Iintlobo ezahlukeneyo zoLungiso lweMveliso yobisi
Phantse bonke abantwana abahlakulela ubisi bebisi beenkomo benza njalo phakathi konyaka wokuqala wobomi. Utywala lwezilwanyana yinto eqhelekileyo yokutya kwezilwanyana kwiintsana.
Kukho iindaba ezilungileyo: Uninzi lweintsana ezinobisi obunzima luya kuvelisa ukunyamezela ngabantu abadala. Amaphesenti angama-5 aya kuphelisa u-4 ubudala, kwaye malunga neepesenti ezingama-20 baya kuphuma ngeminyaka eyi-8. Ngoko ke ukuba umntwana wakho unobungozi ebisi, mhlawumbi kungekhona ngonaphakade-mhlawumbi uya kuphelisa ingxaki.
Okuthakazelisayo, izinga lokurhafisa ubisi lihluka ngokubanzi kwiindawo ezahlukeneyo zehlabathi. Izifundo ziye zafumanisa la mazinga omsi wobisi ngelizwe:
- I-United States: 1% ukuya ku-2.5% yabantwana abangaphantsi kwe-6
- Si rayeli: ngaphantsi kwe-1% yabantwana
- E-Australia: Ngaphezu kwe-10% yabantwana abaneminyaka elilodwa
Akukho mntu uyaqiniseka ukuba kutheni amanani ahlukeneyo okwehlula ubisi kumazwe ahlukeneyo.
Iimveliso zobisi zingabangela ukusabela kwiintsana ngeendlela ezahlukeneyo (nangona zonke zibandakanya i-immune system).
Ezinye zezi mpendulo zingabangela iimpawu ezikhawulezileyo ngelixa abanye bangabangela ukuphendula okulibazisekile, oku kungenza kube nzima ukulandelela ingxaki. Nazi iindlela ezahlukeneyo zobisi:
I-Classic (Ig-E-Mediated) Yokutya i-Allergy
Xa ucinga nge-classic "reaction response", ucinga ukuba ubizwa ngokuba yi-Ig-E. Ig-E luhlobo lomntu olwachasayo oluveliswa ngumzimba wakho wokhuseleko lomzimba. Kule ndlela ye-classic-reaction reaction, lezi zixhobo zamagciwane e-Ig-E zibophelela kwizinto ezibizwa ngokuba yi-mast cells, ezibangela ukuba iiseli zikhulule i-histamine kunye nezinye iikhemikhali ezibangela ukuvuvukala.
Iimpawu ze-classic Ig-E ezidityanisiweyo zokutya eziqhelekileyo zibonakala ziphakathi kwemizuzu eyi-15 ukuya kwe-30 yokutya. Iimpawu zokutya kokungabikho kwempilo kwiintsana zinokuthi zihluke kubantu abadala, kodwa zibandakanya:
- I-eczema (isiqhwala, isikhumba esibomvu isikhumba)
- Iingxaki zokugaya
- Ukuphefumula okanye ukuphefumula
- Ukuvulela emlonyeni okanye emlonyeni
- I-Anaphylaxis (inokwenzeka, kodwa inqabile kakhulu kwiintsana)
Phantse enye yesithathu yabantwana abaselula kunye ne-eczema (eyaziwa nangokuthi i- atopic dermatitis ) ine-Ig-E-mediated food allergies. Ukuvavanywa kwezilwanyana ezinokubangela i-allergies kunokukunceda ukuba ufumane ukutya okubangela umntwana wakho.
Nangona ezinye iingcaphephe zibonise ukuba ukukhusela amaqanda kwiintsana zeqanda-zonyango ziyakwazi ukuphucula iimpawu ze-eczema, akukho zifundo eziye zabonisa ukuba ukuphepha ubisi kunokufumana umphumo ofanayo. I-eczema inokuba neyona nto ibangela, kwaye ukuphepha ubisi kungeke kwanele ukuba kuphuculwe iimpawu zomntwana wakho.
Ukutya kokuvavanyelwa kokutya kunokunceda ukufumanisa izizathu ezibangelwa zizibonakaliso zentsholongwane .
Iingxaki zoMzimba zesifo se-Eosinophilic
I-Eosinophil ihlobo lomgca wegazi elimhlophe elihlala kwindawo yokugaya kwiinombolo eziphantsi. Xa umntu one-eosinophilic esiswini se-disorder (EGID), nangona kunjalo, ezi zisele ziyakwandisa, kwaye ziyakwazi ukuhlasela umzimba ngokuphambuka xa zibonakaliswe kwi-trigger allergies.
Izifo zesisu zesisu ezinomzimba ziquka: i-eosinophilic esophigitis (EoE), i-eosinophilic gastritis, i-eosinophilic gastroenteritis, kunye ne-eosinophilic colitis. Igama lemiqathango yakho lixhomekeke apho i-eosinophil yakho ekhulile khona.
I-EOE yinto eqhelekileyo.
Iimpawu zingabandakanya:
- Ubuhlungu xa ugwinya
- Ukutya ukungasebenzi
- Intlungu zesisu
- Uhudo
- Ukuhla ukusinda
- Ukungaphumeleli ukukhula
I-EGID yinkqubo ekhuselekileyo ye-immune response that is not studied well as classical food allergies. Ukutya okunciphisa ukutya okunjengezilwanyana ezinqabileyo zesikhumba kunokunceda ukufumanisa ukutya okubangela i-EGID, kodwa kuya kufuneka kulandelwe ukuvavanywa okuqhubekayo njengomngeni wokutya ngomlomo okanye i-endoscopy.
Iprotheni Yokutya-Yenza I-Enterocolitis Syndrome (I-FPIES)
I-FPIES yindlela enzima yokuphendula, ekusebenziseni ukutya okungabonakali kwiimvavanyo zokungabikho komzimba ngenxa yokuba ayikho ig-E. Ngokuqhelekileyo ikhula kwiintsana ezinyangeni zokuqala zokuphila.
Iimpawu ziquka:
- Ukuvutha
- Uhudo
- Izitulo ezinegazi
- Ukutshitshiswa (okungaqhelekanga)
Iintsana ezihlakulela le meko zinokuthi zifake ifomula okanye zibele ibele kwaye ziphendule kwiiprotheni zobisi ebisi lwebele. Ukuba intsana yakho ene-FPIES iqala ukuphendula kwindlela ethile ethile yefomula, isengozini enkulu yokuphendula kwabanye. Ingcali yakho yezilwanyana iya kubeka i-hypoallergenic formula.
Uvavanyo oluphela kuphela lwe-FPIES yinto ebizwa ngokuba ngumngeni, apho umntwana anikwa inani elincinci lokutya okubangela ukuba yingxaki ngelixa liphantsi kweliso logqirha. Ekubeni kunokwenzeka ukuba impendulo enzima, oku kufuneka kwenziwe kuphela kwindawo yokugula apho uncedo lusondele.
Ngenhlanhla, ininzi intsana iya kuphuma i-FPIES kwiminyaka emibini yokuqala yobomi.
Ukukhusela iAergy Allergies
Kungenakukwazi ukukhusela ukutya kokutya, kodwa kukho iindlela zokunciphisa umngcipheko wengane yakho yokuhlaselwa. Ukuba intsapho yakho ineembali yokutya okanye ukunyamekela kokusingqongileyo, xubusha izikhetho zokutya kunye ne-allergen okanye udokotela wezilwanyana ngaphambi kokuba umntwana wakho azalwe.
Iintsana ezibhekwa "zisengozini" ekuphuhliseni ukunyuka kokutya zingenakukwazi ukuvelisa ukutya kokutya xa zixhaswa kuphela okanye zondla iifomula ze- hypoallergenic iintsana ezi-4 zokuqala zeenyanga.
Utywala
Akukho zonyango kula ma-syndromes, ngoko unyango lwezo zonke iintlobo zobuninzi beebisi luphephe ngokukhawuleza kwimveliso yobisi . Ekubeni iintsana ezininzi zihlakulela ubisi ngaphambi kokuba ziqaliswe kwizidlo eziqinileyo , ugqirha wakho unokumisela i-hypoallergenic fom formula.
Abaninzi abacebisi bezobisi baya kucebisa ukuba baphephe iimveliso zobisi ukuba umntwana wakho unobungozi okanye unobungozi okanye unempawu ezinjenge-eczema.
Izifundo ezimbalwa ngokunyamezela oomama abaneentsana eziqhekezayo ziye zafumanisa ukuba ukuphelisa iintsholongwane zomntwana ngokutya komama kunokunciphisa iimpawu ze-eczema. Ukuxhalabisa ngokutya kokunciphisa oomama kukunyamezela ukuba oomama badinga ezininzi izondlo ukugcina impilo yabo ngexesha beluncelisayo.
Ngoko ke, ukuba ucinga ngokutya kokunciphisa , khuluma nomdli wesondlo malunga nendlela onokuqhubeka udla ukutya okunempilo, okunokulinganisela ngaphandle kokomgu.
Imithombo:
I-Asthma ne-Allergy Foundation yaseMelika. Inxaxheba ye-IgE kwiphepha le-asthma. Kufumaneka ngoNovemba 8, 2015.
Katz, Yitzhak, et al. Ukubonakaliswa kwangaphambili kwiprotheni yobisi yenkomo kukukhusela kwi-milk-protein ye-milk-protein ye-protein.
Osborne, uNicholas, et al. Ubunzima beengxaki-ezibonakaliswe yi-IgE-mediated food allergies usebenzisa isampuli esekelwe ngabemi kunye neendlela ezijongene nentsholongwane emiselweyo kwiintsana I-Journal of Allergy ne-Clinical Immunology, uMqulu 127, Inkcazo 3, Matshi 2011, amakhasi 668-676.e2
Katz, Y., et al. Ubuninzi kunye neklasi yendalo yokutya kweprotroolitis e-protein e-protein-induced milk protein: Ubungakanani obuninzi, abaxhomekeke kubemi be-Journal of Allergic and Clinical Immunology, Umqulu 127, Issue 3, Matshi 2011, amakhasi 647-653.e3