Isinkwa, i-roti, i-kottu, ikhekhe... Ingabe ngezinye izikhathi uzizwa ungakhululekile noma unenkinga yokudla ukudla okwenziwe ngofulawa kakolweni? Mhlawumbe uzizwa unesicanucanu, unezinkinga zesisu, noma unenkinga yokuphefumula? Mhlawumbe futhi unesifo sokungezwani nokolweni, okungukuthi, 'i-Wheat Allergy'. Ungakhathazeki, lesi yisimo abantu abaningi abanaso. Ake sixoxe ngalokhu ngokucacile nangokulula namuhla.
Kalula nje, kuyini ukungezwani nokolweni?
Ukungezwani nokolweni kuyinto evamile kakhulu yokungezwani nokudla. Kalula nje, uma udla okuthile okuqukethe ukolweni, noma ngezinye izikhathi ngisho nokuphefumula okuthile okufana nofulawa kakolweni, isimiso somzimba wakho sokuzivikela siqala ukushesha ngokweqile. Ngokuvamile, umsebenzi wesimiso sethu sokuzivikela komzimba ukulwa nezinto ezifana namagciwane namagciwane abangela ukugula. Kodwa lapho ukolweni ungena emzimbeni womuntu onesifo sokungezwani nokolweni, isimiso somzimba sokuzivikela sicabanga ngephutha ukuthi ukolweni uyisitha esiyingozi bese siqala ukulwa nawo. Lokhu "kulwa" yilokho esikuzwayo njengezimpawu zokungezwani nokudla.
Into ebaluleke kakhulu ukuthi ukungezwani nokolweni ngezinye izikhathi kungaba kubi kakhulu . Uma kuvela izimpawu ezinzima njengobunzima bokuphefumula nokuvuvukala komphimbo, kungaba yingozi ngisho nokuphila. Uma lokhu kwenzeka, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha .
Lesi simo singathinta noma ubani, kodwa uma othile emndenini wakho enezinye izifo zokungezwani komzimba, ungase ube sengozini enkulu yokuba naso.
Kwenzekani ngempela lapho ukolweni ungena emzimbeni?
Kunezindlela ezimbili eziyinhloko umuntu onesifo sokungezwani nokolweni angasabela ngazo. Lokhu kungase kuzwakale kungokwesayensi kancane, kodwa masikwenze kube lula.
1. Ukusabela okusheshayo (ukusabela okubangelwa yi-IgE)
Lena yindlela evame kakhulu yokuyibona. Lapho ukolweni ungena emzimbeni, amasosha ethu omzimba akhiqiza uhlobo olukhethekile lwe-antibody olubizwa ngokuthi i-Immunoglobulin E (IgE) . Lawa ma-antibodies e-IgE aqaphela ukolweni "njengesitha" futhi aqala ngokushesha ukulwa nawo.
- Isikhathi: Lokhu kusabela kwenzeka ngokushesha kakhulu . Izimpawu zingavela phakathi nemizuzu embalwa kuya emahoreni amane ngemva kokudla ukolweni.
- Ubunzima: Lolu hlobo lokusabela yilona olubangela isimo esibi kakhulu, esisongela ukuphila esibizwa ngokuthi i-anaphylaxis .
2. Ukusabela okulibazisekile (ukusabela okungeyona i-IgE)
Lokhu kusabela kuhilela nesimiso somzimba sokuzivikela, kodwa ama-antibodies e-IgE okukhulunywe ngawo ngaphambili awabandakanyeki.
- Isikhathi: Lokhu kusabela kuhamba kancane.Kungathatha amahora angama-48 ukuthi izimpawu zivele.
- Izimpawu: Izimo eziyinhloko ezibangelwa yilokhu yi -Eosinophilic Esophagitis (EoE) , okuwukuvuvukala komhubhe wethu (ipayipi lokudla), kanye ne -Eosinophilic Gastritis (EG) , okuwukuvuvukala kwezindonga zesisu.
Ziyini izimpawu zalokhu kungezwani komzimba?
Izimpawu zingahluka kumuntu nomuntu. Abanye abantu bangase babe nezimpawu ezincane kakhulu , kanti abanye bangase babe nezimpawu ezinzima kakhulu. Ake sizihlukanise ukuze kube lula ukuziqonda.
| Isistimu yomzimba ebangela izimpawu | Izimpawu ezingabonakala |
|---|---|
| Isikhumba | Ukuqubuka kwesikhumba, ukubomvu kwesikhumba, ukulunywa, ukuvuvukala. |
| Uhlelo Lokugaya Ukudla | Ubuhlungu besisu, isicanucanu, ukuhlanza, ukuqunjelwa, uhudo. |
| Uhlelo Lokuphefumula | Ukuminyana kwamakhala, ikhala eligobhozayo, ukuthimula, ukuphefumula kanzima. |
| Ezinye izici | Ikhanda elibuhlungu, amehlo anamanzi, ukuvuvukala komzimba. |
Isimo Esiphuthumayo! Izimpawu ezibucayi ze-anaphylaxis
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kuyisimo esibucayi kakhulu nesiphuthumayo . Lokhu kubizwa ngokuthi i-anaphylaxis. Ezimweni ezinjalo, kufanele uye ekamelweni lezimo eziphuthumayo (ETU) esibhedlela ngokushesha .
| I-Anaphylaxis - Izimpawu Eziphuthumayo | |
|---|---|
| Ubunzima obukhulu bokuphefumula (ukuphelelwa umoya) | Ukuzwa ukuqina esifubeni. |
| Ubunzima bokugwinya (i-dysphagia) | Ukuvuvukala komphimbo, ulimi, noma ubuso. |
| Ukwehla okungazelelwe komfutho wegazi (i-hypotension) | Isiyezi, amehlo aluhlaza okwesibhakabhaka, ukulahlekelwa ukwazi (i-syncope). |
| Ukushaya kwenhliziyo | Ukushaya kwenhliziyo okubuthakathaka, ukungaphumuli. |
| Ubuhlungu obukhulu besisu, ukuhlanza | Umzimba uyabanda bese ushaqeka. |
Kungani lokhu kungezwani komzimba kwenzeka?
Imbangela eyinhloko yalokhu kungezwani komzimba amaprotheni atholakala kukolweni. Amasosha ethu omzimba asabela ngephutha kula maprotheni. Izinhlobo ezine eziyinhloko zamaprotheni yilezi:
- I-Albumin
- I-Gliadin
- I-Globulin
- I-gluten
Ngingazi kanjani ukuthi lokhu kukhona ngempela?
Uma usola ukuthi une-allergy kakolweni, into engcono kakhulu ongayenza ukubonana nodokotela we-allergy . Uzokubuza imibuzo embalwa futhi, uma kudingeka, enze izivivinyo ezithile ukuqinisekisa lokhu.
Imibuzo ongayibuza udokotela:
- Ingabe ukhona emndenini wakho onesifo sokungezwani komzimba esinjengalesi?
- Ingabe unayo enye into yokungezwani nokudla?
- Ziyini izimpawu zakho?
- Lezi zimpawu zibonakala isikhathi esingakanani ngemva kokudla?
- Ingabe uthatha noma yimiphi imithi yalezi zimpawu?
- Ingabe ugcina incwadi yokudla ngalokho okudlayo?
Yiziphi izivivinyo ezenziwayo?
1. Ukuhlolwa Kokuhlatshwa Kwesikhumba:Okwenzayo ukufaka ithonsi loketshezi oluqukethe iphrotheni kakolweni esikhumbeni sesandla sakho bese uliklwebha kancane ngenaliti encane. Uma une-allergy, kungakapheli imizuzu eyi-15 indawo izoba bomvu futhi ivuvuke kancane, njengokungathi ulunywe umiyane.
2. Ukuhlolwa kwe-IgE yegazi: Lapha, kuthathwa isampula encane yegazi kuwe bese kuhlolwa izinga lama-antibodies e-IgE ngokumelene nokolweni.
3. Inselele Yomlomo Ehlelwe Ngezinga: Uma ezinye izivivinyo zingaphelele, udokotela angakunika inani elincane kakhulu likakolweni esibhedlela noma emtholampilo ngaphansi kokuqondisa kwakhe ukuze abone ukuthi usabela yini. Ungalokothi uzame lokhu ekhaya.
Indlela yokwelapha nokuphatha?
Ukwelashwa okungcono kakhulu nokuwukuphela kwakho kokungezwani nokolweni ukugwema ngokuphelele ukolweni kanye nakho konke ukudla nemikhiqizo equkethe ukolweni .
Iningi lezingane likhula lidlule ukungezwani komzimba nokolweni njengoba zikhula. Ngokusho kocwaningo, cishe ama-66% ezingane akhula adlule kukho. Kodwa-ke, uma kwenzeka ebudaleni, kungaba yinto yokuphila konke.
Yiluphi uhlobo lokudla okufanele lususwe?
Ukolweni utholakala ekudleni okuningi kunalokho esikucabangayo, ngakho-ke kubalulekile ukufunda ilebula ngokucophelela kuwo wonke amaphakheji owathenga esitolo.
| Isigaba sokudla | Izibonelo okufanele uzigweme |
|---|---|
| Imikhiqizo yebhikawozi | Isinkwa, amabhanisi, amakhekhe, amabhisikidi, ama-muffin, ama-pastries. |
| I-pasta nama-noodle | Zonke izinhlobo ze-pasta, i-spaghetti, ama-noodle (enziwe ngokolweni). |
| Okusanhlamvu Kwasekuseni | Izinhlobo eziningi zokusanhlamvu, ukhilimu kakolweni. |
| Okunye ukudla | Amasosi, ama-hot dog, ama-ayisikhilimu athile, isosi yesoya, i-pizza. |
Ngaphezu kwalokho, eminye imikhiqizo engeyona ukudla ingase ibe nokolweni. Isibonelo, ezinye izimonyo, insipho, kanye ne-Play-Doh yezingane zingase zibe nokolweni.
Ingabe ikhona imithi?
Uma unezimpawu ezincane zokungezwani komzimba (isib., amaqhubu), udokotela wakho angase akunike ama-antihistamine . Ngezinye izikhathi, ama-corticosteroids anganikezwa isikhathi esifushane.
Kubantu abane-allergies enzima, udokotela wakho cishe uzoncoma ukuthi uhlale uphethe umjovo we -epinephrine (njenge-EpiPen) . Lokhu kusetshenziswa ezimweni eziphuthumayo njenge-anaphylaxis. Udokotela wakho uzochaza ukuthi ungayisebenzisa kanjani.
Ingabe ukungezwani nokolweni, ukungabekezelelani ne-gluten, kanye nesifo se-celiac kuyinto efanayo?
Cha. Yilapho abantu abaningi bedideka khona. Lezi zimo ezintathu, ezintathu.
| Isimo | Incazelo | Impendulo yomzimba |
|---|---|---|
| Ukungezwani Kokolweni | Ukungezwani komzimba namaprotheni akukolweni. | Amasosha omzimba asabela ngokukhiqiza ama-antibodies e-IgE. Ezimweni ezimbi kakhulu, i-anaphylaxis ingenzeka. |
| Isifo se-Celiac | Lokhu akusikho ukungezwani komzimba. Lesi yisifo sokuzivikela komzimba. Sisabela kuphrotheni ebizwa ngokuthi i-gluten, etholakala kokusanhlamvu okufana nokolweni nebhali. | Amasosha omzimba alimaza izindonga zamathumbu awo amancane. Lesi yisimo esihlala isikhathi eside. |
| Ukungabekezelelani/Ukuzwela kweGluten | Lokhu akusikho ukungezwani komzimba noma isifo sokuzivikela komzimba. Kuyicala lokungabekezelelani kwe-gluten. | Kuvela ukungakhululeki ohlelweni lokugaya ukudla (ukuqunjelwa, ubuhlungu besisu, ikhanda elibuhlungu), kodwa akukho ukusabela okusongela ukuphila okwenzekayo. |
Umlayezo Wokuya Nawe Ekhaya
- Ukungezwani nokolweni kuyimpendulo engalungile yesistimu yomzimba wakho yokuzivikela kukolweni.
- Izimpawu zingasukela ekulumeni okuncane kuya ekushayweni yi-anaphylaxis okusongela impilo.
- Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula kanye nokuvuvukala komphimbo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Ukwelashwa okungcono kakhulu kwalokhu ukususa konke ukudla okuqukethe ukolweni ekudleni nasekudleni kwakho.
- Kubaluleke kakhulu ukufunda ilebula ngokucophelela kukho konke ukudla okuthenga esitolo.
- Uma usola ukuthi unalesi simo, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
- Ukungezwani nokolweni, isifo se-celiac, kanye nokuzwela i-gluten yizimo ezintathu ezahlukene.
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