Cov pab pawg qab zib ntau dhau los ua ke tag nrho nws cov ntsiab lus rau hauv ib qho kev ua xua, yog li cov lus qhia "kev ua xua rau qab zib" yog qhov tsis tseeb thiab tsis tuaj yeem tshwm sim raws li kev kuaj mob.
Qhov tseeb thiab dab neeg
Koj puas tuaj yeem ua xua rau qab zib? Allergy yog cov lus teb ntawm lub cev tiv thaiv kab mob rau kev nkag mus ntawm cov tshuaj uas nws pom tau tias yog cov neeg ua phem. Nyob rau tib lub sijhawm, lub cev tiv thaiv kev ua haujlwm yog tsim los ntawm cov hlwb tshwj xeeb - cov tshuaj tiv thaiv uas cuam tshuam nrog cov ntsiab lus txawv teb chaws thiab ua rau muaj kev cuam tshuam rau txhua tus neeg paub los ntawm cov tsos mob ua xua. Tsis yog ib yam khoom muaj peev xwm ua rau cov txheej txheem ntawm kev tso tawm ntawm cov tshuaj tiv thaiv kab mob, tab sis tsuas yog cov protein sib xyaw. Yog li, cov khoom no tsis yog nyob rau hauv pab pawg ntawm cov suab thaj ntshiab, thiab cov carbohydrates tam sim no tsis muaj peev xwm ua kom muaj kev tiv thaiv kev tiv thaiv kab mob.
Txawm li cas los xij, cov tshuaj ntawm pab pawg ntshiab tsis muaj dab tsi cuam tshuam nrog cov khw muag khoom qab zib, suav nrog cov suab thaj. Cov khoom uas nkag mus rau hauv khw muag khoom mus rau ntau theem ntawm purification, undergoes raug preservatives, fragrances, colouring pigments lub luag hauj lwm rau lub "whiteness" ntawm cov khoom. Tag nrho cov no tuaj yeem ua rau qab zib intolerance thiabua rau cov tsos mob mus txog anaphylactic shock.
Yog li puas muaj kev fab tshuaj rau qab zib hauv qhov tseeb ntawm lo lus? Kev tsis haum xeeb tiag tiag, tus neeg ua txhaum ntawm uas tuaj yeem yog cov xuab zeb qab zib lossis pob qab zib, yog qhov tshwm sim tsis tshua muaj tshwm sim uas tshwm sim vim tsis muaj cov enzyme sucrose. Nws tuaj yeem yog congenital, kis tau lossis ncua sijhawm.
Ua rau muaj kev tsis haum tshuaj
Kev tsis haum, lossis kev tsis haum rau cov piam thaj, hauv tus menyuam tshwm sim thaum tus menyuam lub cev tsis tuaj yeem tsim lossis cuam tshuam qee cov enzymes. Kev tsis lees paub cov suab thaj tuaj yeem ua rau muaj kab mob hauv lub cev lossis yog tshwm sim los ntawm tus kab mob yav dhau los. Yuav luag ib nrab ntawm cov piam thaj hauv cov menyuam mos yug tshiab yog cov noob caj noob ces los ntawm cov neeg hauv tsev neeg tam sim ntawd.
Congenital allergy yog hais txog qhov tshwm sim ntawm thawj qhov xwm txheej thiab raug kuaj pom thaum muaj hnub nyoog ntxov - txawm tias ua ntej hnub nyoog ib xyoos. Hom kev intolerance no tsis suav nrog kev tsis lees paub cov suab thaj hauv thawj ob peb lub hlis tom qab tus menyuam yug los, tshwj tsis yog cov tsos mob ntev tshaj tsib hnub.
Qhov ua rau muaj piam thaj intolerance yog:
- muaj kev cuam tshuam ntawm helminthic hauv lub cev;
- kho nrog tshuaj tua kab mob, tshwj xeeb tshaj yog tias kev kho txuas ntxiv mus ntev;
- ua rau lub plab zom mov tsis zoo lossis cov txheej txheem inflammatory hauv lub plab zom mov hauv cov chav kawm ntev.
Qhov kawg ntawm qhov ua rau muaj piam thaj tsis kam,Yog tias nws tsis muaj qhov tsis txaus ntseeg hauv kev loj hlob ntawm lub cev, nws feem ntau pom nyob rau hauv cov menyuam yaus hnub nyoog preschool thiab hnub nyoog kawm ntawv.
Reaction to milk sugar
Protein yog lub ntsiab ntawm cov khoom noj siv mis uas nkag mus rau tus menyuam lub cev hauv cov ntim loj txhua hnub. Ntawm qhov zaus ntawm kev pub niam mis feem ntau tshwm sim, cov tshuaj no tsuas yog tsis tuaj yeem tawm ntawm lub cev, vim tias nws tsim cov khoom sib txuam hauv cov hnyuv.
Qhov no yog tus qauv thaum tus menyuam lub cev tsim tawm tag nrho cov enzymes tsim nyog rau kev zom cov protein, tab sis kuj tshwm sim uas tus menyuam lub cev tsis tuaj yeem tiv taus. Cov txheej txheem fermentation uas tau pib thaum cov ntsiab lus qab zib tau nce ntxiv, muaj cov cim qhia uas feem ntau yuam kev rau "kev tsis haum" rau cov piam thaj hauv cov menyuam yaus nrog HS - plab colic, gas tsim, regurgitation.
Lwm qhov laj thawj yog qhov tsis muaj lossis txo qis hauv kev ua haujlwm ntawm cov enzyme tshwj xeeb lub luag haujlwm rau kev nqus ntawm lactose - lactase. Cov suab thaj uas muaj nyob rau hauv cov mis nyuj nkag mus rau hauv cov hnyuv yam tsis tau faib ua ntej mus rau hauv cov ntsiab lus yooj yim, ib qho ntawm cov lactase, thiab twb nyob rau hauv lub plab pib hloov nyob rau hauv lub acidic flora. Tus menyuam pom kev ntxhov siab tam sim tom qab pub mis - muaj zog, qaub eructation tshwm, raws plab qhib. Ib qho teeb meem ntawm kev tsis txais cov mis nyuj qab zib tuaj yeem ua rau qeeb hauv kev loj hlob ntawm tus menyuam.
Nyob ntawm daim tawv nqaij
"Allergy" rau cov piam thaj hauv tus menyuam tuaj yeem lees paub los ntawm lub cim tseem ceeb,nrog yuav luag txhua qhov tshwm sim ntawm cov tshuaj tiv thaiv rau cov khoom qab zib - cov pob khaus uas ua rau fusions txog li ob peb centimeters los yog tawg thoob plaws hauv lub cev hauv daim ntawv ntawm cov ntsiab lus sib cais. Raws li txoj cai, tus menyuam pib nquag khawb lub cev, yog li qee qhov chaw uas muaj pob khaus sai sai tig mus rau qhov txhab.
Tsis tas li "kev ua xua" rau cov suab thaj tshwm sim nws tus kheej raws li cov lus teb tam sim ntawm tus menyuam lub cev rau khaus. Tsawg zaus, cov tshuaj tiv thaiv tsim nyob rau hauv ib qho kev txiav txim maj mam, nrog cov tsos mob tshwm sim. Yog li ntawd, ob hom kev intolerance yog qhov txawv:
- tam sim - uas yog, muab daim duab kho mob tiav lawm hauv thawj teev tom qab noj zaub mov txwv;
- delayed - poob rau ob peb hnub.
Thaum cov tshuaj tiv thaiv qeeb, nws yog ib qho tseem ceeb rau kev sib txawv ntawm cov piam thaj intolerance los ntawm kev ua xua rau lwm yam khoom noj thiab cov khoom noj tsis haum.
daim duab kho mob ntawm daim tawv nqaij cov tshuaj tiv thaiv
Raws li qhov nyuaj ntawm qhov tshwm sim, kev tsis haum qab zib tau muab faib ua cov tsos mob hauv qab no, pom ntawm daim tawv nqaij:
- pob khaus yooj yim nthuav tawm raws li cov ntsiab lus sib cais lossis hauv zos fusions (nrog lossis tsis khaus);
- urticaria - tuaj yeem ua tau ntau yam raws li qhov tshwm sim ntawm cov pob liab liab, tab sis invariably nrog o, khaus hnyav;
- Quincke's edema yog ib qho tseem ceeb tshaj plaws ntawm kev tsis haum tshuaj, uas yog qhov o ntawm lub ntsej muag thiab hauv qhov chaw mos, ua tsis taus pa, liab ntawm daim tawv nqaij;
- anaphylactic shock - huab cua, ua ntej tuagKev tshwm sim ntawm kev ua xua uas ib tug neeg faints thiab tuag thaum tsis muaj kev kho mob.
Raws li cov cim qhia ntawm kev tsis haum cov piam thaj, kev txiav txim siab tau txiav txim siab txog kev ntsuas kub ntxhov thiab cov xwm txheej yuav tsum tau ua rau lawv qhov kev muab.
Diagnosis
Nyob rau hauv tus menyuam yug tshiab, kev tsis haum tshuaj qab zib tuaj yeem paub tseeb los ntawm leej niam, leej twg hu rau tus kws kho mob xws li cov cim qhia ntawm daim duab kho mob raws li cov quav xoob ntau zaus, regurgitation, cov tsos mob ntawm lub plab mob. Txawm li cas los xij, txhawm rau txheeb xyuas thiab cais cov tshuaj tsis haum, qee qhov kev sim yuav xav tau, uas suav nrog:
- txoj kev tshem tawm tsis haum (hloov tus menyuam mus rau cov qauv tsis muaj lactose);
- kuaj tawv nqaij (qhia cov tshuaj tsis haum rau hauv lub cev los ntawm kev khawb me me ntawm tus menyuam lub hauv pliaj);
- kuaj ntshav rau cov tshuaj tiv thaiv IgE;
- stool study.
Rau cov menyuam yaus uas tuaj yeem tswj tau lawv cov pa tawm (feem ntau txij li hnub nyoog 3 xyoos), lawv ntsuas qhov concentration ntawm hydrogen particles ntawm exhalation - ib qho kev sim ua nyob rau hauv ob theem - ua ntej noj cov lactose thiab tom qab haus dej me me. kua mis.
kev kho mob
Kev ua xua rau cov piam thaj los yog qab zib beet Cheebtsam, sib txawv ntawm lactose intolerance, yog kho nrog cov tshuaj tiv thaiv kab mob thaum zam cov khoom uas ua rau lub cev tiv thaiv kab mob. Cov chav kawm ntawm kev kho mob nrog tshuaj xws li Suprastin, Zodak, Kzisal yog tsim los rau ob lub lis piam ntawm kev noj tshuaj tas mus li. ATCov kev kho mob rau kev ua xua rau cov piam thaj hauv cov menyuam yaus kuj suav nrog kev siv cov enterosorbents los ntxuav cov hnyuv ntawm cov khoom lwj thiab cov co toxins tso tawm rau hauv lub cev: qhib cov roj dub lossis dawb, Laktofiltrum, Smekta.
Kev tsis lees paub Lactose, tshuaj tiv thaiv kev ua xua tsis tuaj yeem tshem tawm, yog li, feem ntau lawv tsuas yog tsis kam noj cov khoom noj uas yuav tsum tau ua haujlwm ntawm cov enzyme uas tsis zoo.
Kev kho mob nrog kev noj haus
Cov me nyuam noj cov zaub mov yog qhov nyuaj rau kev tswj kom tsis txhob muaj lactose lossis lwm yam khoom qab zib yooj yim uas tus menyuam tuaj yeem tsim kev tsis haum rau. Yog tias qhov teeb meem pom muaj nyob hauv sucrose, ces tus menyuam yuav tsum tau pub niam mis rau tag nrho thawj xyoo ntawm lub neej, thiab thaum pib ntawm cov khoom noj ntxiv, tshuaj xyuas qhov muaj pes tsawg leeg ntawm txhua lub thawv ntawm cov khoom tiav.
Cov me nyuam mos liab tau noj:
- tsis suav nrog cov khoom noj: cov khoom noj khov, qos yaj ywm, pob kws, kissels thiab txhua yam khoom siv uas siv cov hmoov txhuv nplej siab ntau ua cov thickener;
- suav nrog hauv kev noj zaub mov tsis poob: ntshiv kua zaub, cereals crumbly, roj zaub roj;
- preference yog muab rau tag nrho cov txiv hmab txiv ntoo citrus, tshuaj ntsuab tshiab, spinach, cherries thiab tag nrho cov txiv hmab txiv ntoo thiab txiv hmab txiv ntoo uas fructose yog ntuj sweetener;
- Raws li noj vitamin C txhua hnub.
Vim tias kev kho mob ntshav qab zib ua xua yog nqaim tsom, tsuas yog ib qho tshuaj tsis haum raug tshem tawm ntawm kev noj haus. txwv tsis pub noj mov,Kev tswj hwm rau lactose intolerance yuav tsis cuam tshuam rau cov neeg mob uas muaj cov tshuaj tiv thaiv sucrose, thiab rov ua dua.
Kho cov kua mis qab zib ua xua hauv kev pub niam mis
Nyob rau hauv rooj plaub uas nws yog ib lo lus nug ntawm kev pub niam mis, qhov tsis kam uas yuav cuam tshuam rau kev noj qab haus huv ntawm tus menyuam, tus menyuam tau muab cov enzyme lactase nyob rau hauv daim ntawv ntawm kev npaj cais. Cov hmoov yog yaj nyob rau hauv ib qho kev pub mis ntawm cov kua mis thiab muab rau tus menyuam raws li lub sijhawm pub mis.
Ntau tus niam tsis xav tsis lees lawv tus menyuam lub cev noj zaub mov, uas muaj txiaj ntsig zoo rau lub hlwb ntawm tus menyuam mos, yog li lawv dilute lactase enzyme hauv me me ntawm cov kua mis. Ua ntej, thaum pub mis, tus menyuam tau muab cov khoom noj fermented, tom qab ntawd - kom txog thaum cov khoom noj khoom haus ntxiv - lawv tau siv rau lub mis.
Ib qho ntxiv rau qab zib rau kev ua xua - fructose
Puas yog siv cov khoom qab zib thiab lawv puas raug mob? Txhawm rau ntxiv cov zaub mov rau cov menyuam yaus, cov kws ua zaub mov pom zoo kom siv cov khoom qab zib ntawm lub hauv paus chiv keeb - lawv tau nqus tag nrho rau hauv cov phab ntsa hauv plab, tsis txhob cuam tshuam peristalsis thiab tam sim ntawd pib ua haujlwm hauv txhua lub cev.
Cov kiv cua ntawm cov txheej txheem ib txwm kho thiab tiv thaiv lactose intolerance tso fructose es tsis txhob qab zib. Cov txiaj ntsig thiab kev puas tsuaj ntawm cov tshuaj no feem ntau tau tham txog, tab sis nws tseem siv dav hauv feem ntau thaum siv cov suab thaj classic tsis tuaj yeem ua rau kev noj qab haus huv.
Rau cov menyuam yaus, fructose tau noj zoo tshaj plaws hauv nws daim ntawv qub. Cov zaub mov hauv qab no muaj cov khoom no siab:
- txiv apples thiab txiv apples;
- persimmon, hnub;
- txhua yam zaub qhwv.
Yog tias tus menyuam pom tias tsis muaj kua mis tsawg, tus niam yuav tsum xav txog kev siv fructose es tsis txhob qab zib. Cov txiaj ntsig thiab kev puas tsuaj ntawm kev hloov pauv tuaj yeem ntsuas tom qab thawj 2-3 pub mis. Cov tshuaj yuav hauv lub tsev muag tshuaj yuav tsum tau ceev faj los ntawm ob tus menyuam yaus thiab leej niam hluas - tsis pub tshaj 30 g ib hnub twg.
Natural sugar substitutes
Yuav ua li cas hloov cov khoom uas muaj txiaj ntsig siab tshaj plaws rau tus menyuam thaum muaj kev fab tshuaj rau qab zib? Yog hais tias sweeteners nyob rau hauv daim ntawv ntawm kev npaj tshuaj tsis txawm xam tau tias yog los ntawm leej niam, ua ntej ntawm tag nrho cov, yuav tsum tau them nyiaj mloog mus rau zib mu. Ntxiv rau tus menyuam noj cov zaub mov maj mam, pib nrog ntau hom hypoallergenic thiab tom qab ntawd ua kom muaj kev noj qab haus huv ntau ntxiv nrog rau qhov nce ntawm qhov ntim ntawm ib qho kev pabcuam.
Me ntsis kev tsis sib haum xeeb hauv cov tshuaj tiv thaiv rau sucrose yog cov kua txiv hmab txiv ntoo, uas tuaj yeem pom nyob rau hauv daim ntawv ntawm cov khoom siv lead ua. Cov khoom muaj sucrose nyob rau hauv ultra-me me (5 g ntawm cov khoom nyob rau hauv 100 ml ntawm syrup), yog li nws belongs rau cov zaub mov, tab sis nws yuav tsum tau nkag mus rau hauv cov zaub mov kom zoo zoo li zib mu.
Me nyuam cov zaub mov pom zoo
Tom qab tus me nyuam kawm tau cov khoom qab zib, qhov zoo rau nws txoj kev noj qab haus huv. Yav dhau los, cov kws kho mob tau pom zoo qhia tus menyuam mus khaws cov khoom qab zib tsis pub dhau hnub nyoog peb xyoos, tam sim no lawv tau thov kom tos tsawg kawg txog ib xyoos. pom nyob rau hauv lub xeemKev poob qis hauv kaum xyoo hauv kev tiv thaiv kev noj qab haus huv hauv cov menyuam kawm ntawv preschool feem ntau nyob ntawm cov niam txiv feem ntau, thaum npaj lawv tus menyuam cov pluas noj, tsis quav ntsej txog kev noj qab haus huv ntawm cov pej xeem.
Puas yog cov khoom qab zib hauv cov khoom noj uas nrov npe puas tsuaj? Nws yog ib qho nyuaj rau kev ntseeg, tab sis tsis suav nrog tsuas yog tsib hom khoom los ntawm kev noj zaub mov ntawm tus menyuam yaus, koj tuaj yeem tshem tawm ob peb kilograms ntawm qab zib los ntawm nws txhua xyoo noj! Nov yog cov npe luv:
- shortbread thiab qab zib puff pastry;
- niaj hnub ci tsw qab caramel thiab mis nyuj chocolate;
- txhua yam dej cawv;
- chips, pob kws sticks thiab qab zib cereals;
Nws tsis tuaj yeem tsis kam lees khoom qab zib rau menyuam yaus, yog li ntawd, tau tshem tawm cov zaub mov tsis zoo, lawv yuav tsum tau hloov tam sim nrog cov khoom noj qab haus huv. Peb kuj suav nrog cov khoom qab zib uas tsim nyog rau kev noj qab haus huv ntawm tus menyuam hauv tsib pawg:
- txiv hmab txiv ntoo qhuav (ntxuav);
- natural homemade qab zib dawb yogurts;
- muesli;
- dub chocolate nrog tsawg kawg 72% cocoa;
- fruits in season.
Cov kua txiv hmab txiv ntoo zoo, tshwj xeeb tshaj yog cov dej tshiab, yuav tsum tau diluted nrog dej ib nrab thiab tsuas yog muab rau tus menyuam. Qhov no tsis siv rau cov kua txiv hmab txiv ntoo yuav hauv lub khw - qhov siab ntawm cov suab thaj hloov pauv hauv lawv siab heev uas cov khoom tsis tuaj yeem hloov kho.
Tiv thaiv kev loj hlob ntawm kev ua xua hauv menyuam yaus
Cov khoom noj niam mis thaum cev xeeb tub feem ntau txiav txim siab qibtus me nyuam raug rau tej yam khoom noj tom qab yug me nyuam. Yog tias tus poj niam cev xeeb tub noj cov piam thaj ntau dhau lossis sim nrog ntau yam khoom qab zib yam tsis muaj tshuaj kho mob, qhov no yuav cuam tshuam rau kev tsim cov enzymes hauv tus menyuam lub cev.
Qee qhov xwm txheej, thaum kuaj pom qhov ua xua rau cov ntsiab lus yooj yim tshaj plaws ntawm cov piam thaj hauv cov menyuam yaus hnub nyoog qis dua peb xyoos, nws muaj peev xwm txhim kho kev hloov mus rau qhov ua xua. Qhov no yog ib txoj kev ntev heev uas tshwm sim nyob rau hauv kev tswj ntawm ib tug allergist thiab yog nrog los ntawm kev soj ntsuam raws sij hawm. Qhov txiaj ntsig ntawm kev kho mob tau zoo yog qhov tshwm sim thaum tus menyuam tsis teb rau qhov ua xua thaum noj cov tshuaj me me.
