Ɛyɛ den sɛ yebenya da a soya nam curry nni yɛn afie mu, ɛnte saa? Soya yɛ yɛn aduan amammerɛ fã titiriw saa. Nneɛma te sɛ soya nufusu ne tofu nso agye din kɛse mprempren. Nanso susuw ho hwɛ, sɛ wo anaa wo ba no ani nnye soya a obiara ani gye ho na wɔka sɛ eye saa no ho nso ɛ? Na sɛ ɛma woyare, ɛma wo yafunu yɛ wo yaw, na ɛma ɛyɛ den sɛ wobɛhome nso ɛ? Yiw, ɛno ne nea yɛfrɛ no soya allergy, anaa `(Soy Allergy)`. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ne Soya Allergy?
Sɛ yɛbɛka no tiawa a, soya akisikuru yɛ akisikuru a aduan na ɛde ba. Nea ɛba ne sɛ wo nipadua no ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa , hwɛ protein a ɛwɔ soya mu no te sɛ nea ɛyɛ ɔtamfo a ne ho yɛ hu. Nokwarem no, soya nsɛe obi a ɔwɔ apɔwmuden. Nanso sɛ wowɔ saa akisikuru yi a, wo nipadua no ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa no, ani gye bere a ehu soya protein no, na wosusuw sɛ, "Ɔtamfo bi reba ha!" na ofi ase ko tia no.
Ɛyɛ ɔko yi nti na yenya akisikuru ho sɛnkyerɛnne.
Ade a ɛho hia sen biara ne sɛ ɛtɔ mmere bi a saa soya akisikuru yi betumi ayɛ kɛse yiye, na ɛde nkwa mpo ato asiane mu. Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ ahome a ɛyɛ den ne wo menewa a ɛho ahonhon a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara a wontwentwɛn wo nan ase koraa.
Hena na tebea yi ka no kɛse?
Soya akisikuru betumi aka nnipa a wɔadi mfe biara. Nanso, wɔtaa ba nkokoaa ne mmofra nkumaa so . Sɛ wowɔ nnuan afoforo a ɛma wo ho yɛ wo hyew (te sɛ nufusu anaa nkesua) a, ɛda adi sɛ wo nso wubenya soya ho akisikuru.
Nanso asɛmpa bi wɔ hɔ. Nkokoaa dodow no ara a wɔwɔ soya akisikuru bere a wɔyɛ akokoaa no nyin boro so bere a wɔrenyin no. Enti sɛ wuhu sɛ wo ba no wɔ bi a, mma wo ho nnpopo.
Ɛyɛ yie sɛ mpofirim ara wobɛnya allergy bere a woadi soya akyi a ɔhaw biara nni ho kan. Enti wuntumi nsusuw kɛkɛ sɛ na ɔhaw biara nni hɔ kan.
Sɛ soya hyɛn nipadua no mu a, dɛn na ɛba ankasa?
Akwan atitiriw abien na wo nipadua fa so yɛ n’ade wɔ soya ho. Eyi yɛ aduruyɛ mu duru kakra, nanso momma yɛmma ɛnyɛ mmerɛw.
1. Mmuae a wɔyɛ no ntɛm ara (IgE-mediated reaction):Eyi te sɛ kuw bi a wɔyɛ nneɛma a egye ntɛmpɛ wɔ wo nipadua mu. Sɛ wodi soya wie a, wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ antibody soronko bi a wɔfrɛ no `(Immunoglobulin E - IgE)`. Saa IgE antibodies yi yɛ soya protein ahorow pɔtee bi. Bere foforo a wubedi soya no, saa IgE antibodies yi hu na ɛma ɛyɛ ho biribi ntɛmntɛm wɔ simma kakraa bi mu. Saa mmuae yi ne nea ebetumi ayɛ asiane. Anaphylaxis yɛ akisikuru a emu yɛ den a ɛde nkwa to asiane mu.
2. Nneyɛe a ɛyɛ brɛoo (Non-IgE-mediated reaction): Eyi mfa IgE antibodies ho. Nea ɛma obi yɛ ade no betumi agye nnɔnhwerew pii, ɛtɔ mmere bi a ɛkɔ nna abien ansa na aba. Mpɛn pii no, eyi nyɛ nea ɛde nkwa to asiane mu. Nanso, sɛnkyerɛnne ahorow te sɛ yafunu a ɛyɛ yaw, akisikuru, ne ɔfe betumi aba. Saa adeyɛ yi abu so wɔ nkokoaa mu. Ɛtɔ da bi a, tebea bi a wɔfrɛ no `(Eosinophilic Esophagitis - EoE)`, a ɛyɛ esophagus no a ɛho ahonhon no nso betumi afi eyi mu aba.
Dɛn ne eyi ho sɛnkyerɛnne?
Soya ho akisikuru betumi de sɛnkyerɛnne ahorow aba. Momma yɛnhwɛ wɔn wɔ ɔkwan a ɛnyɛ den sɛ wɔbɛte ase so.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Honam ani sɛnkyerɛnne ahorow | Welts kɔkɔɔ, ahonhon, ɛyɛ yaw wɔ nipadua no nyinaa so (hives), nsensanee a ɛyɛ dry, kɔkɔɔ wɔ honam ani (eczema), ɛyaw. |
| Su ahorow a ɛwɔ aduan mu nhyehyɛe mu | Yafunu mu yaw, akisikuru, akisikuru, ɔfe, akisikuru. |
| Su ahorow a ɛwɔ ɔhome nhyehyɛe no mu | Sɛ obi te nka sɛ ne menewa, ɔfe, ɔhome a ɛyɛ den. |
| Tebea a emu yɛ den sen biara a ɛsɛ sɛ wɔhwɛ so ntɛm ara: Anaphylaxis | |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya anaphylaxis | Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ! Sɛ wuhu sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ den kɛse, koma a ɛbɔ ntɛmntɛm, mogya mmoroso a ɛkɔ fam mpofirim, adwenemhaw, anaasɛ w’adwene tu fra , kɔ ETU ntɛm ara. |
Wobɛyɛ dɛn ahu no yiye sɛ eyi yɛ akisikuru?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mmɔ mmɔden sɛ w’ankasa wubesi gyinae. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn . Sɛ ɛho hia a, ɔde wo bɛkɔ oduruyɛfo a ɔhwɛ akisikuru nkyɛn.
Mpɛn pii no, ɔkwan a wɔfa so hwehwɛ yare no kɔ so saa.
1. Oduruyɛfo no bebisa wo nsɛm a ɛkɔ akyiri.
Nea edi kan no, oduruyɛfo no bebisa wo nsɛm kakraa bi na wahu nsɛm no mu nsɛm.
- So obi wɔ w’abusua mu a aduan ho adwenemhaw?
- So wɔahu sɛ wowɔ akisikuru foforo biara pɛn?
- Dɛn ne wo yare no ho sɛnkyerɛnne?
- Bere tenten ahe na saa sɛnkyerɛnne ahorow yi da adi wɔ adidi akyi?
- So wokyerɛw nnuan a wudi no da biara da?
2. Ɔyɛ sɔhwɛ ahorow pii sɛ ɛho hia a
Ɛdenam wo sɛnkyerɛnne ahorow so no, wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii.
- Mogya mu Nhwehwɛmu: Nea ɛka eyi ho ne sɛ wobɛfa wo mogya bi na woahwɛ sɛnea IgE antibodies a ɛko tia soya no dodow te.
- Skin Prick Test: Wɔ eyi mu no, wɔhohoro wo nsa anaa w’akyi were ketewaa bi, wɔde nsu bi a soya protein wom gu mu, na wɔde ade ketewaa bi na ɛyɛ prick ketewaa bi. Ɛnyɛ yaw na mogya nso ntu. Bɛyɛ simma 15 akyi no, wɔhwɛ baabi a ɛhɔ yɛ kɔkɔɔ na ɛho ahonhon anaa. Eyi betumi ama woanya adwene sɛ ebia wo ho yɛ wo hyew anaa.
- Anom Aduan Ho Nsɛnnennen: Eyi nkutoo ne ɔkwan a wobɛfa so anya awerɛhyem 100% sɛ wowɔ allergy. Nanso wɔyɛ eyi wɔ ayaresabea nkutoo, wɔ oduruyɛfo hwɛ ase koraa. Wɔ eyi mu no, wɔma wo soya kakraa bi na wɔhwɛ wo yiye hwɛ sɛnea woyɛ w’ade. Mma nsɔ eyi nhwɛ wɔ fie nkutoo da.
Wiɛ, dɛn na woyɛ wɔ eyi ho mprempren?
Sɛ wohu sɛ soya ho yɛ wo hyew a, ɔkwan titiriw ne ɔkwan biako pɛ a wobɛfa so abɔ wo ho ban afi ho ne sɛ wobɛkwati soya ne nnuan ne anonne a soya wom nyinaa koraa.
Eyi nyɛ mmerɛw sɛnea ɛte no, efisɛ wobetumi ahu soya wɔ nneɛma pii a yensusuw ho mu. Enti ɛsɛ sɛ wohwɛ yiye paa.
| Nneɛma a ɛsɛ sɛ yɛkwati | Nhwɛso ahorow |
|---|---|
| Nnuan a soya wom tẽẽ | Soya nam, tofu, soya nufusu, soya yogurt, soya esiam, soya sauce, edamame, miso. |
| Nnuan a ebia soya a ahintaw wom | Nneɛma a wɔde yɛ paanoo, chocolate ahorow bi, sauce, salad dressings, soup a wɔasiesie, nhabannuru nsu. |
| Nsɛmfua a ɛsɛ sɛ wohwɛ yiye wɔ nkyerɛwde no so | Soya protein, nhabannuru protein a wɔde nsu ayɛ (HVP), nhabannuru protein a wɔahyɛ no nkyerɛwee (TVP), nhabannuru mu aduru, nhabannuru mu starch. |
| Nneɛma a ɛnyɛ aduan | Ebia soya nso wɔ kyɛnere, krayon, nneɛma a wɔde tew nneɛma ho, afieboa nnuan, ne nneɛma bi a wɔde yɛ wɔn ho fɛfɛɛfɛ. |
Nea ɛho hia paa: Sɛ woretɔ biribi afi sotɔɔ mu a, kenkan nneɛma a wɔde bɛyɛ aduan no yiye. Sɛ ɛka biribi te sɛ "Made on equipment shared with soy" a, ɛkyerɛ sɛ wɔyɛɛ no wɔ nnwinnade koro no ara a wɔyɛ nneɛma afoforo a soya wom so. Eyinom nso betumi ama obi anya akisikuru.
Ahosiesie a wɔyɛ ma akisikuru a emu yɛ den
Sɛ asiane wɔ hɔ sɛ wubenya anaphylaxis a, wo duruyɛfo bɛkyerɛw wo epinephrine auto-injector , te sɛ EpiPen®. Eyi yɛ aduru a wɔde twitwiw nipadua mu a egye nkwa. Wo duruyɛfo bɛkyerɛ wo sɛnea wode bedi dwuma wɔ tebea a egye ntɛmpɛ mu. Ɛsɛ sɛ wode saa aduru yi ka wo ho bere nyinaa.
Nsonsonoe bɛn na ɛda soya akisikuru ne soya a wontumi nnyina ano ntam?
Eyi yɛ biribi a ɛma nnipa pii adwene tu fra.
- Allergy: Eyi yɛ ɔhaw a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no so . Nipadua no bu soya sɛ ɔtamfo. Nea efi mu ba no betumi ayɛ nea emu yɛ den.
- Abodwokyɛre a wontumi nnyina ano: Eyi yɛ aduan mu yare.Ɔhaw: Nipadua no ntumi nwe soya yiye. Eyi de sɛnkyerɛnne ahorow te sɛ gas, yafunu mu akisikuru, ne akisikuru ba. Eyi nyɛ asiane te sɛ akisikuru.
Sɛ wubehu abien yi mu nea wowɔ ankasa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Soya ho akisikuru yɛ adeyɛ a emu yɛ den a wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ wɔ soya ho.
- Eyi abu so wɔ nkokoaa mu, nanso wɔ nnipa dodow no ara fam no, ɛkɔ bere a wɔrenyin no.
- Nsɛnkyerɛnne no betumi afi nneɛma nketenkete te sɛ honam ani akisikuru so akosi tebea horow a ɛde nkwa to asiane mu te sɛ ɔhome a ɛyɛ den (anaphylaxis) so.
- Ayaresa titiriw ne sɛ wobɛkwati soya nneɛma nyinaa koraa, enti ɛho hia sɛ wokenkan nnuan ho nsɛm a wɔakyerɛw so yiye.
- Sɛ yare no ho sɛnkyerɛnne a emu yɛ den ba a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara a wonntwentwɛn wo nan ase.
- Sɛ w’adwene mu yɛ wo naa wɔ eyi ho a, mma w’ankasa nsi gyinae na akyinnye biara nni ho sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ afotu.
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