Yu pikin de vɔmit bad bad wan ɛn gɛt bɛlɛ pen sɔm awa afta i dɔn it? I kin bi FPIES (Food Protein-Induced Enterocolitis Syndrome)!

Yu smɔl pikin dɔn bigin fɔ vɔmit ɔ gɛt dayarɛa insay sɔm awa afta i it nyu it? Ɔ na jɔs bɛlɛ we de at? Sɔntɛnde, dis kin pas jɔs fɔ mek yu bɛlɛ pen. Tide wi go tɔk bɔt wan kɔndishɔn we difrɛn smɔl, bɔt i rili impɔtant fɔ no bɔt. Dɛn kɔl dat FPIES (Food Protein-Induced Enterocolitis Syndrome) . pan ɔl we di nem kin tan lɛk se i lɔng smɔl, na jɔs wan riakshɔn na wi bɔdi, mɔ na di intestinal, to di prɔtin dɛn we de insay sɔm it dɛn.

Wetin na FPIES? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, FPIES (Food Protein-Induced Enterocolitis Syndrome) na wan abnɔmal rispɔns we wi bɔdi in imyun sistɛm de du to sɔm it dɛn. i de mεntal afekt wi dijestiv sistεm (Gastrointestinal - GI system) . Dat min se na di sayn dɛm lɛk fɔ vɔmit ɛn dayarɛa na dɛn kin bɔku pas ɔl.

Nɔ lɛk fɔ alɛji fɔ it, FPIES simptom dɛn kin bigin fɔ apia sɔm awa afta yu dɔn it . Dis na wetin mek dis kɔndishɔn spɛshal. Imajin, yu it brɛf ɛn bigin fɔ fil sik arawnd midi.

Pan ɔl we FPIES kin bɔku pan bebi ɛn yɔŋ pikin dɛn , sɔntɛnde i kin afɛkt big pipul dɛn , so i impɔtant fɔ mek ɔlman no bɔt am.

Us it dɛn kin mek pɔsin gɛt FPIES?

Pan ɔl we ɛni it kin mek pɔsin gɛt FPIES, sɔm it dɛn de we kin mek pɔsin gɛt dis sik. Dɛn na:

• Milk: Animal milk lɛk kaw milk ɛn got milk.
• Fɔmula fɔ pikin dɛn: Sɔm pikin dɛn kin gɛt alɛji fɔ fɔmula fɔ pikin dɛn.
• Soya.
• Oats we dɛn kɔl.
• Res.
• Eg.
• Sifud: Ɛspɛshali shelfish lɛk krab, shrimps, ɛn ɔda kayn fish.

Di men it dɛm we de mek yu gɛt FPIES kin difrɛn difrɛn wan bay di kɔntri ɛn rijyɔn we yu de.Na Sri Lanka, dɛn dɔn ripɔt bak se dɛn gɛt FPIES we dɛn it ya kin mek pɔsin gɛt. Imajin, yu jɔs bigin yu pikin fɔ it rays, ɔ yu dɔn gi am yogɔt, ɛn afta sɔm awa, yu pikin de vɔmit ɔltɛm ɛn in bɛlɛ de pwɛl. Dɔn yu fɔ dawt dis.

Tu men kayn FPIES de:

FPIES kin sheb to tu men kayn:

1. Akyu FPIES: .

• If na so i bi, di sayn dɛm kin sho insay wan to 4 awa afta yu it di it we dɛn de tɔk bɔt.
• Sɔntɛnde , fɔ vɔmit ɛn dayarɛa kin rili bad. Di pikin go kɔntinyu fɔ vɔmit, te i nɔ no natin igen.
• Bɔt di gud tin na dat, dɛn sik ya kin stɔp kpatakpata insay 12 to 24 awa afta dɛn dɔn stɔp di it we gɛt alɛrji.

2. 2. .FPIES we nɔ de mɛn:

• Dis sik kin apin we yu de it di it we yu gɛt alɛji to ɔltɛm ɛn ɔltɛm.
• Dis kin mek di intestinal dɛn inflamɛns fɔ lɔng tɛm .
• Pan ɔl we di sayn dɛm nɔr kin tranga lɛk di wan dɛm wae gɛt akyu FPIES, dɛn kin kam ɛn go. Yu pikin kin gɛt sɔm sayn dɛn lɛk dayarɛa, i nɔ kin want fɔ it, ɛn i nɔ kin gɛt bɔku bɔku bɔdi.
• I kin tek tri to tɛn dez fɔ mek dɛn sik ya go, afta yu dɔn stɔp fɔ gi di it we de mek yu gɛt alɛrji.

Wetin na di sayn dɛm fɔ FPIES? Aw yu no am?

Di men sayn dɛm fɔ FPIES na:

• Daya: Sɔntɛnde i kin gɛt wata ɔ ivin gɛt smɔl blɔd insay.
• Bɛlɛ pen: Smɔl pikin dɛn kin kray, ol dɛn bɛlɛ, ɛn strɛs.
• Pallor: Di bɔdi kin tɔn pale wantɛm wantɛm ɛn tek wan kɔlɔ we nɔ gɛt blɔd.
• Letargy: Di pikin jɔs de lethargic, i nɔ de ple, ɛn i tan lɛk se in yay de lɔk.
• We yu nɔ bin want fɔ lɔs yu wet: Dɛn kin si dis mɔ pan lɔng tɛm FPIES.
• Hypothermia: Di bɔdi kin kol.

Impɔtant tin na dat, insay FPIES, dɛn simptom ya kin apin sɔm awa afta yu it di it we dɛn de tɔk bɔt , bɔku tɛm bitwin 1 ɛn 4 awa. Insay FPIES we nɔ de mɛn, di sayn dɛn kin kam ɛn go.

Imajin se yu pikin bin drink wan bɔtul milk na mɔnin. Bay midulnɛt, i kin bigin fɔ vɔmit ɔltɛm, in bɛlɛ kin blo, in bɔdi kin blak, ɛn i jɔs tan lɛk se i nɔ gɛt layf. If dat apin, i impɔtant fɔ sɔspɛkt FPIES.

Wetin mek FPIES kin apin? Wetin na di kɔz?

di men rizin fכ FPIES na dat wi imyun sistεm de mistek tink se di protin dεm we de insay sכm it dεm "harmful" εn i de atak dεm. Di imyun sistɛm kin si dɛn it ya lɛk se na ɛnimi.

wetin kin apin pan dis na di imyun sεl dεm na wi dijestiv sistεm (bεlε εn intestinal) de tray fכ pul di it we dεn tink se "harmful". Dis kin mek di bɛlɛ ɛn di insay de swel ɛn inflamɛns. Dis na wetin kin mek pɔsin vɔmit ɛn dayarɛa.

FPIES na wan kayn riakshכn we dεn kכl `non-IgE-mediated` . Fɔ tɔk am simpul wan, i nɔ involv di `IgE antibodies` we de ripɔtabl fɔ bɔku pan di alɛji dɛm we wi no bɔt (e.g., pinat alɛji). Bifo dat, ɔda sɛl dɛn we de fɛt di sik de insay. Wan ɔda impɔtant tin na dat FPIES nɔ de mek di wan ol bɔdi inflamɛns we kin apin pan sɔm ɔda bad bad alɛji dɛn. Dis min se di siriɔs, layf-threating `anaphylaxis` , we kin mek i nɔ izi fɔ blo, nɔ kin apin (pan ɔl we bad bad wata we de kɔmɔt na yu bɔdi ɛn shɔk kin mek yu gɛt ɔda siriɔs kɔndishɔn).

Us kɔmplikɛshɔn dɛn kin apin bikɔs ɔf FPIES?

Sɔntɛnde, FPIES riakshɔn kin mek pɔsin gɛt siriɔs, ivin we kin mek pɔsin in layf de pan denja. Di tin dɛn we impɔtant pas ɔl na:

• Shok: Dis na blɔd prɛshɔn we kin kam wantɛm wantɛm, we kin rili smɔl. Dis na tin we rili denja.
• Di wata we nɔ de na di bɔdi: We pɔsin kɔntinyu fɔ vɔmit ɛn dayarɛa, bɔku wata ɛn sɔl kin lɔs na di bɔdi. Dis kin apin kwik kwik wan pan yɔŋ pikin dɛn, so yu nid fɔ rili tek tɛm.

Aw dɔktɔ kin no if pɔsin gɛt FPIES?

Dɔktɔ go sɔspɛkt FPIES afta i aks yu ɔ yu pikin bɔt dɛn sik dɛn ditayli . Tin dɛm lɛk us it yu bin it, aw lɔng de sik bigin, ɛn wetin de sho se yu gɛt dis sik, rili impɔtant.

Sɔntɛnde di dɔktɔ kin du ``fud chalenj tɛst bak.'' Dis kin min fɔ gi di pikin, ɔnda di dɔktɔ in sɔpɔtishɔn, smɔl pan di it we dɛn tink se i go it fɔ si if i gɛt riakshɔn. Dis nɔto fayn tin fɔ du na os, bikɔs if pɔsin gɛt siriɔs riakshɔn, i nid fɔ go to dɔktɔ wantɛm wantɛm.

Sɔntɛnde, i nɔ kin izi fɔ no FPIES bikɔs in sayn dɛn kin tan lɛk ɔda tin dɛn lɛk baktriyal infɛkshɔn. So, yu dɔktɔ kin ɔda fɔ mek dɛn du alɛji blɔd tɛst ɔ alɛji skin tɛst fɔ chɛk fɔ ɔda alɛji. Bɔt dɛn tɛst ya nɔ kin sho se pɔsin we gɛt FPIES gɛt alɛji.

Wetin na di tritmɛnt dɛm fɔ FPIES?

Dɔktɔ dɛn kin yuz dɛn tin ya fɔ trit di akyu sik dɛn we FPIES kin kam wit:

• Steroid: Dɛn kin gi dɛn tin ya fɔ ridyus inflamɛns (swɛlin) na di intestinal.
• Intravenous fluids (IV fluids): Dɛn kin gi tin dɛn lɛk salin fɔ mek yu nɔ gɛt wata ɔ fɔ trit wata we nɔ gɛt wata if i apin.
• Antiemetics: Fɔ ɛgzampul, mɛrɛsin lɛk ``Ondansetron (Zofran®)`` de ɛp fɔ kɔntrol di vɔmit.

Dɛn kin gi ɔl dɛn tritmɛnt ya na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn.

Wetin kin apin if mi ɔ mi pikin gɛt FPIES?

Di gud nyus na dat, bɔku pan di yɔŋ pikin dɛn kin gro pas FPIES bay di tɛm we dɛn ol 3 ɔ 4 ia. Dis min se dɛn kin it di it dɛn we dɛn bin dɔn gɛt alɛji to trade leta. Bɔt i bɛtɛ fɔ tɔk to dɔktɔ ɛn sɔntɛm du ``fud chalenj tɛst'' bifo yu ri-introdyus dɛn it dɛn de.

Te da tɛm de, di tin we impɔtant pas ɔl na fɔ no ustɛm di it dɛn de mek dis sik ɛn stɔp fɔ gi dɛn tin fɔ it. Fɔ vɔmit bad bad wan ɛn dayarɛa kin rili denja, so kip yu yay pan dat bak.

If big pipul dɛn gɛt FPIES, di bɛst we fɔ mɛn am na fɔ no di it dɛn we dɛn nɔ gɛt alɛji fɔ ɛn avɔyd dɛn. Sɔntɛnde, big pipul dɛn kin gro pas FPIES as tɛm de go. Bɔt bɔku tɛm, FPIES we kin bigin we pɔsin big kin las fɔ ɔl in layf.

Yu tink se dɛn kin stɔp FPIES?

If yu no se yu ɔ yu pikin gɛt FPIES, di bɛst we fɔ mek yu nɔ gɛt riakshɔn na fɔ avɔyd fɔ gi dɛn di it dɛn we dɛn alɛji to ɔltogɛda.

If yu kip yu it dayari, dat kin rili ɛp yu fɔ no us it dɛn de mek yu gɛt di prɔblɛm. Dis min se yu fɔ rayt ɔl wetin yu pikin de it ɛn ustɛm i de it. Dɔn, if sɔm sayn dɛn de, yu kin luk wetin dɛn bin it bifo dɛn bigin. Sɔntɛnde, di dɔktɔ kin tɛl am bak se yu fɔ tek ‘elimination diet’ (di it we gɛt fɔ du wit fɔ tray sɔm it dɛn) .

If yu pikin gɛt FPIES, yu dɔktɔ kin tɛl yu fɔ ɛp fɔ mek dɛn nɔ gɛt dɛn tin ya we i stil de gi yu pikin di it we i nid:

• Yuz fɔmula fɔ pikin dɛn we nɔ gɛt alɛji . Dɛn mek dɛn tin ya spɛshal wan fɔ mek dɛn nɔ gɛt bɔku alɛrji.
• we yu de stat fכ it sכlid fכ yu pikin, introdכks frut εn vεgεtebul fכs insted fכ it grens (e.g., rays, ots).
• Fɔ fala wan FPIES it introdukshɔn lada . Dis de sho di ɔda ɛn di we aw dɛn fɔ put nyu it dɛn to yu pikin.

Wetin a fɔ du as pɔsin we gɛt FPIES?

If yu gɛt FPIES – ɔ yu sɔspɛkt se yu gɛt am – yu go nid fɔ kip gud rikodɔ fɔ wetin yu de it ɛn drink. Dis go ɛp yu fɔ no us it dɛn de mek yu riak. We yu dɔn no di tin we kin mek yu gɛt dis sik, yu fɔ avɔyd dɛn it dɛn de.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu tink se yu pikin de gɛt it riakshɔn, ilɛksɛf na fɔmula ɔ kaw in milk, mek shɔ se yu go to dɔktɔ. Ivin smɔl riakshɔn kin ambɔg yu pikin in ebul fɔ gɛt di it we i nid. If yu gɛt siriɔs riakshɔn, yu fɔ go to dɔktɔ wantɛm wantɛm.

Ustɛm yu nid fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, go na ɔspitul imejensi rum wantɛm wantɛm:

• Kɔnfyushɔn ɔ chenj di we aw pɔsin de tink.
• Pis smɔl ɔ nɔ pis atɔl.
• Sunken eyes – Dis na sayn fɔ se yu nɔ gɛt wata na yu bɔdi.
• Di fes, lip ɔ tɔng we de swel .
• Trɔbul fɔ blo ɔ fɔ swɛla .

Dɛn sayn ya de sho se de tin siriɔs.

Impɔtant kwɛstyɔn dɛn fɔ aks di dɔktɔ

I go fayn fɔ aks dɛn kwɛstyɔn ya we yu de go to yu dɔktɔ:

• Dis na kɔmɔn alɛji fɔ it, ɔ FPIES?
• Aw yu kin no us it dɛn kin mek yu gɛt FPIES?
• Aw a go avɔyd dɛn it ya we gɛt alɛrji we a stil de gɛt di rayt it we mi/mi pikin nid?
• Wetin a fɔ du if mi/mi pikin gɛt dis riakshɔn?

Mek wi lan likl mo boht FPIES?

• di ej we FPIES bigin: FPIES kin bigin pan bebi dεm we ol arawnd 4 mכnt , כ we dεn fכs introdכks di it we dεn atribyut to di alerji. If FPIES de divεlכp pan big pipul dεm, dεn kin si am afta dεn ol 40 ia .
• Aw FPIES kɔmɔn pan big pipul dɛm?: FPIES nɔ kin bɔku pan big pipul dɛm pas yɔŋ pikin dɛm. lεk wan pan 450 big pipul dεm (0.22%) gεt FPIES. di men it we de mek FPIES pan big pipul na shelfish .
• di pikin dεm we de gi pikin bεlε nכmכ kin gεt FPIES?: Dis nכ kin rili apin, bכt yes, i pכsibul. sכmtεm, di protin dεm we de insay di it dεm we mama we de gi in bεlε de it kin pas to in pikin tru in mama in milk εn mek i gεt FPIES. Bɔt di risach we dɛn dɔn du bɔt dis nɔ dɔn no yet.
• FPIES na ɔtoimyun sik?: Nɔ, FPIES nɔto `ɔtoimyun sik.` Awtoimyun sik na we wi imyun sistɛm mistek atak wi yon sɛl dɛn. FPIES na di imyun sistεm we de ansa to it we de go insay di dijestiv trakt.

Di tin we impɔtant pas ɔl - di mɛsej we dɛn kin kɛr go na os

FPIES na wan sik we nɔ kin apin so ɔltɛm, bɔt sɔntɛnde i kin rili siriɔs we kin mek i nɔ izi fɔ yu pikin ɔ yu fɔ gɛt di it we dɛn nid. Sɔntɛnde, i kin falamakata ɔda sik dɛn, so i kin tek sɔm tɛst ɛn tray fɔ no us it dɛn de mek i gɛt am.

Nɔ wɔri. Dɔktɔ kin ɛp yu fɔ no us it dɛn fɔ avɔyd, ɛn tɔk to yu bɔt aw fɔ gɛt wɛlbɔdi ɛn gɛt di it we yu nid. If yu kech am kwik ɛn manej am fayn, yu kin gɛt wɛl bɔdi wit dis sik. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ if yu gɛt ɛnitin fɔ wɔri bɔt.

` FPIES, alɛji fɔ it, pikin we de vɔmit, pikin dayarɛa, it protin, ɛntɛrokolayt sindrom, imyun sistɛm