Kodi Allergy Chakudya ndi Chiyani, Chifukwa Chiyani Zimachitika? Ambiri Ambiri Zakudya Zosagwirizana ndi Zakudya

ziwengo zakudya ndizofala kwambiri. Zimakhudza pafupifupi 5% ya akuluakulu ndi 8% ya ana. Kusagwirizana ndi zakudya zambiri kumatha kuchitika. 

Kodi Vuto la Chakudya ndi Chiyani?

ziwengo chakudya kapena ziwengo chakudyaNdi mikhalidwe yomwe zakudya zina zimayambitsa chitetezo cha mthupi. Zimachitika chifukwa chitetezo chamthupi chimazindikira molakwika mapuloteni ena m'zakudya kuti ndi owopsa.

Thupi limatenga njira zingapo zodzitetezera, kuphatikizapo kutulutsa mankhwala monga histamine omwe amayambitsa kutupa.

Anthu omwe sali osagwirizana ndi chakudya akhoza kuwapangitsa kuti ayambe kudwala ngakhale atakumana ndi zochepa za chakudyacho.

Zizindikiro zimatha kuwoneka paliponse kuyambira mphindi imodzi mpaka maora mutatha kuwonekera. Anthu omwe ali ndi vuto losagwirizana ndi zakudya amakhala ndi zizindikiro zotsatirazi.

 Zizindikiro Zosagwirizana ndi Chakudya

-Kutupa lilime, mkamwa ndi kumaso

- kupuma movutikira

- kutsika kwa magazi

- kusanza

- Kutsekula m'mimba

- Urticaria

- Kuthamanga kwamphamvu

Mu milandu kwambiri ziwengo chakudyakungayambitse anaphylaxis. Anaphylaxis ndi vuto lalikulu lomwe limayamba mwadzidzidzi ndipo lingayambitse imfa.

Mu anaphylaxis, zizindikiro monga redness, kuyabwa, kutupa pakhosi ndi kuchepa kwa magazi nthawi zambiri zimawonekera.

Zizindikiro nthawi zambiri zimabwera mofulumira komanso zimakula mofulumira; Zizindikiro za anaphylaxis ndi:

- Kutsika kothamanga kwa magazi

- Kukhala ndi mantha, nkhawa

-Kuyabwa, kumemerera

-Nseru

- mavuto opuma akuchulukirachulukira

- Kuyabwa pakhungu ndi zidzolo zimatha kufalikira mwachangu ndikuphimba thupi lonse

-kuyetsemula

- maso othamanga ndi mphuno

- tachycardia (kuthamanga kwa mtima)

- Kutupa kofulumira kwapakhosi, milomo, nkhope ndi pakamwa

- kusanza

- Kusiya kuzindikira

Zomwe zimayambitsa anaphylaxis zimaphatikizapo kulumidwa ndi tizilombo, zakudya, ndi mankhwala. Anaphylaxis amayamba chifukwa cha kutuluka kwa mapuloteni ku mitundu ina ya maselo oyera a magazi.

Mapuloteniwa ndi zinthu zomwe zimatha kuyambitsa kusamvana kapena kupangitsa kuti munthu asamavutike kwambiri. Kutulutsidwa kwawo kungakhale chifukwa cha mphamvu ya chitetezo cha mthupi kapena chinthu china chosagwirizana ndi chitetezo cha mthupi.

ziwengo chakudyaZizindikiro zomwe zimatha kuchitika mwachangu pakhungu ndi monga zotupa, kutupa pakhosi kapena milomo, kupuma movutikira, komanso kuthamanga kwa magazi. Nthawi zina zimatha kukhala zakupha.

ziwengo zakudya agawidwa m'mitundu iwiri ikuluikulu. IgE (Immunoglobulin E) ma antibody ndi ma antibody opanda IgE. Ma antibodies ndi mtundu wa mapuloteni amwazi omwe amagwiritsidwa ntchito ndi chitetezo chamthupi kuzindikira ndi kulimbana ndi matenda.

ndi IgE ziwengo chakudyaMa antibodies a IgE amamasulidwa ndi chitetezo chamthupi. Zopanda IgE ziwengo chakudyaPotsirizira pake, ma antibodies a IgE samatulutsidwa ndipo amagwiritsidwa ntchito ndi mbali zina za chitetezo chamthupi kuthana ndi chiwopsezo chomwe akuganiza.

Nazi zofala kwambiri ziwengo zakudya...

Ambiri Ambiri Zakudya Zosagwirizana ndi Zakudya

mkaka wa ng'ombe ziwengo

Kusagwirizana kwa mkaka wa ng'ombe kumakhala kofala kwambiri, makamaka kwa makanda ndi ana. ziwengo zakudyandi mmodzi wa iwo. Ndi chimodzi mwazofala kwambiri zaubwana, zomwe zimakhudza 2-3% ya makanda ndi ana.

Mkaka wamkaka wa ng'ombe ukhoza kuchitika mu mitundu yonse ya IgE ndi yosakhala ya IgE, koma IgE ndi vuto lodziwika kwambiri komanso lovuta kwambiri pa mkaka wa ng'ombe.

Kwa ana ndi akulu omwe ali ndi vuto la IgE, mkaka wa ng'ombe umakhudzidwa pakatha mphindi 5-30 mutamwa. Zizindikiro monga kutupa, redness, urticaria, kusanza ndipo, nthawi zambiri, anaphylaxis amawoneka.

Kusagwirizana ndi IgE nthawi zambiri kumayambitsa kutupa kwa khoma lamatumbo komanso zizindikiro za m'matumbo monga kusanza kapena kutsekula m'mimba. Ndizovuta kuzindikira kuti mkaka wa non-IgE umakhala wovuta.

Chifukwa nthawi zina zizindikiro zimatha kuloza kuzinthu zina ndipo palibe kuyezetsa magazi kuti adziwe. Ngati wapezeka ndi vuto la mkaka wa ng'ombe, chithandizo chokha ndicho kupewa mkaka wa ng'ombe ndi zakudya zomwe zili nawo. Zakudya ndi zakumwa izi ndi monga;

- Mkaka

- Ufa wa mkaka

- Tchizi

- Butter

- Margarine

- Yoghurt

- Kirimu

- Ayisi kirimu

dzira ziwengo

Mazira ziwengo ndi chachiwiri chofala kwambiri kwa ana pambuyo pa kusagwirizana ndi mkaka wa ng'ombe. ziwengo chakudyandi 68% ya ana omwe ali ndi vuto la dzira amakhala ndi ziwengo pofika zaka 16. Zizindikiro zodziwika bwino za dzira ndi:

- Matenda a m'mimba monga kupweteka kwa m'mimba

- Zochitika pakhungu monga zotupa

- Mavuto a kupuma

- Anaphylaxis (kawirikawiri)

Mazira ziwengo ndizofala dziraZimatsutsana ndi zoyera zachikasu, osati zachikasu. Izi ndichifukwa choti mapuloteni a dzira loyera ndi yolk ndi osiyana. Mapuloteni ambiri omwe amayambitsa ziwengo amapezeka mu dzira loyera.

Kupewa dzira ziwengo, monga ena ziwengo, m`pofunika kukhala kutali ndi mazira. Muzochitika zophika, sizingakhale zofunikira kupewa zakudya zina zopangidwa ndi mazira, chifukwa mawonekedwe a mapuloteni omwe amayambitsa chifuwa adzasintha.

Muzochitika izi, thupi siliwona mapuloteni kukhala ovulaza ndipo mwayi wochitapo kanthu umachepetsedwa. Komabe, izi sizikukhudza aliyense.

Mtedza ziwengo

Kudana ndi mtedza ndi ziwengo ku mbewu zina zotengedwa kumitengo. Kusagwirizana kwa mtedza kumatha kuchitika mukadya zakudya izi:

- Brazil mtedza

- Almond

- Cashew

- Pistachios

- Mtedza wa paini

- Walnut

Omwe amadana ndi mtedza amawonetsa kusagwirizana ndi zinthu monga mtedza wa hazelnut ndi phala lopangidwa kuchokera pamenepo. Ngakhale mutakhala kuti mulibe matupi amtundu umodzi kapena iwiri ya mtedza, muyenera kupewa mtedza wonse. Izi ndichifukwa; Chiwopsezo chokhala ndi ziwengo ku mitundu ina ya mtedza chimachulukira kwa iwo omwe ali ndi matupi a mtedza umodzi.

Mosiyana ndi ziwengo zina, kusagwirizana ndi mtedza kumakhala moyo wonse. Matendawa amatha kukhala ovuta kwambiri, ndipo 50% yaimfa zokhudzana ndi anaphylaxis ndizomwe zimayambitsa kufa kwa mtedza.

Pachifukwachi, tikulimbikitsidwa kuti omwe ali ndi vuto la mtedza nthawi zonse amanyamula epipen (syringe mu mawonekedwe a cholembera chamankhwala chomwe chimalepheretsa odwala omwe ali ndi chifuwa chachikulu kuti asalowe ku anaphylaxis) pakakhala zoopsa.

chiponde

Kusagwirizana ndi mtedza ndi mtundu wamba. Nthawi zina zimakhala zovuta kwambiri ndipo zimatha kuyambitsa zotsatira zoyipa. Anthu omwe ali ndi vuto la mtedza nthawi zambiri amakhala osagwirizana ndi mtedza.

Ngakhale kuti chifukwa chenicheni chokhalira ndi vuto la chiponde sichidziwika, zimadziwika kuti omwe ali ndi mbiri ya banja lawo omwe ali ndi vuto la chiponde ali pachiopsezo chachikulu. Kusagwirizana kwa mtedza kumakhudza 4-8% ya ana ndi 1-2% ya akuluakulu. Pafupifupi 15-22% ya ana omwe amadwala matenda a mtedza amakula kuposa zaka zawo zaunyamata.

Monga ziwengo zina, kusagwirizana kwa chiponde kumachitika pogwiritsa ntchito mbiri yakale ya odwala, kuyezetsa khungu, kuyezetsa magazi, komanso momwe chakudya chikuyendera. 

Njira yokhayo yothanirana ndi vutoli ndi kupewa chiponde ndi zinthu zina za mtedza. Komabe, mankhwala atsopano akukonzedwa kwa ana omwe ali ndi vuto la mtedza. Imodzi mwa njira zochizira izi ndikugwiritsa ntchito pang'ono poyang'aniridwa kuti achepetse ziwengo. mtedza kumaphatikizapo kupatsa.

Matenda a Nkhono

Kusagwirizana kwa nkhono kumachitika pamene thupi limalimbana ndi mapuloteni ochokera ku nkhono ndi mtundu wa mollusc wotchedwa crustaceans. nkhono ziwengo angayambe crustaceans zotsatirazi;

- Shirimpi

- Nsomba zazinkhanira

- Lobusitara

- Sikwidi

- Kuluma 

Chomwe chimayambitsa matenda a nkhono ndi puloteni yotchedwa tropomyosin.

Mapuloteni ena omwe amachititsa kuti chitetezo cha mthupi chitetezeke ndi arginine, kinase, ndi myosin light chain. Zizindikiro za matenda a zipolopolo nthawi zambiri zimabwera mwachangu. Zizindikiro zake ndi zofanana ndi zina za IgE.

Kusagwirizana kwenikweni kwazakudya zam'madzi nthawi zina kumakhala kovuta kusiyanitsa ndi zomwe zimachitika chifukwa cha kuipitsidwa kwazakudya zina zam'nyanja monga ma virus, mabakiteriya, ndi tiziromboti. 

Izi zili choncho chifukwa zizindikiro zake zimakhala zofanana, chifukwa zimatha kuyambitsa mavuto a m'mimba monga kusanza, kutsegula m'mimba ndi kupweteka kwa m'mimba. Pofuna kuti asakhudzidwe ndi matenda a nkhono, mankhwalawa sayenera kudyedwa.

ziwengo za tirigu

Chiwopsezo cha tirigu ndi kusagwirizana ndi mapuloteni omwe amapezeka mu tirigu. Zimakhudza kwambiri ana. Ana omwe ali ndi vuto la tirigu nthawi zambiri amakula kwambiri akafika zaka khumi.

Mofanana ndi zowawa zina, kusagwirizana ndi tirigu kungayambitse kusokonezeka kwa m'mimba, kusanza, totupa, kutupa, ndipo nthawi zambiri, anaphylaxis.

Chifukwa nthawi zambiri amasonyeza zizindikiro zofanana za m'mimba matenda a celiac ndi matenda a gluten. Kusagwirizana kwenikweni kwa tirigu kumapangitsa kuti chitetezo cha mthupi chitetezeke kumodzi mwa mazana a mapuloteni omwe amapezeka mu tirigu.

Izi zimakhala zovuta kwambiri ndipo nthawi zina zimapha. Matenda a Celiac ndi kutengeka kwa gluten sizowopseza moyo. Mu izi, thupi limapanga kuyankha kwachilendo kwa chitetezo cha mthupi ku mapuloteni enaake (gluten) omwe amapezeka mu tirigu.

Anthu omwe ali ndi matenda a celiac komanso kukhudzidwa kwa gluten ayenera kupewa tirigu ndi mbewu zina za gluten. Anthu omwe ali ndi vuto la tirigu amangoyenera kupewa tirigu ndipo amatha kulekerera gluten mumbewu zopanda tirigu.

Chiwopsezo cha tirigu nthawi zambiri chimadziwika ndi kuyesa kwa khungu. Njira yopewera kusagwirizana ndi tirigu ndikukhala kutali ndi tirigu ndi tirigu. Muyeneranso kukhala kutali ndi kukongola ndi zodzikongoletsera zomwe zili ndi tirigu.

soya ziwengo

Matenda a soya amakhudza 0.4% ya ana ndipo amapezeka kwambiri mwa ana osakwana zaka zitatu. Izi zimayamba chifukwa cha puloteni yomwe ili mu soya ndi zinthu zomwe zili ndi soya. 70% ya ana omwe ali ndi vuto la soya adzakhala ndi ziwengo akadzakula.

Zizindikiro zosagwirizana ndi soya zimaphatikizapo kuyabwa, mphuno yothamanga, mphumu, ndi matenda opumira.

Nthawi zina, zimatha kuyambitsa anaphylaxis. Chochititsa chidwi n'chakuti, ana ena omwe ali ndi vuto la mkaka wa ng'ombe amayambanso ndi soya.

Zomwe zimayambitsa zakudya zomwe zimayambitsa matenda a soya ndi zinthu za soya monga soya, mkaka wa soya, ndi msuzi wa soya. Chifukwa soya amapezeka m'zakudya zambiri, ndikofunikira kuti muwerenge zolemba zomwe mumagula. Monga ziwengo zina, chithandizo chokha cha soya ziwengo ndikupewa zinthu izi.

ziwengo za nsomba

Matenda a nsomba amakhudza 2% ya akuluakulu. Matenda a nsomba, mosiyana ndi zowawa zina, zimachitika pambuyo pa moyo.

Mofanana ndi matenda a nkhono, kusagwirizana kwa nsomba kungayambitse matenda aakulu komanso omwe angakhale oopsa kwambiri. Zizindikiro zake zazikulu ndi kusanza ndi kutsekula m'mimba, ndipo nthawi zambiri, anaphylaxis. Anthu omwe ali ndi vuto la nsomba amapatsidwa epipen ngati adya nsomba mwangozi.

Chifukwa zizindikiro zimatha kukhala zofanana, ziwengo za nsomba zimaganiziridwa molakwika kuti zimatengera zinyalala monga mabakiteriya, ma virus, poizoni mu nsomba.

Chifukwa chakuti nkhono ndi zipsepse sizimanyamula mapuloteni ofanana, anthu amene amadana ndi nkhanu sangagwirizane ndi nsomba. Anthu amene amadana ndi nsomba akhoza kusagwirizana ndi nsomba imodzi kapena zingapo.

Allergy Foods List

zafotokozedwa pamwambapa ziwengo zakudya ndizofala kwambiri. Palinso zakudya zosiyanasiyana zosagwirizana ndi zakudya. samawonedwa kawirikawiri ziwengo zakudya Kuyabwa pang'ono kwa milomo ndi pakamwa (oral allergy syndrome) kumatha kuwonetsa zizindikiro zoyambira kupha anaphylaxis. zochepa wamba ziwengo zakudya ndi;

- Flaxseed

- Njere za Sesame

- Pichesi

- Nthochi

- peyala

- Tcheri

- Kiwi

- Selari

- Adyo

– Mbeu za mpiru

- Mbewu ya Anise

- Daisy

- Nkhuku

Kusagwirizana ndi Chakudya ndi Kusalolera Chakudya

Akatswiri, ziwengo chakudya Anthu ambiri amene amaganiza kuti alidi kusalolera kwa chakudyaIwo anapeza kuti anali nalo. Kusalolera kwa chakudya sikuphatikiza ma antibodies a IgE.

zizindikiro zimawonekera nthawi yomweyo kapena pambuyo pake, ziwengo zakudyazofanana ndi zizindikiro za 

ziwengo zakudya Ngakhale kuti zimachitika chifukwa cha mapuloteni, kusagwirizana kwa chakudya kumatha kuchitika chifukwa cha kusowa kwa mapuloteni, mankhwala, chakudya chamagulu kapena michere muzakudya, kapena kuchepa kwa matumbo.

ziwengo chakudyaNgakhale zakudya zochepa zimatha kuyambitsa chitetezo chamthupi ndikuyambitsa ziwengo. A ziwengo chakudya Zingayambitse kukomoka, chizungulire, vuto la kupuma, kutupa kwa ziwalo zosiyanasiyana za thupi monga khosi, lilime ndi nkhope. Munthuyo athanso kumva kulasa mkamwa.

Kodi Matenda Osagwirizana ndi Zakudya Amadziŵika Bwanji?

Dokotala adzafunsa wodwalayo za zomwe zimachitika, monga zizindikiro, nthawi yayitali bwanji kuti izi zichitike, zakudya zomwe zidayambitsa, ngati chakudyacho chinaphikidwa ndi kumene adadyera.

khungu prick test

Dontho limodzi la allergen lidzayikidwa mkati mwa mkono ndipo lancet wosabala (chipangizo chachipatala chopangidwa ndi chitsulo) chidzagwiritsidwa ntchito kupanga zokanda pakhungu lanu. Ngati pali zina zomwe zingachitike monga kuyabwa, kutupa kapena kuyabwa, mwina muli ndi ziwengo zamtundu wina.

Kuyesa kwa khungu nthawi zina kumatha kutulutsa zotsatira zabodza kapena zabwino. Madokotala nthawi zambiri amatha kuyitanitsa mayeso ena kuti atsimikizire.

Kuyezetsa magazi

Kuyezetsa magazi kumachitidwa kuti awone ma antibodies a IgE okhudzana ndi mapuloteni ena azakudya.

kuchotsa zakudya

Zakudya zokayikitsa nthawi zambiri sizimadyedwa kwa masabata 4-6 kuti muwone ngati zizindikiro zatha. Kenako amadyedwanso kuti awone ngati zizindikiro zibwerera. Kuchotsa zakudya ayenera kuyang'aniridwa ndi dokotala kapena katswiri wa zakudya. 

diary ya chakudya

Odwala amalemba zonse zomwe amadya ndikufotokozera zizindikiro zomwe zimachitika.

Ulamuliro wa amaganiziridwa allergens moyang'aniridwa ndi dokotala

Maso a wodwala amakhala otsekedwa ndipo zakudya zosiyanasiyana zimaperekedwa. Mmodzi wa iwo ali pang'ono akuwakayikira allergen. Wodwala amadya aliyense ndipo zochita zawo zimayang'aniridwa bwino.

Wodwala ali ndi maso otseka sadziwa kuti ndi chakudya chiti chomwe akuganiziridwa kuti ndi ziwengo; Izi ndizofunikira chifukwa anthu ena amakhudzidwa ndi zakudya zina (izi sizimadziwika kuti ndi ziwengo).

Kuyezetsa koteroko kuyenera kuchitidwa ndi dokotala yekha.

Ndani ali pachiwopsezo cha kusagwirizana ndi zakudya?

mbiri ya banja

Asayansi akuganiza kuti kusagwirizana ndi zakudya zina kumayamba chifukwa cha majini amene anthu amatengera kwa makolo awo.

Mwachitsanzo, omwe makolo awo kapena abale awo ali ndi vuto la chiponde amakhala ndi mwayi wokhala ndi vuto ili kuwirikiza ka 7 kuposa omwe alibe mbiri yabanja.

Ena ziwengo 

mphumu kapena atopic dermatitisOmwe ali ndi ine ali pachiwopsezo chachikulu chotenga ziwengo zazakudya kuposa anthu omwe alibe ziwengo zina zilizonse.

ukhanda

Kafukufuku wasonyeza kuti makanda obadwa mwa opaleshoni ndi kupatsidwa mankhwala opha tizilombo akabadwa kapena m’chaka choyamba cha moyo amakhala ndi chiopsezo chachikulu cha kudwala.

bacteria m'matumbo

Kafukufuku waposachedwa akuwonetsa kuti mabakiteriya am'matumbo amasintha mwa akulu omwe ali ndi vuto la mtedza komanso nyengo. Makamaka, ali ndi milingo yayikulu ya bacteroidales komanso milingo yotsika ya mitundu ya Clostridiales.