komzimba kunqunyelwe kakhulu ezindebeni zakho, emlonyeni nasemphinjeni.

Lokhu kukhethekile kancane. Ngoba isizathu esiyinhloko salokhu kungezwani komzimba ukusabela okuhlangene nempova yezitshalo (njengempova yezihlahla, impova yotshani, kanye nempova yokhula). Cabanga nje, uma ungezwani komzimba nezinhlobo ezithile zempova, ukudla okuthile kuqukethe namaprotheni afana namaprotheni akuleyo mpova. Ngakho-ke uma udla lokho kudla, amasosha omzimba wakho acabanga ukuthi leyo mpova ingene emzimbeni wakho. Yingakho kwenzeka lokhu kusabela.

Ubani ongase abe nalokhu? Kuvamile kangakanani?

Lesi simo esibizwa ngokuthi "Oral Allergy Syndrome" sithinta kakhulu abantu abanokungezwani komzimba nemithi, utshani kanye ne-weed pollens. Siphinde sibize lokhu ngokuthi "Seasonal Allergies" noma "Allergic Rhinitis", okusho abantu abanezimpawu ezifana nekhala eligobhozayo kanye nokuthimula ngaso sonke isikhathi.

Kodwa kukhona into encane. Lokhu "(OAS)" akuvamile ezinganeni ezingaphansi kweminyaka emi-3 ubudala. Isizathu salokhu ukuthi kuthatha iminyaka eminingana yokuphila ukuthi kuvele ukungezwani nempova.

Nakuba kungekho zibalo eziqondile zokuthi lesi "Sifo Sokungezwani Nomlomo" sivame kangakanani, sibhekwa njengesimo sokungezwani nokudla esivame kakhulu esibonwa kubantu abadala. Ezinye izifundo ziphakamisa ukuthi abantu abaphakathi kuka-47% no-70% abane-pollen allergies bangase babe nalesi "(OAS)". Ngakho-ke sivame kakhulu kunalokho ocabanga, akunjalo?

Ingabe lesi isimo esiyingozi?

Umbuzo abantu abaningi abanawo ukuthi lokhu kuyingozi yini. Esikhathini esiningi, i-"Oral Allergy Syndrome" akuyona inkinga enkulu. Abantu abaningi bamane bazizwe belunywa noma bevuvukala kancane emlonyeni nasezindebeni.

Kodwa-ke, akuvamile kakhulu, abantu abangaphansi kuka-2% abane-OAS bangaba nokusabela okukhulu kokungezwani komzimba okubizwa ngokuthi i-anaphylaxis. I-Anaphylaxis yisimo esisongela ukuphila esingabangela ubunzima bokuphefumula. Ngakho-ke, kubalulekile ukuqaphela izimpawu.

Lokhu kuyithinta kanjani imizimba yethu?

Ukungezwani komzimba, noma ukusabela kokungezwani komzimba, kuyindlela umzimba wethu osabela ngayo entweni ethile ocabanga ukuthi iyingozi. Yilokhu okwenzekayo ku-Oral Allergy Syndrome. Uma udla ukudla okubangela ukungezwani komzimba, amasosha omzimba wakho acabanga ukuthi kukhona okulimazayo okungene emzimbeni wakho. Izindebe zakho nomlomo wakho ziyavuvukala ngenxa yokusabela.

Kodwa into enhle lapha ukuthi ngokuvamile i-asidi yesisu esiswini sakho ibhubhisa amaprotheni akulokho kudla, ngakho-ke lokhu kusabela kokungezwani komzimba akusabalali kwezinye izingxenye zomzimba wakho.

Ziyini izimpawu zalokhu?

Izimpawu ze-Oral Allergy Syndrome zivame ukuqala ngemizuzu embalwa nje ukudla ukudla okubangela ukungezwani komzimba.

Izimpawu ezivame ukubonakala yilezi:

• Izindebe zakho, umlomo, ulimi, noma umphimbo wakho kuyaluma, kuyathuthumela, noma kuvuvukele kancane.
• Amaqhubu amancane ezindebeni noma emlonyeni.

Lezi yizimpawu ezivame kakhulu. Ngokuvamile ziyaphela zodwa zingakapheli imizuzu engama-30.

Ezinye izimpawu ezingavamile kodwa ezingase zenzeke zifaka:

Ngezinye izikhathi izimpawu zingathinta nezinye izingxenye zomzimba, kodwa lezi azivamile.

• Isicanucanu.
• Okunye ukudla okuluhlaza kungabangela ukuba isikhumba silume, sibe bomvu, noma sivuvuke uma kuthintwa.
• Ukuqubuka noma ukuqubuka.
• Ubunzima bokuphefumula (i-Anaphylaxis) kanye nezinye izimo ezinzima akuvamile. Lena yinto ebaluleke kakhulu okufanele uyikhumbule.

Yikuphi ukudla okubangela lokhu?

Izithelo, imifino, namantongomane yizona zimbangela eziyinhloko ze-Oral Allergy Syndrome. Njengoba sixoxile ngaphambili, amaprotheni akulokhu kudla afana kakhulu namaprotheni akumanye ama-pollen. Ngakho-ke, umzimba wakho usabela kulokhu kudla ngendlela efanayo nempova evela ezihlahleni, otshanini, noma okhula.

Cabanga ngakho njengesiqephu sephazili. Akufanelani kahle endaweni efanele, kodwa kufana kakhulu kangangokuthi ucabanga ukuthi kusendaweni efanele. Yilokho okwenzekayo lapha. Ukuthi yikuphi ukudla osabela kukho ngale ndlela kuncike kokunye ukungezwani komzimba kwakho (ikakhulukazi ukungezwani komzimba nempova).

Ake sibone ukuthi yiziphi izinhlobo zempova ezihlotshaniswa nokudla:

Uma une-allergy kuma-pollen athile, kungenzeka kakhulu ukuthi ube ne-allergy ekudleni okuhlobene nalawo ma-pollen. Kodwa-ke, lokhu akusho ukuthi uzoba ne-allergy kukho konke ukudla okuhlobene ne-pollen ethile. Ngezinye izikhathi, noma ngabe awuna-allergy kuma-pollen, usengaba ne-allergy ekudleni okuthile.

Ngezansi kunezibonelo ezimbalwa. Nakuba lezi zingezona ezeSri Lanka kuphela, kubalulekile ukuqonda le ndlela. Udokotela wakho angakuchaza kabanzi lokhu ngendlela efanele wena.

Uma une-allergy ku-pollen yesihlahla se-birch:

• Izinhlobo zezinongo:I-Aniseed, i-Caraway, i-Coriander, i-Fennel, i-Parsley.
• Imifino: Amantongomane, ubhontshisi.
• Izithelo ezinembewu: Ama-avokhado, ama-apula, ama-kiwi, amapheya.
• Izithelo zamatshe: ama-apricot, ama-cherries, ama-peaches, ama-plum.
• Amantongomane: Ama-alimondi, ama-hazelnuts.
• Imifino: Izaqathi, i-celery.

Uma une-allergy ku-pollen yotshani:

• Amakhabe athanda ikhabe kanye nekhukhamba.
• Amawolintshi.
• Amazambane.
• I-Swiss chard (uhlobo lohlaza olunamaqabunga).
• Utamatisi.

Uma une-allergy ku-ragweed pollen:

• Ama-artichoke (uhlobo lwemifino).
• Ubhanana.
• Ukhukhamba.
• Amakhabe athanda ikhabe kanye nekhukhamba.
• I-Zucchini.

Uma une-allergy ku-mugwort pollen:

• Ugaliki.
• Izinongo: i-Aniseed, i-Caraway, i-Coriander, i-Fennel, i-Parsley.
• Umustard.
• Upelepele uthanda upelepele wezinhlanzi kanye nopelepele wensimbi.
• Imifino: Iklabishi, Ikaroti, Ikholifulawa, Iseleri, Ibhrokholi, I-Parsnip (uhlobo lwezambane), U-anyanisi.

Okunye ukudla okufanele ukuqaphele:

Ngaphezu kwalokho, amajikijolo, izithelo ze-citrus, amakhiwane, amagilebhisi, umango, uphayinaphu, kanye namapomegranati nakho kungabangela i-OAS kwabanye abantu.

Okubalulekile: Ungakhathazeki ngalolu hlu. Ngeke ube nomzimba ongezwani nakho konke lokhu kudla. Kungcono ukufuna iseluleko sezokwelapha ukuze wazi kahle ukuthi yikuphi ukudla okukubangela izinkinga.

Uyihlola kanjani ngokunembile le nkinga?

Udokotela ukubona kanjani lokhu?

Udokotela we-allergy uvame ukuthola i-Oral Allergy Syndrome ngokulalela ngokucophelela izimpawu zakho. Uzokubuza imibuzo mayelana nokudla okudlayo, ukuthi kwenzeka nini, ukuthi kuhlala isikhathi esingakanani, nokuthi yini ebangela lokho.

Ngemuva kwalokho, angenza ukuhlolwa kokungezwani komzimba ukuqinisekisa ukuthi unesifo.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Kunezinhlobo ezimbili eziyinhloko zokuhlolwa:

1. Ukuhlolwa kwesikhumba okubangelwa ukungezwani komzimba:Okwenzekayo ukuthi indawo encane yesikhumba sakho iklwejwa kancane bese kufakwa inani elincane lezinto ezibangela ukungezwani komzimba (isibonelo, impova yesihlahla, ujusi wokudla osabela kukho) kuyo. Uma une-allergy kuleyo nto, indawo izoba bomvu bese yakha ukuqhuma okufana nokumanzi (i-hive).

2. Ukuhlolwa kwenselele yokudla: Ngaphansi kokuqondisa kukadokotela, unikezwa inani elincane lokudla okusolwayo ukuthi ukudle. Lokhu kwenzelwa ukubona ukuthi une-allergy yini. Lokhu kufanele kwenziwe kuphela lapho kukhona udokotela.

Yiziphi izindlela zokwelapha lokhu?

Kwenzekani ngokuvamile?

Empeleni, akukho ukwelashwa okuqondile kwe-"(Oral Allergy Syndrome)". Uma une-allergy reaction, imvamisa iba ngcono ngokwayo zingakapheli imizuzu engama-30 ngemuva kokuyeka ukudla okubangele lokho.

Ngezinye izikhathi ukuthatha i-antihistamine kungasiza ekumiseni ukusabela noma ukuvimbela ukuthi kube kubi kakhulu. Kodwa-ke, esikhathini esiningi, lezi zimpawu ezincane ziphela ngokushesha kunokuqala komuthi ukusebenza.

Izinhlobo zemithi esetshenziswayo:

Udokotela wakho angase akunike imithi efana nale ye-Oral Allergy Syndrome:

• Ama-Antihistamine: Lawa asebenza ngokuvimbela amakhemikhali emzimbeni wakho abangela ukusabela okuncane kokungezwani komzimba. Kunemithi etholakala ngaphandle kwemithi kadokotela etholakala ekhemisi. Izibonelo zifaka phakathi i-diphenhydramine (Benadryl®), i-fexofenadine (Allegra®), kanye ne-loratadine (Claritin®). Kuzodingeka uthole eyodwa ekusebenzela kahle kakhulu.
• I-Epinephrine: Lokhu kusetshenziswa kuphela uma kwenzeka ukusabela okukhulu kokungezwani komzimba. Kunikezwa njengomjovo. Kusebenza ngokunciphisa ukuvuvukala, ukuvula imigudu yomoya, nokwenza kube lula ukuphefumula. Uma uke waba nokusabela okukhulu ngaphambili, udokotela wakho we-allergen angase akunikeze i-epinephrine pen (isb., i-Auvi-Q®, i-EpiPen®) ukuze isetshenziswe ngokuphuthumayo.

Yini ongayidla uma une-OAS? Ungakugwema kanjani? (Ukuvimbela Nokuphatha)

Ungacabangi ukuthi ukuba ne-Oral Allergy Syndrome kusho ukuthi awukwazi ukudla ukudla okuningi. Iningi labantu lithola i-OAS kuphela ngezithelo ezimbalwa, imifino, namantongomane, hhayi konke.

Ayikho indlela yangempela "yokwelapha" i-Oral Allergy Syndrome. Kodwa-ke, ezinye izindlela zokwelapha zingasiza ekuvimbeleni ukusabela esikhathini esizayo. I-OAS yabanye abantu iba ngcono ngokuhamba kwesikhathi, noma ukusabela kwabo ekudleni okuthile kuyabekezeleleka.

Ngakho-ke, ukugwema kanjani lokhu, noma ukunciphisa ukusabela?

• Ukupheka nokudla ukudla okubangela ukungezwani komzimba:Uma izithelo nemifino kushiswa, okungukuthi, kuphekiwe, uhlobo lwamaprotheni abangela ukungezwani komzimba kuzo luyashintsha. Khona-ke awutholi ukungezwani komzimba. Abantu abaningi abane-OAS bangadla ukudla okuphekiwe, amasoso, kanye namajusi ezithelo afakwe uphethiloli ngaphandle kwezinkinga.
• Ukugwema ukudla okubangela ukungezwani komzimba ngezikhathi ezithile zonyaka: Ukungezwani komzimba kwabantu abaningi kuba kubi kakhulu entwasahlobo, ehlobo, noma ekwindla (eSri Lanka, lapho isimo sezulu somile futhi sinomoya). Ngakho-ke, uma une-pollen allergy isikhathi eside, kulapho usabela khona kakhulu kulokho kudla.
• Ukwelapha ukungezwani komzimba kwakho ngendlela efanele: Ukuthatha imithi yokungezwani komzimba nsuku zonke kungasiza abanye abantu ukuvimbela ukusabela kulokho kudla.
• Imijovo yokungezwani komzimba / Ukwelashwa nge-Immunotherapy: Lokhu kuhilela ukukunika imithamo yokwandisa kancane kancane izinto ezibangela ukungezwani komzimba njengemijovo. Lokhu kusiza umzimba wakho ukuthi ujwayele izinto ezibangela ukungezwani komzimba. Ungase ungabi nokusabela, noma ungase ube nokusabela okuncane kakhulu. Abanye abantu bangase bathole impumuzo kwi-Oral Allergy Syndrome (OAS).

Yini esingayilindela ngenkathi siphila nalesi simo? Ingabe lokhu kuzophela?

Khumbula ukuthi ukusabela okukhulu kokungezwani komzimba ku-"Oral Allergy Syndrome" akuvamile. Uma ukhathazwa izimpawu zokudla okuthile, kufanele ukugweme lokho kudla.

Nakuba kungekho ikhambi laphakade lalokhu, i-Oral Allergy Syndrome ingaphela ngokuhamba kwesikhathi kwabanye abantu. Ngokuhamba kwesikhathi, umzimba wakho ungase ujwayele ukudla okwabangela ukusabela ngaphambilini.

Ingabe ngidinga ukubona udokotela? Kunini lapho ngidinga ukuya ekamelweni lezimo eziphuthumayo?

Uma unesifo sokungezwani nokudla, khuluma nodokotela wakho nganoma yiziphi izinkinga onazo. Angakusiza ukuthi ubone ukuthi kuyinkinga nje noma into engathi sína kakhulu edinga ukwelashwa.

Kufanele uye esibhedlela ukuze uthole ukwelashwa okuphuthumayo (ETU) uma unezimpawu zokusabela okukhulu kokungezwani komzimba okufana nalokhu:

• Ukuvuvukala kobuso.
• Ulimi oluvuvukile.
• Ubunzima bokuphefumula noma ukugwinya.

Uma unezinye zalezi zimpawu, ungalibali , hamba esibhedlela ngokushesha.

Imibuzo okufanele uyibuze udokotela wakho:

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Kubi kangakanani ukungezwani komzimba kwami?
• Yikuphi ukudla engingakukudla ngaphandle kwezinkinga?
• Ingabe kukhona ukwelashwa noma ukwelashwa okungasiza ngalokhu?
• Yiziphi izimpawu zokusabela okubi okufanele ngiziqaphele?

Nakuba i-Oral Allergy Syndrome ivame ukuba yinkinga nje, abanye abantu bangaba nokusabela okubi kakhulu. Ngakho-ke uma unenkinga ngokungezwani nokudla, khuluma nodokotela wakho noma nodokotela we-allergy. Ungase ukwazi ukuqhubeka nokudla ukudla okuthandayo, noma ungase ukwazi ukuthola ezinye izindlela ezizokunikeza impumuzo ngaphandle kokulunywa.

Ingabe kufanele sikhumbule kafushane lokho esikukhulumile? (Umyalezo Wokuya Ekhaya)

Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho.

• I-Oral Allergy Syndrome (OAS) yisimo lapho izimpawu ezifana nokulunywa nokuvuvukala zivela emlonyeni, ezindebeni nasemphinjeni ngemva kokudla izithelo ezithile, imifino kanye namantongomane.
• Lokhu kungenxa yokusabela okuhlangene nokungezwani nempova.
• Lokhu ngokuvamile akuyona into embi kakhulu, kodwa akuvamile ukuthi kube nezimo ezinzima njenge-"Anaphylaxis".
• Ungasiza ekulawuleni lokhu ngokupheka nokudla ukudla okubangela ukungezwani komzimba, ukugwema lokho kudla ngezikhathi ezithile, nokuphuza imithi njengoba kuyalelwe udokotela wakho.
• Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula, ukuvuvukala kobuso noma kolimi, kufanele ufune usizo lwezokwelapha ngokushesha.
• Uma unokungabaza ngalokhu, qiniseka ukuthi ubonana nodokotela bese uthola iseluleko. Akukho okufanele ukwesabe, into ebaluleke kakhulu ukuqaphela lokhu.

Ngithemba ukuthi lolu lwazi uluthole luwusizo! Hlala uphilile!

Isifo Sokungezwani Komlomo, i-OAS, Isifo Sokungezwani Kokudla Kwempova, i-PFAS, Ukungezwani Komlomo, Ukungezwani Kokudla, Ukungezwani Komzimba Kwempova, Ukungezwani Kokudla