Yu pikin gɛt alɛji fɔ ɛni it? Yu de wɔri ɔltɛm se ivin smɔl pinat, milk, ɔ eg go mek yu gɛt rash ɛn mek i nɔ izi fɔ blo? Ivin we yu go pati ɔ ivent, yu kin wɔri bɔt wetin yu pikin go it. Tide, wi go tɔk bɔt wan spɛshal tritmɛnt wae kin bi sɔlv fɔ dis frayd ɛn wɔri.
Fɔ tɔk am simpul wan, wetin na Ɔral Immunotɛrapi (OIT)?
Oral Immunotherapy, ɔ OIT fɔ shɔt, na tritmɛnt fɔ alɛji fɔ it. Imajin se yu bɔdi mistek fɔ no wan prɔtin we de insay di it we de mek di alɛji (wi kɔl am `alɛrjen`) as ɛnimi. So di bɔdi de stat big fɛt fɔ protɛkt yu frɔm da ``ɛnimi de.`` Dat fɛt na wetin wi de si as alɛji riakshɔn.
OIT tritmɛnt involv fɔ gi yu smɔl smɔl pan di it we yu gɛt alɛji to, ɔnda di sɔpɔtishɔn fɔ wan alɛjist. Dɔn as tɛm de go, dɛn kin tek tɛm ɛn plan fɔ mek dɛn ad di mɔni smɔl smɔl. I tan lɛk we yu de tɔk to pɔsin we vɛks ɛn mek dɛn fil fayn. Di men gol fɔ dis na fɔ mek yu imyun sistɛm yus to di ‘ɛnimi’ (allergen) smɔl smɔl ɛn mek i ɔndastand se i nɔ denja. Wi kin kɔl dis prɔses `desensitization'. Di gol na fɔ mek yu rich wan say usay, ivin if yu aksidɛntli it smɔl pan da it de, yu nɔ go gɛt siriɔs riakshɔn fɔ mek yu layf de pan denja.
Wetin a fɔ du bifo a bigin dis tritmɛnt?
Bifo yu bigin fɔ tek OIT tritmɛnt, yu dɔktɔ go tɛl yu fɔ du sɔm tin dɛn.
- Skin ɛn blɔd tɛst fɔ no if yu gɛt alɛji: Dɛn tɛst ya fɔ no if yu rili gɛt alɛji fɔ it ɛn fɔ no if di tritmɛnt go wok fayn. patikyular, dεn kin mכsu di lεvεl fכ di antibodi dεm na di bכdi we dεn kכl `(IgE)` εn si aw i dכn dכn afta tritmεnt.
- Gud kɔntrol fɔ asma ɛn ɛkzema: If yu gɛt sik dɛn we yu de blo lɛk asma ɔ ɔda alɛji, i impɔtant fɔ mek yu kɔntrol dɛn fayn fayn wan. If nɔto dat, yu de pan ay risk fɔ gɛt siriɔs riakshɔn we yu de du OIT tritmɛnt.
- Fɔ pripia di it we yu nid ɛn di tin dɛn we yu nid fɔ mɛzhɔ: Yu go nid fɔ bay di it we yu nid fɔ it ɛvride fɔ di tritmɛnt (e.g., pinat paoda - lɛk `Palforzia®`) ɛn di tin dɛn we yu nid fɔ mɛzhɔ am kɔrɛkt wan.
- Gɛt wan epinephrine ɔto-injɛkta: Dis na wetin yu go dɔn yɛri bɔt we dɛn kɔl EpiPen® ɔ Auvi-Q®. Dis na imejensi injɛkshɔn we de sev pɔsin in layf we dɛn kin gi am if pɔsin gɛt siriɔs alɛji. Yu dɔktɔ go gi yu prɛskrishɔn fɔ dis. Yu nɔ go ebul fɔ bigin OIT tritmɛnt if yu nɔ gɛt am.
Aw di tritmɛnt kin apin?
OIT tritmɛnt gɛt tu men pat dɛn: di eskalayshɔn faz ɛn di mentenɛns faz. If yu gɛt alɛji ɛni tɛm insay dis tɛm, yu dɔktɔ kin rifer yu bak to di las doz we yu bin tek fayn ɔ tɔk bɔt ɔda opshɔn.
Faz Wan: Updosing Faz
Dis na wetin kin apin na dis stej:
1. Di fɔs apɔntinmɛnt kin apin na di dɔktɔ in ɔfis. Da de de, dɛn go gi yu smɔl smɔl pan di it we yu alɛji fɔ (sɔntɛm na smɔl tin we yu kin ol na yu smɔl finga in tip).
2. Dɔn di dɔktɔ go wach yu fɔ sɔm awa fɔ si if ɛni riakshɔn de.
3. Afta yu go na os, yu fɔ tek di sem doz di sem tɛm ɛvride .
4. Yu fɔ go to yu dɔktɔ bak ɛvri tu wik . Dɔn, ɔnda di dɔktɔ in sɔpɔtishɔn, dɛn go ad di doz smɔl mɔ. Dis go kɔntinyu fɔ sɔm mɔnt.
Faz Tu: Fɔ kip di lɛvɛl we di bɔdi dɔn yus to (Maintenance Phase) .
Wae yu rich wan patikyula target doz (na yu dɔktɔ kin disayd dis), di mentenɛns faz kin bigin. Insay dis pat, yu go tek di las doz we yu bin dɔn rich fayn fayn wan ɛvride fɔ at le siks mɔnt . Afta siks mɔnt, yu dɔktɔ go du blɔd tɛst bak fɔ si if di antibodi dɛm fɔ di alɛrjen dɔn go dɔŋ. Afta dat, dɛn kin aks yu fɔ tek di doz fɔ sɔm dez insay di wik instead fɔ tek am ɛvride.
Wetin na de tin wae yu fɔ fala wae yu de trit yu?
Sɔm lɔ dɛn de fɔ mek OIT tritmɛnt go bifo. If yu fala dɛn tin ya, dat kin mek yu nɔ gɛt alɛji.
Nɔ tray ɛnitin lɛk dis na os we yu nɔ gɛt dɔktɔ fɔ ɛni rizin. Dis kin rili denja.
| Point we yu fɔ wach | Diskripshɔn ɛn rizin |
|---|---|
| Kip wan EpiPen® nia yu | Ɔltɛm kip wan EpiPen® we nɔ dɔn ɛkspɛriɛns ɛn ɔda alɛji mɛrɛsin dɛn na yu an, mɔ we yu de tek wan doz. |
| Nɔ tek ɛmti bɛlɛ. | It sɔm it bifo yu tek di doz. If yu tek di doz pan ɛmti bɛlɛ, i go mɔs mek yu gɛt riakshɔn. |
| Ɛksesaiz ɛn ɔt wata | Nɔ ɛksesaiz tranga wan, rɔn rawnd, ɛn was hot 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. |
| Di tin dɛn we dɛn kin yuz fɔ mɛn pen (Ibuprofen) . | Nɔ tek tin dɛn we de mek yu fil pen lɛk ibuprofen (Advil®, Motrin®) 3-4 awa bifo ɛn afta yu tek yu doz. |
| Sik dɛn we pɔsin kin gɛt | Nɔ tek di doz if yu gɛt fiva, kɔf, ɔ vɔmit. Yu kin gɛt sɔm kayn riakshɔn wae yu sik. Mek shɔ se yu tɔk to yu dɔktɔ bifo yu skip wan doz. |
Wetin fɔ du if yu gɛt alɛji?
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Wan siriɔs alɛji (anaphylaxis) na imejensi. If yu gɛt wan ɔ mɔ pan dɛn sik ya, yuz yu EpiPen® wantɛm wantɛm ɛn go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu.
- We yu fes, yu lip, yu tɔŋ, ɔ yu trot swel
- I nɔ izi fɔ blo ɔ di chɛst tayt
- Bɔku bɔku big big ayv dɛn ɔlsay na di bɔdi
- Fɔ vɔmit
- Yu an, yu fut, ɔ yu lip nɔ de swɛla
- Wikɛd, diziz, ɔr fɔdɔm
- Fɔ fil se yu de fred se big tin go apin
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Bɛnifit dɛn
di men advantej fכ dis na dat i "bayt pruf" . Dat min se, ivin if dɛn mistek it smɔl pan di it we gɛt alɛji, i nɔ go mek pɔsin gɛt siriɔs riakshɔn. Dis kin mek di mama ɛn papa ɛn di pikin nɔ fred ɛn wɔri bad bad wan. Di kwaliti fɔ layf kin go ɔp bad bad wan. Sɔm tɛm dɛn de we sɔm yɔŋ pikin dɛn, afta dɛn dɔn dɔn di OIT tritmɛnt, kin it tin dɛn we dɛn bin dɔn gɛt alɛji bifo ɛn dɛn nɔ kin fred.
Risk dɛn we kin apin
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 ɔnda dɔktɔ in sɔpɔtishɔn.
pan tap dat, risk de fכ mek yu gεt wan kכndyushכn we dεn kכl `(eosinophilic esophagitis)`. Dis na we di trot ɛn di εsophagus kin swel. If yu fil se yu de vɔmit ɔ yu fil se it dɔn stɔp na yu trot, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Sɔntɛm smɔl pikin nɔ gri fɔ it. Bɔt di gud nyus na dat dis kɔndishɔn kin go wans dɛn dɔn stɔp fɔ trit di OIT.
OIT na tritmɛnt we nid bɔku kɔmitmɛnt ɛn tɛm. Ɛn i nɔ fayn fɔ ɔlman. So, bifo yu disayd if dis tritmɛnt fayn fɔ yu pikin ɔ yu, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt am ɛn aks ɔl di kwɛstyɔn dɛn we yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- Oral Immunotherapy (OIT) na wan we fɔ trit pɔsin we gɛt alɛji fɔ it. I min se yu fɔ mek di it we de mek yu gɛt alɛrji, smɔl smɔl, yu fɔ bigin wit smɔl smɔl, fɔ mek di bɔdi yus to am.
- Di men gol fɔ dis tritmɛnt na fɔ mek bad bad tin nɔ apin ivin if dɛn it di it we gɛt alɛrjens bay aksidɛnt wan.
- Dɛn fɔ du dis ɔl ɔnda dɔktɔ in sɔpɔtishɔn ɛn dɛn nɔ fɔ ɛva tray fɔ du am na os dɛn wan.
- I rili impɔtant fɔ fala di lɔ dɛn we yu de du tritmɛnt, lɛk fɔ kip EpiPen® wit yu, fɔ tek di doz di rayt tɛm, ɛn fɔ avɔyd fɔ du ɛksɛsayz.
- Pan ɔl we OIT tritmɛnt na joyn we nid fɔ gɛt bɔku kɔmitmɛnt, if i wok fayn, i kin ɛp fɔ pul di fred ɛn wɔri we pɔsin kin gɛt we i gɛt alɛji fɔ it ɛn liv layf we rilaks.
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