Kupewa Chakudya Chakumwa Kuchokera M'kukula Kwa Mwana Wanu

Pokhala ndi chakudya chokwanira chokwanira, makolo ambiri omwe akuyembekezera ndi atsopano angafune kudziwa ngati n'zotheka kuteteza mwana kapena mwana wamng'ono kuti asakululuke. Koma pali njira iliyonse yochepetsera chiopsezo cha chifuwa cha ana?

Mwinamwake, amati akatswiri.

Ngati inu ndi banja lanu mulibe mbiri ya chifuwa, kuchedwa kudyetsa mwana wanu mkaka kapena kusadya nyama zapakati pa mimba sikungachepetse chiopsezo cha mwana wanu kuti akule bwino.

Kafukufuku wamakono akuwonetsa kuti kudya zakudya zowonongeka ndi kuchepetsa kuyambitsidwa kwa zakudya sikungakhudze chiopsezo chokhala ndi chifuwa cha zakudya kwa ana ambiri.

Komabe, ngati muli ndi "mwana woopsa" - mmodzi wokhala ndi kholo limodzi kapena mchimwene wake wokhala ndi chifuwa - akhoza kuchepetsa chiopsezo cha kuvutika kwa zakudya kapena kuchepetsa chitukuko chawo kutsata ndondomeko ya American Academy of Pediatrics (AAP) pofuna kupewa matenda, omwe amatsindika kuyamwitsa.

Kupewa Chakudya Chokhalitsa Pakati Panthawi Yokhala Woyembekezera

Kubwereza kwa Cochrane mu 2006 kwa maphunziro anayi a zachipatala sanapeza kugwirizana pakati pa zakudya za amayi pamene ali ndi mimba komanso kenako kutentha kwaching'ono kwa ana awo. Phunziroli ndi ena adatsogolera AAP kusintha malangizo awo kwa amayi omwe ali ndi pakati ndi amayi oyamwitsa mu 2008: Gulu la ana aamuna akuvomereza kuti amai samapatsa chakudya chawo panthawi yomwe ali ndi mimba.

Ndipotu, kafukufuku amene adafalitsidwa mu 2014 adapeza kuti mtedza wa tirigu, tirigu ndi mkaka panthawi yomwe anali ndi mimba zinkakhudzidwa ndi kuchepa kwa chakudya ndi mphumu kwa ana ndi ana.

Makamaka, mimba yamimba imene mayi wapakati amadya, imachepetsanso zovuta za mwana wake.

Ngati muli ndi zakudya zinazake, simukuyenera kudya pamene muli ndi pakati, kapena nthawi zina. Koma ngati mulibe chiwopsezo cha zakudya, kudya zakudya zomwe zimagwiritsidwa ntchito monga mkaka kapena nthikidzi sizingapangitse mwana wanu kukhala ndi chifuwa chakumapeto m'moyo, ndipo akhoza kuchepetsa mwayiwo.

Zakudya Zopatsa Bwino kapena Zamatumba Ana Aakulu Oopsa

Mkaka wa m'mawere ukhoza kukhala ndi zakudya zowonjezera, monga mapiritsi kapena mapuloteni a mkaka. Ana ena amatha kukhala omasuka ndi zozizwitsazi komanso zomwe zimachitika. Komabe, kuyamwa kumateteza ana oopsa kwambiri ndipo akhoza kuchepetsa kukula kwa chifuwa.

AAP inakambiranso maphunziro 18 omwe amayerekeza kuyamwitsa kuti apereke chakudya chachangu kwa ana omwe ali ndi chiopsezo chachikulu. Kuphatikizidwa pamodzi, maphunzirowa adasonyeza kuti kuyamwa kwa miyezi inayi kungachepetse chiopsezo cha mwana wanu kuti ayambe kulumphira poyerekeza ndi kudyetsa mwana wanu wamphongo kapena mkaka wa mkaka m'miyezi imeneyo. Ngati mumaphatikizapo ndondomekoyi, mayendedwe apaderawa amachepetsanso chiopsezo cha kudwala, ngakhale kuti sichiyamwitsa.

Maphunzirowa adapezanso kuti ngati mutapewa zakudya zazikulu zowonjezereka pamene mukuyamwitsa, sikulepheretsa mwana wanu kuti asapange chakudya chokwanira. Koma ngati mwana wanu ali kale ndi khungu ( eczema ), kupeŵa zakudya zakuda kwambiri pamene mukuyamwitsa zingathandize mwana wanu kukhala ndi zochepa.

Nthawi yoyamba Yoyamba Zosakaniza Zakudya

AAP ankakonda kuchepetsa nthawi yayitali poyambitsa chakudya cha allergenic kwa ana omwe ali pangozi. Koma ochita kafukufuku sanapeze kuti kuchepa kwa chiwopsezo cha kuchepa kwa nthawi yaitali, ngakhale kwa zakudya zowonjezereka monga zitsamba.

AAP ndi American Academy of Allergy, Asthma, ndi Immunology (AAAAI) onse amalimbikitsanso kuchepetsa kuika chakudya cholimba mpaka miyezi isanu ndi umodzi kwa ana oopsa kwambiri. Malangizo awo amalimbikitsa kuti muyambe kuyambira pa miyezi isanu ndi umodzi pa zakudya monga zipatso, ndiwo zamasamba, ndi mbewu za tirigu. Tulutsani zakudya zatsopano kamodzi, pang'onopang'ono.

Ganizirani zokonda, sopo, ndi shampoos kuti mukhale chiyambi cha "chakudya" chatsopano. Kafukufuku wina anapeza kuti kugwiritsa ntchito khungu lopangidwa kuchokera ku mafuta a kasupe kunapangitsa kuti pakhale nthenda yotsekemera m'zaka zaunyamata.

Zotsatira:

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Chafen JJ, et al. Kusanthula ndi kuyendetsa chiwopsezo cha chakudya chodziwika: kuwonetsetsa mwachidwi. JAMA. 2010 May 12; 303 (18): 1848-56.

Popanda G, Fox D, Northstone K, Golding J; Avon Longitudinal Phunziro la Makolo ndi Ana Ophunzira Phunziro. Zinthu zomwe zimagwirizanitsidwa ndi chitukuko cha nthata mu ubwana. New England Journal of Medicine. 2003; 348: 977 -985

Greer FR, Sicherer SH, Burks AW; Komiti ya American Academy of Pediatrics ya Zakudya Zakudya; Gawo la American Academy of Pediatrics pa Zotsatira Zopangira Zofuna Zachilombo ndi Immunology.Zomwe zimayambitsa matenda oyambirira pa chitukuko cha matenda a atopic kwa ana ndi ana: udindo wa kusamalidwa kwa amayi oyembekezera, kuyamwa, nthawi yowonjezera zakudya zowonjezera, ndi ma hydrolyzed formula. Matenda. 2008 Jan; 121 (1): 183-91.

Kramer MS, Kakuma R. Maternal kupewa zakudya za antigen panthawi ya mimba ndi / kapena lactation popewera kapena kuchiza matenda a atopic kwa mwanayo. Cochrane Database Rev. 2006; (3): CD000133

Sicherer SH, Burks AW. Zakudya za amayi ndi ana kuti athe kupewa matenda opatsirana: kumvetsetsa kusintha kwa masewera mu 2008. Journal of Allergy ndi Clinical Immunology. 2008 Jul; 122 (1): 29-33.

Thygarajan A, Burks AW. American Academy of Pediatrics amalimbikitsa zotsatira za njira zoyamba za zakudya pa chitukuko cha matenda a atopic. Curr Opin Pediatr. 2008 Dec; 20 (6): 698-702.

Vadas P, Wai Y, Burks W, Perelman B. Kuzindikira kwa chiwindi kumayamwa mkaka wa amayi odyetsa. JAMA. 2001; 285: 1746 -1748