Loaʻa i kāu pēpē kahi maʻi ʻaleka meaʻai? E kamaʻilio kākou e pili ana i nā hoʻokolohua a nā kauka e hoʻohana ai e ʻike ai (Food Allergy Testing)!

Ke manaʻo nei ʻoe a i ʻole kāu keiki liʻiliʻi i kekahi mea ʻē a ʻoluʻolu ʻole paha ma hope o ka ʻai ʻana i kahi meaʻai? Ua ʻike anei ʻoe i ka maneʻo, nā ʻulaʻula, a i ʻole ka paʻakikī o ka hanu ʻana ma hope o ka ʻai ʻana i kahi ʻano meaʻai? He mau hōʻailona paha kēia o kahi maʻi ʻaleka meaʻai . No laila, e kamaʻilio kākou e pili ana i ke ʻano e hiki ai i nā kauka ke ʻike i nā maʻi ʻaleka meaʻai a me nā hoʻokolohua a lākou e hana ai, ʻeā? ʻAʻohe pono e makaʻu a hopohopo paha no kēia mau mea. Akā, ʻo ka ʻike ʻana i kēia ʻike e lilo ia i mea pono loa iā ʻoe.

Pehea e hoʻāʻo ai nā kauka no nā maʻi ʻaleka meaʻai?

ʻO ka maʻamau, hoʻohana ke kauka, ʻoiai ke kauka loea i nā allergies - kapa mākou iā ia he "allergist" - i ʻelua mau ʻano hoʻāʻo nui e hōʻoia inā loaʻa kahi allergy meaʻai. ʻO kēia nā hoʻāʻo ʻili a me nā hoʻāʻo koko . I kekahi mau hihia, hiki i ke kauka ke hoʻoholo e hana i kēia mau hoʻāʻo ʻelua. Hoʻoholo ʻia kēia ma ka noʻonoʻo ʻana i kekahi mau mea, e like me ke kūlana o ka mea maʻi a me ke ʻano o nā hōʻailona.

He aha ka hoʻāʻo ʻili? Pehea e hana ʻia ai?

ʻAʻole kēia he mea nui a paʻakikī paha e like me kou manaʻo. He hoʻāʻo maʻalahi loa ia. E noʻonoʻo ʻoe ua manaʻo ʻoe he maʻi āpau kāu pēpē i kekahi mea ke inu ʻo ia i ka waiū. A laila e hana ke kauka maʻi a i ʻole ke kahu maʻi i aʻo ʻia i kēia hoʻāʻo penei:

1. ʻO ka mea mua, e hoʻomaʻemaʻe pono i ka ʻili ma kou lima a i ʻole ka lima o kāu pēpē a i ʻole kekahi ʻāpana o ke kua.

2. A laila, ʻo ka mea hoʻonāukiuki i loko o ka meaʻai āu e kānalua nei (ma kā mākou laʻana, ka waiū) - ʻo ia hoʻi, ka mea hiki ke hoʻoulu i ka maʻi ʻaleka, kapa mākou ia he "allergen" - ua lawe ʻia ma ke ʻano he liʻiliʻi loa o ia mea ma ke ʻano he wai, a ua lawe ʻia ka wai i loko o ka ʻili me ka hoʻohana ʻana i kahi mea liʻiliʻi loa e like me ke pine, a i ʻole ma ka hana ʻana i kahi ʻōpala liʻiliʻi ma ka ʻili o ka ʻili. ʻAʻole kēia he ʻeha nui, ua like ia me ka ʻakaʻaka liʻiliʻi loa, e like me ka nahu ʻana o ka makika. ʻAʻohe mea e makaʻu ai.

3. E hoʻopili i ka wai i kou ʻili penei a kali no kahi o 15 mau minuke.

4. ʻO ka mea nui loa kēia. Inā lilo ka wahi i hoʻopili ʻia ai ka wai "allergen" i ʻulaʻula, pehu iki, a ʻike ʻia kahi puʻupuʻu liʻiliʻi e like me ka pehu (ua kapa ʻia kēia he "wheal" e nā kauka), hāʻawi ia i kahi hōʻailona e loaʻa paha kahi maʻi allergy i ka meaʻai i nīnau ʻia.

5. A laila, e hoʻohana ke kauka a kahu maʻi paha i kahi lula e ana pololei i ka nui o ka huila a me ka ʻāpana ʻulaʻula a puni a hoʻopaʻa iā ia.

I kēia manawa, e noʻonoʻo, inā manaʻo ʻoe he maʻi ʻoe ʻaʻole i hoʻokahi meaʻai wale nō, akā i kekahi mau ʻano meaʻai, a inā paʻakikī ke hoʻoholo pololei i ka meaʻai e hoʻoulu ai i kēia mau hōʻailona maʻi, hiki i ke kauka ke hoʻāʻo i kou ʻili ma ke kau ʻana i kekahi mau "allergens" like ʻole ma luna o ia mea i ka manawa like.

Ma hope o ka hoʻāʻo ʻili, hiki iā ʻoe ke ʻānai i ka wahi i hana ʻia ai ka hoʻāʻo no ka manawa pōkole. He mea maʻamau kēia. Eia nō naʻe, e emi pinepine ka maneʻo i loko o 30 mau minuke. Inā ʻike kāu pēpē i ka maneʻo nui, hiki i ke kauka ke hāʻawi iā ʻoe i kahi antihistamine a i ʻole kahi kirīmi steroid topical e kau ai i nā wahi maneʻo. E kōkua kēia i ka hoʻēmi koke ʻana i ka maneʻo.

He aha ka mea e nānā ai i kahi hoʻokolohua koko?

I kekahi mau hihia, ma waho aʻe o ka hoʻāʻo ʻili i ʻōlelo ʻia ma luna, a i ʻole inā he mau kumu e hiki ʻole ai ke hana i kahi hoʻāʻo ʻili (no ka laʻana, kekahi me kahi maʻi ʻili koʻikoʻi a i ʻole kekahi e lawe ana i kekahi mau lāʻau lapaʻau), hiki i ke kauka ke ʻōlelo aku i kahi hoʻāʻo koko.

ʻO kēia ka lawe ʻana i kahi hāpana koko liʻiliʻi loa mai iā ʻoe a i ʻole kāu pēpē a hoʻouna aku i kahi keʻena hoʻokolohua no nā hoʻokolohua kūikawā. ʻO ka mea nui, ʻo ia ke nānā inā loaʻa i ke koko nā "antibodies IgE," i hana ʻia e kā mākou ʻōnaehana pale e kūʻē i nā meaʻai kikoʻī.

I ka ʻōlelo maʻalahi, ʻo kēia mau antibodies IgE he ʻano protein kūikawā ia a ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale, e hana ai i ka wā e kuhi hewa ai i kekahi mau meaʻai he "ʻino" a "ʻenemi" paha, a hoʻāʻo e hakakā iā lākou. No laila, inā ʻike ʻia ke koko o ke kanaka he mau antibodies IgE i kahi meaʻai, ʻo ia hoʻi he hiki ke maʻi lākou i kēlā meaʻai. He kuhi wale nō ia, e like me nā hopena o kahi hoʻāʻo ʻili.

Pehea e wehewehe ai nā kauka i nā hopena hoʻāʻo? He mea nui loa kēia!

Eia kekahi mea āu e pono ai e hoʻomanaʻo. ʻOiai inā loaʻa kahi hopena " maikaʻi" i kahi meaʻai mai kahi hoʻāʻo ʻili a i ʻole ke koko, ʻaʻole ia he manaʻo ua maopopo loa i ke kanaka he maʻi āpau lākou i kēlā meaʻai. Hōʻike wale ia he hiki ke loaʻa kahi maʻi āpau.

E noʻonoʻo i kēia ʻano. Ua hānau ʻia kekahi poʻe me ka ʻili koʻikoʻi loa. ʻOiai inā ua hoʻonāukiuki iki ʻia ko lākou ʻili e kekahi mea, e like me kahi mea ʻaʻole ia he mea hoʻāʻo, hiki ke ʻulaʻula, pehu iki, a pehu paha. ʻAʻole pono ia he maʻi allergy. Eia kekahi, loaʻa paha i kekahi poʻe nā antibodies IgE i loko o ko lākou koko i kahi meaʻai, akā ʻaʻole paha lākou e hōʻike i nā hōʻailona maʻi allergy ke ʻai lākou i kēlā meaʻai. Kāhea mākou i kēia "sensitization," he ʻokoʻa ia mai ka "allergy."

No laila, ʻaʻole loa e hoʻoholo hope ke kauka inā he maʻi ʻaleka meaʻai kekahi ma muli wale nō o kēia mau hopena hoʻāʻo. E nīnau maoli nō ʻo ia iā ʻoe i nā mea ʻē aʻe he nui, e like me:

• He aha nā hōʻailona kikoʻī āu a kāu pēpē paha e ʻike nei? (e.g., maneʻo? ʻulaʻula? paʻakikī ka hanu ʻana? ʻeha ka ʻōpū?)
• Pehea ka lōʻihi ma hope o ka ʻai ʻana i ka meaʻai e ʻike ʻia ai kēia mau hōʻailona? (Nā minuke? Nā hola?)
• Pehea ke koʻikoʻi o nā hōʻailona? (He ʻano ʻūlū iki paha? A i ʻole he koʻikoʻi loa ia a pehu kou kino holoʻokoʻa a ʻaʻole hiki iā ʻoe ke hanu?)
• Aia kekahi poʻe ʻē aʻe o kou ʻohana (makuahine, makuakāne, kaikaina) i loaʻa i kēia ʻano maʻi ʻaleka meaʻai a i ʻole nā ​​maʻi ʻaleka ʻē aʻe (e like me ka hānō, ka maʻi ʻaleka lepo)?

Hiki i ke kauka ke hoʻoholo pololei e pili ana i kahi maʻi ʻaleka meaʻai ma hope o ka nānā ʻana i ka mōʻaukala olakino piha o ka mea maʻi, ke ʻano o nā hōʻailona, ​​​​a me nā hopena o ka hoʻāʻo.

He aha ka pilikia o ka ʻai waha? He mea weliweli anei ia?

I kēia manawa, e noʻonoʻo ʻaʻole maopopo loa nā hopena o ka hoʻāʻo ʻili a me ka hoʻāʻo koko i ʻōlelo ʻia ma luna. A i ʻole, inā he maʻi ʻai kāu pēpē i kona wā kamaliʻi, a i kēia manawa ua ʻoi iki aʻe ʻo ia, makemake ʻoe e ʻike pono inā ua nalowale kēlā maʻi ʻai, ʻo ia hoʻi , "outgrown", hiki i ke kauka ke kuhikuhi i kahi hoʻāʻo kikoʻī ʻē aʻe. ʻO kēia ka mea a mākou e kapa nei he "hoʻokūkū meaʻai waha" .

Eia ka mea e hana ʻia:

1. ʻO ka meaʻai i manaʻo ʻia he mea hoʻonāukiuki i ka maʻi (mea hoʻonāukiuki i ka maʻi) ua hoʻokomo ʻia i kahi liʻiliʻi loa, ma kahi paha o hoʻokahi hapaʻumi o ka teaspoon, a hoʻonui mālie ʻia i ka hala ʻana o ka manawa.

2. Hana ʻia kēia mau mea a pau ma lalo o ka nānā pono ʻana a ke kauka. E nānā pono ana ke kauka a i ʻole nā ​​limahana lapaʻau i aʻo ʻia no kekahi mau hōʻailona maʻi. Ke nānā mau ʻia nei nā mea e like me ka helu pulse, ke ʻano hanu, a me nā loli o ka ʻili.

3. Mai ho'āʻo e hana i kēia hoʻāʻo ma ka home. Pono e hana ʻia kēia ma ke keʻena o ke kauka (keʻena lapaʻau) a i ʻole kahi haukapila, nona nā pono āpau e pono ai e mālama i kahi pilikia. ʻO kēia no ka mea hiki ke loaʻa kahi hopena alerika koʻikoʻi koke, i kapa ʻia ʻo "anaphylaxis."Inā loaʻa kahi kūlana e hoʻoweliweli ai i ke ola (kahi hopena alerika koʻikoʻi), pono e loaʻa nā lāʻau lapaʻau ulia pōpilikia a me nā kauka i aʻo ʻia a me nā limahana lapaʻau (nā loea a me nā limahana lapaʻau) e mālama koke iā ia.

He mea nui loa kēia: Mai hoʻāʻo, no kekahi kumu, i kahi "Oral Food Challenge" ma ka home me ka ʻole o ka nānā ʻana o ke kauka, ʻae? No ka mea, hiki i nā maʻi ʻaʻai ke lilo i mea weliweli loa i kekahi manawa. Hiki iā ia ke hoʻoweliweli i ke ola.

ʻO ka hapa pinepine, hana ʻia kēia hoʻāʻo "hoʻokūkū meaʻai waha" e hōʻoia inā ua pau ka maʻi ʻaleka meaʻai ma mua, ʻo ia hoʻi, ʻaʻohe pilikia o ka ʻai ʻana i kēlā meaʻai i kēia manawa. No ka laʻana, ʻo kahi pēpē i maʻi i nā hua manu i kona wā kamaliʻi e ulu maoli paha i kēlā maʻi ʻaleka i loko o kekahi mau makahiki i ko lākou ulu ʻana. No laila, he mea pono loa kēia hoʻāʻo no ka ʻike pono ʻana i kēlā.

He aha ka mea e hiki mai ana inā hōʻoia kahi hoʻokolohua i kahi maʻi allergy?

ʻAe, i kēia manawa e ʻōlelo kākou ua hōʻoia nā hoʻokolohua i ʻōlelo ʻia ma luna nei ua loaʻa i kāu pēpē a i ʻole ʻoe kahi maʻi allergy meaʻai. Mai hopohopo i kēlā manawa, ʻaʻole ia ka hopena o ka honua. E kōkua maoli kāu kauka iā ʻoe e hana i kahi hoʻolālā hoʻokele maopopo no ke ola palekana a maʻamau me kēia kūlana hou.

ʻO nā mea nui e hana ai:

1. Pale loa i nā meaʻai allergenic:

• E hāʻawi ke kauka iā ʻoe i kahi papa inoa maopopo o nā meaʻai maikaʻi ʻole iā ʻoe a i ʻole kāu pēpē, a e hāʻawi pū iā ʻoe i kahi ʻike maikaʻi o nā meaʻai i loaʻa paha nā mea huna.
• Pono ʻoe e hoʻomaʻamaʻa i ka heluhelu pono ʻana i nā lepili meaʻai ma kēlā me kēia ʻeke meaʻai a i ʻole ka ʻōmole āu e kūʻai ai mai ka hale kūʻai. No ka mea, i kekahi manawa, ʻo nā meaʻai a mākou e noʻonoʻo ʻole ai, no ka laʻana, nā mea ʻono, nā sopa, a me nā biscuits, aia paha kēlā mau meaʻai allergenic (e.g., waiū, hua manu, soy, pīnati , palaoa).
• Inā e hele ana kāu pēpē i ke kula, he mea nui loa ia e hoʻomaopopo i ke kumu aʻo, nā limahana hale ʻaina, a pēlā aku e pili ana i kēia. Eia kekahi, i ka wā e hele ai i nā hale o nā hoahānau, nā hale o nā hoaaloha, a i ʻole nā ​​​​pāʻina, ʻo ka hoʻomaopopo ʻana i nā poʻe ʻē aʻe e pili ana i kēia ma mua e hiki ke pale aku i nā pilikia pono ʻole he nui.

2. Ka mālama ʻana i nā lāʻau lapaʻau pilikia:

• Hiki i kekahi mau maʻi ʻaleka meaʻai ke koʻikoʻi loa. ʻO ia hoʻi, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke loaʻa kahi hopena koʻikoʻi a hoʻoweliweli i ke ola i kapa ʻia ʻo "anaphylaxis" , hiki ke hoʻoulu i ka paʻakikī koke o ka hanu ʻana, ka emi koke ʻana o ke koko, a me ka nalowale o ka ʻike.
• Inā loaʻa kēlā ʻano pilikia, e hoʻohana koke. Na ke kauka e kuhikuhi iā ʻoe i kahi lāʻau lapaʻau kūikawā. Ua kapa ʻia ʻo ia ʻo "Adrenaline" (Epinephrine).ʻO ka maʻamau, hele mai kēia i loko o kahi mea pena maʻalahi loa e hoʻohana (he epinephrine auto-injector). Na kāu kauka a kahu maʻi paha e aʻo iā ʻoe pehea e hoʻohana ai.
• Pono ʻoe e mālama mau i kēia lāʻau "Adrenaline" (Epinephrine) me ʻoe, a i ʻole me kāu pēpē, i nā manawa a pau. Pono ʻoe e lawe pū me ʻoe i loko o kāu ʻeke kula, i kou wā e hele ai e pāʻani, i kou wā e hele ai i kahi huakaʻi, ma nā wahi a pau āu e hele ai. Ua like ia me kahi mea hoʻōla ola.
• Eia kekahi, he mea nui iā ʻoe, kou ʻohana, a me ka poʻe e mālama ana i kāu pēpē, e like me nā kumu o kāu pēpē, ke ʻike pono i ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau i ka wā pilikia. E wehewehe pono ke kauka iā ʻoe a hāʻawi i ke aʻo ʻana inā pono.

ʻO ka ʻōlelo lawe home koʻikoʻi loa mai kēia mau mea a pau:

Inā he kānalua iki kou no ka maʻi ʻaleka meaʻai, mai hoʻoholo wale e hōʻoki a hoʻomaka paha i nā meaʻai hou i kou makemake. E ʻike pono i ke kauka kūpono, e kiʻi i ka ʻōlelo aʻoaʻo kūpono, a e hana i nā hoʻokolohua kūpono inā pono.

• ʻO nā hoʻāʻo ʻili a me nā hoʻāʻo koko e ʻimi ana i nā antibodies IgE nā ʻano hana nui i hoʻohana ʻia no ka ʻike ʻana i nā maʻi allergies meaʻai.
• ʻAʻole hōʻoia ka hopena hoʻāʻo "maikaʻi" wale nō he loaʻa i kekahi kahi maʻi allergy. E noʻonoʻo ke kauka i nā kumu he nui, me nā hōʻailona, ​​​​ka mōʻaukala olakino o ka mea maʻi, a me nā maʻi allergy ʻohana, e hana i kahi hoʻoholo hope loa.
• I kekahi manawa, ʻoiai inā ʻaʻole maopopo nā hopena, hiki ke hana ʻia kahi hoʻokūkū meaʻai waha e ʻike ai inā ua nalowale kahi maʻi allergy. Eia nō naʻe, pono e hana ʻia kēia ma lalo o ka nānā pololei ʻana a ke kauka a ma kahi hoʻonohonoho haukapila.
• Inā hōʻoia ke kauka he maʻi allergy kou, mai hopohopo a makaʻu paha, a e hahai pololei i nā kuhikuhi a ke kauka. ʻO nā mea nui loa, ʻo ia ka pale loa ʻana i nā meaʻai e hoʻoulu ai i ka maʻi allergy a e mālama mau i kahi "adrenaline" (epinephrine) auto-injector kokoke no ka hoʻohana pilikia.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻohana a i ʻole he kauka allergist. Aia lākou ma laila e hāʻawi iā ʻoe i ke alakaʻi kūpono. E noho olakino!

ʻAleʻaleʻa meaʻai , hoʻāʻo ʻana i ka maʻi ʻaleka meaʻai, nā hoʻāʻo ʻili, Hoʻāʻo ʻIli Kuʻi, nā hoʻāʻo koko, nā antibodies IgE, Hoʻokūkū Meaʻai Waha, Epinephrine, maʻi ʻaleka, hoʻokele maʻi ʻaleka