He mea paʻakikī ke loaʻa i kahi lā me ka ʻole o ka curry ʻiʻo soy i loko o ko mākou mau home, ʻeā? He ʻāpana koʻikoʻi ka soy i kā mākou moʻomeheu meaʻai. ʻO nā mea e like me ka waiū soy a me ka tofu he mea kaulana loa i kēia manawa. Akā e noʻonoʻo, pehea inā ʻoe a i ʻole kāu pēpē he maʻi soy, ka mea a nā mea a pau e makemake ai a ua ʻōlelo ʻia he maikaʻi loa? Pehea inā e maʻi ai ʻoe, e hoʻonāukiuki i ka ʻōpū, a paʻakikī ke hanu? ʻAe, ʻo ia ka mea a mākou e kapa nei he allergy soy, a i ʻole `(Soy Allergy)`. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka soy allergy?
I ka ʻōlelo maʻalahi, ʻo ka maʻi soy kahi maʻi i hoʻokumu ʻia e ka meaʻai. ʻO ka mea e hana ʻia, ʻo ka ʻōnaehana pale o kou kino, ʻo ia hoʻi ka ʻōnaehana pale , e nānā i ka protein i loko o ka soy me he mea lā he ʻenemi weliweli ia. ʻO ka ʻoiaʻiʻo, ʻaʻole ia he mea ʻino ka soy i ke kanaka olakino. Akā inā loaʻa iā ʻoe kēia maʻi, ʻo ka ʻōnaehana pale o kou kino, ʻo ia hoʻi ka ʻōnaehana pale, e pīhoihoi i ka ʻike ʻana i ka protein soy, me ka manaʻo, "Eia mai kahi ʻenemi!" a hoʻomaka i kahi hakakā kūʻē iā ia.
ʻO ka hopena o kēia kaua ke ʻike nei mākou i nā hōʻailona allergies.
ʻO ka mea nui loa , hiki i kēia maʻi soy ke koʻikoʻi loa i kekahi manawa, a hiki ke hoʻoweliweli i ke ola. Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana a me ka pehu ʻana o ka puʻu, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa me ka hoʻokaʻulua ʻole.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
Hiki i nā maʻi ʻaleka soy ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki. Eia nō naʻe, ʻoi aku ka maʻamau o lākou i nā pēpē a me nā keiki liʻiliʻi . Inā loaʻa iā ʻoe nā maʻi ʻaleka meaʻai ʻē aʻe (e like me ka waiū a i ʻole nā hua manu), ʻoi aku ka nui o kou loaʻa ʻana i ka maʻi soy.
Akā, aia ka nūhou maikaʻi. ʻO ka hapa nui o nā pēpē i loaʻa i ka maʻi soy i ko lākou wā pēpē e hoʻopau iā ia i ko lākou wā ʻelemakule. No laila, mai hopohopo inā ʻike ʻoe ua loaʻa i kāu pēpē kekahi.
Hiki ke loaʻa koke kahi maʻi allergy ma hope o ka ʻai ʻana i ka soy me ka ʻole o nā pilikia ma mua. No laila, ʻaʻole hiki iā ʻoe ke manaʻo wale ʻaʻohe pilikia ma mua.
He aha ka mea e hana maoli ai ke komo ka soya i loko o ke kino?
ʻElua ala nui e pane ai kou kino i ka soy. He mea kaumaha iki kēia i ke kauka, akā e mālama kākou i ka maʻalahi.
1. Pane koke (pane i hoʻopili ʻia e IgE):Ua like kēia me kahi hui pane ulia pōpilikia i loko o kou kino. Ma hope o kou ʻai ʻana i ka soy, hana kāu ʻōnaehana pale i kahi antibody kūikawā i kapa ʻia ʻo `(Immunoglobulin E - IgE)`. He kikoʻī kēia mau antibodies IgE i nā protein soy. I ka manawa aʻe āu e ʻai ai i ka soy, ʻike kēia mau antibodies IgE iā lākou a hana i kahi pane wikiwiki i loko o nā minuke. ʻO kēia pane ka mea hiki ke hoʻoweliweli. He hopena alerika koʻikoʻi ka anaphylaxis , a he mea hoʻoweliweli i ke ola.
2. Hana lohi (hana ʻaʻole i hoʻopili ʻia e ka IgE): ʻAʻole pili kēia i nā antibodies IgE. Hiki i ka hana ke hala i nā hola, i kekahi manawa a hiki i ʻelua lā. ʻAʻole kēia he mea hoʻoweliweli i ke ola. Eia nō naʻe, hiki ke loaʻa nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka maʻi diarrhea, a me ka luaʻi. He mea maʻamau kēia ʻano hana i waena o nā pēpē. I kekahi manawa, hiki ke hana ʻia kekahi ʻano i kapa ʻia ʻo `(Eosinophilic Esophagitis - EoE)`, ʻo ia hoʻi ka pehu ʻana o ka esophagus, e kēia.
He aha nā hōʻailona o kēia?
Hiki i ka maʻi soy ke hana i nā ʻano hōʻailona like ʻole. E nānā kākou iā lākou ma ke ʻano maʻalahi e hoʻomaopopo.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nā hōʻailona ʻili | ʻUlaʻula, pehu, ʻāʻī nā ʻōpala ma ke kino holoʻokoʻa (hives), maloʻo, ʻulaʻula nā ʻāpana ma ka ʻili (eczema), maneʻo. |
| Nā ʻano o ka ʻōnaehana hoʻoheheʻe | ʻEha ka ʻōpū, pehu, nausea, luaʻi, diarrhea. |
| Nā ʻano o ka ʻōnaehana hanu | Manaʻo o ka ʻū ʻana, ka ʻū ʻana, ka paʻakikī o ka hanu ʻana. |
| ʻO ke kūlana koʻikoʻi loa e pono ai ka nānā koke ʻana: Anaphylaxis | |
| Nā hōʻailona o ka anaphylaxis | He pilikia olakino kēia! Inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī nui o ka hanu ʻana, ka puʻuwai wikiwiki, ka emi koke ʻana o ke koko, ka poniuniu, a i ʻole ka nalowale o ka ʻike , e hele koke i ka ETU. |
Pehea ʻoe e ʻike pono ai inā he maʻi allergy kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻāʻo e hoʻoholo i kāu iho. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka . E kuhikuhi ʻo ia iā ʻoe i kahi allergist inā pono.
ʻO ka maʻamau, penei ke kaʻina hana diagnostic.
1. E nīnau aku ke kauka iā ʻoe no nā kikoʻī.
ʻO ka mea mua, e nīnau ke kauka iā ʻoe i kekahi mau nīnau a e ʻike i nā kikoʻī.
- Aia kekahi o kou ʻohana i loaʻa i nā maʻi ʻaleka meaʻai?
- Ua ʻike ʻia ʻoe me kekahi mau maʻi allergies ʻē aʻe ma mua?
- He aha kou mau hōʻailona?
- ʻEhia ka lōʻihi ma hope o ka ʻai ʻana e ʻike ʻia ai kēia mau hōʻailona?
- Ke mālama nei ʻoe i kahi puke moʻolelo o ka meaʻai āu e ʻai ai?
2. Hana i kekahi mau hoʻokolohua inā pono
Ma muli o kāu mau hōʻailona, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua.
- Hoʻāʻo Koko: Pili kēia i ka lawe ʻana i kahi hāpana o kou koko a nānā i ka pae o nā antibodies IgE e kūʻē i ka soy.
- Hoʻāʻo ʻIli ʻIli: Ma kēia, hoʻomaʻemaʻe ʻia kahi ʻili liʻiliʻi ma kou lima a i ʻole ke kua, kau ʻia kahi kulu o kahi wai i loaʻa ka protein soy, a hana ʻia kahi ʻili liʻiliʻi me kahi nila liʻiliʻi. ʻAʻole ia e ʻeha a ʻaʻole hoʻi e kahe ke koko. Ma hope o 15 mau minuke, nānā ʻia ka wahi no ka ʻulaʻula a me ka pehu. Hiki i kēia ke hāʻawi i kahi manaʻo inā he maʻi ʻoe.
- Ka Hoʻokūkū ʻAi Waha: ʻO kēia wale nō ke ala e maopopo ai he 100% kahi maʻi allergy. Akā hana wale ʻia kēia ma ka haukapila, ma lalo o ka nānā piha ʻana o ke kauka. Ma kēia, hāʻawi ʻia ʻoe i kahi liʻiliʻi o ka soy a nānā pono ʻia e ʻike i ke ʻano o ka hopena āu e loaʻa ai. Mai hoʻāʻo wale i kēia ma ka home.
ʻAe, he aha kāu e hana ai e pili ana i kēia i kēia manawa?
Inā ua hōʻoia ʻia kahi maʻi soy, ʻo ke ala nui a me ke ala hoʻokahi e pale aku ai iā ʻoe iho mai ia mea, ʻo ia ka pale loa ʻana i ka soy a me nā meaʻai a me nā mea inu a pau i loaʻa ka soy.
ʻAʻole kēia i maʻalahi e like me ka mea i lohe ʻia, no ka mea, hiki ke loaʻa ka soy i nā mea he nui a mākou e noʻonoʻo ʻole ai. No laila, pono ʻoe e makaʻala loa.
| Nā mea e pale aku ai | Nā Laʻana |
|---|---|
| Nā meaʻai i loaʻa pololei i ka soy | ʻO ka ʻiʻo soy, tofu, ka waiu soy, ka soy yogurt, ka palaoa soy, soy sauce, edamame, miso. |
| Nā meaʻai i loaʻa paha ka soy huna | Nā huahana berena, kekahi ʻano kokoleka, nā mea ʻono, nā ʻaʻahu salakeke, nā sopa i hoʻomākaukau ʻia, ka wai mea kanu. |
| Nā huaʻōlelo e nānā ai ma ka lepili | ʻO ka protein soy, ka protein mea kanu hydrolyzed (HVP), ka protein mea kanu textured (TVP), ka gum mea kanu, ka starch mea kanu. |
| Nā mea ʻai ʻole | Loaʻa paha ka soy i kekahi mau kukui, nā penikala, nā mea hoʻomaʻemaʻe, nā meaʻai holoholona, a me kekahi mau mea hoʻonani. |
He mea nui loa: I ke kūʻai ʻana i kahi mea mai ka hale kūʻai, e heluhelu pono i ka papa inoa o nā mea hoʻohui. Inā ʻōlelo ʻia kekahi mea e like me "Hana ʻia ma nā lako i kaʻana like ʻia me ka soy," ʻo ia hoʻi ua hana ʻia ma nā lako like e hana ana i nā huahana ʻē aʻe i loaʻa ka soy. Hiki i kēia mau mea ke hoʻoulu i nā maʻi allergies.
Hoʻomākaukau no kahi maʻi allergy koʻikoʻi
Inā pilikia ʻoe i ka anaphylaxis, e kuhikuhi kāu kauka i kahi epinephrine auto-injector , e like me ka EpiPen®. He inikini hoʻōla ola kēia. E aʻo aku kāu kauka iā ʻoe pehea e hoʻohana ai i ka wā pilikia. Pono ʻoe e mālama i kēia inikini me ʻoe i nā manawa a pau.
He aha ka ʻokoʻa ma waena o ka soy allergy a me ka soy intolerance?
He mea kēia e huikau ai nā kānaka he nui.
- ʻAleʻaleʻa: He pilikia kēia me ka ʻōnaehana pale . Manaʻo ke kino i ka soy ma ke ʻano he ʻenemi. Hiki ke koʻikoʻi nā hopena.
- Hoʻomanawanui ʻole: He maʻi kēia o ka ʻōnaehana hoʻoheheʻe.Pilikia: ʻAʻole hiki i ke kino ke hoʻoheheʻe pono i ka soy. Hoʻoulu kēia i nā hōʻailona e like me ke kinoea, ka ʻōpū ʻeha, a me ka maʻi pākī. ʻAʻole kēia he mea weliweli e like me ka maʻi allergy.
No ka ʻike pono ʻana i ka mea o kēia mau mea ʻelua āu, pono ʻoe e ʻike i ke kauka.
Leka Lawe-Home
- ʻO ka maʻi soy kahi hopena koʻikoʻi o kāu ʻōnaehana pale i ka soy.
- He mea maʻamau kēia i nā pēpē, akā no ka hapanui o nā kānaka, nalowale ia i ko lākou wā ʻelemakule.
- Hiki i nā hōʻailona ke ʻano like ʻole mai nā mea liʻiliʻi e like me nā ʻulaʻula ʻili a hiki i nā kūlana hoʻoweliweli ola e like me ka paʻakikī o ka hanu ʻana (anaphylaxis).
- ʻO ka lāʻau nui e mālama ai, ʻo ia ka hōʻole loa i nā huahana soy a pau, no laila he mea nui e heluhelu pono i nā lepili meaʻai.
- Inā loaʻa nā hōʻailona koʻikoʻi, e hele koke aku i ka Halemai Pilikia (ETU) kokoke loa me ka hoʻokaʻulua ʻole.
- Inā he kānalua kāu e pili ana i kēia, mai hoʻoholo i kāu iho a e nīnau pono i kāu kauka no ka ʻōlelo aʻo.
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