Kodi zinyezi zophika zimatha kuchiza nthendayi?
Kuchuluka kwake kwa nthanga za nkhanu kwawonjezeka kwambiri pa zaka 10 zapitazo ndipo tsopano kumakhudza mmodzi mpaka awiri peresenti ya anthu ku United States ndi m'mayiko ena akumadzulo. Zowopsa kwambiri, zomwe zimachititsa kuti anthu azikhala ndi matendawa zimakhala zoopsa kwa anthu omwe ali ndi nthendayi ndipo zakhala zikupha anthu ambiri pazaka 15 zapitazo. M'madera ena a dziko lapansi, monga Korea, China, ndi Israeli, mlingo wa nthata zapakhungu ndi zochepa kwambiri kuposa za mayiko a Azungu.
Akatswiri ena amaganiza kuti kuchepa kwa nkhanu m'mayikowa kumakhudza momwe nsomba zimagwiritsidwira ntchito. M'mayiko akumadzulo, nthanga zimakhala zowuma youma; M'mayiko omwe si Akumayiko, komabe, nthanga zimakhala zophika, zokazinga kapena zophika. Mitundu yosiyanasiyana ya yogwiritsira ntchito ikhoza kusinthira momwe thupi limayankhira ndi allergen yamagazi.
Mmene Kusinthira ndi Kuphika Kusintha Mafuta a Peanut
Pali zigawo zitatu zazikulu zamtunduwu zomwe zimatchulidwa, Ara h 1 , Ara h 2 ndi Ara h 3 . Anthu okhala ku United States (US) omwe ali ndi nthendayi yamkuntho kawirikawiri amatsutsana ndi Ara h 2 , makamaka anthu omwe ali ndi mitundu yoopsa ya nthendayi. Zikuwoneka kuti nkhuku zazikuluzikulu zimakonda kusinthana ndi momwe zimakhalira poyerekeza ndi zitsamba zosaphika. Kukhalitsa nyemba kumapangitsanso momwe maselo a IgE amachitira ndi Ara h 2 , zomwe zingamvetsetse chifukwa chake anthu ku US amakonda kukhala ndi zovuta komanso zoopsa kwambiri.
Komabe, nkhuku zokazinga sizimadyedwa ku Korea, komwe zimakonda kudya zophika, zophika kapena zokazinga, zomwe zimawoneka kuti zimachepetsa mphamvu ya Ara h 2 kuti ikhale ngati allergen. Pachifukwachi, zikuoneka kuti ziwombankhanga, makamaka mitundu yosiyanasiyana, zimakhala zofala kwambiri m'mayiko akumadzulo poyerekeza ndi mayiko a Asia.
Kodi Pakali pano Pali Chithandizo cha Zilonda Zakudya Zam'mimba?
Osati kwenikweni. Pali maphunziro angapo ang'onoang'ono omwe akugwiritsidwa ntchito pogwiritsa ntchito katemera wamankhwala kuti athe kuchiza nthendayi. Maphunzirowa akuphatikizapo kupereka kuchuluka kwa ufa wa ufa (nthawi zambiri m'maguluti a gelatin) kuti adye tsiku ndi tsiku, kwa milungu ingapo mpaka miyezi. Pambuyo pa nthawiyi, vuto la pamlomo pa khofi limagwiritsidwa ntchito kuti mudziwe kuchuluka kwa mtedza munthuyo angakhoze kulekerera popanda kukumana ndi vuto. Kafukufuku wochepa awonetsa kuti ana atatha kumwa miyendo yam'nyolo kwa miyezi yambiri, amatha kudya nthiti zambiri (pafupifupi 20) popanda kuchitapo kanthu. Mwatsoka, pafupifupi ana onsewa adakumana ndi vuto linalake la mankhwalawa.
Kuwonjezera pa zizindikiro za anaphylaxis zomwe zafotokozedwera kuti zimachitika mwa ana ambiri omwe amamwa mankhwala a peanut immunotherapy, pali chiwerengero chowonjezereka cha ana omwe akulera matenda a eosinophilic asophagitis ngati zotsatira za pamphuno ya m'thupi. Choncho, chifukwa cha kawirikawiri, nthawi zina zotsatira zoyipa za m'kamwa wamankhwala ammimba, komanso funso la momwe chithandizochi chingathere nthawi yayitali, sichiri chovomerezeka kuti chigwiritsidwe ntchito kunja kwa malo ofufuza kafukufuku.
Mankhwalawa sali okonzeka kuti aperekedwe ndi anthu omwe amatsutsana nawo, ndipo ayenera kuperekedwa ndi mayunivesite akulu kapena malo ophunzitsira zovuta, kapena ngati mbali ya kafukufuku.
Akatswiri a zakudya zowonjezera zakudya adanena kuti, "Nkhumba imathandiza kuti munthu adziwe njira zothandizira anthu kuti azisamalira bwino matendawa. Komabe, panopa palibe umboni wokhutira, wotetezeka komanso wotsika mtengo -kugwira ntchito yamakina am'nkhwala amtundu wotchedwa immunotherapy kuti akulimbikitseni ntchito yake nthawi zonse. "
Kodi Zakudya Zotentha Zimatha Kuchiza Chakudya Chakudya?
Mwinamwake.
Kafukufuku wakale wasonyeza kuti kupyolera mu kutentha kwakukulu, zakudya zina monga mkaka ndi dzira zimataya mphamvu zawo zowonongeka. Anthu ambiri omwe ali ndi mkaka ndi mazira amatha kulekerera zakudya zimenezi pamene akuwotcha kwambiri. Nthawi zambiri pakakhala mkaka ndi mkaka kawirikawiri amadyedwa ndi anthu omwe ali ndi dzira ndi mkaka, zakudya zowonjezera zimakhala zovuta kwambiri, komanso ali ndi zaka zingapo.
Kafukufuku waposachedwapa, omwe anachitidwa pa ana anayi ali ndi nthendayi yamkuntho, adatsatira mfundo yomweyi pofuna kuyesa matenda awo a chikondwerero. Anawo adadya zonunkhira zowonjezera tsiku lililonse pa miyezi yambiri. Pambuyo pa miyezi yambiri, ana ena adatha kudya msipu wobiriwira. Monga momwe zilili ndi kudya kwambiri mkaka wotentha ndi dzira, kudya nthiti zophika - ndi kuchepa kwa Ara h 2 - kungachititse kuti munthu azikhala wololera pamlomo. Ngakhale kufufuza kwina kuli kofunika, kudya msuzi wophika kungakhale chinsinsi cha mankhwala ochizira.
Ngati mukudwala nthendayi, ndikofunika kuti musayese kudya nyemba zophika musanalankhule ndi dokotala wanu odwala matendawa. Phunziro lomwe tatchulidwa pamwambali linaphatikizapo chiwerengero chochepa cha odwala, ndipo zotsatira zowopsa zowopsa kwa moyo zimatha kupezeka ndi kudya zophika zophika kwa anthu omwe ali ndi nthendayi.
> Zotsatira:
> Turner PJ, ndi al. Kutaya kwa mapuloteni a Allergenic Panthawi yotentha Kumatanthauzira Kupirira kwa Wophika Mkaka M'magazi Amphaka. J Zachilombo Zamtundu wa Immunol. Mu Press .
> Sampson HA. Peanut Mlomo Immunotherapy: Kodi Ndi Wokonzeka Kuchita Zipatala. J Zachilombo Zamtundu wa Immunol. 2013; 1: 15-21.