Ðe wò hã wò nulɔdɔ le kekui siawo siwo doa dziku na ame ŋua? (Dust Mite Allergy) Mina míaƒo nu tsitotsito!

Ðe nèɖea aɖuɖɔ hã ne èfɔ le ŋdi mea? Ðe nèsena le ɖokuiwò me be yeƒe ŋɔti xe eye yeƒe ŋkuwo le ʋuʋum? Ðewohĩ àsusu be vuvɔe. Gake ne kuxi sia gakpɔtɔ li la, ate ŋu anye lã sue aɖe si ŋu mèbuna gɔ̃ hã o, eye míate ŋu akpɔe kple ŋku o, si gbɔ wòtso. Egbea míele nu ƒom tso kekui ƒe nulɔdɔ sia ŋu .

Nukae Nye Dust Mite Allergy?

Kpuie ko la, ke ƒe nulɔdɔ nye nulɔdɔ le nuwɔwɔ suesuesue siwo woyɔna be ke ʋetsuviwo ŋu. Dust mites nye nuwɔwɔ suesuesue siwo ƒe afɔ enyi, siwo do ƒome kple akpɔkplɔwo. Wole sue ale gbegbe be míate ŋu akpɔ wo kple ŋku gɔ̃ hã o.

Bu eŋu kpɔ, ke le míaƒe aƒewo me. Afi mae ʋetsuvi siawo nɔa. Vevietɔ teƒe siwo wolɔ̃a nɔnɔ wue nye:

• Míemlɔa aba dzi.
• Mattress-wo
• Kplɔ̃wo
• Fuɖenamenuwo abe sofawo ene
• Vɔvɔliwo
• Kapetiwo

Nuɖuɖu vevitɔ si ʋetsuvi siawo ɖunae nye ŋutigbalẽ me lãmenugbagbevi kuku siwo gena tso mía kple míaƒe aƒemelãwo dzi, eyata woƒo xlã mí katã.

Protein ƒomevi aɖewo le ʋetsuvi siawo ƒe aɖuɖɔ kple ŋutilã kukuwo me. Esiawoe nye nusiwo míeyɔna be nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o . Zi geɖe la, nu siawo megblẽa nu le ame ŋu o. Ke hã, wò ŋutilã ƒe dɔlélenutsiŋutete kpɔa nu siawo be wonye "amedzidzelawo" siwo gblẽa nu le ŋutilã ŋu, abe dɔlékuiwo alo dɔlékuiwo ene. Emegbe la, dɔlélenutsiŋutete wɔa nu be yeaɖe "amedzidzela" mawo ɖa le ŋutilãa me. Ŋuɖoɖo mae nye nusi míekpɔna abe nulɔdɔ ƒe dzesiwo ene.

Amekae ate ŋu axɔ kekui ƒe nulɔdɔ sia wu?

Amesiame ate ŋu axɔ kekui ƒe nulɔdɔ. Gake anɔ eme be nulɔdɔ sia adze dziwò ne dɔléle siawo le ŋuwò:

• Ne asrã le ŋuwò la .
• Ne ŋutigbalẽ ƒe dɔlélewo abe eczema ene le ŋuwò .
• Ne hay fever alo allergic rhinitis, si nye nɔnɔme si me nèsena le ɖokuiwò me zi geɖe abe dzamezã ene.
• Ne wò ƒomea me tɔ aɖe (si ƒe domenyiŋusẽfianu do ƒome) ƒe nulɔdɔwo abe esia ene. Míeyɔa esia be atopy . Eyae nye domenyiŋusẽfianu si nana ame ƒe ŋutilã melɔ̃a nulɔdɔwo o.

Aleke gbegbee nulɔdɔ sia bɔe?

Dust mite ƒe nulɔdɔ bɔ ŋutɔ. Le kpɔɖeŋu me, nulɔdɔ sia ɖea fu na ame abe miliɔn 20 ene le Amerika. Woate ŋu akpɔ nɔnɔme sia le ame geɖe dome le Sri Lanka hã.

Aleke ke ƒe nulɔdɔ gblẽa nu le nye ŋutilã ŋui?

Ne ke ƒe nulɔdɔ le ŋuwò la, zi gbãtɔ si wò ŋutilã do go ʋetsuvi ƒe protein siawo la, wò ŋutilã wɔa immunoglobulin E (IgE).Wowɔa dɔlékuiwutike ƒomevi aɖe si woyɔna be IgE. Wowɔa IgE dɔlékuiwutike siawo be "woadze" nulɔdɔ mawo dzi. Gake abe alesi míegblɔe va yi ene la, le nyateƒe me la, nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o siawo megblẽa nu le ame ŋu o.

Emegbe ne ègakpɔ kekui ƒe proteinwo ake la, wò dɔlélenutsiŋutete wɔa nu ɖe ​​eŋu sesĩe wu. Ŋuɖoɖo mae dzena abe nulɔdɔ ƒe dzesiwo ene.

Nukae nye kekui ƒe nulɔdɔ ƒe dzesiwo?

Dzesi siwo ɖee fia be ke ƒe nulɔdɔ le ame ŋu ate ŋu anye:

• Ʋuʋudedi: Seselelãme be ŋɔti me xe .
• Kɔdzidede: Kɔdzidede si nɔa anyi ɖaa, si ƒuna ɣeaɖewoɣi.
• Nu, ŋɔti, alo ŋɔti ƒe ʋuʋu: Seselelãme si nɔa ame ŋu ɣesiaɣi be yele teƒe sia ƒom.
• Postnosal drip: Tsi si le dodom le ŋɔti me alo sese le ɖokuiwò me be ʋuʋudedi le sisim le wò ŋɔti me.
• Ŋku siwo biã, siwo le ʋuʋum, kple esiwo me tsi le: Abe ɖe nane ge ɖe ŋkuawo me ene.
• Aɖuɖɔɖɔɖɔ: Aɖuɖɔɖɔɖɔ zi geɖe ɖe wo nɔewo yome.
• Wheezing: Gbeɖiɖi si le ɣli dom, vevietɔ ne wole gbɔgbɔm.
• Asrã ƒe dzesi siwo le gbegblẽm ɖe edzi: Ne asrã le ŋuwò la, dzesiwo abe gbɔgbɔtsixetsixe kple akɔta ƒe tete ate ŋu adzi ɖe edzi.

Ɣeaɖewoɣi la, woate ŋu atɔtɔ dzesi siawo kple dzamezã alo dɔléle si ɖi dzamezã. Ne mèka ɖe edzi nenye be nulɔdɔ alo dɔléle bubu gbɔe dzesi siawo tso o la, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò.

Ðe ke ƒe nulɔdɔ xɔa ame mea?

Ao, ke ƒe nulɔdɔ menye dɔléle si xɔa ame me o. Màte ŋu alée le ame bubu gbɔ o, eye màte ŋu alée le ame bubu hã gbɔ o.

Aleke nàwɔ anya ne ke me ʋetsuviwo ƒe nulɔdɔ le ŋuwò?

Ne dzesi siwo míeyɔ ɖe etame la yi edzi le fu ɖem na wò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ. Ate ŋu aɖo wò ɖe nulɔdɔŋutinunyala , ɖɔkta si bi ɖe nulɔdɔwo me. Nulɔdɔŋutinunyala ate ŋu awɔ dodokpɔ vovovowo atsɔ aɖo kpe edzi nenye be ke ƒe nulɔdɔ le ŋuwò ŋutɔŋutɔ.

Hafi nàwɔ dodokpɔ siawo la, wò ɖɔkta ate ŋu abia nyawo abe:

• Ðe wò ƒomea me tɔ aɖe ƒe nulɔdɔ le wò ƒomea mea?
• Ðe wokpɔe be nulɔdɔ bubu aɖewo le ŋuwò kpɔ?
• Nukawoe nye wò dzesiwo?
• Ðe nèzãa atike siwo womeƒlena le atikedzraƒe o (OTC) ɖe dzesi siawo ŋua?
• Ðe nènɔa teƒe siwo ke le zi geɖea?
• Zi nenie nèɖea ya le modzakaɖebɔwo me, klɔa abadzivɔwo, eye nèkɔa teƒe bubu siwo ke le?

Dodokpɔ kawoe wozãna tsɔ dea dzesi kekui ƒe nulɔdɔ?

Ðɔktaa ate ŋu azã dodokpɔ vevi eve:

1. 1. .Ŋutilã ƒe ƒoƒo dodokpɔ / Scratch dodokpɔ:

Esia bia be nàna wò ŋutigbalẽ nakpɔ kekui ƒe protein sue aɖe ŋutɔ.

• Gbã la, ɖɔktaa atsɔ nane abe aha ene akɔ wò alɔnu alo akɔta ƒe akpa si le etame.
• Emegbe wozãa aŋe (lancet) si le sue ŋutɔ tsɔ ƒoa nu sue aɖe ɖe ŋutigbalẽ si ŋu wokɔ la dzi, eye wotsɔa ke si woyɔna be dust mite protein ƒe tsi si wotsɔ ƒoa ƒui la ƒoa ƒu. Aŋea megena ɖe ŋutigbalẽa me goglo o. Ðeko nèsena le ɖokuiwò me be anyidi sue aɖe le ye ɖum, eye ʋu aɖeke mele eme o.
• Zi geɖe la, nulɔdɔ aɖe dzena le miniti 15 me. Ŋutilãa ate ŋu azu dzĩ, aŋutiɖiɖi, alo ɣie. Ate ŋu axɔ tasiaɖamwo hã, si sɔ kple nudzodzoe ƒe ɖuɖu.
• Ðɔktaa adzidze ʋuʋudedi la ƒe lolome kple teƒe dzĩ si ƒo xlãe (flare). Woanɔ te ɖe lolome ma dzi anya nenye be ke me ʋetsuviwo melɔ̃a nu le ŋuwò o.

Dodokpɔ sia mexɔa gaƒoƒo ɖeka o.

2. Ʋudodokpɔ (Ʋu me IgE dodokpɔ):

Le dodokpɔ sia me la, wò ɖɔkta ɖea ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Woɖoa ʋua ɖe dodokpɔxɔ aɖe me. Emegbe dodokpɔxɔa tsɔa kekui ƒe proteinwo dea wò ʋu me eye wòdzidzea IgE dɔlékuiwutike siwo le eme ƒe agbɔsɔsɔ. Ne wò IgE ƒe agbɔsɔsɔme sɔ gbɔ la, efia be ke ƒe nulɔdɔ le ŋuwò.

Ate ŋu axɔ abe kwasiɖa ɖeka ene hafi woakpɔ ʋudodokpɔ me tsonu.

Ðe màte ŋu adzudzɔ ke ƒe nulɔdɔ na wò oa?

Nublanuitɔe la, atike aɖeke meli na ke ƒe nulɔdɔ alo mɔ aɖeke meli si dzi woato atɔ te nulɔdɔa o. Ke hã, wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ.

Nukawoe nye atike siwo wozãna na ke ƒe nulɔdɔ?

Le wò dzesiwo nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo gbɔna:

• Atike siwo wozãna tsɔ tsia ʋumenugbagbeviɣidɔ nu: Esiawo wɔa dɔ to mɔxexe ɖe atike aɖe si woyɔna be histamine nu me. Wò lãmenugbagbevi siwo ŋu nulɔdɔ le la ɖea histamine sia ɖe go, si hea nuwo abe ʋuʋudedi, aɖuɖɔtoe, kple ŋɔti me tsi ene vɛ. Atikekui siawo dzea dɔwɔwɔ gɔme le abe miniti 30 ene me tso esime wono wo.
• Antihistamine atike siwo wotsɔna ƒua gbe ɖe ŋɔti me: Esiawo hã xea mɔ na histamine, gake wowua wo ɖe ŋɔti me to ŋɔti me.
• No me corticosteroids: Esiawoe nye atike ɖeka si wɔa dɔ wu ɖesiaɖe na nɔnɔmewo abe hay fever ene. Esiawo hã nye atike siwo wotsɔna ƒua gbe ɖe no me.
• Leukotriene modifiers: Atike siawo ɖea nulɔdɔ ƒe dzesiwo hã dzi kpɔtɔna, gake woate ŋu axɔ abe kwasiɖa 4 va ɖo 6 ene hafi woadze dɔwɔwɔ gɔme.
• Atike siwo tsia aɖuɖɔtoe me: Wonaa gbɔdzɔe ɣeyiɣi kpui aɖe ne wozã wo na aɖuɖɔɖɔɖɔ, gake womekafui be woazãe ɣeyiɣi didi o.
• Nulɔdɔ ƒe atikewo - dɔlélenutsiŋutete ƒe atikewɔwɔ:Esia wɔa dɔ to "hehenana" wò dɔlélenutsiŋutete be wòatsi tre ɖe kekui ƒe nulɔdɔwo ŋu. Gake esia menye atike blibo na nulɔdɔwo o. Ele be nàdo atike siawo atraɖii abe ɣleti 6 va ɖo 12 ene hafi wò dzesiwo nadze egɔme aɖe dzi akpɔtɔ. Be nàkpɔ viɖe geɖe tso atikewɔwɔ sia me la, ele be nàdo atike siawo abe ƒe 3 va ɖo 5 ene.
• Dust mite sublingual immunotherapy (allergy drops): Esia bia be nàtsɔ tsi si me ke me dɔlékuiwo ƒe proteinwo le ƒe tsitete ʋɛ aɖewo ade wò aɖe te gbesiagbe, abe alesi wò ɖɔkta gblɔe ene. Le ɣeyiɣi aɖe megbe la, protein siawo va zu numame na wò ŋutilã, eye wò nulɔdɔ ƒe dzesiwo dzi aɖe akpɔtɔ. Ele be dzesiawo nadze ɖiɖi gɔme le abe ɣleti ade ene megbe.

Ɣeyiɣi didi kae ke ƒe nulɔdɔ ƒe dzesiwo nɔa anyi?

Ne ènya ʋu le nuto si me ke ƒe nulɔdɔlékuiwo le gbɔ ko la, zi geɖe la, dzesiawo nu yina le gaƒoƒo ʋɛ aɖewo megbe. Gake ne nulɔdɔ sesẽ aɖe le ŋuwò la, dzesiawo ate ŋu anɔ anyi ŋkeke geɖe.

Aleke míawɔ aɖe kewu siawo ɖa? Aleke míawɔ aɖe kekui siwo le aƒea me dzi akpɔtɔ?

Togbɔ be míate ŋu aɖe ke ʋeʋĩwo ɖa keŋkeŋ le míaƒe aƒewo me o hã la, míate ŋu awɔ nu siwo gbɔna be míaɖe wo zazã dzi akpɔtɔ:

• Zã abadzivɔ siwo me nulɔdɔwo mate ŋu age ɖo o: Abatidzivɔ siwo le sue ŋutɔ siwo me nulɔdɔ mele o zazã ate ŋu akpe ɖe ŋuwò be ke ƒe ʋetsuviwo nagage ɖe akɔtaɖonuwo, mattress, kple aɖaka me tsidzɔƒewo me ahaƒo ƒu o. Plastik-nutsyɔnu gɔ̃ hã ate ŋu akpe ɖe esia ŋu.
• Klɔ wò abadzivɔwo edziedzi: Ne anya wɔ la, klɔ wò abadzivɔwo, akɔtaɖonuwo, kple abadzivɔwo zi ɖeka ya teti le kwasiɖa me le tsi dzodzoe me (ne mede ɖeke o la, dzoxɔxɔ si nye Celsius 60 / Fahrenheit 130) . Ne èklɔ wo vɔ la, tsɔ wo ƒu gbe le ŋdɔ me ne anya wɔ, alo le awudzraɖoƒe si le kɔkɔƒe aɖabaƒoƒo 30 ya teti. Ne nufamɔ̃ alo nufamɔ̃ mele asiwò o la, tsɔ wò agbalẽwo de aŋekotoku si wotu nu me eye nàtsɔ wo ade nufamɔ̃ me gaƒoƒo 24 ya teti.
• Ðe fafa dzi kpɔtɔ le wò aƒeme: Na fafa si le wò aƒeme nade 50% be ke ʋetsuviwo nagadzi vi o. Yaƒoƒomɔ̃wo kple yaƒoƒomɔ̃wo ate ŋu akpe ɖe esia ŋu.
• Klɔ ya si le wò aƒe me: Keke ƒe nulɔdɔ ate ŋu aƒo ƒu ɖe ya me bɔbɔe, vevietɔ ne èle fesrewo zãm. HEPA filter (high-efficiency particulate air - HEPA filter) zazã ate ŋu akpe ɖe ame ŋu be woaɖe ke ƒe nulɔdɔ siawo ɖa le ya me. Klɔ yaƒoƒomɔ̃wo ŋu edziedzi.
• Tsɔ ya ƒo modzakaɖebɔwo, xɔmenuwo, xɔmenuwo, kple teƒe bubu siwo ke le edziedzi: Anyo be nàkɔ ya zi eve ya teti le kwasiɖa me. Zã microfilter vacuum bag nàtsɔ axe mɔ na ke si me ke le be wòagasi o. Anyo be nàɖe xɔmenuwo kple modzakaɖebɔwo ɖa le wò aƒeme ne anya wɔ. Bu ametakpɔnu dodo ne èle ya ƒom ŋu kpɔ.
• Tutu nu sesẽwo ɖe anyi edziedzi: Zã avɔ si me microfiber le alo avɔ si me tsi le nàtsɔ atutu nu sesẽwo abe kplɔ̃wo kple agbalẽdzraɖoƒewo ene be ke ʋetsuviwo kple nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o nagage ɖe ya me o.

Nukae wòle be makpɔ mɔ na ne ke ƒe dɔléle aɖe le ŋunye?

Womate ŋu ada ke ƒe nulɔdɔ keŋkeŋ o. Gake àte ŋu akpɔ wò dzesiwo gbɔ ne èle adzɔge tso kewutike siwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o gbɔ alesi nàte ŋui eye nàno atike siwo wò ɖɔkta ŋlɔ na wò.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ke ƒe nulɔdɔ ƒe dzesi siwo nɔa anyi ɖaa le ŋuwò, vevietɔ ne dzesi mawo le ŋusẽ kpɔm ɖe wò gbesiagbegbenɔnɔ kple dɔwɔwɔ dzi la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe:

• Aleke tututue nàwɔ anya ne ke ƒe nulɔdɔ le ŋunye?
• Nulɔdɔ ƒe atike kae nèkafu?
• Ðe mate ŋu aƒle atike ma le atikedzraƒe atikewɔgbalẽvi manɔmeea, alo ɖe mehiã be woaŋlɔ atike nam?
• Nukawoe nye atike siwo nèkafu na nulɔdɔwo ƒe nugbegblẽ le ame ŋu?
• Ðe wòhiã be mano nulɔdɔtike sia gbesiagbea, alo ɖe wòsɔ gbɔ be manoe ne dzesiawo dze ko?
• Aleke mawɔ anya kple kakaɖedzi nenye be ke ƒe nulɔdɔ ƒe dzesiwo le ŋunye, alo dzamezã alo dzamezã koe le ŋunye?
• Ðe wòle be makpɔ nulɔdɔŋutinunyala aɖea? Ðe ame aɖe li si nèkafua?

Vevietɔ: Kekui ƒe nulɔdɔwo ate ŋu aɖe fu na ame vie. Wò dɔlélenutsiŋutete kpɔa ke me ʋetsuviwo ƒe proteinwo be wonye amedzidzela si gblẽa nu le ame ŋu, eyata ewɔa nu to histamine ƒe dodo me. Emae hea dzesi mawo katã vɛ. Dzesi siawo ate ŋu anɔ anyi vaseɖe esime nàɖe keɖuɖɔwo dzi akpɔtɔ alo aƒo asa na wo.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ne ke ƒe nulɔdɔ ƒe dzesiwo le ŋuwò la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi me o . Ate ŋu awɔ dodokpɔwo atsɔ anya ne ke ʋetsuviwo gbɔe wò dzesiawo tso. Ate ŋu aŋlɔ atikewo hã na wò be wòakpe ɖe ŋuwò nàɖu wò dzesiwo dzi. Wò aƒeme dzadzɛnyenye, vevietɔ wò xɔdɔme, ate ŋu awɔ akpa gã aɖe le kuxi sia ɖeɖeɖa me.

` Dust Mite Allergy, Nulɔdɔ, Ʋuʋudedi, Aɖuɖɔtoe, Ŋutilãdɔlélewo, Yagbɔgbɔ ƒe Kuxiwo, Atikewɔwɔ, Aƒeme Ke Dzi ɖuɖu