Matenda a enterocolitis (mapuloteni) omwe amachititsa kuti zakudya zowonongeka zimakhudze ana ndi ana ndipo zimayambitsa zizindikiro za kusanza ndi kutsekula m'magazi komwe kumayambitsa kutaya madzi ndi kusokonezeka pakudya zakudya zina.
Ngati zizindikiro sizinali zachilendo, mafupa angayambitse kulemera ndi kusowa koyenera. MAFUPI amayamba chifukwa cha zakudya zomwe anthu amadya komanso sizimayambitsa matendawa .
MAFUPI akhoza kusokonezeka ndi chifuwa cha zakudya chifukwa cha zomwe zimachitika mutadya zakudya zina; Komabe, popeza ana ambiri omwe ali ndi majeremusi samapanga mankhwala opatsirana pogonana chifukwa chodya zakudya zowonongeka, zoyezetsa magazi sizothandiza.
Zizindikiro za majeremusi
Zizindikiro za majeremusi kawirikawiri zimachitika mkati mwa maola angapo odyera chakudya. Matenda obwereza a kusanza kwambiri amayamba patangotha maola atatu atadya chakudya cha causative, ndi kutsekula m'mimba mkati mwa maora asanu. Mwanayo mwamsanga amayamba kutaya madzi, akhoza kukhala ndi kutsika kwa magazi ndipo ndi lethargic. Mwanayo nthawi zambiri amafuna chisamaliro cha chipatala, ndipo zimakhala zachilendo kuti mwanayo azindikiridwe ndi sepsis .
Ngakhale mayiko ena amatha kutsanzira chifuwa cha zakudya , zizindikiro zimakhala ndi zizindikiro za m'mimba zokha, komanso ziwalo zina za thupi sizikukhudzidwa. Mwachitsanzo, matenda oopsa a chakudya amayamba kuonetsa zizindikiro za ming†™ oma ndi kutupa kwa nkhope ndipo zimayambitsa zizindikiro za kupuma monga kukhwima kapena kupuma.
Zizindikiro zoterezi zimachitika mofulumira kwambiri kuti zizindikirozi ziwoneke m'magulu - kawirikawiri mkati mwa maminiti ochepa chabe akudyera chakudya, osati maola.
Zakudya Zomwe Zimayambitsa Mitambo
Pali zakudya zosiyanasiyana zomwe zafotokozedwa kuti zimayambitsa mazira - zambiri zomwe zimaphatikizidwa ndi mazira ndi ana omwe amachokera ku soya.
Ana ambiri omwe ali ndi ma FPY adzachita nawo mkaka ndi soya. Zomwe zimachitikanso kumawonekedwe a ana aang'ono nthawi zambiri zimakhalapo usanafike zaka chimodzi, kawirikawiri mkati mwa masabata ochepa chabe.
Nkhumba zatchulidwa kuti zidzachitika ndi zakudya zolimba, makamaka mbewu za tirigu, nyemba, ndi nkhuku. Zakudya zina zomwe zimapangidwira nkhuku zimaphatikizapo mbatata yokoma ndi yoyera, zipatso zosiyanasiyana, nsomba, ndi nkhono. Chakudya chodziwika kwambiri chomwe chimayambitsa FPY ndi mpunga wokolola, ngakhale mbewu zina zambiri za tirigu zanenedwa. Ana omwe ali ndi FPI ku mbewu imodzi yambewu amakhala ndi mwayi wa 50% wokhala ndi nkhumba ku mbewu ina. Mazira amangowononga ma FP.
Sizowoneka kuti mwana ali ndi zaka zoposa 1 akukhazikitsa MAFUPI atsopano ku chakudya chatsopano; chosiyana ndi nsomba ndi nsomba zamadzi, zomwe zakhala zikudziwika kuti zimayambitsa FPIES ngakhale kwa ana akuluakulu ndi akuluakulu.
Kusanthula ma FP
Zowonongeka kuti majeremusi apite osadziwika kwa masabata kwa miyezi, ndipo zizindikiro zimatchulidwa nthawi zambiri m'mimba ya chimfine (viral gastroenteritis), sepsis kapena chakudya chokwanira. Komabe, zoyezetsa magazi nthawi zambiri zimakhala zosasangalatsa, ndipo zakudya za "hypoallergenic" monga mpunga ndi nkhuku nthawi zambiri zimanyalanyazidwa ngati zingatheke.
Choncho, matendawa amawoneka pa chipatala chifukwa palibe mayeso omwe amapezeka kuti atsimikizidwe kuti ali ndi vutoli, osakhala ndi vuto la chakudya chokamwa, chomwe sichifunikira.
Ofufuza ena apeza kuti kuyezetsa magazi pamatenda kungakhale kothandiza kutsimikizira kuti akudwala matendawa komanso mwina kumathandiza kudziwa ngati mwana ali ndi mazira ochepa.
Chithandizo
Pewani zakudya zowonongeka, komanso kupeŵa zakudya zina zomwe zimawoneka kuti zimayambitsa matendawa, ndiwo mankhwala opambana. Ngati mwanayo ali ndi mapepala oyambitsa mkaka wa mbuzi, chithandizo cha soyayi chiyenera kupewedwanso, chifukwa chakuti mwanayo adzawona zizindikiro kwa zakudya zonse za 50 peresenti ya nthawiyo. Ngati n'kotheka, kuyamwa koyenera kumalimbikitsa ndipo ayenera kuthetsa vutoli.
Ngati njira zachinyamatayo zimagwiritsidwa ntchito, mazira a hydrolyzed (monga Alimentum ndi Nutramigen, omwe mapuloteni a mkaka amathyoledwa mu tizidutswa ting'onoting'ono) ndiwo njira yabwino kwa ana aang'ono.
Kupewa mbewu zambewu, nkhuku ndi nyemba zimalimbikitsidwanso. Zipatso zambiri ndi ndiwo zamasamba sizikhala zovuta nthawi zambiri ndipo zimakhala zolekerera ana omwe ali ndi FPI.
Chizindikiro chikachitika, chithandizo chiyenera kufunidwa mu chipinda chodzidzimutsa, chifukwa cha kuopsa kwa zizindikiro. Mankhwala osakaniza ndi corticosteroids nthawi zambiri amafunika kuti chithandizo chamankhwala cha PEPP chikhale chovuta kwambiri. Injectable epinephrine imaperekedwa nthawi zambiri ngakhale kuti ilibe phindu lochepa la mankhwalawa.
Mapepala Amasintha Bwanji?
Kawirikawiri, mabungwe amasankha ndi zaka 3, kutanthauza kuti mwanayo akhoza kupirira zakudya zopweteka pambuyo pa msinkhu uwu. Komabe, makolo sayenera kuyesa kudziwa ngati mwanayo akhoza kulekerera chakudya pakhomo. M'malo mwake, wotsutsa zamoyo angasankhe kukonza chakudya chokamwa mwachindunji mosamala kwambiri, monga dokotala kapena chipatala. Ndikoyenera kuti zovuta zowonjezera zamakono zizichitidwa ndi kathetti yogwiritsira ntchito m'malo mwakuti madzi amchere ndi corticosteroids athe kuperekedwa ngati kuli kofunikira.
Phunzirani za kusokonezeka kwa mankhwala a ana .
Chitsime:
Leonard SA, Nowak-Wegrzyn A. Zakudya Zakudya Zakudya Zowonongeka za Enterocolitis: Zowonjezera pa Mbiri Yachilengedwe ndi Kukambitsirana kwa Utsogoleri. Ann Zozizira Nthenda Immunol. 2011; 107: 95-101.