Nangona zihlala zisetyenziselwa ukubhekisa kwiimpawu ezifanayo, ukunganyamezelani kwe-lactose kunye neCow's Milk Protein Allergy azifani. Kubaluleke kakhulu ukuba bazane kwaye bazi nendlela yokunxibelelana, ngakumbi xa umntu ochaphazelekayo engumntwana.

Ukuqala, i-CMA yinto ebonakalisa ukwaliwa (njengoko igama layo libonisa) oko kwenzeka ngezinto ekuthiwa ziintshukumo ezikhawulezileyo, kubandakanya ukugabha (okuqhubela phambili), ukusabela kolusu, urhudo oluqala ngequbuliso, ukukhohlela, imihlathi, ukudumba kwemilebe…, kwenzeka ntoni ukuba i-histamine kunye ne-serotonin zikhutshwe, ngenxa yokuvela kwee-antibodies ze-IgE ezisebenza ngokuchasene ne-casein (enye yeeproteni eziphambili kubisi).

Kwindlela yokutya okwaliwa kukutya (kunye ne-CMPA) amajoni omzimba agqithisile kwiiproteni enye okanye ezingaphezulu ezikhoyo kubisi lwenkomo, kwaye Yeyiphi indlela ebalaseleyo yokuyiphepha? emva koko kula ukutya iiprothini. Nguwo wonke amajoni omzimba asemngciphekweni, kwaye ngamanye amaxesha ubomi bomntu ongenabani bunokuba semngciphekweni ukuba unesifo ukwethuka anaphylactic.

Iintsana ezinobungozi kwiprotein yobisi lweenkomo

Ndithatha eli thuba ukukhumbula oko okona kutya kulusana phantsi kweenyanga ezintandathu lubisi lwebele, enokuqhubeka nokunikezelwa Kunye nokutya okuncedisayo (ngokuqinisekileyo ukuya kuthi ga kwiminyaka emi-2). Kwimeko apho ubisi lukanina (ngokwendalo olwenzelwe amathole omntu) luyekile, sikhetha oko kubizwa ngokuba ziimilky ezingezizo, ezenziwe ngobisi lwenkomo.

Ezi fomula zamkelwe ngokubanzi, kodwa iipesenti ezincinci zeentsana zikhulisa i-CMA kunyaka wokuqala wobomi, kwaye emva kokuchongwa. kufuneka basele ubisi olungumgubo okhethekileyo. Kufanelekile ukuba sikhankanye ukuba ngamanye amaxesha, abantwana abancancisayo banokuba neempendulo ezingalunganga, ukuba umama usela ubisi lwenkomo okanye ezinye izinto, kodwa isisombululo sale ngxaki silula, kuba ibandakanya ukupheliswa kokutya okuthile kukutya kukanina.

Ukunganyamezelani kweLactose ayisiyonto yokuphikisa

Ngoku sihamba nokunganyamezelani kwe-lactose: umzimba awunako ukwetyisa i-lactose kwaye ichaphazela inkqubo yokwetyisa (ngaphandle kokuba ingalunganga); ikwabizwa ngokuba yi-non-IgE-mediated allergies. I-Malabsorption inokukhokelela kurhudo, iintlungu esiswini, ukuqunjelwa, urhudo. I-Lactose siswekile ekhoyo elubisini, kwaye kubantu abanganyamezelaniyo ukungabikho kwe-enzyme ye-lactase evumela ukufunxwa kwayo, yiyo le nto ibangela iimpawu.

Ke ngoko, akuyomfuneko ukuba ungabandakanyi ubisi kunye nezinye izinto ezisuka ekudleni, kuba zinokufakwa endaweni yeemveliso 'ezingenayo i-lactose' (kule mihla ixhaphake kwiivenkile ezinkulu); kwaye kufanele kusoloko kuthathelwa ingqalelo ukuba kwimeko yokuhambisa ngobisi, iyogathi, itshizi, Kubalulekile ukuqinisekisa ubukho be-calcium ekudleni kwabantwana. Ngokubhekisele kwii-smoothies zemifuno (irayisi, i-oatmeal, i-almond, isoya, i-walnut, i-quinoa ...) Ndikucebisa ukuba uphonononge olu ngeno nguJesús Garrido kugqirha wabantwana abakwi-Intanethi.

Inkqubo yentombazana okanye inkwenkwe efunyaniswe ine-allergies yokutya (i-CMPA okanye ezinye) kufuneka iphononongwe ngokungqongqo ngugqirha)Oku akuthethi ukuba abazali abanakufuna eminye imithombo yolwazi, ukuqinisekisa ukuba bathembekile.

Nazi umahluko ophambili:

• Ukungabikho komzimba kubangelwa yiprotheni, ukunganyamezelani kwiswekile (i-lactose).
• Ukungezwani komzimba kuchaphazela amajoni omzimba, ukunganyamezelani kuphela kwinkqubo yokwetyisa.
• Ukungezwani komzimba kubangela ukusabela ngesiquphe okubangelwa ngokukhawuleza, kwaye nangobundlobongela; ukunganyamezelani kunokuvela kwiintsuku emva kokungenisa ukutya.
• Umntu ongezwani komzimba makangathathi nakuphi na ukutya okune-protein yobisi (yobisi okanye eyenziweyo); umntu onganyamezelaniyo unokutya ideri 'ye-lactose-free'.
• Ukuvezwa kweprotein yobisi kunokubangela ukothuka kwe-anaphylactic; umntu onganyamezeliyo uyayiphepha ideri ene-lactose, kodwa ukuba uyabhenceka, ubomi bakhe abukho semngciphekweni.

Ukwahlula njani iiprotein zobisi kwiilebheli?

Abanengxaki yokugula komzimba, kunye nabazali babantwana abane-CMA, thintela ubisi, ibhotolo, itshizi, iyogathi, isardard, cream, curd, smoothies, flan kunye nako konke ukutya okuqulathileyo. Kuya kufuneka ukwenze ngaphandle kweicookies kunye namaqebengwana enziwe ngobisi okanye ngezinto ezivela kuzo, kunye ne-nougat. I-Lactalbumin, iziqina zezilwanyana eziqinileyo, ii-whey, i-lactalbumin phosphate, kunye nezinye azivumelekanga.

Kwakhona Kuya kufuneka ulumke kakhulu ngeelebheli, ukunqanda ukuthenga oko kutya kunombhalo ocacisa ibhotolo engeyiyo okanye incasa yebhotolo, iproteni enehydrolyzed, ioyile yebhotolo, ... ngaphandle kokuba umthombo uchazwe ngokucacileyo, kwaye ayisiyiyo protein yezilwanyana. Ngokucacileyo, ukukhetha ukutya okusekwe kwizinto ezisisiseko eziphekwe ekhaya zezona zikhuselekileyo; kunye nolungelelwaniso olusondeleyo kakhulu negumbi lokutyela lesikolo liyimfuneko, kunye nokunika ngqo imiyalelo kubahlobo okanye kusapho ukusinceda sikhathalele abantwana. Xa usitya ngaphandle, kuyacetyiswa ukuba uqhagamshelane nabasebenzi berestyu ngezithako zezitya.

Kwaye uyifumana njani i-lactose kukutya okungengobisi?

Kucacile ukuba umntu onganyamezeliyo angathatha nakuphi na ukutya okungamachiza 'kwe-lactose-free' esele ixhaphakile kwiivenkile ezinkulu nakwiindawo zorhwebo (hayi ziyaliwa ngenxa yokuba ziya kufakwa kwi-casein), kodwa uthini malunga nokutya Iimveliso ezingezizo zobisi ezenziwe nge-lactose? Ilebheli 'iqulethe i-lactose' isinika isikhokelo esicacileyo, kodwa akusoloko kulula. Ukuba iilebhile zibonisa: ubisi iswekile, i-whey, i-lactose monohydrate, 'iswekile' (kufanele ukuba iqatshelwe), ubisi olungumgubo, cream, njl. Kukuba kufuneka siziphephe iimveliso ezinjalo.

Okokugqibela, khankanya ukuba ukungabikho komzimba kwiprotein yobisi lweenkomo (i-CMPA) ikwindawo yesithathu phakathi kokutya komzimba. (Oku kubalulekile) ubisi lweebhokhwe kunye neenkomo kufuneka luthintelwe.