Ngenxa yokutya okunzulu okukhulu, abazali abaninzi abatsha nabazali abatsha banokukwazi ukuba kunokwenzeka ukuthintela umntwana okanye umntwana omncinci ekuphuhliseni. Kodwa ngaba kukho nayiphi na indlela yokunciphisa umngcipheko wokunyuka kwezilwanyana kubantwana?
Mhlawumbi, ithi iingcali.
Ukuba wena kunye nentsapho yakho ningenayo imbali yokunyamezela, ukulibazisa ukuncelisa ingane yobisi okanye ukungadli izilwanyana ngexesha lokukhulelwa akuyi kuncipha umngcipheko wokuba umntwana wakho akhule.
Uphando lwangoku lubonisa ukuba ukutya okuphazamisayo kunye nokulibazisa ukuqaliswa kokutya akusenzi umngcipheko wokuphuhlisa ukutya kokutya kubantwana abaninzi.
Nangona kunjalo, ukuba unomntwana onomngcipheko-omnye nomzali omnye okanye umntakwabo kunye noxinzelelo - kunokunciphisa umngcipheko wokutya okanye ukulibazise ukuphuhliswa kwabo ukulandela umgaqo-nkqubo we-American Academy of Pediatrics (AAP) wokuthintela ukunyamezela, okugxininisa ukubelesa.
Ukuphepha Ukutya Konke Okusemandleni Xa Ukhulelwe
Ukuhlaziywa kuka-Cochrane ka-2006 kwezifundo ezine zonyango akufumananga ukudibanisa phakathi kokutya koomama ngexesha lokukhulelwa kwaye kamva i-eczema yezilwanyana. Olu pho nonongo lukhokelela i-AAP ukutshintsha izikhokelo zabo ngoomama abakhulelweyo nabongikazi ngo-2008: iqela labahlengikazi ngoku bacebisa ukuba oomama abawuthinteli ukutya kwabo ngexesha lokukhulelwa.
Enyanisweni, uphando olupapashwe ngo-2014 lufumene ukuba i-peanut, ingqolowa nobisi ngexesha lokukhulelwa lidibaniswa nesiganeko esincitshisiweyo sokutya okunesifo sokutya kunye nesifo se-asthma kubantwana kunye nabantwana.
Ngokukodwa, amaninzi amanqwanqileyo wesifazane okhulelweyo adle, umncinci wengxaki yomntwana wakhe wokuba ne- peanut allergies .
Ukuba ulungele ukutya okuthile, ngokusobala akufanele uyidle xa ukhulelwe, okanye ngamanye amaxesha. Kodwa ukuba awunakho ukutya kokutya, ukutya ukutya okuqhelekileyo (okufana nobisi okanye i-peanuts) akunakwandisa ithuba lokuba umntwana wakho abe nokutya kokutya emva koko ebomini, kwaye unokunciphisa namathuba.
Iingxube ezisiNgcipheko okanye i-Bottle-Feed Iintsana eziMngcipheko
Ubisi lwebele lubunokutya okunokutya, okufana ne-peanut okanye i-proteins yobisi yobisi. Ezinye iintsana zinokuthi zivelele kwezi zifo kwaye ziphendule. Nangona kunjalo, ukuncelisa kunomkhuhlane okhuselekileyo kwiintsana ezisemngciphekweni kwaye kungenokwenzeka ukuba ulibazise ukuphuhliswa kwemvelo.
I-AAP ihlolisise iifundo ezili-18 eziqhathaniswa nokuncelisa ukunyusa isondlo kwiintsana ezisemngciphekweni. Kuthathwe ndawonye, izifundo zibonise ukuba ukuncelisa ubuncinane ubuncinane kweenyanga ezine kunokunciphisa umngcipheko wengane yakho ekuhlaleni ukunyuka komzimba xa kuthelekiswa nokunyusa inkomo yakho yenkomo okanye ubisi lwe-milk soy during these months. Ukuba uncedisa ngefomula, iifomula ezizodwa zemithi ziyanciphisa umngcipheko wezilwanyana, nangona kungabi nakunjengokuncelisa.
Ezi zifundo zifumanise ukuba ukuba ugwema ukutya okubalulekileyo xa uluncelisayo, alukuthinteli umntwana wakho ekuphuculeni ukutya kokutya. Kodwa ukuba umntwana wakho usenokuba neengxaki zesikhumba ( eczema ), ukuphepha ukutya okugqithiseleyo xa uncelisayo unokunceda umntwana wakho abe neengxaki ezimbalwa.
Nini ukuqala ii-Allergenic Foods
I-AAP isetyenziselwa ukucebisa ukulibaziseka ixesha elide ekuveliseni ukutya okusemngceleni kubantwana abasengozini. Kodwa abaphandi abafumananga ukuhla kwezinga lokungabikho komzimba ukusuka ekulibazisekeni kwexesha elide, nangenxa yokutya okugqithiseleyo kunjengamaqhekeza.
I-AAP kunye ne-American Academy ye-Allergy, i-Asthma, kunye ne-Immunology (AAAAI) bobabini banokukhuthaza ukulibazisa ukuqaliswa kokutya okuqinileyo kude kube ziinyanga ezintandathu kubantwana abasengozini enkulu. Izikhokelo zabo zincoma ukuba uqale unyaka-ezintandathu ezinyangeni ezinokutya ezifana neziqhamo, imifuno kunye neenqolowa. Yenza ukutya okutsha ngesinye, ngexabiso elincinci.
Cinga i-lotions, isepha, kunye ne-shampoos ukuba isingeniso "kwesokudla" esitsha. Olunye uphando lubonise ukuba ukusebenzisa i-skin lotion eyenziwe kwinqwelo yeoli ye-peanut kwandisa umngcipheko we-peanut emva kokubantwana.
Imithombo:
Bunyavanich S et al. I-peanut, ubisi kunye nokutya kwengqolowa ngexesha lokukhulelwa lidibaniswa nokunciphisa ukugula nokuphefumula kwabantwana. I-Journal ye-allergies kunye ne-Clinic Immunology. 2014 Meyi; 133 (5): 1373-82.
Chafen JJ, et al. Ukuchonga nokulawula ukutya okuqhelekileyo kokutya: ukuhlolwa okucwangcisiweyo. JAMA. 2010 Meyi 12; 303 (18): 1848-56.
Ngaphandle kweG, i-Fox D, i-Northstone K, i-Golding J; I-Avon Longitudinal Ukufundiswa kwabaBantwana kunye neBantwana leCandelo loPhando. Izinto ezinxulumene nokuphuhliswa kwe-peanut-allergies ebuntwaneni. I-New England Journal of Medicine. 2003; 348: 977 -985
Greer FR, iSecherer SH, i-Burks AW; I-American Academy yeKomiti yePediatrics yeZondlo; I-American Academy ye-Pediatricians Section kwi-allergies kunye ne-Immunology. Iziphumo zokungenelela kokuqala kwondlo ekuphuhliseni isifo se-atopic kwiintsana nabantwana: indima yokunciphisa izondlo zokubeleka, ukuxelisa, ixesha lokufakelwa kokutya okudibeneyo kunye namafomula e-hydrolyzed. Pediatrics. 2008 Jan; 121 (1): 183-91.
I-Kramer MS, uKakuma R. Umama wokuphepha okhuselekileyo ngexesha lokukhulelwa kunye / okanye ukukhwabanisa ukukhusela okanye unyango lwesifo se-atopic kumntwana. I-Cochrane Database Syst Rev. 2006; (3): CD000133
I-Sicherer SH, i-Burks AW. Izidlo zamantombazana kunye nezesana zokukhusela izifo eziphazamisayo: ukuqonda imenyu yenguqu ngo-2008. I-Journal ye-allergies kunye ne-Clinic Immunology. 2008 Julayi; 122 (1): 29-33.
I-Thygarajan A, iBurks AW. I-American Academy ye-Pediatrics iingcebiso malunga nemiphumo yokungenelela kokuqala kwondlo ekuphuhlisweni kwesifo se-atopic. Curr Opin Pediatr. 2008 Dec; 20 (6): 698-702.
I-Vadas P, iWai Y, i-Burks W, iPerlman B. Ukufumanisa i-peanut allergens ebusini lobisi lwabasetyhini abaqhawulayo. JAMA. 2001; 285: 1746 -1748