Ðe notsi nono nana nèdzea dɔa? Mina míasrɔ̃ AZ tso notsi ƒe nulɔdɔ ŋu!

Ðe viwò suea xɔa ƒoƒoe dzĩwo le eƒe ŋutilã ŋu le notsi nono vɔ megbea? Alo ɖe wòɖea aɖuɖɔa? Ðewohĩ wò hã èkpɔ dɔgboa ƒe dɔmawɔmawɔ nyuie eye gbɔgbɔ sesẽ na wò le nane abe notsi, yogurt, alo cheese ɖuɖu vɔ megbe. Esia nye kuxi si le ame geɖe ŋu. Egbea míele nu ƒom tso esia si bɔ ŋutɔ, gake ɣeaɖewoɣi la, afɔku le eme, notsi ƒe nulɔdɔ, alo Notsi ƒe Nulɔdɔ .

Nuka tututue nye notsi ƒe nulɔdɔ?

Kpuie ko la, esia fia be míaƒe dɔlélenutsiŋutete, si kpɔa mía ta tso dɔléle me, wɔa nu wògbɔa eme ɖe protein siwo le notsi me ŋu. Míaƒe ŋutilã susuna be notsi me protein siawo nye futɔ gã aɖe, eyata edzea avuwɔwɔ kple wo gɔme. Esia tae nulɔdɔ ƒe dzesiwo dzena ɖo.

Zi geɖe la, nyi ƒe notsi gbɔe esia tsona , gake lãwo ƒe notsi ƒomevi bubuwo abe gbɔ̃ ƒe notsi kple alẽ ƒe notsi ene hã ate ŋu awɔ nuvevi ame aɖewo.

Gake nu ʋɛ aɖewo li siwo mele be míatɔtɔ le afisia o:

• Notsi Ŋuti Nulɔdɔ Nyateƒetɔ: Esia nye dɔléle si lɔ dɔlélenutsiŋutete ɖe eme.
• Notsi me protein ƒe mɔmaɖemaɖeɖenuŋu le vidzĩwo me: Esia hã nye dɔlélenutsiŋutete ƒe ŋuɖoɖo ƒomevi bubu, gake zi geɖe la, medea agbe afɔku me o.
• Lactose ƒe mɔmaɖemaɖeɖenuŋu: Esia to vovo kura. Menye nulɔdɔe wònye o. Enye míaƒe ŋutilã ƒe ŋutete be wòaɖu lactose, si nye sukli si le notsi me.

Ameka dzie nɔnɔme sia gblẽ nu le wu?

Notsi ƒe dɔléle ate ŋu adze amesiame si xɔ ƒe ɖesiaɖe dzi, gake ebɔ ɖe ɖevi siwo mexɔ ƒe 16 haɖe o dzi wu. Nya nyuiae nye be ɖevi akpa gãtɔ tsina wu nulɔdɔ sia ne wole tsitsim. Eye abe vidzĩ siwo katã ƒe notsi me protein melɔ̃na o ene la, nɔnɔmea hã adzi ɖe edzi wu eɖokui ne wole tsitsim.

Nulɔdɔ sia ate ŋu adzɔ le vidzĩ siwo wona no notsi kple esiwo wona no siaa dzi.

Nukae dzɔna le ŋutilãa me ne èno notsi?

Bu eŋu kpɔ, wò ŋutilã ƒe akpa aɖe le abe dedienɔnɔdzikpɔla ene. Emae nye dɔlélenutsiŋutete. Ne notsi me proteinwo ge ɖe ame aɖe si ŋu notsi melɔ̃a nu le o ƒe ŋutilã me la, dedienɔnɔdzikpɔla siawo susuna be futɔ aɖe va ɖo.

Emegbe woyɔ dɔlélenutsiŋutete E (Immunoglobulin E - IgE).Wowɔa dɔlékuiwutike tɔxɛ aɖe si woyɔna be IgE. IgE dɔlékuiwutike siawo yia ɖaléna ɖe lãmenugbagbevi tɔxɛwo (mast cells) ŋu le míaƒe ŋutigbalẽ kple gbɔgbɔtsixe me. Ne míegano notsi ake la, IgE dɔlékuiwutike siawo léa notsi me proteinawo. Emegbe, atike aɖe si woyɔna be histamine dona tso lãmenugbagbevi mawo me. Histamine mae hea nulɔdɔ ƒe dzesiwo katã abe aɖuɖɔtoe, ʋuʋudedi, kple gbɔgbɔtsixetsixe ene vɛ.

• IgE ƒe ŋuɖoɖowo: Esiawo dzɔna kabakaba ŋutɔ. Dzesiawo dzena le aɖabaƒoƒo ʋɛ aɖewo ko me le notsi nono vɔ megbe. Ɣeaɖewoɣi la, woate ŋu ayi ŋgɔ ava zu nulɔdɔ sesẽ ŋutɔ si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be anaphylaxis .
• Nuwɔna siwo menye IgE o: Esiawo xɔa ɣeyiɣi didi vie hafi wova dzɔna. Ate ŋu axɔ gaƒoƒo 48 hafi dzesiawo nadze. Esia bɔ ɖe vidzĩwo me. Zi geɖe la, nusiawo medea ame ƒe agbe afɔku me o.

Nukae nye notsi ƒe dɔléle ƒe dzesiwo?

Notsi ƒe dɔléle ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le ame aɖewo gome la, ate ŋu asẽ ŋutɔ , evɔ le ame bubuwo gome la, ate ŋu asẽ ŋutɔ.

Nukatae nulɔdɔ sia dzɔna?

Protein ƒomevi vevi eve le notsi me. Ðewohĩ nusiawo dometɔ ɖeka alo evea siaa ƒe nuléle na wò.

1. Casein: Ƒe 1999 me.Esiawo nye protein siwo le notsi me ƒe 80% lɔƒo. Wokpɔa wo le akpa si le ɣie si kɔna yia etame ne wotsɔ notsi ƒo ƒui. Protein sia le nuwo abe yogurt kple cheese ene hã me. Eyae nye nusi naa notsi ƒe amadede nyea ɣie.

2. Whey: Esia nye protein siwo le notsi me ƒe 20% lɔƒo. Wokpɔa whey proteins le tsi ƒe akpa si susɔna ne wotsɔ notsi ƒo ƒui la me.

Aleke nàwɔ anya kple kakaɖedzi nenye be esia nye notsi ƒe dɔléle?

Ne dzesi siawo le ŋuwò la, nu nyuitɔ si nàwɔe nye be nàkpɔ ɖɔkta . Aɖo wò ɖe nulɔdɔŋutinunyala gbɔ ne ehiã. Woawɔ dodokpɔ aɖewo atsɔ aɖo kpe esia dzi.

• Ʋudodokpɔ: Woɖea wò ʋu ƒe kpɔɖeŋu eye wodzidzea IgE dɔlékui siwo tsia tre ɖe notsi me proteinwo ŋu ƒe agbɔsɔsɔ.
• Ŋutilã ƒe Ƒoƒo Dodokpɔ: Le esia me la, wotsɔa tsi si me notsi me protein le ƒe tsitete aɖe dana ɖe wò asi ƒe ŋutigbalẽ dzi eye wotsɔa aŋe sue aɖe ƒoae blewu. Ne teƒea biã eye wòvuvu le abe miniti 15 ene me la, àte ŋu aɖo kpe edzi be nulɔdɔ aɖe le ŋuwò.
• Graded Oral Challenge: Atikewɔlawo ƒe dzikpɔkpɔ te koe wowɔa esia. Le esia me la, wonaa notsi sue aɖe wò eye woléa ŋku ɖe ŋuwò nyuie be nulɔdɔ ƒe dzesi ɖesiaɖe le ŋuwò hã.

Aleke woawɔ akpɔ egbɔe ahakpɔ egbɔ?

Ne notsi ƒe dɔléle le ŋuwò la, mɔ ɖeka kolia kple nyuitɔ si dzi nàto axe mɔ ɖe nulɔdɔ nu enye be nàƒo asa na notsi kple nuɖuɖu kple nunono siwo katã me notsi le keŋkeŋ.

Nuɖuɖu kawoe wòle be woaƒo asa na?

• Notsi (aŋɔ, tsi si wotsɔ ƒo ƒu, tsi le nɔnɔme ɖesiaɖe me) .
• Notsi si tso lã bubuwo gbɔ (gbɔ̃ ƒe notsi, alẽ ƒe notsi) .
• Bɔta, Ghee, si nye Ghee
• Cottage cheese si wotsɔa lãfu wɔe
• Yogurt, notsi si womeɖa o, custard, pudding
• Kplu si me wodea amii

Aleke woawɔ akpɔ nunyiame notsi manɔmee?

Notsi nye nunyiame veviwo abe calcium kple vitamin D. Eya ta ne ènya dzudzɔ notsi nono ko la, ele be nàxɔ nunyiame siawo tso nuɖuɖu bubuwo me.

• Ama
• Broccoli si wotsɔa lãgbalẽ wɔe
• Notsi siwo me calcium le abe soya-notsi kple almond-notsi ene
• Tɔmelãwo abe salmon kple sardines ene

Ele vevie ŋutɔ be nàbia nuɖuɖuŋutinunyala aɖe be yeanya nu geɖe tso esia ŋu.

Atikewɔwɔ kpata

Ne nulɔdɔ sesẽ aɖe le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ atike si nye epinephrine auto-injector , si wogayɔna be EpiPen®.Woaŋlɔ ɖeka na ame. Ðɔktaa aɖe alesi nàzã esia atsɔ axɔ wò agbe ne nulɔdɔ sesẽ aɖe (anaphylaxis) do mo ɖa la me na wò. Ele be nàna esia nanɔ gbɔwò ɣesiaɣi.

Ðe notsi ƒe nulɔdɔ kple lactose ƒe dɔmawɔmawɔ nyuie nye nu ɖeka?

Ẽ, nɔnɔme eve siwo to vovo kurae nye esiawo. Afi siae ame geɖe tɔtɔna le.

Nusiwo ŋu nàɖɔ ŋu ɖo le gbesiagbegbenɔnɔ me ne nulɔdɔ le ŋuwò

• Lé ŋku ɖe nu siwo nèɖuna kple esiwo nènona ŋu ɣesiaɣi. Xlẽ nusi woŋlɔ ɖe nusianu si nèƒle le fiasea me dzi nyuie.
• Ne notsi ƒe dɔléle aɖe le viwòa ŋu la, fiae be megaƒle nuɖuɖu tso exɔlɔ̃wo gbɔ o. Na nufiala hã nanya le suku.
• Ne èle nu ɖum le gota la, gblɔ nusiwo ŋu wò nulɔdɔ le na nuɖuɖudzrala alo nuɖala. Bia nusiwo wotsɔ wɔe ŋuti nyatakakawo tsitotsito.
• Do asigɛ si naa atikewɔlawo ƒe nuxlɔ̃ame si ƒo nu tso wò nulɔdɔwo ŋu.
• Na EpiPen® si wò ɖɔkta ŋlɔ na wò la nanɔ gbɔwò ɣesiaɣi.

Agbenɔnɔ kple notsi ƒe nulɔdɔ ate ŋu asesẽ, gake ne wokpɔ edzi nyuie la, wò ŋutɔ alo viwòa ate ŋu anɔ agbe si me lãmesẽ le bliboe, si me dzidzɔ le.