Abe vidada ene la, ènya be ne ɖevi sue aɖewo ƒe nu melɔ̃a nuɖuɖu abe atikutsetse ene o la, woɖea dzesiwo fiana enumake kloe. Things like hives, difficulty breathing , etc. Gake nulɔdɔ sia si mebɔ o si ŋu míele nu ƒom tsoe egbea si woyɔna be FPIES (Food Protein-Induced Enterocolitis Syndrome) la to vovo vie. Nusi dzɔna le afisia enye be ne vidzĩa ɖu nuɖuɖua gaƒoƒo ʋɛ aɖewo ko hafi dzesiawo dzea egɔme. Eyata dzila geɖe susuna be dɔlékui ƒe dzoxɔxɔ si sɔ koe esia nye alo be dɔgbo si doa dziku le nuɖuɖu si ƒe ɣeyiɣia wu enu ɖuɖu ta koe wònye.
Nuka tututue nye FPIES?
Kpuie ko la, FPIES nye dɔgbowo ƒe dɔdzẽ sesẽ si nuɖuɖu me proteinwo hena vɛ. Mehea nulɔdɔ si bɔ ƒe dzesi siwo bɔ, abe aɖuɖɔtoe, ʋuʋudedi, alo vuvu ene vɛ o. Ðe eteƒe la, viwòa ate ŋu aɖu aɖuɖɔ atraɖii eye aɖuɖɔtoe.
Zi geɖe la, nɔnɔme sia dzea egɔme ne wotsɔ notsi kplu alo nuɖuɖu sesẽwo na vidzĩ. Zi geɖe la, nɔnɔme sia medzɔna le no me o. Gake ƒã ŋutɔ la, ate ŋu adzɔ le vidzĩ siwo wona no me. Nya nyuiae nye be ɖevi akpa gãtɔ tsina wu nulɔdɔ sia hafi woxɔ ƒe 3 alo 4 .
Nukae nye esia ƒe dzesiwo?
Tsɔe be èna nuɖuɖu yeye viwòa. Le gaƒoƒo eve alo etɔ̃ megbe la, viwòa dzea ʋuʋudedi gɔme atraɖii eye wòmate ŋu aɖu eɖokui dzi o. Emegbe, vidzĩa dzea aɖuɖɔ si me mekɔ o la xɔxɔ gɔme. Esiae nye FPIES ƒe dzesi vevitɔ.
Ðevi aɖewo ate ŋu akpɔe be dzesi siawo dzina ɖe edzi vivivi le ɣeyiɣi aɖe megbe. Woate ŋu akpɔ woƒe lolo kple tsitsi nyuie hã le esi womele nunyiame nyuitɔ si wohiã la xɔm o ta.
Le nɔnɔme sesẽwo me la, aɖuɖɔtoe kple aɖuɖɔtoe si gbɔ eme ate ŋu ana tsi nagbɔdzɔ eye wòawɔ nuku na ame gɔ̃ hã. Esia nye nɔnɔme si me afɔku le ŋutɔ.
| Dzesi siwo woateŋu akpɔ le dɔléle sesẽ aɖe me (dzidziƒoame) - yi kɔdzi enumake! | |
|---|---|
| Nɔnɔme si le ame ŋu | Nuɖᴐɖᴐ |
| Tɔtɔ | Ðevia ate ŋu adze abe ɖe eƒe susu tɔtɔ eye menya nu si le edzi yim ƒo xlã wo o ene. |
| Ŋutilã si fa miamiamia eye wòle ʋeʋẽm | Ŋutilãa fa miamiamia le mɔ si mebɔ o nu ne woka asi eŋu, eye wòsena le eɖokui me be yefa abe ɖe wòle fifiam ene. |
| Tsikɔwuame si gbɔ eme | Ehiã be ɖevia nano tsi ɣesiaɣi. |
| Ŋutilã si le blɔ alo blɔ | Ŋutilãa ate ŋu atrɔ amadede, azu blɔ, alo azu blɔ ƒo xlã nuyiwo. |
| Yagbɔgbɔ trɔna | Gbɔgbɔ ate ŋu anɔ kabakaba alo wòanye esi me goglo o. |
| Kuviawɔwɔ/alɔ̃dɔdɔ | Ðevia le alɔ̃ dɔm le mɔ si mebɔ o nu, esesẽna be wòanyɔ, eye mefena o. |
| Pulse si gbɔdzɔ | Ʋu ƒe sisi gbɔdzɔ ŋutɔ, eye womate ŋu ade dzesii kloe o. |
Ne ède dzesi dzesi siawo dometɔ aɖe la, kplɔ viwòa yi kɔdzi si te ɖe ŋuwò ƒe Atikewɔwɔ Kpata (ETU) me kaba.
Nukatae esia le dzɔdzɔm?
Esia le alea elabena viwò ƒe dɔlélenutsiŋutete ƒe lãmenugbagbevi aɖewo mewɔa nu ɖe protein siwo le nuɖuɖu aɖewo me ŋu nyuie o. Nuwɔna sia hea nuwɔna sesẽ aɖe vɛ le ɖevia ƒe nuɖuɖumeŋusẽ (dɔgbome), si nye dɔgbowo me. Gake nuwɔna sia ƒe dzesiwo xɔa gaƒoƒo 2 va ɖo 8 hafi wodzena. Esia tae wòto vovo tso nulɔdɔ bubuwo gbɔ ɖo.
Ƒome ŋutinya ɖee fia be ɖevi siwo ŋu FPIES le ƒe 40% va ɖo 80% ƒe ƒome ŋutinya me nulɔdɔ bubuwo abe hay fever alo eczema ene le wo ŋu. Nukutɔe la, ɖevi siwo ŋu FPIES le ƒe 20% koe ƒe ƒome ŋutinya me nuɖuɖu ŋuti nulɔdɔ bubuwo le.
Nuɖuɖu kawoe hea FPIES vɛ zi geɖe?
Zi geɖe la, nɔnɔme sia tsoa:
- Nyitsu ƒe notsi kple nyinotsinuwo (e.g. yogurt, cheese) .
- Soya kple soya ƒe notsi
- Lu kple nuku bubuwo (e.g. oats, barley) .
Tsɔ kpe ɖe esiawo ŋu la, ɖevi aɖewo hã ate ŋu axɔ FPIES tso nuɖuɖu siwo míasusu le dzɔdzɔme nu be wohea nulɔdɔ vɛ o me .
- Na
- Koklolã alo koklozi ƒe lã
- Tɔmelã
- Ayi
- Oats ƒe lãgbalẽ
- Ayi
- Mᴐli
- Na
- Mɔli vivi
Mègavɔ̃ le xexlẽdzesi sia ta o. Menye ɖevi ɖesiaɖee nulɔdɔ le nusiawo katã ŋu o. Ðewohĩ nusi ŋu ɖevi aɖe ƒe ŋutilã melɔ̃a nu le o la manye ɖevi bubu tɔ o.
Aleke wowɔa dɔlélea ƒe dzesi?
Ne èsusu be FPIES le viwòa ŋu la, nu nyuitɔ si nàwɔe nye be nàƒo nu tso eŋu na ɖeviwo ƒe dɔdala . Ate ŋu aɖo wò ɖe ɖeviwo ƒe nulɔdɔŋutinunyala alo ɖeviwo ƒe dɔgboŋutinunyala gbɔ.
Ðɔktaa abia viwòa ƒe dzesiwo kple nenye be nulɔdɔ aɖe le ƒomea me dometɔ aɖe ŋu gbã. Emegbe, woawɔ dodokpɔwo atsɔ akpɔe ɖa be nu bubu aɖeke meli si gbɔ ʋuʋudedi kple aɖuɖɔtoetetedɔ tsona zi geɖe o (abe dɔlékui ƒe dɔléle ene).
Ɣeaɖewoɣi la, ʋudodokpɔ kple ŋutigbalẽ ƒe lãkusi dodokpɔ (Atopy Patch Test - APT) ate ŋu akpe ɖe ame ŋu. APT bia be woatsɔ nuɖuɖu si wosusu be enye ga gbadzɛ sue aɖe ade ɖevia ƒe ŋutigbalẽ dzi abe gaƒoƒo 48 ene. Ke hã, dodokpɔ siawo mate ŋu aɖo kpe FPIES dzi 100% le ɣeyiɣia me o.
Mɔ ɖeka kolia si dzi woato aɖo kpe edzi nenye be ele aleae nye to dodokpɔ si woawɔ to Nuɖuɖu ƒe Kuxi (OFC) me. Esia bia be woana nuɖuɖu si wosusu be ɖevia, vivivi, le atikewɔlawo ƒe dzikpɔkpɔ te, le kɔdzi alo atikewɔƒe. Wode se ɖe esia wɔwɔ nu kura le aƒeme.
Aleke wowɔa atike nɛ?
Atikewɔwɔa le bɔbɔe ŋutɔ. Ebia be woaɖe nuɖuɖu alo nuɖuɖu siwo ɖevia ƒe ŋutilã melɔ̃na o ɖa keŋkeŋ le woƒe nuɖuɖu me.
- Ne viwòa noa notsi kplu la, ele be nàzã notsi tɔxɛ siwo me nyi ƒe notsi alo soya mele o (notsi si me nuléle mele o). Wò ɖɔkta aɖo aɖaŋu na wò le esia ŋu.
- Xlẽ nusi woŋlɔ ɖe nuɖuɖu ƒe agba ɖesiaɖe si nèƒle le fiasea me dzi nyuie eye nàkpɔe ɖa be nusiwo nana wò ŋutilã ƒe ŋutilã ƒe nuléle ɖe ame ŋu le eme hã.
- Dzra nuŋlɔɖi aɖe ɖo tso wò ɖɔkta gbɔ si gblɔ be FPIES le viwòa gbɔ. Akpe ɖe ŋuwò ŋutɔ le viwòa ƒe nɔnɔmea me ɖeɖe na atikewɔlawo ne nɔnɔme kpata aɖe do mo ɖa me.
Enye nusi sɔ be nàvɔ̃ vie eye nàtsi dzimaɖi ne èse nu tso nɔnɔme sia ŋu. Gake ne èkpɔ viwòa dzi nyuie la, ate ŋu akpɔ dzidzɔ ahanɔ lãmesẽ me.
Gbedasi si Wotsɔ Yi Aƒeme
- FPIES nye nulɔdɔ si mebɔ o si ƒe dzesi enye ʋuʋudedi kple aɖuɖɔtoe si dzɔna gaƒoƒo ʋɛ aɖewo le nuɖuɖu aɖe ɖuɖu vɔ megbe.
- Womekpɔa dzesiwo abe ʋuʋudedi kple ʋuʋudedi ene, abe alesi wòle le nulɔdɔ siwo sɔ me ene le afisia o.
- Ne ɖevia le kuvia wɔm le mɔ si mebɔ o nu, eƒe ŋutigbalẽ le blɔ, alo eƒe dzesiwo le tɔtɔm la, kplɔ wo yi kɔdzi ƒe Atikewɔwɔ Kpata (ETU) enumake.
- Kpɔ egbɔ be yebia wò ɖɔkta ƒe aɖaŋuɖoɖo le dɔlélea didi kple edzikpɔkpɔ ŋu.
- Ðevi akpa gãtɔ hayana tso nɔnɔme sia me kaka woaxɔ ƒe 3-4, eyata mègatsi dzodzodzoe o eye nàgbɔ dzi ɖi.
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