So wo ba kumaa no nya akisikuru kɔkɔɔ wɔ ne nipadua so bere a wanom nufusu awie no? Anaasɛ ɔfe? Ebia wo nso wo yafunu ayɛ wo yaw na ɛyɛ den sɛ wobɛhome bere a woadi biribi te sɛ nufusu, yogurt, anaa kyiisi akyi. Eyi yɛ ɔhaw a nnipa pii wɔ. Ɛnnɛ yɛreka eyi a abu so yiye, nanso ɛtɔ mmere bi a asiane wom, nufusu ho akisikuru, anaa Nufusu ho akisikuru .
Dɛn ankasa ne nufusu ho akisikuru?
Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ yɛn nipadua mu tumi a ɛko tia nyarewa, nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho no yɛ ade boro so wɔ protein a ɛwɔ nufusu mu no ho. Yɛn nipadua susuw sɛ saa nufusu mu protein ahorow yi yɛ ɔtamfo kɛse, enti efi ase ko tia wɔn. Eyi nti na akisikuru ho sɛnkyerɛnne da adi no.
Mpɛn pii no, nantwinini nufusu na ɛde eyi ba , nanso nnipa binom nso betumi ayɛ wɔn ayayade wɔ mmoa nufusu ahorow afoforo te sɛ abirekyi nufusu ne nguan nufusu ho.
Nanso nneɛma kakraa bi wɔ hɔ a ɛnsɛ sɛ yɛma yɛn adwene tu fra wɔ ha:
- Nokware Nufusu Ho Akisikuru: Eyi yɛ tebea a ɛfa nipadua no mu tumi a ɛko tia nyarewa ho.
- Nufusu mu protein a wontumi nnye ntom wɔ nkokoaa mu: Eyi nso yɛ ɔkwan soronko a nipadua no tumi ko tia nyarewa, nanso mpɛn pii no ɛnyɛ nea ɛde nkwa to asiane mu.
- Lactose a wontumi nnye ntom: Eyi yɛ biribi soronko koraa. Ɛnyɛ allergy a ɛma obi ho yɛ no hyew. Ɛyɛ sɛnea yɛn nipadua ntumi nnya lactose, asikre bi a ɛwɔ nufusu mu no.
Nea ɛho hia sen biara: Ɛtɔ mmere bi a nufusu ho akisikuru ankasa betumi de ne nkwa ato asiane mu. Sɛ wunya akisikuru ho sɛnkyerɛnne a emu yɛ den, te sɛ ɛyɛ den sɛ wobɛhome a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ so (ETU) a ɛbɛn wo ntɛm ara.
Hena na tebea yi ka no kɛse?
Nufusu ho akisikuru betumi aka obiara a wadi mfe biara, nanso ɛtaa ba mmofra a wonnii mfe 16. Asɛmpa no ne sɛ mmofra dodow no ara nyin sen saa akisikuru yi bere a wɔrenyin no. Na te sɛ nkokoaa a wɔwɔ nufusu mu protein a wontumi nnye ntom nyinaa no, tebea no nso benyin asen ne ho bere a wɔrenyin no.
Saa akisikuru yi betumi aba nkokoaa a wɔma wɔn nufusu ne wɔn a wɔma wɔn nufu nyinaa mu.
Sɛ wonom nufusu a, dɛn na ɛba nipadua no mu?
Susuw ho hwɛ, wo nipadua no wɔ ne fã bi a ɛte sɛ ɔwɛmfo. Ɛno ne nipadua no mu tumi a ɛko tia nyarewa no. Sɛ nufusu mu protein ahorow hyɛn obi a ne ho nyɛ no dɛ wɔ nufusu mu nipadua mu a, awɛmfo yi susuw sɛ ɔtamfo bi aba.
Afei wɔfrɛɛ immunoglobulin E (Immunoglobulin E - IgE).Wɔyɛ antibody soronko bi a wɔfrɛ no IgE. Saa IgE antibodies yi kɔ na ɛbata nkwammoaa soronko (mast cells) a ɛwɔ yɛn honam ani ne yɛn home kwan mu no ho. Sɛ yɛsan nom nufusu a, saa IgE antibodies yi kyere nufusu mu protein ahorow no. Afei, nnuru bi a wɔfrɛ no histamine fi saa nkwammoaa no mu. Saa histamine no na ɛde akisikuru ho sɛnkyerɛnne nyinaa te sɛ akisikuru, ɛyaw, ne ahome a ɛyɛ tiaa ba.
- IgE mmuae: Eyinom yɛ ntɛmntɛm yiye. Nsɛnkyerɛnne no da adi wɔ simma kakraa bi mu bere a wɔanom nufusu no. Ɛtɔ mmere bi mpo a wobetumi anya nkɔso akodu akisikuru a emu yɛ den yiye a ɛde nkwa to asiane mu a wɔfrɛ no anaphylaxis .
- Nneyɛe a ɛnyɛ IgE: Eyinom gye bere tenten kakra ansa na aba. Ebetumi agye nnɔnhwerew 48 ansa na sɛnkyerɛnne ahorow no ada adi. Eyi abu so wɔ nkokoaa mu. Mpɛn pii no, eyinom nyɛ nea ɛde nkwa to asiane mu.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya nufusu a ne ho nyɛ no dɛ?
Nufusu ho sɛnkyerɛnne betumi ayɛ soronko wɔ nnipa biara mu. Wɔ nnipa binom fam no, ebetumi ayɛ mmerɛw koraa , bere a ebinom fam no, ebetumi ayɛ den yiye.
| Nsɛnkyerɛnne a Ɛnyɛ Den | Nsɛnkyerɛnne a emu yɛ den - Kɔ ayaresabea ntɛm ara! |
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Dɛn nti na saa akisikuru yi ba?
Protein ahorow atitiriw abien na ɛwɔ nufusu mu. Wubetumi ayɛ wo ho akisikuru wɔ eyinom mu biako anaa abien no nyinaa ho.
1. Casein: Ɔde ne nsa kyerɛɛ ne so.Eyinom yɛ protein ahorow a ɛwɔ nufusu mu no bɛyɛ 80%. Wohu wɔn wɔ ɔfã a ɛyɛ den a ɛforo kɔ soro bere a wɔde nufusu ayɛ no. Saa protein yi wɔ nneɛma te sɛ yogurt ne cheese nso mu. Ɛno na ɛma nufusu kɔla fitaa.
2. Whey: Eyi yɛ protein a ɛwɔ nufusu mu no bɛyɛ 20%. Wohu whey protein wɔ nsu fã a ɛka bere a wɔde nufusu ayɛ no mu.
Wobɛyɛ dɛn ahu no yiye sɛ eyi yɛ nufusu ho akisikuru?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn . Sɛ ɛho hia a, ɔde wo bɛkɔ oduruyɛfo a ɔhwɛ akisikuru nkyɛn. Wɔbɛyɛ sɔhwɛ ahorow bi de asi eyi so dua.
- Mogya mu Nhwehwɛmu: Wɔfa wo mogya bi na wɔsusuw IgE antibodies dodow a ɛko tia nufusu mu protein ahorow.
- Skin Prick Test: Wɔ eyi mu no, wɔde nsu bi a nufusu mu protein wom gu wo nsa honam ani na wɔde ade ketewaa bi twitwa mu brɛoo. Sɛ beae no dan kɔkɔɔ na ɛho ahonhon wɔ bɛyɛ simma 15 ntam a, wubetumi asi so dua sɛ wo ho yɛ wo hyew.
- Graded Oral Challenge: Wɔyɛ eyi wɔ aduruyɛfo hwɛ ase nkutoo. Wɔ eyi mu no, wɔma wo nufusu kakraa bi na wɔhwɛ no yiye sɛ ebia wowɔ akisikuru ho sɛnkyerɛnne biara anaa.
Ɔkwan bɛn so na wɔbɛsa yare na wɔadi ho dwuma?
Sɛ wowɔ nufusu ho akisikuru a, ɔkwan biako pɛ a eye sen biara a wobɛfa so asiw akisikuru ano ne sɛ wobɛkwati nufusu ne nnuan ne anonne a nufusu wom nyinaa koraa.
Nnuan bɛn na ɛsɛ sɛ yɛkwati?
- Nufusu (powder, condensed, nsu a ɛwɔ ahorow nyinaa mu) .
- Nufusu a efi mmoa afoforo mu (mpapo nufusu, nguan nufusu) .
- Bɔta, Ghee, na ɛwɔ hɔ
- Cottage cheese a wɔde yɛ aduan
- Yogurt, nufusu a wɔayam, custard, pudding
- Sour cream a wɔde yɛ aduru
Kenkan nnuan biara a wobɛtɔ wɔ sotɔɔ mu no din yiye. Ɛtɔ da bi a, sɛ ɛka sɛ "nufusu biara nni hɔ" mpo a, ebetumi aka biribi te sɛ "wɔayɛ wɔ adwumayɛbea a wɔyɛ nufusu ho adwuma." Hwɛ yiye wɔ nneɛma a ɛtete saa nso ho.
Ɔkwan bɛn so na wobetumi anya aduannuru a nufusu nka ho?
Nufusu yɛ aduannuru a ɛho hia te sɛ calcium ne vitamin D. Enti sɛ wugyae nufusu nom pɛ a, ɛsɛ sɛ wunya saa aduannuru yi fi nnuan afoforo mu.
- Spinach
- Broccoli a wɔde yɛ nneɛma
- Nufusu a calcium wom te sɛ soya nufusu ne almond nufusu
- Mpataa te sɛ salmon ne sardines
Ɛho hia yiye sɛ wubehu aduan ho ɔbenfo bi na wasua eyi ho ade pii.
Aduru a wɔde di dwuma ntɛm ara
Sɛ wo ho yɛ wo hyew kɛse a, wo duruyɛfo betumi akyerɛw wo aduru bi a wɔfrɛ no epinephrine auto-injector , a wɔsan frɛ no EpiPen®.Wɔbɛkyerɛw biako ama obi. Oduruyɛfo no bɛkyerɛkyerɛ mu akyerɛ wo sɛnea wode eyi bedi dwuma de agye wo nkwa sɛ ɛba sɛ wo ho yɛ wo hyew a emu yɛ den (anaphylaxis). Ɛsɛ sɛ wode eyi to wo nkyɛn bere nyinaa.
So nufusu mu akisikuru ne lactose a wontumi nnyina ano yɛ ade koro?
Yiw, eyinom yɛ tebea abien a ɛsono emu biara koraa. Ɛha na nnipa pii adwene tu fra.
| Su | Nufusu ho Allergy | Lactose a wontumi nnye ntom |
|---|---|---|
| Sɛnti | Nkwammoaa a ɛko tia nyarewa no mmuae (wɔ nufusu mu protein ahorow ho) . | Digestive system ho haw (lactose a wontumi nnye ntom) . |
| Mpopoeɛ | Wora mu akisikuru, ɛho ahonhon, ɛyɛ den sɛ wobɛhome, ɔfe, yafunu a ɛyɛ yaw | Yafunu a ɛho ayɛ kurukuruwa, yafunu mu yaw, yafunu a ɛyɛ mmerɛw |
| Sɛnea emu yɛ den | Ebia ɛde nkwa to asiane mu (Anaphylaxis) . | Ɛwom sɛ ɛnyɛ dɛ de, nanso ɛnyɛ nea ɛde nkwa to asiane mu. |
| Wɔtaa hu no kɛse | Wɔ nkokoaa ne mmofra nkumaa mu | Wɔ mpanyimfo ne mmerante ne mmabaa ntam |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho wɔ da biara da asetra mu sɛ wowɔ allergy a
- Hwɛ nea wudi ne nea wonom bere nyinaa. Kenkan biribiara a wobɛtɔ wɔ sotɔɔ mu no so nsɛm a wɔakyerɛw no yiye.
- Sɛ wo ba no wɔ nufusu ho akisikuru a, kyerɛkyerɛ no sɛ ɔntɔ aduan mfi ne nnamfo hɔ. Afei nso bɔ ɔkyerɛkyerɛfo no amanneɛ wɔ sukuu mu.
- Sɛ woredidi wɔ abɔnten a, ka sɛnea wo ho yɛ wo hyew no ho asɛm kyerɛ nea ɔhwɛ adidibea hɔ anaa nea ɔnoa aduan no. Bisa nneɛma a wɔde yɛ aduan no ho nsɛm a ɛkɔ akyiri.
- Hyɛ aduruyɛ mu kɔkɔbɔ abɔso a ɛka wo allergy ho asɛm.
- Fa EpiPen® a wo duruyɛfo akyerɛw ama wo no ka wo ho bere nyinaa.
Nufusu ho akisikuru a wobɛtra ase no betumi ayɛ asɛnnennen, nanso sɛ wodi ho dwuma yiye a, wo anaa wo ba no betumi atra ase a ahoɔden wom koraa na anigye wom.
Nkrasɛm a Wɔde Kɔ Fie
- Nufusu ho akisikuru yɛ nipadua no mu tumi a ɛko tia nyarewa. Ɛnyɛ yafunu a ɛyɛ yaw kɛkɛ.
- Nsɛnkyerɛnne no betumi afi ɛyaw ketewaa bi so akosi nea ɛde ne nkwa to asiane mu so.
- Eyi ho ayaresa a eye sen biara ne sɛ wobɛkwati nufusu ne nufusu mu nneɛma koraa.
- Ɛho hia sɛ wokenkan nnuan biara a wobɛtɔ wɔ sotɔɔ mu no din yiye.
- Sɛ wuhu yare no ho sɛnkyerɛnne a emu yɛ den te sɛ ɛyɛ den sɛ wobɛhome anaasɛ wo ho ntɔ wo a, ɛyɛ ntɛmpɛ. Kɔ Emergency Department (ETU) a ɛbɛn wo no ntɛm ara.
- Sɛ w’adwene mu yɛ wo naa wɔ eyi ho a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn ma wahu yare no yiye na wahwɛ so yiye.
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