Ngabe Iziphi Izingane Kufanele Zithole Ukuhlolwa Kwezifo Zomzimba Nokuthi Ziyini Izizathu?
Ngezinye izikhathi izingane zidinga ukuhlolwa kokungezwani komzimba, njengabantu abadala, kugcizelelwe yiqiniso lokuthi imishanguzo eminingi yemithi yokwelapha ivunyelwe ukusetshenziswa ezinganeni ezincane ezineminyaka eyisithupha ubudala. Yini okufanele uyazi mayelana nezinhlobo zokuhlola ezitholakalayo?
Ukuhlolwa kwesifo sofuzo
Abazali abaningi bakholelwa ukuthi izingane zabo kufanele zifinyelele eminyakeni ethile, njengalapho ziqala isikole, ngaphambi kokuba zihlolwe izifo.
Lokhu ikakhulukazi ngoba bacabanga ukuthi ukuhlolwa kwesifo sofuba, ikakhulukazi ukuhlolwa kwesikhumba, kuyabuhlungu. Ngokuvamile kucatshangwa ukuthi izingane ezincane njengezinyanga ezingu-1 zingakwazi ukuvivinya isikhumba ngokuphepha . Lo mbono uphaswe yi-American Academy of Pediatrics kanye ne-American Academy of Allergy, i-Asthma, ne-Immunology.
Izivivinyo zegazi ezibangelwa ukungezwani
Ukuvivinya igazi ngegazi lokugula kungavamile kakhulu kunezivivinyo zesikhumba kodwa kunenzuzo kwezinye izimo. Ziwusizo ezinganeni ezineminyaka engu-2 noma ezincane ngoba lezi zingane zinesikhumba esiphansi sokwenza isikhumba ukuhlolwa. Futhi bavame ukuba usizo kakhulu uma kuziwa ekuhloleni izifo zokudla. Ukuhlolwa kwegazi lokungenwa yisifo sofuba akusho ukuthi ubhekene nengozi yokuziphendulela njengokwenza izivivinyo zesikhumba futhi akudingi abazali ukuba bayeke imishanguzo yokuphuza imithi ngaphambi kokuhlola. Okunye okuzuzisayo ukuthi lezi zivivinyo zingalawulwa udokotela wezingane zakho, kunokuthi wenze ukuqokwa okuhlukile ne-allergenist.
Kunezinhlobo ezimbili zokuhlolwa kwegazi okubangelwa ukungezwani komzimba okuvame ukwenziwa.
I-RAST - I-radioallergosorbent test noma i-RAST , njenge-Immunocap, iyindlela eyodwa yokuhlola, kodwa ihlelelwe isikhathi esingaphansi kwezinye izindlela. Abanye odokotela, noma kunjalo, basenza lokhu kuhlolwa. Ukuphazamiseka ukuhlolwa kwe-RAST ukuthi kunokubona ama-hives amancane kusuka ekuhlolweni kwesilonda okusho ukuthi unesizathu sokuhlunga okuthile, ne-blood allergies test, umane ulinganisa amazinga omuntu wokulwa nomzimba kanye namazinga aphansi angeke asho njalo ukuthi ingane yakho impela yezilonda ku-allergen leyo.
Ngakho-ke izivivinyo ze-RAST kufanele zihumushe ngokucophelela udokotela wakho noma ungase ugcine utshelwa ukuthi ingane yakho iyalulaza konke, ngoba nje inezinga eliphansi lama-antibodies ezintweni eziningi ezihlukene, okungaba okuvamile. Ngamanye amazwi, kungaba khona amaphutha amanga.
I-ELISA test - I-assayorbent (i-ELISA) e-enzyme-ehlotshaniswa ne-enzyme (i-ELISA) ishintshile kakhulu ukuhlolwa kwegazi le-RAST ngenxa yesifo somzimba. Kunenzuzo ngaphezu kwe-RAST yokugwema i-radioactivity nokuzwela kakhulu. Njenga-RAST, lo mvivinyo ungakwazi ukuhlukanisa izifo zokudla kangcono kunokuba ukuhlolwa kwesikhumba kungakuphi.
Ngabe Izingane Kufanele Zifinyelele Ukuvivinya Kwezifo?
Ngemuva kokunquma ukuthi yiluphi uhlobo lokuhlolwa kokunciphisa umzimba olungcono kakhulu, yisikhathi sokunquma ukuthi nini. Njengoba kuphawuliwe ngenhla, izingane zingaba nokuvivinya umzimba ngokwezinkinga ngisho nezinsana. Umbuzo wehlela ukuthi yini futhi kungani uhlela ukuthi ingane yakho ihlolwe. Cabanga ngalezi zizathu ezilandelayo, nokuthi ukuhlolwa kokungezwani komzimba-futhi ngaleyo ndlela ukwazi ukuthi ungumthombo we-allergies yakhe-kungasiza.
Izizathu Zokuthi Ingane Yakho Ivivinywe Ngezifo Zomzimba
Kungenxa yokuthi ingane yakho ine-allergies ayisho ukuthi idinga ukuhlolwa kokungenwa yilutho, ikakhulukazi uma izimpawu zakhe zokungezwani zilawulwa kalula ngemithi yokungelameki, njengeClaineine, i-Claritin, i-Singulair, noma i- Zyrtec noma ngokugwema izifo ezivame ukwelashwa, ngisho noma ungekho qinisekisa ukuthi yikuphi okubangela ukuthi ingane yakho ibe nemilenze.
Ingabe izinkinga zomntwana wengane yakho zibi kakhulu kangangokuthi ungacabangela ukudubula kwamagciwane?
Kunezizathu eziningana ezingaphezu kwezinto ezibonakalayo ongafuna ukuthi ingane yakho ihlolwe ngayo. Lezi zingabandakanya:
- Ukwelashwa kokudla - Ezinsaneni nasezinsana, ukudla kokudla kuyinto evamile yokucubungula ukuhlolwa.
- I-eczema (i-atopic dermatitis) - i-Eczema, kanye nokudla kokudla, yisizathu esivamile sokwenza ukuvivinya umzimba kwezingane ezincane, ikakhulukazi uma ingane yakho ilawula kahle i-eczema.
- I-asthma - Ukwazi ukuthi yini edala i-asthma yengane yakho ngezinye izikhathi iyasiza ekulawuleni izimpawu zakhe.
- Imishanguzo ejwayelekile noma izifo ezingapheliyo zesifo - Uma ingane yakho ihlale iphethe impumu egijima noma inezifo ezithathelwanayo zesifo , kungase kube nzima ukwazi ukuthi uthola izifo eziphindaphindiwe yini noma uma kunalokho, ubhekana nesifo sofuba. Lokhu kungaba nzima kakhudlwana ukuhlukanisa uma esesimweni sokunakekelwa kwesikhashana, futhi evezwe eziningi zokutheleleka.
Izingane nezinkomo zokudla
Njengoba kuphawuliwe ekuqaleni, ukuhlolwa kwegazi lokungena emzimbeni kuyindlela enhle yokuhlolwa kokudla kokudla, futhi ngaphezu kokubona ukudla okungenzeka ingane yakho ibe yinto yokugula, ingakunika umqondo wezinga lokungenwa yilutho olunezifo ezithathelwanayo ezihlolwayo antibody.
Esikhundleni sokuhlolwa kokunciphisa umzimba, futhi uma kungenzeka ukuthi ukuzama ukuvivinya umzimba okungenzeka ukuthi uzama ukuhlola akuzona lezo ngenxa yamantongomane kanye ne-shellfish, ukuzama ukudla okuqedile ngezinye izikhathi kunganika izimpendulo ngaphandle kokuphazamiseka noma izindleko zokuhlolwa kokungenwa kwemithi.
Imithombo:
I-American Academy of Pediatrics. Healthychildren.org. Ukuvivinya isikhumba - okuyisisekelo sokuhlolwa kokunciphisa umzimba. https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Skin-Tests-The-Mainstay-of-Allergy-Testing.aspx
> I-American College Yokuzifola Kwegazi, I-Asthma, ne-Immunology. Ukuvivinywa kokungezwani komzimba kuzingane nezingane. http://acaai.org/allergies/treatment/allergy-testing/children
Ukuhlolwa kwe-Burks, i-W. Ukuhlolwa kokudla kokungezwani komzimba. Kusesikhathini. Kubuyekezwe ngo-10/20/15. http://www.uptodate.com/contents/diagnostic-evaluation-of-food-allergy