So wo nso wo ho yɛ wo hyew wɔ sulfites ho? (Sulfite Sensitivity) Momma yɛnka eyi ho asɛm!

So woasusuw nea enti a nnuan bi ma woyare mpofirim, ɛma wo home mu yɛ den, anaa ɛma wote nka sɛ woyare no ho pɛn? Ɛtɔ da bi a, nea enti a ɛte saa ne biribi a yennim. Ɛno ne nea sulfites yɛ. Ɛho hia sɛ wuhu wɔn, titiriw sɛ wowɔ ayamtu a.

Enti dɛn ne saa sulfite ahorow yi?

Sɛ yɛbɛka no tiawa a, sulfites yɛ nnuru. Wɔtaa de di dwuma sɛ nneɛma a wɔde siesie nneɛma, a ɛkyerɛ sɛ ɛmma nnuan, anonne, ne nnuru nsɛe. Ebia woahu sɛ wɔde di dwuma de siw nnuan bi ano sɛ ɛnnkɔ bruu anaasɛ ɛnsɛe ntɛmntɛm. Sɛ nhwɛso no, wɔn a wɔyɛ nsa no de sulfites adi dwuma mfe pii de akora wɔn nsa kɔla ne dɛ so. Afei nso, ebia sulfites wɔ nnuan bi mu wɔ awosu mu. Nanso ɛho hia sɛ yɛkae sɛ sulfites nyɛ :

• Sulphur - Wei ye ade a ewo abɔde mu.
• Sulfa nnuru - Eyinom yɛ nnuru bi a ekum ɔyare mmoawa . Nnipa binom nso betumi anya sulfa akisikuru wɔ eyinom ho, nanso eyi nte saa wɔ sulfites ho .
• Sulfates - Eyinom yɛ sulphuric acid nkyene, a wɔtaa hu wɔ nneɛma te sɛ aduru a wɔde sew sẽ, aduru a wɔde twitwiw sẽ, ne samina mu.

So sulfite ho akisikuru ne nkate a ɛma obi te nka yɛ ade koro?

Yiw, nsonsonoe kakra da abien no ntam. Sulfite nkate ne nea abu so sen biara. Eyi ne bere a wo ayamtu ho sɛnkyerɛnne no mu yɛ den. Ɛno kyerɛ nneɛma te sɛ ahurututu ne ɔfe. Sulfite a ɛma obi ho yɛ no yaw ankasa a ɛnam IgE so no yɛ soronko kakra, efisɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no reyɛ ho biribi.

Saa tebea yi abu so dɛn?

Wɔkyerɛ sɛ ebia nnipa 100 a wɔwɔ ayamtu biara mu bɛyɛ 4 kosi 5 benya sulfite ho nkate yi.

Sɛ wo ho yɛ wo hyew wɔ sulfites ho a, sɛnkyerɛnne bɛn na wuhu?

Sɛ sulfites ntumi nyɛ adwuma mma wo a, ebia wubenya yare no ho sɛnkyerɛnne te sɛ:

• Wheezing ( abɛn a wɔbɔ ) .
• Ɔhome a ɛyɛ den, te nka sɛ wo ho ayɛ wo yaw (Shortness of breath / dyspnea) .
• Koko a ɛyɛ den
• Ɛwa
• Fefe a wɔfe
• Hwene a ɛyɛ mmerɛw anaasɛ ɛretu
• Hives a ɛyɛ hu

Ɛntaa mma sɛ nnipa binom betumi anya akisikuru a emu yɛ den a wɔfrɛ no anaphylaxis . Eyi yɛ asɛm a egye ntɛmpɛ . Eyi betumi ayɛ:

• Ɛyɛ den sɛ wobɛhome na woamene
• Honam ani a ɛyɛ kɔkɔɔ, ɛho ahonhon, na ɛyɛ hyew (Flushing) .
• Koma a ɛbɔ ntɛmntɛm (Tachycardia) .
• Ɛyɛ ɔbrɛ paa .
• Adwene a ɛyɛ basaa
• Ɔfe a wɔfe
• Ayamtuo

Dɛn nti na saa sulfite ahorow yi rema ayɛ den ama yɛn?

Nnuruyɛfo nnim nea enti a nnipa binom nya akisikuru anaa ayamtu esiane sulfites nti ankasa. Nanso wosusuw sɛ ntease kakraa bi wɔ hɔ a ebetumi aba saa:

• Sulfur dioxide a wɔhome: Sɛ wudi nnuan ne anonne a sulfites wom a, mframa bi a wɔfrɛ no sulfur dioxide fi mu. Sɛ wohome eyi a, wo mframa kwan no betumi ahonhon na ayɛ teateaa, na ebetumi ama ayamtu ho sɛnkyerɛnne no asɛe kɛse .
• Nneyɛe a ɛnam IgE antibodies so : IgE yɛ protein bi a ɛwɔ yɛn nipadua mu. Nea eyinom yɛ ne sɛ wɔbɛka akyerɛ nipadua no mu tumi a ɛko tia nyarewa no sɛ wonhu nneɛma a epira na wɔsɛe no. Nanso ɛtɔ mmere bi a, saa nnuru a ɛko tia nyarewa yi di mfomso hu nneɛma a enni asiane mpo na ɛyɛ wɔn ade. Ɛno ne bere a allergy ba.
• Sulfite oxidase a enni nipadua no mu: Sulfite oxidase yɛ enzyme a ɛpaapae sulfur dioxide mu. Nnipa binom a wɔwɔ ayamtu no, saa enzyme yi sua wɔ wɔn nipadua mu. Eyi kyerɛ sɛ wontumi nyi sulfites mfi wɔn nipadua mu yiye. Eyi nso betumi ama obi anya akisikuru.

Hena na ɛda adi sɛ obenya sulfite ho nkate kɛse?

Mpɛn pii no, nnipa a wɔwɔ ayamtu no taa yɛ wɔn ade wɔ sulfites ho sen nnipa a wonni ayamtu. Afei nso, sɛ wo ho yɛ wo hyew wɔ nnuan afoforo ho a, ɛno betumi de asiane ketewaa bi aka ho.

So nnipa a wonni ayamtu nso betumi anya sulfite ho nkate?

Yiw, nnipa binom tumi te sulfites nka bere a wonni ayamtu mpo. Nanso, ɛntaa nsi koraa sɛ obi a onni ayamtu bɛyɛ nea anibere wom wɔ sulfites ho.

Wobɛyɛ dɛn ahu sɛ eyi wɔ hɔ anaasɛ enni hɔ ankasa?

Oduruyɛfo bi behu sɛ ebia wowɔ sulfite ho akisikuru anaasɛ wowɔ nkate denam nea edidi so yi a ɔbɛhwɛ so:

• Wo sɛnkyerɛnne ahorow.
• Wo aduruyɛ ho abakɔsɛm.
• Sɛ́ ebia wowɔ ayamtu anaa nneɛma afoforo a ɛma wo ho yɛ wo hyew no.
• Wɔyɛɛ aduan ho asɛnnennen sɔhwɛ .

Mprempren mogya mu nhwehwɛmu anaa honam ani nhwehwɛmu biara nni hɔ a ɛyɛ pɛpɛɛpɛ ma eyi.

Dɛn ne aduan mu asɛnnennen sɔhwɛ yi?

Wɔ eyi mu no, oduruyɛfo a ɔhwɛ akisikuru bɛma wo sulfites kakraa bi a ɛkɔ soro nkakrankakra. Mpɛn pii no, wɔde bɛma sɛ nsu anaa aduru a wɔde hyɛ nipadua mu. Afei wɔbɛma wo dose bi na wɔahwɛ sɛ wowɔ nneyɛe bi anaa. Sɛ saa a, oduruyɛfo no de spirometer bedi dwuma.Wɔde afiri bi a wɔfrɛ no "lung monitor" susuw w'ahurututu mu dwumadi. Mma ɛnhaw wo, wɔnntwɛn sɛ wɔbɛyɛ biribi a emu yɛ den, wɔwɔ aduru a wɔde bɛyɛ saa.

Ɔkwan bɛn so na wɔsa sulfite nkate no?

Sɛ wowɔ sulfite ho akisikuru anaasɛ wo ho yɛ wo hyew a, nea ɛho hia sen biara ne sɛ wobɛkwati nnuan ne nnuru a sulfite wom sɛnea wubetumi biara. Nea ɛka ho no, oduruyɛfo betumi akyerɛw nnuru te sɛ:

• Cromolyn: Eyi yɛ aduru a ɛtew ɔfe so na ɛma mast cells a ɛde akisikuru ba no gyina.
• Nnuru a wɔfrɛ no corticosteroids.
• Bronchodilators: Eyinom yɛ nnuru a ebue mframa kwan na wɔde ma nnipa a wɔwɔ ayamtu.
• Nnuru a ɛko tia akisikuru: Eyinom boa kɛse ma nneɛma nketenkete a ɛma obi ho yɛ no hyew te sɛ honam ani akisikuru anaasɛ akisikuru a ɛma obi ho yɛ no yaw sen nea ɛfa ayamtu ho.
• Vitamin B12: Adanse bi wɔ hɔ a ɛkyerɛ sɛ vitamin B12 betumi atew asiane a ɛwɔ hɔ sɛ obi ho yɛ no hyew wɔ sulfites ho no so.

Mɛyɛ dɛn akwati nnuan a sulfite wom?

Sɛ wowɔ sulfite ho akisikuru a, ɛsɛ sɛ wokwati nnuan a ɛwɔ mu. Eyi te sɛ sɛnea obi a ɔwɔ ayamtu bɛhwɛ yiye wɔ nneɛma afoforo a ɛma obi ho yɛ no hyew anaa nneɛma a ɛhyɛ abufuw ho no. Wɔ aman pii mu no, mmara hwehwɛ sɛ wɔkyerɛw nnuan ne nnuru a sulfite wom wɔ krataa no so. Wubetumi nso ahwehwɛ nneɛma a wɔde yɛ aduan a ɛwɔ din te sɛ eyinom:

• Sulfur dioxide a wɔde yɛ aduru
• Potassium bisulfite a wɔde yɛ aduru
• Potassium a wɔde yɛ aduru a wɔfrɛ no metabisulfite
• Sodium bisulfite a wɔde yɛ aduru
• Sodium metabisulfite a wɔde yɛ aduru a wɔfrɛ no metabisulfite
• Sodium sulfite a wɔde yɛ nneɛma

Nnuan bɛn na sulfite pii wom?

Eyinom ne nnuan a ɛda adi sɛ sulfite dodow a ɛdɔɔso anaa nea ɛkɔ fam wom:

• Biɛ
• Bobe
• Nnuaba a ayow bi
• Lemon nsu a wɔde yɛ
• Molasses a ɛwɔ nipadua no mu
• Sauerkraut - Eyi yɛ Germanfo aduan a wɔde kabege na ɛyɛ.
• Gravies ne sauces a wɔde yɛ aduan
• Nsã a ɛyɛ dɛ bi, nnuaba mu nsu ne anonne afoforo a ɛnyɛ nsa
• Ɛmo a wɔayam
• Shrimp, lobster ne crustaceans afoforo
• Aduan a wɔde mmɔre ayɛ, te sɛ bisket, pie ne pizza a wɔayam

Nanso, wɔ aman te sɛ United States mu no, Aduan ne Nnuru Dwumadibea (FDA) abara sɛ wɔmfa sulfites nka nnuaba ne nhabannuru a wɔayɛ no foforo ho fi 1980 mfe no mu.

So sulfites wɔ nnuru mu?

Yiw, ebia sulfites wɔ nnuru bi mu. Nhwɛso ahorow bi ne:

• Epinephrine (Epinephrine / adrenaline), aduru a ɛma obi nya ahoɔden (norepinephrine / noradrenaline) .Na nnuru a ɛte saa ara nso. Ebia eyinom wɔ nnuru bi a wɔde kum sẽ nso.
• Dexamethasone ne nnuru afoforo bi a wɔfrɛ no corticosteroids. Wobetumi ahu eyinom wɔ nnuru a wɔde yɛ nnuru ne nnuru a wɔde twitwiw nipadua mu a wɔfrɛ no corticosteroids mu.
• Nnuru bi a wɔde gu nipadua no so a ekum fungal.
• Dopamine a wɔde yɛ aduru.
• Aminoglycoside nnuru a ekum ɔyare mmoawa.
• Doxycycline ( Doxycycline ) a ɛwɔ aduruyɛ mu .
• Propofol - aduru a wode ma aduru a wode hyehye.
• Nnuru bi a wɔde hyɛ nipadua no mu a ɛma obi dwensɔ.

Sɛ mewɔ sulfite ho nkate a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Sɛ wowɔ sulfite a ɛnyɛ wo dɛ, anaasɛ sulfites ma wo ayamtu no mu yɛ den a, ɛsɛ sɛ wokwati nnuan ne nnuru a sulfite pii wom sɛnea wubetumi biara. Sɛnea ɛte wɔ allergy biara ho no, ɛsɛ sɛ wusiesie wo ho nso sɛ wubenya nnuru a egye ntɛmpɛ wɔ wo nsam sɛ ebia wobɛwe sulfites wɔ akwanhyia mu a.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wote nka sɛ wontumi nni wo akisikuru anaa ayamtu no so yiye a, kɔ oduruyɛfo nkyɛn. Obetumi aboa wo ma woahu nneɛma a ɛkanyan wo na woakwati.

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

Sɛ wo ayamtu no mu yɛ den na nnuru ntumi nni so , anaasɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a ɛkyerɛ sɛ wo ho yɛ wo hyew kɛse a , frɛ 1990 (Safety Ambulance Service) ntɛm ara anaa kɔ dan a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu :

• Ɛyɛ den sɛ wobɛhome anaasɛ wobɛmene.
• Anofafa, tɛkrɛma, anim, anaa menewa a ɛho ahonhon.
• Koma a ɛbɔ kɔ soro.
• Sɛ wote nka sɛ woayɛ mmerɛw anaasɛ woayɛ basaa.
• Nhumu a wɔhwere.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛboa sɛ wubebisa nsɛm te sɛ eyinom:

• Dɛn na ɛsɛ sɛ meyɛ na amma sulfite ahorow no antumi anyɛ wɔn ade?
• Nnuan, anonne, ne nnuru bɛn na ɛsɛ sɛ mekwati?
• Dɛn ne nnuru a wɔde si nnuru a sulfites wom ananmu?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• Sɛ meyɛ m’ade bi a, dɛn na ɛsɛ sɛ meyɛ?
• Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?
• Bere bɛn na ɛsɛ sɛ meba bɛhwɛ wo bio?

Nneɛma kakraa bi a etwa to a ɛsɛ sɛ wokae (Take-Home Message) .

Sɛ wowɔ ayamtu ne akisikuru a, ɛho hia sɛ wuhu nea ɛkanyan wo. Ebia ɛbɛyɛ den sɛ wɔbɛkwati nneɛma bi a ɛkanyan adwene sen afoforo.

Nea eye ne sɛ, esiane sɛnea sulfites yɛ nneɛma a sulfites de ba no ho nimdeɛ a ɛkɔ soro nti, sulfites ntaa nni aduan ne nnuru mu sɛnea na ɛte kan no. Wɔ Sri Lanka no, wɔtaa ka wɔn ho asɛm wɔ nkyerɛwde ahorow so. Sɛ wowɔ sulfite a ɛnyɛ wo dɛ a, wo ne wo duruyɛfo nkasa mfa sɛnea wobɛkwati sɛ wo ho nyɛ wo den ne nea sɛ ɛba a, ɛsɛ sɛ woyɛ. W’akwahosan a wobɛhwɛ so yiye ne ade a ɛho hia sen biara.

Sulfites, sulfite akisikuru, sulfite ho nkate, ayamtu, akisikuru, sɛnkyerɛnne ahorow, aduan ho akisikuru