Tsɔe be èyi ƒumelãdzraƒe aɖe kple xɔ̃wòwo eye nèɖu nuɖuɖu viviwo abe shrimp, clams, kple crabs ene. Gake le ɣeyiɣi aɖe megbe la, wò ŋutilã bliboa dzea dzodzo gɔme eye wònɔa ʋuʋum, wò nuyiwo vuvu... eye ate ŋu asesẽ na wò gɔ̃ hã be nàgbɔ. Esiae mía dometɔ geɖe vɔ̃na na, eye ate ŋu anye ‘Shellfish Allergy’ si ame geɖe kpɔna la ƒe gɔmedzedze. Togbɔ be esia ate ŋu anye nu sue aɖe na ame aɖewo hã la, ate ŋu anye nɔnɔme sesẽ aɖe si ate ŋu ade ame bubuwo ƒe agbe afɔku me gɔ̃ hã. Eyata egbea, mina míaƒo nu tso esia ŋu tsitotsito eye wòanɔ bɔbɔe.
Nukae Nye Ƒumelãwo ƒe Nulɔdɔ?
Kpuie ko la, Shellfish Allergy nye nulɔdɔ si nuɖuɖu hena vɛ, si fia be nuɖuɖu ƒe nulɔdɔ. Ne amewo gblɔ be ‘Shellfish’ la, tɔmelã ŋue wosusuna, gake menye nenemae o. Tɔmelã siwo woyɔna be shellfish nye lã siwo nɔa tsi me eye wotsɔa nu tsyɔa woƒe ŋutilã abe aŋɔ ene. Woma wo ɖe hatsotso eve me koŋ.
Be míase egɔme nyuie la, mina míalé ŋku ɖe esia ŋu:
| Tɔmelã ƒomevi si woyɔna be shellfish | Kpɔɖeŋuwo |
|---|---|
| Ƒumelã siwo woyɔna be crustaceans | Shrimp, kpakpaluʋui, lãgbalẽgolo |
| Molluskwo ƒe lãwo | Oysters, squid, octopus, lãgbalẽgolo, lãgbalẽgolowo |
Zi geɖe la, ƒuƒoƒo gbãtɔ, si nye ƒumelã siwo woyɔna be crustaceans, ye hea nulɔdɔ wu vɛ. Gake ƒomevi bubuwo hã ate ŋu ahe nulɔdɔ vɛ.
Tɔmelã ƒomevi kawoe ate ŋu ana nulɔdɔ nadze ame dzi?
Ne èsusu be ƒumelãwo ƒe nulɔdɔ le ye ŋu, alo ɖɔkta gblɔe na ye la, ele be nàɖɔ ŋu ɖo ŋutɔ le nuɖuɖu siawo ŋu. Ele be nàƒo asa na wo ɖuɖu keŋkeŋ.
- Shrimp kple lãgbalẽgolowo
- Agalã
- Lobster ƒe lã
- Squid / Calamari ƒe lãgbalẽ
- Oysters (Clams, Oysters, Mussels, Scallops) ƒe lãgbalẽgolowo .
- Octopus si woyɔna be Octopus
- Akpɔkplɔwo
- Crawfish kple Crayfish
- Tɔmelã ƒomevi vovovowo abe Abalone, Cockle, Conch
Nu vevitɔe nye be ne ƒomevi ɖeka ƒe nulɔdɔ le ŋuwò la, ele be nàbia wò ɖɔkta godoo hafi ate ƒomevi bubuwo kpɔ.
Ðe Ƒumelãwo ƒe Nulɔdɔ kple Ƒumelãwo ƒe Mɔmaɖemaɖeɖenuŋu nye nu ɖeka?
Ẽ, afisiae ame geɖe tɔtɔna le. Esiawo nye nɔnɔme eve siwo to vovo kura. Ele vevie ŋutɔ be wò dedienɔnɔ nanya vovototoa tututu.
Tsɔe be ne èɖu ƒumelã aɖewo vɔ la, wò dɔgbo tena vie, wò dɔgbo vea wò, alo wò dɔgbo natsi. Anɔ eme godoo be esia nye Tɔmelãwo ƒe Mɔmaɖemaɖeɖenuŋu . Esia fia be wò nuɖuɖumeŋusẽ mete ŋu ɖua nuɖuɖua nyuie o. Togbɔ be esia ate ŋu ana ame ƒe dzi nadze eme hã la, medea ame ƒe agbe afɔku me o.
Gake ne èkpɔ atɔ, wò nuyiwo vuvu, eye gbɔgbɔ sesẽ na wò le ƒumelãwo ɖuɖu vɔ megbe la, ɖewohĩ lãgbalẽgolowo ƒe nulɔdɔ aɖe anɔ ŋuwò . Esia le alea elabena wò ŋutilã ƒe dɔlélenutsiŋutete le nuɖuɖua dzi dzem. Esia nye nɔnɔme sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me.
Wò ɖɔkta koe ate ŋu anya vovototo si le wo ame evea dome pɛpɛpɛ. Eyata ne dzesiwo le ŋuwò la, mègasusui eye nàyi ɖɔkta gbɔ o.
Amekae xɔa nulɔdɔ sia? Aleke gbegbe wòbɔe?
Nulɔdɔ sia ate ŋu adze ame sia ame dzi, le ƒe ɖesiaɖe me. Nusi wɔ nuku enye be, àte ŋu aɖu lãgbalẽ ƒe geɖe kuxi aɖeke manɔmee eye kasia wò nulɔdɔ gbeɖeka.
Esia bɔ ɖe ame tsitsiwo me wu ɖevi suewo. Le numekukuwo nu la, amesiwo ŋu ƒumelãwo ƒe nulɔdɔ le ƒe 60% dzea dzesiwo gɔme zi gbãtɔ le woƒe tsitsime. Susu ɖeka si tae nye be míeɖua ƒumelã ƒomevi geɖe ne míenye ɖeviwo o.
Nukawoe ɖea lãgbalẽgolo ƒe nulɔdɔ ƒe dzesiwo fiana?
Dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ ŋutɔ. Togbɔ be ame ɖeka ate ŋu akpɔ ʋuʋudedi sue aɖe ko hã la, ame bubu ate ŋu axɔe sesẽ ale gbegbe be wòana gbɔgbɔtsixe natsi eye wòahiã be woaxɔe ɖe kɔdzi. Zi geɖe la, dzesiawo dzea egɔme le aɖabaƒoƒo va ɖo gaƒoƒo eve megbe tso esime woɖu ƒumelãwo.
Mina míalé ŋku ɖe dzesi siawo ŋu nyuie.
| Ŋutilã ƒe akpa aɖe | Dzesi siwo ate ŋu ado tso eme |
|---|---|
| Ŋutigbalẽ | Ʋeʋẽ le ŋutilã bliboa ŋu, ʋuʋudedi dzĩ (atɔ), kple ʋuʋudedi si le sesẽm ɖe edzi. |
| Nu kple Kɔ | Nuyi, aɖe, alo ŋɔti ƒe vuvu, ŋɔti me ʋuʋu alo ʋuʋu ƒe seselelãme. |
| Yagbɔgbɔ ƒe Dɔwɔɖoɖo | Yagbɔgbɔ sesẽ, akɔta ƒe tete, kɔdzi, ʋuʋudedi. |
| Nuɖuɖumeŋusẽ ƒe Dɔwɔɖoɖo | Dɔgbo ƒe vevesese, ʋuʋudedi, ʋuʋudedi, aɖuɖɔtoe. |
| Nɔnɔme bubuwo | Taɖuame , kuviawɔwɔ, ʋu ƒe sisi gbɔdzɔ, ame ƒe susu ƒe dɔwɔwɔ, ŋutigbalẽ ƒe blɔ. |
| Nɔnɔme si me afɔku le wu: Anaphylaxis | |
| Esiae nye nulɔdɔ ƒe akpa si nu sẽ wu eye ate ŋu ade ame ƒe agbe afɔku me. Le go sia me la, dzesi siwo tso ɖoɖo vovovo siwo míeyɔ ɖe etame me ate ŋu ado mo ɖa le ɣeyiɣi ɖeka me. Le kpɔɖeŋu me, ate ŋu asesẽ be woagbɔ ya esime wole ametia dzi dzem. Esia nye nɔnɔme si hiã be woawɔ atike na ame kpata. | |
Nukatae ƒumelãwo ƒe nulɔdɔ sia dzea mía dzi?
Nusitae nye nugɔmemasemase si dzɔna le míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete me.
Zi geɖe la, míaƒe dɔlélenutsiŋutete ƒe dɔe nye be wòakpɔ mía ta tso dɔlélewo me to avuwɔwɔ kple dɔlékuiwo abe dɔlékuiwo kple dɔlékui siwo gena ɖe ŋutilã me ene me.
Gake ne amesi ŋu ƒumelãwo ƒe nulɔdɔ le ɖu protein aɖe si le ƒumelãwo me la, dɔlélenutsiŋutete dea dzesii vodadatɔe be enye ‘futɔ si me afɔku le’. Emegbe la, eɖea atike vovovowo (e.g. histamine) ɖe ŋutilã me tsɔ dzea ‘futɔ’ ma dzi. Atike mawo ƒe dɔwɔwɔe hea dzesi siwo katã ŋu míeƒo nu tsoe va yi, abe ʋuʋudedi, vuvu, kple gbɔgbɔ sesẽ ene, vɛ.
Aleke ɖɔkta awɔ anya nulɔdɔ sia?
Ne dzesi aɖewo dze le ŋuwò le ƒumelã ɖuɖu vɔ megbe la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta gbɔ. Abia nya ʋɛ aɖewo wò.
- Nukae nèɖu? Agbɔsɔsɔme nenie nèɖu?
- Ɣeyiɣi didi kae dɔlélea dze egɔme tso nuɖuɖu vɔ megbe?
- Nukawoe nye dzesiawo?
- Ɣeyiɣi didi kae wole afima?
Ne ɖɔktaa zã nyatakaka siawo la, ate ŋu aɖo aɖaŋu be woawɔ dodokpɔ geɖe atsɔ aɖo kpe nulɔdɔa dzi.
1. Ŋutilã ƒe Ʋuʋu Dodokpɔ: Esia bia be nàtsɔ tsi si me nulɔdɔ (protein si tso lãgbalẽgolo me) le ƒe gogloƒe aɖe ade wò asi ƒe ŋutigbalẽ dzi eye nàtsɔ ƒoƒo sue aɖe aƒoe vie. Ne teƒea biã, vuvu, eye wòvuvu le miniti 15-20 me la, efia be ɖewohĩ nu ma ƒe ŋutilã melɔ̃a wò o.
2. Ʋudodokpɔ: Esia léa ŋku ɖe dɔlékuiwutike siwo tsi tre ɖe ƒumelãwo ŋu le wò ʋu me hã.
3. Nuɖuɖu si Wono ƒe Kuxi: Esia koe nye mɔ si dzi nàto aka ɖe edzi 100% nenye be nulɔdɔ aɖe le ŋuwò alo mele eŋu o. Gake kɔdzi koe wowɔa esia le, le ɖɔktawo ƒe dzikpɔkpɔ te vevie. Le afisia la, wonaa ƒumelã sue aɖe wò be nàɖu vivivi, eye wobia tso asiwò be nàlé ŋku ɖe dɔlélea ƒe dzesi ɖesiaɖe ŋu. Mègate esia kpɔ le aƒeme ɖeɖeko gbeɖe o.
Nukae nèwɔna ne nulɔdɔ aɖe le ŋuwò?
Esia nye akpa vevi aɖe ŋutɔ. Wò nuwɔna anɔ te ɖe wò dzesiawo ƒe sesẽ dzi.
Le dzesi suesuesuewo ta
Ne enye nu sue aɖe, abe ʋuʋudedi alo ʋuʋudedi sue aɖe ene la, wò ɖɔkta ate ŋu aŋlɔ atike si wua ʋumenugbagbeviɣidɔ (e.g. Piriton) na wò. Gake atike siawo mate ŋu aɖu dzesi sesẽwo dzi o.
Le dzesi sesẽwo gome la (Anaphylaxis) .
Ne dzesi sesẽwo do mo ɖa, abe gbɔgbɔ sesẽ, ŋɔti ƒe tete, alo ame ƒe susu ƒe dɔwɔwɔ ene la, atikewɔwɔ ɖeka kolia si aɖe ame ƒe agbee nye epinephrine dodo .
- Ne ɖɔkta ɖo kpe edzi be ƒumelãwo ƒe nulɔdɔ sesẽ aɖe le ŋuwò la, woaŋlɔ atike na wò be nàdo epinephrine. Zi geɖe la, esia dzɔna le auto-injector si zazã le bɔbɔe (e.g., EpiPen®) ƒe nɔnɔme me.
- Ðɔktaa agblɔ alesi tututu nàzã esia na wò.
Vevietɔ ŋutɔ: Ne nulɔdɔ sesẽ aɖe le ŋuwò eye wodo epinephrine na wò la, afɔɖeɖe si kplɔe ɖoe nye be nàyɔ dɔnɔdzikpɔʋu alo ayi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU). Mègalala vaseɖe esime wodoe vɔ hafi nàgblɔ be, "Enyo, fifia wokpɔ kuxia gbɔ." Elabena dzesiawo ate ŋu agado gã ɖe edzi ne atike si wodo nɛ ƒe ŋusẽkpɔɖeamedzi nu yi ko. Eyata ele vevie be woaxɔ ame ɖe kɔdzi ahanɔ atikewɔlawo ƒe dzikpɔkpɔ te.
Aleke woawɔ aƒo asa na ƒumelãwo ƒe nulɔdɔ?
Atike aɖeke meli na nulɔdɔ sia o. Eyata mɔ nyuitɔ kple ɖeka kolia si dzi nàto aƒo asa nɛ enye be nàƒo asa na ƒumelãwo kple nuɖuɖu siwo me wo le keŋkeŋ.
Nu siwo akpe ɖe ŋuwò le ema me dometɔ aɖewoe nye esi:
- Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie: Hafi nàƒle nuɖuɖu alo mɔli aɖeke le fiase me la, xlẽ nusiwo wotsɔ wɔe ƒe xexlẽdzesiwo nyuie. Ɣeaɖewoɣi la, nusiwo ŋu mèbu gɔ̃ hã o ate ŋu anye nusiwo le abe "ƒumelãwo ƒe vivisese" ene.
- Kpɔ nyuie geɖe wu le nuɖuɖudzraƒewo: Ne èyi ƒumelãwo ƒe nuɖuɖudzraƒe, ne tɔmelã koe nèbia gɔ̃ hã la, mɔnukpɔkpɔ li be woaɖa wò nuɖuɖu le ami ma ke me alo le dɔwɔnu ma ke si wotsɔ ɖaa shrimp kple crab la dzi. Woyɔa esia be cross-contamination. Eyata kpɔ egbɔ be yena wonya nu tso wò nulɔdɔ ŋu hafi nàbia nu.
- Ƒo asa na ƒumelãwo ɖaɖa kple wo ŋudɔwɔwɔ: Ame aɖewo ate ŋu awɔ nuvevi wo ne wose dzudzɔ si dona tso lãkle ɖaɖa me ko gɔ̃ hã. Ame aɖewo hã ate ŋu awɔ nu ɖe wo ŋu ne woka asi wo ŋu ko.
- Kpɔ nyuie le ƒumelã siwo woɣla ŋu: Ðewohĩ nuwo abe tɔmelãwo ƒe ƒuƒoƒo, ƒumelãwo ƒe nuvivinu, kple surimi (lã si wowɔ be wòanɔ abe kpakpaluʋui ƒe lã ene) me.
Nya siwo wobiaa ame aɖewo enuenu
Ðe màte ŋu aɖu tɔmelã ne lãgbalẽgolowo melɔ̃a wò oa?
Esiawo nye nulɔdɔ ƒomevi vovovo eve. Tɔmelã siwo woyɔna be shellfish nye lã siwo ƒe gowo le. Tɔmelãwo nye lã siwo ƒe gowo le. Eyata amesi ƒe nu melɔ̃a ƒumelãwo o ate ŋu aɖu tɔmelã kuxi aɖeke manɔmee. Nenema ke ame si ƒe nu melɔ̃a tɔmelã o ate ŋu aɖu lãgbalẽ.
Ðe Ƒumelãwo ƒe Nulɔdɔ Do Ƒome Kple Iodine ƒe Nulɔdɔa?
Ao, esia nye nukpɔsusu totro gã aɖe le ame geɖe dome. Togbɔ be iodine le ƒumelãwo me hã la, nusi gbɔ ƒumelãwo ƒe nulɔdɔ tsonae nye protein si le eme. Iodine nye nu vevi aɖe. Eyata susu aɖeke koŋ meli si tae amesi ƒe ŋutilã melɔ̃a ƒumelãwo o la ƒe nulɔdɔ nanye nusiwo me iodine le siwo naa nusiwo to vovo na wo nɔewo siwo wonana le atikewɔwɔ me dodokpɔwo me o.
Ðe nulɔdɔ sia anyo ɖe edzi gbeɖekaa?
Zi geɖe la, ƒumelãwo ƒe nulɔdɔ nyea ame ƒe agbemeŋkekewo katã ƒe dɔléle eye ƒã hafi wò nu yina le ɣeyiɣi aɖe megbe.
Gbedasi si Wotsɔ Yi Aƒeme
- Mègabu ƒumelãwo ƒe nulɔdɔ nu tsɛe o. Enye nɔnɔme sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi.
- Ne èkpɔ dzesi aɖewo siwo mebɔ o le ƒumelã ɖuɖu vɔ megbe la, mègaŋe aɖaba ƒu edzi o eye nàkpɔ ɖɔkta godoo be woakpɔ dɔlélea nyuie.
- Mɔ ɖeka kolia si dzi nàto akpɔ ɖokuiwò ta tso nulɔdɔ sia mee nye be nàƒo asa na ƒumelãwo kple nuɖuɖu siwo me wo le keŋkeŋ. Xlẽ nusiwo woŋlɔ ɖe nuɖuɖu siwo nèƒlena le fiase me dzi, eye nàkpɔ nyuie le nuɖuɖudzraƒewo.
- Ne wò ɖɔkta gblɔ na wò be nulɔdɔ sesẽ aɖe le ŋuwò la, tsɔ epinephrine auto-injector si wòŋlɔ na wò la ɖe asi ɣesiaɣi. Nya ɣeyiɣi si tututu nàzãe kple alesi nàzãe.
- Ne èzãa epinephrine-tikea la, ekema yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.

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