Ke ʻānai nei ʻoe i kekahi manawa me ke kumu ʻole? Manaʻo ʻoe he anu kou a ua paʻa kou ihu? Hiki paha no kahi mea āu i noʻonoʻo ʻole ai. Kāhea mākou i kēia he 'allergy'. ʻAʻole ʻike nui ka poʻe he nui e pili ana i ia mea. No laila e kamaʻilio kākou e pili ana i kēia lā, no ka mea, hoʻopilikia ia i ka nui o nā kānaka.
He aha maoli kēia maʻi allergy?
I ka ʻōlelo maʻalahi, ʻo ka maʻi ʻaleka he hopena makemake ʻole ʻia o ka ʻōnaehana pale o ko mākou kino. E noʻonoʻo i kēia ʻano: he ʻōnaehana pale ko ko mākou kino, kapa mākou iā ia he ʻōnaehana pale . Ua like ia me kahi pūʻali koa e pale ana i kahi ʻāina. Ke kaua nei kēia ʻōnaehana i nā germs, bacteria, a me nā virus e hele mai ana mai waho a pale iā mākou mai ka maʻi. Akā i kekahi manawa, i ka wā e komo ai nā mea ʻino ʻole iā mākou - no ka laʻana, ka pollen, ka lepo, a me kekahi mau meaʻai - i loko o ko mākou kino, manaʻo hewa kā mākou ʻōnaehana pale he ʻenemi nui kēia. A laila hoʻomaka ia i kahi hakakā pono ʻole e kūʻē iā ia. ʻO ia ke kumu e kapa wale ai mākou he allergy. ʻO kēia hopena ke kumu o ka loaʻa ʻana o nā hōʻailona like ʻole, e like me ka maneʻo a me ka ʻūhā.
He aha nā maʻi allergies maʻamau e hiki iā mākou ke hoʻomohala?
Nui nā mea hiki iā mākou ke maʻi allergies, akā eia kekahi mau mea maʻamau:
- ʻO ka mea ʻawahia o ka pi a me nā ʻaki ʻē aʻe o nā pepeke: Hiki i kekahi poʻe ke maʻi nui i nā ʻaki mai nā holoholona e like me nā nalo meli a me nā nalo meli.
- Nā ʻuku lepo: He mau mea liʻiliʻi kēia i liʻiliʻi loa e ʻike ʻia me ka maka ʻōlohelohe. Noho lākou i loko o ka lepo i loko o ko mākou mau home. He mea maʻamau lākou i loko o nā moena, nā uluna, a me nā kāpeti.
- Nā Meaʻai: Loaʻa i kekahi poʻe ka maʻi ʻaleka i nā meaʻai e like me ka waiū, nā hua manu, nā pīnati, ka soy, ka iʻa, ka ʻōpae, a me ka pāpaʻi.
- Nā lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me nā painkillers a me nā antibiotics, hiki ke hana i nā allergies.
- ʻŌpala: ʻO nā ʻōpala e ulu ana ma nā wahi me ka makū kiʻekiʻe, e like me nā paia kahiko, hiki ke hana i nā maʻi allergies inā hanu ʻia.
- Nā Holoholona: He maʻi ʻaleʻale kekahi poʻe i ka huluhulu, ka lawai, a me nā ʻili make o nā holoholona e like me nā ʻīlio a me nā pōpoki. E noʻonoʻo, ma hope o ka hoʻopā ʻana i kahi pōpoki ma ka hale o kou hoaaloha, hoʻomaka ʻoe e ʻūhā a ʻulaʻula kou mau maka. ʻO ia hoʻi, he maʻi ʻaleʻale paha ʻoe i ka huluhulu pōpoki.
- Nā hopena dermatitis pili: Hiki i kekahi mau kemika, nā kopa, nā metala (e like me ka nickel), a me kekahi mau mea kanu ke hana i kahi ʻulaʻula ke pili lākou me ka ʻili .
- Pollen: ʻO kēia ke kumu nui o ke anu a me nā maka ʻāʻī i nā kānaka he nui i ka wā puna.
He aha nā hōʻailona o ka maʻi allergies?
Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, a hilinaʻi hoʻi i ka mea āu e maʻi ai. E nānā i kēia papa inoa:
- ʻO ka huhū o ka ʻili, ka ʻulaʻula, a i ʻole ka hives.
- ʻŌhūhū.
- ʻUhaʻuha, ihu paʻa, ihu wai.
- Ka paʻakikī o ka hanu ʻana, e like me ke kuʻi ʻana a me ka wheezing.
- Nā maka ʻānai, waimaka.
- Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Paʻakikī ka hanu ʻana, paʻakikī ke ale ʻana.
- Ka luaʻi ʻana a i ʻole ka maʻi pākī.
- Ke koko haʻahaʻa.
I kēia manawa, inā ʻoe e hoʻopā i kahi mea āu e maʻi ai, hiki iā ʻoe ke loaʻa i kahi ʻili ʻili. Akā inā ʻoe e hanu i kahi mea e like me ka pollen a i ʻole ka dander holoholona, e ʻike paha ʻoe i ka ihu wai a me ka ʻūhā. Hiki i nā maʻi ʻaleka i nā meaʻai, nā lāʻau lapaʻau, ka mea ʻawahia wasp, a me nā mea ʻē aʻe ke koʻikoʻi loa. Hiki iā lākou ke hoʻoulu i kou puʻu e pehu a paʻakikī ke hanu. Kāhea mākou i kēia he "Anaphylaxis." He pilikia kēia a pono e mālama koke ʻia.
Pehea ka lōʻihi o kēia maʻi allergy?
ʻO ka maʻamau, mau kēia mau hōʻailona no ka lōʻihi o kou pili ʻana i ka allergen. Hoʻomaka kekahi mau allergies i loko o nā minuke. ʻIke ʻia kekahi mau hola a i ʻole nā lā ma hope. Nalo pinepine nā hōʻailona i loko o kekahi mau hola ma hope o kou pili ʻana i ka allergen. Eia nō naʻe, hiki i kekahi mau allergies ʻili, e like me ka contact dermatitis, ke mau no nā pule.
No ke aha mākou e loaʻa ai i kēia mau allergies?
Kuhihewa ko mākou ʻōnaehana pale i nā protein i nā mea ʻino ʻole e like me ka pollen, ka dander holoholona, kekahi mau lāʻau lapaʻau, a me nā meaʻai no kahi mea weliweli, e like me ka virus a bacteria paha. A laila, ke hanu mākou i kēia mau mea, ʻai iā lākou, a hoʻopā paha iā lākou, manaʻo ko mākou kino he pilikia nui kēia a pono e hoʻopau iā lākou. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona i ʻōlelo ʻia ma luna.
ʻO ka mea nui, ʻaʻole maʻamau ka maʻi allergy ma hope o ka hōʻike ʻia ʻana i kahi mea hoʻokahi wale nō. Ke hōʻike mua ʻia mākou, ʻike ko mākou kino iā ia he mea ʻē a hana i nā protein kūikawā, i kapa ʻia he antibodies, e kūʻē iā ia. Kāhea mākou i kēia kaʻina hana he sensitization. A laila, inā komo hou ka mea like i ke kino, hoʻāla ʻia kēlā mau antibodies i hana ʻia a hāʻawi i ka ʻōnaehana pale i kahi hōʻailona e ʻōlelo ana, "Eia mai ka ʻenemi, e hoʻouka." ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona allergy.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi allergy?
ʻOiai hiki ke hana kēia i kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe:
- Inā loaʻa i kekahi o kou mau mākua nā maʻi allergies: Aia kahi mana genetic.
- No ka poʻe me nā maʻi e like me ka hānō a i ʻole ka eczema: Pili kēia mau maʻi. Ua kapa pinepine ʻia kēia he atopy.
Pehea e ʻike ai nā kauka i nā maʻi allergies?
Inā loaʻa iā ʻoe nā hōʻailona allergy, hiki i ke kauka ke hōʻoia iā ia ma ka hana ʻana i kekahi mau hoʻokolohua.
- Hoʻāʻo ʻili:ʻO kāu hana me kēia, ʻo ia ke kau ʻana i kahi liʻiliʻi o ka mea āu e manaʻo ai he maʻi ʻoe ma kou ʻili, hana i kahi ʻoki liʻiliʻi loa, a laila e hoʻokomo iā ia ma loko. Inā lilo ka ʻāpana i ʻulaʻula, pehu, a maneʻo i loko o 15-20 mau minuke, ʻo ia hoʻi he maʻi ʻoe i kēlā mea.
- Nā hoʻāʻo koko: Nānā kēia e ʻike inā he mau antibodies kikoʻī (IgE) i loko o kou koko i hana ʻia e kūʻē i kekahi mau allergens.
E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me nā mea āu e hōʻike nei (e laʻa me kāu hana, nā leʻaleʻa, a me nā mea ʻē aʻe) e hoʻoholo ai i nā hoʻokolohua āu e pono ai e hoʻāʻo ʻia.
I kekahi manawa, ma muli o ke ʻano maʻi āu e manaʻo ai he loaʻa iā ʻoe, hiki ke hāʻawi ʻia iā ʻoe nā hoʻokolohua hanu, nā hoʻokolohua lāʻau lapaʻau a meaʻai paha, a i ʻole kahi hoʻokolohua ʻāpana. Nānā kahi hoʻokolohua ʻāpana i kahi hopena lohi ma ka ʻili e kū mai ana ma hope o kekahi mau lā.
He aha nā lāʻau lapaʻau no nā maʻi allergies?
ʻO ka mea mua a maikaʻi loa, ʻo ia ke noho mamao loa mai nā mea āu e maʻi ai. He mea nui loa kēia inā ua koʻikoʻi kou maʻi e hiki ai ke hoʻoulu i ka anaphylaxis.
Eia nō naʻe, he paʻakikī ke pale loa i nā mea e like me ka lepo a me ka pollen i loaʻa ma nā wahi āpau. I kēlā mau hihia, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i kekahi mau lāʻau lapaʻau i kēlā me kēia lā a i ʻole e hana mau i kekahi mau lāʻau lapaʻau. Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i kāu mau hōʻailona a i ʻole e hōʻemi i ka pilikia o kahi hopena koʻikoʻi.
Ma muli o kāu mau allergies, hiki ke ʻōlelo ʻia kēia mau mea:
- ʻO nā antihistamines: ʻO nā laʻana e like me nā lāʻau lapaʻau e like me Fexofenadine (Allegra®), Loratadine (Claritin®), a me Cetirizine (Zyrtec®). Hana kēia mau mea ma ke ālai ʻana i kahi kemika i kapa ʻia ʻo histamine, kahi i hoʻokuʻu ʻia i ka wā o kahi hopena allergies.
- Nā pīpī ihu steroid: ʻO nā laʻana e komo pū me Flonase® a me Nasacort®. Hoʻēmi kēia i ka pehu, ka ihu paʻa, a me ka ihu wai.
- Nā mea hoʻololi Leukotriene: Hiki i nā lāʻau lapaʻau e like me Montelukast ke kōkua i ka kaohi ʻana i nā hōʻailona allergy, ʻoi aku hoʻi i ka poʻe me ka hānō.
- Nā inikini ʻOmalizumab (Xolair®): Hoʻohana ʻia kēia mau mea no kekahi mau maʻi ʻaleka meaʻai a me nā hives mau loa.
- ʻO ka immunotherapy allergy: Pili kēia i ka hoʻokomo mālie ʻana i nā wahi liʻiliʻi o ka allergen i loko o kou kino i ka hala ʻana o ka manawa, e ʻae ana i kou kino e hoʻomaʻamaʻa iā ia. Hiki ke hana ʻia kēia ma ke ʻano he injection (Allergy shots), ma ke ʻano he papa i kau ʻia ma lalo o ke alelo (Sublingual immunotherapy (SLIT)), a i ʻole ma ke ʻano he lāʻau lapaʻau waha (Oral immunotherapy (OIT)). He lāʻau lapaʻau lōʻihi kēia i hana ʻia ma lalo o ka nānā ʻana a kahi loea.
Inā loaʻa iā ʻoe kahi maʻi allergy e hiki ai ke hoʻoulu i kahi hopena maʻi allergy koʻikoʻi, e haʻi aku kāu kauka iā ʻoe e lawe mau i kahi epinephrine auto-injector (e like me ka EpiPen® a i ʻole Auvi-Q®) me ʻoe. Pono ʻoe e hoʻohana iā ia i ka hōʻailona mua o kahi hopena maʻi allergy koʻikoʻi.
Āhea wau e ʻike ai i ke kauka a hele paha i ka lumi pilikia?
Inā loaʻa iā ʻoe nā hōʻailona allergy a makemake ʻoe e ʻike i ke kumu pololei, e ʻike i ke kauka. Hiki i kāu mea mālama mua ke kuhikuhi iā ʻoe i kahi loea, e like me ke kauka allergist a dermatologist paha, no ka hoʻāʻo hou aku.
Akā inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e hele koke i kahi lumi pilikia o ka haukapila a kāhea paha i ka 1990:
- Ka pehu wikiwiki o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Paʻakikī ka hanu ʻana, pōkole ka hanu ʻana, paʻa ka umauma.
- Nā ʻūhū e laha koke ana i loko o ke kino.
- ʻO ka mae o nā lima, nā wāwae, nā lehelehe.
- Ka nāwaliwali, ka poniuniu, ka maule.
- He manaʻo o ka makaʻu nui, he manaʻo o ka pōʻino e hiki mai ana.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu nā maʻi allergies?
ʻO ke ʻano o ka maʻi allergy āu e hoʻoholo ai i nā mea āu e pono ai e hana. ʻO nā maʻi allergy kau, e like me nā maʻi allergy pollen a me nā maʻi allergy holoholona, he mea hoʻonāukiuki pinepine akā ʻaʻole ia he mea hoʻoweliweli i ke ola. Eia nō naʻe, hiki i nā maʻi allergy i nā mea e like me ka meaʻai, nā lāʻau lapaʻau, a me ka wasp venom ke ʻoi aku ka koʻikoʻi. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi allergy, pono ʻoe e lawe mau i kahi epinephrine injector me ʻoe.
He aha kaʻu e hana ai e hōʻoluʻolu ai i ka wā e loaʻa ai iaʻu nā hōʻailona allergy?
ʻOiai i ka wā o ka mālama ʻana, inā pilikia nā hōʻailona allergy i kekahi manawa, hiki iā ʻoe ke loaʻa kahi hōʻoluʻolu me kēia mau mea:
- Hiki ke hoʻohana ʻia nā lāʻau hoʻomaʻemaʻe waha (e like me ke kuhikuhi a ke kauka) a i ʻole nā mea holoi saline e hōʻoluʻolu i ka ihu paʻa a me ka ihu wai.
- No ka hōʻoluʻolu ʻana i ka maneʻo a me ka ʻulaʻula o nā maka, e kāpī iā lākou me kahi lole maʻemaʻe i hoʻoluʻu ʻia i ka wai hau a i ʻole e hoʻohana i nā kulu maka (e like me ke kuhikuhi a ke kauka) no nā maʻi ʻaleka.
- E ʻauʻau a e ʻaʻahu i nā lole hou (ʻoi aku hoʻi ma hope o ka hele ʻana mai waho) e wehe i nā mea hoʻomaʻi e noho ana ma kou kino.
- E hoʻohana i nā lotion hypoallergenic a i ʻole ʻala ʻole e hōʻemi i ka maneʻo ʻili a me nā ʻulaʻula.
Hiki ke pale ʻia nā maʻi allergies?
ʻAʻohe ala e pale aku ai i ka ulu ʻana o kahi maʻi allergy ma kahi mua. Akā inā loaʻa iā ʻoe kahi maʻi allergy, eia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka pale ʻana i nā hopena:
- E ho'ōki i ka hoʻopā ʻana a i ʻole ka palu ʻana i nā holoholona āu e maʻi ai. E hoʻololi i nā lole ma hope o ka lawelawe ʻana i ia mau holoholona. (Mai hoʻokuʻu iā lākou i loko o kou lumi moe, ma kou wahi moe, a ma kou mau noho paha. Mai hoʻopā i kā lākou mau mea pāʻani.)
- E hoʻomaʻemaʻe pinepine i nā kāpeti a me nā moena e wehe i nā mea hoʻonāukiuki e like me ka lepo, ka ʻili holoholona, a me ka pollen. E holoi i ka lepo me kahi lole pulu.
- He mea maikaʻi inā hiki iā ʻoe ke hoʻohana i nā "kānana ea particulate air kiʻekiʻe (HEPA)" e wehe i nā mea hoʻonāukiuki mai ka lewa.
- E pani i nā puka makani i ka wā e piha ai ka pua.
- E hoʻololi i nā kānana i loko o ka ʻōnaehana HVAC o kou home ma ke ʻano maʻamau.
Inā loaʻa iā ʻoe kahi maʻi ʻaleka meaʻai, e heluhelu pono i nā lepili meaʻai. E mālama wale i nā meaʻai āu i maʻi ʻole ai i loko o kou home. E ʻai wale mai nā wahi āu e maopopo ai hiki iā ʻoe ke ʻai me ka ʻole o nā pilikia. E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i kāu mau maʻi ʻaleka i ka wā e ʻai ai i waho.
Ke loli nei nā maʻi allergies me ka makahiki?
ʻAe, hiki ke loli nā maʻi ʻaleka me ka makahiki. Aia ia i ka nui o kou hōʻike ʻana i kahi allergen, nā loli i kāu ʻōnaehana pale, a me nā kumu ʻē aʻe.
I kekahi manawa, hiki i nā maʻi ʻaleka ke lilo i mea ʻino aʻe. A i ʻole, hiki ke hoʻi hou mai nā maʻi ʻaleka i hala. I kekahi manawa, hiki i nā maʻi ʻaleka ke lilo i mea maikaʻi aʻe i ka hala ʻana o ka manawa - no ka laʻana, inā he maʻi ʻaleka ʻoe i nā pōpoki, hiki ke emi iho kāu maʻi ʻaleka inā ʻoe e hoʻolilo i ka manawa hou a puni lākou (ua kapa ʻia kēia he "hoʻomanawanui", akā ʻaʻole kēia e hana i nā mea āpau). Eia kekahi, hiki i kekahi poʻe ke loaʻa i nā maʻi ʻaleka hou i ko lākou wā ʻelemakule.
ʻO ka mea hope loa, pono wau e haʻi iā ʻoe i kēia ...
He ʻāpana o ke ola o kēlā me kēia lā nā maʻi ʻaleka no nā miliona o ka poʻe a puni ka honua. No kekahi poʻe, he mea maʻamau ka loaʻa ʻana o ka ihu wai a me ka ʻūhā i kēlā me kēia pūnāwai. No kekahi poʻe, he hakakā ka mālama ʻana i ko lākou ʻili mai ka ʻīlio aloha ma ka ʻaoʻao. ʻOi aku ka koʻikoʻi o nā maʻi ʻaleka meaʻai a me nā lāʻau lapaʻau - ʻo ia hoʻi, pono ʻoe e heluhelu pono i nā lepili meaʻai a e makaʻala me nā lāʻau lapaʻau hou.
Akā e hoʻomanaʻo, he nui nā mea hiki iā ʻoe ke hana e kāohi i kāu mau maʻi allergies. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. Ma kēlā ala, hiki iā ʻoe ke ʻike pono i ka mea maikaʻi loa iā ʻoe.
Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!
Nā maʻi ʻaleka , nā hōʻailona, lāʻau lapaʻau, nā maʻi ʻili, nā pilikia hanu, ka ʻōnaehana pale, (Anaphylaxis)











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