Abolo, roti, kottu, keke... Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemevo o alo esesẽna na wò be nàɖu nuɖuɖu siwo wotsɔ luwɔ wɔea? Ðewohĩ èsena le ɖokuiwò me be yeƒe lãme le ƒoƒom, dɔgbo me kuxiwo le ŋuwò, alo gbɔgbɔ sesẽna na wò? Emegbe ɖewohĩ lu ƒe nulɔdɔ hã le ŋuwò, si fia be ‘Lu ƒe nulɔdɔ’ le ŋuwò. Mègatsi dzi o, nɔnɔme sia nye esi le ame geɖe ŋu. Mina míaƒo nu tso esia ŋu eme nakɔ eye wòanɔ bɔbɔe egbea.
Kpuie ko la, nukae nye lu ƒe nulɔdɔ?
Lu ƒe nulɔdɔ nye nuɖuɖu ƒe nulɔdɔ si bɔ ŋutɔ. Kpuie ko la, ne èɖu nane si me lu le, alo ɣeaɖewoɣi nègbɔ nane abe lu ƒe wɔ ene gɔ̃ hã la, kasia wò ŋutilã ƒe dɔlélenutsiŋutete va zua ʋu si gbɔ eme. Zi geɖe la, míaƒe dɔlélenutsiŋutete ƒe dɔe nye be wòawɔ avu kple nuwo abe dɔlékuiwo kple dɔlékui siwo hea dɔléle vɛ ene. Gake ne lu ge ɖe ame aɖe si ŋu lu ƒe nulɔdɔ le ƒe ŋutilã me la, dɔlélenutsiŋutete bunɛ vodadatɔe be lu nye futɔ si gblẽa nu le ame ŋu eye wòdzea avuwɔwɔ gɔme. "Avuwɔwɔ" siae nye nusi míekpɔna abe nulɔdɔ ƒe dzesiwo ene.
Nu vevitɔe nye be lu ƒe nulɔdɔ ate ŋu asẽ ŋutɔ ɣeaɖewoɣi . Ne dzesi sesẽwo abe gbɔgbɔ sesẽ kple ŋɔti ƒe vuvu ene do mo ɖa la, ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Ne edzɔ alea la, ele be nàyi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake .
Nɔnɔme sia ate ŋu adze ame sia ame dzi, gake ne nulɔdɔ bubuwo le wò ƒomea me la, ate ŋu adzɔ be nàxɔe.
Nuka tututue dzɔna ne lu ge ɖe ŋutilãa me?
Mɔ vevi eve li siwo dzi amesi ŋu lu ƒe dɔléle le ate ŋu awɔ nui. Esia aɖi dzɔdzɔmeŋutinunya vie, gake mina míana wòanɔ bɔbɔe.
1. Nuwɔna enumake (IgE domenɔla ƒe nuwɔna) .
Esiae nye mɔ si bɔ wu si dzi woato akpɔe. Ne lu ge ɖe ŋutilã me la, míaƒe dɔlélenutsiŋutete wɔa dɔlékuiwutike tɔxɛ aɖe si woyɔna be Immunoglobulin E (IgE) . IgE dɔlékuiwutike siawo dea dzesi lu be enye "futɔ" eye wodzea dɔwɔwɔ gɔme enumake.
- Ɣeyiɣi: Nuwɔna sia dzɔna kabakaba ŋutɔ . Dzesiawo ate ŋu adze le aɖabaƒoƒo ʋɛ aɖewo va ɖo gaƒoƒo ene me le lu ɖuɖu vɔ megbe.
- Alesi wòsesẽe: Nuwɔna sia ƒomevie hea nɔnɔme sesẽ aɖe ŋutɔ si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be anaphylaxis vɛ.
2. Nuwɔna si tsi megbe (Non-IgE mediated reaction) .
Nuwɔna sia lɔ dɔlélenutsiŋutete hã ɖe eme, gake IgE dɔlékuiwutike siwo míeyɔ va yi la meku ɖe eŋu o.
- Ɣeyiɣi: Nuwɔna sia nɔa blewu.Ate ŋu axɔ gaƒoƒo 48 hafi dzesiawo nadze.
- Dzesiwo: Nɔnɔme vevi siwo dona tso esia mee nye Eosinophilic Esophagitis (EoE) , si nye míaƒe nuɖuɖutome (nuɖuɖu ƒe pɔmpi) ƒe dɔdzẽ, kple Eosinophilic Gastritis (EG) , si nye dɔgbo ƒe gliwo ƒe dɔdzẽ.
Nukawoe nye nulɔdɔ sia ƒe dzesiwo?
Dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo ate ŋu akpɔ dzesi siwo nu mesẽ kura o, evɔ ame bubuwo ya ate ŋu akpɔ dzesi siwo nu sẽ ŋutɔ. Mina míama nusiawo me be wo gɔmesese nanɔ bɔbɔe.
| Ŋutilã ƒe ɖoɖo si hea dzesiwo vɛ | Dzesi siwo woate ŋu akpɔ |
|---|---|
| Ŋutigbalẽ | Aɖuɖɔtoe, ŋutigbalẽ ƒe biã, ʋuʋudedi, vuvu. |
| Nuɖuɖumeŋusẽ ƒe Dɔwɔɖoɖo | Dɔgbo ƒe veve, ʋuʋudedi, ʋuʋudedi, ʋuʋudedi, aɖuɖɔtoe. |
| Yagbɔgbɔ ƒe Dɔwɔɖoɖo | No me ʋuʋu, ŋɔti me tsi si le dodom, aɖuɖɔtoe, ʋuʋudedi, gbɔgbɔ sesẽ. |
| Nɔnɔme bubuwo | Taɖuame, ŋku siwo me tsi le, ŋutilã ƒe vuvu. |
Kpomenya! Dzesi sesẽ siwo dzena le anaphylaxis ŋu
Ne èkpɔ dzesi siwo le ete dometɔ aɖe la, enye nɔnɔme sesẽ ŋutɔ eye wòhiã kpata . Woyɔa esia be anaphylaxis. Le nɔnɔme mawo me la, ele be nàyi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le (ETU) me enumake .
| Anaphylaxis - Dzesi Kpatawo | |
|---|---|
| Gbɔgbɔsesẽ sesẽ (gbɔgbɔtsixetsixe) . | Seselelãme be akɔta le tetem. |
| Nu mimi sesẽ (dysphagia) . | Kɔ, aɖe, alo mo ƒe vuvu. |
| Ʋu ƒe sisi kpata (ʋusɔgbɔdɔ) . | Taɖuame, ŋku blɔ, susu ƒe dɔwɔwɔ (syncope). |
| Dzi ƒe tsotso | Ʋu ƒe sisi gbɔdzɔ, dzimaɖitsitsi. |
| Dɔgbo ƒe vevesese sesẽ, ʋuʋudedi | Ŋutilãa fa miamiamia eye wòtsia dzodzodzoe. |
Nukatae nulɔdɔ sia dzɔna?
Nusi koŋ gbɔ nulɔdɔ sia tsonae nye protein siwo le lu me. Míaƒe dɔlélenutsiŋutete wɔa nu ɖe protein siawo ŋu vodadatɔe. Protein ƒomevi vevi eneawoe nye:
- Albumin si wotsɔ wɔa dɔe
- Gliadin ƒe ŋkɔ
- Globulin si woyɔna be Globulin
- Gluten si woyɔna be gluten
Aleke mawɔ anya kple kakaɖedzi nenye be esia li?
Ne èsusu be lu ƒe dɔléle aɖe le ye ŋu la, nu nyuitɔ si nàwɔe nye be nàyi nulɔdɔŋutinunyala gbɔ . Abia nya ʋɛ aɖewo wò eye ne ehiã la, awɔ dodokpɔ aɖewo atsɔ aɖo kpe esia dzi.
Nya siwo nàte ŋu abia ɖɔktaa:
- Ðe nulɔdɔ sia tɔgbe le wò ƒomea mea?
- Ðe nuɖuɖu ƒe nulɔdɔ bubu aɖewo le ŋuwòa?
- Nukawoe nye wò dzesiwo?
- Ɣeyiɣi didi kae dzesi siawo dzena le nuɖuɖu vɔ megbe?
- Ðe nèle atike aɖe nom na dzesi siawoa?
- Ðe nèwɔa nuɖuɖu ŋuti nuŋlɔɖi tso nusiwo nèɖuna ŋua?
Dodokpɔ kawoe wowɔna?
1. Ŋutilã ƒe Ʋuʋu Dodokpɔ:Nusi nèwɔnae nye be nàtsɔ tsi si me lu ƒe protein le la ade wò asi ƒe ŋutigbalẽ dzi eye nàtsɔ aŋe sue aɖe aƒoe vie. Ne nulɔdɔ aɖe le ŋuwò la, le abe miniti 15 ene me la, teƒea abiã eye wòavuvu vie, abe ɖe nudzodzoe aɖe ɖu wò ene.
2. Ʋu me IgE Dodokpɔ: Le afisia la, woɖea ʋu sue aɖe le asiwò eye wodoa IgE dɔlékuiwutike siwo tsia tre ɖe lu ŋu ƒe agbɔsɔsɔ kpɔna.
3. Nu me ƒe Kuxi si Woɖo Ðe Dzeside: Ne dodokpɔ bubuwo me mekɔ o la, ɖɔkta ate ŋu ana lu sue aɖe ŋutɔ wò le kɔdzi alo atikewɔƒe aɖe le woƒe dzikpɔkpɔ te be wòakpɔe ɖa be yeƒe nuwɔna aɖe do mo ɖa hã. Mègate esia kpɔ le aƒeme gbeɖe o.
Aleke woawɔ akpɔ egbɔe ahakpɔ egbɔ?
Atike nyuitɔ kekeake kple ɖeka kolia si woatsɔ ada lu ƒe nulɔdɔe nye be woaƒo asa na lu kple nuɖuɖu kple nusiwo katã me lu le keŋkeŋ .
Ðevi akpa gãtɔ tsina wu woƒe lu ƒe nulɔdɔ ne wole tsitsim. Le numekukuwo nu la, ɖevi siwo ade 66% tsina wui. Gake ne edzɔ le ame tsitsi me la, ate ŋu anɔ anyi le eƒe agbemeŋkekewo katã me.
Nuɖuɖu ka ƒomevie wòle be woaɖe ɖa?
Lu le nuɖuɖu geɖe me wu alesi míesusui, eyata ele vevie be nàxlẽ nusi woŋlɔ ɖe agba ɖesiaɖe si nèƒle le fiasea me dzi nyuie.
| Nuɖuɖu ƒe hatsotso | Kpɔɖeŋu siwo wòle be woaƒo asa na |
|---|---|
| Abolomenuwo | Abolo, bun, abolo, bisiklet, muffin, abolomegba. |
| Pasta kple noodles | Pasta ƒomevi ɖesiaɖe, spaghetti, noodles (si wotsɔ lu wɔe). |
| Ɣetrɔ me Nuɖuɖuwo | Nuku ƒomevi geɖe, Cream of Wheat. |
| Nuɖuɖu bubuwo | Sauce, hot dog, ice cream aɖewo, soya sauce, pizza. |
Tsɔ kpe ɖe eŋu la, lu ate ŋu anɔ nusiwo menye nuɖuɖu o dometɔ aɖewo me. Le kpɔɖeŋu me, lu ate ŋu anɔ atsyɔ̃ɖomi, adzalẽ, kple ɖeviwo ƒe Play-Doh aɖewo me.
Ðe atike aɖewo li?
Ne nulɔdɔ ƒe dzesi suesuesuewo le ŋuwò (e.g., aɖuɖɔtoe) la, wò ɖɔkta ate ŋu aŋlɔ atike siwo wua ʋumenugbagbeviɣidɔ na wò . Ɣeaɖewoɣi la, woate ŋu ana corticosteroids hã hena ɣeyiɣi kpui aɖe.
Le amesiwo ŋu nulɔdɔ sesẽwo le gome la, anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò be nàdo epinephrine (abe EpiPen ene) ɣesiaɣi . Wozãa esia le nɔnɔme kpatawo abe anaphylaxis ene me. Wò ɖɔkta aɖe alesi nàzã esiae me.
Ðe lu ƒe nulɔdɔ, gluten ƒe dɔmawɔmawɔ nyuie, kple celiac dɔléle nye nu ɖeka?
Ao, afisiae ame geɖe tɔtɔna le. Nɔnɔme etɔ̃ siawo, etɔ̃.
| Ɖoƒe | Nuɖᴐɖᴐ | Ŋutilã ƒe ŋuɖoɖo |
|---|---|---|
| Lu ƒe Nulɔdɔ | Protein siwo le lu me ƒe nulɔdɔ. | Dɔlélenutsiŋutete wɔa nu to IgE dɔlékuiwutikewo wɔwɔ me. Le nɔnɔme sesẽwo me la, anaphylaxis ate ŋu adzɔ. |
| Celiac Dɔléle | Esia menye nulɔdɔ o. Esia nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ. Ewɔa nu ɖe protein aɖe si woyɔna be gluten, si le nukuwo abe lu kple ƒo ene me ŋu. | Dɔlélenutsiŋutete dzea eya ŋutɔ ƒe dɔgbo sue ƒe gliwo dzi. Esia nye agbemeŋkekewo katã ƒe nɔnɔme. |
| Gluten ƒe Mɔmaɖemaɖeɖenuŋu/Sensitive | Esia menye nulɔdɔ alo dɔléle si dɔlélenutsiŋutete hena vɛ o. Enye gluten ƒe dɔmawɔmawɔ nyuie ƒe nya. | Nuɖuɖumeŋusẽ ƒe vevesese (ʋuʋudedi, dɔgbo ƒe veve, taɖuame) dzɔna, gake nuwɔna aɖeke si ate ŋu ade ame ƒe agbe afɔku me medzɔna o. |
Gbedasi si Wotsɔ Yi Aƒeme
- Lu ƒe nulɔdɔ nye wò ŋutilã ƒe dɔlélenutsiŋutete ƒe ŋuɖoɖo si mesɔ o ɖe lu ŋu.
- Dzesiawo ate ŋu atso ʋuʋudedi sue aɖe dzi va ɖo anaphylaxis si ate ŋu awu ame dzi.
- Ne èkpɔ dzesi sesẽwo abe gbɔgbɔ sesẽ kple ŋɔti ƒe vuvu ene la, yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
- Esia ƒe atike nyuitɔe nye be nàɖe nuɖuɖu siwo katã me lu le ɖa le wò nuɖuɖu kple nuɖuɖu me.
- Ele vevie ŋutɔ be nàxlẽ nusi woŋlɔ ɖe nuɖuɖu ɖesiaɖe si nèƒle le fiase me dzi nyuie.
- Ne èsusu be dɔléle sia le ye ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo.
- Lu ƒe nulɔdɔ, celiac dɔléle, kple gluten ƒe vevesese nye nɔnɔme vovovo etɔ̃.
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