Nu nenie míezãna le míaƒe gbesiagbegbenɔnɔ me siwo wotsɔ rababa wɔ? Asigɛ siwo wozãna na aƒemedɔwo, balloon siwo wotsɔ vɛ na dzigbezãɖuɖuwo, atikewɔnu aɖewo, esiawo katã do ƒome kple rababa. Gake ɖe nèsusui kpɔ be ne èka asi nu siawo dometɔ aɖewo ŋu alo zã wo la, ne womele asi kam wò ŋutilã ŋu tẽ o gɔ̃ hã la, woate ŋu ana wò ŋutigbalẽ nabiã, avuvu, eye wòana abi suesuesuewo nado ɖe dziwòa? Le ɣeyiɣi siawo tɔgbe me la, ele be míabu eŋu vie nenye be esia nye ‘raba ƒe nulɔdɔ’ alo ‘ latex ƒe nulɔdɔ ’.
Nuka tututue nye latex ƒe nulɔdɔ?
Kpuie ko la, latex ƒe nulɔdɔe nye ne wò ŋutilã ƒe dɔlélenutsiŋutete wɔa nu wògbɔa eme ɖe protein aɖewo siwo le dzɔdzɔme rababa latex me ŋu. Míaƒe dɔlélenutsiŋutete ƒe dɔe nye be wòakpɔ mía ta tso dɔlékui siwo ate ŋu ahe dɔléle vɛ la si me. Gake ɣeaɖewoɣi la, ɖoɖo sia bua vodadatɔe be nusiwo megblẽa nu le ame ŋu o gɔ̃ hã (le go sia me la, protein siwo le rababa me) nye futɔ gã aɖe eye wòdzea avuwɔwɔ kpli wo gɔme. Le avuwɔwɔ ma ta la, nulɔdɔ ƒe dzesiwo va nɔa mía ŋu.
Ðɔktawo mekpɔ nusi koŋ gbɔ esia tso haɖe o, gake woxɔe se be atike siwo me rababa le zazã atraɖii ate ŋu anye nu vevitɔ si hea nɔnɔme sia vɛ.
Amekae le afɔku me wu be wòaxɔ nulɔdɔ sia?
Togbɔ be ame sia ame ate ŋu axɔ nulɔdɔ sia hã la , ame aɖewo le afɔku me vie.
- Lãmesẽdɔwɔlawo: Afɔku sia lolo wu na amesiwo zãa rababa-sigɛwo edziedzi, abe ɖɔktawo kple dɔnɔdzikpɔlawo ene.
- Ame siwo wowɔ dɔ na enuenu: Zi alesi wowɔ dɔ na wòe la, zi nenemae wòanɔ bɔbɔe be nàdo go atikewɔnu siwo me rababa le.
- Ame siwo le dɔ wɔm le rababadɔwɔƒewo.
- Ame siwo ŋu atikewɔwɔ ƒe nɔnɔme aɖewo le:
- Ame siwo ƒe ƒumeŋuɖui me lãmenugbagbeviwo gblẽ.
- Ame siwo ƒe tsinyegoe alo aɖuɖɔtoe ƒe nɔnɔme madeamedzi ɖesiaɖe le.
- Ame siwo zãa aɖuɖɔtoe ɣeyiɣi didi.
- Ame siwo ŋu vidzidzi ƒe dɔléle si nye spina bifida le .
- Amesiwo ŋu dɔléle bubuwo abe nulɔdɔ, asrã alo ʋuʋudedi ene le fu ɖem na xoxo.
- Ame siwo ƒe nuɖuɖu aɖewo melɔ̃na o (e.g. akɔɖu, avocado, ananas, kiwi, mɔli ƒuƒu, tomatos) .
- Ame siwo zãa kɔndɔm .
Nukawoe nye rababa ƒe nulɔdɔ ƒomevi veviwo?
Woate ŋu ama nusiwo wòwɔna ɖe rababa ŋu ɖe hatsotso vevi etɔ̃ me. Esiawo to vovo tso wo nɔewo gbɔ, eyata ele vevie ŋutɔ be míanɔ ŋudzɔ ɖe wo ŋu.
| Nuwɔna Ƒomevi | Nɔnɔmewo kple numeɖeɖe |
|---|---|
| 1. Ŋutilã ƒe Dɔléle si doa dziku na ame (Ŋutilã ƒe abixɔxɔ ) . | Esia menye nulɔdɔ ŋutɔŋutɔ o. Enye nɔnɔme si tsoa atike siwo le rababa-sigɛwo me ƒe ŋutigbalẽ ƒe kadodo enuenu me. Ate ŋu ana nuwo abe ŋutigbalẽ ƒe ƒuƒu, ʋuʋudedi, abi, kple ŋutigbalẽ ƒe ʋuʋu. Zi geɖe la, dzesi siawo dzena le gaƒoƒo 12-24 me tso esime woka asi rababa la ŋu. |
| 2. Allergic Contact Dermatitis ƒe Dɔléle (Nuléle si dzea egɔme megbe) . | Esia nye nulɔdɔ vavãtɔ. Alesi ŋutilãa wɔa nui ɖe nusiwo wotsɔ kpe ɖe eŋu siwo wozãna le rababa wɔwɔ me ŋu gbɔe wòtsona. Dzesiawo sɔ kple esiwo míeyɔ ɖe etame, gake wosẽna wu, wokakana ɖe ŋutilã ƒe akpa si lolo wu, eye wonɔa anyi didi wu. Dzesiawo ateŋu axɔ ŋkeke 1-4 hafi adze. |
| 3. Nulɔdɔ ƒe Dɔwɔwɔ Enumake (Nuléle sesẽ si dzɔna kpata) | Esiae nye ƒomevi si me afɔku le wu eye wòsẽ wu . Dzesiwo abe ŋɔti me tsi si le dodom, ŋku siwo biã kple esiwo me tsi le, aɖuɖɔtoe, ʋuʋudedi sesẽ, kple dɔgbo ƒe ʋuʋu ate ŋu ado mo ɖa enumake. Le go siwo mebɔ o me la, dzi ƒe tsotso kabakaba, ʋuʋu, akɔtave, gbɔgbɔ sesẽ, ʋu ƒe sisi, kple nulɔdɔ sesẽ si woyɔna be `anaphylaxis` ateŋu adzɔ, si ateŋu ade ame ƒe agbe afɔku me. |
| Vevietɔ: Ne èkpɔ dzesi sesẽwo abe gbɔgbɔ sesẽ, ŋɔti/nu ƒe vuvu, alo akɔtave ene la, na wò ɖɔkta nanya enumake alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU). | |
Aleke wowɔa atike nɛ?
Nu vevitɔ kekeakee nye be atike aɖeke meli si ada latex ƒe nulɔdɔ si anɔ anyi ɖaa o. Nu nyuitɔ si nàwɔe nye be nànɔ adzɔge tso nusiwo me rababa le gbɔ alesi nàte ŋui.
Ne nulɔdɔ aɖe le ŋuwò la, atike si nàxɔ la anɔ te ɖe alesi wòsẽe dzi.
Le ŋutigbalẽ ƒe kuxi suesuesuewo ta
Ðewohĩ wò ɖɔkta aɖo aɖaŋu na wò be:
- Atike siwo wua histamine.
- Cream alo atikekui siwo me corticosteroids le.
- Atikewo abe calamine ene siwo naa ŋutigbalẽa fa.
Ne nuwɔna sesẽ aɖe dzɔ
Le nɔnɔme sia tɔgbe me la, ehiã be woaxɔ wò ɖe kɔdzi ahada dɔ na wò enumake.
- Epinephrine dodo ɖe lãme na ame.
- Tsi siwo wodona ɖe ʋuka me (`IV fluids`) nana.
- Le atikewɔlawo ƒe ŋkuléle ɖe wo ŋu vevie te.
Ne ènya be latex ƒe nulɔdɔ sesẽ aɖe le ye ŋu la, ele vevie ŋutɔ be nàdo asigɛ si naa atikewɔlawo ƒe nuxlɔ̃ame eye nàtsɔ epinephrine-tike ɖe asi ɣesiaɣi ne wò ɖɔkta kafui.
Nusiwo ƒo xlã mí kawoe ate ŋu anye esiwo me rababa anɔ?
Woate ŋu akpɔ rababa le nu geɖe me wu alesi nèsusui. Ne nulɔdɔ aɖe le ŋuwò la, ele be nàɖɔ ŋu ɖo ŋutɔ le esia ŋu. Xlẽ adzɔnuwo ƒe ŋkɔwo nyuie ɣesiaɣi.
Nusiwo wokpɔ le aƒeme
- Goma-sigɛ siwo wotsɔ klɔa nuɖanuwo kple aƒemedzadzraɖo
- Rubber-nulénu si xea mɔ na tsi le tsiléƒea
- Nuɖanuwo, aɖututuwo, nuŋlɔti siwo ƒe asiléƒewo nye rababa
- Tsileleƒe siwo wotsɔa goma wɔe kple xɔmenuwo
- Dzadzɛnyenye ƒe aŋekotokuwo kple vidzĩ ƒe aŋekotokuwo (ate ŋu anye be rababa anɔ wo me) .
- Elastic bands le awu te kple soxwo me
- Balloonwo ƒe ʋuʋudediwo
- Fefenu siwo wotsɔa rababa wɔe
- Kɔndɔm kple aɖuɖɔtoewo
Le aƒea godo kple atikewɔnuwo
- Balloon ƒomevi aɖewo
- Asigɛ siwo ɖɔktawo zãna, tourniquet, kple nuƒomɔ̃ ƒe akpa aɖewo
- Atike aɖewo siwo wotsɔna blaa nu
- Aɖudɔwɔnuwo
Ðe menye rababa ɖeɖeko ƒe nuléle na wò o, ke boŋ nuɖuɖu aɖewo hã ƒe nulɔdɔa?
Ɛ̃! Esia nye nusi ame geɖe menya o. Ame siwo ŋu latex ƒe nulɔdɔ le la dometɔ siwo ade 30% - 50% hã ate ŋu anye nuɖuɖu aɖewo ƒe nulɔdɔ. Woyɔa esia be ‘cross-reaction’.
Eyae nye be protein siwo le atikutsetse kple amagbe aɖewo me ƒe wɔwɔme sɔ kple protein siwo naa nulɔdɔ le rababa me la ŋutɔ. Eyata ŋutilã ƒe dɔlélenutsiŋutete bua nuɖuɖu siawo vodadatɔe be wonye ‘futɔ’.
Nuɖuɖu aɖewo siwo ate ŋu ana woawɔ nu ɖe wo nɔewo ŋu aleae nye:
- Avocado si woyɔna be avocado
- Akɔɖu
- Kiwi
- Atɔtɔ
- Papaya
- Dzamatre
- Mango
- Tomatre
- Mɔli
Ne nuɖuɖu sia ƒomevi ƒe nulɔdɔ le ŋuwò la, ate ŋu anye be latex ƒe nulɔdɔ hã anɔ ŋuwò evɔ mànya o. Eyata kpɔ egbɔ be yena yeƒe ɖɔkta kple aɖudɔdala nanya nu tso esia ŋu.
Nukae wòle be nàwɔ ne èyi ɖɔkta gbɔ ne nulɔdɔ sia le ŋuwò?
Esia le vevie ŋutɔ. Kpɔ egbɔ be yewɔ nusiawo hena wò dedienɔnɔ.
1. Na nyanya do ŋgɔ: Ƒo ka na wò ɖɔkta alo aɖudɔdala gaƒoƒo 24 ya teti do ŋgɔ na wò kpekpea eye nàna woanya nu tso wò latex ƒe nulɔdɔ ŋu. To mɔ sia dzi la, woate ŋu adzra nuwo abe asigɛ siwo menye latex o ene ɖo.
2. Ðo ɣeyiɣi ɖi le ŋdi me: Wɔ ɖoɖo na ɖɔkta gbãtɔ le ŋkekea me. Elabena ne wozã rababa-sigɛwo ɖe dɔnɔ bubuwo ŋu la, woƒe akpa suesuesuewo te ŋu ƒua tsi le yame. Ne èyi gbã le ŋdi me la, ate ŋu aɖe wò nusuekpɔmɔ̃ mawo dzi akpɔtɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Latex ƒe nulɔdɔ nye dɔléle sesẽ aɖe si ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe, eyata mègabu eŋu nu tsɛe o.
- Esia ƒe atikewɔwɔ nyuitɔe nye be nàƒo asa na nusiwo me rababa le.
- Ne èle nu ƒlem la, xlẽ nusiwo woŋlɔ ɖe wo dzi nyuie eye nànɔ ŋudzɔ ɖe rababa ɣaɣlawo ŋu.
- Ne nulɔdɔ sia le ŋuwò la, na wò atikewɔlawo katã (ɖɔktawo, aɖudɔdalawo) nanya hafi nàva srã wo kpɔ.
- Ne èkpɔ nu sesẽ aɖe, abe gbɔgbɔ sesẽ, mo alo ŋɔti ƒe vuvu ene la, yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake.
- Nenɔ susu me na wò be menye rababa ɖeɖeko ate ŋu adzɔ ɖe cross-reactions dzi o, ke boŋ nuɖuɖu aɖewo hã dzi, eye nàƒo nu tso ema hã ŋu na wò ɖɔkta.
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