Ko kubika mhete kunogona kurapa chirwere chinotapira here?
Chiyero cheperetta chinokonzerwa nehutachiona chakanyanyisa kuwedzera pamusoro pemakore gumi apfuura uye zvino chinokanganisa chikamu chimwechete kubva kuzana kubva muzana yevanhu muUnited States nedzimwe nyika dzeMadokero. Zvakawanda, kutyisa upenyu kwehutano kune zviyo zvinowanzoonekwa kune vanhu vane chirwere chechirwere uye vanove nekuguma nekuuraya kwevakawanda kwemakore 15 akapfuura. Mune dzimwe nzvimbo dzenyika, dzakadai seKorea, China, neIsrael, chiyero chehutachiona chinotapukira chinoderera zvikuru kupfuura chekuMadokero kwenyika.
Vamwe vatsvakurudzi vanofunga kuti chiyero chepasi chepanutti chinoshandiswa munyika idzi chinogona kunge chine chokuita nekugadzirwa kwepagani. Munyika dzekuNyika dzekuMadokero, zvipuka zvinowanzooma zvakakangwa; mune dzimwe nyika dzisiri dzeMadokero, zvisinei, marinari anowanzobikwa, akabikwa kana kunyanya kutapira. Aya maitiro akasiyana-siyana ekugadzirisa angangodaro achinje kuti muviri unoita sei kune peanut allergen.
Kushandiswa Kwaiitwa uye Kubika Kuchinja Peanut Allergy
Kune zvikamu zvitatu zvakakura zvepepanut zvinorondedzerwa, zvinonzi Ara h 1 , Ara h 2 uye Ara h 3 . Vanhu vanorarama muUnited States (US) vane peanut zvinowanzoita zvinowanzoenderana neAra h 2 , kunyanya avo vanhu vane maitiro akaoma ehupfuu. Zvinoratidzika kuti guru guru repepanut rose rinoshandiswa nemaitiro emiti anogadziridzwa kana achienzaniswa nemafuta matsva. Kurora mhete kunowedzera maitiro anonzi IgE antibodies anogamuchira Ara h 2 , iyo inogona kutsanangura kuti nei vanhu muUnited States vachida kuva nezvakawanda uye zvakanyanya kuomera kugadzirisa marangi.
Kune rumwe rutivi, zviyo zvakakangwa zvinowanzosadyiwa muKorea, uko kunowanzojairika kudya zvakabikwa, zvakabikwa kana zvakabikwa, zvinoratidzika kuderedza kukwanisa kweAra h 2 kuita sendigen. Nokuda kwechikonzero ichi, zvinenge zvichida kuti zvipembenene zvinotapira, kunyanya maitiro akaoma, zvinowanzove zvakajairika munyika dzenyika dzekuMadokero zvichienzaniswa nenyika dzeAsia.
Iko Kune Ipo Iko Here Mushonga wePeanut Allergy?
Kwete saizvozvo. Kune huwandu hwezvidzidzo zviduku zvinotarisa kushandiswa kwemuviri immunotherapy kuitira kurapwa kwepanut. Izvi zvidzidzo zvinosanganisira kupa huwandu hwehupfu hwepananut (kazhinji mu gelatin capsules) kuzomedza zuva rega rega, kwemavhiki kusvika kumwedzi. Mushure mekunge nguva iyi, dambudziko remuromo kune peanut rinoshandiswa kutarisa kuti peanut yakawanda sei munhu anogona kuregerera asingatongogadziriswa. Zvidzidzo zvishomanana zvakaratidza kuti mushure mokunge vana vaine murwere wemunyore mumuviri kwemwedzi yakawanda, ivo vanogona kudya nhamba yakawanda yemarangi (anenge 20) vasina kuonekwa. Zvinosuruvarisa, inenge yose yevana ava vakawana imwe nzira yekugadzirisa zvinokonzerwa nehutachiona munguva yeiyo muromo peanut immunotherapy.
Kuwedzera kune zviratidzo zvevanaphylaxis izvo zvave zvichirondedzerwa kuti zvinowanzoitika muzhinji rwevana vari kunyora muromo wepanut immunotherapy, kune huwandu hunowedzera hwemashoko evana vari kuwedzera maitiro eosinophilic esophagitis semagumisiro emagumisiro emuromo. Nokudaro, somugumisiro wenguva dzose, dzimwe nguva zvinokonzerwa nemigumisiro yemuromo wepanut immunotherapy, uyewo mubvunzo wekubatsira kwenguva yakareba sei kubwinya kwezvirwere kuchagara, hazvikurudzirwi kushandiswa kunze kwechiremba chekutsvaga tsvakurudzo.
Ichi chirwere chisati chagadzirira kugoverwa nevanhu veharagenists, uye inofanira kugoverwa chete nemayunivhesiti makuru kana kuenderera mberi kwekudzidzisa masangano, kana sechikamu chekutsvakurudza.
Nyanzvi dzinotaura nezvekudya kwezvokudya dzakagumisa, "Peanut oral immunotherapy inomira inovimbiswa, inogona kuisa zvirwere-kuchinja nzira yekurapa kwekutungamirirwa kweGG-mediated peanut allergies.Asi zvakadaro, ikozvino, hakuna uchapupu husina kukwana maererano nehupenyu hwekugara kwenguva refu, kuchengeteka uye mari -kubudirira kwepanut oral oral immunotherapy kukurudzira kushandiswa kwayo nguva dzose mumakiriniki. "
Mafuta Anogona Kubika Anotungamirira Kurapa Yezvokudya Zvirwere Here?
Zvichida.
Ongororo dzekare dzakaratidza kuti kuburikidza nekupisa kukuru, zvimwe zvokudya zvakadai semukaka neizi zvinorasikirwa nekwakwanisa kukonzera kugadzirisa kwehutano. Vanhu vazhinji vane mukaka nezai zvinokonzera kushivirira izvozvi zvekudya pazvinenge zvakanyanya kupisa. Apo nguva yakawanda mazai mazai nemukaka zvinowanzodyiwa nevanhu vane mazai uye mukaka kurwisa, zvokudya zvavo zvekudya zvinowanzova zvisingasviki, uye panguva yekare.
Kuongororwa kwechangobva kuitwa, kwakaitwa pavana vana vane manyorerwe emakungu, vakatevedzera mafungiro akafanana mukuedza kuporesa matanho avo evanhu. Vana vadya mbanje yakabikwa pakuwedzera mari zuva rose pamusoro pemwedzi yakawanda. Mushure menguva yemwedzi yakawanda, vamwe vevana vakakwanisa kudya marangi matsva. Sezvakangoita nokudya zvakanyanya mukaka wakavhenganiswa uye mazai, kudya mhete yakabikwa - pamwe nekuderera kweAra h 2 - kunogona kutungamirira kukurudzirwa kwekutaura nemwoyo. Kunyange zvazvo zvimwe zvakawanda zvidzidzo zvichidiwa, kudya mhete yakabikwa kunogona kuva chinhu chinoporesa kurapwa kwepanut.
Kana iwe uchitambura nehutu hwemazamu, zvinokosha kuti usaedza kudya mhete yakabikwa usingatauri nachiremba wako wekurwara kutanga. Chidzidzo chataurwa pamusoro apa chaisanganisira nhamba shomanana yevarwere, uye kutyisa kwehupenyu kunopisa zvinokonzerwa nehutachiona kunogona kuitika nekudya mhete yakabikwa kune vanhu vane manyowa ezvokudya.
> Sources:
> Turner PJ, et al. Kurasikirwa kweAllergenic MaProteine Pakubikira Kunotsanangura Kushivirira Kubika Kwebhinzi muPeanut Allergy. J Allergy Clin Immunol. In Press .
> Sampson HA. Peanut Oral Immunotherapy: Iko Yakagadzirira Kurapa Kwechipatara. J Allergy Clin Immunol. 2013; 1: 15-21.