Kusarudza zvokudya zvakachengeteka uye kugara wakachengeteka kunze kwemusha wako
Zvirwere zvepepanut ndiyo yechitatu yezvokudya zvinowanzoshandiswa nevana veAmerica uye yechipiri inowanzofodya kudya kwevanhu vakuru. Inenge 1.4% muzana yevana uye 0.6% yevanhu vakuru vanokonzerwa nemarangi.
Hapana anoziva chikonzero nei, asi mishonga yepamusoro inowedzera kuve pakati pevana. Vakomana vane huwandu hwehuwandu hwemhondi yepamusoro kune vasikana, uye vasiri vana veSpain African-America vane chikwata chapamusoro chekumhanyisa kune vana vemamwe marudzi.
Kusiyana nedzimwewo humwe hutano hwehutano hwehutano hwemwana , hutachiona hwemanheru huzhinji hupenyu hurefu. Zvidzidzo zvinoratidza kuti vanenge makumi maviri kubva muzana vevana vari pasi pemakore maviri uye avo vanokonzera zvipembenene vacharamba vachirwara nehutano, izvo zvinoreva kuti 80% ichava nehutano hwehupenyu.
Zvizhinji zvekufa zvakabatana nezvokudya zvekudya zvinosanganiswa nepeanut kuisa uye anaphylaxis . Maonde anowanzowanikwa muzvokudya zvedu, uye dzimwe nguva anovanzwa mune zvose zviri muzvokudya uye zvisiri zvekudya , uye izvozvo zvinoita kuti vave dambudziko rechokwadi rekudzivisa.
Zviratidzo
Zviratidzo zvinosanganiswa nehutachiona zvinoratidzira kuratidzira kuratidzira pakarepo mushure mekudya zvipembenene kana zvokudya zvinenge zvigadzirwa zvepeanut. Zviratidzo zvinogona kutanga mukati memaminitsi mashomanana, asi zvinogona kutora chero nguva maawa maviri kuti aoneke.
Zvokudya zviratidzo zvinokonzera zvirwere zvinogona kusanganisira:
- Zviratidzo zveganda zvakadai sokukwikwidza, mikoko kana eczema .
- Zviratidzo zvezviratidzo zvakadai seyeusea, kurwadziwa kwepamuviri, kurutsa, kana chirwere .
- Zviratidzo zvekumhanya kwemhepo zvinosanganisira maguruza , kukomba, kana kuti runny pua.
- Kuzvimba, kunziwo angioedema , yemiromo, rurimi, kana chiso.
- Kuita kwakasimba, kunonzi vanaphylaxis , kunogona kuitika, kunokanganisa zvirongwa zvakawanda zvehumba.
Mheteti inowanzoita kuti vanaphylaxis iwedzere kune mamwe makuru makuru. Anaphylaxis chirwere chinokurumidzira uye chinoda kurapwa nokukurumidza.
Kuongorora nekurapa
Peanut allergy inoratidzwa nechiremba anonyanya kugadzirisa zvirwere-anergy. Kuti uongorore iwe, chiremba wako achatora nhoroondo yakajeka yezvokurapa, achaita kuongororwa kwepanyama, uye zvichida acharongedza kudya kwemazuva ose .
Kurapa kwekudya kwemanyowa kunobviswa kwepananut uye zvigadzirwa zvepagani kubva pakudya.
Kune dzakawanda zvidzidzo zvekutsvakurudza zviri kuitika ikozvino kutarisa ku- immunotherapy yepanut allergy , vachitsvaga mushonga kana kurapwa kwemakemikari epanut. Yakawanda inosanganisira nzira yekutsvaga zvinyorwa pamashizha kuburikidza nokudya zvinyorwa zvishoma zvepeneteni mapuroteni. Nemhaka yehutano hwehutachiona hwehutachiona hwehutachiona, hapana yemishonga iyi yakagadzirira kuhofisi yako yekuchiremba ikozvino, uye ivo zvirokwazvo haisi chinhu chaunofunga kufunga nezvekuedza iwe pachako. Zvinosuruvarisa, chirwere chete chakachengetedzeka ikozvino nokuda kwekumhanya kwepanutta ndechokudzivirira marangi.
Nzira Yokudzivirira Mapeji
Sezvakataurwa, iwe unofanira kubvisa marangi ose kubva pane zvaunodya kuti urege kudzivirira zvirwere. Zvakakosha, unofanirwa kudzivisa zvese zvekudya zviri pangozi yekuputika kwepamberi nemarangi muhutano hwekugadzira, zvakadai segrola bars, cookies, crackers uye zviyo.
The Food Allergy Labeling uye Consumer Protection Act (FALCPA) inokurudzira vatori voruzhinji peanut sechinhu chinogona kuitika kune mutengi.
Kwete chete iwe uchawana ruzivo urwu muzvinyorwa zvinongororwa , asi zvichavewo pane pepa. Mimwe michina haigoni kudana peanut-based based ingredients pane iyo mazita. Pane zvinhu zviviri zvaunogona kuita mumamiriro ezvinhu aya: kudana muiti uye unobvunze pamusoro pezvinhu zvakasanganiswa zviri mune chigadzirwa, uye / kana kutsika kudya chigadzirwa.
Pamusana pekuparara kwepamuchinjikwa (izvi zvinoitika kana zvikafu zvinogadzirwa mune imwe nzvimbo uye kuongorora marangi epepaniti inogona kusvibisa muti wemiti ine michina), mhuri dzakawanda dzichadzivisa kudya miti yemiti kana paine peanut allergies.
Dzivisa zvokudya chero chipi zvacho zvinotevera:
- mahwende uye peanut butter
- pasi makungu
- yakasanganiswa nutswe
- marimu anoita maitiro (akadai saNu-Nuts®)
- peanut flour
- Zvokudya zvinotengeswa kunze kwenyika zvinokonzerwa ne-hydrolyzed plant kana mapuroteni emichero (zvokudya zvakagadzirwa muUnited States neCanada zvinotarisirwa kutarisa zvinyorwa izvi, asi zvokudya zvinotengeswa hazvingaiti zvakadaro)
- inotonhora, inodzingwa kana kuratidza mafuta epeanut
Iva nhero yezvikamu zvinotevera zvezvokudya, sezvo zvingave zvine marangi:
- zvingwa zvakabikwa, kunyanya makiki, makeke, makatekesi, mapikisi, nezvimwewo
- chocolates uye candies- "brittle" inenge nguva dzose inoratidza marangi, uye "barks" inowanzogadzirwa nemaruva emhando, asi vazhinji vakawanda vakachengetedza chocolates zvinosuruvarisa zvinoshandiswa pamiganhu yakagoverwa nemarangi
- Cream cream nemamwe mazai echando
- spaghetti muto, chili, soup, uye ndiro dzakafanana
- nougat and marzipan
- cereal uye granola
Peanut zvinoshandiswa zvinogona kuvanzwa kana zvinowanzoshandiswa pane zvimwe zvekudya kana kuwanikwa mune zvisiri zvekudya:
- Mafuta epeanut akanyanya kucheneswa anogona kunge akachengeterwa vanhu vakawanda vane zvipembenene zvepepanut, asi mafuta anotonhorera anogona kunge ane mazinga epamusoro emaapuroteni. Ngwarira paunenge uchishandisa mafuta akacheneswa zvikuru, uye iva nechokwadi chemafuta ehurumende uye chitubu usati wasadya.
- Mafuta epepanut anowanzoshandiswa mumvura yakadzika uye yekuAsia yekubika. Mheteti inenge inowanikwa yakawanda muThai, Chinese, uye Indonesian kubika. Izvo zvinowanzoonekwawo muWest Africa uye South American cuisine.
- Mafuta epepanut (akanyorwa seArachis mafuta) anogona kuwanika muzvipfeko, mishonga, makemikari uye zvigadzirwa zvetambo.
- Kupisa mhete kana peanut butter kunogona kusunungura mapuroteni mumhepo inogona kuita kuti vanhu vave nehanya nemhepo inoberekerwa nemhepo.
Vakawanda vanoita zvekuita zvemazuva ose vanofunga kuti zvinhu zvavo zvinogadzirwa muzvivako zvisina mbesa, saka unogona kunzwa uine chivimbo mukusarudza michero kubva kune makambani iwayo.
Cross-Reactivity uye Zvimwe Zvimwe Zvirwere
Kunyange zvazvo mhete inonzi legume, kwete nut, inenge chikamu chimwe chete muzvitatu zvevana vane chirwere cheperetta chinenge chave chechirwere kune imwechete yemiti yemiti, kazhinji maarmonds uye hazelnuts. Chikamu chiduku chevana vane peanut allergy vanogona kunge vaine zvinokonzerwa nemafuta akawanda, kazhinji soy, chickpeas, uye lentils.
Vashanu chete muzana yevaya vane chirwere cheperetti zvinokonzerwa nemashizha (nyemba) - mune mamwe mazwi, 95% yevanhu vane peanut vanorega kubvumira bhinzi. Pane ngozi ye20% yekuenda kune lupine (inozivikanwawo se lupine), rudzi rwebhinzi rinoshandiswa muproteinini yakakwirira, gluten-pasina uye zvekudya zvekudya. Lupine inowanikwa muEurope yekubika nekubika, uye iri kuwedzera kuwanika muUnited States.
Kana uine peanut allergy, iwe haufaniri kudzivisa zvingave zvekudya zvinokonzerwa nehutachiona kunze kwekutya kukudziridza kurwara kwako, nokuti kuita izvozvo kuchagadzirisa kudya kwako, uye kunogona kuita kuti uwedzere kuva nekunzwa kwavari panzvimbo pokudzivirira zvinetso.
Kana iwe uchinetseka pamusoro pemisasa-reactivity, taura nachiremba wako nezvokudya zvakachengetedzeka kuti iwe udye.
Kutarisa Peanut Allergy At School
Vana vanoda peanut butter, uye peanut butter uye jelly sandwich ndezvokudya zvemasikati. Asi mafuta epepanut akanyatsoputika: anogona kudarika-kusvibisa zvimwe zvokudya uye agare kumashure kwemasikati masikati, maoko, kana kunwa zvitubu. Zvikoro zvakarongedza nezvengozi yekusvibiswa kwemuchinjikwa nenzira dzakasiyana-siyana dzinosanganisira kugadzira tafura dzezvokudya zvemasikati zvakasiyana-siyana zvevana vanokonzera vana uye kurambidza zvipembenene kubva kuchikoro chose.
Kuchenesa peanut masara kubva pamaoko uye madheski haisi nyore, asi zvinoda zuva rega rega kuchenesa. Izvo zvinoratidzika kuva zvakaoma zvikuru kuenzanisa zvinodikanwa zvevana vane zvipembenene zvepagani pamwe norusununguko rwevamwe vana kuti vadye zvokudya zvavo zvavanofarira.
Kuchengetedza mitambo yekukurukurirana yakazaruka nevadzidzisi nevashandi ndiyo nzira yakanakisisa yekuchengetedza vana vane manyowa evanhu. Kana mwana wako ane chirwere cheperetta, taura neshure zuva rekutanga. Taura nemureri wechikoro uye mudzidzisi nezveurongwa hwekuchengeta mwana wako akachengeteka kuchikoro. Uye ivai nemararamiro enyu epepanut-asina mahwende kune peanut butter uye jelly sandwich panguva yakagadzirira.
Zvimwe Zvokufungisisa
Peanuts uye Kissing
Nokuti peanut bhuruti inonamatira, pane vanhu vave vakagadzikana mushure mekutsvoda mumwe munhu akadya mbeu. Hapana nzira yokushambidza mapuroteni emukondanwe kubva mumuromo. Vechidiki kana vanhu vakuru vari kufambidzana vanofanira kutaura kune vavakaroorana navo pamusoro pezvokudya zvekudya kwavo vasati vatsvoda.
Kufamba nePeanut Allergy
Mafambisi ehurumende akawanda zvino anopa zvinyorwa zvishoma zve pretzels (kana kuti hapana zvokudya zvekudya zvachose) pane nzvimbo dzekare dzomumakungwa. Zvisinei, dzimwe ndege dziri kuendesa zviyo . Usati wabhururuka, tsvakurudza maitiro ezvekutenderera kune imwe ndege yaunoda kutenderera. Vamwe vanowanzogamuchira vanhu vane marangi kupfuura vamwe. Dana mberi kuti utange dzimwe ndege dzinenge dzisina mapeji kana kukumbira kudya kwepanut.
Shoko kubva
Izvo zvisati zviripo mushonga wekudya zvepagani, saka kugadzirisa kunosanganisira kudzivisa zvakasimba zvezvinhu zvose zvepagani uye kugadzirirwa kuti zvigone kuitika. Kana wakamboonekwa kuti une chirwere cheperetti, chirwere chako chinonyora epinephrine auto-injector (inowanzonzi Epi-Pen) yaunoda kutakura newe nguva dzose.
> Sources:
> Joneja JV. The Health Professional's Guide to Food Chirwere uye kusagadzikana
> Sherere S. Food Allergies: A Complete Guide ye Kudya > apo > Upenyu Hwako Hunovimba Nahwo
> Nhungamiro Yekuongororwa uye Kutungamirirwa Kwezvokudya Zvokudya MuUnited States: Nhoroondo yeNIAID-Gweta reZvipi Rinobatsirwa.