Nukae nye nulɔdɔ?

Mí katã míese nya nulɔdɔ kpɔ, alo? Gake ɖewohĩ ànɔ nusi tututu nulɔdɔ nye kple nusita wòdzɔna ŋu bum.

Kpuie ko la, nulɔdɔe nye ne míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete , wɔ nu wògbɔ eme ɖe nane si le dzɔdzɔme nu megblẽa nu le mía ŋu o ŋu. Bu eŋu abe dzɔla siwo le míaƒe ŋutilã me ene. Woƒe dɔe nye be woakpɔ mía ta tso futɔwo abe dɔlékui siwo hea dɔléle vɛ ene me. Gake nusi dzɔna le nulɔdɔ me enye be dzɔla siawo tsia dzodzodzoe vie eye wodzea nane si menye futɔ ŋutɔŋutɔ o dzi dzedze gɔme. Esia le alea elabena dɔlélenutsiŋutete wɔa nu wògbɔa eme eye míekpɔa dzesi vovovowo ne nulɔdɔ aɖe le mía ŋu.

Nukae hea nulɔdɔ vɛ? Míeyɔa nusiawo be nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o.

Míeyɔa nusiawo siwo hea nulɔdɔ vɛ be nusiwo nana ame ƒe ŋutilã melɔ̃na o . Nu geɖe siwo nana ŋutilãa ƒe ŋutilã melɔ̃a nu le ame ŋu o ƒo xlã mí. Togbɔ be womaɖe fu na ame aɖewo o hã la, le amesi ŋu nulɔdɔ le gome la, woate ŋu anye kuxi gã aɖe.

Azɔ mina míakpɔ nusiwo nye nulɔdɔ siawo siwo bɔ ɖa:

• Nusiwo gena ɖe eme ne èle gbɔgbɔm:
• Pollen : Ðewohĩ ède dzesii be ɣeaɖewoɣi ne seƒoƒowo le seƒoƒo ƒom la, nu suesuesue siwo le abe aŋɔ ene dona tso atiwo me yia yame. Woyɔa ema be pollen. Ame geɖe ƒe nulɔdɔ le aŋɔ sia ŋu.
• Kekuiwo: Esiawo nye nuwɔwɔ suesuesue siwo le sue akpa be woakpɔ. Wonɔa míaƒe aƒewo ƒe ke me, le abadzivɔwo, akɔtaɖonuwo, kple mattresswo me.
• Aƒemelãwo ƒe ƒunukpeƒetetedɔ: Nu siawo siwo tso lãwo abe avuwo kple avuwo ene gbɔ la melɔ̃a ame aɖewo o .
• Aŋɔ: Aŋɔ si dzɔna ɖe gliwo dzi le teƒe siwo tsi le hã ate ŋu ana nulɔdɔ nadze ame dzi.
• Nuɖuɖu kple nunono:
• Nuɖuɖu aɖewo hã ate ŋu ana nulɔdɔ nadze ame dzi. Le kpɔɖeŋu me, notsi, azi , nukuwo abe atikutsetse, aŋɔ, soya, lu, tɔmelã, shrimp, kple squid ye nye esiwo koŋ. Gake nulɔdɔ ate ŋu adzɔ ɖe nuɖuɖu bubu ɖesiaɖe si kpe ɖe esiawo ŋu ŋu.
• Nudzodzoewo ƒe ɖuɖu:
• Ame aɖewo hã ƒe aɖi si tso lãwo, abe anyiwo kple ʋetsuviwo ene gbɔ la nu sẽna vevie.
• Atike ƒomeviwo:
• Atike aɖewo, abe dɔlékuiwutikewo abe penicillin ene hã ate ŋu ana nulɔdɔ nadze ame dzi.
• Nu siwo ŋu woka asi ɖo:
• Atike aɖewo , abe latex (si wokpɔna le nuwo abe asigɛ ene me), kple ga siwo le abe nickel ene (si wokpɔna le atsyɔ̃ɖonu aɖewo me) hã ate ŋu ana nulɔdɔ nadze ame ŋu ne wodo go ŋutigbalẽa.

Nukae dzɔna le ŋutilãa me ne nulɔdɔ aɖe le ŋuwò?

Fifia ɖewohĩ èle alesi nuwɔna sia dzɔna ne nulɔdɔ aɖe ge ɖe ŋutilãa me ŋu bum.

Nusi dzɔna enye si: Ne nulɔdɔ (e.g. pollen) ge ɖe amesi ŋu nulɔdɔ le ƒe ŋutilã me la, míaƒe dɔlélenutsiŋutete susuna be enye futɔ gã aɖe. Emegbe ewɔa dɔlékuiwutike tɔxɛ aɖe si woyɔna be IgE ɖe ‘futɔ’ sia ŋu. IgE dɔlékuiwutike siawo yia ɖaléna ɖe lãmenugbagbevi ƒomevi aɖe si le míaƒe ŋutilã me si woyɔna be mast cells ŋu .

Ɣebubuɣi si nulɔdɔlékui ma ke va do ka kple ŋutilãa la, eblana ɖe IgE dɔlékuiwutike siwo le mast cells dzi ŋu. Emegbe mast cells la ‘wóna’ eye woɖea atike gbogbo aɖewo abe histamine ene doa goe. Histamine ma gbɔe nulɔdɔ ƒe dzesi geɖe, abe ʋuʋudedi, bibi , ŋɔti me tsi si le dodom, kple ŋku siwo me tsi le ene, tsona.

Kpuie ko la: nulɔdɔ -> IgE dɔlékuiwutikewo -> mast cells -> histamine -> nulɔdɔ ƒe dzesiwo

Nukawoe nye nulɔdɔ ƒe dzesiwo? Kpɔe ɖa be esiawo hã le asiwò hã

Nulɔdɔ ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Wotoa vovo hã le nusi nulɔdɔa nye kple alesi wòge ɖe ŋutilãa me nu. Mina míalé ŋku ɖe dzesi siwo bɔ wu dometɔ aɖewo ŋu:

• Yagbɔgbɔ ƒe Dzesiwo:
• Aɖuɖɔɖɔɖɔ enuenu .
• Sisi le ŋɔti me (ne dzamezã manɔmee gɔ̃ hã).
• No me ʋuʋu.
• Kɔdzi, akɔta ƒe tete, gbɔgbɔ sesẽ (esiawo nye asrã ƒe dzesiwo) .(Ate ŋu ado ƒome kple nɔnɔmea hã).
• Kɔ ƒe ʋuʋu, gbe ƒe tɔtrɔ.
• Ame aɖewo hã yɔa esia be Hay Fever alo Allergic Rhinitis .

• Ŋutilã ƒe Dzesiwo:
• Ŋutilã si le ʋuʋum.
• Ŋutilã ƒe ʋuʋu kple eƒe bibi ( Urticaria alo Hives ).
• Ŋutilã si ƒu, si le ʋuʋum, eye wòle ʋuʋum (esiawo ate ŋu adzɔ kple nɔnɔmewo abe eczema ene hã ).

• Ŋku ƒe Dzesiwo:
• Ŋkuwo ƒe biã.
• Ŋku siwo le ʋuʋum.
• Aɖatsiwo nɔ sisim tso ŋkuwo dzi.
• Ʋuʋudedi, viviti dodo le ŋkuwo te.

• Dɔgbo ƒe Dzesiwo – (vevietɔ le nuɖuɖu ƒe nulɔdɔwo me):
• Aɖuɖɔtoe, ʋuʋudedi.
• Dɔgbo ƒe vevesese, ʋuʋudedi.
• Ʋuʋudedi (aɖuɖɔtoedɔ).
• Nu, nuyi, aɖe alo ŋɔti ƒe vuvu, ʋuʋu.

• Nu bubu siwo le eme:
• To siwo le ʋuʋum, nyaƒoɖeamenu ƒe seselelãme le towo me.
• Taɖuame.
• Ðeɖiteameŋu, ɖeɖiteameŋu.

Nulɔdɔ si me afɔku le wu: Anaphylaxis

Ɣeaɖewoɣi la, nulɔdɔ ate ŋu asẽ ŋutɔ. Míeyɔa esia be anaphylaxis . Esia nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Nusi dzɔnae nye be ŋutilã bliboa wɔa nu zi ɖeka.

Dzesi siwo dzena le anaphylaxis ŋue nye:

• Mo, nuyi, aɖe, kple ŋɔti ƒe vuvu kpata.
• Gbɔgbɔtsixetsixe, akɔta ƒe tete.
• Alɔ̃madɔmadɔ/taɖuame, sese le ɖokuiwò me abe ɖe yeƒe susu le nu gblẽ ge ene.
• Dzi ƒe tsotso.
• Ŋutilã si fa miamiamia, fifia.
• Aɖuɖɔtoe, ʋuʋudedi, dɔgbo ƒe ʋuʋu.

Anaphylaxis nye atikewɔwɔ kpata. Ne èkpɔ dzesi siawo la, ele be nàyi kɔdzi enumake. Ðɔktawo ɖoa aɖaŋu na amesiwo ŋu nulɔdɔ sesẽ aɖewo le be woana adrenaline- tike (abe EpiPen ene) nanɔ wo si be woazã le nɔnɔme mawo me.

Aleke ɖɔkta awɔ anya ne nulɔdɔ aɖe le ŋuwò?

Ne èsusu be nulɔdɔ aɖe le ye ŋu la, nu nyuitɔ si nàwɔe nye be nàyi ɖɔkta gbɔ. Ðɔkta la abia nya wò tso wò dzesiwo ŋu, abe ɣeyiɣi si me wodzena, nu si nèwɔna, kple ne wova le sesẽm ɖe edzi hã. Woabia hã nenye be nulɔdɔ le wò ƒomea me dometɔ aɖe ŋu, elabena nulɔdɔ ate ŋu adzɔ le ƒomewo me ɣeaɖewoɣi.

Emegbe, woate ŋu awɔ dodokpɔ aɖewo atsɔ anya nusi tututu nulɔdɔa nye:

• Ŋutilã ƒe ƒoƒo Dodokpɔ: Esia bia be woatsɔ nusi wosusu be nulɔdɔ na wò ŋutigbalẽ sue aɖe ŋutɔ asisi ɖe wò ŋutigbalẽ ŋu (zi geɖe la, wò alɔnu alo wò akɔta) eye nàtsɔ aŋe sue aɖe aƒoe. Ne teƒeawo dometɔ aɖe biã, vuvu, alo vuvu le miniti 15-20 me la, ke nulɔdɔ ma ƒe nulɔdɔ le ŋuwò. Esia nye dodokpɔ si wowɔna kabakaba eye wòle bɔbɔe.
• Ʋudodokpɔ: Ɣeaɖewoɣi la, le amesiwo mate ŋu awɔ ŋutigbalẽ dodokpɔ o (e.g., amesiwo ŋu ŋutigbalẽ ƒe dɔléle sesẽwo le alo amesiwo noa atike aɖewo) gome la, wowɔa ʋudodokpɔ. Esia doa ame kpɔna be IgE dɔlékui siwo ŋu míeƒo nu tsoe va yi siwo tsia tre ɖe nulɔdɔ tɔxɛwo ŋu le wò ʋu me hã. Wogayɔa esia be RAST dodokpɔ (Radioallergosorbent dodokpɔ), alo Specific IgE dodokpɔ .

Ne ɖɔktaa tsɔ dodokpɔ siawo me tsonu kple wò dzesiwo ƒo ƒui la, ate ŋu agblɔe na wò pɛpɛpɛ nenye be nulɔdɔ aɖe le ŋuwò, eye ne ele nenema la, nusi wònye.

Nukae míate ŋu awɔ ne nulɔdɔ le mía ŋu? Aleke míawɔ aɖu esia dzi?

Mègatsi dzodzodzoe ne èva nya be nulɔdɔ aɖe le ye ŋu o. Togbɔ be esesẽna be woada nulɔdɔwo keŋkeŋ hã la, mɔ geɖe li siwo dzi woato aɖe vevesese si wòhena vɛ dzi akpɔtɔ eye woanɔ agbe nyuie wu.

1. Ƒo asa na nusi nana ŋutilã melɔ̃a nu le ame ŋu o:

Esiae nye nu vevitɔ kekeake. Ne ènya nusi tututu ŋu wò nulɔdɔ le la, atikewɔwɔ nyuitɔ kekeakee nye be nàƒo asa nɛ alesi nàte ŋui.

• Ne ke melɔ̃a wò o la, na wò aƒea nanɔ dzadzɛ eye nàklɔ wò abadzivɔwo enuenu le tsi dzodzoe me.
• Ne aŋɔ si me aŋɔ mele o la, do ametakpɔnu ne èle gota le aŋɔ ƒe agbɔsɔsɔme si sɔ gbɔ me, eye nàle tsi ne èɖo aƒeme.
• Ne nuɖuɖu aɖe melɔ̃a nu le ŋuwò o la, ƒo asa na nusianu si me nuɖuɖu ma le ɖuɖu. Xlẽ nusiwo woŋlɔ ɖe nuɖuɖua dzi nyuie ne èle nuɖuɖu ƒlem le fiase me.

2. Atikewo:

Ðɔktawo ŋlɔa atike vovovowo be woatsɔ aɖu nulɔdɔ ƒe dzesiwo dzi.

• Antihistamines: Esiawoe nye atike siwo woŋlɔna na ame wu na nulɔdɔwo. Woɖea ʋuʋudedi, ŋɔti me sisi, kple aɖuɖɔ si histamine hena vɛ dzi kpɔtɔna. Wonɔa atikekuiwo, tsinyegoewo, atike siwo wotsɔna ƒua gbe ɖe ŋɔti me, kple ŋkumeɖonuwo ƒe nɔnɔme me.
• Corticosteroid-tikewo:Esiawo nye atike sẽŋu siwo ɖea dɔdzẽ dzi kpɔtɔna. Wonɔa atike siwo wotsɔna ƒua gbe ɖe ŋɔti me, atike siwo wogbɔna (na asrãdɔlélawo), atike siwo wotsɔna tsia lãme na ame, kple ɣeaɖewoɣi atikekui siwo wozãna ɣeyiɣi kpui aɖe. Ele be nàzã esiawo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ.
• Atike siwo tsia ŋɔti me: Atike siwo ɖea ŋɔti ƒe ʋuʋu dzi kpɔtɔna. Gake womeɖo aɖaŋu be woazã esiawo atraɖii wu ŋkeke ʋɛ aɖewo o.
• Leukotriene modifiers: Atike ƒomevi bubu si wozãna na asrã kple gbeɖuɖɔ.

3. Dɔlélenutsiŋutete ƒe atikewɔwɔ:

Esia nye atikewɔwɔ si nɔa anyi didi. Esia bia be nàdze egɔme tso nulɔdɔ si ŋu wò nulɔdɔ le ƒe agbɔsɔsɔ sue aɖe ŋutɔ dzi eye nàdzi eƒe agbɔsɔsɔ ɖe edzi vivivi, to edodo ɖe wò ŋutilã me ( allergy shots ) alo to edodo abe atikekui ene le wò aɖe te ( sublingual immunotherapy – SLIT ). Le ɣeyiɣi aɖe megbe la, wò ŋutilã va zua numame na wò nulɔdɔa eye megawɔa nu boo aɖeke o. Esia mewɔa dɔ na amesiame o, gake ekpɔa dzidzedze ŋutɔ na ame aɖewo. Ele be woawɔ esia le eŋutinunyala bibi aɖe ƒe dzikpɔkpɔ te.

4. Atikewɔwɔ Kpata:

Abe alesi míegblɔe va yi ene la, ne anaphylactic ƒe dɔléle sesẽ aɖe dzɔ la, adrenaline dodo (abe EpiPen ene) nyea agbeɖela. Ele vevie ŋutɔ be amesiwo ŋu nulɔdɔ sesẽ le nalé esia ɖe asi eye woanya alesi woazãe.

Ɣekaɣie wòle be makpɔ ɖɔkta? Amekae nye nulɔdɔŋutinunyala?

Anyo be nàkpɔ ɖɔkta ne nusiawo dometɔ aɖe le ŋuwò:

• Ne nulɔdɔ ƒe dzesiwo nɔa ŋuwò enuenu siwo doa kplamatse wò gbesiagbedɔwo.
• Ne èdi be yeanya nusi tututu ŋu wò nulɔdɔ le.
• Ne dzesi siwo ɖi asrã (kɔdzi, ʋuʋudedi, akɔta ƒe tete) le ŋuwò.
• Ne nuɖuɖu aɖe ƒe nuwɔna sesẽ aɖe le ŋuwò.
• Ne nudzodzoe aɖe ɖu wò eye wòwɔ nu ɖe ​​ŋuwò vevie.

Atikewɔla si kpɔa dɔlélewo gbɔ ate ŋu ada nulɔdɔ veviwo. Gake ɣeaɖewoɣi la, ne nulɔdɔa sesẽ wu, ekpɔkpɔ sesẽ, alo wòsẽ la, woate ŋu aɖo wò ɖe dɔlélenutsiŋuteteŋutinunyala gbɔ . Wona hehe ɖɔkta siawo etɔxɛe be woatsɔ ade dzesi nusiwo ŋu nulɔdɔ le ahada wo. Woate ŋu awɔ nuwo abe ŋutigbalẽ dodokpɔ kple dɔlélenutsiŋutete ƒe dɔdamɔnu ene.

Eyata nu kawo dzie wòle be míaɖo ŋkui tso nusiawo katã me? (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, míeƒo nu geɖe tso nulɔdɔwo ŋu fifia, alo? Mlɔeba la, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui lae nye esi:

• Nulɔdɔ menye nusi wòle be woavɔ̃ na o, gake ele vevie be nànɔ ŋudzɔ. Ðeko nulɔdɔ nye míaƒe dɔlélenutsiŋutete ƒe nuwɔwɔ wògbɔ eme ɖe nane si megblẽa nu le ame ŋu o ŋu.
• Afɔɖeɖe gbãtɔe nye be nànya nusi ŋu wò nulɔdɔ le.
• Ƒo asa na nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o ye nye ametakpɔnu nyuitɔ kekeake. Te ɖa le nu siwo gblẽa nu le ŋuwò ŋu ɣesiaɣi si wòanya wɔ.
• Atike nyuiwo li woatsɔ aɖu dzesiawo dzi. Zã wo abe alesi wò ɖɔkta gblɔe ene.
• Nya nu tso dɔléle sesẽ aɖe si woyɔna be anaphylaxis ŋu. Enye nudzɔdzɔ kpata aɖe. Ne edzɔ alea la, yi kɔdzi enumake. Ne nulɔdɔ sesẽ aɖe le ŋuwò la, ke na adrenaline- tike nanɔ gbɔwò.
• Ate ŋu adzɔ be woanɔ agbe si sɔ, si me dzidzɔ le kple nulɔdɔwo. Ðeko wòbia be woakpɔ edzi nyuie.

Ne nyabiase alo nya bubu aɖewo gale asiwò la, ƒo nu kple ɖɔkta. Wole afima be yewoakpe ɖe ŋuwò.