Ðe atikutsetse ƒe dɔléle aɖe le viwòa ŋua? Mina míaƒo nu tso esia ŋu tsitotsito!

Èkpɔ ɖevi sue aɖewo wodze dɔ eye gbɔgbɔ sesẽ na wo le atikutsetse ʋɛ aɖewo ɖuɖu vɔ megbe kpɔa? Alo ɖe esia dzɔ ɖe wò ŋutɔ viwò dzia? Esiae nye nusi míeyɔna be atikutsetse ƒe nulɔdɔ . Ate ŋu anye nu vevi ŋutɔŋutɔ, eyata ele vevie be nànyae. Mina míaƒo nu tso esia ŋu egbea, enyoa?

Nukae nye Peanut Allergy?

Kpuie ko la, atikutsetse ƒe nulɔdɔ fia be amea ƒe dɔlélenutsiŋutete - si kpɔa mía ta tso dɔléle kple dɔlékuiwo me le dzɔdzɔme nu - wɔa nu wògbɔa eme ɖe protein aɖewo siwo le atikutsetse me ŋu. Tsɔe be ne ame sia tɔgbi ɖu nane si me atikutsetse le alo noe la, woƒe ŋutilã susuna be protein siawo nye amedzidzela siwo gblẽa nu le ame ŋu siwo wòle be woaɖe ɖa. Eyata, dɔlélenutsiŋutete dzea dɔwɔwɔ gɔme nyuie be yeawɔ avu kple ‘amedzidzela’ siawo. Ɣemaɣie nulɔdɔ aɖe dzɔna.

Ame geɖe susuna be atikutsetse nye atikutsetse vavã. Gake le nyateƒe me la, atikutsetse nye mɔli ƒomea me tɔ, abe chickpeas kple lentils ene. Atikutsetse nye nusi bɔ ŋutɔ si nana nuɖuɖu melɔ̃a nu le ame ŋu o. Ɣeaɖewoɣi la, míate ŋu ake ɖe wo ŋu le nuɖuɖu siwo ŋu míebuna gɔ̃ hã o la me. Le kpɔɖeŋu me, chili aɖewo zãa atikutsetse siwo wotu tsɔ ƒoa woe. Mèbu eŋu kpɔ o, alo?

Nuɖuɖu ƒe nulɔdɔ aɖewo nu yina le ɣeyiɣi aɖe megbe. Gake atikutsetse ƒe nulɔdɔ nye nusi ate ŋu anɔ ame geɖe si le woƒe agbemeŋkekewo katã me . Eyata ele vevie be nànya esia.

Nukae nye atikutsetse ƒe dɔléle ƒe dzesiwo?

Ne ame aɖe si ŋu atikutsetse ƒe dɔléle le ɖu nane si me atikutsetse le la, eƒe ŋutilã ɖea atikewo abe histamine ene doa goe. Esiae hea dzesiawo vɛ. Dzesiawo dometɔ aɖewoe nye esi:

• Ʋuʋudedi
• Yagbɔgbɔ sesẽ
• Kpe
• Gbe ƒe ɖiɖi
• Sese le ɖokuiwò me be yeƒe ŋɔti xaxa
• Dɔgbo ƒe vevesese
• Ʋuʋudedi
• Dɔmetɔtrɔ
• Ŋku siwo le vuvu, tsi, alo vuvu
• Ŋutilã ƒe vevesese, aɖuɖɔtoewo
• Teƒe dzĩwo le ŋutilãa ŋu
• Tete
• Ʋu ƒe sisi ƒe ɖiɖi kpata, taɖuame, alo tagbɔsesẽ
• Sese le ɖokuiwò me be yemele dedie o, yetsi dzodzodzoe, alo abe nu gbegblẽ aɖe ene la le dzɔdzɔ ge

Nusiwo ŋu atikutsetse melɔ̃a nu le o ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ɣeaɖewoɣi la, ame ɖeka gɔ̃ hã ate ŋu awɔ nu le mɔ vovovowo nu le ɣeyiɣi vovovowo me. Le kpɔɖeŋu me, gbeɖeka la, ɖewohĩ aɖuɖɔ sue aɖe koe axɔ wò, eye le ŋufɔke la, àwɔ nu si nu sẽ wu. Nuwɔna aɖewo fafɛ ŋutɔ.Ate ŋu anɔ bɔbɔe, si fia be ate ŋu akpɔ ŋusẽ ɖe ŋutilãa ƒe ɖoɖo ɖeka ko dzi, abe ŋutigbalẽ ƒe gbegblẽ ene. Gake nuwɔna bubuwo ate ŋu asẽ wu eye wòagblẽ nu le ŋutilã ƒe akpa vovovowo ŋu.

Nu vevitɔ si dzi wòle be nàɖo ŋkui enye be ne nulɔdɔ sue aɖe koe nɔ ŋuwò va yi gɔ̃ hã la, atikutsetse ƒe dɔléle ate ŋu ahe dɔléle sesẽ aɖe ŋutɔ vɛ, si ate ŋu ade wò agbe afɔku me si woyɔna be anaphylaxis . Esia nye nusi wòle be wòanɔ susu me na mí.

Nɔnɔme sia si woyɔna be anaphylaxis ate ŋu adze egɔme kple dzesi siwo nɔ anyi tsã la ke. Gake ate ŋu agblẽ ɖe edzi kaba ŋutɔ . Ate ŋu ana gbɔgbɔ nasesẽ eye ame ƒe susu nabu. Ate ŋu adze ŋutilã ƒe akpa vovovowo dzi. Ne womedae nyuie o la, anaphylaxis ate ŋu ade ame ƒe agbe afɔku me . Eyata ele be nànɔ ŋudzɔ ŋutɔ le esia ŋu.

Nukae nàwɔ ne nulɔdɔ aɖe le ŋuwò? Aleke woawɔ adae?

Ne atikutsetse ƒe nulɔdɔ alo nuɖuɖu ƒe nulɔdɔ sesẽ bubu aɖe le viwòa ŋu la, ele vevie be nàna epinephrine ƒe agbɔsɔsɔme eve nanɔ asiwò ɣesiaɣi. Esia ate ŋu axɔ ame ɖe agbe ne nulɔdɔ sesẽ aɖe do mo ɖa. Ele abe agbeɖela ene.

Epinephrine nye atike si woŋlɔ na amewo. Eva le mɔ̃ sue aɖe si woate ŋu atsɔ (auto-injector) me. Ezazã le bɔbɔe ŋutɔ. Wò ɖɔkta afia alesi nàzãe wò. Woate ŋu afia alesi woado atike na wo ɖokui hã ɖevi tsitsiwo. Ne viwòa tsɔa epinephrine la, ele be wòanɔ wo gbɔ ɣesiaɣi. Menye be woatsɔe ade woƒe xɔmenuwo me alo le sukua ƒe dɔnɔdzikpɔlawo ƒe dɔwɔƒe o. Ele vevie be wòanɔ anyi kaba ne nɔnɔme kpata aɖe do mo ɖa.

Wò ɖɔkta ate ŋu ana ‘nulɔdɔ ƒe afɔɖeɖe’ hã wò . Esia ate ŋu akpe ɖe ŋuwò nàdzra ɖo ɖe nulɔdɔ aɖe ŋu, ade dzesii, ahadae. Gblɔ ɖoɖo sia na amesiame si léa be na viwòa. Esia lɔ ƒometɔwo, sukudzikpɔlawo, kple ɖevi bubu siwo viwòa fena kplii la dzilawo ɖe eme. Azɔ hã, bu eŋu kpɔ be yeana viwòa nado asigɛ si naa atikewɔwɔ ŋuti nuxlɔ̃ame .

Sɛkɛnd ɖesiaɖe xɔa asi le nulɔdɔ me. Ne viwòa dze nulɔdɔ ƒe dzesi sesẽwo gɔme – abe nu kple ŋɔti ƒe vuvu, gbɔgbɔ sesẽ ene – na epinephrine enumake. Azɔ hã, ne dzesiawo dze le ŋutilã ƒe akpa vovovo eve zi ɖeka, abe aɖuɖɔtoe kple ʋuʋudedi ene la, na epinephrine. Emegbe ƒo ka na 119 enumake (àte ŋu aƒo ka na dɔnɔdzikpɔƒea to kpovitɔwo ƒe xexlẽdzesi kpata dzi) eye nàkplɔ viwòa ayi xɔ si me wowɔa dɔ kpata le.Ele be ɖevia nanɔ atikewɔlawo ƒe dzikpɔkpɔ te, elabena ɣeaɖewoɣi, togbɔ be edze abe vɔ̃ɖitɔ kekeake va yi ene hã la, dzesiwo ƒe ƒutsotsoe evelia ate ŋu ado mo ɖa .

Ɣeaɖewoɣi la, nulɔdɔŋutinunyalawo kafui be woalé atike siwo wua ʋumenugbagbeviɣidɔ (siwo woate ŋu aƒle le atikedzraƒe o (OTC)) ɖe asi. Esiawo ate ŋu akpe ɖe ame ŋu le nulɔdɔ ƒe dzesi suesuesuewo me. Gake ɖo ŋku edzi be ne wodo epinephrine vɔ ko hafi wòle be woana antihistamines ne dɔlélea nu sẽ, eye mele be woazãe atsɔ aɖɔli epinephrine gbeɖe o.

Nu vevi bubu kawoe wòle be míanya tso esia ŋu?

Ne atikutsetse ƒe nulɔdɔ le viwòa ŋu la, ele be nàkpe ɖe eŋu wòaƒo asa na atikutsetse ɖuɖu. Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie. Nusiwo wotsɔ wɔa nuɖuɖua ate ŋu atrɔ ne wole nuɖuɖu ɖam, eye woate ŋu akpɔ atikutsetsewo le teƒe siwo màkpɔ mɔ na o.

Mɔ nyuitɔ si dzi nàto anya kple kakaɖedzi nenye be atikutsetse mele nuɖuɖu aɖe me o enye be nàxlẽ nusi woŋlɔ ɖe edzi. Le dukɔ aɖewo me (e.g. Amerika) la, wobia tso nuɖuɖuwɔlawo si be woaŋlɔ ɖe nuɖuɖua ƒe ŋkɔ dzi nenye be atikutsetse le nuɖuɖua me loo alo mele eme o. Le Sri Lanka la, nyatakaka sia le adzɔnu geɖe ŋu fifia. Gbã la, lé ŋku ɖe nusiwo wotsɔ wɔe ƒe xexlẽdzesiwo ŋu.

Nuɖuɖu aɖewo ate ŋu adze nyuie le nusiwo wotsɔ wɔe ƒe xexlẽdzesiwo me, gake ne wowɔ wo la, woate ŋu ado go atikutsetsewo. Esiae nye nusi míeyɔna be cross-contamination . Bu eŋu abe atikutsetsebolo kaka ɖe gaku ɖeka dzi eye emegbe nàma nuɖuɖu bubu kple gaku ma ke ene. Di aɖaŋuɖoɖonyawo abe ‘Ate ŋu anye be atikutsetsewo anɔ eme’, ‘Wotrɔ asi le eŋu le dɔwɔƒe si wɔa atikutsetsewo hã ŋudɔ’ alo ‘Wowɔe ɖe dɔwɔnu siwo wozãna na atikutsetsewo hã dzi’. Menye dɔwɔƒewo katãe yɔa ɖiƒoƒo sia be enye atitsoga o. Eyata ne ɖikeke aɖe le mewò la, kpɔ egbɔ be yeƒo ka alo to e-mail dzi na dɔwɔƒea tsɔ ɖo kpe edzi.

Nuɖuɖu siwo le afɔku me na amesiwo ŋu atikutsetse ƒe dɔléle le wu dometɔ aɖewoe nye abolomegbawo, akpɔnɔ viviwo, nuɖuɖuvivinuwo, kple ice cream. Azɔ hã, kpɔ nyuie le afisi nèma dɔwɔnuwo le, abe ice cream-kplu alo ice cream-mɔ̃ siwo wotsɔna naa ice cream fafɛ ene.

Ne èle nu ɖum le gota la, kpɔ egbɔ be epinephrine ƒe agbɔsɔsɔ eve siwo mewu enu haɖe o le viwòa ŋu ɣesiaɣi.Azɔ hã, na viwòa ƒe atikutsetse ƒe nulɔdɔ na amesiame si ɖaa nuɖuɖu alo naa nuɖuɖui la eme nakɔ. Ɣeaɖewoɣi la, àte ŋu atsɔ nuɖuɖu siwo nènya be mele dedie na viwòa tso aƒeme la vɛ. Ne edze abe nuɖuɖudzraƒea ƒe nuɖala, dɔdzikpɔla, alo aƒetɔ ƒe dzi medzɔ ɖe wò nuɖuɖu si le dedie ƒe biabiaa ŋu o ene la, anyo wu be nàƒo asa na nuɖuɖu le afima.

Ƒo nu kple sukudɔwɔlawo tso afɔku si le dɔlékui siwo le nuɖuɖudzraƒewo ƒe nuɖuɖuwo me ŋu. Ƒome aɖewo sena le wo ɖokui me be yewovo wu ne wobla ŋdɔnuɖuɖuwo tso aƒeme.

Ne èdi be yeanya nu geɖe tso alesi woawɔ akpɔ nuɖuɖu ƒe nulɔdɔwo gbɔ ŋu la, àte ŋu ayi dukɔwo dome habɔbɔwo abe Food Allergy Research & Education (FARE) ene ƒe nyatakakadzraɖoƒewo. (Zi geɖe la, esiawo nɔa Eŋlisigbe me, gake nyatakaka vevi geɖe le wo me.)

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enyo, eyata míeƒo nu geɖe tso atikutsetse ƒe nulɔdɔ ŋu. Adze nu dziŋɔ vie, gake ne sidzedze kple dzadzraɖo nyuitɔ le asiwò la, àte ŋu anɔ agbe kplii dzidzedzetɔe.

• Ne èsusu alo ɖo kpe edzi be atikutsetse ƒe nulɔdɔ le viwòa ŋu la, wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie.
• Tsɔ epinephrine auto-injector ɖe asi ɣesiaɣi. Ele be wò, viwòa, kple amesiame si léa be na viwòa nanya ale si tututu nàzãe.
• Na wòazu numame na wò be nàxlẽ nuɖuɖu ƒe ŋkɔwo. Kpɔ nyuie le atikutsetse ‘ɣla’ hã ŋu.
• Kpɔ nyuie le atitsoga ƒe ɖiƒoƒo ŋu, vevietɔ ne èle nu ɖum le gota.
• Na viwòa ƒe suku kple xɔlɔ̃wo dzilawo nanya nu tso esia ŋu. Ele vevie ŋutɔ be nàlé kadodo nyui me ɖe asi.

Ðo ŋku edzi be menye wò ɖeka koe o. Ame bubu geɖewo hã le nɔnɔme mawo tɔgbe me tom. Ne ehiã la, di kpekpeɖeŋu tso ɖɔktawo kple dzila bubuwo gbɔ. Mègavɔ̃ o, mí katã míele esia me ɖekae!

` Atikutsetse ƒe Nulɔdɔ, Nulɔdɔ, Ðeviwo ƒe Nulɔdɔ, Epinephrine, Anaphylaxis, Nuɖuɖu ƒe Nulɔdɔ