So ɛyɛ den ma wo nso sɛ wubedi nkesua? Momma yɛnka Egg Allergy ho asɛm!

So wo anaa wo ba ketewa no wɔ ɔhaw bi wɔ nkesua a wodi mu ? Sɛ ɛtɔ mmere bi a wuhyia ɔhaw ahorow a wontumi nkyerɛkyerɛ mu a, ebetumi aba sɛ efi nkesua ho akisikuru. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm wɔ ɔkwan a ɛnyɛ den so nnɛ, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ankasa ne egg allergy? Dɛn nti na ɛba saa?

Sɛ yɛbɛka no tiawa a, yɛn nipadua wɔ ahobammɔ nhyehyɛe. Ɛte sɛ asraafo dɔm a wɔbɔ yɛn man ho ban. Yɛfrɛ saa nhyehyɛe yi sɛ nipadua no mu tumi a ɛko tia nyarewa . N'adwuma titiriw ne sɛ ɛbɛbɔ yɛn ho ban denam mmoawa ne mmoawa a wɔde nyarewa ba a ɛbɛko atia so .

Nanso, sɛ protein ahorow bi a ɛwɔ nkesua mu (wɔ ɔkwan foforo so no, aduannuru a ɛwɔ nkesua mu) hyɛn obi a nkesua ho yɛ no yaw nipadua mu a, nipadua no mu tumi a ɛko tia nyarewa no yɛ basaa mpofirim. Ɛsusu sɛ saa protein ahorow yi yɛ asiane kɛse ma nipadua no, "ɔtamfo" a ɛsɛ sɛ wɔko na wɔpam no. Enti, saa nipadua no mu tumi a ɛko tia nyarewa yi yɛ adwuma mpofirim na efi ase ko kɛse tia saa "ɔtamfo". Esiane saa ɔko no nti, akisikuru ho sɛnkyerɛnne ahorow ba mmiako mmiako wɔ yɛn nipadua mu.

Asɛmpa nso wɔ hɔ. Mmofra binom a wɔanya saa nkesua ho akisikuru yi fi wɔn mmofraase, bere a wɔrenyin kakra, kyerɛ sɛ, bere a wɔrenyin no, saa akisikuru yi yera ankasa. Ɛno yɛ ahotɔ kɛse ankasa, ɛnte saa?

Dɛn ne saa akisikuru yi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Sɛ obi di aduan a nkesua wom a, nnuru ahorow , te sɛ `(Histamine),` pue kɔ ne nipadua mu. Saa nnuru no ne nea ɛde sɛnkyerɛnne ahorow a merebɛka ho asɛm no mu biara ba. Hwɛ sɛ saa sɛnkyerɛnne ahorow yi nim wo anaa:

• Ɔhome a ɛyɛ den: Ɔhome a ɛyɛ den, ɔhome a ɛyɛ den, koko a ɛyɛ den, ɔhome a ɛyɛ ntɛmntɛm, ne nea ɛkeka ho.
• Ɔfe ne menewa mu nsakrae: ɔfe a ɛkɔ so, ɛyɛ dede , ɔte nka sɛ ne menewa mu yɛ den, anaasɛ ɔte nka sɛ biribi akɔka ne menewam.
• Yafunu mu yaw: yafunu mu yaw, ɔfe (ɛtɔ mmere bi a mpɛn pii), ne akisikuru.
• Nsakrae a ɛba aniwa mu: Aniwa a ɛyɛ kɔkɔɔ, ɛyaw, aniwa a ɛyɛ nsu, ne aniwa a ɛho ahonhon.
• Honam ani haw ahorow:Akisikuru a ɛba mpofirim, ɛyɛ kɔkɔɔ, ɛho ahonhon, na ɛyɛ yaw a wontumi nnyina ano. Yɛfrɛ eyi `hives`, na nnipa binom frɛ no `hives.` Ɛtɔ da bi a, nsensanee kɔkɔɔ nkutoo na ebetumi apue.
• Ahohoro: Nipadua no afã horow, titiriw anim, ano, tɛkrɛma, ne mmeae a atwa aniwa no ho ahyia no betumi ahuru mpofirim.
• Mogya mmoroso a ɛba fam: Ebia mpofirim ara wo tirim yɛ hare na w’adwene tu fra. Ɛtɔ mmere bi mpo a, ebia wobɛtotɔ piti. Nea enti titiriw a ɛte saa ne mogya mmoroso a ɛkɔ fam mpofirim.

Saa sɛnkyerɛnne ahorow yi mma obiara wɔ ɔkwan koro so anaa bere koro mu. Nnipa binom betumi anya yare no ho sɛnkyerɛnne biako anaa abien pɛ bere koro mu, na ebetumi ayɛ nea emu nyɛ den koraa. Ebia afoforo nso behu sɛnkyerɛnne ahorow pii prɛko pɛ, na ebetumi ayɛ nea emu yɛ den yiye. Afei nso, onipa koro no ara betumi anya yare no ho sɛnkyerɛnne ahorow wɔ nna ahorow mu, a egyina nkesua dodow a odi so.

Kae sɛ, nsusuw sɛ esiane sɛ na woanya yare no ho sɛnkyerɛnne nketenkete pɛn nti, ɛbɛsan aba bio. Nea edi hɔ a wɔbɛyɛ no betumi ayɛ nea emu yɛ den yiye.

Anaphylaxis – Tebea a emu yɛ den sen biara a ebetumi de nkwa ato asiane mu!

Adeyɛ a ɛyɛ hu na emu yɛ den sen biara a ebetumi aba wɔ nkesua ho akisikuru ho no, wɔfrɛ no ``Anaphylaxis.`` Eyi yɛ ntɛmpɛ.

Saa `(Anaphylaxis)` tebea yi betumi afi ase wɔ allergy sɛnkyerɛnne a ɛtaa ba a yɛadi kan aka ho asɛm no so. Nanso, wɔ bere tiaa bi mu, ɛtɔ mmere bi a wɔ simma kakraa bi mu no, tebea no betumi ayɛ nea emu yɛ den yiye. Ɛbɛyɛ den sɛ wobɛhome, tɛkrɛma ne wo menewa betumi ahonhon na ayɛ menewa, wobɛhwere w’adwene na woahwe ase. Nsɛnkyerɛnne no da adi wɔ nipadua no fã bɛboro biako prɛko pɛ (sɛ nhwɛso no, honam ani akisikuru a edi akyi a ɔfe, anaasɛ ɛyɛ den sɛ ɔbɛhome a yafunu mu yɛ no yaw).

Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ! Sɛ wɔansa no ntɛm a, ebetumi de nkwa ato asiane mu. Enti ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho.

Ɔkwan bɛn so na wosa obi a ne ho yɛ no hyew? Dɛn na ɛsɛ sɛ woyɛ?

Sɛ oduruyɛfo bi si so dua sɛ wowɔ nkesua ho akisikuru a, wɔbɛka nea edidi so yi ho asɛm akyerɛ wo:

Epinephrine pen – wo nkwagyefoɔ!

• Sɛ wowɔ nkesua ho akisikuru a emu yɛ den a, ɛho hia sɛ wode epinephrine dodow abien ka wo ho bere nyinaa, baabiara a wobɛkɔ. Eyi ne aduru titiriw a egye nkwa bere a obi ho yɛ no yaw kɛse (anaphylaxis).
• Epinephrine yɛ aduru a wɔkyerɛw ma wo a ɛsɛ sɛ wunya fi oduruyɛfo hɔ. Ɛwɔ afiri ketewaa bi a ɛte sɛ kyerɛwdua a wotumi fa so mu. Ɛyɛ mmerɛw yiye sɛ wode bedi dwuma. Wo duruyɛfo bɛkyerɛ wo sɛnea wode bedi dwuma yiye.

Allergy Adeyɛ Nhyehyɛe

• Oduruyɛfo no bɛma wo ``Allergy Action Plan'', nhyehyɛe a wɔakyerɛw no pefee a ɛkyerɛkyerɛ sɛnea wubesiesie wo ho ama allergy, sɛnea wubehu sɛnkyerɛnne ahorow no, bere a wode ``Epinephrine'' bedi dwuma, ne nea ɛsɛ sɛ woyɛ wɔ ɛno akyi.
• Fa nhyehyɛe yi bi ma w’abusua, w’adwumam, ne sɛ wowɔ abofra a, wo sukuu akyerɛkyerɛfo, wo nnamfo, ne agumadi akyerɛkyerɛfo, na ma wɔnhu eyi nso.

Aduruyɛ mu kɔkɔbɔ abɔso

• Ɛbɛtumi nso ayɛ nea ɛho hia paa sɛ wobɛhyɛ ``Medical Alert Bracelet`` anaa kɔnmuade a ɛka egg allergy ho asɛm. Eyi betumi aboa afoforo ma wɔahu wo tebea no na sɛ wuntumi nni nkitaho wɔ tebea a egye ntɛmpɛ mu a, aboa wo ntɛm.

Dɛn ankasa na woyɛ wɔ tebea a egye ntɛmpɛ mu?

Sekan biara som bo bere a ɛfa akisikuru ho no.

• Sɛ wufi ase nya sɛnkyerɛnne ahorow a emu yɛ den te sɛ w’ano ne wo menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome, anaasɛ wo koko a ɛyɛ den ara pɛ a, fa `(Epinephrine)` kyerɛwdua no di dwuma ntɛm ara, a ntwentwɛn wo nan ase simma biako mpo.
• Sɛ ɛnte saa a, ɛsɛ sɛ wode `(Epinephrine)` di dwuma sɛ mpo sɛnkyerɛnne ahorow ba nipadua no afã horow abien bere koro mu, te sɛ honam ani akisikuru ne ɔfe, anaasɛ ɔfe ne yafunu mu yaw.
• Sɛ wode `(Epinephrine)` di dwuma wie a, frɛ ambulance adwumayɛbea a ɛhwɛ ntɛmpɛ so ntɛm ara te sɛ 1990 (wɔ Sri Lanka), anaa wo ne obi kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo ntɛm ara sɛnea wubetumi.

Nea ɛho hia yiye: Sɛ mpo ɛyaw no brɛ ase kakra bere a woanom `(Epinephrine)` akyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ ayaresabea. Efisɛ ɛtɔ mmere bi a, bere a adeyɛ a edi kan no ano abrɛ ase akyi no, sɛnkyerɛnne ahorow a emu yɛ den a ɛto so abien (biphasic reaction) betumi aba nnɔnhwerew kakraa bi akyi. Enti, ɛho hia sɛ wɔtra oduruyɛfo hwɛ ase.

Dɛn na metumi ayɛ de abɔ me ho ban afi nkesua ho akisikuru ho?

Ade a ɛho hia na ɛyɛ mmerɛw sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati sɛ wubedi nkesua ne biribiara a nkesua wom koraa. Ɛno ne ahobammɔ a eye sen biara a wubetumi de adi dwuma. Nanso ɛno nyɛ mmerɛw sɛnea ɛte no, ɛnte saa? Ma yɛnhwɛ nea wubetumi ayɛ bio.

Fa nyɛ wo su sɛ wobɛkenkan nnuan ho nkrataa! Eyi ho hia paa!

• Kenkan nneɛma a wɔde yɛ aduan a wɔahyehyɛ wɔ aduan a wɔde ahyɛ mu anaa toa biara a wobɛtɔ afi sotɔɔ mu no so yiye, a wonka asɛm biara. Efisɛ ɛtɔ mmere bi a aduannoa ho akwankyerɛ sesa, na nnuan a yensusuw ho mpo, sɛ nhwɛso no, ebia sauce ahorow bi, soseji, keeki, bisket, paanoo ahorow bi, mayonnaise, ice cream, noodles, pasta ahorow bi, marshmallows, ne salad dressings mpo wɔ nkesua (ɛtɔ mmere bi a wɔ din ahorow te sɛ egg powder, egg white, anaa egg yolk ase).

Hwɛ yiye titiriw wɔ cross-contamination ho!

• Eyi yɛ biribi a nnipa pii nnim, nanso ebetumi ayɛ asiane kɛse ama obi a ne nkesua ho yɛ no yaw. ``Cross-contamination`` yɛ, sɛ yɛbɛka no tiawa a, ɛmo protein kakraa bi a wɔde fi biribi a ɛmo wom mu, anaasɛ nsa, sekan, kyerɛwpon, anaa ade a ɛde ɛmo no adi dwuma, kɔ aduan a ɛmo nni mu mu.
• Fa no sɛ, sɛ woyɛ aduan foforo, paratha anaa roti, ma obi a ne ho yɛ no yaw wɔ nkesua mu wɔ kyɛnsee koro no ara a woyɛɛ ɛmo omelette wom no mu, a womfa samina nhohoro no yiye a, dɛn na ɛba? Protein nketenkete a ɛwɔ ɛmo mu a aka wɔ saa kyɛnsee no mu no betumi akowie aduan foforo no mu. Ɛno ne nea yɛfrɛ no ``cross-contamination''.
• Enti, hwehwɛ kɔkɔbɔ nsɛmfua wɔ nnuan a wɔde ahyɛ mu te sɛ "ebia ɛmo wɔ mu," "wɔayɛ ho adwuma wɔ beae a wɔyɛ ɛmo nso ho adwuma," anaa "wɔayɛ no wɔ nnwinnade a wɔde yɛ nkesua nso so." Eyinom yɛ nsɛm a ɛkyerɛ sɛ wɔyɛ aduan no wɔ beae a wɔyɛ ɛmo nso ho adwuma, enti ebia wubenya nkesua wɔ aduan a wudi no mu wɔ akwanhyia mu.
• Ɛnyɛ wɔn a wɔyɛ nnuan nyinaa na wɔkyerɛw aduan din saa kwan yi so, enti sɛ w’adwene mu yɛ wo naa kakra mpo wɔ aduan bi ho a, ɛbɛyɛ papa sɛ wobɛfrɛ adwumakuw no anaa wode email bɛmena adwumakuw no de asi so dua. Mma nnni aduan da wɔ nsusuwii hunu so.

Ma saa nneɛma yi ntra w’adwenem bere a woresiesie aduan na woredi wɔ fie ne abɔnten no:

• Nsa a Wohohoro: Ɛsɛ sɛ wo, anaa obi foforo biara a ɔyɛ aduan no, de samina ne nsu hohoro wo nsa yiye anyɛ yiye koraa no simma 20 ansa na woadi aduan ho dwuma. Hohoro wo nsa ansa na woadi. Sɛ samina ne nsu nni hɔ a, wubetumi de nsa a wɔde popa nneɛma ho adi dwuma. Nanso, mfa nsa hohoro gel anaa nnuru a wɔde petepete so nni dwuma. Bere a wokum mmoawa no, wonyi nneɛma a ɛma obi ho yɛ no hyew te sɛ nkesua mu protein mfi hɔ.
• Adididan mu abrabɔ pa: Wɔ fie no, fa nnuan a nkesua wom gu nkuku ahorow mu wɔ adididan mu sɛnea ɛbɛyɛ a ɛne wo nnuan afoforo no renhyia. Sɛ woresiesie aduan a, fa samina a wɔde hohoro nkuku ne nsu a ɛyɛ hyew hohoro nkuku, nkuku, nkuku, nkuku, ne nnade sɛ ɛne nkesua ahyia a. Sɛ ɛbɛyɛ yiye a, fa ntaaboo ne nnade a ɛsono emu biara sie ma onipa a ne nkesua ho yɛ no yaw no.
• Sɛ woredidi wɔ abɔnten a:
• Fa wo Epinephrine kyerɛwdua abien no sie bere nyinaa, na hwɛ bere nyinaa sɛ ebia ne bere atwam anaa.
• Sɛ wokɔdidi a, hwɛ hu sɛ wobɛka wo nkesua ho akisikuru ho asɛm akyerɛ adidibea adwumayɛfo, aduannoafo, anaa adwuma sohwɛfo no. Bisa sɛ wobetumi ayɛ aduan no a wɔmfa cross-contamination nka ho anaa.
• Ɛtɔ da bi a, ɛyɛ papa na asiane biara nni ho sɛ wode aduan a ahobammɔ wom a wowɔ mu ahotoso bɛkɔ fie.
• Sɛ ɛte sɛ nea adidibea adwumayɛfo no mpɛ sɛ wɔde aduan a ahobammɔ wom bɛma wo sɛnea wɔsrɛe no, anaasɛ ɛte sɛ nea wɔnte sɛnea wo tebea no mu yɛ den no ase a, nyansa wom sɛ wobɛkwati sɛ wubedidi wɔ hɔ. Ɛnyɛ nea ɛfata sɛ wode wo ho to asiane mu.

So ɛsɛ sɛ yehu biribi nso fa atiridii aduru no ho? Eyi nso ho hia!

Bere bi a atwam no, na ɛsɛ sɛ nnipa a wɔn ho yɛ wɔn hyew wɔ nkesua ho no bisa oduruyɛfo sɛ ebia asiane biara nni ho sɛ wobenya atiridiinini aduru no anaa, na ɛtɔ mmere bi a na ɛsɛ sɛ wɔyɛ nhwehwɛmu titiriw, efisɛ wɔde nkesua na ɛyɛ atiridiinini aduru yi ahorow bi.

Nanso, mprempren akwahosan ho abenfo a wɔwɔ wiase nyinaa reka sɛ nnipa a wɔn nkesua ho yɛ wɔn yaw, ɛmfa ho sɛnea emu yɛ den no, nni asiane kɛse mu sɛ wɔn ho yɛ wɔn yaw kɛse esiane atiridiinini aduru a wɔde bɛbɔ wɔn ho ban no nti. Ebia eyi te saa efisɛ nkesua mu akisikuru dodow a ɛwɔ vaccine no mu no sua araa ma mpɛn pii no ɛyɛ nea asiane biara nni ho ma nnipa a wɔn ho yɛ wɔn yaw kɛse wɔ nkesua mu mpo.

Enti, wɔ atiridii bere mu no, mprempren wɔkamfo kyerɛ sɛ obiara a wadi boro asram 6, ne wɔn a wɔn ho yɛ wɔn hyew wɔ nkesua mu (bere a wɔne wo duruyɛfo akasa awie no) nnya atiridiinini aduru no.

Momma yɛnkae nneɛma a ɛho hia paa a yɛkaa ho asɛm no? (Nkrasɛm a Wɔde Kɔ Fie)

Egg Allergy yɛ biribi a ɛtɔ mmere bi a ebetumi ayɛ aniberesɛm. Nanso, sɛ wunim, woyɛ nneɛma a ɛho hia, na wudi ho dwuma yiye a, biribiara nni hɔ a ɛsɛ sɛ wusuro. Wubetumi abɔ bra a ɛfata na anigye wom.

• Hu sɛnkyerɛnne ahorow no: Hu sɛnkyerɛnne ahorow a ɛtaa ba wɔ nkesua ho akisikuru ho, ne sɛnkyerɛnne ahorow a emu yɛ den kɛse a ɛde nkwa to asiane mu te sɛ anaphylaxis.
• Fa Epinephrine Sie: Sɛ wowɔ akisikuru a emu yɛ den a, fa Epinephrine kyerɛwdua abien sie bere nyinaa. Hu sɛnea wode bedi dwuma ankasa, na fa di dwuma. Hwɛ da a ɛbɛba awiei bere nyinaa.
• Kwati nkesua ne nkesua mu nneɛma: Eyi ne ade a ɛho hia sen biara. Fa nyɛ wo su sɛ wobɛkenkan nnuan ho nsɛm. Sɛ w’adwene mu yɛ wo naa kakra mpo wɔ aduan bi ho a, kwati sɛ wubedi.
• Hwɛ yiye bere nyinaa wɔ cross-contamination ho: Hwɛ yiye titiriw bere a woresiesie aduan wɔ fie anaasɛ woredidi wɔ abɔnten no.
• Ka afoforo amanneɛ: Ma w’abusua, wo nnamfo paa, ne wɔn a wɔwɔ w’adwumam/beae a wosua ade no nhu wo tebea no. Eyi bɛyɛ mmoa kɛse wɔ boa a wobɛboa wɔn ma wɔaboa wo bere a biribi a egye ntɛmpɛ asi no mu.
• Atiridiinini aduru: Kae sɛ afei de wubetumi anya atiridiinini aduru no sɛ wowɔ nkesua ho akisikuru mpo a. Wo ne wo duruyɛfo nka ho asɛm.

Nea etwa to no, ɛnyɛ wo nkutoo na wowɔ saa tebea yi. Nnipa pii wɔ wiase a wɔde aduan ho akisikuru te sɛ eyi te ase. Wo ne wo duruyɛfo anaa ɔbenfo bi nkasa na di wɔn afotu akyi yiye. Afei wubetumi de tebea yi atra ase yiye na w’ani agye!

Sɛ wopɛ sɛ wohu nsɛm a wotumi de ho to so pii fa aduane mu akisikuru ho a, wobɛtumi nso akɔ ahyehyɛdeɛ a wɔagye atom wɔ amanaman ntam te sɛ ``Food Allergy Research & Education (FARE)'' wɛbsaet ahorow so.

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