Vaccines uye Food Allergy
Mamiriyoni ezvirongwa zvepabonde zvepabonde anopiwa gore negore muUnited States; zvinokonzera kugadziriswa kubva kune aya majekiseni hazvisi nyore. Zvisinei, vamwe vanhu vane zvimwe zvipembenene zvekudya vanogona kunge vari pangozi yakakura yekugadzikana kwevangagadziriswa semagumisiro ane zvirwere zvine mapuroteni ezvokudya.
Kusvika ku8% yevana vanotambura nehutano hwekudya , neii ihwo humwe hwezvokudya zvinowanzovhiringidza vana.
Zvizhinji zvekuita zvirwere zvepwere zvine utano hweii mapuroteni kana zvimwe zvikafu zvekudya. Somugumisiro, pane mukana wekuti mwana ane chirwere chekudya chekudya achawana anaphylaxis (chirwere chakakomba chinogadziriswa) sechikonzero chekugamuchira chirwere.
Zvokudya zvinotevera zvinowanikwa mune zviduku zvishoma muzvirwere zvehutano hwehuduku; zvimwe zvirwere zvisiri zvepurogiramu zvine mapuroteni ezvokudya zvakanyorwawo.
Eki
Vana vane mazai anokonzera hutano vanonyanya kunetseka pavanowana zvirwere zvepwere. Izvi zvinotevera zvirwere zvekudzivirira zvinogona kunge zvine mazai eprotein mazai evha kana mazai: chirwere (chirwere) uye masopu-mumps-rubella (MMR) vachiviri. Mukuwedzera, zvirwere zvinotevera zvisiri zvepurogiramu zvine egg protein: yellow fever uye zvirwere zve typhoid.
Imwe yepukenza inokwana mazana mapuroteni emu egg, uye mari iyi inogona kusiyaniswa gore negore uye batch kuti iite. Nenzira yakawanda, chirwere chekurwisa hachifaniri kupiwa kune vanhu vane chokwadi chezera rinokonzera (vanhu vane zvirwere zvakanaka zvekuongorora mazai evha asi vanogona kudya mazai vasina zviratidzo chero zvipi zvayo kwete mazai anokonzera).
Zvisinei, mune dzimwe mamiriro ezvinhu, kubatsirwa kwekugamuchira chirongwa ichi kunogona kupfuurira kune ngozi; izvi zvingava zvakadaro kune vanhu vane chirwere chakasimba chemafi uye nyoro dzinotyisa. Mune zviitiko izvi, anoripoteri anogona kukwanisa kupa chirwere mumadhora mashomanana mumaawa akawanda, asi achitarisa zvakanyanya munhu wacho kuti atarise.
Mushonga weMMR unogadzirwa mumagariro echick fibroblast cell; chirwere chinogona kunge chisina mavharoteni ayo munhu ane mazai anokonzera. Vanhu vakawanda, kunyange avo vane chirwere chakakura chezai, havane chirwere chinogadziriswa kune chirongwa cheMMR. Nokudaro, American Academy of Pediatrics inokurudzira kuti vana vane mazai evha vanogona kupiwa chirongwa cheMMR pasina mimwe nzira inokosha inotorwa. Izvi zvingava zvine musoro, zvisinei, kutarisa evha-inokonzera mwana muhofisi yechiremba kwenguva yakati mushure mekupa chirongwa cheMMR.
Chirwere cheGlow fever, chirwere chisina kugadziriswa chinopiwa kune vanhu vanoenda kuCentral / South America uye kuSouth Africa neSouth Africa, ine zvikamu zvakakura zveiii protete uye hazvifaniri kupiwa kune vanhu vane mazai ezera. Chirwere cheGuinea fever, chine mazana akawanda eprotein evha yezvese mazai-based vaccines, yakave ichitaurirwa kuti inokonzera kugadzikana kwevanhu kune zvinetso zvekudya nyama. Kufanana nehutachiona, chirwere chinonzi yellow fever chinogona kupiwa mazai-vanhu vanorwara zvishoma muawa yakawanda, vachinyatsotariswa nachiremba.
Gelatin
Gelatin, yakafanana neyo inowanikwa muJell-O, inowedzerwa kune dzakawanda zvirwere sehutsi hwekupisa.
Nguva dzose vacheche vana vane gelatin vanosanganisira MMR, varicella (chicken-pox), influenza uye DTaP (diphtheria, tetanus uye acellular pertussis). Zvirwere zvisina kurongwa zvine gelatin zvinosanganisira yellow fever, rabies, uye Japanese encephalitis. Kurwisa kweAirgic kune chirwere cheMMR kunonyanya kukosha nemhaka yegelatin mujemusi panzvimbo yekugarisa mazai eprotein mune chirwere.
Chaizvoizvo, munhu chero upi zvake akawana chirwere chekuita mushure mokudya gelatin zvokudya zvekudya (Jell-O) haafaniri kupa chero ipi zvayo yezvirwere zvinotevera. Zvisinei, sezvakangoitika kune mazai ane mazai muzai-inokonzera vanhu, zvirwere zvegelatin-zvine zvirwere zvinogona kupiwa gelatin-vanhu vanokonzera chirwere pasi pekutarisa zvakananga kwechiremba.
Yeaven yeM Baker
Zvimwe zvirwere zvinogadzirwa naS saccharomyces cerevisiae , iyo inowanzove mbiriso yevabiki inoshandiswa pakugadzira chingwa. Nguva dzose vana vacheche vane mbiriso yebabiki vanosanganisira hepatitis B, uye chero mushonga unobatanidza une hepatitis B.
Chero munhu chero upi zvake akawana chirwere chekuita mushure mekudya zvokudya zvinogadzirwa nembiriso yebabiki haafaniri kupa chirwere che hepatitis B. Zvisinei, sezvakangoitika kune mazai ane mazai muzai-vanhu vose, zvirwere zvine mbiriso zvinogona kupiwa mbiriso-inokonzera vanhu pasi pekutarisa zvakananga kwechiremba.
Dzidza zvakawanda pamusoro pezvinyorwa zvezvokudya zvekudya , uye zvinowanzovhiringidza kudya kwevana .
Sources:
Moylett EH, Hanson IC. Zvigadzirwa zveMatambudziko uye Zviitiko Zvakaipa Zvinosanganiswa neChito Administration. J Allergy Clin Immunol. 2004; 114: 1010-20.
Cox JE, Cheng TL. Egg-based Vaccines. Pediatrics in Review. 2006; 27: 118-119.
Nzvimbo dzeDaase Control uye Kudzivirira. Kuongororwa December 12, 2007.
KUDZIDZA: Mashoko anowanikwa mune ino yepaiti ndeyedzidzo yekudzidzisa chete, uye haafaniri kushandiswa sechinzvimbo chekutarisirwa kwega nechiremba ane chiremba. Ndapota ona chiremba wako kuti uongorore uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chekurapa.