Ðe ʋuʋudedi nɔa ŋuwò ne èɖu nuɖuɖu aɖewo, se seƒoƒo ƒe ʋeʋẽ lilili, alo ka asi ke ŋua? Ðe nèyia edzi nɔa aɖuɖɔ tom? Ðe wò ŋkuwo biãna henɔa ʋuʋuma? Ne nu siawo tɔgbe dzɔ la, ɖeko míesusuna be, "Nuléle aɖe le ŋunye." Eyata, ʋu ƒe nulɔdɔ dodokpɔ sia nye dodokpɔ vevi aɖe ŋutɔ be nànya nenye be nulɔdɔ le ŋuwò ŋutɔŋutɔ, eye ne ele nenema la, nuka tae wòle. Mina míaƒo nu tso esia ŋu le nya bɔbɔewo me egbea.
Nukae nye ʋudodokpɔ sia hena nusiwo ŋu nulɔdɔ le?
Kpuie ko la, nulɔdɔ ƒe ʋudodokpɔ dzidzea dɔlékuiwutike siwo woyɔna be Immunoglobulin E (IgE) ƒe agbɔsɔsɔ le wò ʋu me. Bu míaƒe dɔlélenutsiŋutete be enye aʋakɔ si le dukɔ aɖe ta ʋlim. Ne dɔlékui (futɔ) si gblẽa nu le ame ŋu ge ɖe ŋutilãa me la, aʋakɔ sia wɔa asrafo tɔxɛwo (dɔlékuiwutikewo) be woawɔ avu kplii.
Gake, ɣeaɖewoɣi la, míaƒe dɔlélenutsiŋutete wɔa vodada sue aɖe. Nusi dzɔna enye be esusuna be nusiwo megblẽa nu le ŋutilã ŋu ŋutɔŋutɔ o, abe ke, aŋɔ, kple nuɖuɖu aɖewo ene gɔ̃ hã nye futɔ gã aɖe eye wòwɔa asrafo siawo siwo woyɔna be (IgE) ƒe agbɔsɔsɔ gã aɖe tsɔ wɔa avu kpli wo. Nuwɔna sia si míedi o lae nye nusi míeyɔna be nulɔdɔ . Eyata, ʋudodokpɔ aɖe akpɔe ɖa be dɔlékuiwutike siawo siwo woyɔna be (IgE) ƒe agbɔsɔsɔ si sɔ le wò ʋu me hã.
Nukawoe nye nusiwo bɔ siwo ŋu míaƒe ŋutilã melɔ̃a nu le o?
Nusiwo seɖoƒe meli na o ate ŋu anɔ anyi siwo hea nulɔdɔ (nulɔdɔwo) vɛ. Gake nu ʋɛ aɖewo siwo ŋu ame akpa gãtɔ melɔ̃a nu le o ye nye esi:
- Nuɖuɖuwo: Nuwo abe atikutsetse, notsi, azi, tɔmelã, lãgbalẽgolo, kpakpaluʋui.
- Aƒeme ke: Lãvi suesuesuewo (ke ʋetsuviwo) siwo wokpɔna le ke me.
- Latex: Wokpɔnɛ le nuwo abe rababa asigɛwo kple soxwo ene me.
- Nudzodzoewo ƒe ɖuɖu: Nudzodzoewo ƒe ɖuɖu abe anyiwo kple ʋetsuviwo ene.
- Aŋɔ: Aŋɔ ƒomevi siwo tsina le teƒe siwo tsi le.
- Aƒemelãwo: Lãwo abe avuwo kple avuwo ene ƒe lãfu, aɖuɖɔ, kple aɖuɖɔ.
- Pollen: Seƒoƒo siwo le tsia dzi le ya me ƒe aŋgbawo.
- Atike aɖewo: Le kpɔɖeŋu me, atikewo abe penicillin ene .
Ðe nulɔdɔ ƒe ʋudodokpɔ ƒomevi aɖewo lia?
Ẽ, ƒomevi vevi evee li. Ele vevie ŋutɔ be míase vovototo si tututu le wo ame evea dome gɔme.
| Dodokpɔ ƒomevi | Kpuie ko la,... |
|---|---|
| IgE Dodokpɔ Katã | Esia dzidzea (IgE) dɔlékuiwutike siwo katã le wò ʋu me. Gake esia mate ŋu agblɔ nusi tututu ŋu wò nulɔdɔ le o. Ɣeaɖewoɣi la, ne nulɔdɔ aɖe le ŋuwò gɔ̃ hã la, asixɔxɔa ate ŋu asɔ. |
| IgE Dodokpɔ Tɔxɛ aɖe | Esiae nye mɔnu si de pɛpɛpɛ wu eye wozãnɛ le afisiafi. Edzidzea IgE dɔlékuiwutike siwo le wò ʋu me siwo le atike tɔxɛ si nèsusu be nulɔdɔ le ye ŋu (e.g., atikutsetse, ke ʋetsuviwo) koŋ. |
Ɣekaɣie wòhiã be woawɔ ʋudodokpɔ le nulɔdɔ ŋu?
Nɔnɔme geɖe li siwo me wò ɖɔkta ate ŋu abia be woadoe kpɔ le, vevietɔ ne nɔnɔme siwo gbɔna dometɔ aɖe le ŋuwò:
- Allergic rhinitis / hay fever: Esia le abe dzamezã si madzo o ene. Aɖuɖɔɖɔɖɔ, ŋɔti me tsi si le dodom, kple ŋɔti me xena ɣesiaɣi. Zi geɖe la, nusiwo le nutoa me, abe aŋɔ, ke, kple lãwo ƒe ʋuʋudedi ene gbɔe esia tsona.
- Anaphylaxis: Esia nye nulɔdɔ sesẽ ŋutɔ, si ate ŋu awu ame. Ate ŋu atso nuɖuɖu aɖewo (abe atikutsetse ene) alo nudzodzoewo ƒe ƒoƒo gbɔ. Ate ŋu ana gbɔgbɔ nasesẽ, avuvu, eye wòana ame ƒe susu nabu gɔ̃ hã.
Azɔ hã, ne èkpɔa dzesi siwo gbɔna enuenu la, dodokpɔ sia ate ŋu akpe ɖe ŋuwò nànya ne nusi gbɔ wòtsoe nye nulɔdɔ.
| Ðe dzesi siawo hã le ŋuwòa? |
|---|
| - Aɖuɖɔtoewo |
| - Ŋku siwo le ʋuʋum, siwo biã, alo esiwo me tsi le |
| - Gbɔgbɔ kpuie |
| - Ŋutilã ƒe ʋuʋudedi vovovowo |
| - Aɖuɖɔɖɔɖɔ enuenu |
| - Kɔ ƒe ʋuʋu alo vevesese |
| - No me ʋuʋu, ʋuʋudedi, alo ŋɔti me tsi si le dodom |
| - Nuyi, aɖe, ŋku, alo mo ƒe vuvu |
| - Akɔta ƒe tete alo nɔnɔme si le abe asrã ene (Allergic asthma) . |
Ðe nane li si wòle be madzra ɖo hafi dodokpɔ sia nawɔ?
Ŋuɖoɖo bɔbɔeae nye, ‘ Ao. ’ Mehiã be nàwɔ nu tɔxɛ aɖeke alo aƒo asa nɛ hafi awɔ ʋudodo sia o. Mehiã be nàdzudzɔ nuɖuɖu alo nunono alo atike aɖeke nono o. Gake ɖeko nàwɔ ɖe mɔfiame tɔxɛ ɖesiaɖe si wò ɖɔkta ana wò dzi.
Nukae dodokpɔa ƒe nyatakakaa gblɔ?
(IgE) ƒe agbɔsɔsɔ aɖe le amesiame ƒe ʋu me. Ema sɔ. Ne èkɔ (IgE) le nyatakakaa me la, efia be ɖewohĩ nulɔdɔ aɖe le ŋuwò. Gake nu vevi aɖe li si gɔme wòle be míase le afisia.
Zi geɖe la, ʋudodokpɔ sia mate ŋu anya alesi gbegbe wò nulɔdɔa nu sẽe o . Eyae nye be esi wò IgE ƒe agbɔsɔsɔme sɔ gbɔ ŋutɔ ta la, mefia be wò nuwɔna asẽ nenema ke o.
Eyata ne èxɔ nyatakakaa vɔ la, ele be nàƒo nu kple wò ɖɔkta godoo be wòase egɔme pɛpɛpɛ. Ne afɔku le anaphylaxis, si nye nulɔdɔ sesẽ aɖe me la, wò ɖɔkta ate ŋu abia tso asiwò hã be nàtsɔ epinephrine-tike ɖe asi ɣesiaɣi ne nɔnɔme kpata aɖe do mo ɖa.
Ðe dodokpɔ sia me tsonu ate ŋu anye alakpa?
Ẽ, ate ŋu adzɔ. Le nyateƒe me la, numekukuwo ɖee fia be 50% - 60% le nulɔdɔ ƒe ʋudodokpɔ me tsonu siwo ɖee fia be ‘nyui’ alo ‘nulɔdɔ’ metso nulɔdɔ gbɔ ŋutɔŋutɔ o. Woyɔa esia be ‘Aʋatso-Nya nyui’ ƒe emetsonu.
Esia fia be ne wò ʋu me (IgE) sɔ gbɔ hã la, ɖewohĩ le nyateƒe me la, nu ma koŋ (e.g. notsi) madze ŋuwò o. Esia tae ɖɔkta menɔa te ɖe ʋudodokpɔ ƒe nyatakaka ɖeɖeko dzi wɔa nyametsotso o. Aƒo wò dzesiwo, nyatakaka siwo nèna, kple nyatakakaa nu ƒu be wòakpɔ dɔlélea nyuie.
Vovototo kae le ʋu ƒe nulɔdɔ dodokpɔ kple ŋutigbalẽ ƒe nulɔdɔ dodokpɔ dome?
Esiawoe nye dodokpɔmɔnu vevi eve siwo wozãna tsɔ dea dzesi nusiwo ŋu nulɔdɔ le. Vovototo sue aɖewo le wo ame evea dome.
| Ŋutinu | Ʋudodokpɔ | Ŋutilã Dodokpɔ |
|---|---|---|
| Nusiwo dona tso eme ƒe duƒuƒu | Ate ŋu axɔ ŋkeke geɖe. | Àte ŋu anya emetsonuwo le aɖabaƒoƒo ʋɛ aɖewo ko me. |
| Ɖoɖonunɔnɔ | Ðewohĩ axɔ asi vie wu ŋutigbalẽ dodokpɔ. | Zi geɖe la, enaa emetsonu siwo de pɛpɛpɛ wu. |
| Amekae sɔ na wu? | Esɔ nyuie wu na amesiwo ŋu ŋutigbalẽ ƒe dɔléle le, amesiwo mate ŋu adzudzɔ nulɔdɔ ƒe atike aɖewo (atike siwo tsia nulɔdɔ nu) nono o, kple ɖevi suewo. | Togbɔ be esɔ na ame akpa gãtɔ hã la, ɖewohĩ masɔ na amesiwo ŋu ŋutigbalẽ ƒe dɔléle le alo amesiwo ŋu nulɔdɔ sesẽwo le ŋutinya me o. |
Wò ɖɔkta atso nya me le dodokpɔ si sɔ na wò wu ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Nulɔdɔ ƒe ʋudodokpɔ dzidzea dɔlékuiwutike tɔxɛ aɖe si woyɔna be IgE ƒe agbɔsɔsɔ le wò ʋu me. Esia kpena ɖe ame ŋu wòkpɔa dɔléle aɖe si ŋu nulɔdɔ le.
- Dodokpɔ me tsonu nyui aɖe ɖeɖe mefia be nulɔdɔ aɖe le ŋuwò o. Wò dzesiwo kple atikewɔwɔ ŋutinya hã le vevie nenema ke.
- Zi geɖe la, dodokpɔ sia mate ŋu anya alesi gbegbe wò nulɔdɔa nu sẽe o.
- Ƒo nu tso dodokpɔa me tsonu kple afɔɖeɖe bubu ɖesiaɖe si wòle be nàɖe ŋu na wò ɖɔkta ɣesiaɣi. Ƒo asa na nyametsotsowo wɔwɔ le ɖokuiwò si.
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