ʻO ka ʻū mau ʻana, ka ʻulaʻula, nā maka ʻāʻī, ka ihu kahe... ʻAʻohe hopena o kēia mau pilikia allergy, ʻeā? No kekahi poʻe, ua hana ʻia e ka lepo, no kekahi poʻe, e ka pollen mai kekahi mau lāʻau. ʻOiai inā ʻoe e lawe i ka lāʻau lapaʻau no kēia, i kekahi manawa ʻaʻole i kāohi piha ʻia. No laila i kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau hou a ʻokoʻa iki ma waho aʻe o nā lāʻau pale, e hoʻopau i kēia mau pilikia allergy.
He aha ka lāʻau lapaʻau sublingual (SLIT)?
ʻO ka Sublingual Immunotherapy (SLIT) kahi lāʻau lapaʻau no nā maʻi ʻaleka. Pili ia i ke kau ʻana i kahi papa a wai paha ma lalo o kou alelo i kēlā me kēia lā. I ka pōkole, hāʻawi ia i kahi liʻiliʻi loa o ka allergen i kou kino i kēlā me kēia lā. Ua like ia me ka "wehe ʻana i kahi kākalaioa me kahi kākalaioa."
E noʻonoʻo, i ka wā e hoʻoheheʻe ʻia ai kēia lāʻau lapaʻau ma lalo o ke alelo, hele pololei ka mea hoʻonāukiuki i loko o ia mea ma o nā membrane mucous i loko o ka waha i loko o ke koko. A laila, ʻike ʻia e kahi ʻano cell kūikawā i loko o kā mākou ʻōnaehana pale, ʻo nā T-cells . Ke mālama ʻia ma kēia ʻano no ka manawa lōʻihi, hoʻouna kēia mau T-cells i nā hōʻailona i nā cell pale ʻē aʻe e ʻōlelo ana, "E, ʻaʻole kēia ko mākou ʻenemi," a hoʻomālielie i ka ʻōnaehana. Ke hoʻomau nei ʻoe i kēia, nalowale mālie kāu mau hōʻailona allergy, e like me ka ʻū ʻana, nā maka ʻeha, a me ka ihu wai.
Hoʻohana pinepine nā kauka i kēia lāʻau lapaʻau no ka rhinitis allergic (i ʻike ʻia hoʻi ʻo "hay fever"), ka mea i hoʻokumu ʻia e ka pollen a me nā ʻāpana lewa ʻē aʻe. Hoʻokomo pū kēia i nā maʻi allergy i nā mea e like me nā mauʻu, nā nāhelehele, a me nā ʻuku lepo. Ke hoʻāʻo ʻia nei hoʻi no nā maʻi allergy i nā meaʻai e like me nā pīnati.
Pehea e hana ʻia ai kēia lāʻau lapaʻau?
Ke hoʻomaka ʻoe i ka mālama ʻana iā SLIT, e hāʻawi kāu kauka (pinepine he allergist) iā ʻoe i ka mahele mua ma kāna keʻena. ʻO kēia ke ʻike inā loaʻa iā ʻoe kekahi mau hopena a e hōʻike pololei iā ʻoe pehea e hana ai ma ka home. A laila e hāʻawi ʻia ʻoe i kahi hoʻonohonoho o nā pila (a i ʻole wai) e hoʻohana ma ka home a me nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana iā lākou.
ʻO ka mea nui loa, e kuhikuhi kāu kauka i kahi inikini o ka epinephrine, e like me ka EpiPen® , inā loaʻa iā ʻoe kahi hopena alerika koʻikoʻi. Akā, mai hopohopo, he mea kakaikahi loa kēia me kēia lāʻau lapaʻau.
No kekahi mau mea hoʻonāukiuki, aia paha kahi manawa o ka hoʻonui ʻia ʻana o ka nui. ʻO ke ʻano kēia, ua hoʻonui mālie ʻia ka nui o ka mea hoʻonāukiuki i hāʻawi ʻia iā ʻoe i loko o kekahi mau pule a i ʻole mau mahina. Pono ʻoe e ʻike i kāu kauka i kēlā me kēia manawa e hoʻonui ʻia ai kēia nui.
Ma hope o kēlā, pono ʻoe e lawe i kēia lāʻau lapaʻau ma ka home i kēlā me kēia lā. Pono ʻoe e hahai pololei i nā kuhikuhi a ke kauka . ʻO ke ʻano maʻamau o ka lawe ʻana i ka lāʻau lapaʻau penei paha:
- E kau i ka papa a i ʻole ka nui o nā kulu wai i kuhikuhi ʻia ma lalo o kou alelo.
- Inā he pila ia, e hoʻoheheʻe loa ia.
- E kali i hoʻokahi a ʻelua paha minuke ma mua o ka moni ʻana.
- E kali i 5-15 mau minuke (ʻoi aku paha) ma mua o ka ʻai ʻana a inu ʻana paha i kekahi mea.
No wai kēia lāʻau lapaʻau e kūpono a kūpono ʻole?
ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. No laila, ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hana kāu kauka i nā hoʻokolohua ʻili aleri a i ʻole nā hoʻokolohua koko e pono ai.
| Nā kānaka kūpono | Nā poʻe kūlike ʻole |
|---|---|
| ʻO ka mea nui no ka poʻe i ʻeha i hoʻokahi wale nō allergen (e.g. dust mites). | No ka poʻe me ka hānō koʻikoʻi i paʻakikī ke kaohi. |
| No ka poʻe e hiki ke hoʻohiki e lawe i kā lākou lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. | No nā poʻe me ke ʻano i kapa ʻia ʻo eosinophilic esophagitis (ka mumū o ka esophagus). |
| No ka poʻe i kānalua a makaʻu paha e loaʻa ka lāʻau pale. | ʻO ka poʻe maʻi āpau i nā mea hana ʻole i loko o ka pila a i ʻole ka wai i hoʻohana ʻia no ka mālama ʻana. |
| - | No ka poʻe i loaʻa i nā hopena koʻikoʻi i ka mālama ʻana iā SLIT ma mua. |
Nā pono a me nā pōʻino o ka mālama ʻana iā SLIT
E like me kekahi ʻano lapaʻau, loaʻa i kēia ʻano nā pono a me nā hemahema.
| Nā Pōmaikaʻi | Nā hemahema |
|---|---|
| Ka Pono: ʻOi aku ka maikaʻi ma mua o nā antihistamines a i ʻole nā ihu ihu. Inā lawe pololei ʻia no kekahi mau makahiki, hiki ke mau ka hōʻoluʻolu no kekahi mau makahiki ma hope o ka hoʻōki ʻana. | Hoʻohālikelike ʻia me nā lāʻau pale: ʻAʻole paha e like ka maikaʻi me nā lāʻau pale allergie. |
| ʻOluʻolu: He mea hōʻoluʻolu nui kēia no ka poʻe makaʻu i nā lāʻau pale. | Kūpaʻa: No ka loaʻa ʻana o nā hopena, pono ʻoe e lawe i ka lāʻau i kēlā me kēia lā , me ka ʻole o ka haʻalele ʻana i kahi mahele. |
| Ka maʻalahi: ʻAʻole pono ʻoe e hele i ke kauka i kēlā me kēia lā, hiki iā ʻoe ke hana ma ka home. | Nā Palena: Ua ʻae ʻia i kēia manawa no kekahi mau mea hoʻonāukiuki wale nō. Hiki i nā pila ke mālama i hoʻokahi wale nō mea hoʻonāukiuki i ka manawa. |
| Palekana: Aia ka haʻahaʻa o ka pilikia o nā hopena koʻikoʻi ma mua o nā lāʻau pale maʻi. | Nā hopena ʻaoʻao: Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi. I kekahi manawa, hiki ke koʻikoʻi. |
| Pōmaikaʻi no nā poʻe maʻi hānō: Kōkua pū ia i ka hōʻemi ʻana i nā hōʻailona i kekahi mau poʻe maʻi hānō. | - |
He aha nā hopena ʻaoʻao e hiki mai ana?
- ʻO ka maneʻo ma ka waha, ka ʻāʻī, a i ʻole nā pepeiao: ʻO kēia ka hopena ʻaoʻao maʻamau. Nalo pinepine ia ma hope o kekahi manawa ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- Ka pehu ʻana o ka waha a i ʻole ka puʻu.
- Anaphylaxis: He hopena maʻi ʻaleka kakaikahi loa kēia akā he koʻikoʻi hiki ke hoʻoweliweli i ke ola, e pilikia ai ka hanu ʻana, ka pehu ʻana, a me ka nalowale o ka ʻike. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- ʻEosinophilic esophagitis: He pilikia kakaikahi loa kēia. He pehu ia o ka esophagus e hiki ke hana ma hope o ka mālama ʻana no ka manawa lōʻihi.
ʻEhia ka lōʻihi e loaʻa ai nā hopena?
ʻAʻole kēia he lāʻau lapaʻau wikiwiki e like me ka lawe ʻana iā Panadol. Hiki ke hala i kekahi mau mahina e kūkulu i ka pale ʻana i nā allergens lewa. No ka hoʻokō ʻana i nā hopena piha, pono ʻoe e lawe i kēia lāʻau lapaʻau i kēlā me kēia lā no kekahi mau makahiki .
Pono e mālama ʻia nā mea e like me nā ʻuku lepo i ka makahiki holoʻokoʻa. Eia nō naʻe, no nā maʻi allergies kau e like me ka pollen mauʻu, ʻoi aku ka maikaʻi o ka hoʻomaka ʻana i ka lāʻau ma kahi o 12 mau pule ma mua o ka hoʻomaka ʻana o ke kau allergy.
Ua hōʻike ʻia nā noiʻi inā ʻoe e lawe i kēia lāʻau lapaʻau i kēlā me kēia lā no ʻekolu mau makahiki a ʻoi aku paha me ka ʻole o ka haʻalele ʻana i kahi mahele lāʻau, e kaohi ʻia kāu mau hōʻailona allergies no ka liʻiliʻi o ʻelua mau makahiki ma hope o ka hoʻōki ʻana i ka lāʻau.
Leka Lawe-Home
- ʻO ka Sublingual Immunotherapy (SLIT) kahi koho maikaʻi e pili ana i nā pana allergy.
- Hoʻokomo kēia i ka hāʻawi ʻana i kou kino i kahi liʻiliʻi liʻiliʻi o ka mea like āu e maʻi ai, ma ke ʻano he pila a wai paha ma lalo o ke alelo, i kēlā me kēia lā.
- No nā hopena maikaʻi loa, pono e hana ʻia kēia lāʻau i kēlā me kēia lā no kekahi mau makahiki. Pono ia i ka nui o ke kūpaʻa.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau, ʻoiai no ka poʻe me nā maʻi e like me ka hānō i paʻakikī ke kaohi.
- Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, e kamaʻilio me kāu kauka a noi i kāna ʻōlelo aʻo.
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