Isifo se-enterocolitis (i-FPIES) esineprotein-induced-produced syndrome (i-FPIES) iyakuthinta iintsana kunye nabantwana abancinci kwaye ibangela iimpawu zokuhlanza kunye nokudibanisa igazi elikhokelela ekungcoliseni amanzi kunye nokutshitshiswa emva kokutya kokutya ezithile.
Xa iimpawu zingapheliyo, ama-FPIES angakhokelela ekulahlekeni kwesisindo nokungahambi kokukhula okufanelekileyo. I-FPIES ibangelwa ukusabela ngama-immune ngenxa yokutya okuqhelekileyo kwaye akubangelwa yindlela eyenziwa ngayo yinyani.
I-FPIES ingadideka ngokutya kokutya ngenxa yokuba ukusabela kwenzeka emva kokutya kokutya ezithile; nangona kunjalo, ekubeni abaninzi abantwana abane-FPIES abenzi i-antibodies anti-antibiotic ngokubhekiselele ekutheni ukutya, izilingo zokungabikho komzimba ziluncedo.
Iimpawu zeFPIES
Iimpawu ze-FPIES zidla rhoqo kwiiyure ezimbalwa zokutya ukutya. Ukuphindaphinda kwamagqabantshintshi okuhlanza kakhulu kuqala emva kweeyure ezintathu emva kokutya ukutya okubangela umdla, kunye nehudo ngaphakathi kweeyure ezintlanu. Umntwana ngokukhawuleza ufumanisa amanzi, unokufumana uxinzelelo lwegazi oluphantsi kwaye lukhulu. Umntwana kaninzi ufuna ukunakekelwa kwegumbi loxakeka kwimeko yexakeka, kwaye kuyaqhelekileyo ukuba umntwana afunyaniswe ukuba ene- sepsis .
Nangona ama-FPIES anokulinganisa ukunyuka kokutya , iimpawu ziquka kuphela iimpawu zesisu, kunye nezinye iinkqubo zesalathisi. Umzekelo, ukunyuka kokutya okunzima kubangelwa yimpawu yemisipha kunye nokuvuvukala ubuso kwaye kunokubangela iimpawu zokuphefumula ezifana nokukhwehlela okanye ukuhamba.
Lezi zimpawu ezivakalayo zenzeke ngokukhawuleza ukuba ezo zibonakaliso kwii-FPIES - ngokuqhelekileyo zingaphantsi kwemizuzu embalwa yokutya ukutya, kunokubakho iiyure.
Ukutya Okubangela amaFPIES
Kukho iintlobo ezahlukeneyo zokutya eziye zaxelwa ukuba zenze iiFPIES - eziqhelekileyo zichazwe ubisi kunye nama-formula asele asekelwe kwi-soy.
Iintsana ezininzi ezinama-FPIES ziya kuphendulela kokubili ubisi kunye nesoya. Ukuphendula kwiimfomula zentsana zivame ukuvela ngaphambi kokuba unyaka oneminyaka eli-1 ubudala, rhoqo kwiiveki ezimbalwa zokuzisa ifom.
I-FPIES iye yabikwa ukuba iyenze ngokutya okuqinileyo, ngokukodwa okutya okusanhlamvu, izilwanyana kunye neenkukhu. Okunye ukutya okubhaliweyo kubangelwa amaFPIES kubandakanya amazambane amnandi kunye namhlophe, iintlobo ezahlukahlukeneyo, iintlanzi kunye ne-shellfish. Ukutya okuqinileyo okugqithiseleyo kukubangela ama-FPIES ingqolowa yerayisi, nangona ezinye iinkozo zokutya ziye zabikwa. Abantwana abane-FPIES kwenye ingqolowa enye yokutya okusanhlamvu banamathuba ama-50% okuphuhlisa ama-FPY kwenye enye ingqolowa. I-egg kuphela ayikho nto ibangela iiFPIES.
Akunqabile kumntwana ngaphezu kweminyaka eyi-1 ukuphuhlisa ii-FPIES ezitsha ngokutya okutsha; Ngaphandle kweentlanzi kunye ne-shellfish, eziye zaziwa ukuba zenze i-FPIES kubantwana abadala nakwabantu abadala.
Ukuchonga amaFPIES
Kuqhelekile ukuba ama-FPI angabonwa ngabanye kwiiveki ukuya kwiinyanga, kwaye iziganeko zivame ukuthethwa ngesifo somzimba (isifo se-viral gastroenteritis), i-sepsis okanye ukutya kokutya. Nangona kunjalo, iimvavanyo zokungabikho komzimba zivame ukungahambi kakuhle, kwaye ukutya okufana ne-"hypoallergenic" okufana nelayisi kunye neenkukhu kudlalwa yinto enokwenzeka.
Ngoko ke, ukuxilongwa kwe-FPIES kudlalwa kwintsholongwane ngenxa yokuba akukho vavanyo lwe-diagnostic etholakalayo ukuqinisekisa ukuxilongwa, ukufutshane ukwenza umngeni wokutya ngomlomo, ongasidingi.
Abanye abaphandi baye bafumanisa ukuba ukuhlolwa kwepatch kwizinto ezinokutya kunokunceda ukuqinisekisa ukuxilongwa kwaye mhlawumbi kunokuba luncedo ekufumaneni ukuba umntwana uneminyaka engama-FPIES.
Unyango
Ukuphepheka kokutya kokuqala, kunye nokuphepha kokunye ukutya okuziwa ngokuqhelekileyo kubangelwa ama-FPIES, yinto ephambili yonyango. Ukuba umntwana unama-FPIES abangelwa yifom ye-milk-based infant-based formula, ifom ye-soy kufanele ikhutshwe, ngenxa yokuba umntwana uya kubona iimpawu kokutya kokutya malunga ne-50% yexesha. Ukuba kunokwenzeka, ukuxiliswa okuthe ngqo kukucetyiswa kwaye kufuneka kusombulule ingxaki.
Ukuba iifomula zentsana zisetyenziselwa, amafomula ama-hydrolyzed ngokubanzi (afana ne-Alimentum kunye neNutramigen, apho iprotheni yobisi idilizwe zibe ziincinci ezincinci) ziyi-formula zokukhetha kwiintsana ezine-FPIES.
Kuphethwe kwakhona ukukhusela i-nafaka ye-cereal, inkukhu kunye nezityalo. Iziqhamo ezininzi kunye nemifuno ayisoloko iyingxaki kwaye zivame ukunyamezela kubantwana abane-FPIES.
Emva kokuba iimpawu zenzeke, unyango kufuneka lufunyenwe kwigumbi elingxamisekileyo, linikezelwa ubunzima beempawu. Iimvula zamanzi kunye ne- corticosteroids zisoloko zifuneka ukuba unyango olunzima lweempawu ze-FPIES. I-epinephrine engenayo idlalwa kaninzi nangona inenzuzo encinci kunyango lwe-FPIES.
Kwixesha eliphi i-FPIES iCombulula?
Ngokuqhelekileyo, ama-FPIES asombulula kwisithuba seminyaka eyi-3, oku kuthetha ukuba umntwana unokukwazi ukunyamezela ukutya okuphelile emva kwalo nyaka. Nangona kunjalo, abazali abafanele bazame ukunquma ukuba umntwana unokunyamezela ukutya ekhaya. Kunoko, i-allergenist inokukhetha ukwenza umngeni wokutya ngomlomo phantsi kokunyanzelwa kwezonyango, njenge-ofisi yegqirha okanye esibhedlele. Kunconywa ukuba le mingeni yokutya yomlomo iyenziwe ngekathitra edibeneyo ukwenzela ukuba izixhobo zamanzi kunye ne-corticosteroids zingaphathwa xa zifunwa.
Funda malunga neengxaki zokungabikho komzimba kwiimfomula zentsana .
Umthombo:
ULeonard SA, u-Nowak-Wegrzyn A. Iprotheni yokutya-eyenza i-Enterocolitis Syndrome: Uhlaziyo kwiMbali yeNdalo kunye nokuHlola koLawulo. Ann Annistry Asthma Immunol. 2011; 107: 95-101.