Ke hoʻomaka kāu keiki liʻiliʻi e ʻai i nā meaʻai paʻa, ke hopohopo nei ʻoe e hāʻawi iā lākou i nā mea e like me nā pīnati a me nā hua manu? "Auē, e loaʻa anei iā lākou kahi maʻi allergy, e maʻi anei lākou, e pilikia anei lākou i ka hanu ʻana?" Ke noʻonoʻo nei paha ʻoe, ʻeā? He mea kēia makaʻu i loaʻa i nā makuahine a me nā makuakāne he nui. ʻO ka ʻoiaʻiʻo, he mea weliweli ka maʻi allergy pīnati . ʻO ia ke kumu, no ka manawa lōʻihi, ua manaʻo mākou a pau e hoʻopaneʻe mākou i ka hāʻawi ʻana i nā pīnati i nā keiki liʻiliʻi. Eia naʻe, i kēia manawa ua loli loa kēia manaʻo ma ka ʻepekema lapaʻau. E kamaʻilio kākou e pili ana i kēia lā.
ʻO ka manaʻo kahiko a me ke ʻano hou a mākou e noʻonoʻo nei
No nā makahiki he ʻumi, ua manaʻoʻiʻo nā kauka allergists a me nā pediatricians i ʻelua mau mea. ʻO kekahi, pono e hoʻolauna ʻia nā pīnati i nā pēpē ma hope o ko lākou wā kamaliʻi, me ka manaʻoʻiʻo he haʻahaʻa ka pilikia o ka loaʻa ʻana o kahi allergy. ʻO ka lua, inā loaʻa i kahi keiki kahi allergy, pono e pale loa ʻia nā pīnati no ke koena o ko lākou ola.
Akā i kēia manawa ke loli nei kēia mau manaʻo. I kēia lā ua ʻike mākou ʻaʻole he nati maoli nā pīnati, akā he legume . ʻO ka ʻōlelo aʻoaʻo hou loa, ʻo ka hoʻolauna ʻana i nā pīnati i nā pēpē i ka wā e hoʻomaka ai lākou i nā meaʻai paʻa, ʻo ia hoʻi ma kahi o 4-6 mahina, hiki ke kōkua i ka pale ʻana i nā maʻi allergies.
E noʻonoʻo e pili ana i ia mea, ʻaʻole ma ke ʻano he meaʻai paʻa mua āu e hāʻawi ai i kāu pēpē. Hiki iā ʻoe ke hoʻohui i kahi pata pīnati liʻiliʻi i loko o ka oatmeal.
Akā he mea nui loa kēia: Inā loaʻa i kāu pēpē kahi maʻi ʻili e like me ka eczema a i ʻole kahi maʻi ʻai ʻē aʻe, hāʻule kēlā keiki i loko o ka māhele pilikia kiʻekiʻe . Pono ʻoe e hoʻolauna i nā pīni i kēlā keiki ma lalo o ka nānā ʻana a kāu pediatrician.
Ua ʻike ʻia hoʻi ʻoiai nā keiki a me nā pākeke i maʻi mua i nā pīnati hiki ke hoʻemi mālie ʻia ka ʻike i ka allergen ma o ka desensitization. I ka ʻōlelo maʻalahi, ʻo ka hōʻike mālie ʻana i nā pīnati ma lalo o ka nānā ʻana a ke kauka hiki ke pale i nā hopena koʻikoʻi (anaphylaxis) hiki ke kū mai ka ʻai ʻana i nā pīnati.
He aha nā hopena o ka hāʻawi ʻana i nā pīni i ka wā mua?
ʻO kēia hoʻololi nui ma muli o nā hopena o kahi hoʻokolohua lapaʻau nui i kapa ʻia ʻo LEAP (Learning Early About Pea Nut Allergy ) , i paʻi ʻia i ka makahiki 2015.
Ua hōʻike kēia haʻawina ʻo ka hoʻolauna ʻana i nā pīni i nā keiki pilikia kiʻekiʻe (ʻo ka poʻe i loaʻa mua i ka eczema a i ʻole nā maʻi ʻaʻai ʻē aʻe) i ka wā ʻōpiopio ua hōʻemi i ko lākou hiki ke loaʻa i ka maʻi aʻai pīnati.Ua hoʻemi ʻia ma 81%. Ua hoʻohana ʻia ma mua o 600 mau keiki ma waena o 4-11 mau mahina no kēia. Ua hāʻawi ʻia kekahi hui i nā pīnati a hiki i ka makahiki 5, a ʻaʻole i hāʻawi iki ʻia kekahi hui ʻē aʻe.
He mea kupanaha nā hopena. 17% o nā keiki o ka hui i ʻai ʻole i ka pīnati ua loaʻa i kahi maʻi ʻaleka pīnati i ka makahiki 5. Eia nō naʻe, 3% wale nō o nā keiki o ka hui i ʻai i ka pīnati i loaʻa i ke ʻano. Hōʻike kēia i ke koʻikoʻi o ka hoʻolauna mua ʻana.
ʻO ka ʻokoʻa ma waena o ka pale ʻana a me ka desensitization
Ua kālele ka hoʻokolohua LEAP i ka pale ʻana i nā maʻi ʻaleka. Akā pehea e pili ana i ka poʻe i loaʻa mua i nā maʻi ʻaleka? ʻO ia ke kumu o ka Oral Immunotherapy (OIT) .
ʻO ka OIT wale nō ke hoʻomaʻamaʻa hou ʻana i ka ʻōnaehana pale o kekahi mea i loaʻa mua i ka maʻi pīnati. Pili kēia i ka hoʻomaka ʻana me kahi mahele liʻiliʻi loa o ka protein pīnati, ma lalo o ka nānā ʻana a ke kauka, a me ka hoʻonui mālie ʻana i ka mahele i nā mahina a i ʻole nā makahiki. ʻAe kēia i ke kino e hoʻōki i ka pane ʻino ʻana i nā pīnati a e aʻo e ʻae iā lākou .
Ke hoʻohana ʻia nei kēia ʻano hana ma kekahi mau haukapila ma Sri Lanka. Ma waho aʻe o ka OIT, ke hana ʻia nei ka noiʻi ʻana ma nā ʻano hana ʻē aʻe, e like me kahi ʻāpana pīnati e hāʻawi ana i ka protein pīnati ma o ka ʻili a me nā kulu sublingual.
No ke aha i maʻamau ai ka maʻi ʻaleka pīnati?
ʻO kahi nīnau a nā mākua he nui, "ʻAʻole i loaʻa iā mākou kēia mau mea i ko mākou manawa, no ke aha i nui ai i kēia manawa?" Manaʻo nā kauka i kekahi mau kumu no kēia.
- Kuhiakau Hoʻomaʻemaʻe: No ka mea, ua maʻemaʻe loa kākou i kēia mau lā, ʻaʻole i loaʻa i ko kākou ʻōnaehana pale kino ka manawa kūpono e hakakā ai i nā germs i ko lākou wā ʻōpiopio. No laila, he mea paha ia e hoʻomaka wale ana i kahi "kaua" me kahi mea ʻino ʻole e like me ka pīnati.
- Ka nele o ka wikamina D: Ke emi nei ka manawa o nā keiki ma waho a me ka pāʻani ʻana i ka lā. Ke hoʻolilo nei lākou i ka manawa hou aku i loko o ka hale me nā kamepiula a me nā kelepona. Ua manaʻo ʻia kēia ke kumu o ka nele o ka wikamina D.
- Nā ʻano hana hana meaʻai: Ke hana ʻia ka meaʻai i nā nui he nui, hiki i ka hoʻohaumia ʻana me nā meaʻai ʻē aʻe a me ka hoʻohana ʻana i nā pesticides ke lilo i kumu.
ʻAʻole kēia wale nō ke kumu, hiki ke hui pū ʻia kēia mau mea a pau.
ʻIke maoli: Pehea i kūleʻa ai ka mālama ʻana o OIT
Ua ʻike lākou i ke kaumaha o ka lilo ʻana i makua o kahi keiki me ka maʻi ʻaleka pīnati koʻikoʻi. Pono ʻoe e noʻonoʻo pono i kēlā me kēia ʻai. Pono ʻoe e heluhelu i ka lepili ma nā mea āpau āu e kūʻai ai ma ka hale kūʻai. Pono ʻoe e mālama i kahi epinephrine auto-injector (kahi inikini lāʻau lapaʻau ulia pōpilikia) me ʻoe i nā manawa a pau.
He kaikamahine 12 makahiki ʻo Jemma i loaʻa i kahi maʻi allergy koʻikoʻi i nā pīni a me kekahi mau nati ʻē aʻe. Ua loaʻa iā ia ka lāʻau OIT. Ua wehewehe kona makuahine i ka ʻike penei:
"ʻO ka mea mua, ma ke keʻena lapaʻau o ke kauka, ua hāʻawi ʻia ʻo Gemma i hoʻokahi miligrama o ka pauka pīnati. Ua nānā ʻia mākou no kekahi mau hola. I ka wā ʻaʻohe hopena, hoʻi mai ʻo ia i ka home. Ma hope o kēlā, hāʻawi wau iā Gemma i ka nui like o ka pauka i kēlā me kēia pō ma ka home. Ua kūʻai aku au i kahi kaupaona daimana e ana pololei. Ua hoʻomau mākou i ka hāʻawi ʻana iā ia i kēlā mahele no nā mahina a hiki i ka wā i ʻōlelo mai ai ke kauka iā mākou."
"I kēlā me kēia manawa i hoʻonui ʻia ai ka lāʻau lapaʻau, ua hana ʻia ma ka haukapila. A laila ua kali ʻo ia no nā hola ma mua o ka hoʻi ʻana i ka home. I kekahi manawa e loaʻa iā Gemma ka ʻeha o ka ʻōpū a me ka ʻāʻī ʻāʻī. Hāʻawi lākou iā ia i ka lāʻau lapaʻau no kēlā. Ma hope o ka liʻiliʻi, ua maʻa kona kino iā ia."
"Ua hana mākou i kēia lāʻau lapaʻau no ʻelua mau makahiki i kēia manawa. ʻAʻole ʻo Gemma e lawe hou ana i nā lāʻau lapaʻau, a ʻai ʻo ia i ʻelua pīnati maʻamau i kēlā me kēia pō. Me ka ʻole o nā hopena ʻaoʻao."
ʻO ka pahuhopu o kēia lāʻau lapaʻau, ʻo ia ke hōʻea i kahi mahele mālama . ʻO ia hoʻi, ka nui e pono e lawe ʻia i kēlā me kēia lā e mālama i ka palekana. ʻO kēia ke pale aku i kahi hopena koʻikoʻi inā ʻai ʻoe i kahi mea i loaʻa nā pīni.
Nā ʻoiaʻiʻo a me nā helu koʻikoʻi e ʻike ai
He mea nui loa e hoʻomanaʻo i kēia mau manaʻo.
| ʻoiaʻiʻo | Nā kikoʻī |
|---|---|
| Nā pilikia no nā ʻano nati ʻē aʻe | Inā loaʻa iā ʻoe kahi maʻi allergy pīnati, ʻo kou pilikia o ka loaʻa ʻana o kahi maʻi allergy i nā nati lāʻau, e like me nā ʻalemona a me nā cashews, he 25% - 40% kiʻekiʻe aʻe. |
| Nā hopena koʻikoʻi (Anaphylaxis) | Ua ʻoi aku ma mua o 40% o nā keiki me nā maʻi ʻaleka meaʻai i loaʻa i kahi hopena maʻi ʻaleka koʻikoʻi ma ka liʻiliʻi hoʻokahi i ko lākou ola, ʻo ka pīnati ka mea maʻamau. |
| Ka pilina me nā maʻi allergies ʻē aʻe | ʻO nā keiki me nā maʻi allergies meaʻai he ʻelua a ʻehā manawa ka nui o ka loaʻa ʻana o nā maʻi allergies ʻē aʻe, e like me ka hānō a me ka pollen. |
| Nā lāʻau lapaʻau e hiki mai ana | Ke noʻonoʻo ʻia nei no ka ʻāpono ʻia ʻana o kahi lāʻau OIT i kapa ʻia ʻo AR101 , i hāʻawi ʻia ma ke ʻano he pila. He lāʻau lapaʻau paha kēia no nā keiki 4-17 makahiki. |
Leka Lawe-Home
- E kamaʻilio mau me kāu kauka a kauka paha ma mua o ka hoʻolauna ʻana i nā meaʻai e hiki ai ke hoʻoulu i nā maʻi allergies, e like me nā pīni, i kāu pēpē.
- ʻO ka manaʻo hou loa, ʻo ka hoʻolauna ʻana i nā pīni i ka wā ʻōpiopio (4-6 mahina) hiki ke pale i nā maʻi allergies.
- Inā loaʻa i kāu pēpē ka eczema a i ʻole nā maʻi ʻē aʻe (kiʻekiʻe ka pilikia), pono e hoʻolauna ʻia nā pīni ma lalo o ka mākaʻikaʻi lapaʻau.
- Inā loaʻa iā ʻoe nā maʻi allergies, ʻo ka Oral Immunotherapy (OIT) kahi koho lapaʻau. Mai hoʻāʻo i kēia ma ka home ma kāu iho. Pono e hana ʻia ma lalo o ka nānā pono ʻana o ke kauka ma kahi haukapila a i ʻole ke keʻena lapaʻau.
- Inā ʻike ʻoe i nā hōʻailona o kahi hopena alerika koʻikoʻi (e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana, ka luaʻi ʻana), e lawe koke iā lākou i ka ʻOihana Hoʻopilikia kokoke loa (ETU) .
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