Ke ʻū pinepine nei hoʻi ʻoe? Ke ʻānai nei ʻoe i kou kino , ke ʻānai nei i kou ʻili ? A i ʻole he paʻakikī iā ʻoe ke hanu ke ʻai ʻoe i kekahi mau meaʻai a honi paha i kahi mea? He mau hōʻailona paha kēia o kahi maʻi allergy . ʻOiai he nui ka poʻe e manaʻo nei he mea maʻamau kēia, i kekahi manawa hiki ke lilo i mea koʻikoʻi iki. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia ʻano i kapa ʻia ʻo allergy, pehea e ʻike ai, a me nā lāʻau lapaʻau i loaʻa.
Pehea ʻoe e ʻike ai inā he allergy kou?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau. He mea nui loa kēia no ka loaʻa ʻana o ka hōʻailona pololei.
- Kou ʻike: E nīnau i ke kumu o kou mau hōʻailona. Eia kekahi laʻana, ke hoʻopā ʻoe i ka lepo, ʻai i kahi meaʻai kikoʻī, a i ʻole e launa pū me kahi holoholona e like me ka pōpoki.
- Mōʻaukala lapaʻau: E hoʻāʻo pū lākou e ʻike inā ua loaʻa i kekahi i loko o kou mōʻaukala pilikino a ʻohana paha kekahi mau maʻi allergies a i ʻole nā maʻi e like me ka hānō .
- Ka mālama ʻana i kahi puke moʻolelo: I kekahi manawa, e haʻi aku kāu kauka iā ʻoe e mālama i kahi puke moʻolelo no hoʻokahi a ʻelua paha pule e pili ana i nā meaʻai āu e ʻai ai, nā wahi āu e hele ai, a me nā hōʻailona āu e ʻike ai. Ua kapa ʻia kēia he 'puke moʻolelo hoʻonāukiuki'. Hiki i kēia ke kōkua iā ʻoe e ʻike i kāu mau mea hoʻonāukiuki allergy.
Ma hope o ka loaʻa ʻana o kēia ʻike, hiki i ke kauka ke kuhikuhi i kekahi mau hoʻokolohua e hōʻoia i ka maʻi allergy.
Nā hoʻokolohua nui no nā maʻi allergies
ʻO ka hoʻāʻo ʻili ka hoʻāʻo koʻikoʻi i hana pinepine ʻia.
- Hoʻāʻo ʻIli ʻIli: ʻO kēia ke ʻano maʻamau i hoʻohana ʻia no ka ʻike ʻana i nā maʻi ʻaleka i ka hanu, ka meaʻai, nā ʻaki pepeke , a me kekahi mau lāʻau lapaʻau. Ma kēia hoʻāʻo, kau ʻoe i kekahi mau kulu o kahi wai i hana ʻia mai ka mea āu e manaʻo ai he maʻi ʻaleka paha ʻoe ma kou ʻili a hou mālie me kahi nila liʻiliʻi. A laila kali ʻoe no kahi o 15-20 mau minuke e ʻike inā lilo ka wahi i ʻulaʻula, pehu, a maneʻo paha. Mai hopohopo, ʻaʻole kēia he hoʻāʻo ʻeha loa.
- Nā Hoʻāʻo Koko : I kekahi manawa lawe ʻia kahi hāpana koko a hoʻāʻo ʻia. Nānā kēia i ka nui o IgE, kahi ʻano antibody i pili pono i kahi allergen, i loko o kou koko.
E hoʻomanaʻo, hiki ke ʻokoʻa nā hopena o kēia mau hoʻokolohua, no laila hiki i kāu kauka ke haʻi pololei iā ʻoe i ka hoʻokolohua kūpono iā ʻoe a me ke ʻano o nā hopena.
He aha nā lāʻau lapaʻau no nā maʻi allergies?
Ke hōʻoia ʻia kahi maʻi allergy, aia kekahi mau koho lapaʻau.
ʻO ka mea mua a maikaʻi loa, ʻo ia ke pale aku i nā mea āu e maʻi ai i ka hiki. Akā, ʻaʻole maʻalahi ka pale ʻana i nā mea e like me ka lepo a me ka pollen , ʻeā? ʻO ia ka manawa e hoʻohana ai mākou i ka lāʻau lapaʻau.
- Nā Antihistamine: He ʻano pila i kamaʻāina ka poʻe he nui a hoʻohana pinepine ʻia. Hana kēia mau mea ma ke kāohi ʻana i ka hana o kahi kemika i kapa ʻia ʻo histamine, ka mea i hana ʻia i loko o ko mākou kino ke loaʻa iā mākou kahi maʻi allergy a hoʻoulu i nā mea e like me ka maneʻo , ka hives , a me ka ihu wai. ʻO nā laʻana e like me Cetirizine, Fexofenadine, a me Loratadine.
- Nā Steroid Ihu: ʻO kēia nā lāʻau lapaʻau mua a nā kauka e ʻōlelo ai no ka poʻe me nā maʻi ʻaleka ihu (hay fever). Hiki ke hoʻohana ʻia kēia mau mea no ka manawa lōʻihi. Loaʻa i kēia manawa ʻo Budesonide (Rhinocort) a me Fluticasone (Flonase) me ke kauoha ʻole.
- Nā Lāʻau Steroid: I nā hihia koʻikoʻi loa o nā maʻi allergies, hiki i kāu kauka ke hāʻawi iā ʻoe i nā steroids waha, e like me Prednisone, no kahi manawa pōkole.
- ʻEpinephrine: No nā pilikia wale nō kēia. Hiki i nā hopena maʻi āpau i kekahi mau meaʻai, nā lāʻau lapaʻau, a i ʻole nā ʻaki pepeke ke hoʻoweliweli i ke ola. ʻO kēia kūlana, ka mea e hoʻoulu ai i nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka maka, a me ka nalowale o ka ʻike, ua kapa ʻia ʻo ia he anaphylactic shock. Loaʻa kahi inikini i kapa ʻia ʻo epinephrine no ka hoʻohana ʻana i nā pilikia e like me kēia. Hoʻihoʻi koke ia i ke koko haʻahaʻa a wehe i nā ala ea i ālai ʻia.
- Nā Pana Allergy: ʻO kekahi inoa no kēia he immunotherapy. He lāʻau lapaʻau lōʻihi kēia. Pili kēia i ka hāʻawi ʻana iā ʻoe i nā liʻiliʻi liʻiliʻi o ka allergen (e like me ka pollen, nā ʻuku lepo) ma ke ʻano he injections no kahi manawa lōʻihi. ʻAe kēia i kou kino e maʻa mālie iā ia a hōʻemi i kāna pane. Hiki ke hala a hiki i hoʻokahi makahiki e ʻike i nā hopena.
Nā ʻano allergies like ʻole a me kā lākou mau lāʻau lapaʻau kūikawā
ʻAʻole hana like ka lāʻau lapaʻau no kēlā me kēia maʻi allergy. No laila e ʻokoʻa ka lāʻau lapaʻau ma muli o ke ʻano o ka maʻi allergy āu. E nānā kākou pehea e hana ai.
| ʻAno maʻi ʻaleka | Nā mea e hana ai a me nā lāʻau lapaʻau |
|---|---|
| Nā maʻi ʻili (Nā maʻi ʻili) | Hoʻohana ʻia nā steroids e mālama i nā kūlana e like me ka atopic dermatitis a me ka contact dermatitis. ʻO ka maʻamau, ua lawa nā antihistamines no nā kūlana e like me ka hives. I kekahi manawa, hiki i kahi kūlana i kapa ʻia ʻo angioedema, ka mea e hoʻoulu ai i ka pehu o ka maka a me nā lehelehe, ke lilo i mea weliweli a pono e mālama ʻia e ke kauka. |
| Nā maʻi ʻaleka o ka ʻōnaehana hanu (Nā maʻi ʻaleʻale hanu) | Hoʻohana ʻia nā ʻūpā nasal corticosteroid a i ʻole antihistamines no nā kūlana e like me ka maʻi hay fever. Hāʻawi ʻia kekahi poʻe i nā papa i kapa ʻia ʻo leukotriene receptor antagonists. He kūpono loa hoʻi nā pana allergy no kēia. |
| Nā maʻi ʻaleka meaʻai (Nā maʻi ʻaleka meaʻai) | ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale aku i ka meaʻai i nīnau ʻia. Loaʻa nā antihistamines no nā hopena liʻiliʻi e like me ka maneʻo a me nā maka wai. Eia nō naʻe, inā he kanaka ʻoe i loaʻa i kahi hopena koʻikoʻi (anaphylaxis), e mālama mau i ʻelua mau inikini epinephrine i kuhikuhi ʻia e kāu kauka me ʻoe. Inā manaʻo ʻoe he hopena koʻikoʻi kāu, e hoʻohana koke i ka inikini a hele i ka keʻena pilikia o ka haukapila kokoke loa (ETU) a i ʻole e kelepona i ka lawelawe ambulance 1990 i ka hikiwawe loa. |
| Maʻi ʻaleka i nā lāʻau lapaʻau (Nā maʻi ʻaleʻale lāʻau) | Inā he maʻi ʻoe i kahi lāʻau lapaʻau, he mea naʻauao ke kau i kahi kāleka a kūpeʻe lima paha e ʻōlelo ana i kēia. E haʻi mau i kāu kauka e pili ana i kēia ke lawe ʻoe i kahi lāʻau lapaʻau hou. Hiki ke hāʻawi ʻia nā antihistamines a i ʻole nā kirimi steroid no nā mea e like me nā ʻulaʻula ʻili. |
| Maʻi ʻaleka i nā nahu pepeke (Nā maʻi ʻaʻai pepeke) | Inā loaʻa iā ʻoe kahi maʻi allergy koʻikoʻi i nā ʻaki pi a i ʻole nā nalo wasp, hiki i nā pana allergy ke kōkua i ka hōʻemi ʻana i ke koʻikoʻi o ka hopena. Inā loaʻa iā ʻoe kahi hopena koʻikoʻi, e lawe mau i ʻelua mau inikini epinephrine i kuhikuhi ʻia e kāu kauka. Inā loaʻa iā ʻoe kahi hopena koʻikoʻi ma hope o kahi ʻaki, e hoʻohana koke i ka inikini a hele i ka lumi pilikia haukapila kokoke loa (ETU) a kāhea aku paha i ka lawelawe ambulance 1990 i ka hikiwawe loa. |
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona o kahi maʻi ʻaleka (ka maneʻo, ka ʻūhā, ka hives). Inā kānalua, e ʻike pono i ke kauka.
- ʻO ka palekana maikaʻi loa, ʻo ia ka ʻike pono i ka mea āu e maʻi ai a pale aku iā lākou i ka hiki.
- Hiki ke hoʻohana ʻia nā lāʻau lapaʻau e like me nā antihistamines no nā maʻi alerika liʻiliʻi, akā he mea naʻauao ke hana i nā mea āpau ma lalo o ke aʻo ʻana a ke kauka.
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka puʻu/maka, a i ʻole ka poniuniu, he pilikia olakino ia. Inā ua kuhikuhi ʻia ʻoe i ka epinephrine, e hoʻohana koke a hele i ka Halemai Emergency Department (ETU) i ka hikiwawe loa.
- E kamaʻilio mau me kāu kauka e pili ana i kāu mau maʻi allergies i hiki iā ʻoe ke loaʻa ka lāʻau maikaʻi loa.
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