Ðe nuɖuɖu ƒe nulɔdɔ aɖe le viwòa ŋua? Mina míaƒo nu tso dodokpɔ siwo ɖɔktawo zãna tsɔ nyaa nu ŋu (Food Allergy Testing)!

Ðe wò ŋutɔ alo viwò suea sena le ɖokuiwò me be nane si wɔ nuku alo meɖea dzi ɖi le nuɖuɖu aɖe ɖuɖu vɔ megbea? Ðe nèse veve, ɖa biã, alo gbɔgbɔ sesẽ na wò le nuɖuɖu ƒomevi aɖe ɖuɖu vɔ megbe kpɔa? Esiawo ate ŋu anye nuɖuɖu ƒe nulɔdɔ ƒe dzesiwo . Eyata mina míaƒo nu tso alesi ɖɔktawo ate ŋu anya nuɖuɖu ƒe nulɔdɔ kple dodokpɔ siwo wowɔna ŋu, alo? Mehiã be nàvɔ̃ alo atsi dzimaɖi ɖe nusiawo ŋu madzemadzee o. Gake nyatakaka siawo nyanya aɖe vi na wò ŋutɔ.

Aleke ɖɔktawo doa nuɖuɖu ƒe nulɔdɔ kpɔna?

Zi geɖe la, ɖɔkta, vevietɔ ɖɔkta si bi ɖe nulɔdɔwo me – míeyɔnae hã be "nulɔdɔŋutinunyala" – zãa dodokpɔmɔnu vevi eve tsɔ ɖoa ​​kpe edzi be nuɖuɖu ƒe nulɔdɔ aɖe le eme hã. Esiawo nye ŋutigbalẽ dodokpɔ kple ʋudodokpɔ . Le go aɖewo me la, ɖɔkta ate ŋu atso nya me be yeawɔ dodokpɔ siawo evea siaa. Wokpɔa esia ne wobu nu geɖe ŋu, abe dɔnɔa ƒe nɔnɔme kple dzesiawo ƒe nɔnɔme ene.

Nukae nye ŋutigbalẽ ƒe ƒoƒo dodokpɔ? Aleke wowɔnɛ?

Esia melolo alo sesẽ abe alesi nàsusui ene o. Enye dodokpɔ bɔbɔe aɖe ŋutɔ. Tsɔe be èsusu be nane melɔ̃a viwò suea ne ele notsi nom. Emegbe nulɔdɔŋutinunyala alo dɔnɔdzikpɔla si xɔ hehe awɔ dodokpɔ sia ale:

1. Gbã la, kɔ ŋutigbalẽ si le wò alo viwòa ƒe abɔta alo akɔta ƒe akpa aɖe ŋu nyuie.

. Esia menye vevesese gã aɖeke o, ewɔna nam abe ʋuʋudedi sue aɖe ŋutɔ ene, abe nudzodzoe ƒe ɖuɖu ene. Naneke meli si ŋu woavɔ̃ ɖo o.

3. Tsɔ tsi la de wò ŋutigbalẽ ŋu alea eye nàlala abe miniti 15 ene.

4. Fifia nu vevitɔ kekeake. Ne teƒe si wotsɔ tsi si "allergen" de eme la biã, evuvu vie, eye ʋuʋudedi sue aɖe si le abe ʋuʋudedi ene (si ɖɔktawo hã yɔa esia be "wheal" ) do la, enaa dzesi aɖe be ate ŋu anye be nuɖuɖu si ŋu nya ku ɖo ƒe nulɔdɔ aɖe le ame ŋu.

5. Emegbe, ɖɔkta alo dɔnɔdzikpɔla azã dzidzenu atsɔ adzidze tasiaɖamfɔa ƒe lolome kple teƒe dzĩ si ƒo xlãe pɛpɛpɛ eye wòaŋlɔe ɖi.

Azɔ bu eŋu kpɔ, ne èsusu be menye nuɖuɖu ɖeka koe nulɔdɔ le ŋuwò o, ke boŋ nuɖuɖu ƒomevi geɖe hã, alo ne esesẽ be nànya nuɖuɖu si tututu le nulɔdɔ ƒe dzesi siawo hem vɛ la, ɖɔkta ate ŋu ado wò ŋutigbalẽ akpɔ to "nulɔdɔlékui" vovovo geɖewo dada ɖe edzi le ɣeyiɣi ɖeka me.

Le ŋutigbalẽ dodokpɔa megbe la, àte ŋu aƒo teƒe si wowɔ dodokpɔa le hena ɣeyiɣi kpui aɖe. Esia sɔ. Gake zi geɖe la, ʋuʋudedia nu fa le miniti 30 me. Ne viwòa le ʋuʋum fũu akpa la, ɖɔkta ate ŋu ana atike si wua ʋumenugbagbeviɣidɔ alo steroid-tike si wotsɔna ƒoa viwòa be nàtsɔ asisi ɖe teƒe siwo ʋuʋudedi le. Esia akpe ɖe ŋuwò nàɖe ʋuʋudedia dzi akpɔtɔ kaba.

Nuka tututue ʋudodokpɔ dia?

Le go aɖewo me la, tsɔ kpe ɖe ŋutigbalẽdodokpɔ si míeyɔ ɖe etame ŋu, alo ne susu aɖewo li siwo ta womate ŋu awɔ ŋutigbalẽdodokpɔ o (le kpɔɖeŋu me, ame aɖe si ŋu ŋutigbalẽ ƒe dɔléle sesẽ aɖe le alo ame aɖe si le atike aɖewo nom) la, ɖɔkta ate ŋu aɖo aɖaŋu hã be woado ʋu kpɔ.

Esia bia be woaɖe ʋu sue aɖe ŋutɔ le wò alo viwòa si ahaɖoe ɖe nudokpɔƒe be woadoe kpɔ etɔxɛe. Nu vevitɔe nye be míakpɔe ɖa be "IgE dɔlékuiwutikewo" le ʋua me hã, siwo míaƒe dɔlélenutsiŋutete wɔna ɖe nuɖuɖu tɔxɛwo ŋu.

Kpuie ko la, IgE dɔlékuiwutike siawo nye protein ƒomevi tɔxɛ aɖe si míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete, wɔna ne ede dzesi nuɖuɖu aɖewo vodadatɔe be wonye "vɔ̃ɖi" alo "futɔ," eye wòdze agbagba be yeawɔ avu kpli wo. Eyata ne wokpɔe be IgE dɔlékui siawo siwo tsia tre ɖe nuɖuɖu aɖe ŋu le ame ƒe ʋu me la, efia be ate ŋu adzɔ be nuɖuɖu ma melɔ̃a nu le eŋu o. Kpekpeɖeŋu aɖe koe wònye, abe alesi ŋutigbalẽ dodokpɔ me tsonu ene.

Aleke ɖɔktawo ɖea dodokpɔ me tsonu gɔmee? Esia le vevie ŋutɔ!

Nane si wòle be wòanɔ susu me na wòe nye esi. Esi ŋutigbalẽ dodokpɔ alo ʋudodokpɔ na nuɖuɖu aɖe ƒe nuwɔna " nyui" ta la, mefia be ame aɖe ka ɖe edzi 100% be nuɖuɖu ma ƒe nulɔdɔ le ye ŋu o. Ðeko wòfia be nulɔdɔ aɖe ate ŋu adzɔ.

Bu eŋu ale. Wodzia ame aɖewo kple ŋutigbalẽ si sea veve ŋutɔ. Ne nane, abe nane si menye dodokpɔnu o ene, do dziku na woƒe ŋutigbalẽ vie hã la, ate ŋu abiã, avuvu vie, alo avuvu gɔ̃ hã. Mehiã be wòanye nulɔdɔ o. Azɔ hã, ate ŋu adzɔ be IgE dɔlékui siwo tsia tre ɖe nuɖuɖu aɖe ŋu nanɔ ame aɖewo ƒe ʋu me, gake ɖewohĩ womaɖe nulɔdɔ ƒe dzesi aɖeke afia ne woɖu nuɖuɖu ma o. Míeyɔa esia be "sensitization," si to vovo tso "allergy" gbɔ.

Eyata ɖɔkta manɔ te ɖe dodokpɔ siawo me tsonu ɖeɖeko dzi atso nya me mamlɛtɔ le nenye be nuɖuɖu ƒe nulɔdɔ le ame aɖe ŋu gbeɖe o. Abia nu bubu geɖewo wò godoo, abe:

• Dzesi kawo koŋ me tom wò alo viwòa? (e.g., ʋuʋudedi? ʋuʋudedi? gbɔgbɔ sesẽ? dɔgbo ƒe vevesese?)
• Ɣeyiɣi didi kae dzesi siawo dzena le nuɖuɖua ɖuɖu vɔ megbe? (Aɖabaƒoƒo? Gaƒoƒo?)
• Aleke gbegbee dzesiawo nu sẽe? (Ðe wòle ʋuʋum vie koa? Alo ɖe wòsẽ ale gbegbe be wò ŋutilã bliboa vuvu eye mègate ŋu le gbɔgbɔm oa?)
• Ðe nuɖuɖu ƒe nulɔdɔ sia ƒomevi alo nulɔdɔ bubuwo (e.g. asrã, ke ƒe nulɔdɔ) le ame bubu aɖe si le wò ƒomea me (dada, fofo, nɔviwo)?

Ne ɖɔkta aɖe lé ŋku ɖe dɔnɔa ƒe atikewɔwɔ ŋutinya bliboa, dzesiawo ƒe nɔnɔme, kple dodokpɔa me tsonu ŋu vɔ ko hafi wòƒo nya ta wòde pɛpɛpɛ le nuɖuɖu ƒe nulɔdɔ ŋu.

Nukae Nye Nuɖuɖu Siwo Wonona ƒe Kuxi? Ðe wònye afɔkua?

Azɔ tsɔe be ŋutigbalẽdodokpɔ kple ʋudodokpɔ si míeyɔ ɖe etame siaa me tsonu me mekɔ tututu o. Alo, ne nuɖuɖu ƒe nulɔdɔ nɔ viwòa ŋu esime wònye ɖevi, eye fifia si wòtsi vie la, àdi be yeanyae kple kakaɖedzi nenye be nulɔdɔ ma bu, si nye , "etsi wu", ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dodokpɔ bubu aɖe koŋ. Esiae nye nusi míeyɔna be "nuɖuɖu ƒe kuxi" .

Nusi dzɔnae nye esi:

1. Wotsɔa nuɖuɖu si wosusu be enye nusi nana ame ƒe ŋutilã melɔ̃a nu o (si ate ŋu ana nuɖuɖu me nulɔna) la dea eme le agbɔsɔsɔ sue aɖe ŋutɔ me, ɖewohĩ anɔ abe teaspoon ɖeka ƒe akpa ewolia ene, eye vivivi la, edzina ɖe edzi le ɣeyiɣi aɖe megbe.

2. Wowɔa esiawo katã le ɖɔkta ƒe dzikpɔkpɔ te tẽe eye wòkpɔa wo dzi nyuie . Ðɔkta alo atikewɔla si wona hehee anɔ ŋku lém ɖe nulɔdɔ ƒe dzesi ɖesiaɖe ŋu nyuie. Woléa ŋku ɖe nuwo abe ʋu ƒe sisi, gbɔgbɔ ƒe ɖoɖo, kple ŋutigbalẽ ƒe tɔtrɔ ŋu ɣesiaɣi.

3. Mègadze agbagba gbeɖe be yeawɔ dodokpɔ sia le aƒeme o. Ðɔkta ƒe dɔwɔƒe (dɔdaƒe) alo kɔdzi, si me dɔwɔƒe siwo katã hiã be woatsɔ akpɔ nudzɔdzɔ kpata aɖe gbɔ koe wòle be woawɔ esia le. Esia le alea elabena nulɔdɔ sesẽ kpata, si woyɔna be "anaphylaxis" ate ŋu adzɔ.Ne nɔnɔme aɖe si ate ŋu ade ame ƒe agbe afɔku me (nulɔdɔ sesẽ) dzɔ la, ele be atike siwo wozãna kpata kple ɖɔkta kple atikewɔla siwo wona hehee (eŋutinunyalawo kple atikewɔlawo) nanɔ anyi atsɔ adae enumake.

Esia le vevie ŋutɔ: Mègate "Nuɖuɖu ƒe Kuxi" kpɔ le aƒeme gbeɖe o, le susu aɖeke ta, atikewɔlawo ƒe dzikpɔkpɔ manɔmee o, enyo? Elabena nuɖuɖu ƒe nulɔdɔ ate ŋu anye afɔku si mebɔ o ɣeaɖewoɣi. Ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

Zi geɖe la, wowɔa "nuɖuɖu ƒe kuxi" dodokpɔ sia tsɔ ɖoa ​​kpe edzi nenye be nuɖuɖu ƒe nulɔdɔ si nɔ ame ŋu va yi la kɔ fifia, si fia be kuxi aɖeke mele nuɖuɖu ma ɖuɖu me fifia o. Le kpɔɖeŋu me, vidzĩ si ƒe aziwo melɔ̃na o le eƒe ɖevime ate ŋu atsi wu azi ma le dzɔdzɔme nu le ƒe ʋɛ aɖewo me ne wole tsitsim. Eyata dodokpɔ sia ɖea vi ŋutɔ le ema tututu didi me.

Nukae adzɔ emegbe ne dodokpɔ aɖe ɖo kpe edzi be nulɔdɔ aɖe le eŋu?

Enyo, azɔ mina míagblɔ be dodokpɔ siwo míeyɔ ɖe etame ɖo kpe edzi be nuɖuɖu ƒe nulɔdɔ le viwòa alo wò ŋu. Mègatsi dzodzodzoe le ɣeyiɣi ma me o, menye xexeame ƒe nuwuwu o. Wò ɖɔkta akpe ɖe ŋuwò godoo be nàwɔ dɔdzikpɔkpɔ ƒe ɖoɖo si me kɔ le alesi nànɔ dedie le nɔnɔme yeye sia me le mɔ si sɔ nu ŋu.

Nu vevi siwo wòle be woawɔe nye:

1. Ƒo asa na nuɖuɖu siwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o:

• Ðɔktaa ana nàŋlɔ nuɖuɖu siwo menyo na wò alo viwòa o la nyuie, eye wòana nàse nuɖuɖu siwo me nu ɣaɣlawo ate ŋu anɔ hã gɔme nyuie.
• Ele be wòazu numame na wò be nàxlẽ nuɖuɖu ƒe nuŋɔŋlɔ siwo le nuɖuɖu ƒe agba alo aŋetu ɖesiaɖe si nèƒle le fiase me la nyuie ŋutɔ. Elabena ɣeaɖewoɣi la, nuɖuɖu siwo ŋu míebuna gɔ̃ hã o, le kpɔɖeŋu me, nuɖuɖuvivinu, mɔli, kple bisiklet, ate ŋu anye nuɖuɖu mawo siwo nana ŋutilã melɔ̃a nu o (e.g., notsi, azi, soya, atikutsetse , lu).
• Ne viwòa le suku yim la, ele vevie ŋutɔ be nàna klass nufiala, nuɖuɖudzraƒe dɔwɔlawo, kple bubuawo nanya tso esia ŋu. Azɔ hã, ne míeyi ƒometɔwo ƒe aƒewo me, xɔlɔ̃wo ƒe aƒewo me, alo kplɔ̃ɖoƒewo la, nyanya na ame bubuwo tso esia ŋu do ŋgɔ ate ŋu aƒo asa na kuxi geɖe siwo mehiã o.

2. Atike siwo wozãna kpata la léle ɖe asi:

• Nuɖuɖu ƒe nulɔdɔ aɖewo ate ŋu asẽ ŋutɔ. Ema fia be abe alesi míegblɔe va yi ene la, nuwɔna sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be "anaphylaxis" ate ŋu adzɔ, si ate ŋu ana gbɔgbɔ nasesẽ na ame kpata, ʋu ƒe sisi naɖiɖi kpata, eye ame ƒe susu nabu.
• Ne nɔnɔme kpata sia tɔgbe dzɔ la, zãe enumake. Ðɔktaa aŋlɔ atike tɔxɛ aɖe na wò. Woyɔa esia be "Adrenaline" (Epinephrine).Zi geɖe la, esia va le mɔ̃ si le abe nuŋlɔti ene si zazã le bɔbɔe ŋutɔ (si nye epinephrine auto-injector) me. Wò ɖɔkta alo dɔnɔdzikpɔla ana hehe wò le alesi nàzãe ŋu.
• Ele be nàtsɔ "Adrenaline" (Epinephrine) atike sia ɖe asi ɣesiaɣi, alo na viwòa, ɣesiaɣi. Ele be nàtsɔe ɖe asi le wò sukukplo me, ne èdo go yi fefe, ne èle mɔ zɔm, afisiafi si nèyi. Ele abe mɔ̃ si xɔa ame ɖe agbe ene.
• Azɔ hã, ele vevie be wò, wò ƒomea me tɔwo, kple amesiwo akpɔ viwòa dzi, abe viwòa ƒe nufialawo ene, nanya alesi tututu nàzã atike sia le nɔnɔme kpata aɖe me. Ðɔktaa aɖe eme na wò nyuie eye wòana hehe wò ne ehiã.

Gbedasi vevitɔ kekeake si woatsɔ ayi aƒemee tso nusiawo katã me enye:

Ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò be nuɖuɖu ƒe nulɔdɔ le ŋuwò la, mègatso nya me be yeaɖe nuɖuɖu yeyewo dzi akpɔtɔ alo adze wo gɔme le wò didi nu ko o. Kpɔ egbɔ be yeyi ɖɔkta bibi gbɔ, xɔ aɖaŋuɖoɖo nyuiwo, eye nàwɔ dodokpɔ siwo sɔ ne ehiã.

• Ŋutilã ƒe ƒoƒo dodokpɔ kple ʋudodokpɔ siwo me wodia IgE dɔlékuiwutikewoe nye mɔnu vevitɔ siwo wozãna tsɔ dea dzesi nuɖuɖu ƒe nulɔdɔ.
• Dodokpɔ me tsonu "positive" ɖeɖe mefia be nulɔdɔ le ame aɖe ŋu o. Ðɔkta abu nu geɖe, siwo dometɔ aɖewoe nye dɔlélea ƒe dzesiwo, dɔnɔa ƒe atikewɔwɔ ŋutinya, kple ƒomea ƒe nulɔdɔwo ŋu hafi awɔ nyametsotso mamlɛtɔ.
• Ɣeaɖewoɣi, vevietɔ ne emetsonuwo me mekɔ o la, woate ŋu awɔ nuɖuɖu si woano ƒe kuxi aɖe atsɔ akpɔe ɖa be nulɔdɔ aɖe bu hã. Gake ɖɔkta ƒe dzikpɔkpɔ tẽ kple kɔdzi ƒe nɔnɔme me koe wòle be woawɔ esia.
• Ne ɖɔkta ɖo kpe edzi be nulɔdɔ aɖe le ŋuwò la, mègatsi dzodzodzoe alo avɔ̃ o, eye nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Nu vevitɔwoe nye be nàƒo asa na nuɖuɖu siwo hea nulɔdɔa vɛ keŋkeŋ eye nàna "adrenaline" (epinephrine) auto-injector nanɔ teƒe si te ɖe ŋuwò ɣesiaɣi hena zazã kpata.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ƒomea ƒe ɖɔkta alo nulɔdɔŋutinunyala biam o. Wole afima be yewoana mɔfiame nyuitɔ wò. Nɔ lãmesẽ me!

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