Ukubuka i-Pancake Syndrome
Izidakamizwa ezinothuli ziyimbangela evamile yezifo ezibangelwa ukugula, kuhlanganise ne-rhinitis ye-allergen , i- asthma , ne-atopic dermatitis. Zitholakala ezindaweni eziningi emhlabeni, ikakhulukazi ezindaweni ezimanzi. Ngokuqondile, izidakamizwa zothuli zivame ukutholakala ekubhekeni impahla, ukupaka izimpahla, nokufenisha ifenisha, kepha zingangcolisa ukudla okwenziwa ngotshani kakolweni-nakuba amanye okusanhlamvu angascoliswa nezibungu zothuli.
Abantu abahlukumeza izidakamizwa zothuli baye babhekana ne-anaphylaxis ngenxa yokudla ukudla okungcolisiwe ngama-particle mite particles. Le syndrome inikezwe ngegama lomlomo mite anaphylaxis (OMA), noma i-pancake syndrome.
Yivamile kangakanani i-Pancake Syndrome?
Akukaziwa ukuthi i-OMA ejwayelekile kangakanani-njengoba kungenzeka ukuthi ingabonakali njengesizathu somuntu we-anaphylaxis-nakuba kunemibiko engama-135 emibhalweni yezokwelapha kusukela ngo-Meyi 31, 2012. I-OMA yabikwa kuqala ngemva kokuba abantu baseDetroit naseFiladelphia behlangene i-anaphylaxis ngemva kokudla ama-beignets elungiselelwe kusukela ekuhlanganisweni kwe-beignet etholakala eNew Orleans. Kusukela ngaleso sikhathi, kuye kwabikwa amacala amaningi kwezinye izingxenye zomhlaba, kubandakanya iNingizimu Melika, i-Asia, i-Europe ne-Australia. Amanye amacala amaningi angeke abikwe noma asolwa ngesinye isimo, kuhlanganise nokuphendula okwezinye izakhi zokudla, okuvame ukwanda kokukolweni .
U-OMA uvame ukubikwa kubantu abasha abathintekayo kwezinye izimo ezibangelwa izifo, nakuba kungenzeka kubantu bazo zonke ubudala, kuhlanganise nezingane.
Izimpawu
Izimpawu ze-OMA zivame ukwenzeka ngaphakathi kwamaminithi ambalwa kuya emahoreni ngemva kokudla ukudla okungcolile ngezidakamizwa futhi zifaka izimpawu ze-asthma, i- angioedema , ne-anaphylaxis enamandla.
I-anaphylaxis eyenziwa ngokuzivocavoca ngenxa yokudla ama-pancake angcolile ngothuli, okulandelwa ukudlala ibhola, kubikiwe futhi.
Izimbangela
Abantu abaphikisana nezidakamizwa zothuli basengozini ye-OMA, nakuba kungacacile ukuthi kungani abantu abaningi bengabhekene nalesi simo, kunikezwa ukuthi udlala oluvamile oluthile luphika kanjani-futhi ukuthi ufulawa cishe lungcoliswa kanjani nezidakamizwa. Kubantu ababikiwe ukuthi babhekene ne-pancake syndrome, cishe isigamu (44%) sinomlando wokungezwani komzimba emidlalweni engeyona-steroidal elwa nokuvuvukala (ama-NSAID). Kuye kwaphakanyiswa ukuthi inhlangano phakathi kwe-OMA ne-NSAID yokungezwani komzimba ingachazwa ngama-particle mite ane impumelelo kwi -enzyme ye-COX-1 , echaphazela ukukhiqizwa kwe-leukotriene, noma enye imbangela engaziwa.
Ukuxilongwa Nokunakekelwa
Ukuxilongwa kwe-OMA kwenziwa ngesisekelo somtholampilo kumuntu obhekene ne-anaphylaxis ngemuva kokudla ukudla okutholakala kungcoliswe izidakamizwa zothuli. Yiqiniso, lowo muntu kwakufanele abe nomzimba ongenakuthola izidakamizwa futhi angabi nomuthi kunoma yiziphi izifo zokudla ezitholakala ekudleni. Umlando we-NSAID ukungezwani komzimba kungenza ukuthi i-OMA ingene kakhulu.
Ukwelashwa kwe-anaphylaxis kusukela e-pancake syndrome kuzofana nezinye izimbangela ze-anaphylaxis, nakuba ukuvimbela iziqephu zesikhathi esizayo kungaba umgomo wabantu abane-OMA.
Ukugcina ufulawa esiqandisini ngepulasitiki elenziwe uphawu noma izigcoke ezibucayi kungase kuvimbele ukungcola kofulawa ngamathambo, ngakho-ke kuvimbele i-OMA.
Umthombo:
I-Sanchez-Borges M, i-Suarez Chacon R, i-Capriles-Hulett A, i-Caballo-Fonseca F, uFernandez-Caldas E. Anaphylaxis Ukusuka kokungenisa izibungu: i-Pancake Anaphylaxis. J Allergy Clin Immunol. 2013; 131: 31-5.