Ðe atikutsetse ƒe nulɔdɔ aɖe le ŋuwòa?

Ðe viwòa te ʋuʋudedi dzĩ siwo le ʋuʋum le eƒe ŋutilã katã ŋu le esi wòɖu abolo ʋɛ aɖewo alo almond bisiklet vɔ megbea? Alo ɖe wò ŋutɔ nèsena le ɖokuiwò me be yeƒe nu kple ŋɔti le bibim, alo ƒodo le veve sem le nuku aɖewo ɖuɖu vɔ megbea? Ne èto nusiawo me kpɔ la, ɖewohĩ ‘Ati ƒe Nulɔdɔ ’ hã ate ŋu anɔ ŋuwò, si nye nuku aɖewo siwo tsina ɖe atiwo dzi ƒe nulɔdɔ. Mègatsi dzi o, míaƒo nu tso nusianu ŋu le nya bɔbɔewo me.

Nukae Nye Atiwo ƒe Nulɔdɔ?

Kpuie ko la, atikutsetse ƒe nulɔdɔ nye míaƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ fũ akpa ɖe protein aɖewo siwo le atikutsetse me (abe cashew, almond, kple walnut ene) ŋu. Míaƒe ŋutilã bua protein siawo abe futɔ gã aɖee wonye ene. Emegbe edzea avuwɔwɔ kple futɔ ma gɔme. Le avuwɔwɔ sia ta la, míekpɔa nulɔdɔ ƒe dzesiwo.

Ne èɖu nuku siawo ƒe agbɔsɔsɔ sue aɖe gɔ̃ hã, alo ne ègbɔ aŋɔa gɔ̃ hã la, ate ŋu ana nulɔdɔ sia nadze ame dzi. Menye atikutsetse ƒomevi aɖee atikutsetse nye o, le nyateƒe me la, enye mɔli, abe gbe kple atikutsetse ene. Eyata nulɔdɔ ƒomevi eve li: ɖeka le atikutsetsewo ŋu eye ɖeka le atikutsetsekuwo ŋu. Gake mɔnukpɔkpɔ li be ame aɖe si ŋu atikutsetse melɔ̃a nu le o hã ate ŋu anye be atikutsetse ƒe nukuwo hã melɔ̃na o.

Nukawoe nye dzesiawo? Aleke woate ŋu ade dzesi nusiawo?

Atikutsetse ƒe nulɔdɔ ƒe dzesiwo ate ŋu atso esiwo nu mesẽ o dzi va ɖo esiwo nu sẽ, siwo ate ŋu ade ame ƒe agbe afɔku me. Esi dzesi fafɛwo dze ŋuwò zi ɖeka ta la, mefia be woanɔ ŋuwò ɣesiaɣi o. Esia tae wòle vevie be nànya esia ɖo.

Anaphylaxis nye nulɔdɔ sesẽ aɖe si hiã atikewɔwɔ kpata eye ate ŋu ade ame ƒe agbe afɔku me. Ne èkpɔ dzesi sesẽ siawo dometɔ aɖe la, yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata (ETU) enumake.

Nukatae nulɔdɔ sia dzɔna?

Protein sue aɖewo siwo le papaya-kuwo me megblẽna bɔbɔe ne wodo dzo, woɖa wo, alo woɖa wo o. Ame aɖewo ƒe dɔlélenutsiŋutete sea veve ɖe protein siawo nu ŋutɔ. Ne protein siawo ge ɖe ŋutilãa me la, dɔlélenutsiŋutete wɔa dɔlékuiwutikewo ɖe wo ŋu. Ne dɔlékuiwutike siawo kple protein si le nukuawo me bla ɖekae la, míaƒe ŋutilã ɖea atike aɖe si woyɔna be histamine . Histamine sia koŋue hea nulɔdɔ ƒe dzesiwo vɛ (abe ʋuʋudedi, aɖuɖɔtoe, kple vuvu ene).

Anyi siwo me nulɔdɔ nana zi geɖe:

• Almond-nuɖuɖuwo
• Cashews ƒe lãgbalẽ
• Walnuts ƒe aŋgbawo
• Pistachio ƒe lãwo
• Hazelnut-tiwo ƒe ƒuƒoƒo
• Pecans ƒe lãwo
• Braziltɔwo ƒe nukuwo

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èsusu be nulɔdɔ aɖe le ye ŋu la, yi ɖɔkta gbɔ. Abia nya wò tso wò dzesiwo kple nenye be nulɔdɔ le wò ƒomea me dometɔ aɖe ŋu. Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ siwo gbɔna:

1. Ŋutilã ƒe Ʋuʋu Dodokpɔ:Le afisia la, wozãa aŋe sue aɖe ŋutɔ tsɔ lãa nu sue aɖe ɖe wò asi ƒe ŋutigbalẽ ŋu, eye wotsɔa protein si nye tsi si tso ƒu ƒomevi aɖe me la dea edzi. Ne teƒea biã eye wòvuvu la, efia be ƒu ma ƒomevi melɔ̃a wò o.

2. Ʋudodokpɔ: Woɖea wò ʋu ƒe kpɔɖeŋu aɖe hedonɛ kpɔna be dɔlékuiwutike aɖewo koŋ do ƒome kple nulɔdɔ aɖe hã.

3. Nuɖuɖu si Wono ƒe Kuxi: Wowɔa esia le ɖɔkta ƒe dzikpɔkpɔ te, kɔdzi koe wowɔa esia le. Le afisia la, wonaa nuɖuɖu si koŋ nàɖu la ƒe agbɔsɔsɔ sue aɖe ŋutɔ wò. Wowɔa esia ale be ne nuwɔna aɖe do mo ɖa la, woate ŋu ada dɔ na wò enumake.

Aleke nènɔa agbe kple nulɔdɔ sia?

Agbenɔnɔ kple atikutsetse ƒe dɔléle fia be ele be nàɖɔ ŋu ɖo ŋutɔ le nusiwo nèɖuna kple nusiwo nènona ŋu. Nu nyuitɔ si nàwɔe nye be nàƒo asa na nuku kple nuɖuɖu siawo siwo me wole kura.

• Xlẽ nusiwo woŋlɔ ɖe edzi: Xlẽ nuɖuɖu siwo katã wobla ɖe agba me siwo nèƒlena le fiase me ƒe ŋkɔwo nyuie. Agblɔ nenye be nukuwo le wo me.
• Kpɔ nyuie le cross-contamination ŋu: Tsɔe be èle curry bubu zãm kple gaku ma ke si wozã tsɔ ma cashew curry. Emegbe, cashew protein la ƒe akpa sue aɖe ate ŋu age ɖe curry ma hã me. Woyɔa esia be cross-contamination. Mɔnukpɔkpɔ gã aɖe li be esia nadzɔ le nuɖuɖudzraƒewo kple abolomeƒewo. Eyata, nya esia ne èle nu ɖum le gota.
• Na Epinephrine Auto-Injector Nanɔ Asiwò: Ne nulɔdɔ sesẽ aɖe le ŋuwò la, wò ɖɔkta aŋlɔ epinephrine auto-injector (abe EpiPen ene) na wò. Ele be nàna esia nanɔ gbɔwò ɣesiaɣi. Ele be wò kple wò ƒomea mianya alesi tututu miazãe enumake ne dzesi sesẽwo dze le mia ŋu.

Ne nulɔdɔ aɖe le viwò ŋu...

• Fia viwòa be wòaxlẽ nuɖuɖu ƒe ŋkɔwo kaba ale si wòate ŋui.
• Fia viwòa be wòagama nuɖuɖu na ame bubuwo o eye be wòagaɖu nu ne mènya nusi tututu le eme o.
• Na sukunufialawo, hehenalawo, kple ame tsitsi siwo wɔa nu kple viwòa nanya nu tso viwòa ƒe nulɔdɔ ŋu. Fia alesi woazã epinephrine auto-injector la wo.
• Ne èɖaa nuɖuɖu siwo me nukuwo le le aƒeme la, klɔ nuzazãwo, nuɖanuwo, kple dɔwɔƒewo nyuie.

Nukawoe nye atikewɔmɔnuawo?

Le dzesi suesuesuewo gome la, wò ɖɔkta ate ŋu aŋlɔ atikekui alo tsinyegoe siwo wua ʋumenugbagbeviɣidɔ na wò.

Gake ne èɖe dzesi siwo fia be dɔléle sesẽ aɖe le ŋuwò abe anaphylaxis ene la :

1. Zã Epinephrine auto-injector enumake.

2. Emegbe, yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò la gbɔ kaba. Ne dzesiawo nu fa le epinephrine zazã vɔ megbe hã la, egahiã kokoko be woayi kɔdzi. Elabena dzesiawo ate ŋu agadze le ɣeyiɣi aɖe megbe.

Tsɔ kpe ɖe eŋu la, àte ŋu aƒo nu kple wò ɖɔkta tso atike yeyewo abe Oral Immunotherapy (adze egɔme tso ƒume protein ƒe agbɔsɔsɔ sue aɖe ŋutɔ dzi eye nàdzii ɖe edzi vivivi be ŋutilãa nazu numame nɛ) alo Omalizumab (Xolair) be wòaɖe nulɔdɔa ƒe sesẽ dzi akpɔtɔ na ame aɖewo.