Ðe nèɖea aɖuɖɔ hã enuenua? Ðe ŋɔti me tsi le dodom le ŋuwò ne èfɔ le ŋdi mea? Alo ɖe wò ŋkuwo biãna henɔa ʋuʋum? Ɣeaɖewoɣi la, kasia nèdzea ʋuʋu kple wò ŋutilã ƒoƒo gɔme. Esiawoe nye dzesi siwo míeyɔna zi geɖe be "nulɔdɔ." Le ɣeyiɣi siawo tɔgbe me la, zi geɖe la, míeyia atikedzraƒe hebiaa "nulɔdɔ ƒe atikekui." Emae nye atike si ƒomevi míenona si woyɔna be antihistamines. Eyata egbea, mina míaƒo nu tso atike siawo, alesi wowɔa dɔe, woƒe ƒomeviwo, woƒe nugbegblẽ le ame ŋu, kple nusiwo ŋu wòle be míakpɔ nyuie le ne wole wo zãm ŋu.
Kpuie ko la, nukawoe nye atike siawo siwo wua histamine?
Atike siwo wua histamine nye atikewo ƒe hatsotso aɖe, abe paracetamol kple aspirin ene. Wozãa wo koŋ tsɔ léa dzesi siwo do ƒome kple nulɔdɔwo nu . Woŋlɔa wo na nusiwo ŋu míeƒo nu tsoe le etame wu, abe ŋɔti me tsi si le dodom, aɖuɖɔtoe, ŋku kple ŋutigbalẽ ƒe ʋuʋu ene.
Gake menye ɖeko wozãa atike sia ƒomevi na nulɔdɔwo ko o, ke wozãa na lãmesẽkuxi bubu aɖewo hã. Le kpɔɖeŋu me, atikewo le hatsotso sia me na nuɖuɖumeŋusẽ ƒe kuxi aɖewo, abe dɔgbo ƒe dɔléle ene.
Àte ŋu aƒle atike geɖe siwo wua histamine le atikedzraƒe ɖɔkta ƒe atikewɔmɔnu manɔmee. Míeyɔa wo be (Over-the-counter - OTC) atikewo. Azɔ hã, atike siwo nu sẽ wu siwo ɖɔkta ŋlɔna na ame la li. Míate ŋu aƒle esiawo le atikedzraƒe ko o.
Tsɔ kpe ɖe eŋu la, atike kple atikekui siwo míenona na dzamezã kple kɔdzidɔ la dometɔ aɖewo hã me dɔlékuiwutikewo le.
Aleke atike sia wɔa dɔ le ŋutilãa me?
Be míase esia gɔme la, ele be míanya nusi histamine nye gbã.
Bu histamine be enye dɔla sue aɖe le míaƒe ŋutilã me. Míaƒe dɔlélenutsiŋutete ye wɔa dɔla sia. Dɔ vevi siwo wòwɔna dometɔ ɖekae nye be wòatsɔ gbedasi aɖe ayi na lãmenugbagbevi bubuwo tso nane si agblẽ nu le ŋutilãa ŋu alo ado ŋɔdzi na ŋutilãa ŋu.
Azɔ, na míalé ŋku ɖe alesi nèxɔa nusiwo ŋu nulɔdɔ le ŋu. Ne nane si ŋu nulɔdɔ le (míeyɔna be nulɔdɔ siawo) ge ɖe wò ŋutilã me la, wò dɔlélenutsiŋutete susuna be, "Wow, futɔ gã aɖe le afisia!" Emegbe ɖoɖoa gena ɖe overdrive me eye wòɖea asi le dɔla siawo dometɔ geɖe siwo woyɔna be histamines ŋu zi ɖeka.
Histamine sia yia edzi ɖoa gbedasiwo ɖe lãmenugbagbevi siwo le ŋutilã ƒe akpa vovovowo.
- "Wogblɔna na lãmenugbagbevi siwo le ŋɔti me be, 'Dze tsi wɔwɔ gɔme kaba!'" Ɣemaɣie tsi la dona le ŋɔti me.
- "Egblɔna na lãmenugbagbevi siwo le ŋutigbalẽa me be, 'Dze ƒoƒo gɔme!'" Ɣemaɣie ŋutilãa dzea ʋuʋu gɔme.
- "Wogblɔna na ŋkuwo be, 'Ebiã, fa aɖatsi!'" Ɣemaɣie ŋkuwo biãna eye woƒe lãme ʋãna.
Atike si tsia histamine nuNya la ŋutɔ gɔmee nye "tsi tre ɖe histamine ŋu." Nusi atike sia wɔnae nye be wòxea mɔ na gbedasi si dɔla ma si woyɔna be histamine tsɔna be wòagaɖo lãmenugbagbeviwo gbɔ o. Ele abe ɖe wotso kaƒoƒo ne eva ene.Ekema nulɔdɔ ƒe dzesi mawo dzi ɖena kpɔtɔna vivivi.
Kpuie ko la, histamine ye nye "nusi gbɔ" nulɔdɔ tsona. Antihistamines nye atike siwo kpɔa "dzesi" siwo tso nusi gbɔ wòtso gbɔ dzi.
Nukawoe nye atike siwo wua ʋumenugbagbeviɣidɔ ƒomevi veviwo?
Ðɔktawo ma atike siwo wua histamine ɖe hatsotso vevi eve me, eye wotu wo ɖe histamine xɔla siwo xea mɔ na wo nu. Bu eŋu abe antenna ƒomevi eve le míaƒe ŋutilã me siwo ate ŋu axɔ histamine gbedasi siawo ene.
1. Antihistamines siwo wɔa dɔ ɖe H1 xɔlawo dzi
2. Antihistamines siwo wɔa dɔ ɖe H2 receptors dzi
Azɔ mina míalé ŋku ɖe ƒomevi siawo dometɔ ɖesiaɖe ŋu ɖe vovo.
H1 antihistamines na nulɔdɔwo
H1-xɔla siawo kaka ɖe míaƒe ŋutilã katã me, vevietɔ le lãmekawo, gbɔgbɔtsixe ƒe mɔ̃wo, kple ʋukawo me. Le nulɔdɔ me la, histamine blana ɖe H1-xɔla siawo ŋu. Ɣemaɣie nulɔdɔ ƒe dzesi siwo katã míenya la doa mo ɖa. Eyata nusi H1 antihistamines wɔnae nye be woxea mɔ na H1 xɔla siawo.
H1 antihistamine siawo zazã vevitɔwoe nye:
- Allergic rhinitis - Míeyɔa esia abe nane si le abe dzamezã si vaa dzomeŋɔli me ene.
- Ŋkudɔ si me nulɔdɔ le (Allergic conjunctivitis) .
- Ŋutilã ƒe nulɔdɔwo, ʋuʋudedi kple ʋuʋudedi (Atopic dermatitis) .
- Sinus ƒe dɔléle (Sinusitis) .
- Aɖuɖɔtoewo
- Ʋuʋudedi - Wonaa atike sia ƒomevi hã na ʋuʋudedi kple ʋuʋudedi ne wole mɔ zɔm le bɔs alo ʋu suewo me.
- Alɔ̃madɔmadɔ - Ɣeaɖewoɣi la, ɖɔktawo hã kafua atike sia ƒomevi be wòakpe ɖe ŋuwò nàdɔ alɔ̃.
Wogama H1 antihistamine siawo ɖe hatsotso sue eve me. Esia le vevie ŋutɔ, elabena enyo be nànya atike si ƒomevi nèzãna.
1. H1 ƒe dzidzime gbãtɔ ƒe atike siwo wua ʋumenugbagbeviɣidɔ
Esiawoe nye atike gbãtɔ siwo wua ʋumenugbagbeviɣidɔ si ŋu woke ɖo. Woƒe nɔnɔme vevitɔe nye be wonaa alɔ̃dɔdɔ. Esia le alea elabena atike siawo ate ŋu atso ʋu kple ahɔhɔ̃ ƒe mɔxenu si kpɔa míaƒe ahɔhɔ̃ ta la bɔbɔe eye woage ɖe ahɔhɔ̃a me. Esia tae ɖeɖi tea mía ŋu eye míedɔa alɔ̃ ne míeno wo ɖo.
- Kpɔɖeŋuwo: Chlorpheniramine - (atike si ame geɖe nya le Sri Lanka be ‘Piriton’ le hatsotso sia me), Diphenhydramine, Hydroxyzine.
2. H1 ƒe dzidzime evelia ƒe atike siwo wua ʋumenugbagbeviɣidɔ
Esiawo nye atike siwo wua ʋumenugbagbeviɣidɔ siwo woto vɛ yeyee eye wowɔ wo wònyo wu. Viɖe gãtɔ kekeake si le esiawo ŋue nye be alɔ̃dɔdɔ dzi ɖena kpɔtɔna ŋutɔ alo ɖenɛ ɖa keŋkeŋ.Esiawo mate ŋu atso ʋu kple ahɔhɔ̃ ƒe mɔxenu bɔbɔe o, eyata zi geɖe la, wobua wo be wole dedie wu.
- Kpɔɖeŋuwo: Cetirizine, Loratadine, Fexofenadine, Desloratadine.
H2 antihistamines na dɔgbo ƒe vevesese
Lãmenugbagbevi siwo ɖea acid le míaƒe dɔgbo me koŋue H2 xɔlawo le. Ne dɔgbo me acid dzi ɖe edzi la, nɔnɔmewo abe dɔgbo ƒe dɔléle, dzimeve, kple acid ƒe gbugbɔgadzɔ ene dzɔna.
H2 antihistamines xea mɔ na H2 xɔla siawo eye woɖea dɔgbo me acid ƒe wɔwɔ dzi kpɔtɔna.
Esiawo zazã vevitɔwoe nye:
- Dɔgbo me abi ƒe dɔléle
- Dɔgbo ƒe dɔléle kple GERD (aɖi ƒe ʋuʋu si nɔa anyi didi) .
- Zollinger-Ellison ƒe dɔlélea
- Kpɔɖeŋuwo: Famotidine, Cimetidine.
Kpɔ egbɔ be nu siawo le susu me na wò ne èle atike si wua ʋumenugbagbeviɣidɔ zãm!
Togbɔ be woate ŋu aƒle atike geɖe siwo wua ʋumenugbagbeviɣidɔ le atikedzraƒe hã la, ele be míaɖɔ ŋu ɖo ŋutɔ ne míele wo zãm. Ne wozã wo le mɔ gbegblẽ nu la, woate ŋu ahe kuxi sesẽwo vɛ.
| Nusi woawɔ | Nusiwo mele be woawɔ o (ele vevie ŋutɔ) . |
|---|---|
| Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Ne èƒle atike le atikedzraƒe le atikedzraƒe gɔ̃ hã la, xlẽ mɔfiameawo nyuie. | Mègatsɔ agbɔsɔsɔme si woŋlɔ na wò la ƒe teƒe eve gbeɖe o . Mègasusu be, "Ne meno aha vie la, nye lãme asẽ kpuie." |
| Nya ɣeyiɣi si tututu nàno wò atikewo kple zi nenie nànoe. Wonoa atike aɖewo zi ɖeka gbesiagbe, gake bubuwo ya hiã be woano wo zi gbɔ zi geɖe. | Mègano atike ƒomevi eve siwo wua ʋumenugbagbeviɣidɔ le ɣeyiɣi ɖeka me ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o. |
| Ne dzidzime gbãtɔ ƒe atike si naa alɔ̃dɔdɔ la, anyo wu be nànoe hafi amlɔ anyi le zã me . | Mègana kɔdzidɔ kple dzamezãtike siwo me atike siwo wua ʋumenugbagbeviɣidɔ le ɖevi siwo mexɔ ƒe 4 haɖe o ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o. |
| Na wò ɖɔkta nanya nu tso atike bubu ɖesiaɖe si nèzãna ŋu. | Mègaku ʋu alo azã mɔ̃wo esime nèle dzidzime gbãtɔ ƒe atike siwo wua alɔ̃dɔdɔ si nana ame ƒe alɔ̃dɔdɔ zãna o. Esia ate ŋu ahe afɔku gãwo vɛ. |
Ame siwo xɔ wu ƒe 65 kple ɖevi suewo sea veve ɖe atike siwo wua histamine ƒe ŋusẽkpɔɖeamedzi nu wu. Eyata kpɔ egbɔ be yebia ɖɔkta hafi ana atike sia wo.
Nukawoe nye atike siwo wua histamine ƒe nugbegblẽ le ame ŋu?
Abe atikewo katã ene la, atike siwo wua ʋumenugbagbeviɣidɔ ate ŋu agblẽ nu le ame ŋu. Ke hã, menye amesiamee xɔa wo o. Nusiwo dona tso eme siawo toa vovo le atike ƒomevi si wozãna nu.
| Antihistamine ƒomevi aɖe | Nusiwo bɔ siwo ate ŋu agblẽ le ame ŋu |
|---|---|
| H1 antihistamine (na nulɔdɔwo) . | |
| Dzidzime gbãtɔ (Ame ƒomevi siwo nana ame ƒe alɔ̃dɔdɔ) . |
|
| Dzidzime evelia (ame ƒomevi siwo medɔa alɔ̃ fũu o) . |
|
| H2 antihistamines (na dɔgbo ƒe vevesese) . | |
| H2 atike si wua ʋumenugbagbeviɣidɔ (e.g. Famotidine) . |
|
Nɔnɔmewo kple afɔku siwo hiã be woalé ŋku ɖe wo ŋu etɔxɛe
Ne dɔléle siwo gbɔna dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta hafi no atike si wua ʋumenugbagbeviɣidɔ.
- Suklidɔ
- Prostate ƒe lolome alo aɖuɖɔtoe sesẽ
- Aɖuɖɔtoedɔ
- Dzidɔ
- Ʋusɔgbɔdɔ
- Glaucoma (ŋku ƒe nyaƒoɖeamenu si dzina ɖe edzi) .
- Lãmetsiŋusẽ ƒe dɔléle si gbɔ eme
Agbɔsɔsɔme si gbɔ eme
Atike siwo wua alɔ̃dɔdɔ, vevietɔ dzidzime gbãtɔ ƒomevi siwo nana ame ƒe alɔ̃dɔdɔ, zazã fũ ate ŋu anye afɔku gã aɖe. Esia ate ŋu adzɔ le vodada me alo ne wozãe kpe ɖe atike bubuwo, abe alɔ̃dɔdɔtikewo ene ŋu.
Dzesi siwo dzena le atike si wozãna wògbɔa eme ŋu:
- Alɔ̃dɔdɔ fũ akpa
- Susumenuwo ƒe susumenuwo
- Ðeviwo ƒe dzimaɖitsitsi kple dzikudodo fũ akpa
- Nukpɔkpɔ si me mekɔ o
- Dzi ƒe tsotso kabakaba (Tachycardia) .
- Alɔ̃madɔmadɔ
Ne dzesi siawo dometɔ aɖe dze wò alo viwòa dzi la, tsɔe yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò enumake. Alo, ƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi .
Ðe esiawo sɔ na funɔwo kple vidada siwo le no nam?
Ne èfɔ fu, nèle agbagba dzem be yeafɔ fu, alo nèle no nam vi la, ele vevie be nàbia wò ɖɔkta hafi ano atike ɖesiaɖe. Togbɔ be numekukuwo ɖee fia be atike aɖewo siwo wua ʋumenugbagbeviɣidɔ mele dedie le fufɔɣi o hã la, wò ɖɔktae atso nya me le nusi nyo na wò kple viwòa ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Antihistamines nye atike vevi aɖe si wozãna tsɔ léa nulɔdɔ ƒe dzesiwo nu, eye wozãnɛ hã tsɔ daa dɔléle bubuwo abe dɔgbo ƒe dɔléle ene.
- Wole ƒomevi vevi eve: H1 (na nulɔdɔwo) kple H2 (na dɔgbo ƒe dɔmawɔmawɔ nyuie).
- H1 ƒomevi la hã le akpa eve me: dzidzime gbãtɔ tɔwo hea alɔ̃dɔdɔ vɛ , gake dzidzime evelia tɔwo ya medɔa alɔ̃ boo o.
- Mègaku ʋu gbeɖe ne èno atike siwo wua alɔ̃dɔdɔ vɔ o.
- Wɔ ɖe agbɔsɔsɔme kple mɔfiame siwo wò ɖɔkta alo atike si wotsɔ de agbalẽvi me na wò dzi ɣesiaɣi. Mègano nu fũu akpa o.
- Ne dɔléle bubuwo le ŋuwò, èfɔ fu, alo vidada si le no nam vi nènye la, kpɔ egbɔ be yeyi ɖɔkta gbɔ hafi nàno atike siwo wua aɖuɖɔtoe.

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