Kpɔe ɖa le susu me be èle vivi sem na cashew aɖewo le kplɔ̃ɖoƒe alo nèle shrimp curry vivi aɖe ɖum kple xɔ̃wòwo. Kasia, ède dzesii be yeƒe ŋutilã katã le ƒoƒom sesĩe, wò mo tea vuvu, eye nèle agbagba dzem be yeagbɔ. Menye nuɖuɖu ƒe nuwɔna si bɔ koe esia nye o—ate ŋu anye anaphylaxis , si nye nulɔdɔ sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me. Egbea, míele nu ƒom tso nɔnɔme sia si me afɔku le gake woate ŋu akpɔ egbɔ, si Nirogi Lanka tsɔ vɛ na wò, kple nusiwo wòle be nànya tso anaphylaxis ŋu .
Kpuie ko la, nukae nye anaphylaxis?
Anaphylaxis nye nulɔdɔ si dzɔna kpata, si nu sẽ, eye ate ŋu ade ame ƒe agbe afɔku me. Edzɔna ne wò ŋutilã ƒe ametakpɔnu—si nye dɔlélenutsiŋutete ( dɔlélenutsiŋutete )—wɔ nu wògbɔ eme ɖe nusi megblẽa nu le ame ŋu zi geɖe o, abe nuɖuɖu aɖewo alo nudzodzoe ƒe ƒoƒo ene ŋu.
Le nyateƒe me la, wò dɔlélenutsiŋutete bua atike si megblẽa nu le ame ŋu o vodadatɔe be enye ŋɔdzinu si me afɔku le. Be nàwɔ avu kple "futɔ" sia la, wò ŋutilã wɔa protein tɔxɛ siwo woyɔna be `Immunoglobulin E` alo `(IgE)` dɔlékuiwutikewo. Ne ègakpɔ nulɔdɔ ma ake la, dɔlékuiwutike siwo nye `(IgE)` la blana ɖe eŋu, si wɔnɛ be wò ŋutilã ɖea atike gbogbo aɖewo ɖe go . Esiawo dometɔ si ɖe dzesi wue nye histamine . Histamines gbɔe anaphylaxis ƒe dzesi sesẽwo tsona, siwo dometɔ aɖewoe nye vuvu , ʋu ƒe sisi kpata ( ʋu ƒe sisi ), kple ʋukawo ƒe keke. Ne womekpɔ esia gbɔ enumake o la, ate ŋu ahe anaphylactic shock vɛ eye wòaku gɔ̃ hã.
Nukae nye dzesiawo eye aleke nèwɔna dea dzesi wo?
Zi geɖe la, anaphylaxis ƒe dzesiwo dzea egɔme le aɖabaƒoƒo ʋɛ aɖewo megbe tso esime wodo nulɔdɔa, togbɔ be woate ŋu axɔ gaƒoƒo ɖeka alo eve ɣeaɖewoɣi hafi woadze egɔme hã.
- Dzesi gbãtɔwo: Ate ŋu adze egɔme kple ŋku alo mo ƒe ʋuʋu vevie, alo ɣeaɖewoɣi la, ʋuʋudedi si bɔ ɖe wò ŋutilã katã me.
- Ŋutilã ƒe tɔtrɔ: Àte ŋu axɔ aɖuɖɔtoe siwo biã, siwo vuvu, kple esiwo le ʋuʋum. Le go aɖewo me la, àte ŋu ade dzesii be ŋutigbalẽa te vuvu goglo, si woyɔna be `(Angioedema)`.
- Yagbɔgbɔ sesẽ: Esiae nye dzesi si me afɔku le wu. Ðewohĩ àse le ɖokuiwò me be yeƒe ŋɔti le tsitsim, asesẽ na wò be nàmi, alo gbɔgbɔ sesẽ na wò . Àte ŋu ase le ɖokuiwò me hã be akɔta le tetem alo ade dzesi gbeɖiɖi aɖe si le ʋuʋum.
- Nuɖuɖumeŋusẽ ƒe kuxiwo: Àte ŋu akpɔ ƒodo ƒe ʋuʋu sesẽ, aɖuɖɔ, aɖuɖɔtoe, alo aɖuɖɔtoe.
- Dzitodzitowo ƒe ŋusẽkpɔɖeamedzi: Dzi ƒe tsotso ƒe dzidziɖedzi, ta ƒe ʋuʋu, gbɔdzɔgbɔdzɔ kpata, alo ame ƒe susu ƒe dɔwɔwɔ gɔ̃ hã le ʋu ƒe sisi ta.
Nu vevitɔ si dzi wòle be míaɖo ŋkui enye be ne dzesi siawo dometɔ ɖeka alo esi wu nenema dze kabakaba la, mègasusui be enye nulɔdɔ sue aɖe o. Ate ŋu anye anaphylaxis.
Nukawo koŋue hea anaphylaxis vɛ?
Nu geɖe li siwo hea nuwɔna sesẽ sia vɛ. Ame aɖewo ƒe nulɔdɔ ate ŋu anɔ ɖeka ŋu, evɔ nu geɖe ate ŋu aʋã ame bubuwo.
| Trigger ƒe Ƒomedodo | Kpɔɖeŋu Siwo Bɔ |
|---|---|
| Nuɖuɖuwo | Akɔɖu, atikutsetse, ƒumelã (shrimp, crab, lobster), nyi ƒe notsi, azi ɣi, kple sesame-ku. |
| Nudzodzoewo ƒe Ʋuʋudedi | Akpɔkplɔ alo anyiwo ƒe ƒoƒo bɔ ŋutɔ. |
| Atikewo | Dɔlékuiwutikewo abe penicillin, alo vevesesenutsitike aɖewo ene. |
| Kamedede | Le ame aɖewo gome la, ne wode kame le nuɖuɖu si aʋã wo ɖuɖu vɔ megbe kpuie ko hafi anaphylaxis ate ŋu adzɔ. |
Nuwɔna bubu siwo le abe anaphylaxis ene (Anaphylactoid Reactions) .
Ɣeaɖewoɣi la, nuwɔna siwo sɔ kple anaphylaxis dzɔna siwo menye `(IgE)` dɔlékuiwutikewoe nye domenɔlawo o. Esiawo ate ŋu atso:
- Amadede siwo me iodine le siwo wozãna le nɔnɔmetatawo dodokpɔ abe X-ray ene me.
- Aspirin kple atike bubu siwo me steroid mele o siwo tsia dɔdzẽ nu (NSAIDs).
- Opioid vevesesenutsitike sesẽ aɖewo.
- Ʋudodo.
Atikewɔwɔ si xɔa ame ɖe agbe!
Ele vevie be míase egɔme be anaphylaxis nye atikewɔwɔ kpata. Mele be nàdze agbagba akpɔ esia le aƒeme gbeɖe o.
Atikewɔwɔ ɖeka kolia si woate ŋu awɔ enumake, si xɔa ame ɖe agbee nye epinephrine (si wogayɔna be adrenaline) dodo. Atike sia dodo kpena ɖe ame ŋu be wòaɖu dzesiawo dzi enumake.
Ne èle afɔku me la, wò ɖɔkta aŋlɔ `auto-injector` na wò. Esia nye mɔ̃ si le abe nuŋlɔti ene si na wò ŋutɔ nàte ŋu ado atike la ne ète ɖe akɔta gotatɔ ŋu sesĩe.
Ne èsusu gɔ̃ hã be ye alo ame bubu aɖe le anaphylaxis me tom la, mègahe ɖe megbe le auto-injector zazã me o. Ne mèka ɖe edzi 100% o la, ele dedie be nàzãe wu be nàlala. Nuvevi aɖeke mele epinephrine zazã me ne menye anaphylaxis ŋutɔŋutɔe o.
Ne èzã auto-injector eye nèse le ɖokuiwò me be yeƒe dzesiwo nu fa vɔ gɔ̃ hã la, kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata yiyi nye sedziwɔwɔ. Ɣeaɖewoɣi la, nuwɔna evelia si tsi megbe ate ŋu adzɔ. Le kɔdzi la, woakpɔ beléle si hiã be woatsɔ akplɔ wò ɖo abe tsi siwo wodona ɖe ʋuka me, atike siwo wua ʋumenugbagbeviɣidɔ, alo steroid ene le atikewɔlawo ƒe ŋkuléle ɖe ŋuwò me.
Aleke mawɔ adzra ɖo?
Ne nulɔdɔ sesẽwo le ŋuwò la, mɔnu nyuitɔe nye be nàdzra ɖo ahawɔ nu le dziɖeɖi me.
1. Kpɔ wò ɖɔkta gbɔ: Dzro wò nulɔdɔwo me kple wò ɖɔkta be nànya afɔku si le eme be nàxɔ anaphylaxis. Ne èle afɔku me la, woaŋlɔ `epinephrine auto-injector` na wò.
2. Tsɔ wò atikewo ɖe asi ɣesiaɣi: Ne auto-injector le asiwò la, tsɔ eve ɖe asi ɣesiaɣi le afisiafi si nàyi. Ne èzã ɖeka la, ɖewohĩ ahiã be nàzãe zi evelia.
3. Ƒo asa na nusiwo aʋã wò:Ne ènya nusi ŋu wò nulɔdɔ le la, ƒo asa nɛ alesi nàte ŋui. Ne èle nu ɖum le gota la, bia nusiwo wotsɔ wɔe ŋu ɣesiaɣi.
4. Na ame bubuwo nanya: Fia nu wò ƒometɔwo, xɔlɔ̃ veviwo, kple dɔwɔhatiwo tso wò nulɔdɔwo ŋu eye nàfia wo alesi woazã wò auto-injector le nɔnɔme kpata aɖe me.
5. Do atikewɔgbalẽvi: Atikewɔwɔ ŋuti nuxlɔ̃ame ƒe asigɛ alo pendant dodo, alo agbalẽvi dada ɖe wò gakotoku me ate ŋu axɔ wò agbe le nɔnɔme kpata aɖe me.
Togbɔ be anaphylaxis nye dɔléle sesẽ aɖe hã la, ne ènya nu tso eŋu nyuie eye nèdzra ɖo nyuie la, àte ŋu akpɔ afɔkua gbɔ nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Anaphylaxis nye nulɔdɔ si le ŋgɔ yim kabakaba, si ate ŋu awu ame, ke menye ŋutigbalẽ ƒe ʋuʋu dzro aɖe ko o.
- Dzesi veviwo dometɔ aɖewoe nye gbɔgbɔ sesẽ, mo alo ŋɔti ƒe vuvu, dzi ƒe tsotso kabakaba, kple aɖuɖɔtoe sesẽ.
- Atikewɔwɔ enumake koe nye epinephrine (adrenaline) dodo. Ne ɖikeke le mewò la, mègavɔ̃ be yeazãe o.
- Ne èzã epinephrine eye wò lãme sẽ vɔ gɔ̃ hã la, ele be woatsɔe ayi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata enumake.
- Ne èle afɔku gã aɖe me la, ke tsɔ epinephrine auto-injectors eve ɖe asi ɣesiaɣi abe alesi wò ɖɔkta gblɔe ene.
- Kpɔ egbɔ be wò ƒometɔwo, xɔlɔ̃wo, kple atikewɔlawo nya nu tso wò nulɔdɔwo ŋu nyuie.
Anaphylaxis, nulɔdɔ sesẽwo, epinephrine, adrenaline, nulɔdɔ ƒe dzesiwo, atikewɔwɔ kpata, auto-injector
