Ðe nulɔdɔ aɖewo le viwòa ŋua? Mina míasrɔ̃ nusianu tso ŋutigbalẽ dodokpɔ ŋu!

Ɣeaɖewoɣi la, nu vovovowo nulɔna ɖe mía vi suewo ŋu, alo? Ate ŋu anye nuɖuɖu, ate ŋu anye ke, alo nuwo abe lãfu ene gɔ̃ hã. Eyata woyɔa dodokpɔ vevi aɖe si wowɔna be woanya nusi tututu ta nulɔdɔa le la be ŋutigbalẽ dodokpɔ. Ðe míaƒo nu tso esia ŋu tsitotsito egbea? Àkpɔ ŋuɖoɖo na biabia ɖesiaɖe kloe si le susu me na wò le nyati sia me.

Nukae nye ŋutigbalẽ dodokpɔ? Aleke wowɔnɛ?

Kpuie ko la, ŋutigbalẽ dodokpɔ nye dodokpɔ si wowɔna ɖe ŋutigbalẽa ŋu be woakpɔe ɖa be nane melɔ̃a viwòa o hã. Esiae nye mɔ si bɔ wu eye wòwɔa dɔ nyuie wu si dzi woato adi nusiwo ŋu nulɔdɔ le. Zi geɖe la, wowɔa dodokpɔ sia le ɖevia ƒe abɔ alo akɔta ƒe ŋutigbalẽ ŋu.

Ŋutilã ƒe ƒoƒo dodokpɔ si wowɔna zi geɖe wu

Na míakpɔ ale si míawɔ esia ɖa.

Bu eŋu kpɔ, ne èkplɔ viwò yi nulɔdɔŋutinunyala gbɔ la, eya alo dɔnɔdzikpɔla si wona hehee atsɔ nu alo nusiwo nèsusu be woawoe le nulɔdɔa hem vɛ (míeyɔa esia hã be ``nulɔdɔ'') ƒe agbɔsɔsɔ sue aɖe ŋutɔ ɖe ɖevia ƒe asi alo akɔta ƒe ŋutigbalẽ dzi. Wotsɔa esiawo dana ɖe ŋutigbalẽa dzi abe tsi suesuesuewo ene.

Emegbe wozãa dɔwɔnu sue aɖe si le sue ŋutɔ si le abe aŋe ene tsɔ doa do sue aɖe alo do sue aɖe ɖe ŋutigbalẽ si me woda nua ɖo la me. Esia menye nusi gena ɖe ŋutigbalẽa me goglo o, ke boŋ nusi wowɔna le gotagome ŋutɔ. Woyɔa esia be ``Ŋutilã ƒe Ʋuʋu Dodokpɔ''. Ame aɖewo hã yɔnɛ be ``Scratch Test'' elabena ena wòdzena abe ɖe wole ŋutigbalẽa ƒom vie ene.

Àte ŋu ado nu geɖe siwo nèsusu be ɖewohĩ nulɔdɔ anɔ ye ŋu le ɣeyiɣi ɖeka me la akpɔ – ɖewohĩ ewo, wuiatɔ̃, alo esi wu nenema gɔ̃ hã – le wò ŋutigbalẽ dzi. Le kpɔɖeŋu me, àte ŋu ado nuɖuɖu vovovo geɖe (abe atikutsetse, notsi, azi), ke, aŋɔ, kple lãwo ƒe ƒuƒu kpɔ zi ɖeka. Ne èwɔ esia la, viwòa ate ŋu ase le eɖokui me be yeƒe lãme le ƒoƒom vie, eye ɣeaɖewoɣi la, avuvu vie. Gake mevea ame akpa o. Ðevi suewo meɖea fu na esia ŋutɔŋutɔ o.

Emegbe lala abe miniti 15 ene be nàkpɔ nusi adzɔ. Ne nane melɔ̃a viwòa o la, teƒe si wotsɔ atike la de eme la abiã, avuvu vie, eye wheal aɖe adze abe nudzodzoe ƒe ɖuɖu ene. Ðɔktaa azã dzidzenu atsɔ adzidze tasiaɖam la ƒe lolome kple teƒe dzĩ si ƒo xlãe (si woyɔna be dzobibi). Zi geɖe la, tasiaɖamfɔa kple dzoa nu ayi keŋkeŋ le miniti 30 va ɖo gaƒoƒo ʋɛ aɖewo me.

Ðe esia vea amea? Ðe afɔku aɖewo lia?

Zi geɖe la, ɖeviwo ateŋu ado dzi le ``Ŋutilã ƒe Ʋuʋu Dodokpɔ'' sia me sesẽ boo aɖeke manɔmee. Abe alesi míegblɔe ene la, ate ŋu anye be vevesese kple ʋuʋudedi aɖewo anɔ anyi. Ema medzɔna ɖe amesiame dzi o.

Gake ƒã ŋutɔ , nulɔdɔ sesẽ aɖe ate ŋu anɔ ame aɖewo ŋu. Esia mebɔ kura o.Esia tututu tae wogblɔna be ele be woawɔ dodokpɔ mawo tɔgbe le teƒe si nulɔdɔŋutinunyala le ɣesiaɣi, eye afisi dɔwɔƒe kple atike siwo katã hiã be woatsɔ ada dɔléle sia tɔgbe kaba ne edzɔ. Eyata naneke meli si ŋu nàtsi dzi ɖo madzemadzee o, ɖɔktawo kple dɔwɔlawo nɔa klalo ɣesiaɣi be yewoakpɔ nɔnɔme sia tɔgbe gbɔ.

Ðe ŋutigbalẽdodokpɔ ƒomevi bubuwo lia?

Ẽ, mɔnu bubu geɖewo li tsɔ kpe ɖe `(Skin Prick Test)` ŋu. Gake womewɔa esiawo edziedzi o, le go tɔxɛwo me.

• Dodokpɔ le ŋutigbalẽa me: Esia bia be woatsɔ aŋe sue aɖe ado atike si wosusu be ewɔa nulɔdɔa ƒe agbɔsɔsɔ sue aɖe ŋutɔ ɖe ŋutigbalẽa me, le ŋutigbalẽa ƒe akpa si le edzi te tututu. Esia ate ŋu ana woakpɔ nusiwo ŋu woate ŋu awɔ nuvevii vie wu Skin Prick Test.
• Dodokpɔ si Kpɔa Ðevia Gbɔ: Le mɔnu sia me la, wotsɔa nusi wosusu be nusi nana ŋutilãa nulɔna le ame ŋu la dea atike tɔxɛwo abe ɖevia ƒe akɔta ene. Wogblẽa aŋɔ siawo ɖe ŋutigbalẽa dzi abe gaƒoƒo 48 ene (anɔ abe ŋkeke eve ene). Emegbe woɖea aŋeawo ɖa eye wokpɔa nuwɔna aɖe. Ɣeaɖewoɣi la, wogawɔa dodokpɔa le ŋkeke etɔ̃ va ɖo ene megbe. Wozãa esia koŋ tsɔ dia nusi gbɔ ŋutigbalẽ ƒe dɔléle aɖewo, abe ŋutigbalẽ ƒe dɔléle si doa ka kple ame ene, tsona.

Gake mɔnu siawo siwo bɔ wu eye wotia gbãtɔe nye ``Ŋutilã ƒe Ʋuʋu Dodokpɔ'' si míeyɔ va yi.

Nulɔdɔ ka ƒomeviwoe woate ŋu akpɔ to ŋutigbalẽ dodokpɔ siawo me?

``Skin Prick Test'' sia ateŋu ade dzesi nulɔdɔ ƒomevi geɖewo. Kpuie ko la, woate ŋu ama esiawo ɖe hatsotso vevi etɔ̃ me:

1. Nusiwo ŋu nusiwo le nutoa me hena vɛ

Esiawo nye nulɔdɔ siwo tsoa nusiwo ƒo xlã mí siwo míegbɔna gbɔ.

• Keke: Esiawo nye nuwɔwɔ suesuesue siwo ŋku manya kpɔ o eye wonɔa aƒewo ƒe ke me, vevietɔ le abadzivɔwo, akɔtaɖonuwo, sofawo, xɔmetsovɔwo, kple fefenu falɛfalɛ siwo ɖeviwo tsɔna ƒoa fefee dzi. Bu eŋu kpɔ ne viwòa dze aɖuɖɔɖɔɖɔ gɔme, eƒe ŋkuwo tutu, eye eƒe ŋɔti tu ne efɔ le ŋdi me la, ate ŋu atso kekui siawo gbɔ.
• Aŋɔ: Ɣeaɖewoɣi, vevietɔ ne seƒoƒowo le seƒoƒo ƒom eye atiwo le seƒoƒo ƒom bliboe la, ne gbɔgbɔ sesẽna na viwòa, eƒe ŋku biã, eƒe ŋɔti le dodom enuenu, alo le aɖuɖɔɖɔɖɔ me la, ate ŋu atso aŋɔ, alo nusi míeyɔna be aŋɔ gbɔ.
• Aƒemelãwo ƒe ʋuʋudedi: Ne aƒemelãwo abe avuwo kple avuwo ene le wò aƒeme , woƒe fu, aɖuɖɔ, kple ŋutigbalẽ me lãmenugbagbevi kukuwo ate ŋu ana ɖevi aɖewo nawɔ nulɔdɔ.
• Aŋɔ: Esiawo tsina le teƒe siwo tsi le, abe teƒe siwo ya mele o, gliwo, kple tsileƒewo ene. Aŋɔ siawo ate ŋu ana nulɔdɔ nadzɔ hã.

2. Nuɖuɖu ƒe nulɔdɔwo

Menye ɖeviwo ɖeɖeko ƒe nuɖuɖu aɖewo ate ŋu anye nulɔdɔ o, ke na ame tsitsiwo hã.

• Anyigbadzobonuwo
• Aziwo
• Nyitsu ƒe notsi kple nyinotsibabla
• Tɔmelãwo kple ƒumelãwo
• Lu ƒe wɔ
• Soya
• Ati ƒe nukuwo (abe almond, cashews ene) .

Ne èkpɔ dzesiwo abe aɖuɖɔtoe, nuyiwo ƒe vuvu, gbɔgbɔ sesẽ, dɔgbo ƒe veve, kple ʋuʋudedi le nuɖuɖu siawo ƒomevi ɖuɖu vɔ megbe la, ate ŋu anye nuɖuɖu ƒe nulɔdɔ.

3. Atike aɖewo ƒe nulɔdɔwo

Atike aɖewo hã ate ŋu ana nulɔdɔ nadze ame dzi.

• Kpɔɖeŋu aɖee nye dɔlékuiwutikewo abe penicillin ene .
• Ame aɖewo hã ate ŋu alɔ̃ atikewo, abe vevesesenutsitike aɖewo ene.

Eyata ne ɖikeke aɖe le mewò le nulɔdɔ vovovowo abe esia ene ŋu la, ``Ŋutilã Dodokpɔ'' sia kpena ɖe ŋuwò ŋutɔ le nusi tututu wònye la nyanya me.

Nu vevi bubu kawoe wòle be manya?

Nu ʋɛ bubuwo gali siwo ŋu wòle be nànya.

Ðe atike aɖewo kpɔa ŋusẽ ɖe dodokpɔa dzia?

Ẽ, esia le vevie ŋutɔ. Atike aɖewo siwo viwòa le nonom, vevietɔ atike siwo wua histamine (e.g., Piriton, Cetirizine, Loratadine), ate ŋu akpɔ ŋusẽ ɖe ŋutigbalẽ dodokpɔ sia me tsonu dzi. Esia fia be ne wowɔ dodokpɔa esime ɖevia le atike siawo nom la, ɖewohĩ ŋutigbalẽa ƒe dɔwɔwɔ madze o, alo dɔa dzi aɖe akpɔtɔ. Esia ate ŋu ahe emetsonu siwo mesɔ o vɛ.

Eyata hafi nàwɔ dodokpɔ sia la, ele be nàgblɔ atike siwo katã viwòa le nom (siwo ɖɔktaa ŋlɔ na wò kple esiwo nèƒlena le atikedzraƒe siaa) na ɖɔktaa. Ðɔktaa agblɔ ŋkeke nenie do ŋgɔ na dodokpɔa si wòle be nàdzudzɔ atike siawo nono na wò. Zi geɖe la, woagblɔ na wò be nàdzudzɔ atike siawo nono abe ŋkeke 3 va ɖo 7 ene. Ele vevie be nàwɔ ɖe mɔfiame siawo dzi pɛpɛpɛ be nàkpɔ emetsonu si sɔ.

Ðe ŋutigbalẽdodokpɔ ɖeɖeko sɔ gbɔa? Alo ɖe nèwɔa dodokpɔ geɖe wua?

Togbɔ be ŋutigbalẽdodokpɔ nye afɔɖeɖe gbãtɔ si ŋu viɖe le ŋutɔ eye wòle vevie le nusiwo ŋu nulɔdɔ le didi me hã la, ɣeaɖewoɣi la, ehiãna be ɖɔktawo nawɔ dodokpɔ bubuwo atsɔ aɖo kpe nyatakakaawo dzi geɖe wu. Eyae nye be ɣeyiɣi aɖewo li siwo me wòhiãna be kpeɖodzi geɖe wu be woatsɔ anya ne ɖevi aɖe ƒe nu melɔ̃a nane ŋutɔŋutɔ o kple alesi gbegbe wòsẽe.

• Ʋudodokpɔ: Ɣeaɖewoɣi la, woate ŋu awɔ IgE ʋudodokpɔ tɔxɛwo. Ʋudodokpɔ siawo ate ŋu ade dzesi nulɔdɔ aɖewo hã. Ʋudodokpɔ siawo ɖea vi na ɖevi siwo ŋu ŋutigbalẽ ƒe dɔléle sesẽwo le (e.g., eczema sesẽ) alo esiwo mate ŋu adzudzɔ atikewo abe antihistamines ene nono o.
• Nuɖuɖu si Wono ƒe Kuxi: Esiae nye mɔnu si wozãna tsɔ dea dzesi nuɖuɖu ƒe nulɔdɔ.Gake wowɔa esia nyuie ŋutɔ, le ɖɔkta kple dɔnɔdzikpɔla bibi aɖe ƒe dzikpɔkpɔ te, le kɔdzi ƒe nɔnɔme me. Nusi wowɔna le afisia enye be wonaa nuɖuɖu si wosusu be eya gbɔe nulɔdɔa tso la ɖevia, wodzea egɔme tso agbɔsɔsɔ sue aɖe ko dzi eye wodzinɛ ɖe edzi vivivi. Woléa ŋku ɖe wo ŋu nyuie be woakpɔe ɖa be nulɔdɔ aɖe li hã. Manyo be nàwɔ esia le aƒeme o.

Eyata, ɖɔktaa atsɔ ŋutigbalẽ dodokpɔa me tsonu, ɖevia ƒe dzesiwo, ƒomea ƒe nulɔdɔ ŋutinya, kple dodokpɔ mawo tɔgbe bubuwo me tsonu (ne ehiã) aƒo nya ta mamlɛtɔ tso viwòa ƒe nulɔdɔa ŋu.

Eyata nu kawo dzie wòle be míaɖo ŋkui tso nusiawo katã me? (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, mina míaƒo nu tso nusiwo ŋu wòle be wòanɔ susu me na wò tso nusiwo ŋu míeƒo nu tsoe me la dometɔ aɖewo ŋu kpuie:

• Ŋutilã dodokpɔ, vevietɔ ŋutigbalẽ ƒe ƒoƒo dodokpɔ, nye mɔnu si dzi woato anya nusiwo ŋu viwòa melɔ̃a nu le o kabakaba, si ŋu kakaɖedzi le eye wòwɔa dɔ nyuie.
• Togbɔ be vevesese kple ʋuʋudedi aɖewo ate ŋu anɔ dodokpɔ sia wɔwɔ me hã la, zi geɖe la, mehea vevesese sesẽ vɛ o.
• Esi wònye be ƒã ŋutɔ hafi dɔléle sesẽ aɖe ate ŋu adzɔ ta la, anyo wu be woana nulɔdɔŋutinunyala alo ɖɔkta si wona hehee nawɔ dodokpɔ sia le atikewɔƒe si atikewɔƒewo le.
• Esia ate ŋu ade dzesi nusiwo ŋu nutoa me tɔwo (ke, aŋɔ), nuɖuɖuwo, kple atike aɖewo ƒe ŋutilã melɔ̃na o.
• Hafi woawɔ dodokpɔa la, mègaŋlɔ be be yeagblɔ atike siwo katã viwòa le nonom na ɖɔktaa o, vevietɔ atike siwo wua histamine. Ne ehiã la, dzudzɔ wo nono ŋkeke ʋɛ aɖewo do ŋgɔ na dodokpɔa, abe alesi wò ɖɔkta gblɔe ene.
• Ɣeaɖewoɣi la, tsɔ kpe ɖe ŋutigbalẽdodokpɔ sia ŋu la, ate ŋu abia be woado ʋu kpɔ alo nuɖuɖu siwo woano ƒe kuxiwo hã hafi woate ŋu aƒo nya ta wòade pɛpɛpɛ.

Mlɔeba la, ne èsusu be nulɔdɔ aɖe le viwòa ŋu, abe aɖuɖɔɖɔɖɔ, ʋuʋudedi, ʋuʋudedi, alo nuɖuɖu aɖewo ɖuɖu sesẽna ene la, anyo wu be nàƒo nu tso eŋu na ɖɔkta eye ne ehiã la, nàdoe kpɔ abe esia ene. Ekema àte ŋu anya nusi tututu gbɔ nulɔdɔa tso, ana gbɔdzɔe viwòa, aɖu nulɔdɔa dzi, eye nàƒo asa na asiɖeɖe le nuɖuɖu aɖewo ŋu le susu manɔmee.

` Nulɔdɔ dodokpɔ, ŋutigbalẽ dodokpɔ, ŋutigbalẽ dodokpɔ, Ŋutilã Dodokpɔ, Ŋutilã ƒe ƒoƒo Dodokpɔ, nulɔdɔ, nulɔdɔ le ɖeviwo me, Nulɔdɔ dodokpɔ Sinhala, nulɔdɔ ƒe dzesiwo