ʻAla ʻAlaʻai vs. Sensitivity: He aha ka ʻokoʻa?
Anter
Hōʻike Overview
He aha ka ʻokoʻa ma waena o ka maʻi ʻaʻai i ka meaʻai a me ka makaʻala a hoʻomanawanui ʻole paha iā ia?
ʻO ka ʻokoʻa ma waena o ka meaʻai āpau a me ka noʻonoʻo ka pane a ke kino. Ke loaʻa iā ʻoe kahi alohā o ka meaʻai, hoʻonā i kāu ʻōnaehana pale i ka hopena. Inā loaʻa iā ʻoe ka noʻonoʻo ʻai a i ʻole ke ahonui, hoʻonāukiuki ʻia ka hopena e ka ʻōnaehana digestive.
- ʻO nā ʻōuli o ka hoʻomanawanui ʻole i nā meaʻai e komo pū me ke kinoea, bloating, diarrhea, constipation, cramping, a me nausea.
- ʻO nā ʻōuli o ka meaʻai āpau e komo pū me ka hives, ka pehu ʻana, ka ʻume ʻana, ka anaphylaxis, a me ka puʻupuʻu.
Nā manaʻo nui o ka meaʻai
Ua ʻōlelo ʻo Sherry Farzan, MD, mea aleremia a me nā immunologist me ka North Shore-LIJ Health System ma Great Neck, NY, ʻaʻole hiki ke hoʻoweliweli i ka noʻonoʻo i nā meaʻai. Hōʻike ʻo ia aia kekahi mau ʻai ʻaʻohe e pale ʻia me ka palekana. Ma muli o ka hiki ʻole o ka hana a ʻeli ʻana i kahi meaʻai.
ʻOi aku ka maʻalahi o ka noʻonoʻo a me ka hoʻomanawanui ʻole ma mua o nā meaʻai āpau o ka meaʻai, e like me ka British Allergy Foundation. ʻAʻole pili i ka ʻōnaehana pale.
Hoʻokomo kahi meaʻai i ka hoʻomanawanui ʻole i kāu tract digestive. ʻO kēia kahi hiki ʻole i kou kino ke wāwahi pono iā ia, a i ʻole ke kino o kou kino i kahi meaʻai āu e makaʻala ai. ʻO kahi laʻana, ʻo ka hoʻomanawanui ʻole o ka lactose ke hiki ʻole i kou kino ke wāwahi i ka lactose, kahi kō i loaʻa i nā huahana waiū.
Hiki paha iā ʻoe ke makaʻala a hoʻomanawanui ʻole i kahi meaʻai no kekahi mau kumu. Pākuʻi ʻia kēia mau mea:
- ʻaʻohe o nā enzyme pono e pono ai ʻoe e hōʻolo i kahi meaʻai
- nā hopena i nā mea hoʻohui meaʻai a i ʻole nā mea mālama e like me sulfites, MSG, a i ʻole nā kala i hana ʻia
- nā mea lāʻau, e like me ka noʻonoʻo i ka caffeine a i ʻole nā kemika ʻē aʻe
- ʻike maʻalahi i nā kō i loaʻa maoli i kekahi mau meaʻai e like me ka ʻakaʻaka, broccoli, a me nā ʻōpuʻu ʻo Brussels
ʻOkoʻa nā ʻōuli o ka ʻike o ka meaʻai. Akā nā ʻōuli o ka hoʻomanawanui ʻole e pili pū me ka digestive. Hiki i kēia mau mea ke:
- kinoea a me ka momona
- pāhoehoe
- kōpaʻa
- cramping
- nausea
Nā mea āpau o ka meaʻai
ʻO kou ʻōnaehana pale pale kaua i kou kino i nā mea hoʻouka kaua e like me ka bacteria, fungus, a i ʻole ka maʻi hoʻomaʻalili anu maʻamau. He meaʻai āpau kāu i ka manawa e ʻike ai kāu ʻōnaehana paleʻale i kahi protein i loko o ka mea āu e ʻai ai ma ke ʻano he mea hoʻouka kaua, a hana i ka hana ʻana i nā mea pale kaua e hakakā iā ia.
Wehewehe ʻo Farzan he ʻaʻai pāʻina kahi hopena pale i pale ʻia i ka meaʻai. ʻO ka mea maʻamau ka hopena immunoglobulin E (IgE)-waena. ʻO nā IgE he mea ʻino ʻino. Hoʻokumu lākou i kahi hopena koke ke hoʻokuʻu ʻia nā kemikino, e like me ka histamine mai nā mast mast.
Hiki i nā meaʻai āpau ke make, ʻaʻole like me ka hoʻomanawanui ʻole ʻana o ka meaʻai a i ʻole ka noʻonoʻo. I nā hihia keu, ke komo ʻana a i ʻole ka hoʻopā ʻana i kahi nui o ka allergen hiki ke hana i kahi hopena koʻikoʻi.
ʻO nā ʻōuli o ka allergy meaʻai e like me:
- nā ʻili o ka ʻili, e like me ka hives, ka pehu ʻana, a me ka ʻili
- anaphylaxis, me ka paʻakikī o ka hanu ʻana, ka hū ʻana, ka poni ʻana, a me ka make
- ʻōuli digestive
ʻEwalu mau meaʻai i loaʻa no 90 pākēneka o nā hopena pākuʻi: ka waiū, nā hua manu, nā iʻa, nā iʻa, nā peanuts, nā kumu lāʻau, ka palaoa, a me nā soybeans.
Aia pū kekahi me nā mea pāhehehe ʻole no ka mea ʻai ʻole IGE. Hana ʻia kēia mau hopena ke hana ʻia nā ʻāpana ʻē aʻe o ka ʻōnaehana pale ma waho o nā mea ʻino IGE.
Lohi ʻia nā ʻōuli o nā hopena ʻole IGE, a kū nui ʻia i ka tract gastrointestinal. Hoʻopili pū lākou i ka luaʻi, diarrhea, a bloating paha. ʻAʻoleʻike iki ʻia e pili ana i kēia ʻano ʻano o ka hopena, a ma ka laulā ʻaʻohe ʻano hoʻoweliweli o kēia ʻano pane.
He aha e hana ai i kahi pilikia
ʻEwalu mau meaʻai no ka 90 pākēneka o nā hopena maʻi ʻaʻai. Eia nā:
- waiū
- huamoa
- iʻa
- pūpū
- pīnani
- hua kukui lāʻau
- palaoa
- ʻūhā
Pono ka poʻe i loaʻa i nā meaʻai āpau i ka meaʻai e hōʻalo i kēia mau meaʻai. Eia nō naʻe, pono e hoʻomaʻamaʻa nā mākua a me nā kahu o kahi keiki me ka maʻi ʻaʻai no ka mālama ʻana i nā ʻaʻe pōpilikia, wahi a Farzan.
Pono e loaʻa mau ka epinephrine ponoʻī, a pono i nā mākua a me nā kahu e ʻike pehea e lawelawe ai i ka injectable, wehewehe ʻo ia.
ʻO nā hopena i loaʻa i kahi hopena maʻi ʻaʻano koʻikoʻi. Akā hoʻoikaika ʻia e hoʻokipa i ka poʻe me nā meaʻai āpau. ʻAʻohe peanut paha nā lumi ʻaina o ke kula e hānai ai i nā keiki me nā ʻāpana peanut.
Eia kekahi, koi ʻia e hōʻike nā lepili huahana inā hana ʻia kahi meaʻai i ka hale like e hana ai i nā mea āpau loa.
"ʻAʻole hoʻoweliweli ke ola i nā manaʻo noʻonoʻo. Aia pū kekahi me nā hoʻomanawanui ʻole o ka meaʻai, ʻaʻole ia e pale ʻia i ke kino, a ma muli o ka hiki ʻole ke hana a ʻānai i kahi meaʻai. " - ʻO Sherry Farzan, MD, mea aleremia a me nā mea pale maʻi me North Shore-LIJ Health System ma Great Neck, NY