So ɛyɛ den ma wo ba no sɛ obedi nkesua? Momma yɛnka saa egg allergy yi ho asɛm!

Yɛn nyinaa nim sɛ nkesua yɛ aduan a ahoɔden wom paa. Nanso nnipa binom, titiriw mmofra nkumaa, betumi ahyia ɔhaw ahorow bere a wodi nkesua no. Ɛtɔ mmere bi a, wobetumi ayɛ nea emu yɛ den a wontumi nsusuw ho. Enti ɛnnɛ yɛrebɛka saa egg allergy yi ho asɛm, anaa `(Egg Allergy)`. Sɛ wo, anaa obi a ɔwɔ w’abusua mu, wɔ saa tebea yi a, ɛnde saa asɛm yi bɛyɛ nea ɛho hia wo yiye.

Dɛn ne Egg Allergy?

Sɛ yɛbɛka no tiawa a, nkesua ho akisikuru ne bere a yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ ade boro so wɔ protein ahorow bi a ɛwɔ nkesua mu no ho. Sɛ yɛbɛka no pɛpɛɛpɛ a, yɛn nipadua mu tumi a ɛko tia nyarewa a ɛte sɛ yɛn nipadua no ahobammɔ no hu nkesua mu protein sɛ ɛyɛ ɔtamfo na efi ase ko. Wɔfrɛ eyi sɛ akisikuru.

Mpɛn pii no, akokɔ nkesua na ɛde saa akisikuru yi ba , nanso nnipa binom nso betumi ayɛ akisikuru wɔ mmoa nkesua afoforo te sɛ ananse, akokɔ, ne kwadu nkesua ho.

Nea ɛho hia sen biara: Nkesua ho akisikuru betumi ayɛ kɛse na ɛtɔ mmere bi a ɛde nkwa to asiane mu . Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den, te sɛ wo menewa a ahonhon na ɛyɛ den sɛ wobɛhome a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo ntɛm ara anaa wofrɛ 911. Eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa.

Eyi abu so dɛn?

Ebia ɛbɛyɛ wo nwonwa sɛ wubehu sɛ nkesua a ɛma obi ho yɛ no hyew ne aduan a mmofra ho yɛ no yaw a ɛto so abien . Nanso nnuruyɛfo ka sɛ mmofra bɛyɛ 2% pɛ na wɔwɔ bi. Ɛno kyerɛ sɛ ɛnyɛ nea abu so saa. Ɛtaa ba mmofra so sen mpanyimfo.

Nanso asɛmpa bi wɔ hɔ! Mmofra a wɔwɔ saa akisikuru yi mu bɛyɛ fã benyin asen no bere a wɔadi mfe 5. Na, ebedu mfe 16 no, mmofra bɛyɛ 70% na wɔanyin asen saa akisikuru yi koraa. Ade foforo ne sɛ mmofra a wɔn ho yɛ wɔn hyew wɔ nkesua mu bɛyɛ 70% tumi gyina nkesua mu protein a wɔanoa no yiye (sɛ nhwɛso no, wɔ keeki mu) ano.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi ho ntumi nnye nkesua?

Mpɛn pii no, yare no ho sɛnkyerɛnne fi ase wɔ simma kakraa bi akyi bere a wɔadi ɛmo. Nanso, saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko wɔ onipa biara ho. Ebia nnipa binom benya yare no ho sɛnkyerɛnne a emu nyɛ den nkutoo, bere a afoforo nso betumi anya yare no ho sɛnkyerɛnne a emu yɛ den.

Nsɛnkyerɛnne a wɔtaa hu:

• Yafunu mu yaw
• Ayamtuo
• Ɛwa
• Nsõ kɔkɔɔ anaa akisikuru a ɛba honam ani (Hives) .
• Ɛyɛ akisikuru (Pruritus) .
• Akisikuru anaa ɔfe
• Honam ani akisikuru
• Anofafa, tɛkrɛma, anaa menewa a ɛyɛ mmerɛw anaasɛ ɛho ahonhon

Nsɛnkyerɛnne a emu yɛ den (eyinom yɛ asiane!):

Sɛ wohu saa nsɛnkyerɛnne yi a, ebetumi ayɛ akisikuru a emu yɛ den a ɛde wo nkwa to asiane mu a wɔfrɛ no ``Anaphylaxis.'' Sɛ wɔansa no ntɛm ara a, ebetumi akum wo.

• Kesereneeyɛ
• Ɔhome a ɛyɛ den (Dyspnea) .
• Aduan a ɛyɛ den sɛ wobɛmene (Dysphagia) .
• Adwene a ɛyɛ basaa
• Mogya mmoroso a ɛkɔ fam mpofirim (Hypotension) .
• Syncope a ɛma obi ho kyere no
• Sɛ wote nka sɛ wo koko anaa wo menewa mu ayɛ wo den

Dɛn nti na saa nkesua ho akisikuru yi ba?

Sɛ wowɔ nkesua ho akisikuru a, wo nipadua mu tumi a ɛko tia nyarewa no reyɛ ade dodo wɔ protein ahorow bi a ɛwɔ nkesua mu ho. Mpɛn pii no, protein ahorow a ɛde saa akisikuru yi ba no wɔ nkesua fitaa no mu .

Sɛ wodi kan di nkesua a, wo nipadua no yɛ antibody a wɔfrɛ no `(Immunoglobulin E - IgE)`. Saa `(IgE)` antibody yi kyekyere nkwammoaa a ɛma akisikuru a wɔfrɛ no `(Mast Cells)` wɔ wo honam ani, ɔhome nhyehyɛe (mframa kwan), ne koma ne ntini nhyehyɛe mu. Afei, sɛ wosan di nkesua bio a, saa `(IgE)` antibody yi hu egg proteins no na ɛma nnuru bi a wɔfrɛ no `(Histamine)` fi adi. Saa `(Histamine)` yi na ɛde allergy sɛnkyerɛnne ba.

Saa `(IgE)` nneyɛe yi ba ntɛmntɛm bere a wɔadi nkesua akyi. Ɛtɔ da bi a wobetumi anya nkɔso akɔ tebea horow a emu yɛ den te sɛ `(Anaphylaxis).`

Nsonsonoe a ɛda Egg Intolerance ne Egg Allergy ntam

Ɛtɔ mmere bi a, nkesua a wodi betumi de ɔhaw afoforo aba. Wɔfrɛ no ``Egg Intolerance'' anaasɛ tumi a wontumi nnye nkesua ano. Eyi nyɛ hwee sɛ ``IgE'' antibody. Ɛha yi, adeyɛ no gye bere kakra ansa na aba, ɛtɔ mmere bi a ɛkɔ nnɔnhwerew 48. Nsɛnkyerɛnne no taa ba wɔ nipadua no fã a ɛyɛ ``Gastrointestinal - GI''.

• Yafunu mu yaw
• Yafunu mu yaw
• Ayamtuo
• Akisikuru ne ɔfe

Mma abien no nnyɛ basaa. Allergy ne nea ebetumi ayɛ asiane.

Protein atitiriw bɛn na ɛma obi ho yɛ no hyew wɔ nkesua mu?

Protein ahorow pii a ɛwɔ nkesua mu betumi aboa ma eyi aba. Wɔn titiriw ne:

• Ovomucoid: Eyi wɔ nkesua fitaa mu.
• Ovotransferrin: Ɛnyɛ mmerɛw sɛ ɔhyew bɛsɛe eyi. Enti sɛ wo ho nyɛ wo den wɔ ho a, ebia worentumi nni nkesua a wɔannoa, ne nkesua a wɔanoa anaa wɔayam nso.
• Ovalbumin: Eyi sɛe bere a wɔma ɛyɛ hyew yiye no. Enti ebia worennya akisikuru ho sɛnkyerɛnne esiane nkesua a wɔanoa yiye a wubedi nti.
• Lysozyme: Nnipa a wɔwɔ nkesua ho akisikuru no mu bɛyɛ 30% wɔ eyi ho nkate.

Henanom na saa akisikuru yi ka no kɛse?

Obiara betumi anya nkesua ho akisikuru, nanso ɛtaa ba mmofra a wonnii mfe 5. Mmofra dodow no ara nyin sen saa akisikuru yi bere a wɔn aduan mu nneɛma nyin no.

Sɛ me mma no mu biako wɔ nkesua ho akisikuru a, so afoforo no nso benya bi?

Dabi, ɛnsɛ sɛ ɛyɛ saa. Sɛ mpo wo, abofra no wofo foforo, anaa ne nua bi wɔ nkesua ho akisikuru a, ɛsɛ sɛ woda so ara de nkesua ma mmofra afoforo nyinaa wɔ ɔkwan koro no ara so.

Wobɛyɛ dɛn ahu no yiye sɛ wowɔ nkesua ho akisikuru?

Sɛ wususuw sɛ ebia wo anaa wo ba no wɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi ntumi nnye nkesua a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn . Ebia ɔde wo bɛkɔ allergist/immunologist nkyɛn. Wɔbɛbisa wo nsɛm te sɛ:

• So obi wɔ w’abusua mu a ɔwɔ nkesua anaa aduan foforo a ne ho nyɛ no dɛ?
• So oduruyɛfo bi adi kan ahu sɛ wo ho yɛ wo hyew wɔ aduan ho?
• Dɛn ne wo yare no ho sɛnkyerɛnne?
• Bere bɛn na yare no ho sɛnkyerɛnne fi ase?
• So wode nnuru a wɔtɔn (OTC) di dwuma ma saa sɛnkyerɛnne ahorow yi?
• So wokyerɛw nea wudi ne nea wonom ho kyerɛwtohɔ?

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Oduruyɛfo a ɔhwɛ akisikuru betumi ayɛ nhwehwɛmu ahorow a egyina wo sɛnkyerɛnne ahorow so.

• Skin Prick Sɔhwɛ:

Nea ɛka eyi ho ne sɛ wode ɛmo fitaa kakraa bi bɛpete wo honam ani. Nea edi kan no, tew wo nsa anaa w’akyi were no ho, fa nsu fitaa bi gu so, na twitwiw were no brɛoo. Eyi nyɛ yaw kɛse, na mogya nso ntu. Bɛyɛ simma 15 akyi no, wohwɛ sɛ baabi no ayɛ kɔkɔɔ anaasɛ ahonhon anaa. Wubetumi ayɛ sɔhwɛ yi wɔ nea ennu dɔnhwerew biako mu.

• Mogya mu nhwehwɛmu `(IgE Mogya mu Nhwehwɛmu):

Ɛha yi, woyi mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu mu de kɔ aduruyɛdan mu. Afei lab no de egg protein ka mogya no ho na ɛsusuw ``(IgE)`` antibodies dodow a ɛwɔ mu. Nea efi mu ba no betumi agye bɛyɛ dapɛn biako ansa na asan aba.

• Graded Oral Challenge / Aduan ho Nsɛnnennen:

Wɔyɛ nhwehwɛmu yi de kyerɛ sɛ ebia wowɔ nkesua ho akisikuru anaa. Wɔyɛ no wɔ oduruyɛfo bi hwɛ ase. Wɔma wo ɛmo kakraa bi (ebia ɛmo a wɔanoa brɛoo anaa ɛmo a wɔato) na wɔka kyerɛ wo sɛ hwɛ sɛnea wobɛyɛ w’ade biara anaa. Eyi betumi agye bɛyɛ nnɔnhwerew anan.

So ebetumi aba sɛ wobeyi nkesua ho akisikuru afi hɔ koraa?

Sɛ wo anaa wo ba no wɔ nkesua ho akisikuru a, ɔkwan biako pɛ a wobɛfa so asiw ne ho ano ne sɛ wobɛkwati nkesua ne nnuan a nkesua wom nyinaa. Nnwumakuw te sɛ U.S. Aduan ne Nnuru Dwumadibea (FDA) hwehwɛ sɛ wɔn a wɔyɛ nnuan no kyerɛw nneɛma a ɛma obi ho yɛ no hyew no pefee wɔ nnuan ho nkrataa so. Yɛn man nso wɔ mmara a ɛte saa ara.

Ebia wɔbɛyɛ nnuan bi a nkesua nnim wɔ mmeae koro no ara a wɔyɛ nnuan a nkesua wom no, enti hwɛ nsɛm a wɔakyerɛw so a ɛka nneɛma te sɛ "Wɔayɛ wɔ adwumayɛbea a wɔyɛ nkesua ho adwuma."

Esiane sɛ mmofra dodow no ara nyin sen saa akisikuru yi nti, ebia wo ba no renhia ayaresa titiriw biara. Nanso, sɛ akisikuru no ankɔ a, ebia wobɛpɛ sɛ wo ne oduruyɛfo a ɔyɛ akisikuru kasa fa ayaresa ahorow a ɛtew aduan ho nkate so te sɛ Oral Immunotherapy (OIT) ho.

Dɛn ne nnuru titiriw a wɔde sa nkesua ho akisikuru a emu yɛ den?

Sɛ wowɔ nkesua ho akisikuru a emu yɛ den a, wo duruyɛfo bɛkyerɛw wo epinephrine auto-injector, a wɔsan frɛ no EpiPen®. Eyi betumi asa ɔyare a emu yɛ den te sɛ anaphylaxis ho sɛnkyerɛnne ahorow ntɛm. Ɛsɛ sɛ wode eyi to wo nkyɛn bere nyinaa. Wo duruyɛfo bɛkyerɛkyerɛ sɛnea wode bedi dwuma mu.

Nanso sɛ wowɔ nkesua a wontumi nnye ntom anaasɛ wowɔ akisikuru a ɛnyɛ IgE a, wunhia saa epinephrine yi.

Nneɛma bɔne a efi Epinephrine a wɔde twitwiw nipadua mu no mu ba:

Mpɛn pii no, eyinom nyɛ aniberesɛm na ɛkɔ ntɛmntɛm.

• Brɛ
• Adwene a ɛyɛ basaa
• Ano a ɛyɛ nwunu
• Tipaeɛ
• Fifiri a ɛkɔ soro
• Abofono
• Ɔbrɛ

Dɛn na ɛsɛ sɛ obi a ne nkesua ho yɛ no yaw hwɛ kwan?

Ɛtɔ mmere bi a, sɛ́ wobɛtra ase a obi ho yɛ no hyew wɔ nkesua ho no betumi ayɛ den. Nsɛnkyerɛnne no betumi ayɛ nea emu nyɛ den anaasɛ emu yɛ den. Esiane sɛ woyɛɛ w’ade brɛoo bere a etwaam no nti, ɛnkyerɛ sɛ bere foforo nso wobɛyɛ w’ade saa ara. Ebetumi ayɛ nea emu yɛ den. Sɛ woanya biribi a emu yɛ den pɛn a, ɛda adi sɛ wobɛsan anya bi a emu yɛ den bio.

Nanso, sɛ wohwɛ yiye a, wo ne wo ba no betumi akɔ so ayɛ wɔn da biara da dwumadi ahorow sɛnea ɛsɛ. Nnuruyɛfo betumi de wo akɔma nneɛma a wɔde boa, akuw a wɔboa, ne aduan ho animdefo ma wɔaboa wo.

Bere a mmofra nkumaa nyin na wɔn aduan a wɔyam no nyin no, ebia nkesua ho akisikuru no befi hɔ. Enti, ɛyɛ papa sɛ wobɛkɔ oduruyɛfo a ɔhwɛ akisikuru nkyɛn afe biara akɔyɛ nhwehwɛmu .

Ɔkwan bɛn so na wobetumi asiw nkesua ho akisikuru ano?

Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati nnuan, anonne, nnuru, ne nneɛma foforo biara a nkesua ne nkesua mu protein wom.

• Hwɛ nneɛma a wɔde yɛ aduan a wɔakyerɛw so wɔ nnuan a wɔakyekyere no so bere nyinaa.
• Sɛ wunnim sɛ ebia nkesua wɔ ade bi mu a, mfa nni dwuma kosi sɛ wobɛkyerɛ nea ɔyɛe no.

So asiane biara nni ho sɛ mɛma atiridiinini aduru no sɛ mewɔ nkesua ho akisikuru a?

Yiw, asiane biara nni ho sɛ wobenya atiridiinini aduru no. Atiridiinini nnuru dodow no ara kura nkesua mu protein kakraa bi. Nanso sɛ wowɔ egg allergy mpo a, ɛda so ara yɛ nea asiane biara nni ho sɛ wubenya. Sɛ woda so ara haw wo a, wo ne wo duruyɛfo nkasa fa atiridii aduru a wɔmfa nkesua nni dwuma ho. Flublok® Quadrivalent ne Flucelvax® Quadrivalent yɛ akwan abien a ɛte saa a wɔmfa nkesua nni dwuma.

Sɛ mewɔ egg allergy a, mɛyɛ dɛn ahwɛ me ho?

Saa afotu yi bɛboa wo kɛse:

• Hwɛ nea wudi ne nea wonom bere nyinaa.Sɛ woadi aduan bi a na ɛnyɛ ɔhaw bere a etwa to mpo a, hwɛ nea wɔakyerɛw so ansa na woadi bio. Ebia wɔn a wɔyɛ no bɛsesa aduannoa no na wɔde nkesua aka ho.
• Sɛ wo ba no ntumi nnye nkesua a, kyerɛkyerɛ no sɛ ɔnnye aduan mfi ne nnamfo anaa ne mfɛfo sukuufo hɔ.
• Sɛ woredidi wɔ abɔnten a, ka kyerɛ nea ɔhwɛ hɔ no sɛ wowɔ nkesua ho akisikuru. Bisa nneɛma a wɔde yɛ aduan ne sɛnea wɔyɛ aduan no ho nsɛm a ɛkɔ akyiri.
• Hyɛ Medical Alert Bracelet anaa fa krataa a wɔde nsɛm a ɛfa wo nkesua ho akisikuru ho kɔ.
• Hyehyɛ saa nsɛm yi wɔ wo fon no Medical Emergency nhyehyɛe anaa app no ​​mu.
• Wo ne wo duruyɛfo nkasa mfa sɛnea wubesiesie wo ho ama sɛnea wobɛyɛ w’ade no ho asɛm. Ebia ɔbɛkyerɛw aduru bi a wɔde twitwiw nipadua no mu a wɔfrɛ no epinephrine auto-injector. Ɛsɛ sɛ wode ka wo ho bere nyinaa.

Sɛ wowɔ egg allergy a, nnuan bɛn na ɛsɛ sɛ wokwati?

Nnuan bi a wɔtaa di a ebia nkesua wom:

• Nnuan a wɔato (keki, buns, bisket) .
• Nnuan a wɔde paanoo ayɛ
• Keeki ne Pie a Wɔde Hyehyɛ Mu
• Custard a ɛyɛ fɛ
• Eggnog a wɔde yɛ adwuma
• Marshmallows a wɔde yɛ nneɛma
• Mayonnaise a wɔde yɛ nneɛma
• Veggie nam a wɔde yɛ
• Pasta (ahorow bi) .
• Pretzels (ahorow bi) .
• Nam a wɔayɛ no foforo
• Pudding a wɔde yɛ aduan
• Salad a wɔde hyɛ mu

Susuw ho hwɛ, ɛtɔ da bi a ebia nkesua wɔ nnuan a yensusuw ho mpo mu. Sɛ nhwɛso no, wɔde nkesua yɛ sauce, soup, ne ice cream ahorow bi. Enti kenkan nea wɔakyerɛw so no yiye bere nyinaa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wunya yare no ho sɛnkyerɛnne bere a woadi nkesua anaa nneɛma a nkesua wom akyi a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wofi ase nya `(Anaphylaxis)` ho sɛnkyerɛnne, anaasɛ wote nka sɛ wuntumi nhome a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara anaa frɛ 1990.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

• Wobɛyɛ dɛn ahu sɛ mewɔ egg allergy?
• Bere bɛn na metumi de nkesua ahyɛ me ba no mu?
• So me ba no nkesua ho akisikuru no befi hɔ?
• So akuw bi wɔ hɔ a wɔboa nnipa a wɔn ho yɛ wɔn hyew wɔ nkesua mu anaa wɔn awofo?
• So wubetumi akamfo aduan ho ɔbenfo bi akyerɛ?

Mɛyɛ dɛn ahu sɛ mewɔ nkesua ho nkate bi?

Sɛ wuhu sɛnkyerɛnne ahorow a emu nyɛ den bere a woadi nkesua akyi a, ebia wobɛte nka wɔ nkesua ho. Sɛ wosusu sɛ wowɔ ``Egg Intolerance'' a, wo ne oduruyɛfoɔ nkasa.

Bere tenten ahe na egg allergy di?

Mmofra a wɔwɔ nkesua ho akisikuru bɛyɛ 70% nyin boro so bere a wɔadi mfe 16. Nanso ebia ebinom rennyin nsen no da.

So wubetumi anya nkesua ho akisikuru akyiri yi wɔ w’asetra mu?

Yiw, ebetumi aba sɛ wubenya nkesua ho akisikuru foforo akyiri yi wɔ n’asetra mu.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Ɛtɔ mmere bi a, nkesua ho akisikuru betumi ayɛ tebea a ɛyɛ basaa na ɛyɛ hu. Nsɛnkyerɛnne no betumi ayɛ nea emu nyɛ den anaasɛ emu yɛ den. Ebetumi ayɛ nea ɛboro so na ayɛ basaa, nanso oduruyɛfo betumi aboa. Wobetumi ayɛ nhwehwɛmu de akyerɛ sɛ ebia wowɔ nkesua ho akisikuru na wɔde wo akɔma aduan ho ɔbenfo bi ma waboa wo ma woanya nnuan a eye sen biara a wubedi.

Kae:

• Sɛ w’adwene mu yɛ wo naa a, kwati nkesua ne nneɛma a nkesua wom.
• Kenkan nnuan ho nsɛm a wɔakyerɛw so bere nyinaa.
• Sɛ wowɔ allergy a emu yɛ den a, fa EpiPen® ka wo ho bere nyinaa.
• Di aduruyɛ mu afotu akyi.

Nha wo ho. Sɛ wuhu na wohwɛ wo yiye a, wubetumi akɔ so anya apɔwmuden bere mpo a wo ho yɛ wo hyew wɔ nkesua ho. Ɛnyɛ wo nko ara, nnipa pii wɔ hɔ a ɛsɛ sɛ wo ne wɔn bɛkasa na woanya mmoa afi wɔn hɔ.

` Egg allergy, egg allergy, mmofraberem allergy, aduan ho akisikuru, anaphylaxis, IgE, epinephrine