Cow's milk protein allergy (CPVO) ndiyo yekutanga kusawirirana kwechikafu kuoneka muvana. Inowanzotanga mumwedzi yekutanga yehupenyu. Inozviratidza sei? Ndeapi marapirwo eAPLV? Sei isingafaniri kuvhiringidzwa nelactose kusashivirira? Mhinduro kubva kuna Dr Laure Couderc Kohen, allergist uye chiremba wemapapu nyanzvi.

Kana tichitaura nezvekusawirirana kwemukaka wemhou, zvinonyanya kusawirirana nemapuroteni ari mumukaka wemhou. Vanhu vasingawirirani nemapuroteni aya vanogadzira immunoglobulins E (IgE) kana vangomedza chikafu chine mapuroteni emukaka wemhou (mukaka, yoghuti, chizi dzakagadzirwa nemukaka wemhou). IgE mapuroteni emasoja edziviriro anogona kuva nengozi nekuti anokonzeresa allergic zviratidzo zvekuoma kwakasiyana.

"Allergy kumapuroteni emukaka wemhou inoratidzwa nemifananidzo mitatu mikuru yekiriniki, kureva marudzi matatu akasiyana ezviratidzo: zviratidzo zvekucheka uye zvekufema, kusagadzikana kwekugaya uye enterocolitis syndrome", anodaro Dr Couderc Kohen. 

Zviratidzo zvekutanga

Mufananidzo wekutanga wekiriniki unoratidzwa ne:

• urticaria,
• zviratidzo zvekufema
• edema,
• kunyange anaphylactic shock mumatambudziko akakomba.

“Muvacheche vanenge vachiyamwiswa uye vasingawirirani neprotein yemukaka wemombe, zviratidzo izvi zvinowanzoonekwa pakurumurwa apo vabereki vanotanga kubhodhoro remukaka wemombe. Isu tinotaura nezve allergies nekukurumidza nekuti zviratidzo izvi zvinoonekwa nguva pfupi mushure mekudya mukaka, maminetsi mashoma kusvika maawa maviri mushure mekutora bhodhoro, ”anotsanangura allergist. 

Zviratidzo zvechipiri

Mufananidzo wechipiri wekiriniki unoratidzwa nekusagadzikana kwekudya senge:

• kurutsa,
• gastroesophageal reflux,
• manyoka.

Muchiitiko ichi, tinotaura nezve kunonoka kurwara nokuti zviratidzo izvi hazvioneki pakarepo mushure mekudya kweprotein yemukaka wemombe. 

Rarer zviratidzo

Yechitatu uye isingawanzo kiriniki mufananidzo ndeye enterocolitis syndrome, iyo inoratidzira sekurutsa kwakanyanya. Zvekare, tinotaura nezve kunonoka allergies nekuti kurutsa kunoitika maawa akati wandei mushure mekutora allergen. 

"Iyi mifananidzo miviri yekupedzisira yekiriniki haina kunyanya kuoma kupfuura yekutanga iyo inogona kutungamirira kune zvinogona kuuraya anaphylactic shock, asi mufananidzo we enterocolitis uchiri kumirira njodzi huru yekupererwa nemvura uye kukurumidza kurasikirwa kwehuremu muvana vaduku", anodaro nyanzvi. 

Ziva kuti kusagadzikana kwekudya uye enterocolitis syndrome ndeye allergic kuratidzwa umo IgE isingapindire (IgE haina kunaka mukuedzwa kweropa). Kune rumwe rutivi, maIgE akanaka apo APLV inoguma nemakumbo uye zviratidzo zvekufema (mufananidzo wekiriniki wekutanga).

Kana vabereki vachifungidzira kusawirirana kweprotein yemukaka wemhou mumwana wavo zvichitevera kutaridzika kwezviratidzo zvisina kujairika mushure mekudya zvigadzirwa zvemukaka zvakagadzirwa nemukaka wemhou, kuongororwa kunofanirwa kuitwa nachiremba allergist. 

"Tinoita bvunzo mbiri:

Allergy skin tests

Idzo dzinosanganisira kuisa donhwe remukaka wemhou paganda uye kuruma kuburikidza nedonhwe iroro kuti mukaka upinde mukati meganda.

Kuyerwa kweropa

Isu tinonyorawo kuongororwa ropa kuratidza kana kusavapo kwemukaka wemhou IgE mune yekukurumidza mafomu ”, anotsanangura Dr Couderc Kohen. 

Kana fomu inononoka yeallergic ichifungidzirwa (kusagadzikana kwekudya uye enterocolitis syndrome), allergist anokumbira vabereki kuti vasabvisa zvigadzirwa zvemukaka wemhou kubva pakudya kwemwana kwemavhiki maviri kusvika mana. kuona kuti zviratidzo zvacho zvinopera here kana kuti kwete panguva iyi.

Kurapa kweAPLV kuri nyore, kunobva pakudya kusingasanganisire chikafu chinogadzirwa neprotein yemukaka wemombe. Muvana vanorwara, mukaka, yogati uye cheeses zvakagadzirwa nemukaka wemhou zvinofanira kudzivirirwa. Vabereki vanofanirawo kudzivirira zvimwe zvese zvakagadziriswa zvigadzirwa zvirimo. "Nekuda kweizvi, zvakakosha kutarisa mavara anoratidza zvinongedzo kumashure kwechigadzirwa chimwe nechimwe," anosimbisa allergist. 

Muvacheche

Muvana vadiki vanopihwa mukaka chete (kwete kuyamwiswa), kune zvinotsiva mukaka zvisina mapuroteni emukaka wemhou, zvichibva paprotein yemukaka ine hydrolyzed kana amino acids, kana kubva pamapuroteni emiriwo, anotengeswa mu pharmacy. Gara uchitsvaga mazano kuna chiremba wevana kana allergist usati wasarudza chinotsiva mukaka wemombe yako nekuti vacheche vane zvavanoda kudya. “Semuenzaniso, musatsiva mukaka wemombe yenyu nemukaka wehwai kana wembudzi nekuti vana vanenge vasingawirirani nemukaka wemombe vanogonawo kusawirirana nemukaka wehwai kana wembudzi”, anoyambira chiremba uyu.

Kubviswa kwe allergen

Sezvauri kuona, APLV haigone kurapwa nemishonga. Kubvisa chete allergen mubvunzo kunoita kuti zvibvirire kubvisa zviratidzo. Kana vari vana vanotaridza kuchekwa uye zviratidzo zvekufema zvichitevera kudyiwa kweprotein yemukaka wemhou, vanofanira kugara vakatakura bheti yerubatsiro rwekutanga ine antihistamine mishonga pamwe nesirinji yeadrenaline kudzivirira matambudziko ekufema uye / kana hupenyu hunotyisidzira anaphylactic shock.

Hongu, kazhinji APLV inopora pachayo nekufamba kwenguva. Vashoma vevakuru vanotambura nerudzi urwu rweallergy. "Kana ikasanyangarika, tinoenderera mberi nekupinzwa kwekushivirira kwemuromo, nzira yekurapa iyo inosanganisira kuunza zvishoma zvishoma zvishoma uye huwandu hukuru hwemukaka wemhou mukudya kusvika kushivirira kweiyo allergenic substance yawanikwa. .

Kurapa uku, kunotarisirwa neallergist, kunogona kutungamirira kune chikamu kana kupora kwakakwana uye kunogona kupedza mwedzi mishomanana kana kunyange makore mashomanana. Zviri pane imwe nyaya-ne-kesi ”, anotsanangura Dr Couderc Kohen.

Izvi zvinhu zviviri zvakasiyana.

Mhou yemukaka weprotein allergy

Mhou yemukaka weprotein allergy imhinduro yekudzivirira kurwisa mukaka wemombe. Muviri wevanhu vane allergies unobata zvakarongeka pakuvapo kweprotein yemukaka wemhou uye unotanga kuburitsa IgE (kunze kwemaitiro ekugaya).

Lactose kusashivirira

Lactose kusashivirira haisi allergy. Zvinokonzera kunetsa asi kusinganzwisisike kwekusagadzikana kwekudya muvanhu vasingakwanisi kugaya lactose, shuga iri mumukaka. Zvechokwadi, vanhu ava havana enzyme lactase, inokwanisa kugaya lactose, iyo inovakonzera kuputika, kurwadza kwemudumbu, manyoka kana kunyange kurutsa.

"Ndosaka tichivakurudzira kuti vanwe mukaka usina lactose kana kuti vadye zvigadzirwa zvemukaka izvo zvatova ne enzyme lactase, senge cheeses, semuenzaniso", anopedzisa allergist.