Ðe wòsesẽna na wò hã be nàɖu nuku siawo dometɔ aɖewoa? (Ati ƒe Nulɔdɔ) Mina míaƒo nu tso esia ŋu!

Ðe nèsena le ɖokuiwò me hã be yele dɔ lém ne èɖu nuɖuɖu aɖewoa? Le nyateƒe me la, nuɖuɖu ƒe nulɔdɔ siawo, alo nusi míeyɔna be nuɖuɖu ƒe nulɔdɔ, nye nusi le ame geɖe si le hadomegbenɔnɔ me fifia. Ɣeaɖewoɣi la, menye nu suewo koe esiawo nyena o, ke woate ŋu anye afɔku vie hã, vevietɔ na ɖevi suewo. Egbea míele nu ƒom tso nulɔdɔ tɔxɛ mawo dometɔ ɖeka ŋu. Eyae nye be nulɔdɔ na nuku aɖewo siwo tsina ɖe atiwo dzi, le kpɔɖeŋu me, cashews, almonds, kple walnuts, si fia be atikutsetsewo ƒe nulɔdɔ .

Nukae Nye Atiwo ƒe Nulɔdɔ?

Kpuie ko la, amesi ŋu esia (Ati ƒe Nulɔdɔ) le ƒe ŋutilã wɔa nu ɖe ​​nuku siawo ŋu wògbɔa eme ne eɖu wo. Tsɔe be asrafo suewo le míaƒe ŋutilã me be woakpɔ mía ta tso dɔlélewo me. Míeyɔa ame siawo be dɔlélenutsiŋutete . Zi geɖe la, ame siawo dzea aɖaŋu ŋutɔ, eye ne nane si gblẽa nu, abe dɔlékui ene, va ŋutilãa me la, wowɔa avu kplii heɖea mí.

Gake ne amesi ŋu esia le (Ati ƒe Nulɔdɔ) xɔ atikutsetse sue aɖe, abe aŋɔ, almond, walnut, hazelnut, pistachio, macadamia nuku, Brazil nuku, pecan, alo nuɖuɖu aɖe si me wòle ene la, asrafo mawo tsia dzodzodzoe. Wosusu be futɔ gã aɖe va ɖo. Eyata wodzea avuwɔwɔ kple protein siwo le nuku siawo me dometɔ aɖewo gɔme, gake wodzea avuwɔwɔ gɔme wu alesi wòhiã. Ɣemaɣie nulɔdɔa ƒe dzesiwo dzena.

Ðewohĩ ame aɖewo ƒe nulɔdɔ le nuku ƒomevi ɖeka ko ŋu. Ame bubuwo hã ate ŋu anye nusiwo ŋu nuku ƒomevi vovovowo, alo wo katã gɔ̃ hã ƒe ŋutilã melɔ̃na o. Nublanuinyae nye be, togbɔ be nuɖuɖu ƒe nulɔdɔ aɖewo nu yina le ɣeyiɣi aɖe megbe hã la, esia (Ati ƒe Nulɔdɔ) nye nusi anɔ ame geɖe si le woƒe agbemeŋkekewo katã me .

Nukawoe nye nulɔdɔ sia ƒe dzesiwo?

Enyo, azɔ mina míakpɔ nusi ate ŋu adzɔ ne ame aɖe ƒe nulɔdɔ le nuku sia ƒomevi ŋu eye wòɖui ɖa. Atikewo abe histamine ene dona le ŋutilãa me. Esia tae dzesi siawo dzena:

• Yagbɔgbɔ sesẽ, ʋuʋudedi
• Kɔdzidede si nɔa anyi ɖaa
• Gbe ƒe tɔtrɔ, gbeɖiɖi ƒe ɖiɖi
• Kɔ ƒe tete
• Dɔgbo ƒe vevesese, dɔgbo ƒe vevesese
• Ʋuʋudedi
• Dɔmetɔtrɔ
• Ŋku siwo le ʋuʋum, ŋku siwo me tsi le, ŋku siwo vuvu
• Ŋutilã me ʋuʋudedi, si sɔ kple aɖuɖɔtoewo
• Teƒe dzĩwo le ŋutigbalẽa ŋu
• Vuvu (vevietɔ nuyiwo, aɖe, kple mo) .
• Ʋu ƒe sisi ƒe ɖiɖi kpata ate ŋu ana ame natsi dzodzodzoe, eye wòana ame natsi dzodzodzoe gɔ̃ hã.
• Dzimaɖitsitsi nye vɔvɔ̃ gã, dzimaɖitsitsi, abe ɖe nu gã kple nu gbegblẽ aɖe le dzɔdzɔ ge ene.

Nulɔdɔ siawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ɣeaɖewoɣi le ame ɖeka ma ke gome gɔ̃ hã la, ale si wowɔa nui ate ŋu atrɔ tso ŋkeke yi ŋkeke. Nuwɔna aɖewo mesẽna kura o, ɖewohĩ ʋuʋudedi ʋɛ aɖewo koe susɔna ɖe ŋutigbalẽa dzi. Gake nuwɔna aɖewo nu sẽna wu eye woate ŋu agblẽ nu le ŋutilã ƒe akpa vovovowo ŋu.

Dɔléle si me afɔku le wu: Anaphylaxis

Esia nye nɔnɔme si me afɔku le ŋutɔ . Míeyɔa esia be anaphylaxis . Ne nulɔdɔa nu fa vie zi mamlɛtɔ gɔ̃ hã la, ɣebubuɣi si anaphylaxis ƒe nɔnɔme sia ate ŋu adzɔ. Nusi dzɔna le go sia mee nye be nɔnɔmea dzea egɔme tso dzesi siwo megblɔ va yi la dometɔ ɖeka alo esi wu nenema dzi eye emegbe wògblẽna ɖe edzi kabakaba ŋutɔ. Ðewohĩ màte ŋu agbɔ ya o, àte ŋu abu. Dɔwɔwɔ sia ate ŋu adzɔ le teƒe siwo wu ɖeka le ŋutilãa dzi. Ne womewɔ atike na wo nyuie o la, esia ate ŋu ade ame ƒe agbe afɔku me . Eya ta, ele be nàɖɔ ŋu ɖo vevie le esia ŋu.

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

Ne atikutsetse ƒe nulɔdɔ sesẽ aɖe le viwò alo ame aɖe si nènya ŋu, alo nuɖuɖu ƒe nulɔdɔ sesẽ bubu aɖe le eŋu la, ele be nàna epinephrine ƒe agbɔsɔsɔme eve nanɔ asiwò ɣesiaɣi godoo.

Epinephrine nye atike si woŋlɔ na amewo. Eva le mɔ̃ sue aɖe si le abe nuŋlɔti ene si woate ŋu atsɔ adzoe (auto-injector) me. Ezazã le bɔbɔe ŋutɔ. Wò ɖɔkta afia alesi nàzãe wò. Ðevi tsitsiwo ate ŋu asrɔ̃ alesi woado atike na wo ɖokui. Gake ele vevie be wòanɔ wo gbɔ ɣesiaɣi. Womekafui be woagblẽe ɖe sukuxɔ me nudzraɖoƒe alo dɔnɔdzikpɔla ƒe dɔwɔƒe o. Ele be nàtsɔe akpe ɖe viwòa ŋu le afisiafi si wòyi.

Azɔ hã, bia wò ɖɔkta be wòana Nulɔdɔ ƒe Ðoɖowɔɖi . Esia ana nànya alesi nàdzra ɖo ɖe nulɔdɔ aɖe ŋu, alesi nàde dzesi dzesiawo, kple alesi nàdae. Gblɔ ɖoɖo sia na amesiame si kpɔa viwòa dzi (ƒometɔwo, sukudzikpɔlawo, ɖevi bubu siwo fena kple viwòa dzilawo). Azɔ hã, bu eŋu kpɔ be yeana viwòa nado Atikewɔwɔ Ŋuti Nuxlɔ̃ame Asigɛ .

Sɛkɛnd ɖesiaɖe xɔa asi le nulɔdɔ me. Na epinephrine ne viwòa dze nulɔdɔ ƒe dzesi sesẽwo ɖeɖefia gɔme ko (abe nu me vuvu, ŋɔti, gbɔgbɔ sesẽ ene). Alo, ne dzesi aɖewo le viwòa ŋu siwo gblẽa nu le ŋutilã ƒe dɔwɔwɔ eve ŋu, abe ŋutigbalẽ ƒe ʋuʋu kple ʋuʋudedi ene la, na epinephrine enumake. Emegbe ƒo ka na 112 (Sri Lanka ƒe xexlẽdzesi kpata) enumake alo nàkplɔ viwòa ayi kɔdzi ƒe xɔ si te ɖe ŋuwò kpata. Na viwòa nanɔ atikewɔlawo ƒe dzikpɔkpɔ te. Ɣeaɖewoɣi la, ne edze abe vɔ̃ɖitɔ kekeake wu enu ene gɔ̃ hã la, dzesi sesẽwo ate ŋu agadze ake (ƒutsotsoe evelia).

Ɣeaɖewoɣi la, woate ŋu aƒle nulɔdɔlélawo le atikedzraƒe le atikedzraƒe atikewɔmɔnu aɖeke manɔmee.Wokafui hã be woalé atike siwo wua ʋumenugbagbeviɣidɔ ɖe asi. Esiawo ate ŋu akpe ɖe ame ŋu le nulɔdɔ ƒe dzesi siwo nu mesẽ o me. Gake ɖo ŋku edzi be ne dɔlélea nu sẽ la, ele be woana esiawo le epinephrine zazã vɔ megbe ko, eye menye ɖe epinephrine teƒe gbeɖe o.

Nukae wògahiã be míanya tso esia ŋu?

Ne esia (Tree Nut Allergy) le viwò ŋu la, nu vevitɔe nye be nàƒo asa na mɔɖeɖe na wo be woaɖu nuku siawo.

• Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie: Lé ŋku ɖe nusiwo wotsɔ wɔ nuɖuɖua ƒe xexlẽdzesi siwo le nuɖuɖu ƒe agbawo dzi ŋu nyuie. Ɣeaɖewoɣi la, adzɔnuwo wɔlawo trɔa nusiwo wotsɔ wɔa nuɖuɖua. Azɔ hã, ate ŋu aɣla nuku siawo ɖe nuɖuɖu siwo ŋu mèbu gɔ̃ hã o la me.
• Senyawo Ŋuti Nyatakaka: Le dukɔ aɖewo me (le kpɔɖeŋu me, United States of America) la, se aɖe li si gblɔ be ne nuku siawo ƒomevi le nuɖuɖu siwo wodzrana me la, ele be woaŋlɔe ɖe nuɖuɖu siwo woŋlɔ ɖe wo dzi la dzi. Le Sri Lanka la, wogblɔa nya siawo zi geɖe fifia. Eyata, lé ŋku ɖe nusiwo wotsɔ wɔe ƒe xexlẽdzesiwo ŋu gbã.
• Kpɔ nyuie le atitsoga ƒe ɖiƒoƒo ŋu: Esia le vevie ŋutɔ. Ne wole nuɖuɖu aɖewo ɖam la, ne wometsɔ nuku siawo kpe ɖe nuɖuɖua ŋu tẽ o hã la, ɖewohĩ wozã nuku siawo le teƒe si woɖa nuɖuɖua le, le mɔ̃ siwo wozãna, kple nugoewo me. Emegbe, woate ŋu atsɔ nuɖuɖu mawo siwo me nuku mele o gɔ̃ hã akpe ɖe wo ŋu le manyamanya me. Emae nye nusi woyɔna be cross-contamination .
• Kpɔ nusiwo woŋlɔ ɖe wo dzi hena nusiwo le abe "Ate ŋu anye be atikutsetsewo le eme," "Wotrɔ asi le eŋu le dɔwɔƒe si wɔa atikutsetsewo hã ŋudɔ," alo "Wowɔe ɖe dɔwɔnu siwo wozãna na atikutsetsewo hã dzi." Ne woŋlɔ esiawo la, mègana nuɖuɖu ma ƒomevi gbeɖe o.
• Dɔwɔƒe aɖewo meyɔa cross-contamination sia le woƒe ŋkɔwo dzi o, eyata ne ɖikeke aɖe le mewò la, ƒo ka alo nàŋlɔ lɛta na dɔwɔƒea be nànya kakaɖedzitɔe.
• Nuɖuɖu siwo me afɔku le wu: Abolomegbawo ƒe nuɖuɖuwo (abe abolo, bisiklet ene), tsokolet, mɔli aɖewo, kple ice cream ate ŋu anye esiwo me nuku siawo le wu. Azɔ hã, cross-contamination ate ŋu atso nuwo abe scoops siwo wozãna le ice cream fiasewo me kple soft serve ice cream machines me.
• Ne èle nu ɖum le gota: Ne viwòa le nu ɖum le gota la, kpɔ egbɔ be epinephrine ƒe agbɔsɔsɔ eve siwo ƒe ɣeyiɣi mede o le esi. Azɔ hã, kpɔ egbɔ be yegblɔ woƒe nukuwo ƒe nulɔdɔ na viwòa ƒe nuɖuɖudzikpɔlawo kple nuɖuɖudɔwɔƒewo. Ɣeaɖewoɣi la, àte ŋu aɖa nuɖuɖu siwo nènya be wole dedie na viwòa le aƒeme. Ne edze abe nuɖuɖudzraƒe aɖe dzikpɔla alo etɔ mevo le wò biabiaa me o ene la, anyo wu be nàƒo asa na nuɖuɖu le afima.
• Le suku: Ƒo nu kple dɔwɔlawo tso afɔku si le dɔlékuiwutikewo xɔxɔ le suku ƒe nuɖuɖudzraƒewo ƒe nuɖuɖuwo me ŋu. Dzila geɖe ɖaa wo viwo ƒe nuɖuɖu le aƒeme. Emae nye mɔ si le dedie wu.

Ne èdi be yeanya nu geɖe tso alesi nàwɔ akpɔ nuɖuɖu ƒe nulɔdɔ siawo gbɔe ŋu la, .Àte ŋu ayi dukɔwo dome habɔbɔwo abe (Food Allergy Research & Education - FARE) ƒe nyatakakadzraɖoƒewo.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Tree Nut Allergy nye nu dziŋɔ aɖe, nyateƒee. Gake, ne ènya nu tso eŋu nyuie, èwɔ afɔɖeɖe siwo hiã, eye nèɖɔ ŋu ɖo la, viwòa (alo wò) ate ŋu anɔ agbe si sɔ, si me dzidzɔ le kple nɔnɔme sia.

• Nulɔdɔwo nye nu sesẽ: mègabu esia nu tsɛe o.
• De dzesi dzesiawo: Nya dzesi siwo tututu fia be nulɔdɔ le ame ŋu.
• Epinephrine nye agbeɖela: Tsɔ epinephrine ƒe agbɔsɔsɔ eve ɖe asi ɣesiaɣi. Nya alesi tututu nàzãe.
• Xlẽ nuɖuɖu ƒe ŋkɔwo: Na wòazu numame na wò be nàxlẽ nuɖuɖu ƒe ŋkɔwo.
• Kpɔ nyuie le atitsoga ƒe ɖiƒoƒo ŋu: Esia le vevie ŋutɔ.
• Na ame bubuwo nanya: Na wò ƒomea me tɔwo, nufialawo, kple xɔlɔ̃wo dzilawo nanya nu tso viwòa ƒe nulɔdɔ ŋu.

Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, ƒo nu kple wò ƒomea ƒe ɖɔkta alo nulɔdɔŋutinunyala. Woate ŋu akpe ɖe ŋuwò geɖe wu.

` Nulɔdɔ, nuɖuɖu ƒe nulɔdɔ, atikutsetse ƒe nulɔdɔ, epinephrine, anaphylaxis, ɖeviwo ƒe lãmesẽ, nuɖuɖu ƒe dedienɔnɔ