So wo ba no wɔ aduan ho akisikuru? Momma yɛnka nhwehwɛmu a nnuruyɛfo de hwehwɛ (Food Allergy Testing) ho asɛm!

So wo anaa wo ba kumaa te nka biribi a ɛyɛ nwonwa anaasɛ ne ho nyɛ no dɛ bere a woadi aduan bi awie no? So woanya akisikuru, akisikuru kɔkɔɔ, anaa ɛyɛ den sɛ wobɛhome bere a woadi aduan bi awie no pɛn? Eyinom betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no hyew wɔ aduan ho . Enti, momma yɛnka sɛnea nnuruyɛfo betumi ahu sɛ obi anya aduan ho akisikuru ne nhwehwɛmu ahorow a wɔyɛ ho asɛm, ɛnte saa? Ɛho nhia sɛ wusuro anaasɛ wohaw wo ho a ɛho nhia wɔ saa nneɛma yi ho. Nanso saa nsɛm yi a wunim no so bɛba wo mfaso kɛse.

Ɔkwan bɛn so na nnuruyɛfo yɛ nhwehwɛmu sɛ ebia aduan ho yɛ den anaa?

Mpɛn pii no, oduruyɛfo, titiriw oduruyɛfo a ne ho akokwaw wɔ akisikuru mu – yɛsan frɛ no "allergist" – de nhwehwɛmu akwan atitiriw abien di dwuma de si so dua sɛ ebia aduan ho akisikuru wɔ hɔ anaa. Eyinom yɛ honam ani nhwehwɛmu ne mogya mu nhwehwɛmu . Wɔ tebea horow bi mu no, ebia oduruyɛfo no besi gyinae sɛ ɔbɛyɛ nhwehwɛmu abien yi nyinaa. Wɔnam nneɛma pii a wosusuw ho, te sɛ ɔyarefo no tebea ne sɛnea sɛnkyerɛnne ahorow no te so na ɛkyerɛ eyi.

Dɛn ne honam ani nhwehwɛmu? Wɔyɛ no dɛn?

Eyi nyɛ kɛse anaasɛ ɛnyɛ den sɛnea ebia wubesusuw no. Ɛyɛ sɔhwɛ a ɛnyɛ den koraa. Fa no sɛ wususuw sɛ wo ba ketewa no ho nyɛ no den wɔ biribi ho bere a ɔnom nufusu no. Afei oduruyɛfo a ɔhwɛ akisikuru anaa ɔyarehwɛfo a wɔatete no bɛyɛ sɔhwɛ yi te sɛ eyi:

1. Nea edi kan no, tew wo anaa wo ba no anim anaa n’akyi fã bi honam ani yiye.

. Eyi nyɛ ɛyaw kɛse, ɛte sɛ nea ɛyɛ mmerɛw ketewaa bi, te sɛ nwansena a wɔaka no. Biribiara nni hɔ a ɛsɛ sɛ wosuro.

3. Fa nsu no gu wo honam ani saa na twɛn bɛyɛ simma 15.

4. Afei ade a ɛho hia sen biara. Sɛ baabi a wɔde "allergen" nsu no guu so no yɛ kɔkɔɔ, ɛho ahonhon kakra, na akisikuru ketewaa bi a ɛte sɛ akisikuru (nnuruyɛfo nso frɛ eyi "wheal" ) da adi a, ɛma biribi kyerɛ sɛ ebia aduan a yɛreka ho asɛm no ho akisikuru wɔ hɔ.

5. Afei, oduruyɛfo anaa ɔyarehwɛfo no de ruler bedi dwuma de asusuw wheal no kɛse ne baabi a ɛyɛ kɔkɔɔ a atwa ho ahyia no pɛpɛɛpɛ na wakyerɛw ato hɔ.

Afei fa no sɛ, sɛ wususuw sɛ ɛnyɛ aduan biako pɛ na wo ho yɛ wo hyew, na mmom aduan ahorow pii, anaasɛ ɛyɛ den sɛ wubehu aduan pɔtee a ɛde saa akisikuru ho sɛnkyerɛnne ahorow yi ba a, oduruyɛfo no betumi asɔ wo honam ani hwɛbea ahwɛ denam "allergens" ahorow pii a ɔde bɛhyɛ so bere koro mu no so.

Sɛ woyɛ honam ani nhwehwɛmu wie a, ebia wobɛtwetwe baabi a wɔyɛɛ nhwehwɛmu no bere tiaa bi. Eyi yɛ ade a ɛfata. Nanso, mpɛn pii no, ɛyaw no ano brɛ ase wɔ simma 30 ntam. Sɛ wo ba no reyɛ ayɛ no yaw dodo a, oduruyɛfo no betumi ama wo aduru a ekum histamine anaasɛ steroid cream a wɔde gu nipadua no so de apete mmeae a ɛho ayɛ no yaw no. Eyi bɛboa ma ɛyaw no so atew ntɛmntɛm.

Dɛn ankasa na mogya mu nhwehwɛmu hwehwɛ?

Wɔ tebea horow bi mu no, wɔ honam ani nhwehwɛmu a yɛaka ho asɛm wɔ atifi hɔ no akyi, anaasɛ sɛ nneɛma bi wɔ hɔ a enti wontumi nyɛ honam ani nhwehwɛmu (sɛ nhwɛso no, obi a ne honam ani yare a emu yɛ den anaa obi a ɔnom nnuru bi) a, oduruyɛfo no nso betumi akamfo akyerɛ sɛ wɔnyɛ mogya mu nhwehwɛmu.

Nea ɛka eyi ho ne sɛ wubegye mogya ketewaa bi afi wo anaa wo ba no hɔ na wode akɔ aduruyɛdan mu ma wɔayɛ nhwehwɛmu titiriw. Ade titiriw ne sɛ yɛbɛhwɛ sɛ ebia "IgE antibodies" a yɛn nipadua mu ahoɔden a ɛko tia nyarewa no yɛ de ko tia nnuan pɔtee bi wɔ mogya no mu anaa.

Sɛ yɛbɛka no tiawa a, saa IgE antibodies yi yɛ protein soronko bi a yɛn nipadua no ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa no yɛ bere a edi mfomso hu sɛ nnuan bi yɛ “bɔne” anaa “ɔtamfo,” na ɛbɔ mmɔden sɛ ɛbɛko atia no. Enti, sɛ wohu sɛ IgE nnuru a ɛko tia aduan pɔtee bi yi wɔ obi mogya mu a, ɛkyerɛ sɛ ebetumi aba sɛ ne ho nyɛ no dɛ wɔ saa aduan no ho. Ɛyɛ ade a ɛkyerɛ biribi kɛkɛ, te sɛ nea efi honam ani nhwehwɛmu mu ba no ara pɛ.

Ɔkwan bɛn so na nnuruyɛfo kyerɛ nea efi nhwehwɛmu mu ba no ase? Eyi ho hia paa!

Biribi a ɛsɛ sɛ wode sie w’adwenem ni. Esiane sɛ honam ani nhwehwɛmu anaa mogya mu nhwehwɛmu ma obi nya " positive" wɔ aduan bi ho nti, ɛnkyerɛ sɛ obi wɔ awerɛhyem 100% sɛ ne ho nyɛ no dɛ wɔ saa aduan no ho. Ɛkyerɛ ara ne sɛ ebetumi aba sɛ obi anya akisikuru.

Susuw ho saa kwan yi so. Wɔwo nnipa binom a wɔn honam ani yɛ mmerɛw yiye. Sɛ biribi te sɛ biribi a ɛnyɛ ade a wɔde sɔ hwɛ ma wɔn honam ani yɛ wɔn yaw kakra mpo a, ebetumi ayɛ kɔkɔɔ, ahonhon kakra, anaa mpo ayɛ kurukuruwa. Ɛho nhia sɛ ɛyɛ nea ɛma obi ho yɛ no yaw. Afei nso, ebia nnipa binom wɔ IgE antibodies wɔ wɔn mogya mu wɔ aduan pɔtee bi ho, nanso ebia wɔrenna akisikuru ho sɛnkyerɛnne biara adi bere a wodi saa aduan no. Yɛfrɛ eyi "sensitization," a ɛyɛ soronko wɔ "allergy" ho.

Enti, oduruyɛfo rennyina nhwehwɛmu yi nkutoo so nsi gyinae a etwa to da sɛ ebia obi wɔ aduan ho adwenemhaw anaa. Akyinnye biara nni ho sɛ obebisa wo nneɛma afoforo pii te sɛ:

• Nsɛnkyerɛnne pɔtee bɛn na wo anaa wo ba no rehyia? (e.g., ɛyaw? akisikuru? ɛyɛ den sɛ wobɛhome? yafunu a ɛyɛ yaw?)
• Bere tenten ahe na wɔadi aduan no akyi no, saa sɛnkyerɛnne ahorow yi da adi? (Simma? Nnɔnhwerew?)
• Nsɛnkyerɛnne no mu yɛ den dɛn? (So ​​ɛyɛ wo yaw kakra kɛkɛ? Anaasɛ ɛyɛ den araa ma wo nipadua nyinaa hohoro na wuntumi nhome?)
• So obi foforo biara wɔ w’abusua mu (ɛna, agya, anuanom) a ɔwɔ aduan ho akisikuru a ɛte sɛɛ anaasɛ akisikuru afoforo (e.g. ayamtu, mfutuma ho akisikuru)?

Oduruyɛfo bi ba asɛm a edi mu wɔ aduan a ne ho nyɛ no dɛ ho bere a wahwehwɛ ɔyarefo no aduruyɛ ho abakɔsɛm nyinaa, sɛnea sɛnkyerɛnne ahorow no te, ne nea efii nhwehwɛmu no mu bae no mu nkutoo.

Dɛn ne Aduan a Wɔnom no Ho Asɛnnennen? So ɛyɛ hu?

Afei fa no sɛ nea efii honam ani nhwehwɛmu ne mogya mu nhwehwɛmu a yɛaka ho asɛm wɔ atifi hɔ no nyinaa mu bae no mu nna hɔ koraa. Anaasɛ, sɛ wo ba no nyaa aduan ho akisikuru bere a na ɔyɛ abofra no, na afei a wanyin kakra no, wopɛ sɛ wuhu no yiye sɛ ebia saa akisikuru no ayera, kyerɛ sɛ , "anyin asen", ebia oduruyɛfo no bɛhyɛ nyansa sɛ ɔnyɛ nhwehwɛmu pɔtee foforo. Eyi ne nea yɛfrɛ no "anom aduan asɛnnennen" .

Nea ɛba ni:

1. Wɔde aduan a wosusuw sɛ ɛyɛ ade a ɛma obi ho yɛ no hyew (aduan a ebetumi ama obi ho yɛ no hyew) no ba kakraa bi pɛ, ebia bɛyɛ teaspoon nkyem du mu biako, na bere kɔ so no, ɛkɔ soro nkakrankakra.

2. Wɔyɛ eyinom nyinaa wɔ oduruyɛfo a ɔhwɛ so tẽẽ na ɔhwɛ no yiye ase . Oduruyɛfo anaa nnuruyɛfo a wɔatete wɔn no bɛhwɛ yiye sɛ ebia akisikuru ho sɛnkyerɛnne biara wɔ hɔ anaa. Wɔhwɛ nneɛma te sɛ koma a ɛbɔ, sɛnea ɔhome, ne nsakrae a ɛba honam ani bere nyinaa.

3. Mmɔ mmɔden da sɛ wobɛyɛ sɔhwɛ yi wɔ fie. Ɛsɛ sɛ wɔyɛ eyi wɔ oduruyɛfo adwumayɛbea (ayaresabea) anaa ayaresabea nkutoo, a ɛwɔ nneɛma a ɛho hia nyinaa a wɔde sa tebea a egye ntɛmpɛ. Eyi te saa efisɛ mpofirim, akisikuru a emu yɛ den, a wɔfrɛ no "anaphylaxis" betumi aba.Sɛ tebea bi a ɛde nkwa to asiane mu (akisikuru a emu yɛ den) ba a, ɛsɛ sɛ nnuru a egye ntɛmpɛ ne nnuruyɛfo ne nnuruyɛfo a wɔatete wɔn (abenfo ne nnuruyɛfo) wɔ hɔ a wɔbɛsa no ntɛm ara.

Eyi ho hia yiye: Mma, esiane biribiara nti, mmɔ mmɔden sɛ wobɛyɛ "Oral Food Challenge" wɔ fie a aduruyɛfo nhwɛ wo so, ɛyɛ? Efisɛ ɛtɔ mmere bi a aduan ho akisikuru betumi ayɛ asiane a ɛyɛ nwonwa. Ebetumi de nkwa ato asiane mu mpo.

Mpɛn pii no, wɔyɛ saa "anom aduan asɛnnennen" sɔhwɛ yi de si so dua sɛ ebia aduan ho akisikuru a na ɛwɔ hɔ dedaw no mu atew mprempren, a ɛkyerɛ sɛ ɔhaw biara nni saa aduan no a wobedi mprempren no ho. Sɛ nhwɛso no, akokoaa a na ne ho nyɛ no dɛ wɔ nkesua ho bere a na ɔyɛ abofra no betumi afi awosu mu anyin asen saa akisikuru no wɔ mfe kakraa bi mu bere a wɔrenyin no. Enti sɔhwɛ yi ho wɔ mfaso kɛse ma wohu saa pɛpɛɛpɛ.

Sɛ nhwehwɛmu bi si so dua sɛ obi ho yɛ no hyew a, dɛn na ɛba akyi?

Okay, afei momma yɛnka sɛ nhwehwɛmu ahorow a yɛaka ho asɛm wɔ atifi hɔ no akyerɛ sɛ wo ba anaa wo wɔ aduan ho akisikuru. Mma wo ho nnyɛ wo hu saa bere no, ɛnyɛ wiase awiei. Akyinnye biara nni ho sɛ wo duruyɛfo bɛboa wo ma woanya nhyehyɛe a emu da hɔ a ɛfa sɛnea wobɛtra ase dwoodwoo na woayɛ sɛnea ɛsɛ wɔ tebea foforo yi ho.

Nneɛma atitiriw a ɛsɛ sɛ woyɛ ne:

1. Nnuan a ɛma obi ho yɛ no yaw a Wɔkwati Katee:

• Oduruyɛfo no bɛma woahu nnuan a ɛnyɛ papa mma wo anaa wo ba no pefee, na ɔbɛma woate nnuan a ebia nneɛma a ahintaw wom nso ase yiye.
• Ɛsɛ sɛ ɛyɛ wo su sɛ wobɛkenkan nnuan ho nsɛm a wɔakyerɛw wɔ aduan a wɔde ahyɛ mu anaa toa biara a wobɛtɔ afi sotɔɔ mu no so yiye. Efisɛ ɛtɔ mmere bi a nnuan a yensusuw ho mpo, sɛ nhwɛso no, sauce, soup, ne biscuit, betumi ayɛ saa nnuan a ɛma akisikuru no (e.g., nufusu, nkesua, soya, peanuts , awi).
• Sɛ wo ba no rekɔ sukuu a, ɛho hia paa sɛ wobɛbɔ adesuakuw kyerɛkyerɛfo, adidibea adwumayɛfo, ne nea ɛkeka ho amanneɛ wɔ eyi ho. Afei nso, sɛ worekɔ abusuafo afie, nnamfo afie, anaa apontow ase a, sɛ wudi kan bɔ afoforo amanneɛ wɔ eyi ho a, ebetumi akwati ɔhaw pii a ɛho nhia.

2. Nnuru a wɔde di dwuma ntɛm ara a wode bɛhyɛ wo nsam:

• Aduan ho akisikuru bi betumi ayɛ kɛse. Ɛno kyerɛ sɛ, sɛnea yɛadi kan aka no, adeyɛ a emu yɛ den a ɛde nkwa to asiane mu a wɔfrɛ no "anaphylaxis" betumi aba, a ebetumi ama ahome ayɛ den mpofirim, mogya mmoroso akɔ fam mpofirim, na n'adwene atu afra.
• Sɛ ntɛmpɛ a ɛte saa si a, fa di dwuma ntɛm ara. Oduruyɛfo no bɛkyerɛw wo aduru titiriw bi. Wɔfrɛ no "Adrenaline" (Epinephrine).Eyi taa ba wɔ afiri a ɛte sɛ kyerɛwdua a ɛnyɛ den koraa sɛ wɔde bedi dwuma (epinephrine auto-injector) mu. Wo duruyɛfo anaa ɔyarehwɛfo bɛtete wo sɛnea wode bedi dwuma no ho.
• Ɛsɛ sɛ wode saa "Adrenaline" (Epinephrine) aduru yi sie wo nkyɛn, anaa wo ba no nkyɛn bere nyinaa. Ɛsɛ sɛ wode kɔ wo sukuu bag mu, bere a worekɔ agoru, bere a worekɔ akwantu, baabiara a wobɛkɔ. Ɛte sɛ afiri a egye nkwa.
• Afei nso, ɛho hia sɛ wo, w’abusua mufo, ne wɔn a wɔbɛhwɛ wo ba, te sɛ wo ba no akyerɛkyerɛfo, hu sɛnea wɔde aduru yi bedi dwuma wɔ tebea a egye ntɛmpɛ mu no pɛpɛɛpɛ. Oduruyɛfo no bɛkyerɛkyerɛ mu akyerɛ wo yiye na sɛ ɛho hia a, wama wo ntetee.

Nkrasɛm a ɛho hia sen biara a wɔde kɔ fie a efi eyinom nyinaa mu ne sɛ:

Sɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ aduan ho ayɛ wo hyew a, nnsi gyinae sɛ wubetwa nnuan foforo anaasɛ wubefi ase sɛnea wopɛ kɛkɛ. Hwɛ hu sɛ wobɛkɔ oduruyɛfo a ɔfata nkyɛn, anya afotu a ɛfata, na sɛ ɛho hia a, wobɛyɛ nhwehwɛmu a ɛfata.

• Honam ani nhwehwɛmu ne mogya mu nhwehwɛmu a wɔde hwehwɛ IgE antibodies ne akwan titiriw a wɔfa so hu aduan ho akisikuru.
• Nhwehwɛmu a "ɛyɛ papa" nkutoo nkyerɛ sɛ obi wɔ allergy. Oduruyɛfo bi besusuw nneɛma pii ho, a nea ɛka ho ne yare no ho sɛnkyerɛnne, ɔyarefo no aduruyɛ ho abakɔsɛm, ne abusua mu akisikuru, na ama asi gyinae a etwa to.
• Ɛtɔ mmere bi a, titiriw sɛ nea efi mu ba no mu nna hɔ a, wobetumi ayɛ aduan a wɔnom ho asɛnnennen de ahwɛ sɛ ebia akisikuru bi ayera anaa. Nanso, ɛsɛ sɛ wɔyɛ eyi wɔ oduruyɛfo hwɛ tẽẽ ase ne ayaresabea tebea mu nkutoo.
• Sɛ oduruyɛfo bi si so dua sɛ wowɔ allergy a, mma wo ho nnyɛ wo hu anaa nsuro, na di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Nneɛma a ɛho hia sen biara ne sɛ wobɛkwati nnuan a ɛde akisikuru no ba no koraa na wode "adrenaline" (epinephrine) auto-injector bɛbɛn wo bere nyinaa de adi dwuma ntɛm ara.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa w’abusua oduruyɛfo anaa oduruyɛfo a ɔhwɛ akisikuru. Wɔwɔ hɔ sɛ wɔbɛma wo akwankyerɛ a ɛfata. Kɔ so nya apɔwmuden!

` Aduan mu akisikuru, aduan mu akisikuru ho nhwehwɛmu, honam ani nhwehwɛmu, Skin Prick Test, mogya mu nhwehwɛmu, IgE antibodies, Oral Food Challenge, Epinephrine, allergy, allergy management