Njengoba kunezinkinga ezinkulu zokudla ezikhulayo, abazali abaningi abazobe befuna ukuthola ukuthi bangakwazi yini ukuvimbela ingane noma ingane encane ekutheni ikhule kahle. Kodwa ingabe kukhona indlela yokunciphisa ubungozi bokuthola imithi enganeni?
Mhlawumbe, bathi ochwepheshe.
Uma wena nomndeni wakho ningenalo umlando wezinkinga zomzimba, ukubambezeleka kokuncelisa ingane yakho yobisi noma ukungadli amantongomane ngesikhathi ukhulelwe ngeke kuphungciphe ingozi yokuba ingane yakho ikhulise imithi.
Ucwaningo lwamanje lubonisa ukuthi ukudla okuqedile nokulibaziseka kokungenwa kokudla akubanga nomthelela engozini yokuthuthukisa ukwelashwa kokudla ezinganeni eziningi.
Kodwa-ke, uma unengane "engozini kakhulu" - okungenani okungenani umzali oyedwa noma umntakwethu onomzimba - kunganciphisa ingozi yokudla kokudla noma ukubambezele ukuthuthukiswa kwabo ukulandela imikhombandlela ye-American Academy of Pediatrics (AAP) yokuvimbela imithi, egcizelela ukubeletha.
Ukugwema Ukudla Okune-Allergenic Ngesikhathi Ukhulelwe
Ukubuyekezwa kwe-Cochrane ka-2006 kwezifundo ezine zezokwelapha akutholanga ukuhlobana phakathi kokudla komama ngesikhathi sokukhulelwa futhi kamuva i-eczema ye-allergen ezinganeni zabo. Lolu cwaningo nabanye baholele i-AAP ukuthi iguqule iziqondiso zabamama abakhulelwe nabahlengikazi ngo-2008: iqembu labahlengikazi manje lincoma ukuthi omama abavimbeli ukudla kwabo ngesikhathi sokukhulelwa.
Eqinisweni, isifundo esanyatheliswa ngo-2014 sathola ukuthi i-peanut, ukolweni nobisi ekusetshenzisweni kokukhulelwa kwahlotshaniswa nesifo esinciphile sokugula nokuphefumula kwabantwana nezingane.
Ngokucacile, ama-peanuts amaningi owesifazane okhulelwe adla, ukwehlisa ingane yakhe ukungabi nethonya lokudla .
Uma uthola ukwelashwa kokudla okuthile, kusobala ukuthi akufanele udle uma ukhulelwe, noma ngezinye izikhathi. Kodwa uma ungenayo imithi yokudla, ukudla ukudla okuvamile (okufana nobisi noma amantongomane) akunakwandisa ithuba lomntanakho onomsoco wokudla esikhathini esizayo empilweni, futhi angase anciphise nalawo amathuba.
Amantombazane aphezulu abungozi ababelethwe noma abesilisa
Ubisi lwebele lungase luqukathe izifo zokudla, njenge-peanut noma amaprotheni obisi lobisi. Ezinye izinsana zingase zizwele kulezi zifo futhi ziphendule. Noma kunjalo, ukuncelisa kunomthelela wokuzivikela ezinganeni ezinobungozi obukhulu futhi kungase kubambezeleke ukuthuthukiswa kwemithi.
I-AAP ibuyekeze izifundo ezingu-18 eziqhathaniswa nokuncelisa ukondla ekufakeni ifomula ezinganeni ezinengozini enkulu. Ukuhlanganiswa, lezi zifundo zabonisa ukuthi ukuncelisa ingane okungenani izinyanga ezine kunganciphisa ingozi yokuba ingane yakho ikhulise imithwalo yemvelo uma kuqhathaniswa nokondla ingane yakho inkomo noma ubisi lwe-milk soy phakathi nalezi zinyanga. Uma ugcwalisa ngefomula, amafomula akhethekile asemtholampilo atholakale engozini yemithi, nakuba engekho njengokuncelisa.
Lezi zifundo zithole nokuthi uma ugwema ukudla okulindelekile kokudla ngesikhathi ubeletha, akuvimbeli ingane yakho ekuthuthukiseni imithi yokudla. Kodwa uma ingane yakho isivele inesisindo somzimba ( eczema ), ukugwema ukudla okune-allergenic kakhulu ngenkathi ukondla kungasiza ingane yakho ukuba ibe ne-flare-ups encane.
Nini Ukuqala I-Allergenic Foods
I-AAP isetshenziselwa ukunciphisa ukulibaziseka okwesikhashana ekuleleni ukudla kwama-allergenic ezinganeni ezinobungozi. Kodwa abacwaningi abatholanga ukwehla kwamazinga okungezwani komzimba kusuka ekulibalekeni isikhathi eside, ngisho nokudla okune-allergenic okunjengezinhlanzi.
I-AAP kanye ne-American Academy ofergy, I-Asthma, kanye ne-Immunology (AAAAI) bobabili basikhuthaza ukuphuza ukufakwa kokudla okuqinile kuze kube izinyanga eziyisithupha ezinganeni ezisengozini enkulu. Iziqondiso zabo zincoma ukuthi kufanele uqale izinyanga eziyisithupha ezindala ekudleni okunjengezithelo, imifino, kanye namabele okusanhlamvu. Yethula ukudla okusha ngesinye isikhathi, ngokulingana okuncane.
Cabanga ngama-lotions, amasobho, nama-shampoos ukuze kube isingeniso "kokudla" okusha. Ucwaningo oluthile lwathola ukuthi ukusebenzisa i-skin lotion eyenziwe ngamafutha ase-peanut kwandisa ingozi ye-peanut ekutheni ingakapheli isikhathi eside ebuntwaneni.
Imithombo:
Bunyavanich S et al. I-peanut, ubisi kanye nokudla okolweni ngesikhathi sokukhulelwa kuhlotshaniswa nokunciphisa ukungezwani komzimba kanye nokuphefumula kwabantwana. I-Journal ye -ergy and Immunology Clinic. May Meyi 2014; 133 (5): 1373-82.
Chafen JJ, et al. Ukuthola nokulawula ukudla okuvamile okuvamile: ukubuyekezwa okuhlelekile. I-JAMA. 2010 Meyi 12; 303 (18): 1848-56.
Ukungabi G, Fox D, Northstone K, Golding J; I-Avon Longitudinal Study of Abazali Nezingane Ithimba Lokufunda. Izinto ezihlotshaniswa nokuthuthukiswa kwe-peanut ukungezwani komntwana ebuntwaneni. I-New England Journal of Medicine. 2003; 348: 977 -985
Greer FR, Sicherer SH, iBurks AW; Ikomidi lase-American Academy of Pediatrics of Nutrition; Isigaba se-American Academy of Pediatrics Isigaba Sokungezwani Kwegazi kanye ne-Immunology.Izibalo zokungenelela kokuqala kokudla okunomsoco ekuthuthukiseni isifo se-atopic ezinganeni nasezingane: indima yokunciphisa kokubeletha kokubeletha, ukuncelisa, isikhathi sokwethulwa kokudla okuhambisanayo kanye namafomula e-hydrolyzed. Izingane zokwelapha. 2008 Jan; 121 (1): 183-91.
I-Kramer MS, ukugwema ukuvimbela i-Kakena R. Ukubeletha ngesikhathi sokukhulelwa kanye / noma ukukhwabanisa ukuvimbela noma ukwelapha isifo se-atopic enganeni. I-Cochrane Database Syst Rev. 2006; (3): CD000133
I-Sicherer SH, i-Burks AW. Izidlo zokubeletha kanye nezinsana zokuvimbela izifo ezithathelwanayo: ukuqonda izinguquko zemenyu ngo-2008. I-Journal Yokuzifola Kwegazi Ne-Immunology Yezokwelapha. 2008 Jul; 122 (1): 29-33.
I-Thygarajan A, i-Burks AW. I-American Academy of Pediatrics izincomo ngomphumela wokungenelela kokuqala okunomsoco ekuthuthukiseni isifo se-atopic. I-Curr Opin Pediatr. 2008 Dec; 20 (6): 698-702.
Vadas P, Wai Y, Burks W, Perelman B. Ukutholakala kwe-peanut izifo ezitholakala ebisi lwebele labesifazane abalahlayo. I-JAMA. 2001; 285: 1746 -1748