Ukukhetha ukudla okuphephile nokuhlala uphephile ngaphandle kwekhaya lakho
I-peanut allergies yiyona yesithathu yokudla okunzima kakhulu kwezingane ezingamantombazane aseMelika kanye neyesibili yokudla kokudla kwabantu abadala. Cishe amaphesenti angu-1.4% wezingane kanye no-0.6% wabantu abadala bayagula emanzini.
Akekho owaziyo ukuthi kungani, kepha izidakamizwa ze-peanut zivame kakhulu phakathi kwezingane. Abafana banamanani aphezulu okudla okunomkhuhlane kunamantombazane, kanti izingane ezingezona zaseSpain African-American zinezinga eliphakeme lokunciphisa i-peanut kunezingane zabanye ubuhlanga.
Ngokungafani nezinye izifo ezivamile zokudla ezinganeni , i-peanut allergies ngokuvamile iphila isikhathi eside. Ucwaningo lubonisa ukuthi izingane ezingaba ngu-20% ezineminyaka engaphansi kweminyaka emibili ezinomdlavuza wezinkukhu zizokhipha ukugula kwazo ngenxa yobusha, okusho ukuthi u-80% uzoba nomdlavuza wokuphila.
Iningi labantu abafayo okuhlobene nokudla okubangelwa ukudla kuhlotshaniswa nokufakelwa i-peanut ne- anaphylaxis . Ama-peanuts atholakala ekuhlinzekeni kokudla, futhi ngezinye izikhathi afihliwe kokubili kokudla nokungewona ukudla , futhi lokho kwenza kube inselele yangempela ukugwema.
Izimpawu
Izimpawu ezihambisana nokubhebhetheka kwamanoni zivame ukubonisa ngokushesha ngemva kokudla izikhukhula noma ukudla okuqukethe imikhiqizo ye-peanut. Izimpawu zingase ziqale emaminithini ambalwa, kodwa zingathatha isikhathi eside uma amahora amabili ezovela.
Izimpawu zokungenwa kwemithi zingabandakanya:
- Ukuthinta isikhumba okunjengokuqhaqhazela, isidleke noma i- eczema .
- Izimpawu zomzimba ezinjengesihlungu, isisu, ukuhlanza noma isifo sohudo .
- Izimpawu ze-Airway zihlanganisa ukushisa , ukukhwehlela noma impumu egijima.
- Ukuvuvukala, okubizwa nangokuthi angioedema , yezindebe, ulimi, noma ubuso.
- Ukusabela okujulile, okubizwa ngokuthi i- anaphylaxis , kungase kwenzeke, kuphazamise izinhlelo eziningi zomzimba.
Amantongomane cishe angabangela i-anaphylaxis kunezinye izifo ezinkulu. I-Anaphylaxis yisimo esiphuthumayo sezokwelapha futhi sidinga ukwelashwa okusheshayo.
Ukuxilongwa Nokunakekelwa
Ukwelashwa kwe-Peanut okutholakele kuyatholakala ngudokotela onomthelela ekutheni u-allergies-i-allergenist. Ukukuxilonga, udokotela wakho uzothatha umlando wezokwelapha okuningiliziwe, uzokwenza ukuhlolwa kwangokwenyama, futhi mhlawumbe uzohleleka ukuhlolwa kokuhlolwa kokungenwa kwemithi .
Imithi yokwelapha i-peanut isifo sokuqothulwa kwemikhiqizo ye-peanut nama-peanut kusukela ekudleni.
Kunezinhlolovo eziningi zocwaningo eziqhubekayo manje ukuze zibheke imithi yokungena emzimbeni we-peanut , ukufuna ukwelashwa noma ukwelashwa kwemithi yokwelapha. Iningi libandakanya inqubo yokwehliswa kwemifucumfucu ngokudla ukudla okuncane kakhulu kwamaprotheni we-peanut. Ngenxa yengozi yokubhekana nesifo esibi kakhulu, akekho kulezi zindlela zokwelashwa ezilungele ihhovisi lendawo kadokotela wangakini okwamanje, futhi ngokuqinisekile akuyona into okufanele ucabangele ukuzizama wena ngokwakho. Ngeshwa, ukuphela kokwelashwa okuphephile okwamanje okwenziwe yi-peanut ukungezwani komzimba ukugwema amantongomane.
Indlela Yokugwema Amakhaya
Njengoba kukhonjisiwe, kufanele uqede wonke amantongomane avela ekudleni kwakho ukuze ugweme ukuphendula okweqile. Okubaluleke kakhulu, kufanele ugweme konke ukudla okusemngeni wokungcola okuphazamisayo ngezinqubo zokukhiqiza, njenge-granola amabhaki, amakhukhi, ama-crackers nama-cereals.
Umthetho Wokudla Wokudla Kwemithi Yokudla Nezidingo Zomthengi (i-FALCPA) imelela abakhiqizi ukuthi babhale uhlu lwe-peanut njengezithako zokudla ezihamba phambili zomthengi.
Ngeke nje uthole lolu lwazi ohlwini lwalezi zithako , kodwa luzophinde lubekwe kuphakheji. Eminye imikhiqizo ngeke ibize izithako ezisuselwa ku-peanut kule ilebula. Kunezinto ezimbili ongayenza kulesi simo: shayela umenzi bese ubuza mayelana nezithako ezithile eziqukethwe umkhiqizo, futhi / noma weqa ukudla umkhiqizo.
Ngenxa yengozini yokungcoliswa kwemvelo (lokhu kwenzeka lapho ukudla kwenziwa endaweni efanayo kanye nokulandelana kwamanani ompeanuthi kungangcolisa umuthi womuthi oqukethe imikhiqizo), imindeni eminingi izogwema ukudla amantongomane emithi uma kunomdlavuza wezinkukhu.
Gwema noma yikuphi ukudla okuqukethe okulandelayo:
- amantongomane nebhotela le-peanut
- amantongomane emhlabathini
- amantongomane axutshwe
- amanothi okufakelwa (njenge-Nu-Nuts®)
- ufulawa we-peanut
- ukudla okufakiwe okuqukethe isitshalo se-hydrolyzed plant noma imifino yamaprotheni (ukudla okwenziwa e-United States naseCanada kuyadingeka ukuthi uhlunge umthombo walezi zithako, kodwa ukudla okungenisiwe kungenjalo)
- ukucindezelwa okubandayo, ukuxoshwa noma ukuchazwa ngamafutha e-peanut
Yiba nesilwane sezinhlobo zokudla ezilandelayo, njengoba zingase zibe nezinanci:
- izimpahla ezibhaka, ikakhulukazi amakhukhi, amaqebelengwane, amakhekhe, abaculi, nokunye okunjalo
- ama-chocolate kanye nama-candies- "ama-brittle" cishe ahlale ekhombisa amantongomane, futhi "ukugxuma" ngokuvamile kwenziwa ngamantongomane athile, kuyilapho eziningi izitsha ze-chocolate eziphephile ngenye indlela zenziwa emigqeni eyabelwe ngamanqamu
- i-ayisikhili kanye namanye ama-dessert efriziwe
- i-spaghetti sauce, isili, isobho, nezitsha ezifanayo
- i-nougat ne-marzipan
- i-cereal ne-granola
Izithako ze-peanut zingase zifihlwe noma zivame ukusetshenziswa kwezinye ukudla noma zitholakala ezintweni ezingewona ukudla:
- Amafutha e-peanut ahlanjululwe kakhulu cishe aphephile kubantu abaningi abanezinambuzane zohlobo lwe-peanut, kodwa amafutha aphethwe amakhaza angaqukatha amazinga aphezulu ama-protein ase-peanut. Qaphela lapho usebenzisa amafutha ahlanziwe kakhulu, futhi uqiniseke uhlobo lwamafutha nomthombo ngaphambi kokudla.
- Amafutha e-peanut asetshenziselwa ukupheka okujulile nokupheka kwe-Asia. Ama-peanuts asondela kakhulu ekuphekeni kwe-Thai, Chinese, nase-Indonesian. Zibuye zivame ukudla ukudla kwaseNtshonalanga Afrika naseMelika yaseMelika.
- Amafutha e-peanut (abizwa ngokuthi i-arachis oyela) angatholakala ezithombeni, imithi, ama-creams nemikhiqizo ye-topical.
- Ukushisa amantongomane noma ibhotela le-peanut kungase kukhulule amaprotheni emoyeni angabangela ukusabela kubantu abathintekayo ezikhungweni ezivela emoyeni.
Abakhiqizi abaningi abanobungane bokungenwa yilutho bazosho ukuthi imikhiqizo yabo yenziwe ngezikhungo zamahhala, ngakho-ke ungazizwa ukhethe imikhiqizo evela kulawo makampani.
I-Cross-Reactivity ne-Allergies engeziwe
Ngisho noma ama-peanuts ayinambuzane, hhayi i-nati, cishe ingxenye eyodwa kwezintathu zezingane ezinomdlavuza we-peanut izoba nomzimba okwanele okungenani uhlobo olulodwa lomuthi, ikakhulukazi ama-alimondi nama-hazelnuts. Iphesenti encane yezingane ezinomdlavuza we-peanut ingase ibe ne-allergies eminye yemifino eminingi, ngokuvamile i-soy, i-chickpeas, ne-lentils.
Amaphesenti amahlanu kuphela alabo abanomdlavuza we-peanut abaphikisana nemifino (ubhontshisi) -ngamanye amazwi, abantu abangama-95% abanamabhontshisi abhekene nokubekezela okulindelekile. Kukhona ingozi engama-20% yokungenwa yi-lupine (eyaziwa nangokuthi i-lupine), uhlobo lwebhontshisi elisetshenziselwa amaprotheni aphakeme, imikhiqizo yokudla ye-gluten-free and specialty. I-Lupine ivame ukupheka nokupheka kwe-Europe, futhi iyaqhubeka ikhona e-United States.
Uma une-peanut allergies, akufanele ugweme ukudla okunomthelela ongenawo amandla ngenxa yokwesaba ukuhlaselwa yisifo sengqondo, ngenxa yokuthi ukwenza lokho kuzokwenza ukuba umkhawulo wakho udle, futhi kungase kube nomthelela ekwakheni ukuzwela kubo kunokuvimbela izinkinga.
Uma ukhathazekile ngokusebenza kabusha, khuluma nodokotela wakho ukuthi yikuphi ukudla okuphephile ukuthi uyidle.
Ukuphatha Ukudla Kwemfucuza Kwe-Peanut Esikoleni
Izingane zithanda ibhotela le-peanut, futhi ibhotela le-peanut kanye ne-jelly sandwich liyisisekelo sokudla kwesidlo sasemini. Kodwa amafutha we-peanut ayinamathele: angawela-angcolise ukudla okunye futhi ahlale ngemuva kwamatafula asekuseni, izandla, noma ukuphuza imithombo. Izikole ziye zabhekana nobungozi bokungcola okungafani ngezindlela ezahlukene ezibandakanya ukubeka amatafula asemasimini ahlukene asemantwaneni wezingane ezivuthiwe nokuvinjelwa amantongomane avela esikoleni sonke.
Ukuhlanza izinsalela ze-peanut ezandleni namadeski akulula, kepha kudinga ukuhlanza nsuku zonke. Into ebonakala iyinselele kakhulu ukulinganisa izidingo zezingane ezinezinambuzane ze-peanut nenkululeko yezinye izingane zokudla ukudla okuthandayo.
Ukugcina imigqa yokuxhumana evulekile nabafundisi nabasebenzi kuyindlela engcono kakhulu yokuvikela izingane ezinomdlavuza we-peanut. Uma ingane yakho inesifo sofuba, thintana nesikole ngaphambi kosuku lokuqala. Khuluma nomhlengikazi wesikole kanye nothisha ngecebo lokugcina ingane yakho iphephile esikoleni. Futhi wenze ezinye izindlela zakho ze- peanut ezingenayo i-butterfly ne-jelly sandwich ngesikhathi esilungile.
Ukucutshungulwa okwengeziwe
Ama-Peanuts and Kissing
Ngenxa yokuthi ibhotela le-peanut ihlala eduze, kuye kwaba khona abantu abaye babhekana ngemuva kokumanga omunye umuntu oye wadla amanothi. Ayikho indlela yokugeza iphrotheni ye-peanut emlonyeni womuntu. Intsha noma abantu abadala abathandana nabo kufanele bakhulume nabalingani babo mayelana nokudla kwabo kokungezwani kokudla ngaphambi kokumanga.
Ukuhamba nge-Peanut allerergy
Izindiza eziningi manje zinikeza amaphakheji amancane ama-pretzels (noma akukho nhlobo ukudla okulula) esikhundleni sezinkampani zakudala zendiza. Kodwa-ke, ezinye izindiza zezindiza zisakhipha amantongomane . Ngaphambi kokuba uhambe, cwaninga izinqubomgomo zokungezwani zohambo lwezindiza ozihlose ukuzisebenzisa. Abanye balamukela abantu abanamanqamu kunabanye. Shayela kusengaphambili ukuze ubhale izindiza ezithile ze-peanut noma ucele ukudla okungenamsoco.
Izwi kusuka
Akusekho ukwelashwa kokunwetshwa kwe-peanut, ngakho ukulawula kuhilela ukugwema ngokuqinile yonke imikhiqizo ye-peanut futhi ukulungele ukuphendula okungenzeka. Uma ngabe uthola ukuthi unesifo sofuba sezinkukhu, udokotela wakho uzomisa i-epinephrine auto-injector (evame ukubizwa nge-Epi-Pen) okuzodinga ukuhamba nawe ngaso sonke isikhathi.
> Imithombo:
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> Izinkombandlela zokuHlola nokuPhathwa kweZokudla kwezifo ezithathelwanayo e-United States: Umbiko we-Panel Expert-Sponsored Panel.