Created at:1/16/2025
Question on this topic? Get an instant answer from August.
I-Alpha-gal syndrome uketshezi lokudla okukhulu elivela ngemva kokulunywa yi-ticks ethile, ikakhulukazi i-lone star tick. Lokhu kwenza ukuthi i-immune system yakho iphendule eshukwini elithi galactose-alpha-1,3-galactose (alpha-gal) elikhona enyameni ebomvu yezilwane ezincelisayo ezinjenge-beef, i-pork, ne-lamb.
Okwenza lokhu ketshezi kungavamile ukuthi izimpawu ngokuvamile aziveli ngokushesha ngemva kokudla inyama. Kunalokho, zingathatha amahora angu-3 kuya kwangu-6 ukuvela, okwenza kube nzima ukuhlanganisa isenzo nesikudlile ngaphambili ngalolo suku.
Izimpawu ze-alpha-gal syndrome zingaba ukuphazamiseka kokudla okuncane kuya ezimpendulweni ezingozini ezingathí sina. Lezi zimpawu ngokuvamile zivela ngemva kwamahora ambalwa ngemva kokudla inyama ebomvu, okwenza lesi simo sihluke kwezinye izifo zokudla ezibangela izimpendulo ezisheshayo.
Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:
Kungenzeka futhi kube khona izimpawu ezinkulu, futhi lezi zidinga ukunakekelwa kwezokwelapha ngokushesha. Izimpendulo ezinkulu zingaba ukuphefumula okunzima, ukuvuvukala okubanzi, ukwehla kokucindezela kwegazi, ukukhathala, noma ukulahlekelwa yikwazi. Lezi zimpawu zibonisa i-anaphylaxis, isimo esiphuthumayo sezokwelapha esingaba yingozi.
Isikhathi eside sezimo ngokuvamile sidida abantu nodokotela babo. Ungadla i-hamburger ekuseni futhi ungazizwa ugula kuze kube ngokuhlwa, okwenza kube nzima ukuqonda ukuthi inyama yabangela isenzo sakho.
I-Alpha-gal syndrome ivela ngemva kokulunywa yi-ticks ethile eziphethe i-alpha-gal sugar molecule e-saliva yazo. Uma lezi ticks zikuluma, zifaka lesi shukela egazini lakho, okungabangela i-immune system yakho ukuba idale ama-antibodies ayo.
I-lone star tick iyimbangela eyinhloko e-United States, ikakhulukazi ezindaweni zasempumalanga nasezengingini. Noma kunjalo, ezinye izinhlobo ze-ticks ezingxenyeni ezahlukene zomhlaba zingabangela lesi simo. Lokhu kuhlanganisa i-European castor bean tick ne-paralysis tick etholakala e-Australia.
Uma i-immune system yakho isiqeqeshwe kwi-alpha-gal ngokulunywa yi-tick, ithatha lesi shukela njengengozi. Uma kamuva udle inyama ebomvu enesigaba se-alpha-gal, i-immune system yakho iqala impendulo yoketshezi. I-alpha-gal molecule ikhona ngokwemvelo ezilwaneni eziningi, kungakho i-beef, i-pork, i-lamb, nezinye izinhlobo zenyama ebomvu zibangela izimpendulo.
Akuwona wonke umuntu ohlunywa yilezi ticks othola i-alpha-gal syndrome. Ososayensi basafunda ukuthi kungani abanye abantu baba ne-allergy kanti abanye abangabe, kodwa izinto ezinjenge-genetics, inani le-tick bites, kanye nezimpendulo ze-immune system ngokwayo cishe zidlalela indima.
Kufanele ubona udokotela uma uhlangabezana nanoma yiziphi izimpendulo zoketshezi ngemva kokudla inyama ebomvu, ikakhulukazi uma izimpawu zivela ngemva kwamahora ambalwa. Ngisho nezimpawu ezincane njenge-hives noma ukuphazamiseka kokudla kufanele kunakekelwe ngokwelapha ngoba lesi simo singaba sibi ngokuhamba kwesikhathi.
Funani ukunakekelwa kwezokwelapha okusheshayo uma uthola izimpawu zoketshezi olukhulu. Lezi zimpawu zezesawoti zihlanganisa ukuphefumula okunzima, ukuvuvukala kobuso noma umlomo, ukushaya kwenhliziyo okusheshayo, ukukhathala, noma i-hives ebanzi. Ungalindi ukubona uma izimpawu ziphulukana zodwa.
Kuhle futhi ukubona udokotela uma uhlunywe yi-ticks futhi kamuva uqaphele noma yiziphi izimpendulo ezingavamile enyameni. Abantu abaningi abaqondi ukuthi bane-alpha-gal syndrome ngoba izimpawu ezide zenza kube nzima ukuhlanganisa amaphuzu phakathi kokulunywa yi-ticks kanye nezimpendulo zokudla.
Udokotela we-allergist angenza izivivinyo ezithile zokuxilonga i-alpha-gal syndrome futhi akusize uqonde ukuthi ungaphatha kanjani lesi simo ngokuphepha. Ukuxilongwa kwasekuqaleni nokuphathwa okuqondile kungavimbela izinkinga ezinkulu futhi kukusize ugcine impilo enhle.
Izinto eziningi zingandisa amathuba akho okuba ne-alpha-gal syndrome, indawo yomhlaba iyinye yezinkulu kakhulu. Ukuqonda lezi zinto ezingasenza ube sengozini kungakusiza uthathe izinyathelo ezifanele, ikakhulukazi uma uchitha isikhathi ezindaweni lapho i-lone star ticks ivame khona.
Ubungozi bakho buyakhula uma:
Ubudala bungadlala indima, njengoba i-alpha-gal syndrome ibonakala ivame kakhulu kubantu abadala kunabantwana, nakuba abantu banoma yiliphi iminyaka bangayithola. Lesi simo sibikiwe emagqabeni eminyaka ehlukahlukene, kusukela kubantwana abancane kuya kubantu abadala.
Ukwanda komhlaba kufanele kuphawulwe futhi. Njengoba inani le-ticks liya ezindaweni ezintsha ngenxa yokushintsha kwesimo sezulu nezinye izinto, i-alpha-gal syndrome ibikwa ezindaweni lapho yayingavamile khona ngaphambili.
Inkinga enkulu kakhulu ye-alpha-gal syndrome yi-anaphylaxis, impendulo enkulu yoketshezi engaba yingozi. Lesi simo esiphuthumayo singabangela ukwehla kokucindezela kwegazi, kwenze ukuphefumula kube nzima, futhi kungenze ukulahlekelwa yikwazi noma ukuqhekeka kwenhliziyo.
Okwenza i-anaphylaxis ikhathazeke ngokukhethekile nge-alpha-gal syndrome yisikhathi eside. Ungaba ekhaya, ulele, noma endaweni lapho usizo lwezokwelapha oluphuthumayo lungatholakali khona uma izimpawu ezinkulu ziqala. Lokhu kulibaziseka kwenza ukwelashwa okuphuthumayo kube nzima ukufinyelela ngokushesha.
Ngaphezu kwezingozi ezingokoqobo, i-alpha-gal syndrome ingathinta impilo yakho yansuku zonke nokudla kwakho. Kuzodingeka ugweme hhayi nje inyama ebomvu ebonakalayo, kodwa futhi ukudla okuningi okucutshunguliwe, imithi, nezinye izinto ezinezithako zezilwane ezincelisayo. Lokhu kwenza ukudla ngaphandle, uhambo, kanye nezimo zokudla nabantu kube nzima futhi kube nzima.
Abanye abantu bathuthukisa ukukhathazeka ngokudla, ikakhulukazi uma bezama ukudla okusha noma bedla ngaphandle kwekhaya. Ukwesaba ukudla okungahle kube ne-alpha-gal nokuba nempendulo enkulu kungathinta impilo yakho yengqondo nobuhlobo bakho.
Ukungahlangabezeki kokudla kungenzeka uma ungalitholi kahle iprotheni nezinso ezitholakala enyameni ebomvu. Noma kunjalo, ngokuhlela okuqondile nokuqondiswa yi-healthcare providers, ungagcina ukudla okunempilo, okulinganiselayo.
Indlela engcono kakhulu yokuvimbela i-alpha-gal syndrome ukugwema ukulunywa yi-ticks, njengoba lesi simo sivele ngemva kokulunywa yi-ticks eziphethe i-alpha-gal molecule. Ukuthatha izinyathelo zokuvimbela i-tick njalo yindlela yakho ephumelelayo kakhulu yokuzivimbela.
Uma uchitha isikhathi ngaphandle ezindaweni lapho i-ticks ivame khona, ungazivikela ngokuthi:
Ngemva kokuchitha isikhathi ngaphandle, hlola kahle wena, abantwana bakho, nezilwane zakho. Gxila ezindaweni eziyimfihlo njengemva kwezindlebe, ngaphansi kwama-arms, ngezinhlangothi, nasezinweleni. Geza ngaphakathi kwamahora amabili uma ungena ngaphakathi uma kungenzeka, njengoba lokhu kungasiza ekugezeni i-ticks ezinganamathele.
Uma uthola i-tick ehlanganisiwe, uyisuse ngokushesha usebenzisa i-tweezers ezinemininingwane. Bambe i-tick eduze nesikhumba sakho ngangokunokwenzeka bese udonsela phezulu ngokucindezela okuzinzile. Hlanza indawo yokuluma nezinye izandla zakho nge-rubbing alcohol noma isikhumba namanzi ngemva kwalokho.
Ukuxilonga i-alpha-gal syndrome kudinga ukuhlanganisa izimpawu zakho nokudla inyama ebomvu nokuqinisekisa ukuba khona kwama-antibodies athile egazini lakho. Udokotela wakho uzoqala ngokuthatha umlando oningiliziwe wezimpawu zakho, kufaka phakathi ukuthi zenzeka nini ngokuphathelene nokudla inyama.
Isici esibalulekile sokuqonda ukuxilongwa yisikhathi sezimo zakho. Ngokungafani nezinye izifo zokudla ezibangela izimpawu ezisheshayo, i-alpha-gal syndrome ngokuvamile ibangela izimpendulo ezide ngemva kwamahora angu-3 kuya kwangu-6 ngemva kokudla inyama ebomvu. Udokotela wakho uzobuza nganoma yikuphi ukulunywa yi-ticks kwamuva, nakuba ungase ungakhumbuli ukulunywa.
Izivivinyo zegazi zingakuqinisekisa ukuxilongwa ngokulinganisa amazinga ama-alpha-gal-specific antibodies (ama-IgE antibodies) ohlelweni lwakho. Lezi zivivinyo zinokunemba kakhulu uma zenziwa yilabhorethri eziqeqeshwe kahle. Ukuba khona kwalezi antibodies, kanye nomlando wezimpawu zakho, ngokuvamile kunikeza ukuxilongwa okuqondile.
Kwezinye izimo, udokotela wakho angase ahlomule ukuhlola okwengeziwe ukuze akhiphe ezinye izimo noma ukuqonda kangcono ububi loketshezi lakho. Izivivinyo ze-skin prick ngokuvamile azisetshenziswa kwi-alpha-gal syndrome ngoba azinakho ukuthembeka njengezivivinyo zegazi ngalesi simo esithile.
Udokotela wakho angase futhi acebise ukugcina idayari yokudla nezimpawu ukuze akusize ubone izindlela futhi uqinisekise ukuthi yikuphi ukudla okubangela izimpendulo zakho.
Ukuphathwa okuyinhloko kwe-alpha-gal syndrome ukugwema ngokuphelele ukudla nemikhiqizo ephilayo i-alpha-gal. Lokhu kusho ukususa inyama ebomvu yezilwane ezincelisayo, kufaka phakathi i-beef, i-pork, i-lamb, i-venison, nezinye izinhlobo zenyama zasendle ekudleni kwakho.
Udokotela wakho cishe uzokunikeza imithi yokuphuthumayo ukuze ube nayo uma kwenzeka ukuvezwa okungahleliwe. Lokhu ngokuvamile kuhlanganisa ama-antihistamines ezimpendulweni ezincane ne-epinephrine auto-injectors (njenge-EpiPens) ezimpendulweni ezinkulu. Kubalulekile ukuthwala le miyekezo nawe ngaso sonke isikhathi futhi wazi ukuthi uyisebenzisa kanjani kahle.
Ezimpendulweni ezincane zoketshezi, ama-antihistamines angaphezu kokuthengiswa njenge-diphenhydramine (Benadryl) noma i-loratadine (Claritin) angasiza ekuphatheni izimpawu njenge-hives noma ukukhazimula. Noma kunjalo, lezi akumelwe zithembeke ezimpendulweni ezinkulu.
Uma uhlangabezana nempendulo enkulu, sebenzisa i-epinephrine auto-injector yakho ngokushesha bese ubiza izinsizakalo eziphuthumayo. Ngisho noma i-epinephrine ikusiza, usadinga ukuhlolwa kwezokwelapha okuphuthumayo ngoba izimpawu zingabuya njengoba imithi iphela.
Ukusebenza nodokotela wezondlo kungakusiza uhlele ukudla okulinganiselayo okungapheli inyama ebomvu. Bangacebisa ezinye izinto zeprotheni futhi bakusize uqinisekise ukuthi uthola zonke izinto ezidingekayo. Abantu abaningi baphila ngempilo enhle ngokugxila ekudleni okunjenge-poultry, i-fish, amaprotheni asekelwe ezitshalweni, kanye nemikhiqizo yobisi.
Ukuphatha kahle i-alpha-gal syndrome ekhaya kudinga ukunakekelwa okuningi kwemibhalo yokudla, ukuhlela ukudla, nokulungiselela okuphuthumayo. Izindaba ezinhle ukuthi ngokuhlela okuqondile, ungagcina ukudla okuhlukahlukene nokunempilo ngenkathi ugwema izinto ezibangela.
Qala ngokufunda ukufunda imibhalo yokudla ngokucophelela. I-Alpha-gal ingafihla ezindaweni ezingalindelekile, kufaka phakathi ukudla okuqukethe i-gelatin, imithi ethile, izimonyo, nokudla okucutshunguliwe. Bheka izithako ezinjenge-gelatin, ukunambitheka kwemvelo, i-stearic acid, ne-magnesium stearate, ezingase zivela emithonjeni yezilwane ezincelisayo.
Dala indawo yokupheka ephephile ngokuhlanza kahle izindawo zokupheka, izinto zokupheka, kanye nezitsha ezingase zibe zisetshenziswe enyameni ebomvu. Cabanga ukunikeza izinto zokupheka ezihlukile ukudla kwakho uma amanye amalungu omndeni asadla inyama ebomvu.
Uma udla ngaphandle, xhumana ngokuqondile nabasebenzi berestoran ngoketshezi lakho. Buza imibuzo eningiliziwe ngezithako nezindlela zokulungiselela. Izindawo zokudla eziningi zingalungisa izidingo zakho ngesaziso sangaphambili, kodwa ngokuvamile kuphephile ukukhetha izindawo zokudla ezaziwa ngoketshezi lokudla.
Gcina imithi yokuphuthumayo ifinyeleleka kalula ekhaya, emsebenzini, nasemotweni yakho. Qinisekisa ukuthi amalungu omndeni nabangane abaseduze bayazi ngesimo sakho nokuthi bangasiza kanjani uma uhlangabezana nempendulo enkulu.
Cabanga ukugqoka i-medical alert bracelet noma uthwale ikhadi loketshezi elichaza isimo sakho, ikakhulukazi ngoba i-alpha-gal syndrome isalwazi olunciphile kubantu abaningi.
Ukulungiselela kahle i-appointment yakho yodokotela kungakusiza uqinisekise ukuthi uthola ukuxilongwa okuqondile kakhulu nesiqondiso esingcono kakhulu sokwelashwa. Qala ngokudala isikhathi esiningiliziwe sezimo zakho, kufaka phakathi ukuthi zenzeka nini ngokuphathelene nokudla kwakho.
Gcina idayari yokudla nezimpawu okungenani isonto ngaphambi kwe-appointment yakho. Qaphela konke okukudlayo, ukuthi ukudla nini, nanoma yiziphi izimpawu ezivela. Gxila ekuhlanganiseni phakathi kokudla nezimpawu, njengoba lesi siboniso eside kubalulekile ekuxilongeni i-alpha-gal syndrome.
Yenza uhlu lwemithi yonke, izongezo, nemikhiqizo engaphezu kokuthengiswa oyithathayo. Ezinye zalezi zingase ziqukethe izithako ezivela ezilwaneni ezincelisayo ezingase zihambelane nezimpawu zakho. Futhi, qaphela noma yikuphi ukulunywa yi-ticks kwamuva noma imisebenzi yangaphandle lapho ukubonakala kwe-tick kwakungenzeka khona.
Letha uhlu lwemibuzo okufanele uyibuze udokotela wakho, njengokuthi yikuphi ukudla nemikhiqizo okufanele uyigweme, yimiphi imithi yokuphuthumayo okufanele uyithwale, nokuthi ungaphatha kanjani izimo zokudla nabantu. Unganqikazi ukubuza ngezindlela zokuphatha isikhathi eside nokuthi isimo sakho singathuthuka yini ngokuhamba kwesikhathi.
Uma kungenzeka, letha ilungu lomndeni noma umngane ongakusiza ukukhumbula ulwazi olubalulekile e-appointment. Ukubonisana kwezokwelapha kungaba nzima, futhi ukuba nomuntu omunye lapho kungakuqinisekisa ukuthi awuphuthelwa imininingwane ebalulekile yokuphatha isimo sakho.
I-Alpha-gal syndrome isimo esiphatheka uma uqonda ukuthi ungagwema kanjani izinto ezibangela futhi uphendule ekuvezweni okungahleliwe. Nakuba ukuxilongwa kungase kuzwakale kukhulu ekuqaleni, abantu abaningi balungisa impilo yabo futhi baqhubeka bejabulela ukudla okuhlukahlukene nokunempilo.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo sidinga ukugwema ngokuphelele inyama yezilwane ezincelisayo nemikhiqizo ephilayo i-alpha-gal. Ngokungafani nezinye izifo zokudla abantu abangase bazikhule, i-alpha-gal syndrome ngokuvamile ihlala isikhathi eside, nakuba abanye abantu bangase babone ukuthi uketshezi lwabo lwehla ngeminyaka ngaphandle kokulunywa yi-ticks okwengeziwe. Akumelwe uvivinye lokhu ngokuzimisela ukudla inyama ebomvu, njengoba izimpendulo ezinkulu zingase zenzeke ngisho noma uketshezi lwakho lwehle. Sebenzani njalo nodokotela wakho ukuze uqaphele isimo sakho futhi wenze noma yiziphi izinguquko ekuhleleni kwakho kokuphatha ngokuphepha.
Hlala uqaphele ngokuvimbela i-tick, ikakhulukazi uma ujabulela imisebenzi yangaphandle. Ukuvimbela ukulunywa yi-ticks okwengeziwe kungasiza ekuvimbeleni uketshezi lwakho ukuba lingabi sibi futhi yindlela yakho engcono kakhulu yokuzivimbela ekuthuthukiseni lesi simo ekuqaleni.
I-alpha-gal syndrome ngezinye izikhathi ingathuthuka ngokuhamba kwesikhathi, kodwa le nqubo ngokuvamile iyancipha futhi ayikwazi ukubikezelwa. Abanye abantu bangase baphawule ukuthi uketshezi lwabo lwehla ngemva kweminyaka eminingi ngaphandle kokulunywa yi-ticks okwengeziwe, kanti abanye bahlala belokhu bekhona. Akumelwe uvivinye lokhu ngokuzimisela ukudla inyama ebomvu, njengoba izimpendulo ezinkulu zingase zenzeke ngisho noma uketshezi lwakho lwehle. Sebenzani njalo nodokotela wakho ukuze uqaphele isimo sakho futhi wenze noma yiziphi izinguquko ekuhleleni kwakho kokuphatha ngokuphepha.
Yebo, i-chicken ngokuvamile iphephile kubantu abane-alpha-gal syndrome ngoba izinyoni azinawo i-alpha-gal sugar molecule. Ungadli futhi i-turkey, i-duck, nezinye izinyoni. Noma kunjalo, qaphela ngemikhiqizo ye-chicken ehlanganisiwe engase iqukethe izithako ezivela ezilwaneni ezincelisayo njenge-gelatin noma ezinye izinto zokunambitheka. Funda imibhalo ngokucophelela futhi ukhethe imikhiqizo ebonisa izithako zayo ngokucacile ukuze ugweme ukuvezwa okungahleliwe kwi-alpha-gal.
I-Fish kanye ne-seafood ngokuvamile iphephile kubantu abane-alpha-gal syndrome ngoba azinawo i-alpha-gal molecule. Lokhu kuhlanganisa i-fish yamanzi amnandi namanzi olwandle, kanye ne-shellfish njenge-shrimp, i-crab, ne-lobster. I-Fish ingaba umthombo omuhle weprotheni nezinso ekudleni kwakho okungapheli i-alpha-gal. Njenganoma yikuphi ukudla, qiniseka ukuthi imikhiqizo ye-fish ayinawo izithako ezivela ezilwaneni ezincelisayo ezimbonini noma ekuhlanganiseni.
Abantu abaningi abane-alpha-gal syndrome bangadla imikhiqizo yobisi njengobisi, i-cheese, i-yogurt, ne-butter. Nakuba lezi zivela ezilwaneni ezincelisayo, i-alpha-gal molecule ikhona ikakhulukazi ezicutshungulweni zenyama kunobisi. Noma kunjalo, abanye abantu abane-alpha-gal syndrome enkulu kakhulu bangase baphendule emikhiqizweni yobisi, ngakho kubalulekile ukuxoxa ngalokhu nodokotela wakho. Uma usanda kuxilongwa, udokotela wakho angase acebise ukungenisa imikhiqizo yobisi kancane kancane ngenkathi uqaphela noma yiziphi izimpendulo.
Uma udla inyama ebomvu ngephutha, ziqaphele ngokucophelela izimpawu zoketshezi emahora angu-6 kuya kwangu-8 alandelayo. Thatha i-antihistamine uma uthola izimpawu ezincane njenge-hives noma ukukhazimula. Noma kunjalo, uma uhlangabezana nanoma yiziphi izimpawu zoketshezi olukhulu njengokuphefumula okunzima, ukuvuvukala kobuso noma umlomo, noma ukukhathala, sebenzisa i-epinephrine auto-injector yakho ngokushesha bese ubiza izinsizakalo eziphuthumayo. Ungalindi ukubona uma izimpawu ziya sibi, njengoba izimpendulo ezinkulu zingathuthuka ngokushesha futhi zibe yingozi.