Xa usugqibile ekubeni ubone i- allergenist , isinyathelo sakho sokuqala sifumana umntu ohloniphekileyo kwindawo yakho ukuba unokuba nolwalamano oluhle kunye naye. Ukuba ugqirha wakho oyintloko ugqirha ekubhekiselele kwi-allergenist, ngoko uya kubona umgulana ogqirha wakho owaziyo. Ngaphandle koko, unokufumana umntu ongu-allerger ngokusebenzisa enye yezemibutho ebalulekileyo yelizwe e-United States: i-American Academy ye-Allergy, i-Asthma, ne-Immunology (AAAAI), okanye i-American College of Allergy, i-Asthma ne-Immunology (ACAAI).
Unokwazi ukukhangela umdlali wezilwanyana endaweni yakho ngokutyelela i-UComparationHealthcare, ipropati.
Emva kokuba ufumene amanye amathemba, kubalulekile ukuqinisekisa ukuba lowo ukhethayo kukufanelekile. Apha, eminye imibuzo yokubuza:
Luyini uqeqesho lwakho ukuba ube ngumdlali ongu-allergen?
Kungenxa yokuba umntu ubiza ngokuba yi-allergenist akenzi nto. Abanye oogqirha (njengama-otolaryngologists okanye oogqirha be-ear-throat-surgeons) kunye nezinye iingcali (ezifana ne- acupuncturists okanye i-chiropractors) zithi ziingcali ekwenzeni unyango. Ukuba yi- bhodi eqinisekisiweyo (okanye ibhodi efanelekayo) , nangona kunjalo, ithetha ukuba ugqirha oye wafumana uqeqesho olukhethekileyo kwintsimi yokungabikho komzimba kunye ne-immunology kwinkqubo ebonwa yi-American Board of Allergy and Immunology.Uneminyaka engakanani yezigulane ozibonayo?
Nangona abaninzi bebenzi bezilwanyana bezilwanyana bebona abantu abadala nabantwana, abanye babona enye okanye amanye amaqela ezigulane. Kubalulekile ukwazi ukuba i-allergenist yakho iya kubona abantwana, kwaye ukuba kunjalo, ngaba baneminyaka yobude bokuba baya kubona isigulane.
Ziziphi iintlobo ze-inshorensi yempilo oyayifumanayo?
Ngaphambi kokuba ubone i-allerergist kwaye uvavanyo luyenziwe, kubalulekile ukuba uqiniseke ukuba i-allergenist iyavuma i-inshorensi yakho yempilo. Ekugqibeleni uxanduva lwakho ukuqinisekisa ukuba i-allerergist inxalenye yesicwangciso sakho se-inshorensi kwaye ukuba nayiphi na uvavanyo olwenziwayo lufunyenwe yinshurensi yakho. Ukuba u-allergist akavumelwano kunye nesicwangciso sakho se-inshorensi, unokuba noxanduva lokuhlawula nayiphi na inxalenye yesikhokhelo sakho ukuba i-inshorensi yakho ayifihla.
Ziziphi iintlobo zokuvavanywa kobuchopho ozenzayo?
Abaqeqeshi be-allergists bavame ukuqhuba ukuhlolwa kwesikhumba , nangona bangaphinda baqhube ukuhlolwa kwegazi njengendlela yokuvavanya i-allergies. Kukho ezininzi iintlobo "zokuhlolwa kweengxaki zokungabikho komzimba" ezingenayo i-allergenists ezingezona zesintu; Ezi zibonwa zingenakuvuthwa kwaye zingenakuxhaswa ekuxilongweni kweentlungu. Inkcazelo efunyanwa ngugqirha wakho ukuba enze uvavanyo olungavumelekanga xa lo vavanyo lugqitywe yinshuwalense yezempilo.Ngaba unika i-allergy shots okanye i-drover drops?
Uninzi lwazo zonke izilwanyana zinika i- allergy shots (kunye nenani elikhulayo liye lachazwa ngamaconsi ), kodwa i-allergenist enhle ayifanele ibeke i-allergies shots kuzo zonke izigulane. Abagulisi bezilwanyana bafumana imali ngokumisela izibhengezo ze-allergies kwaye ngoko banokukhuthaza ukubeka izigulane kuzo. Nangona ukutshatyalaliswa kwamathambo kunika inzuzo eninzi kunyango lwe-rhinitis, i-conjunctivitis ye-allergen, kunye ne-asthma ye-allergen, akuyiyo wonke umntu.Ngaba ucebisa ukutshatyalaliswa kwezibhengezo kwiofisi yakho, okanye ndingabanika ekhaya?
Lo mbuzo ungasetyenziselwa uvavanyo lwe-allergenist yakho, kwaye unokuthi ufumaneke kwi-ofisi yeofisi ye-allergen phezu kwefowuni phambi kokuqeshwa. Naliphi na umntu ongenamdla oza kuvumela umntu ukuba afumane ukukhwabanisa kwamanzi ekhaya kufuneka agwenywe. Nangona i-shorteristic shots ngokubanzi ikhuselekile, ayikho i-100% ekhuselekileyo, kwaye i-AAAAI ne-ACAAI idinga ixesha lokulinda elide ukuya kwii-30 kwiofisi yonyango emva kokufumana ukutshatyalaliswa kwezilwanyana ukuze kuhlolwe imiphumo engabungozi.
Ixesha lakho livule nini ixesha lokuvuleka?
Ekubeni ukukhwabanisa kokuqala kukufuna ukuba ube kwiofisi ye-allerergist ubuncinane ngeveki kwiinyanga ezimbalwa zokuqala zokungabikho komzimba, iiyure ze-ofisi ezilungeleyo ziyanceda ukufezekisa le mfuno. Kwakhona, buza ukuba ikliniki inika izibhengezo zokungabikho komzimba ngexesha lesidlo sasemini.Ndiyakubona ngokukhawuleza ukuba ndigula?
Abanye abagulisa i-allergen bayakwazi ukukubona ngosuku olufanayo ukutyelela ngokugula xa kuyimfuneko. Ezinye izigulane azinikezeli le nkonzo, kodwa kunoko ukuthumela ugqirha wakho oqhelekileyo ukutyelela ngokugula. Ukuba ubona i-allerergist yakho yokutyelela ngokugula, qiniseka ukuba inento yokwenza ntoni ngesizathu sokuqala sokuba wambona umntu ongu-allergen kwindawo yokuqala.
Ngaba usebenzisa abancedisi bamayeza (ii-PAs) okanye abahlengikazi (NPs)?
Abaninzi bama-allergen basebenzisa ii-PAs kunye ne-NPs ukubona ukulandelwa kunye nezigulane ezigulayo. Nangona ngokuqhelekileyo kubonwa njengesiqhelo kwimimiselo yolondolozo lwezempilo yanamhlanje, kufuneka uyazi ukuba uya kubona umntu ngaphandle kwe-allergen ngokutyelela ezithile. Unokuhlala unxininisa ekuboneni i-allergenist, kodwa unokuba ulinde ixesha elide lokuba utyunjelwe, kwaye ungenako ukufumana ukutyelela ngokugula ngokukhawuleza. Ngokombono wam, i-PA okanye i-NP akufanele ibone isigulane sokuqala ukubonisana okanye ukuvavanywa kwesigulane esitsha, nangona kubona i-PA okanye iNP yokulandelelana okuqhelekileyo okanye ukutyelelwa kwezigulane kuyamkeleka.Ngaba ukhona emva kweeyure kunye neveki ngefowuni ngeengxaki ezingekho ngongxamiseko?
Abaninzi be-allergists banikela ngeenkonzo zefoni ngomnxeba malunga neengxaki zeentsholongwane ezingapheliyo. Nangona kunjalo, ininzi iya kuhlawulwa kule nkonzo. Ngokuxhomekeke kwi-inshorensi yakho yezempilo, le fowuni yefowuni inokuthi i-allerergist ingabonakali, nto leyo ithetha ukuba unembopheleleko yeendleko.
Umthombo:
> I-Buttram J, i-D ngaphezulu, i-Quinn J. I-allergies kunye ne-Immunology. Imbali epheleleyo kunye neZikhokelo zokuHlola. 2003: 53-69.