Ingabe ingane yakho inenkinga yokungezwani nokudla? Ake sixoxe ngezivivinyo ezisetshenziswa odokotela ukuthola (Ukuhlolwa Kokungezwani Nokudla)!

Ingabe wena noma ingane yakho encane nizizwa into engavamile noma engakhululekile ngemva kokudla ukudla? Wake wabhekana nokulunywa, ukuqubuka okubomvu, noma ubunzima bokuphefumula ngemva kokudla uhlobo oluthile lokudla? Lokhu kungaba izimpawu zokungezwani nokudla . Ngakho-ke, ake sixoxe ngendlela odokotela abangakuthola ngayo ukungezwani nokudla nokuthi yiziphi izivivinyo abazenzayo, akunjalo? Asikho isidingo sokwesaba noma sokukhathazeka ngokungadingekile ngalezi zinto. Kodwa ukwazi lolu lwazi kuzoba usizo kakhulu kuwe.

Odokotela bahlola kanjani ukuthi abanazo yini izinto ezibangela ukungezwani nokudla?

Ngokuvamile, udokotela, ikakhulukazi udokotela ogxile ekuguleni komzimba – simbiza nangokuthi “udokotela wezifo ezibangelwa ukungezwani komzimba” – usebenzisa izindlela ezimbili eziyinhloko zokuhlola ukuqinisekisa ukuthi kukhona yini ukuguliswa ukudla. Lokhu ukuhlolwa kwesikhumba nokuhlolwa kwegazi . Kwezinye izimo, udokotela angase anqume ukwenza kokubili lokhu kuhlolwa. Lokhu kunqunywa ngokucabangela izici eziningana, njengesimo sesiguli kanye nohlobo lwezimpawu.

Kuyini ukuhlolwa kwesikhumba okubizwa ngokuthi i-skin crack test? Kwenziwa kanjani?

Lokhu akukukhulu noma akuyinkimbinkimbi njengoba ungase ucabange. Kuyisivivinyo esilula kakhulu. Cabanga ukuthi usola ukuthi ingane yakho encane ine-allergy kokuthile uma iphuza ubisi. Khona-ke udokotela we-allergy noma umhlengikazi oqeqeshiwe uzokwenza lesi sivivinyo kanje:

1. Okokuqala, hlanza kahle isikhumba sakho noma sengane yakho noma ingxenye yangemuva.

2. Bese kuthi, i-allergen equkethwe ekudleni okusolayo (esibonelweni sethu, ubisi) – okungukuthi, into engabangela ukungezwani komzimba, sikubiza ngokuthi “i-allergen” – ithathwa njengenani elincane kakhulu layo ngesimo soketshezi, bese uketshezi luhlanganiswa nesikhumba kusetshenziswa into encane kakhulu, encane njengephini, noma ngokwenza umkrwelo omncane ebusweni besikhumba. Lokhu akulona ubuhlungu obukhulu, kuzwakala njengokukhafula okuncane kakhulu, njengokulunywa umiyane. Akukho okufanele ukwesabe.

3. Faka uketshezi esikhumbeni sakho kanje bese ulinda cishe imizuzu eyi-15.

4. Manje into ebaluleke kakhulu. Uma indawo lapho kusetshenziswe khona uketshezi "olubangela i-allergen" iba bomvu, ivuvuke kancane, bese kuvela iqhubu elincane elifana ne-blister (lokhu kubizwa nangokuthi "i-wheal" ngodokotela), kunikeza inkomba ethile yokuthi kungase kube nokungezwani nokudla okukhulunywa ngakho.

5. Ngemuva kwalokho, udokotela noma umhlengikazi uzosebenzisa irula ukuze alinganise ngokunembile ubukhulu besondo kanye nendawo ebomvu ezungezile bese eqopha.

Ake ucabange nje, uma usola ukuthi awunayo i-allergy hhayi ekudleni okukodwa kuphela, kodwa ezinhlotsheni eziningana zokudla, noma uma kunzima ukunquma ukuthi yikuphi ukudla okubangela lezi zimpawu zokungezwani komzimba, udokotela angahlola isikhumba sakho ngokufaka "i-allergen" eziningana ezahlukene kuso ngesikhathi esisodwa.

Ngemva kokuhlolwa kwesikhumba, ungase uklwebhe indawo lapho kwenziwa khona ukuhlolwa isikhashana. Lokhu kuvamile. Kodwa-ke, ukulunywa kuvame ukuphela zingakapheli imizuzu engama-30. Uma ingane yakho ilunywa kakhulu, udokotela angakunika i-antihistamine noma ukhilimu we-steroid ongasetshenziswa endaweni elumayo ukuze uwusebenzise ezindaweni ezilumayo. Lokhu kuzosiza ekunciphiseni ukulunywa ngokushesha.

Yini ngempela ebhekwa ukuhlolwa kwegazi?

Kwezinye izimo, ngaphezu kokuhlolwa kwesikhumba okukhulunywe ngakho ngenhla, noma uma kunezizathu ezithile zokuthi kungani ukuhlolwa kwesikhumba kungenziwa (isibonelo, umuntu onesimo sesikhumba esibi noma umuntu ophuza imithi ethile), udokotela angase futhi ancome ukuhlolwa kwegazi.

Lokhu kuhilela ukuthatha isampula yegazi elincane kakhulu kuwe noma enganeni yakho bese ulithumela elabhorethri ukuze liyohlolwa ngokukhethekile. Into eyinhloko ukuhlola ukuthi igazi liqukethe yini "ama-antibodies e-IgE," akhiqizwa amasosha ethu omzimba ngokumelene nokudla okuthile.

Kalula nje, la ma-antibodies e-IgE awuhlobo olukhethekile lweprotheni olukhiqizwa uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela komzimba, lapho lubona ngephutha ukudla okuthile “njengokubi” noma “isitha,” bese luzama ukulwa nakho. Ngakho-ke, uma igazi lomuntu litholakala liqukethe la ma-antibodies e-IgE ekudleni okuthile, kusho ukuthi kungenzeka ukuthi une-allergy kulokho kudla. Kumane nje kuyinkomba, njengemiphumela yokuhlolwa kwesikhumba.

Odokotela bayichaza kanjani imiphumela yokuhlolwa? Lokhu kubaluleke kakhulu!

Nakhu okudingeka ukukhumbule. Ukuthi nje ukuhlolwa kwesikhumba noma ukuhlolwa kwegazi kuphumela ekusabeleni " okuhle" ekudleni akusho ukuthi umuntu uqiniseka ngokuphelele ukuthi une-allergy kulokho kudla. Kubonisa kuphela ukuthi kungenzeka ukuthi kukhona i-allergy.

Cabanga ngalokhu. Abanye abantu bazalwa benesikhumba esibucayi kakhulu. Ngisho noma isikhumba sabo sicasukile kancane ngento ethile, njengokuthile okungeyona into yokuhlola, singaba bomvu, sivuvuke kancane, noma sibe amabala. Akudingeki kube ukungezwani komzimba. Futhi, abanye abantu bangase babe nama-antibodies e-IgE egazini labo ekudleni okuthile, kodwa bangase bangakhombisi izimpawu zokungezwani komzimba lapho bedla lokho kudla. Lokhu sikubiza ngokuthi "ukuzwela," okuhlukile "kokungezwani komzimba."

Ngakho-ke, udokotela akasoze athathe isinqumo sokugcina mayelana nokuthi umuntu unesifo sokungezwani nokudla yini ngokusekelwe kuphela kule miphumela yokuhlolwa. Uzokubuza ezinye izinto eziningi, njenge:

• Yiziphi izimpawu ezithile wena noma ingane yakho enizibonayo? (isib. ukulunywa? ukuqubuka? ubunzima bokuphefumula? ukucasuka kwesisu?)
• Lezi zimpawu zibonakala isikhathi esingakanani ngemva kokudla ukudla? (Imizuzu? Amahora?)
• Zinzima kangakanani izimpawu? (Ingabe kuyaluma kancane nje? Noma kukhulu kangangokuthi umzimba wakho wonke uyavuvukala futhi awukwazi ukuphefumula?)
• Ingabe ukhona omunye emndenini wakho (umama, ubaba, izingane zakini) onalolu hlobo lokungezwani nokudla noma okunye ukungezwani nokudla (isib. i-asthma, ukungezwani nothuli)?

Udokotela ufinyelela esiphethweni esinembile mayelana nokungezwani nokudla kuphela ngemva kokuhlola umlando ophelele wezokwelapha wesiguli, uhlobo lwezimpawu, kanye nemiphumela yokuhlolwa.

Iyini Inselele Yokudla Okudliwayo? Ingabe iyingozi?

Manje ake ucabange ukuthi imiphumela yokuhlolwa kwesikhumba kanye nokuhlolwa kwegazi okukhulunywe ngakho ngenhla ayicacile kahle. Noma, uma ingane yakho yayinokungezwani nokudla ngesikhathi iseyingane, futhi manje njengoba isikhulile kancane, ufuna ukwazi ngokuqinisekile ukuthi lokho kungezwani nokudla sekuphelile yini, okungukuthi , "kudlule isikhathi sokuphila", udokotela angase asikisele olunye ukuhlolwa okuqondile. Lokhu yilokho esikubiza ngokuthi "inselele yokudla ngomlomo" .

Nakhu okwenzekayo:

1. Ukudla okusolwa ukuthi kuyimbangela yokungezwani komzimba (okungenzeka ukuthi kubangelwa ukungezwani komzimba kokudla) kungeniswa ngenani elincane kakhulu, mhlawumbe cishe ingxenye eyodwa kweziyishumi zethisipuni, futhi kancane kancane kwanda ngokuhamba kwesikhathi.

2. Konke lokhu kwenziwa ngaphansi kokuqashwa okuqondile nokuseduze kukadokotela. Udokotela noma abasebenzi bezokwelapha abaqeqeshiwe bazoqapha ngokucophelela noma yiziphi izimpawu zokungezwani komzimba. Izinto ezifana nesivinini sokushaya kwenhliziyo, indlela yokuphefumula, kanye nezinguquko zesikhumba zihlala ziqashwe.

3. Ungalokothi uzame ukwenza lokhu kuhlolwa ekhaya. Lokhu kufanele kwenziwe kuphela ehhovisi likadokotela (emtholampilo) noma esibhedlela, esinazo zonke izinsiza ezidingekayo zokwelapha isimo esiphuthumayo. Lokhu kungenxa yokuthi ukusabela okungazelelwe, okukhulu kokungezwani komzimba, okubizwa ngokuthi "i-anaphylaxis," kungenzeka.Uma kwenzeka isimo esisongela ukuphila (ukusabela okukhulu kokungezwani komzimba), imithi ephuthumayo kanye nodokotela abaqeqeshiwe kanye nabasebenzi bezokwelapha (ochwepheshe kanye nabasebenzi bezokwelapha) kumele batholakale ukuze baselaphe ngokushesha.

Lokhu kubaluleke kakhulu: Ungalokothi, nganoma yisiphi isizathu, uzame "Inselele Yokudla Komlomo" ekhaya ngaphandle kokuqashwa ngudokotela, kulungile? Ngoba ukungezwani nokudla ngezinye izikhathi kungaba yingozi kakhulu. Kungaba yingozi ngisho nokuphila.

Ngokuvamile, lokhu kuhlolwa "kwenselele yokudla ngomlomo" kwenziwa ukuqinisekisa ukuthi ukungezwani kokudla kwangaphambilini sekuphelile yini, okusho ukuthi akusekho nkinga yokudla lokho kudla manje. Isibonelo, ingane eyayinomzimba ongezwani namaqanda iseyingane ingase ikhule ngokwemvelo idlule kulowo mzimba eminyakeni embalwa njengoba ikhula. Ngakho-ke lokhu kuhlolwa kuwusizo kakhulu ekutholeni lokho kanye.

Kwenzekani ngokulandelayo uma ukuhlolwa kuqinisekisa ukuthi kukhona ukungezwani komzimba?

Kulungile, ake sithi izivivinyo okukhulunywe ngazo ngenhla ziqinisekisile ukuthi ingane yakho noma wena unesifo sokungezwani nokudla. Ungesabi ngaleso sikhathi, akusona ukuphela komhlaba. Udokotela wakho uzokusiza nakanjani ukuthi uqhamuke nohlelo olucacile lokuphatha lokuthi ungaphila kanjani ngokuphepha nangokujwayelekile ngalesi simo esisha.

Izinto eziyinhloko okufanele zenziwe yilezi:

1. Ukugwema Ngokuqinile Ukudla Okubangela Ukungezwani Nomzimba:

• Udokotela uzokunikeza uhlu olucacile lokudla okungakulungele wena noma ingane yakho, futhi uzokunikeza nokuqonda okuhle kokudla okungase kube nezithako ezifihliwe.
• Kufanele ube nomkhuba wokufunda amalebula okudla kuwo wonke amaphakethe okudla noma ibhodlela olithenga esitolo ngokucophelela. Ngoba ngezinye izikhathi ukudla esingakucabangi ngisho nokukucabanga, isibonelo, amasoso, amasobho, namabhisikidi, kungase kube nokudla okubangela ukungezwani komzimba (isib. ubisi, amaqanda, isoya, amakinati , ukolweni).
• Uma ingane yakho iya esikoleni, kubaluleke kakhulu ukwazisa uthisha wekilasi, abasebenzi be-cafeteria, njll. ngalokhu. Futhi, lapho uya emakhaya ezihlobo, emakhaya abangani, noma emaphathini, ukwazisa abanye ngalokhu kusenesikhathi kungagwema izinkinga eziningi ezingadingekile.

2. Ukugcina imithi ephuthumayo iseduze:

• Okunye ukungezwani nokudla kungaba kubi kakhulu. Lokho kusho ukuthi, njengoba kushiwo ngaphambili, kungenzeka ukusabela okubi okusongela impilo okubizwa ngokuthi "i-anaphylaxis" , okungabangela ubunzima bokuphefumula ngokuzumayo, ukwehla kwengcindezi yegazi ngokuzumayo, kanye nokulahlekelwa ukwazi.
• Uma kuvela isimo esiphuthumayo esinjalo, sisebenzise ngokushesha. Udokotela uzokubhalela umuthi okhethekile. Ubizwa ngokuthi "i-Adrenaline" (i-Epinephrine).Lokhu kuvame ukufika ngedivayisi efana nepeni elula ukuyisebenzisa (i-epinephrine auto-injector). Udokotela wakho noma umhlengikazi uzokuqeqesha ukuthi uyisebenzisa kanjani.
• Kufanele uhlale unalo lo muthi we-"Adrenaline" (Epinephrine), noma nomntanakho, ngaso sonke isikhathi. Kufanele uwuphathe esikhwameni sakho sesikole, uma uphuma uyodlala, uma uya ohambweni, noma ngabe uya kuphi. Kufana nedivayisi esindisa impilo.
• Futhi, kubalulekile ukuthi wena, amalungu omndeni wakho, kanye nalabo abazonakekela ingane yakho, njengothisha bengane yakho, nazi kahle ukuthi niyisebenzisa kanjani le mithi ezimweni eziphuthumayo. Udokotela uzochaza kahle futhi akuqeqeshe uma kudingeka.

Umyalezo obaluleke kakhulu okufanele uwuthathe ekhaya kukho konke lokhu uthi:

Uma usola ngisho nokuncane kakhulu ukuthi kukhona ukungezwani nokudla, ungamane nje unqume ukuyeka noma ukuqala ukudla okusha ngokuthanda kwakho. Qiniseka ukuthi ubona udokotela ofanelekayo, uthole iseluleko esifanele, futhi wenze izivivinyo ezifanele uma kudingeka.

• Ukuhlolwa kokubhoboza isikhumba kanye nokuhlolwa kwegazi okubheka ama-antibodies e-IgE yizindlela eziyinhloko ezisetshenziswa ukuxilonga ukungezwani nokudla.
• Umphumela wokuhlolwa "obonisa ukuthi unesifo" wodwa awuqinisekisi ukuthi umuntu unesifo sokungezwani komzimba. Udokotela uzocabangela izici eziningi, okuhlanganisa izimpawu, umlando wezokwelapha wesiguli, kanye nokungezwani komzimba komndeni, ukuze enze isinqumo sokugcina.
• Ngezinye izikhathi, ikakhulukazi uma imiphumela ingacacile, kungase kwenziwe inselele yokudla okudliwayo ukuze kubonakale ukuthi ukungezwani komzimba sekuphelile yini. Kodwa-ke, lokhu kufanele kwenziwe kuphela ngaphansi kokuqondisa okuqondile kukadokotela kanye nasesibhedlela.
• Uma udokotela eqinisekisa ukuthi une-allergy, ungesabi noma wesabe, bese ulandela imiyalelo kadokotela ngqo. Izinto ezibaluleke kakhulu ukugwema ngokuphelele ukudla okubangela i-allergy futhi uhlale ugcina i- "adrenaline" (epinephrine) auto-injector eduze ukuze isetshenziswe ngokuphuthumayo.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela womndeni wakho noma udokotela wezifo zokungezwani komzimba. Bakhona ukukunikeza isiqondiso esifanele. Hlala uphilile!

Ukungezwani nokudla , ukuhlolwa kokungezwani nokudla, ukuhlolwa kwesikhumba, ukuhlolwa kokuhlatshwa kwesikhumba, ukuhlolwa kwegazi, ama-antibodies e-IgE, inselele yokudla ngomlomo, i-Epinephrine, ukungezwani nokudla, ukuphathwa kokungezwani nokudla