Imajin se yu pikin gɛt alɛji to pinat. So ɛvri tɛm we yu kɛr am go pati ɔ drɔp am na skul, yu kin gɛt bad bad fred na yu maynd. "O, wetin yu go du if pɔsin gi yu wan kek we gɛt pinat insay? Wetin go apin if smɔl pat go insay yu pikin in mɔt bay aksidɛnt?" Dis frayd, dis prɛshɔn, go mɔs dɔn rili sabi yu. Na di wan dɛn nɔmɔ we dɔn gɛt am no aw i nɔ kin izi fɔ liv wit dɛn kayn alɛji ya fɔ it. Bɔt, yu dɔn yɛri bɔt wan nyu tritmɛnt we go ɛp yu fɔ se gudbai to dis fred? Na dat wi go tok abaut tide.
Fɔ tɔk am simpul wan, wetin na Ɔral Immunotɛrapi (OIT)?
Pan ɔl we di nem kin tan lɛk se i kɔmplikt, di kɔnsɛpt simpul. Oral Immunotherapy (OIT) na tritmɛnt fɔ alɛji fɔ it. I min fɔ gi yu smɔl smɔl pan di it we yu gɛt alɛji to (dɛn kɔl am alɛji) ɔnda di wan we de kia fɔ yu gud gud wan.
Tink bɔt am dis we. Dɛn kin gi yu di it we yu alɛji fɔ, lɛk mɛrɛsin, ɔnda dɔktɔ in yay we de wach yu. Fɔs, yu kin bigin wit wan smɔl tin we yu nɔ ivin ebul fɔ si. Dɔn, as tɛm de go, yu rili tek tɛm mek di mɔni bɔku.
di men gol fכ dis na fכ "sik" yu imyun sistεm sכmtεm to di it we yu alerjik to. nכmal wan, yu bכdi de mistek wan protin we de insay di it fכ "dangerous enemy" εn bigin fכ fכt am. Na dat kin mek pɔsin gɛt alɛji. Bɔt insay OIT tritmɛnt, wi kin introduks di "ɛnimi" smɔl smɔl to yu bɔdi, so as tɛm de go yu imyun sistɛm kin no se, "O... i nɔ denja so." wi kכl dis ``desensitization.'' Dat min se di bכdi de sכmtεm sεnsitiv to da it de.
Di tin we impɔtant pas ɔl na dat afta dis tritmɛnt, if yu aksidɛntli it smɔl pan di it we gɛt alɛji, yu go ebul fɔ mek yu nɔ gɛt siriɔs riakshɔn.
Us prɛparashɔn dɛn fɔ mek bifo dɛn bigin fɔ trit OIT?
Dis nɔto sɔntin we yu kin jɔs go ɛn bigin. I nid fɔ du am fayn fayn wan, afta yu dɔn tɔk to yu dɔktɔ. Bɔku tɛm, yu go gɛt fɔ dɔn dɛn tin ya bifo dis.
| Wetin fɔ du | Wetin mek na so i bi? |
|---|---|
| Test fɔ alɛji Skin tɛst ɛn blɔd tɛst. | Fɔ kɔnfɔm if yu rili gɛt alɛji to da it de, ɛn fɔ si if di tritmɛnt wok fayn, fɔ gɛt di beslayn bifo ɛn afta di tritmɛnt. spεshal wan, dεn de mכsu di lεvεl fכ wan antibodi we dεn kכl IgE . |
| Fɔ manej asma ɛn ɛkzema fayn fayn wan | If dɛn nɔ kɔntrol ɔda alɛjik kɔndishɔn dɛn lɛk dis fayn fayn wan, di risk fɔ mek yu gɛt denja riakshɔn we yu de trit OIT kin bɔku . |
| Bay tin dɛn we nid fɔ de Divays fɔ mɛzhɔ ɛn di it we dɛn de tɔk bɔt (lɛk spun, paste). | I impɔtant fɔ tek dɛn tin ya ɛvride di rayt doz we yu dɔktɔ tɛl yu fɔ tek. Speshal paoda dɛn de fɔ di alɛji fɔ pinat, lɛk Palforzia®. |
| Fɔ Gɛt wan Ɛpinefrin Ɔto-Injɛkta Eks: EpiPen®, Auvi-Q®, ɛn ɔda pipul dɛn | Dis na di tin we impɔtant pas ɔl ɛn we dɛn fɔ du . Dis na di vaysin wae kin sev yu layf if yu gɛt sɔm kayn bad bad alɛji (anaphylaxis). Yu nɔ go ebul fɔ bigin OIT tritmɛnt if yu nɔ gɛt dis . Yu dɔktɔ go gi yu prɛskrishɔn fɔ dis. |
Aw dis tritmɛnt prɔses kin apin?
dis כl prכsεs kin sheb to tu men fכs dεm: di "εskalεshכn fεz" εn di "mεntenans fεz."
1. Di Faz fɔ Updosing
Dis na di tɛm we dɛn kin gɛt di tritmɛnt we dɛn kin du mɔ.
- De 1: Yu go nid fɔ go na dɔktɔ in ɔfis ɔ klinik fɔs. Na de, ɔnda di dɔktɔ in sɔpɔtishɔn, dɛn go gi yu smɔl smɔl pan di it we de mek yu gɛt alɛrji. Di dɔktɔ go ɛksplen ɔltin bɔt ɔmɔs fɔ it ɛn aw fɔ mɛzhɔ am. Dɛn go rɛdi bak fɔ trit yu if yu gɛt ɛni riakshɔn.
- Na os: Dɔn, da fɔs doz de we di dɔktɔ gi yu, yu fɔ tek am na os ɛvride. I bɛtɛ fɔ tek am di sem tɛm we yu ebul.
- Ɛvri tu wik: Dɛn go aks yu fɔ kam bak fɔ si yu dɔktɔ ɛvri tu wik. Na de, bak ɔnda dɔktɔ in sɔpɔtishɔn, dɛn go inkrisayz yu doz smɔl. Dɔn yu go go na os ɛn tek di nyu doz ɛvride.
Dis we ya, dɛn kin inkrisayz di doz smɔl smɔl ɛvri tu wik te di dɔktɔ rich di doz we dɛn want fɔ gi am.
2. Di Faz fɔ Mentɛnans
we yu rich da tכgεt dכz de, di "mεntenans fεz" de bigin.
- Wetin kin apin ya na dat yu kin kɔntinyu fɔ tek di ays doz we yu las tek saksesful wan ɛvride .
- Dis mentenɛns doz fɔ tek fɔ at le siks mɔnt.
- Afta siks mɔnt, yu dɔktɔ go du ɔda blɔd tɛst fɔ si if di lɛvɛl we di antibodi dɛn na yu bɔdi de agens da it de dɔn go dɔŋ.
- Sɔntɛnde, yu kin du "Food Challenge Test" bak. Dis min se na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn, dɛn kin gi yu smɔl pan di it we gɛt alɛrji fɔ si if yu gɛt riakshɔn.
- Bay di rizɔlt fɔ dɛn tɛst ya, yu dɔktɔ go disayd if yu fɔ kɔntinyu fɔ tek di mentenɛns doz ɛvride, ɔ if fɔ tek am fɔ sɔm dez insay di wik go du fɔ yu.
Mɛmba se ivin di tɛm we dɛn de du di mentenɛns, i impɔtant fɔ mek yu kɛr yu epinephrine ɔto-injɛkta wit yu ɔltɛm , bikɔs di pɔsibul fɔ mek yu gɛt riakshɔn wantɛm wantɛm nɔ de kɔmɔt kpatakpata.
Us lɔ dɛn fɔ fala we dɛn de du tritmɛnt?
Fɔ mek dis tritmɛnt go bifo, ɛn fɔ yu yone sef, sɔm tin dɛn de we yu fɔ fala. If yu fala dɛn tin ya gud gud wan, dat kin mek yu nɔ gɛt bɔku prɔblɛm dɛn we nɔ nid fɔ apin.
| Rul fɔ fala | Wetin mek na so i bi? |
|---|---|
| Kip mɛrɛsin nia yu. Ɔltɛm kip yu alɛji mɛrɛsin ɛn wan EpiPen we nɔ dɔn dɔn wit yu. | Bikɔs if imejensi apin, dɛn nid fɔ du sɔntin wantɛm wantɛm. |
| Nɔ tek ɛmti bɛlɛ. Gɛt sɔm it bifo yu tek di doz. | If yu tek di doz pan ɛmti bɛlɛ i kin mek yu gɛt sayd ɛfɛkt ɔ riakshɔn. |
| Tek am di rayt tɛm. Tek di doz fɔ tide insay tu awa frɔm di doz we yu tek yestede (tu awa bifo ɔ leta). | Mek yu gɛt stebul drɔg lɛvɛl na di bɔdi ɛn ridyus di risk fɔ riakshɔn. |
| Nɔ du ɛksɛsayz ɛn was insay ɔt wata. Nɔ du tin tranga wan ɛn was yu bɔdi wam fɔ tu awa bifo ɛn afta yu tek di doz. | Dɛn tin ya kin mek di blɔd go ɔlsay na di bɔdi ɛn i kin mek pɔsin gɛt alɛji. |
| Nɔ tek ibuprofen. Nɔ tek ibuprofen (lɛk Advil®, Motrin®) pen rilivu 3-4 awa bifo ɛn afta yu tek yu doz. | Dɛn mɛrɛsin ya kin mek yu gɛt alɛji. |
| Nɔ tek di doz if yu sik. Nɔ tek di doz if yu gɛt sik lɛk fiva, kɔf, ɔ vɔmit. | We yu sik, yu bɔdi kin wik, so i kin izi fɔ mek yu gɛt riakshɔn. Dɔn bak, yu kin kɔnfyus di sayn dɛm fɔ sik wit di sayn dɛm fɔ alɛji. Mek shɔ se yu tɔk to yu dɔktɔ bifo yu skip wan doz. |
Wetin yu kin du if yu gɛt wan riakshɔn wantɛm wantɛm?
Dis na di pat we impɔtant pas ɔl we ɔlman fɔ no. Yu dɔktɔ go gi yu klia sɛt fɔ instrɔkshɔn bɔt us sayn dɛn fɔ luk fɔ, ustɛm fɔ yuz di EpiPen, ɛn ustɛm fɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
If yu gɛt wan ɔ mɔ pan dɛn denja sayn ya , nɔ delay .
- We yu fes, yu lip, yu tɔŋ, ɔ yu trot swel
- I nɔ kin izi fɔ yu fɔ blo
- Fɔ fil se yu chɛst tayt
- di we aw bכku big blista (hayv) dεm de apin כlsay na di bכdi
- Fɔ vɔmit
- Yu an, yu fut, ɔ yu lip nɔ de swɛla
- Bɔdi wik, diziz, fɔdɔm
- Filin fɔ impending doom (filin fɔ big fred, lɛk "sɔntin go apin to mi").
If yu gɛt ɛni wan pan dɛn sik ya, yuz yu EpiPen wantɛm wantɛm ɛn go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu kwik kwik wan.
Nɔr prɔblɛm nɔr de fɔ dis tritmɛnt?
Lɛk ɛni mɛrɛsin, OIT gɛt sɔm prɔblɛm dɛn.
- Di men risk na di siriɔs alɛji we dɛn kɔl ``anaphylaxis'' we wi bin dɔn tɔk bɔt bifo tɛm. Na dat mek dɛn fɔ du dis tritmɛnt ɔltɛm ɔnda dɔktɔ in sɔpɔtishɔn ɛn dɛn nɔ fɔ ɛva tray fɔ du am na os dɛn wan .
- pan tap dat, sכm sכm rεakshכn dεm lεk sכm sכm blista dεm na di skin εn sכm sכm bεlε we de at kin apin.
- Wan ɔda tin we nɔ kin apin so ɔltɛm bɔt we kin rili bad na wan sik we dɛn kɔl Eosinophilic Esophagitis . Dis na inflameshn na di εsophagus. If yu gɛt sɔm sayn dɛn lɛk fɔ vɔmit ɔ fil se it dɔn stɔp na yu trot, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Sɔntɛm yɔŋ pikin dɛn nɔ kin gri fɔ it. Dis kכndyushכn kin sכlv wans dεn stכp di OIT tritmεnt.
Wetin na di bɛnifit ɛn sakrifays rɛt fɔ OIT tritmɛnt?
Di men bɛnifit fɔ dis tritmɛnt na dat i de pul bɔku pan di prɛshɔn pan yu layf. Di onli big tin fɔ liv witout de fred fɔ siriɔs aksidɛnt if yu aksidɛntli it wan pis it we gɛt alɛji. Sɔm pipul, mɔ pikin dɛm wae kin bigin fɔ trit dɛn we dɛn yɔŋ , kin ivin yus fɔ it da it de nɔmal wan ɛn nɔr kin fred afta dɛn dɔn dɔn OIT.
We i kam pan sakrifays, stɔdi dɛn sho se dis tritmɛnt rili wok fɔ pikin dɛn we nɔ rich 4 ia yet.Fɔ ɛgzampul, insay wan stɔdi we dɛn du pan OIT fɔ pinat alɛji, pas 70% pan di pikin dɛn we ol bitwin 1 ɛn 4 ia bin ebul fɔ it di ikwal to wan pinat kɛnal we gɛt prɔtin we nɔ gɛt ɛni prɔblɛm.
Yu dɔktɔ na di bɛst pɔsin fɔ disayd if dis fayn fɔ yu ɔ yu pikin. Dis na tritmɛnt wae kin nid fɔ gɛt bɔrku kɔmitmɛnt ɛn kin tek tɛm. So, i impɔtant fɔ tɔk bɔt ɔl yu kwɛstyɔn ɛn tin dɛn we yu de fred wit yu dɔktɔ ɛn disayd fɔ du sɔntin we yu no.
Mɛsej we dɛn kin kɛr go na os
- Oral Immunotherapy (OIT) nɔto tin we pɔsin kin du fɔ insɛf. Na tritmɛnt we dɛn fɔ jɔs du ɔnda di ful sɔpɔtishɔn fɔ spɛshal pɔsin .
- Di men tin we mek dɛn du dis na fɔ protɛkt yusɛf frɔm di bad tin dɛn we kin apin if yu it sɔntin we gɛt alɛji fɔ it we yu nɔ no.
- Dis kin nid fɔ gɛt bɔku kɔmitmɛnt ɛn tɛm frɔm di famili. Na waka we go tek lɔng tɛm .
- Insay di wan ol tritmɛnt, .I impɔtant fɔ kɛr EpiPen ɔltɛm ɛn no aw fɔ yuz am.
- If yu ɔ yu pikin gɛt alɛji fɔ it, tɔk to yu dɔktɔ fɔ no mɔ bɔt OIT tritmɛnt.
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