We yu smɔl pikin bigin fɔ it tin dɛn we strɔng, yu kin fred smɔl fɔ gi am tin dɛn lɛk pinat ɛn eg? "Oh, dem go get allergy, dem go sik, dem go get trobul fo brith?" Yu go de tink, nɔto so? Dis fred na sɔntin we bɔku mama ɛn papa dɛn gɛt. Infakt, alɛji fɔ pinat na sɔntin we kin mek pɔsin denja. Na dat mek, fɔ lɔng tɛm, wi ɔl bin de tink se wi fɔ delay fɔ gi pinat to smɔl pikin dɛn. Bɔt naw dis we aw pipul dɛn de tink bɔt mɛrɛsin dɔn chenj kpatakpata. Lɛ wi tɔk bɔt am tide.
Di ol we aw wi de si tin ɛn di nyu we aw wi de tink naw
Fɔ lɔng tɛm naw, di wan dɛn we de mɛn pipul dɛn we gɛt alɛji ɛn di wan dɛn we de mɛn pikin dɛn dɔn biliv tu tin dɛn. Wan na dat, dɛn fɔ put pinat to pikin dɛn afta dɛn dɔn bi bebi, bikɔs dɛn biliv se di risk fɔ gɛt alɛji nɔ bɔku. Di sɛkɔn wan na dat if pikin gɛt alɛji, dɛn fɔ avɔyd pinat kpatakpata fɔ di res ɔf in layf.
Bɔt naw dɛn aidia dɛn ya de chenj. Tide wi no se pinat nɔto rili nɛt, bɔt na ligɛm . di las advays na dat fכ introduks pinat to pikin dεm jisno we dεn stat fכ it sכlid it, we de arawnd 4-6 mכnt, i kin εp fכ mek dεn nכ gεt alerji.
Tink bɔt am, nɔto as di fɔs sɔlid it we yu go gi yu pikin. Yu kin miks smɔl pinat bɔta insay sɔm ɔtmil.
Bɔt dis rili impɔtant: If yu pikin dɔn ɔlrɛdi gɛt sik na in skin lɛk ɛkzema ɔ ɔda alɛji fɔ it, da pikin de go insay di grup we gɛt ay risk . Yu fɔ rili introduks pinat to dis kayn pikin jɔs ɔnda di sɔpɔtishɔn fɔ yu dɔktɔ we de mɛn pikin dɛn.
Dɛn dɔn si bak se ivin pikin ɛn big pipul dɛn we dɔn ɔlrɛdi gɛt alɛji to pinat kin smɔl smɔl fɔ mek dɛn nɔ gɛt alɛji to di alɛji tru desensitization. Fɔ tɔk am simpul wan, if pɔsin it pinat smɔl smɔl ɔnda dɔktɔ in sɔpɔtishɔn, i kin mek i nɔ gɛt di bad bad tin dɛn we kin apin (anaphylaxis) we pɔsin it pinat bay aksidɛnt.
Wetin na di rizulyt we yu gi pɔsin pinat kwik?
Dis big chenj na bikɔs ɔf di rizɔlt fɔ wan big klinik trial we dɛn kɔl LEAP (Learning Early About Pea Nut Allergy ) , we dɛn bin pul insay 2015.
Dis stɔdi sho se if dɛn put pinat to pikin dɛn we gɛt ay risk (di wan dɛn we dɔn ɔlrɛdi gɛt ɛkzema ɔ ɔda alɛji fɔ it) we dɛn smɔl, dat kin mek dɛn nɔ gɛt alɛji pan pinat.I bin ridyus bay 81%. Dɛn bin yuz pas 600 pikin dɛn we ol bitwin 4-11 mɔnt fɔ dis. Dɛn bin gi wan grup pinat te i ol 5 ia, ɛn dɛn nɔ bin gi di ɔda grup ɛni wan atɔl.
Di tin dɛn we bin apin bin mek wi sɔprayz. 17% pan di pikin dɛm na di grup we nɔ bin it pinat bin dɔn gɛt pinat alɛji we dɛn ol 5. Bɔt na 3% pan di pikin dɛm nɔmɔ na di grup we bin it pinat bin gɛt dis sik. Dis de sho se i impɔtant fɔ mek wi bigin fɔ tɔk to pipul dɛn kwik kwik wan.
Di difrɛns bitwin fɔ avɔyd ɛn fɔ nɔ gɛt sɛns
Di LEAP trayal bin de pe atɛnshɔn fɔ mek dɛn nɔ gɛt alɛji. Bɔt wetin wi go se bɔt pipul dɛn we dɔn ɔlrɛdi gɛt alɛji? Na dat Oral Immunotherapy (OIT) de fɔ.
OIT na jɔs fɔ tren bak di imyun sistɛm fɔ pɔsin we dɔn ɔlrɛdi gɛt alɛji fɔ pinat. Dis min se yu fɔ bigin wit wan rili smɔl doz fɔ pinat protɛin, ɔnda dɔktɔ in sɔpɔtishɔn, ɛn smɔl smɔl fɔ inkrisayz di doz fɔ sɔm mɔnt ɔ ia. Dis kin mek di bɔdi stɔp fɔ du bad bad tin to pinat ɛn lan fɔ bia wit am .
Naw dɛn de yuz dis we na sɔm ɔspitul dɛn na Sri Lanka. apat frכm OIT, dεn de du risach bak pan כda mεtכd dεm, lεk wan pinat pat we de gi pinat protin tru di skin εn sכblingual dכp dεm.
Wetin mek pipul dɛn kin gɛt alɛji fɔ pinat?
Wan kwɛstyɔn we bɔku mama ɛn papa dɛn gɛt na, "Wi nɔ bin gɛt dɛn tin ya insay wi tɛm, so wetin mek dɛn bɔku naw?" Dɔktɔ dɛn kin tink se sɔm rizin dɛn de fɔ dis.
- Hygiene Hypothesis: Bikɔs wi klin dis tɛm, wi imyun sistɛm nɔ kin gɛt bɛtɛ chans fɔ fɛt di jem dɛn we dɛn yɔŋ. So i kin bi se na fɔ jɔs bigin "bat" wit sɔntin we nɔ bad lɛk pinat.
- Vitamin D we nɔ de: Naw pikin dɛn nɔ de spɛn bɔku tɛm na do ɛn ple na di san. Dɛn de spɛn mɔ tɛm insay os wit kɔmpyuta ɛn fon. Dɛn kin tink se dis kin mek pɔsin nɔ gɛt bɛtɛ vaytamɛn D.
- Di we aw dɛn de mek it: We dɛn de mek it bɔku bɔku wan, fɔ krɔs-kɔntamin wit ɔda it dɛn ɛn fɔ yuz peshɛnt sayd kin bi bak wan tin.
Dis nɔto di wangren rizin, i kin bi wan kɔmbaynshɔn fɔ ɔl dɛn tin ya.
Rial layf ɛkspiriɛns: Aw OIT tritmɛnt bin wok fayn
Dɛn no aw i kin strɛs fɔ bi mama ɔ papa fɔ pikin we gɛt siriɔs alɛji fɔ pinat. Yu fɔ tek tɛm tink bɔt ɛni it we yu de it. Yu fɔ rid di lɛbl pan ɔltin we yu bay na di stoa. Yu fɔ kip wan epinephrine auto-injector (wan imejensi mɛrɛsin injɛkshɔn) wit yu ɔltɛm.
Jɛma na wan titi we ol 12 ia ɛn i bin gɛt bad bad alɛji fɔ pinat ɛn sɔm ɔda nɛt dɛn. I bin gɛt OIT tritmɛnt. In mama bin tɔk bɔt di ɛkspiriɛns lɛk dis:
"Fɔs, na di dɔktɔ in klinik, dɛn gi Gemma wan miligram pinat paoda. Dɛn bin de wach wi fɔ sɔm awa. We no riakshɔn nɔ bin de, i bin de kam na os. Afta dat, a bin de gi Gemma di sem paoda ɛvri nɛt na os. A bin ivin bay dayamɔn wej skel fɔ mɛzhɔ am kɔrɛkt wan. Wi kɔntinyu fɔ gi am da doz de fɔ mɔnt te di dɔktɔ tɛl wi fɔ du am."
"Ɛvri tɛm we dɛn inkrisayz di doz, dɛn kin du am na ɔspitul. Dɔn i kin wet fɔ awa bifo i kam bak na os. Sɔntɛnde, Gɛma kin gɛt bɛlɛ pen ɛn trot kin skrach. Dɛn kin gi am mɛrɛsin fɔ dat. Smɔl smɔl, in bɔdi kin yus to am."
"Wi dɔn de du dis tritmɛnt fɔ pas 2 ia naw. Gemma nɔ de tek drɔgs igen, ɛn i de it tu rɛgyula pinat ɛvri nɛt. Wi nɔ gɛt ɛni sayd ɛfɛkt."
Di gol fɔ dis tritmɛnt na fɔ rich wan mentenɛns doz . Dat min se, di mɔni we dɛn nid fɔ tek ɛvride fɔ mek dɛn kɔntinyu fɔ gɛt sef. Dis na fɔ mek yu nɔ gɛt siriɔs riakshɔn if yu aksidɛntli it sɔntin we gɛt pinat.
Impɔtant tin dɛn ɛn sɔm statystik dɛn fɔ no
I rili impɔtant fɔ mek wi mɛmba dɛn pɔynt dɛn ya.
| Trut | Tin dɛn |
|---|---|
| Risk fɔ ɔda kayn nɛt | If yu gɛt alɛji pan pinat, yu risk fɔ gɛt alɛji to tik nat, lɛk amɔnd ɛn kash, na 25% - 40% pas dat. |
| Di bad bad tin dɛn we kin apin to pɔsin (Anaphylaxis) . | Mɔ pas 40% pan di pikin dɛn we gɛt alɛji fɔ it dɔn gɛt siriɔs alɛji at le wan tɛm na dɛn layf, wit pinat na di wan we kɔmɔn pas ɔl. |
| Asosieshɔn wit ɔda alɛji dɛn | Pikin dɛn we gɛt alɛji fɔ it kin gɛt ɔda alɛji dɛn lɛk asma ɛn pɔlin tu to 4 tɛm mɔ. |
| Di tritmɛnt dɛn we dɛn go gɛt tumara bambay | Wan OIT drɔg we dɛn kɔl AR101 , we dɛn kin gi as pil, dɛn de tink naw fɔ mek dɛn gri fɔ am. Dis kin bi tritmɛnt fɔ pikin dɛn we ol 4-17 ia. |
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tɔk to yu dɔktɔ ɔ dɔktɔ we de mɛn pikin dɛn bifo yu put it dɛn we go mek yu pikin gɛt alɛji, lɛk pinat.
- Di las opinion na dat if yu introduks pinat we yu smɔl (4-6 mɔnt) i kin mek yu nɔ gɛt alɛji.
- If yu pikin gɛt ɛkzema ɔ ɔda alɛji (we gɛt ay risk), yu fɔ jɔs put pinat ɔnda dɔktɔ in sɔpɔtishɔn.
- If yu dɔn ɔlrɛdi gɛt alɛji, Oral Immunotherapy (OIT) na tritmɛnt opshɔn. Nɔ ɛva tray dis na os fɔ yusɛf. Dɛn fɔ jɔs du am ɔnda strikt mɛdikal sɔpɔtishɔn na ɔspitul ɔ klinik.
- If yu notis sayn dɛm fɔ se yu gɛt siriɔs alɛji (e.g., i nɔ izi fɔ blo, swel, vɔmit), kɛr dɛn go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm .
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