So wuhyia ɔhaw ahorow a ɛyɛ nwonwa nso bere a wudi nnuan bi no? Momma yɛnka (Histamine Intolerance) ho asɛm!

So woasusuw nea enti a wo yafunu yɛ wo yaw, wo honam ani yɛ kɔkɔɔ, wo ho yɛ wo yaw, anaa wo hwene mu nsu bere a woadi nnuan bi akyi nkutoo ho pɛn? Ɛtɔ da bi a ebia wobɛdwene sɛ, "Oh me, adɛn nti na eyi to me nkutoo?" Ebia biribi wɔ hɔ a enti ɛte saa ankasa. Ɛnnɛ yɛrebɛka tebea a ɛte saa no biako ho asɛm. Wɔfrɛ no `(Histamine Intolerance)`.

Dɛn ne `(Histamine a wontumi nnye ntom)`? Momma yɛnte ase kɛkɛ!

Okay, di kan ma yɛnhwɛ nea `(Histamine)` yɛ. `(Histamine)` yɛ nnuru a ɛba yɛn nipadua mu wɔ abɔde mu. Na nnuan a yedi no bi nso wɔ `(Histamine)`. Edi dwuma titiriw paa wɔ yɛn nipadua mu. Sɛ nhwɛso no, ɛboa yɛn nipadua no mu tumi a ɛko tia nyarewa, ɛko tia nyarewa, na ɛboa ma yɛn aduan mu nneɛma yɛ adwuma.

Afei, dɛn ne `(Histamine Intolerance)`? Sɛ yɛbɛka no tiawa a, ɛyɛ tebea a ɛba bere a wo nipadua ntumi nwe `(Histamine)` yiye mfi aduan mu, anaasɛ bere a entumi nni `(Histamine)` dodow a ɛwɔ nipadua no mu no so. Nea ɛba wɔ saa tebea yi mu ne sɛ `(Histamine)` dodow a ɛwɔ nipadua no mu no kɔ soro, na ɛde sɛnkyerɛnne ahorow ba.

Nanso ade no ni. Aduruyɛ ahyehyɛde ahorow a wɔagye din wɔ wiase nyinaa, te sɛ Amerika Adesuabea a Ɛhwɛ Akisikuru ne Nkwammoaa a Ɛko Tia Nyarewa So no nnye ntom wɔ aban kwan so sɛ histamine a wontumi nnye ntom no yɛ yare. Ɛyɛ asɛmti a akyinnyegye wom. Abenfo binom ka sɛ ebetumi afi enzyme bi a wɔfrɛ no Diamine Oxidase (DAO) a ɛboa ma histamine a ɛwɔ nipadua no mu paapae no dwumadi so tew. Nanso nhwehwɛmu foforo kyerɛ sɛ ebia nnipa pii a wɔwɔ saa sɛnkyerɛnne ahorow yi nni histamine a wontumi nnye ntom ankasa, na mmom akwahosan ho haw afoforo. Enti sɛ w’adwene mu yɛ wo naa wɔ eyi ho a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa.

So `(Histamine Intolerance)` yɛ aduan ho akisikuru? Anaasɛ `(Histamine)` yɛ adeyɛ?

Dabi, `(Histamine Intolerance)` nyɛ aduan ho akisikuru. Nanso, nnipa binom betumi ayɛ basaa efisɛ yare no ho sɛnkyerɛnne no di nsɛ kakra. Wɔsan frɛ eyi `(Pseudoallergy)`. Ɛne sɛ, ɛwom sɛ ɛte sɛ nea ɛyɛ akisikuru de, nanso ɛsono nea ɛde ba. Wɔ allergy mu no, yɛn nipadua mu ahoɔden a ɛko tia nyarewa no yɛ n’ade tia biribi (e.g. aduan). Nanso wɔ `(Histamine Intolerance)` mu no, ɛno nsi.

So eyi ne `(Histamine Intoxication)` anaa `(Histamine Poisoning)` yɛ pɛ? Saa ara nso na ɛnyɛ saa. `(Histamine Intoxication)` taa ba bere a nnipa dodow bi di aduan a `(Histamine)` pii wom, te sɛ mpataa a asɛe, na mpofirim ara wonya aduan ho akisikuru. Wɔakyerɛw eyi ho asɛm yiye. Nanso, wɔ `(Histamine Intolerance)` mu no, sɛnkyerɛnne no ba esiane `(Histamine)` a ɛboaboa ano nkakrankakra wɔ nipadua no mu nti.

Dɛn ne `(Histamine Intolerance)` ho sɛnkyerɛnne?

Eyi ne ade a ɛho hia sen biara. Nsɛnkyerɛnne a ɛkyerɛ sɛ `(Histamine Intolerance)`Ebetumi ayɛ soronko wɔ onipa biara ho. Ebia nnipa binom behu sɛnkyerɛnne biako pɛ, bere a afoforo nso betumi anya pii prɛko pɛ. Momma yɛnhwɛ nea ɛyɛ sɛnkyerɛnne ahorow yi:

• Atiridiinini: Atiridiinini a ɛtaa ba.
• Bloating: Nkate a ɛma obi yɛ ma wɔ yafunu mu.
• Akisikuru anaa ɔfe: Sɛ obi ntumi nnidi anaasɛ ɔte nka sɛ ɔpɛ sɛ ɔfe.
• Tiyɛ: Ɛtɔ mmere bi a, tiyɛ a emu yɛ den te sɛ atiridiinini betumi aba.
• Hwene a ɛretu anaasɛ ɛyɛ mmerɛw: Te sɛ atiridii.
• Ɔhome a ɛyɛ tiaa (Dyspnea): Ɔhome a ɛyɛ den.
• Ɛyaw: Honam ani yaw, na ɛtɔ mmere bi a ɛma obi ho yɛ hyew.
• Rash anaa hives: Akisikuru kɔkɔɔ a ɛkɔ soro wɔ honam ani.
• Flushing: Anim a ɛyɛ kɔkɔɔ mpofirim.
• `(Low blood pressure)`: , .
• Koma a ɛbɔ daa anaasɛ ɛyɛ ntɛmntɛm (Arrhythmia): Nsakrae a ɛba sɛnea koma no bɔ ntɛmntɛm mu.
• Mmea te ɛyaw a emu yɛ den bere a wɔrekɔ brayɛ mu (Painful menstruation).
• W’ano, tɛkrɛma anaa wo menewa a ɛho ahonhon: Eyi yɛ sɛnkyerɛnne a ɛyɛ hu kakra.

Woahu, ɛnte saa? Saa sɛnkyerɛnne ahorow yi taa te sɛ nyarewa afoforo de. Ɛno nti na ɛho hia sɛ wokɔ oduruyɛfo nkyɛn na woahu nea asɛe no ankasa.

Dɛn nti na eyi `(Histamine Intolerance)` ba?

Nsusuwii ahorow wɔ hɔ a ɛfa nea ɛde eyi ba no ho. Nsusuwii titiriw biako ne sɛ enzyme a wɔfrɛ no Diamine Oxidase (DAO) dodow a ɛwɔ yɛn nipadua mu a ɛboa ma histamine bubu no so tew anaasɛ ne dwumadi so tew. Fa no sɛ, yɛn nipadua no nya histamine fi aduan mu, na ɛno nso ma ɛba nipadua no mu. Sɛ histamine dodow kɔ soro a, ɛsɛ sɛ enzyme DAO yɛ adwuma de siw ano. Enti sɛ enzyme DAO no anyɛ adwuma yiye a, histamine boaboa ano wɔ nipadua no mu na sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no fi ase da adi.

Nanso, wonnya nkyerɛɛ nea enti a saa ``(DAO)`` enzyme yi dodow so tew, anaasɛ nea enti a ne dwumadi so tew wɔ nyansahu mu. Enti, abenfo da so ara reyɛ eyi ho nhwehwɛmu. Wogye di sɛ awosu mu nneɛma, nnuru bi, anaa dwensɔtwaa mu nyarewa afoforo betumi aka eyi.

Nnuan bɛn na ɛma histamine yɛ kɛse?

Nnuan bi wɔ hɔ a histamine dɔɔso fi awosu mu. Titiriw no, histamine pii wɔ nnuan a wɔabɔ akwakoraa na wɔayɛ no yiye sɛnea ɛbɛyɛ a wɔbɛkora so no mu.Afei nso, nnuan bi wɔ hɔ a sɛ wodi a, ɛma `(Histamine)` a efi nkwammoaa a wɔfrɛ no `(Mast cells)` mu wɔ yɛn nipadua mu no yɛ kɛse. Wɔfrɛ eyinom `(Histamine ahofadifo)`. Saa nnuan abien yi nyinaa betumi ama `(Histamine)` dodow akɔ soro wɔ nipadua no mu.

Momma yɛnhwɛ nhwɛso ahorow bi:

• Nsã: titiriw bobesa, beer, champagne.
• Nam a wɔayɛ: Nneɛma te sɛ soseji, ham, bacon.
• Cheese: Titiriw cheese a akyɛ na ɛyɛ den.
• Sauerkraut: Kabege a wɔayam.
• Nnuadewa: Nnuadewa bi te sɛ tomato, akutu, akutu.
• Nnuaba a ɛwɔ mmeae a osu tɔ na owia bɔ kɛse: Nnuaba a wɔfrɛ no citrus te sɛ ananse, banana, papaya, ne akutu.
• Mpataa ne akutu: Titiriw mpataa te sɛ mackerel, herring, sardines, ne mackerel. Mpataa a wɔakora so ne nea wɔde ahyɛ toa mu nso wɔ histamine pii.
• Strawberry a wɔde yɛ nneɛma.
• Nnuadewa ne atoko.
• Licorice a wɔfrɛ no licorice.
• Kyokolate.
• Prakonam.
• Egg fitaa.
• Nneɛma a wɔde ka nnuan ho: Wɔde kɔla ne nneɛma bi a wɔde hyɛ nnuan mu ka nnuan ho.

Fa no sɛ wokɔɔ apontow bi ase na wonom bobesa bi ne kyiisi bi. Sɛ wo yafunu yɛ wo yaw anaasɛ wufi ase yɛ wo yaw akyiri kakra a, ebetumi aba sɛ esiane sɛ wudii `(Histamine)` pii nti.

Mma saa nsɛm a wɔahyehyɛ yi nnyɛ wo hu. Ɛnyɛ obiara na ne ho bɛtɔ no wɔ saa nnuan yi nyinaa ho. Ebia ɛsono nnuan ahorow a obiara ho nyɛ no dɛ.

Wobɛyɛ dɛn ahu sɛ wowɔ `(Histamine Intolerance)`?

Eyi ne ɔfã a ɛyɛ den sen biara. Efisɛ, sɛnea yɛadi kan aka no, nnuruyɛfo dodow no ara nnye `(Histamine Intolerance)` ntom sɛ ɛyɛ aban mpanyimfo nhwehwɛmu. Afei nso, wonnya nyɛɛ nhwehwɛmu pɔtee biara a ɛbɛma wɔahu sɛ obi anya bi.

Nanso, sɛ wokɔ oduruyɛfo nkyɛn a, wobetie wo yare no ho sɛnkyerɛnne no yiye na wɔayi nneɛma afoforo a ɛde ba no afi hɔ. Ebia wɔde wo bɛkɔ oduruyɛfo a ɔhwɛ akisikuru anaa yafunu mu yare nso nkyɛn.

Mpɛn pii no, oduruyɛfo betumi ayɛ nneɛma te sɛ:

• Aduan ho kyerɛwtohɔ a wobɛkyerɛw: Ɛha na wokyerɛw biribiara a wudi na wonom da biara, sɛnkyerɛnne biara a wubehu, ne bere tenten a atwam a efii ase. Eyi betumi aboa wo ne wo duruyɛfo nyinaa ma woahu nhwɛso ahorow. Ebia ɛnyɛ aduan biako na ɛde ɔhaw no ba, na mmom nnuan pii a wɔaka abom.
• Wo honam ani nhwehwɛmu a ɛma obi ho yɛ no hyew anaa mogya mu nhwehwɛmu: Wɔyɛ eyinom de hu sɛ ebia wowɔ aduan ho akisikuru ankasa, anaasɛ wɔde gyae.
• Aduan mu asɛnnennen sɔhwɛ: Eyi hwehwɛ sɛ, wɔ oduruyɛfo hwɛ ase, sɛ wɔbɛma wo aduan a wosusuw sɛ wudi no kakraa bi na woahwɛ sɛ ebia sɛnkyerɛnne biara wɔ hɔ anaa. Wɔtaa yɛ eyi wɔ ayaresabea.

Ɔkwan bɛn so na wɔsa `(Histamine Intolerance)`?

Wɔtaa sa aduan a wontumi nnyina ano denam nnuan a ɛrema wo ho nyɛ wo dɛ a wobehu na wɔakwati so.

Ɔkwan baako a wɔfa so yɛ eyi ne sɛ `Elimination Diet`. Ɛne sɛ, wugyae nnuan a wususuw sɛ `(Histamine)` pii wom no nyinaa di adapɛn kakraa bi. Sɛ woanhu sɛnkyerɛnne biara wɔ saa bere no mu a, ɛnde wosan de saa nnuan no ka w’aduan ho mmiako mmiako, nna kakraa biara. Afei wubetumi ahu nnuan a ɛde yare no ho sɛnkyerɛnne ba. Ɛnonom ne nnuan a ɛde wo yare no ho sɛnkyerɛnne reba. Afei wubetumi akwati saa nnuan no.

So aduru bi wɔ hɔ a wɔde sa `(Histamine Intolerance)`?

Yiw, nnuru bi wɔ hɔ a ebetumi aboa ma saa sɛnkyerɛnne ahorow yi so atew. Nanso , nnuru yi nkutoo nnɔɔso; ɛsɛ sɛ wɔnom de ka aduan pa ho. Oduruyɛfo betumi akyerɛw nnuru te sɛ:

• `(H1 ne H2 antihistamines)`: Eyinom yɛ adwuma denam `(receptors)` a ɛyɛ wɔn ade wɔ `(Histamine)` ho wɔ nipadua no mu a wosiw ano no so. Afei, sɛ `(Histamine)` wɔ hɔ mpo a, entumi nyɛ adwuma. Nnuru te sɛ `(Cetirizine)`, `(Loratadine)`, `(Fexofenadine)`, a wɔtaa de ma ma akisikuru no yɛ `(H1 antihistamines)`. Nnuru te sɛ `(Ranitidine)`, `(Famotidine)`, a wɔde ma wɔ yafunu mu haw ho no, hyɛ `(H2 antihistamines)` mu.
• `(Mast cell stabilizers)`: Nnuru te sɛ `(Cromolyn sodium)` gyae `(Histamine)` a efi `(Mast cells)` mu no. Wɔahu sɛ abɔdeɛ mu nneɛma bi, sɛ nhwɛsoɔ no, `(Flavonoids)`, `(Luteolin)` ne `(Quercetin)` nso wɔ saa su yi.

Bere bɛn na ɛsɛ sɛ mekɔ ayaresabea ntɛm ara? (Bere a ɛsɛ sɛ wokɔ ER)

Ɛtɔ da bi a, saa nsɛnkyerɛnne yi tumi yɛ den paa . In such cases , a severe allergic reaction called ``Anaphylaxis'' can occur, which can be life-threatening . Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara, anaa frɛ 1990:

• Anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon mpofirim.
• Sɛ́ wobɛte nka sɛ ɔhome a ɛyɛ den dodo.
• Mogya mmoroso a ɛkɔ fam mpofirim (eyi betumi ama wayɛ mmerɛw kɛse, n’adwene atu afra, watotɔ piti, na wayɛ basaa).

So nnuru bi betumi ama histamine dodow a ɛwɔ nipadua no mu no akɔ soro?

Yiw, nnuru bi wɔ hɔ a ebetumi ama `(Histamine)` dodow akɔ soro wɔ nipadua no mu bere a wɔnom no. Sɛ nhwɛsoɔ no, nnuru bi a wɔde kum ɛyaw `(Opioids/Narcotics)` ne ebinom `(Contrast agents)` a wɔde di dwuma wɔ aduruyɛ mu nhwehwɛmu mu (titiriw nea wɔde ma ansa na `(X-ray)`, `(CT scan)` ne nea ɛkeka ho) ka eyi ho.

Daakye bɛn na obi a ɔwɔ `(Histamine Intolerance)` betumi ahwɛ kwan?

Mma eyi nnyɛ wo hu. Nnipa pii a wɔn aduan ho yɛ den no betumi adi wɔn tebea no ho dwuma denam nsakrae a wɔbɛyɛ wɔ wɔn aduan mu no so. Wɔ tebea horow a emu yɛ den mu no, ebia ebehia sɛ wɔnom nnuru a wɔkyerɛw ma wɔn.

Nea eye sen biara ne sɛ ɛtɔ mmere bi a saa abodwokyɛre a wonni yi betumi ayɛ bere tiaa mu de. Bere kɔ so no, ebia wubetumi adi nnuan a kan no na ɛyɛ wo yaw bio, kakraa bi.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow a wuntumi nkyerɛkyerɛ mu, anaasɛ wususuw sɛ wunni aduan bi ho abotare anaasɛ wote nka a, hwɛ hu sɛ wobɛkɔ w’abusua oduruyɛfo nkyɛn. Obetumi ahu sɛ ɛyɛ akisikuru, akisikuru a wontumi nnyina ano, anaa biribi foforo.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa nsɛm te sɛ eyinom:

• "Oduruyɛfo, so eyi yɛ allergy anaasɛ ɛyɛ intolerance?"
• "Mɛyɛ dɛn ahu nnuan a me ho yɛ me hyew ankasa?"
• "Sɛ minya reaction te sɛ eyi a, dɛn na ɛsɛ sɛ meyɛ?"

Ɛtɔ mmere bi a, yɛn nipadua yɛ ahintasɛm kakra. Yɛpɛ sɛ yehu nea ɛrehaw yɛn ara kwa. Yɛn nyinaa pɛ sɛ yehu nea ɛrekɔ so wɔ yɛn nipadua mu na yenya ayaresa a ɛfata. Tebea afoforo pii wɔ hɔ a ebetumi de sɛnkyerɛnne a ɛte sɛ `(Histamine Intolerance)` aba. Nanso mpɛn pii no, nkyerɛkyerɛmu foforo wɔ hɔ. Wo duruyɛfo betumi asɔ wo ahwɛ sɛ wowɔ tebea afoforo na waboa wo ma woahu nea ɛde wo sɛnkyerɛnne ahorow no ba. Ebetumi aboa nso sɛ wobɛkyerɛw wo yare no ho sɛnkyerɛnne ne bere a ɛba no da biara da. Wubetumi ne wo duruyɛfo abom asusuw afotu a ɛbɛboa wo ma woanya ahotɔ.

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

• Histamine a wontumi nnyina ano yɛ tebea a akyinnyegye wom a ɛba bere a nipadua no ntumi nnye histamine yiye no. Ɛnyɛ yare a aban gye tom.
• Nsɛnkyerɛnne no gu ahorow, na ebetumi ayɛ yafunu a ɛyɛ yaw, honam ani haw, ne ti a ɛyɛ yaw.
• Eyi nyɛ aduan ho akisikuru.
• Nnuan a wɔayam na wɔakora so no wɔ `(Histamine) pii.` Wobetumi ahu no nso wɔ chocolate, tomato, ne nnuaba bi mu.
• Sɔhwɛ pɔtee biara nni hɔ. Ɛho hia sɛ wokyerɛw aduan ho kyerɛwtohɔ na wo ne wo duruyɛfo kasa.
• Ayaresa titiriw ne sɛ wobehu nnuan a ɛhyɛ abufuw no na wɔakwati. Nnuru bi nso betumi aboa.
• Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu. Mma w’ankasa nhwehwɛ na wobɔ mmɔden sɛ w’ankasa wubedi w’aduan so. Saa sɛnkyerɛnne ahorow yi nso betumi ayɛ yare foforo a emu yɛ den ho sɛnkyerɛnne.

Yɛrepɛ sɛ mo akwahosan pa!

` Histamine, Histamine a wontumi nnyina ano, Aduan a wontumi nnyina ano, DAO enzyme, Aduan a wɔyam, Histamine, Histamine a wontumi nnyina ano, Aduan a wontumi nnyina ano, DAO enzyme, Aduan a wɔyam