Isiganeko sokutya kokutya okukhuselekileyo siye savuka ngokuphawulekayo kwiminyaka embalwa edlulileyo. Naliphi na isihloko sivela, abantu abadala banempendulo efanayo. "Uyakhumbula nawuphi na umntu eklasini lakho leziko lokuqala kunye nokutya kokutya?" Impendulo yesininzi kukuba, "Akukho ndlela!" Enyanisweni, abaninzi bayakhumbula befumana ibhotela ye-peanut ebanjwe ngaphambili kunye ne-jelly sandwich kwiintsuku apho bashiya isidlo sasemini kwi-counter counter.
Ngoku, iimpawu ezingaphandle kweeklasi zixwayisa abazali ukuba kukho umntwana okhuselekileyo eklasini kwaye uluhlu lwezinto ezingenakuzithumela kunye nabantwana abangabantwana. Ezinye izikolo zichongiwe njenge-peanut-free. Ezinye zezizathu zokunyuka kweziganeko zibangelwa:
- Ukutya okuvuthayo ebusini lomntu
- Ukwandiswa kwamanqatha
- Ukuqala kokuqala kokutya okuqinileyo
- Amanani okuncelisa ukunyusa kuma-1960s no-1970
- Amanani atyelwayo aphantsi kwiintlanga ezithile
Ingaba umntwana wakho unobungozi bokungabikho komzimba okanye ukungahambisani kokutya (ixesha elibanzi apho umntu unokufumana ukuphendulwa kokungalunganga kokutya okungachazwanga ngenyuka kwi-IgE), makhe sifunde ukuba ukunyamezela kufanelana njani kwi-puzzle.
Iimpawu Zengxaki KwiNtsana
Siyazi ukuba iziphumo ezinobungozi xa kukho ukuguquka kwe-immunologic kwi-IgE, kodwa iimeko ezininzi zingabonakalisa ukususela kuloo tshintsho:
- I-aicic dermatitis okanye i-eczema : Ikhumba elomileyo eneendawo ezibomvu ngokubhekiselele ebusweni bomntwana. Oku akunjalo ngokubonakalayo kwindawo yendawo yokutya okanye kwimpumlo. Kwintsana ekhulile, iyakwazi ukuqhubela kwimilenze. Oku kuyachaphazela malunga ne-18% yabantwana kwiminyaka yokuqala yobomi bokuqala.
- I-asthma : Ukugubha ebusuku
- Ukugubha
- Iimpazamo : I-diaphragm iyatsalwa ngokukhawuleza xa unenkinga yokuphefumla
- Ukutya kokutya : Infantile colic (ichaphazela i-15% ukuya kwi-40% yabantwana kwiinyanga ezine zokuqala zobomi), izitulo ezivulekileyo, i-reflux, i-dopatitis ye-atopic, imihlathi, ukuhlanza, ukungaphumeleli
- I-rhinitis ye-allergen : Iphunga le-Runny, amehlo abuhlaza
- Iimbuzi
- Yewena mkhuhlane
Indlela Yokwenza I-allergenic Activity Actually Occur?
Inkqubo yeemeko ezinzima kakhulu. Kwiimeko ezininzi, umntu uya kuba nokubonakaliswa okungaphezulu kweyodwa kwi-allergen, kwaye emva kwexesha bahlakulela ukuxhomekeka kwi-hypersensitivity kuwo. Ukulandela, kukho isenzo esingaqhelekanga se-immune system apho isiphumo isabela-antigen-antigen, ekhokelela ekusithekeni i-lymphokines ngama-T-lymphocytes. Kuyakwazi ukuba ne-hypersensitive ukulibaziseka kwi-allergen, apho ukuphendula kuthatha iiyure ezingama-24 ukuya kuma-48 emva kokuvezwa. Impendulo engaphezulu ngokukhawuleza isifo se-anaphylaxis, esetyenziswe ngama-antibodies ezenziwe ngama-lymphocyte B. Ngendlela yokusabela ngayo, kukho ukukhululwa kweeseli zesitrasi, eziqulethe i-heparin kunye ne-histamine ize ilandele ukwanda kwe-IgE.
Ngoku, yintoni indima ubisi lwebele edlala kuyo? Umathumbu wenziwe ngamaseli e-epithelial. Ngaphambi kweenyanga ezi-6 ukuya kwezi-9 ubudala, iimbumba zamathumbu omntwana zixakeka kakhulu kwiiprotheni - akazange aphuhlise i-molecule ye-IgA, elinezibilini zesifuba, eziqhelekileyo zihlanganisa intumbu, ngaphezu kokukhusela i-bacterial, i-virus. kutyalwa. Umzekelo ophelileyo ubisi lweenkomo , equle iiprotheni ezimbalwa ezisebenza njengezilwanyana, ezifana ne-lactoglobulin, i-casein, i-serum albumin (okanye i-BSA) kunye ne-lactalbumin.
Usana (okanye umntwana) olunobisi lweenkomo ukungabikho komzimba lungabonisa naliphi na oku kulandelayo:
- Ukuvutha
- Isifo sohudo
- Colic
- Colitis
- Ukukhala okungapheliyo
- Ukungathandi ukutya
- Iipatheni zokulala ezibi
- Eczema
- Iimbuzi
- Ukukhawuleza kwe-diaper
- Ubunzima obukhulu
Ngaphezulu kwezi mpawu, ezininzi izifo zonyango zidibaniswa nobisi lweenkomo ukungabikho komzimba - ukungabikho kokutya kokutya, ukunyuka kwezinto zokutya / ukuchithwa kwemithi, ukudla kwe-anaphylactic kunye ne-anaphylactoid yokusabela.
Ngaba kukho nawuphi na ukukhuselwa kwezilwanyana?
Ucwaningo lwangaphambili lucebise ukuba ukuphepha komama ukutya okuninzi, njengamatyuwa kunye ne-shellfish, ngexesha lesithathu lokukhulelwa, kunokuthintela ukutya, kodwa uphando olutshanje alubonisanga umhlobo phakathi kokutya kokukhulelwa komama kunye nokukhuselwa kwezilwanyana.
Nangona kunjalo, uphando oluninzi lubonisa ukuba ukuncelisa (kuphela kwenyanga nje enye) kunokunciphisa indlela i-eczema kunye nokutya kwimizimba ekhoyo ngayo. Njengazo zonke izihloko zokuncelisa, siva iingcebiso eziphikisanayo malunga nokuncelisa nokunyamezela, kwaye kufuneka siqaphele ukuba izifundo zobuchophozi zinzima kakhulu ukuzenza ngenxa yezinto ezininzi - isingeniso sokutya, izifo zofuzo kunye nokutya kokubeleka kubaluleke kakhulu. Nangona kunjalo, ukuncelisa kusalucacisiwe ngu-American Academy of Pediatrics njengendlela efanelekileyo yokukhusela ukukhulelwa kwintsana.
Ngaba i-Formule engcono kwi-Allergy?
Okokuqala, makhe siqaphele ukuba iintlobo ezahlukeneyo zefomula zithengiswayo: ubisi lweenkomo, i-soy, i-hydrolyzed (njenge-Alimentum kunye ne-Nutramigen), kunye ne-amino-acidi eqalayo (njenge-Neocate, Neocate One +, Elecare). Amaninzi amaninzi aphelelweyo kwindlela yokwenza i-soy ifsana ukuba umntwana wabo uphendule kwinkomfa yobisi lweenkomo, kodwa oku akusiyo iprotein ye-move ye soy ehamba phambili isenokubangela ukuba i-immune response and sensitization (nokuba ngaphantsi kwelo lobisi). Enyanisweni, amathuba okungaxhaswa kwesoya kunye nobisi lweenkomo ukungena kwexesha elifanayo ukusuka kwi-0% ukuya kwi-60%. Izinga eliphezulu lezinto ezenzekayo zibikwe kwi-entocolitis engekho-IgE edibeneyo okanye kwi-syndromes syndromes. Izifundo ziye zahluleka ukubonisa ukuba nayiphi na isinciphiso ekuphuhliseni iimeko ezinobungozi ebuntwaneni (nasebuntwaneni) ezivela kwi-soy xa kuthelekiswa nobisi lobisi lweenkomo.
Ngaba Ukuyeka Ukuncelisa Isisombululo Esona Sona Ukuba Ingane Inomntwana?
Awunakuyeka ukuncelisa umntwana wakho. Nangona kunjalo, kukho izifundo zokusebenzisa ifom ye-Neocate yokunyanga kwe-colic. Kuphando, ubisi lweenkomo lwusususwe ngokupheleleyo ekudleni komama kwaye umntwana wafakwa kwi-Neocate iintsuku ezi-4 ukuya kwezi-8. Iintsana zonke ziphendule kakuhle kule nenelelo kwaye ezininzi zabuyela kwibele xa kungabikho miba.
Imithombo:
Greer FR: Iimpembelelo zoNyathelo lokuQiniseka kweZondlo malunga nokuPhuhliswa kwezifo eziPhilatikiyo 121: 183-191, 2008.