Ðe nèno notsi kplu ɖeka, cheese kakɛ aɖe ɖe pizza dzi, eye kasia wò nuyiwo vuvu, wò ŋutilã te veve, eye gbɔgbɔ sesẽ na wò kpɔa? Alo ɖe nèkpɔ viwò hã wòwɔ nenema kea? Esia ate ŋu anye nuteƒekpɔkpɔ si dzi ŋɔ ŋutɔ. Zi geɖe la, wò ŋutilã wɔa nu ɖe casein , si nye protein si le notsi me ŋu gbɔe esia tsona. Mina míaƒo nu tso esia ŋu le nya bɔbɔewo me egbea.
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Nukatae casein ƒe nulɔdɔ sia dzɔna?
Kpuie ko la, casein ƒe nulɔdɔ dzɔna ne míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete, wɔ vodada sue aɖe. Nuɖoanyi sia susui be protein si le notsi me si woyɔna be casein nye futɔ si me afɔku le ŋutɔ na ŋutilãa. Eyata be míaƒe ŋutilã nawɔ avu kple "futɔ" sia la, ewɔa dɔlékuiwutike tɔxɛ aɖe si woyɔna be IgE .
Bu eŋu kpɔ, ne èɖu nane si me notsi le la, casein proteinwo gena ɖe ŋutilãa me. Ne wonya ge ɖe eme ko la, wowɔa ɖeka kple IgE dɔlékuiwutike siwo wowɔ va yi, eye atike gbogbo aɖewo abe histamine ene dona le ŋutilãa me. Ne atike mawo do la, nulɔdɔ ƒe dzesiwo dzena le aɖabaƒoƒo ʋɛ aɖewo ko me.
Tsɔ kpe ɖe casein ŋu la, protein bubu si woyɔna be whey hã le notsi me. Ame aɖewo ate ŋu anye nulɔdɔ le evea siaa ŋu.
Ðe casein ƒe nulɔdɔ kple lactose ƒe dɔmawɔmawɔ nyuie nye nu ɖeka?
Ẽ, afisiae ame geɖe tɔtɔna le. Esiawo nye nɔnɔme eve siwo to vovo kura.
- Casein ƒe nulɔdɔ: Esia nye dɔlélenutsiŋutete ƒe kuxi. Ŋutilãa kpɔa notsi me proteinwo be wonye futɔ. Esia ate ŋu ade ame ƒe agbe afɔku me.
- Lactose ƒe Mɔmaɖemaɖeɖenuŋu: Esia nye nuɖuɖumeŋusẽ ƒe kuxi. Nusi dzɔna le afisiae nye be enzyme si hiã be wòaɖu lactose, si nye sukli ƒomevi aɖe si le notsi me, mele ŋutilãa me o. Esia nana ame ƒe lãme ʋuʋuna , dɔgbo ƒe ʋuʋu, kple aɖuɖɔtoe. Esia nye nusi mebɔ o, gake menye nusi ade ame ƒe agbe afɔku me o.
Zi geɖe la, notsi ƒe nulɔdɔ dzɔna le ɖevimenɔɣi, si fia le vidzĩme. Gake ɖevi akpa gãtɔ tsina wu nɔnɔme sia ne wole tsitsim. Gake nulɔdɔ sia ate ŋu ayi edzi anɔ ame aɖewo ŋu vaseɖe woƒe tsitsime.
Nukawoe nye nulɔdɔ ƒe dzesiwo?
Dzesi siawo ate ŋu adze le aɖabaƒoƒo ʋɛ aɖewo va ɖo gaƒoƒo eve me tso esime woɖu nuɖuɖu si me casein le:
- Nuyi, nu, aɖe, mo, alo ŋɔti ƒe vuvu .
- Ŋutilã me ʋuʋudedi (urticaria), ʋuʋudedi si le dzo dam, si le abe ʋuʋudedi ene.
- No me ʋuʋu, aɖuɖɔtoe, ŋɔti me tsi si le dodom, ŋku siwo le ʋuʋum.
- Yagbɔgbɔ sesẽ abe kɔdzi alo ʋuʋudedi ene.
Nuwɔna si me afɔku le wu: Anaphylaxis
Esiae nye nusi nu sẽ wu eye afɔku le eme wu si ate ŋu adzɔ le notsi ƒe nulɔdɔ me. Anaphylaxis nye nulɔdɔ sesẽ ŋutɔ si ate ŋu adzɔ kpata eye ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
Vevietɔ: Ne èse veve le wò nu me, akɔta le veve sem, aɖuɖɔtoe sesẽ aɖe le ŋuwò, alo gbɔgbɔ sesẽ ŋutɔ le aɖabaƒoƒo ʋɛ aɖewo ko me le notsi alo nyinotsi aɖe ɖuɖu vɔ megbe la, esia ate ŋu anye anaphylaxis ƒe nya. Yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Ame siwo ŋu asrã kple nuɖuɖu ƒe nulɔdɔ siaa le la ate ŋu adze kuxiwo me wu ne wokpɔ anaphylactic reaction, eyata ele be woaɖɔ ŋu ɖo geɖe wu.
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Ne ɖɔkta aɖe kpɔe be casein ƒe nulɔdɔ le ŋuwò la, aɖo aɖaŋu vevi aɖewo na wò.
1. Na Epinephrine Dodo Nanɔ asiwò: Ne nane si me casein le ƒe dɔléle sesẽ aɖe dzɔ ɖe dziwò la, wò ɖɔkta agblɔ na wò be nàlé Epinephrine dodo ɖe asi. Wò ɖɔkta aɖe alesi nàzã esiae me. Esia nye atike ma ke si woyɔna be adrenaline si dona le ŋutilã me ne míele vɔvɔ̃m alo míetsi dzimaɖi.
2. Antihistamines: Àte ŋu ana antihistamine nanɔ asiwò be wòakpe ɖe ŋuwò le nulɔdɔ ƒe dzesi suesuesuewo me (e.g., ʋuʋudedi vi aɖe, ʋuʋudedi sue aɖe si le ŋutigbalẽ ŋu). Gake ɖo ŋku edzi be ne dɔléle aɖe do mo ɖa vevie, si nye anaphylaxis la, atike siawo mesɔ gbɔ o. Ɣemaɣi la, ehiã be woado epinephrine.
Nusi woawɔ nenye be dɔlélea nu sẽ ŋutɔ
- Ne èsusu be yele anaphylaxis ƒe dzesiwo kpɔm la, mègahe ɖe megbe le epinephrine auto-injector zazã enumake o. Mave wò o, gake ate ŋu axɔ wò agbe.
- Ne èxɔ atike la vɔ la, yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ le kpata (ETU) me enumake. Elabena ɣeaɖewoɣi la, nuwɔna ƒe ƒutsotsoe evelia ate ŋu adzɔ gaƒoƒo ʋɛ aɖewo le nuwɔna gbãtɔa ƒe ɖiɖi megbe. Eyata ele dedie be woanɔ atikewɔlawo ƒe dzikpɔkpɔ te abe gaƒoƒo 4-8 ene.
Aleke nàwɔ axe mɔ ɖe nulɔdɔwo nu?
Atike nyuitɔ kekeakee nye be nàƒo asa na nusi nana ŋutilã melɔ̃a nuvevi ame o. Esia fia be nàwɔ ɖe nuɖuɖu si me casein mele o dzi . Ele be nàƒo asa na nuɖuɖu siwo katã me notsi kple nyinotsinuwo le.
Esia mele bɔbɔe abe alesi màde cheese wò sandwich dzi o ko ene o. Bu eŋu kpɔ, ne ètsɔ mɔ̃ si lãa deli lã ma ke lã cheese la, àte ŋu atsɔ cheese sue aɖe akpe ɖe lãa ŋu. Casein sue ma gbegbe gɔ̃ hã ate ŋu ana ame aɖewo nawɔ nu ɖe ame ŋu vevie.
Kpɔ nyuie vevietɔ le nusiwo wotsɔ wɔa nuɖuɖua kple nuɖuɖu siwo le kplɔ̃ si le ete dzi ŋu. Xlẽ nuɖuɖu siwo wobla ɖe agba me siwo nèƒlena le fiase me ƒe ŋkɔwo nyuie.
| Nusiwo Woatsɔ Awɔe/Nuɖuɖu Siwo Woaƒo Asa na | Nuɖᴐɖᴐ |
|---|---|
| Casein kple nusiwo woɖe tso eme | Woate ŋu ayɔ ŋkɔwo abe Calcium casein, Casein hydrolysate, Magnesium casein, Potassium casein, Rennet casein, Sodium casein le dzesidenua dzi. |
| Notsi me nuɖuɖuwo | Cheese, yogurt, notsi, pudding, notsi si wotsɔ ƒo ƒui. |
| Bɔta kple nusiwo do ƒome kple bɔta | Bɔta, bɔta ƒe vivi, bɔta ƒe ami. |
| Notsi me protein bubuwo | Lactalbumin, Lactoglobulin, Whey, Whey ƒe tsi me tsi. |
| Margarine si woyɔna be Margarine | Ðewohĩ notsi anɔ margarine aɖewo me. Kpɔ nusi woŋlɔ ɖe edzi ɖa. |
| Nusiwo menye nyinotsi o ƒe kremewo | Togbɔ be woŋlɔe be "nondairy" hã la, zi geɖe la, casein nɔa eme. |
Aleke woawɔ akpɔ calcium notsi manɔmee?
Mègatsi dzi ɖe notsi si sɔ ma nono kple calcium ƒe agbɔsɔsɔ si mede ame dzi o ŋu o. Mɔ bubu geɖewo li siwo dzi woato akpɔ calcium, na amesiwo menoa notsi o kple amesiwo noa notsi siaa.
- Àte ŋu azã atikutsetsenono siwo me calcium sɔ gbɔ ɖo, nukuwo, soya-notsi, almond-notsi, kple bli-notsi.
- Amagbewo abe aŋanyi, kale, kple broccoli ene hã nye calcium dzɔtsoƒe nyuiwo.
Gbedasi si Wotsɔ Yi Aƒeme
- Casein ƒe nulɔdɔ nye dɔlélenutsiŋutete ƒe dɔwɔwɔ sesẽ, ke menye nuɖuɖumeŋusẽ ƒe dɔléle abe lactose ƒe dɔmawɔmawɔ nyuie ene o.
- De dzesi dzesiawo, vevietɔ anaphylaxis ƒe dzesiwo, abe gbɔgbɔ sesẽ kple mo ƒe vuvu ene.
- Ne èle nuɖuɖu siwo wobla ɖe agba me ƒlem la, xlẽ nusiwo wotsɔ wɔe ƒe xexlẽdzesiwo kple nuxlɔ̃ame siwo ku ɖe nusiwo nana nu ŋu nulélename le abe "Notsi le eme" ene ɣesiaɣi.
- Ne wokpɔe be casein ƒe nulɔdɔ le ŋuwò la, ƒo nu kple wò ɖɔkta tso ɖoɖo kpata aɖe si nàwɔ be wòawɔ nu ɖe ŋuwò vevie ŋu. Ele vevie be nàna epinephrine-tike nanɔ asiwò.
- Togbɔ be ate ŋu asesẽ be nàɖe notsi kple nyinotsinuwo ɖa keŋkeŋ le wò nuɖuɖu me hã la, àte ŋu akpɔ nuɖuɖu vivi si me nunyiame le kokoko ne èɖoe be yeazã nuɖuɖu bubuwo.
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