Ukungezwani komzimba nobisi lweCow (CPVO) kungukungezwani kokudla kokuqala ukuvela ezinganeni. Imvamisa iqala phakathi nezinyanga zokuqala zokuphila. Iziveza kanjani? Yiziphi izindlela zokwelapha ze-APLV? Kungani kungafanele kudidaniswe nokungabekezelelani kwe-lactose? Izimpendulo ezivela kuDkt Laure Couderc Kohen, isazi sokwaliwa komzimba kanye nochwepheshe bamaphaphu wezingane.

Uma sikhuluma ngokungezwani nobisi lwenkomo, kubangelwa ukungezwani komzimba namaprotheni aqukethwe obisini lwenkomo. Abantu abaphikisana nalawa maprotheni bakhiqiza ama-immunoglobulins E (IgE) ngokushesha nje lapho bengenisa ukudla okuqukethe amaprotheni obisi lwenkomo (ubisi, ama-yogathi, ushizi owenziwe ngobisi lwenkomo). I-IgE ngamaphrotheni amasosha omzimba angaba yingozi ngoba abangela izimpawu zokungezwani nobukhulu obuhlukahlukene.

"Ukwehla kokungezwani komzimba namaprotheni obisi lwezinkomo kubonakala ngezithombe ezintathu eziyinhloko zomtholampilo, okungukuthi izinhlobo ezintathu zezimpawu ezihlukene: izimpawu ezisikayo nezokuphefumula, ukuphazamiseka kokugaya ukudla kanye ne-enterocolitis syndrome", kusho uDkt Couderc Kohen. 

Izimpawu zokuqala

Isithombe sokuqala somtholampilo siboniswa ngu:

• i-urticaria,
• izimpawu zokuphefumula
• i-edema,
• ngisho nokwethuka kwe-anaphylactic ezimweni ezibucayi kakhulu.

“Ezinganeni ezimunyiswa futhi ezingezwani namaphrotheni obisi lwenkomo, lezi zimpawu zivame ukuvela lapho zilunyulwa khona lapho abazali beqala ukufaka ibhodlela ubisi lwenkomo. Sikhuluma ngokungezwani komzimba ngokushesha ngoba lezi zimpawu zivela ngemuva nje kokumunya ubisi, imizuzu embalwa kuya emahoreni amabili ngemuva kokuthatha ibhodlela, ”kuchaza umelaphi. 

Izimpawu zesibili

Isithombe sesibili somtholampilo sibonakala ngezifo zokugaya ukudla ezinjenge:

• ukuhlanza,
• i-reflux yesisu,
• isifo sohudo.

Kulokhu, sikhuluma ngokubambezeleka kokungezwani komzimba ngoba lezi zimpawu aziveli ngokushesha ngemuva kokungeniswa kwamaprotheni obisi lwenkomo. 

Izimpawu eziqhakazile

Isithombe sesithathu nesivelele somtholampilo yi-enterocolitis syndrome, ekhombisa njengokuhlanza okukhulu. Futhi, sikhuluma ngokubambezeleka kokungezwani komzimba ngoba ukuhlanza kwenzeka emahoreni ambalwa ngemuva kokungeniswa kwe-allergen. 

"Lezi zithombe zokugcina ezimbili zomtholampilo azimbi kangako kunalezo zokuqala ezingaholela ekuhlaselweni yi-anaphylactic engase ibulale, kepha isithombe se-enterocolitis sisalokhu sikhombisa ubungozi obukhulu bokuphelelwa amanzi emzimbeni nokulahlekelwa isisindo ngokushesha kosana", kusho uchwepheshe. 

Qaphela ukuthi ukuphazamiseka kokugaya ukudla ne-enterocolitis syndrome kuyizimpawu zokungezwani lapho i-IgE ingangeneli khona (i-IgE ayifanele ekuhlolweni kwegazi). Ngakolunye uhlangothi, ama-IgE ahle lapho i-APLV iphumela ezimpawu ezisikayo nezokuphefumula (isithombe sokuqala somtholampilo).

Uma abazali besola ukungezwani namaprotheni obisi lwenkomo enganeni yabo kulandela ukubonakala kwezimpawu ezingavamile ngemva kokumunca imikhiqizo yobisi eyenziwe ngobisi lwenkomo, kufanele kuhlolwe udokotela we-allergist. 

“Senza izivivinyo ezimbili:

Ukuhlolwa kwesikhumba komzimba

Lokho kubandakanya ukufaka ithonsi lobisi lwenkomo esikhunjeni bese uluma ngalelo donsi ukuvumela ubisi lungene esikhunjeni.

Umthamo wegazi

Siphinde sinikeze ukuhlolwa kwegazi ukuqinisekisa noma cha ukutholakala kobisi lwenkomo oluthile i-IgE emafomini okwaliwa ngokushesha ”, kuchaza uDkt Couderc Kohen. 

Uma kusolwa ifomu elibambezelekile lokungezwani komzimba (izinkinga zokugaya ukudla kanye nesifo se-enterocolitis), i-allergist icela abazali ukuba bakhiphe imikhiqizo yobisi lwenkomo ekudleni kwengane amasonto amabili kuya kwangu-2. ukubona ukuthi izimpawu ziyaphela yini noma cha ngalesi sikhathi.

Ukwelashwa kwe-APLV kulula, kusekelwe ekudleni okungabandakanyi konke ukudla okwenziwe ngamaprotheni obisi lwenkomo. Ezinganeni ezingezwani nokudla, ubisi, iyogathi kanye noshizi owenziwe ngobisi lwenkomo kufanele kugwenywe. Abazali kufanele futhi bagweme yonke eminye imikhiqizo ecutshunguliwe equkethe. “Ngalokhu, kubalulekile ukuhlola amalebula akhombisa izithako ezingemuva komkhiqizo ngamunye,” kugcizelela i-allergist. 

Ezinsaneni

Kubantwana abancane abondliwa ubisi kuphela (hhayi ukunceliswa ibele), kunezinto ezithatha ubisi ezingenawo amaprotheni obisi lwenkomo, ngokususelwa kuma-protein obisi we-hydrolyzed noma ama-amino acid, noma ngokususelwa kuma-protein wemifino, athengiswa ekhemisi. Njalo funa iseluleko kudokotela wezingane noma i-allergist ngaphambi kokukhetha ubisi lwenkomo yakho ngoba izingane zinezidingo ezithile zokudla okunempilo. “Isibonelo, ungalubeki ubisi lwenkomo yakho nolwezimvu noma lwembuzi ngoba izingane ezingezwani nobisi lwenkomo nazo zingaba negciwane lobisi lwezimvu noma lwembuzi”, kuxwayisa umeluleki.

Ukukhishwa kwe-allergen

Njengoba ukwazi ukubona, i-APLV ayinakulashwa ngemithi. Ukuqedwa kwe-allergen okukhulunywa ngayo kuphela okwenza kube lula ukuqeda izimpawu. Ngokuqondene nezingane ezibonisa izimpawu ezisikiwe neziphefumulayo kulandela ukungeniswa kwamaprotheni obisi lwenkomo, kufanele ngaso sonke isikhathi ziphathe ikhithi yosizo lokuqala equkethe imishanguzo ye-antihistamine kanye nesirinji ye-adrenaline ukugwema izinkinga zokuphefumula kanye / noma ukwethuka okusongela impilo kwe-anaphylactic.

Yebo, imvamisa i-APLV iziphilisa ngokwayo ngokuhamba kwesikhathi. Bambalwa abantu abadala abaphethwe yilolu hlobo lokungezwani komzimba. “Uma inganyamalali, siqhubeka nokungenisa ukubekezelelana ngomlomo, okuyindlela yokwelapha equkethe ukwethula kancane kancane amanani amancane obisi lwenkomo ekudleni kuze kutholakale ukubekezelelana kohlobo lwe-allergenic. .

Lokhu kwelashwa, okuqondiswa yi-allergen, kungaholela ekwelapheni okuyingxenye noma okuphelele futhi kungahlala izinyanga ezimbalwa noma ngisho neminyaka embalwa. Kungaleso naleso sikhathi ”, kuchaza uDkt Couderc Kohen.

Lezi yizinto ezimbili ezihlukile.

Ukungezwani komzimba nobisi lwenkomo

Ukungezwani komzimba nobisi lwenkomo kuyisenzo sokuzivikela kumaphrotheni obisi lwenkomo. Umzimba wabantu abanezinto ezingezwani nomzimba uphendula ngokuhlelekile lapho kukhona amaprotheni obisi lwezinkomo bese uqala ukukhiqiza i-IgE (ngaphandle kwamafomu wokugaya ukudla).

Ukungabekezelelani kwe-lactose

Ukungabekezelelani kwe-Lactose akuyona into yokungezwani komzimba. Kuholela ezinkingeni zokugaya ukudla ezinenkinga kodwa ezinobungozi kubantu abangakwazi ukugaya i-lactose, ushukela oqukethwe ubisi. Ngempela, laba bantu abanayo i-enzyme lactase, ekwazi ukugaya i-lactose, ebabangela ukuqunjelwa, ubuhlungu besisu, isifo sohudo noma isicanucanu.

"Kungakho sibeluleka ukuthi baphuze ubisi olungenayo i-lactose noma badle imikhiqizo yobisi kakade iqukethe i-enzyme lactase, njengoshizi, isibonelo", kuphetha i-allergist.