Funda ukuthi ochwepheshe batusa kanjani ukuhlonza nokuphatha lezi zifo
Odokotela abaningi kanye nabanye odokotela abathintekayo abantu abanomdlavuza we-peanut kanye nomuthi womuthi womuthi awunawo ukuqeqeshwa okusemthethweni ekulawuleni lezi zinhlobo zemithi yokwelapha, ngakho-ke ukunakekelwa abahlinzekayo kungavumelani: Ungathola iseluleko esihlukile kunoma iyiphi udokotela oyicelayo , futhi iseluleko esinikeziwe angeke sisekelwe ocwaningweni lwezokwelapha zakamuva.
Ngenhlanhla, izinkombandlela zomuthi we-nut ezanyatheliswa yiBrithani Society for Allergerism and Clinical Immunology zifuna ukuletha isiqondiso kubaqeqeshi bezempilo abahlinzeka izandla-ukunakekelwa kubantu abaphikisana nezinkukhu kanye namantongomane emithi. Imikhombandlela, eyakhiwe iphaneli lobuchwepheshe futhi ishicilelwe emaphepheni wezokwelapha Clinical & Experimental Allergy , iphinde inikeze amathiphu amaningi okuzinakekela abantu abaphila nalezi zifo.
I-Peanut kanye nomuthi we-nut nut ifuna "ukuphathwa nokuqeqeshwa abanekhono," kusho uDkt. Shuaib Nasser, umongameli wesigaba sezokwelapha esakha iziqondiso. "Isiqondiso sibhaliwe ngabachwepheshe bezokwelapha abanolwazi futhi kumele banikeze imithombo ebalulekile kubo bonke labo abaphatha abantu abanezinkinga zomzimba, kokubili e-UK nasemhlabeni wonke."
Nakuba iziqondiso zomuthi wezinyosi ezibhalwa odokotela zibhalwa odokotela, noma ubani angazifunda futhi azisebenzise ukuze athuthukise ukuphathwa kwawo komuthi omningi we-nut ne-peanut.
Ukudla okunomsoco kanye ne-Peanut Ukudla okunomsoco kaningi Ukuhlupheka Kwenkinga Yonke
Umuthi we-nut nutrients and peanut allergies zivamile eNingizimu Afrika nasemhlabeni jikelele: Abacwaningi balinganisela ukuthi phakathi kwamaphesenti angu-0.6 no-1.3% wabantu base-US banamakhemikhali kanye namaphesenti angama-0.4 kuya ku-0.6% wabantu base-US abanamathele emantongeni emithi (okufaka ama-walnuts, ama-almonds, ama-pistachios, nama-pecans).
Lezi zinhlobo ze-allergies nazo zanda kakhulu kusukela ekuqaleni kwawo-1990.
Ngenkathi abanye abantu bekhululeka kakhulu emzimbeni wabo, abantu abaningi abahlakulela umuthi noma uketshezi lwe-peanut ebuntwaneni bawalethe nabo ekukhuleni. Lokhu kusho ukuthi inani labantu abathintekayo yalesi simo lizoqhubeka likhuphuke.
Yize kungavamile ukufa ngenxa yokungezwani komzimba, kwenzeke, kanti izidakamizwa ze-nut ne-peanut yizona ezivame kakhulu ukubhekana nokucindezeleka okunzima nokubulalayo. Abantu abangaba ngu-165 bafa ngenxa yokudla ukudla e-US phakathi kuka-1999 no-2010. Ngaphezu kwalokho, ukusabela kwe-anaphylactic kumanqamu kanye namantongomane emithi kubhekene nezinkulungwane zokuvakashela ekamelweni eliphuthumayo unyaka ngamunye.
Ngaphezu kwalokho, ukwesaba okuqhubekayo kokusabela okubi nakho kubangela ukucindezeleka okukhulu kubantu abanezinkinga zomzimba kanye nemindeni yabo. Yingakho unesimo esiphezulu kakhulu sokuthi ungaphatha kanjani ukungezwani komzimba kubaluleke kangaka.
Izinkombandlela Zemizwelo Yokwelashwa Ziholela Ekutholeni Nezokwelapha
Imikhombandlela, eyadalwa iphaneli labangudokotela baseBrithani kepha isebenze kubantu emhlabeni wonke, phawula ukuthi imithi ye-nut ngokuvamile ivela ezinganeni ezincane-ngaphambi kokuzalwa kosuku lwesihlanu-futhi ngokuvamile kwenzeka okokuqala lapho ingane idla amantongomane.
Izingane zengozini enkulu yokuthuthukisa ukungezwani kwe-peanut uma nazo zinezimo ezinzima ze- eczema , isimo sesikhumba esilula esingase sihlotshaniswe nesifo sokudla, noma uma sibhekene namaqanda. Akucaci ukuthi yiziphi izingane ezingase zibe engozini ephakeme yokuthuthukisa umuthi wezithelo zomuthi-lezi zifundo azenzanga ukukhombisa ukuthi ubani osemngciphekweni-kodwa abantu abaningi abaphikisana namanqamu futhi banamathele emantongeni emithi, ngokweziqondiso.
Indlela engcono kakhulu yokuthi odokotela bahlolisise i-peanut ne-tree tree allergies, iziqondiso zithi, ukukhuluma nesiguli (nomndeni wesiguli, uma kwenzeka ingane) mayelana nokuphendula kokudla, nangokusebenzisa izivivinyo ezithile zezokwelapha ngenxa yemithi , izimo zomhlahlandlela ochwepheshe.
Lezi zivivinyo zezokwelapha zingabandakanya izikhumba zesikhumba-udokotela wakho uzozibamba isikhumba sakho nge-nut noma iphrotheni yamaprotheni ecatshangelwe ukuthi ibangele ukungezwani komzimba-futhi ubheke ukusabela. Ukuhlola kungabandakanya ukuhlolwa kwegazi okubheka ukusabela kwesistimu yakho yomzimba kumanothi noma amantongomane.
Njengengxenye yokuxilongwa kwakho, udokotela wakho angase afune ukwenza lokho okubizwa ngokuthi inselele yokudla ukuze ulingise indlela osabela ngayo kumantongomane noma amantongomane. Imikhombandlela ithi izinselelo zokudla ngokuvamile azidingekile kepha zingase zikhanyise isimo uma isimo segazi noma isikhumba esibucayi singavumelani noma siphikisana nomlando wakho wokuphendula kwamantongomane noma amantongomane. Uma udokotela wakho efuna ukuba uthole inselele yokudla, iziqondiso zithi kufanele uqiniseke ukuthi uqhutshwa phambi kochwepheshe bezokwelapha abazokwazi ukubhekana nokusabela okunzima kwe-allergenic.
Indlela Yokuphatha I-Nut ne-Peanut Allergies
Okokuqala futhi okubaluleke kakhulu, iziqondiso zomuthi wezinambuzane zithi abantu abanezihlahla zomuthi nomuthi we-peanut badinga isiqondiso esicacile esivela odokotela babo mayelana nendlela yokugwema amantongomane nokuthi yini okufanele bayenze uma bevezwa kubo ngengozi.
Udinga ukwazi ukuthi ungabona kanjani amantongomane athile, kokubili nangaphandle kwegobolondo, futhi ufunde ukuthi yiziphi izinhlobo zokudla ngokuvamile eziqukethe amantongomane noma zisengozini yokungcoliswa okuvela kumantongomane asetshenziselwa imishini efanayo noma endaweni efanayo.
Ngokwesibonelo, ungase umangale uma uthola ukuthi amantongomane anjenge-almonds kanye nama-hazelnuts angasetshenziswa ukugcoba isobho nama-sauces, futhi ukudla kwaseThailand kuvame ukuqukethe ama-peanut and sauce. Ukudla kungaba yinkinga ikakhulukazi uma usengozini yokubhekana nesifo esibi kakhulu, kuyilapho ukudla okuthile okudla okulula, njengama-candy bars, kanye nokudla okusanhlamvu, njenge-granola, basengozini ephezulu yokungcoliswa komzimba ngisho noma bengenalo iqukethe amantongomane.
Enye indlela lezi ziqondiso zincoma ukuthi ufunde ukuthi izimpungu nezitshalo zezihlahla zingasifihla yini ukukhuluma nomuntu onemakhono wokudla-ucabangele ukucela udokotela wakho ukuthi adluliselwe. I-dietitian ekhethekile ngokudla kokudla angakufundisa ukuthi ufunde kanjani amalebula okudla futhi akuqeqeshe ukuthi ungayala kanjani ekudleni.
Ngaphezu kwalokho, kufanele uqonde ukuthi ungasebenzisa kanjani imithi yezimo eziphuthumayo ezifana ne-adrenaline self-injectors njenge- Epi-Pen ne-Auvi-Q uma ukhonjiswe kumantongomane wesihlahla noma amantongomane, iziqondiso zombuso.
Iziqondiso ze-nut allergies nazo zicindezela ukugcina i-asthma yakho ilawulwa, njengoba i-asthma elawulwa kabi ihlotshaniswa nokuphendulwa okukhulu kwe-allergic. Uma une-asthma, khuluma nodokotela wakho mayelana nokuyilawula, futhi uqiniseke ukuthi uthatha imithi enqunyiwe njalo.
Ama-Allergy Agxila Umndeni Wonke
Kuzingane eziphikisana namantongomane noma izimbali zomuthi, yonke imindeni idinga ukuhileleka ekugcineni ingane ephikisayo iphephile, iziqondiso zomdlavuza we-nut zithi. Lokhu kusho ukuthi wonke umuntu emndenini-kuhlanganise nogogo nomkhulu kanye nanoma iziphi ezinye izihlobo ezichitha isikhathi nengane-zidinga ukwazi ukuthi yikuphi ukudla okungenakho ingane, kanye nendlela yokusingatha ukusabela.
Kuzodingeka uqiniseke ukuthi isenkulisa yengane yakho noma isikole uyayiqonda ukuhlukunyezwa, futhi. Izikole eziningi zikwazi kahle ukusingatha izifo ezinamandla ezinjenge-peanut kanye ne-nut allergies-eziningi zokuvinjelwa amantongomane ngokuphelele, empeleni-kodwa awukwazi ukuthembela kulokho okwenzekayo, ngakho-ke hlola kabili inqubomgomo yakho yesikole. Lezi ziqondiso zincoma ukusetha izixhumanisi nomhlengikazi wesikole sakho nabanye ochwepheshe bezempilo.
Noma ubani olungisa ukudla okomntwana okhwehlela emanzini noma amantongomane omuthi kufanele azi ukuthi afunde kanjani amalebula okudla futhi agweme lezozinto ezinobungozi obukhulu bokungcola komuthi, izinkombandlela ze-nut allergies zithi.
Izwi elivela
Imikhombandlela evela eBrithani Society ye-Allergy and Immunology Clinic yiyona yokuqala yokuchaza izindlela ezingcono kakhulu zokuthola nokuphatha nokupheka komuthi. Zisebenza ekunakekeleni e-US nase-UK
Nakuba lo mbhalo ubhalelwe odokotela, kungasiza kokubili odokotela neziguli eziye zadideka mayelana nendlela yokusingatha lezi zifo ezinamandla ezingaba nzima. Eqinisweni, uma unesihlungu emantongeni noma emanzini omuthi, kufanele ucabange ukufunda iziqondiso ngokugcwele futhi uwasebenzise ukuze uthuthukise ngokwakho ukuphathwa kwesimo sakho.
Kufanele futhi uhlole kabili imihlahlandlela ukuze uqinisekise ukuthi udokotela wakho ulandela izincomo zokwelashwa ezisesikhathini esiphezulu kusukela iphaneli ebhala phansi idokhumenti ukuthi odokotela abaningi abahambisani nosuku ekuhlunguleni ukugula nokuphulukiswa okukhulu. Futhi uma kungumntwana wakho onomdlavuza, ungasebenzisa iziqondiso ukuze usize uhlale ephephile.
> Imithombo:
> Cianferoni A, i-Muraro A. Anaphylaxis Yokudla-Yenzelwe Ukudla. I-immunology nemitholampilo yokuthola imithi eNyakatho Melika . 2012; 32 (1): 165-195. doi: 10.1016 / j.iac.2011.10.002.
> Jerschow E, Lin RY, Scaperotti MM, Mcginn AP. I-Anaphylaxis ebulalayo e-United States, ngo-1999-2010: Amaphethini wesikhashana kanye nezinhlangano zabantu. I-Journal Yokuzifola Kwegazi Ne-Immunology Yezokwelapha . 2014; 134 (6). i-doi: 10.1016 / j.jaci.2014.08.018.
> Melville N, Beattie T. Izingane ezithathelwanayo ezimpilweni eMnyango ophuthumayo: Ukubuyekeza. Journal Emergency Medicine Journal . 2008; 25 (10): 655-658. i-doi: 10.1136 / emj.2007.054296.
> Stiefel G, Anagnostou K, Boyle RJ, et al. Umhlahlandlela we-BSACI we-Diagnosis and Management of Peanut and Tree Nut Allergy. Ukwelashwa Kwezitholampilo Nokuhlolwa . 2017; 47 (6): 719-739. i-doi: 10.1111 / cea.12957.