Ðe nutoa me gblẽ na wò ŋutilã hãa? Mina míasrɔ̃ nu tso Nutome Ŋuti Nulɔdɔwo ŋu!

Ðe nèɖea aɖuɖɔ zi geɖea? Ðe ŋɔti si le ʋuʋum, ŋɔti si le ʋuʋum, ŋku biã, tsi le ŋuwòa? Ðe ŋɔti me tsi gɔ̃ hã nɔa dodom na wò ɣeaɖewoɣia? Ne nusiawo dzɔna zi geɖe la, ɖewohĩ nutome ƒe nulɔdɔ siwo ŋu míaƒo nu tsoe egbea dometɔ ɖeka ate ŋu anɔ ŋuwò. Mègatsi dzi o, esia nye nusi le ame geɖe si. Mina míalé ŋku ɖe nusi tututu esia nye, nusita wòdzɔna, alesi míade dzesii, kple alesi míaƒo asa nɛ ŋu.

Nukawoe nye nutome ƒe nulɔdɔ siawo?

Kpuie ko la, nutoa me ƒe nulɔdɔwo nye ne wò dɔlélenutsiŋutete wɔa nu wògbɔa eme ɖe nusiwo le wò nutoa me ŋu. Zi geɖe la, nu siawo – míeyɔna wo be ‘allergens’ – megblẽa nu ŋutɔŋutɔ o. Gake ne nane ƒe nulɔdɔ le ŋuwò la, wò ŋutilã wɔa nu ɖe ​​eŋu le mɔ si me nulɔdɔ le nu.

Tsɔe be, dedienɔnɔdzikpɔla aɖe le wò aƒeme. Zi geɖe la, ekpɔa aƒea ta tso fiafitɔwo si me. Gake, ne ‘nulɔdɔ’ le ŋuwò la, dedienɔnɔdzikpɔla sia kpɔa ƒometɔ aɖe vaa wò aƒeme ɣeaɖewoɣi eye wòsusuna be fiafitɔe eye wòtsia dzi.

Amekae ate ŋu axɔ nulɔdɔ sia?

Amesiame ate ŋu axɔ nutome ƒe nulɔdɔ siawo . Gake ne nulɔdɔ siawo le dawò kple fofowò ŋu la, anɔ eme be wò hã nàxɔe. Esia fia be woate ŋu atsɔ wo ayi dzidzimewo me.

Esiawo bɔ ŋutɔ. Wogblɔ be dɔléle sia le ame siwo ade miliɔn 24 ŋu le dukɔ abe Amerika ene me. Ame ʋɛ aɖewo ŋutɔ li siwo ŋu nulɔdɔ mawo tɔgbe le le Sri Lanka hã.

Aleke nulɔdɔ sia kpɔa ŋusẽ ɖe ŋutilãa dzii?

Ne èdo go nusi nana wò ŋutilã ƒe dɔlélenutsiŋutete zi gbãtɔ la, wò ŋutilã ƒe dɔlélenutsiŋutete wɔa dɔlékuiwutike tɔxɛ aɖe si woyɔna be Immunoglobulin E (IgE) . IgE dɔlékuiwutike siawo blana ɖe mast cells siwo le míaƒe mucus membranes, ŋutigbalẽ, GI-mɔ̃, kple gbɔgbɔtsixe me ŋu. Mast cell siawo dzraa atikewo abe histamine ene ɖo .

Fifia, ɣebubuɣi si nulɔdɔ ma gage ɖe ŋutilã me la, mast cells siwo bla ɖe `IgE` ma ŋu la wɔa dɔ eye woɖea histamine kple atike bubu siwo le eme la ɖe go.

Histamine ye naa dzesi mawo siwo dzena kabakaba abe aɖuɖɔtoe, ŋɔti me tsi si le dodom, kple ŋku siwo le ʋuʋum ene la wò. Dzesi siawo ate ŋu ava le aɖabaƒoƒo ʋɛ aɖewo ko me. Atike bubuwo hã ate ŋu ana dɔdzẽ nayi edzi.

Ɣeaɖewoɣi la, nuwɔna siwo meku ɖe IgE ŋu o ate ŋu adzɔ. Eyae nye be ŋutilã ate ŋu awɔ nu ɖe ​​atike aɖewo siwo me dzoxɔxɔ le (e.g., amadede ƒe dzudzɔ, ami ʋeʋĩ) abe nusiwo me dzo le (VOCs) ene ŋu . Esiawo sɔ kple IgE ƒe dɔwɔwɔ, gake womelɔ IgE dɔlékuiwutikewo ɖe eme o. Esia ƒe kpɔɖeŋu aɖewoe nye ke kple dzudzɔ.

Nukawoe nye nutoa me ƒe nulɔdɔwo ƒe dzesiwo?

Nutoa me ƒe nulɔdɔ ate ŋu ahe dzesiwo abe:

• No me ʋuʋu, sese le eɖokui me be yeƒe kpekpeme le kpekpem
• Postnosal tsidzadza
• Kpe
• Doviti si ƒo xlã ŋkuwo (allergic shiners) .
• Ɖeɖiteameŋu
• Taɖuame
• Aɖuɖɔtoewo
• No me ʋuʋu kple tsi si le dodom
• Ŋku siwo biã, siwo le ʋuʋum, eye tsi le wo ŋu ( epiphora ) .
• Aɖuɖɔɖɔɖɔ
• Yagbɔgbɔ sesẽ, ʋuʋudedi

Ɣeaɖewoɣi la, nulɔdɔ siawo ate ŋu ana asrãdɔ nadze ame dzi gɔ̃ hã . Eyata ele vevie ŋutɔ be nànya dzesi siawo.

Nukae hea nutoa me ƒe nulɔdɔ siawo vɛ?

Nu geɖe siwo le míaƒe nutoa me ate ŋu ahe nulɔdɔ siawo vɛ. Wo dometɔ vevitɔwoe nye:

• Pollen: Esiawo nye nu suesuesue siwo le abe ke ene siwo tso atiwo, gbewo, kple gbewo me. Yae tsɔa wo eye wozãa wo tsɔ dea aɖi numiemiewo me. Aŋɔ ƒe agbɔsɔsɔme sɔa gbɔ wu le ŋdi me. Azɔ hã, aŋɔ ƒe agbɔsɔsɔ dzina ɖe edzi le ŋkeke siwo dzi yame xɔ dzo eye ya le ƒoƒom.
• Aŋɔ: Esiawo nye fungi suesuesuewo. Woƒe ʋetsuviwo nɔa tsia dzi le yame. Aŋɔwo tsina le teƒe siwo tsi le, siwo me ya megena ɖo nyuie o (e.g., tsileƒewo, nuɖazewo, anyigbaxɔdzowo). Woate ŋu atsi le gota hã le teƒewo abe aŋgbawo ƒe gbeɖuɖɔ, gbe, kple gbe ene. Aŋɔ ƒe lãviwo tsina wu le ŋkeke siwo dzi dzoxɔxɔ kple fafa le dzi.
• Aƒemelãwo ƒe avu kple aɖuɖɔ: Esiae nye nu suesuesue (`dander`) siwo dona le wò aƒemelã avu alo avu ƒe ŋutigbalẽ kple lãfu me . Protein siwo le woƒe aɖuɖɔ me dometɔ aɖewo hã ate ŋu anye nusiwo nana nulɔna.
• Dust mites: Esiawo nye nuwɔwɔ suesuesue siwo do ƒome kple akpɔkplɔwo eye wole sue akpa be woate ŋu akpɔ wo kple ŋku dzro. Wonɔa teƒewo abe mattress, akɔtaɖonuwo, abadzivɔwo, modzakaɖebɔwo, sofawo, kple xɔmetsovɔwo ene. Woɖua ŋutigbalẽ me lãmenugbagbevi kuku siwo mía kple míaƒe aƒemelãwo míeɖena ɖa. Womeɖua nu o, gake woƒe aɖuɖɔ, aɖuɖɔ, kple ŋutilã ƒe akpa kukuwo ate ŋu ana nulɔdɔ nadze ŋuwò ne ègbɔ wo.
• Akpɔkplɔ: Protein siwo le nudzodzoe siawo ƒe aɖuɖɔ, aɖuɖɔ, azi, kple ŋutilã ƒe akpa kukuwo me hã ate ŋu ana ame aɖewo nawɔ nulɔdɔ.

Tsɔ kpe ɖe esiawo ŋu la, nusiwo hea nuwɔna siwo meku ɖe IgE ŋu o vɛ enye:

• Dzudzɔ: Dzudzɔ ɖesiaɖe, abe sigaret ƒe dzudzɔ, ʋu ƒe dzudzɔ, atikplɔ ƒe dzudzɔ, kple dzudzɔdonu ƒe dzudzɔ ene, medzea ame aɖewo ŋu o.
• Ke: Nu geɖe le aƒeme ke si wozãna edziedzi me, siwo dometɔ aɖewoe nye ŋutigbalẽ me lãmenugbagbevi kukuwo, taɖa, aŋɔ, avɔ ƒe akpa suesuesuewo, ke ʋetsuviwo, nudzodzoewo ƒe akpa suewo, kple anyigba.

Ðe nutoa me ƒe nulɔdɔwo xɔa ame mea?

Ao, nulɔdɔ sia mexɔa ame me o. Màte ŋu ana ame bubu si nulɔdɔ le ŋuwò o.

Aleke nàwɔ anya nulɔdɔ sia?

Ne dzesi siawo le ŋuwò edziedzi la, yi nulɔdɔŋutinunyala gbɔ.Nu nyuitɔ kekeakee nye be míado go. Abia nyawo abe:

• Ðe nulɔdɔ sia tɔgbe le wò ƒomea mea?
• Ðe wokpɔe be nulɔdɔ le ŋuwò kpɔa?
• Nukawoe nye wò dzesiwo?
• Ðe nènoa atike na dzesi siawo (e.g., atikekui siwo tso atikedzraƒe)?
• Ɣekaɣie dzesi siawo dzena zi geɖe wu?
• Ðe lã aɖewo le aƒemea?
• Zi nenie nèɖea ya le nuwo abe modzakaɖebɔwo ene me? Ðe nèklɔa wò abadzivɔwoa?

Le ema megbe la, ɖɔktaa ate ŋu awɔ dodokpɔ aɖewo.

Dodokpɔ ka ƒomevie wowɔna?

• Ŋutilã ƒe ƒoƒo dodokpɔ: Esia bia be nàtsɔ nusi wosusu be alɔ̃dɔdɔ na wò ƒe akpa sue aɖe ade wò alɔ alo akɔta ƒe ŋutigbalẽ dzi eye nàtsɔ aŋe sue aɖe aƒoe. Ʋu mado le eme o, ke boŋ ʋuʋudedi vi aɖe koe anɔ eme. Le abe miniti 15 ene megbe la, ne nane melɔ̃ wò o la, teƒea azu dzĩ eye wheal sue aɖe adze abe nudzodzoe ƒe ɖuɖu ene. Esia ana nànya nusi ŋu wò nulɔdɔ le. Woate ŋu awɔ esia le gaƒoƒo si mede gaƒoƒo ɖeka o me.
• Ʋu (IgE) dodokpɔ: Esia bia be nàxɔ wò ʋu sue aɖe, atsɔ nu vovovo siwo nana ŋutilãa mewɔa dɔ nyuie o akpe ɖe eŋu le dodokpɔxɔ me, eye nàlé ŋku ɖe wò IgE ƒe agbɔsɔsɔ ŋu. Nusiwo dona tso eme ate ŋu axɔ kwasiɖa ɖeka hafi woagatrɔ ava. Ɣeaɖewoɣi la, mɔnukpɔkpɔ sue aɖe nɔa anyi be alakpa-nu nyuiwo nado tso eme. Esia fia be ɖewohĩ nane si ŋu mèlɔ̃a nu le ŋutɔŋutɔ o la ƒe nu lé dzi na wò.

Aleke nàwɔ aɖe nulɔdɔ siawo ɖa? Alo aɖu wo dzia?

Le nyateƒe me la, womate ŋu ada nutome ƒe nulɔdɔ siawo keŋkeŋ o. Gake woate ŋu aɖu dzesiawo dzi ahaɖe wo dzi akpɔtɔ. Le esia ta , atike siwo wua histamine koŋue wozãna.

Ðe atike siwo wua histamine gblẽa nu le ame ŋua?

Atike siwo wua histamine ƒomevi eve li:

1. Dzidzime gbãtɔ ƒe atike siwo wua ʋumenugbagbeviɣidɔ: Kpɔɖeŋuwo: `Diphenhydramine (Benadryl®)`, `Clemastine (Dayhist®)`, `Hydroxyzine (Atarax®)`.

• Esiawo ate ŋu ana ame nadɔ alɔ̃ , nu naƒu, ta naɖu ame, taɖuame, akɔta, aɖuɖɔtoe, kple aɖuɖɔtoe.

2. Dzidzime evelia ƒe atike siwo wua ʋumenugbagbeviɣidɔ: Kpɔɖeŋuwo: `Fexofenadine (Allegra®)`, `Cetirizine (Zyrtec®)`, `Loratadine (Claritin®)`.

• Esiawo ƒe nugbegblẽ le ame ŋu mesɔ gbɔ o, vevietɔ alɔ̃dɔdɔ mesɔ gbɔ o. Gake ame aɖewo ate ŋu akpɔ ŋutigbalẽ ƒe ʋuʋu, ʋuʋudedi, aɖuɖɔtoe, kple mo ƒe ʋuʋu (angioedema).

Numekuku aɖewo ka nya ta be ame siwo noa atikewo abe `Cetirizine` kple `Hydroxyzine` ate ŋu akpɔ dzimaɖitsitsi kple blanuiléle geɖe wu. Ke hã, numekuku geɖe hiã le esia ŋu.

Ɣeyiɣi didi kae wòxɔna hafi ame ƒe lãme sẽna le atike la zazã vɔ megbe?

Zi geɖe la, atike si wua ʋumenugbagbeviɣidɔ dzea dɔwɔwɔ gɔme le aɖabaƒoƒo 30 me tso esime wozãe, eye wòwɔa dɔ nyuie wu le gaƒoƒo ʋɛ gbãtɔawo me.

Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu agblɔ na wò be nàno atike si wua ʋumenugbagbeviɣidɔ gbesiagbe, eye màlala be dzesiwo nadze o.

Nukae nàwɔ ne nutome ƒe nulɔdɔ le ŋuwò?

Togbɔ be womate ŋu ada nusiawo keŋkeŋ o hã la, woate ŋu aɖu dzesiawo dzi nyuie ne woɖe wo ɖokui ɖa tso nusiwo nana ŋutilã melɔ̃a nu o gbɔ alesi woate ŋui eye woano atike abe alesi ɖɔkta gblɔe ene .

Aleke nàwɔ akpɔ ɖokuiwò ta tso nulɔdɔ siawo me?

Wobua atike siwo wotsɔna tsia no me, abe Fluticasone nasal spray (Flonase®) ene, be ewɔa dɔ ŋutɔ le mɔxexe ɖe nulɔdɔ ƒe dzesi siwo le titina va ɖo esiwo nu sẽ (no me ʋuʋu, ŋɔti me tsi si le dodom, sinus ƒe nyaƒoɖeamenu) nu. Woɖea abi si le ŋɔti me dzi kpɔtɔna. Àte ŋu azã atike siawo gbesiagbe. Gake ame aɖewo ƒe ŋɔti ate ŋu avuvu, eye woƒe ŋɔti natsi. Ele be amesiwo xɔ wu ƒe 65 naƒo nu kple ɖɔkta hafi azã wo, elabena wo zazã ɣeyiɣi didi ate ŋu ana ŋkuwo ƒe nyaƒoɖeamenu nadzi ɖe edzi (ŋkudɔ).

Ne nulɔdɔ si nu mesẽ o le ŋuwò la, atike si wua ʋumenugbagbeviɣidɔ si nye dzidzime evelia nono gbesiagbe ate ŋu anye tiatia nyuitɔ.

Tsɔ kpe ɖe eŋu la, àte ŋu akpe asi ɖe nulɔdɔ ƒe dzesiwo dzi ɖeɖe kpɔtɔ ŋu ne èwɔ nusiawo:

Le aƒeme la:

• Na fesreawo nanɔ tutu eye nàzã yaƒoƒomɔ̃ (AC) ne anya wɔ. Ne fesreawo le ʋuʋu la, aŋɔ ava aƒea me. Mègatsɔ fesrea da ɖe fesrea xa o, elabena esia ate ŋu ahe ke kple aŋɔ ava eme.
• Klɔ ya si le wò aƒe me la ɖa. Àte ŋu akɔ aŋɔ to nane abe cheesecloth ene dada ɖe yadoƒeawo dzi. If you have a HEPA filter , anyo be nàzã ema hã. Trɔ filter la edziedzi.
• Ðe fafa si le wò aƒeme dzi kpɔtɔ. Ne fafa nɔa anyi 50% la, aɖe aŋɔ ƒe tsitsi kple ke ƒe ʋetsuviwo ƒe gege ɖe lãme dzi akpɔtɔ.
• Ƒo asa na teƒe siwo aŋɔ ate ŋu atsi le. Teƒewo abe anyigbaxɔdzowo, ʋudzraɖoƒewo, kple teƒe siwo aŋgbawo le ene. Klɔ teƒe siawo edziedzi ne anya wɔ.
• Klɔ aƒemelãwo eye nàkɔ wo ŋu edziedzi. Mègatsɔ wo va xɔdɔme, aba, alo sofa me o.
• Takpɔ ɖokuiwò ta tso ke ƒe ʋetsuviwo si me. De microfiber nutsyɔnuwo akɔtaɖonuwo kple mattresswo dzi. Klɔ abadzivɔwo zi ɖeka le kwasiɖa me le tsi dzodzoe (si ade Celsius dzidzenu 54) me. Ƒo asa na akɔtaɖonu siwo me fu yɔ fũ kple xɔmenuwo siwo me avɔ geɖe le. Xɔmenuwo abe lãgbalẽ kple vinyl ene nyo elabena esesẽna na ke ʋetsuviwo be woage ɖe wo me.
• Tsɔ ya ƒo modzakaɖebɔwo kple xɔmenuwo edziedzi. Ne mede ɖeke o la, zi eve le kwasiɖa me. Do ametakpɔnu ne èle dzadzram ɖo. Ne anya wɔ la, tsɔ tile, ati, alo linoleum ɖɔ li modzakaɖebɔwo. Ne modzakaɖebɔwo le asiwò la, tsɔ ya ƒoe eye nàklɔ wo edziedzi.
• Mègano atama le xɔ me o. Zã nuwo abe sigaret kple dzudzɔdonu ene le gota.

Gota:

• Na fesreawo nanɔ tutu ne èle ʋu kum. Tsɔ AC la eye nàna yaa nagbugbɔ aƒo xlãe .
• Kpɔ aŋɔ ƒe xexlẽme ɖa hafi nàdo go.Ne anya wɔ la, nɔ xɔ me le ŋkeke siwo dzi yame xɔ dzo, si me tsi medzana o, eye ya ƒona. Ðe wò aŋɔ ƒe agbɔsɔsɔ dzi kpɔtɔ le ŋdi ga 5:00 kple ŋdi ga 10:00 dome, esime aŋɔ ƒe xexlẽme sɔ gbɔ wu.
• Do ametakpɔnu. Do ametakpɔnu ne èle abɔa lãm, nèle aŋgbawo ƒom, alo nèle dɔ wɔm kple nuwo abe gbe kple aɖuɖɔ ene.
• Tsi tsi ne ètrɔ gbɔ tso gota. Klɔ wò ɖa eye nàtrɔ wò awuwo. Esia aɖe aŋɔ si le wò ŋutilã kple awuwo me ɖa.
• Zã nusi wotsɔna ƒua gbe ne èle awuwo ƒom. Mègahe awuwo ɖe gota o. Esia ate ŋu alé aŋɔ kple aŋɔ le awuawo me.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne nulɔdɔ ƒe dzesiwo nɔa ŋuwò enuenu, vevietɔ ne egblẽa nu le wò gbesiagbegbenɔnɔ ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Nya kawoe wòle be nàbia ɖɔktaa?

• Aleke tututu nèwɔna anya ne nutome ƒe nulɔdɔ le ŋunye?
• Nu ka ƒomevie nye nulɔdɔ?
• Nulɔdɔ ƒe atike ka ƒomevie nèkafu?
• Nukawoe nye atike mawo ƒe nugbegblẽ le ame ŋu?
• Ðe wòhiã be mano atike la gbesiagbea, alo ne dzesiawo dze ko hafia?
• Ðe mate ŋu ado go kokokoa?
• Ðe numiemie aɖewo li siwo menyo be woanɔ nye abɔ me alo nye aƒe me oa?
• Aleke mawɔ anya ne nulɔdɔ ƒe dzesiwo le ŋunye, alo dzesiwo abe dzamezã alo asrã ene le ŋunye?

Vovototo kae le nutome ƒe nulɔdɔ kple nuɖuɖu ƒe nulɔdɔ dome?

Nutoa me ƒe nulɔdɔe nye alesi wò dɔlélenutsiŋutete wɔa nui ɖe nuwo ŋu le wò nutoa me.

Nuɖuɖu ƒe nulɔdɔ nye dɔlélenutsiŋutete ƒe nuwɔna ɖe protein siwo le nuɖuɖu aɖewo me ŋu. Nuɖuɖu ƒe nulɔdɔ siwo bɔ dometɔ aɖewoe nye notsi, azi, kple atikutsetse.

Nutoa me ƒe nulɔdɔwo dzɔna ne wò dɔlélenutsiŋutete wɔ nu wògbɔ eme vodadatɔe ɖe nane si le wò nutoa me ŋu. Dɔwɔwɔ sia ate ŋu ahe dzesiwo abe ŋɔti ƒe ʋuʋu, ŋku siwo me tsi le, ŋɔti me sisi, kple ɖeɖiteameŋu vɛ. Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ. Ate ŋu awɔ dodokpɔwo atsɔ anya nusiwo ŋu wò nulɔdɔ le. Woate ŋu aŋlɔ atikewo hã na wo be woakpe ɖe wo ŋu woaxe mɔ ɖe nulɔdɔ ƒe dzesiwo nu.

Kpuie ko la (Gbedasi si Wotsɔ Yi Aƒeme) .

Enyo, eyata fifia èse nutome ƒe nulɔdɔ siwo ŋu míeƒo nu tsoe egbea gɔme nyuie wu. Ðo ŋku edzi be esia nye nusi le ame akpa gãtɔ si, eyata naneke meli si ŋu wòakpe ŋu ɖo alo avɔ̃ o.

• Nu vevitɔe nye be nàde dzesi nusi tututu ŋu wò nulɔdɔ le. Di atikewɔlawo ƒe aɖaŋuɖoɖo ɖe ema ta.
• Dze agbagba nànɔ adzɔge tso nusiwo nana ŋutilã melɔ̃a nu o gbɔ alesi nàte ŋui. Na wò aƒe nanɔ dzadzɛ eye nàɖɔ ŋu ɖo ne èle dodom.
• Zã atike si ɖɔktaa ŋlɔ na wò pɛpɛpɛ.
• Mègaŋe aɖaba ƒu dzesiawo dzi o. Ne wole ŋusẽ kpɔm ɖe wò agbenɔnɔ dzi la, di atike na wò enumake.

Ne èwɔ ɖe afɔɖeɖe siawo dzi la, àte ŋu anɔ agbe si me dzidzeme le, ne nutome ƒe nulɔdɔwo gɔ̃ hã. Ne biabia bubu aɖewo le asiwò la, mègavɔ̃ be yeaƒo nu kple ɖɔkta o.

` Nutome ƒe nulɔdɔwo, nulɔdɔwo, aɖuɖɔtoe, ŋɔti ƒe ʋuʋu, ŋutigbalẽ si le ʋuʋum, aŋɔ, ke ƒe ʋetsuviwo, antihistamines