Azimayi omwe ali ndi pakati, amatha kudwala matendawa, m'pofunika kuti asiye kukhudzana ndi matendawa, adye bwino, osapatsidwa mankhwala. Amayi amtsogolo omwe, chifukwa cha ntchito zawo, nthawi zambiri amafunika kugwiritsira ntchito mankhwalawa (ogwira ntchito mu mankhwala, mankhwala, ubweya, mafakitale, ufa, ophika tsitsi, ophika mkate, etc.), muyenera kuganizira momwe mungakhazikitsire ntchito yanu panthawi yolindira mwanayo. Zomwe mungachite ngati mwanayo ali ndi zovuta komanso momwe angakhalire - tidzakuuzani.
Kaya zovuta zimaperekedwa ndi kulumikizana kumene?
Pa 80% ya ana omwe akudwala matenda oopsa, alemera anamnesis. Ngati onse awiri amayi ndi abambo ali ndi vuto, chiopsezo chotenga matendawa mwa mwana ndi 60-80%; ngati kholo limodzi - 45-50%, chiwopsezo chowopsa kwa ana a makolo abwino chingathe kufika 10-20%.
Kodi ndi zaka zingati ndipo kwa nthawi yoyamba zimachitika zotani?
Zizindikiro zoyambirira zokhudzana ndi zozizwitsa (monga momwe zimakhudzidwira ndi chakudya) zimaonekera msangamsanga mwana atabadwa ndikufika pachimake pakatikati pa chaka choyamba cha moyo. Posiyana ndi izi, zizindikiro za atopic dermatitis nthawi zambiri zimawonedwa; kuchuluka kwa iwo kugwera kwa chaka chimodzi. Kwa ana mawonetseredwe achikulire a chiwopsezo cha zakudya ndi dermatitis ya atopic ndizosazolowereka. Mankhwala akuluakulu a dermatitis ya atopic ndi khungu loyera komanso maonekedwe a kutupa (kutsekemera, kuuma, kupukuta, kukulitsa) khungu, kutsuka pa nkhope, khosi, scalp, m'matumba a khungu, pamapiri, m'mapanga. Zizindikiro zimadalira zaka. Atonic dermatitis nthawi zambiri imakhala ndi matenda a m'mimba. Ndikofunika kukumbukira kuti kuyabwa ndi chizindikiro cha matenda ambiri; Matendawa akhoza kuika dokotala yekha pambuyo pa kuyankhulana. Pambuyo pake, phokoso la kupuma likuwonekera. Ndili ndi zaka zisanu ndi chimodzi kapena zisanu ndi ziwiri, mphumu yothamanga ndi yofala kwambiri. M'nthaŵi yoberekera, "kutsogolera" kuthamanga kwa rhinitis.
Kodi kuteteza chiwopsezo m'miyezi yoyamba ya moyo wa mwana ndi chiyani?
Ana a chaka choyamba cha moyo omwe ali ndi chiopsezo chowonjezereka cha kudwala amafunika kusamalidwa bwino (kuuma, kupewa kupezeka ndi zovuta zapakhomo, makamaka kuyamwitsa). Amayi achikulire ayenera kusamalira zakudya zochepa zowopsa. Katemera wa Prophylactic amapangidwa kwa ana odwala bwino, perekani mankhwala molingana ndi zizindikiro. Sekondale prophylaxis imaphatikizapo mankhwala omwe amalandira nthawi yomwe adokotala amamupatsa komanso momwe amachitira ndi matenda enaake.
Makolo ayenera kutsatira malamulo ati posankha chakudya chokwanira?
Ndikofunikira kuchotsa chokoleti, kakale, uchi, mtedza, mazira, caviar ya sturgeon, nkhuku ndi nyama zamtundu wa nyama, kusuta fodya, zipatso za citrus, strawberries, strawberries, tomato, zonunkhira, sauerkraut, nkhaka zophika, mphesa, apricots. Ndipo ndibwino kuti mufunsane ndi wotsutsa zisanayambe kulandira mankhwala atsopano pa menyu.
Kodi mawonetseredwe akunja a zovuta?
Kuchokera pakhungu - kuyabwa ndi khalidwe kusintha kwa kutupa; Kuchokera kwa maso - kuyabwa, kusintha kwa kutupa, kulapa; Kuchokera m'mphuno - kuyabwa, kunjenjemera, kusokonezeka kwa minofu ndi kukomoka, komanso chifuwa chouma, kupuma pang'ono, kutupa.
Kodi mitundu yofala kwambiri ya zovuta ndi iti?
Dermatitis yowopsya, yodwala rhinitis, mphumu yowonongeka, mungu, Quincke's edema, ming†™ oma, zakudya zoperewera ndi mankhwala,
Kodi mungakulangize bwanji makolo odwala matenda odwala matendawa?
Dermatitis yapamwamba, muyenera kuonetsetsa kuti khungu la mwana sichikugwirizana ndi zipangizo zamakono ndi zofiira, chovala chiyenera kupangidwa ndi nsalu ya thonje yekha. Sambani zinthu mwana amafunikira sopo yosavuta kapena zotsekemera za hypoallergenic. Kusamba mwana wokhala ndi sopo mwana. Dothi la nyumba, mungu wa zomera, ubweya wa ziweto, njira zowonongolera nyumba - zinyenyeswazi zili ponseponse pangozi zambiri. Tiyenera kuyesa kuchepetsa.
Kodi n'zotheka kuchiza mawonetseredwe akunja a zovuta ndi zovuta, zithandizo zakumudzi?
Ndipotu, palibe ndalama zoterezi.
Kodi ndi matenda ati omwe angapangitse ngati zowonongeka?
Cystic fibrosis, matenda oyambirira a immunodeficiency, matenda a mtima wamba; zolakwika zomwe zimachititsa kuti thupi liziyenda bwino; reflux esophagitis, kumvetsetsa kwambiri kwa zotsatira za mankhwala, mankhwala a kayendedwe ka mawu, mphere, seborrheic dermatitis, psoriasis, tizilombo toyambitsa matenda, matenda oopsa opatsirana mu ARI, ndi ena ambiri. Ndi chifukwa chake muyenera kuonana ndi dokotala ndi zizindikiro za nkhawa.
Kodi nthano zazikulu zokhudzana ndi chifuwa chomwe makolo ambiri osadziwa amakhala nacho?
Pazifukwa zina, amakhulupirira kuti ngati ubwana suli olepheretsa, ndiye kuti sudzawoneka mtsogolo. M'madera a mwana nthawi zambiri zimachitika, makolo okha ndiwo amene amachititsa kuti asamangidwe, chifukwa sakugwirizana ndi zofunikira zapachiyambi ndi zakululu kupewa matenda.