As mama, yu no se we sɔm yɔŋ pikin dɛn gɛt alɛji fɔ it lɛk pinat, dɛn kin sho di sayn dɛn we dɛn kin gɛt wantɛm wantɛm. Tin dɛm lɛk hayv, prɔblɛm fɔ blo , ɛn ɔda tin dɛm Bɔt dis alɛji we nɔ kin bɔku we wi de tɔk bɔt tide we dɛn kɔl FPIES (Food Protein-Induced Enterocolitis Syndrome) difrɛn smɔl. Wetin kin apin ya na dat di sayn dɛm kin jɔs bigin fɔ sho sɔm awa afta di pikin it di it. So bɔku mama ɛn papa dɛn kin tink se dis na jɔs nɔmal vayral fiva ɔ na jɔs wan bɛlɛ we de pwɛl bikɔs dɛn it it we dɔn pas.
Wetin na FPIES rili?
Fɔ tɔk am simpul wan, FPIES na bad bad inflamɛns na di intestinal dɛn we di it protin dɛn kin mek. I nɔ de mek di tipik simptom dɛm fɔ wan kɔmɔn alɛji, lɛk ayv, it, ɔr swel. Bifo dat, yu pikin kin kɔntinyu fɔ vɔmit ɛn dayarɛa.
dis kכndyushכn kin stat we dεn introdכks di pikin fכ fכmula כ sכlid it dεm. Bɔrku tɛm, dis sik nɔ kin apin wit di mama in milk. Bɔt, i nɔ kin apin so ɔltɛm, i kin apin to pikin dɛn we dɛn de gi dɛn mama in bɛlɛ. Di gud nyus na dat bɔku pikin dɛn kin gro pas dis alɛji we dɛn ol 3 ɔ 4 ia .
Wetin na di sayn dɛm fɔ dis?
Imajin se yu dɔn gi yu pikin nyu it. Afta tu ɔ tri awa, yu pikin kin bigin fɔ vɔmit ɔltɛm ɛn i nɔ kin ebul fɔ kɔntrol am. Dɔn, di pikin kin bigin fɔ gɛt lɔs stɔl. Dis na di men sayn fɔ FPIES.
Sɔm pikin dɛn kin gɛt dɛn sik ya smɔl smɔl as tɛm de go. Dɛn kin gɛt bak pwɛl hat wet ɛn grow bikɔs dɛn nɔ de gɛt di rayt it we dɛn nid.
If i bad, if yu vɔmit pasmak ɛn yu gɛt dayarɛa, dat kin mek yu nɔ gɛt wata na yu bɔdi ɛn ivin mek yu shɔk. Dis na tin we rili denja.
| Simptom dɛm wae yu kin si pan siriɔs kes (shɔk) - go na ɔspitul kwik kwik wan! | |
|---|---|
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
| Kɔnfyus | I kin tan lɛk se di pikin nɔ de tink ɛn i nɔ no wetin de apin rawnd am. |
| Kol, klem skin | Di bɔdi kin fil kol we nɔ kɔmɔn we yu tɔch am, ɛn i kin fil wet lɛk se i de swet. |
| Fɔ tɔsti pasmak | Di pikin nid fɔ drink wata ɔltɛm. |
| Pale ɔ bluish skin | Di skin kin chenj in kɔlɔ, i kin gɛt blu, ɔ i kin tɔn blu rawnd di lip dɛn. |
| Di we aw pɔsin de blo kin chenj | Di briz kin bi kwik ɔ i nɔ kin shayn. |
| Letargy/slip | Di pikin kin slip pasmak, i nɔ kin izi fɔ wek, ɛn i nɔ kin ple. |
| Wik puls | Di puls kin wik bad bad wan, i kin lɛf smɔl fɔ lɛ dɛn nɔ no am. |
If yu notis ɛni wan pan dɛn sik ya, kɛr yu pikin go na di ɔspitul we de nia yu in Imejɛnsi Tritmɛnt Yunit (ETU) ɛn nɔ de te.
Wetin mek dis de apin?
Dis na bikɔs sɔm sɛl dɛn na yu pikin in imyun sistɛm nɔ de riak kɔrɛkt wan to di prɔtin dɛn we de insay sɔm it dɛn. dis rispכns de mek wan siriכs riakshכn na di pikin in digεstiv sistεm (gεstrointestinal tract), dat na di intestinal dεm. Bɔt di sayn dɛm fɔ dis riakshɔn kin tek bitwin 2 ɛn 8 awa fɔ sho. Na dat mek i difrɛn frɔm ɔda alɛji.
Famili histri sho se bitwin 40% ɛn 80% pan di pikin dɛm we gɛt FPIES gɛt famili histri fɔ ɔda alɛji, lɛk hay fiva ɔ ɛkzema. I sɔprayz fɔ no se na 20% nɔmɔ pan di pikin dɛn we gɛt FPIES gɛt famili histri bɔt ɔda alɛji fɔ it.
Us it dɛn kin mek pɔsin gɛt FPIES?
Bɔku tɛm, dis kin apin bikɔs ɔf:
- Kaw in milk ɛn dairy prodakt (e.g. yogɔt, chiz) .
- Soya ɛn soya milk
- Wit ɛn ɔda grens dɛn (e.g. ɔts, bali) .
Apat frɔm dɛn tin ya, sɔm pikin dɛn kin gɛt FPIES bak frɔm it dɛn we wi nɔ go tink se dɛn kin mek dɛn gɛt alɛji .
- Bali
- Chikin ɔ tik mit
- Fish
- Binch dɛn
- Oats we dɛn kɔl
- Piz
- Res
- Pɔnki
- Swit pata we dɛn mek
Nɔ mek yu fred wit dis list. Nɔto ɔl pikin go gɛt alɛji fɔ ɔl dɛn tin ya. Wetin gɛt alɛji to wan pikin nɔ kin bi to ɔda pikin.
Aw dɛn kin du di diagnosis?
If yu tink se yu pikin gɛt FPIES, di bɛst tin fɔ du na fɔ tɔk to dɔktɔ we de mɛn pikin dɛn bɔt am. I kin rifer yu to pikin dɛn alɛrgist ɔ pikin dɛn gastroenterologist.
Di dɔktɔ go aks yu fɔs bɔt di sik dɛn we yu pikin gɛt ɛn if ɛnibɔdi na di famili gɛt ɛni alɛji. Dɔn, dɛn go rɔn tɛst fɔ mek shɔ se nɔ ɔda kɔmɔn tin de we kin mek pɔsin vɔmit ɛn dayarɛa (lɛk vayral infɛkshɔn).
Sɔntɛnde, blɔd tɛst ɛn skin pat tɛst (Atopy Patch Test - APT) kin ɛp. APT na fɔ put wan smɔl mɛtal plet we gɛt di it we dɛn tink se na di pikin in skin fɔ lɛk 48 awa so. Bɔt dɛn tɛst ya nɔ kin ebul fɔ kɔnfɔm FPIES 100% pan di tɛm.
Di onli we fɔ kɔnfɔm if dis na di kayn tin na tru wan Oral Food Challenge (OFC) tɛst. Dis min se dɛn fɔ gi di pikin di it we dɛn tink se de it, smɔl smɔl, ɔnda dɔktɔ in sɔpɔtishɔn, na ɔspitul ɔ klinik. Dis na tin we dɛn nɔ fɔ du atɔl na os.
Aw dɛn kin trit am?
Di tritmɛnt rili simpul. I min se dɛn fɔ pul di it ɔ it dɛn we di pikin gɛt alɛji to kɔmɔt na dɛn it kpatakpata.
- If yu pikin de drink fɔmula, yu fɔ yuz spɛshal fɔmula dɛn we nɔ gɛt kaw milk ɔ soya (hypoallergenic formulas). Yu dɔktɔ go advays yu bɔt dis.
- Rid di lɛbl gud gud wan pan ɛvri it paket we yu bay na di stoa ɛn chɛk if i gɛt ɛnitin we de mek yu gɛt alɛrjens.
- Kip wan not we yu rayt frɔm yu dɔktɔ we de sho se yu pikin gɛt FPIES wit yu. I go rili ɛp fɔ ɛksplen yu pikin in kɔndishɔn to di wan dɛn we de wok fɔ di dɔktɔ dɛn if ɛnitin apin we nɔ izi fɔ yu.
Na nɔmal tin fɔ fil smɔl frayd ɛn wɔri we yu lan bɔt dis sik. Bɔt if yu de manej am di rayt we, yu pikin go gladi ɛn gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- FPIES na wan alɛji we nɔ kin apin so ɔltɛm we pɔsin kin vɔmit ɛn dayarɛa we kin apin sɔm awa afta yu it it.
- Dɛn nɔ de si di sayn dɛm lɛk rash ɛn it, lɛk na nɔmal alɛji, ya.
- If di pikin de taya pasmak, i gɛt bluish tint na in skin, ɔ i de sho sayn dɛn fɔ kɔnfyus, kɛr dɛn go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Mek shɔ se yu aks yu dɔktɔ in advays fɔ no if yu gɛt di sik ɛn fɔ mek yu ebul fɔ du am.
- Bɔrku pikin dɛn kin wɛl frɔm dis sik bay di tɛm we dɛn ol 3-4 ia, so nɔr panik ɛn peshɛnt.
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