So wowɔ dua mu nnuaba ho akisikuru?

So wo ba afi ase renya akisikuru kɔkɔɔ a ɛyɛ yaw wɔ ne nipadua nyinaa so bere a wadi cashew kakraa bi anaa almond biscuit akyi? Anaasɛ w’ankasa wote nka sɛ w’ano ne wo menewa mu hyew, anaasɛ wo yafunu yɛ wo yaw bere a woadi nnuaba bi awie no? Sɛ woanya saa nneɛma yi mu osuahu a, ebia wowɔ ‘Tree Nut Allergy ’ nso, a ɛyɛ allergy wɔ nnuaba bi a enyin wɔ nnua so ho. Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ nsɛm a ɛnyɛ den mu.

Dɛn ne Dua Nnua Ho Akisikuru?

Sɛ yɛbɛka no tiawa a, dua mu nnuaba ho akisikuru yɛ yɛn nipadua mu ahoɔdennuru a ɛko tia nyarewa a ɛyɛ adwuma boro so wɔ protein ahorow bi a ɛwɔ nnua nnuaba mu (te sɛ cashews, almonds, ne walnuts) ho. Yɛn nipadua bu protein ahorow yi te sɛ nea ɛyɛ ɔtamfo kɛse. Afei efi ase ko tia saa ɔtamfo no. Esiane saa ɔko yi nti, yehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya akisikuru.

Sɛ wodi saa nnuaba yi kakraa bi mpo, anaasɛ mpo wohome powder no a, ebetumi ama woanya saa akisikuru yi. Atoko nyɛ atoko bi, nokwarem no, ɛyɛ atoko, te sɛ bankye ne atoko. Enti, akisikuru ahorow abien na ɛwɔ hɔ: biako wɔ atoko ho na biako wɔ atoko aba ho. Nanso, hokwan wɔ hɔ sɛ obi a ne ho nyɛ no dɛ wɔ atoko ho nso betumi ayɛ nea ne ho nyɛ no dɛ wɔ atoko aba ho.

Dɛn ne sɛnkyerɛnne ahorow no? Ɔkwan bɛn so na wobetumi ahu eyinom?

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no yaw wɔ atoko ho no betumi afi nea emu nyɛ den so kosi nea emu yɛ den so, na ɛde ne nkwa to asiane mu. Esiane sɛ woanya yare no ho sɛnkyerɛnne a emu nyɛ den pɛnkoro nti, ɛnkyerɛ sɛ wubenya bi bere nyinaa. Ɛno nti na ɛho hia sɛ wohu eyi no.

Anaphylaxis yɛ akisikuru a emu yɛ den a egye ayaresa ntɛm ara na ebetumi de nkwa ato asiane mu. Sɛ wuhu saa sɛnkyerɛnne ahorow a emu yɛ den yi bi a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ so (ETU) a ɛbɛn wo ntɛm ara.

Dɛn nti na saa akisikuru yi ba?

Ɛnyɛ mmerɛw sɛ protein nketenkete bi a ɛwɔ papaya aba mu no bɛsɛe denam ɔhyew, aduannoa, anaa anoa a wɔnoa so. Nnipa binom nipadua mu ahoɔden a ɛko tia nyarewa no te nka yiye wɔ saa protein ahorow yi ho. Sɛ protein ahorow yi hyɛn nipadua no mu a, nipadua no mu tumi a ɛko tia nyarewa no yɛ nnuru a ɛko tia wɔn. Sɛ saa nnuru a ɛko tia nyarewa yi ne protein a ɛwɔ aba no mu no bom a, yɛn nipadua no ma nnuru bi a wɔfrɛ no histamine . Saa histamine yi na ɛde akisikuru ho sɛnkyerɛnne (te sɛ ɛyaw, akisikuru, ne ɔfe) ba titiriw.

Atoko a ɛtaa ma obi ho yɛ no hyew:

• Almond a wɔde yɛ aduan
• Cashews a wɔde yɛ aduan
• Walnuts a wɔde yɛ aduan
• Pistachio a wɔde yɛ aduan
• Hazelnuts a wɔde yɛ aduan
• Pecans a wɔde yɛ nneɛma
• Brazil nnuaba

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wususuw sɛ wowɔ allergy a, kɔ wo duruyɛfo nkyɛn. Obebisa wo wo yare no ho sɛnkyerɛnne ne sɛ ebia obi wɔ w’abusua mu a ne ho yɛ no hyew anaa. Nea ɛka ho no, wobetumi ayɛ sɔhwɛ ahorow a edidi so yi:

1. Skin Prick Sɔhwɛ: .Ɛha yi, wɔde ade ketewaa bi na ɛyɛ twitwa ketewaa bi wɔ wo nsa honam ani, na wɔde protein a ɛyɛ nsu a efi dompe bi mu gu so. Sɛ beae no dan kɔkɔɔ na ɛyɛ wo yaw a, ɛkyerɛ sɛ wo ho nyɛ wo den wɔ saa dompe no ho.

2. Mogya mu Nhwehwɛmu: Wɔfa wo mogya bi na wɔsɔ hwɛ sɛ ebia nipadua mu nkwammoaa pɔtee bi a ɛko tia nyarewa a ɛfa akisikuru ho anaa.

3. Aduan a Wɔde Anom Nsɛnnennen: Wɔyɛ eyi wɔ oduruyɛfo hwɛ ase, wɔ ayaresabea nkutoo. Ɛha yi, wɔma wo aduan pɔtee a ɛsɛ sɛ wudi no kakraa bi pɛ. Wɔyɛ eyi sɛnea ɛbɛyɛ a sɛ biribi wɔ hɔ a, wobetumi ayɛ wo aduru ntɛm ara.

Ɔkwan bɛn so na wo ne saa akisikuru yi tra ase?

Sɛ wotra ase a wowɔ atoko ho akisikuru kyerɛ sɛ ɛsɛ sɛ wohwɛ yiye kɛse wɔ nea wudi ne nea wonom ho. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati saa nnuaba ne nnuan a ɛwɔ mu yi koraa.

• Kenkan nsɛm a wɔakyerɛw so: Kenkan nnuan a wɔakyekyere a wotɔ fi sotɔɔ mu nyinaa ho nsɛm a wɔakyerɛw so yiye. Ɛbɛka sɛ ebia nnuaba wɔ mu anaa.
• Hwɛ yiye wɔ cross-contamination ho: Fa no sɛ wode nsenia koro no ara a wɔde kyɛ cashew curry no rekyɛ curry foforo. Afei, cashew protein no kakra betumi akɔ saa curry no mu nso. Wɔfrɛ eyi sɛ cross-contamination. Hokwan kɛse wɔ hɔ sɛ eyi bɛba wɔ adidibea ne mmeae a wɔyɛ paanoo. Enti, hwɛ eyi so bere a woredidi wɔ abɔnten no.
• Fa Epinephrine Auto-Injector Sie: Sɛ wowɔ akisikuru a emu yɛ den a, wo duruyɛfo bɛkyerɛw wo epinephrine auto-injector (te sɛ EpiPen). Ɛsɛ sɛ wode eyi to wo nkyɛn bere nyinaa. Ɛsɛ sɛ wo ne w’abusua hu sɛnea wode bedi dwuma ntɛm ara sɛ wuhu yare no ho sɛnkyerɛnne a emu yɛ den a.

Sɛ wo ba no wɔ allergy a...

• Kyerɛkyerɛ wo ba no ma ɔnkenkan nnuan ho nsɛm ntɛm ara sɛnea obetumi.
• Kyerɛkyerɛ wo ba no sɛ ɛnsɛ sɛ ɔne afoforo nkyɛ aduan na sɛ wunnim nea ɛwɔ mu ankasa a, ɛnsɛ sɛ odi.
• Ka wo ba no akisikuru ho asɛm kyerɛ sukuu akyerɛkyerɛfo, akyerɛkyerɛfo, ne mpanyimfo a wɔne wo ba di nkitaho. Kyerɛkyerɛ wɔn sɛnea wɔde epinephrine auto-injector no bedi dwuma.
• Sɛ woyɛ nnuan a nnuadewa wom wɔ fie a, hohoro nkuku, nkuku, ne mmeae a wɔyɛ adwuma yiye.

Dɛn ne ayaresa ahorow no?

Sɛ yare no ho sɛnkyerɛnne nketenkete bi ba a, wo duruyɛfo betumi akyerɛw wo nnuru a wɔde kum akisikuru anaa nnuru a wɔde hyɛ wo ho.

Nanso, sɛ woda sɛnkyerɛnne ahorow adi sɛ biribi a emu yɛ den te sɛ anaphylaxis :

1. Fa Epinephrine auto-injector no di dwuma ntɛm ara.

2. Afei, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo a wonntwentwɛn wo nan ase. Sɛ yare no ho sɛnkyerɛnne no ano brɛ ase wɔ epinephrine no akyi mpo a, ɛho hia sɛ wɔkɔ ayaresabea. Efisɛ ebia sɛnkyerɛnne ahorow no bɛsan ada adi wɔ bere bi akyi.

Bio nso, wubetumi ne wo duruyɛfo akasa afa ayaresa foforo te sɛ Oral Immunotherapy (a wode nnompe mu protein kakraa bi pɛ na efi ase na wode nkakrankakra ma ɛkɔ soro ma nipadua no sua) anaa Omalizumab (Xolair) ho na ama nnipa binom akisikuru no mu ayɛ den.