Yu pikin gɛt alɛji fɔ it? Lɛ wi tɔk bɔt di tɛst dɛm we dɔktɔ dɛn kin yuz fɔ no (Food Allergy Testing)!

Yu ɔ yu smɔl pikin kin fil ɛnitin we strenj ɔ nɔ kin fil fayn afta yu dɔn it it? Yu dɔn ɛva gɛt it, rɛd rash, ɔ i nɔ izi fɔ blo afta yu dɔn it wan patikyula kayn it? Dɛn tin ya kin bi sayn dɛn fɔ se yu gɛt alɛji fɔ it . So, lɛ wi tɔk bɔt aw dɔktɔ dɛn kin no if pɔsin gɛt alɛji fɔ it ɛn us tɛst dɛn kin du, nɔto so? Nɔr nid fɔ fred ɔr wɔri bɔt dɛn tin ya we nɔr nid fɔ de. Bɔt if yu no dis infɔmeshɔn, dat go rili ɛp yu.

Aw dɔktɔ dɛn kin tɛst fɔ no if pɔsin gɛt alɛji fɔ it?

Bɔku tɛm, dɔktɔ, mɔ dɔktɔ we spɛshal pan alɛji – wi kin kɔl am bak "alɛji" – kin yuz tu men we fɔ tɛst fɔ no if alɛji fɔ it de. Dis na tɛst fɔ di skin ɛn tɛst fɔ blɔd . Sɔntɛnde, di dɔktɔ kin disayd fɔ du dɛn tu tɛst ya. Dɛn kin no dis bay we dɛn tink bɔt sɔm tin dɛn lɛk aw di pɔsin de fil ɛn aw di sik de.

Wetin na tɛst fɔ prɛk di skin? Aw dɛn kin du am?

Dis nɔto big tin ɔ kɔmplikt lɛk aw yu go tink. Na tɛst we rili simpul. Imajin se yu tink se yu smɔl pikin nɔ gɛt alɛji fɔ sɔntin we i de drink milk. Dɔn di dɔktɔ we de mɛn alɛji ɔ wan nɔs we dɛn dɔn tren go du dis tɛst lɛk dis:

1. Fɔs, klin di skin fayn fayn wan na yu ɔ yu pikin in fɔs an ɔ pat pan in bak.

. Dis nɔto big pen, i kin fil lɛk se na rili smɔl tikl, lɛk we mɔskito bit. Natin nɔ de fɔ mek wi fred.

3. Put di wata pan yu skin lɛk dis ɛn wet fɔ lɛk 15 minit.

4. Naw di tin we impɔtant pas ɔl. if di say we dεn bin put di "allergen" likid kכmכt rεd, swεla sכmtεm, εn sכm sכm bכmp we lεk blista (dכkta dεn kin kכl dis bak "wil" ) de sho, i de gi sכm indikεshכn se i kin bi se alerji de fכ di it we dεn de kכl.

5. Dɔn, di dɔktɔ ɔ nɔs go yuz rula fɔ mɛzhɔ di sayz fɔ di wil ɛn di rɛd eria we de rawnd am kɔrɛkt wan ɛn rayt am.

Naw imajin, if yu sɔspɛkt se yu nɔ jɔs gɛt alɛji to wan it, bɔt sɔm kayn it dɛn, ɔ if i at fɔ no ustɛm di it de mek yu gɛt dɛn alɛji ya, di dɔktɔ kin tɛst yu skin bay we i put sɔm difrɛn "alɛji" pan am di sem tɛm.

Afta di skin tɛst, yu kin skrach di say we dɛn du di tɛst fɔ shɔt tɛm. Dis na nɔmal tin. Bɔt di it kin stɔp insay 30 minit. If yu pikin de it pasmak, di dɔktɔ kin gi yu wan antihistamin ɔ wan stɛroyd krim we yu kin put pan yu pikin fɔ put am na di say dɛn we i it. Dis go ɛp fɔ ridyus di it kwik kwik wan.

Wetin rili di blɔd tɛst kin luk fɔ?

Sɔntɛnde, apat frɔm di skin tɛst we wi bin dɔn tɔk bɔt, ɔ if sɔm rizin dɛn de we mek dɛn nɔ ebul fɔ du di skin tɛst (fɔ ɛgzampul, pɔsin we gɛt siriɔs sik na in skin ɔ pɔsin we de tek sɔm mɛrɛsin dɛn), di dɔktɔ kin tɛl am bak fɔ du blɔd tɛst.

Dis min se yu fɔ tek wan rili smɔl blɔd sɛmpul frɔm yu ɔ yu pikin ɛn sɛn am na lɛbɔtri fɔ mek dɛn du spɛshal tɛst. di men tin na fכ chεk if di bכdi gεt "IgE antibodies," we wi imyun sistεm de mek agens spεshal it dεm.

Fɔ tɔk am simpul wan, dɛn IgE antibodi ya na spɛshal kayn protin we wi bɔdi in difɛns sistɛm, di imyun sistɛm, de mek we i mistek no sɔm it dɛn as "bad" ɔ "ɛnimi," ɛn tray fɔ fɛt dɛn. So, if dɛn si se pɔsin in blɔd gɛt dɛn IgE antibodi ya to wan patikyula it, dat min se i pɔsibul se i nɔ gɛt alɛji to da it de. Na jɔs wan clue, jɔs lɛk di rizɔlt fɔ wan skin tɛst.

Aw dɔktɔ dɛn kin ɛksplen di tɛst rizɔlt? Dis rili impɔtant!

Na dis na sɔntin we yu nid fɔ mɛmba. Jɔs bikɔs we dɛn du skin tɛst ɔ blɔd tɛst kin mek i gɛt " positive" riakshɔn to wan it nɔ min se pɔsin 100% shɔ se i gɛt alɛji to da it de. I jɔs de sho se i pɔsibul fɔ mek yu gɛt alɛji.

Tink bɔt am dis we. Dɛn kin bɔn sɔm pipul dɛn wit skin we rili sɛnsitiv. Ivin if sɔntin we dɛn skin vɛks smɔl, lɛk sɔntin we nɔto tɛst, i kin tɔn rɛd, swel smɔl, ɔ ivin blista. I nɔ nid fɔ bi alɛji. Dɔn bak, sɔm pipul dɛn kin gɛt IgE antibodies na dɛn blɔd to wan patikyula it, bɔt dɛn nɔ kin sho ɛni alɛji we dɛn it da it de. Wi kin kɔl dis "sensitization," we difrɛn frɔm "allergy."

So, dɔktɔ nɔ go ɛva disayd fɔ du di las tin if pɔsin gɛt alɛji fɔ it bay we i jɔs fala dɛn tɛst rizɔlt ya. I go mɔs aks yu bɔku ɔda tin dɛn lɛk:

• Us patikyula sayn dɛm yu ɔ yu pikin de gɛt? (e.g., it? rash? i nɔ kin izi fɔ blo? bɛlɛ kin at?)
• Aw lɔng afta yu dɔn it di it, dɛn sayn ya kin apin? (Minit? Awa?)
• Aw di sayn dɛm kin tranga? (I jɔs de it smɔl? Ɔ i so bad dat yu wan ol bɔdi de swel ɛn yu nɔ ebul fɔ blo?)
• ɛni ɔda pɔsin na yu famili (mama, papa, brɔda ɛn sista) gɛt dis kayn alɛji fɔ it ɔ ɔda alɛji (e.g. asma, alɛji fɔ dɔst)?

Dɔktɔ kin kam fɔ no di kɔrɛkt tin bɔt alɛji fɔ it jɔs afta we i dɔn chɛk di pɔsin in kɔmplit mɛdikal istri, di kayn sik we i gɛt, ɛn di tin dɛn we dɛn dɔn tɛst.

Wetin na Ɔral Fɔd Chalenj? Yu tink se i denja?

Naw imajin se di rizɔlt fɔ ɔl tu di skin tɛst ɛn di blɔd tɛst we wi bin dɔn tɔk bɔt nɔ rili klia. Ɔ, if yu pikin bin gɛt alɛji fɔ it we i bin smɔl, ɛn naw we i dɔn big smɔl, yu want fɔ no fɔ tru if da alɛji de dɔn dɔn, dat na , "ɔtgrown", di dɔktɔ kin tɛl yu fɔ du ɔda patikyula tɛst. Dis na wetin wi kin kɔl "oral food challenge" .

Na dis na wetin kin apin:

1. Dɛn kin put di it we dɛn tink se na alɛrjen (potential food allergen) insay smɔl smɔl, sɔntɛm lɛk wan pat pan tɛn pan wan ti spɔnj, ɛn smɔl smɔl i kin bɔku as tɛm de go.

2. Dɛn kin du ɔl dis ɔnda di dairekt ɛn klos supavayshɔn fɔ dɔktɔ. Di dɔktɔ ɔ di mɛdikal wokman dɛn we dɛn dɔn tren go de wach gud gud wan fɔ ɛni alɛji. Dɛn kin wach tin dɛn lɛk aw pɔsin de blo, aw i de blo, ɛn aw di skin de chenj ɔltɛm.

3. Nɔ ɛva tray fɔ du dis tɛst na os. Dis fɔ bi na dɔktɔ in ɔfis (klinik) ɔ ɔspitul nɔmɔ, we gɛt ɔl di tin dɛn we dɛn nid fɔ trit if i gɛt ɛnitin fɔ du wit am. Dis na bikɔs wan sɔdɛn, siriɔs alɛji, we dɛn kɔl "anaphylaxis," kin apin.If sɔntin we go mek pɔsin in layf de pan denja (siviɔs alɛji riakshɔn) apin, imejensi mɛrɛsin ɛn dɔktɔ ɛn mɛdikal wokman dɛn we dɛn dɔn tren (spɛshal ɛn mɛdikal wokman dɛn) fɔ de fɔ trit am wantɛm wantɛm.

Dis na impɔtant tin: Nɔ ɛva, fɔ ɛni rizin, tray fɔ du "Oral Food Challenge" na os we yu nɔ gɛt mɛdikal sɔpɔtishɔn, okay? Bikɔs sɔntɛnde, alɛji fɔ it kin rili denja. I kin ivin mek pɔsin in layf de pan denja.

Bɔku tɛm, dɛn kin du dis "ɔral it chalenj" tɛst fɔ kɔnfɔm if wan alɛji fɔ it we bin de bifo dɔn klia naw, we min se nɔ prɔblɛm nɔ de fɔ it da it de naw. Fɔ ɛgzampul, pikin we bin gɛt alɛji fɔ eg we i bin smɔl, kin gro pas da alɛji de insay sɔm ia as dɛn de ol. So dis tɛst rili yusful fɔ no di rayt tin.

Wetin kin apin nɛks if tɛst sho se yu gɛt alɛji?

Okay, naw lɛ wi se di tɛst dɛn we wi dɔn tɔk bɔt dɔn sho se yu pikin ɔ yu gɛt alɛji fɔ it. Nɔ panik da tɛm de, nɔto di ɛnd fɔ di wɔl. Yu dɔktɔ go mɔs ɛp yu fɔ kam wit klia manejmɛnt plan fɔ aw fɔ liv sef ɛn nɔmal wit dis nyu sityueshɔn.

Di men tin dɛn we yu fɔ du na:

1. Strikt fɔ Avɔyd it dɛn we gɛt alɛrji:

• Di dɔktɔ go gi yu klia list fɔ us it dɛn nɔ fayn fɔ yu ɔ yu pikin, ɛn i go gi yu bak ɔndastandin gud gud wan bɔt us it dɛn kin gɛt tin dɛn we ayd.
• Yu fɔ gɛt di abit fɔ rid di tin dɛn we de na di it dɛn we de na ɛni it paket ɔ bɔtul we yu bay na di stoa fayn fayn wan. Bikɔs sɔntɛnde, it dɛn we wi nɔ kin ivin tink bɔt, fɔ ɛgzampul, sos, sup, ɛn biskit, kin gɛt dɛn it dɛn de we kin mek pɔsin alɛrj (e.g., milk, eg, soya, pinat , wit).
• If yu pikin de go skul, i rili impɔtant fɔ tɛl di klas ticha, di wan dɛn we de wok na di kafeteria, ɛn ɔda pipul dɛn bɔt dis. Dɔn bak, we yu de go na yu fambul dɛn os, padi dɛn os, ɔ pati, if yu tɛl ɔda pipul dɛn bɔt dis bifo tɛm, dat kin mek yu nɔ gɛt bɔku prɔblɛm dɛn we nɔ impɔtant.

2. Fɔ kip imejensi mɛrɛsin nia yu:

• Sɔm alɛji fɔ it kin rili bad. Dat min se, lɛk aw wi bin dɔn tɔk, wan bad bad tin we kin mek pɔsin in layf de pan denja we dɛn kɔl "anaphylaxis" kin apin, we kin mek i nɔ izi fɔ blo wantɛm wantɛm, in blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm, ɛn i kin mek i nɔ no natin.
• If dis kayn imejensi apin, yuz am wantɛm wantɛm. Di dɔktɔ go gi yu wan spɛshal mɛrɛsin. Dɛn kɔl am "Adrenaline" (Epinephrine).Dis kin kam insay wan tin we rili izi fɔ yuz we tan lɛk pen (wan epinephrine ɔto-injɛkta). Yu dɔktɔ ɔ nɔs go tren yu aw fɔ yuz am.
• Yu fɔ kip dis "Adrenaline" (Epinephrine) mɛrɛsin wit yu ɔltɛm, ɔ wit yu pikin, ɔltɛm. Yu fɔ tek am wit yu na yu skul bag, we yu go ple, we yu go trip, ɛnisay we yu go. I tan lɛk sɔntin we de sev layf.
• Dɔn bak, i rili impɔtant fɔ mek yu, yu fambul dɛn, ɛn di wan dɛn we go de kia fɔ yu pikin, lɛk di wan dɛn we de tich yu pikin, no gud gud wan aw fɔ yuz dis mɛrɛsin we ɛnitin apin. Di dɔktɔ go ɛksplen am to yu gud gud wan ɛn gi yu trenin if nid de.

Di impɔtant mɛsej we pɔsin kin kɛr go na os frɔm ɔl dis na:

If yu ivin tink se yu gɛt alɛji fɔ it, nɔ jɔs disayd fɔ kɔt ɔ bigin fɔ it nyu it dɛn we yu want. Mek shɔ se yu go to dɔktɔ we sabi du di wok, gɛt di rayt advays, ɛn du di rayt tɛst dɛn if nid de.

• Skin prik test ɛn blɔd tɛst we de luk fɔ IgE antibodies na di men we dɛn we dɛn kin yuz fɔ no if pɔsin gɛt alɛji fɔ it.
• "positiv" test rizulyt nכmכ nכ de gi garanti se pכsin gεt alerji. Dɔktɔ go tink bɔt bɔku tin dɛn, lɛk di sayn dɛn we i gɛt, di sikman in mɛdikal istri, ɛn di famili alɛji, fɔ disayd di las tin.
• Sɔntɛnde, mɔ if di rizɔlt nɔ klia, dɛn kin du wan chalenj fɔ it we dɛn de it fɔ si if alɛji dɔn dɔn. Bɔt dɛn fɔ jɔs du dis ɔnda dɔktɔ we de kia fɔ dɛn dairekt wan ɛn na ɔspitul.
• If dɔktɔ kɔnfirm se yu gɛt alɛji, nɔ panik ɔ fred, ɛn fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. di tin dεm we imכtant pas כl na fכ avכyd di it dεm we de mek di alerji kכmplit wan εn fכ kip "adrenaline" (epinephrine) כto-injεkta nia yu כltεm fכ yus am imejensi.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu famili dɔktɔ ɔ pɔsin we de mɛn yu alɛji. Dɛn de de fɔ gi yu di rayt gayd. Stay wit wɛlbɔdi!

` Fɔd alɛji, it alɛji tɛst, skin tɛst, Skin Prik Tɛst, blɔd tɛst, IgE antibodi, Ɔral Fɔd Chalenj, Ɛpinefrin, alɛji, alɛji mɛnejɛmɛnt