He mau nīnau kāu e pili ana i nā maʻi ʻaleka? E hele mai, e kamaʻilio kākou e pili ana i kahi kauka maʻi ʻaleka!

Ke manaʻo nei hoʻi ʻoe i kahi mea ʻē iki ke ʻai ʻoe i kekahi mau meaʻai? A i ʻole he paʻakikī iā ʻoe ke hanu i ka wā e hanu ai ʻoe i kahi lepo liʻiliʻi? I kekahi manawa he mea maʻamau kēia mau mea, akā no kekahi poʻe hiki ke lilo i mau pilikia nui. ʻO ia ka manawa e pono ai ke kōkua o kahi allergist . I kēia lā, e kamaʻilio kākou e pili ana i kēia 'allergist' a me kāna hana.

ʻO wai ka mea maʻi allergist?

I ka ʻōlelo maʻalahi, he kauka allergist ka mea loea i nā maʻi e hoʻopilikia ana i kā mākou ʻōnaehana pale . E noʻonoʻo i kēia ʻano: he pūʻali koa liʻiliʻi ko mākou i loko o ko mākou kino i kapa ʻia ʻo ka ʻōnaehana pale. ʻO kēia ka mea e pale ai iā mākou mai nā maʻi. Eia naʻe, i kekahi manawa hoʻomaka kēia ʻōnaehana e pane nui. ʻO ia ka manawa e kū mai ai nā pilikia.

Aia kekahi mau maʻi ʻōnaehana pale e mālama nui ʻia e kēia mau kauka:

• Nā maʻi ʻaleka a me nā maʻi ʻaleka: Loaʻa kēia mau mea ke pane nui ko mākou ʻōnaehana pale i kahi mea a mākou e ʻai ai, hanu ai, a hoʻopā paha. No ka laʻana, loaʻa i kekahi poʻe ka ʻulaʻula ma hope o ka ʻai ʻana i ka ʻōpae, aʻo kekahi poʻe e hoʻomaka ana e ʻūhā ma hope o ka hoʻopā ʻana i kahi pōpoki.
• Asthma: ʻO kēia ka wā e pehu ai nā ala ea i loko o ko kākou mau māmā. Hiki i ka poʻe me ka hānō ke paʻakikī koke i ka hanu ʻana ma muli o kekahi mau mea hoʻonāukiuki, e like me ka lepo, ka uahi, a i ʻole ke anu.
• Nā maʻi pale kino mua: ʻOi aku ka paʻakikī o kēia mau mea. He mau maʻi hoʻoilina kēia. ʻO kēia ke kumu o ka hana pono ʻole ʻana o kā mākou ʻōnaehana pale. Aia ma mua o 200 mau ʻano o kēia mau maʻi.

ʻO wai ke kauka allergist pediatric?

I kēia manawa, ke noʻonoʻo nei paha ʻoe inā hiki i kēia mau pilikia ke hoʻopilikia i nā keiki ʻōpio. ʻAe, hiki i nā pēpē, nā keiki, a me nā pākeke ʻōpio ke loaʻa i nā maʻi allergies, ka hānō, a me nā maʻi ʻōnaehana pale. ʻO ia ka manawa e ʻike ai kahi kauka allergist pediatric a mālama iā lākou. Ua like ʻo ia me kahi allergist no nā pākeke, akā ke nānā pono nei ʻo ia i nā keiki.

He aha ka ʻokoʻa ma waena o ka allergist a me ka immunologist?

He nīnau kēia a ka poʻe he nui e nīnau ai. Hoʻohana pinepine mākou i ka huaʻōlelo 'allergist' e pili ana i ke kauka nāna e mālama i nā mea e like me nā allergies a me ka hānō, a i kekahi manawa mālama pū i nā maʻi o ka ʻōnaehana pale. A laila, ʻo 'immunologist' ka mea hoʻokahi. Eia nō naʻe, i kekahi manawa hiki i kahi 'immunologist' ke kālele nui aku i ka mālama ʻana i nā maʻi o ka ʻōnaehana pale, a i ʻole ke hana ʻana i ka noiʻi lapaʻau ma ka ʻōnaehana pale. ʻO ka pinepine, ʻo kēia mau mea ʻelua he poʻe ma ke kahua like, ʻo ia hoʻi, ka poʻe i loaʻa ka hōʻoia 'Allergist/Immunologist' .

He aha ka hana a kēia poʻe maʻi allergists?

Hoʻomaopopo a mālama kekahi kauka allergist i nā pilikia me kāu ʻōnaehana pale. Eia ka mea hiki iā ia ke hana:

• Hoʻāʻo ʻana i ka maʻi ʻaleka: E nānā kēia inā he maʻi ʻaleka kou i nā mea e like me nā meaʻai, ka pollen (mai ka mauʻu, nā lāʻau, a me nā nāhelehele), ka dander holoholona , ​​​​a me ka ʻōpala.
• Hoʻomaopopo ʻia ka hānō ma ka hoʻāʻo ʻana i ka hana o ka māmā.
• Ua kuhikuhi ʻia nā lāʻau lapaʻau a i ʻole nā ​​​​​​mea hana e pale aku, mālama, a hōʻemi paha i ke koʻikoʻi o nā maʻi allergies a me ka hānō. Eia kekahi laʻana, pono paha kekahi poʻe e hoʻohana i nā mea hoʻoheheʻe.
• E aʻo aku mākou iā ʻoe i nā hoʻololi e pono ai ʻoe e hana i kou nohona e pale aku ai i nā mea hoʻoulu no nā allergies a i ʻole ka hānō.
• Hāʻawi ʻia ka immunotherapy, e like me nā pana allergy, e hōʻemi i nā hopena allergy. Pili kēia i ka hōʻike mālie ʻana i ke kino i ka allergen.
• Hoʻomaopopo ʻia nā maʻi immunodeficiency.
• I ke ola ʻana me kahi maʻi ʻōnaehana pale, paipai mākou i nā ala e pale aku ai iā ʻoe iho mai nā maʻi .
• Hāʻawi ʻia ka immunoglobulin intravenous (IVIG) ma ke ʻano he lāʻau lapaʻau no kekahi mau maʻi pale.
• Inā he maʻi ʻoe i kahi lāʻau lapaʻau koʻikoʻi, hana ʻia kahi kaʻina hana i kapa ʻia ʻo "Drug desensitization" i hiki iā ʻoe ke lawe palekana i kēlā lāʻau lapaʻau.

He aha nā ʻano maʻi e mālama ai nā allergists?

Eia kekahi o nā kūlana olakino maʻamau i mālama ʻia e kēia mau kauka:

• ʻO ka conjunctivitis allergic (allergic maka)
• ʻO ka rhinitis allergic/hay fever, i ʻike ʻia hoʻi ʻo 'hay fever'
• ʻO Anaphylaxis, kahi hopena maʻi ʻeha koke
• ʻO Angioedema, kahi pehu ma lalo o ka ʻili
• Asthma
• Nā maʻi ʻaleka lāʻau
• He maʻi ʻili ka eczema.
• nā maʻi Eosinophilic (kahi e hoʻonui ai kahi ʻano koko keʻokeʻo i kapa ʻia ʻo 'eosinophil')
• Nā maʻi ʻaleka meaʻai
• ʻO ka huhū ʻili, i ʻike ʻia hoʻi ʻo 'hives/urticaria'
• Nā maʻi ʻaleka i nā ʻaki pepeke
• Nā maʻi ʻaleka latex
• Nā maʻi sinus pinepine

No ke aha mākou e pono ai e ʻike i kahi allergist?

Hiki paha iā ʻoe ke makemake e ʻike i ke kauka e like me kēia no nā kumu aʻe:

• E nānā inā he maʻi ʻaleka a i ʻole ka hānō.
• E kiʻi i ka lāʻau lapaʻau no nā maʻi allergies a i ʻole ka hānō.
• Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana pale, e mālama iā ia.

Āhea mākou e ʻike ai i kahi allergist?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike pono i kahi kauka allergist. A i ʻole e nīnau i kāu kauka ʻohana (Primary Care Physician) inā pono ʻoe e ʻike i kēlā ʻano loea.

"Pono anei kākou e hopohopo iki e pili ana i kēia mau hōʻailona?"

• Inā loaʻa iā ʻoe kahi hopena maʻi koʻikoʻi - e like me ka hives, ka pehu ʻana o ka maka a i ʻole ke alelo, a i ʻole ka paʻakikī o ka hanu ʻana.
• Loaʻa iā ʻoe nā maʻi ʻaleka, akā ʻaʻole ʻoe maopopo i ka mea e hoʻoulu ai iā lākou. Eia kekahi laʻana, e ʻike inā hana wale ia ke ʻai ʻoe i kekahi mau meaʻai a i ʻole ke pili ʻoe me ka lepo.
• Inā paʻakikī iā ʻoe ke kaohi i kāu mau maʻi allergies a i ʻole ka hānō, ʻoiai me nā lāʻau lapaʻau a me nā loli o ke ʻano o ka nohona.
• Inā ke pale nei nā maʻi ʻaleka a i ʻole ka hānō iā ʻoe mai ka hoʻomau ʻana i kou ola maʻamau, ka hele ʻana i ka hana, a i ʻole ka hana ʻana i nā mea āu e aloha ai.
• Inā pinepine ʻoe i ka hanu ʻana, loaʻa ka ʻū, a i ʻole ka hanu pōkole - ʻoiai ma hope o ka hoʻoikaika kino a i ʻole i ka pō.
• Inā ʻoe e maʻi mau ana, a inā lōʻihi ka manawa e hoʻōla ai i kahi maʻi maʻamau e like me ke anu, ʻo ia hoʻi paha ua nāwaliwali kou ʻōnaehana pale.

Pehea e hoʻāʻo ʻia ai nā maʻi allergies?

Hiki i kahi kauka allergist ke hoʻohana i nā ʻano hoʻokolohua like ʻole e ʻike ai i ke ʻano o ka allergy āu. Eia kekahi o lākou:

• Nā hoʻāʻo ʻili kuʻi/ʻōniʻoniʻo: ʻO kēia ka lawe ʻana i kahi liʻiliʻi o kahi mea i manaʻo ʻia he allergen a me ke kahakaha ʻana me kou ʻili. A laila, e ʻimi lākou i kahi hopena, e like me ka ʻulaʻula a me ka pehu. He hoʻāʻo maʻalahi loa kēia a wikiwiki hoʻi.
• Nā hoʻāʻo koko:Ma kēia, lawe ʻia kahi hāpana o kou koko a hoʻāʻo ʻia i loko o kahi keʻena hoʻokolohua e ʻike ai inā he mau hopena maʻi ʻoe i kahi mea.
• Nā hoʻāʻo hoʻokūkū meaʻai: He hoʻāʻo kēia e pono ai ke akahele. Ma kēia, e hoʻolauna mālie ke kauka i kahi meaʻai āu e manaʻo nei he maʻi ʻoe, me ka nānā pono ʻana e ʻike inā he hopena maʻi ʻoe. Pono e hana ʻia kēia ma lalo o ka nānā ʻana a ke kauka.

Ma waho aʻe o kēia mau hoʻokolohua allergy, hiki ke hana ʻia kēia mau mea ke kipa aku ʻoe i ke kauka:

• Hoʻāʻo hana māmā (spirometry, hoʻāʻo hana pulmonary): Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o kou mau māmā. Kōkua kēia hoʻāʻo i ka ʻike a me ka mālama ʻana i ka hānō.
• Aʻo iā ʻoe pehea e hoʻohana ai i nā lako lapaʻau: Hiki i kāu kauka ke aʻo iā ʻoe pehea e hoʻohana pono ai i nā lako e like me nā mea hoʻokomo epinephrine (i kapa ʻia i kekahi manawa ʻo 'Epipen') no nā maʻi ʻaleka koʻikoʻi, nā mea hoʻoheheʻe, a me nā nebulizer no ka hānō.

Pehea e lilo ai i mea allergist?

He mea paha kēia āu e makemake ai e ʻike. No ka lilo ʻana i allergist ma Sri Lanka, pono mua ʻoe e loaʻa i ke kēkelē lapaʻau (MBBS) mai ke kula lapaʻau. Ma hope o kēlā, pono ʻoe e hoʻopau i kahi internship a me ka post-internship ma ke ʻano he kauka lapaʻau maʻamau. Ma hope o kēlā, pono ʻoe e loaʻa i kahi hoʻomaʻamaʻa loea (MD) ma ka lāʻau lapaʻau kūloko a i ʻole Pediatrics. Ma hope o kēlā hoʻomaʻamaʻa, hiki iā ʻoe ke loaʻa i kahi hoʻomaʻamaʻa kūikawā ʻē aʻe (post-MD training/fellowship) ma ke kahua o Allergy and Immunology, e hala i nā hoʻokolohua pili a lilo i allergist. ʻO ia hoʻi, he mea kēia e pono e hana ʻia me ka hoʻolaʻa nui a me ka manawa.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

ʻO nā maʻi allergies, ka hānō, a me nā maʻi ʻōnaehana pale he mau kūlana e hiki ke hoʻopilikia i ko kākou ola o kēlā me kēia lā, i kekahi manawa e hoʻoulu ai i nā hopena koʻikoʻi. Akā , mai hopohopo . Hiki i kahi allergist ke kōkua iā ʻoe e ʻike i kāu mau mea hoʻoulu allergies a i ʻole nā ​​mea hoʻoulu hānō, e kuhikuhi i nā lāʻau lapaʻau e kāohi i kāu mau hōʻailona, ​​a aʻo iā ʻoe i nā hoʻololi ʻana i ke ʻano o ka nohona e pale aku ai i kēlā mau mea hoʻoulu.

"I ka ʻōlelo maʻalahi, kōkua kēia mau kauka iā ʻoe e hoʻomaopopo i kou kūlana, e ola me ia me ka holomua, a ʻaʻole e ʻae iā ia e hoʻopilikia i kou ola."

No laila, inā manaʻo ʻoe he pilikia kēia iā ʻoe, mai hoʻonele i ka manawa a ʻike i ke kauka. A laila hiki iā ʻoe ke ola i kahi ola olakino a ʻoluʻolu hoʻi.

Kauka ʻAleka, ʻAleka, Hanu, ʻŌnaehana Palekana, Nā Hoʻāʻo ʻAleka, Kauka Kūikawā, Kauka ʻAleka, ʻAleka, Hanu, ʻŌnaehana Palekana