Ukuhlolwa Kokungezwani Komzimba Nokudla

-Delile

• Kuyini ukuhlolwa kokungezwani komzimba nokudla?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kokungezwani komzimba nokudla?
• Kwenzekani ngesikhathi sokuhlolwa kokungezwani komzimba nokudla?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Izinkomba

Kuyini ukuhlolwa kokungezwani komzimba nokudla?

Ukungezwani kokudla yisimo esidala ukuthi amasosha omzimba wakho aphathe uhlobo lokudla olungeyona ingozi ngokungathi yigciwane eliyingozi, amabhaktheriya, noma elinye igciwane elithelelanayo. Impendulo yesistimu yomzimba ekulweni nokungezwani kokudla isukela emqubeni omncane kuya ezinhlungwini zesisu kuya enkingeni esongela impilo ebizwa nge-anaphylactic shock.

Ukungezwani komzimba nokudla kuvame kakhulu ezinganeni kunabantu abadala, okuthinta cishe amaphesenti amahlanu ezingane e-United States. Iningi lezingane liphuma emzimbeni ngenxa yokuguga njengoba likhula. Cishe amaphesenti angama-90 azo zonke izinto ezibangelwa ukungezwani komzimba nokudla abangelwa yilokhu kudla okulandelayo:

• Ubisi
• Soy
• Ukolweni
• Amaqanda
• Amantongomane omuthi (kufaka phakathi ama-alimondi, ama-walnuts, ama-pecans nama-cashews)
• Inhlanzi
• Imbaza
• Amantongomane

Kwabanye abantu, noma inani elincane kakhulu lokudla okubangela ukungezwani komzimba lingadala izimpawu ezisongela impilo. Kokudla okubalwe ngenhla, amakinati, amantongomane ezihlahla, izimbaza nezinhlanzi kuvame ukudala ukungezwani okubi kakhulu.

Ukuhlolwa kokungezwani komzimba nokudla kungathola ukuthi ngabe wena noma ingane yakho unayo ukungezwani komzimba nokudla. Uma kusolwa ukungezwani kokudla, umhlinzeki wakho wokunakekela oyinhloko noma umhlinzeki wengane yakho cishe uzokudlulisela kumuntu owonda izinto ezithile. I-allergenist ngudokotela ogxile ekuhloleni nasekwelapheni ukungezwani komzimba nesifuba somoya.

Amanye amagama: Ukuhlolwa kwe-IgE, ukuhlolwa kwenselele yomlomo

Kusetshenziselwa ini?

Ukuhlolwa kokungezwani komzimba nokudla kusetshenziselwa ukuthola ukuthi ngabe wena noma ingane yakho kukhona ukungezwani komzimba nokudla okuthile. Kungasetshenziselwa futhi ukuthola ukuthi ngabe une-allergy yangempela noma, kunalokho, ukuzwela kokudla.

Ukuzwela kokudla, okubizwa nangokuthi ukungabekezelelani kokudla, kuvame ukudideka nokungezwani kokudla. Izimo ezimbili zingaba nezimpawu ezifanayo, kepha izinkinga zingahluka kakhulu.

Ukungezwani komzimba nokudla kuyisenzo sokuzivikela komzimba esingathinta izitho kuwo wonke umzimba. Kungadala izimo zempilo eziyingozi. Ukuzwela kokudla kuvame ukuba kubi kakhulu. Uma unokuzwela kokudla, umzimba wakho awukwazi ukugaya kahle ukudla okuthile, noma ukudla kuphazamisa uhlelo lwakho lokugaya ukudla. Izimpawu zokuzwela kokudla zikhawulelwe kakhulu ezinkingeni zokugaya ukudla ezifana nobuhlungu besisu, isicanucanu, igesi kanye nohudo.

Ukuzwela kokudla okuvamile kufaka:

• I-Lactose, uhlobo lukashukela olutholakala emikhiqizweni yobisi. Kungase kudidaniswe nokungezwani komzimba nobisi.
• I-MSG, isithasiselo esitholakala ekudleni okuningi
• I-Gluten, iphrotheni etholakala kukolweni, ibhali, nezinye izinhlamvu. Kwesinye isikhathi kudidaniswa nokwaliwa ukolo. Ukuzwela kwe-Gluten kanye nokwaliwa ukolweni nakho kwehlukile kwesifo se-celiac. Esifo se-celiac, amasosha akho omzimba alimaza amathumbu akho amancane uma udla i-gluten. Ezinye zezimpawu zokugaya ukudla zingafana, kepha isifo se-celiac akuyona ukuzwela kokudla noma ukungezwani kokudla.

Kungani ngidinga ukuhlolwa kokungezwani komzimba nokudla?

Wena noma ingane yakho ningadinga ukuhlolwa kokungezwani komzimba nokudla uma unezici ezithile zobungozi kanye / noma izimpawu.

Izingozi zokungezwani komzimba nokudla zibandakanya ukuba:

• Umlando womndeni wokungezwani komzimba nokudla
• Okunye ukwaliwa ukudla
• Ezinye izinhlobo zokungezwani komzimba, njenge-hay fever noma i-eczema
• Isifuba Somoya

Izimpawu zokungezwani komzimba nokudla zivame ukuthinta eyodwa noma eziningi zalezi zingxenye zomzimba ezilandelayo:

• Isikhumba. Izimpawu zesikhumba zifaka phakathi isifuba, ukuhayiza, ukulunywa nokubomvu. Ezinganeni ezinokungezwani komzimba nokudla, uphawu lokuqala luvame ukuba nokuqubuka.
• Uhlelo lokugaya ukudla. Izimpawu zifaka phakathi ubuhlungu besisu, ukunambitheka kwensimbi emlonyeni, nokuvuvukala kanye / noma ukulunywa kolimi.
• Uhlelo lokuphefumula (kufaka phakathi amaphaphu akho, ikhala, nomphimbo). Izimpawu zifaka ukukhwehlela, ukuvunguza, ukucinana kwamakhala, inkinga yokuphefumula, nokuqina kwesifuba.

Ukushaqeka kwe-Anaphylactic ukusabela okweqile okuthinta umzimba wonke. Izimpawu zingafaka lezo ezibalwe ngenhla, kanye ne:

• Ukuvuvukala okusheshayo kolimi, izindebe, kanye / noma umphimbo
• Ukuqinisa imigwaqo yomoya nenkinga yokuphefumula
• Ishayela okusheshayo
• Isiyezi
• Isikhumba esiphaphathekile
• Ukuzizwa uphela amandla

Izimpawu zingenzeka ngemuva kwemizuzwana nje ngemuva kokuba othile evezwe yilokho okweqile. Ngaphandle kokwelashwa okusheshayo, ukushaqeka kwe-anaphylactic kungabulala. Uma kusolwa ukushaqeka kwe-anaphylactic, kufanele ushayele i-911 ngokushesha.

Uma wena noma ingane yakho nisengozini yokwethuka kwe-anaphylactic, i-allergenist yakho ingase ikunikeze idivayisi encane ongayisebenzisa esimweni esiphuthumayo. Umshini, obizwa nge-auto-injector, uletha umthamo we-epinephrine, umuthi owephuza ukusabela okweqile. Usazodinga ukuthola usizo lwezokwelapha ngemuva kokusebenzisa le divayisi.

Kwenzekani ngesikhathi sokuhlolwa kokungezwani komzimba nokudla?

Ukuhlolwa kungaqala ngo-allergenist wakho enza ukuhlolwa komzimba futhi abuze ngezimpawu zakho. Ngemuva kwalokho, uzokwenza isivivinyo esisodwa noma eziningi ezilandelayo:

• Ukuhlolwa kwenselele yomlomo. Ngalesi sivivinyo, umelaphi wakho uzokunika noma ingane yakho inani elincane lokudla okusolwa ukuthi kubangele ukungezwani komzimba. Ukudla kunganikezwa nge-capsule noma ngomjovo. Uzobhekelwa eduze ukuze ubone ukuthi ngabe kukhona ukusabela okweqile. I-allergen yakho izokunikeza ukwelashwa ngokushesha uma kukhona ukusabela.
• Ukudla kokuqeda. Lokhu kusetshenziselwa ukuthola ukuthi yikuphi ukudla noma ukudla okuthile okubangela ukungezwani komzimba. Uzoqala ngokususa konke ukudla okusolwayo kokudla kwengane yakho noma ekudleni kwakho. Uzobe usengeza ukudla emuva ekudleni ngasikhathi sinye, ufuna ukusabela okweqile. Ukudla kokuqeda akukwazi ukukhombisa ukuthi ukusabela kwakho kungenxa yokungezwani kokudla noma ukuzwela kokudla. Ukudla kokuqeda akukhuthazwa kunoma ngubani osengozini yokuphendula okweqile.
• Ukuhlolwa kwesikhumba. Ngalesi sivivinyo, i-allergenist yakho noma omunye umhlinzeki uzobeka inani elincane lokudla okusolwayo esikhunjeni sesandla sakho noma emuva. Uzobe ehlaba isikhumba ngenaliti ukuvumela inani elincane lokudla lingene ngaphansi kwesikhumba. Uma uthola iqhubu elibomvu, elilumayo endaweni yokujova, imvamisa kusho ukuthi awunakukudla.
• Ukuhlolwa kwegazi. Lokhu kuhlolwa kubheka izinto ezibizwa ngama-antibody e-IgE egazini. Ama-antibodies e-IgE enziwa kumasosha omzimba lapho uchayeka ezintweni ezibangela ukungezwani komzimba. Ngesikhathi sokuhlolwa kwegazi, uchwepheshe wezokunakekelwa kwempilo uzothatha isampuli yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile wokuhlolwa kokungezwani komzimba nokudla.

Ingabe zikhona izingozi esivivinyweni?

Ukuhlolwa kwenselele yomlomo kungadala ukusabela okweqile komzimba. Yingakho lokhu kuhlolwa kunikezwa kuphela ngaphansi kweso elibukhali ngumuntu ongezwani nomzimba.

Ungathola ukusabela okweqile ngesikhathi sokudla kokuqeda. Kufanele ukhulume nomphikisi wakho womzimba mayelana nokuthi ungakuphatha kanjani ukusabela okungaba khona.

Ukuhlolwa kwesikhumba kungasikhathaza isikhumba. Uma isikhumba sakho siluma noma sicasukile ngemuva kokuhlolwa, umelaphi wakho angakunikeza umuthi wokuqeda izimpawu. Ezimweni ezingavamile, ukuhlolwa kwesikhumba kungadala ukusabela okunzima. Ngakho-ke lokhu kuhlolwa kufanele futhi kwenziwe ngaphansi kweso elibukhali lomzimba ongeyena owalelayo.

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Uma imiphumela ikhombisa ukuthi wena noma ingane yakho unenkinga yokungezwani komzimba nokudla, indlela yokwelashwa iwukugwema ukudla.

Alikho ikhambi lokwaliwa ukudla, kepha ukususa ukudla ekudleni kwakho kufanele kuvimbele ukungezwani komzimba.

Ukugwema ukudla okubangela ukungezwani komzimba kungafaka amalebula wokufunda ngokucophelela kuzimpahla ezihlanganisiwe. Kusho nokuthi udinga ukuchaza ukungezwani komzimba nanoma ngubani okulungiselela noma okuphakela ukudla noma ingane yakho. Lokhu kufaka abantu abanjengo-waiters, abagada izingane, othisha, nabasebenza endaweni yokudlela. Kepha noma uqaphela, wena noma ingane yakho ningavezwa ekudleni ngengozi.

Uma wena noma ingane yakho nisengozini yokuphendula okweqile, i-allergenist yakho izokunikeza idivayisi ye-epinephrine ongayisebenzisa uma ngengozi ivezwe ekudleni. Uzofundiswa ukuthi ungayifaka kanjani insimbi ethangeni lakho noma lengane yakho.

Uma unemibuzo mayelana nemiphumela yakho kanye / noma ukuthi ungazisingatha kanjani izinkinga zokungezwani komzimba, khuluma nomphikisi wakho womzimba.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Izinkomba

1. I-American Academy of Allergy Asthma & Immunology [i-Intanethi]. IMilwaukee (WI): I-American Academy of Allergy Asthma & Immunology; c2018. Ama-Allergists / ama-Immunologists: Amakhono Akhethekile [acashunwe ngo-2018 Oct 31]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.aaaai.org/about-aaaai/allergist-immunologists-specialized-skills
2. I-American Academy of Allergy Asthma & Immunology [i-Intanethi]. IMilwaukee (WI): I-American Academy of Allergy Asthma & Immunology; c2018. Isifo se-Celiac, i-non-celiac Gluten Sensitivity, kanye ne-Allergy yokudla: Zihluke Kanjani? [kucashunwe ngo-2018 Oct 31]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.aaaai.org/conditions-and-treatments/library/allergy-library/celiac-disease
3. I-American College of Allergy Asthma & Immunology [i-Intanethi]. I-Arlington Heights (IL): I-American College of Allergy Asthma & Immunology; c2014. Ukuhlolwa Kokungezwani Komzimba Ngokudla [kucashunwe ngo-2018 Okthoba 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://acaai.org/allergies/types/food-allergies/testing
4. I-Asthma ne-Allergy Foundation yaseMelika [i-Intanethi]. ILandover (MD): Isifuba Somoya Ne-Allergy Foundation yaseMelika; c1995–2017. Ukungezwani komzimba nokudla [kubuyekezwe ngo-2015 Oct; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini ezi-5]. Kutholakala kusuka: http://www.aafa.org/food-allergies-advocacy
5. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Ukungezwani kokudla ezikoleni [kubuyekezwe ngo-2018 Feb 14; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cdc.gov/healthyschools/foodallergies
6. HealthyChildren.org [Inthanethi]. I-Itasca (IL): I-American Academy Yezingane; c2018. Ukungezwani komzimba okuvamile; 2006 Jan 6 [kubuyekezwe 2018 Jul 25; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Common-Food-Allergies.aspx
7. UJohn Hopkins Medicine [Inthanethi]. IJohns Hopkins University, Isibhedlela iJohns Hopkins, kanye neJohns Hopkins Health System; Ukungezwani kokudla [okushiwo ngo-2018 Oct 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/non-traumatic_emergency/food_allergies_85,P00837
8. I-KidsHealth evela kuNemours [Internet]. Isisekelo seNemours; c1995–2018. Kwenzekani Ngesikhathi Sokuhlolwa Komzimba?; [kucashunwe 2018 Nov 4]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://kidshealth.org/en/teens/allergy-tests.html
9. I-KidsHealth evela kuNemours [Internet]. Isisekelo seNemours; c1995–2018. Uyini Umehluko Phakathi Kokungezwani Komzimba Nokubekezelela Ukudla? [kucashunwe ngo-2018 Oct 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://kidshealth.org/en/parents/allergy-intolerance.html?WT.ac=ctg#catceliac
10. UKurowski K, uBoxer RW. Ukungezwani kokudla: Ukutholwa nokuphathwa. Ngingudokotela We-Fam [Inthanethi]. I-2008 Jun 15 [icashunwe ngo-2018 Oct 31]; 77 (12): 1678-86. Kutholakala kusuka: https://www.aafp.org/afp/2008/0615/p1678.html
11. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2018. Ukungezwani komzimba [kubuyekezwe i-2018 Oct 29; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/conditions/allergies
12. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ukuhlolwa kwesikhumba komzimba: Mayelana no-2018 Aug 7 [kucashunwe ngo-2018 Oct 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/allergy-tests/about/pac-20392895
13. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ukungezwani kokudla: Ukuxilongwa nokwelashwa; I-2017 Meyi 2 [icashunwe ngo-2018 Oct 31]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/food-allergy/diagnosis-treatment/drc-20355101
14. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ukungezwani kokudla: Izimpawu nezimbangela; I-2017 Meyi 2 [icashunwe ngo-2018 Oct 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/food-allergy/symptoms-causes/syc-20355095
15. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2018. Ukungezwani komzimba nokudla [okushiwo ngo-2018 Okthoba 31]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/immune-disorders/allergic-reactions-and-other-hypersensitivity-disorders/food-allergy
16. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi [kucashunwe ngo-2018 Oct 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
17. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Health Encyclopedia: Izivivinyo Zokuxilonga Izifo Zokungezwani Nomzimba [okushiwo ngo-2018 Okthoba 31]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P00013
18. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Ukuhlolwa Kokungezwani Nokwelashwa Komzimba: Ukubuka konke kokuhlolwa [kubuyekezwe ngo-2017 Okthoba 6; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/allergy-tests/hw198350.html#hw198353
19. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Ukungezwani kokudla: Izivivinyo Nezivivinyo [kubuyekezwe ngo-2017 Nov 15; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini eziyi-9]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/major/food-allergies/te7016.html#te7023
20. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Ukungezwani kokudla: Ukubuka konke kwesihloko [kubuyekezwe ngo-2017 Nov 15; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/major/food-allergies/te7016.html#te7017
21. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Ukungezwani kokudla: Izimpawu [kubuyekezwe ngo-2017 Nov 15; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/major/food-allergies/te7016.html#te7019
22. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Ukungezwani komzimba nokudla: Ungabiza Nini Udokotela [kubuyekezwe ngo-2017 Nov 15; kukhonjiwe ngo-2018 Oct 31]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/major/food-allergies/te7016.html#te7022

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.