Ngati mwasangalala ndi zakumwa zoledzeretsa, mwinamwake munakumanapo ndi zotsatira zovuta zokondweretsa nazo kwambiri. Koma taganizirani ngati simungathe kumamwa mowa, ngakhale pang'ono, chifukwa munamva zovuta. Pali zifukwa zambiri zowonongeka, zomwe zambiri sizimayambitsa matenda.
Kutembenukira Kwambiri Kukumwa Mowa Mwauchidakwa
Ndizoona kuti mungathe kukhumudwa mutatha kumwa mowa.
Komabe, mowawu sungakhale wolakwa chifukwa cha zizindikiro zanu. Chinthu chinanso, monga mphesa za vinyo, mbewu zosiyanasiyana mowa ndi mizimu (balere, rye, chimanga, kapena tirigu), komanso kuwonjezera kwa yisiti (kutentha shuga ndi zidzukulu za mowa) kungakhale chifukwa.
Zizindikiro za zotsatirazi zikhoza kukhala chimodzimodzi ndi omwe ali ndi zakudya zina zowononga . Mutha kukhala ndi mavuto a khungu (mwachitsanzo, kuyabwa, ming'oma, kutupa), kupuma, kupuma pang'ono, ndi kumutu.
Ndikofunika kuzindikira kuti ngati muli ndi urticaria (ming'oma) kapena angioedemia (kutupa m'magazi akulu, nthawi zambiri nkhope ndi milomo), mungaone kuwonjezeka kwa zizindikiro zanu mutatha kumwa mowa. Izi sizikutanthauza kuti ndinu oledzeretsa mowa, vinyo, kapena mowa; M'malo mwake, mowa umangowonjezera vuto lanu.
Zina zomwe zingapangitse zakumwa zakumwa zoledzeretsa zomwe zingayambitse mankhwalawa ndi sulfites, histamine, gluten, ndi tirigu.
Sulfites
Sulfites ndi zotetezedwa kuwonjezera pa zakudya zosiyanasiyana kuti zisawonongeke. Sulfites amadziwika kuti amayambitsa zizindikiro za mphumu ndipo zimayambitsa ming†™ oma ndi anaphylaxis , zomwe zimawopsyeza moyo.
Mbiri
Zachakumwa zina zili ndi mbiri ya histamine, yopangidwa ndi yisiti ndi mabakiteriya.
Mbiri yakale imatulutsidwa ndi maselo akuluakulu panthawi yomwe imakhala yovuta, ndipo imayambitsa zizindikiro za kuyabwa, ming†™ oma, kunyezimira, ndi kuwomba.
Ngati chakumwa choledzeretsa chiri ndi mbiri yambiri ya histamine, mukhoza kudwala matendawa mutatha kudya. Ngati muli ndi chifuwa chokwanira, monga kupuma kwa nyengo, kuwonjezeka kwa mbiri ya ma histamine kungakupangitseni kuti musamakhale oledzeretsa kwambiri.
Gluten ndi Tirigu
Anthu omwe ali ndi matendawa ali ndi matenda a gluten, ndipo gluten amapezeka mu mowa wina ndi zovuta. Mabakiteriya ena amakhalanso ndi tirigu, omwe angayambitse mavuto kwa anthu omwe ali ndi zokolola za tirigu . Zakumwa zakumwa zoledzeretsa monga vodka, kachasu, gin, ndi bourbon, zimatha kupangidwa ndi tirigu, rye, kapena balere (ndipo mwina pangakhale gluten kapena tirigu).
Nkhani yabwino ndi yakuti opanga ambiri amapanga zakumwa zauchidakwa zomwe sizikhala ndi gluteni komanso / kapena tirigu. Kuonjezera apo, vinyo, chifukwa, brandies ndi vinyo ozizira kwambiri ndizowonongeka. Ngakhale zili choncho, nthawi zonse yesani chogwiritsira ntchito podzilemba nokha.
Osagwirizana ndi Kuthamanga Kwambiri
Aldehyde dehydrogenase ndi puloteni yomwe imathandiza kuthetsa mowa mukatha. Kutayika kwa puloteni imeneyi kungayambitse kupweteka pambuyo poledzera, kuphatikizapo kunyoza komanso kuthamanga kwa mtima.
Kuchita koteroko kungasokonezedwe chifukwa cholephera kuchitapo kanthu, koma makamaka kawirikawiri chifukwa cha kusowa kwa enzyme, komwe kumafala kwambiri kwa anthu a ku Asia.
Kuonjezera apo, kumwa mankhwala ena monga antibiotic Flagyl (metronidazole) kapena Nizoral (ketoconazole) angayambitse kuthamanga. Mofananamo, Antabuse (disulfiram) ya mankhwala, yomwe imayikidwa kuti iwonetsere mowa mopitirira muyeso (ngakhale kuti siikhulukiranso), imayambitsa mavitamini aldehyde dehydrogenase. Akamamwa mowa, Antabuse angayambitse kupweteka kwambiri, kunyoza, kusanza, ndi kutsika kwa magazi.
Chowopseza chotsiriza choyambitsa kukwera kwa mowa ndi Hodgkin lymphoma.
Chodabwitsa ichi sichimvetsetsedwa bwino koma chikhoza kukhala chifukwa cha mitsempha ya magazi mkati mwa kapule yomwe imakhudzidwa ndi mankhwalawa.
Pomalizira, ndizofunika kuzindikira kuti anthu ena amavutika ndi matendawa (zizindikiro za minofu ya mphuno, mphuno yamphongo, ndi / kapena kupopera) pambuyo pa kumwa mowa. Izi zikutheka chifukwa chotsitsa mitsempha ya mitsempha m'mphuno, zomwe zimayambitsa kupanga mankhwala ndi mazenera.
Mawu Ochokera
Pamapeto pake, ngati mukumva mowa kwambiri mutatha kumwa mowa, nkofunika kupewa choledzeretsa chakumwa choledzeretsa chimene chinayambitsa kumwa kapena kumwa mowa. Komanso, ngati muli ndi vuto lalikulu, muyenera kunyamula mankhwala opulumutsa, monga epinephrine injector, ngati chitsimikizo choledzeretsa chikhoza kuwonongedwa.
Pochita zinthu zochepa, ndi bwino kulankhula ndi dokotala wanu za mankhwala omwe mungatenge kuti athetse zizindikiro (mwachitsanzo, antihistamine).
Zotsatira:
> Angioedema Alcohol ndi Urticaria. American Academy of Allergy, Chifuwa, ndi Immunology. https://www.aaaai.org/ask-the-expert/alcohol-angioedema-urticaria.
> Bryant AJ, Newman JH. Kusamvana kwauchidakwa kofanana ndi Hodgkin lymphoma. CMAJ. 2013 May 14; 185 (8): E353.
> Fazio SB. Njira yopitilira anthu akuluakulu. Mu: UpToDate, Aronson MD (Ed), UpToDate, Waltham, MA.
> Sampson HA, Aceves S, Bock SA, ndi al. Zowonongeka kwa zakudya: Mchitidwe wamakono watsopano-2014. Journal of Allergy ndi Clinical Immunology . 2014; 134 (5). lembani: 10.1016 / j.jaci.2014.05.013.