Ðe nu siawo hã ƒe nu léa dzi na wòa? Mina míasrɔ̃ nu geɖe tso nulɔdɔwo ŋu.

Ðe wòʋẽna ɣeaɖewoɣi le susu aɖeke manɔmeea? Ðe nèsena le ɖokuiwò me be yexɔ dzamezã eye yeƒe ŋɔti tsia? Ate ŋu atso nane si ŋu mèbu gɔ̃ hã o ta. Míeyɔa esia be ‘nulɔdɔ’. Ame geɖe menya nu boo aɖeke tso eŋu o. Eyata mina míaƒo nu tso eŋu tsitotsito egbea, elabena ekpɔa ŋusẽ ɖe ame geɖe dzi.

Nuka tututue nye nulɔdɔ sia?

Kpuie ko la, nulɔdɔ nye míaƒe ŋutilã ƒe dɔlélenutsiŋutete ƒe nuwɔna si míedi o. Bu eŋu ale: ametakpɔnu aɖe le míaƒe ŋutilã si, míeyɔnɛ be dɔlélenutsiŋutete . Ele abe aʋakɔ si kpɔa dukɔ aɖe ta ene. Nuɖoanyi sia wɔa avu kple dɔlékuiwo, dɔlékuiwo, kple dɔlékui siwo tso gota eye wòxea mɔ na mí be míagadze dɔ o. Gake ɣeaɖewoɣi la, ne nusiwo megblẽa nu le mía ŋu ŋutɔŋutɔ o – le kpɔɖeŋu me, aŋɔ, ke, kple nuɖuɖu aɖewo – ge ɖe míaƒe ŋutilã me la, míaƒe dɔlélenutsiŋutete susuna vodadatɔe be futɔ gã aɖee nye esia. Emegbe edzea avuwɔwɔ si mehiã o gɔme ɖe eŋu. Esia tae míeyɔnae ko be nulɔdɔ. Nuwɔna siae nana míekpɔa dzesi vovovowo, abe ʋuʋudedi kple aɖuɖɔtoe ene.

Nukawoe nye nulɔdɔ siwo bɔ siwo míate ŋu adze?

Nu manyaxlẽ aɖewo li siwo ŋu míaƒe ŋutilã melɔ̃a nu le o, gake esiwo bɔ wu dometɔ ʋɛ aɖewoe nye esi:

• Anyiwo ƒe aɖi kple nudzodzoe bubuwo ƒe ƒoƒo: Ame aɖewo ate ŋu anye nusiwo lãwo abe ʋetsuviwo kple ʋetsuviwo ƒe ƒoƒo ene vevie.
• Dust mites: Esiawo nye nuwɔwɔ suesuesue siwo le sue akpa be woate ŋu akpɔ wo kple ŋku dzro ko. Wonɔa ke me le míaƒe aƒewo me. Wobɔ ɖe mattress, akɔtaɖonuwo, kple modzakaɖebɔwo me.
• Nuɖuɖuwo: Nuɖuɖuwo abe notsi, azi, atikutsetse, soya, tɔmelã, ƒumelã, kple kpakpaluʋui ene melɔ̃a ame aɖewo o.
• Atikewo: Atike aɖewo, abe vevesesenutsitikewo kple dɔlékuiwutikewo ene hã ate ŋu ana nulɔdɔ nadze ame dzi.
• Aŋɔ: Aŋɔ siwo tsina le teƒe siwo fafa bɔ ɖo, abe gli xoxowo ene, ate ŋu ana nulɔdɔ nadze ame dzi ne wogbɔe.
• Aƒemelãwo: Lãwo abe avuwo kple avuwo ene ƒe fu, aɖuɖɔ, kple ŋutigbalẽmenugbagbevi kukuwo melɔ̃a ame aɖewo o. Bu eŋu kpɔ, ne èka asi avu aɖe ŋu le xɔ̃wò ƒe aƒeme vɔ la, èdze aɖuɖɔɖɔɖɔ gɔme eye wò ŋkuwo biã. Ema fia be ɖewohĩ wò nulɔdɔ le cat dander ŋu.
• Lãmetsidɔ si doa ŋusẽ ŋutigbalẽa: Atike aɖewo, adzalẽwo, ga (abe nikel ene), kple numiemie aɖewo ate ŋu ana ŋutigbalẽa naɖe ɖa ne wodo go ŋutigbalẽa .
• Pollen: Esia koŋue hea vuvɔ kple ŋku ƒe ʋuʋu vɛ na ame geɖe le kele me.

Nukawoe nye nulɔdɔ ƒe dzesiwo?

Dzesi siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye woanɔ te ɖe nusiwo ŋu wò nulɔdɔ le hã dzi. Kpɔ xexlẽdzesi sia ɖa:

• Ŋutilã ƒe dzikudodo, ʋuʋudedi, alo aɖuɖɔtoe.
• Ʋuʋudedi.
• Aɖuɖɔɖɔɖɔ, ŋɔti me tsi, ŋɔti me tsi si le dodom.
• Yagbɔgbɔ sesẽ, abe kɔdzi kple ʋuʋudedi ene.
• Ŋku siwo le ʋuʋum, siwo me tsi le.
• Mo, nuyi, aɖe, alo ŋɔti ƒe vuvu.
• Gbɔgbɔ sesẽ, nu mimi sesẽ.
• Aɖuɖɔtoe alo aɖuɖɔtoe.
• Ʋu ƒe sisi ƒe ɖiɖi.

Fifia, ne èka asi nane si ŋu wò nulɔdɔ le ŋu la, ɖewohĩ ŋutigbalẽ ƒe ʋuʋudedi koe axɔ wò. Gake ne ègbɔ nane abe aŋɔ alo lãwo ƒe aɖuɖɔ ene la, anɔ eme godoo be ŋɔti me tsi kple aɖuɖɔ aɖu wò. Nuɖuɖu, atikewo, ʋetsuviwo ƒe aɖi, kple nu bubuwo ƒe nulɔdɔ ate ŋu asẽ ŋutɔ. Woate ŋu ana wò ŋɔti gɔ̃ hã navuvu eye wòana gbɔgbɔ nasesẽ. Míeyɔa esia be ``Anaphylaxis.'' Esia nye nudzɔdzɔ kpata eye wòhiã be woawɔ atike nɛ enumake.

Ɣeyiɣi didi kae nulɔdɔ sia nɔa anyi?

Zi geɖe la, dzesi siawo nɔa anyi ɣeyiɣi didi si nèdo go nusi naa nulɔdɔa. Nulɔdɔ aɖewo dzea egɔme le aɖabaƒoƒo ʋɛ aɖewo ko me. Bubuwo hã dona le gaƒoƒo alo ŋkeke aɖewo megbe. Zi geɖe la, dzesiawo nu yina le gaƒoƒo ʋɛ aɖewo megbe ne èdo go nusi naa nulɔdɔa. Gake ŋutigbalẽ ƒe nulɔdɔ aɖewo, abe ŋutigbalẽ ƒe dɔléle si doa ka kple ame ene, ate ŋu anɔ anyi kwasiɖa geɖe.

Nukatae nulɔdɔ siawo dzea mía dzi?

Míaƒe dɔlélenutsiŋutete bua protein siwo le nusiwo megblẽa nu le ame ŋu o abe aŋɔ, lãwo ƒe ƒuƒu, atike aɖewo, kple nuɖuɖuwo me vodadatɔe be wonye nane si me afɔku le, abe dɔlékui alo dɔlékui ene. Emegbe ne míegbɔ nu siawo, ɖu wo, alo ka asi wo ŋu la, míaƒe ŋutilã bunɛ be esia nye kuxi gã aɖe eye wòhiã be yeaɖe wo ɖa. Ɣemaɣie dzesi siwo míeyɔ ɖe etame la dzena.

Nu vevitɔe nye be zi geɖe la, nulɔdɔ medzɔna le nane si wodo goe zi ɖeka pɛ ko megbe o. Ne míedo goe zi gbãtɔ la, míaƒe ŋutilã dea dzesii be enye dutatɔ eye wòwɔa protein tɔxɛ siwo woyɔna be dɔlékuiwutikewo tsɔ tsia tre ɖe eŋu. Míeyɔa ɖoɖo sia be sensitization. Emegbe ne nu ma ke gage ɖe ŋutilãa me ake la, dɔlékuiwutike mawo siwo wowɔ la wɔa dɔ eye wonaa dzesi dɔlélenutsiŋutete si gblɔna be, "Futɔ lae nye esi, dze edzi." Ɣemaɣie nulɔdɔ ƒe dzesiwo dzena.

Amekawoe le afɔku gã me be woaxɔ nulɔdɔ sia?

Togbɔ be esia ate ŋu adzɔ ɖe amesiame dzi hã la, ame aɖewo le afɔku me wu:

• Ne nulɔdɔ le dziwòlawo dometɔ aɖe ŋu: Domenyiŋusẽfianu aɖe kpɔa ŋusẽ ɖe edzi.
• Le amesiwo ŋu dɔlélewo abe asrã alo ʋuʋudedi ene le gome la: Nɔnɔme siawo do ƒome kple wo nɔewo. Wogayɔa esia zi geɖe be atopy.

Aleke ɖɔktawo wɔa dea dzesi nusiwo ŋu nulɔdɔ le?

Ne nulɔdɔ ƒe dzesiwo le ŋuwò la, ɖɔkta ate ŋu aɖo kpe edzi to dodokpɔ aɖewo wɔwɔ me.

• Ŋutilã dodokpɔ:Nusi nèwɔna kple esiae nye be, ètsɔa nusi nèsusu be ɖewohĩ yeƒe ŋutilã melɔ̃na o la ƒe akpa sue aɖe dea wò ŋutigbalẽ ŋu, tsɔa lã sue aɖe ŋutɔ, eye emegbe nèdonɛ to eme. Ne teƒea biã, vuvu, eye wòle ʋuʋum le miniti 15-20 me la, efia be nu ma melɔ̃ wò o.
• Ʋudodokpɔ: Esiawo léa ŋku ɖe eŋu be dɔlékuiwutike aɖewo koŋ (IgE) le wò ʋu me siwo wowɔ ɖe nusiwo nana ŋutilã me nulɔdɔ aɖewo ŋu hã.

Ðɔktaa abia wò tso wò dzesiwo kple nusiwo nèdo goe ŋu (le kpɔɖeŋu me, wò dɔ, modzakaɖeɖewo, kple bubuawo) be yeanya dodokpɔ siwo wòle be woado wò kpɔ.

Ɣeaɖewoɣi la, le nusiwo ŋu nèsusu be nulɔdɔ le ye ŋu nu la, woate ŋu ado gbɔgbɔ ƒe dodokpɔ, atike alo nuɖuɖu ƒe kuxi dodokpɔ, alo atike si wotsɔ ƒoa ƒui ƒe dodokpɔ na wò. Dodokpɔ si wowɔna le ŋutigbalẽa ŋu si wotsɔa lãgbalẽ wɔe la dia nusi tsi megbe le ŋutigbalẽa ŋu si dzɔna le ŋkeke ʋɛ aɖewo megbe.

Nukawoe nye atike siwo wozãna na nulɔdɔwo?

Nu gbãtɔ kple nyuitɔ kekeakee nye be nànɔ adzɔge tso nusiwo ŋu wò nulɔdɔ le gbɔ alesi nàte ŋui. Esia le vevie ŋutɔ ne wò nulɔdɔa nu sẽ ale gbegbe be wòana anaphylaxis.

Gake esesẽna be woaƒo asa na nusiwo le abe ke kple aŋɔ ene siwo le afisiafi keŋkeŋ. Le nɔnɔme mawo me la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàno atike aɖewo gbesiagbe alo nànɔ atike aɖewo wɔm edziedzi. Esiawo ate ŋu akpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ alo aɖe afɔku si le dɔléle sesẽ aɖe me dzi akpɔtɔ.

Le wò nulɔdɔwo nu la, woate ŋu akafu nu siwo gbɔna:

• Atike siwo wua ʋumenugbagbeviɣidɔ: Kpɔɖeŋu aɖewoe nye atikewo abe Fexofenadine (Allegra®), Loratadine (Claritin®), kple Cetirizine (Zyrtec®). Esiawo wɔa dɔ to mɔxexe ɖe atike aɖe si woyɔna be histamine, si dona le nulɔdɔ me.
• Steroid atike siwo wotsɔna ƒua gbe ɖe no me: Kpɔɖeŋu aɖewoe nye Flonase® kple Nasacort®. Esiawo ɖea ŋɔti me vuvu, ʋu ƒe sisi, kple ŋɔti ƒe sisi dzi kpɔtɔna.
• Leukotriene modifiers: Atikewo abe Montelukast ene ate ŋu akpe ɖe ame ŋu hã be woaɖu nulɔdɔ ƒe dzesiwo dzi, vevietɔ le amesiwo ŋu asrã le gome.
• Omalizumab (Xolair®) dodo: Wozãa esiawo na nuɖuɖu ƒe nulɔdɔ aɖewo kple aɖuɖɔtoe si nɔa anyi didi.
• Dɔlélenutsiŋutete ƒe atikewɔwɔ: Esia bia be nàde nulɔdɔlékuiwutikea ƒe agbɔsɔsɔ sue aɖe ŋutɔ wò ŋutilã me vivivi le ɣeyiɣi aɖe megbe, si ana wò ŋutilã natrɔ ɖe eŋu. Woate ŋu awɔ esia abe atike si wodona na ame ene (Allergy shots), abe atikekui si woda ɖe aɖe te ene (Sublingual immunotherapy (SLIT)), alo abe atike si woano ene (Oral immunotherapy (OIT)). Esia nye atikewɔwɔ si nɔa anyi didi si wowɔna le eŋutinunyala bibi aɖe ƒe dzikpɔkpɔ te.

Ne nulɔdɔ aɖe le ŋuwò si ate ŋu ana nulɔdɔ sesẽ aɖe nadze ŋuwò la, wò ɖɔkta agblɔ na wò be nàtsɔ epinephrine auto-injector (abe EpiPen® alo Auvi-Q® ene) ɖe asi ɣesiaɣi. Ele be nàzãe le dzesi gbãtɔ si fia be nulɔdɔ sesẽ aɖe le ŋuwò.

Ɣekaɣie wòle be makpɔ ɖɔkta alo ayi xɔ si me wowɔa dɔ kpata le?

Ne nulɔdɔ ƒe dzesiwo le ŋuwò eye nèdi be yeanya nusi tututu gbɔ wòtso la, yi ɖɔkta gbɔ. Wò dɔnɔdzikpɔla gbãtɔ ate ŋu aɖo wò ɖe eŋutinunyala bibi aɖe, abe nulɔdɔŋutinunyala alo ŋutigbalẽŋutinunyala ene, be woagawɔ dodokpɔ bubuwo na wò.

Gake ne èkpɔ dzesi siawo dometɔ aɖe la, ele be nàyi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake alo nàƒo ka na 1990:

• Mo, nuyi, aɖe, alo ŋɔti ƒe vuvu kabakaba.
• Yagbɔgbɔ sesẽ, gbɔgbɔtsixetsixe, akɔta ƒe tete.
• Atɔ siwo kaka kabakaba ɖe ŋutilã bliboa me.
• Asiwo, afɔwo, nuyiwo ƒe ʋuʋu.
• Gbɔdzɔgbɔdzɔ, taɖuame, alɔ̃madɔmadɔ ƒe seselelãme.
• Vɔvɔ̃ gã aɖe ƒe seselelãme, tsɔtsrɔ̃ si gbɔna ƒe seselelãme.

Nukae mate ŋu akpɔ mɔ na ne nulɔdɔ le ŋunye?

Nulɔdɔ ƒomevi si le ŋuwòe afia nusi gbɔ wòle be nàkpɔ. Zi geɖe la, ɣeyiɣi aɖe ƒe nulɔdɔwo, abe aŋɔ ƒe nulɔdɔ kple aƒemelãwo ƒe nulɔdɔwo ene, doa dziku gake medea ame ƒe agbe afɔku me o. Gake nusiwo ƒe ŋutilã melɔ̃a nu abe nuɖuɖu, atike, kple ʋetsuviwo ƒe aɖi ene ate ŋu asẽ vie wu. Ne nulɔdɔ siawo dometɔ ɖeka le ŋuwò la, ele be nàtsɔ epinephrine-tike ɖe asi ɣesiaɣi.

Nukae mate ŋu awɔ be gbɔdzɔe nasu asinye ne nulɔdɔ ƒe dzesiwo le ŋunye?

Le atikewɔwɔ me gɔ̃ hã la, ne nulɔdɔ ƒe dzesiwo ɖea fu na wò ɣeaɖewoɣi la, àte ŋu akpɔ gbɔdzɔe aɖe le nu siawo me:

• Woate ŋu azã atike siwo wozãna tsɔ ɖea ŋɔti me (abe alesi ɖɔkta gblɔe ene) alo tsi si wotsɔ klɔa nu me tsɔ ɖea ŋɔti ƒe ʋuʋu kple ŋɔti me tsi si le dodom ɖa.
• Be nàɖe ŋku ƒe ʋuʋu kple bibi dzi akpɔtɔ la, tsɔ avɔ dzadzɛ si wotsɔ tsikpe tsi ƒo ɖe wo ŋu alo zã ŋkumeɖonu (abe alesi ɖɔkta gblɔe ene) hena nulɔdɔwo.
• Tsi tsi eye nàdo awu yeyewo (vevietɔ ne ètso gota vɔ) be nàɖe nusiwo nana wò ŋutilã melɔ̃na o siwo ate ŋu anɔ wò ŋutilã ŋu la ɖa.
• Zã atike siwo me nulɔdɔ mele o alo esiwo me ʋeʋẽ lilili mele o nàtsɔ aɖe ŋutigbalẽ ƒe ʋuʋu kple ʋuʋudedi dzi akpɔtɔ.

Ðe woate ŋu axe mɔ ɖe nulɔdɔwo nua?

Le nyateƒe me la, mɔ aɖeke meli si dzi woato axe mɔ na nulɔdɔ be wòagadzɔ le gɔmedzedzea me o. Gake ne nulɔdɔ aɖe le ŋuwò xoxo la, nu aɖewo siwo nàte ŋu awɔ atsɔ akpe ɖe ŋuwò nàxe mɔ ɖe dɔlélewo nu lae nye esi:

• Dzudzɔ asikaka lã siwo ŋu wò nulɔdɔ le ŋu alo wo ƒoƒo. Trɔ awuwo ne èwɔ nu ɖe ​​lã mawo tɔgbe ŋu vɔ. (Mègana woage ɖe wò xɔdɔme, wò aba dzi, alo wò zikpuiwo dzi o. Mègaka asi woƒe fefenuwo ŋu o.)
• Tsɔ ya ƒo mo na modzakaɖebɔwo kple xɔmenuwo edziedzi be nàɖe nusiwo nana ame ƒe ŋutilã melɔ̃a nu o abe ke, aƒemelãwo ƒe ʋuʋudedi, kple aŋɔ ene ɖa. Tsɔ avɔ xɔdzo tutu ke ɖa.
• Anyo ne àte ŋu azã ``High-efficiency particulate air (HEPA) air filters`` atsɔ aɖe nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o ɖa le ya me.
• Na fesreawo nanɔ tutu le seƒoƒo ƒe ɣeyiɣi si me seƒoƒowo sɔ gbɔ wu me.
• Trɔ tsilénu siwo le wò aƒea ƒe HVAC-mɔ̃a me edziedzi.

Ne nuɖuɖu ƒe nulɔdɔ le ŋuwò la, xlẽ nuɖuɖu ƒe ŋkɔwo nyuie. Nuɖuɖu siwo ŋu wò nulɔdɔ mele o koe dzra ɖo ɖe wò aƒeme. Teƒe siwo nèka ɖe edzi be yeate ŋu aɖu nu kuxi aɖeke manɔmee koe nàɖu. Kpɔ egbɔ be yena yeƒe ɖɔkta nanya nu tso wò nulɔdɔwo ŋu ne èle nu ɖum le gota.

Ðe nulɔdɔwo trɔna ne ame tsia?

Ẽ, nulɔdɔwo ate ŋu atrɔ ne ame tsi. Enɔ te ɖe alesi gbegbe nusi nana wò ŋutilã ƒe dɔlélenutsiŋutete doa goe, tɔtrɔ siwo va le wò dɔlélenutsiŋutete me, kple nu bubuwo dzi.

Ɣeaɖewoɣi la, nulɔdɔ siwo li xoxo ate ŋu agblẽ ɖe edzi. Alo, nulɔdɔ siwo nu yi ate ŋu atrɔ ava. Ɣebubuɣiwo la, nulɔdɔ siwo li xoxo ateŋu anyo ɖe edzi le ɣeyiɣi aɖe megbe – le kpɔɖeŋu me, ne nulɔdɔ le ŋuwò na avuwo la, wò nulɔdɔ ateŋu aɖe akpɔtɔ ne èzã ɣeyiɣi geɖe ɖe wo ŋu (woyɔa esia be ``mɔɖeɖe ɖe nu ŋu'', gake esia medzɔna ɖe amesiame dzi o). Azɔ hã, ame aɖewo ate ŋu axɔ nulɔdɔ yeyewo ne wole tsitsim.

Mlɔeba la, ele nam be magblɔ nya sia na mi...

Nulɔdɔ nye ame miliɔn geɖe ƒe gbesiagbegbenɔnɔ ƒe akpa aɖe le xexeame godoo. Le ame aɖewo gome la, esɔ be woƒe ŋɔti natsi eye woaɖu aɖuɖɔ le kele ɖesiaɖe me. Le ame bubuwo gome la, enye avuwɔwɔ be yewoƒe ŋutigbalẽ navo tso avu lɔlɔ̃ si le aƒe si te ɖe wo ŋu la gbɔ. Nuɖuɖu kple atikewo ƒe nulɔdɔwo nu sẽ vie wu – si fia be ele be nàxlẽ nuɖuɖu ƒe ŋkɔwo nyuie eye nàɖɔ ŋu ɖo le atike yeyewo ŋu.

Gake ɖo ŋku edzi be nu geɖe li nàte ŋu awɔ atsɔ aɖu wò nulɔdɔwo dzi. Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o. To mɔ sia dzi la, àte ŋu anya nusi tututu nyo na wò.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

Nulɔdɔwo , dzesiwo, atikewɔwɔ, ŋutigbalẽdɔlélewo, gbɔgbɔtsixetsixe, dɔlélenutsiŋutete, (Anaphylaxis) .