So w’ahurututu nso te nka wɔ allergy ho? Momma yɛnka (Hypersensitivity Pneumonitis) ho asɛm!

Ɛtɔ mmere bi a, ɛyɛ den ma wo sɛ wobɛhome, anaasɛ ɔfe ara kwa? Ebia w’ahurututu tumi te mfutuma anaa nsunsu bi a ɛwɔ w’adwumam anaa fie tebea mu no nka. Ɛno ne tebea a yɛrebɛka ho asɛm nnɛ, a wɔfrɛ no ``Hypersensitivity Pneumonitis''. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm tiawa.

Dɛn ne eyi `(Hypersensitivity Pneumonitis)`? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Hypersensitivity Pneumonitis yɛ mframa kotoku nketenkete a ɛwɔ w’ahurututu mu (a wɔsan frɛ no alveoli) no ho akisikuru. Sɛnea ɛtɔ mmere bi a yɛn nipadua yɛ n’ade wɔ biribi a epira yɛn ho no, saa ara na yɛn ahurututu nso yɛ n’ade wɔ nneɛma bi ho. Saa sɛnkyerɛnne ahorow yi betumi aba mpofirim (a emu yɛ den) na akɔ ntɛmntɛm, anaasɛ ebetumi aba bere tenten na abɛyɛ nea enni sabea .

Seesei woredwene sɛ, "Oh... so eyi te sɛ allergy a ɛwɔ mfutuma mu nwansena anaa pollen ho ara kwa?" Ɛnyɛ ankasa. Hypersensitivity pneumonitis yɛ ɔkwan soronko a nipadua no tumi ko tia nyarewa sen akisikuru a ɛtaa ba. Nea ɛnte sɛ akisikuru a ɛtaa ba a ɛma hwene mu nsu, aniwa a ɛyɛ yaw, ne ayamtu no, eyi yɛ tebea a sɛ obi de ne ho hyɛ akisikuru no mu mpɛn pii a, ebetumi asɛe ahurututu no daa. Enti eyi yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.

Chronic Hypersensitivity Pneumonitis hyɛ ahurututu mu yare a ɛwɔ ntam no mu . Bere kɔ so no, eyi betumi ama ahurututu mu akuru aba.

Hena na ɛda adi sɛ obenya Hypersensitivity Pneumonitis?

Ɛwom sɛ tebea yi betumi aba obiara so de, nanso nnipa a wɔyɛ adwuma wɔ nnwuma bi mu na wɔtaa nya nneɛma pɔtee bi a ɛma wɔn ho yɛ wɔn naa no wɔ asiane kɛse mu kakra. Hwɛ sɛ wowɔ asiane mu anaa:

• Nnipa a wɔyɛ adwuma wɔ mfuw mu: te sɛ wɔn a wɔhwɛ anantwi na wodua nhabannuru. Ɛtɔ mmere bi a esiane sɛ wɔde wɔn ho hyɛ nneɛma te sɛ sare ne mfutuma mu bere nyinaa nti.
• Nnipa a wɔne mmoa yɛ adwuma: mmoa ho animdefo, nnipa a wɔtete mmoa te sɛ nnomaa, nkokɔ, ne nea ɛkeka ho Esiane nneɛma te sɛ nnomaa ntakra ne ntakra nti.
• Nnipa a wɔyɛ adwuma wɔ mmeae a wɔyam aburow anaa esiam anaa wɔde nneɛma gu mu: wɔ mmeae te sɛ aburow a wɔyɛ wɔ yɛn man yi mu.
• Nnipa a wɔyɛ adwuma wɔ mmeae a wɔyɛ nnua ne nnua a wɔde twa nnua.
• Nnipa a wɔwɔ mmeae a wɔyɛ ɔfasu ne krataa.
• Dade adwumayɛfo.
• Nnipa a wɔne nnomaa nsu ne wɔn ntakra: Pillow ne mattress a ntakra ahyɛ mu ma a wɔde bedi dwuma nso betumi ayɛ nea ɛde eyi ba.
• Nnipa a wɔhome nneɛma a ɛma wɔn ho yɛ hyew fi nneɛma a wɔde yɛ ɔhyew a wɔanhwɛ so yiye, ɔhyew ne mframa a wɔde yɛ adwuma, anaa nsu a ɛyɛ hyew mu.
• Mpɛn pii no, wodi mfe 50 kosi 70.

Fa no sɛ, wɔ afie bi mu no, nnomaa te sɛ akɔre yɛ berebuw. Sɛ wɔansiesie saa berebuw no yiye a, saa tebea yi nso betumi afi mfutuma ne nsu a efi mu ba a wɔhome no mu aba.

So Hypersensitivity Pneumonitis yɛ tebea a emu yɛ den?

Yiw, `(Hypersensitivity Pneumonitis)` yɛ tebea a ɛtɔ mmere bi a ebetumi ayɛ aniberesɛm . Efisɛ, sɛ wokɔ so nya aduru a ɛma wo ho yɛ wo hyew no a, ɔfe a ɛwɔ ahurututu no mu no betumi asɛe ade daa. Enti, ɛho hia paa sɛ wobɛhwehwɛ aduruyɛfoɔ afotuo ntɛm ara sɛ wowɔ sɛnkyerɛnne bi a.

Ɔkwan bɛn so na eyi `(Hypersensitivity Pneumonitis)` ka yɛn nipadua?

Sɛ wowɔ ``Hypersensitivity Pneumonitis'' a, wo nipadua no yɛ n'ade boro so wɔ nneɛma nketenkete bi (yɛfrɛ eyinom ``allergens'') a wohome wɔ mu no ho.Saa allergens yi taa fi w'adwumam anaa fie tebea mu. Saa nneɛma nketenkete yi sua araa ma ebetumi akɔ mframa kotoku nketenkete (alveoli) a ɛwɔ w’ahurututu mu no mu na ɛde ɔfe aba hɔ.

Sɛ wudi kan yɛ w’ade wɔ aduru a ɛma wo ho yɛ wo hyew no ho a, wo nipadua no mu tumi a ɛko tia nyarewa no yɛ nnuru a ɛma wohu. Afei, bere a wohyia aduru a ɛma wo ho yɛ wo hyew no mpɛn pii no, wo nipadua no yɛ nea ɛyɛ mmerɛw kɛse na efi ase yɛ n’ade denneennen. Bere kɔ so no, eyi sɛe mframa kotoku (alveoli) ne mframa kwan nketenkete a ɛka ho no. Ɛno na ɛde sɛnkyerɛnne te sɛ ahome a ɛyɛ den ne ɔfe ba.

Dɛn ne `(Hypersensitivity Pneumonitis)` ho sɛnkyerɛnne?

Saa sɛnkyerɛnne ahorow yi betumi ayɛ nea emu yɛ den anaasɛ enni sabea.

Nsɛnkyerɛnne a ɛkyerɛ sɛ `(Hypersensitivity Pneumonitis)` a emu yɛ den:

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi wɔ nnɔnhwerew kakraa bi akyi bere a wɔde aduru a ɛma obi ho yɛ no hyew no adi dwuma no, na ebetumi atra hɔ nnɔnhwerew pii anaa nna pii mpo.

• Ɔhome a ɛyɛ den (dyspnea) .
• Ɔfe a ɛyɛ dry
• Koko a ɛyɛ den, ɛte sɛ nea asiw
• Awɔw a ɛyɛ nwini
• Ɔbrɛ a emu yɛ den
• Huraeɛ
• Nipadua mu yaw, ntini mu yaw

Ɛte sɛ nea mewɔ atiridiinini. Me nipadua te nka mpofirim sɛ emu yɛ duru.

Nsɛnkyerɛnne a Ɛwɔ Akyi berɛmo mu Yare a Ɛma Nkate Ntraso a Enni Nnibere Ho:

Saa sɛnkyerɛnne ahorow yi da adi nkakrankakra, na bere kɔ so no, ɛkɔ soro nkakrankakra.

• Ɛyɛ den sɛ wobɛhome, titiriw bere a woabrɛ anaa woreyɛ apɔw-mu-teɛteɛ no
• Ɔfe (ebia ɛne phlegm) .
• Ɔbrɛ
• Mu duru a ɛso tew
• Nsateaa anaa nansoaa ano a ɛtrɛw (Clubbing) - Eyi nsi obiara.

Sɛ wonya `(Hypersensitivity Pneumonitis)` a, ɛte dɛn?

Acute `(Hypersensitivity Pneumonitis)` betumi ate nka sɛ atiridii. `(Hypersensitivity Pneumonitis)` a enni sabea betumi ayɛ den sɛ wobehu efisɛ ɛkɔ so nkakrankakra. Ebia wubehu sɛ, "Ɛte sɛ nea ɛyɛ den ma me sɛ mɛhome mprempren sen kan no," "Ɛte sɛ nea me ɔfe ne me brɛ reyɛ kɛse."

Dɛn na ɛde Hypersensitivity Pneumonitis ba?

Ade titiriw a ɛde ahurututu mu yare a ɛma obi ho yɛ no hyew ba ne nneɛma (nneɛma a ɛma obi ho yɛ no hyew) a ɛma obi ho yɛ no hyew wɔ ahurututu no mu a ɔhome. Bere kɔ so no, eyi betumi asɛe ahurututu no na ama yare no ho sɛnkyerɛnne no asɛe kɛse. Wɔahu nneɛma bɛboro 300 na ɛde ahurututu mu yare a ɛma obi te nka kɛse ba. Eyinom bi ne:

• Mmoawa a wɔde nyarewa ba
• Nkuku ne fungi: Wobetumi ahu eyinom wɔ afasu dedaw so, aguaree mu, ne AC mfiri a wɔansiesie no yiye mu.
• Nnuru ne dade ahorow bi.
• Mmoa ne afifide mu protein: Sɛ nhwɛso no, protein a ɛwɔ nnomaa ntakra ne mmoa nsu mu.

Nhwɛso ahorow bi a ɛfa `(Hypersensitivity Pneumonitis)` ho:

Edin ahorow mpo wɔ hɔ ma ``Hypersensitivity Pneumonitis'' ahorow a nneɛma ahorow a ɛma obi ho yɛ no yaw de ba no. Nhwɛsoɔ:

• Okuafo Ahurututu: Nkuku a ɛwɔ nneɛma te sɛ sare ne aburow mu na ɛde ba.
• Bird Fancier’s Lung: Protein ahorow a ɛwɔ nnomaa ntakra ne ntakra mu na ɛde ba.
• Humidifier Lung: Ɛyɛ mmoawa ne fungi a efi humidifiers ne AC units a wɔanhohoro ho yiye mu ba.

So COVID-19 de Hypersensitivity Pneumonitis ba?

Sɛnea mprempren nsɛm kyerɛ no, `(COVID-19)` nyɛ ade a ɛde `(Hypersensitivity Pneumonitis)` ba tẽẽ. Nanso, `(COVID-19)` tumi ma ahurututu mu ɔfe, a ɛtɔ da bi a ebetumi ayɛ te sɛ `(Hypersensitivity Pneumonitis)`. Adanse nso wɔ hɔ a ɛkyerɛ sɛ sɛ obi a ɔwɔ `(Hypersensitivity Pneumonitis)` dedaw nya `(COVID-19)` a, saa tebea no betumi ayɛ den kɛse.

Ɔkwan bɛn so na wohu Hypersensitivity Pneumonitis?

Oduruyɛfo bi begyina wo sɛnkyerɛnne ahorow, w’adwuma ho nsɛm, baabi a wote, nipadua mu nhwehwɛmu, ne nhwehwɛmu afoforo pii so ahu Hypersensitivity Pneumonitis. Oduruyɛfo no bebisa wo nsɛm de ate nneɛma a ɛma wo ho yɛ wo hyew a wohyia no ase.

Oduruyɛfo no de afiri a wɔde tie asɛm betie w’ahurututu, de afiri ketewaa bi (`pulse oximeter`) a wɔde ahyɛ wo nsateaa so ahwɛ wo oxygen dodow, na obetumi nso ayɛ ahurututu mu dwumadi ho nhwehwɛmu, mogya mu nhwehwɛmu, anaa mfoniniyɛ mu nhwehwɛmu.

Nsɔhwɛ bɛn na wɔde hu `(Hypersensitivity Pneumonitis)`?

Nea ɛbɛyɛ na oduruyɛfo no asi tebea yi so dua no, obetumi ayɛ nhwehwɛmu ahorow a edidi so yi:

• Mogya mu nhwehwɛmu a ɛma obi ho yɛ no hyew: Woyi mogya kakraa bi fi wo basa mu de hwɛ sɛ ebia wo nipadua no yɛ n’ade wɔ nneɛma a ɛma obi ho yɛ no hyew a ɛde Hypersensitivity Pneumonitis ba no ho anaa. Ɛtɔ mmere bi a wɔfrɛ eyi sɛ Hypersensitivity Pneumonitis panel.
• Mfoniniyɛ mu nhwehwɛmu: Chest X-ray ne CT scan twa ahurututu no mfonini de hwɛ sɛ ebia biribi asɛe anaa.
• Ahurututu mu dwumadi ho sɔhwɛ ahorow: Mpɛn pii no, eyinom hwehwɛ sɛ wɔfa afiri bi a wɔde abɔ afiri mu so home na wɔde fi mu. Wobetumi asusuw sɛnea w’ahurututu reyɛ adwuma yiye no. Ebia nea ɛka ho nso ne mogya mu nhwehwɛmu ne apɔw-mu-teɛteɛ mu nhwehwɛmu.
• Bronchoscopy: Wɔ sɔhwɛ yi mu no, wɔde afiri ketewaa bi a ɛyɛ mmerɛw (a mfoninitwa afiri wom) fa hwene anaa ano no mu de hwɛ ahurututu no mu. Sɛ ɛho hia a, wobetumi afa nhwɛsode ahorow de asɔ ahwɛ.

Ɔkwan bɛn so na wɔsa Hypersensitivity Pneumonitis?

Sɛ wobɛsa Hypersensitivity Pneumonitis yiye a, ade a ɛho hia sen biara ne sɛ wobɛkwati aduru a ɛma wo ho yɛ wo hyew no koraa.

Sɛ wonom nnuru mpo a, sɛ wokɔ so nya aduru a ɛma wo ho yɛ wo hyew no a, yare no rensa koraa. Ɛtɔ da bi a, ɔsɛe a ``Hypersensitivity Pneumonitis`` a enni sabea de ba no betumi akɔ so akɔ soro, sɛ mpo wotwe wo ho fi allergen no ho a.

Ebia wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma ɔfe a ɛwɔ w’ahurututu mu no so atew, abue wo mframa kwan, anaasɛ ɛbɛma wo mframa pa dodow akɔ soro.

Dɛn ne nnuru/ayaresa a wɔde di dwuma ma `(Hypersensitivity Pneumonitis)`?

• Corticosteroids anaa nnuru a ɛma nipadua no tumi ko tia nyarewa: Eyinom brɛ ɔfe ase. Sɛ nhwɛso no, wobetumi de nnuru te sɛ prednisone, mycophenolate, anaa azathioprine ama.
• Nnuru a ɛko tia fibrotic: Sɛ nhwɛso no, pirfenidone ne nintedanib. Eyinom ma ahurututu mu akuru no brɛ ase.
• Ahurututu mu ahosiesie: Ahomegye apɔw-mu-teɛteɛ ne nipadua mu ayaresa boa ma ahomegye yɛ mmerɛw.
• Oxygen ayaresa: Sɛ wowɔ ahurututu mu yare a emu yɛ den a ɛma wote nka kɛse a, ebia ebehia sɛ wɔma wo oxygen foforo na ama woahwɛ ahu sɛ wo mogya ne wo ntini ahorow no benya oxygen a ɛdɔɔso. Wobetumi de eyi ama denam akataso a wɔde bɛhyɛ w’anim anaasɛ afiri a wɔde si wo hwene ase so.
• Ahurututu a wɔde si ananmu: Sɛ wo Hypersensitivity Pneumonitis no kɔ so yɛ ahurututu mu ntini a ɛyɛ mmerɛw , ebia ɛho behia sɛ wɔde w’ahurututu foforo ma.

Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?

Ɔfe a Hypersensitivity Pneumonitis de ba no betumi agye asram pii ansa na ahurututu no ayɛ yiye. Ebia nneɛma a wɔsɛe no no bi bɛtra hɔ daa.

So wobetumi asa Hypersensitivity Pneumonitis koraa?

Mpɛn pii no, ɛyɛ den sɛ wɔbɛsa ahurututu mu yare a enni sabea a ɛma obi te nka kɛse no koraa. Nanso, wobetumi asa ahurututu mu yare a emu yɛ den ne nea ɛba fam (bere tiaa mu) hypersensitivity pneumonitis denam nnuru so anaasɛ wɔmfa nni dwuma sɛ wokwati aduru a ɛma wo ho yɛ wo hyew no koraa a.

Sɛnea wobɛbɔ wo ho ban afi `(Hypersensitivity Pneumonitis)` ho?

Wɔrentumi nsakra ɔsɛe a `(Hypersensitivity Pneumonitis)` a enni sabea de ba no. Enti, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛtwe wo ho afi nneɛma a ɛma obi ho yɛ no hyew a ɛde ɔfe ba ahurututu mu no ho. Sɛ ɛsɛ sɛ wotra tebea a ɛte saa mu koraa a, wubetumi ayɛ saa nneɛma yi de atew asiane a ɛwɔ hɔ no so:

• Sɛ woyɛ adwuma wɔ adwuma a asiane wom mu (dade adwuma, nnomaa anaa mmoa afoforo a wo ne wɔn yɛ adwuma, wode nnua, krataa, aburow, ne nea ɛkeka ho yɛ adwuma) a, hyɛ ankorankoro ahobammɔ nnwinnade (PPE) bere a woreyɛ adwuma no. Titiriw no, fa akataso a ɛyi nneɛma nketenkete fi mu di dwuma.
• Ma humidifiers, hot tubs, heating ne cooling systems ho tew na ɛnyɛ nea ɛfata.
• Kwati sɛ wode pillow ne mattress a ntakra ahyɛ mu ma bedi dwuma.
• Ma w’ayɛmmoa mmeae (titiriw nnomaa afiri) ho tew. Hyɛ akataso bere a woresiesie wɔn ho no.

Sɛ wowɔ `(Hypersensitivity Pneumonitis)` a, dɛn na wubetumi ahwɛ kwan?

Nea wubetumi ahwɛ kwan no gyina bere tenten a woanya Hypersensitivity Pneumonitis ne sɛnea emu yɛ den no so.

• Acute ``Hypersensitivity Pneumonitis'' taa gyae wɔ nna kakraa bi mu, gye sɛ onipa no san nya allergen no bio.
• Subacute ``Hypersensitivity Pneumonitis`` (a ɛnam allergen a ɛba fam a wɔde di dwuma mpɛn pii so na ɛba) tumi di asram pii na wɔtaa de nnuru sa.
• Mpɛn pii no, Ahurututu mu yare a Enni sabea no nsa koraa, nanso wobetumi de nnuru adi sɛnkyerɛnne ahorow no so.

Nsɛnnennen a ɛwɔ `(Hypersensitivity Pneumonitis)` mu

Sɛ obi kɔ so nya biribi a ɛma obi ho yɛ no hyew a ɛde Hypersensitivity Pneumonitis ba a, ebetumi de nsɛnnennen a emu yɛ den aba, a nea ɛka ho ne:

• Ahurututu mu akuru (ahurututu mu ntini a ɛyɛ den) .
• Mogya mmoroso a ɛkɔ soro wɔ koma ne ahurututu ntam (ahurututu mu mogya mmoroso) .

Dɛn ne anidaso a ɛwɔ tebea `(Hypersensitivity Pneumonitis)` no ho?

Ahurututu mu yare a enni sabea a ɛma wotumi te nka kɛse no ho anidaso gyina baabi a w’ahurututu no asɛe no so. Nhwehwɛmu kyerɛ sɛ sɛ w’ahurututu nni akuru a, wubetumi anya nkɔso kɛse wɔ afe biako akyi bere a woahu sɛ wowɔ wo yare no. Nnipa a akuru wɔ wɔn ahurututu mu no wɔ asiane mu sɛ sɛ wɔamfa ahurututu mu yare a ɛma wɔte nka kɛse no bewuwu wɔ mfe kakraa bi mu. Ebia eyi bɛyɛ te sɛ nea ɛyɛ hu, nanso ɛho hia sɛ wuhu saa nsɛm yi.

Dɛn ne obi a ɔwɔ `(Hypersensitivity Pneumonitis)` nkwa nna?

Eyi nso gyina sɛnea ahurututu no asɛe no mu yɛ den so. Ahurututu a wɔde ma obi foforo betumi atrɛw saa bere yi mu.

• Wɔ obi a onni akuru (a onni fibrosis): Nkwa nna bɛboro mfe 15 wɔ bere a wɔahu sɛ ɔwɔ yare no akyi.
• Wɔ obi a ɔwɔ akuru nanso n’ahurututu mu nneɛma foforo biara nsɛee no fam (e.g., ɛwo a wɔde hyɛ no):Bɛyɛ mfe 8 wɔ bere a wɔahu sɛ ɔwɔ yare no akyi.
• Wɔ obi a wasɛe kɛse - akuru ne `ɛwo`: bɛyɛ mfe 3 wɔ bere a wɔahu no akyi.

Mma akontaabu ahorow yi nnyɛ wo hu. Eyinom yɛ tebea horow a ɛfata. Eyi betumi ayɛ soronko wɔ onipa biara ho. Ade a ɛho hia sen biara ne sɛ wubedi aduruyɛ mu afotu akyi.

Mɛyɛ dɛn ahwɛ me ho wɔ `(Hypersensitivity Pneumonitis)` ho?

Sɛ wɔahu sɛ wowɔ Hypersensitivity Pneumonitis a, wo ne wo duruyɛfo nyɛ adwuma na yɛ nhyehyɛe bi a ɛbɛma w’ahurututu no asɛe bio. Fa nnuru no nyinaa sɛnea wɔakyerɛw ama wo no. Bisa wo duruyɛfo no apɔw-mu-teɛteɛ ne ahomegye a wubetumi ayɛ wɔ fie na ama w’ahurututu ayɛ adwuma yiye ho asɛm.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn fa `(Hypersensitivity Pneumonitis)` ho?

Sɛ wowɔ `(Hypersensitivity Pneumonitis)` ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wowɔ `(Hypersensitivity Pneumonitis)` dedaw a, kɔ oduruyɛfo nkyɛn sɛ wunya sɛnkyerɛnne foforo anaasɛ wo sɛnkyerɛnne no mu yɛ den a.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

• Dɛn na ɛmaa minyaa `(Hypersensitivity Pneumonitis)`?
• Mɛyɛ dɛn atwe me ho afi allergen a ɛde eyi ba no ho?
• So m’ahurututu asɛe? Ɛyɛ bɔne dɛn?
• So wobetumi asan tebea yi?
• Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
• Bere tenten ahe na ebegye ansa na me ho atɔ me?
• Bere bɛn na ɛsɛ sɛ meba bɛhwɛ wo bio?

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

Hypersensitivity pneumonitis yɛ tebea a ebetumi asɛe ahurututu no kɛse bere a wɔde biribi a ɛma obi ho yɛ no yaw ahyɛ mu mpɛn pii akyi no. Nanso, sɛ wohu no ntɛm a, wobetumi agyae saa kyinhyia yi ansa na ɔsɛe a wontumi nsakra no aba. Sɛ wowɔ ahurututu mu sɛnkyerɛnne biara a ɛkɔ so daa a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Sɛ wɔahu sɛ wowɔ Hypersensitivity Pneumonitis a, wo ne wo duruyɛfo nkasa nokwarem wɔ sɛnea wo tebea no mu yɛ den no ho. Eyi bɛboa wo ma woayɛ nhyehyɛe a ɛfa nea wobɛhwɛ kwan ne sɛnea wobɛma wo home ne w’asetra atu mpɔn ho. Mma ɛnhaw wo, wobetumi adi tebea yi ho dwuma denam ayaresa a ɛfata ne asetra mu nsakrae so.

` Hypersensitivity Ahurututu mu yare, ahurututu mu akisikuru, ɔhome mu yare, ɔfe a enni sabea, ahome a ɛyɛ den, nneɛma a ɛma obi ho yɛ no yaw, ahurututu mu yare