He maʻi ʻaleʻale paha kāu pēpē i kekahi meaʻai? Ke hopohopo mau nei ʻoe e hiki i kahi liʻiliʻi o nā pīni, ka waiū, a i ʻole nā hua manu ke hoʻoulu i ka ʻulaʻula a paʻakikī ke hanu? ʻOiai ke hele ʻoe i kahi pāʻina a hanana paha, hopohopo ʻoe no ka mea a kāu pēpē e ʻai ai. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke lilo i mea e hoʻonā ai i kēia makaʻu a me ka hopohopo.
I ka ʻōlelo maʻalahi, he aha ka Oral Immunotherapy (OIT)?
ʻO ka Immunotherapy waha, a i ʻole OIT no ka pōkole, he lāʻau lapaʻau ia no nā maʻi ʻaleka meaʻai. E noʻonoʻo e kuhi hewa ana kou kino i kahi protein i loko o ka meaʻai e hoʻoulu ai i ka maʻi ʻaleka (kapa mākou he 'allergen') ma ke ʻano he ʻenemi. No laila, hoʻomaka ke kino i kahi hakakā nui e pale aku iā ʻoe mai kēlā "ʻenemi." ʻO kēlā hakakā ka mea a mākou e ʻike ai he hopena maʻi ʻaleka.
ʻO ka mālama ʻana i ka OIT e pili ana i ka hāʻawi ʻana iā ʻoe i kahi liʻiliʻi loa o ka meaʻai āu e maʻi ai, ma lalo o ka nānā ʻana a kahi allergist. A laila, i ka hala ʻana o ka manawa, e hoʻonui mālie ʻia ka nui ma ke ʻano akahele a hoʻolālā ʻia. Ua like ia me ke kamaʻilio ʻana me kahi kanaka huhū a hoʻomaikaʻi iā lākou. ʻO ka pahuhopu nui o kēia, ʻo ia ka hoʻomaʻamaʻa mālie ʻana i kāu ʻōnaehana pale i ka 'ʻenemi' (allergen) a hoʻomaopopo iā ia ʻaʻole ia he mea weliweli. Kāhea mākou i kēia kaʻina hana ʻo 'desensitization'. ʻO ka pahuhopu ka lawe ʻana iā ʻoe i kahi kiko, ʻoiai inā ʻoe e ʻai hewa i kahi liʻiliʻi o kēlā meaʻai, ʻaʻole ʻoe e loaʻa i kahi hopena koʻikoʻi e hoʻoweliweli i ke ola.
He aha kaʻu e hana ai ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o ka hoʻomaka ʻana i ka mālama ʻana iā OIT, e haʻi aku kāu kauka iā ʻoe e hana i kekahi mau mea.
- Nā hoʻāʻo ʻili a me ke koko no nā maʻi ʻaleka: Pono kēia mau hoʻāʻo e hōʻoia inā he maʻi ʻaleka meaʻai maoli kāu a e ana i ka holomua o ka lāʻau. Ma ke ʻano kūikawā, hiki iā lākou ke ana i ka pae o nā antibodies i loko o ke koko i kapa ʻia ʻo `(IgE)` a ʻike i ka nui o kona emi ʻana ma hope o ka lāʻau.
- Kaohi maikaʻi ʻana i ka hānō a me ka eczema: Inā loaʻa iā ʻoe nā maʻi hanu e like me ka hānō a i ʻole nā maʻi allergies ʻē aʻe, he mea nui e mālama pono iā lākou. A i ʻole, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kahi hopena koʻikoʻi i ka wā o ka mālama ʻana iā OIT.
- Ke hoʻomākaukau ʻana i ka meaʻai a me nā lako ana e pono ai: Pono ʻoe e kūʻai i ka meaʻai āu e pono ai e ʻai i kēlā me kēia lā no ka mālama ʻana (e laʻa, ka pauka pīnati - e like me `Palforzia®`) a me nā lako e pono ai ke ana pololei.
- E kiʻi i kahi epinephrine auto-injector: ʻO kēia paha kāu i lohe ai i kapa ʻia ʻo EpiPen® a i ʻole Auvi-Q®. He inikini ulia pōpilikia kēia e hiki ke hāʻawi ʻia i ka wā e loaʻa ai kahi hopena alerika koʻikoʻi. E hāʻawi kāu kauka iā ʻoe i kahi lāʻau lapaʻau no kēia. ʻAʻole hiki iā ʻoe ke hoʻomaka i ka mālama ʻana iā OIT me ka ʻole o ia.
Pehea e hana ʻia ai ka lāʻau lapaʻau?
ʻElua mau pae nui o ka mālama ʻana i ka OIT: ke pae hoʻonui a me ke pae mālama. Inā loaʻa iā ʻoe kahi hopena alerika i kēlā me kēia manawa i loko o kēia wā, hiki i kāu kauka ke kuhikuhi iā ʻoe i ka mahele hope loa āu i lawe pono ai a kūkākūkā paha i kahi koho ʻē aʻe.
Pae ʻEkahi: Pae Hoʻonui
Eia ka mea e hana nei i kēia pae:
1. Hana ʻia ka hālāwai mua ma ke keʻena o ke kauka. I kēlā lā, e hāʻawi ʻia ʻoe i kahi liʻiliʻi loa o ka meaʻai āu e maʻi ai (malia paha he liʻiliʻi hiki iā ʻoe ke paʻa ma ka piko o kou manamana lima liʻiliʻi).
2. A laila e nānā ke kauka iā ʻoe no kekahi mau hola e ʻike inā he hopena.
3. Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e lawe i ka mahele lāʻau like i ka manawa like i kēlā me kēia lā .
4. Pono ʻoe e ʻike hou i kāu kauka i kēlā me kēia ʻelua pule . A laila, ma lalo o ka nānā ʻana a ke kauka, e hoʻonui iki ʻia ka nui o ka lāʻau. E hoʻomau kēia no kekahi mau mahina.
Māhele ʻElua: Ka mālama ʻana i ke kiʻekiʻe i maʻa ai ke kino (Māhele Mālama)
Ke hiki ʻoe i kahi mahele kikoʻī (ua hoʻoholo ʻia kēia e kāu kauka), hoʻomaka ka pae mālama. Ma kēia pae, e lawe ʻoe i ka mahele hope loa āu i hiki ai i kēlā me kēia lā no ʻeono mahina ma ka liʻiliʻi . Ma hope o ʻeono mahina, e hana hou kāu kauka i nā hoʻokolohua koko e ʻike inā ua emi nā antibodies i ka allergen. Ma hope o kēlā, e noi ʻia paha ʻoe e lawe i ka mahele i kekahi mau lā o ka pule ma kahi o kēlā me kēia lā.
He aha nā mea e hahai ai i ka wā o ka mālama ʻana?
Aia kekahi mau lula no ka mālama ʻana i ka OIT e holomua ai. ʻO ka hahai ʻana i kēia mau mea hiki ke hōʻemi i ka pilikia o nā maʻi allergies.
Mai hoʻāʻo i kekahi mea e like me kēia ma ka home me ka ʻole o ka nānā ʻana o ke kauka no kekahi kumu. Hiki i kēia ke lilo i mea weliweli loa.
| Wahi e nānā ʻia | Ka wehewehe a me ke kumu |
|---|---|
| Ke mālama nei i kahi EpiPen® kokoke | E mālama mau i kahi EpiPen® i pau ʻole ka lāʻau a me nā lāʻau lapaʻau ʻē aʻe no ka maʻi ʻaleka, ʻoiai hoʻi i ka wā e lawe ai i kahi lāʻau. |
| Mai lawe i ka ʻōpū ʻole. | E ʻai i kahi meaʻai ma mua o ka lawe ʻana i ka lāʻau. ʻO ka lawe ʻana i ka lāʻau ma ka ʻōpū ʻole e ʻoi aku ka nui o ka hopena. |
| Hoʻoikaika kino a me ka wai wela | E hōʻalo i ka hoʻoikaika kino nui, ka holo a puni, a me ka ʻauʻau wela no ʻelua hola ma mua a ma hope o ka lawe ʻana i ka mahele lāʻau. Hoʻonui kēia i ke kahe koko i loko o ke kino a hoʻonui i ka pilikia o nā maʻi allergies. |
| Nā lāʻau hoʻopau ʻeha (Ibuprofen) | Mai lawe i nā lāʻau hoʻomaha ʻeha e like me ka ibuprofen (Advil®, Motrin®) 3-4 mau hola ma mua a ma hope o ka lawe ʻana i kāu lāʻau. |
| Nā maʻi | Mai lawe i ka lāʻau lapaʻau inā loaʻa iā ʻoe ke kuni, ka ʻū, a i ʻole ka luaʻi. ʻOi aku ka nui o ka hopena ke maʻi ʻoe. E kamaʻilio me kāu kauka ma mua o ka haʻalele ʻana i kahi lāʻau. |
He aha kāu e hana ai inā loaʻa iā ʻoe kahi maʻi allergy?
E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. He pilikia ka hopena alerika koʻikoʻi (anaphylaxis). Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e hoʻohana koke i kāu EpiPen® a hele i ka keʻena pilikia o ka haukapila kokoke loa (ETU).
- Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu
- Paʻakikī ka hanu ʻana a i ʻole ka paʻa ʻana o ka umauma
- He nui nā ʻūlū nui ma ke kino holoʻokoʻa
- Ka luaʻi ʻana
- ʻO ka numbness ma nā lima, nā wāwae, a i ʻole nā lehelehe
- Ka nāwaliwali, ka poniuniu, a i ʻole ka nawaliwali
- Ke makaʻu nei e hiki mai ana kekahi mea nui
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
Nā Pōmaikaʻi
ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka "pale nahu" . ʻO ia hoʻi, inā ʻai hewa ʻia kahi liʻiliʻi o ka meaʻai allergies, ʻaʻole ia e hoʻoulu i kahi hopena koʻikoʻi. Hoʻemi nui kēia i ka makaʻu a me ka hopohopo o nā mākua a me ke keiki. Hoʻonui nui ʻia ke ʻano o ke ola. Aia kekahi mau hihia kahi e hiki ai i kekahi mau keiki ʻōpio, ma hope o ka hoʻopau ʻana i ka lāʻau OIT, ke ʻai i nā meaʻai allergies ma mua me ka makaʻu ʻole.
Nā Pōʻino
ʻO ka pilikia nui ka hopena alerika koʻikoʻi i kapa ʻia ʻo "anaphylaxis" a mākou i kamaʻilio ai ma mua.ʻO ia ke kumu e pono ai ke hana ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka.
Eia kekahi, aia kahi pilikia o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo `(eosinophilic esophagitis)`. ʻO kēia ka manawa e pehu ai ka puʻu a me ka esophagus. Inā loaʻa iā ʻoe 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 kahi keiki ʻōpio ke hōʻole e ʻai. Akā ʻo ka nūhou maikaʻi, ʻo ia ka nalowale pinepine ʻana o kēia maʻi ke hoʻōki ʻia ka lāʻau OIT.
He lāʻau lapaʻau ka OIT e koi ana i ka nui o ke kūpaʻa a me ka manawa. ʻAʻole kūpono ia no nā kānaka a pau. No laila, ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau no kāu keiki a iā ʻoe paha, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ia mea a nīnau i kāu mau nīnau a pau.
Leka Lawe-Home
- ʻO ka Immunotherapy Waha (OIT) kahi ʻano hana no ka mālama ʻana i nā maʻi ʻaleka meaʻai. Pili ia i ka hoʻonui mālie ʻana i ka nui o ka meaʻai e hoʻoulu ai i ka maʻi ʻaleka, e hoʻomaka me kahi liʻiliʻi loa, e hoʻomaʻa i ke kino iā ia.
- ʻO ka pahuhopu nui o kēia lāʻau lapaʻau, ʻo ia ka pale ʻana i kahi hopena koʻikoʻi mai ka hanana ʻana inā paha e ʻai ʻia ka meaʻai allergenic me ka ulia pōpilikia.
- Pono e hana ʻia kēia ma lalo o ka mākaʻikaʻi lapaʻau a ʻaʻole loa e hoʻāʻo ʻia ma ka home wale nō.
- He mea nui loa ia e hahai i nā lula i ka wā o ka mālama ʻana, e like me ka mālama ʻana i kahi EpiPen® me ʻoe, ka lawe ʻana i ka lāʻau i ka manawa kūpono, a me ka pale ʻana i ka hoʻoikaika kino.
- ʻOiai ʻo ka mālama ʻana i ka OIT he huakaʻi e pono ai ka nui o ke kūpaʻa, inā holomua, hiki iā ia ke lilo i mea kōkua nui i ka lanakila ʻana i ka makaʻu a me ka hopohopo i hoʻokumu ʻia e nā maʻi ʻaʻai a me ke ola ʻana i kahi ola ʻoluʻolu.
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