Ukwengeza kokudla okungabangela izimpawu ze-asthma
Ama-sulfite asetshenziselwe amakhulu eminyaka, ikakhulukazi njengezithasiselo zokudla, kodwa futhi ayenzeka ngokwemvelo ekudleni, njengeziphuzo ezivuthayo namawayini.
Izibonelo ze-sulfite zifaka:
- Sulfite sodium
- I-sodium bisulfite
- Metabisulfite sodium
- Potassium bisulfite
- I-potassium metabisulfite
- Sulfur dioxide
Ake sihlole izinto eziyisisekelo zokungezwani komzimba, okufaka phakathi ukuthi kutholakala kanjani nokuthi ungakuvimbela kanjani ukusabela okungenzeki uma uthola ukuthi unalo ukungezwani komzimba.
Sibutsetelo
Izindaba ezinhle ukuthi ama-sulfite abangela izinkinga ezimbalwa kubantu abaningi abangenayo i- allergies kanye ne- asthma , ngisho nalapho imali enkulu idliwe.
Noma kunjalo, cishe amaphesenti angu-5 abantu abane-asthma, ama-sulfite ayaziwa ukuze akhulise izimpawu zesifo sofuba, ikakhulu kubantu abadala abanezifo ezinzima. Izifundo eziningi ezilawulwa kahle zibonisa ukuthi ezinye ze-asthmatics zingaba nezimpawu ezinzima ze-asthma ngemva kokudla ukudla okune-sulfite / okuphuza noma ukufaka ama-sulfite fumes noma ama-vapor.
Okuncane okungaziwa ngemifantu / ukuvuvukala kanye ne- anaphylaxis ngenxa ye-sulfites, nakuba amacala ahlukahlukene ahlongozwe lapho ukudla okudla okune-sulfite / okuphuzwayo okubangelwa khona kuholela ekuphenduleni okukhulu kwe-allergenic. Abanye balaba bantu babeze babe nezivivinyo zesikhumba ezihle ze-sulfites, okuphakamisa ukuthi i-antibodies ye-allergen isilondolozi.
Abanye abantu baye babhekana nokusabela okunzima emithonjeni enesifo se-sulfite, kuhlanganise nezidakamizwa ezinamafutha kanye nemithi ephazamisekile.
Lezi zimpendulo zazibandakanya ukuqhuma, ukuvuthwa, nokudonsa komsebenzi wamaphaphu ngenxa yemithi enikezwayo.
Ama-sulfite awabonakali abe yicala kubantu ababhekene neziqephu eziphindaphindiwe ze-anaphylaxis yezizathu ezingaziwa. Futhi akuyona ingozi yokuthola i-anaphylaxis kubantu abane- mastocytosis futhi abonakale bengabonakali nengozi kubantu abangenayo i-asthma futhi abangenayo i- atopy .
Izimbangela
Akukwazi ngokuphelele ukuthi ama-sulfite abangela kanjani ukusabela kwabanye abantu. Abanye abantu benza ngokucacile ukuthi amasosha omzimba aphikisana nama-sulfite, kanti abanye abenzi. Ukushisa okwenziwe ngama-sulfite kungabangela ukuphazamiseka kwamasipha emaphashini okuthiwa yi-asthmatics, noma kungahlobene nokuntuleka kwamanye abantu ukugubha ngokufanelekile ama-sulfite ngokufanele.
Ukuxilongwa
Ngenkathi kube khona imibiko yesikhashana yabantu abaxilongwa ukuthi banesifo sokungenwa kwemvelo sulfite besebenzisa ukuhlolwa kwesilwane, akukho ukuhlolwa kwekhanda okunokwethenjelwa, okutholakala ngokuhweba kwe-sulfite. Ngokujwayelekile, ukuxilongwa kuphakanyiswa umlando wokuphendula okubi ngemva kokudla ukudla okune-sulfite noma imithi.
Kodwa-ke, ukuze i-diagnostic iqinisekiswe, i- allergenist ingenza inselela yomlomo isiguli esicatshangelwa ukuthi sinomdlavuza we-sulfite.
Le nqubo ihilela ukunikeza inani labantu elikhulayo lama-sulfite ukugwinya ngenkathi kuqapha ngokucophelela umsebenzi wamaphaphu nezimpawu ezibalulekile. Ukwehla okuphawulekayo emsebenzini wamaphaphu kuqinisekisa ukuzwela kuma-sulfite.
Lokhu kuhlola kufanele kwenziwe kuphela ngaphansi kokuqondisa okuqondile komdokotela oye waqeqeshwa futhi unolwazi ngale nqubo.
Ukuthi kungani ama-sulfite ayengezwa ekudleni
Ama-sulfite ayengezwa kokudla ngezizathu ezihlukahlukene.
Lokhu kufaka:
- Ukunciphisa ukuchithwa ngamagciwane
- Ukunciphisa ukugqothula kwezithelo, imifino kanye nezilwane zasolwandle
- Ukuvimbela ukukhula kwamabhaktheriya ngesikhathi sokuvutshelwa kwamawayini
- Ukufakela inhlama ku-pie efriziwe ne-pizza
- Ukuphulukiswa komphumela we-cheras cherino kanye ne-hominy
Esikhathini esedlule, ama-sulfite ayengeziwe ekudleni okusha ezindaweni zokudla kanye nezitolo zokudla ukuze kuvimbele ukugqotshwa. Ukwanda kwezimpendulo kwaholela ekuHlangeni Ukudla Nezidakamizwa (FDA) ukuvimbela ukusebenzisa ama-sulfite ekudleni okusha ngo-1986, ikakhulukazi ku-ulethisi olusha emasaladeni e-salad.
I-FDA manje idinga ukuthi noma yikuphi ukudla okuqukethe izingxenye ezingaphezu kwezingu-10 ngezigidi (ppm) ukuhlushwa kwe-sulfites okumenyezelwe kulobuli.
Lokhu kungenxa yokuthi ukudla okuqukethe okungaphansi kwe-10ppm ye-sulfite akubonwanga ukuthi kubangelwa izimpawu, ngisho nakubantu abantu abanomthelela emanzini.
Ukudla Okuqukethe Ama-Sulfite
Kunezinhlobo zokudla eziningi eziqukethe ama-sulfite. Nazi izibonelo zokudla okuhlelwe phansi kwezinga le-sulfite elitholakala kulowo nto:
Kukhulu kunama-100ppm we-sulfites (amazinga aphezulu kakhulu, ukugwema okuqinile okululekwa abantu abanesifo sengqondo sulfite)
- Izithelo ezomile (ngaphandle kwemifino emifino nemifula)
- Ijusi lemonti elimnandi (elingelona iqhwa)
- Ijusi le-lime ebhodini (elingelona ifriziwe)
- Iwayini
- I-Molasses
- I-Sauerkraut (nejusi layo)
- Amagilebhisi amhlophe (amhlophe, amhlophe amhlophe, amnyama aphuzi, abomvu aphuzi)
- Ama-anyanisi e-Pickled anyanisi
Phakathi kuka-50 no-99.9ppm we-sulfites (ngokulinganisela kuya emazingeni aphezulu e-sulfite, ukugwema okuceliwe kubantu abane-sulfite -ergy)
- Amazambane abomile
- Uviniga wewayini
- Ama-gravies / ama-sauces
- Izithelo zomuthi
- Ama-cherry aseMaraschino
Phakathi kuka-10 no-49.9ppm we-sulfites (amazinga aphansi kuya kwesilinganiso se- sulfite, angabangela izimpawu kubantu abane-severe sulfite -ergy)
- I-Pectin
- Izinhlanzi ezintsha
- Isiraphu yamakhambi
- Izipelepele eziqoshiwe
- Khetha / ujabulele
- I-Cornstarch
- Hominy
- Amazambane anamafutha
- usiraphu we-maple
- Amakhemikhali angenisiwe kanye nama-jellies
- Amakhowe amasha
- Amasosoji angenisiwe kanye nenyama
- Ama-Cordial (udoti)
- Imifino enamanzi
- Izinyosi ezihlukahlukene
- I-Cornbread / i-muffin mix
- Izihluthulelo ezingenalutho / ze-jarred
- I-Clam chowder
- I-avocado dip / guacamole
- Ama-juice esithelo angenisiwe neziphuzo ezithambile
- Ama-Ciders ne-vinegar
Ngaphansi kwe-10ppm ye-sulfites (amazinga aphansi kakhulu e-sulfite, ngokuvamile awasho ingozi, ngisho nabantu abane-sulfite yokungezwani komzimba)
- Iviniga yama-Malt
- Amazambane akheniwe
- Ubhiya
- Umxube wokudla omile
- Iziphuzo eziphansi
- Inhlama ye-pizza kanye ne-pie
- I-sugar beet
- I-Gelatin
- Ukhukhunathi
- Isaladi lesithelo esisha
- Amakhempi asekhaya kanye nama-jellies
- Abaqashi
- Amakhukhi
- Amagilebhisi
- Isiraphu ye-corn fructose ephezulu
Imithi Equkethe Ama-Sulfite
I-Sulfite yengezwe eminye imithi yezindawo zayo zokuvimbela i-antioxidant kanye nokuvimbela ukugqotshwa kwemithi. Ama-sulfite ayengezwa ku-epinephrine engenayo (isibonelo, i- EpiPen ) ukuvimbela ukubola , okwehlisa ukusebenza komuthi.
Kodwa-ke, i-epinephrine ayibikiwe ukuthi ibangele ukusabela okubi kubantu abane-sulfite yokungezwani komzimba, futhi akumele kugodliwe esimweni esiphuthumayo sokugula. I-epinephrine engenayo ingafaka ukuphila okulondolozwe kubantu abane-sulfite yokungezwani komzimba okuthola i-anaphylaxis.
Ezinye izixazululo ze-inhaler ezisetshenziselwa ukwelapha i-asthma ziqukethe ama-sulfites, yize izidakamizwa eziningi ze-asthma ziye zazisusa ama-sulfite ngenxa yokukhathazeka kokuphepha. Abantu abane-sulfite yokungezwani kufanele bagweme imithi equkethe ama-sulfites, ngaphandle kwe-epinephrine engenayo (isibonelo, i-EpiPen ne-Twinject).
Nazi izibonelo zemithi equkethe ama-sulfites:
Izixazululo zeBronchodilator ze-asthma
- I-Adrenalin chloride 1: 1000 yokuhlushwa (epinephrine)
- I-Bronkosol (i-isoetharine)
- Isuprel (isuprel hydrochloride)
I-topical iso lehla
- I-Bleph-10 (i-sulffacamamide sodium)
- I-AK-Dex, i-Ocu-Dex (dexamethasone)
- I-Pred-Forte (i-prednisolone acetate)
- I-Pred-Mild (i-prednisolone)
Imithi engajoqayo
- I-Adrenaline, i-Ana-Kit, i-EpiPen (i-epinephrin)
- A-Hydrocort, Solu-Cortef (i-hydrocortisone-injectable)
- Amikin (amikacin)
- I-Aramine (i-metaraminol)
- I-Celestone (i-betamethasone phosphate)
- I-Compazine (prochlorperazine)
- I-Decadron (dexamethasone phosphate)
- I-Demerol (i-meperidine)
- I-Dopamine
- I-Garamycin (i-gentamycin)
- Isoetharine HCl
- Isuprel (i-isoproterenol-injectable)
- I-Levophed (i-norepinephrine)
- I-Nebcin (i-tobramycin)
- I-Novocaine (i-procaine)
- I-Phenergan (promethazine)
- Izixazululo zokudla kokubeletha kwama-parenteral kanye ne-dialysis
- I-Thorazine (i-chlorpromazine)
- I-Xylocaine ene-epinephrine (i-lidocaine ne-epinephrine)
Ukwelapha
Ngokuvamile, abantu abane-sulfite yokungezwani komzimba eyaziwa noma okusolakala ukuthi kufanele bagweme ukudla kanye nemithi equkethe ama-sulfites. Lokhu kufanele kuphumelele kunikezwe igunya ngu-FDA ukubiza ukudla okuqukethe ngaphansi kwe-10ppm ye-sulfites.
Ngaphezu kwalokho, kanti ukuvinjelwa kuka-FDA ngama-sulfite ezivela ezinhlelweni nemifino ezitolo zokudla (njengama-salad bars) kuye kwanciphisa kakhulu ingozi yokungenisa ngengozi ama-sulfite, ukudla okungenayo i-sulfite okuqukethe ukudla okuhlala kuyo ezindaweni zokudla, kanti ama-sulfite amazambane abhekwa njengokukhathazeka okukhulu . Ngakho-ke, abantu abane-sulfite kufanele bagweme yonke imikhiqizo yamazambane uma bedla ngaphandle, ngaphandle kwamazambane abhakabhakwe nezikhumba eziqinile.
Okokugcina, uma umkhiqizo ophethe i-sulfite udliwe futhi ukuphendula okwenziwe umonakalo kukhula, khona-ke lokho kusabela okuqondile kuyadingeka ukwelashwa. Isibonelo, ukusabela okunzima kakhulu kwe-allergenic ne-anaphylaxis kungadinga ukwelashwa nge-epinephrin engenayo kanti izimpawu ze-asthma zingadinga ukusetshenziswa kwezixazululo ze-bronchodilator ezifakwe ngaphakathi (lezo ezingenayo i-sulfites).
Kule ncwajana, kubalulekile kubantu abane-severe sulfite yokungezwani komzimba ukuthwala i-epinephrine engenayo (i-EpiPen noma i-Twinject) nokuthola isongo se-Medic-Alert.
Izwi elivela
Isithombe esikhulu lapha ukuthi ukungezwani komzimba kwe-sulfite akuvamile futhi kubonakala kubantu abane-asthma enzima. Kodwa-ke, uma une-asthma, akufanele neze ugweme ukudla okune-sulfite, ngaphandle kokuthi wena nodokotela wakho usola ukuthi unesifo somzimba sulfite noma ngabe uthola ukuthi ukhona.
> Imithombo:
> Sampson HA et al. Ukungezwani kokudla: ukubuyekezwa komzila we-parameter-2014. J Allergy Clin Immunol. 2014 Nov; 134 (5): 1016-25.e43.
> Ukuphathwa kwe-US Nokudla Nezidakamizwa. (2013). Isiqondiso Sobumbonisi: Umhlahlandlela Wokudla Wokudla (6. Izinhlu Zokudla).