So ɛyɛ den ma wo nso sɛ wobɛnom nufusu? Momma yensua biribiara fa nufusu a ɛma obi ho yɛ no hyew ho!

Nufusu yɛ biribi a yɛn nyinaa nom fi yɛn mmofraase. Nanso ebia nnipa binom behyia ɔhaw ahorow bere a wɔnom nufusu yi. Ebia wo anaa wo ba no bɛte biribi a ɛyɛ nwonwa nka bere a worenom nufusu no. Wɔ mmerɛ a ɛte saa mu no, adeɛ baako a ɛba w'adwene mu ne sɛ ebia yei yɛ "nufusuo ho akisikuru" anaa `(Nufusuo ho akisikuru)`. Enti ɛnnɛ, momma yɛnka eyi ho asɛm nkɔ akyiri na ɛnyɛ den koraa.

Dɛn ankasa ne nufusu ho akisikuru?

Sɛ yɛbɛka no tiawa a, nufusu ho akisikuru ne bere a wo nipadua mu tumi a ɛko tia nyarewa (nhyehyɛe a ɛbɔ wo nipadua ho ban fi nyarewa ho) yɛ wɔn ade wɔ protein ahorow bi a ɛwɔ nufusu mu ho. Ɛsusu sɛ ɛyɛ ntuafoɔ. Mpɛn pii no, nantwi nufusu na ɛde eyi ba. Nanso, mmoa nufusu ahorow afoforo te sɛ abirekyi nufusu ne nguan nufusu nso betumi ama obi anya akisikuru. Nanso biribi foforo wɔ hɔ a ɛsɛ sɛ wuhu. Ɛnyɛ ɔhaw ahorow a ɛfa nufusu ho nyinaa na ɛyɛ ``Nufusu ho akisikuru.'' Nneɛma abien foforo wɔ hɔ:

• Nufusu mu protein a wontumi nnyina ano yɛ tebea a ɛba nkokoaa nkumaa mu.
• Lactose a wontumi nnyina ano yɛ tebea a ɛba mmofra a wɔn mfe akɔ anim ne mpanyimfo a wontumi nwe lactose, asikre bi a ɛwɔ nufusu mu no mu.

Yɛbɛka eyinom ho asɛm akɔ akyiri akyiri yi. Mprempren de, kae sɛ ɛtɔ mmere bi a nokware ``Milk Allergy'' betumi ayɛ asiane kɛse . Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den, te sɛ ɛyɛ den sɛ wobɛhome a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo ntɛm ara.

Hena na ɛda adi kɛse sɛ obenya nufusu ho akisikuru yi?

Eyi betumi ato obiara a wadi mfe biara, nanso ɛtaa ba mmofra a wonnii mfe 16 so . Asɛmpa no ne sɛ mmofra dodow no ara a wɔwɔ nufusu ho akisikuru a ɛte sɛɛ no ​​nyin boro so bere a wɔrenyin no. Wɔ nkokoaa a yɛadi kan aka ho asɛm ``Milk protein intolerance'' tebea no fam no, ɛkame ayɛ sɛ ɛyera koraa. Saa nufusu ho akisikuru yi betumi aba nkokoaa a wɔma wɔn nufusu ne nkokoaa a wɔma wɔn nufu nso mu.

Eyi abu so dɛn?

Nufusu ho akisikuru abu so kakra ankasa. Sɛ nhwɛso no, wɔ United States no, wobu akontaa sɛ mmofra 100 biara mu bɛyɛ 2 na wɔwɔ saa yare yi.

Sɛ wowɔ nufusu ho akisikuru a, dɛn na ɛto nipadua no?

Sɛ wowɔ nufusu ho akisikuru a, wo nipadua no benya akisikuru bere a wonom nufusu no. Eyi ne sɛnea ɛyɛ adwuma: Sɛ wudi kan nom nufusu a, wo nipadua mu tumi a ɛko tia nyarewa no yɛ ɔyare mmoawa soronko bi a wɔfrɛ no Immunoglobulin E, anaa IgE. Saa IgE antibodies yi te sɛ detectives nketewa. Wɔkɔ na wɔbata mast cells a ɛwɔ yɛn honam ani, ɔhome kwan, ne koma ne ntini ahorow mu no ho. Afei, sɛ wosan nom nufusu bio a, protein ahorow a ɛwɔ nufusu no mu no ne saa IgE ahorow yi di nkitaho, na ɛma mast cells no yi nnuru bi a wɔfrɛ no Histamine fi adi. Eyi ne nea ɛde wo akisikuru ho sɛnkyerɛnne (te sɛ ɛyaw ne akisikuru) ba.Saa `(IgE)` nneyɛeɛ yi tumi ba ntɛmntɛm paa, sɛ wonom nufusuo ara pɛ. Ɛtɔ da bi a eyi betumi abɛyɛ tebea a emu yɛ den yiye, a ɛde nkwa to asiane mu a wɔfrɛ no `(Anaphylaxis).`

Anaphylaxis yɛ akisikuru a emu yɛ den a sɛ wɔansa no ntɛm ara a, ebetumi akum obi. Enti, ɛho hia sɛ yɛhwɛ yiye paa wɔ eyi ho.

Nneyɛe afoforo wɔ hɔ a wɔyɛ wɔ nufusu ho, a ɛnyɛ saa `(IgE)` antibodies yi na ɛde ba. Wɔba akyiri kakra, ɛtɔ mmere bi a ebetumi agye nnɔnhwerew 48 ansa na sɛnkyerɛnne ahorow no ada adi. Nufusu ne ade titiriw a ɛde saa `non-IgE` nneyɛe yi ba wɔ nkokoaa nkumaa mu. Nanso, saa `non-IgE` allergies yi ntaa nyɛ nea ɛde nkwa to asiane mu. Nhwɛsoɔ ne `Nufusuo protein a wɔrentumi nnye ntom` a yɛadi kan aka ho asɛm.

Dɛn nti na nkurɔfo ho yɛ wɔn yaw mpofirim wɔ nufusu ho?

Eyi yɛ biribi a nnuruyɛfo ne nhwehwɛmufo ntumi nhu mu pɛpɛɛpɛ. Nnipa binom betumi ayɛ wɔn ayayade mpofirim wɔ nufusu ho.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya nufusu a ne ho nyɛ no dɛ?

Mpɛn pii no, nufusu ho sɛnkyerɛnne ahorow fi ase wɔ simma kakraa bi akyi bere a wanom nufusu no. Saa nsɛnkyerɛnne yi betumi ayɛ soronko wɔ onipa biara ho, na ebetumi ayɛ mmerɛw yiye ama nnipa binom, bere a afoforo nso betumi ayɛ nea emu yɛ den. Nsɛnkyerɛnne a ɛtaa ba a ɛnyɛ den pii no bi ne:

• Skin rash , a ɛte sɛ eczema (`Hives`) .
• Akisikuru anaa ɔfe
• Yafunu mu yaw
• Ɔyare a ɛma obi dwensɔ (ɔfe) .
• Honam ani akisikuru yɛ nsakrae a ɛba honam ani.
• Ɛyɛ akisikuru
• Anofafa , tɛkrɛma, anaa menewa a ɛyɛ mmerɛw anaasɛ ɛho ahonhon

Nsɛnkyerɛnne a emu yɛ den (sɛ wowɔ eyinom mu biako anaa nea ɛboro saa a, kɔ ayaresabea ntɛm ara!):

• Chest a ɛyɛ den, ɛyɛ den
• Ɔhome a ɛyɛ den (Dyspnea) .
• Ahome a ɛyɛ tiaa
• Ɛyɛ den sɛ wobɛmene ade (Dysphagia) .
• Honam ani akisikuru a emu yɛ den (`Contact dermatitis`) .
• Wheezing (abɛn a wɔbɔ) .
• Adwene a ɛyɛ basaa
• Mogya mmoroso a ɛkɔ fam mpofirim (Hypotension) .
• Syncope a ɛma obi ho kyere no
• `(Anaphylaxis)` tebea a yɛaka ho asɛm wɔ atifi hɔ no

Dɛn nti na yɛn ho yɛ yɛn yaw wɔ nufusu ho? Dɛn na ɛde ba?

Sɛ wowɔ nufusu ho akisikuru a, ɛyɛ nea protein ahorow abien na ɛwɔ nufusu mu nti. Wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ ade boro so wɔ protein ahorow yi ho. Saa protein abien yi ne: 1. Casein: .Eyi ne protein titiriw a ɛma nufusu yɛ curdles bere a wɔde curdled nufusu no. Wohu wɔ kyiisi ne yogurt nso mu. Ɛyɛ protein a ɛwɔ nufusu mu no 80%. Ɛyɛ saa `(Casein)` yi na ɛma nufusu kɔla fitaa. 2. `Whey`: Eyi yɛ protein a efi nufusu fã a ɛyɛ nsu no mu bere a wɔayɛ no curdled no. Ɛyɛ protein a ɛwɔ nufusu mu no bɛyɛ 20%. Wubetumi ayɛ wo ho awerɛhow wɔ protein ahorow yi mu biako anaa abien no nyinaa ho.

So nufusu ho akisikuru tumi de yare mmoawa ba?

Dabi, nufusu ho akisikuru nyɛ nea ɛde ɔyare ba . Worentumi ntrɛw mu mma obi foforo.

Wobɛyɛ dɛn ahu no yiye sɛ wo ho yɛ wo hyew wɔ nufusu ho?

Sɛ wuhu sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi bere a wonom nufusu a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn . Ebia ɔde wo bɛkɔ oduruyɛfo a ɔhwɛ akisikuru nkyɛn. Oduruyɛfo a ɔhwɛ akisikuru betumi ayɛ nhwehwɛmu ahorow de ahu sɛ ebia wowɔ nufusu ho adwenemhaw ampa anaa. Ansa na wo duruyɛfo bɛyɛ nhwehwɛmu biara no, ebia obebisa wo nsɛm te sɛ:

• So obi wɔ w’abusua mu a ne ho yɛ no yaw wɔ nufusu ho anaa aduan foforo a ne ho yɛ no yaw?
• So oduruyɛfo bi aka akyerɛ wo pɛn sɛ wo ho yɛ wo hyew wɔ aduan ho?
• Nsɛnkyerɛnne bɛn na worehu?
• So wode aduru biara a efi nnurutɔnbea di dwuma ma ɛno?
• Bere bɛn na sɛnkyerɛnne ahorow no fi ase da adi?
• So wokyerɛw nea wudi ne nea wonom ho kyerɛwtohɔ?

Nhwehwɛmu bɛn na wɔde hu sɛ obi anya nufusu ho akisikuru?

Ɛdenam wo sɛnkyerɛnne ahorow so no, oduruyɛfo a ɔhwɛ akisikuru betumi ayɛ nhwehwɛmu a edidi so yi mu biako anaa nea ɛboro saa: 1. Mogya mu nhwehwɛmu: Eyi hwehwɛ sɛ wugye mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu mu. Afei wɔde mogya no kɔ lab, baabi a wɔde fra nufusu mu protein ahorow de hwɛ sɛnea `(IgE)` antibody no dodow te wɔ wo mogya mu. Nea efi mu ba no betumi agye dapɛn biako ansa na asan aba. 2. Skin prick test (anaasɛ `scratch test`): Eyi hwehwɛ sɛ wode nufusu mu protein kakraa bi bɛhyɛ wo honam ani. Nea edi kan no, oduruyɛfo no de biribi te sɛ nsa bɛhohoro wo honam ani fã ketewaa bi a ɛwɔ wo nsa anaa w’akyi. Afei, ade a ɛyɛ fɛ yiye (`lancet`) bɛbɔ were no wɔ baabi a nufusu mu protein a ɛtɔ gu fam no wɔ hɔ. Eyi nyɛ aduru a wɔde twitwiw wo mu a emu dɔ, wobɛte nka sɛ wo ho ayɛ wo hyew kakra, na mogya biara remma. Nnuruyɛfo binom yɛ eyi wɔ ɔkwan foforo so. Wɔde nufusu mu protein aduru bi gu honam ani na wɔde honam ani brɛoo petepete mu. Afei wɔde aduru no gu honam ani. Wɔ nufusu mu protein ahorow yi akyi no, wɔde nneɛma afoforo abien a wɔde siw ano (a ɛyɛ papa ne nea enye) gu honam ani. Eyi ne sɛnea wɔde sɛnea wɔyɛ wɔn ade no toto ho. Bere a wɔatwɛn bɛyɛ simma 15 akyi no, wɔhwɛ sɛ honam ani ayɛ kɔkɔɔ, ɛho ahonhon, anaasɛ ɛho ayɛ kurukuruwa, na wɔde caliper susuw nea ebefi mu aba no. Saa sɔhwɛ yi nnye nea ɛboro dɔnhwerew biako. 3. Aduan mu asɛnnennen sɔhwɛ (`Graded oral challenge` anaa `Food challenge`): Si so dua pɛpɛɛpɛ sɛ ebia nufusu ho akisikuru bi wɔ hɔ anaaƐtɔ da bi a, sɔhwɛ yi ho hia. Ebia eyi ho behia, titiriw sɛ wo yare no ho sɛnkyerɛnne, abakɔsɛm, ne nhwehwɛmu afoforo a efi mu ba no nhyia a. Nea ɛka eyi ho ne sɛ wɔbɛma wo nufusu kakraa bi a wobɛnom wɔ oduruyɛfo hwɛ so tẽẽ . Afei, wɔtwɛn hwɛ sɛ wobɛyɛ w’ade bi anaa. Nkakrankakra ma nufusu dodow a wode ma wɔn no nkɔ soro na hwɛ sɛnea wo nipadua no yɛ n’ade. Saa sɔhwɛ yi betumi agye bɛyɛ nnɔnhwerew anan. Mmɔ mmɔden da sɛ wobɛyɛ eyi wɔ fie nkutoo!

Ɔkwan bɛn so na wɔsa nufusu mu akisikuru?

Sɛ wowɔ nufusu ho akisikuru a, ɔkwan biako pɛ a wobɛfa so asiw nea ɛbɛba no ano ne sɛ wobɛkwati nufusu ne nufusu mu nneɛma koraa. Wɔ Sri Lanka no, ɛyɛ ahyɛde sɛ wɔkyerɛw nneɛma a ɛma obi ho yɛ no hyew wɔ nnuan ho nkrataa so. Enti, ɛho hia sɛ wokenkan nnuan biara a wobɛtɔ afi sotɔɔ mu no din. Ade foforo nso ne sɛ ebia wɔbɛyɛ nneɛma bi a nufusu nnim wɔ mmeae koro no ara a wɔyɛ nufusu. Enti, hwɛ nsɛm a wɔakyerɛw te sɛ ``Made in a facility that processes milk.'' Esiane sɛ mmofra dodow no ara nyin sen nufusu ho akisikuru yi bere a wɔrenyin nti, mpɛn pii no ɛho nhia sɛ wɔde ayaresa a ɛkyɛ. Nanso, sɛ ɛte sɛ nea wo ba no nyini nsen no a, wubetumi ne ``Allergist'' akasa na woasusuw ayaresa a wɔde tew aduan mu nkate so te sɛ ``Oral Immunotherapy (OIT)'' ho.

Sɛ wowɔ nufusu ho akisikuru a, nnuan bɛn na ɛsɛ sɛ wokwati?

Sɛ wowɔ nufusu ho akisikuru a, ɛsɛ sɛ wokwati saa nneɛma yi:

• Nufusu (ahorow nyinaa, a wɔahyɛ no den, ayow, a wɔayam, ayɛ no powder) .
• Nufusu a efi mmoa afoforo a wɔnom nufu (mpapo, nguan) mu .
• Bɔta, bɔta ngo, bɔta a wɔde ayɛ aduan dɛ
• Buttermilk a wɔde yɛ aduan
• Cheese (ahorow nyinaa) .
• Cottage cheese, nufusu a wɔayam
• Custard, pudding, yogurt a wɔde yɛ aduan
• Ghee (Ghee) .
• Sour cream a wɔde yɛ aduru

Nanso, nnipa dodow no ara a wɔn nufusu ho yɛ wɔn yaw no betumi adi nneɛma a wɔato a wɔde nufusu ayɛ (e.g., muffins, keeki). Nanso, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn ansa na woasɔ ade a ɛte saa ahwɛ. Ɛntaa mma sɛ nnipa a wɔn nufusu ho yɛ wɔn yaw no betumi anya nantwinam ho adwenemhaw.

Mɛyɛ dɛn atumi anya vitamin ne aduannuru a mennom nufusu?

Wɔ nnipa pii fam no, nufusu ne nufusu mu nneɛma yɛ aduannuru a ɛho hia te sɛ vitamin D ne calcium fibea titiriw. Enti sɛ wowɔ nufusu ho akisikuru a, ɛho hia sɛ wode nnuan afoforo a ahoɔdennuru yi pii wom (te sɛ spinach ne broccoli) ka w’aduan ho. Ɛyɛ adwene pa sɛ wo ne aduan ho ɔbenfo a wɔakyerɛw ne din bɛkasa. Obetumi aboa wo ma woanya aduan pa a ɛkari pɛ.

Nnuru bɛn na wɔde sa nufusu a ɛma obi ho yɛ no hyew?

Sɛ wowɔ nufusu ho akisikuru a emu yɛ den a, oduruyɛfo betumi akyerɛw wo aduru a wɔde twitwiw wo ho (EpiPen®).Eyi betumi adi `(Anaphylaxis)` ho sɛnkyerɛnne so ntɛmntɛm. Wo duruyɛfo bɛkyerɛkyerɛ sɛnea wode bedi dwuma ne bere a wode bedi dwuma mu akyerɛ wo. Ɛsɛ sɛ wode saa `(EpiPen®)` yi sie wo nkyɛn bere nyinaa. Nnipa a wontumi nnye nufusu ntom (`Milk intolerance`) anaa wɔn a wɔwɔ `non-IgE` nufusu ho akisikuru no nhia saa epinephrine yi.

So nsunsuanso bɔne bi wɔ epinephrine a wɔde twitwiw nipadua no mu no mu?

Nneɛma nketenkete a ebetumi aba bere a wɔde epinephrine a wɔde twitwiw obi akyi no bi ne:

• Dadwen, ahomegye a enni hɔ
• Adwene a ɛyɛ basaa
• Ano a ɛyɛ nwunu
• Tipaeɛ
• Fifiri a ɛkɔ soro
• Akisikuru ne ɔfe
• Ɔbrɛ

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi nyɛ nea emu yɛ den na ɛkɔ ntɛmntɛm.

Me ho bɛtɔ me ntɛm dɛn bere a wɔasa me yare awie no?

Epinephrine a wɔde twitwiw nipadua no mu no fi ase yɛ adwuma ntɛm ara bere a wɔde ahyɛ mu akyi.

So wobetumi asiw nufusu ho akisikuru ano?

Ɔkwan a eye sen biara a wobɛfa so asiw nufusu ho akisikuru ano ne sɛ wubeyi nufusu afi w’aduan mu koraa. Kenkan nneɛma a wɔde yɛ aduan a wɔakyerɛw so wɔ nnuan a wɔakyekyere nyinaa so. Sɛ wunnim sɛ nufusu wɔ aduan bi mu a, nni kosi sɛ wubehu no yiye. Aduan mu nneɛma a ɛtaa yɛ akisikuru a wɔde ma mmofra nkumaa ntɛm no betumi aboa ma wɔasiw aduan ho akisikuru bi ano. Nanso , bisa wo mmofra oduruyɛfo bere a ɛsɛ sɛ wufi ase ma wo nkokoaa nneɛma a nantwi nufusu wom. Ɔkwan biara nni hɔ a wɔbɛfa so asiw `nufusu a wontumi nnye ntom` anaasɛ `non-IgE` nufusu ho akisikuru a ɛbɛba no ano.

Sɛ wowɔ nufusu ho akisikuru a, dɛn na wubetumi ahwɛ kwan?

Sɛ́ wobɛtra ase a nufusu ho yɛ no yaw, anaasɛ abofra a nufusu ho yɛ no yaw a wobɛhwɛ no betumi ayɛ den. Nsɛnkyerɛnne no betumi afi nea emu nyɛ den so kosi nea emu yɛ den so, na wuntumi nkyerɛ sɛnea wo nipadua no bɛyɛ n’ade. Worentumi nsusuw sɛ sɛ wo nyaa adwene a ɛnyɛ den wɔ nufusu ho bere foforo a wubedi no a, ɛbɛyɛ saa ara bere foforo - ebetumi ayɛ den. Sɛ woanya biribi a emu yɛ den bere bi a atwam a, asiane kɛse wom sɛ wobɛsan anya bi a emu yɛ den bio. Nanso, sɛ wohwɛ yiye a, wo ne wo ba no betumi atra ase anigye ne nea ɛfata. Nnuruyɛfo betumi de wo akɔma nneɛma a wɔde boa, akuw a wɔboa, ne aduannuru ho abenfo a wobetumi aboa wo wɔ eyi mu. Mpɛn pii no, nufusu ho akisikuru tumi fi hɔ bere a nkokoaa ne mmofra nkumaa aduan mu nneɛma nyin no. Ɛsɛ sɛ wo ba no kɔ oduruyɛfo a ɔhwɛ akisikuru nkyɛn afe biara na ama wahwɛ ahu sɛ wɔrenkɔ. Ayaresa ahorow wɔ hɔ ma nnipa binom.

Sɛ mewɔ nufusu ho akisikuru a, mɛyɛ dɛn ahwɛ me ho/me ba?

Sɛ wowɔ nufusu ho akisikuru a, ebia afotu yi bɛboa wo:

• Hwɛ nea wudi ne nea wonom bere nyinaa.Kenkan nea wɔakyerɛw so ansa na woadi aduan bi, na sɛ woadi aduan koro no ara pɛn na biribiara nsii mpo a, san hwɛ nea wɔakyerɛw so no bio. Ɛtɔ mmere bi a, wɔn a wɔyɛ no betumi asesa wɔn aduannoa na wɔde nufusu aka ho.
• Sɛ wo ba no wɔ nufusu ho akisikuru a, kyerɛkyerɛ no sɛ ɔntɔ aduan mfi ne nnamfo anaa ne mfɛfo sukuufo hɔ.
• Sɛ woredidi wɔ abɔnten a, ka kyerɛ nea ɔhwɛ hɔ no sɛ wowɔ nufusu ho akisikuru. Bisa nneɛma a wɔde yɛ nnuan no ne sɛnea wɔyɛ no ho nsɛm a ɛkɔ akyiri.
• Hyɛ aduruyɛ ho kɔkɔbɔ abɔso anaa fa kratasin a nsɛm a ɛfa wo nufusu ho akisikuru ho kɔ.
• Hyehyɛ wo aduan ho akisikuru ho nsɛm wɔ `aduruyɛ mu ntɛmpɛ nhyehyɛe` a ɛwɔ wo fon so anaa app bi mu.
• Wo ne wo duruyɛfo nkasa mfa sɛnea wubesiesie wo ho ama akisikuru ho. Ebia ɔbɛkyerɛw aduru bi a wɔde twitwiw nipadua no mu a wɔfrɛ no epinephrine auto-injector. Fa sie wo bere nyinaa sɛ ɛba sɛ wo ho yɛ wo hyew a.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wokɔ so nya nufusu ho sɛnkyerɛnne, anaasɛ wuhu sɛ wo yare no fi ase bere a woanom nufusu awie a, kɔ oduruyɛfo nkyɛn.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wufi ase nya ``Anaphylaxis'' tebea a yɛadi kan aka ho asɛm no ho sɛnkyerɛnne a emu yɛ den (te sɛ ɔhome a ɛyɛ den, wo koko a ɛyɛ den, ne wo totɔ piti) a, kɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ ntɛmpɛ so ntɛm ara, anaa frɛ 1990.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

• Wobɛyɛ dɛn ahu ankasa sɛ mewɔ nufusu ho akisikuru?
• Bere bɛn na eye sen biara sɛ mifi ase ma me ba no nufu?
• So me ba no benyin asen nufusu ho akisikuru yi bere a ɔrenyin no?
• So mmoa akuw bi wɔ hɔ a wɔboa nnipa a wɔn nufusu ho yɛ wɔn yaw, anaa mmofra a wɔte saa awofo?
• So wubetumi akamfo aduan ho ɔbenfo bi akyerɛ?

So nufusu mu akisikuru ne lactose a wontumi nnyina ano yɛ ade koro?

Aane. Eyinom yɛ tebea abien a ɛsono emu biara koraa. Lactose a wontumi nnye ntom ne sɛnea wontumi nnya lactose, asikre bi a ɛwɔ nufusu mu. Eyi de sɛnkyerɛnne ahorow te sɛ yafunu a ɛyɛ wo yaw, yafunu mu akisikuru, ne akisikuru ba bere a wudi anaa wonom nnuan a lactose wom no. Ɛtaa ba mpanyimfo mu sen mmofra nkumaa. Nanso, nufusu ho akisikuru ne bere a wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ wɔn ade wɔ protein ahorow a ɛwɔ nufusu mu no ho. Mpɛn pii no, sɛnkyerɛnne ahorow no mu yɛ den sen nea ɛkyerɛ sɛ obi ntumi nnyina lactose ano. Nufusu ho akisikuru taa ba nkokoaa ne mmofra nkumaa so.

Ɔkwan bɛn so na wobetumi ahu lactose a wontumi nnyina ano?

Sɔhwɛ titiriw a wɔde yɛ eyi ne hydrogen home sɔhwɛ.. Eyi kyerɛ hydrogen mframa dodow a woretwe afi mu no. Sɛ wɔanwe lactose a, hydrogen ba wɔ ɔkwan a ɛnteɛ so wɔ dwensɔtwaa no mu, na ɛno ne nea sɔhwɛ yi susuw. Nufusu ho akisikuru ne bere a wo nipadua no mu tumi a ɛko tia nyarewa no di mfomso hu protein ahorow a ɛwɔ nufusu mu no sɛ ɛyɛ ɔtamfo na ɛde ahobammɔ bi ba. Saa mmuae yi, anaasɛ akisikuru betumi de sɛnkyerɛnne ahorow aba, a nea ɛka ho ne honam ani akisikuru, ɛyaw, akisikuru, ɔfe, ne akisikuru. Wɔ tebea a emu yɛ den mu no, ebetumi mpo ama woanya ``Anaphylaxis.'' Sɛ wunnim nea ɛde wo sɛnkyerɛnne ahorow no ba ankasa a, ebetumi ayɛ abasamtu. Nanso oduruyɛfo betumi aboa wo. Wobetumi ayɛ nhwehwɛmu de ahu sɛ ebia wowɔ nufusu ho akisikuru na sɛ ɛho hia a, wɔakyerɛw nnuru ama wo. Wobetumi nso de wo akɔma aduan ho ɔbenfo bi ma waboa wo ma woahu nea eye ma wo sɛ wubedi na woanom.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti yɛaka nufusu a ɛma obi ho yɛ no hyew ho asɛm pii. Nneɛma atitiriw bi a ɛsɛ sɛ wokae ni:

• Nufusu ho akisikuru yɛ nipadua no mu tumi a ɛko tia nyarewa, na ɛnyɛ aduan mu haw ketewaa bi.
• Nantwi nufusu na ɛde ba titiriw, nanso mmoa nufusu afoforo nso betumi de aba.
• Nsɛnkyerɛnne no betumi afi nea emu nyɛ den so kosi nea ɛde nkwa to asiane mu (anaphylaxis) . Sɛ yare no ho sɛnkyerɛnne a emu yɛ den ba a , kɔ oduruyɛfo nkyɛn ntɛm ara.
• Sɛ wobɛhunu no yie a, aduruyɛ mu afotuo ne nhwehwɛmu (`Skin prick test`, `Blood test`, `Oral food challenge`) ho hia.
• Ayaresa ne siw ano titiriw ne sɛ wobeyi nufusu ne nufusu mu nneɛma nyinaa afi aduan no mu. Kenkan nkyerɛwde ahorow no yiye.
• Ɛho hia sɛ nnipa a wɔn ho yɛ wɔn hyew kɛse no kura EpiPen® bere nyinaa.
• Eyi kɔ bere a mmofra dodow no ara nyin no, nanso kɔ oduruyɛfo nkyɛn na hwɛ hu.
• Nufusu ho akisikuru ne lactose a wontumi nnyina ano yɛ tebea abien.

Mma wo ho nnyɛ wo hu! Sɛ wowɔ nufusu ho akisikuru mpo a, sɛ wuhu na wodi ho dwuma yiye a , wubetumi atra ase sɛnea ɛsɛ na apɔwmuden. Sɛ wo anaa wo ba wɔ saa sɛnkyerɛnne yi bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

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