Ɛnnɛ yɛrebɛka biribi a ɛho hia nnipa pii, na ɛtɔ da bi a ɛyɛ hu kakra ho asɛm. Ɛno ne aduan ho akisikuru, anaa sɛnea yɛka wɔ Borɔfo kasa mu no, ``Food Allergies''. So woanya akisikuru mpofirim, ɛyɛ den sɛ wobɛhome, anaa wo yafunu ayɛ wo yaw bere a woadi aduan bi akyi pɛn? Ebia ato wo. Ma yɛnhwɛ nea eyinom yɛ ankasa, nea enti a ɛba, ne sɛnea yebetumi ahwɛ yiye.
Dɛn ne Aduan a Ɛma Nnipa Ho Yɛ Den?
Sɛ yɛbɛka no tiawa a, aduan ho akisikuru yɛ bere a wo nipadua di mfomso hu aduan a asiane biara nni ho sɛ "ɛpira" na ɛyɛ n'ade wɔ ho. Fa no sɛ wo nipadua no ahobammɔ nhyehyɛe a ehu aduan a ɛfata na ɛkɔ, "Oh, eyi yɛ ɔtamfo!" Enti, wɔyɛ nea wosusuw sɛ "ɛbɔ wo ho ban", na wunya sɛnkyerɛnne ahorow. Eyinom betumi ayɛ akisikuru, ɔfe, yafunu mu yaw, ɔfe, akisikuru, ne ahome a ɛyɛ den .
Ɛtɔ mmere bi a, saa tebea yi betumi ayɛ nea asiane wom kɛse. Yɛfrɛ no `(Anaphylaxis)`. Eyi ne bere a mframa kwan no hohoro na wuntumi nhome, anaasɛ wo mogya mmoroso so tew mpofirim koraa. Sɛ mpofirim ara w’anim, w’ano, w’ano anaa wo menewa ho ahonhon, ɛyɛ den sɛ wobɛhome anaa wobɛmene, anaasɛ wote nka sɛ wo ho atɔ wo a, ɛsɛ sɛ wofrɛ 911 anaa wokɔ ayaresabea dwumadibea a ɛbɛn wo ntɛm ara. Eyi nyɛ aseresɛm, ɛyɛ?
So aduan ho akisikuru ahorow wɔ hɔ?
Yiw, ahorow atitiriw pii wɔ hɔ. Sɛ yɛtaa ka sɛ "aduan ho akisikuru" a, yɛkyerɛ akisikuru a ɛma nneɛma te sɛ atoko, nnua mu nnuaba, ne cashews yɛ ade ntɛm ara na ɛtɔ mmere bi a emu yɛ den. Ebia wo duruyɛfo bɛfrɛ eyinom "nokware akisikuru" anaa "IgE-ntamgyinafo akisikuru." Saa "IgE" yi yɛ antibody bi a ɛwɔ yɛn nipadua mu. Eyinom ne wɔn a wɔyɛ "misidentification" sɛnea yɛadi kan aka ho asɛm no.
Afei nso, ɔkwan bi wɔ hɔ a wɔfrɛ no `(Oral allergy syndrome)`. Eyi nso yɛ `(IgE-mediated)` type no dea. Nanso, wɔ eyi mu no, mpɔtam hɔ adeyɛ bi nkutoo na ɛwɔ anofafa no ne ano no mu. Eyi ntaa mma yiye sɛ ɛbɛkɔ so akɔ `(Anaphylaxis)`.
Bio nso, aduane mu nneyɛe ahodoɔ nso wɔ hɔ a wɔfrɛ no ``Non-IgE-mediated''. Ɛne sɛ, nea ɛne ``IgE'' antibodies nni abusuabɔ. Nhwɛso ahorow bi ne:
- `(Food protein-induced enterocolitis syndrome - FPIES): Eyi fa ɔfe ne akisikuru ho titiriw.
- Eosinophilic esophagitis: Eyi yɛ aduannuru a ɛyɛ hyew .
- Eosinophilic gastritis: Yafunu mu ɔfe ba.
- `(Food protein-induced proctitis)`: Eyi yɛ biribi a ɛtaa to mmofra nkumaa, na sɛnkyerɛnne ahorow no bi ne mogya kakra a ɛfa nsu mu.
Dɛn ne aduan ho akisikuru a ɛtaa ba?
Nnuan pii wɔ hɔ a ɛma obi ho yɛ no hyew kɛse wɔ wiase nyinaa, ne yɛn man yi nso. Eyinom ne nneɛma atitiriw no:
- Atoko a wɔde yɛ atoko
- Nnua mu nnuaba te sɛ cashews, almonds, walnuts(sɛ nhwɛso no, almond, walnut, pistachio, hazelnut, pecan, cashew, Brazil nnuaba)
- Nufusu ( titiriw nantwi nufusu) .
- Nkwaa a wɔde yɛ nkesua
- Nsunam
- Shellfish ( te sɛ shrimp, krak, squid) .
- Soya
- Hwiiti
- Sesame a wɔde yɛ nneɛma
Saa nnuan yi yɛ bɛyɛ 90% wɔ nnuan a ɛyɛ akisikuru nyinaa mu. Nanso, ɛho hia sɛ wokae sɛ wubetumi ayɛ wo ho awerɛhow wɔ aduan biara ho, sɛ enni saa din yi mu mpo a . Nnipa binom ho yɛ wɔn hyew wɔ nnuaba ne nhabannuru nso ho.
Nsɛnkyerɛnne bɛn na ebetumi aba bere a obi ho yɛ no dɛ wɔ aduan ho?
Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya aduan a ne ho nyɛ no dɛ no betumi ayɛ soronko wɔ onipa biara ho. Wɔ nnipa binom fam no, ebetumi ayɛ nea emu nyɛ den koraa, bere a wɔ afoforo fam no, ebetumi ayɛ den yiye. Nsɛnkyerɛnne a ɛtaa ba no bi ni:
- Akisikuru anaa honam ani akisikuru: Eyinom yɛ kɔkɔɔ mpofirim, ɛyɛ wɔn yaw, na ɛhohoro te sɛ nwansena a wɔaka wɔn. Eyinom yɛ nea ɛyɛ yaw kɛse.
- Wora a ɛyɛ wo yaw: Nipadua no nyinaa a ɛyɛ wo yaw no betumi ayɛ nea asiane biara nni ho.
- Anim, ano, ano, anaa tɛkrɛma a ɛho ahonhon: Eyi yɛ sɛnkyerɛnne a ɛyɛ hu kakra.
- Ano ne menewa a ɛyɛ wo yaw: Sɛ woredidi a, ɛyɛ wo yaw wɔ menewam.
- Ɛnne a ɛyɛ dede: Ɛnne a ɛsakra mpofirim.
- Ɛyɛ den sɛ wobɛmene: Ɛte sɛ nea biribi akɔhyɛ menewam.
- Wheezing: Nnyigyei a ɛyɛ abɛn a efi koko mu ba.
- Ɔhome a ɛyɛ tiaa anaa ɛyɛ den sɛ ɔbɛhome: Eyi nso yɛ nea egye ntɛmpɛ.
- Ɔfe: Ebia wobɛkɔ so afe.
- Yafunu mu yaw: Yafunu no yɛ yaw na ɛte sɛ nea wɔredan no.
- Ɔfe a wɔfe
- Ayamtuo
- Ti a ɛyɛ hare anaa ɔtotɔ piti: Ebia eyi fi mogya mmoroso a ɛba fam.
- Hwene a ɛretu
- Fefe a wɔfe
Ade a ɛho hia sen biara: Momma yɛnka sɛ na woayɛ w’ade brɛoo wɔ aduan pɔtee bi ho pɛn. Nanso bere foforo a wubedi aduan koro no ara , wubetumi anya nea emu yɛ den yiye. Enti, sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den (titiriw sɛ ɛyɛ den sɛ wobɛhome, w’anim hohoro) a, kɔ ayaresabea ntɛm ara.
Bere tenten ahe na egye ansa na aduan ho sɛnkyerɛnne ahorow afi ase?
Mpɛn pii no, sɛnkyerɛnne ahorow no fi ase da adi wɔ nnɔnhwerew abien akyi bere a woadi aduan a wo ho yɛ wo hyew no. Ɛtɔ mmere bi a, wotumi fi ase wɔ simma kakraa bi mu. Ɛntaa mma sɛ yare no ho sɛnkyerɛnne bɛda adi nnɔnhwerew pii akyi.
Dɛn nti na saa aduan ho akisikuru yi ba?
Ɛyɛ asɛm a ɛyɛ den kakra, nanso sɛ yɛbɛka no tiawa a, ɛte sɛ eyi. Sɛ wunya aduan ho akisikuru a, wo nipadua mu tumi a ɛko tia nyarewa , nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho no di mfomso kyerɛ sɛ protein bi a ɛwɔ aduan bi mu no “pira.” Ɛyɛ n’ade wɔ ho te sɛ nea ɛyɛ mmoawa anaa mmoawa.
Enti, sɛ wudi aduan bi a wo ho yɛ wo hyew a, saa nipadua no mu tumi a ɛko tia nyarewa yi fi ase yɛ akwan horow a ɛbɛma ade a "ɛpira" (allergen) no afi wo nipadua mu. Ɛno ne bere a sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no nyinaa da adi. Ɛtɔ mmere bi a, saa adeyɛ yi betumi ayɛ nea emu yɛ den araa ma ɛde ne nkwa to asiane mu.
Hena na ɛda adi sɛ obenya aduan ho akisikuru?
Nnipa binom taa nya aduan ho akisikuru esiane nneɛma a edidi so yi nti:
- Sɛ wowɔ nneɛma afoforo a ɛma wo ho yɛ wo hyew a: Sɛ nhwɛso no, sɛ wo ho nyɛ wo hyew wɔ pollen anaa mfutuma ho a, ebia wo ho nyɛ wo den wɔ aduan nso ho.
- Sɛ wowɔ akisikuru anaa ayamtu a: Nnipa binom nya akisikuru, ayamtu, ne akisikuru prɛko pɛ. Wɔsan frɛ saa tebea yi ``Atopy''.
- Sɛ obi a ɔwɔ w’abusua mu (ɛna, agya, anuanom) wɔ akisikuru, ayamtu, anaa akisikuru a: Ebia awosu mu su bi wɔ hɔ.
Dɛn ne nsɛnnennen a ebetumi afi aduan ho akisikuru mu aba?
Ɔhaw a ɛyɛ hu sen biara a ɛde aduan ho akisikuru ba ne `(Anaphylaxis)` tebea a yɛadi kan aka ho asɛm no. Eyi betumi ama nipadua no mu nneɛma pii ahonhon, ɔfe a wontumi nni so, ɛyɛ den sɛ ɔbɛhome, na mogya mmoroso akɔ fam kɛse (anaphylactic shock). `(Anaphylaxis)` a emu yɛ den betumi ama obi awu mpo. Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho.
Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya aduan ho akisikuru?
Sɛ wususuw sɛ wowɔ aduan ho adwenemhaw a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Obebisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm na sɛ ɛho hia a, ɔhyɛ sɛ wɔnyɛ wo ho nhwehwɛmu . Ɛyɛ papa sɛ wubesiesie nsɛm a edidi so yi bere a worekɔ wo duruyɛfo nkyɛn no:
- Nnuan bɛn na ɛkanyan wo yare no ho sɛnkyerɛnne (sɛ wunim a).
- Sɛ́ ebia wodii saa aduan no a wɔannoa anaasɛ wɔanoa no.
- Saa aduan no mu ahe na wudii bere a yare no ho sɛnkyerɛnne no daa adi no?
- Nsɛnkyerɛnne bɛn na worehu, na emu yɛ den dɛn?
- Bere tenten ahe na egye ansa na yare no ho sɛnkyerɛnne afi ase bere a wɔadi awie no?
- So nneɛma foforo bi wɔ hɔ a anka ebetumi aka wo yare no ho sɛnkyerɛnne? (e.g., so na wowɔ yareɛ a ɛfiri ɔyare mmoawa mu saa berɛ no? So wohyiaa allergen foforɔ – te sɛ pollen?)
- So wosɔɔ ayaresa biara hwɛe wɔ fie, na ɛboaa wo ma wo ho tɔɔ wo?
- So yare no ho sɛnkyerɛnne ba bere nyinaa bere a wudi saa aduan yi, anaasɛ ɛtɔ mmere bi nkutoo?
- Bere tenten ahe na saa sɛnkyerɛnne ahorow yi atra hɔ?
- So wowɔ biribi foforo bi a wonim a ɛma wo ho yɛ wo hyew (aduan, pollen, mfutuma, mmoa, ne nea ɛkeka ho)?
- So wowɔ eczema anaa ayamtu?
- So obi wɔ abusua no mu a ɔwɔ akisikuru, ayamtu, anaa akisikuru?
Saa nsɛm yi bɛboa oduruyɛfo no kɛse ma wate ɔhaw no ase yiye.
Dɛn ne nhwehwɛmu ahorow a wɔyɛ de kyerɛ sɛ obi ho yɛ no hyew wɔ aduan ho?
Sɛ oduruyɛfo no susuw sɛ ɛho hia a, obetumi ayɛ nhwehwɛmu ahorow a edidi so yi:
- Allergy skin test: Eyi hwehwɛ sɛ wode ade a wususuw sɛ wo ho yɛ wo hyew no kakraa bi pɛ bɛpete wo honam ani (mpɛn pii no wo nsa anaa w’akyi), wode ade ketewaa bi abɔ honam ani, na afei woatwɛn simma 15-20 ahwɛ sɛ ebia biribi wɔ hɔ a (ɛyɛ kɔkɔɔ, ɛho wosow).
- Mogya mu nhwehwɛmu a ɛma obi ho yɛ no hyew: Nea ɛka eyi ho ne sɛ wobɛfa wo mogya no bi na woahwɛ sɛ ebia IgE antibodies a ɛko tia nnuan a wususuw sɛ wo ho yɛ wo hyew no anaa.
- Aduan mu asɛnnennen sɔhwɛ: Wɔde ahwɛyiye kɛse na ɛyɛ eyi, wɔ oduruyɛfo hwɛ ase, na wɔyɛ wɔ ayaresabea nkutoo. Wɔ eyi mu no, wɔma wo aduan a wususuw sɛ wo ho nyɛ wo den no dodow a ɛkɔ soro nkakrankakra. Wɔyɛ eyi de hwɛ sɛ ebia wowɔ sɛnea woyɛ w’ade anaa. Esiane sɛ eyi yɛ asiane kakra nti, ɛsɛ sɛ nnuruyɛfo hwɛ wɔn so.
Ɔkwan bɛn so na wɔsa aduan ho akisikuru?
Nokwarem no, ɔkwan a eye sen biara a wobɛfa so adi aduan ho akisikuru ho dwuma ne sɛ wobɛkwati nea ɛma wo ho yɛ wo hyew no. Ɛno kyerɛ sɛ ɛnsɛ sɛ wodi saa aduan no. Nanso, mprempren ayaresa ahorow pii wɔ hɔ a ebetumi atew asiane a ɛwɔ hɔ sɛ obi benya akisikuru no so. Eyinom bi ne nnuru a wɔde twitwiw nipadua mu, nnuru a wɔnom, ne nnuru a wɔde hyɛ kasa ase.
Afei nso, ɛho hia yiye sɛ wode nnuru a egye ntɛmpɛ, titiriw `(Epinephrine)` auto-injector (e.g. `(EpiPen®)`, `(Auvi-Q®)`, sie wo nsam sɛ ɛba sɛ wudi aduan bi a wo ho yɛ wo hyew wɔ akwanhyia mu a.
Omalizumab a wɔde twitwiw nipadua no mu
Ebia wo duruyɛfo bɛma wo aduru a wɔfrɛ no Omalizumab (ahyɛnsode a wɔde frɛ no Xolair®) pɛnkoro anaa mprenu ɔsram biara. Anaasɛ wubetumi atete wo ho sɛ wode bɛhyɛ wo mu. Eyi betumi aboa ma asiane a ɛwɔ hɔ sɛ wobɛyɛ wo ade no so atew sɛ wunya aduan bi a wo ho nyɛ wo den a wunnim a.
Nnuru a ɛko tia nyarewa a wɔde ano ka (OIT) .
Oral Immunotherapy (OIT) yɛ nhyehyɛe a ɛboa wo anaa wo ba ma nkakrankakra nya aduan bi a wo ho nyɛ wo den no ho abotare. Wɔ oduruyɛfo hwɛ ase no, wɔma wo aduan a wo ho yɛ wo hyew no dodow a ɛkɔ soro nkakrankakra wɔ asram pii mu. Botae no ne sɛ wobɛyɛ "bite-proof" sɛnea ɛbɛyɛ a aduan a wo ho yɛ wo hyew no kakraa bi mpo remma wo ho nyɛ wo den. Nnipa binom betumi adi nnuan a kan no na wɔn ho yɛ wɔn hyew a ɔhaw biara nni ho wɔ OIT ayaresa akyi.
Nnuru a ɛko tia nyarewa a wɔde di dwuma wɔ kasa ase (SLIT) .
Sublingual Immunotherapy (SLIT) te sɛ OIT. Nea ɛka ho ne sɛ wobɛma wo nipadua no aduru a ɛma wo ho yɛ wo hyew no kakraa bi da biara da na ama woatumi agyina ano. Nanso sɛ́ anka wubedi no, wode nsu anaa aduru bi a aduru a ɛma wo ho yɛ wo hyew no gu wo tɛkrɛma ase na woma ɛwo.Ɛsɛ sɛ wɔyɛ saa ``(SLIT)`` ayaresa yi wɔ oduruyɛfo hwɛ ase na ama wɔanya ahobammɔ.
Nnuru a wɔde di dwuma ntɛm ara
Sɛ wo ho yɛ wo hyew bere a woadi aduan bi a wo ho yɛ wo hyew wɔ akwanhyia mu akyi a, ebia wo duruyɛfo bɛkamfo nnuru a edidi so yi akyerɛ wo:
- Epinephrine auto-injector (e.g., EpiPen® anaa Auvi-Q®) : Wo duruyɛfo bɛtu wo fo sɛ fa di dwuma wɔ sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ wo ho yɛ wo hyew kɛse (anaphylaxis). Ɛho hia sɛ wode eyi sie wo.
- Corticosteroids : Saa steroids yi yɛ adwuma denam ɔfe a ɛtew so.
- Antihistamines : Eyinom betumi aboa ma agyae anaasɛ ama akisikuru a ɛma obi ho yɛ hyew no brɛ ase. Nanso, wɔankyerɛw wɔn sɛnea ɛbɛyɛ a wobesiw nneyɛe a efi aduan ho akisikuru mu ba no ano.
Na sɛ mewɔ aduan ho akisikuru nso ɛ?
Sɛ wo anaa wo ba no wɔ aduan ho adwenemhaw a, ɛsɛ sɛ wode yɛ wo su sɛ wobɛkenkan nnuan ho nsɛm na woakwati nnuan a ebia aduru a ɛma obi ho yɛ no hyew no wom . Wubetumi ne oduruyɛfo a ɔhwɛ akisikuru akasa asusuw ayaresa a wubetumi apaw ne nea ɛsɛ sɛ woyɛ sɛ wo ho yɛ wo hyew a. Ebia ɔbɛkamfo akyerɛ nso sɛ wɔnyɛ nhwehwɛmu mpɛn pii wɔ akisikuru ho bere ne bere mu de hwɛ sɛ ebia wo ba no akisikuru so atew anaasɛ ayaresa no anya nea ɛma wotumi gyina ano anaa.
Nneɛma a ɛma obi ho yɛ no hyew no yɛ nea wontumi nhu. Enti, sɛ wo ho yɛ wo brɛoo bere bi mpo a, bere foforo no, ebetumi ayɛ kɛse. Afei nso, sɔhwɛ biara nni hɔ a ebetumi akyerɛ wo sɛnea wobɛyɛ w’ade denneennen wɔ aduan bi ho a wunnni no pɛpɛɛpɛ. Enti, mma w’ani nnye ho esiane sɛ biribi ketewaa bi asi pɛn nti, na yɛ ahwɛyiye bere nyinaa.
So aduan ho akisikuru kɔ?
Ɛtɔ mmere bi a, yiw. Mmofra nkumaa dodow no ara nyin sen nufusu ne nkesua ho akisikuru bere a wɔadi mfe 6. Nanso, atoko, nnua nnuaba, akutu, ne mpataa ho akisikuru ho yɛ na koraa (ennu 20%).
So wobetumi asiw aduan ho akisikuru ano?
Ɛwom sɛ ɔkwan biara nni hɔ a ɛyɛ nokware a wobɛfa so asiw aduan ho akisikuru ano de, nanso wubetumi asɔ nneɛma yi ahwɛ na ama asiane a ɛwɔ hɔ sɛ wo ba no benya akisikuru no so atew:
- Sɛ worema nufu (gye sɛ wo nso wo ho yɛ wo hyew wɔ saa nnuan no ho) , fa atoko ne nneɛma afoforo a ɛtaa ma wo ho yɛ wo hyew ka w’aduan a wodi daa no ho.
- Bisa wo ba no oduruyɛfo bere ne ɔkwan a wobɛfa so de nnuan foforo aba. Ebia ɔbɛkamfo akyerɛ sɛ fa nnuan a ebetumi ama ne ho ayɛ no hyew aba ntɛm, anaasɛ wɔ oduruyɛfo hwɛ ase, a egyina wo ba no akwahosan tebea afoforo so.
- Sɛ wo ba no de nnuan a ebia ne ho yɛ no den ba dwoodwoo a, kɔ so ma no nnuan ahorow a ne ho nyɛ no dɛ (a nnuaba, nufusu, ne nkesua ka ho). Eyi betumi atew asiane a ɛwɔ hɔ sɛ obi benya akisikuru akyiri yi no so.
Mɛyɛ dɛn ahwɛ me ho anaa me ba?
Nea ɛbɛyɛ na wo anaa wo ba no anni aduan bi a wo ho nyɛ wo den a wunnim no, yɛ nea edidi so yi:
- Hwɛ nneɛma a wɔde yɛ nnuan a wɔadi kan ayɛ no so. Eyi betumi ayɛ den kakra wɔ Sri Lanka, nanso bɔ mmɔden biara a wubetumi. Wɔ amannɔne aman mu no, sɛ nneɛma 9 a ɛtaa ma obi ho yɛ no hyew no mu biara wɔ aduan no mu a, ɛsɛ sɛ wɔkyerɛw din wɔ krataa no so. Afei nso hwɛ nsɛmfua te sɛ "ebia ɛwɔ mu" anaa "wɔayɛ wɔ nnwinnade a wɔkyɛ so".
- Bere nyinaa hwɛ nea wɔakyerɛw so bere a woretɔ aduan wɔ sotɔɔ mu, bere a wode aba fie, ne ansa na woadi.
- Fi ase ne wo ba nkasa wɔ ne mmofraase mfa ahwɛyiye a wobɛhwɛ wɔ nea odi ho na worenkyɛ aduan a wunnim sɛ asiane biara nni ho nkyerɛ afoforo.
- Sɛ woredidi wɔ abɔnten a, hwɛ yiye paa wɔ adidibea ahorow. Bisa sɛ ebia biribi a wo ho yɛ wo hyew wɔ aduan no mu anaa. Nanso kae sɛ ebia wɔrentumi mfa 100% guarantee mma.
- Ma obiara a ɔne wo ba no te ne ho nhu nea ne ho nyɛ no dɛ ne nnuan a asiane biara nni ho sɛ obedi.
- Wo ne wo ba sukuu anaa daycare nkasa fa wɔn akisikuru ho na hwehwɛ nhyehyɛe ahorow a ɔwɔ de siw aduan a ne ho yɛ no den a onnim no ano.
- Yɛ nhyehyɛe pa bere a woretu kwan ne mmere foforo nso a wunni fie no. Fa aduan a ahobammɔ wom ka wo ho, anaa di kan hwehwɛ mmeae a ahobammɔ wɔ a wubedidi.
- Sɛ wowɔ nsɛmmisa bi fa nea wubetumi adi ne nea wuntumi nni ho a, bisa wo duruyɛfo.
Siesie wo ho sɛ ɛba sɛ wo ho yɛ wo hyew a:
- Fa epinephrine auto-injector ka wo ho bere nyinaa. Bisa wo duruyɛfo sɛnea wode bedi dwuma yiye.
- Hwɛ sɛ wo ba sukuu anaa daycare wɔ Food Allergy & Anaphylaxis Emergency Care Plan a efi wo ba no duruyɛfo hɔ. Eyi kyerɛkyerɛ nea ɛsɛ sɛ woyɛ sɛ wo ba no ho yɛ no hyew a.
- Fa epinephrine pen ne nnuru foforo biara a ebia wo ba behia ma wo ba sukuu anaa dabere.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wususuw sɛ ebia wo anaa wo ba no wɔ aduan ho adwenemhaw a, kɔ oduruyɛfo nkyɛn ntɛm ara. Obetumi de wo akɔ oduruyɛfo bi nkyɛn na wama wo akwankyerɛ wɔ nea ɛsɛ sɛ woyɛ akyi.
Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?
Sɛ wɔannya aduruyɛ a, nneɛma a ɛma obi ho yɛ no hyew betumi de ne nkwa ato asiane mu.Sɛ wuhu saa sɛnkyerɛnne yi bi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara anaa frɛ 1990:
- Anim, ano, tɛkrɛma, anaa menewa a ɛho ahonhon
- Ɔhome a ɛyɛ den
- Koko a ɛyɛ den
- Hives (hives) .
- Nsa, anan, anaa anofafa a ɛyɛ mmerɛw
- Mmerewa, adwenemhaw, anaa adwenemhaw
- Ehu a ɛyɛ nwonwa, ɔsɛe a ɛreba ho atenka
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa wo duruyɛfo nsɛm bi te sɛ eyinom:
- So ayaresa bi wɔ hɔ a wobetumi apaw ama me/me ba?
- Sɛ me/me ba no ho yɛ me hyew anaasɛ odi biribi a me ho yɛ me den wɔ akwanhyia mu a, dɛn na ɛsɛ sɛ meyɛ?
- Akwan bɛn na wobetumi afa so asiw biribi a ɛma obi ho yɛ no hyew a wunnim?
- Ɔkwan bɛn so na mede saa aduru yi di dwuma?
- Bere bɛn na mehia `(Epinephrine)`?
- So wowɔ nhyehyɛe bi a wode bɛyɛ allergy ho dwuma?
Aduan ho akisikuru abu so dɛn?
Nhwehwɛmu kyerɛ sɛ mpanyimfo 6% kosi 11% wɔ aduan ho akisikuru. Afei nso, mmofra bɛyɛ 8% wɔ aduan ho akisikuru.
Ebetumi ayɛ wo ba, anaasɛ ebetumi ayɛ biribi a wɔahu sɛ wowɔ bi nkyɛe. Nanso, aduan ho akisikuru betumi ayɛ osuahu a ɛsakra asetra. Ɛsɛ sɛ wokwati nnuan bi, nea wo anaa wo ba betumi adi ho a wubesusuw ho, ne suro a wusuro sɛ worendidi wɔ adidibea bio da no nyinaa betumi ayɛ nea ɛboro so. Nanso, wɔ nnipa dodow no ara fam no, ehu a wosuro daa yi ntra hɔ daa.
Nneɛma pii wɔ hɔ a wɔn a ɛsɛ sɛ wɔhwɛ yiye kɛse bere a wɔredidi wɔ abɔnten no betumi apaw sen bere biara. Apps ne intanɛt so akuw bi wɔ hɔ a ebetumi aboa wo ma woanya nnuan a ahobammɔ wom a wode bɛhyɛ wo pantry mu. Nnipa pii nya adidibea ne nnuan a wɔde wɔn ho to so na wɔtaa kɔ hɔ. Sɛ́ wobɛtra ase a wowɔ allergy no yɛ mmerɛw bere a ɛbɛyɛ wo da biara da asetra fã no.
Awiei koraa no, nkrasɛm a wode bɛkɔ fie:
Aduan ho akisikuru yɛ biribi a ɛsɛ sɛ wusuro, nanso sɛ wɔka ho asɛm yiye na wotu anammɔn a ɛho hia a, wubetumi atra ase sɛnea ɛsɛ.
- Hu nnuan a wo ho yɛ wo hyew ankasa. Hwehwɛ aduruyɛ mu afotu.
- Kenkan nnuan ho nsɛm a wɔakyerɛw so bere nyinaa. Sɛ w’adwene mu yɛ wo naa a, kwati aduan no.
- Bere nyinaa fa epinephrine auto-injector (sɛ wowɔ asiane mu sɛ wo ho bɛtɔ wo kɛse a) na hu sɛnea wode bedi dwuma ankasa.
- Ka w’abusua, wo nnamfo, ne sukuu/adwumam adwumayɛfo amanneɛ wɔ wo allergy no ho.
- Nsuro sɛ wubebisa nsɛm. Hwehwɛ afotu fi wo duruyɛfo anaa aduannuru ho ɔbenfo hɔ.
Kae sɛ ɛnyɛ wo nko ara. Nnipa pii wɔ hɔ a aduan ho akisikuru te ase. Nya mmoa ne mmoa a wuhia. Hwɛ yie!
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 So aduan ho akisikuru na ɛma yafunu mu yɛ wo yaw bere a woadi aduan akyi?
Daabi! Aduan a wontumi nnyina ano yɛ tebea a ɛma wote yafunu mu yaw/yafunu mu yaw (e.g., lactose a wontumi nnyina ano bere a woanom nufusu akyi). Nanso aduan ho akisikuru yɛ nea asiane wom sen saa mmɔho ɔpepem biako. Eyi yɛ tebea a emu yɛ den a wo nipadua mu tumi a ɛko tia nyarewa no kɔ ɔko mu tia protein bi a ɛwɔ aduan bi mu (IgE reaction), a ebetumi de nkwa mpo ato asiane mu.
💬 Dɛn ne sɛnkyerɛnne a ɛyɛ hu ntɛm ara a ɛkyerɛ sɛ obi anya aduan ho akisikuru?
Asiane kɛse ne sɛ eyinom ba wɔ simma kakraa bi mu bere a wɔadi no! Wɔma akisikuru kɔkɔɔ a ɛyɛ yaw ba nipadua no nyinaa so (Hives). Anofafa, tɛkrɛma, ne anim hohoro mpofirim. Ade a ɛyɛ hu sen biara ne ‘ahome a ɛyɛ den na ɛyɛ den sɛ ɔbɛhome’ (Anaphylaxis). Sɛ ɔhaw yi ba a, ebetumi ama wawu amonom hɔ ara mpo.
💬 Dɛn ne ɔkwan baako pɛ a wobɛfa so aguan afiri eyi mu na dɛn ne ano aduru ntɛm ara?
Nnuru biara nni hɔ a wɔde sa aduan ho akisikuru! Ano aduru biako pɛ ne sɛ wobɛkwati sɛ wubedi saa aduan no (te sɛ atoko, akutu, krak, nufusu, nkesua) nkwa nna nyinaa. Nanso sɛ wudi saa aduan no wɔ akwanhyia mu na wowɔ anaphylaxis a, ‘nkrabea aduru’ biako pɛ a ebetumi agye wo nkwa ansa na ɛsɛ sɛ wokɔ ayaresabea mpo ne Epinephrine (EpiPen) a wɔde bɛhyɛ w’asen mu!
` Aduan ho akisikuru, aduan ho akisikuru, akisikuru ho sɛnkyerɛnne, anaphylaxis, epinephrine, epipen, akisikuru ayaresa, mmofraberem akisikuru
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