Ðe azi ɖuɖu sesẽna na viwòa? Mina míaƒo nu tso azi ƒe nulɔdɔ sia ŋu!

Mí katã míenya be azi nye nuɖuɖu si me nunyiame le ŋutɔ. Gake ame aɖewo, vevietɔ ɖevi suewo, ate ŋu ato kuxi vovovowo me ne wole azi ɖum. Ɣeaɖewoɣi la, woate ŋu asẽ ale gbegbe be womate ŋu asusui o. Eyata egbea míele nu ƒom tso azi ƒe nulɔdɔ sia ŋu, alo `(Azi ƒe nulɔdɔ)`. Ne nɔnɔme sia le wò, alo wò ƒomea me tɔ aɖe ŋu la, ekema ŋutinya sia anɔ vevie na wò ŋutɔ.

Nukae nye Azi ƒe Nulɔdɔ?

Kpuie ko la, azi ƒe nulɔdɔe nye ne míaƒe dɔlélenutsiŋutete wɔa nu wògbɔa eme ɖe protein aɖewo siwo le azi me ŋu. Ne míagblɔe tututu la, míaƒe dɔlélenutsiŋutete si le abe míaƒe ŋutilã ƒe ametakpɔnu ene la dea dzesi azi me proteinwo be wonye futɔ eye wòdzea avuwɔwɔ gɔme. Woyɔa esia be nulɔdɔ.

Zi geɖe la, koklozi ƒe azi gbɔe nulɔdɔ sia tsona , gake lãwo ƒe azi bubuwo abe dadi, koklozi, kple koklozi ƒe azi ene hã ate ŋu awɔ nulɔdɔ na ame aɖewo.

Vevietɔ wu: Azi ƒe nulɔdɔ ate ŋu asẽ eye ɣeaɖewoɣi ate ŋu ade ame ƒe agbe afɔku me . Ne èkpɔ dzesi sesẽwo, abe ŋɔti vuvu kple gbɔgbɔ sesẽ ene la, ele be nàyi kɔdzi si te ɖe ŋuwò enumake alo nàƒo ka na 911. Esia menye nusi woabu nu tsɛe o.

Aleke gbegbee esia bɔe?

Ðewohĩ awɔ nuku na wò be nàse be azi ƒe nulɔdɔe nye nuɖuɖu ƒe nulɔdɔ evelia si bɔ ɖe ɖeviwo me . Gake ɖɔktawo gblɔ be ɖevi siwo ade 2% koe wòxɔna. Ema fia be mebɔ nenema gbegbe o. Ebɔ ɖe ɖeviwo me wu ame tsitsiwo.

Gake nya nyui aɖe li! Ðevi siwo ŋu nulɔdɔ sia le ƒe afã lɔƒo atsi wui ne woxɔ ƒe 5. Eye, kaka woaxɔ ƒe 16 la, ɖevi siwo ade 70% atsi wu nulɔdɔ sia keŋkeŋ. Nu bubu enye be ɖevi siwo ŋu azi ƒe nulɔdɔ le siwo ade 70% te ŋu doa dzi le azi me protein siwo woɖa nyuie (le kpɔɖeŋu me, le abolo me).

Nukae nye azi ƒe nulɔdɔ ƒe dzesiwo?

Zi geɖe la, dzesiawo dzea egɔme le aɖabaƒoƒo ʋɛ aɖewo megbe tso esime woɖu azi. Ke hã, dzesi siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Dzesi siwo nu mesẽ o koe ate ŋu akpɔ ame aɖewo, evɔ ame bubuwo ya ate ŋu akpɔ dzesi sesẽwo.

Dzesi siwo wokpɔna zi geɖe:

• Dɔgbo ƒe vevesese
• Dɔmetɔtrɔ
• Kpe
• Teƒe dzĩ alo ʋuʋudedi le ŋutigbalẽ ŋu (Hives) .
• Ʋuʋudedi (Pruritus) .
• Aɖuɖɔtoe alo ʋuʋudedi
• Ŋutilã ƒe ʋuʋudedi
• Nuyi, aɖe, alo ŋɔti ƒe ʋuʋu alo vuvu

Dzesi sesẽwo (afɔku le esiawo me!):

Ne èkpɔ dzesi siawo la, ateŋu anye nulɔdɔ sesẽ aɖe si ate ŋu ade wò agbe afɔku me si woyɔna be ``Anaphylaxis.'' Ne womedae enumake o la, ateŋu awu ame.

• Tɔtɔ
• Yagbɔgbɔ sesẽ (Dyspnea) .
• Nuɖuɖu mimi sesẽ (Dysphagia) .
• Taɖuame
• Ʋu ƒe sisi kpata (Hypotension) .
• Syncope ƒe dɔléle
• Sese le eɖokui me be akɔta alo ŋɔti me te ɖe ye ŋu

Nukatae azi ƒe nulɔdɔ sia dzɔna?

Ne azi ƒe nulɔdɔ le ŋuwò la, ke wò dɔlélenutsiŋutete le nu wɔm ɖe protein aɖewo siwo le azi me ŋu wògbɔa eme. Zi geɖe la, protein siwo hea nulɔdɔ sia vɛ la nɔa azi tutuwo me .

Ne èɖu azi zi gbãtɔ la, wò ŋutilã wɔa dɔlékuiwutike aɖe si woyɔna be `(Immunoglobulin E - IgE)`. `(IgE)` dɔlékuiwutike sia blana ɖe nulɔdɔ ƒe lãmenugbagbevi siwo woyɔna be `(Mast Cells)` ŋu le wò ŋutigbalẽ, gbɔgbɔtsixe ƒe mɔ̃ (yamɔwo), kple dzitodzito me. Emegbe ne ègaɖu azi ake la, `(IgE)` dɔlékuiwutike sia dea dzesi azi me proteinwo eye wòɖea atike aɖe si woyɔna be `(Histamine)` ɖe go. `(Histamine)` siae hea nulɔdɔ ƒe dzesiwo vɛ.

`(IgE)` ƒe nuwɔna siawo dzɔna kabakaba le azi ɖuɖu vɔ megbe. Ɣeaɖewoɣi la, woate ŋu ayi ŋgɔ ava ɖo nɔnɔme siwo nu sẽ wu abe `(Anaphylaxis).` ene

Vovototo si le Azi ƒe Mɔmaɖemaɖeɖenuŋu kple Azi ƒe Nulɔdɔ dome

Ɣeaɖewoɣi la, azi ɖuɖu ate ŋu ahe kuxi bubuwo vɛ. Woyɔa esia be ``Azi ƒe Mɔmaɖemaɖeɖenuŋu'' alo ŋutetemanɔamesi be woalɔ̃ ɖe azi dzi. Esia menye naneke wu ``IgE'' dɔlékuiwutike o. Le afisia la, nuwɔna la xɔa ɣeyiɣi aɖe hafi wòdzɔna, eye ɣeaɖewoɣi la, exɔa gaƒoƒo 48. Zi geɖe la, dzesiawo dzena le ŋutilã ƒe akpa si nye ``Gastrointestinal - GI''.

• Dɔgbo ƒe vevesese
• Dɔgbo ƒe ʋuʋu
• Dɔmetɔtrɔ
• Aɖuɖɔtoe kple ʋuʋudedi

Mègatɔtɔ ame eveawo o. Nulɔdɔe nye esi ate ŋu anye afɔku.

Protein vevi kawoe nana azi ƒe nulɔdɔ nɔa ame ŋu?

Protein geɖe siwo le azi me ate ŋu awɔ akpa aɖe le esia me. Wo dometɔ vevitɔwoe nye:

• Ovomucoid: Esia le azi tutu me.
• Ovotransferrin: Dzoxɔxɔ megbãa esia bɔbɔe o. Eyata ne nulɔdɔ le ŋuwò la, ɖewohĩ màte ŋu aɖu azi ƒuƒu, kpakple azi si woɖa alo esi wofli o.
• Ovalbumin: Esia gblẽna ne wodo dzoe nyuie. Eyata ɖewohĩ màkpɔ nulɔdɔ ƒe dzesiwo le azi siwo woɖa nyuie ɖuɖu me o.
• Lysozyme: Ame siwo ŋu azi ƒe nulɔdɔ le la dometɔ siwo ade 30% ƒe seselelãme le esia ŋu.

Ameka ŋue nulɔdɔ sia gblẽa nu le wu?

Amesiame ate ŋu axɔ azi ƒe dɔléle, gake ebɔ ɖe ɖevi siwo mexɔ ƒe 5 haɖe o dzi wu. Ðevi akpa gãtɔ tsina wu nulɔdɔ sia ne woƒe nuɖuɖumeŋusẽ le tsitsim.

Ne azi ƒe nulɔdɔ le vinyewo dometɔ ɖeka ŋu la, ɖe wòadze ame mamlɛawo hã dzia?

Ao, mehiã be wòanɔ nenema o. Ne azi ƒe nulɔdɔ le wò, ɖevia dzila kemɛ, alo nɔvia ŋu hã la, ele kokoko be nàna azi naɖe vi bubuawo katã le mɔ ma ke nu.

Aleke nàwɔ anya kple kakaɖedzi be azi ƒe dɔléle aɖe le ŋuwò?

Ne èsusu be azi ƒe dɔléle ƒe dzesiwo ate ŋu anɔ ye alo viwò ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Ate ŋu aɖo wò ɖe nulɔdɔŋutinunyala/dɔlélenutsiŋuteteŋutinunyala gbɔ. Woabia nyawo abe:

• Ðe azi alo nuɖuɖu bubuwo ƒe nulɔdɔ le wò ƒomea mea?
• Ðe ɖɔkta aɖe kpɔe va yi be nuɖuɖu ƒe nulɔdɔ le ŋuwòa?
• Nukawoe nye wò dzesiwo?
• Ɣekaɣie dzesiawo dzea egɔme?
• Ðe nèzãa atike siwo womeƒlena le atikedzraƒe o (OTC) ɖe dzesi siawo ŋua?
• Ðe nèwɔa nu siwo nèɖuna kple nunono ƒe ŋkekenyuigbalẽa?

Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?

Nulɔdɔŋutinunyala ate ŋu awɔ dodokpɔ vovovowo le wò dzesiwo nu.

• Ŋutilã ƒe Ʋuʋu Dodokpɔ:

Esia bia be nàtsɔ azi ɣi sue aɖe asisi ɖe wò ŋutigbalẽ ŋu. Gbã la, kɔ ŋutigbalẽ si le wò alɔnu alo akɔta ŋu, tsɔ azi ɣi ƒe tsi aɖe de edzi, eye nàtutu ŋutigbalẽa blewuu. Esia mevea ame boo o, eye meɖea ʋu hã o. Le abe miniti 15 ene megbe la, èléa ŋku ɖe eŋu be teƒea biã alo vuvu hã. Àte ŋu awɔ dodokpɔ sia le gaƒoƒo si mede gaƒoƒo ɖeka o me.

• Ʋudodokpɔ `(IgE Ʋudodokpɔ):

Le afisia la, woɖea ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me heɖonɛ ɖe dodokpɔxɔ me. Nudokpɔƒea tsɔa azi me protein kpena ɖe ʋua ŋu eye wòdzidzea ``(IgE)`` dɔlékuiwutikewo ƒe agbɔsɔsɔ le eme. Nusiwo do tso eme ate ŋu axɔ abe kwasiɖa ɖeka ene hafi woagatrɔ ava.

• Graded Oral Challenge / Nuɖuɖu ƒe Kuxi:

Wowɔa dodokpɔ sia tsɔ ɖoa ​​kpe edzi be azi ƒe dɔléle aɖe le ŋuwò hã. Wowɔa esia le ɖɔkta ƒe dzikpɔkpɔ te. Wotsɔa azi sue aɖe (ɖewohĩ azi si woɖa falɛfalɛ alo azi si woɖa) naa wò eye wobia tso asiwò be nàlé ŋku ɖe nuwɔna ɖesiaɖe ŋu hã. Esia ate ŋu axɔ abe gaƒoƒo ene ene.

Ðe wòanya wɔ be woaɖe azi ƒe nulɔdɔ ɖa keŋkeŋa?

Ne azi ƒe nulɔdɔ le mia alo viwòa ŋu la, mɔ ɖeka kolia si dzi nàto axe mɔ ɖe dɔlélea nue nye be nàƒo asa na azi kple nuɖuɖu siwo katã me azi le. Dɔwɔƒewo abe U.S. Food and Drug Administration (FDA) ene bia tso nuɖuɖuwɔlawo si be woaŋlɔ nusiwo nana ŋutilã melɔ̃a nu o la ɖe nuɖuɖu ƒe ŋkɔwo dzi eme nakɔ. Se mawo tɔgbe le míaƒe dukɔa hã si.

Woate ŋu awɔ nuɖuɖu aɖewo siwo me azi mele o le dɔwɔƒe mawo ke siwo trɔa asi le nuɖuɖu siwo me azi le ŋu, eyata nya nu tso nusiwo woŋlɔ ɖe wo dzi siwo dzi woŋlɔ nu ɖo abe "Wowɔe le dɔwɔƒe si trɔa asi le azi ŋu" ene ŋu.

Esi wònye be ɖevi akpa gãtɔ tsina wu nulɔdɔ sia ta la, ɖewohĩ mahiã be woawɔ atike tɔxɛ aɖeke na viwòa o. Gake ne nulɔdɔa medzo o la, àte ŋu aƒo nu kple nulɔdɔŋutinunyala tso atike siwo ɖea nuɖuɖu ƒe vevesese dzi kpɔtɔna, abe Oral Immunotherapy (OIT) ene ŋu.

Nukawoe nye atike tɔxɛ siwo wozãna na azi ƒe nulɔdɔ sesẽ?

Ne azi ƒe nulɔdɔ sesẽ aɖe le ŋuwò la, wò ɖɔkta aŋlɔ atike si nye epinephrine auto-injector, si wogayɔna be EpiPen®. Esia ate ŋu ada dɔléle sesẽ aɖe abe anaphylaxis ene ƒe dzesiwo kaba. Ele be nàna esia nanɔ gbɔwò ɣesiaɣi. Wò ɖɔkta aɖe alesi nàzãe me na wò.

Gake ne azi ƒe dɔmawɔmawɔ nyuie alo nulɔdɔ si menye IgE o le ŋuwò la, ke mèhiã epinephrine sia o.

Epinephrine dodo ƒe nugbegblẽ le ame ŋu:

Zi geɖe la, nusiawo menyea nya veviwo o eye wodzona kabakaba.

• Dzitsitsi
• Taɖuame
• Nu ƒuƒu
• Taɖuame
• Fifia ƒe dzidziɖedzi
• Xeɖeɖe
• Ðeɖiteameŋu

Nukae wòle be amesi ŋu azi ƒe dɔléle le nakpɔ mɔ na?

Agbenɔnɔ kple azi ƒe nulɔdɔ ate ŋu asesẽ ɣeaɖewoɣi. Dzesiawo ate ŋu anɔ bɔbɔe alo nu sesẽ. Esi nèwɔ nu fafɛ zi si va yi ta la, mefia be àwɔ nu nenema ke ɣebubuɣi o. Ate ŋu asesẽ ŋutɔ. Ne dɔlélea nu sẽna ɖe dziwò kpɔ la, anɔ eme be àgawɔ nu sesẽ ake.

Gake ne èɖɔ ŋu ɖo la, mia kple viwòa miate ŋu ayi edzi awɔ woƒe gbesiagbedɔwo abe alesi wòle dzɔdzɔmee ene. Ðɔktawo ate ŋu aɖo wò ɖe dɔwɔƒewo, kpekpeɖeŋunahawo, kple nuɖuɖuŋutinunyalawo gbɔ be woakpe ɖe ŋuwò.

Ne ɖevi suewo le tsitsim eye woƒe nuɖuɖumeŋusẽ le tsitsim la, azi ƒe nulɔdɔ ate ŋu nu ayi. Eyata anyo be nàyi nulɔdɔŋutinunyala gbɔ ƒe sia ƒe be woadoe kpɔ .

Aleke woawɔ axe mɔ ɖe azi ƒe nulɔdɔ nu?

Nu nyuitɔ si nàwɔe nye be nàƒo asa na nuɖuɖu, nunono, atike, kple nu bubu ɖesiaɖe si me azi kple azi me protein le.

• Lé ŋku ɖe nusiwo wotsɔ wɔ nuɖuɖua ƒe ŋkɔ si le nuɖuɖu siwo wobla ɖe agba me ŋu ɣesiaɣi.
• Ne mèka ɖe edzi be azi le atike aɖe me o la, mègazãe o vaseɖe esime nèɖo kpe edzi na ewɔla.

Ðe wòle dedie be woado dzamezã ƒe atike ne azi ƒe dɔléle aɖe le ŋunyea?

Ẽ, ele dedie be woaxɔ asrãtikea. Azi me protein sue aɖe koe nɔa dzamezã ƒe atike akpa gãtɔ me. Gake ne azi ƒe nulɔdɔ le ŋuwò gɔ̃ hã la, egakpɔtɔ le dedie be nàxɔe. Ne ègatsi dzi kokoko la, ƒo nu kple wò ɖɔkta tso asrãtike siwo me azi mele o ŋu. Flublok® Quadrivalent kple Flucelvax® Quadrivalent nye atike eve mawo tɔgbe siwo me azi mele o.

Ne azi ƒe dɔléle aɖe le ŋunye la, aleke mawɔ akpɔ ɖokuinye dzi?

Aɖaŋuɖoɖo siawo akpe ɖe ŋuwò ŋutɔ:

• Lé ŋku ɖe nu siwo nèɖuna kple esiwo nènona ŋu ɣesiaɣi.Ne èɖu nuɖuɖu aɖe si menye kuxi o zi mamlɛtɔ si nèɖue gɔ̃ hã la, lé ŋku ɖe nuɖuɖu si woŋlɔ ɖe edzi ŋu hafi nàgaɖui ake. Adzɔnuwo wɔlawo ate ŋu atrɔ nuɖaɖaa eye woatsɔ azi akpe ɖe eŋu.
• Ne azi ƒe dɔléle aɖe le viwòa ŋu la, fiae be megaxɔ nuɖuɖu le exɔlɔ̃wo alo eƒe sukuhatiwo si o.
• Ne èle nu ɖum le gota la, gblɔ na nuɖuɖudzrala la be azi ƒe dɔléle aɖe le ŋuwò. Bia nu siwo woatsɔ awɔ nuɖuɖua kple alesi woɖaa nuɖuɖuae tsitotsito.
• Do Atikewɔwɔ Ŋuti Nuxlɔ̃ame ƒe Asigɛ alo tsɔ agbalẽvi si dzi woŋlɔ wò azi ƒe nulɔdɔ ŋuti nyatakakawo ɖo ɖe asi.
• Ŋlɔ nyatakaka siawo ɖe wò fon ƒe Atikewɔwɔ Kpata ƒe ɖoɖowo alo dɔwɔnua me.
• Ƒo nu kple wò ɖɔkta tso alesi nàdzra ɖo ɖe nuwɔna aɖe ŋu. Ate ŋu aŋlɔ atike si nye epinephrine auto-injector na wò. Ele be nàtsɔe ɖe asi ɣesiaɣi.

Ne azi ƒe nulɔdɔ le ŋuwò la, nuɖuɖu kawoe wòle be nàƒo asa na?

Nuɖuɖu siwo bɔ dometɔ aɖewo siwo me azi ate ŋu anɔ:

• Nuɖuɖu siwo woɖa (abolo, bun, bisiklet) .
• Nuɖuɖu siwo wotsɔ abolo wɔe
• Keke Kple Pie Ƒe Nusiwo Wotsɔ Ƒoa Nui
• Custard ƒe lãgbalẽ
• Eggnog ƒe lãgbalẽ
• Marshmallow-wo ƒe ƒuƒoƒo
• Mayonnaise si wotsɔna ƒoa ƒui
• Veggie lãwo
• Pasta (ƒomevi aɖewo) .
• Pretzel (ƒomevi aɖewo) .
• Lã siwo ŋu wotrɔ asi le
• Pudding
• Salad-nuɖuɖu siwo wotsɔna ƒoa ƒui

Bu eŋu kpɔ, ɣeaɖewoɣi la, azi ate ŋu anɔ nuɖuɖu siwo ŋu míebuna gɔ̃ hã o la me. Le kpɔɖeŋu me, wozãa azi le mɔli, mɔli, kple ice cream aɖewo me. Eyata xlẽ nusi woŋlɔ ɖe edzi la nyuie ɣesiaɣi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èkpɔ dzesiwo le azi alo nusiwo me azi le ɖuɖu vɔ megbe la, yi ɖɔkta gbɔ enumake.

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Ne èdze `(Anaphylaxis)` ƒe dzesiwo kpɔkpɔ gɔme, alo ne èse le ɖokuiwò me be yemete ŋu le gbɔgbɔm o la, yi xɔ si me wowɔa dɔ kpata le enumake alo nàƒo ka na 1990.

Nya kawoe wòle be mabia ɖɔktaa?

• Aleke nàwɔ anya ne azi ƒe dɔléle aɖe le ŋunye?
• Ɣekaɣie mate ŋu atsɔ azi ade vinyea me?
• Ðe vinye ƒe azi ƒe nulɔdɔa nu ayia?
• Ðe kpekpeɖeŋunahawo li na amesiwo ŋu azi ƒe nulɔdɔ le alo wo dzilawoa?
• Àte ŋu akafu nuɖuɖuŋutinunyala aɖea?

Aleke mawɔ anya ne azi ƒe dɔléle aɖe le ŋunye?

Ne èkpɔ dzesi siwo mesẽ o le azi ɖuɖu vɔ megbe la, ke ate ŋu anye be azi ƒe seselelãme aɖe anɔ ŋuwò. Ne èsusu be ``Azi ƒe Mɔmaɖemaɖeɖenuŋu'' le ye ŋu la, ƒo nu kple ɖɔkta.

Ɣeyiɣi didi kae azi ƒe dɔléle xɔna?

Ðevi siwo ŋu azi ƒe nulɔdɔ le dometɔ siwo ade 70% tsina wui ne woxɔ ƒe 16. Gake ɖewohĩ wo dometɔ aɖewo matsi wui gbeɖe o.

Ðe nàte ŋu axɔ azi ƒe nulɔdɔ le wò tsitsimea?

Ẽ, anya wɔ be azi ƒe nulɔdɔ yeye nadze ame dzi le eƒe tsitsime.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Azi ƒe nulɔdɔ ate ŋu anye nɔnɔme si tɔtɔa ame eye wòdoa vɔvɔ̃ na ame ɣeaɖewoɣi. Dzesiawo ate ŋu anɔ bɔbɔe alo nu sesẽ. Ate ŋu agbɔ eme eye wòatɔtɔ ame, gake ɖɔkta ate ŋu akpe ɖe eŋu. Woate ŋu awɔ dodokpɔwo atsɔ akpɔe ɖa be azi ƒe dɔléle le ŋuwò hã eye woaɖo wò ɖe nuɖuɖuŋutinunyala gbɔ be wòakpe ɖe ŋuwò nàkpɔ nuɖuɖu nyuitɔ kekeake siwo nàɖu.

Ɖo ŋku edzi:

• Ne ɖikeke le ŋuwò la, ƒo asa na azi kple nusiwo me azi le.
• Xlẽ nuɖuɖu ƒe ŋkɔwo ɣesiaɣi.
• Ne nulɔdɔ sesẽ aɖe le ŋuwò la, ke tsɔ EpiPen® ɖe asi ɣesiaɣi.
• Wɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi.

Mega tsi dzi o. Ne ènya eye nèlé be na wò la, àte ŋu anɔ lãmesẽ me ne azi ƒe nulɔdɔ le ŋuwò gɔ̃ hã. Menye wò ɖeka koe o, ame geɖewo li nàƒo nu kplii ahaxɔ kpekpeɖeŋu tso wo gbɔ.

` Azi ƒe nulɔdɔ, azi ƒe nulɔdɔ, ɖevimenɔɣi ƒe nulɔdɔ, nuɖuɖu ƒe nulɔdɔ, anaphylaxis, IgE, epinephrine