Yize zivame ukusetshenziselwa ukubhekisa kuzimpawu ezifanayo, ukungabekezelelani kwe-lactose neCow's Milk Protein Allergy akufani. Kubaluleke kakhulu ukuthi bazane futhi bazi ukuthi bangaxhumana kanjani, ikakhulukazi uma umuntu othintekayo eyingane.

Okokuqala, i-CMA iyimbonakaliso yokungezwani komzimba (njengoba igama layo liphakamisa) lokho kwenzeka ngezenzo okuthiwa zenzeka ngokushesha, phakathi kwazo ukuhlanza (ukuqhuma), ukusabela kwesikhumba, isifo sohudo esiqala ngokungazelelwe, ukukhwehlela, isifuba, ukuvuvukala kwezindebe… , okwenzekayo ukuthi i-histamine ne-serotonin ziyakhishwa, ngenxa yokuvela kwama-antibodies e-IgE enza ngokulwa ne-casein (elinye lamaprotheni aphambili obisini).

Kokungezwani komzimba nokudla (futhi i-CMPA) amasosha omzimba asabela ngokweqile kwiprotheni elilodwa noma amaningi akhona obisini lwenkomo, futhi Yini indlela ephumelela kunazo zonke yokukugwema? bese wenqaba ukudla amaprotheni anjalo. Yiso sonke isimiso somzimba sokuzivikela ezifweni esisengozini, futhi kwesinye isikhathi impilo yomuntu ongezwani nakho ingaba sengcupheni uma ehlushwa i-a ukwethuka kwe-anaphylactic.

Izingane ezinokungezwani komzimba namaprotheni obisi lwenkomo

Ngithatha leli thuba ukukhumbula lokho ukudla okungcono kakhulu kwengane engaphansi kwezinyanga eziyisithupha ubisi lwebele, engaqhubeka nokunikezwa kanye nokuphakelwa okuhambisanayo (kuze kube yiminyaka emi-2). Ezimweni lapho ubisi lukamama (olwenzelwe ngokwemvelo amathole omuntu) lunqanyuliwe, bakhetha lokho okuthiwa ubisi lokuzenzela, olwenziwe ngobisi lwenkomo.

Lawa mafomula ngokuvamile amukelwa kahle, kepha amaphesenti amancane ezingane akhula ne-CMA ngonyaka wokuqala wokuphila, futhi ngemuva kokuxilongwa. kufanele baphuze ubisi ngefomula ekhethekile. Kuyaphawuleka ukuthi kwezinye izikhathi, izingane ezincela ibele nazo zingaba nokungezwani komzimba, uma umama ephuza ubisi lwenkomo noma okuphuma kuye, kepha isixazululo sale nkinga silula, ngoba siqukethe ukukhipha ukudla okuthile ekudleni kukamama.

Ukungabekezelelani kwe-Lactose akuyona into yokungezwani komzimba

Manje sihamba nokungabekezelelani kwe-lactose: umzimba awukwazi ukugaya i-lactose futhi kuthinta uhlelo lokugaya ukudla (ngaphandle kokuthi kube ukusabela okweqile); yaziwa nangokuthi ukungezwani komzimba okungeyona i-IgE-Mediated. I-Malabsorption ingaholela kuhudo, ubuhlungu esiswini, ukuqunjelwa, isifo sohudo. I-Lactose ushukela okhona obisini, futhi kubantu abangabekezelelani ukungabikho kwe-enzyme ye-lactase evumela ukumuncwa kwayo, yikho okubangela izimpawu.

Ngakho-ke, akudingekile ukukhipha ubisi kanye nokunye okuphuma ekudleni, ngoba kungashintshwa yimikhiqizo 'engenayo i-lactose' (kulezi zinsuku ejwayelekile ezitolo ezinkulu); futhi kufanele kukhunjulwe njalo ukuthi uma kwenzeka kukhishwa ubisi, ama-yogurts, ushizi, kubalulekile ukuqinisekisa ukutholakala kwe-calcium ekudleni kwezingane. Mayelana nama-smoothies yemifino (irayisi, i-oatmeal, i-alimondi, i-soy, i-walnut, i-quinoa ...) Ngincoma ukubuyekeza lokhu okufakwe nguJesús Garrido kusazi Sami Sezingane Esiku-inthanethi.

Inqubo yentombazane noma yomfana otholwe ukuthi une-allergies yokudla (i-CMPA noma abanye) kufanele ibuyekezwe ngudokotela)Lokhu akusho ukuthi abazali abakwazi ukufuna eminye imithombo yolwazi, ukuqinisekisa ukuthi bathembekile.

Nayi umehluko omkhulu:

• Ukungezwani komzimba kubangelwa iprotheni, ukungabekezelelani noshukela (i-lactose).
• Ukungezwani komzimba kuthinta amasosha omzimba, ukungabekezelelani kuphela uhlelo lokugaya ukudla.
• Ukungezwani komzimba kubangela ukusabela okungazelelwe okubangelwa ngokushesha, futhi nangodlame; ukubonakaliswa kokungabekezelelani kungavela ezinsukwini ngemuva kokufaka ukudla.
• Umuntu ongezwani nezinto ezithile akufanele athathe noma yikuphi ukudla okuqukethe amaprotheni obisi (okobisi noma okwenziwe); umuntu ongabekezelelani angadla ubisi 'olungenayo i-lactose'.
• Ukuvezwa kwamaprotheni obisi kungadala ukushaqeka kwe-anaphylactic; umuntu ongabekezeleli ugwema ubisi nge-lactose, kepha uma evezwa, impilo yakhe ayikho engcupheni.

Ungahlukanisa kanjani amaprotheni obisi kumalebula?

Abanenkinga yokungezwani komzimba, nabazali bezingane ezine-CMA, gwema ubisi, ibhotela, ushizi, iyogathi, i-custard, ukhilimu, i-curd, ama-smoothies, i-flan nanoma yikuphi ukudla okuqukethe. Kufanele futhi wenze ngaphandle kwamakhukhi namakhekhe enziwe ngobisi noma okuphuma kuwo, ne-nougat. I-Lactalbumin, isilwane esinama-whey solids, i-whey, i-lactalbumin phosphate, nokunye akuvunyelwe.

Futhi kufanele uqaphele kakhulu ngamalebula, ukugwema ukuthenga lokho kudla okunelebula elichaza ibhotela lokufakelwa noma ukunambitheka kwebhotela, iprotheni ene-hydrolyzed, uwoyela webhotela, ... ngaphandle uma umthombo ucacisiwe ngokucacile, futhi akuyona iphrotheni yezilwane. Ngokusobala, ukukhetha ukudla okuncike kwizithako eziyisisekelo eziphekwe ekhaya kuphephe kakhulu; nokuxhumana okusondele kakhulu negumbi lokudlela lesikole kuyadingeka, kanye nokunikeza imiyalo eqondile kubangani noma emndenini ukusisiza sinakekele izingane. Lapho kudliwa ngaphandle, kungakuhle ukuthi uthintane nabasebenzi bendawo yokudlela, ukuthola izithako zezitsha.

Futhi ungayithola kanjani i-lactose ekudleni okungewona okobisi?

Kuyacaca ukuthi umuntu ongabekezeleli angathatha noma yikuphi ukudla okwe-milk 'free-lactose' osekuvele kuvamile ezitolo ezinkulu nasezindaweni zokuhweba (hhayi okweqile ngenxa yokuthi kuzovezwa i-casein), kodwa kuthiwani ngalokho kudla imikhiqizo engeyona yobisi eyenziwe nge-lactose? Ilebuli 'iqukethe i-lactose' isinikeza umkhondo ocacile, kepha akulula ngaso sonke isikhathi. Uma kuvela kulebula: ushukela wobisi, i-whey, i-lactose monohydrate, 'ushukela' (kufanele kuqashelwe), ubisi oluyimpuphu, ukhilimu wobisi, njll. ngukuthi kufanele sigweme imikhiqizo enjalo.

Ekugcineni, yisho ukuthi ukungezwani komzimba namaprotheni obisi lwenkomo (i-CMPA) kubalwa isithathu phakathi kokungezwani komzimba nokudla. Futhi (lokhu kubalulekile) ubisi lwembuzi nolwezinkomo kufanele futhi kugwenywe.