Ngaba ukubilisa iilanti kunokuphilisa i-peanut?
Isantya se- peanut allergies siye sanda ngokukhawuleza kwiminyaka eyi-10 edlulileyo kwaye ngoku ichaphazela enye kwipesenti ezimbini kubemi baseUnited States nakwamanye amazwe aseNtshona. Ubunzima, ukusongela ubomi obusongelayo kumanqwanqwa kuyaqhelekileyo kubantu abanomdla wobuncwane kwaye kubangele ukufa kwabantu abaninzi kwiminyaka eyi-15 edluleyo. Kwezinye iindawo zehlabathi, ezifana neKorea, i-China kunye ne-Israel, izinga le-peanut ye-peanut ye-peanut ye-peanut ye-peanut ye-peanut ye-peanut ye-peanut ye-peanut ye-peanut ye-peanut.
Abanye abaphandi bacinga ukuba izinga elincinci le-peanut elithintekayo kula mazwe linokuthi lijongene nendlela i-peanut isetyenzwa ngayo. Kwamazwe aseNtshona, ama-peanuts aqhelekile asomile; kumazwe angewona amazwe, nangona kunjalo, izilwanyana zivame ukubiliswa, zifried okanye zifakwe. Ezi ndlela ezahlukeneyo zokucubungula mhlawumbi ziguqula indlela umzimba uphatha ngayo i-allergen ye-peanut.
Indlela yokuCubungula nokuPhekela ukuTshintshwa kwePeanut Allergy
Kukho ama-3 aphezulu e-peanut allergens achazwe, abizwa ngokuba ngu- Ara h 1 , uAra h 2 no- Ara h 3 . Abantu abahlala eUnited States (iUnited States) kunye ne-peanut ye-peanut yezona zinto eziqhelekileyo zivakala kakhulu kwi- Ara h 2 , ingakumbi abo bantu baneendlela ezinzima kakhulu zokutya. Kubonakala ukuba i-peanut enkulu i-allergen eguqulelwe yindlela ama-peanuts aqhutyelwa ngayo xa kuthelekiswa namanqwanqwa ahlaza. Ukutywa kwamanqwanqwa kukuphucula indlela i- IgE antibodies eyenziwa ngayo kwiAra h 2 , echaza ukuba kutheni abantu base-US bavame ukuba neendlela eziqhelekileyo kunye nokugqithisa kakhulu ukuguqulwa kwamagqabi.
Ngakolunye uhlangothi, ama-peanuts atyusiweyo ayidla ngokutya eKorea, apho kudla ngokutya ukutya, okubilisiwe okanye okubisiweyo, okubonakala kukunciphisa amandla e- Ara h 2 ukuba enze njenge-allergen. Ngenxa yeso sizathu, mhlawumbi i-peanut i-peanut, iimeko ezinzima kakhulu, zihlala ziqhelekileyo kumazwe aseNtshona anqhathaniswa namazwe ase-Asia.
Ngaba Kukhoyo Kukho Unyango lwePeanut Allergy?
Hayi ncma. Kukho izifundo ezincinci ezijolise ekusebenziseni imithi ye- immunotherapy yomlomo unyango lwe-peanut allergies. Ezi zifundo zibandakanya ukunika inani elinyukayo lomgubo wempuphu (ngokuqhelekileyo kwiiklisi ze-gelatin) ukugwinya imihla ngemihla, kwixesha leveki ukuya kwiinyanga. Emva kolu xeshanye, inselele yomlomo ku-peanut isetyenziselwa ukucacisa ubuninzi bomnxeba umntu onokuyinyamezela ngaphandle kokufumana impendulo. Izifundo ezimbalwa zibonise ukuba emva kokuba abantwana bezithobele i-immunotherapy ngomlomo kwiinyanga ezininzi, banokutya inani elikhulu lamanqwanqwa (malunga nama-20) ngaphandle kokufumana impendulo. Ngelishwa, phantse bonke aba bana bafumana uhlobo oluthile lweempendulo zengxaki ngexesha le-oral infunotherapy.
Ukongeza kwiimpawu ze- anaphylaxis eziye zaxelwa ukuba zenzeke kwininzi yabantwana abangenawo umlomo we-peanut immunotherapy, kukho inani elikhulayo leengxelo zabantwana abaphuhlisa i- eosinophilic esophagitis njengempembelelo yecala le-immunotherapy yomlomo. Ngenxa yoko, ngenxa yezihlandlo ezivakalayo, ngezinye iziphumo ezibi kakhulu zomlomo we-peanut immunotherapy, kunye nombuzo wokuba ixesha elingakanani inzuzo ye-immunotherapy iya kuhlala, akukhuthazwa ukuba kusetyenziswe ngaphandle kwenkqubo yophando lweklinikhi.
Le nyirha ayilungele ukunikezelwa ngabahlali bezilwanyana, kwaye kufuneka ifundiswe kuphela ngamaziko amakhulu okanye amaziko okuqeqesha abantu, okanye njengenxalenye yophando lophando.
Iingcali zokuphelisa ukutya ziye zagqitywa, "i-peanut oral oral immunotherapy ibonisa indlela ethembisayo yokuguqula i-IgE-mediated allergies. Kodwa kunjalo, okwangoku, akukho ubungqina obaneleyo ngokubhekiselele ekusebenzeni kwexesha elide, ukhuseleko kunye neendleko -ukuphumelela kwe-peanut oral oral immunotherapy ukucebisa ukusetyenziswa kwayo rhoqo kwiinkqubo zonyango. "
Ngaba Amanzi Amanzi aphekayo angakhokelela kwiNyango yokuLungisa ukutya?
Mhlawumbi.
Izifundo ezidlulileyo zibonise ukuba ngokufudumala okukhulu, ukutya okufana nobisi kunye neqanda kulahlekelwa amandla abo okubangela ukuphazamiseka komzimba. Uninzi lwabantu abanamabisi kunye neqanda ukunyamezela ukunyamezela oku kudla xa bevutha kakhulu. Xa kushushu kakhulu iqanda nobisi kudla ngokudliwa ngabantu abaneqanda kunye nobisi bezilwanyana, ukungabi naso kokutya kokutya kukhulu kunokwenzeka ukuba kusondele, nangaphambili.
Uphononongo olutshanje, olwenziwe kubantwana abane abane-peanut-allergies, balandele le ngcamango efanayo kunye nokuzama ukuphilisa i-peanut. Abantwana badla iilanti ezibilisiweyo ngokunyuka imali yonke imihla kwiinyanga ezininzi. Emva kwexesha leenyanga ezininzi, abanye abantwana babenako ukutya amanqabunga ahlaza. Njengokuba kunjalo ngokutya kakhulu ubisi obushushu kunye neqanda, ukutya ukutya okubilisiweyo - kunye nokuhla kwe- Ara h 2- kunokukhokelela ekuphuhliseni ukunyamezela ngomlomo. Nangona uphando oluninzi lufunekayo, ukutya iilanti ezibilisiweyo kunokubangela ukuba unyango lwe-peanut allergies.
Ukuba unobunzima bokutya, kubaluleke kakhulu ukuba ungazami ukudla iilanki eziphekiweyo ngaphandle kokuthetha nodokotela wakho wokugula. Uphando olukhankanywe ngasentla luquka kuphela inani elincinci lezigulane, kwaye ukuphazamiseka komntu osisongela ubomi obusongelayo kunokuthi kwenzeke ngokutya ukutya okuphekiweyo kubantu abanomdla wokutya.
> Imithombo:
> Turner PJ, et al. Ukulahlekelwa kwamaProtheni ase-Allergenic Ngethuba lokubilisa lichaza ukunyamezela kwi-Peanut ebilisiwe kwi-Peanut Allergy. J Allergy Clin Immunol. Kwi Nkcazo .
> Sampson HA. I-Peanut Oral Immunotherapy: Ngaba ikulungele ukusetyenziswa kweeNtsholongwane. J Allergy Clin Immunol. 2013: 1: 15-21.