Ke ʻānai nei ʻoe i kou waha a me kou lehelehe ma hope o ka ʻai ʻana? Malia paha he (Oral Allergy Syndrome) kēia! E kamaʻilio kākou e pili ana i kēia?

Ua loaʻa anei iā ʻoe kahi ʻūlū koke, ʻāʻī, a i ʻole ka manaʻo ʻūlū i loko o kou waha, lehelehe, a i ʻole ke alelo ma hope o ka ʻai ʻana i kahi huaʻai, mea kanu, a i ʻole nati? A i ʻole ua pehu iki paha? I ka wā e hana ʻia ai kekahi mea e like me kēia, manaʻo mākou, "ʻĀ, he maʻi allergy paha kēia." ʻAe, he ʻoiaʻiʻo. He ʻano maʻi allergy meaʻai kēia. I ka lāʻau lapaʻau, kapa mākou i kēia he "Oral Allergy Syndrome" a i ʻole "OAS". I kekahi manawa kapa ʻia hoʻi ʻo "Pollen-Food Allergy Syndrome" a i ʻole "PFAS". No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku .

He aha kēia maʻi allergy waha?

I ka ʻōlelo maʻalahi, ʻo ka Oral Allergy Syndrome kahi hopena maʻi i kekahi mau mea kanu, nā huaʻai, a me nā nati. Eia nō naʻe, i kēia hihia, ʻo ka hopena maʻi e kaupalena nui ʻia i kou mau lehelehe, waha, a me ka puʻu.

He mea kūikawā iki kēia. No ka mea, ʻo ke kumu nui o kēia maʻi ʻaleka he hopena keʻa me ka pollen mea kanu (e like me ka pollen lāʻau, ka pollen mauʻu, a me ka pollen mauʻu). E noʻonoʻo, inā he maʻi ʻaleka ʻoe i kekahi mau ʻano pollen, aia pū kekahi mau meaʻai i nā protein e like me nā protein i loko o kēlā pollen. No laila, ke ʻai ʻoe i kēlā meaʻai, manaʻo kou ʻōnaehana pale ua komo kēlā pollen i loko o kou kino. ʻO ia ke kumu e hana ai kēia hopena.

ʻO wai ka mea e loaʻa pinepine ai kēia? Pehea ka maʻamau?

ʻO kēia maʻi i kapa ʻia ʻo "Oral Allergy Syndrome" ka mea nui e pili ana i ka poʻe i maʻi i ka pollen o ka lāʻau, ka mauʻu, a me ka nāhelehele. Kāhea pū mākou i kēia he "Seasonal Allergies" a i ʻole "Allergic Rhinitis", ʻo ia hoʻi ka poʻe i loaʻa nā hōʻailona e like me ka ihu wai a me ka ʻū ʻana i nā manawa a pau.

Akā, aia kekahi mea liʻiliʻi. He mea kākaʻikahi kēia "(OAS)" i nā pēpē ma lalo o 3 mau makahiki. ʻO ke kumu o kēia, he mau makahiki o ke ola e pono ai no ka ulu ʻana o kahi maʻi allergy i ka pollen.

ʻOiai ʻaʻohe helu kikoʻī e pili ana i ka maʻamau o kēia "Oral Allergy Syndrome", ua manaʻo ʻia ʻo ia ka maʻi ʻaleka meaʻai maʻamau i ʻike ʻia i waena o nā pākeke. Manaʻo kekahi mau noiʻi ma waena o 47% a me 70% o ka poʻe me nā maʻi ʻaleka pollen e loaʻa paha kēia "(OAS)". No laila, ʻoi aku ka maʻamau ma mua o kou manaʻo, ʻeā?

He kūlana weliweli anei kēia?

ʻO ka nīnau a ka poʻe he nui, inā he mea weliweli kēia. ʻO ka hapa nui o ka manawa, ʻaʻole ia he maʻi koʻikoʻi ka "Oral Allergy Syndrome". ʻIke wale ka hapa nui o ka poʻe i ka maneʻo a i ʻole ka pehu iki o ka waha a me nā lehelehe.

Eia nō naʻe, he mea kākaʻikahi loa, ʻaʻole hiki i ka 2% o ka poʻe me OAS ke loaʻa i kahi hopena maʻi koʻikoʻi i kapa ʻia ʻo anaphylaxis. He ʻano hoʻoweliweli ola ka anaphylaxis e hiki ai ke pilikia i ka hanu ʻana. No laila, he mea nui e makaʻala i nā hōʻailona.

Pehea e pili ai kēia i ko mākou kino?

ʻO ka maʻi ʻaleka, a i ʻole ka hopena maʻi ʻaleka, he hopena ia a ko mākou kino i kahi mea āna i manaʻo ai he mea ʻino. ʻO kēia ka mea e hana ʻia ma ka Oral Allergy Syndrome. Ke ʻai ʻoe i nā meaʻai hoʻonāukiuki, manaʻo kou ʻōnaehana pale ua komo kahi mea ʻino i loko o kou kino. Pehu kou mau lehelehe a me kou waha i ka pane ʻana.

Akā ʻo ka mea maikaʻi ma ʻaneʻi , ʻo ka maʻamau, hoʻopau ka waikawa o ka ʻōpū i loko o kou ʻōpū i nā protein i loko o kēlā mau meaʻai, no laila ʻaʻole e laha kēia hopena alerika i nā ʻāpana ʻē aʻe o kou kino.

He aha nā hōʻailona o kēia?

ʻO ka maʻamau, hoʻomaka nā hōʻailona o ka Oral Allergy Syndrome i loko o nā minuke o ka ʻai ʻana i ka meaʻai e hoʻoulu ai i ka maʻi allergie.

ʻO nā hōʻailona i ʻike pinepine ʻia:

• He maneʻo, mae, a pehu iki paha kou mau lehelehe, waha, alelo, a i ʻole ka puʻu.
• Nā pehu liʻiliʻi ma nā lehelehe a i ʻole i loko o ka waha.

ʻO kēia nā hōʻailona maʻamau. Hoʻopau pinepine lākou iā lākou iho i loko o 30 mau minuke.

ʻO nā hōʻailona ʻē aʻe i emi iki ka maʻamau akā hiki ke loaʻa:

I kekahi manawa hiki i nā hōʻailona ke hoʻopili i nā ʻāpana ʻē aʻe o ke kino, akā ʻaʻole maʻamau kēia.

• Ka luaʻi.
• Hiki i kekahi mau meaʻai maka ke hoʻomānoanoa, ʻulaʻula, a pehu paha i ka ʻili ke hoʻopā ʻia.
• ʻUhi a i ʻole ka ʻulaʻula.
• He mea kākaʻikahi loa ka paʻakikī o ka hanu ʻana (Anaphylaxis) a me nā hopena koʻikoʻi ʻē aʻe . ʻO kēia ka mea nui e hoʻomanaʻo.

He aha nā meaʻai e hoʻokumu ai i kēia?

ʻO nā huaʻai, nā mea kanu, a me nā nati nā kumu nui o ka Oral Allergy Syndrome. E like me kā mākou i kūkākūkā ai ma mua, ua like loa nā protein i loko o kēia mau meaʻai me nā protein i loko o kekahi mau pollen. No laila, pane kou kino i kēia mau meaʻai e like me ke ʻano o ka pollen mai nā lāʻau, mauʻu, a i ʻole nā ​​nāhelehele.

E noʻonoʻo iā ia e like me kahi ʻāpana o ka puzzle. ʻAʻole ia e kūpono loa i kahi kūpono, akā ua like loa ia a manaʻo ʻoe aia ia ma kahi kūpono. ʻO ia ka mea e hana ʻia ma ʻaneʻi. ʻO nā meaʻai āu e pane ai ma kēia ʻano e pili ana i kāu mau maʻi ʻē aʻe (ʻoi aku ka maʻi pollen).

E nānā kākou i nā ʻano pollen e pili ana i nā meaʻai:

Inā he maʻi ʻoe i kekahi mau pollen, ʻoi aku ka nui o kou maʻi ʻana i nā meaʻai e pili ana i kēlā mau pollen. Eia naʻe, ʻaʻole kēia manaʻo e maʻi ʻoe i kēlā me kēia meaʻai e pili ana i kahi pollen kikoʻī. I kekahi manawa, ʻoiai inā ʻaʻole ʻoe he maʻi i nā pollen, hiki nō iā ʻoe ke loaʻa kahi hopena maʻi i kekahi mau meaʻai.

Aia ma lalo iho kekahi mau laʻana. ʻOiai ʻaʻole kēia wale nō i Sri Lanka, he mea nui e hoʻomaopopo i kēia ʻano. Hiki i kāu kauka ke wehewehe hou aku i kēia ma ke ʻano kūpono iā ʻoe.

Inā he maʻi ʻoe i ka pollen lāʻau birch:

• Nā ʻano mea ʻala:ʻAnise, Caraway, Coriander, Fennel, Parsley.
• Nā Legumes: Pīnati, Soybeans.
• Nā hua me nā hua kanu: Avocados, ʻāpala, kiwi, pears.
• Nā hua pōhaku: ʻAperikota, Cherries, Peaches, Plums.
• Nā nati: ʻalemona, hazelnuts.
• Nā mea kanu: Kāloti, Celery.

Inā he maʻi ʻoe i ka pollen mauʻu:

• ʻO nā melons e like me ka watermelon a me ka kukama.
• Nā ʻalani.
• ʻUala.
• ʻO Swiss chard (kahi ʻano ʻōmaʻomaʻo lau).
• Nā tōmato.

Inā he maʻi ʻoe i ka pollen ragweed:

• ʻAtikoka (kahi ʻano mea kanu).
• Maiʻa.
• Kukama.
• ʻO nā melons e like me ka watermelon a me ka kukama.
• Zukini.

Inā he maʻi ʻoe i ka pollen mugwort:

• Kālika.
• Nā mea ʻala: ʻAnis, Caraway, Coriander, Fennel, Parsley.
• Māseta.
• ʻO nā pepa e like me nā chili iʻa a me nā pepa bele.
• Nā mea kanu: Kāpeti, Kāloti, Cauliflower, Celery, Broccoli, Parsnip (he ʻano ʻuala), ʻAkaʻakai.

Nā meaʻai ʻē aʻe e makaʻala ai:

Eia kekahi, ʻo nā hua, nā hua citrus, nā fiku, nā hua waina, nā mango, nā paina, a me nā pomegerane hiki ke hana i ka OAS i kekahi poʻe.

Mea nui: Mai hopohopo i kēia papa inoa. ʻAʻole ʻoe e maʻi āpau i kēia mau meaʻai. ʻOi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau e ʻike pono i nā meaʻai e hoʻopilikia nei iā ʻoe.

Pehea ʻoe e ʻike pono ai i kēia maʻi?

Pehea e ʻike ai ke kauka i kēia?

ʻO ka maʻamau, ʻike kahi kauka allergist i ka Oral Allergy Syndrome ma ka hoʻolohe pono ʻana i kāu mau hōʻailona. E nīnau ʻo ia iā ʻoe e pili ana i nā meaʻai āu e ʻai ai, i ka wā e kū mai ai, pehea ka lōʻihi o ko lākou mau manawa, a me ke kumu o ia mau mea.

A laila, hiki iā ia ke hana i kekahi mau hoʻāʻo allergy e hōʻoia i ka maʻi.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

ʻElua ʻano nui o nā hoʻokolohua:

1. Hoʻāʻo ʻili no ka maʻi ʻaleka:ʻO ka mea e hana ʻia ana, ua ʻānai mālie ʻia kahi ʻāpana liʻiliʻi o kou ʻili a kau ʻia kahi liʻiliʻi o nā mea hoʻonāukiuki like ʻole (no ka laʻana, ka pollen lāʻau, ka wai mai nā meaʻai āu e pane ai). Inā he maʻi ʻoe i kēlā mea, e ʻulaʻula ka ʻāpana a hana i kahi ʻulaʻula e like me ka welt (hive).

2. Hoʻāʻo pilikia meaʻai: Ma lalo o ka nānā ʻana a ke kauka, hāʻawi ʻia ʻoe i kahi liʻiliʻi o ka meaʻai i manaʻo ʻia e ʻai. Hana ʻia kēia e ʻike inā he maʻi ʻaleka kou. Pono e hana ʻia kēia ma ke alo o ke kauka.

He aha nā lāʻau lapaʻau no kēia?

He aha ka mea e hana pinepine ʻia?

ʻOiaʻiʻo, ʻaʻohe lāʻau lapaʻau kūikawā no ka "(Oral Allergy Syndrome)". Inā loaʻa iā ʻoe kahi hopena alerika, e hoʻomaikaʻi pinepine ia ma kāna iho i loko o 30 mau minuke ma hope o kou hoʻōki ʻana i ka ʻai ʻana i ka meaʻai nāna i hoʻokumu.

I kekahi manawa, hiki i ka lawe ʻana i kahi antihistamine ke kōkua i ka hoʻōki ʻana i ka hopena a pale aku paha i ka ʻino ʻana. Eia nō naʻe, i ka hapa nui o ka manawa, e nalowale koke kēia mau hōʻailona liʻiliʻi ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau e hana.

Nā ʻano lāʻau lapaʻau i hoʻohana ʻia:

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia no ka Oral Allergy Syndrome:

• Nā Antihistamine: Hana kēia mau mea ma ke kāohi ʻana i nā kemika i loko o kou kino e hoʻoulu ai i nā hopena allergies iki. Loaʻa nā lāʻau lapaʻau ma ke kūʻai aku ma ka hale kūʻai lāʻau. ʻO nā laʻana e like me diphenhydramine (Benadryl®), fexofenadine (Allegra®), a me loratadine (Claritin®). Pono ʻoe e ʻimi i hoʻokahi e hana maikaʻi loa iā ʻoe.
• Epinephrine: Hoʻohana wale ʻia kēia i ka wā e loaʻa ai kahi hopena alerika koʻikoʻi. Hāʻawi ʻia ia ma ke ʻano he inikini. Hana ia ma ka hōʻemi ʻana i ka pehu ʻana, ka wehe ʻana i nā ala ea, a me ka maʻalahi o ka hanu ʻana. Inā ua loaʻa iā ʻoe kahi hopena koʻikoʻi ma mua, hiki i kāu kauka alerika ke kuhikuhi i kahi peni epinephrine (e.g., Auvi-Q®, EpiPen®) no ka hoʻohana pilikia.

He aha kāu e ʻai ai inā loaʻa iā ʻoe ka OAS? Pehea e hiki ai iā ʻoe ke pale aku? (Ka pale ʻana a me ka hoʻokele ʻana)

Mai manaʻo ʻoe ʻaʻole hiki iā ʻoe ke ʻai i ka nui o ka meaʻai ma muli o ka Oral Allergy Syndrome. Loaʻa ka hapa nui o ka poʻe i ka OAS i kekahi mau huaʻai, nā mea kanu, a me nā nati wale nō, ʻaʻole nā ​​mea āpau.

ʻAʻohe ala maoli e "ho'ōla" ai i ka Oral Allergy Syndrome. Eia nō naʻe, hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka pale ʻana i nā hopena e hiki mai ana. E hoʻomaikaʻi ka OAS o kekahi poʻe i ka hala ʻana o ka manawa, a i ʻole e hiki ke ʻae ʻia kā lākou hopena i kekahi mau meaʻai.

No laila, pehea ʻoe e pale aku ai i kēia, a i ʻole e hōʻemi i ka hopena?

• Ke kuke ʻana a me ka ʻai ʻana i nā meaʻai āu e maʻi ai:Ke hoʻomehana ʻia nā huaʻai a me nā mea kanu, ʻo ia hoʻi, i moʻa ʻia, loli ke ʻano o nā protein allergenic i loko o lākou. A laila, ʻaʻole ʻoe e loaʻa i kahi allergy. Hiki i ka nui o ka poʻe me OAS ke ʻai i nā meaʻai i moʻa ʻia, nā mea ʻono, a me nā wai hua pasteurized me ka ʻole o ka pilikia.
• Ke pale ʻana i nā meaʻai āu e maʻi ai i kekahi mau manawa o ka makahiki: ʻOi aku ka ʻino o nā maʻi pollen o ka nui o ka poʻe i ka wā puna, kauwela, a i ʻole ka hāʻule (ma Sri Lanka, i ka wā maloʻo a me ka makani ke aniau). No laila, ʻo ka lōʻihi o kou loaʻa ʻana i nā maʻi pollen, ʻoi aku ka koʻikoʻi o kāu hopena i kēlā mau meaʻai.
• Ke mālama pono nei i kāu mau allergies: ʻO ka lawe ʻana i nā lāʻau lapaʻau allergy i kēlā me kēia lā e hiki ke kōkua i kekahi poʻe e pale i nā hopena i kēlā mau meaʻai.
• Nā pana Allergy / Immunotherapy: ʻO kēia ka hāʻawi mālie ʻana iā ʻoe i nā nui o nā allergens e like me nā inikini. Kōkua kēia i kou kino e maʻa i nā allergens. ʻAʻole paha ʻoe e loaʻa i kekahi mau hopena, a i ʻole he akahai loa paha. Hiki i kekahi poʻe ke loaʻa ka hōʻoluʻolu mai ka Oral Allergy Syndrome (OAS).

He aha kā mākou e manaʻo ai i ko mākou noho ʻana me kēia maʻi? E nalo anei kēia?

E hoʻomanaʻo he mea kākaʻikahi nā hopena alerika koʻikoʻi i ka "Oral Allergy Syndrome". Inā hoʻopilikia ʻia ʻoe e nā hōʻailona mai kahi meaʻai kikoʻī, pono ʻoe e pale i kēlā meaʻai.

ʻOiai ʻaʻohe lāʻau lapaʻau mau loa no kēia, hiki i ka Oral Allergy Syndrome ke nalowale i ka hala ʻana o ka manawa no kekahi poʻe. I ka hala ʻana o ka manawa, e maʻa paha kou kino i nā meaʻai i hoʻoulu mua i kahi hopena.

Pono anei au e ʻike i ke kauka? Āhea wau e pono ai e hele i ka lumi pilikia?

Inā loaʻa iā ʻoe nā maʻi ʻaleka i nā meaʻai, e kamaʻilio me kāu kauka e pili ana i nā pilikia āu e loaʻa nei. Hiki iā ia ke kōkua iā ʻoe e hoʻoholo inā he mea hoʻonāukiuki wale nō a i ʻole kekahi mea ʻoi aku ka koʻikoʻi e pono ai ka mālama ʻana.

Pono ʻoe e hele i ka haukapila no ka mālama ʻana i ka pilikia (ETU) inā loaʻa iā ʻoe nā hōʻailona o kahi hopena maʻi koʻikoʻi e like me:

• Pehu maka.
• Alelo pehu.
• Ka paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai hoʻokaʻulua, e hele koke aku i ka haukapila.

Nā nīnau e nīnau aku ai i kāu kauka:

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Pehea ke koʻikoʻi o koʻu maʻi allergy?
• He aha nā meaʻai e hiki iaʻu ke ʻai me ka ʻole o nā pilikia?
• Aia kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​​​mea hoʻoponopono e hiki ke kōkua me kēia?
• He aha nā hōʻailona o kahi hopena koʻikoʻi e pono iaʻu e makaʻala?

ʻOiai he mea hoʻonāukiuki wale nō ka Oral Allergy Syndrome, hiki i kekahi poʻe ke loaʻa nā hopena koʻikoʻi. No laila, inā he mau hopohopo kou e pili ana i kahi allergy meaʻai, e kamaʻilio me kāu kauka a i ʻole he allergist. Hiki paha iā ʻoe ke hoʻomau i ka ʻai ʻana i kāu mau meaʻai punahele, a i ʻole hiki paha iā ʻoe ke loaʻa nā koho ʻē aʻe e hāʻawi i ka hōʻoluʻolu me ka ʻole o ka maneʻo.

E hoʻomanaʻo pōkole kākou i kā kākou i kamaʻilio ai? (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i nā kumu koʻikoʻi mai nā mea a mākou i kamaʻilio ai.

• ʻO ka Oral Allergy Syndrome (OAS) kahi kūlana e ʻike ʻia ai nā hōʻailona e like me ka maneʻo a me ka pehu ʻana i ka waha, nā lehelehe, a me ka ʻāʻī ma hope o ka ʻai ʻana i kekahi mau huaʻai, nā mea kanu, a me nā nati.
• ʻO kēia ke kumu o kahi hopena keʻa me nā maʻi pollen.
• ʻAʻole kēia he mea koʻikoʻi pinepine, akā, he mea kākaʻikahi loa, hiki ke loaʻa nā maʻi koʻikoʻi e like me ka "Anaphylaxis".
• Hiki iā ʻoe ke kōkua i ka kaohi ʻana i kēia ma ka kuke ʻana a me ka ʻai ʻana i nā meaʻai āu e maʻi ai, ka pale ʻana i kēlā mau meaʻai i kekahi mau manawa, a me ka lawe ʻana i nā lāʻau lapaʻau e like me ke kauoha a kāu kauka.
• Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka maka a i ʻole ke alelo, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
• Inā he kānalua kou e pili ana i kēia, e ʻike pono i ke kauka a loaʻa ka ʻōlelo aʻo. ʻAʻohe mea e makaʻu ai, ʻo ka mea nui loa, ʻo ia ka makaʻala i kēia.

Manaʻolana wau ua kōkua kēia ʻike iā ʻoe! E ola kino!

ʻO ka maʻi ʻaleka waha, OAS, ʻO ka maʻi ʻaleka meaʻai pollen, PFAS, ʻaleka waha, ʻaleka meaʻai, ʻaleka pollen, ʻaleka meaʻai