Ðe nèɖea aɖuɖɔ hã atraɖii ne èka asi ke aɖe ŋua? Alo ɖe wòtsia dzodzodzoe ne èɖu nanea? Le ame aɖewo gome la, ne woƒe ŋɔti me tsi, woƒe ŋɔti me tsi, eye woƒe ŋkuwo biã eye wole ʋuʋum la, enye nusi medzea ame ŋu kura o. Le nyateƒe me la, atike aɖeke meli si anɔ anyi ɖaa na nɔnɔme sia si woyɔna be nulɔdɔ o. Gake mègatsi dzi o, atike geɖe li siwo ate ŋu aɖu dzesi dodziku siawo dzi eye woana gbɔdzɔe geɖe wò. Egbea, mina míaƒo nu tso atike siwo wonana na nulɔdɔ siawo ŋu.
Nukae nye atike siwo wua histamine?
Antihistamines nye ŋkɔ si míesena zi geɖe ne míele nu ƒom tso nulɔdɔwo ŋu. Wozãa wo tsɔ léa nulɔdɔ ƒe dzesiwo nu ƒe geɖe. Woate ŋu akpɔ wo le atikekuiwo, tsiwo, atike siwo wotsɔna ƒua gbe ɖe ŋɔti me, kple ŋkumeɖonuwo ƒe nɔnɔme me.
Kpuie ko la, ne wò ŋutilã do go nane si ŋu wò ŋutilã melɔ̃a nu le o, abe ke ene la, wò dɔlélenutsiŋutete wɔa nu wògbɔa eme. Emegbe, lãmenugbagbevi tɔxɛ aɖe si woyɔna be mast cells ɖea atike aɖe si woyɔna be histamine dona. Histamine siae naa nusianu tso ʋuʋudedi dzi va ɖo aɖuɖɔɖɔɖɔ, ŋɔti me tsi si le dodom, kple ŋku biã dzi. Eyata nusi antihistamine siawo wɔnae nye be woxea mɔ na atike sia si woyɔna be histamine ƒe dɔwɔwɔ.
| Atike ƒomevi | Kpɔɖeŋuwo kple nuŋlɔɖiwo |
|---|---|
| Atikekui siwo menaa ame ƒe dzi dzea eme o | Wozãa nusiawo le afisiafi fifia. Kpɔɖeŋuwo: Cetirizine, Loratadine, Fexofenadine, Levocetirizine. Esiawo hea alɔ̃dɔdɔ sue aɖe ko vɛ. |
| Atikekui siwo naa ame ƒe dzi dzea eme | Esiawo nye atike xoxowo. Woate ŋu ana nàdɔ alɔ̃ ŋutɔ, eyata mègaxɔ wo ne èle ʋu kum alo le mɔ̃wo zãm o. Kpɔɖeŋuwo: Chlorpheniramine (Piriton), Diphenhydramine. |
| Ŋku ƒe Ʋuʋudedi kple No me Atikewo | Wozãa ŋkumewuwo tsɔ daa ŋku siwo biã kple esiwo le ʋuʋum, eye wozãa atike siwo wotsɔna tsia ŋɔti me tsɔ daa nuwo abe ŋɔti si le ʋuʋum kple aɖuɖɔtoe ene. Kpɔɖeŋuwo: Ketotifen (ŋku me tsi), Azelastine (ŋɔti me atike). |
Nukawoe nye atike siwo wua histamine ƒe nugbegblẽ le ame ŋu?
Nusi koŋ atike xoxowo gblẽna le ame ŋue nye alɔ̃dɔdɔ . Azɔ hã, ɖewohĩ ame aɖewo mase le wo ɖokui me be alɔ̃ le yewo ƒom ne wole atike siawo nom o, gake ate ŋu asesẽ na wo be woƒe susu nanɔ nu ŋu eye woƒe dɔwɔwɔ ƒe ɣeyiɣi hã ate ŋu anɔ blewu. Eyata ele be nàɖɔ ŋu ɖo ŋutɔ ne èle atike siawo zãm.
Nu bubu siwo wògblẽna le ame ŋu:
- Nu ƒuƒu
- Nukpɔkpɔ si me kɔ vie
- Aɖuɖɔtoe sesẽ
- Taɖuame
- Ɖeɖiteameŋu
Atike siwo ɖea tsi le lãme na ame
No ƒe ʋuʋu kple gbɔgbɔ sesẽe nye kuxi gãtɔ kekeake siwo dona tso nulɔdɔwo me. Atike siwo ɖea tsi le lãme na ame nye atike ƒomevi aɖe si ate ŋu akpe ɖe ame ŋu wòaɖe esia dzi akpɔtɔ. Ne nulɔdɔ aɖe le ŋuwò la, lãkusiwo kple ʋuka siwo le wò ŋɔti me la vuvu. Atike siawo wɔa dɔ to wò ŋɔti ƒe vuvu dzi ɖeɖe kpɔtɔ kple wò ŋɔti ʋuʋu me. Wonɔa atikekuiwo, tsiwo, kple atike siwo wotsɔna ƒua gbe ɖe ŋɔti me ƒe nɔnɔme me.
Vevietɔ ŋutɔ: Mègazã atike siwo wotsɔna tsia ŋɔti me (e.g. Oxymetazoline) wu ŋkeke etɔ̃ va ɖo ene o. Ne èyi edzi le wo zãm la, wò ŋɔti ƒe ʋuʋu ate ŋu agblẽ ɖe edzi (rebound congestion). Eyata wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi ɣesiaɣi.
Nusiwo atike siwo ɖea ʋu ƒe sisi ɖa ƒe nugbegblẽ le ame ŋu
Atike siawo ate ŋu ana ʋu ƒe sisi nadzi ɖe edzi. Eyata womekafu wo na amesiwo ŋu ʋusɔgbɔdɔ alo ŋkudɔ le o. Woate ŋu ana ame nazu alɔ̃madɔmadɔ kple dzimaɖitsitsi hã.
Atike Siwo Wozãna Ðekae
Ɣeaɖewoɣi la, nulɔdɔ ƒe dzesi geɖe ate ŋu anɔ ŋuwò zi ɖeka. Le kpɔɖeŋu me, ŋɔti si me tsi kple aɖuɖɔtoe. Le nɔnɔme siawo gome la, atikekui aɖewo li siwo tsɔa atike si wua ʋumenugbagbeviɣidɔ kple atike si ɖea ʋu ƒe sisi ɖa. Atike mawo ƒe kpɔɖeŋu aɖewoe nye Cetirizine + Pseudoephedrine (Zyrtec-D) alo Loratadine + Pseudoephedrine (Claritin-D). Esiawo naa gbɔdzɔe ame ne dzesi geɖe dzena zi ɖeka.
Mina míasrɔ̃ nu tso Steroids / Corticosteroids ŋu
Steroid nye atike nyui aɖe ŋutɔ si woatsɔ aɖu abi, abi, kple abi si nulɔdɔ hena vɛ dzi. Wonyo ŋutɔ na ŋɔti siwo xe, aɖuɖɔtoe, kple ŋɔti siwo le ʋuʋum.
Esiawo hã le nɔnɔme vovovowo me:
- Nasal sprays : Wozãa esiawo wu na no me nulɔdɔwo. (Ele kpɔɖeŋu me: Fluticasone, Mometasone)
- Atikekui/Tsi: Wonae hena ɣeyiɣi kpui aɖe na nulɔdɔ sesẽwo alo nɔnɔmewo abe asrã ene.
- Creams: Wozãnɛ na ŋutigbalẽ ƒe dɔléle (contact dermatitis).
- Ŋku ƒe Tsi: Wozãnɛ na ŋkume ƒe dɔléle si nulɔdɔ le ame ŋu.
Ðo ŋku edzi be be steroid-tikewo, vevietɔ atike siwo wotsɔna ƒua gbe ɖe ŋɔti me, naɖe vi geɖe wu la, ele be nàyi edzi anɔ wo zãm abe alesi wò ɖɔkta gblɔe ene, le ŋkeke siwo dzi dzesi aɖeke mele ŋuwò o gɔ̃ hã dzi. Ate ŋu axɔ kwasiɖa ɖeka alo eve hafi woakpɔ emetsonuwo.
Ɣeaɖewoɣi la, atike siwo wotsɔna ƒua gbe ɖe ŋɔti me ate ŋu ana ŋɔti naƒu alo ʋu sue aɖe nado le ŋɔti me. Ne èse veve aɖe la, ƒo nu kple wò ɖɔkta.
Atike kple atikewɔwɔ tɔxɛ bubuwo
Tsɔ kpe ɖe nya siwo míegblɔ va yi ŋu la, atike ƒomevi bubu geɖewo hã li.
- Mast Cell Stabilizers: Esiawo wɔa dɔ to ‘mast cells’ siwo wɔa histamine siwo ŋu míeƒo nu tsoe va yi la ƒe liƒolili kple mɔxexe ɖe histamine ƒe dodo nu me. Cromolyn sodium nye esia ƒe kpɔɖeŋu.
- Leukotriene Modifiers: Le nulɔdɔ ƒe dɔwɔwɔ me la, wowɔa atike bubu si woyɔna be ‘leukotrienes’, tsɔ kpe ɖe histamine ŋu. Atike siawo wɔa dɔ to mɔxexe ɖe eƒe dɔwɔwɔ nu me. Montelukast (Singulair) nye atike sia ƒomevi si wozãna zi geɖe.
- Dɔlélenutsiŋutete ƒe atikewɔwɔ: Esia nye atikewɔwɔ si to vovo, si nɔa anyi didi. Ate ŋu awɔ dɔ ŋutɔ na amesiwo ŋu nulɔdɔ le le ƒea ƒe akpa gãtɔ me. Ebia be nàna nusiwo nana wò ŋutilã ƒe dɔlélenutsiŋutetea nanye nusi nana ŋutilãa ƒe dɔlélenutsiŋutete ƒe agbɔsɔsɔ sue aɖe, si nèdzea egɔme tsoe eye nèdzina ɖe edzi vivivi, abe nulɔdɔ ƒe atikewo alo atikekui siwo wozãna le aɖe te ene. Ele be woawɔ esia le eŋutinunyala bibi aɖe ƒe dzikpɔkpɔ te.
- Atike bɔbɔe siwo menye atike o: Ɣeaɖewoɣi la, ne wotsɔ dze si wotsɔna tsia ŋɔti me klɔ ŋɔti la, ate ŋu akpe ɖe ame ŋu wòaɖe ŋɔti ƒe ʋuʋu kple ʋuʋudedi dzi akpɔtɔ. Azɔ hã, ŋkumeɖonu siwo menye atike o siwo woyɔna be aɖatsi wɔwɔe ate ŋu akpe ɖe ŋkuwo ƒe kuɖiɖi kple ʋuʋudedi dzi akpɔtɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Esi wònye be nulɔdɔ ƒe atike ƒomevi geɖe li ta la, yi ɖɔkta gbɔ ɣesiaɣi be nàtia esi sɔ na wò dzesiwo kple wò lãmesẽnyawo nyuie wu. Mègazã atike siwo ame bubuwo le zazãm gbeɖe o.
- Atike aɖewo siwo wozãna na nulɔdɔwo (vevietɔ atike xoxo siwo wua alɔ̃madɔmadɔ) ate ŋu ana ame nadɔ alɔ̃ vevie.Ate ŋu adzɔ. Ne èle atike mawo zãm la, ƒo asa na ʋukuku alo mɔ̃ siwo me afɔku le zazã.
- Ƒo asa na atike siwo wotsɔna tsia ŋɔti me zazã wu ŋkeke ʋɛ aɖewo wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee.
- Be nàkpɔ nu nyuitɔ kekeake tso steroid-tike siwo wotsɔna ƒoa ŋɔti me la, ele vevie be nàzãe nyuie, gbesiagbe, eye nàzãe abe alesi wò ɖɔkta gblɔe ene.
- Ne èkpɔ nugbegblẽ le ame ŋu si mebɔ o esime nèle atike aɖe zãm la, dzudzɔ atikeawo nono enumake eye nàna wò ɖɔkta nanya.
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