Ðe nèkpɔnɛ zi geɖe be yewɔa nu kple ŋutigbalẽ ƒe ʋuʋu kpataa? Ðe aɖuɖɔɖɔɖɔ bɔbɔea, alo ɖe nède dzesii be atɔ dzĩwo dona le nuɖuɖu aɖewo ɖuɖu vɔ megbe kpuiea? Menye wò ɖeka koe o—nusiawo nye nuteƒekpɔkpɔ siwo bɔ, eye zi geɖe la, atike aɖe si woyɔna be histamine ye nye nusi gbɔ vevesese siawo tso. Egbea, mina míadzro nusi histamine nye, nusita wòle vevie na wò ŋutilã, kple nusi dzɔna ne wò agbɔsɔsɔ dzi ɖe edzi me. Míexɔ wò nyuie va Nirogi Lanka, afisi míese wò lãmesẽ gɔme le.
Nuka tututue nye Histamine?
Kpuie ko la, histamine nye dzɔdzɔmeŋusẽ ƒe dɔla si wowɔna le wò ŋutɔ wò ŋutilã me. Wodzrae ɖo ɖe lãmenugbagbevi tɔxɛwo me, vevietɔ Mast cells kple Basophils , siwo nye nu vevi siwo le wò dɔlélenutsiŋutete me—siwo nye aʋawɔla siwo le ŋgɔgbe si kpɔa tawò tso dɔléle me.
Bu wò ŋutilã abe mɔ̃ sesẽ ene. Ne ame aɖe si ge ɖe eme ge ɖe eme—abe dɔlékui alo aŋɔ ene—la, mast cell dzɔla siawo ɖea histamine ɖe go abe ɣlidodo ƒe mɔ̃ si wozãna tsɔ dzea ametakpɔkpɔ gɔme ene. Le ametakpɔnu godo la, atike ƒe dɔla sia wɔa akpa vevi aɖe hã le kpekpeɖeŋu nana wò dɔgbo ƒe nuɖuɖumeŋusẽ kple kpekpeɖeŋu nana ahɔhɔ̃a ƒe dɔwɔwɔ vovovowo me.
Nukatae woɖea Histamine ɖe go?
Susu si bɔ wu si ta histamine donae nye nulɔdɔ . Na míalé ŋku ɖe alesi ema wɔa dɔe ŋu.
1. Le nulɔdɔ aɖe me la:
Tsɔe be ke ƒe dɔléle aɖe le ŋuwò. Ne èdo go ke la, nu suesuesueawo (si woyɔna be allergens ) toa wò ŋɔti me gena ɖe eme. Wò ŋutilã ƒe lãmenugbagbeviwo bua vodadatɔe be nu suesuesue siawo nye amedzidzela siwo me afɔku le eye wodzea dɔwɔwɔ gɔme, eye woɖea histamine si wodzra ɖo la ƒe dzidziɖedzi kpata—abe dzo si le wo ɖokui ta ʋlim ene. Esiae nana wò aɖuɖɔɖɔɖɔ, ŋɔti me ʋuʋu, kple ŋku siwo le ʋuʋum.
- Nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o siwo bɔ dometɔ aɖewoe nye:
- Pollen si woyɔna be Pollen
- Ke ƒe ʋuʋudediwo
- Lãwo ƒe dander
- Nuɖuɖu aɖewo (le kpɔɖeŋu me, notsi, azi , atikutsetse , ƒumelã ) .
- Nudzodzoewo ƒe ƒoƒo
- Atike aɖewo
2. Le abi alo dɔlékuiwo xɔxɔ me:
Histamine hã dona ne èxɔ abi alo dɔlékui aɖe le ŋuwò. Le go sia me la, ekpena ɖe ame ŋu to ʋu ƒe sisi ɖe teƒe si dɔlélea le dzi ɖeɖe kpɔtɔ me, si wɔnɛ be nunyiame siwo da gbe le ame ŋu kple dɔlélenutsiŋutete ƒe lãmenugbagbeviwo ɖoa teƒea kaba be woawɔ avu kple dɔlékuiwo ahadzra nusiwo gblẽ la ɖo.
Aleke Histamine kpɔa ŋusẽ ɖe wò ŋutilã dzii?
Ne histamine nya do ko la, ezɔa mɔ to wò ŋutilã katã me, eye wòwɔa dɔ kple ɖoɖo vovovowo:
- Ʋukawo : Histamine nana wò ʋuka suesuesuewo kekena, si nye nusi woyɔna be vasodilation . Ʋu ƒe sisi ƒe dzidziɖedzi sia nana ame biãna eye wòxɔa dzo. Tsɔ kpe ɖe eŋu la, enaa ʋukawo ƒe gege ɖe lãme na ame dzina ɖe edzi, si wɔnɛ be tsiwo gena ɖe lãmeka siwo ƒo xlãe me, si wɔnɛ be wòvuvu (Edema/ Edema ), ŋɔti me tsi sisina , eye tsi nɔa ŋkuwo me.
- Yagbɔgbɔ ƒe ɖoɖo : Histamine ate ŋu ana aɖuɖɔtoe ƒe lãmeka siwo le gbadzaa la natsi, si woyɔna be aɖuɖɔtoemeʋuʋu . Esia tae wò akɔta ate ŋu atɔ alo gbɔgbɔtsixe natsi wò, vevietɔ ne Asrã .
- Ŋutilã: Histamine doa ŋusẽ lãmeka siwo ƒe nuwuwu le ŋutigbalẽa me, si wɔnɛ be ʋuʋudedi (Pruritus) kple ʋuʋudedi dzĩ siwo vuvu siwo woyɔna be Hives (Urticaria) dzena.
- Nuɖuɖumeŋusẽ: Ate ŋu ana dɔgboa ƒe lãmekawo natsi si ana dɔgbo natsi, aɖuɖɔtoe, aɖuɖɔtoe, alo aɖuɖɔtoe, eye wòana dɔgboa me acid hã nado.
- Lãmetsiŋusẽ: Histamine wɔa dɔ abe ahɔhɔ̃mekawo ƒe dɔwɔwɔ ene le ahɔhɔ̃a me, si kpena ɖe ŋuwò be nànɔ ŋudzɔ ahanɔ ŋudzɔ. Esia tae nulɔdɔtike xoxo aɖewo nana ame tsia alɔ̃—woxea mɔ na histamine-xɔla siawo le ahɔhɔ̃a me.
Nukae nye histamine ƒe agbɔsɔsɔ si sɔ gbɔ ƒe dzesiwo?
Dzesiawo toa vovo le alesi dɔlélea nu sẽe kple ŋutinu siwo ŋu wòku ɖo nu:
- Ŋutilã: Dzoxɔxɔ, ʋuʋudedi, ʋuʋudedi, alo Hives (Urticaria).
- Nose & Throat: Aɖuɖɔɖɔɖɔ, ŋɔti me tsi si le dodom (Rhinorrhea), ʋu ƒe sisi, ŋɔti/aɖu ƒe ʋuʋu, kɔdzidɔ, alo ŋɔti ƒe vuvu.
- Ŋkuwo: Ŋkuwo ƒe biã, ƒoƒo, aɖatsi, alo vuvu.
- Aklã: Yagbɔgbɔ sesẽ, akɔta ƒe tete, ʋuʋudedi, alo asrã si li xoxo ƒe sesẽ.
- Nuɖuɖumeŋusẽ: Aɖuɖɔtoe, ʋuʋudedi, ƒodo ƒe veve, ʋuʋudedi, alo aɖuɖɔtoe.
- Bubuwo: Taɖuame, taɖuame, alo ʋu ƒe sisi ƒe ɖiɖi.
Le kpɔɖeŋu me.
Nɔnɔme si me afɔku le wu: Anaphylaxis
Anaphylaxis nye nulɔdɔ sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me. Edzɔna ne histamine gbogbo aɖe do le ŋutilã bliboa me, zi geɖe le aɖabaƒoƒo ʋɛ aɖewo ko me.
Anaphylaxis ƒe dzesi veviwo dometɔ aɖewoe nye:
- Yagbɔgbɔ sesẽ vevie (le yaƒoƒomɔ̃ ƒe vuvu ta) .
- Taɖuame alo sese le eɖokui me be yeƒe tagbɔ gblẽ
- Dzi ƒe tsotso kabakaba
- Ʋu ƒe sisi ƒe ɖiɖi kpata
- Tɔtɔ
- Ŋutilã si le blɔ alo blɔ
Ne ède dzesi dzesi siawo dometɔ aɖe la, esia nye atikewɔwɔ kpata. Ƒo ka na 911 alo yi kɔdzi si te ɖe ŋuwò enumake. Mègahe ɖe megbe o, elabena esia ate ŋu ade ame ƒe agbe afɔku me. Atikewɔwɔ kpata si wozãna ɖaa na esiae nye Adrenaline (Epinephrine) dodo .
Aleke woawɔ akpɔ Histamine ƒe ŋusẽkpɔɖeamedziwo gbɔe?
Dzɔgbenyuietɔe la, woate ŋu akpɔ dzesi siawo gbɔ nyuie.
1. Atike siwo wua ʋumenugbagbeviɣidɔ:
Esiawoe nye atike vevi siwo wozãna tsɔ naa gbɔdzɔe ame. Wowɔa dɔ to mɔxexe ɖe teƒe siwo histamine kpena ɖe eŋu, si woyɔna be histamine receptors , si xea mɔ na histamine nyuie be wòagahe nulɔdɔ ƒe ŋuɖoɖo vɛ o.
- Atike siwo wua alɔ̃dɔdɔ ƒe dzidzime gbãtɔ: Esiawo ate ŋu ana ame nadɔ alɔ̃ (le kpɔɖeŋu me, Chlorpheniramine, Diphenhydramine). Le esia ta la, taflatse kpɔ nyuie ne èle wo nom le zã me alo ne ehiã be nàku ʋu alo azã mɔ̃wo.
- Dzidzime evelia ƒe atike siwo wua alɔ̃dɔdɔ: Esiawo mehea alɔ̃dɔdɔ vɛ boo o (le kpɔɖeŋu me, Loratadine, Cetirizine, Fexofenadine), si wɔe be wonye tiatia nyuitɔ na ŋkeke me zazã.
Wò ɖɔkta akpɔ atike si wua ʋumenugbagbeviɣidɔ si sɔ na wò wu kple ɣeyiɣi didi si wòle be nàyi edzi anɔ enom.
2. Nusiwo naa lãmenugbagbeviwo nɔa te sesĩe:
Atike siawo wɔa dɔ to mɔxexe ɖe histamine ƒe dodo le wò mast cells (le kpɔɖeŋu me, Cromolyn sodium) me. Zi geɖe la, woate ŋu akpɔ wo abe atike siwo wotsɔna ƒua gbe ɖe ŋɔti me alo atike siwo wotsɔna tsia ŋkume ene.
3. Corticosteroid-tikewo:
Esiawo nye atike sẽŋu siwo wozãna tsɔ ɖea dɔdzẽ dzi kpɔtɔna. Le nulɔdɔ sesẽ aɖewo ƒe nɔnɔme aɖewo me alo be woakpɔ asrã gbɔ la, woate ŋu aŋlɔ wo na amewo be woazã wo ɣeyiɣi kpui aɖe.
4. Ƒo asa na nusiwo hea dɔlélea vɛ:
Ne ènya nusi ŋu wò nulɔdɔ le la, ƒoƒo asa na nu mawo siwo hea dɔlélea vɛ nye wò ametakpɔnu nyuitɔ kekeake. Le kpɔɖeŋu me, ne ke melɔ̃a wò o la, na wò aƒe nanɔ dzadzɛ, eye nàdo motsyɔnu ne èle gota le aŋɔɣi.
Nukae Nye Histamine ƒe Mɔmaɖemaɖeɖenuŋu?
Esia to vovo vie tso nulɔdɔ si bɔ gbɔ. Histamine ƒe mɔmaɖemaɖeɖenuŋu dzɔna ne wò ŋutilã mete ŋu gblẽ (gblẽ) histamine si nèɖuna to nuɖuɖu me alo si nèwɔna le ememe la nyuie o. Zi geɖe la, dɔlékui si nye Diamine Oxidase (DAO) ƒe anyimanɔmanɔ gbɔe esia tsona.
Nɔnɔme sia ate ŋu ahe dzesi siwo sɔ kple nulɔdɔ (ʋuʋudedi, taɖuame, nuɖuɖumeŋusẽ ƒe nyawo) vɛ le nuɖuɖu siwo me histamine sɔ gbɔ ɖo (le kpɔɖeŋu me, cheese si tsi, nuɖuɖu siwo wotsɔ ƒo ƒu, wein, atikutsetse aɖewo, kple amagbewo) ɖuɖu vɔ megbe. Ne èsusu be esia le ye ŋu la, anyo wu be nàbia wò ɖɔkta.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Togbɔ be zi geɖe la, woate ŋu atsɔ atike siwo wua ʋumenugbagbeviɣidɔ siwo womeƒlena o akpɔ nulɔdɔ ƒe dzesi siwo mesẽ o gbɔ hã la, ele be nàkpɔ ɖɔkta ne:
- Èkpɔa nulɔdɔ ƒe dzesiwo enuenu alo wòsẽna.
- Atike siwo wozãna ɖaa mele gbɔdzɔe nam o.
- Èkpɔa gbɔgbɔtsixetsixe alo akɔta tetena.
- Èdea dzesi anaphylaxis ƒe dzesi ɖesiaɖe (esia nye atikewɔwɔ kpata!).
- Àdi be yeade dzesi nusiwo koŋ nana wò nulɔdɔ to nulɔdɔ dodokpɔ me .
- Èsusu be ɖewohĩ histamine ƒe dɔmawɔmawɔ nyuie le ye ŋu.
Ðɔkta ate ŋu ada wò nɔnɔmea kpɔ nyuie eye wòana atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake kple aɖaŋuɖoɖo si sɔ na wò.
Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme
Ðo ŋku edzi be togbɔ be histamine nye atike vevi aɖe le wò ŋutilã me hã la, ate ŋu ava zu fuɖename ɣeaɖewoɣi.
- Histamine wɔa akpa vevi aɖe le nulɔdɔwo me, togbɔ be ekpena ɖe abi ƒe dɔyɔyɔ kple dɔgbo ƒe dɔwɔwɔ hã ŋu.
- Aɖuɖɔɖɔɖɔ, ʋuʋudedi, aɖuɖɔtoe, kple ŋɔti ƒe ʋuʋu nye histamine ƒe dɔwɔwɔ me tsonu siwo bɔ.
- Anaphylaxis nye nuwɔna sesẽ aɖe si dea ame ƒe agbe afɔku me, si histamine hena vɛ. Ebia be woakpɔ egbɔ enumake le atikewɔƒe kpata.
- Atike siwo wua histamine ye nye atike vevitɔ siwo wozãna tsɔ kpɔa histamine ƒe ŋusẽkpɔɖeamedzi gbɔ.
- Ne nulɔdɔ ƒe dzesiwo dzena ŋuwò enuenu alo wòsẽna la, di atikewɔla bibiwo ƒe aɖaŋuɖoɖo ɣesiaɣi.
Mehiã be nàtsi dzi o. Woate ŋu akpɔ nɔnɔme siwo do ƒome kple histamine ƒe akpa gãtɔ gbɔ nyuie ne wokpɔ wo dzi nyuie. Nu vevitɔe nye be nàɖo to wò ŋutilã eye nàdi dɔnyala ƒe mɔfiame tso Nirogi Lanka alo kɔdzi si le mia gbɔ gbɔ ne ehiã.
histamine, nulɔdɔ, nulɔdɔ, antihistamine, anaphylaxis, urticaria, asrã
