Ðe nuɖuɖu ƒe nulɔdɔ le viwòa ŋua? Va, na míaƒo nu tso nya sia ŋu!

Ède dzesii kpɔ be ɣeaɖewoɣi ɖevi sue aɖe ɖua nane eye emegbe wòtrɔna biãna, ƒoƒoe nɔa eŋu, eye gbɔgbɔ sesẽna nɛ ɣeaɖewoɣia? Alo ɖewohĩ èvɔ̃ ŋutɔ ne nu ma tɔgbe dzɔ ɖe wò ŋutɔ viwò dzi. Le nyateƒe me la, míeyɔa nɔnɔme sia be nuɖuɖu ƒe nulɔdɔ. Esia ate ŋu anye nu sesẽ vie wu alesi nèsusui ɣeaɖewoɣi. Gake mègatsi dzi o, ne míenya esia nyuie la, míate ŋu akpɔ egbɔ nyuie.

Nukae nye nuɖuɖu ƒe nulɔdɔ sia? Mina míase egɔme bɔbɔe.

Enyo, bu eŋu ale. Dzɔla suewo ƒe ƒuƒoƒo aɖe le míaƒe ŋutilã me. Mina míayɔ wo be dɔlélenutsiŋutete . Woƒe dɔe nye be woakpɔ mía ta tso dɔlékuiwo kple dɔléle siwo gena ɖe míaƒe ŋutilã me la me. Gake, ne nuɖuɖu ƒe nulɔdɔ aɖe le mía ŋu la, nu wɔnuku aɖe dzɔna. Dedienɔnɔdzikpɔla siawo, ne wokpɔ nuɖuɖu si sɔ si megblẽa nu le ame kukua ŋu ŋutɔŋutɔ o la, wobunɛ vodadatɔe be enye futɔ gã aɖe, amedzidzela.

Nukae dzɔna ɣemaɣi? Míaƒe dɔlélenutsiŋutete dzea avu gã aɖe gɔme kple nuɖuɖu ma si "womede dzesii nyuie o". Le avuwɔwɔ sia ta la, dzesi siwo megblɔ va yi, abe ʋuʋudedi kple gbɔgbɔ sesẽ ene, dona. Míeyɔa esia be nulɔdɔ .

Nu vevitɔe nye be ne nuɖuɖu aɖe ƒe nulɔdɔ sue aɖe koe nɔ ame aɖe ŋu va yi hã la, ɣebubuɣi la , ate ŋu asẽ ale gbegbe be wòate ŋu ade eƒe agbe afɔku me . Eyata ne nuɖuɖu ƒe nulɔdɔ le ame aɖe ŋu la, ehiã be wòadzudzɔ nuɖuɖu ma ƒomevi ɖuɖu keŋkeŋ. Azɔ hã, ele vevie be nàna atike si woyɔna be `(Epinephrine)` nanɔ teƒe si te ɖe ŋuwò ɣesiaɣi ne nɔnɔme kpata aɖe dzɔ.

Nuɖuɖu kawoe naa nulɔdɔ wu?

Togbɔ be ɖevi ate ŋu awɔ nulɔdɔ le nuɖuɖu ɖesiaɖe ŋu hã la, esiawoe nye nuɖuɖu vevi siwo hea nulɔdɔ ƒe 90% vɛ na ɖeviwo:

• Notsi (zi geɖe la, nyi ƒe notsi) .
• Aziwo
• Anyigbadzobonuwo
• Soya `(Soya)`
• Lu
• Akɔɖu siwo tsina ɖe atiwo dzi (le kpɔɖeŋu me, walnuts, cashews) .
• Tɔmelã
• Tɔmelã siwo woyɔna be shellfish (le kpɔɖeŋu me, shrimp, crabs) .
• Sesame si wotsɔna ƒoa ƒui

Ame siawoe nye fɔɖila vevitɔwo. Gake megagblɔe ake be, àte ŋu anye nulɔdɔ na nuɖuɖu ɖesiaɖe si mele xexlẽdzesi sia me o.

Nukae nye nuɖuɖu ƒe nulɔdɔ ƒe dzesiwo?

Ne nuɖuɖu aɖe ƒe nulɔdɔ le ŋuwò la, wò ŋutilã ɖea atike siwo woyɔna be histamine dona. Nuwɔna sia ate ŋu anɔ bɔbɔe alo wòasẽ ŋutɔ. Abe alesi míegblɔe va yi ene la, amesi ƒe dɔléle nu mesẽ va yi gɔ̃ hã ate ŋu awɔ nuvevii kokoko ɣebubuɣi si wòaɖui.

Esiawoe nye dzesi siwo woate ŋu akpɔ le nulɔdɔ me:

• Ʋuʋudedi
• Yagbɔgbɔ sesẽ
• Kpe
• Gbe ƒe ɖiɖi
• Sese le ɖokuiwò me be yeƒe ŋɔti xaxa
• Dɔgbo ƒe vevesese
• Ʋuʋudedi
• Aɖuɖɔtoe (ʋuʋudedi) .
• Ŋku siwo le vuvu, tsi, alo vuvu
• Aɖuɖɔtoe dzĩ siwo le ʋuʋum le ŋutigbalẽa ŋu (hives) .
• Teƒe dzĩwo le ŋutigbalẽa ŋu
• Ŋutilã ƒe vuvu
• Ʋu ƒe sisi ƒe ɖiɖi kpata, taɖuame, alo tagbɔsesẽ

Mina míasrɔ̃ nu tso nɔnɔme sesẽ si woyɔna be Anaphylaxis hã ŋu.

Ɣeaɖewoɣi la, nuɖuɖu ƒe nulɔdɔ ate ŋu ahe dɔléle si nu sẽ ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã, si woyɔna be anaphylaxis . Esia ate ŋu adze egɔme tso dzesi fafɛ siwo míeyɔ va yi la ke dzi. Gake nɔnɔmea ate ŋu agblẽ ɖe edzi kaba ŋutɔ.

Esia ate ŋu ana gbɔgbɔtsixe natsi ame eye wòana ame ƒe susu nabu. Dzesi siawo ate ŋu adze le ŋutilãa ƒe akpa siwo wu ɖeka. Ne womedo epinephrine na wò o la, nɔnɔme sia ate ŋu awu wò. Eyata esia nye nusi wòle be woabu nu vevii ŋutɔ.

Eyata nukae nye nuɖuɖu ƒe mɔmaɖemaɖeɖenuŋu sia?

Ame geɖe tɔtɔa nuɖuɖu ƒe nulɔdɔ kple nuɖuɖu ƒe mɔmaɖemaɖeɖenuŋu. Vovototo gã aɖe le wo ame evea dome.

Ne nuɖuɖu ƒe dɔmawɔmawɔ nyuie le ŋuwò la, àte ŋu akpɔ dzesiwo abe:

• Gudus yiyi
• Nuɖuɖumadzroame, nuɖuɖumeŋusẽ ƒe kuxiwo
• Ʋuʋudedi
• Aɖuɖɔtoe (si dzɔna enuenu) .
• Taɖuame
• Dzimaɖitsitsi
• Sese le eɖokui me be dzoxɔxɔ le ye ŋu

Ke hã, le ``Nuɖuɖu ƒe Mɔmaɖemaɖeɖenuŋu`` gome la:

• Míaƒe dɔlélenutsiŋutete mekpɔa gome le esia me o . Ema fia be aʋawɔwɔ aɖeke mele dedienɔnɔdzikpɔla siwo ŋu míeƒo nu tsoe va yi la dome o.
• Esia ate ŋu adzɔ ne ame mate ŋu aɖu nu aɖe o. Le kpɔɖeŋu me, ame aɖewo mete ŋu ɖua lactose, si nye sukli ƒomevi aɖe si le notsi me o.
• Togbɔ be esia meɖea dzi ɖi o hã la, ƒã hafi wòsẽna ale gbegbe be wòate ŋu ade ame ƒe agbe afɔku me .

Èse vovototo si le wo dome gɔmea? Nulɔdɔ lɔ dɔlélenutsiŋutete ɖe eme, eye ate ŋu asẽ ŋutɔ. Nuɖuɖumeŋusẽ koŋue nye mɔmaɖemaɖeɖenuŋu.

Aleke nàwɔ anya kple kakaɖedzi be nuɖuɖu ƒe dɔléle aɖe le ŋuwò?

Ne èsusu be nuɖuɖu ƒe nulɔdɔ le viwòa ŋu la, anyo wu be nàyi ɖɔkta gbɔ. Ðɔktaa abia nyawo abe:

• Dzesi kawoe viwòa ɖe fia ?
• Ɣeyiɣi didi kae le nuɖuɖu aɖe koŋ ɖuɖu vɔ megbe hafi dzesi siawo dze egɔme?
• Ðe nusiwo ŋu nulɔdɔ le le ƒomea me , alo nɔnɔmewo abe eczema alo asrã enea?

Emegbe, ɖɔktaa ate ŋu aɖo wò ɖe nulɔdɔŋutinunyala aɖe gbɔ . Ðɔktaa abia nya bubuwo eye wòado viwòa kpɔ. Woate ŋu awɔ dodokpɔwo hã atsɔ aɖo kpe nulɔdɔa dzi, abe:

• Ŋutilã Dodokpɔ: Esia bia be nàtsɔ tsi si wotsɔ nuɖuɖu siwo nèsusu be ɖewohĩ yeƒe ŋutilã melɔ̃na o la ƒe tsitete ʋɛ aɖewo ade ɖevia ƒe alɔnu alo akɔta, eye emegbe nàtsɔ aŋe sue aɖe aƒo ŋutigbalẽa. Ne teƒea biã eye wòkɔ vie (abe nudzodzoe ƒe ɖuɖu ene) le miniti ʋɛ aɖewo me la, efia be ɖevia ate ŋu ase veve ɖe nuɖuɖu ma nu.
• Ʋudodokpɔ: Esia doa dɔlékuiwutike siwo woyɔna be IgE antibodies, siwo ŋutilãa wɔna ɖe nuɖuɖu aɖewo koŋ ŋu la ƒe anyinɔnɔ kpɔna.

Ŋkeke 5 va ɖo 7 hafi woado ŋutigbalẽa kpɔ la, ahiã be viwòa nadzudzɔ atike aɖewo nono (le kpɔɖeŋu me, atike siwo wua aɖuɖɔtoe siwo nàte ŋu aƒle le atikedzraƒe hena ŋutigbalẽ ƒe ʋuʋu). Atike siawo ate ŋu akpɔ ŋusẽ ɖe dodokpɔa me tsonu dzi. Eyata kpɔ egbɔ be yebia wò nulɔdɔŋutinunyala be atike kawoe wòle be nàdzudzɔ nono kple ɣeyiɣi didi si nàdzudzɔ.

Ɣeaɖewoɣi la, ne dodokpɔ siawo me tsonu me mekɔ o la, nulɔdɔŋutinunyala ate ŋu atso nya me be yeawɔ nuɖuɖu ƒe kuxi dodokpɔ .

• Esia bia be woana nuɖuɖu si wosusu be nulɔdɔ le ɖevia ŋu la ƒe agbɔsɔsɔ sue aɖe ŋutɔ, eye woalé ŋku ɖe dzesiawo ŋu le ɖɔkta ƒe dzikpɔkpɔ te. Ele be woawɔ esia le nulɔdɔŋutinunyala ƒe dɔwɔƒe, kɔdzi, alo teƒe aɖe si woakpɔ atikewɔnyawo gbɔ kpata le, elabena nuwɔna sesẽ aɖe ate ŋu adzɔ.

Wozãa ``Nuɖuɖu ƒe Kuxi Dodokpɔ'' sia le ɣeyiɣi bubu me. Eyae nye be woakpɔe ɖa be ɖevi aɖe tsi wu nulɔdɔ si nɔ eŋu va yi hã.

Aleke wokpɔa nuɖuɖu ƒe nulɔdɔwo gbɔe?

Ele be epinephrine (adrenaline) ƒe agbɔsɔsɔme eve nanɔ ɖevi si ƒe nuɖuɖu melɔ̃na o ŋu ɣesiaɣi . Esia nye atike si woana ne edzɔ kpata, si nu sẽ ŋutɔ.

• Epinephrine nye atike si woŋlɔ na amewo. Mɔ̃ sue aɖe si woate ŋu atsɔ ayi teƒe bubuwo mee wòle. Ezazã le bɔbɔe ŋutɔ. Wò ɖɔkta afia alesi nàzãe wò.
• Na atike ƒe agbɔsɔsɔme eve nanɔ asiwò ɣesiaɣi . Zã wo ne ɖeka mewɔ dɔ o alo ne viwòa hiã na atike evelia.

Wò ɖɔkta ate ŋu ana Allergy Action Plan hã wò, si nye ɖoɖo si woŋlɔ ɖi si gblɔ nusi nàwɔ ne nulɔdɔ aɖe le ŋuwò, alesi nàwɔ ade dzesi dzesiawo, kple alesi nàdae. Gblɔ ɖoɖo sia na amesiame si hiã be wòanya. Le kpɔɖeŋu me, ƒometɔwo, sukudzikpɔlawo, kple kamedefefewo ƒe hehenalawo. Afisiafi si viwòa le la, ele be amesiame si léa be nɛ la nanya afisi epinephrine le, wòakpɔe bɔbɔe, eye wòanya alesi wòanae. ViwòaBu asigɛ si naa atikewɔlawo ƒe nuxlɔ̃ame hã dodo hã ŋu.

Ɣeyiɣi nye nu vevitɔ le nulɔdɔwo me. Ne dzesi sesẽwo abe gbɔgbɔ sesẽ alo ŋɔti me veve ene dze viwòa dzi la, na epinephrine nɛ le aɖabaƒoƒo ɖeka me . Azɔ hã, ne dzesiwo dze le ŋutilã ƒe akpa vovovo eve le ɣeyiɣi ɖeka me (le kpɔɖeŋu me, aɖuɖɔtoe kple ʋuʋudedi) la, na epinephrine enumake. Emegbe ƒo ka na 911 (ambulance dɔwɔƒe) enumake eye nàkplɔ viwòa ayi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le . Atikewɔlawo ƒe dzikpɔkpɔ le vevie ŋutɔ. Elabena ɣeaɖewoɣi, ne edze abe vɔ̃ɖitɔ kekeake wu enu ene gɔ̃ hã la, dzesi sesẽwo ƒe ƒutsotsoe evelia ate ŋu ado mo ɖa.

Aleke dzilawo ate ŋu ana wo viwo nanɔ dedie?

Ne nuɖuɖu ƒe nulɔdɔ le viwòa ŋu la, ele vevie be nàxlẽ nuɖuɖu ƒe nuŋɔŋlɔwo nyuie be wòaƒo asa na nulɔdɔ. Nusiwo woatsɔ awɔe kple alesi wodzrae ɖo ate ŋu ato vovo. Eyata ele vevie be nàxlẽ nusi woŋlɔ ɖe edzi ɣesiaɣi, ne viwòa ɖu nuɖuɖu si mehe kuxi aɖeke vɛ va yi o gɔ̃ hã .

Woŋlɔ nu vevi siwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o ƒe akpa gãtɔ ɖi kɔte. Gake woate ŋu aɣla nusiwo nana ame ƒe ŋutilã melɔ̃a nu o siwo mebɔ o ɖe nuwo abe "Dzɔdzɔme Nuvivinuwo" alo "Nu ʋeʋĩwo" ene me.

Nusi ɖewohĩ womeŋlɔ ɖe dzesidenu aɖe dzi o enye afɔku si le dɔlékuiwutikewo ƒe ƒuƒoƒo me . Cross-contamination nye ne nuɖuɖu si ŋu mèlɔ̃a nu le o va do go nuɖuɖu si ŋu wò nulɔdɔ mele o. Le kpɔɖeŋu me, esia ate ŋu adzɔ ne dɔwɔƒe aɖe tu nuɖuɖu ƒomevi vovovowo le mɔ̃ ɖeka me.

Dɔwɔƒe aɖewo ŋlɔa gbedasi siawo tɔgbe ɖe woƒe ŋkɔwo dzi be: “Ate ŋu anye be atikutsetsewo anɔ eme,” “Wotrɔ asi le eŋu le dɔwɔƒe si wɔa notsi hã ŋudɔ,” alo “Wowɔe ɖe dɔwɔnu siwo hã trɔa asi le azi ŋu dzi.” Anyo wu be nàƒo asa na atike siwo ŋu nuxlɔ̃ame siawo le.

Ke hã, se aɖeke meli si bia be woatsɔ nuxlɔ̃amewo tso ``cross-contamination'' ŋu ade dzesidenua dzi o. Eyata nu nyuitɔ si nàwɔe nye be nàƒo ka na dɔwɔƒe si wɔa nuɖuɖua ahabia nenye be anɔ eme be nuɖuɖua aƒo ɖi nusiwo ŋu viwòa ƒe nu melɔ̃a nu le o hã . Àte ŋu axɔ nyatakaka siawo tso dɔwɔƒea ƒe nyatakakadzraɖoƒea. Ne menye nenema o la, ƒo ka na dɔwɔƒea nàbia.

Ne viwòa le nu ɖum le gota la, gblɔ nulɔdɔa kple nuɖuɖu ɖesiaɖe si wòle be wòaƒo asa na na amesiame si le nuɖuɖu ɖam. Ne anya wɔ la, anyo hã be wò ŋutɔ nàɖa nuɖuɖu siwo nènya be wole dedie na viwòa.

Àte ŋu akpɔ nyatakaka bubuwo tso esia ŋu le Internet dzi. Le kpɔɖeŋu me, yi habɔbɔwo abe `Food Allergy Research and Education Network (FARE)` ƒe nyatakakadzraɖoƒewo.

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Nuɖuɖu ƒe nulɔdɔ menye nusi woabu nu tsɛe o, vevietɔ ne míeƒo nu tso mía vi suewo ƒe dedienɔnɔ ŋu.

• Ne ɖikeke le mewò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Mègakpɔ dɔlélea le ɖokuiwò si o.
• Ne woɖo kpe nulɔdɔ aɖe dzi la, ƒo asa na nuɖuɖu siwo nana nulɔdɔa nu sẽna la keŋkeŋ.
• Tsɔ Epinephrine ƒe agbɔsɔsɔ eve ɖe asi ɣesiaɣi.Eye nya alesi tututu nàzãe.
• Na wòazu numame na wò be nàxlẽ ŋkɔ siwo woŋlɔ ɖe wo dzi. Ɣesiaɣi, le nuɖuɖu ɖesiaɖe me.
• Kpɔ nyuie le ``(Cross-contamination)`` ŋu.
• Na ɖevia ƒe suku, ŋkeke ɖeka dzikpɔƒe, kple ƒometɔwo kple xɔlɔ̃wo katã nanya.
• Mègatsi dzodzodzoe o, ke boŋ nɔ ŋudzɔ. Ne ɖevi si si nuɖuɖu melɔ̃a nu le o gɔ̃ hã nya nu nyuie eye wòwɔ ɖoɖo nyuie la, ate ŋu anɔ agbe si me dzidzɔ le eye wòanɔ dedie.

Mele mɔ kpɔm be nyati sia na nèse nuɖuɖu ƒe nulɔdɔwo gɔme nyuie wu. Ne nya bubu aɖewo gale asiwò la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta.

` Nuɖuɖu ƒe nulɔdɔ, Nuɖuɖu ƒe nulɔdɔ, Nuɖuɖu ƒe nulɔdɔ, Nulɔdɔ le ɖeviwo me, Nulɔdɔ ƒe dzesiwo, Anaphylaxis, Epinephrine, Nuɖuɖu ƒe ŋkɔwo, Cross-contamination, Dɔlélenutsiŋutete