So woasusuw nea enti a bere a woadi nnuaba bi a ayow, bobesa, anaa sauce bi akyi no, mpofirim ara wote nka sɛ worebɔ dam, ɛyɛ den sɛ wobɛhome, na wo yare kɔ wo yafunu mu no ho pɛn? Ebia wo ayamtu no reyɛ kɛse mpofirim. Ebia nea enti a ɛte saa no yɛ mmerɛw sen sɛnea wususuw. Mpɛn pii no, onipa a ɔde eyi ba no yɛ nnuru bi a wɔfrɛ no sulfite. Ɛnnɛ, yɛbɛka sulfite akisikuru anaa nkate yi ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne sulfite?
Sulfite yɛ nnuru a wɔde di dwuma sɛ nneɛma a wɔde kora nneɛma so. Ɛne sɛ, wɔde ka nnuan ne nnuru ho na amma ansɛe. Ebia woahyɛ no nsow sɛ apɔw-mu-teɛteɛ a wɔatwitwa no dan bruu bere tiaa bi akyi. Wɔde sulfites di dwuma de siw nnuan a ɛtete saa kɔla ano na wɔmma mmoawa nnyin na wɔnsɛe. Sɛ nhwɛso no, wɔde sulfites adi dwuma wɔ nsa a wɔyɛ mu mfe ɔhaha pii de akora bobesa kɔla ne ne dɛ so. Ebia sulfites wɔ nnuan ne anonne bi mu wɔ awosu mu.
Ade a ɛho hia sen biara a ɛsɛ sɛ wokae: Sulfite nyɛ aduru a ɛma obi ho yɛ no hyew wɔ sulfa nnuru ho. Ɛsono abien no koraa. Na ɛnyɛ element sulfur, anaasɛ sulfates a wohu wɔ samina ne shampoo mu no.
Wɔahu sɛ nnipa a wɔwɔ ayamtu no mu 4% kosi 5% betumi anya saa sulfite nkate yi. Nokwarem no, saa sulfite ho nkate yi abu so sen sulfite ho akisikuru ankasa (IgE-mediated allergy).
Dɛn ne sulfite akisikuru ho sɛnkyerɛnne?
Sulfite awuduru ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho. Nnipa binom te nka sɛ wɔn ho nyɛ wɔn dɛ kakra, bere a afoforo nso betumi anya yare no ho sɛnkyerɛnne a emu yɛ den. Momma yɛnhwɛ nea saa sɛnkyerɛnne ahorow yi yɛ.
| Nsɛnkyerɛnne no su | Nkyerɛmu |
|---|---|
| Nsɛnkyerɛnne a ɛtaa ba (a ɛtaa bata ayamtu ho) . |
|
| Nsɛnkyerɛnne a emu yɛ den a ɛntaa nsi koraa (Anaphylaxis) . |
Dɛn nti na saa sulfite ahorow yi nye mma yɛn nipadua?
Nyansahufo da so ara nnim nea enti a nnipa binom nipadua yɛ n’ade wɔ sulfite ho saa kwan yi so ankasa, nanso nneɛma kakraa bi wɔ hɔ a wosusuw sɛ ebia edi dwuma.
- Sulfur dioxide mframa a yɛhome: Sɛ yedi anaa yɛnom aduan a sulfites wom a, ɛma mframa bi a wɔfrɛ no sulfur dioxide ba. Sɛ saa mframa yi kɔ yɛn mframa kwan mu a, ebetumi akanyan nkwammoaa a ɛwɔ mframa kwan no mu no, na ama wɔahohoro na ayɛ teateaa. Wɔ obi a ɔwɔ ayamtu fam no, eyi betumi ama ne ayamtu no ayɛ kɛse.
- IgE-mediated reaction: Yɛn nipadua mu nipadua mu ahoɔden a ɛko tia nyarewa no wɔ antibody bi a wɔfrɛ no `IgE`. Ɛte sɛ yɛn nipadua no awɛmfo. Wɔn adwuma ne sɛ wobehu nneɛma a epira te sɛ mmoawa a ɛhyɛn nipadua no mu na ɛde nsɛnkyerɛnne ma sɛ ɛbɛsɛe no. Nanso ɛtɔ mmere bi a, saa awɛmfo yi di mfomso. Wodi mfomso bu biribi a asiane biara nni ho ankasa, te sɛ sulfites, sɛ ɔtamfo kɛse na wɔde kɔkɔbɔ kɔma nipadua no mu tumi a ɛko tia nyarewa no. Ɛno ne bere a allergy ho sɛnkyerɛnne ahorow da adi.
- Sulfite oxidase enzyme a enni hɔ: Eyi yɛ enzyme a ɛwɔ yɛn nipadua mu. Sɛ yɛbɛka no tiawa a, enzyme yɛ protein a ɛboa ma nnuru kɔ yɛn nipadua mu. Saa sulfite oxidase enzyme yi bubu sulphur dioxide na eyi fi nipadua no mu. Wɔn a wɔyare ayamtu no binom nni saa enzyme yi kakraa bi wɔ wɔn nipadua mu. Afei, sulfites betumi aboaboa ano wɔ nipadua no mu sen sɛ wɔbɛbubu na wɔayi afi hɔ yiye, na ama obi anya akisikuru.
Hena na ɔwɔ asiane kɛse mu ma eyi? Na wobɛyɛ dɛn ahu?
Nnipa a wɔwɔ ayamtu no taa nya sulfite ho nkate kɛse, na ebia nnipa a wɔn ho yɛ wɔn hyew wɔ aduan afoforo ho nso wɔ asiane kɛse mu kakra.
So obi a onni ayamtu betumi anya sulfite ho nkate? Yiw, nanso ɛntaa nsi koraa. Na ɛntaa nsi nso sɛ obi a onni ayamtu benya sulfites ho adwene a emu yɛ den.
Nhwehwɛmu a wɔyɛe
Mprempren mogya mu nhwehwɛmu anaa honam ani nhwehwɛmu biara nni hɔ a ebetumi ahu sɛ obi anya sulfite ho adwenem naayɛ no pɛpɛɛpɛ. Enti, wo duruyɛfo no behu saa tebea yi denam nsɛm kakraa bi a obebisa wo so.
- Dɛn ne wo yare no ho sɛnkyerɛnne?
- Wo aduruyɛ ho abakɔsɛm a edi mũ
- Sɛ́ ebia wowɔ ayamtu anaa nneɛma afoforo a ɛma wo ho yɛ wo hyew no
- Ɛdenam aduan ho asɛnnennen sɔhwɛ a wɔbɛyɛ so
Wɔ saa aduan mu asɛnnennen sɔhwɛ yi mu no , oduruyɛfo bi befi ase de sulfites kakraa bi pɛ ahyɛ wo ase na ɔde nkakrankakra akɔ soro. Wɔtaa de ma sɛ nsu anaa aduru a wɔde hyɛ nipadua mu. Oduruyɛfo no bɛhwɛ wo ahwɛ sɛ ebia wo ho yɛ wo biribi anaa. Sɛ wowɔ biribi a, wɔde afiri bi a wɔfrɛ no spirometer bɛsusuw w’ahurututu mu dwumadi. Wɔyɛ eyi wɔ ayaresabea a nnuruyɛbea ahorow a egye ntɛmpɛ wɔ mu, enti ɛho nhia sɛ wɔbɔ hu.
Ɔkwan bɛn so na wɔbɛsa yare na wɔadi ho dwuma?
Sɛ wohu sɛ wowɔ sulfite ho akisikuru anaasɛ wowɔ nkate a, ade a ɛho hia na eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati nnuan, anonne, ne nnuru a sulfite wom sɛnea wubetumi biara.
Nanso, ebia wo duruyɛfo bɛkyerɛw nnuru bi ama wo de adi sɛnkyerɛnne ahorow no so.
- Cromolyn: Eyi yɛ aduru a ɛma mast cells a ɛma obi ho yɛ no hyew no gyina.
- Corticosteroids: Nnuru a ɛtew ɔfe ne ɔfe a ɛwɔ nipadua no mu so.
- Bronchodilators: Eyinom ne nnuru ahorow a wɔde home a nnipa a wɔwɔ ayamtu de di dwuma. Wɔtrɛw mframa kwan no mu na ɛma home yɛ mmerɛw.
- Nnuru a ekum akisikuru: Eyinom boa ma obi nya akisikuru ho sɛnkyerɛnne te sɛ honam ani a ɛyɛ wo yaw ne hwene a ɛretu sen sɛ ɛbɛboa ayamtu ho sɛnkyerɛnne.
- Vitamin B12: Nhwehwɛmu ahorow bi ada no adi sɛ vitamin B12 betumi atew sulfites ho akisikuru so. Nanso, ɛho hia sɛ wo ne wo duruyɛfo kasa fa eyi ho.
Ɔkwan bɛn so na wobɛkwati nneɛma a sulfites wom?
Eyi ne ɔfã a ɛho hia sen biara. Momma yɛnhwɛ nnuan ne nnuru a sulfite pii wom. Fa nyɛ wo su sɛ wobɛkenkan nea wɔakyerɛw so bere a woretɔ biribi afi sotɔɔ mu no.
| Hwɛ sɛ wɔabobɔ saa din ahorow yi wɔ nkyerɛwde no so anaa. | |
|---|---|
| Sulfur dioxide a wɔde yɛ aduru | Potassium bisulfite a wɔde yɛ aduru |
| Potassium a wɔde yɛ aduru a wɔfrɛ no metabisulfite | Sodium bisulfite a wɔde yɛ aduru |
| Sodium metabisulfite a wɔde yɛ aduru a wɔfrɛ no metabisulfite | Sodium sulfite a wɔde yɛ nneɛma |
Nnuan a ebia sulfite pii wom
| Aduan/anomde ahorow | Nhwɛso ahorow |
|---|---|
| Nsã ahorow | Beer, bobesa (titiriw bobesa fitaa) . |
| Aduan a ayow | Nnuaba a ayow (bobe, aprɛko), ɛmo a ayow |
| Nsã a wɔasiesie | Lime nsu a wɔde ahyɛ toa mu, nnuaba a wɔnom, anonne a ɛyɛ dɛ |
| Sauces ne Gravy a wɔde yɛ aduan | Nnuan a wɔde ahyɛ toa mu, gravy a wɔde afra, molasses |
| Ɛpo mu nnuan | Shrimp, lobster, ne ɛpo mu abɔde afoforo a wɔabɔ wɔn akuturuku |
| Nneɛma a wɔde yɛ paanoo | Nneɛma ahorow bi a wɔtow (biscuit, pie, pizza) . |
Nnuru a ebia sulfites wom
Ebia sulfites nso wɔ nnuru bi mu sɛ ade a ɛkora so, enti ɛho hia sɛ woka wo sulfite nkate ho asɛm kyerɛ wo duruyɛfo bere a wɔkyerɛw wo nnuru biara no.
Nhwɛso ahorow bi:
- Nnuru te sɛ adrenaline (Epinephrine), noradrenaline (Norepinephrine) (a nnuru bi a wɔde kum sẽ ka ho) .
- Nnuru bi a wɔde corticosteroid di dwuma (aduru ne nnuru a wɔde twitwiw nipadua mu), te sɛ dexamethasone
- Nnuru bi a wɔde gu nipadua no so a ekum fungal
- Dopamine a wɔde yɛ aduru
- Nnuru a ekum ɔyare mmoawa te sɛ aminoglycosides bi ne doxycycline ( Doxycycline ) .
- Propofol (aduru bi a wɔde yɛ aduru a wɔde kum nipadua no) .
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wote nka sɛ wontumi nni wo ayamtu anaa wo akisikuru no so yiye a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Wobetumi aboa wo ma woahu nea ɛkanyan wo ankasa na wɔatu wo fo wɔ sɛnea wobɛkwati.
Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU)?
Sɛ wunya ayamtu a emu yɛ den a wo nnuru (e.g. inhalers) ntumi nni so, anaasɛ sɛ wunya akisikuru ho sɛnkyerɛnne a emu yɛ den a edidi so yi mu biako anaa nea ɛboro saa a , kɔ ayaresabea a ɛbɛn wo no ntɛm ara.
- Ɛyɛ den kɛse sɛ wobɛhome anaasɛ wobɛmene
- Anofafa, tɛkrɛma, anim, anaa menewa a ɛho ahonhon
- Koma a ɛbɔ denneennen
- Sɛ wote nka sɛ wo ti ayɛ hare anaasɛ wo ho ayɛ wo hyew
- Nhumu a wɔhwere
Sɛ wowɔ sulfite akisikuru a, ɛho hia yiye sɛ wo ne wo duruyɛfo kasa na wohwɛ nnuru a ɛsɛ sɛ wode di dwuma wɔ tebea a egye ntɛmpɛ mu (e.g., epinephrine auto-injector).
Nkrasɛm a Wɔde Kɔ Fie
- Sulfite ho nkate yɛ tebea ankasa, titiriw wɔ wɔn a wɔwɔ ayamtu mu.
- Eyi yɛ soronko koraa wɔ "sulfa" nnuru ho akisikuru ho.
- Ade titiriw a wɔde di dwuma ne sɛ wɔbɛkwati nnuan, anonne, ne nnuru a sulfites wom. Eyi nti, aduan a wɔakyerɛw so akenkan ho hia yiye.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, nsusuw ho na kɔ oduruyɛfo a ɔfata nkyɛn ma wohu yare no pɛpɛɛpɛ.
- Hu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi ho yɛ no yaw kɛse ne nea ɛsɛ sɛ woyɛ ntɛm ara wɔ tebea a ɛte saa mu.
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