Ðe tɔmelã ɖuɖu hã sesẽna na wòa? Mina míaƒo nu tso tɔmelãwo ƒe nulɔdɔ ŋu!

Tɔmelã nye míaƒe nuɖuɖu akpa gãtɔ ƒe akpa vevi aɖe, alo? Chili-mi si woɖa le zã me ƒe ʋeʋẽ, alo tɔmelã kakɛ aɖe si woɖu kple bli le ŋdɔ me ƒe vivi... Ah! Gake bu eŋu kpɔ, ne ame aɖewo mete ŋu ka asi tɔmelã sia gɔ̃ hã ŋu o ɖe? Ke ne kasia wose le wo ɖokui me be yewole dɔ lém le nuɖuɖu vi aɖe ɖuɖu vɔ megbe gɔ̃ hã ya ɖe? Ẽ, egbea míele nu ƒom tso nyati aɖe si ŋu womeƒoa nu tsoe fũ le ame geɖewo dome o, gake ele vevie ŋutɔ be woanyae ŋu. Emae nye tɔmelãwo ƒe nulɔdɔ, alo `(Fish Allergy)`.

Nuka tututue nye tɔmelã ƒe nulɔdɔ?

Kpuie ko la, tɔmelã ƒe nulɔdɔ nye míaƒe dɔlélenutsiŋutete ƒe seselelãme fũ akpa ɖe protein aɖewo siwo le tɔmelãwo me ŋu. Ne míagblɔe kpuie la, míaƒe ŋutilã bua protein siawo be wonye amedzidzela siwo gblẽa nu le ame ŋu. Emegbe edzea avuwɔwɔ gɔme kple "amedzidzela" siawo.

Fifia ɖewohĩ ànɔ eŋu bum be, "Ðe ƒumelãwo ƒe nulɔdɔ kple tɔmelãwo ƒe nulɔdɔ nye nu ɖekaa?" Ẽ, vovototo sue aɖe le wo dome. Ne míegblɔ be ``Seafood`` la, elɔ tɔmelãwo (e.g., crabs, tuna) kple shellfish (e.g., shrimp, crabs, mussels) siaa ɖe eme. Nu gbagbe ƒomevi eve siawo to vovo. Eyata, ne tɔmelã ƒe nulɔdɔ le ame aɖe ŋu la, kuxi aɖeke manɔ eŋu le shrimp ɖuɖu me o, negbe ɖe ``Shellfish Allergy`` hã le esi.

Nu bubue nye be tɔmelã ƒomevi ʋɛ aɖewo koe ame aɖewo ƒe ŋutilã melɔ̃na o eye woate ŋu aɖu bubuwo nyuie. Gake zi geɖe la, ɖɔktawo kafua wò be ne tɔmelã ƒomevi ɖeka ƒe nulɔdɔ le ŋuwò la, anyo wu be nàƒo asa na tɔmelã ƒomevi bubuawo katã.

Menye tɔmelã ɖuɖu koe hea nulɔdɔ sia vɛ o. Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu ado mo ɖa le tɔmelã léle alo tɔmelã si woɖa ƒe yaƒoƒo gbɔgbɔ vɔ megbe gɔ̃ hã. Nublanuinyae nye be ate ŋu adzɔ le ƒe ɖesiaɖe me. Ame aɖe si ɖu tɔmelã kuxi aɖeke manɔmee do ŋgɔ gɔ̃ hã ate ŋu axɔ nulɔdɔ sia zi ɖeka. Togbɔ be nuɖuɖu ƒe nulɔdɔ aɖewo nu yina le ɣeyiɣi aɖe megbe hã la, ne tɔmelã ƒe nulɔdɔ dze ŋuwò la, zi geɖe la, exɔa wò agbemeŋkekewo katã .

Nukawoe nye nulɔdɔ sia ƒe dzesiwo? Aleke míewɔna dea dzesii?

Ne tɔmelã ƒe nulɔdɔ le ame aɖe ŋu, ne eɖu tɔmelã (ɣeaɖewoɣi to asikaka eŋu alo eƒe ʋeʋẽ ko me) la, woƒe ŋutilã ƒe dɔlélenutsiŋutete wɔa dɔ eye wòɖea atikewo abe histamine ene dona. Esiae hea dzesiawo vɛ. Kpɔe ɖa be dzesi siawo ɖi nusi nènya nyuie hã:

• Yagbɔgbɔ sesẽ, ʋuʋudedi
• Kpe
• Gbeɖiɖi, gbe ƒe tɔtrɔ
• Sese le eɖokui me be yeƒe ŋɔti me te (kɔ ƒe tete) .
• Dɔgbo ƒe vevesese, ʋuʋudedi, ʋuʋudedi
• Dɔmetɔtrɔ
• Ŋku siwo le ʋuʋum, ŋku siwo me tsi le, ŋku siwo vuvu
• Ŋutilã ƒe ʋuʋudedi, aɖuɖɔtoewo
• Teƒe dzĩwo le ŋutigbalẽa ŋu
• Tete
• Ʋu ƒe sisi ƒe ɖiɖi kpata ate ŋu ana ame naɖe ta, atsi dzodzodzoe, eye wòana ame ƒe susu nadzo gɔ̃ hã.

Nu vevitɔe nye be dzesi siawo medzena le mɔ ɖeka nu na amesiame o. Ame ɖeka gɔ̃ hã ate ŋu akpɔ dzesi vovovowo le ɣeyiɣi vovovowo me.

Nɔnɔme aɖe li si me afɔku le si ŋu wòle be míalé ŋku ɖo etɔxɛe le afisia. Ema nye nulɔdɔ sesẽ aɖe si woyɔna be anaphylaxis . Esia ate ŋu ade ame ƒe agbe afɔku me . Ɣeaɖewoɣi la, dzesiawo dzea egɔme tso nu suewo dzi eye kasia wova nu sẽna. Ate ŋu adzɔ be gbɔgbɔ nasesẽ na wò eye màtsi dzimaɖi o. Esia ate ŋu agblẽ nu le ŋutilã ƒe akpa vovovowo ŋu. Ate ŋu anye afɔku ŋutɔŋutɔ ne womewɔ atike nɛ kaba o. Eyata ne èsusu be tɔmelã ƒe dɔléle aɖe le ye ŋu la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo. Eŋutinunyala bibi ate ŋu anya tɔmelã ƒomevi siwo tututu ŋu wò nulɔdɔ le. Ne menye nenema o la, nu nyuitɔ si nàwɔe nye be nàƒo asa na tɔmelã ƒomevi ɖesiaɖe.

Aleke nèwɔa atike na tɔmelã si ŋu nulɔdɔ le? Nukae woawɔ ne nɔnɔme kpata aɖe dzɔ?

Ne tɔmelã ƒe nulɔdɔ le viwò alo ame aɖe si nènya ŋu (alo nuɖuɖu ƒe nulɔdɔ sesẽ bubu aɖe) la, ele vevie be nàtsɔ epinephrine-tike eve ɖe asi ɣesiaɣi. Esia nye atike si xɔa ame ɖe agbe.

Epinephrine nye atike si woŋlɔ na amewo. Zi geɖe la, eva le auto-injector sue aɖe si woate ŋu atsɔ adzoe (abe EpiPen ene) me. Wò ɖɔkta afia alesi nàzãe wò. Ðevi tsitsiwo hã ate ŋu asrɔ̃ alesi woado atike na wo ɖokui. Na atike sia nanɔ wo gbɔ ɣesiaɣi. Womekafui be woagblẽe ɖe sukua ƒe xɔdɔme alo dɔnɔdzikpɔla ƒe dɔwɔƒe o.

Wò ɖɔkta ate ŋu ana Nulɔdɔ Ŋuti Ðoɖowɔɖi hã wò . Esia akpe ɖe ŋuwò nàdzra ɖo ɖe nulɔdɔ aɖe ŋu, ade dzesii, ahadae. Gblɔ ɖoɖo sia na amesiame si léa be na viwòa (ƒometɔwo, sukudzikpɔlawo, xɔlɔ̃wo dzilawo). Ele vevie hã be viwòa nado asigɛ si naa atikewɔwɔ ŋuti nuxlɔ̃ame .

Sɛkɛnd ɖesiaɖe xɔa asi le nulɔdɔ aɖe me.

Ne viwòa dze nulɔdɔ ƒe dzesi sesẽwo gɔme (abe nu alo ŋɔti ƒe vuvu, gbɔgbɔ sesẽ ene) la, do epinephrine nɛ enumake . Alo, ne wokpɔ dzesiawo le ŋutilã ƒe akpa vovovo eve me (le kpɔɖeŋu me, ŋutigbalẽ ƒe ʋuʋu kple ʋuʋudedi) la, do epinephrine na wo enumake. Emegbe ƒo ka na 911 enumake be woaxɔ dɔnɔdzikpɔʋu, alo nàkplɔ wo ayi xɔ si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ me enumake . Na viwòa nanɔ atikewɔlawo ƒe dzikpɔkpɔ te. Ɣeaɖewoɣi la, ne edze abe dzesi vɔ̃ɖitɔ kekeake nu va yi ene gɔ̃ hã la, dzesiawo ƒe ƒutsotsoe evelia ate ŋu ado mo ɖa.

Ɣeaɖewoɣi la, nulɔdɔŋutinunyalawo kafui be woalé atike siwo wua ʋumenugbagbeviɣidɔ si womeƒlena o la ɖe asi. Esiawo ate ŋu akpe ɖe ame ŋu wòaɖu nulɔdɔ ƒe dzesi suesuesuewo dzi. Gake ɖo ŋku edzi be ne wodo epinephrine vɔ ko hafi wòle be woana wo ne ewɔ nu ɖe ​​ame ŋu vevie. Mele be woazã wo atsɔ aɖo epinephrine teƒe gbeɖe o.

Nukae wòle be míanya ne tɔmelã ƒe dɔléle aɖe le mía ŋu? Aleke míate ŋu aɖɔ ŋu ɖo?

Ne nulɔdɔ dodokpɔ ɖo kpe edzi be tɔmelã ƒe nulɔdɔ le viwòa ŋu la, wò ɖɔkta ana mɔfiame aɖewo wò be nàtsɔ akpɔ viwòa ta. Be viwòa nagawɔ nulɔdɔ o la, ele be wòaƒo asa na tɔmelã ɖuɖu kura . Azɔ hã, mègana nuɖuɖu aɖeke viwòa si me tɔmelã ate ŋu anɔ abe nusi wotsɔ wɔe ene o. Le amesiwo sea tɔmelã ɖaɖa ƒe ʋeʋẽ nu la, anyo wu be woaƒo asa na teƒewo abe nuɖuɖudzraƒewo kple tɔmelãdzraƒe siwo ɖaa tɔmelãwo ene.

Nuɖuɖu ƒe ŋkɔwo xexlẽ le vevie ŋutɔ!

Lé ŋku ɖe nuɖuɖu aɖe ƒe ŋkɔ ŋu ɣesiaɣi be tɔmelã le eme hã. Le dukɔwo abe United States ene me la, se bia tso wo si be woaŋlɔ nu vevi siwo nana ame ƒe ŋutilã melɔ̃a nu le ame ŋu o la ɖe nuɖuɖu ƒe ŋkɔ dzi. Le Sri Lanka la, nyatakaka sia le adzɔnu geɖe ŋu fifia. Nusiwo wotsɔ wɔe ƒe xexlẽdzesi ate ŋu anye "lã" alo nya siwo nye "Tlã le eme" le xexlẽdzesiawo megbe.

Nuɖuɖu aɖewo ate ŋu adze nyuie le nusiwo wotsɔ wɔe ƒe xexlẽdzesiwo me, gake ne woɖa wo la, woate ŋu ado ka kple tɔmelãwo. Woyɔa esia be cross-contamination . Bu eŋu kpɔ, ne ètso tɔmelã kple amagbewo ɖe ʋuƒo ɖeka dzia? Ne èɖa tɔmelã kple mɔli kakɛwo le ami ɖeka mea? Nu mawo tɔgbe.

Di nuxlɔ̃amewo le nuŋɔŋlɔawo dzi abe ``Tɔmelã ate ŋu anɔ eme'', ``Wowɔ dɔ le dɔwɔƒe si wɔa tɔmelãwo hã ŋudɔ'', alo ``Wowɔe ɖe dɔwɔnu siwo wozãna na tɔmelãwo hã dzi''. Menye dɔwɔƒewo katãe naa ŋkɔ siawo o. Eyata ne ɖikeke le ŋuwò la, ƒo ka alo nàŋlɔ lɛta na dɔwɔƒea atsɔ aɖo kpe edzi.

Kpɔ nyuie ŋutɔ le nuɖuɖudzraƒewo!

Atikewo ƒe ɖiƒoƒo bɔ ɖe nuɖuɖudzraƒewo ƒe nuɖaƒewo. Afɔku sia dzina ɖe edzi elabena lãtsonu, hɛ, agba, kple ami ɖeka ma ke ye wozãna na tɔmelã kple nuɖuɖu bubuwo siaa.

Afɔku sia lolo ŋutɔ le ƒumelãwo ƒe nuɖuɖudzraƒewo. Ame aɖewo ƒoa asa na teƒe mawo tɔgbe kura. Ne èle nu ɖum le gota la, anyo wu be nàƒo asa na nuɖuɖu siwo wofli. Elabena le teƒe geɖe la, ami ɖeka mee woɖaa nuwo abe koklozi, French fries, kple tɔmelã ene.

Nu siawo nenɔ susu me na wò ne èle nu ɖum le gota:

• Na epinephrine-tike eve siwo ƒe ɣeyiɣi mede o nanɔ viwòa (alo wò ŋutɔ) gbɔ ɣesiaɣi.
• Na wò tɔmelãwo ƒe nulɔdɔ na amesiwo le nuɖuɖu ɖam hele wo nam amewo la me nakɔ.
• Ɣeaɖewoɣi la, ate ŋu anyo wu be nàtsɔ nuɖuɖu si le dedie, si ŋu kakaɖedzi le tso aƒeme.
• Ne nuɖuɖudzraƒedzikpɔla, nuɖala, alo aƒetɔ mexɔ wò biabiaa nyuie o la, nunya anɔ eme be nàƒo asa na nuɖuɖu le afima.

Kpɔ nyuie le esia ŋu le suku hã:

Afɔku ate ŋu anɔ eme hã be dɔlékuiwo ate ŋu aƒo ɖi le suku ƒe nuɖuɖudzraƒewo ƒe nuɖuɖuwo me. Ƒo nu tso esia ŋu na dɔwɔlawo. Dzila aɖewo tiae be yewoaƒo yewo vi ƒe nuɖuɖu nu ƒu tso aƒeme. Esia ate ŋu anɔ dedie wu.

Kpuie ko la... (Take-Home Message)

Togbɔ be tɔmelãwo ƒe nulɔdɔ nye dɔléle sesẽ aɖe hã la, woate ŋu akpɔ egbɔ nyuie ne wona nyanya wò nyuie eye nèwɔ ɖe afɔɖeɖe siwo hiã dzi.

• Tsɔ epinephrine-tike eve ɖe asi ɣesiaɣi. Nya alesi tututu nàzãe.
• Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie. Nya nu tso ``(Cross-contamination)`` ŋu vevietɔ.
• Ðe nulɔdɔ sia me na viwò, ƒomea, nufialawo, kple dɔnɔdzikpɔla bubuwo.
• Le nɔnɔme kpata aɖe me la, mègatsi dzodzodzoe o, wɔ nu kaba.
• Mègatsi dzodzodzoe o. Nyanyanana kple dzadzraɖoe nye nu vevitɔ kekeake le afisia. Ne ɖikeke aɖe le mewò la, di atikewɔlawo ƒe aɖaŋuɖoɖo godoo. Aɖe vi ŋutɔ be nàdo go kple nulɔdɔŋutinunyala aɖe adzro nya sia me ayi ŋgɔe.

Míele lãmesẽ nyui dim na wò kple wò ƒomea!

` Tɔmelãwo ƒe Nulɔdɔ, Nulɔdɔ ƒe Dzesiwo, Anaphylaxis, Epinephrine, Nuɖuɖu ƒe Nulɔdɔ, Cross-contamination