Ua ʻike anei ʻoe ua loaʻa iā ʻoe a i ʻole kāu keiki nā ʻano ʻoluʻolu ʻole like ʻole ke ʻai ʻoe i kekahi mau meaʻai? I kekahi manawa he ʻūlū wale nō ia, akā i kekahi manawa hiki ke ʻoi aku ka koʻikoʻi, a hiki i ka paʻakikī o ka hanu ʻana . No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kēia maʻi ʻaleka meaʻai, ʻo ia hoʻi, ka maʻi ʻaleka meaʻai . He aha ia mea maoli, no ke aha e hana ʻia ai, he aha nā hōʻailona, pehea e hiki ai iā mākou ke pale aku iā mākou iho mai ia mea, a me nā mea ʻē aʻe he nui, e kamaʻilio mākou e pili ana iā ia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
He aha ka maʻi ʻaleka meaʻai?
ʻO ka hapa pinepine, loaʻa i nā keiki ʻōpio kēia mau maʻi ʻaleka meaʻai. Eia nō naʻe, hiki i nā pākeke ke loaʻa i kēia maʻi i kēlā me kēia makahiki, ʻoiai inā ʻaʻole lākou i loaʻa i kekahi pilikia ma mua. I ka ʻōlelo maʻalahi, he hewa liʻiliʻi ka maʻi ʻaleka meaʻai i loko o ka ʻōnaehana pale o ko mākou kino.
E noʻonoʻo e pili ana i ia mea, ua like ko kākou ʻōnaehana pale kino me ka mana pale ma ko kākou ʻāina. Mālama ia iā kākou mai nā huakini a me nā maʻi e hele mai ana mai waho. Pehea lā e hana ai ia mea? Hoʻopuka ia i nā ʻāpana koa kūikawā i kapa ʻia he antibodies . Ke kaua nei kēia mau antibodies i nā bacteria a me nā virus ʻino i loko o ko kākou kino a mālama iā kākou i ke olakino.
Akā, inā loaʻa iā ʻoe kahi maʻi ʻaleka meaʻai, kuhi hewa kou ʻōnaehana pale i kahi mea i loko o kekahi mau meaʻai, e like me ka protein i ʻino ʻole i kou kino, he ʻenemi weliweli maoli. Ua like ia me nā pūʻali koa e kuhihewa ana i kahi kamaʻāina hala ʻole he ʻenemi.
ʻO kēia ka mea e hana ʻia me nā maʻi ʻaleka ʻē aʻe. ʻO ia hoʻi, hiki i kekahi mau lāʻau lapaʻau (e like me ka penicillin), ka pollen ea (mai ka mauʻu, nā nāhelehele, nā lāʻau), ka lepo, a i ʻole nā meaʻai e like me nā pīni ke hana i kēia ʻano hopena. No laila, ʻo ka mea nui, ʻaʻole ia he mea ʻawahia ka meaʻai ponoʻī i ke kino, akā ʻo ke ʻano o ka pane ʻana o kou kino iā ia ka pilikia. Ua maopopo iā ʻoe?
He aha nā maʻi ʻaleka meaʻai maʻamau?
ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i ka maʻi ʻaleka i kekahi meaʻai. Eia nō naʻe, ʻo nā meaʻai a me nā meaʻai e loaʻa ana iā lākou nā kumu maʻamau o nā hopena alerika ma ko mākou ʻāina a puni ka honua:
- Nā pīnati a me nā nati ʻē aʻe (e.g. cashews, almonds, walnuts)
- Nā meaʻai kai, ʻoi aku hoʻi nā iʻa paʻa e like me ka ʻōpae, ka pāpaʻi, ka ʻōpae, a me ka heʻe.
- Nā ʻano iʻa like ʻole (e.g., kelawallala, balaya)
- ʻO ka waiū, ʻoi aku ka waiū bipi a me nā huahana i hana ʻia mai ka waiū bipi
- Nā hua manu (ʻoi aku hoʻi nā keʻokeʻo hua manu)
- ʻO ka soy a me nā huahana i loaʻa ka soy
- ʻO ka palaoa a me nā huahana i loaʻa ka palaoa (e like me ka berena, pasta, keke)
- Sesame a me nā huahana i loaʻa ka sesame
ʻO kēia nā mea e hoʻoulu pinepine ai i nā pilikia. He mea nui e makaʻala inā manaʻo kāu keiki a i ʻole ʻoe i kekahi mea ʻē a ʻoluʻolu ʻole paha ma hope o ka ʻai ʻana i kekahi o kēia mau meaʻai.
He aha ke ʻano o ka hopena e kū mai ana i kahi maʻi allergy meaʻai?
E noʻonoʻo i kahi keiki ʻōpiopio me ka maʻi pīnati e hele ana i ka hale o kahi hoaaloha a ʻai ʻole i kahi ʻāpana keke kokoleka me nā pīnati ma luna. He aha ka mea e hana ʻia? Ma muli o nā antibodies i hana mua ʻia e kūʻē i ka protein i loko o ka meaʻai, ʻo ia hoʻi nā pīnati, hoʻokuʻu koke ke kino i ka nui o nā kemika like ʻole i loko o ke koko. ʻO kekahi o nā mea nui o kēia mau kemika ʻo ia ka histamine .
Hoʻokumu kēia mau histamines a me nā kemika ʻē aʻe i nā ʻano hōʻailona like ʻole e hoʻopilikia ai i nā maka, ihu, ʻāʻī, ʻōnaehana hanu (nā ala hanu), ʻili, a me ka ʻōnaehana hoʻoheheʻe . Hiki i ke kanaka me ka maʻi allergy meaʻai ke loaʻa i kahi hopena palupalu loa (e like me ka ʻulaʻula liʻiliʻi) a i ʻole kahi hopena koʻikoʻi loa, a hiki ke hoʻoweliweli i ke ola . Hiki ke hana koke ʻia kēia hopena, i loko o kekahi mau minuke o ka ʻai ʻana i ka meaʻai, a i ʻole hiki ke hana i kekahi mau hola ma hope, i kekahi manawa ʻelua a ʻekolu mau hola ma hope .
He aha nā hōʻailona mua e ʻike pinepine ʻia?
Ke hoʻomaka kekahi e loaʻa i kahi hopena alerika, ʻike mua paha lākou i kēia mau hōʻailona. Hiki ke ʻike ʻia kekahi a ʻoi aku paha o kēia mau mea i ka manawa like:
- Ka hoʻokuʻu ʻana o ka ihu (e like me ka mucus) a i ʻole ka ihu paʻa
- Nā maka ʻulaʻula, maneʻo, a waimaka
- ʻUlaʻula, pehu, a me ka maneʻo o ka ʻili. He maneʻo loa kēia mau mea. Kāhea pū mākou i kēia mau ʻulaʻula, piʻi aʻe nā welt (i ʻike ʻia ma ke ʻano lapaʻau ʻo `(Hives)` a i ʻole `(Urticaria)`).
- ʻO ke kani ʻana, ka mae ʻana, a i ʻole ka pehu iki ʻana o ke alelo a i ʻole nā lehelehe.
- Ka maneʻo i loko o ka waha a i ʻole ka puʻu.
I ka wā e ʻoi aku ka ʻino, hiki ke ʻike ʻia kēia mau hōʻailona:
I ka wā e lilo ai ka maʻi allergy i mea koʻikoʻi, hiki ke ʻike ʻia nā hōʻailona penei:
- Paʻa ka ʻāʻī, manaʻo e like me ka mea i paʻa i ka ʻāʻī, paʻakikī ke ale.
- Ka leo palahalaha a i ʻole ka hiki ʻole ke ʻōlelo.
- ʻO ka wheezing he leo ʻūhū e puka mai ana mai ka umauma i ka wā e hanu ana, a kani like ia me ka hū ʻana .
- ʻŪhū mau.
- Paʻakikī ka hanu ʻana, pōkole ka hanu.
- Ka luaʻi (manaʻo e like me ʻoe e luaʻi ana).
- Ka luaʻi ʻana.
- ʻEha nui ka ʻōpū.
- Ka luaʻi ʻana (ka maʻi kahe).
- Pōʻino(Pīhoihoi) a i ʻole ka manaʻo e like me ʻoe e hemo ana.
ʻO ke kūlana weliweli loa: Anaphylaxis
I kekahi mau hihia koʻikoʻi, hiki i kahi maʻi ʻaleka meaʻai ke alakaʻi i kahi kūlana weliweli loa i kapa ʻia ʻo anaphylaxis . He hopena maʻi ʻaleka koke kēia, koʻikoʻi, a hiki ke hoʻoweliweli i ke ola. Pili ia i nā ʻōnaehana kino he nui i ka manawa hoʻokahi. Hiki ke hoʻopilikia ʻia ka ʻili, ka hanu ʻana, ka ʻai ʻana, ka puʻuwai, a me nā kīʻaha koko i ka manawa hoʻokahi. Hiki ke hāʻule ke koko i nā pae haʻahaʻa loa, hiki i nā ala ea (nā paipu hanu) ke haiki, e paʻakikī ai ka hanu ʻana, a hiki i ke alelo, nā lehelehe, a me ka ʻāʻī ke pehu.
He mea nui loa: Pono e makaʻala loa ka poʻe i pilikia i kahi hopena koʻikoʻi i kapa ʻia ʻo anaphylaxis. Eia kekahi, he mea nui e loaʻa kahi hoʻolālā hana ulia pōpilikia me nā lāʻau lapaʻau kūikawā (e.g. epinephrine) e pale aku i nā hōʻailona mai ka ʻoi aku ka ʻino i ka wā ulia pōpilikia. E kamaʻilio hou mākou e pili ana i kēia ma hope.
He nūhou maikaʻi kēia. Hoʻopau ka hapa nui o nā keiki i nā maʻi ʻaleka i ka waiū bipi a me nā hua manu i ko lākou wā ʻelemakule, ma kahi o 5-6 mau makahiki. Eia nō naʻe, hiki i nā maʻi ʻaleka koʻikoʻi i nā pīnati, nā nati lāʻau ʻē aʻe, a me nā pūpū ke ola i kekahi manawa.
Pehea ʻoe e ʻike pono ai inā he maʻi allergy kou?
I kekahi manawa, maʻalahi ke ʻike inā he maʻi ʻaleka meaʻai ko ke keiki. Hiki iā lākou ke loaʻa i nā hives a i ʻole ka ʻeha ʻōpū a i ʻole ka luaʻi ʻana ma hope koke iho o ka ʻai ʻana i kahi meaʻai kānalua. Eia nō naʻe, i kekahi manawa hiki ke paʻakikī iki ka ʻike ʻana i ka meaʻai e hoʻoulu ai i ka pilikia. E noʻonoʻo i kahi keiki e ʻai ana i kahi salakeke huaʻai i hui ʻia mai ka hale kūʻai a loaʻa iā ia kahi hopena maʻi. Inā he 5-6 mau ʻano huaʻai i loko o kēlā salakeke, he paʻakikī ke ʻike koke i ka hua a lākou e maʻi ai, ʻeā? Eia kekahi, no ka mea he nui nā meaʻai o kekahi mau meaʻai, he paʻakikī ke ʻike inā ʻo ka meaʻai nui a i ʻole kahi mea ʻono a mea ʻala paha ke kumu o ka pilikia.
ʻO kekahi mea nui , ʻo ia ka loaʻa ʻana o kekahi poʻe i ka maʻi ʻaʻai, akā ʻaʻole ia he maʻi ʻaleka e pili ana i ka ʻōnaehana pale. Kāhea mākou i kēia mau maʻi ʻaʻai . No ka laʻana, ʻike ka poʻe me ka maʻi ʻaʻai lactose i ka ʻōpū ʻeha, ka pehu ʻana, a me ka maʻi kahe ke ʻai lākou i ka waiū a me nā huahana waiū ʻē aʻe (e like me ka yogurt a me ka tīhi). Akā, ʻaʻole ia he manaʻo he maʻi ʻaʻale lākou i ka waiū. ʻO ke kumu o ko lākou paʻakikī i ka inu ʻana i ka waiū no ka mea, ʻaʻohe o ko lākou kino i ka enzyme e pono ai e hoʻoheheʻe pono i ke kō i loko o ka waiū, ʻo ia hoʻi ka lactose. He pilikia ʻokoʻa loa kēlā mai ka maʻi ʻaleka, a pili ia i ka ʻōnaehana hoʻoheheʻe.
He aha ka hana a ke kauka e pili ana i kēia?
Inā manaʻo ʻoe he maʻi ʻaleka meaʻai paha kāu a i ʻole kāu keiki, mai hoʻowahāwahā iā ia. ʻO ka mea mua, e ʻike i kāu kauka ʻohana. E nīnau ʻo ia iā ʻoe a me kāu keiki e pili ana i kāu mau hōʻailona, i ka wā i hoʻomaka ai, a me nā meaʻai āu i ʻai ai, a e hana i kahi hoʻokolokolo maʻamau.
Inā kānalua kāu kauka he maʻi ʻaleka meaʻai paha kou, e kuhikuhi paha ʻo ia iā ʻoe i kahi allergist a immunologist paha . ʻO kēia loea ka mea nāna e ʻike i ka pilikia, hana i nā hoʻokolohua e pono ai, a kuhikuhi i ka lāʻau kūpono loa. E nīnau ʻo ia iā ʻoe i nā nīnau he nui e pili ana i kāu mau hopena ma mua, pehea ka lōʻihi o ka wā i hala aku nei mai kou hoʻomaka ʻana e loaʻa i nā hōʻailona (e like me ka hives), pehea ka lōʻihi o ka manawa, a inā paha he maʻi ʻaleka kekahi o kou ʻohana e like me kēia.
Hoʻāʻo ʻIli
A laila, e hoʻoholo paha ke kauka loea e hana i kahi hoʻāʻo ʻili . ʻO kēia ka hoʻāʻo maʻamau. Pili kēia i ka hoʻāʻo ʻana i kou ʻili e ʻike pehea e pane ai kahi liʻiliʻi o ka meaʻai āu e manaʻo nei e hoʻonāukiuki iā ʻoe. E hoʻohana ke kauka i kahi wai maʻemaʻe o ka meaʻai i nīnau ʻia, a i kekahi manawa nā meaʻai ʻē aʻe i maʻamau i ka allergen. E hana ke kauka i kahi ʻōpala liʻiliʻi loa (a i ʻole prick) ma kou lima a i ʻole ke kua, a e kau i kahi kulu o ka wai ma kahi. Hoʻopili ʻia nā ʻano ʻokoʻa i nā wahi like ʻole o ka ʻili a waiho ʻia no 15-20 mau minuke. Inā he maʻi ʻoe i ka meaʻai, e lilo ka wahi i ʻulaʻula, pehu, a e ʻike ʻia kahi welt liʻiliʻi, me he mea lā ua nahu ʻia ʻoe e kahi makika. Hiki iā ʻoe ke loaʻa kahi manaʻo o ka pae o ka allergy ma muli o kona nui.
Nā hoʻokolohua ʻē aʻe
I kekahi manawa e lawe ke kauka i kahi hāpana koko a hoʻouna aku i kahi lab e hoʻāʻo ai no nā antibodies IgE kikoʻī .
E hoʻomanaʻo: ʻOiai inā hāʻawi kāu kauka iā ʻoe i kahi meaʻai liʻiliʻi loa e hoʻāʻo ai no nā maʻi ʻaleka, ʻaʻole pono ʻoe e hana i kēia ma ka home! Eia kekahi, mai ʻōlelo i nā mea e like me, "Ke kānalua nei au i kēia meaʻai, e hoʻāʻo hou wau e ʻike inā ʻo ia maoli nō." ʻO kahi maikaʻi loa a palekana hoʻi e loaʻa ai kahi hoʻāʻo maʻi ʻaleka ma kahi keʻena lapaʻau a haukapila paha o ke kauka. Ua hoʻomaʻamaʻa kūikawā ʻia nā limahana ma laila no kēia. Inā loaʻa iā ʻoe kahi hopena koʻikoʻi, hiki iā lākou ke hāʻawi koke i ka lāʻau lapaʻau.
Pehea e mālama ʻia ai nā maʻi ʻaleka meaʻai?
ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau kūikawā no nā maʻi ʻaleka meaʻai. E like me kaʻu i ʻōlelo ai ma mua, ʻo kekahi mau maʻi ʻaleka (ʻoi aku ka maʻi ʻaleka waiū a me ka hua manu i nā keiki liʻiliʻi) e nalowale me ka ʻelemakule, akā ʻo kekahi (e like me nā pīnati, nā nati lāʻau, a me nā meaʻai kai) e mau no ke ola.
ʻO ka lāʻau lapaʻau wale nō a maikaʻi loa no kēia, ʻo ia ka pale pono ʻana i ka meaʻai e hoʻoulu ai i ka maʻi a me nā meaʻai a mea inu paha i loaʻa kēlā meaʻai.
ʻO kahi ala e ʻike ai, ʻo ia ka heluhelu pono ʻana i nā lepili meaʻai o nā mea āpau āu e ʻai ai a inu ai. Pono ʻoe e nānā i ka papa inoa o nā mea hoʻohui o kēlā me kēia meaʻai a mea inu paha āu e kūʻai ai mai ka hale kūʻai. ʻO nā mea nui e hiki ai ke hoʻoulu i kahi maʻi allergies e helu maopopo ʻia ma ka lepili, i kekahi manawa me ka wiwo ʻole. No ka laʻana, ke kūʻai ʻoe i kahi mea ʻono, ʻaʻole paha ʻoe e manaʻo he palaoa a soy paha. No laila, pono ʻoe e nānā pono i ka ʻāpana mea hoʻohui o ka lepili.
Pono paha kekahi poʻe naʻaupō loa e pale i nā meaʻai ʻē aʻe i hana ʻia ma ka hale hana like e hana ana i ka meaʻai e hoʻopilikia ai iā lākou. No ka mea, ua hana ʻia lākou ma ka mīkini like, hiki i nā ʻāpana liʻiliʻi o ka meaʻai hewa ke komo i loko o kēia mau meaʻai (`(Cross-contamination)`). Ua ʻike paha ʻoe i nā mea e like me nā ʻāpana kokoleka e ʻōlelo ana "Hiki ke loaʻa nā koena o nā nati" a i ʻole "Hana ʻia ma kahi hale hana e hana pū ana i nā nati". Pono ʻoe e makaʻala i nā mea e like me ia.
He aha inā kū mai kahi pilikia? E hoʻolālā!
ʻOiai ke akahele o kou akahele ʻana, i kekahi manawa hiki iā ʻoe ke ʻai hewa i kahi meaʻai liʻiliʻi āu e maʻi ai. Inā hana ʻia kēlā , ʻo ka mea mua, mai hopohopo. E hahai i kāu hoʻolālā hana ulia pōpilikia .
He aha ka hoʻolālā pilikia? Ma hope o ka hōʻoia ʻana o ke kauka he maʻi ʻaleka meaʻai kou, e kākau lākou i kahi hoʻolālā e like me kēia. Hōʻike maopopo ia i ka mea e hana ai inā loaʻa iā ʻoe kahi maʻi ʻaleka, ʻo wai e hoʻomaopopo (e.g. nā kumu, nā ʻohana), he aha ka lāʻau lapaʻau e lawe ai, pehea e lawe ai, a me ka nui e lawe ai.
He mea nui loa kēia inā loaʻa iā ʻoe kahi maʻi ʻaleka meaʻai e hiki ai ke hoʻoulu i kahi hopena koʻikoʻi, i kapa ʻia ʻo anaphylaxis . No nā hopena koʻikoʻi, ua ʻōlelo ʻia kekahi poʻe e kā lākou kauka e lawe mau i kahi lāʻau lapaʻau i kapa ʻia ʻo epinephrine . Loaʻa pinepine kēia ma ke ʻano o kahi inikini epinephrine i loko o kahi auto-injector e like me ka peni a maʻalahi hoʻi e lawe (e.g., EpiPen, Anapen). Na kāu kauka e aʻo iā ʻoe a me kou ʻohana pehea e hoʻohana ai. Hiki iā ʻoe, kou mau mākua, a me kāu kauka ke hoʻoholo inā pono ʻoe e lawe pū me ʻoe a i ʻole e lawe kekahi kumu ma ke kula.
He mea nui loa: Inā pono ʻoe e hoʻohana i kēia inikini epinephrine, pono ʻoe e hele koke i ka haukapila kokoke loa a i ʻole ke kikowaena lapaʻau, ʻoiai inā e emi ana kāu mau hōʻailona ma hope.No ka mea, i kekahi manawa e emi ana ka hopena mua, a hiki i ka lua o ka hopena (Biphasic reaction) ke hana i kekahi mau hola ma hope. No laila, he mea nui e noho ma ka haukapila ma lalo o ka nānā ʻana o ke kauka no kekahi mau hola.
He mea paʻakikī anei ke ola me nā maʻi ʻaleka meaʻai?
Hiki i ka loaʻa ʻana o kahi maʻi ʻaleka meaʻai ke lilo i mea hoʻonāukiuki iki a i kekahi manawa he kaumaha, akā ʻaʻole pono ia e hōʻino i ke ola o kēlā me kēia lā a i ʻole ka hauʻoli o kāu keiki. Hiki i nā pākeke a me nā hoa ʻē aʻe, e like me kou mau mākua, nā ʻohana, nā kumu, nā hoaaloha, ke kōkua iā ʻoe e pale aku mai nā maʻi ʻaleka. He mea nui e hoʻonaʻauao iā lākou.
Akā, he aha kāu e hana ai inā e kau ʻia kahi meaʻai āu e makemake ai ma kāu papa inoa "mai ʻai"? Mai hopohopo! Me ka nui o ka poʻe i loaʻa i nā maʻi ʻaʻai i kēia mau lā, ua hoʻolauna nā ʻoihana meaʻai i nā mea pani ʻono a palekana e pani i kāu mau meaʻai punahele. Nui nā koho i loaʻa i kēia manawa, mai ka ice cream, yogurt, a me ka tīhi i hana ʻia me ka waiū ʻole (nā huahana waiū ʻole), i ka berena, nā biscuits, nā keke (nā huahana gluten-free a i ʻole palaoa ʻole), i nā mea hoʻolaha nati ʻole! No laila, ʻaʻole pono ʻoe e haʻalele i ka meaʻai ʻono.
No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo? (Leka Lawe-Home)
He ʻano maʻi ʻaleka meaʻai e pono ai ka mālama iki ʻana, akā inā mālama pono ʻia, ʻaʻole ia e hoʻopilikia i ke ola maʻamau.
- E ʻike i ka maʻi ʻaleka: Inā ʻoe a i ʻole kāu keiki e ʻike nei i ka ʻoluʻolu ʻole mau ma hope o ka ʻai ʻana i kahi meaʻai, mai hoʻowahāwahā iā ia. E ʻike i ke kauka kūpono, ʻoi aku ka maikaʻi o ka allergist, e ʻike pono i ka mea i hewa. Mai hilinaʻi i nā hōʻailona ponoʻī a i ʻole nā mea āpau āu e ʻike ai ma ka pūnaewele.
- E pale loa i ka meaʻai hōʻino: Ke hōʻoia ʻia ka maʻi allergy, e hoʻōki loa i ka ʻai ʻana i ka meaʻai i hoʻopilikia ʻia a me nā mea āpau i loko. E hoʻomaʻamaʻa i ka heluhelu ʻana i nā lepili meaʻai, a e nīnau i nā nīnau i ka wā e ʻai ai i waho.
- E loaʻa kahi hoʻolālā hana ulia pōpilikia: E kamaʻilio me kāu kauka a hoʻomohala i kahi hoʻolālā ulia pōpilikia i kākau ʻia, ʻoiai inā ʻoe e pilikia ana i ka anaphylaxis. E lawe mau i kahi epinephrine auto-injector me ʻoe, inā pono, a e kamaʻāina i kona hoʻohana ʻana.
- E hoʻomaopopo i nā poʻe ʻē aʻe: E hoʻomaopopo i nā ʻohana, nā kumu, a me nā poʻe aloha e pili ana i kāu/kāu keiki i ka maʻi allergy. Hiki iā lākou ke kōkua i ka wā pilikia.
- Mai hopohopo, ʻaʻole ʻoe hoʻokahi: he nui ka poʻe i loaʻa i kēia mau maʻi. Aia nā hui kākoʻo maʻi e hiki ke kōkua iā ʻoe, hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo, a kaʻana like i kāu mau ʻike. A i kēia manawa hiki iā ʻoe ke loaʻa nā meaʻai pani palekana.
- E hahai mau i nā ʻōlelo a kāu kauka:E hahai pono i nā kuhikuhi a kāu kauka. E hele i nā hoʻokolohua maʻamau. E kamaʻilio me lākou inā he mau nīnau a hopohopo paha kāu.
No laila, me kēia mau mea i ka noʻonoʻo, hiki iā ʻoe ke ola i kahi ola hauʻoli, olakino, a hoʻokō hoʻi me nā maʻi ʻaʻai. Inā he mau nīnau hou aku kāu, e ʻoluʻolu e nīnau i ke kauka.
ʻAleʻaleʻa Meaʻai , ʻŌnaehana pale kino, Histamine, Anaphylaxis, Epinephrine, Hoʻāʻo ʻili, Nā hōʻailona aleʻaleʻa, Nā lepili meaʻai











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