Yu pikin gɛt ɛni alɛji? Lɛ wi lan ɔltin bɔt aw fɔ tɛst di skin!

Sɔntɛnde, wi smɔl pikin dɛn kin gɛt alɛji fɔ difrɛn tin dɛn, nɔto so? I kin bi it, i kin bi dɔst, ɔ ivin tin dɛn lɛk animal dɛn fut. So, wan impɔtant tɛst fɔ no ustɛm di alɛji de fɔ, dɛn kɔl am skin tɛst. Wi go tɔk bɔt dis ditayli tide? Yu go fɛn ansa to klos to ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd insay dis atikul.

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

Fɔ tɔk am simpul wan, tɛst fɔ tɛst di skin na tɛst we dɛn kin du pan di skin fɔ si if yu pikin nɔ gɛt alɛji fɔ sɔntin. Dis na di mɔs kɔmɔn ɛn fayn we fɔ fɛn alɛji. Dɛn kin du dis tɛst pan di pikin in fɔs an ɔ in bak in skin.

Di tɛst we dɛn kin du mɔ fɔ prik di skin

Lɛ wi si aw wi go du dis.

Imajin, we yu kɛr yu pikin go to alɛji, in ɔ wan nɔs we tren go put smɔl smɔl pan di tin ɔ tin dɛn we yu tink se de mek di alɛji (wi kin kɔl dis bak ``alɛji'') na di pikin in an ɔ bak in skin. Dɛn kin put dɛn tin ya lɛk smɔl smɔl drɔp dɛn na di skin.

Dɔn, dɛn kin yuz wan tin we rili fayn ɛn we tan lɛk nidul fɔ mek smɔl pank ɔ smɔl ol na di skin usay dɛn put di tin. Dis nɔto sɔntin we de go dip insay di skin, bɔt na sɔntin we dɛn kin du rili ɔp. Dɛn kɔl dis ``Skin Prick Test''. Sɔm pipul dɛn kin kɔl am bak ``Skrat Tɛst'' bikɔs i kin mek i tan lɛk se dɛn de skrach di skin smɔl.

Yu kin tɛst sɔm tin dɛm we yu tink se yu kin gɛt alɛji to di sem tɛm – sɔntɛm tɛn, fayvtin, ɔ ivin mɔ – pan yu skin. Fɔ ɛgzampul, yu kin tɛst sɔm difrɛn it dɛn (lɛk pinat, milk, eg), dɔst, pɔlin, ɛn animal dɛn wan tɛm. We yu du dis, yu pikin kin fil lɛk se i gɛt smɔl smɔl tik, sɔntɛnde i kin skrach smɔl. Bɔt i nɔ de mek pɔsin fil pen tumɔs. Smɔl pikin dɛn nɔ kin rili bisin bɔt dis.

Dɔn wet fɔ lɛk 15 minit so fɔ si wetin go apin. If yu pikin nɔ gɛt alɛji fɔ sɔntin, di say we dɛn put di tin go rɛd, i go swel smɔl, ɛn wan wil go apia, we tan lɛk we mɔskito bit am. di dכkta go yuz mכsu tεp fכ mכsu di sayz fכ di wil εn di rεd εria we de rawnd am (dεn kכl am fεla). Bɔku tɛm, di wil ɛn di flawa go dɔn kpatakpata insay 30 minit to sɔm awa.

Yu tink se dis kin mek pɔsin fil bad? Ɛni risk dɛn de we kin apin?

bכku tεm, pikin dεn kin tכlerεt dis ``Skin Prick Test'' witout bכku difεlεnt. As wi bin dɔn tɔk, sɔm tin dɛn kin mek pɔsin nɔ fil fayn ɛn i kin it. Dat nɔ kin apin to ɔlman.

Bɔt, na smɔl tɛm nɔmɔ , sɔm pipul dɛn kin gɛt siriɔs alɛji. Dis nɔ kin apin so ɔltɛm.Dis na di rayt rizin we mek dɛn se dɛn fɔ du dɛn kayn tɛst ya ɔltɛm na say we pɔsin we de mɛn alɛji de, ɛn usay ɔl di tin dɛn ɛn mɛrɛsin dɛn we dɛn nid fɔ trit dis kayn riakshɔn kwik kwik wan if i apin. So yu nɔ gɛt natin fɔ wɔri bɔt we nɔ nid, di dɔktɔ ɛn di wan dɛn we de wok de rɛdi ɔltɛm fɔ dil wit dis kayn tin.

Ɔda kayn tɛst dɛn de fɔ di skin?

Yes, sɔm ɔda we dɛn de apat frɔm di `(Skin Prick Test)`. Bɔt dɛn nɔ kin du dɛn tin ya bɔku tɛm, pan spɛshal kes dɛn.

• Intradmal Testing: Dis involv fɔ injekt wan rili smɔl amɔnt pan di suspek alɛrjen insay di skin, jɔs dɔŋ di surface layt na di skin, wit wan smɔl nidul. Dis kin gi smɔl mɔ sɛnsitiv rizɔlt pas di Skin Prick Test.
• Patch Testing: Insay dis we ya, dɛn kin put di alɛrjen we dɛn tink se na spɛshal pat dɛn lɛk di pikin in bak. Dɛn kin lɛf dɛn pat ya na di skin fɔ lɛk 48 awa (lɛk tu dez). afta dat dεn kin pul di pat dεm εn dεn kin si wan riakshכn. Sɔntɛnde, dɛn kin ripit di tɛst afta tri to 4 dez. Dɛn kin yuse dis mɔ fɔ fɛn wetin kin mek sɔm kayn sik dɛn na di skin, lɛk kɔntakt dɛmatitis.

bכt di mכst kכmכn εn fכs we dεn kin pik pan dεn mεtכd ya na di ``Skin Prick Test'' we wi bin dכn mεnshכn bifo.

Us kayn alɛji dɛn kin no wit dɛn skin tɛst ya?

Dis ``Skin Prick Test'' kin no bɔku kayn alɛji. Fɔ tɔk am simpul wan, wi kin sheb dɛn tin ya to tri men grup dɛn:

1. Alɛji we tin dɛn we de na di envayrɔmɛnt kin mek pɔsin gɛt

Dis na alɛji wae kin kam frɔm tin dɛm wae de arawnd wi wae wi kin blo.

• Dɔst Mayt: Dɛn tin ya na smɔl smɔl tin dɛn we pɔsin nɔ kin si wit in yay ɛn dɛn kin liv na dɔst na os, mɔ pan bed, pilo, sofa, kɔtin, ɛn sɔft tɔys dɛn we pikin dɛn kin ple wit. Imajin if yu pikin bigin fɔ sniz, rɔb in yay, ɛn in nos stɔf we i wek na mɔnin, i kin bi bikɔs ɔf dɛn dɔst mit ya.
• Pɔlin: Sɔntɛnde, mɔ we flawa dɛn de blo ɛn tik dɛn de blo ful wan, if yu pikin gɛt prɔblɛm fɔ blo, in yay rɛd, in nos de rɔn ɔltɛm, ɔ i de sniz, i kin bi bikɔs ɔf pɔlin, ɔ wetin wi kɔl pɔlin.
• Pet dander: If yu gɛt animal dɛn lɛk dɔg ɛn pusi na yu os , dɛn fut, saliva, ɛn day skin sɛl dɛn kin mek sɔm pikin dɛn gɛt alɛji.
• Mold: Dɛn tin ya kin gro na say dɛn we wet, lɛk na say dɛn we nɔ gɛt briz, na di wɔl, ɛn na batrum. Dɛn mold spot ya kin mek yu gɛt alɛji bak.

2. Fɔd alɛji

Sɔm it kin gɛt alɛji nɔto fɔ pikin dɛn nɔmɔ, bɔt to big pipul dɛn bak.

• Pinat dɛn we dɛn kin yuz fɔ mek tin dɛn
• Eg dɛn
• Kaw in milk ɛn tin dɛn we dɛn kin mek wit milk
• Fish ɛn sifud dɛn
• Wit flawa we dɛn mek wit flawa
• Soya
• Ti nat (lɛk amɔnd, kash) .

If yu gɛt sɔm sayn dɛn lɛk ayv, yu lip dɛn we de swel, i nɔ izi fɔ blo, yu bɛlɛ de at, ɛn yu de vɔmit afta yu dɔn it dɛn kayn it ya, i kin bi se yu gɛt alɛji fɔ it.

3. Alɛji to sɔm mɛrɛsin dɛn

Sɔm mɛrɛsin dɛn kin mek yu gɛt alɛji bak.

• Wan ɛgzampul na antibayɔtik lɛk penisilin .
• Sɔm pipul dɛn kin gɛt alɛji bak to mɛrɛsin, lɛk sɔm mɛrɛsin dɛn we de mek dɛn fil pen.

So if yu gɛt ɛni dawt bɔt difrɛn alɛji lɛk dis, dis ``Skin Test'' kin rili ɛp fɔ no wetin i bi.

Us ɔda impɔtant tin dɛn a fɔ no?

Sɔm ɔda tin dɛn de we yu fɔ no bɔt.

Sɔm mɛrɛsin dɛn kin afɛkt di tɛst?

Yɛs, dis rili impɔtant. Sɔm mɛrɛsin dɛn we yu pikin de tek, mɔ di antihistamines (e.g., Piriton, Cetirizine, Loratadine), kin afɛkt di rizɔlt fɔ dis skin tɛst. Dis min se if dɛn du di tɛst we di pikin de tek dɛn mɛrɛsin ya, di riakshɔn na di skin nɔ go sho, ɔ di riakshɔn kin ridyus. Dis kin mek dɛn nɔ gɛt di rayt tin fɔ du.

So, bifo yu du dis tɛst, yu fɔ tɛl di dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu pikin de tek (di wan dɛn we di dɔktɔ gi yu ɛn di wan dɛn we yu bay na di famasi). Di dɔktɔ go tɛl yu ɔmɔs de bifo di tɛst yu fɔ stɔp fɔ tek dɛn mɛrɛsin ya. Bɔrku tɛm, dɛn go tɛl yu fɔ stɔp fɔ tek dɛn mɛrɛsin ya fɔ lɛk 3 to 7 dez. I impɔtant fɔ fala dɛn instrɔkshɔn ya gud gud wan fɔ gɛt kɔrɛkt rizɔlt.

Yu tink se jɔs fɔ tɛst yu skin go du fɔ yu? Ɔ yu kin du mɔ tɛst dɛn?

Pan ɔl we fɔ tɛst di skin na di fɔs tin we rili yusful ɛn impɔtant fɔ no if pɔsin gɛt alɛji, sɔntɛnde dɔktɔ dɛn kin nid fɔ du ɔda tɛst fɔ mek dɛn no mɔ bɔt di infɔmeshɔn. Dat min se, tɛm kin de we dɛn nid mɔ pruf fɔ no if pikin rili alɛji fɔ sɔntin ɛn aw i rili bad.

• Blɔd Tɛst: Sɔntɛnde dɛn kin du patikyula IgE blɔd tɛst. Dɛn blɔd tɛst ya kin no bak sɔm alɛji dɛn. Dɛn blɔd tɛst ya kin fayn mɔ fɔ pikin dɛn we gɛt siriɔs sik na dɛn skin (e.g., siriɔs ɛkzema) ɔ we nɔ ebul fɔ stɔp fɔ tek mɛrɛsin lɛk antihistamin.
• Oral Food Challenge: Dis na di gold standad we fɔ no if yu gɛt alɛji fɔ it.Bɔt dɛn kin tek tɛm du dis, ɔnda di kia we dɔktɔ ɛn wan nɔs we dɛn dɔn tren kin wach, na ɔspitul. Wetin dɛn kin du ya na we dɛn kin gi di pikin di it we dɛn tink se na in kin mek i gɛt di alɛji, dɛn kin bigin wit smɔl smɔl ɛn i kin bɔku smɔl smɔl. Dɛn kin tek tɛm wach dɛn fɔ si if ɛni alɛji de. I nɔ fayn fɔ du dis na os.

So, di dɔktɔ go tek di rizɔlt fɔ di skin tɛst, di pikin in simptom dɛm, di famili in alɛji istri, ɛn di rizɔlt fɔ ɔda kayn tɛst dɛm (if nid de) togɛda fɔ kam to wan las kɔnklushɔn bɔt yu pikin in alɛji.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya? (Mɛsej we dɛn kin tek go na os)

Okay, lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Skin testing, espeshali skin prick testing, na kwik, rilibul ɛn fayn we fɔ no wetin yu pikin gɛt alɛji to.
• Pan ɔl we sɔm tin dɛn kin mek pɔsin nɔ fil fayn ɛn i kin it we dɛn de du dis tɛst, bɔku tɛm i nɔ kin mek pɔsin fil bad bad wan.
• Bikɔs siriɔs riakshɔn nɔ kin apin so ɔltɛm, i go fayn fɔ mek pɔsin we sabi bɔt alɛji ɔ dɔktɔ we tren fɔ du dis tɛst na wan mɛdikal fasiliti we gɛt mɛdikal fasiliti.
• Dis kin no se yu gɛt alɛji to tin dɛn we de na di say we yu de (dɔst, pɔlin), it, ɛn sɔm mɛrɛsin dɛn.
• Bifo yu du di tɛst, nɔ fɔgɛt fɔ tɛl di dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu pikin de tek, mɔ di mɛrɛsin dɛn we dɛn kɔl antihistamine. If nid de, stɔp fɔ tek dɛn sɔm dez bifo di tɛst, lɛk aw yu dɔktɔ tɛl yu.
• Sɔntɛnde, apat frɔm dis tɛst fɔ di skin, dɛn kin nid fɔ du blɔd tɛst ɔ chalenj fɔ it tin dɛn we dɛn kin it wit mɔt fɔ mek dɛn ebul fɔ no di kɔrɛkt tin.

Fɔ dɔn, if yu tink se yu pikin gɛt alɛji, lɛk fɔ snis ɔltɛm, it, swɛt, ɔ i nɔ kin izi fɔ it sɔm it dɛn, i go fayn fɔ mek yu tɔk to dɔktɔ bɔt am ɛn if nid de, yu fɔ du tɛst lɛk dis. Dɔn yu go ebul fɔ no di rayt tin we de mek yu pikin gɛt di alɛji, gi yu pikin fridɔm, kɔntrol di alɛji, ɛn nɔ lɛf fɔ it sɔm it dɛn fɔ natin.

` Alɛji tɛst, skin tɛst, skin tɛst, Skin Tɛst, Skin Prik Tɛst, alɛji, alɛji na pikin dɛn, Alɛji Tɛst Sinhala, alɛji simptom dɛm