Ðe nuɖuɖu aɖewo melɔ̃a nu le ŋuwò oa? Mina míaƒo nu tso nuɖuɖu ƒe nulɔdɔwo ŋu!

Mia dometɔ nenie se nuɖuɖu ƒe nulɔdɔ , alo abe alesi ame aɖewo yɔnae ene la, ‘Nuɖuɖu ƒe Nulɔdɔ ’ ŋu nya kpɔ? Ðewohĩ wò, wò ƒomea me tɔ aɖe alo xɔ̃wò aɖe to nane si le abe esia ene me kpɔ. Esia nye nusi ŋu wòle be woatsi dzi ɖo ŋutɔŋutɔ. Eyata, mina míaƒo nu tso esia ŋu tsitotsito, bɔbɔe ŋutɔ, egbea?

Nukae nye nuɖuɖu ƒe nulɔdɔ sia?

Kpuie ko la, nuɖuɖu ƒe nulɔdɔe nye ne míaƒe dɔlélenutsiŋutete – asrafoha si kpɔa mía ta tso dɔléle me – kpɔ nuɖuɖu aɖewo vodadatɔe be wonye ‘futɔ’. Zi geɖe la, dɔlélenutsiŋutete sia wɔa dɔ tsɔ kpɔa mía ta to avuwɔwɔ kple dɔlékuiwo kple dɔlékui siwo gena ɖe ŋutilãa me la me. Gake le nuɖuɖu ƒe nulɔdɔ gome la, ɖoɖo sia kpɔa protein aɖe si le nuɖuɖu si me afɔku mele o me be enye ‘amedzidzela’ eye wòdzea avuwɔwɔ gɔme ɖe eŋu.

Nu vevitɔ kekeake le afisiae nye be màte ŋu asusui be esi wò nulɔdɔ sue aɖe do mo ɖa ɣebubuɣi ta la, wò hã àkpɔ nu ma ke ɣebubuɣi o. Ɣeaɖewoɣi la, nuwɔna si kplɔe ɖo ate ŋu ade ame ƒe agbe afɔku me . Eyata ele be amesi ŋu nuɖuɖu melɔ̃a nu le o nadzudzɔ nuɖuɖu si nulɔdɔ le eŋu la ɖuɖu keŋkeŋ. Azɔ hã, ele vevie ŋutɔ be nàlé atike si woyɔna be epinephrine ɖe asi ɣesiaɣi ne nɔnɔme kpata aɖe do mo ɖa. Bu eŋu kpɔ, ŋutsuvi sue aɖe si ŋkɔe nye Kanale nɔ anyi, amesi gbɔgbɔ sesẽna nɛ le atikutsetse sue aɖe ɖuɖu vɔ megbe gɔ̃ hã. Etsɔa eƒe epinephrine-nuŋlɔti la ɖe asi ɣesiaɣi.

Nuɖuɖu kawoe naa nulɔdɔ wu?

Le nyateƒe me la, nuɖuɖu ɖesiaɖe ate ŋu awɔ nuvevi ame sia ame. Gake nuɖuɖu ʋɛ aɖewo li siwo hea nuɖuɖu ƒe nulɔdɔ vɛ le mía dome wu. Esiawoe nye vevitɔwo:

• Notsi (abe nyi ƒe notsi, nyitsu ƒe notsi ene) .
• Aziwo
• Anyigbadzobonuwo
• Soya
• Lu
• Atiwo ƒe nukuwo - Esiawo ƒe kpɔɖeŋuwoe nye cashews, almonds, kple walnuts.
• Tɔmelã
• Ƒumelã - le kpɔɖeŋu me, shrimp, crab, kple squid.
• Sesame si wotsɔna ƒoa ƒui

Ne èkpɔ xexlẽdzesi sia la, àte ŋu asusu be, ‘Oo, nu siawoe míeɖuna ɣesiaɣi.’ Ẽ, nyateƒee. Esia tae wòle vevie be nànya esia ɖo.

Nukae nye nuɖuɖu ƒe nulɔdɔ ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Azɔ na míakpɔ nusiwo nye nuɖuɖu ƒe nulɔdɔ ƒe dzesiwo ɖa.) siwo doa mo ɖa. Abe alesi míegblɔe va yi ene la, ne míaƒe ŋutilã ƒe dɔlélenutsiŋutete de dzesi nuɖuɖu ma be enye ‘futɔ’ la, ewɔa dɔlékuiwutikewo tsɔ wɔa avu kplii.

Emegbe ɣesiaɣi si míeɖu nuɖuɖu ma si doa dziku na ame (alo ɣeaɖewoɣi gɔ̃ hã míeka asi eŋu alo se eƒe ʋeʋẽ ko) la, míaƒe ŋutilã ɖea atikewo abe histamine ene doa goe. Atike mawo ƒe dodoe nana nulɔdɔ ƒe dzesiwo dzena. Dzesi siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye ame ɖeka gɔ̃ hã ate ŋu akpɔ dzesi vovovowo le ɣeyiɣi vovovowo me. Nu siwo ate ŋu adzɔ dometɔ aɖewoe nye esi:

• Ʋuʋudedi
• Yagbɔgbɔ sesẽ
• Kpe
• Gbeɖiɖi ƒe ɖiɖi
• Sese le eɖokui me be yeƒe ŋɔti me te (kɔ ƒe tete) .
• Dɔgbo ƒe vevesese (ƒodo ƒe vevesese) .
• 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 kpata, taɖuame, kple alesi wòate ŋu adzɔe be ame ƒe susu nabu (si ƒe tagbɔ gblẽ) .

Esia nye afɔku ŋutɔ: Anaphylaxis.

Ɣeaɖewoɣi la, nuɖuɖu ƒe nulɔdɔ ate ŋu ahe dɔléle si nu sẽ ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me, si woyɔna be anaphylaxis . Esia ate ŋu adze egɔme tso dzesi siwo bɔ siwo míeyɔ va yi dzi. Gake nɔnɔmea ate ŋu agblẽ ɖe edzi kaba ŋutɔ. Ate ŋu asesẽ ŋutɔ be nàgbɔ ya, alo wò susu ate ŋu adzo. Dzesi siawo ate ŋu adze ŋutilã ƒe akpa siwo wu ɖeka dzi. Anaphylaxis ate ŋu ade ame ƒe agbe afɔku me ne wometsɔ epinephrine si wodona ɖe lãme na ame kaba o. Eyata ele vevie be míaɖɔ ŋu ɖo ŋutɔ.

Nuɖuɖu ƒe nulɔdɔ kple nuɖuɖu ƒe mɔmaɖemaɖeɖenuŋu nye nu vovovo eve, alo?

Ame geɖe tɔtɔa nuɖuɖu ƒe nulɔdɔ kple nuɖuɖu ƒe mɔmaɖemaɖeɖenuŋu. Le nyateƒe me la, nu eve siawo nye nu vovovo eve.

Nuɖuɖu ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo ate ŋu anye: ʋuʋudedi, ʋuʋudedi, nuɖuɖu ƒe dɔmawɔmawɔ nyuie, gas, aɖuɖɔ si me mekɔ o, taɖuame, dzitsitsi, alo seselelãme be yeƒe lãme gbã.

Gake vovototo vevi aɖewo le wo ame evea dome :

• Míaƒe dɔlélenutsiŋutete mekpɔa gome le nuɖuɖumeŋusẽ ƒe kuxiwo me o . Le nuɖuɖu ƒe nulɔdɔ gome la, dɔlélenutsiŋutete kpɔa gome le eme godoo.
• Nuɖuɖumadzroame ate ŋu adzɔ ne ŋutilãa mete ŋu ɖu nu aɖe abe lactose ene o. Ðewohĩ èsee kpɔ.Ku ɖe ‘Lactose ƒe Mɔmaɖemaɖeɖenuŋu’ ŋu . Esia nye esia ƒe kpɔɖeŋu nyui aɖe. Ame aɖewo ƒe dɔgbo gbãna ne wono notsi le susu sia ta.
• Togbɔ be nuɖuɖumadzroame nye nɔnɔme si me dzidzeme mele o hã la, zi geɖe la, menye nɔnɔme sesẽ aɖekee wònye o . Gake nuɖuɖu ƒe nulɔdɔ, abe alesi míegblɔe va yi ene, ate ŋu ade ame ƒe agbe afɔku me.

Eyata ne èse veve aɖe ne èle nuɖuɖu aɖe ɖum la, ele vevie be nànya nenye be nulɔdɔ alo nuɖuɖumeŋusẽ ƒe kuxie.

Aleke nàwɔ anya kple kakaɖedzi be nuɖuɖu ƒe dɔléle aɖe le ŋuwò? (Dɔléle ƒe dzesi) .

Ne nuɖuɖu ƒe nulɔdɔ le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta gbɔ. Wò ɖɔkta abia nya wò tso wò dzesiwo ŋu eye wòaɖe nɔnɔme bubu siwo ate ŋu ahe wo vɛ la ɖa. Le kpɔɖeŋu me, ne èse veve le notsi nono vɔ megbe la, woate ŋu abu eŋu nenye be nuɖuɖu ƒe nulɔdɔ alo lactose ƒe dɔmawɔmawɔ nyuie . Nɔnɔme bubu si ate ŋu ahe dzesi siwo sɔ kple nuɖuɖu ƒe nulɔdɔ vɛ enye Celiac Dɔléle . Amesiwo ŋu dɔléle sia le mete ŋu doa dzi le gluten, si nye protein si le lu kple nuku bubu aɖewo me o.

Ne wò ɖɔkta susu be nuɖuɖu ƒe nulɔdɔ le ŋuwò la, anɔ eme be aɖo wò ɖe nulɔdɔŋutinunyala gbɔ . Eŋutinunyala sia abia nyawo wò, awɔ ŋutilãmedɔ (e.g., aɖo to wò lãkusiwo), eye wòawɔ dodokpɔ vovovowo atsɔ ade dzesi kuxia.

Nulɔdɔ dodokpɔ ƒomevi si bɔ wue nye ŋutigbalẽ dodokpɔ . Le dodokpɔ sia me la, ɖɔkta alo dɔnɔdzikpɔla tsɔa tsi aɖe si wotsɔ nuɖuɖu si wosusu be woɖu la ƒe tsitete ɖeka dea wò ŋutigbalẽ me (zi geɖe la, wò asi alo abɔta ƒe megbe), eƒoa nu sue aɖe, eye emegbe wòlalana aɖabaƒoƒo ʋɛ aɖewo be yeakpɔe ɖa be nane awɔ nu ɖe ​​ye ŋu (abe abi alo vuvu ene).

Tsɔ kpe ɖe eŋu la, ɖɔktawo ate ŋu awɔ ʋudodokpɔ hã . Ʋudodokpɔ sia ate ŋu akpɔe ɖa be dɔlékui siwo tsia tre ɖe nuɖuɖu aɖe ŋu le wò ʋu me hã.

Ne dodokpɔ siawo me tsonu me mekɔ o la, nulɔdɔŋutinunyala ate ŋu atso nya me be yeawɔ nusi woyɔna be ‘Nuɖuɖu ƒe Kuxi Dodokpɔ’ .

• Dodokpɔ sia bia be nàdzi nuɖuɖu si ŋu wò nulɔdɔ le ɖe edzi vivivi, le ɖɔkta ƒe dzikpɔkpɔ te tẽ. Le ɣeyiɣi sia me la, ɖɔktaa alé ŋku ɖe wò dzesiwo ŋu nyuie. Ele be woawɔ dodokpɔ sia le nulɔdɔŋutinunyala ƒe dɔwɔƒe alo le kɔdzi, afisi woate ŋu akpɔ atikewɔwɔ kpata kple atikewo le bɔbɔe. Esia le alea elabena nuwɔna aɖe si ate ŋu ade ame ƒe agbe afɔku me ate ŋu adzɔ le ɣeyiɣi sia me.

Wozãa nuɖuɖu ƒe kuxi dodokpɔwo hã tsɔ kpɔae ɖa be nulɔdɔwo nu yina le ɣeyiɣi aɖe megbe na ame aɖewo hã.

Aleke nèwɔa atike na nuɖuɖu ƒe nulɔdɔ? Nukae nàte ŋu awɔ?

Atike aɖeke meli na nuɖuɖu ƒe nulɔdɔ o. Atikewɔwɔ ŋutɔŋutɔ koe nye be woaƒo asa na nuɖuɖu si doa dziku na ame la keŋkeŋ. Gake ne nulɔdɔ aɖe le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ atikewo na wò be wòakpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ. Eye, ne dɔlélea nu sẽ la, atike siwo ate ŋu aɖe ame ƒe agbe gɔ̃ hã li.

Ele be amesiame si nuɖuɖu ƒe nulɔdɔ ate ŋu ahe dɔléle sesẽ aɖe vɛ, abe anaphylaxis ene, natsɔ epinephrine ƒe agbɔsɔsɔ eve ɖe asi ɣesiaɣi. Epinephrine nye atike si ɖɔkta ŋlɔ na wò. Mɔ̃ sue aɖe si woate ŋu atsɔ bɔbɔe (auto-injector) mee wòle . Ezazã le bɔbɔe. Wò ɖɔkta afia alesi nàzãe wò. Tsɔ atike eve ƒe agbɔsɔsɔme ɖe asi ɣesiaɣi. Esia le alea elabena ate ŋu akpe ɖe ŋuwò nàxɔ atike evelia ne atike ɖeka mewɔ dɔ nyuie o.

Wò ɖɔkta ate ŋu ana ‘Allergy Action Plan’ hã wò . Esia akpe ɖe ŋuwò nàdzra ɖo ɖe nulɔdɔ aɖe ŋu, ade dzesii, ahadae. Gblɔ ɖoɖo sia na amesiame si wòle be wòanya, abe wò ƒomea, sukudzikpɔlawo, kple kamedefefewo ƒe hehenalawo ene. Azɔ hã, bu ‘Atikewɔwɔ ƒe Nuxlɔ̃ame Asigɛ’ dodo ŋu kpɔ .

Ɣeyiɣi nye nu vevitɔ le nulɔdɔwo me. Ne nulɔdɔ ƒe dzesi sesẽwo abe gbɔgbɔ sesẽ kple ŋɔti ƒe tete ene dze egɔme la, zã epinephrine enumake . Azɔ hã, ne èkpɔ dzesiwo le ŋutilã ƒe akpa vovovo eve le ɣeyiɣi ɖeka me, abe ŋutigbalẽ ƒe ʋuʋu kple ʋuʋudedi ene la, zã epinephrine enumake. Emegbe yɔ 1990 (Sri Lanka ƒe dɔnɔdzikpɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ) enumake eye nàyi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ . Atikewɔlawo ƒe dzikpɔkpɔ le vevie ŋutɔ, elabena ɣeaɖewoɣi la, dzesi sesẽwo ƒe ƒutsotsoe evelia ate ŋu ado mo ɖa, ne edze abe nɔnɔmea ƒe vɔ̃ɖitɔ kekeake nu fa ene gɔ̃ hã.

Nu bubu kae nèdi be yeanya tso esia ŋu?

Ne nuɖuɖu ƒe nulɔdɔ ƒomevi aɖe le ŋuwò la, ele be nàzu nuɖuɖu ŋuti nuŋlɔɖiwo xexlẽ ŋuti nunyala bibi . Fifia adzɔnuwɔƒe geɖe siwo le míaƒe dukɔa me ŋlɔa nusiwo wotsɔ wɔa nuɖuɖua ɖe agbalẽa dzi eme kɔ nyuie. Eyata xlẽ nusi woŋlɔ ɖe edzi nyuie ɣesiaɣi hafi nàƒle nuɖuɖu yeye . Na wòazu numame na wò be nàlé ŋku ɖe "Ðe atikutsetse le esia mea?" "Ðe notsi le esia mea?"

Togbɔ be nusiwo woŋlɔ ɖe nu dzi kpena ɖe ame ŋu ne èle nuɖuɖu siwo wobla ɖe agba me ƒlem hã la, nukae nèwɔna ne èle nu ɖum le gota? Ne nuɖuɖu ƒe dɔléle aɖe le ŋuwò la, gblɔe na amesi le nu subɔm na wò. Zi geɖe la, màte ŋu atɔ ɖe afima o. Bia nusi le nuɖuɖu ɖesiaɖe me le nuɖuɖua me alo afisi woɖe nuɖuɖua fia le. Ne amesi le subɔsubɔm na wò menya nusi tututu wònye o la, kpɔe ɖa be woate ŋu abia tso amesi wɔe (alo nuɖala) si be wòanya hã.

Nu bubue nye cross-contamination.Ele be nànya nu si gblɔm wole hã. Eyae nye be nuɖuɖu ƒomevi si ŋu wò ŋutilã melɔ̃a nu le o, alesi wòate ŋu adzɔe be nàƒo ɖi nuɖuɖu bubuwo, abe lãtsoƒe, nuzazãwo, kple bubuawo siwo wozãna tsɔ ɖaa nuɖuɖu bubuwo ene. Le kpɔɖeŋu me, ne ame aɖe si ŋu atikutsetse ƒe nulɔdɔ le la lã nuɖuɖu bubu ɖe lãtsoƒe ma ke si wozãna tsɔ ɖaa atikutsetse la dzi la, ate ŋu anye kuxi. Eyata bia nya tso esia ŋu le nuɖuɖudzraƒewo.

Agbenɔnɔ kple nuɖuɖu ƒe nulɔdɔ ate ŋu asesẽ ɣeaɖewoɣi. Ne nuɖuɖu ƒe dɔléle aɖe le ame aɖe si nènya ŋu la, ke tsɔ wò kpekpeɖeŋu kple nugɔmesese na wo. Ame aɖewo siwo ŋu nuɖuɖu melɔ̃a nu le o ate ŋu ase le wo ɖokui me be yewoɖe yewo ɖokui ɖe aga alo be yewomele dedie o. Azɔ hã, ne nuɖuɖu ƒe dɔléle aɖe le ŋuwò la, gblɔe na xɔ̃wòwo. Zi geɖe la, woase nu gɔme na wò ahatsɔ ɖe le eme na wò.

Eyata, nusiwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe egbea me lae nye esi... (Take-Home Message)

Enyo, eyata míeƒo nu geɖe tso nuɖuɖu ƒe nulɔdɔwo ŋu egbea, alo? Le esiawo katã dome la, nu vevitɔ kekeake siwo wòle be wòanɔ susu me na wòe nye esi:

• Nuɖuɖu ƒe nulɔdɔ menye fefenya o. Ate ŋu anye nu sesẽ ŋutɔ, eye ɣeaɖewoɣi la, ehea dɔléle aɖe si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be anaphylaxis .
• Ƒo asa na nuɖuɖu siwo nènya be wogblẽa nu le ye ŋu keŋkeŋ . Mègasusu be, "Enyo be yeaɖu nu vi aɖe o."
• Ne nulɔdɔ sesẽ aɖe le ŋuwò la, tsɔ epinephrine auto-injectors eve ɖe asi ɣesiaɣi . Kpɔ egbɔ be yenya alesi nàzã woe.
• Ne nulɔdɔ ƒe dzesiwo (vevietɔ dzesi sesẽwo) do mo ɖa la , zã epinephrine enumake eye nàdi atikewɔla kpata .
• Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie, kpɔ nyuie ŋutɔ ne èle nu ɖum le gota, eye nànɔ ŋudzɔ ɖe nusiwo ate ŋu aƒo ɖii ŋu .
• Ne nuɖuɖu ƒe dɔléle le ŋuwò alo ame aɖe si nènya la, mègatsi dzodzodzoe o, gake kpɔ nyuie . Ne sidzedze kple dzadzraɖo nyuitɔ le ame si la, woate ŋu akpɔ nɔnɔme sia gbɔ nyuie.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, kpɔ egbɔ be yeƒo nu kple ɖɔkta. Ðo ŋku edzi be menye wò ɖeka koe o!

Nuɖuɖu ƒe Nulɔdɔ, Nulɔdɔ ƒe Dzesiwo, Anaphylaxis, Epinephrine, Nuɖuɖu ƒe Dedienɔnɔ, Nulɔdɔ Dodokpɔ