E noʻonoʻo he maʻi ʻaleka kāu pēpē i nā pīnati. No laila, i kēlā me kēia manawa āu e lawe ai iā ia i kahi pāʻina a hoʻokuʻu paha iā ia i ke kula, loaʻa iā ʻoe kahi makaʻu weliweli i loko o kou manaʻo. "Auē, pehea inā hāʻawi kekahi iā ʻoe i kahi ʻāpana keke me nā pīnati i loko? He aha ka mea e hana ai inā komo kahi ʻāpana liʻiliʻi i loko o ka waha o kāu pēpē me ka ulia pōpilikia?" ʻO kēia makaʻu, kēia kaomi, ua kamaʻāina loa paha iā ʻoe. ʻO ka poʻe i ʻike iā ia wale nō ka poʻe i ʻike i ka paʻakikī o ke ola ʻana me ia mau maʻi ʻaleka meaʻai. Akā, ua lohe anei ʻoe i kahi lāʻau hou e hiki ke kōkua iā ʻoe e haʻi aku i ka aloha i kēia makaʻu? ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Oral Immunotherapy (OIT)?
ʻOiai paha e kani paʻakikī ka inoa, he maʻalahi ke kumumanaʻo. ʻO ka Oral Immunotherapy (OIT) kahi lāʻau lapaʻau no nā maʻi ʻaleka meaʻai. Pili ia i ka hāʻawi ʻana iā ʻoe i nā ʻāpana liʻiliʻi loa o ka meaʻai āu e maʻi ai (i kapa ʻia he allergen ma ke ʻano lapaʻau) ma lalo o ka nānā pono ʻana o kahi allergist.
E noʻonoʻo i kēia ʻano. Hāʻawi ʻia ʻoe i ka meaʻai āu e maʻi ai, e like me ka lāʻau lapaʻau, ma lalo o ka maka makaʻala o ke kauka. ʻO ka mea mua, hoʻomaka ʻoe me kahi liʻiliʻi loa āu e ʻike ʻole ai. A laila, i ka hala ʻana o ka manawa, hoʻonui pono ʻoe i ka nui.
ʻO ka pahuhopu nui o kēia, ʻo ia ke "hoʻomaʻi" mālie i kāu ʻōnaehana pale i ka meaʻai āu e maʻi ai. ʻO ka maʻamau, kuhi hewa kou kino i kahi protein i loko o ka meaʻai no kahi "ʻenemi weliweli" a hoʻomaka e hakakā me ia. ʻO ia ke kumu o ka maʻi allergy. Akā i ka mālama ʻana i ka OIT, hoʻokomo mālie mākou i ka "ʻenemi" i kou kino, no laila i ka hala ʻana o ka manawa e ʻike ai kāu ʻōnaehana pale, "ʻAuē ... ʻaʻole ia he mea weliweli loa." Kāhea mākou i kēia he "desensitization." ʻO ia hoʻi, lilo ke kino i mea ʻike ʻole i kēlā meaʻai.
ʻO ka mea nui loa, ma hope o kēia lāʻau lapaʻau, inā ʻoe e ʻai hewa i kahi mea liʻiliʻi o ka meaʻai allergies, e hiki iā ʻoe ke pale aku i kahi hopena koʻikoʻi.
He aha nā hoʻomākaukau e pono e hana ʻia ma mua o ka hoʻomaka ʻana i ka mālama ʻana iā OIT?
ʻAʻole kēia he mea hiki iā ʻoe ke hele wale a hoʻomaka. Pono e hana ʻia ma ke ʻano hoʻolālā maikaʻi loa, ma hope o ke kamaʻilio ʻana me kāu kauka. ʻO ka maʻamau, pono ʻoe e hoʻopau i kēia mau mea ma mua o kēia.
| He aha e hana ai | No ke aha lā ia? |
|---|---|
| Hoʻāʻo ʻana i ka maʻi ʻaleka Nā hoʻāʻo ʻili a me nā hoʻāʻo koko. | I mea e hōʻoia ai inā he maʻi ʻoe i kēlā meaʻai, a e ʻike inā he kūpono ka lāʻau lapaʻau, e kiʻi i kahi kumu ma mua a ma hope o ka lāʻau lapaʻau. Ma ke ʻano kūikawā, ua ana ʻia ka pae o kahi antibody i kapa ʻia ʻo IgE . |
| Ka mālama pono ʻana i ka hānō a me ka eczema | Inā ʻaʻole i kaohi pono ʻia nā maʻi allergies ʻē aʻe e like me kēia, kiʻekiʻe ka pilikia o kahi hopena weliweli i ka wā o ka mālama ʻana iā OIT . |
| Ke kūʻai ʻana i nā mea pono Nā mea ana a me ka meaʻai e nīnau ʻia nei (e like me ka puna, ka mea hoʻopili). | He mea nui e lawe i kēia mau mea i kēlā me kēia lā ma ka nui like i kuhikuhi ʻia e kāu kauka. Aia nā pauka kūikawā no nā maʻi ʻaleka pīnati, e like me Palforzia®. |
| Ke kiʻi ʻana i kahi Epinephrine Auto-Injector Laʻana: EpiPen®, Auvi-Q® | ʻO kēia ka mea nui loa a me ka mea pono . ʻO kēia ka lāʻau pale e hiki ke hoʻopakele i kou ola inā loaʻa iā ʻoe kahi hopena alerika koʻikoʻi koke (anaphylaxis). ʻAʻole hiki iā ʻoe ke hoʻomaka i ka mālama ʻana iā OIT me ka ʻole o kēia . E hāʻawi kāu kauka iā ʻoe i kahi lāʻau lapaʻau no kēia. |
Pehea e hana ʻia ai kēia kaʻina hana lapaʻau?
Hiki ke hoʻokaʻawale ʻia kēia kaʻina hana holoʻokoʻa i ʻelua mau pae nui: ka "pae piʻi" a me ka "pae mālama."
1. Ka Pae Hoʻonui
ʻO kēia ka manawa hana nui loa o ka lāʻau lapaʻau.
- Lā 1: Pono mua ʻoe e hele i ke keʻena o ke kauka a i ʻole ke keʻena lapaʻau. Ma laila, ma lalo o ka nānā ʻana a ke kauka, e hāʻawi ʻia ʻoe i kahi liʻiliʻi loa o ka meaʻai allergenic. E wehewehe ke kauka i nā mea āpau e pili ana i ka nui e ʻai ai a pehea e ana ai. E mākaukau nō hoʻi lākou e mālama iā ʻoe inā loaʻa iā ʻoe kekahi mau hopena.
- Ma ka home: A laila, ʻo ia mahele mua a ke kauka i kauoha ai, pono ʻoe e lawe ia mea ma ka home i kēlā me kēia lā. ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like e like me ka hiki.
- I kēlā me kēia ʻelua pule: E noi ʻia ʻoe e hoʻi mai e ʻike i kāu kauka i kēlā me kēia ʻelua pule. Ma laila, ma lalo o ka nānā ʻana o ke kauka, e hoʻonui iki ʻia kāu mahele. A laila e hoʻi ʻoe i ka home a lawe i ka mahele hou i kēlā me kēia lā.
Ma kēia ʻano, hoʻonui mālie ʻia ka nui o ka lāʻau i kēlā me kēia ʻelua pule a hiki i ka hiki ʻana o ke kauka i kahi nui i manaʻo ʻia.
2. Ka Pae Mālama
Ke hiki ʻoe i kēlā mahele i manaʻo ʻia, hoʻomaka ka "mālama mālama".
- ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia kou hoʻomau ʻana i ka lawe ʻana i ka mahele lāʻau kiʻekiʻe loa āu i lawe hope ai me ka holomua i kēlā me kēia lā .
- Pono e lawe ʻia kēia mahele mālama no ʻeono mahina ma ka liʻiliʻi.
- Ma hope o ʻeono mahina, e hana hou kāu kauka i kahi hoʻāʻo koko ʻē aʻe e ʻike ai inā ua emi ka pae o nā antibodies i loko o kou kino e kūʻē i kēlā meaʻai.
- I kekahi manawa, hiki iā ʻoe ke hana i kahi "Food Challenge Test." ʻO ke ʻano kēia, ma kahi haukapila, ma lalo o ka nānā ʻana a ke kauka, hāʻawi ʻia ʻoe i kahi liʻiliʻi o ka meaʻai allergenic e ʻike ai inā loaʻa iā ʻoe kahi hopena.
- Ma muli o nā hopena o kēia mau hoʻokolohua, e hoʻoholo kāu kauka inā pono ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau mālama i kēlā me kēia lā, a inā lawa ka lawe ʻana i kekahi mau lā o ka pule.
E hoʻomanaʻo, ʻoiai i ka wā mālama, he mea nui e lawe mau ʻoe i kāu epinephrine auto-injector me ʻoe , no ka mea, ʻaʻole i hoʻopau loa ʻia ka hiki ke loaʻa kahi hopena koke.
He aha nā lula e pono e mālama ʻia i ka wā o ka mālama ʻana?
No ka holomua o kēia lāʻau lapaʻau, a no kou palekana ponoʻī, aia kekahi mau mea āu e pono ai e hahai. ʻO ka hahai pololei ʻana i kēia mau mea hiki ke hōʻemi i nā pilikia pono ʻole he nui.
| Rula e hahai ai | No ke aha lā ia? |
|---|---|
| E mālama i ka lāʻau lapaʻau ma kahi kokoke. E mālama mau i kāu lāʻau lapaʻau no ka maʻi ʻaleka a me kahi EpiPen i pau ʻole me ʻoe. | No ka mea, inā loaʻa kahi pilikia, pono ka hana koke. |
| Mai lawe i ka ʻōpū ʻole. E ʻai i kekahi meaʻai ma mua o ka lawe ʻana i ka lāʻau. | ʻO ka lawe ʻana i ka lāʻau ma ka ʻōpū ʻole e hoʻonui i ka pilikia o nā hopena ʻaoʻao a i ʻole nā hopena. |
| E lawe i ka manawa kūpono. E lawe i ka mahele o kēia lā i loko o ʻelua hola o ka mahele o nehinei (ʻelua hola ma mua a ma hope paha). | E mālama i ka pae paʻa o ka lāʻau lapaʻau i loko o ke kino a e hōʻemi i ka pilikia o nā hopena. |
| E pale i ka hoʻoikaika kino a me ka ʻauʻau ʻana i ka wai wela. E hōʻalo i ka hana kino ikaika a me ka ʻauʻau wela no ʻelua hola ma mua a ma hope o ka lawe ʻana i ka lāʻau. | Hiki i kēia mau mea ke hoʻonui i ke kahe koko i loko o ke kino a hoʻonui i ka pilikia o kahi maʻi allergies. |
| Mai lawe i ka ibuprofen. Mai lawe i nā lāʻau hoʻomaha ʻeha ibuprofen (e like me Advil®, Motrin®) 3-4 mau hola ma mua a ma hope o ka lawe ʻana i kāu lāʻau. | Hiki i kēia mau lāʻau lapaʻau ke hoʻonui i ka pilikia o kahi hopena allergies. |
| Mai lawe i ka lāʻau inā maʻi ʻoe. E hōʻalo i ka lawe ʻana i ka lāʻau inā loaʻa iā ʻoe kahi maʻi e like me ke kuni, ka ʻū, a i ʻole ka luaʻi ʻana. | Ke maʻi ʻoe, nāwaliwali kou kino, no laila he mea maʻalahi ke loaʻa kahi hopena. Eia kekahi, hiki iā ʻoe ke huikau i nā hōʻailona o ka maʻi me nā hōʻailona o kahi hopena allergies. E hōʻoia e kamaʻilio me kāu kauka ma mua o ka haʻalele ʻana i kahi mahele lāʻau. |
He aha kāu e hana ai inā loaʻa koke iā ʻoe kahi hopena?
ʻO kēia ka ʻāpana koʻikoʻi loa e pono ai nā mea a pau e ʻike. E hāʻawi kāu kauka iā ʻoe i kahi hoʻonohonoho maopopo o nā kuhikuhi e pili ana i nā hōʻailona e makaʻala ai, i ka wā e hoʻohana ai i ka EpiPen, a me ka wā e hele ai i ka ʻOihana Pilikia o ka haukapila (ETU).
Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona weliweli ma lalo nei , mai hoʻokaʻulua .
- Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu
- Paʻakikī ka hanu ʻana
- Manaʻo o ka paʻa i loko o ka umauma
- ʻO ke ʻano o nā ʻōpū nui he nui (hives) ma ke kino holoʻokoʻa
- Ka luaʻi ʻana
- ʻO ka numbness ma nā lima, nā wāwae, a i ʻole nā lehelehe
- Ka nāwaliwali o ke kino, ka poniuniu, ka maule ʻana
- Ka manaʻo o ka pōʻino e hiki mai ana (he manaʻo o ka makaʻu nui, e like me "e hiki mai ana kekahi mea iaʻu").
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻohana koke i kāu EpiPen a hele i ka haukapila Emergency Department (ETU) kokoke loa i ka hikiwawe loa.
ʻAʻohe pilikia i kēia lāʻau lapaʻau?
E like me kekahi lāʻau lapaʻau, loaʻa iā OIT kekahi mau pilikia.
- ʻO ka pilikia nui ka hopena aleri koʻikoʻi i kapa ʻia ʻo "anaphylaxis" a mākou i kamaʻilio ai ma mua. ʻO ia ke kumu e hana mau ʻia ai kēia lāʻau lapaʻau ma lalo o ka nānā ʻana o ke kauka a ʻaʻole loa e hoʻāʻo ʻia ma ka home wale nō .
- Eia kekahi, hiki ke loaʻa nā hopena liʻiliʻi e like me nā pehu liʻiliʻi ma ka ʻili a me ka ʻeha ʻōpū iki.
- ʻO kekahi pilikia kakaikahi akā koʻikoʻi, ʻo ia ke ʻano i kapa ʻia ʻo Eosinophilic Esophagitis . He mumū kēia o ka esophagus. Inā ʻike ʻoe i nā hōʻailona e like me ka luaʻi ʻana a i ʻole ka manaʻo o ka meaʻai e paʻa ana i kou puʻu, pono ʻoe e haʻi koke i kāu kauka . Hiki i nā keiki ʻōpio ke hōʻole e ʻai. Hoʻopau pinepine ʻia kēia ʻano ke hoʻōki ʻia ka lāʻau OIT.
He aha nā pono a me nā helu kūleʻa o ka mālama ʻana iā OIT?
ʻO ka pōmaikaʻi nui o kēia lāʻau lapaʻau, ʻo ia ka lawe ʻana i ka nui o ke kaumaha mai kou ola. ʻO ka mea maikaʻi wale nō e pili ana i ke ola me ka makaʻu ʻole i kahi ulia koʻikoʻi inā ʻai ʻoe i kahi ʻāpana meaʻai maʻi. ʻO kekahi poʻe, ʻoiai nā keiki e hoʻomaka ana i ka lāʻau lapaʻau i ka wā ʻōpiopio , e maʻa mau i ka ʻai ʻana i kēlā meaʻai me ka makaʻu ʻole ma hope o ka hoʻopau ʻana i ka OIT.
Ma ke ʻano o ka holomua, ua hōʻike nā haʻawina he maikaʻi loa kēia lāʻau lapaʻau i nā keiki ma lalo o 4 mau makahiki. No ka laʻana, ma kahi noiʻi o OIT no ka maʻi ʻaleka pīnati, ʻoi aku ma mua o 70% o nā keiki ma waena o 1 a me 4 mau makahiki i hiki ke ʻai i ka mea like me ka hua pīnati o ka protein me ka ʻole o nā pilikia.
ʻO kāu kauka ke kanaka kūpono loa e hoʻoholo inā kūpono kēia iā ʻoe a i ʻole kāu keiki. He lāʻau lapaʻau kēia e koi ana i ka nui o ke kūpaʻa a he manawa lōʻihi. No laila, he mea nui e kūkākūkā i kāu mau nīnau a me nā makaʻu a pau me kāu kauka a hana i kahi hoʻoholo naʻauao.
Leka Lawe-Home
- ʻAʻole he hoʻokolohua hana-ia-ʻoe iho ka Oral Immunotherapy (OIT). He lāʻau ia e hana wale ʻia ma lalo o ka nānā piha ʻana o kahi loea .
- ʻO ke kumu nui o kēia , ʻo ia ka pale ʻana i nā hopena weliweli e hiki ke kū mai inā ʻai ʻia kahi meaʻai alerika me ka manaʻo ʻole.
- Pono kēia i ka nui o ke kūpaʻa a me ka manawa mai ka ʻohana. He huakaʻi lōʻihi ia.
- Ma loko o ka lāʻau lapaʻau,He mea nui e lawe mau i kahi EpiPen a ʻike pehea e hoʻohana ai.
- Inā he maʻi allergy kāu a kāu keiki paha, e kamaʻilio me kāu kauka e aʻo hou e pili ana i ka mālama ʻana iā OIT.
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