Berena, roti, kottu, keke... Ke manaʻo nei ʻoe i kekahi manawa he ʻoluʻolu ʻole a paʻakikī paha ka ʻai ʻana i nā meaʻai i hana ʻia mai ka palaoa huita? Malia paha ua nausea ʻoe, he pilikia ʻōpū, a he paʻakikī paha ka hanu ʻana? A laila malia paha he maʻi ʻaleka huita kou, ʻo ia hoʻi, he 'Wheat Allergy'. Mai hopohopo, he ʻano kēia i loaʻa i nā poʻe he nui. E kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka maʻi allergy palaoa?
He mea maʻamau ka maʻi ʻaleka palaoa i ka meaʻai. I ka pōkole, ke ʻai ʻoe i kahi mea i loaʻa ka palaoa, a i kekahi manawa hanu paha i kahi mea e like me ka palaoa palaoa, e hoʻonui koke ʻia ka ʻōnaehana pale o kou kino. ʻO ka maʻamau, ʻo ka hana a kā mākou ʻōnaehana pale, ʻo ia ke kaua aku i nā mea e like me nā virus a me nā bacteria e hoʻoulu ai i ka maʻi. Akā i ka wā e komo ai ka palaoa i ke kino o kekahi me ka maʻi ʻaleka palaoa, manaʻo hewa ka ʻōnaehana pale he ʻenemi ʻino ka palaoa a hoʻomaka e hakakā me ia. ʻO kēia "hakakā" ka mea a mākou e ʻike ai ma ke ʻano he mau hōʻailona allergy.
ʻO ka mea nui loa, hiki i ka maʻi ʻaleka palaoa ke koʻikoʻi loa i kekahi manawa . Inā loaʻa nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana a me ka pehu ʻana o ka puʻu, hiki ke hoʻoweliweli i ke ola. Inā hana ʻia kēia, pono ʻoe e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa me ka hoʻokaʻulua ʻole .
Hiki i kēia maʻi ke hoʻopilikia i kekahi, akā inā loaʻa i kekahi o kou ʻohana nā maʻi ʻē aʻe, ʻoi aku ka nui o kou loaʻa ʻana i hoʻokahi.
He aha ka mea e hana maoli ai ke komo ka palaoa i loko o ke kino?
ʻElua ala nui e hiki ai i kahi kanaka me ka maʻi ʻaleka palaoa ke pane. He ʻano ʻepekema iki paha kēia, akā e mālama kākou i ka maʻalahi.
1. Ka hopena koke (ka hopena i hoʻopili ʻia e IgE)
ʻO kēia ke ala maʻamau e ʻike ai. Ke komo ka palaoa i loko o ke kino, hana kā mākou ʻōnaehana pale i kahi ʻano antibody kūikawā i kapa ʻia ʻo Immunoglobulin E (IgE) . Hoʻomaopopo kēia mau antibodies IgE i ka palaoa ma ke ʻano he "ʻenemi" a hana koke iā ia.
- Manawa: Hiki koke mai kēia hopena. Hiki ke ʻike ʻia nā hōʻailona i loko o kekahi mau minuke a ʻehā hola ma hope o ka ʻai ʻana i ka palaoa.
- ʻO ke koʻikoʻi: ʻO kēia ʻano hopena ke kumu o kahi maʻi koʻikoʻi loa a hoʻoweliweli i ke ola i kapa ʻia ʻo anaphylaxis .
2. Ka hopena lohi (ka hopena i hoʻopili ʻole ʻia e ka IgE)
Pili pū kēia hopena i ka ʻōnaehana pale maʻi, akā, ʻaʻole pili nā antibodies IgE i ʻōlelo ʻia ma mua.
- Manawa: Lohi kēia hana.Hiki ke hala a hiki i 48 hola ma mua o ka ʻike ʻia ʻana o nā hōʻailona.
- Nā Hōʻailona: ʻO nā kūlana nui e loaʻa mai ana mai kēia ʻo ia ka Eosinophilic Esophagitis (EoE) , ʻo ia hoʻi ka mumū o ko kākou esophagus (paipu meaʻai), a me ka Eosinophilic Gastritis (EG) , ʻo ia hoʻi ka mumū o nā paia o ka ʻōpū.
He aha nā hōʻailona o kēia maʻi allergy?
Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke ʻike i nā hōʻailona palupalu loa , aʻo kekahi poʻe e ʻike i nā hōʻailona koʻikoʻi loa. E wehewehe kākou i kēia mau mea i maʻalahi ai ke hoʻomaopopo.
| ʻŌnaehana kino e hoʻoulu ai i nā hōʻailona | Nā hōʻailona e ʻike ʻia |
|---|---|
| ʻIli | ʻUlaʻula ka ʻili, maneʻo, pehu. |
| ʻŌnaehana Hoʻoheheʻe | ʻEha ka ʻōpū, nausea, luaʻi, pehu, kahe koko. |
| ʻŌnaehana hanu | Ihu paʻa, ihu wai, ʻūhū, hanu ʻūlū, paʻakikī ke hanu. |
| Nā hiʻohiʻona ʻē aʻe | ʻEha ke poʻo, waimaka, pehu ke kino. |
Pilikia! Nā hōʻailona koʻikoʻi o ka anaphylaxis
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, he kūlana koʻikoʻi loa ia a wikiwiki hoʻi . Ua kapa ʻia kēia he anaphylaxis. I kēlā mau hihia, pono ʻoe e hele koke i ka lumi pilikia (ETU) o kahi haukapila .
| Anaphylaxis - Nā Hōʻailona Pōpilikia | |
|---|---|
| Ka paʻakikī nui o ka hanu ʻana (dyspnea) | Manaʻo o ka ʻūmiʻi ma ka umauma. |
| Ka paʻakikī i ka moni ʻana (dysphagia) | Ka pehu ʻana o ka puʻu, ke alelo, a i ʻole ka maka. |
| Ka hāʻule koke ʻana o ke koko (hypotension) | Pōʻino, maka polū, nalowale o ka ʻike (syncope). |
| Nā palpitations o ka puʻuwai | Ka nawaliwali o ka pulse, ka hoʻomaha ʻole. |
| ʻEha nui o ka ʻōpū, ka luaʻi ʻana | Anuanu ke kino a komo i loko o ka haʻalulu. |
No ke aha e kū mai ai kēia maʻi allergy?
ʻO ke kumu nui o kēia maʻi allergy nā protein i loaʻa i ka palaoa. Hoʻopilikia hewa kā mākou ʻōnaehana pale i kēia mau protein. ʻO nā ʻano protein nui ʻehā:
- ʻAlabina
- ʻO Gliadin
- Globulin
- Gluten
Pehea lā wau e ʻike pono ai inā aia kēia ma laila?
Inā kānalua ʻoe he maʻi ʻaleka palaoa kou, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kahi allergist . E nīnau ʻo ia iā ʻoe i kekahi mau nīnau a, inā pono, e hana i kekahi mau hoʻokolohua e hōʻoia i kēia.
Nā nīnau hiki iā ʻoe ke nīnau i ke kauka:
- Aia kekahi o kou ʻohana i loaʻa i nā maʻi allergies e like me kēia?
- He mau maʻi ʻaleka meaʻai ʻē aʻe kāu?
- He aha kou mau hōʻailona?
- ʻEhia ka lōʻihi ma hope o ka ʻai ʻana e ʻike ʻia ai kēia mau hōʻailona?
- Ke lawe nei ʻoe i kekahi lāʻau lapaʻau no kēia mau hōʻailona?
- Ke mālama nei ʻoe i kahi puke moʻolelo meaʻai e pili ana i kāu meaʻai?
He aha nā hoʻokolohua e hana ʻia?
1. Hoʻāʻo ʻIli:ʻO kāu hana, ʻo ke kau ʻana i kahi kulu o ka wai i loaʻa ka protein palaoa ma ka ʻili o kou lima a ʻānai māmā iā ia me kahi nila liʻiliʻi. Inā he maʻi allergy kou, i loko o 15 mau minuke e lilo ka ʻāpana i ʻulaʻula a pehu iki, me he mea lā ua nahu ʻia ʻoe e kahi makika.
2. Hoʻāʻo Koko IgE: Maanei, lawe ʻia kahi hāpana koko liʻiliʻi mai ou aku a hoʻāʻo ʻia ka pae o nā antibodies IgE e kūʻē i ka palaoa.
3. Hoʻokūkū Waha i Mākaʻikaʻi ʻia: Inā ʻaʻole i maopopo nā hoʻokolohua ʻē aʻe, hiki i ke kauka ke hāʻawi iā ʻoe i kahi liʻiliʻi o ka palaoa ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o kā lākou nānā ʻana e ʻike inā loaʻa iā ʻoe kahi hopena. Mai hoʻāʻo i kēia ma ka home.
Pehea e mālama ai a hoʻokele?
ʻO ka lāʻau lapaʻau maikaʻi loa a hoʻokahi wale nō no ka maʻi ʻaleka palaoa, ʻo ia ka pale loa ʻana i ka palaoa a me nā meaʻai a me nā huahana āpau i loaʻa ka palaoa .
ʻO ka hapa nui o nā keiki e pau i ko lākou maʻi ʻaleka palaoa i ko lākou wā ʻelemakule. Wahi a nā noiʻi, ma kahi o 66% o nā keiki e pau i ia. Eia nō naʻe, inā loaʻa ia i ka wā makua, hiki ke ola no ke ola holoʻokoʻa.
He aha ke ʻano meaʻai e pono e hoʻopau ʻia?
Loaʻa ka palaoa i nā meaʻai he nui ma mua o kā mākou e manaʻo ai, no laila he mea nui e heluhelu pono i ka lepili ma kēlā me kēia pūʻolo āu e kūʻai ai mai ka hale kūʻai.
| Māhele meaʻai | Nā laʻana e pale aku ai |
|---|---|
| Nā huahana berena | Berena, bun, keke, biscuits, muffins, pastries. |
| Pasta a me nā noodles | ʻO nā ʻano pasta āpau, spaghetti, noodles (i hana ʻia mai ka palaoa). |
| Nā Meaʻai Kakahiaka | He nui nā ʻano meaʻai palaoa, ka kirīmi palaoa. |
| Nā meaʻai ʻē aʻe | Nā mea ʻono, nā ʻīlio wela, kekahi mau ʻaikalima, ka mea ʻono soy, ka pizza. |
Eia kekahi, aia paha i loko o kekahi mau huahana ʻaʻole meaʻai ka palaoa. Eia kekahi laʻana, aia paha i loko o kekahi mau mea hoʻonani, nā kopa, a me nā Play-Doh a nā keiki ka palaoa.
Aia kekahi mau lāʻau lapaʻau?
Inā loaʻa iā ʻoe nā hōʻailona alerī liʻiliʻi (e.g., hives), hiki i kāu kauka ke kuhikuhi i nā antihistamines . I kekahi manawa, hiki ke hāʻawi ʻia nā corticosteroids no kahi manawa pōkole.
No nā poʻe me nā maʻi ʻaleka koʻikoʻi, e ʻōlelo paha kāu kauka e lawe mau ʻoe i kahi inikini o ka epinephrine (e like me ka EpiPen) . Hoʻohana ʻia kēia i nā pilikia e like me ka anaphylaxis. E wehewehe kāu kauka pehea e hoʻohana ai i kēia.
He like anei ka maʻi allergy palaoa, ka gluten intolerance, a me ka maʻi celiac?
ʻAʻole. ʻO kēia kahi e huikau ai ka poʻe he nui. ʻO kēia mau kūlana ʻekolu, ʻekolu.
| Kūlana | Wehewehena | Pane kino |
|---|---|---|
| ʻAleʻaleʻa palaoa | He maʻi allergy i nā protein i loko o ka palaoa. | Hoʻoponopono ka ʻōnaehana pale ma ka hana ʻana i nā antibodies IgE. I nā hihia koʻikoʻi, hiki ke loaʻa ka anaphylaxis. |
| Maʻi Celiac | ʻAʻole kēia he maʻi allergy. He maʻi autoimmune kēia. Hoʻopili ia i kahi protein i kapa ʻia ʻo gluten, i loaʻa i loko o nā palaoa e like me ka palaoa a me ka bale. | Hoʻouka ka ʻōnaehana pale i nā paia o kona ʻōpū liʻiliʻi ponoʻī. He maʻi kēia no ke ola holoʻokoʻa. |
| Ka Hoʻomanawanui ʻole o ka Gluten/ʻIkepili | ʻAʻole kēia he maʻi allergy a i ʻole he maʻi autoimmune. He hihia ia o ka gluten intolerance. | Loaʻa ka ʻeha ʻole ma ka ʻōnaehana hoʻoheheʻe (pehu ʻana, ʻeha ʻōpū, ʻeha poʻo), akā ʻaʻohe hopena e hoʻoweliweli i ke ola. |
Leka Lawe-Home
- ʻO ka maʻi allergy palaoa kahi pane kūpono ʻole a ka ʻōnaehana pale o kou kino i ka palaoa.
- Hiki i nā hōʻailona ke ʻano like ʻole mai kahi maneʻo liʻiliʻi a hiki i ka anaphylaxis hoʻoweliweli 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, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- ʻO ka lāʻau maikaʻi loa no kēia, ʻo ia ka hoʻopau ʻana i nā meaʻai a pau me ka palaoa mai kāu ʻai a me ka ʻai ʻana.
- He mea nui loa e heluhelu pono i ka lepili ma kēlā me kēia meaʻai āu e kūʻai ai mai ka hale kūʻai.
- Inā kānalua ʻoe he maʻi kou, e ʻike pono i ke kauka no ka ʻōlelo aʻo.
- ʻEkolu mau kūlana like ʻole o ka maʻi ʻaleka palaoa, ka maʻi celiac, a me ka ʻike gluten.
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