So woate nka pɛn sɛ biribi a ɛyɛ nwonwa anaasɛ ɛnyɛ wo dɛ bere a woadi aduan a sinapi wom awie no? Ebetumi ayɛ sinapi ho akisikuru. Wɔ Sri Lanka no, yɛde sinapi nso yɛ yɛn aduan dɛ. Enti, ɛho hia paa sɛ wubehu eyi ho asɛm kakra.
Dɛn ne Mustard Allergy?
Sɛ yɛbɛka no tiawa a, sinapi ho akisikuru yɛ aduan ho akisikuru . Nea ɛba bere a wudi aduan a sinapi wom ne sɛ wo nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma boro so mpofirim. Ɛne sɛ, nipadua no mu tumi a ɛko tia nyarewa no susuw sɛ sinapi yɛ nipadua no tamfo, enti efi ase ko tia no. Ɛwom sɛ eyi yɛ akisikuru a ɛntaa nsi de, nanso wobu no sɛ ɛyɛ akisikuru ahorow a nnuhuam de ba no mu biako. Saa tebea yi betumi aba mmofra nkumaa ne mpanyimfo nyinaa mu.
Dɛn na sinapi kyerɛ?
Sinapi ka Brassicaceae abusua no ho. Eyi yɛ abusua koro no ara a nhabannuru te sɛ broccoli, Brussels sprouts, ne kabege wɔ. Nanso, sɛ wowɔ sinapi ho akisikuru mpo a, ɛnyɛ hwee sɛ wubedi saa nhabannuru yi. Nanso, n’aba nyɛ papa sɛ wobedi.
Sɛ yɛrenoa aduan a, yɛde sinapi aba a ɛyɛ mũ na ɛyɛ nam ne mpataa a wɔde ahyɛ mu, tow, na yɛde tow. Yɛde sinapi aba a wɔayam, abubu, ne nea ɛyɛ mũ na ɛyɛ table mustard paste. Nea yɛne hot dogs di. Yɛde sinapi powder nso ka soup, sauce, ne salad dressings ho. Nnipa binom nso ani gye ho sɛ wobedi sinapi dua, anaa sinapi nhaban no nhaban esiane sɛ ɛyɛ nnuhwam nti. Wɔ Sri Lanka no, yɛrentumi nyɛ nea yɛmfa sinapi aba nni dwuma mma tempura.
Dɛn ne Aduan a Ɛma Nnipa Ho Yɛ Den?
Aduan ho akisikuru ne bere a wo nipadua mu tumi a ɛko tia nyarewa no di mfomso hu sɛ nnuan bi yɛ “asiane.” Afei nipadua no mogya mu nkwammoaa fitaa no fi ase yɛ protein ahorow a wɔfrɛ no antibodies de bɔ nipadua no ho ban fi saa “atamfo” yi ho. Saa mmuae yi ma obi ho yɛ no hyew wɔ ade a wɔadi mfomso ahu (allergen) no ho.
Ɛwom sɛ wonnim sinapi ho akisikuru yiye te sɛ akisikuru afoforo a wonim no yiye te sɛ atoko ho akisikuru anaa nufusu ho akisikuru de, nanso wɔn a wɔwɔ bi no betumi anya nneyɛe a emu yɛ den, na ɛtɔ mmere bi a ɛde nkwa to asiane mu .
Sinapi ho akisikuru abu so dɛn?
Wɔ aman te sɛ Amerika mu no, wɔka sɛ mpanyimfo ɔpepem 16 ne mmofra ɔpepem 4 pɛ na wɔn ho nyɛ wɔn den wɔ aduan ho. Nanso wonnim nnipa dodow pɔtee a wɔn ho yɛ wɔn nana sinapi. Nnipa binom mpo nhu sɛ ɛyɛ sinapi akisikuru kosi sɛ wobenya yare no ho sɛnkyerɛnne nketenkete. Wɔ aman te sɛ France mu no, sinapi yɛ aduan a nkurɔfo ani gye ho kɛse, enti wɔka sɛ wɔtaa hu saa akisikuru yi wɔ hɔ. Esiane sɛ wɔde sinapi nso di dwuma wɔ Sri Lanka nti, eye sɛ yebehu eyi.
Dɛn nti na sinapi ho akisikuru yi ba?
Nokwarem no, sinapi nyɛ nea epira. Nanso sɛ wowɔ sinapi ho akisikuru a, ɛsono sɛnea wo nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade. Edi mfomso susuw sɛ protein a ɛwɔ sinapi mu no bi yɛ nea asiane wom na ɛde nnuru a ɛko tia nyarewa kɔ ma wɔsɛe ntuafo a asiane biara nni ho yi. Saa adeyɛ a ɛboro so yi ne nea ɛde akisikuru ba. Abenfo da so ara nnim nea enti a nnipa binom nya sinapi ho akisikuru ne aduan afoforo ho akisikuru ankasa.
Hena na ɛda adi sɛ obenya eyi?
Wowɔ asiane kɛse sɛ wubenya aduan ho adwenemhaw sɛ wowɔ nea edidi so yi mu biara a:
Ɛnyɛ sɛ obiara a ɔwɔ eyinom benya sinapi ho akisikuru, nanso asiane no sõ kakra.
Dɛn ne sɛnkyerɛnne ahorow no?
Ebia nnipa a wɔn ho yɛ wɔn hyew sinapi sɛ wodi sinapi kakraa bi a, wɔrenhu sɛnkyerɛnne a emu yɛ den. Eyi nti na nnipa binom nnim mpo sɛ wɔwɔ sinapi ho akisikuru no.
Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no yaw wɔ sinapi ho no bi ne:
- Yafunu mu yaw
- Ayamtuo
- Adwene a ɛyɛ basaa
- Hives anaa honam ani akisikuru
- Akisikuru ne ɔfe
- Anofafa, tɛkrɛma anaa anim a ahonhon
- Menewa mu yare ne ɛyɛ den sɛ ɔbɛmene
- Ahomegye anaa ahome a ɛyɛ tiaa
Nea ɛho hia: Sɛ sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa da adi bere a woadi biribi a sinapi wom akyi bere tiaa bi a, hwɛ yiye.
Tebea horow a asiane wom bɛn na eyi betumi de aba? Momma yensua (Anaphylaxis) ho ade .
Obi a ne ho yɛ no yaw kɛse wɔ sinapi ho no wɔ asiane mu sɛ obenya tebea bi a asiane wom a wɔfrɛ no anaphylaxis . Eyi yɛ adeyɛ a ɛyɛ mpofirim na emu yɛ den a nipadua no mu tumi a ɛko tia nyarewa no yɛ. Nnipa binom kɔ anaphylactic shock , a ɛma mogya mmoroso so tew wɔ ɔkwan a ɛyɛ hu so na ɛma wɔn menewa hohon.
Anaphylaxis yɛ tebea a ɛde nkwa to asiane mu a ehia sɛ wɔkɔ ayaresabea ntɛm ara. Nnipa a wɔn ho yɛ wɔn yaw kɛse wɔ sinapi hoFa epinephrine auto-injector ka wo ho bere nyinaa. Sɛ wudi biribi a sinapi wom wɔ akwanhyia mu a, fa di dwuma. Eyi te sɛ obi a ogye nkwa.
Wobɛyɛ dɛn ahu eyi? / Ɔkwan bɛn so na nnuruyɛfo hu eyi?
Sɛ wubehu saa tebea yi na woasa a, ɛho behia sɛ wokɔ oduruyɛfo a ɔhwɛ akisikuru (oduruyɛfo a ɔhwɛ nipadua mu ahoɔden a ɛko tia nyarewa so) nkyɛn . Saa nnuruyɛfo yi sa akisikuru ahorow nyinaa. Wɔn ho akokwaw nso wɔ nipadua no mu tumi a ɛko tia nyarewa ne nyarewa a nipadua no tumi ko tia nyarewa ho.
Ebia oduruyɛfo bi begyina sɛ ebia w’abusua mu obiara wɔ akisikuru a ɛte saa, w’ayaresa ho abakɔsɛm, ne wo sɛnkyerɛnne ahorow so besusuw sɛ sinapi ho yɛ no yaw.
Nea ɛka ho no, wubetumi nso ayɛ allergy nhwehwɛmu te sɛ eyi:
- Skin prick (scratch) test: Wɔ sɔhwɛ yi mu no, oduruyɛfo de ade a ɛyɛ tratraa twitwiw wo honam ani na ɔde nneɛma ahorow a ɛma wo ho yɛ wo hyew kakraa bi gu wo honam ani fã a ɛwɔ soro (epidermis) no ase pɛɛ. Sɛ wo ho nyɛ wo hyew wɔ ade bi ho a, wubetumi anya ɛyaw, akisikuru, anaa nneɛma afoforo wɔ saa beae no.
- Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu a wɔyɛ de hu sɛ obi anya akisikuru no kyerɛ sɛnea nipadua no mu nkwammoaa a ɛko tia nyarewa no te wɔ wo mogya mu. Sɛ nipadua no mu nkwammoaa a ɛko tia nyarewa no dɔɔso a, ɛkyerɛ sɛ ebia wowɔ aduan ho akisikuru. Nanso, saa nhwehwɛmu ahorow yi betumi ama wɔanya nea efi mu ba a ɛnyɛ nokware bɛboro bere no fã. Eyi kyerɛ sɛ nhwehwɛmu no betumi akyerɛ sɛ wowɔ allergy sɛ wunni bi ankasa mpo a.
- Aduan a wɔde ano ka ho asɛnnennen: Ɛntaa mma koraa sɛ oduruyɛfo betumi ama wo sinapi kakraa bi. Oduruyɛfo no bɛkyerɛw sɛnea woyɛ w’ade bere a wudidi kakraa bi no. Ɛsɛ sɛ wɔyɛ sɔhwɛ yi wɔ aduruyɛbea a ɛwɔ ayaresa a egye ntɛmpɛ a wobetumi anya nkutoo.
So ayaresa bi wɔ hɔ?
Ayaresa pɔtee biara nni hɔ anaa aduru biara a wɔde sa sinapi akisikuru. Wobetumi atɔ nnuru a ekum histamine wɔ nnurutɔnbea anaasɛ oduruyɛfo akyerɛw ama obi.Nnuru betumi aboa ma yare no ho sɛnkyerɛnne te sɛ ɔfe ne ɛyaw so atew. Sɛ wowɔ asiane mu sɛ wobɛnya anaphylaxis a, ɛho hia sɛ wode epinephrine sie wo nsam.
Woyɛ dɛn nya nkwa wɔ eyi mu? / Woyɛ dɛn di ho dwuma?
Ɛnsɛ sɛ nnipa a wɔn ho yɛ wɔn hyew sinapi no di sinapi anaa nnuan a wɔde sinapi ayɛ. Sɛnea ɛbɛyɛ a worenwe sinapi wɔ akwanhyia mu (cross-contamination) no, siesie w’aduan wɔ baabi a ɛyɛ soronko wɔ adididan no mu. Anaasɛ, sɛ woredidi wɔ adidibea a, bisa sɛ wɔmfa sinapi nka ho.
So wobetumi asiw sinapi ho akisikuru ano?
Ɛrentumi nyɛ yiye sɛ wobesiw sinapi akisikuru ano. Nanso sɛ wowɔ sinapi ho akisikuru a, wubetumi atew asiane a ɛwɔ hɔ sɛ wobɛkɔ sinapi na wo ho ayɛ wo hyew no so.
Wɔ aman te sɛ United States mu no, Food and Drug Administration (FDA) hwehwɛ sɛ wɔkyerɛw biribiara a ɛwɔ mu wɔ nnuan ho nkrataa so. Enti ɛsɛ sɛ wokenkan nneɛma a wɔde yɛ aduan a wɔakyerɛw wɔ nnuan ho nsɛm so no yiye hwɛ sɛ sinapi wɔ mu anaa. Nneɛma a wɔde yɛ ade bi betumi asesa bere biara. Enti, sɛ sinapi nni aduan a kan no na “ahobammɔ” wom mpo a, bere nyinaa kenkan nneɛma a wɔde yɛ aduan no ansa na woatɔ.
Mmara ahorow bi wɔ hɔ a ɛhwehwɛ sɛ sɛ aduan bi mu nneɛma atitiriw akron a ɛma obi ho yɛ no hyew no mu biako (te sɛ nufusu ne nkesua) a, ɛsɛ sɛ wɔkyerɛw no pefee wɔ nea wɔakyerɛw so. Nanso esiane sɛ sinapi nyɛ saa akron no mu biako nti, kɔkɔbɔ te sɛ “wɔde sinapi ayɛ” anaa “sinapi wɔ mu” no mpue wɔ nkyerɛwde so bere nyinaa. Ɛnyɛ bere nyinaa na wubehu sɛ sinapi wɔ aduan bi mu denam sɛnea ɛte, ne dɛ, anaa ne hua so.
Sɛ wutu kwan kɔ Canada, Europa, anaa Asia a, wubehu kɔkɔbɔ a emu da hɔ a ɛfa sinapi ho wɔ nnuan ho nkrataa so. Nea enti a ɛte saa ne sɛ wobu sinapi sɛ ade titiriw a ɛma aduan ho yɛ no yaw wɔ saa mmeae no. Sɛ sinapi wɔ aduan no mu wɔ saa aman no mu a, ɛsɛ sɛ wɔka no pefee. Wɔ Sri Lanka no, ɛsɛ sɛ yɛhwɛ yiye kakra wɔ nkyerɛwde a wɔde kyerɛw nneɛma ho. Ɛtɔ mmere bi a, sɛ woka sɛ “nneɛma a wɔde yɛ aduan” kɛkɛ mpo a, ebia sinapi na ɛwɔ mu.
Nnuan bɛn na ɛsɛ sɛ wokwati esiane sɛ sinapi wɔ mu nti?
Eyinom ne nnuan a ɛda adi sɛ sinapi anaa sinapi aba wom kɛse:
- Nkokoaa nnuan bi
- Canola ngo a wɔde awɔw ahyɛ mu ne rapeseed ngo
- Nneɛma a wɔde yɛ aduan te sɛ ketchup, mayonnaise, ne barbecue sauce
- Curries – titiriw nea wɔyɛ wɔ amannɔne akwan so
- Nnuan a wɔayam ne nea wɔayam
- Nnuan a wɔde di agoru te sɛ pretzels ne ɛmo a wɔayam
- Deli nam a wɔayɛ ho adwuma ne soseji
- Soup ne salad a wɔde hyɛ mu
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti hwɛ yiye bere nyinaa.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wuhu sɛnkyerɛnne ahorow yi bi a ɛkyerɛ sɛ wo ho yɛ wo hyew a, kɔ oduruyɛfo nkyɛn:
- Ɔhome a ɛyɛ den
- Anim anaa menewa a ɛho ahonhon
- Rash anaa honam ani akisikuru
- Yafunu mu akisikuru a emu yɛ den, akisikuru, anaa ɔfe
Eyinom betumi ayɛ tebea bi a asiane wom te sɛ anaphylaxis ho sɛnkyerɛnne, enti nkyɛ.
Nneɛma a ɛsɛ sɛ wobisa oduruyɛfo no
Ɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm yi:
- Dɛn nti na minyaa sinapi ho akisikuru?
- Nnuan ahorow bɛn na ɛsɛ sɛ miyi fi hɔ?
- So me anaa m’abusua wɔ asiane mu sɛ wobenya aduan ho akisikuru afoforo?
- So ɛsɛ sɛ m’abusua kwati sinapi a wobedi?
- So ɛsɛ sɛ mekura epinephrine?
Dɛn ne Mugwort-Mustard Allergy Syndrome (MMAS) a ɛma obi ho yɛ no hyew?
Mugwort-Mustard Allergy Syndrome (MMAS) yɛ ɔyare a ɛntaa nsi a ɛma obi nya pollen food allergy syndrome (PFAS) . Wɔsan frɛ no anom akisikuru syndrome . Nnipa a wɔwɔ MMAS yɛ wɔn ade wɔ mugwort afifide ne sinapi nyinaa ho.
Ebia mugwort wɔ nhabannuru tii, nhabannuru, ne aduannuru bi mu. Wobetumi ahome mugwort pollen aba nso bere a wɔayi afi mframa mu no.
MMAS ba bere a wo nipadua mu tumi a ɛko tia nyarewa no susuw sɛ mugwort pollen ne sinapi protein yɛ pɛ no. Saa nneɛma a ɛma obi ho yɛ no yaw a ɛne ne ho di nsɛ yi de sɛnkyerɛnne ahorow te sɛ ano a ɛyɛ yaw, menewa a ɛyɛ mmerɛw, ne anofafa anaa tɛkrɛma a ɛho ahonhon ba. Anaphylaxis ho yɛ na koraa wɔ saa anom aduruyɛ a ɛma obi ho yɛ no yaw yi ho.
Ɛda adi sɛ wubenya MMAS sɛ:
- Sɛ woyɛ abofra a wanyin, abofra kumaa anaa ɔpanyin a wowɔ hay fever a.
- Sɛ wowɔ allergy wɔ mugwort ho a.
- Sɛ wote beae a mugwort nyin (e.g., aman bi a ɛwɔ United States).
Nsonsonoe bɛn na ɛda akisikuru ne nea wontumi nnyina ano ntam?
Sinapi ho akisikuru ne sinapi a wontumi nnyina ano yɛ nneɛma ahorow abien a ebetumi de eyi aba. Wɔka nhyehyɛe ahorow abien a ɛwɔ nipadua no mu:
- Sinapi ho akisikuru ka wo nipadua mu ahoɔden a ɛko tia nyarewa no . Ɛkame ayɛ sɛ sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ den betumi aba bere a obi anya sinapi akyi pɛɛ . Ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi de nkwa ato asiane mu.
- Sinapi a wontumi nnye ntom no ka woNnuan a wɔyam. Saa aduan a wontumi nnye ntom yi ba bere a wo menewam ntumi nnye sinapi yiye no. Nsɛnkyerɛnne te sɛ aduan a wontumi nnyae (dyspepsia) ba nnɔnhwerew pii wɔ adidi akyi , bere a aduan no fa wo aduan mu ntini mu no. Ɛwom sɛ abodwokyɛre a wonni yi ho sɛnkyerɛnne nyɛ dɛ de, nanso ɛnyɛ nea ɛde nkwa to asiane mu.
Dɛn nti na wo ho fifiri bere a wudi sinapi?
Ɛtaa ba sɛ wobɛfifiri bere a woadi nnuan a ɛyɛ nnuhwam te sɛ sinapi awie no. Edin bi mpo wɔ hɔ a wɔde frɛ fifiri a ɛte sɛɛ: gustatory syndrome , anaa Frey’s syndrome .
Ade bi a wɔfrɛ no sinigrin wɔ sinapi aba mu . Eyi ne nea ɛma horseradish yɛ nea ɛyɛ yaw. Sɛ wɔbubu sinapi aba anaa wɔyam a, enzyme bi a ano yɛ den a wɔfrɛ no myrosinase fi adi. Sɛ wɔde sinapi aba a wɔabubu fra nsuonwini mu a, sinapi ngo a ano yɛ den ba. Saa sinapi ngo a ɛyɛ yaw yi a ɛwɔ sinapi nneɛma mu no ma wo nipadua mu hyew yɛ kɛse. Afei nipadua no nam fifiri so ma ɛyɛ nwini. Ɛnyɛ ade a ɛma obi ho yɛ no yaw.
Nneɛma a ɛsɛ sɛ wokae sɛ wode bɛkɔ fie
Okay, enti yɛaka mustard allergy ho asɛm pii. Nneɛma kakraa bi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni:
- Sinapi ho akisikuru yɛ nipadua no mu tumi a ɛko tia nyarewa. Kakraa bi mpo betumi ayɛ nea emu yɛ den.
- Nsɛnkyerɛnne no gu ahorow: honam ani akisikuru, ɛho ahonhon, ɛyɛ den sɛ ɔbɛhome, yafunu a ɛyɛ yaw, ne nea ɛkeka ho.
- Hu tebea a asiane wom a wɔfrɛ no anaphylaxis no yiye titiriw. Sɛ asiane a ɛte saa wɔ hɔ a, ma epinephrine bɛn hɔ.
- Sɛ wowɔ sinapi ho akisikuru a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokwati sinapi ne nnuan a sinapi wom nyinaa. Kenkan nnuan a wɔakyerɛw so no yiye.
- Sɛ w’adwene mu yɛ wo naa a, akyinnye biara nni ho sɛ kɔ oduruyɛfo a ɔhwɛ akisikuru so na kɔhwɛ hɔ.
- Allergy ne intolerance yɛ nneɛma abien a ɛsono emu biara. Mma abien no nnyɛ basaa.
Sɛ wo anaa obi a wunim no ahyia biribi a ɛte sɛɛ a, yɛsrɛ sɛ fa saa nsɛm yi ma wɔn. Kɔ so nya apɔwmuden!
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