Ðe nulɔdɔ hea asrã vɛa? Mina míakpɔe ɖa godoo!

Ðe nulɔdɔ le viwò suea ŋua? Alo ɖe nulɔdɔ le wò ƒomea me tɔ aɖe ŋua? Ɣeaɖewoɣi la, àte ŋu abia ɖokuiwò be, "Ðe nulɔdɔ siae na vinyea le asrã xɔma?" Le nyateƒe me la, esia nye nyabiase si le dzila geɖe si. Ame aɖewo susuna be nulɔdɔ nana asrãdɔ. Gake nyateƒea to vovo vie. Mina míaƒo nu tso esia ŋu eme nakɔ egbea, enyoa?

Na míakpɔ nusi nulɔdɔ nye gbã?

Kpuie ko la, nulɔdɔ nye míaƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ fũ akpa ɖe nane si megblẽa nu le ame ŋu le dzɔdzɔme nu o ŋu. Le kpɔɖeŋu me, ame aɖewo ƒe nu léa dzi na ke ʋetsuviwo, ame bubuwo melɔ̃a aƒemelãwo ƒe ƒuƒu, ame aɖewo ƒe aŋɔ, alo nuɖuɖu aɖewo. Nu siawo megblẽa nu le ame ŋu ŋutɔŋutɔ o. Gake ne nu siawo ge ɖe ame aɖe si ŋu nulɔdɔ le ƒe ŋutilã me la, ŋutilãa susuna be, "Oo, futɔ gã aɖe va ɖo!"

Ɣemaɣie ŋutilãa ɖea atikewo abe ``Histamine.'' Esiawoe nye nusiwo hea nuwo abe aɖuɖɔtoe, ʋuʋudedi, ŋɔti me tsi, aɖuɖɔtoe, kple ŋku dzĩ vɛ. Le ame aɖewo gome la, esia ate ŋu asẽ vie wu.

Eyata nukae nye asrã?

Asrã nye yaƒoƒomɔ̃ siwo le míaƒe lãkusiwo me ƒe dɔléle. Le go sia me la, yaƒoƒomɔ̃wo vuvu, wotsina, eye woɖea ʋuʋudedi fũu akpa. Esia wɔnɛ be gbɔgbɔ sesẽna ŋutɔ. Abe alesi ko ne woxe aɖuɖɔtoeawo ene . Ame si ŋu asrã le ate ŋu aɖi kpẽ ne ele gbɔgbɔm, ase le eɖokui me be yeƒe akɔta xaxa, eye ate ŋu akɔ, vevietɔ le zã me alo ŋdi kanya.

Nu ɖeka aɖeke meli si gbɔ asrãdɔ tsona o. Nu geɖe ate ŋu akpɔ ŋusẽ ɖe edzi, siwo dometɔ aɖewoe nye domenyiŋusẽfianu kple nutoa me ƒe nɔnɔmewo.

Eyata kadodo ŋutɔŋutɔ kae le nulɔdɔ kple asrã dome?

Nu vevitɔe nye esi: Nulɔdɔwo mehea asrã vɛ tẽ o. Eyae nye be menye amesiame si ŋu nulɔdɔ le lae axɔ asrã o. Ke hã, nu ʋɛ aɖewo siwo gɔme wòle be míase:

1. Ðevi siwo ŋu nulɔdɔ le ate ŋu axɔ asrã wu: Numekukuwo ɖee fia be ɖevi siwo ŋu nulɔdɔ le (e.g., ke ƒe nulɔdɔ, nuɖuɖu ƒe nulɔdɔ, ŋutigbalẽ ƒe nulɔdɔ - `(Eczema)`) le afɔku gã me be woaxɔ asrã wu ɖevi siwo mexɔ asrã o. Azɔ hã, ne nulɔdɔ alo asrã le ame aɖe ŋu le ƒomea me, si fia be vidadaa, fofoa, nɔviawo la, ekema anɔ eme be ɖevia hã naxɔ asrã. Domenyiŋusẽfianu ƒe kadodo aɖe le esia dome.

2. Le ɖevi si ŋu asrã le xoxo gome la, nulɔdɔ ate ŋu ana asrã ƒe dzesiwo nagagblẽ ɖe edzi:Afi siae nuwo va zua ayemɔ le zi geɖe. Tsɔe be asrã le viwòa ŋu xoxo. Ne nane ƒe nulɔdɔ le eŋu (le kpɔɖeŋu me, ne eka asi avu ŋu eye eƒe fu melɔ̃na o), nulɔdɔ ma ate ŋu ana eƒe asrã ƒe dzesiwo nadzi ɖe edzi zi ɖeka. Ate ŋu asesẽ nɛ be wòagbɔ ya, akɔ akɔta geɖe wu, eye wòadze eƒe akɔta ƒe ƒoƒo gɔme. Nusi dzɔna le afisia enye be nulɔdɔa me "hea" asrãa vɛ o, ke boŋ "edoa" asrã si li la ɖe edzi. Esia tae wòle be nàɖɔ ŋu ɖo vevie le ɖevi siwo ŋu nulɔdɔ le eye awuwo hã le wo si ŋu.

Kpuie ko la, "afɔku" koe nulɔdɔ nye na asrãdɔ, ke menye nusi gbɔ wòtso tẽ o. Ke hã, le amesi ŋu asrã le gome la, nulɔdɔ ate ŋu anye "nusi" na asrãdɔ.

Nukae nye "Atopic March" sia?

Ðevi aɖewo ate ŋu akpɔ nulɔdɔ siawo le ɖoɖo si mewɔ nuku o nu. Ðɔktawo hã yɔa esia be ``Atopic March''. Eyae nye be, nɔnɔme abe ``Eczema'' si nana ŋutigbalẽ ƒuna eye wòʋãna ate ŋu ado le eƒe ɖevime. Emegbe le ɣeyiɣi aɖe megbe la, nuɖuɖu aɖewo ƒe nulɔdɔ ate ŋu adze. Eyome, ``Allergic Rhinitis'' si ƒe dzesiwo le abe dzamezã enuenu, aɖuɖɔtoe, kple no me ʋuʋu ene ateŋu adze. Mlɔeba la, ``Asrã'' ƒe dzesiwo ateŋu adze. Menye amesiamee ato esia me o, gake nɔnɔme sia dzena le ɖevi aɖewo ŋu. Esia ɖee fia be kadodo aɖe le nulɔdɔ siawo kple asrã dome.

Aleke nulɔdɔ ate ŋu ana asrã nagado gã ɖe edzi?

Ne nulɔdɔ le viwòa ŋu, si fia be ne nane si gblẽa nu le eŋu (ɖɔktawo yɔa esia be ``Allergen'') ge ɖe ŋutilã me la, ŋutilãa ƒe dɔlélenutsiŋutete ``Dɔlélenutsiŋutete'' wɔa dɔ enumake. Le ɣeyiɣi sia me la, dɔlékuiwutike aɖe si woyɔna be ``Immunoglobulin E / IgE'' kple atikewo abe ``Histamine'' dona tso ŋutilãa me. Esiawoe hea nuwo abe ʋuʋudedi, ʋuʋudedi, kple ŋɔti me tsi ene vɛ.

Fifia, ne asrã le vidzĩa ŋu la, atike siwo dona, abe ``Histamine,'' ene nana yaƒoƒomɔ̃ siwo le eƒe lãkusi me la xaxa, vuvu, eye wònaa ʋuʋudedi geɖe wu dona. Ðɔktawo yɔa esia hã be ``Bronchoconstriction.'' Ɣemaɣie asrã ƒe dzesiwo dzina ɖe edzi zi ɖeka. Gbɔgbɔ va sesẽna nɛ, ekɔa akɔta, eye eƒe akɔta tena ɖe edzi.

Nukawoe nye nusiwo bɔ siwo nana asrãdɔ nu sẽna ɖe edzi?

Le ɖevi si ŋu asrã le gome la, ele be nàɖɔ ŋu ɖo etɔxɛe le nu siawo ŋu:

• Kekuiwo: Wokpɔa esiawo le teƒewo abe abadzivɔwo, akɔtaɖonuwo, mattresswo, fefenuwo, kple modzakaɖebɔwo ene.
• Aƒemelãwo ƒe lãfu: Lãwo ƒe fu, aɖuɖɔ, kple ŋutigbalẽ suesuesue siwo tso lãwo abe avuwo kple avuwo ene gbɔ.
• Pollen: Pollen si tso atiwo, seƒoƒowo, kple gbewo me.
• Aŋɔ: Aŋɔ si dzɔna le teƒe siwo tsi le, abe tsileƒewo kple gliwo ene.
• Akpɔkplɔwo kple woƒe aɖuɖɔwo
• Nuɖuɖu aɖewo:Ame aɖewo ate ŋu alɔ̃ nusiwo le abe notsi, azi, atikutsetse, soya, kple tɔmelã ene. Gake ƒã hafi nuɖuɖu ƒe nulɔdɔ nahe asrã vɛ, gake menye nusi mate ŋu adzɔ o.

Esiawoe nye nusiwo koŋ ate ŋu ahe asrã vɛ, vevietɔ nulɔdɔwo.

Nukae míate ŋu awɔ abe dzilawo ene?

Ne èsusu be viwò ƒe asrãa le sesẽm ɖe edzi le nulɔdɔwo ta la, àte ŋu awɔ nusiawo:

1. Lé ŋku ɖe dɔlélea ƒe dzesiwo ŋu: Ɣekaɣie wòsesẽna na viwòa be wòagbɔ ya? Le nane ɖuɖu vɔ megbea? Esi wòka asi ke ŋu vɔ megbea? Le fefe kple lãwo megbea? Ŋlɔ nu siawo ɖi vie.

2. Di atikewɔlawo ƒe aɖaŋuɖoɖo: Kpɔ egbɔ be yekplɔ viwòa yi ɖeviwo ƒe dɔdala alo nulɔdɔŋutinunyala gbɔ. Emegbe ɖɔktaa ate ŋu anya nusi tututu le ɖevia si.

• Woate ŋu adɔ nulɔdɔ dodokpɔwo ( abe ŋutigbalẽ ƒe ƒoƒo dodokpɔ alo ʋudodokpɔ abe RAST alo IgE dodokpɔ ene). Esiawo ate ŋu akpe ɖe ŋuwò nànya nusiwo ŋu viwòa melɔ̃a nu le o.
• Woateŋu awɔ aklã ƒe dɔwɔwɔ dodokpɔwo (e.g., Spirometry, Peak Flow Meter) hã atsɔ aɖo kpe edzi be asrã le ŋuwò hã.

3. Na viwòa nate ɖa tso nusiwo nana viwòa ƒe nulɔdɔwo gbɔ alesi nàte ŋui: Ne ènya nya nusi tututu ŋu viwòa ƒe nulɔdɔ le ko la, kpɔ viwòa ta tso nu mawo me alesi nàte ŋui.

• Na wò aƒe nanɔ dzadzɛ eye ke manɔ eme o.
• Klɔ abadzivɔwo kple akɔtaɖonuwo le tsi dzodzoe me ɣesiaɣi.
• Ne nulɔdɔ le viwòa ŋu la, bu lãwo ƒe anyinɔnɔ le aƒea me ŋu zi eve.
• Kpɔ nyuie ne èle viwòa kplɔm do goe le ɣeyiɣi siwo me aŋɔ sɔ gbɔ ɖe eme.

4. Wɔ ɖe atikewɔwɔa dzi pɛpɛpɛ abe alesi ɖɔktaa kafui ene:

• Na atike siwo naa nulɔdɔwo (e.g., antihistamines) ɖe game dzi.
• Zã wò asrãtikewo, vevietɔ atike siwo wogbɔna, abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ. Ele vevie be nàzã wò yagbɔgbɔmɔ̃ abe alesi wò ɖɔkta gblɔe na wò ene pɛpɛpɛ. Yagbɔgbɔmɔ̃ aɖewo nye esiwo woazã ne dzesiwo dze (gbɔgbɔgbɔmɔ̃ siwo naa gbɔdzɔe ame), gake bubuwo ya nye esiwo woazã gbesiagbe atsɔ aɖu wò dzesiwo dzi (yagbɔgbɔmɔ̃ siwo dzi wokpɔna). Bia wò ɖɔkta tso esia ŋu.
• Wɔ asrãdɔ ƒe afɔɖeɖe ƒe ɖoɖo kple wò ɖɔkta. Ele be wòanye nusiwo wòawɔ ne viwòa ƒe asrãdɔa nu sẽ, atike si wòana, kple ɣeyiɣi si nàtsɔ wo ayi kɔdzi kaba ale si wòanya wɔe nanɔ eme.

Ðo ŋku edzi be ne wokpɔ nulɔdɔ kple asrã siaa gbɔ nyuie la, viwòa ate ŋu ayi edzi awɔ eƒe dɔ siwo wòwɔna ɖaa, afe, eye wòakpɔ dzidzɔ. Mega tsi dzi o.

Eyata nukae nye nu vevitɔ kekeake si wòle be míatsɔ ayi aƒemee tso ŋutinya sia me? (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, eyata le nusi ŋu míeƒo nu tsoe nu la, ele be nàse kadodo si le nulɔdɔ kple asrã dome gɔme.

• Nulɔdɔwo mehea asrã vɛ tẽ o.
• Gake,Ðevi siwo ŋu nulɔdɔ le la le afɔku gã aɖe me be woaxɔ asrã.
• Le ɖevi si ŋu asrã le xoxo gome la, nulɔdɔ ate ŋu ana asrã ƒe dzesiwo nagagblẽ ɖe edzi. Esia fia be nulɔdɔ nye nane si "ʋãa" asrã.
• Ne dzesi siawo le viwòa ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo godoo.
• Ne ènya nusi tututu nulɔdɔa nye, kpɔ viwòa ta tso wo si me, eye nèwɔ atike nyui na viwòa la, àte ŋu akpe ɖe viwòa ŋu wòanɔ agbe si me lãmesẽ le, si me dzidzeme le.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Medi be viwòa nahaya kaba!

` Nulɔdɔ, Asrã, Ðeviwo ƒe lãmesẽ, Yagbɔgbɔdɔ, Dɔlélenutsiŋutete, Nulɔdɔ, Nusi ʋãa ame