Yu gɛt kwɛstyɔn bɔt alɛji? Kam, lɛ wi tɔk bɔt wan alɛjist!

Yu kin fil bak se yu strenj smɔl we yu de it sɔm it dɛn? Ɔ i nɔ kin izi fɔ yu fɔ blo we yu de blo smɔl dɔst? Sɔmtɛm dɛn tin ya kin tan lɛk se na nɔmal tin, bɔt fɔ sɔm pipul dɛn, dɛn kin bi big prɔblɛm. Na da tɛm de wi nid pɔsin we de mɛn pipul dɛn we gɛt alɛji fɔ ɛp wi . Tide, lɛ wi tɔk bɔt udat na dis ‘allergist’ ɛn wetin i de du.

Udat na pɔsin we gɛt alɛji?

Fɔ tɔk am simpul wan, alɛji na dɔktɔ we spɛshal pan sik dɛn we de afɛkt wi imyun sistɛm . Tink bɔt am dis we: wi gɛt smɔl sojaman dɛn na wi bɔdi we dɛn kɔl di imyun sistɛm. Dis na wetin de protɛkt wi frɔm sik dɛn. Bɔt sɔntɛnde dis sistɛm kin bigin fɔ riak pasmak. Na da tɛm de prɔblɛm kin kam.

Bɔku prɔblɛm dɛn de we de mek pɔsin in bɔdi nɔ ebul fɔ fɛt di sik we dɛn dɔktɔ ya kin trit mɔ:

• Alɛji ɛn alɛji disɔda: Dɛn tin ya kin apin we wi imyun sistɛm de riak pasmak pan sɔntin we wi de it, inhal, ɔ tɔch. Fɔ ɛgzampul, sɔm pipul dɛn kin gɛt rash afta dɛn dɔn it shrimps, ɛn ɔda wan dɛn kin bigin fɔ sniz afta dɛn dɔn tɔch pusi.
• Asma: Dis na we di say dɛn we wi kin blo na wi lɔng dɛn kin inflam. Pipul wae gɛt asma kin gɛt prɔblɛm fɔ blo wantɛm wantɛm bikɔs ɔf sɔm tin dɛm wae kin mek dɛn gɛt asma, lɛk dɔst, smok, ɔr kol.
• Praymari imyunodefisiɛns dizayd: Dɛn tin ya kin kɔmplikt smɔl. Dis na sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks. Dis kin mek wi imyun sistɛm nɔ de wok fayn. I pas 200 kayn sik ya.

Udat na Pikin dɛn we De Alɛji?

Naw yu go de wɔnda if dɛn prɔblɛm ya kin afɛkt yɔŋ pikin dɛn bak. Yɛs, pikin dɛn, pikin dɛn, ɛn yɔŋ pipul dɛn bak kin gɛt alɛji, asma, ɛn di sik we dɛn kɔl imyun sistɛm. Na da tɛm de wan dɔktɔ we de mɛn pikin dɛn we gɛt alɛji kin no ɛn trit dɛn. I tan lɛk pɔsin we de mɛn alɛji fɔ big pipul dɛn, bɔt i de pe atɛnshɔn mɔ pan pikin dɛn.

Wetin na di difrɛns bitwin pɔsin we de mɛn alɛji ɛn pɔsin we de mɛn di sik we de mek pɔsin nɔ ebul fɔ fɛt di sik?

Dis na kwɛstyɔn bak we bɔku pipul dɛn kin aks. Wi kin yuz di wɔd ‘alɛji’ fɔ tɔk bɔt dɔktɔ we de trit tin dɛn lɛk alɛji ɛn asma, ɛn sɔm tɛm dɛn kin trit sik dɛn bak na di imyun sistɛm. Dɔn, ‘immunologist’ na di sem pɔsin. Bɔt sɔmtɛm ‘imyunɔlɔjis’ kin pe atɛnshɔn mɔ pan fɔ trit sik dɛn na di imyun sistɛm, ɔ fɔ du mɛdikal risach pan di imyun sistɛm. Bɔku tɛm, dɛn tu ya na pipul dɛn we de na di sem fil, dat na pipul dɛn we gɛt di kwalifayeshɔn ‘Allergist/Immunologist’ .

Wetin dɛn pipul ya we de mɛn pipul dɛn we gɛt alɛji kin du?

Wan dɔktɔ we de mɛn alɛji kin no ɛn trit prɔblɛm dɛn wit yu imyun sistɛm. Na dis na wetin i kin du:

• Alɛji tɛst: Dis go chɛk if yu gɛt alɛji to tin dɛn lɛk it, pɔlin (we kɔmɔt na gras, tik, ɛn gras), animal dɛn we yu lɛk , ɛn mold.
• Dɛn kin no asma bay we dɛn de tɛst aw di lɔng dɛn de wok.
• Dɛn kin gi mɛrɛsin ɔ tin dɛn fɔ mek pɔsin nɔ gɛt alɛji ɛn asma, fɔ mɛn, ɔ fɔ ridyus di kayn we aw pɔsin kin gɛt alɛji ɛn asma. Fɔ ɛgzampul, sɔm pipul dɛn kin nid fɔ yuz tin dɛn we dɛn kin yuz fɔ blo.
• Wi go advays yu bɔt chenj dɛm wae yu nid fɔ mek na yu layf fɔ avɔyd tin dɛm wae kin mek yu gɛt alɛji ɔr asma.
• Dɛn kin gi imyunotɛrapi, lɛk alɛji shot fɔ ridyus di alɛji riakshɔn. Dis kin min fɔ mek di bɔdi gɛt di alɛrjen smɔl smɔl.
• Dɛn kin no se pɔsin gɛt di sik we de mek pɔsin nɔ ebul fɔ fɛt di sik.
• We yu de liv wit wan sik we de ambɔg yu bɔdi, wi kin advays yu aw fɔ protɛkt yusɛf frɔm infɛkshɔn .
• Intravenous immunoglobulin (IVIG) dεn kin gi am as tritmεnt fכ sכm imyun sik dεm.
• If yu gɛt alɛji to wan impɔtant mɛrɛsin, dɛn kin du wan prɔses we dɛn kɔl ``Drug desensitization'' so dat yu go ebul fɔ tek da mɛrɛsin de sef wan.

Us kayn sik pipul dɛn we de mɛn pipul dɛn we gɛt alɛji kin trit?

Dis na sɔm pan de sik dɛm wae dɛn dɔktɔ ya kin trit:

• Alɛji kɔnjɔktvitis (alɛji na di yay) .
• Alɛji raynayt/hay fiva, we dɛn kin kɔl bak ‘hay fiva’.
• Anaphylaxis, we na wan bad bad alɛji we pɔsin kin gɛt wantɛm wantɛm
• Angioedema, we na wan swel we de ɔnda di skin
• Asma we gɛt asma
• Alɛji fɔ drɔgs
• Ekzema na wan sik we de ambɔg di skin.
• Eosinophilic disorder (we wan kayn wayt blɔd sɛl we dɛn kɔl ‘eosinophil’ de bɔku) .
• Alɛji fɔ it
• Skin iritashɔn, we dɛn kin kɔl bak ‘hives/urticaria’.
• Insɛkt sting alɛji
• Latex alɛji dɛn
• Infεkshכn dεm na di sayn fכs tεm

Wetin mek wi nid fɔ go to dɔktɔ we de mɛn pipul dɛn we gɛt alɛji?

Yu kin want bak fɔ go to dɔktɔ lɛk dis fɔ dɛn rizin ya:

• Chek fɔ si if yu gɛt alɛji ɔ asma.
• Gɛt tritmɛnt fɔ alɛji ɔ asma.
• If yu gɛt sik we de ambɔg yu bɔdi, manej am.

Ustɛm wi fɔ go to dɔktɔ we de mɛn pipul dɛn we gɛt alɛji?

If yu gɛt dɛn sayn ya, yu go mɔs go to dɔktɔ we de mɛn pipul dɛn we gɛt alɛji. Ɔ aks yu famili dɔktɔ (Primary Care Physician) if yu nid fɔ go to da kayn spɛshal pɔsin de.

"Wi fɔ wɔri smɔl bɔt dɛn sik ya?"

• If yu gɛt siriɔs alɛji riakshɔn – lɛk ayv, yu fes ɔ yu tɔng we de swel, ɔ we yu nɔ ebul fɔ blo.
• Yu gɛt alɛji, bɔt yu nɔ no bɛtɛ bɛtɛ wan wetin kin mek yu gɛt alɛji. Fɔ ɛgzampul, tray fɔ no if i kin apin nɔmɔ we yu it sɔm it dɛn ɔ we yu kam nia dɔst.
• If yu si am se i nɔ izi fɔ kɔntrol yu alɛji ɔ asma, ivin if yu tek mɛrɛsin ɛn chenj yu layf.
• If alɛji ɔ asma de mek yu nɔ ebul fɔ du yu nɔmal layf, go wok, ɔr fɔ du di tin dɛm wae yu lɛk.
• If yu kin swɛt bɔku tɛm, yu kin kɔf, ɔ yu kin fil shɔt fɔ blo – mɔ afta yu dɔn du ɛksɛsayz ɔ na nɛt.
• If yu de sik ɔltɛm, ɔ if wan kɔmɔn sik lɛk kol kin tek lɔng tɛm fɔ wɛl, dis kin min se yu imyun sistɛm wik.

Aw dɛn kin tɛst pɔsin we gɛt alɛji?

Wan dɔktɔ we de mɛn pipul dɛn we gɛt alɛji kin yuz difrɛn difrɛn tɛst dɛn fɔ no us kayn alɛji yu gɛt. Na sɔm pan dɛn:

• Skin prick/scratch tests: Dis na fɔ tek smɔl tin we dɛn tink se na alɛrjen ɛn skrach am wit yu skin. Dɔn, dɛn kin luk fɔ wan riakshɔn, lɛk fɔ rɛd ɛn swel. Dis na tɛst we rili simpul ɛn we kin apin kwik kwik wan.
• Blɔd tɛst dɛn:Insay dis, dɛn kin tek wan sɛmpul pan yu blɔd ɛn tɛst am na lab fɔ si if yu gɛt ɛni alɛji fɔ wan patikyula tin.
• Fɔd chalenj tɛst: Dis na tɛst we nid sɔm tɛm fɔ tek tɛm. Insay dis, di dɔktɔ go introduks smɔl smɔl wan it we yu tink se yu gɛt alɛji to, ɛn i go de wach gud gud wan fɔ si if yu gɛt alɛji. Dɛn fɔ du dis ɔnda dɔktɔ in sɔpɔtishɔn.

Apat frɔm dɛn alɛji tɛst ya, dɛn tin ya kin apin bak we yu go to dɔktɔ:

• Lכng fכnshכn tεst (spirometry, pulmonary function testing): Dis de tεst aw yu lכng dεm de wok fayn fayn wan. Dis tɛst de ɛp fɔ no ɛn kɔntrol asma.
• Tich yu aw fɔ yuz mɛrɛsin ikwipmɛnt: Yu dɔktɔ kin tich yu aw fɔ yuz ikwipmɛnt fayn fayn wan lɛk epinephrine injectors (sɔntɛnde dɛn kin kɔl am ‘Epipen’) fɔ siriɔs alɛji, inhala, ɛn nebulizers fɔ asma.

Aw fɔ bi pɔsin we gɛt alɛji?

Dis kin bi bak sɔntin we yu go lɛk fɔ no. Fɔ bi alɛjist na Sri Lanka, yu fɔs nid fɔ gɛt mɛdikal digri (MBBS) frɔm mɛdikal skul. Afta dat, yu nid fɔ dɔn intanshɔp ɛn post-intanshɔp as jenɛral prɛktishɔn. Afta dat, yu nid fɔ gɛt spɛshal trenin (MD) pan Intanɛt Mɛdisin ɔ Pikin dɛn. Afta da trenin de, yu kin gɛt ɔda spɛshal trenin (pɔst-MD trenin/fɛlɔship) pan di fild fɔ Alɛji ɛn Imyunɔlɔji, pas di ɛgzam dɛn we gɛt fɔ du wit am ɛn bi alɛji. Dat min se dis na sɔntin we dɛn nid fɔ du wit big dedikeshɔn ɛn tɛm.

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

Alɛji, asma, ɛn sik dɛn we de ambɔg wi bɔdi na tin dɛn we kin afɛkt wi ɛvride layf, ɛn sɔntɛnde kin mek wi gɛt siriɔs riakshɔn. Bɔt nɔ panik . Wan dɔktɔ we de mɛn yu alɛji kin ɛp yu fɔ no wetin kin mek yu gɛt alɛji ɔ asma, gi yu tritmɛnt fɔ kɔntrol di sik dɛn we yu gɛt, ɛn advays yu bɔt aw fɔ chenj yu layf fɔ avɔyd dɛn tin dɛn de we kin mek yu gɛt alɛji.

"Fɔ tɔk am simpul wan, dɛn dɔktɔ ya de ɛp yu fɔ ɔndastand yu sik, liv wit am fayn fayn wan, ɛn nɔ fɔ mek i ambɔg yu layf."

So, if yu tink se yu gɛt dis prɔblɛm, nɔ west tɛm ɛn go to dɔktɔ. Dɔn yu go ebul fɔ liv fayn layf ɛn kɔmfyut layf.

` Alɛji, Alɛji, Asma, Imyun Sistɛm, Alɛji Tɛst, Spɛshal Dɔkta, Alɛji, Alɛji, Asma, Imyun Sistɛm