Abodoo, roti, kottu, keeki... Ɛtɔ da bi a wote nka sɛ wo ho nyɛ wo dɛ anaasɛ ɛyɛ den ma wo sɛ wubedi nnuan a wɔde awi esiam ayɛ? Ebia wote nka sɛ wo ho yɛ wo yaw, wo yafunu mu haw, anaasɛ ɛyɛ den sɛ wobɛhome? Afei ebia wo nso wowɔ awi ho akisikuru, kyerɛ sɛ, ‘Awi ho akisikuru’. Mma ɛnhaw wo, eyi yɛ tebea a nnipa pii wɔ. Momma yɛnka eyi ho asɛm pefee na ɛnyɛ den nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne awi ho akisikuru?
Awi ho akisikuru yɛ aduan ho akisikuru a abu so yiye. Sɛ yɛbɛka no tiawa a, sɛ wudi biribi a awi wom, anaasɛ ɛtɔ mmere bi mpo a wohome biribi te sɛ awi esiam a, wo nipadua mu tumi a ɛko tia nyarewa no kɔ so yɛ adwuma dodo mpofirim. Mpɛn pii no, yɛn nipadua mu tumi a ɛko tia nyarewa no adwuma ne sɛ ɛbɛko atia nneɛma te sɛ mmoawa ne mmoawa a wɔde nyarewa ba. Nanso sɛ awi hyɛn obi a ne ho yɛ no yaw awi nipadua mu a, nipadua no mu tumi a ɛko tia nyarewa no di mfomso susuw sɛ awi yɛ ɔtamfo a opira na wofi ase ko tia. Saa "ɔko" yi ne nea yenya sɛ allergy sɛnkyerɛnne.
Nea ɛho hia sen biara ne sɛ ɛtɔ mmere bi a awi ho akisikuru betumi ayɛ kɛse kɛse . Sɛ sɛnkyerɛnne ahorow a emu yɛ den te sɛ ahome a ɛyɛ den ne menewa a ɛho ahon ba a, ebetumi de nkwa mpo ato asiane mu. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) a wontwentwɛn wo nan ase .
Saa tebea yi betumi aka obiara, nanso sɛ obi a ɔwɔ w’abusua mu wɔ akisikuru afoforo a, ebia ɛbɛyɛ mmerɛw sɛ wubenya bi.
Sɛ awi hyɛn nipadua no mu a, dɛn na ɛba ankasa?
Akwan atitiriw abien na obi a ne ho yɛ no yaw wɔ awi ho no betumi afa so ayɛ n’ade. Ebia eyi bɛyɛ te sɛ nea nyansahu mu de kakra, nanso momma yɛmma ɛnyɛ mmerɛw.
1. Nneyɛe a ɛba ntɛm ara (IgE ntamgyinafo adeyɛ) .
Eyi ne ɔkwan a wɔtaa fa so hu. Sɛ awi hyɛn nipadua no mu a, yɛn nipadua no mu tumi a ɛko tia nyarewa no yɛ ɔyare mmoawa soronko bi a wɔfrɛ no Immunoglobulin E (IgE) . Saa IgE antibodies yi hu awi sɛ "ɔtamfo" na ntɛm ara wɔyɛ adwuma tia no.
- Bere: Saa adeyɛ yi ba ntɛmntɛm yiye . Nsɛnkyerɛnne betumi ada adi wɔ simma kakraa bi kosi nnɔnhwerew anan akyi bere a wɔadi awi akyi.
- Sɛnea emu yɛ den: Saa adeyɛ yi na ɛde tebea bi a emu yɛ den yiye a ɛde nkwa to asiane mu a wɔfrɛ no anaphylaxis .
2. Adeyɛ a ɛkyɛ (Nneyɛe a ɛnyɛ IgE ntamgyinafo) .
Saa adeyɛ yi nso fa nipadua no mu tumi a ɛko tia nyarewa no ho, nanso IgE antibodies a yɛadi kan aka ho asɛm no nka ho.
- Bere: Saa adeyɛ yi yɛ brɛoo.Ebetumi agye nnɔnhwerew 48 ansa na sɛnkyerɛnne ahorow no ada adi.
- Nsɛnkyerɛnne: Tebea atitiriw a efi eyi mu ba ne Eosinophilic Esophagitis (EoE) , a ɛyɛ yɛn esophagus (aduan paipu) a ɛyɛ hyew, ne Eosinophilic Gastritis (EG) , a ɛyɛ yafunu no afasu a ɛyɛ hyew.
Dɛn ne saa akisikuru yi ho sɛnkyerɛnne?
Nsɛnkyerɛnne no betumi ayɛ soronko wɔ onipa biara ho. Nnipa binom betumi anya yare no ho sɛnkyerɛnne a emu nyɛ den koraa , bere a afoforo nso betumi anya yare no ho sɛnkyerɛnne a emu yɛ den yiye. Momma yɛnkyekyɛ eyinom mu na ama ayɛ mmerɛw sɛ yɛbɛte ase.
| Nipadua nhyehyɛe a ɛde sɛnkyerɛnne ahorow ba | Nsɛnkyerɛnne a wotumi hu |
|---|---|
| Wedeɛ | Hives, honam ani kɔkɔɔ, ɛyaw, ɛho ahonhon. |
| Nnuan a Wɔde Di Dwuma Ho Nhyehyɛe | Yafunu mu yaw, akisikuru, ɔfe, ɔfe, akisikuru. |
| Ɔhome Nhyehyɛe | Anom a ɛyɛ den, hwene a ɛretu, ahurututu, ahurututu, ahome a ɛyɛ den. |
| Nneɛma afoforo a ɛwom | Tiyɛ, aniwa a ɛyɛ nsuo, nipadua a ɛho ahonhon. |
Putupuru! Nsɛnkyerɛnne a emu yɛ den a ɛkyerɛ sɛ obi anya anaphylaxis
Sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi a, ɛyɛ tebea a emu yɛ den yiye na egye ntɛmpɛ . Wɔfrɛ eyi sɛ anaphylaxis. Wɔ tebea horow a ɛtete saa mu no, ɛsɛ sɛ wokɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) mu ntɛm ara .
| Anaphylaxis - Nsɛnkyerɛnne a Egye Ntɛmntɛm | |
|---|---|
| Ɔhome a ɛyɛ den kɛse (dyspnea) . | Sɛ wote nka sɛ wo koko mu ayɛ wo den. |
| Ɛyɛ den sɛ ɔbɛmene (dysphagia) . | Menewa, tɛkrɛma, anaa anim a ɛho ahonhon. |
| Mogya mmoroso a ɛkɔ fam mpofirim (hypotension) . | Adwene a ɛyɛ basaa, aniwa a ɛyɛ bruu, adwenem naayɛ (syncope). |
| Koma a ɛbɔ denneennen | Apɔw-mu-teɛteɛ a ɛyɛ mmerɛw, ahomegye a enni hɔ. |
| Yafunu mu yaw a emu yɛ den, ɔfe | Nipadua no yɛ nwini na ɛkɔ ahodwiriw mu. |
Dɛn nti na saa akisikuru yi ba?
Nea ɛde saa akisikuru yi ba titiriw ne protein ahorow a ɛwɔ awi mu no. Yɛn nipadua mu tumi a ɛko tia nyarewa no di mfomso yɛ ade wɔ saa protein ahorow yi ho. Protein ahorow atitiriw anan no ne:
- Albumin a wɔde yɛ adwuma
- Gliadin na ɔkyerɛwee
- Globulin a wɔde yɛ aduru
- Gluten a wɔde yɛ adwuma
Mɛyɛ dɛn ahu sɛ eyi wɔ hɔ anaa?
Sɛ wususuw sɛ wowɔ awi ho akisikuru a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo a ɔhwɛ awi ho . Obebisa wo nsɛm kakraa bi na sɛ ɛho hia a, ɔbɛyɛ sɔhwɛ ahorow bi de asi eyi so dua.
Nsɛmmisa a wubetumi abisa oduruyɛfo no:
- So obi wɔ w’abusua mu a ɔwɔ akisikuru a ɛte sɛɛ?
- So wowɔ aduan foforo bi a ɛma wo ho yɛ wo hyew?
- Dɛn ne wo yare no ho sɛnkyerɛnne?
- Bere tenten ahe na saa sɛnkyerɛnne ahorow yi da adi wɔ adidi akyi?
- So worenom nnuru bi a wɔde sa saa sɛnkyerɛnne ahorow yi?
- So woyɛ aduan ho kyerɛwtohɔ a ɛfa nea wudi ho?
Sɔhwɛ ahorow bɛn na wɔyɛ?
1. Skin Prick Sɔhwɛ: .Nea woyɛ ne sɛ wode nsu bi a awi protein wom bɛto wo nsa honam ani na wode ade ketewaa bi abɔ mu kakra. Sɛ wowɔ allergy a, wɔ bɛyɛ simma 15 mu no, beae no bɛyɛ kɔkɔɔ na ɛho ahonhon kakra, te sɛ nea nwansena aka wo.
2. Mogya mu IgE Nhwehwɛmu: Ɛha yi, wɔfa mogya ketewaa bi fi wo hɔ na wɔsɔ IgE nipadua mu nkwammoaa a ɛko tia awi dodow hwɛ.
3. Graded Oral Challenge: Sɛ sɔhwɛ afoforo no ntumi nwie a, oduruyɛfo betumi ama wo awi kakraa bi pɛ wɔ ayaresabea anaa ayaresabea bi a wɔhwɛ so de ahwɛ sɛ ebia woayɛ w’ade anaa. Mma nsɔ eyi nhwɛ wɔ fie da.
Ɔkwan bɛn so na wɔbɛsa yare na wɔadi ho dwuma?
Aduru a eye sen biara na ɛyɛ biako pɛ a wɔde sa awi ho akisikuru ne sɛ wobɛkwati awi ne nnuan ne nneɛma a awi wom nyinaa koraa .
Mmofra dodow no ara nyin sen wɔn awi ho akisikuru bere a wɔrenyin no. Sɛnea nhwehwɛmu ahorow kyerɛ no, mmofra bɛyɛ 66% nyin sen no. Nanso, sɛ ɛba wɔ mpanyin afe so a, ebetumi ayɛ ne nkwa nna nyinaa.
Aduan bɛn na ɛsɛ sɛ woyi fi hɔ?
Wohu awi wɔ nnuan pii mu sen sɛnea yesusuw, enti ɛho hia sɛ wokenkan nea wɔakyerɛw wɔ nneɛma biara a wobɛtɔ afi sotɔɔ mu no so yiye.
| Aduan kuw | Nhwɛso ahorow a ɛsɛ sɛ yɛkwati |
|---|---|
| Nneɛma a wɔde yɛ paanoo | Abodoo, buns, keeki, bisket, muffin, paanoo a wɔde ayɛ paanoo. |
| Pasta ne noodles a wɔde yɛ aduan | Pasta ahorow nyinaa, spaghetti, noodles (a wɔde awi na ɛyɛ). |
| Anɔpa Nnuan a Wɔde Di Dwuma | Aburow ahorow pii, Cream of Wheat. |
| Nnuan afoforo | Sauce, hot dog, ice cream bi, soya sauce, pizza. |
Bio nso, ebia awi wɔ nneɛma bi a ɛnyɛ aduan mu. Sɛ nhwɛso no, ebia awi wɔ aduru bi a wɔde yɛ wɔn ho, samina, ne mmofra Play-Doh mu.
So nnuru bi wɔ hɔ?
Sɛ wowɔ akisikuru ho sɛnkyerɛnne nketenkete (sɛ nhwɛso no, akisikuru) a, wo duruyɛfo betumi akyerɛw wo nnuru a ekum akisikuru . Ɛtɔ mmere bi a, wobetumi de corticosteroids nso ama bere tiaa bi.
Wɔ nnipa a wɔn ho yɛ wɔn hyew kɛse fam no, ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ bere nyinaa fa epinephrine (te sɛ EpiPen) a wɔde twitwiw wɔn mu . Wɔde eyi di dwuma wɔ tebea horow a egye ntɛmpɛ te sɛ anaphylaxis mu. Wo duruyɛfo bɛkyerɛkyerɛ sɛnea wode eyi bedi dwuma mu.
So awi ho akisikuru, gluten a wontumi nnye ntom, ne celiac yare yɛ ade koro?
Dabi, ɛha na nnipa pii adwene tu fra. Saa tebea abiɛsa, abiɛsa yi.
| Gyinabea | Nkyerɛmu | Nipadua mmuae |
|---|---|---|
| Awi ho Akisikuru | Protein ahorow a ɛwɔ awi mu ho akisikuru. | Nkwammoaa a ɛko tia nyarewa no yɛ wɔn ade denam IgE antibodies a wɔyɛ so. Wɔ tebea horow a emu yɛ den mu no, anaphylaxis betumi aba. |
| Celiac Yare a Ɛyare | Eyi nyɛ akisikuru. Eyi yɛ yare a nipadua no tumi ko tia nyarewa. Ɛyɛ adwuma wɔ protein bi a wɔfrɛ no gluten a ɛwɔ aburow te sɛ awi ne atoko mu no ho. | Nkwammoaa a ɛko tia nyarewa no tow hyɛ n’ankasa dwensɔtwaa ketewa no afasu so. Eyi yɛ asetra nyinaa tebea. |
| Gluten a Ɛntumi Nnye Ntom/Nneyɛe | Eyi nyɛ akisikuru anaasɛ yare a nipadua no tumi ko tia nyarewa. Ɛyɛ asɛm a ɛfa gluten a wontumi nnye ntom ho. | Nnuan a wɔyam (a ɛyɛ yaw, yafunu mu yaw, tiyɛ) ba, nanso nneyɛe biara a ɛde nkwa to asiane mu mma. |
Nkrasɛm a Wɔde Kɔ Fie
- Awi ho akisikuru yɛ mmuae a ɛnteɛ a wo nipadua no mu tumi a ɛko tia nyarewa no de ma awi.
- Nsɛnkyerɛnne no betumi afi ɛyaw ketewaa bi so akosi anaphylaxis a ɛde ne nkwa to asiane mu so.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ ɛyɛ den sɛ wobɛhome na wo menewa mu ahonhon a, kɔ ayaresabea hɔ Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
- Eyi ho ayaresa a eye sen biara ne sɛ wubeyi nnuan a awi wom nyinaa afi w’aduan ne w’adi mu.
- Ɛho hia paa sɛ wokenkan nnuan biara a wobɛtɔ wɔ sotɔɔ mu no ho nsɛm a wɔakyerɛw no yiye.
- Sɛ wususuw sɛ wowɔ saa tebea yi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.
- Awi ho akisikuru, celiac yare, ne gluten a ɛyɛ mmerɛw yɛ tebea horow abiɛsa a ɛsono emu biara.
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