Mina míasrɔ̃ nu geɖe tso nuɖuɖu ƒe nulɔdɔwo ŋu. Mègavɔ̃ be yeanya nusiawo o!

Egbea míele nu ƒom tso nane si le vevie na ame geɖe, eye ɣeaɖewoɣi wòdoa vɔvɔ̃ na ame vie la ŋu. Emae nye nuɖuɖu ƒe nulɔdɔ, alo abe alesi míegblɔna le Eŋlisigbe me ene la, ``Food Allergies''. Ðe nèkpɔ nutete kpata, gbɔgbɔ sesẽ, alo dɔgbo ƒe fuɖename le nuɖuɖu aɖe ɖuɖu vɔ megbe kpɔa? Ðewohĩ edzɔ ɖe dziwò kpɔ. Na míakpɔ nusi tututu nusiawo nye, nusita wodzɔna, kple alesi míate ŋu aɖɔ ŋu ɖoe ɖa.

Nukae Nye Nuɖuɖu Ŋuti Nulɔdɔ?

Kpuie ko la, nuɖuɖu ƒe nulɔdɔe nye ne wò ŋutilã de dzesi nuɖuɖu si megblẽa nu le ame ŋu o vodadatɔe be "egblẽa nu le ame ŋu" eye wòwɔa nu ɖe ​​eŋu. Bu eŋu abe wò ŋutilã ƒe ametakpɔnu ene, si kpɔa nuɖuɖu si sɔ eye wòyia, "Oo, futɔe nye esia!" Eyata, wowɔa nusi wosusu be ele "ta kpɔm" na wò, eye dzesiwo dzena le ŋuwò. Esiawo ate ŋu anye aɖuɖɔtoe, vuvu, dɔgbo ƒe vevesese, ʋuʋudedi, aɖuɖɔtoe, kple gbɔgbɔ sesẽ .

Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu anye afɔku gã aɖe. Míeyɔa esia be `(Anaphylaxis)`. Esiae nye esime yaƒoƒomɔ̃wo vuvu eye mète ŋu le gbɔgbɔm o, alo zi ɖeka wò ʋu ƒe sisi ɖiɖi ŋutɔ. Ne wò mo, nu, nuyi alo ŋɔti vuvu kasia, gbɔgbɔ alo nu mimi sesẽ na wò, alo nèse le ɖokuiwò me be yeƒe tagbɔ gblẽ la, ele be nàƒo ka na 911 alo ayi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata enumake. Esia menye fefenya o, enyoa?

Ðe nuɖuɖu ƒe nulɔdɔ ƒomevi vovovowo lia?

Ẽ, ƒomevi vevi geɖewo li. Ne míegblɔna zi geɖe be "nuɖuɖu ƒe nulɔdɔ" la, míefiaa nulɔdɔ siwo hea nusiwo le abe atikutsetse, atikutsetse, kple aŋɔ ene ƒe nuwɔna vɛ enumake eye wòsẽna ɣeaɖewoɣi. Wò ɖɔkta ate ŋu ayɔ nusiawo be "nulɔdɔ vavãwo" alo "nulɔdɔ siwo IgE tona." "IgE" sia nye dɔlékuiwutike ƒomevi aɖe le míaƒe ŋutilã me. Esiawoe wɔa "misidentification" abe alesi míegblɔe va yi ene.

Ƒomevi aɖe hã li si woyɔna be `(Oral allergy syndrome)`. Esia hã nye `(IgE-mediated)` ƒomevi la tɔ. Gake le go sia me la, teƒea ƒe nuwɔna koe nɔa nuyiwo kple nu me. Esia ƒã ŋutɔ be wòayi ŋgɔ va ɖo `(Anaphylaxis)`.

Gakpe ɖe eŋu la, nuɖuɖu ƒe nuwɔna ƒomevi aɖewo hã li siwo woyɔna be `(Non-IgE-mediated)`. Eyae nye esiwo medo ƒome kple `IgE` dɔlékuiwutikewo o. Kpɔɖeŋu aɖewoe nye:

• `(Food protein-induced enterocolitis syndrome - FPIES): Esia lɔ ʋuʋudedi kple aɖuɖɔtoe koŋ ɖe eme.
• Eosinophilic esophagitis: Esia nye nuɖuɖutome ƒe dɔdzẽ .
• Eosinophilic gastritis: Dɔgbo ƒe dɔdzẽ dzɔna.
• `(Food protein-induced proctitis)`: Esia nye nusi dzɔna ɖe ɖevi suewo dzi zi geɖe, eye dzesiawo dometɔ aɖewoe nye ʋu vi aɖe si toa aɖuɖɔ me.

Nukawoe nye nuɖuɖu ƒe nulɔdɔ siwo bɔ wu?

Nuɖuɖu geɖewo li siwo naa nulɔdɔ wu le xexeame godoo, kpakple le míaƒe dukɔa me. Esiawoe nye vevitɔwo:

• Anyigbadzobonuwo
• Ati ƒe nukuwo abe cashews, almonds, walnuts ene(le kpɔɖeŋu me, almond, walnut, pistachio, hazelnut, pecan, cashew, Brazil nuku)
• Notsi ( vevietɔ nyi ƒe notsi) .
• Aziwo
• Tɔmelã
• Tɔmelã siwo woyɔna be shellfish ( abe shrimp, crab, squid ene) .
• Soya
• Lu
• Sesame si wotsɔna ƒoa ƒui

Nuɖuɖu siawoe nye nuɖuɖu siwo katã ƒe nulɔdɔwo katã ƒe 90% lɔƒo. Gake ele vevie be nàɖo ŋku edzi be nuɖuɖu ɖesiaɖe ƒe nulɔdɔ ate ŋu anɔ ŋuwò, ne mele xexlẽdzesi sia me o gɔ̃ hã . Ame aɖewo ƒe ŋutilã melɔ̃a atikutsetse kple amagbewo hã o.

Dzesi kawoe ate ŋu ado mo ɖa ne nuɖuɖu ƒe nulɔdɔ le ame ŋu?

Nuɖuɖu ƒe nulɔdɔ ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le ame aɖewo gome la, ate ŋu asẽ ŋutɔ, evɔ le ame bubuwo gome la, ate ŋu asẽ ŋutɔ. Dzesi siwo bɔ wu dometɔ aɖewoe nye esi:

• Aɖuɖɔtoe alo ŋutigbalẽ ƒe ʋuʋu: Kasia esiawo biãna, ʋẽna, eye wovuvuna abe nudzodzoe ƒe ɖuɖu ene. Esiawo nyea ʋuʋudedi ŋutɔ.
• Ŋutilã si le ʋuʋum: Ʋuʋudedi le ŋutilã bliboa ŋu ate ŋu agblẽ nu le ame ŋu o.
• Mo, nuyi, nu, alo aɖe ƒe vuvu: Esia nye dzesi si dzi ŋɔ vie wu.
• Nu kple ŋɔti ƒe ʋuʋu: Ʋuʋudedi ƒe seselelãme le ŋɔti me ne èle nu ɖum.
• Gbe si me kɔ: Gbe ƒe tɔtrɔ kpata.
• Nu mimi sesẽna: Ewɔna nam abe ɖe nane tsi ŋɔti me ene.
• Wheezing: Gbeɖiɖi si ɖina tso akɔta.
• Gbɔgbɔtsixe alo gbɔgbɔ sesẽ: Esia hã nye nudzɔdzɔ kpata.
• Kɔdzidede: Ðewohĩ kɔdzidede atraɖii.
• Ƒodo ƒe vevesese: Ƒodo le veve sem eye wòsena le eɖokui me abe ɖe wole etrɔm ene.
• Ʋuʋudedi
• Dɔmetɔtrɔ
• Taɖuame alo alɔ̃madɔmadɔ: Esia ate ŋu atso ʋu ƒe sisi gbɔ.
• No me si le sisim
• Aɖuɖɔɖɔɖɔ

Nu vevitɔ kekeake: Míagblɔ be èwɔ nu fafɛ ɖe nuɖuɖu aɖe ŋu do ŋgɔ. Gake ɣebubuɣi si nàɖu nuɖuɖu ma ke , àte ŋu awɔ nu ɖe ​​ŋuwò vevie ŋutɔ. Eyata ne èkpɔ dzesi sesẽwo (vevietɔ gbɔgbɔ sesẽ, mo ƒe vuvu) la, yi kɔdzi enumake.

Ɣeyiɣi didi kae wòxɔna hafi nuɖuɖu ƒe nulɔdɔ ƒe dzesiwo dzea egɔme?

Zi geɖe la, dzesiawo dzea egɔme le gaƒoƒo eve me tso esime nèɖu nuɖuɖu si ŋu wò nulɔdɔ le. Ɣeaɖewoɣi la, woate ŋu adze egɔme le aɖabaƒoƒo ʋɛ aɖewo ko me. Ƒã ŋutɔ hafi dzesiawo dzena le gaƒoƒo aɖewo megbe.

Nukatae nuɖuɖu ƒe nulɔdɔ siawo dzɔna?

Enye ŋutinya si me kɔ vie, gake ne míagblɔe bɔbɔe la, ele alea. Ne nuɖuɖu ƒe nulɔdɔ le ŋuwò la, wò dɔlélenutsiŋutete , si nye dɔlékui si kpɔa mía ta tso dɔléle me, dea dzesi protein aɖe si le nuɖuɖu me vodadatɔe be “egblẽa nu le ame ŋu.” Ewɔa nu ɖe ​​eŋu abe dɔlékui alo dɔlékui aɖee wònye ene.

Eyata, ne èɖu nuɖuɖu si ŋu wò nulɔdɔ le la, dɔlélenutsiŋutete sia dzea egɔme eye wòdzea mɔnu vovovowo gɔme be yeaɖe nusi "gblẽa nu le ame ŋu" (nulɔdɔ) ɖa le wò ŋutilã me. Ɣemaɣie dzesi siwo katã míeyɔ ɖe etame la dzena. Ɣeaɖewoɣi la, nuwɔna sia ate ŋu asẽ ale gbegbe be wòate ŋu ade ame ƒe agbe afɔku me.

Amekawoe ate ŋu axɔ nuɖuɖu ƒe nulɔdɔ wu?

Ame aɖewo ate ŋu axɔ nuɖuɖu ƒe nulɔdɔ le susu siwo gbɔna ta:

• Ne nulɔdɔ bubuwo le ŋuwò: Le kpɔɖeŋu me, ne aŋɔ alo ke melɔ̃a wò o la, ate ŋu anye be nuɖuɖu hã melɔ̃a wò o.
• Ne eczema alo asrã le ŋuwò: Eczema, asrã, kple nulɔdɔ le ame aɖewo ŋu zi ɖeka. Wogayɔa nɔnɔme sia be ``Atopy''.
• Ne nulɔdɔ, asrã, alo ʋuʋudedi le wò ƒomea me (dada, fofo, nɔviwo) ŋu: Domenyiŋusẽfianu ate ŋu anɔ anyi.

Nukawoe nye kuxi siwo ate ŋu ado tso nuɖuɖu ƒe nulɔdɔ me?

Nuɖuɖu ƒe nulɔdɔ ƒe kuxi si me afɔku le wue nye `(Anaphylaxis)` nɔnɔme si míeyɔ va yi. Esia ate ŋu ana ŋutilã ƒe akpa vovovowo navuvu, aɖuɖɔtoe si dzi womate ŋu aɖu o, gbɔgbɔ nasesẽ ŋutɔ, eye ʋu ƒe sisi naɖiɖi vevie (anaphylactic shock). `(Anaphylaxis)` sesẽ ateŋu ahe ku gɔ̃ hã vɛ. Eya ta, ele be nàɖɔ ŋu ɖo vevie le esia ŋu.

Aleke ɖɔktawo wɔa dea dzesi nuɖuɖu ƒe nulɔdɔ?

Ne èsusu be nuɖuɖu ƒe dɔléle aɖe le ye ŋu la, ele be nàyi ɖɔkta gbɔ godoo. Abia nya wò tso wò dzesiwo ŋu eye ne ehiã la, abia be woawɔ nulɔdɔ ƒe dodokpɔ . Anyo be nyatakaka siwo gbɔna nanɔ klalo ne èle wò ɖɔkta gbɔ:

• Nuɖuɖu kawoe hea wò dzesiwo vɛ (ne ènya).
• Eɖanye nuɖuɖuae woɖu ƒuƒuie alo woɖae o.
• Nuɖuɖu ma ƒe agbɔsɔsɔme kae nèɖu esime dzesiawo dze?
• Dzesi kawoe nèle dzedzem, eye aleke gbegbee wo nu sẽe?
• Ɣeyiɣi didi kae wòxɔna hafi dzesiawo dzea egɔme le nuɖuɖu vɔ megbe?
• Ðe nu bubu aɖewo hã nɔ anyi siwo ate ŋu akpɔ ŋusẽ ɖe wò dzesiwo dzi hafia? (e.g., ɖe dɔlékui ƒe dɔléle aɖe nɔ ŋuwò ɣemaɣia? Ðe nèdo go nu bubu si nana ŋutilãa mewɔa dɔ nyuie o – abe aŋɔ enea?)
• Ðe nète atike aɖewo kpɔ le aƒemea, eye ɖe wokpe ɖe ŋuwò nèhayaa?
• Ðe dzesiawo dzena ɣesiaɣi ne èɖu nuɖuɖu sia, alo ɣeaɖewoɣi ko?
• Ɣeyiɣi didi kae dzesi siawo li?
• Ðe nulɔdɔ bubu aɖewo le ŋuwò si wonya (le nuɖuɖu, aŋɔ, ke, lãwo, kple bubuawo) ŋua?
• Ðe lãmetutudɔ alo asrã le ŋuwòa?
• Ðe nulɔdɔ, asrã, alo lãmetutudɔ le ƒomea me dometɔ aɖe ŋua?

Nyatakaka siawo akpe ɖe ɖɔktaa ŋu ŋutɔ le kuxia gɔmesese nyuie me.

Nukawoe nye dodokpɔ siwo wowɔna hena nuɖuɖu ƒe nulɔdɔ?

Ne ɖɔktaa kpɔ be ehiã la, ate ŋu awɔ dodokpɔ siwo gbɔna:

• Nulɔdɔ ƒe ŋutigbalẽ dodokpɔ: Esia bia be nàtsɔ atike si nèsusu be yeƒe ŋutilã melɔ̃na o la ƒe agbɔsɔsɔ sue aɖe ŋutɔ asisi ɖe wò ŋutigbalẽ ŋu (zi geɖe la, wò alɔ alo akɔta), nàtsɔ aŋe sue aɖe ŋutɔ aƒo ŋutigbalẽa, eye emegbe nàlala aɖabaƒoƒo 15-20 akpɔe ɖa be nane nawɔ nu ɖe ​​eŋu hã (si biã, avuvu).
• Ʋudodokpɔ si me nulɔdɔ le: Esia bia be woaɖe wò ʋu aɖe ahalé ŋku ɖe eŋu be IgE dɔlékuiwutike siwo tsi tre ɖe nuɖuɖu siwo nèsusu be nulɔdɔ le ye ŋu hã le eme.
• Nuɖuɖu ƒe kuxi dodokpɔ: Wowɔa esia nyuie ŋutɔ, le ɖɔkta ƒe dzikpɔkpɔ te, eye kɔdzi koe wowɔa esia le. Le esia me la, wonaa nuɖuɖu siwo nèsusu be nulɔdɔ le ye ŋu la ƒe agbɔsɔsɔ si le dzidzim ɖe edzi vivivi. Wowɔa esia be woakpɔe ɖa be nuwɔna aɖe le ŋuwò hã. Esi wònye be afɔku le esia me vie ta la, ele be atikewɔlawo nakpɔ wo dzi.

Aleke wokpɔa nuɖuɖu ƒe nulɔdɔwo gbɔe?

Le nyateƒe me la, mɔ nyuitɔ si dzi nàto akpɔ nuɖuɖu ƒe nulɔdɔwo gbɔe nye be nàƒo asa na wò nulɔdɔa. Ema fia be màɖu nuɖuɖu ma o. Gake fifia la, atikewɔmɔnu vovovowo li siwo ate ŋu aɖe afɔku si le nulɔdɔ ƒe dɔléle me dzi akpɔtɔ. Esiawo dometɔ aɖewoe nye atike siwo wodona ɖe lãme na ame, atike siwo woano, kple atike siwo wodona le aɖe te.

Azɔ hã, ele vevie ŋutɔ be nàna atike siwo wozãna kpata, vevietɔ `(Epinephrine)` auto-injector (e.g. `(EpiPen®)`, `(Auvi-Q®)`, nanɔ asiwò nenye be èɖu nuɖuɖu si ŋu wò nulɔdɔ le le vo me.

Omalizumab ƒe atikewo dodo

Wò ɖɔkta ate ŋu ana atike si woyɔna be Omalizumab (si ƒe ŋkɔe nye Xolair®) wò zi ɖeka alo zi eve le ɣletia me. Alo àte ŋu ana hehe ɖokuiwò be nàdoe ɖe lãme na ame. Esia ate ŋu akpe ɖe ŋuwò nàɖe afɔku si le nuwɔna aɖe me dzi akpɔtɔ ne èɖu nuɖuɖu si ŋu wò nulɔdɔ le le manyamanya me.

Dɔlélenutsiŋutete ƒe atikewɔwɔ si woano (OIT) .

Dɔlélenutsiŋutete ƒe Atikewɔwɔ (OIT) nye ɖoɖo aɖe si kpena ɖe ŋuwò alo viwòa be vivivi la, nàtu nuɖuɖu si ŋu wò nulɔdɔ mele o ɖo. Le ɖɔkta ƒe dzikpɔkpɔ te la, wonaa nuɖuɖu siwo ŋu wò nulɔdɔ le la ƒe agbɔsɔsɔ si le dzidzim ɖe edzi vivivi le ɣleti aɖewo me. Taɖodzinuae nye be nàzu "amesi mate ŋu aɖu nu o" ale be nuɖuɖu si ŋu wò nulɔdɔ le ƒe agbɔsɔsɔ sue aɖe gɔ̃ hã nagahe nuwɔna sesẽ aɖeke vɛ o. Ame aɖewo ate ŋu aɖu nuɖuɖu siwo ŋu nulɔdɔ le tsã kuxi aɖeke manɔmee le OIT zazã vɔ megbe.

Dɔlélenutsiŋutete ƒe dɔdamɔnu si wozãna le gbe te (SLIT) .

Sublingual Immunotherapy (SLIT) sɔ kple OIT tɔ. Ebia be nàna nusi nana wò ŋutilãa ƒe nulɔdɔa ƒe agbɔsɔsɔ sue aɖe gbesiagbe be wòatu wò mɔɖeɖe ɖe eŋu ɖo. Gake le esi teƒe be nàɖui la, ètsɔa tsi alo atikekui si me nulɔdɔa le dea wò aɖe te eye nèna wòlɔna.Ele be woawɔ ``(SLIT)`` dɔdamɔnu sia le ɖɔkta ƒe dzikpɔkpɔ te be woakpɔ egbɔ be wole dedie.

Atike siwo wozãna kpata

Ne nulɔdɔ aɖe le ŋuwò le nuɖuɖu aɖe si ŋu nulɔdɔ le ɖuɖu le vo me megbe la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo gbɔna:

• Epinephrine auto-injector (e.g., EpiPen® alo Auvi-Q®) : Wò ɖɔkta aɖo aɖaŋu na wò be nàzãe ne èkpɔ nulɔdɔ sesẽ aɖe ƒe dzesi gbãtɔ (anaphylaxis). Ele vevie be nàna esia nanɔ gbɔwò.
• Corticosteroids : Steroid siawo wɔa dɔ to dɔdzẽ dzi ɖeɖe kpɔtɔ me.
• Antihistamines : Esiawo ate ŋu akpe ɖe ame ŋu be woatɔ te nulɔdɔwo alo woaɖe wo dzi akpɔtɔ. Gake womeŋlɔ wo be woatsɔ axe mɔ ɖe nuɖuɖu ƒe nulɔdɔwo ƒe nuwɔna nu o.

Ke ne nuɖuɖu ƒe dɔléle aɖe le ŋunye ya ɖe?

Ne nuɖuɖu ƒe nulɔdɔ le ŋuwò alo viwòa ŋu la, ele be nàna wòazu numame na wò be nàxlẽ nuɖuɖu ƒe ŋkɔwo eye nàƒo asa na nuɖuɖu siwo me nulɔdɔa ate ŋu anɔ . Àte ŋu aƒo nu kple nulɔdɔŋutinunyala aɖe adzro atikewɔmɔnu siwo nàte ŋu azã kple nusi nàwɔ ne èwɔ nu ɖe ​​ŋuwò la me. Ate ŋu aɖo aɖaŋu hã be woado viwòa ƒe nulɔdɔwo kpɔ enuenu ɣeaɖewoɣi be woakpɔe ɖa be viwòa ƒe nulɔdɔwo dzi ɖe kpɔtɔ alo nenye be atikewɔwɔa va te ŋu nɔa te ɖe enu hã.

Womate ŋu agblɔ nusiwo ŋu nulɔdɔ le o. Eyata ne èwɔ nu fafɛ ɣeaɖeɣi gɔ̃ hã la, ɣebubuɣi la, ate ŋu asẽ ŋutɔ. Azɔ hã, dodokpɔ aɖeke meli si ate ŋu agblɔ alesi tututu nàwɔ nu ɖe ​​nuɖuɖu aɖe ŋu vevie ne mèɖui o. Eyata mègaɖe dzi ɖi le esi nu sue aɖe dzɔ do ŋgɔ ta ko o, eye nàɖɔ ŋu ɖo ɣesiaɣi.

Ðe nuɖuɖu ƒe nulɔdɔ nu yia?

Ɣeaɖewoɣi la, ẽ. Ðevi sue akpa gãtɔ tsina wu notsi kple azi ƒe nulɔdɔ ne woxɔ ƒe 6. Gake atikutsetse, atikutsetse, ƒumelã, kple tɔmelã ƒe nulɔdɔwo mebɔ kura o (mede 20%).

Ðe woate ŋu axe mɔ ɖe nuɖuɖu ƒe nulɔdɔ nua?

Togbɔ be mɔ si ŋu kakaɖedzi le meli si dzi nàto axe mɔ ɖe nuɖuɖu ƒe nulɔdɔwo nu o hã la, àte ŋu ate nu siawo kpɔ be nàɖe afɔku si le viwòa ŋu be wòaxɔ nulɔdɔ dzi akpɔtɔ:

• Ne èle no nam (negbe ɖe nuɖuɖu mawo hã ƒe nulɔdɔ le ŋuwò ko hafi) , ke de atikutsetse kple nu bubu siwo bɔ ɖe wò nuɖuɖu si nèɖuna edziedzi me.
• Bia viwòa ƒe ɖɔkta ɣekaɣi kple alesi nàto nuɖuɖu yeyewo vɛ hã. Ate ŋu akafui be nàto nuɖuɖu siwo ate ŋu ana nulɔdɔ nadze ŋuwò kaba, alo le ɖɔkta ƒe dzikpɔkpɔ te, le viwòa ƒe lãmesẽkuxi bubuwo nu.
• Ne viwòa nya tsɔ nuɖuɖu siwo ŋu wòate ŋu awɔ nuvevii la vɛ dedie ko la, yi edzi nàna nuɖuɖu vovovo siwo me nulɔdɔ mele o (siwo dometɔ aɖewoe nye nuku, notsi, kple azi). Esia ate ŋu aɖe afɔku si le nulɔdɔ xɔxɔ emegbe dzi akpɔtɔ.

Aleke mawɔ akpɔ ɖokuinye alo vinye dzi?

Be nàxe mɔ na wò ŋutɔ alo viwò be nàgaɖu nuɖuɖu si ŋu wò nulɔdɔ le le manyamanya me la, wɔ nu siwo gbɔna:

• Kpɔ nusiwo wotsɔ wɔ nuɖuɖu siwo wowɔ do ŋgɔ ƒe ŋkɔwo ɖa. Esia ate ŋu asesẽ vie le Sri Lanka, gake dze agbagba ɖesiaɖe. Le dutadukɔwo me la, ne nu 9 siwo bɔ ɖe nuɖuɖua me dometɔ aɖe le nuɖuɖua me la, ele be woaŋlɔe ɖe nuɖuɖua ƒe ŋkɔ dzi. Azɔ hã, nya nyawo abe "ate ŋu anɔ eme" alo "wowɔe ɖe dɔwɔnu siwo woama dzi".
• Lé ŋku ɖe nusi woŋlɔ ɖe edzi ŋu ɣesiaɣi ne èle nuɖuɖu ƒlem le fiase me, ne ètsɔe va aƒemee, kple hafi nèɖui.
• Dze nuƒoƒo na viwòa gɔme tso eƒe ɖevime ke be nàɖɔ ŋu ɖo le nusi wòɖuna ŋu eye màma nuɖuɖu siwo mènya be ele dedie o na ame bubuwo o.
• Ne èle nu ɖum le gota la, kpɔ nyuie ŋutɔ le nuɖuɖudzraƒewo. Bia ne nane le nuɖuɖua me si ŋu wò nulɔdɔ le. Gake ɖo ŋku edzi be ɖewohĩ womate ŋu ana kakaɖedzi 100% o.
• Na amesiame si ƒo xlã viwòa nanya nu tso eƒe nulɔdɔwo kple nuɖuɖu siwo le dedie nɛ be wòaɖu ŋu.
• Ðo dze kple viwò ƒe suku alo ŋkeke ɖeka dzikpɔƒe tso woƒe nulɔdɔwo ŋu eye nàdi ɖoɖo siwo wowɔ be woatsɔ axe mɔ ɖe nuɖuɖu siwo ŋu nulɔdɔ le la zazã le manyamanya me nu.
• Wɔ ɖoɖo nyuie ne èle mɔ zɔm eye le ɣeyiɣi bubuwo me be mèle adzɔge tso aƒe gbɔ o. Tsɔ nuɖuɖu siwo le dedie ɖe asi, alo di teƒe siwo le dedie si nàɖu nu le do ŋgɔ.
• Ne nya aɖe le asiwò ku ɖe nusiwo nàte ŋu aɖu kple esiwo màte ŋu aɖu o ŋu la, bia wò ɖɔkta.

Dzra ɖo ne nulɔdɔ aɖe do mo ɖa:

• Tsɔ epinephrine auto-injector ɖe asi ɣesiaɣi. Bia wò ɖɔkta alesi nàzãe nyuie.
• Kpɔ egbɔ be viwò ƒe suku alo ŋkeke ɖeka dzikpɔƒe le Food Allergy & Anaphylaxis Emergency Care Plan tso viwò ƒe ɖɔkta gbɔ. Esia ɖe nusi wòle be nàwɔ ne viwòa ƒe nulɔdɔ le eŋu la me.
• Na viwòa ƒe suku alo ŋkeke ɖeka dzikpɔƒe nakpɔ epinephrine pen kple atike bubu ɖesiaɖe si viwòa ahiã.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èsusu be nuɖuɖu ƒe dɔléle aɖe ate ŋu anɔ ye alo viwòa ŋu la, yi ɖɔkta gbɔ enumake. Ate ŋu aɖo wò ɖe eŋutinunyala bibi aɖe gbɔ eye wòana mɔfiame wò le nusi nàwɔ emegbe ŋu.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne womewɔ atike na ame o la, nulɔdɔ ate ŋu ade ame ƒe agbe afɔku me.Ne èkpɔ dzesi siawo dometɔ aɖe la, yi xɔ si me wowɔa dɔ kpata le enumake alo nàƒo ka na 1990:

• Mo, nuyi, aɖe, alo ŋɔti ƒe vuvu
• Yagbɔgbɔ sesẽ
• Akɔta ƒe tete
• Hives (atɔ) .
• Asiwo, afɔwo, alo nuyiwo ƒe ʋuʋu
• Gbɔdzɔgbɔdzɔ, taɖuame, alo alɔ̃madɔmadɔ
• Vɔvɔ̃ wɔnuku aɖe, tsɔtsrɔ̃ si gbɔna ƒe seselelãme

Nya kawoe wòle be mabia nye ɖɔkta?

Ate ŋu aɖe vi be nàbia nya aɖewo abe esiawo ene wò ɖɔkta:

• Ðe atikewɔmɔnu aɖewo li na nye/vinyea?
• Nukae wòle be mawɔ ne nulɔdɔ aɖe le ŋunye/vinye alo ɖu nane si ŋu nye nulɔdɔ le le vo me?
• Mɔ kawoe nye esiwo dzi woato axe mɔ ɖe nusiwo nana ame ƒe ŋutilã mewɔa nuvevi ame o ƒe amedzidzedze le manyamanya me?
• Aleke mawɔ azã atike sia?
• Ɣekaɣie mehiã `(Epinephrine)`?
• Ðe ɖoɖo aɖe le asiwò si nàwɔ ɖe nulɔdɔwo ŋua?

Aleke gbegbee nuɖuɖu ƒe nulɔdɔwo bɔe?

Numekukuwo ɖee fia be nuɖuɖu ƒe nulɔdɔ le ame tsitsi 6% va ɖo 11% dome. Azɔ hã, ɖevi siwo ade 8% xɔa nuɖuɖu ƒe nulɔdɔ.

Ate ŋu anye viwò, alo ate ŋu anye nane si wokpɔ le ŋuwò teti koe nye ema. Gake nuɖuɖu ƒe nulɔdɔ ate ŋu atrɔ ame ƒe agbenɔnɔ. Ele be nàƒo asa na nuɖuɖu aɖewo, nusi wò alo viwòa ate ŋu aɖu ŋu bubu, kple vɔvɔ̃ be yemagaɖu nu le nuɖuɖudzraƒe gbeɖe o la katã ate ŋu agbɔ eme. Ke hã, le ame akpa gãtɔ gome la, vɔvɔ̃ sia si nɔa anyi ɖaa menɔa anyi tegbee o.

Tiatia geɖe li na amesiwo wòle be woaɖɔ ŋu ɖo geɖe wu ne wole nu ɖum le gota. Dɔdamɔnu kple ƒuƒoƒo siwo le Internet dzi li siwo ate ŋu akpe ɖe ŋuwò nàkpɔ nuɖuɖu siwo le dedie atsɔ adzra wò nuɖuɖudzraɖoƒe ɖo. Ame geɖe kpɔa nuɖuɖudzraƒewo kple nuɖuɖu siwo dzi woka ɖo eye wova yina edziedzi. Agbenɔnɔ kple nulɔdɔ aɖe nɔa bɔbɔe ne eva zu wò gbesiagbegbenɔnɔ ƒe akpa aɖe.

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Nuɖuɖu ƒe nulɔdɔ nye nusi wòle be nàvɔ̃ na, gake ne wona nènya nu tso eŋu nyuie eye nèɖe afɔ siwo hiã la, àte ŋu anɔ agbe si sɔ.

• De dzesi nuɖuɖu siwo tututu ŋu wò nulɔdɔ le. Di atikewɔlawo ƒe aɖaŋuɖoɖo.
• Xlẽ nuɖuɖu ƒe ŋkɔwo ɣesiaɣi. Ne ɖikeke le mewò la, ƒo asa na nuɖuɖua.
• Tsɔ epinephrine auto-injector ɖe asi ɣesiaɣi (ne èle afɔku me be nulɔdɔ sesẽwo nadze ŋuwò) eye nànya alesi tututu nàzãe.
• Na wò ƒometɔwo, xɔlɔ̃wo, kple suku/dɔwɔƒe ƒe dɔwɔhatiwo nanya nu tso wò nulɔdɔ ŋu.
• Mègavɔ̃ be yeabia nya o. Di aɖaŋuɖoɖo tso wò ɖɔkta alo nuɖuɖuŋutinunyala gbɔ.

Ðo ŋku edzi be menye wò ɖeka koe o. Ame geɖe le agbe kple nuɖuɖu ƒe nulɔdɔ. Na kpekpeɖeŋu kple kpekpeɖeŋu si nèhiã. Lebenɛ!

` Nuɖuɖu ƒe nulɔdɔ, nuɖuɖu ƒe nulɔdɔ, nulɔdɔ ƒe dzesiwo, anaphylaxis, epinephrine, epipen, nulɔdɔ ƒe atikewɔwɔ, ɖeviwo ƒe nulɔdɔ