So wo ba no refe bere a wadidi awie no? Ebetumi ayɛ FPIES! (Aduan mu Protein a Ɛma Enterocolitis Syndrome) .

Sɛ́ ɛna no, wunim sɛ sɛ mmofra nkumaa binom ho yɛ wɔn hyew wɔ aduan bi te sɛ atoko ho a, ɛkame ayɛ sɛ wɔda sɛnkyerɛnne ahorow adi ntɛm ara. Things like hives, difficulty breathing , etc. Nanso saa akisikuru a ɛntaa nsi a yɛreka ho asɛm nnɛ a wɔfrɛ no FPIES (Food Protein-Induced Enterocolitis Syndrome) yi yɛ soronko kakra. Nea ɛba wɔ ha ne sɛ, bere a akokoaa no adi aduan no akyi nnɔnhwerew kakraa bi pɛ na sɛnkyerɛnne ahorow no fi ase da adi. Enti awofo pii susuw sɛ eyi yɛ atiridii a ɔyare mmoawa de ba a ɛfata ara kwa anaasɛ ɛyɛ yafunu a ɛyɛ yaw ara kwa esiane aduan a ne bere atwam a wodi nti.

Dɛn ankasa ne FPIES?

Sɛ yɛbɛka no tiawa a, FPIES yɛ dwensɔtwaa mu ɔfe a emu yɛ den a aduan mu protein ahorow de ba. Ɛmma sɛnkyerɛnne ahorow a ɛtaa ba wɔ akisikuru a ɛtaa ba ho te sɛ akisikuru, ɛyaw, anaa ɔfe no mma. Mmom no, ebia wo ba no bɛfe ne dwensɔtwaa a ɛkɔ so daa.

Mpɛn pii no, tebea yi fi ase bere a wɔde nnuan a wɔayam anaa nnuan a ɛyɛ den ma akokoaa no. Mpɛn pii no, saa tebea yi mma wɔ nufusu mu. Nanso, ɛntaa mma koraa sɛ ebetumi aba nkokoaa a wɔma wɔn nufu mu. Asɛmpa no ne sɛ mmofra dodow no ara nyin sen saa akisikuru yi bere a wɔadi mfe 3 anaa 4 no .

Dɛn ne eyi ho sɛnkyerɛnne?

Fa no sɛ woama wo ba no aduan foforo. Nnɔnhwerew abien anaa abiɛsa akyi no, wo ba no fi ase fe bere nyinaa a ontumi nhyɛ ne ho so. Afei, akokoaa no fi ase nya nsu a ɛho ayɛ hare. Eyi ne FPIES ho sɛnkyerɛnne titiriw.

Mmofra binom betumi ahu saa sɛnkyerɛnne ahorow yi a ɛkɔ soro nkakrankakra bere a bere kɔ so no. Ebia wɔn mu duru nso nkɔ soro yiye na wonnyin yiye efisɛ wonnya aduan pa a wohia.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, fa wo ba no kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) a ɛnntwentwɛn wo nan ase.

Dɛn nti na eyi rekɔ so?

Nea enti a ɛte saa ne sɛ nkwammoaa bi a ɛwɔ wo ba no nipadua mu ahoɔden a ɛko tia nyarewa mu no nyɛ wɔn ade wɔ ɔkwan a ɛnteɛ so wɔ protein a ɛwɔ nnuan bi mu no ho. Saa mmuae yi ma abofra no aduan mu nneɛma (yafunu mu kwan), kyerɛ sɛ, ne dwensɔtwaa no yɛ ade a emu yɛ den. Nanso saa adeyɛ yi ho sɛnkyerɛnne ahorow no gye nnɔnhwerew 2 kosi 8 ansa na ada adi. Ɛno nti na ɛyɛ soronko wɔ allergy afoforo ho no.

Abusua abakɔsɛm kyerɛ sɛ mmofra a wɔwɔ FPIES no mu 40% kosi 80% wɔ abusua abakɔsɛm a ɛfa akisikuru afoforo te sɛ hay fever anaa eczema ho. Nea ɛyɛ nwonwa no, mmofra a wɔwɔ FPIES no mu 20% pɛ na wɔwɔ abusua abakɔsɛm a ɛfa aduan afoforo a wɔn ho yɛ wɔn hyew ho.

Nnuan bɛn na ɛtaa de FPIES ba?

Mpɛn pii no, tebea yi fi:

• Nantwi nufusu ne nufusu a wɔde yɛ (e.g. yogurt, cheese) .
• Soya ne soya nufusu
• Awi ne aburow afoforo (e.g. oats, barley) .

Eyinom akyi no, mmofra binom nso betumi anya FPIES afi nnuan a yɛrensusuw sɛ ɛde akisikuru ba mu .

• Nsensan
• Akokɔ anaa akokɔ nam
• Nsunam
• Adua
• Oats a wɔde yɛ aduan
• Nkateɛ
• Ɛmo
• Pɔmken
• Ɛmo a ɛyɛ dɛ

Mma saa nsɛm a wɔahyehyɛ yi nnyɛ wo hu. Ɛnyɛ abofra biara na ne ho bɛtɔ no wɔ eyinom nyinaa ho. Ebia nea abofra biako ho nyɛ no den no nyɛ ɔfoforo.

Ɔkwan bɛn so na wohu yare no?

Sɛ wususuw sɛ wo ba no wɔ FPIES a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne mmofra oduruyɛfo bɛkasa afa ho. Obetumi de wo akɔma mmofra a wɔn ho yɛ den anaa mmofra yafunu ne dwensɔtwaa ho oduruyɛfo.

Oduruyɛfo no bedi kan abisa wo wo ba no yare no ho sɛnkyerɛnne ne sɛ ebia abusua no mu obiara wɔ akisikuru bi anaa. Afei, wɔbɛyɛ nhwehwɛmu de ahwɛ sɛ nneɛma foforo biara nni hɔ a ɛtaa de ɔfe ne akisikuru ba (te sɛ ɔyare mmoawa).

Ɛtɔ da bi a, mogya mu nhwehwɛmu ne honam ani aduru nhwehwɛmu (Atopy Patch Test - APT) betumi aboa. Nea ɛka APT ho ne sɛ wɔde aduan a wosusuw sɛ ɛyɛ dade prɛte ketewaa bi bɛto abofra no honam ani bɛyɛ nnɔnhwerew 48. Nanso, saa sɔhwɛ ahorow yi ntumi nsi FPIES so dua 100% wɔ bere no mu.

Ɔkwan bɛn so na wɔsa?

Ayaresa no yɛ mmerɛw yiye. Nea ɛka ho ne sɛ wobeyi nnuan anaa nnuan a abofra no ho yɛ no den afi wɔn aduan mu koraa.

• Sɛ wo ba nom nufusu a, ɛsɛ sɛ wode nnuru titiriw a nantwi nufusu anaa soya nni mu (hypoallergenic formulas) di dwuma. Wo duruyɛfo betu wo fo wɔ eyi ho.
• Kenkan nkyerɛwde a ɛwɔ aduan biara a wobɛtɔ afi sotɔɔ mu no so yiye na hwɛ sɛ ebia nneɛma bi a ɛma wo ho yɛ wo hyew wɔ mu anaa.
• Fa krataa bi a wɔakyerɛw a efi wo duruyɛfo hɔ a ɛkyerɛ sɛ wo ba no wɔ FPIES ka wo ho sie. Ɛbɛboa kɛse wɔ wo ba no tebea mu a wobɛkyerɛkyerɛ mu akyerɛ nnuruyɛfo sɛ tebea a egye ntɛmpɛ si a.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka kakra bere a wote tebea yi ho ade no. Nanso sɛ wodi ho dwuma yiye a, wo ba no betumi anya anigye na wanya apɔwmuden.