Isingeniso sokuqala emakhaleni singavimbela ukungezwani komzimba
Kule minyaka, kube khona izincomo eziningi eziphikisanayo mayelana nokuthi kuphephile ukuqala ukondla izingane ibhotela le-peanut. Lokhu kuye kwabangela ukudideka okukhulu kubazali. Izindaba ezinhle ukuthi imihlahlandlela emisha (ekhishwe ngo-2017) isula ukuphakama okukhulu.
Kuvela ukuthi ungakwazi ukunciphisa ingozi yezinambuzane ze-peanut ezinganeni zakho uma ufaka ibhotela le-peanut noma unamathisele ingane yakho ezinyangeni ezingu-4 kuya kwezi-6.
Ukunyuka kwama-Peanut Allergies
Sekuyiminyaka, abazali batshelwe ukuthi abantwana nebhokisi le-peanut abahlanganisi nje. Eqinisweni, kwakungumkhuba ojwayelekile ukuyeka ukwethula nanoma yimaphi amantongomane, kuhlanganise ibhotela, kuze kube yilapho izingane zineminyaka emithathu ubudala. Lokhu kungenzeka ukuthi kwaba nomthelela omubi futhi kwaholela ekukhuleni kwamaphilisi emanzini phakathi kwezingane.
Ngokusho kokudla okunomsoco wezezifo (FARE), ama-peanut isinye sezidlo eziyisishiyagalombili ezinkulu eziyaziwa ukuthi zibangelwa ukwelashwa. Amanye amanye ubisi, amaqanda, amantongomane emithi, ukolweni, soy, inhlanzi kanye ne-shellfish. Umkhuba wokulibazisa ukungeniswa kwalezi zokudla ezinganeni ezincane akunciphisanga ukuthuthukiswa kwezifo. Eqinisweni, inani le-peanut ne-nut nut allergies ngempela liphindwe kathathu phakathi kuka-1997 no-2008.
Esikhundleni salokho, i-FARE ithi "ukondla ukudla kwama-peanut ekuqaleni futhi ngokuvamile kubantwaneni abanamaqanda okwephuza noma i-eczema inciphisa kakhulu izingozi zabo zokuthuthukisa ukungezwani komzimba." Lesi sincomo sisebenza ezinganeni eziningi.
Imihlahlandlela yokwethula ama-peanuts
Ngo-2017, i-US National Institutes of Health (NIH) yakhiphe isethi yemihlahlandlela emisha emithathu mayelana nesikhathi sokuletha amantongomane ezinganeni. Isekelwe ngokuqondile ngobufakazi obuvela esilingo somtholampilo esixhaswe yiNational Institute of Ebola and Infectious Diseases (NIAID) futhi isixhaswe ezinye izifundo eziningi eminyakeni yamuva.
Lolu cwaningo lwathola ukunciphisa amaphesenti angu-81 emithonjeni ye-peanut phakathi kwamantombazane angama-600 aphezulu. Izingane zaqala ukudla amantongomane njengezingane futhi ziqashwe kuze kube yilapho ziphenduka iminyaka engu-5 ubudala. Lokhu kwaholela emibhalweni elandelayo ye-NIH:
- Isiqondiso 1: Izinsana ezisengozini enkulu yokuthuthukisa ukungezwani kwe-peanut zingangeniswa kokudla okunomquba ophakathi kwezinyanga ezingu-4 no-6. Kunconywa ukuba uhlole ngodokotela wakho wezingane kuqala ngoba angase afune ukwenza izivivinyo zokulawulwa kwezifo zofuzo kuqala.
- Isikhombandlela sesi-2: Ngezinsana ezine-eczema emnene noma elinganisiwe, ukudla kwe-peanut kungafakwa ezinyangeni ezingu-6. Futhi, kungcono ukubonana nodokotela wakho.
- Umkhombandlela wesi-3: Zonke ezinye izinsana zingaba nezinhlanzi ezihlanganisiwe ekudleni kwazo ngokukhululekile.
Ucwaningo oluthile lubuye lwathola ukuthi kumama abangalindelekile okulindelekile, ukudla amantongomane ngenkathi ukhulelwe kunganciphisa ingozi yokuphefumula kwe-peanut izingane.
Ukuncelisa I-Butter Baby Yakho
Ibhotela le-peanut ingaba ukwengeza okunempilo ekudleni komntanakho. I-NIH itusa ukuba uqale nezinye ukudla okuqinile ngaphambi kokuletha noma yimaphi amantongomane. Kubalulekile ukuthi ungalokothi unike ingane engaphansi kweminyaka engama-3 ubudala wonke amantongomane ngoba lokhu kuyingozi.
Qala nge-spoonful encane ye-bhotela ye-peanut futhi ungayifaki nokunye ukudla okuqala njengezithelo, ama-veggies, okusanhlamvu, noma inyama.
Esikhundleni salokho, yakha unamathisela ngokuxuba amathisipuni amabili webhokisi le-peanut ngamanzi ashisayo. Qinisekisa ukwenza lokhu ekhaya uma ungakwazi ukubuka eduze nanoma yikuphi ukusabela okweqile phezu kwamahora ambalwa alandelayo. Lezi zihlanganisa imihlathi, ukuqhuma, ukuphefumula kwezinkinga, noma ukushintsha kokuziphatha.
Uma ubona noma yiziphi izimpawu ze-peanut allerergy, shayela udokotela wezingane ngokushesha. Uma usana lwakho lunenkinga yokuphefumula, shayela u-911.
Izimpawu ze-Peanut allerergy
Qaphela ukuthi ukungezwani kwe-peanut kungaba nzima, impilo yonke, futhi ingase ibulale. Kungase kubangele ukusabela okubangelwa impilo okubizwa ngokuthi i-anaphylaxis kwezinye izingane. Lezi zimpawu zingabonakala emaminithini nje kuphela noma zingathatha amahora, ngakho-ke qaphela ngalesi sikhathi futhi ungalindi ukubiza izinsizakalo eziphuthumayo noma umhlinzeki wakho wezempilo.
I-American Academy ye-allergies Asthma & Immunology (AAAAI) ithi ukudla kokudla kungabangela izimpawu ezilandelayo:
Izinkinga Zesikhumba
- I-hives (izindawo ezibomvu ezifana nokulunywa kwezinambuzane)
- Ukuqubuka kwezikhumba (i-eczema, ebizwa nangokuthi i-atopic dermatitis)
- Ukubamba noma ukukhipha (ngaphakathi noma emlonyeni nasemphinjeni)
- Ukuvuvukala
Izinkinga zokuphuza
- Iphutha le-Runny
- Sneezing
- Ukuphefumula (ukuvutha)
- Ukuqina okunamandla
Izinkinga zesisu
- I-nausea
- Ukuvota
- Uhudo
- Izimpande zesisu
Izinkinga zokujikeleza
- Isikhumba esiphezulu
- Ukukhanya okukhanyayo
- Ukulahlekelwa kokwazi
Izwi elivela ku-Verywell
Uma ukhathazekile ngomntanakho onomdlavuza we-peanut, khuluma nodokotela wezingane. Ngenkathi kungesabisa ukuhlola ingane yakho ngemithi yokwelapha i-peanut, kungcono ukuthola endaweni elawulwayo kunokuba ngengozi kamuva empilweni yomngane noma esikoleni.
> Imithombo:
> I-American Academy Yokuguqulwa Kwesifo Sokuzivocavoca Ne-Immunology, Ukuvimbela Ukulwa Nezifo: Okufanele Ukwazi Ngomsoco Wezingane Zakho , 2015.
> Bunyavanich S, et al. I-Peanut, Ubisi, Namaqoqo Okudla Ngesikhathi Sokukhulelwa Kuhlangene Nokunciphisa Ukudla Kwegazi Nokuncipha Kwezingane. I-Journal ye -ergy and Immunology Clinic . 2014; 133 (5): 1373-1382. doi: dx.doi.org/10.1016/j.jaci.2013.11.040.
> Du Toit G, Roberts G, Sayre PH, et al. Ukulingwa Okungahleliwe Kwe-Peanut Ukusetshenziswa Kwezingane Ezengozini Yokudla Kwezinhlanzi Ze-Peanut. I-New England Journal of Medicine . 2015; 372 (9): 803-813. doi: dx.doi.org/10.1056/nejmoa1414850.
> Izikhungo Zikazwelonke Zempilo. Izinkinga zePhaneli ezixhasiwe yi-NIH-I-Guidelines Clinic Yokuvimbela Ukunciphisa I-Peanut. 2017.
> Togias A, et al. Izikhombandlela Zokungezelela Zokuvimbela I-Peanut Yokungqubuzana Kwezilwane E-United States: Umbiko We-National Institute ofergy and Infectious Diseases-I-Panel Expert Panel. I-Journal ye -ergy and Immunology Clinic . 2017; 139 (1): 29-44. doi: dx.doi.org/10.1016/j.jaci.2016.10.010.