Kunyangwe ivo vachiwanzoshandiswa kutaura kune izvo zvakafanana zviratidzo, lactose kusagadzikana uye Cow's Milk Protein Allergy haina kufanana. Zvakakosha kuti vazivane uye vazive nzira yekutaurirana nayo, kunyanya kana munhu akabatwa ari mwana.

Kutanga, CMA chiratidzo chemuviri (sekutaurwa kwazvinoitwa) icho chinoitika nezvinonzi zvinoda kuitika ipapo, pakati pazvo kurutsa (propulsive), kugadzirisa ganda, manyoka anotanga nekukasira, kukosora, mikoko, kuzvimba kwemiromo… , zvinoitika ndezvekuti histamine uye serotonin zvinoburitswa, nekuda kwekuonekwa kwema antibodies eIgE anoita zvinopesana nekesiin (imwe yemapuroteni makuru mumukaka).

Mune chikafu chekudya (uye CMPA iri) immune system inopfuura imwe kana mapuroteni mazhinji aripo mumukaka wemombe, uye Ndeipi nzira inoshanda kwazvo yekuzvidzivirira? wobva waramba kunwiwa kweprotein yakadaro. Iyo ndiyo immune system yese iri panjodzi, uye dzimwe nguva hupenyu hwemunhu anorwara anogona kunge ari panjodzi kana vakatambura a anaphylactic kuvhundutsa.

Vacheche vane allergies kumukaka wemukaka protein

Ini ndinotora mukana uno kurangarira izvo chikafu chakanakisa checheche pasi pemwedzi mitanhatu mukaka wemuzamu, iyo inogona kuramba ichipihwa pamwe nekudyidzana kwekuwedzera (zvinosvika makore maviri). Mumamiriro ezvinhu apo mukaka waamai (zvakasikwa wakagadzirirwa mhuru dzevanhu) ukamiswa, vanosarudza zvinonzi mamisi ekugadzirwa, akagadzirwa nemukaka wemombe.

Aya mafomati anowanzo gamuchirwa zvakanaka, asi zvidimbu zvidiki zvevacheche zvinokudziridza CMA mukati megore rekutanga rehupenyu, uye mushure mekuonekwa. vanofanira kunwa mukaka nefomula yakakosha. Zvinofanira kutaurwa kuti pane dzimwe nguva, vana vanoyamwiswa vanogonawo kuva nemushonga, kana amai vakanwa mukaka wemombe kana zvigadzirwa, asi mhinduro yedambudziko iri yakapusa, nekuti inosanganisira kubvisa zvimwe zvekudya kubva mukudya kwaamai.

Kusagadzikana kweLactose hakusi kwechirwere

Iye zvino tava kuenda nekusagadzikana kwe lactose: muviri haugone kugaya lactose uye inokanganisa gadziriro yekugaya (isina kukanganiswa kuita); inozivikanwawo seye isiri-IgE-yakagadziriswa kurwara. Malabsorption inogona kukonzera manyoka, kurwadziwa mudumbu, kuzvimba, manyoka. Lactose ishuga iripo mumukaka, uye mune vanhu vasingashiviriri kusavapo kweiyo enzyme yelactase iyo inobvumidza kupinzwa kwayo, ndizvo zvinokonzera zviratidzo.

Naizvozvo, hazvidiwe kuti ubvise mukaka uye zvigadzirwa kubva muchikafu, nekuti zvinogona kutsiviwa ne 'lactose-isina' zvigadzirwa (mazuva ano zvakajairika muzvitoro zvikuru); uye zvinofanirwa kugara zvichirangarirwa kuti kana zvikaitika nemukaka, yogati, chizi, Izvo zvakakosha kuti uve nechokwadi chekuvapo kwecalcium mukudya kwevana. Nezve miriwo Smoothies (mupunga, oatmeal, almond, soya, walnut, quinoa ...) Ini ndinokurudzira kuongorora iyi yekupinda naJesús Garrido muMy Online Paediatrician.

Maitiro emusikana kana mukomana anoonekwa aine chikafu chekudya (CMPA kana vamwe) inofanirwa kuongororwa zvakanyanya nachiremba)Izvi hazvireve kuti vabereki havagone kutsvaga kumwe kunowanikwa ruzivo, vachiona kuti vakavimbika.

Heano mutsauko mukuru:

• Kurwara kunokonzerwa nepuroteni, kusashivirira kune shuga (lactose).
• Allergy inokanganisa immune system, kusashivirira chete kugaya system.
• Allergy inokonzeresa kuita nekukasira kunoitiswa nekukurumidza, uye kunyangwe nechisimba kuratidzwa kwekusashivirira kunogona kuoneka mazuva mushure mekumedza chikafu.
• Munhu anorwara haafanire kutora chero chikafu chine mapuroteni emukaka (dairy kana kugadzirwa); munhu asingashivirane anogona kudya dairy isina 'lactose'.
• Kuratidzwa kwemukaka mapuroteni kunogona kukonzera kushamisika kweanaphylactic; asingashiviriri anodzivirira dairy ine lactose, asi kana akafumurwa, hupenyu hwake hausi panjodzi.

Nzira yekusiyanisa sei mukaka mapuroteni pane zvinyorwa?

Allergy vanorwara, uye vabereki vevana vane CMA, dzivisa mukaka, bota, chizi, yogati, custard, kirimu, curd, smoothies, flan uye chero chikafu chine izvo. Iwe unofanirwa zvakare kuita pasina makuki uye makeke akagadzirwa nemukaka kana zvigadzirwa, uye nougat. Lactalbumin, mhuka whey solids, whey, lactalbumin phosphate, nezvimwe zvinorambidzwa.

Mukuwedzera iwe unofanirwa kuve wakangwarira zvakanyanya nemazita, tichidzivisa kutenga izvo zvekudya zvine mazita anotsanangura bhata rekuita kana butter flavour, hydrolyzed protein, butter mafuta, ... kunze kwekunge sosi yacho yanyatsotsanangurwa, uye haisi protein yemhuka. Zviripachena, kusarudza chikafu chinovakirwa pazvinhu zvekutanga zvakabikwa kumba ndiko kwakachengeteka; uye kubatana kwepedyo kwazvo neimba yekudyira yechikoro kunokosha, pamwe nekupa rairo chaiyo kushamwari kana mhuri kuti vatibatsire kuchengeta vana. Paunenge uchidya kunze, zvinokurudzirwa kubvunza nevashandi veresitorendi yezvinhu zvemidziyo.

Uye maitiro ekuona lactose mune zvisiri-zvekudya zvemukaka?

Zviripachena kuti munhu asingashiviriri anogona kutora chero eiyo 'lactose-isina' zvekudya zvemukaka izvo zvatove zvakajairika mumashopoma uye nzvimbo dzekutengesa (kwete allergic nekuti ivo vanozoburitswa ku casein), asi zvakadiniko nezve izvo zvekudya. zvigadzirwa zvisiri zvemukaka zvakagadzirwa ne lactose? Chinyorwa 'chine lactose' chinotipa chiratidzo chakajeka, asi hazvisi nyore nguva dzose. Kana ivo vakaonekwa pakanyorwa: mukaka shuga, whey, lactose monohydrate, 'shuga' (inofanira kucherechedzwa), mukaka weupfu, mukaka wemukaka, nezvimwe. ndeyekuti isu tinofanirwa kudzivirira zvigadzirwa zvakadaro.

Pakupedzisira, taura kuti kukanganiswa kwemukaka wemukaka mapuroteni (CMPA) anotora chechitatu pakati peanorwara nechikafu. Uye (izvi zvakakosha) mbudzi uye mukaka wemombe unofanirwawo kudzivirirwa.