I-enterocolitis syndrome (i-FPIES) edlalwa ngamaprotheni (ama-FPIES) anezifo ezivame ukuthinta izinsana nezingane ezincane futhi ibangele izimpawu zokuhlanza nokuhuda okuphazamisayo okuholela ekusenikeni kwamanzi nokuthuthumela emva kokusetshenziswa kokudla okuthile.
Uma izimpawu zingapheli, ama-FPIES angabangela ukulahlekelwa isisindo nokuntuleka kokukhula okufanele. Ama-FPI abangelwa ukuzivikela kwamagciwane ngenxa yokudla okuvamile futhi akubangelwa ukuphendula kwangempela kwegazi .
Ama-FPIES angase adidaniswe nemithi yokudla ngoba ukusabela kwenzeka emva kokudla kokudla okuthile; Kodwa-ke, njengoba izingane eziningi ezinama-FPI zingenzi ama-antibodies okuqeda ukwelashwa ngokumelene nokudla kwe-trigger, ukuhlolwa kokungezwani komzimba akusebenzi.
Izimpawu zamaFPIES
Izimpawu zama-FPI ngokuvamile zivame ukungakapheli amahora ambalwa ekudleni ukudla kwe-trigger. Iziqephu eziphindaphindiwe zokuhlanza okukhulu ziqala zingakapheli amahora amathathu emva kokudla ukudla okudla, kanye nesifo sohudo ngaphakathi kwamahora amahlanu. Ingane ngokushesha iyancipha, ingase ibe nomfutho wegazi ophansi futhi i-lethargic. Ingane kaningi idinga ukunakekelwa kwegumbi lokuphuthumayo, futhi kuyinto evamile ukuba ingane itholwe nge- sepsis .
Ngenkathi amaFPI angalingisa ukudla kokudla , izimpawu ngokuvamile zihlanganisa izimpawu zamathumbu, nezinye izinhlelo zesitho ezingathinteki. Isibonelo, izifo ezinzima zokudla zivame ukuveza izimpawu zezinyosi nokuvuvukala kobuso futhi zingabangela izimpawu zokuphefumula ezifana nokukhwehlela noma ukushaya.
Lezi zimpawu ezibangelwa ukwelashwa nazo zenzeka ngokushesha kakhulu ukuthi lezo zimpawu zibonwa kuma-FPIES - ngokuvamile emaminithini ambalwa okudla ukudla okubangela, kunamahora.
Ukudla Okubangela Ama-FPIES
Kukhona ukudla okuhlukahlukene okubikwe ukuthi kubangelwa amaFPI - okuvame ukubikwa kubandakanya ubisi namasamu ama-infant based based.
Izinsana eziningi ezinama-FPIES zizobhekana naso kokubili ubisi nesoya. Ukusabela kumafomula amancane ngokuvamile kwenzeka ngaphambi kokuba unyaka oneminyaka engu-1 ubudala, ngokuvamile phakathi kwamasonto ambalwa ukwethula ifomula.
Ama-FPI nawo abiwe ukuthi ayenzeka ngokudla okuqinile, ikakhulukazi okusanhlamvu okusanhlamvu, ama-legumes nezinkukhu. Okunye ukudla okubikwe ukuthi kubangelwa ama-FPI kubandakanya amazambane amnandi namhlophe, izithelo ezihlukahlukene, izinhlanzi kanye ne-shellfish. Ukudla okunamandla okuvame kakhulu okubangelwa ama-FPIES irayisi ye-rice, nakuba amanye amahlamvu okusanhlamvu amaningi abikiwe. Izingane ezinama-FPIES kokunye okusanhlamvu okusanhlamvu kunezithuba ezingama-50% zokuthuthukisa ama-FP nakwenye okusanhlamvu okusanhlamvu. I-egg kuphela ayibangele ukuthi ibangele amaFPIES.
Kuyinto engavamile kwengane engaphezu kweminyaka engu-1 ukuthuthukisa ama-FPIES amasha okushayo kokudla okusha; okungeyona inhlanzi ne-shellfish, eyaziwa ukuthi ibangele amaFP ngisho nasezintwaneni nasezikhulile.
Ukuhlonza amaPHI
Kuyinto evamile ukuthi ama-FPI ahambe angatholakali amasonto izinyanga, futhi izimpawu zivame ukusola ngesifo somzimba (gastroenteritis virus), isisu noma ngisho nokudla kokudla. Kodwa-ke, ukuhlolwa kokungezwani komzimba ngokuvamile kungalungile, futhi ukudla okujwayelekile "njenge-i-antiallergenic" njengelayisi nezinkukhu kuvame ukunganaki njengesizathu esithile.
Ngakho-ke, ukuxilongwa kwama-FPI kuvame ukwenziwa ngesisekelo semitholampilo njengoba kungekho ukuhlolwa kokuhlola okutholakala ukuqinisekisa ukutholakala kwezifo, inselele yokwenza inselelo yokudla ngomlomo, okuyinto engadingeki ngokuvamile.
Abanye abacwaningi bathole ukuthi ukuhlolwa kwe-patch ekudleni kungasiza ekuqinisekiseni ukuxilongwa futhi mhlawumbe kusize ekunqumeni ukuthi ingane ingakanani amaFPIES.
Ukwelapha
Ukugwema ukudla okuqanjwayo, kanye nokugwema kokunye ukudla okuyaziwa ukuthi kubangelwa ama-FPIES, kuyisisekelo esilandelayo sokwelapha. Uma ingane inezinhlobo ze-FPIES ezibangelwa usana lwamantombazane olususwe ngobisi, inkomfa ye-soy kufanele igwenywe, ngenxa yokuthi ingane izobona izimpawu kokubili kokudla cishe ngo-50% wesikhathi. Uma kunokwenzeka, ukuncelisa okuncelisayo kuyanconywa futhi kumele kuxazululwe inkinga.
Uma kusetshenziswe amafomula amancane, amafomula amaningi ase-hydrolyzed (njenge-Alimentum ne-Nutramigen, lapho iprotheni yobisi ehlelwa khona zibe yizicucu ezincane) yiyona ndlela yokukhetha izinsana ezinama-FPIES.
Kunconywa futhi ukugwema okusanhlamvu okusanhlamvu, izinkukhu kanye nezitshalo. Izithelo nemifino eningi akuyona inkinga futhi ngokuvamile kuvunyelwe ezinganeni ezine-FPIES.
Uma kwenzeka izimpawu, ukwelashwa kufanele kutholakale ekamelweni eliphuthumayo, kunikezwe ubunzima bezimpawu. Amanzi okuphuza kanye nama- corticosteroids ngokuvamile adingekayo ukuze ukwelashwa okunamandla kwezimpawu ze-FPIES. I-epinephrine engenakuthola ivame ukunikezwa nakuba inenzuzo encane kakhulu yokwelashwa kwamaFPI.
AmaPHEPHA axazulula nini?
Ngokuvamile, amaFPI axazulula ngeminyaka engu-3, okusho ukuthi ingane kungenzeka ikwazi ukubekezelela ukudla okuphelile ngemuva kwalesi sikhathi. Kodwa-ke, abazali akufanele bazame ukunquma ukuthi ingane ingakwazi yini ukubekezelela ukudla ekhaya. Esikhundleni salokho, i-allergenist ingakhetha ukwenza inselele yokudla ngomlomo ngaphansi kokuqondiswa kwezempilo eseduze, njengehhovisi likadokotela noma esibhedlela. Kunconywa ukuthi lezi zinselele zokudla ngomlomo zenziwe nge-catheter ephakathi kwamakhemikhali ukuze kutholakale uketshezi olunamanzi kanye ne-corticosteroids uma kunesidingo.
Funda mayelana nokungezwani komzimba ezinganeni zamafomu .
Umthombo:
ULeonard SA, Nowak-Wegrzyn A. Amaprotheni Okudla-Okungenayo I-Enterocolitis Syndrome: Isibuyekezo KuMlando Wezemvelo Nokubukeza Ukuphathwa. Ann Ukuzivocavoca Isifo Somoya Immunol. 2011; 107: 95-101.