Uyini Ukuphazamiseka Kwobisi? Izimpawu, Izimbangela, & Ukwelashwa

Ukuphazamiseka kwobisi kwenzeka lapho isimo sakho sokuvikela umzimba sikhipha amaprotheni atholakala ebisini lenkomo njengabaphangi ababi. Umzimba wakho uqala ukulwa ukuze uzivimbele, ngisho noma amaprotheni obisi empeleni awona mabi. Lesi simo singesinye sezimo ezivame kakhulu zokuphazamiseka kokudla, ikakhulukazi kubantwana abasebancane nabakhulu, nakuba singathinta abantu banoma iyiphi iminyaka.

Uyini ukuphazamiseka kwobisi?

Ukuphazamiseka kwobisi kuyisisombululo sesimo sokuvikela umzimba ku-nye noma kokubili amaprotheni amakhulu ebisini lenkomo: i-casein ne-whey. Uma uneleli phazamiseka, isimo sakho sokuvikela umzimba sivelisa ama-antibodies abizwa nge-immunoglobulin E (IgE) aqubuka ukukhululwa kwezinto ezinjenge-histamine. Lezi zinto zibangela izimpawu ezingathandeki futhi ngezinye izikhathi eziyingozi ozibona ngemuva kokudla ubisi noma imikhiqizo yobisi.

Lesi simo sihlukile ekungatholi ukondliwa kwe-lactose, okuhilela ubunzima bokuqeda ushukela wobisi kunokuba kube yisisombululo sesimo sokuvikela umzimba. Ngenkathi ukungatholi ukondliwa kwe-lactose kubangela ukungakhululeki kokugaya, ukuphazamiseka kwobisi kungathinta izinhlelo eziningi zomzimba futhi kungenze kube khona ukulwa okukhulu. Abantwana abaningi bayaphuma ekuphazamisekeni kwobisi ngaphambi kweminyaka emithathu, kodwa abanye abantu bayakuthwala kuya ebuntwini.

Ziyini izimpawu zokuphazamiseka kwobisi?

Izimpawu zokuphazamiseka kwobisi zingaba kusukela ekungakhululeki okuncane kuya ekuphenduleni okubulalayo, futhi ngokuvamile zivela ngaphakathi kwamaminithi ambalwa kuya emahoreni ambalwa ngemuva kokudla ubisi. Ubunzima nohlobo lwezimpawu zingahluka kakhulu kumuntu nomuntu, futhi ngisho nomuntu ofanayo angase abe nezimo ezahlukene ngezikhathi ezahlukene.

Izimpawu ezivame kakhulu ongazihlangabezana nazo zihlanganisa:

• Ukuphazamiseka kwesikhumba njenge-hives, ukukhahlela, noma ukukhanya kwe-eczema
• Izinkinga zokugaya njengokuphefumula, ukugabha, isifo sohudo, noma ukugcwala esiswini
• Izinkinga zokuphefumula njengokuqhekeka kwempumulo, ukukhipha, ukukhokha, noma ukufiphaza
• Ukukhula ngaphesheya komlomo, izindebe, ulimi, noma umlomo
• Amehlo amanzi noma akhahlelayo

Ezimweni ezingavamile kodwa ezingathi sína, ukwanda kwesikhumba somhluzi kungabangela i-anaphylaxis, ukusabela okukhulu komzimba wonke. Lesi simo esiphuthumayo sezokwelapha sidinga ukunakekelwa ngokushesha futhi kungabandakanya ubunzima bokuqeda umoya, ukushaya kwenhliziyo okusheshayo, ukukhungatheka, ukulahlekelwa yikwazi, noma ama-hives amakhulu omzimba wonke. Uma wena noma othile owaziyo enezimpawu ezinjalo, shayela izinsizakalo eziphuthumayo ngokushesha.

Abanye abantu bahlangabezana nokusabela okulandelayo okungase kwenzeke ngemva kwamahora ambalwa noma ngisho nezinsuku ngemva kokudla ubisi. Lokhu kungabandakanya izisu eziphumule, ukugabha, noma ukwanda kwe-eczema, okwenza kube nzima ngezinye izikhathi ukuhlanganisa izimpawu nokusetshenziswa kobisi.

Yini ebangela ukwanda kwesikhumba somhluzi?

Ukwanda kwesikhumba somhluzi kwenzeka lapho isimo sakho sokuvikela somzimba sifuna amaprotheni obisi njengezingozi emzimbeni wakho. Isizathu esiqondile sokuthi kungani abanye abantu bathuthukisa lolu hlobo lokuzwela kuyilapho abanye bengakwenzi aluqondakali ngokuphelele, kodwa i-genetics nezici zemvelo zidlalela indima ebalulekile.

Isimo sakho sokuvikela somzimba sivame ukukuvimbela ezintweni eziyingozi, kodwa ekwandeni kwesikhumba somhluzi, siphendula kakhulu kumaprotheni e-casein noma e-whey. Uma la maprotheni engeza ohlelweni lwakho lokugaya ukudla, isimo sakho sokuvikela somzimba sikhulula amakhemikhali abangela izimpendulo ezivuvukalayo kulo lonke umzimba wakho. Lokhu kusabela kungenzeka nanoma iyiphi inani lamaprotheni obisi, ngisho nezithombo ezincane ezitholakala ekudleni okuqediwe.

Izici eziningi zingandisa amathuba akho okukhula kwesikhumba somhluzi. Ukuba nabazali noma abafowethu abane-allergies zokudla noma ezinye izimo ze-allergic njenge-asthma noma i-eczema kungakwenza ube sengozini. Ukudalulwa kwasekuqaleni kobisi lwenkomo, ikakhulukazi ngaphambi kwezinyanga eziyisithupha, kungase futhi kukhulise ingozi kubantwana abathile.

Izici zemvelo phakathi nobuntwana, njengokusetshenziswa kwe-antibiotic noma ukudalulwa okulinganiselwe kubhaktheriya ezihlukahlukene, kungase kuthonye ukuthuthukiswa kwesistimu yokuvikela umzimba. Noma kunjalo, le miqondano isacwaningwa, futhi ukuba nezici ezingozi akusho ukuthi uzokhula ngesikhumba somhluzi.

Nini okufanele ubone udokotela ngesikhumba somhluzi?

Kufanele uxhumane nodokotela wakho uma uhlale uhlangabezana nezimpawu ezingathandeki ngemva kokudla ubisi noma imikhiqizo yobisi. Ngisho nezimo ezilula kufanele zitholakale ukunakekelwa kwezokwelapha ngoba ukwanda kwemizimba kungabi mandundu ngokuhamba kwesikhathi, futhi ukuxilongwa okuqondile kuzokusiza ukuphatha isimo ngokuphepha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinzima njengokubuthakathaka kokuphefumula, i-hives ebanzi, i-pulse esheshayo, ukukhungatheka, noma ukukhula kobuso, izindebe, noma umlomo. Lezi zimpawu zingabonisa i-anaphylaxis, edinga ukwelashwa okusheshayo nge-epinephrine nokunakekelwa kwesibhedlela ngokushesha.

Kubalulekile futhi ukubona udokotela wakho uma ungaqiniseki ukuthi izimpawu zakho zibangelwa yilokho ukwanda kwemizimba yobisi noma enye isimo njengokungabi namandla kwe-lactose. Ukuhlolwa okuqondile kungasiza ukwahlukanisa phakathi kwalezi zimo futhi kukuqondise endleleni yokwelapha ephumelelayo. Udokotela wakho angakusiza futhi ukwakha uhlelo lokusebenza lokulawula ukuvezwa kwesikhathi esizayo.

Ziyini izici ezingozi zokwanda kwemizimba yobisi?

Ukuqonda ukuthi yini engandisa amathuba akho okukhula kokwanda kwemizimba yobisi kungakusiza ukubona isimo ngokushesha futhi uthathe izinyathelo ezifanele. Ngenkathi ukuba nezici ezingozi akusho ukuthi uzokhula ngokuqinisekile ukwanda kwemizimba, ukwazi ngazo kuzokusiza uhlale ulungile ezimpawu ezingaba khona.

Izici ezingozi eziqine kakhulu zihlanganisa:

• Umlando womndeni wokwanda kwemizimba yokudla, i-asthma, noma i-eczema
• Ukuba mncane kakhulu, njengoba ukwanda kwemizimba yobisi kuvamile kakhulu kubantwana abasanda kuzalwa nabantwana abancane
• Ukuba nokunye ukwanda kwemizimba yokudla noma izimo zokwanda kwemizimba
• Ukungeniswa kwasekuqaleni kobisi lwenkomo ngaphambi kokuthi isimiso somzimba siqede ukukhula
• Ukuzalwa nge-cesarean section, okungathinta ukuvezwa kwasekuqaleni kwe-bacteria

Amanye ama-risk factor angavamile angafaka ukuphila ezindaweni ezihlanzekile kakhulu lapho kukhona ukuvezwa okuncane kwezigciwane ebuntwaneni, ukuba nabazalwane abadala abana-allergies, noma ukuhlushwa ukutheleleka okuthile ebuntwaneni. Noma kunjalo, abantu abaningi abanalezi zinto ezingozi abazitholi i-allergy yobisi, futhi abanye abantu abangenazo izinto ezingozi bayithola.

Uhlanga nendawo bangadlala indima, ngoba i-allergy yobisi ivame kakhulu kubantu abathile nasezindaweni ezithile. Lezi zindlela cishe zibonisa ukuthi i-genetic nezingqikithi zemvelo zisebenza ndawonye.

Ziyini izinhlanganisela ezingaba khona ze-allergy yobisi?

Nakuba izinhlanganisela eziningi ze-allergy yobisi ziphatheka kalula ngokunakekelwa okuhle, kunezinkinga eziningi ezingavela uma isimo singabonakali noma singaphathwa kahle. Ukuqonda lezi zinkinga ezingaba khona kusiza ukuthi uthathe isimo ngokungathi sína futhi usebenze eduze nodokotela wakho.

Inkinga ebucayi kunazo zonke yi-anaphylaxis, ukusabela okukhulu kwe-allergic okungaba yingozi ebomini. Lokhu kusabela okungavamile kodwa okuyingozi kungabangela ukuba uxinzelelo lwakho lwegazi wehle kakhulu, izindlela zakho zokuphefumula zivalekile, futhi i-rhythm yenhliziyo yakho ibe yingavamile. Ngaphandle kokwelashwa okusheshayo, i-anaphylaxis ingabulala, kungakho abantu abane-allergies ezinkulu zobisi bavame ukuthwala i-epinephrine injectors eziphuthumayo.

Ukuphelelwa yizondlo kungavela uma ugwema yonke imikhiqizo yobisi ngaphandle kokuhlela ukudla okuhle. Ubisi nokudla okwenziwe ngobisi kunikeza izondlo ezibalulekile njenge-calcium, i-vitamin D, i-protein, ne-vitamin B12. Abantwana abane-allergy yobisi bangaba nokuthuthuka okuhamba kancane uma izidingo zabo zokudla zingagcwaliseki ngemithombo ehlukile.

Izinselele zempilo yomphakathi nezenhlalo zingaphakama, ikakhulukazi kubantwana nemindeni ehlushwa ukunciphisa ukudla. Ukuphatha i-allergy yobisi kudinga ukuqapha okuqhubekayo ngezithako zokudla, okungenza izimo zokudla komphakathi zibe nzima. Abanye abantu baye baba novalo ngokuvezwa okungahlosiwe noma bazizwe behlukene ngenxa yemikhawulo yokudla.

Ezimweni ezingavamile, ukuvezwa okuqhubekayo kwizinto ezincane zeprotheni yobisi kungadala ukuvuvukala okuqhubekayo kwesisu noma kuhlanganyele ekwehlulekeni kokukhula kubantwana. Kungakho ukuqeda ngokuphelele iprotheni yobisi kuvame ukunconywa uma i-allergy ibonwe.

Ukuvimbela i-allergy yobisi kungaba kanjani?

Okwamanje, ayikho indlela eqinisekisiwe yokuvimbela i-allergy yobisi ekuthuthukiseni, kodwa ezinye izindlela zingasiza ekuthuthukiseni ingozi, ikakhulukazi kubantwana abasezingozini eziphezulu. Indlela yokuvimbela iye yathuthuka kakhulu njengoba abacwaningi befundisisa okwengeziwe ngendlela i-allergies ezikhula ngayo.

Kubantwana, ukuncelisa kuphela izinyanga ezine kuya kweziyisithupha zokuqala zokuphila kungase kunikeze isivikelo ethile. Ubisi lwebele lusiza ekuthuthukiseni uhlelo lokukhulula umzimba futhi lunikeza amabhaktheriya ahloniphwayo asekelayo ukuthuthukiswa okunempilo kwesisu. Uma ukuncelisa kungekho, udokotela wakho wezingane angase ancome izinhlobo ezithile zefomula ngokusekelwe emlandweni we-allergy womndeni wakho.

Isikhathi sokuqalisa ubisi lwenkomo nemikhiqizo yobisi kubalulekile, kodwa imiyalelo yamanje iye yashintsha ezincomeneni zangaphambili. Abaningi odokotela bezingane manje bacebisa ukuqalisa ukudla okungase kube yi-allergenic, kufaka phakathi obisi, cishe ngezinyanga eziyisithupha kunokulilibazisa. Ukuqalisa kwasekuqaleni, uma kwenziwa ngokuphepha nangokufanele, kungase kusize ekuvimbeleni ezinye i-allergies ekuthuthukiseni.

Ucwaningo oluthile lubonisa ukuthi ukugcina ukudla okuhlukahlukene, okunempilo ngesikhathi sokukhulelwa nokunciphisa kungase kuthonye ingozi ye-allergy yengane yakho. Noma kunjalo, ukugwema obisi ngesikhathi sokukhulelwa noma ukuncelisa akuvame ukunconywa ngaphandle uma wena uqobo une-allergy yobisi.

Ukudala indawo enempilo esekela ukuthuthukiswa kwesistimu yokukhulula umzimba kungasiza futhi. Lokhu kuhlanganisa ukulinganisela ukusetshenziswa kwe-antibiotic okungadingekile, ukuqinisekisa amazinga afanele e-vitamin D, nokwenza kube nokukhanya okuphephile ezindaweni ezihlukahlukene kanye nama-microbes ebuntwaneni obuqala.

I-allergy yobisi ihlonishwa kanjani?

Ukuhlola i-allergy yobisi kuhilela izinyathelo eziningi ukuqinisekisa ukuthi isimiso sakho sokuvikela umzimba siphendula ngempela kumaprotheni obisi kunokuba yisimo esinye. Udokotela wakho uzoqala ngokuthatha umlando ophelele wezimpawu zakho, kuhlanganise nokuthi zenzeka nini, zingakanani, kanye nokudla okubonakala kuzibangela.

Izivivinyo ze-skin prick zivame ukuba yithuluzi lokuqala lokuhlola udokotela wakho angase alusebenzise. Ngalesi sivivinyo, inani elincane lamaprotheni obisi libekwa oluswini lwakho, ngokuvamile embizeni wakho noma emuva, bese ulusu luqotshelwa kancane. Uma unesifo se-allergy, uzothola ibambe eliphakeme kancane phakathi kwemizuzu engu-15 kuya kwengu-20. Nakuba lesi sivivinyo siwusizo, ngezinye izikhathi singabonisa imiphumela emihle ngisho noma ungenayo i-allergy yangempela.

Izivivinyo zegazi zingalinganisa amazinga ama-antibodies athile e-IgE isimiso sakho sokuvikela umzimba esikhiqiza njengomphumela wamaprotheni obisi. Lezi zivivinyo, ezivame ukubizwa ngokuthi yi-RAST noma izivivinyo ze-ImmunoCAP, zingasiza ekuqinisekiseni i-allergy futhi ngezinye izikhathi zibonise ubukhulu bayo. Kodwa-ke, njengezivivinyo zesikhumba, izivivinyo zegazi aziphelele futhi kufanele ziqondwe kanye nezimpawu zakho.

Kwezinye izimo, udokotela wakho angase akukhuthaze ukuhlolwa kokudla okwemihlathi, okuthathwa njengendlela engcono kakhulu yokuhlola i-allergies yokudla. Ngalesi sivivinyo esiqondiswa ngokucophelela, uzodla inani elincane, elikhulayo kancane kancane lobisi ngenkathi ochwepheshe bezokwelapha beqapha izimpendulo zakho. Lesi sivivinyo sihlale senziwa endaweni yezokwelapha enezinto ezifanele zokuphatha izimpendulo ezinzima.

Udokotela wakho angase futhi akukhuthaze ukudla okususayo, lapho ugwema ngokuphelele ubisi nemikhiqizo yobisi isikhathi esithile ukuze ubone ukuthi izimpawu zakho ziyathuthuka yini. Uma izimpawu zibuyela uma ubuyisela idayari, lokhu kusekela ukuxilongwa kwe-allergy yobisi.

Ukuphathwa Kwe-Allergy Yomhluzi?

Ukwelashwa okuyinhloko kwe-allergy yomhluzi ukugwema ngokuphelele ubisi nakho konke okwenziwe ngobisi. Lokhu kusho ukufunda ngokucophelela imibhalo yemikhiqizo nokubaqaphele imithombo efihliwe yamaprotheni obisi ekudleni okucutshunguliwe, imithi, ngisho nakwimikhiqizo engadliwe.

Uma kwenzeka ukuthintwa ngengozi, ukwelashwa kuncike ezingeni lokubhekana kwakho. Ngezimpawu ezilula njengezinhlabathu noma ukuphazamiseka kwesisu, ama-antihistamines afana ne-Benadryl angasiza ekunciphiseni ubuhlungu. Udokotela wakho angakunika imithi ethile ukuthi uyigcine esandleni kulezi zimo.

Uma usengozini yokubhekana okukhulu, udokotela wakho uzokunika i-epinephrine auto-injector (njenge-EpiPen). Le divayisi inikeza umthamo we-epinephrine, ongabuyisela izimpawu eziyingozi zokuphazamiseka komzimba. Kufanele uyihlale uthwala le divayisi futhi wazi ukuyisebenzisa kahle. Ngemva kokusebenzisa i-epinephrine, usadinga ukunakekelwa kwangaphambi kwesikhathi.

Kunezindlela ezintsha zokwelapha ezifundwa, kufaka phakathi i-oral immunotherapy, lapho abantu bedla kancane kancane, ngokulawulwa, amaprotheni obisi ukwakha ukubekezelela. Kodwa-ke, lezi zindlela zokwelapha zisazolwa futhi kufanele zizame kuphela ngaphansi kokunakekelwa okukhulu kwezokwelapha ezikhungweni ezikhethekile.

Ukusebenzisana nodokotela obhalisiwe wezondli ungasiza ukuqinisekisa ukuthi ugcina ukudla okuhle ngenkathi ugwema ubisi. Bangakuncoma ezinye izinto ezicebile nge-calcium, izinto ezifanele zokushintsha ubisi, futhi bakusize uhlele ukudla okuqondile okuhlangabezana nazo zonke izidingo zakho zezondli.

Indlela Yokuphatha I-Allergy Yomhluzi Ekhaya?

Ukuphatha kahle i-allergy yomhluzi ekhaya kudinga ukuthuthukisa imikhuba emihle mayelana nokuphepha kokudla, ukufunda imibhalo, nokulungiselela izingozi. Umgomo ukudala indawo ephephile ngenkathi ugcina indlela yokuphila evamile ngangokunokwenzeka.

Ukufunda ukufunda ama-lebheli okudla kuya kubaluleka, njengoba amaprotheni obisi efihla ezindaweni eziningi ezingalindelekile. Bheka amagama acacile afana nobisi, i-cheese, ibhotela, nekhilimu, kepha ubuye uqaphele izithako ezingabonakali kangako njenge-casein, i-whey, i-lactalbumin, ne-lactoglobulin. Ukudla okubhalwe ngokuthi “akulona ubisi” kungase kuqhubeke nokuba namaprotheni obisi, ngakho-ke qiniseka ukuthi uhlola uhlu oluphelele lwezithako.

Ekhisinini lakho, vimbela ukungcoliswa okuhlangene ngokuhlanza kahle izitsha, izinto zokusebenzisa, nezingosi ezithinte imikhiqizo yobisi. Cabanga ngokusebenzisa amabhodi okusika, izicabha, nezikhwelo zokugcina ukudla okungenabisi uma amalungu omndeni ethanda ukudla okunebisi.

Gcwalisa ikhabhinethi yakho ngezinye izinto ezifanelekile ezifana nobisi oluvela ezitshalweni (ubisi lwe-almond, i-soy, i-oat, noma ubisi lwerayisi), i-cheese engenabisi, nokudla okuqinisiwe nge-calcium. Izitolo eziningi zokudla manje zinezindawo ezikhethekile zokudla okungenabisi okwenza ukuthenga kube lula.

Yenza uhlelo lokusebenza ezingozini ngokusiza komdokotela wakho. Lokhu kufanele kuhlanganise ukubona izimpawu zokuqala, ukwazi ukuthi nini nokuthi ungawasebenzisa kanjani amayeza, nokuba nezinyathelo ezicacile zokufuna usizo lochwepheshe. Yabelana ngalolu hlelo namalungu omndeni, abangane, nabaphathi ukuze bakwazi ukusiza uma kudingeka.

Uma uya kudla ngaphandle, ungangabazi ukubuza imibuzo emininingi mayelana nezithako nendlela yokulungiselela ukudla. Izindawo zokudla eziningi ziyazazi ngezifo zokudla futhi zingakwazi ukulungisa izidingo zakho ngokuphepha. Cabanga ngokubiza ngaphambi kokuxoxa ngesifo sakho sokudla nabasebenzi bekhishi.

Kufanele ulungiselele kanjani ukubona udokotela wakho?

Ukulungiselela kahle ukuvakashela udokotela wakho kusiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nelenani lokwelapha eliwusizo. Ukulungiselela okuhle kusiza nodokotela wakho ukuqonda isimo sakho ngokuphelele futhi enze izincomo ezinhle kakhulu ngecala lakho elithile.

Gcina idayari eningiliziwe yokudla nezimpawu okungenani amasonto ayi-1 kuya kwangu-2 ngaphambi kokubonisana kwakho. Bhala konke okukudlayo nokukuphayayo, kanye nanoma yiziphi izimpawu ozibonayo, kufaka phakathi isikhathi sazo, ubukhali, nobude. Ulwazi olufana nalolu lusiza udokotela wakho ukuthi abone izindlela kanye nezici ezingase zibangele.

Hlela uhlu lwawo wonke amayeza, izithasiselo, namavithamini owathatha njalo. Faka amayeza athengwa ngaphandle komthetho, njengoba amanye anamaprotheni obisi noma angase ahlangane nezinye izindlela zokwelapha ukwelashwa kwe-allergy. Letha izitsha ezisemqoka noma uthathe izithombe zama-lebheli uma kungenzeka.

Bukele umlando wakho wezokwelapha womndeni, ikakhulukazi uqaphele i-allergies, i-asthma, i-eczema, nezinye izimo ezihlobene ne-immune. Udokotela wakho udinga ukuqonda ukuthi ukhona yini ngokufana nezimo ze-allergic.

Lungiselela uhlu lwemibuzo ethile mayelana nesimo sakho, izinketho zokwelapha, ukuphathwa kwezimo eziphuthumayo, kanye nokulungiswa kokuphila. Cabanga ukubuza ngezinsiza zokusekela, izinketho zokudla, nokuthi yini okulindelekile njengoba isimo sakho siqhubeka.

Uma uke waba nokulingwa kwe-allergy ngaphambili noma izimpendulo ezidinga ukunakekelwa kwezokwelapha, letha lezo zirekhodi nawe. Ulwazi olufana nalolu lusiza udokotela wakho ukuthi aqonde umlando we-allergy yakho nobukhali bayo.

Iyini into ebalulekile mayelana ne-allergy yobisi?

I-allergy yobisi iyisimo esilawuleka esidinga ukunakekelwa okucophelelayo kodwa akufanele sikuvimbele ekuphileni impilo egcwele, enempilo. Ngokuxilongwa okuqondile, ukugwema ngokuphelele amaprotheni obisi, nokulungiselela okuqondile kwezimo eziphuthumayo, abantu abaningi abane-allergy yobisi bangakwazi ukuhamba ngokuphepha nemisebenzi yansuku zonke futhi bagcine ukudla okuhle.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo sidinga ukuthatha yonke impendulo ngokungathi sína, ngisho nezincane. I-allergies ingashintsha ngokuhamba kwesikhathi, ngakho-ke ukuhlala uxhumana nodokotela wakho njalo nokulandela uhlelo lwakho lokuphatha njalo kubalulekile ekuphepheni kwakho.

Abantwana abaningi bayakwazi ukunqoba ukuqabukela ubisi ngesikhathi sebashane, ngakho-ke kunesizathu sokwethemba uma ubhekene naleli simo engwaneni encane. Ukulandelela njalo nodokotela wakho onguchwepheshe we-allergy kungakusiza ukuthola ukuthi kungaba yilokuphi isikhathi esiphephile sokuhlola ukuthi ukuqabukela sekuphelile yini.

Khumbula ukuthi awuwedwa ekusingatheni lesi simo. Amaqembu asekelayo, izikhungo eziku-inthanethi, kanye nochwepheshe bezempilo bayatholakala ukukusiza ukuthi ubhekane nezinselele futhi uphendule imibuzo. Ngokuphathwa okuhle nokusekelwa, ukuqabukela ubisi kuya kuba yingxenye nje yomkhuba wakho wezempilo kunokuba yinto ekuvimbela ekuphileni kwakho.

Imibuzo evame ukubuzwa mayelana nokuqabukela ubisi

Ngingaphuza yini ubisi lwezimbuzi noma lwezimvu uma nginawo ukuqabukela ubisi lwenkomo?

Abantu abaningi abanawo ukuqabukela ubisi lwenkomo bayophinde basabela ebisini lezimbuzi nezimvu ngoba lezi zinamapuroteni afana kakhulu. Amaprotheni kuwo wonke ubisi lwamasilwane afana kakhulu, ngakho-ke uhlelo lwakho lokugcina umzimba luhlale lungakwazi ukuwahlukanisa. Noma kunjalo, abanye abantu abanawo ukuqabukela ubisi lwenkomo okukhulu bangakhuthazelela lezi zinto ezihlukile, kodwa kufanele uzame kuphela ngaphansi kokunakekelwa kwezokwelapha. Udokotela wakho angakusiza ukuthola ukuthi ukuhlola lezi zinto ezihlukile kuphephile yini esimweni sakho esithile.

Kuphephile yini ukudla ukudla okubhakwe okuqukethe ubisi uma nginawo ukuqabukela ubisi?

Abanye abantu abanawo ukuqabukela ubisi bangakhuthazelela amaprotheni obisi asefakwe ubushushu obukhulu, njengalawa akukudleni okubhakwe njenge-muffins noma isinkwa. Ukushisa okuphezulu kungashintsha isimo samaprotheni ngokwanele ukuze uhlelo lwakho lokugcina umzimba lungalwazi njengabaphehli. Noma kunjalo, lokhu kuyahluka kakhulu phakathi kwabantu, futhi abantu abaningi basabela kumaprotheni obisi ababhakwe. Ungalokothi ucabange ukuthi ukudla okubhakwe kuphephile ngaphandle kokubonisana nodokotela wakho futhi mhlawumbe uqale uhlolwe ngaphansi kokunakekelwa.

Ngingazi kanjani ukuthi ingane yami inawo ukuqabukela ubisi noma nje i-colic?

Ukwahlukanisa phakathi kokutholakala komfutho wobisi nokuhlunguluka kwesisu kungaba inselele ngoba kokubili kungabangela ukukhathazeka nokuphazamiseka kokugaya ekhanda. Izimpawu zokutholakala komfutho wobisi zivame ukufaka ukusabela kwesikhumba njengokuthi i-eczema noma ama-hives, ukugabha okuqhubekayo noma isifo sohudo, kanye nezimpawu ezibi kakhulu ngemuva kokondla. Ukuhlunguluka kwesisu kuvame ukufaka izikhathi zokukhala ezibikezelwayo, ngokuvamile kusihlwa, ngaphandle kwezinye izimpawu zomzimba. Uma ubona igazi emathunjini omntwana wakho, ukugabha okuqhubekayo, noma ukusabela kwesikhumba kanye nokukhathazeka, xhumana nodokotela wakho wezingane ukuze ahlolwe.

Ingabe ukutholakala komfutho wobisi kungavelela ngokuzumayo kubantu abadala?

Nakuba ukutholakala komfutho wobisi kuvamile kakhulu kubantwana, kungavelela ngezinye izikhathi kubantu abadala ababeke bebekezelela ubisi ngaphandle kwezinkinga. Ukutholakala komfutho wobisi kubantu abadala kuncane kakhulu kodwa kungenzeka ngenxa yokushintsha emsebenzini wezimpawu zokuvimbela, ukugula, noma ezinye izinto. Uma uqala ngokuzumayo ukuhlupheka ngezimpawu zokutholakala komfutho ngemuva kokudla imikhiqizo yobisi owayuyijabulela ngaphambili, bheka udokotela wakho ukuze ahlolwe kahle. Ngezinye izikhathi lokho okuvela njengokutholakala komfutho wobisi okusha kungaba ukungaphuli kwelactose, okuvamile kakhulu kubantu abadala.

Ingabe imikhiqizo engenalactose iphephile kubantu abane-milk allergy?

Imikhiqizo yobisi engenalactose ayiphephile kubantu abane-milk allergy ngoba isaqeda amaprotheni obisi (icasein ne-whey), aqubuka izimpawu zokutholakala komfutho. Le mikhiqizo isusa noma iphule ushukela wobisi (lactose), kodwa amaprotheni abangela izimpawu zokutholakala komfutho ahlala engashintshile. Abantu abane-milk allergy kudingeka bakhethe ezinye izinto ezisetshenziswayo ezifana ne-almond, i-soy, i-oat, noma ubisi lwerayisi esikhundleni semikhiqizo yobisi engenalactose. Njalo funda imibhalo ngokucophelela, njengoba ezinye imikhiqizo ethengiswa njengezinye zezinto ezisetshenziswayo zingase zibe namaprotheni obisi.