Milk na sɔntin we wi ɔl de drink frɔm we wi smɔl. Bɔt sɔm pipul dɛn kin gɛt difrɛn difrɛn tin dɛn we kin mek dɛn nɔ fil fayn we dɛn de drink dis milk. Sɔntɛm yu ɔ yu pikin kin fil sɔntin we strenj we yu de drink milk. na dεn kayn tεm ya, wan tin we kin kam na yu maynd na if dis na "milk allergy" כ `(Milk Allergy)`. So tide, lɛ wi tɔk bɔt dis ditayli ɛn rili simpul wan.
Wetin rili na milk alɛji?
Fɔ tɔk am simpul wan, alɛji fɔ milk na we yu
imyun sistɛm (di sistɛm we de protɛkt yu bɔdi frɔm sik) de riak to sɔm prɔtin dɛn we de insay milk. I tink se na invayda. Bɔrku tɛm na kaw in milk kin kam wit dis. Bɔt ɔda kayn animal milk lɛk got milk ɛn ship milk kin mek pɔsin gɛt alɛji bak. Bɔt ɔda tin de we yu nid fɔ no. Nɔto ɔl di prɔblɛm dɛn we gɛt fɔ du wit milk na ``Milk Allergy.'' Tu ɔda tin dɛn de:
- di milk protin intolerance na wan kכndyushכn we de apin pan yכŋ pikin dεm.
- Laktose intolerance na wan kכndyushכn we kin apin pan big pikin dεm εn big pipul dεm we nכ kin ebul fכ daygεst laktos, we na wan kayn shuga we de insay milk.
Wi go tɔk mɔ bɔt dɛn tin ya leta. Fɔ naw, mɛmba se tru tru ``Milk Allergy''
kin rili denja sɔm tɛm . If yu gɛt siriɔs sik, lɛk fɔ mek yu nɔ ebul fɔ blo, yu fɔ go na di ɔspitul we de nia yu wantɛm wantɛm.
Udat kin gɛt dis alɛji fɔ milk?
Dis kin apin to ɛnibɔdi we ol ɛni ej, bɔt
i kin apin mɔ pan pikin dɛn we nɔ rich 16 ia yet . Di gud nyus na dat, bɔku pikin dɛn we gɛt dis kayn milk alɛji kin gro pas am as dɛn de ol. fכ di pikin dεm we gεt di ``Milk protein intolerance'' kכndishכn we wi bin dכn tכk bכt, i kin kכlכsכl kכmplit wan. Dis alɛji fɔ milk kin apin to pikin dɛn we dɛn gi dɛn fɔmula ɛn bak pan pikin dɛn we dɛn gi dɛn mama in bɛlɛ.
Aw kɔmɔn tin dis?
Milk alɛji na tin we rili kɔmɔn. Fɔ ɛgzampul, na Amɛrika, dɛn se na lɛk 2 pan ɛvri 100 pikin dɛn gɛt dis sik.
Wetin kin apin to di bɔdi we yu gɛt alɛji fɔ milk?
If yu gɛt alɛji fɔ milk, yu bɔdi go gɛt alɛji we yu de drink milk. Dis na aw i de wok: We yu fɔs drink milk, yu imyun sistɛm de mek wan spɛshal kayn antibodi we dɛn kɔl Immunoglobulin E, ɔ IgE. Dɛn IgE antibodi ya tan lɛk smɔl smɔl ditektiv dɛn. Dɛn kin go ɛn atak di mast sɛl dɛn na wi skin, di say we wi de blo, ɛn di say dɛn we wi de blo. afta dat, we yu drink milk bak, di protin dεm we de insay di milk kin kam insay dεn IgE dεm ya, we kin mek di mast sεl dεm kכl wan kεmikכl we dεn kכl Histamine.
Dis na wetin kin mek yu gɛt alɛji (lɛk it ɛn ayv).dis `(IgE)` riakshכn kin apin kwik kwik wan, as yu drink milk so. sכmtεm dis kin divεlכp to wan rili siriכs, layf-thrεt kכndyushכn we dεn kכl `(Anaphylaxis).`
Anafylaksis na bad bad alɛji we kin kil pɔsin if dɛn nɔ trit am wantɛm wantɛm. So, i impɔtant fɔ rili tek tɛm wit dis.
כda riakshכn dεm de fכ milk, we nכ de kכz dεn `(IgE)` antibodi dεm. Dɛn kin kam smɔl leta, sɔmtɛm i kin tek te to 48 awa fɔ mek di sik sho. milk na di men tin we de mek dεn `nכn-IgE` riakshכn dεm ya na yכŋ pikin dεm. כltu, dεn `nכn-IgE` alerji dεm nכ kin כltεm fכ mek yu layf de pan denja. wan egzampl na di `Milk protein intolerance` we wi bin dכn tכk bכt.
Wetin mek pipul dɛn kin gɛt alɛji fɔ milk wantɛm wantɛm?
Dis na sɔntin we dɔktɔ ɛn risach pipul dɛn stil nɔ ebul fɔ no klia wan. Sɔm pipul dɛn kin gɛt alɛji to milk wantɛm wantɛm.
Wetin na di sayn dɛm wae de sho se yu gɛt alɛji fɔ milk?
Di sayn dɛm fɔ alɛji fɔ milk kin bigin insay sɔm minit afta yu dɔn drink milk. Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn kin tranga fɔ sɔm pipul dɛm, wae ɔda wan kin tranga.
Di kɔmɔn, nɔr kin siriɔs na: Di bad bad sayn dɛm (if yu gɛt wan ɔr mɔ pan dɛn tin ya, go na ɔspitul wantɛm wantɛm!):- Chɛst tayt, tayt
- I nɔ izi fɔ blo (Dyspnea) .
- Shot we yu de blo
- I nɔ kin izi fɔ swɛla (Dysphagia) .
- Wan bad bad skin rash (`Kɔntakt dɛmatitis`) .
- We pɔsin de wis (wistling) .
- Diziz we pɔsin kin gɛt
- Di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm (Hypotension) .
- Sinkɔp we dɛn kɔl Syncope
- Di `(Anaphylaxis)` kɔndishɔn we wi bin dɔn tɔk bɔt
Wetin mek wi kin gɛt alɛji fɔ milk? Wetin na di kɔz?
If yu gɛt alɛji fɔ milk, na bikɔs tu kayn prɔtin de insay milk. Yu imyun sistεm de riak pasmak pan dεn protin dεm ya. dis tu protin dεm na: 1.
Kεsin: .dis na di men protin we de fכm kכd we dεn kכd milk. I de bak insay chiz ɛn yogɔt. i de mek 80% pan di protin we de insay milk. Na dis `(Casein)` de gi milk in wayt kɔlɔ. 2.
`Whey`: Dis na protin we de kכmכt frכm di likwid pat pan milk we dεn kכd am. i de mek lεk 20% pan di protin we de insay milk. Yu kin gɛt alɛji to wan ɔ ɔl tu pan dɛn prɔtin ya.
Yu tink se milk alɛji kin pas?
Nɔ, alɛji fɔ milk
nɔ kin pas . Yu nɔ go ebul fɔ spre am to ɔda pɔsin.
Aw yu go no fɔ tru if yu gɛt alɛji fɔ milk?
If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt we yu de drink milk,
yu fɔ rili go to dɔktɔ . I kin rifer yu to dɔktɔ we de mɛn yu alɛji. Wan dɔktɔ we de mɛn pipul dɛn we gɛt alɛji kin du
difrɛn tɛst dɛn fɔ no if yu rili gɛt alɛji fɔ milk. Bifo yu du ɛni tɛst, yu dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk:
- Ɛnibɔdi na yu famili gɛt alɛji fɔ milk ɔ ɔda alɛji fɔ it?
- Dɔktɔ dɔn ɛva tɛl yu se yu gɛt alɛji fɔ it?
- Us sayn dɛm wae yu de gɛt?
- Yu de yuz eni mɛrɛsin na di famasi fɔ dat?
- Ustɛm di sayn dɛn kin bigin fɔ sho?
- Yu kin kip dayari fɔ wetin yu de it ɛn drink?
Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt alɛji fɔ milk?
Dipen pan di sayn dɛm we yu gɛt, pɔsin we de mɛn alɛji kin du wan ɔ mɔ pan dɛn tɛst ya: 1.
Blɔd tɛst: Dis kin min fɔ tek smɔl blɔd frɔm wan vein na yu an. afta dat dεn kin sεnd di bכdi sεmpl to wan lab, usay dεn kin miks am wit milk protin dεm fכ si aw bכku pan di `(IgE)` antibodi de insay yu bכdi. Di rizulyt kin tek wan wik fɔ kam bak. 2.
Skin prik test (כ `scratch test`): Dis involv fכ put sכm sכm milk protin pan yu skin. Fɔs, di dɔktɔ go klin smɔl pat na yu skin na yu an ɔ yu bak wit sɔntin lɛk rɔm. afta dat, wan rili fayn nidul (`lancet`) go prik di skin usay wan drop milk protin de. Dis nɔto dip injɛkshɔn, yu go jɔs fil smɔl tingling, ɛn blɔd nɔ go de. Sɔm dɔktɔ dɛn kin du dis difrɛn we. dεn kin put wan dכp pan milk protin sכlushכn pan di skin εn dεn kin rכb di skin jכnt tru am. Dɔn dɛn kin put di sɔlv na di skin. apat frכm dεn milk protin dεm ya, dεn kin put tu כda kכntrol sכbstans dεm (positiv εn nεgεtiv kכntrכl) pan di skin. Dis na aw dɛn kin kɔmpia di riakshɔn. Afta dɛn wet fɔ lɛk 15 minit so, dɛn kin chɛk di skin fɔ si if i dɔn rɛd, if i swel, ɔ if i gɛt brus, ɛn dɛn kin no di tin we go apin bay we dɛn mɛzhɔ am wit kalipa. Dis tɛst nɔ kin tek pas wan awa. 3.
Fɔd chalenj tɛst (`Graded oral challenge` ɔ `Food challenge`): Kɔnfɔm ɛksaktɔli if milk alɛji deSɔntɛnde, dis tɛst kin nid fɔ du am. Dis kin nid fɔ bi, mɔ if yu sik, istri, ɛn ɔda tɛst rizɔlt nɔr de mach. Dis min se yu fɔ gi yu smɔl milk fɔ drink
ɔnda dɔktɔ we de kia fɔ yu dairekt wan . Dɔn, dɛn kin wet fɔ si if yu gɛt ɛni riakshɔn. Smɔl smɔl yu de gi dɛn di milk ɛn si
aw yu bɔdi de ansa. Dis tɛst kin tek lɛk 4 awa so.
Nɔ ɛva tray fɔ du dis na os yu wan! Aw dɛn kin trit milk alɛji?
If yu gɛt alɛji fɔ milk,
di wangren we fɔ mek yu nɔ gɛt di sik na fɔ avɔyd milk ɛn milk prodakt dɛn ɔltogɛda. Insay Sri Lanka, i fɔ bi fɔ rayt di tin dɛn we de mek pɔsin gɛt alɛrjens na di tin dɛn we dɛn rayt pan it. So, i impɔtant fɔ rid di lɛbl fɔ ɛni it paket we yu bay na di stoa. Wan ɔda tin na dat, dɛn kin mek sɔm tin dɛn we nɔ gɛt dairy na di sem say dɛn we dɛn kin mek dairy prodak. So, yu fɔ no bɔt di lɛbl dɛn lɛk ``Made in a facility that processes milk.'' Bikɔs bɔku pikin dɛn kin pas dis milk alɛji as dɛn de ol, bɔku tɛm dɛn nɔ kin nid fɔ tek lɔng tɛm tritmɛnt. Bɔt if i tan lɛk se yu pikin nɔ de gro pas am, yu kin tɔk to ``Allergist'' ɛn tɔk bɔt di tritmɛnt dɛm fɔ ridyus di it sɛnsitiviti lɛk ``Oral Immunotherapy (OIT)''.
If yu gɛt alɛji fɔ milk, us it dɛn yu fɔ avɔyd?
If yu gɛt alɛji fɔ milk, yu fɔ avɔyd dɛn tin ya:
- Milk (ɔl kayn, kɔndens, dray, evapɔret, paoda) .
- Milk we kɔmɔt frɔm ɔda animal dɛn we de gi pikin dɛn milk (got, ship) .
- Bɔta, bɔta ɔyl, atifishal bɔta flawa
- Bɔta milk
- Chiz (ɔl kayn) .
- Kotej chiz, skim milk
- Kastad, pudin, yogɔt
- Ghee (Ghee) na di .
- Sɔ krim we gɛt sɔl
Bɔt bɔku pipul dɛn we gɛt alɛji fɔ milk kin it tin dɛn we dɛn dɔn bek we dɛn mek wit milk (e.g., mafin, kek).
Bɔt mek shɔ se yu go to dɔktɔ bifo yu tray fɔ du dis kayn tin. Na smɔl tɛm nɔmɔ, pipul dɛn we gɛt alɛji fɔ milk kin gɛt alɛji fɔ bif.
Aw a go gɛt vaytamɛn ɛn nyutriɛnt dɛn we a nɔ drink milk?
Fɔ bɔku pipul dɛn, milk ɛn dairy prodakt na di men tin we de mek dɛn gɛt impɔtant tin dɛn lɛk vaytamɛn D ɛn kalsiɔm. So if yu gɛt alɛji fɔ milk,
i impɔtant fɔ put ɔda it dɛn we gɛt dɛn tin ya (lɛk spinach ɛn brɔkoli) insay yu it. I fayn fɔ tɔk to pɔsin we sabi bɔt it we dɛn dɔn rɛjista. I kin ɛp yu fɔ it fayn ɛn balans it.
Us mɛrɛsin dɛn kin yuz fɔ mek pɔsin gɛt alɛji fɔ milk?
If yu gɛt siriɔs alɛji fɔ milk, dɔktɔ kin gi yu
wan epinephrine auto-injector (EpiPen®).Dis kin kכntro di simptom dεm fכ `(Anaphylaxis)` kwik kwik wan. Yu dɔktɔ go ɛksplen to yu aw ɛn ustɛm fɔ yuz am.
Yu fɔ kip dis `(EpiPen®)` wit yu ɔltɛm. Pipul dεm we nכ kin tכlerεt milk (`Milk intolerance`) כ dεn wan dεm we gεt `non-IgE` milk alerji nכ nid dis epinephrine.
Ɛni sayd ɛfɛkt de we di epinephrine injɛkshɔn kin gɛt?
Smɔl smɔl sayd ɛfɛkt dɛn we kin apin afta dɛn dɔn gɛt epinephrine injɛkshɔn na:
- Fɔ wɔri, fɔ nɔ gɛt rɛst
- Diziz we pɔsin kin gɛt
- Dray mɔt
- Ed de at
- I de swet mɔ ɛn mɔ
- Nɔs ɛn vɔmit
- Taya
Bɔrku tɛm, dɛn sayn ya nɔr kin tranga ɛn kin go kwik.
Aw kwik a go wɛl afta dɛn dɔn trit mi?
Di epinephrine injɛkshɔn kin bigin fɔ wok jɔs afta dɛn injekt am.
Yu tink se dɛn kin mek pɔsin nɔ gɛt alɛji fɔ milk?
Di bɛst we fɔ mek yu nɔ gɛt alɛji fɔ milk na fɔ pul milk kɔmɔt na yu it kpatakpata. Rid di tin dɛn we dɛn rayt pan ɔl di it dɛn we dɛn pak. If yu nɔ shɔ if di it gɛt milk, nɔ it am te yu no fɔ tru.
If yu introduks kɔmɔn it alɛrji to yɔŋ pikin dɛn kwik kwik wan , dat kin ɛp fɔ mek dɛn nɔ gɛt sɔm alɛji fɔ it. Bɔt
, aks yu dɔktɔ we de mɛn pikin dɛn ustɛm fɔ bigin fɔ gi yu pikin tin dɛn we gɛt kaw milk. no we nכ de fכ mek di divεlכpmεnt fכ εni wan pan di `milk intolerance` כ `non-IgE` milk allergy.
Wetin yu kin ɛkspɛkt if yu gɛt alɛji fɔ milk?
Fɔ liv wit milk alɛji, ɔ fɔ kia fɔ pikin we gɛt milk alɛji, kin tranga. Di sayn dɛm kin kɔmɔt frɔm smɔl to siriɔs, ɛn yu nɔr kin ebul fɔ no
aw yu bɔdi go biev. Yu nɔ go ebul fɔ tek am se if yu bin gɛt mild riakshɔn to milk di nɛks tɛm we yu it am, i go bi di sem di nɛks tɛm - i kin tranga. If yu dɔn gɛt siriɔs riakshɔn trade, yu de pan ay risk fɔ gɛt siriɔs riakshɔn bak. Bɔt,
if yu tek tɛm, yu ɛn yu pikin go ebul fɔ liv gladi ɛn nɔmal layf. Dɔktɔ kin rifer yu to risɔs, sɔpɔt grup, ɛn nyutrishɔnist dɛm we kin ɛp yu wit dis. Bɔku tɛm, di alɛji we dɛn kin gɛt frɔm milk kin dɔn we di pikin dɛn ɛn di yɔŋ pikin dɛn de it di bɔdi. Yu pikin fɔ go to dɔktɔ we de mɛn alɛji ɛvri ia fɔ mek shɔ se dɛn nɔ go go. Tritmɛnt dɛn de fɔ sɔm pipul dɛn.
Aw a go tek kia ɔf misɛf/mi pikin if a gɛt milk alɛji?
If yu gɛt alɛji fɔ milk, dɛn advays ya kin ɛp yu:
- Yu fɔ no wetin yu de it ɛn drink ɔltɛm.Rid di lɛbl bifo yu it it, ɛn ivin if yu dɔn it di sem it bifo ɛn natin nɔ apin, chɛk di lɛbl bak. Sɔntɛnde, di wan dɛn we de mek di tin dɛn kin chenj di we aw dɛn de mek tin dɛn ɛn ad milk.
- If yu pikin gɛt alɛji fɔ milk, tich am se i nɔ fɔ bay tin fɔ it frɔm in padi dɛn ɔ in kɔmpin dɛn na klas.
- We yu de it na do, tɛl di weta se yu gɛt alɛji fɔ milk. Aks fɔ no mɔ bɔt di tin dɛn we dɛn kin yuz fɔ mek di it dɛn ɛn aw dɛn kin mek dɛn.
- Wear mɛdikal alert breslɛt ɔ kɛr kad we gɛt infɔmeshɔn bɔt yu milk alɛji.
- Ɛntay di ditel dɛm bɔt yu it alɛji na di `mɛdikal imejensi sɛtin` na yu fon ɔ na wan ap.
- Tɔk to yu dɔktɔ bɔt aw fɔ rɛdi fɔ gɛt alɛji. I kin gi yu wan mɛrɛsin we dɛn kɔl epinephrine ɔto-injɛkta. Kip am wit yu ɔltɛm if yu gɛt siriɔs riakshɔn.
Ustɛm yu fɔ go to dɔktɔ?
If yu kɔntinyu fɔ gɛt alɛji fɔ milk, ɔ if yu notis se yu sik kin bigin afta yu dɔn drink milk, go to dɔktɔ.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?
If yu bigin fɔ gɛt siriɔs sayn dɛm fɔ di ``Anaphylaxis'' kɔndishɔn wae wi bin dɔn tɔk bɔt (lɛk wae yu nɔr kin ebul fɔ blo fayn, yu chɛst kin tayt, ɛn yu kin fɔdɔm),
go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm, ɔ kɔl 1990. Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
- Aw yu go no ɛksaktɔli if a gɛt milk alɛji?
- Ustɛm na di bɛst tɛm fɔ bigin fɔ gi mi pikin in bɛlɛ?
- Yu tink se mi pikin go gro pas dis milk alɛji as i de ol?
- Ɛni sɔpɔt grup de we de ɛp pipul dɛn we gɛt alɛji fɔ milk, ɔ mama ɛn papa dɛn we gɛt dɛn kayn pikin dɛn de?
- Yu kin rɛkɔmɛnd pɔsin we sabi bɔt it?
Yu tink se alɛji fɔ milk ɛn fɔ nɔ tek laktɔs na di sem tin?
Yɛs. Dis na tu
tin dɛn we rili difrɛn. Laktose intolerance na we yu nɔ ebul fɔ dayjɛst laktɔs, we na wan shuga we de insay milk. Dis kin mek yu gɛt sɔm sayn dɛn lɛk fɔ blo, yu bɛlɛ kin kramp, ɛn yu kin gɛt dayarɛa we yu it ɔ drink tin dɛn we gɛt laktɔs. I kin apin mɔ pan big pipul dɛn pas smɔl pikin dɛn. Bɔt,
alɛji fɔ milk na we yu imyun sistɛm de riak to di prɔtin dɛn we de insay milk. Di sayn dɛm kin rili bad pas di wan dɛm wae pɔrsin nɔr kin gri wit laktɔs. Milk alɛji kin mɔs pan bebi ɛn yɔŋ pikin dɛn.
Aw fɔ no if pɔsin nɔ gɛt laktɔs?
Di men tɛst fɔ dis na
di haydrojɛn briz tɛst.. Dis de mɛzhɔ di kayn haydrojɛn gas we yu de pul. we dεn nכ daygεst laktos, haydrojεn de prodyuz abnכmal wan na di intestכn dεm, we dis tεst de mכsu. Milk alɛji na we yu imyun sistɛm mistek fɔ no di prɔtin dɛn we de insay milk as di ɛnimi ɛn i de mawnt difensiv rispɔns agens dɛn. Dis rispɔns, ɔ alɛji riakshɔn, kin mek yu gɛt difrɛn sayn dɛm, lɛk fɔ gɛt rash na yu skin, it, nɔs, vɔmit, ɛn dayarɛa. If yu gɛt siriɔs sik, i kin ivin mek yu gɛt ``Anaphylaxis.'' If yu nɔ no gud gud wan wetin de mek yu gɛt di sik kin mek yu at pwɛl. Bɔt dɔktɔ kin ɛp yu. Dɛn kin rɔn tɛst fɔ no if yu gɛt alɛji fɔ milk ɛn gi yu mɛrɛsin if nid de. Dɛn kin rifer yu bak to dɔktɔ we de mɛn yu it fɔ ɛp yu fɔ no wetin bɛtɛ fɔ yu fɔ it ɛn drink.
Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
Okay, so wi don tok plenti boht milk allergy. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:
- Milk alɛji na di imyun sistɛm rispɔns, nɔto simpul dijestiv prɔblɛm.
- Kaw in milk na di men tin we kin mek i sik, bɔt ɔda animal milk kin kam bak.
- Di sayn dɛm kin kɔmɔt frɔm wae nɔr kin pasmak to wae kin mek pɔrsin in layf de pan denja (anaphylaxis) . If yu gɛt siriɔs sik , go to dɔktɔ wantɛm wantɛm.
- Fɔ no fɔ tru, yu nid fɔ gɛt mɛdikal advays ɛn tɛst (`Skin prick test`, `Blood test`, `Oral food challenge`) .
- Di men tritmɛnt ɛn prɛvɛnshɔn na fɔ pul milk ɛn ɔl di dairy prodak dɛm na di it. Rid di lɛbl dɛn fayn fayn wan.
- I impɔtant fɔ mek pipul dɛn we gɛt siriɔs alɛji fɔ kɛr EpiPen® ɔltɛm.
- Dis kin go as bɔku pikin dɛn de ol, bɔt chɛk wit dɔktɔ fɔ mek shɔ se.
- Milk alɛji ɛn laktɔs intolɛreshɔn na tu kɔndishɔn.
Nɔ panik! Ivin wit milk alɛji, if yu no ɛn mɛn yu fayn , yu kin liv nɔmal, wɛlbɔdi layf. If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu go to dɔktɔ fɔ advays.
Milk Alɛji, Milk Alɛji, Alɛji, Milk Protɛin, IgE, Anafylaksis, EpiPen, Fɔd Alɛji
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