Mitundu ya Dairy Allergies
Pafupifupi ana onse omwe amayamba kukaka mkaka wa ng'ombe amatha kuchita zimenezi m'chaka chawo choyamba cha moyo. Mafupa a mkaka ndiwo zakudya zomwe zimawoneka bwino m'mimba .
Pali uthenga wabwino: Ambiri omwe ali ndi mkaka wambiri amatha kukhala olekerera ndi akuluakulu. Pafupifupi 5 peresenti yadzala msinkhu wawo ndi zaka 4, ndipo pafupifupi 20 peresenti idzapitirira ndi zaka 8. Kotero ngakhale mwana wanu atayika mkaka, sizingakhale kosatha - mwinamwake adzathetsa vutoli.
N'zochititsa chidwi kuti mitengo ya mkaka imasiyana mosiyanasiyana m'madera osiyanasiyana padziko lapansi. Kafukufuku apeza kuti mankhwalawa ndi amtundu:
- United States: 1% mpaka 2.5% ya ana osakwana 6
- Israeli: osachepera 1% a ana
- Australia: Oposa 10% a zaka chimodzi
Palibe amene akudziwa chifukwa chake pali kusiyana kotere kwa mkaka wa mchere m'mayiko osiyanasiyana.
Zakudya za mkaka zingachititse kuti ana azitha kuchitapo kanthu m'njira zosiyanasiyana (ngakhale kuti zonse zimakhudzana ndi chitetezo cha mthupi).
Zina mwa zotsatirazi zingayambitse zizindikiro mwamsanga pamene zina zingayambitse kuchitapo kanthu, zomwe zingachititse kuti zikhale zovuta kuthetsa vutoli. Nazi mitundu yosiyanasiyana ya mkaka wa mkaka:
Zakudya Zamakono za Classic (Ig-E- Mediated)
Mukamaganizira za "classic" zopweteka, mumakhala mukuganiza zomwe zimatchedwa Ig-E mediated reaction. Ig-E ndi mtundu wa anti-antibody umene umapangidwa ndi chitetezo chanu cha mthupi. Mu njirayi yapamwambayi, zotetezera za Ig-E izi zimamangirira ku zomwe zimatchedwa maselo a mast, zomwe zimapangitsa maselo kumasula histamine ndi mankhwala ena omwe amachititsa kutupa.
Zizindikiro za chifuwa chamakono chokhala ndi mgwirizano wa Ig-E zimawoneka mkati mwa mphindi 15 mpaka 30 kudya. Zizindikiro za zakudya zowonongeka kwa ana zingakhale zosiyana ndi za akuluakulu, koma zikhoza kukhala:
- Eczema (chiwombankhanga, chikopa chofiira cha khungu)
- Matenda a m'mimba
- Kupuma kapena kupuma kovuta
- Kutupa pozungulira pakamwa kapena pamilomo
- Anaphylaxis (zotheka, koma zosawerengeka kwambiri kwa ana)
Pafupifupi theka la ana aang'ono omwe ali ndi chizungu (omwe amadziwikanso kuti atopic dermatitis ) ali ndi zakudya zogawanika za Ig-E. Kuyezetsa magazi kungathandize kupeza zakudya zomwe zingayambitse mwana wanu.
Ngakhale kuti kafukufuku wina wasonyeza kuti kupewa mazira a dzira-ana otha kuyambitsa angathe kusintha zizindikiro za eczema, sipanakhalepo maphunziro omwe asonyeza kuti kupeŵa mkaka kungakhale ndi zotsatira zomwezo. Eczema ikhoza kukhala ndi zifukwa zambiri, ndipo kupewa mkaka sikungakhale kokwanira kuti zizindikiro za mwana wanu zikhale bwino.
Zakudya zolimbitsa thupi zingathandize kuzindikira zomwe zingayambitse zizindikiro za matenda a mwana wanu.
Kusokonezeka kwa Mimba Zosasunthika
Maoinophils ndi mtundu wa selo loyera la magazi limene limakhala m'magawo ochepa. Pamene wina ali ndi matenda a m'mimba (EGID), amatha kuwonjezeka, ndipo amatha kugonjetsa thupi mwakachetechete akapeza zovuta zowopsa.
Matenda osakanikirana a m'mimba ndi awa: Eosinophilic esophigitis (EoE), tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, komanso tizilombo toyambitsa matenda. Dzina la chikhalidwe chanu chimadalira kumene malo anu owonjezera a eosinophil amapezeka.
EoE ndi yofala kwambiri.
Zizindikiro zingakhalepo:
- Ululu pamene umame
- Kudyetsa kutayika
- Kupweteka m'mimba
- Kutsekula m'mimba
- Kutaya thupi
- Kulephera kulemera
EGIDs ndi zovuta zambiri zomwe zimapangitsa kuti thupi lisatengedwe. Zowonongeka kwa zakudya monga zowonongeka khungu zingathandize kuzindikira zakudya zomwe zimayambitsa ma EGID, koma ziyenera kutsatiridwa ndi kuyesedwa kwina monga vuto la chakudya chamlomo kapena kumapeto kwake.
Matenda a Protein-Entocolitis Syndrome (FPIES)
MAFUPI ndi owopsa kwambiri, omwe amachititsa kuti zakudya zisawonongeke chifukwa cha zovuta zowononga chifukwa sizimagwirizanitsa ndi Ig-E. Nthawi zambiri zimakhala ndi ana m'miyezi yoyamba ya moyo.
Zizindikiro zikuphatikizapo:
- Kuthamanga
- Kutsekula m'mimba
- Zithunzi zoziziritsa magazi
- Kusokonezeka (kosachepera)
Makanda omwe ali ndi vutoli akhoza kukhala odyetsa kapena oyamwitsa mkaka ndi kuyamwa mapuloteni amkaka mu mkaka wa m'mawere. Ngati mwana wanu ali ndi ma FPY akuyamba kuchitapo kanthu, ali ndi chiopsezo chachikulu chochitira ena. Katswiri wanu wamankhwala angapangitse kuti azipereka mankhwala a hypoallergenic.
Njira yokhayo ya ma ARV ndi yomwe imatchedwa "vuto," kumene mwana amapatsidwa zakudya zing'onozing'ono zomwe akuganiza kuti zikuyambitsa vuto pamene akuyang'aniridwa ndi dokotala. Popeza pali kuthekera kwa kuchitapo kanthu koopsa, izi ziyenera kuchitika kokha kuchipatala kumene thandizo likuyandikira.
Mwamwayi, ana ambiri adzatuluka m'midzi mwa zaka ziwiri zoyambirira za moyo.
Kupewa Mazira Zonse
Zingakhale zosatheka kuteteza kuvutika kwa zakudya, koma pali njira zochepetsera chiopsezo cha mwana wanu chokhala ndi chifuwa. Ngati banja lanu liri ndi mbiri ya chakudya kapena chilengedwe, funsani zokondweretsa ndi mwana wanu wodwalayo kapena mwana wanu asanabadwe mwana wanu.
Ana omwe amaonedwa kuti ali "pangozi" pakukhalitsa chakudya chokwanira angakhale osakwanira kukhala ndi chiwopsezo cha zakudya ngati atangoyamwa mkaka kapena kudyetsa ana a hypoallergenic njira zachinyamata kwa miyezi inayi yoyambirira ya moyo.
Dairy Allergies
Palibe machiritso a syndromes awa, kotero chithandizo cha mitundu yonse ya kuteteza mkaka ndi kupeweratu kwakukulu kwa mkaka . Popeza kuti ana ambiri amayamba kumwa mkaka asanadziwitsidwe kwa zakudya zolimba , dokotala wanu angapereke mankhwala achitsulo cha hypoallergenic.
Aphunzitsi ambiri omwe ali ndi ziphuphu amatha kupewera zakudya za mkaka ngati mwana wanu ali ndi vuto kapena ali ndi zizindikiro zowoneka ngati dzuwa.
Kafukufuku wochepa pa amayi oyamwitsa omwe ali ndi mwana wodwala ana apeza kuti kuthetsa zolepheretsa mwanayo kudya zakudya za amayi kungachepetse zizindikiro za eczema. Chodetsa nkhaŵa zowonongeka kwa amayi oyamwitsa ndi chakuti amai amafunikira zakudya zambiri kuti asamakhale ndi thanzi labwino pamene akuyamwitsa.
Choncho, ngati mukuganizira za zakudya zowonongeka , kambiranani ndi zakudya zamankhwala za momwe mungapitirizire kudya zakudya zathanzi popanda mkaka.
Zotsatira:
Nthenda Yophulika ndi Zowirikiza Foundation ya America. Udindo wa IgE mu zovuta zokhudzana ndi chifuwa chachikulu. Idapezeka pa Nov 8, 2015.
Katz, Yitzhak, et al. Kuyambilira kwa mkaka wa mkaka wa ng'ombe kumateteza ku matenda a mkaka wa mkaka wa amphaka a IgE. Journal of Allergy and Clinical Immunology, Voliyumu 126, Ndime 1, July 2010, Masamba 77-82.e1
Osborne, Nicholas, et al. Kukula kwa zakudya zomwe zimatsimikiziridwa kuti ndizogwiritsidwa ntchito pogonana pogwiritsa ntchito zitsanzo za anthu komanso zovuta zomwe zakhala zikukonzedweratu m'mabuku a Journal of Allergy and Clinical Immunology, Voliyumu 127, Issue 3, March 2011, masamba 668-676.e2
Katz, Y., et al. Matenda okhudzana ndi matenda a entroolitis omwe amachititsa kuti azikhala ndi zakudya zamakono. Ambiri amatha kuyambitsa mkaka wamakono: Ophunzira ambiri, omwe amayembekezera kuti adzapeze anthu, Journal of Allergy and Clinical Immunology, Volume 127, Issue 3, March 2011, masamba 647-653.e3