Yu gɛt prɔblɛm bak wit alɛji wit wit? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva fil strenj ɔ nɔ fil fayn afta yu it it we dɛn mek wit wit flawa, sɔntɛm wan bred, wan kek, ɔ wan bred? Sɔntɛm yu gɛt rɔsh na yu skin, yu bɛlɛ at, ɔ ivin i nɔ izi fɔ yu fɔ blo smɔl. Dɛn tin ya nɔto jɔs sɔntin we kin apin to yu, bɔt i kin bi bikɔs yu gɛt alɛji wit wit . Mek wi tok abaut dis ditail tide, okay?

Wetin na Wit Alɛji?

Fɔ tɔk am simpul wan, wit alɛji na we wi imyun sistɛm de riakshɔn pasmak to wit insay di it dɛn we wi de it ɛn drink, ɛn sɔntɛnde ivin pan di tin dɛn we wi de blo. Tink bɔt am, wit nɔ kin bad ɛn i kin gi bɔku pipul dɛn tin fɔ it. Bɔt if yu gɛt alɛji wit wit, yu bɔdi in difɛns sistɛm, di imyun sistɛm, de trit wit lɛk se na "invader," lɛk baktri ɔ vayrɔs. Na da tɛm de dɛn sayn ya kin apia.

Sɔntɛnde, dis kin mek pɔsin in layf de pan denja . Ɛspɛshali siriɔs alɛji simptom dɛm lɛk fɔ swel na yu trot ɛn fɔ mek yu nɔ ebul fɔ blo, wi kin kɔl am `(Anaphylaxis)`, if sɔntin lɛk dat apin, yu fɔ go na di ɔspitul we de nia yu wantɛm wantɛm ɔ kɔl imejensi ambulans savis lɛk 1990. I nɔ fayn fɔ put am ɔf.

Udat dis sik kin afɛkt? Aw i kɔmɔn?

Fɔ tru, ɛnibɔdi kin gɛt alɛji fɔ wit. Bɔt if pɔsin na yu famili gɛt alɛji, yu go gɛt wan alɛji . Dat min se if yu mama, papa, brɔda ɛn sista dɛn, ɔ ɔda pipul dɛn na yu famili gɛt alɛji fɔ dɔst, it, ɔ ɔda tin dɛn, yu go gɛt alɛji to tin dɛn lɛk wit.

We wi tink bɔt aw dis kin apin, stɔdi dɛn dɔn sho se bitwin 0.2% ɛn 1.3% pan di pipul dɛn na di wɔl gɛt alɛji wit wit. Na Amɛrika, na lɛk 0.4% pan di pikin dɛn gɛt am. Pan ɔl we no rayt statystik nɔ de bɔt aw i kɔmɔn na wi kɔntri, wi kin si dis kɔndishɔn bitwin wi bak. Dɛn kin si am smɔl mɔ, mɔ pan yɔŋ pikin dɛn.

Aw wit alɛji kin afɛkt di bɔdi?

Tu men we dɛn de we wi imyun sistɛm kin ansa we wi gɛt alɛji wit wit.

1. Immunoglobulin E (IgE)-rilayt riakshכn

Dis na di riakshɔn we dɛn kin gɛt mɔ. we yu it כ brith insay sכmtin we gεt wit, yu bכdi de mek wan kayn antibodi we dεn kכl `(Immunoglobulin E)` כ `(IgE)`. dis `(IgE)` antibodi dεm na dεn de stat di alerjik riakshכn.

dis `(IgE)` riakshכn dεm kin bigin insay fכ minit afta dεn it wit . Sɔntɛnde, dɛn kin delay fɔ 4 awa. di pat we denja pas ɔl pan dis na dat i kin mek yu gɛt siriɔs alɛji we de mek yu layf de pan denja we dɛn kɔl `(Anaphylaxis).`

2. Nɔn-IgE mεdiet riakshכn

dis de involv di imyun sistεm bak, bכt di `(IgE)` antibodi dεm nכ de involv. dis riakshכ n de apin sloslo pas di `(IgE)` riakshכn we wi bin dכn tכk bכt. I kin tek te to 48 awa fɔ mek di sik sho.

εgzampl fכ dεn kayn riakshכn dεm ya na `(Eosinophilic esophagitis - EoE)` (we di tכb we de kכmכt na wi mכt to wi bεlε, di εsophagus, de inflamed) εn `(Eosinophilic gastritis - EG)` (we di wכl dεm na di bεlε de inflamed). Dɛn tin ya na tin dɛn we kin at fɔ du smɔl.

Wetin na di sayn dɛm fɔ alɛji wit wit?

Okay, naw lɛ wi si wetin na di sayn dɛm. Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin , ɛn dɛn kin difrɛn bak pan aw dɛn kin tranga . Sɔm kin gɛt dɛn smɔl smɔl we ɔda wan dɛn kin gɛt dɛn ɔl wan tɛm.

Di men tin dɛn we pɔsin kin si na:

• Di sayn dɛn we pɔsin kin si na di skin:
• Hiv ɔ ɔtikaria (itchy rash) .
• Swel, mɔ na di lip, di tɔŋ, ɛn di fes
• Fɔ gɛt wan skin rash
• Di simptom dɛm fɔ di dijestiv sistɛm:
• Bɛlɛ we de kramp
• Indigestion, we pɔsin kin blo
• Nɔs ɛn vɔmit
• Rɔnbɛlɛ
• Di simptom dɛm fɔ di respiratory system:
• Nos we dɔn stɔp
• Nɔs we de rɔn
• Fɔ sniz
• We pɔsin de swɛt
• Ɔda tin dɛn we dɛn kin du:
• Ed de at
• Swɛl
• Ɛn, di mɔs denja kɔndishɔn we wi dɔn ɛva tɔk bɔt na ``Anaphylaxis``

Wetin na di bad bad sayn dɛm wae de sho se yu gɛt anafylaksis?

Dis na sɔntin we wi fɔ rili tek tɛm wit . If yu gɛt ɛni wan pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm .

• I nɔ izi fɔ blo (dyspnea) .
• I nɔ kin izi fɔ swɛla (dysphagia) .
• Chɛst tayt
• Fɔ fil se yu go dɔn day ɔ yu de fred
• Di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm (haypotension), we kin kam wit wik puls ɛn wɔri
• Di at rit we de go ɔp
• Shok we i mek
• Fɔ fil se yu dɔn fɔdɔm wantɛm wantɛm
• Diziz , nɔr de mɛmba (syncope) .
• Di fes, di tɔŋ, ɛn di trot we de swel
• Wiz, kɔf
• Bɛlɛ pen bad bad wan
• Nɔs, vɔmit, dayarɛa

Impɔtant: Dɛn sayn ya fɔ `(Anaphylaxis)` na wan sik wae nid fɔ gɛt imejensi mɛdikal tritmɛnt. So, i rili impɔtant fɔ mek wi no bɔt dis.

Aw lɔng afta yu it wit, di sayn dɛn kin sho?

I kin difrɛn difrɛn wan bay aw yu alɛji tranga.

Sɔm pipul dɛn kin gɛt sɔm sayn dɛn insay sɔm minit afta dɛn dɔn it wit . Fɔ ɔda pipul dɛn, i kin tek 48 awa.Bɔt, sɔm kayn sik nɔr kin apin yet, so i nɔr kin izi fɔ tɔk ustɛm di sayn dɛm go apia.

Wetin kin mek pɔsin gɛt alɛji fɔ wit?

Di men tin we kin mek pɔsin gɛt dis alɛji na sɔm patikyula prɔtin dɛn we de insay wit. Wi imyun sistεm de riak pasmak pan dεn protin dεm ya. fכ tכp dεm de fכ dεn protin dεm ya:

• Albumin we dɛn kɔl
• Gliadin we de na di wɔl
• Globulin we dɛn kɔl Globulin
• Gluten (yes, na dat yu dɔn yɛri bɔt we dɛn kɔl gluten)

Yu tink se i pɔsibul fɔ mek yu gɛt alɛji to wit wantɛm wantɛm?

Yɛs, i kin apin. in patikyula, `(IgE)`-rilayt riakshכn kin apin wan wan, ivin we dεn yכng. na di כda say, i kin lεk se `(Non-IgE)`-rεlatεd riakshכn dεm kin apin sכmtεm ova tεm, spεshal wan te dεn mek wan difinitiv diagnosis.

Yu tink se wit alɛji kin pas?

Nɔ, nɔto so atɔl . Wit alɛji nɔ kin pas. Yu nɔ go ebul fɔ spre am to ɔda pɔsin jɔs bikɔs yu gɛt am.

Aw yu go no if yu gɛt alɛji wit wit? (Diagnosis) .

If yu tink se yu gɛt alɛji wit wit, yu fɔ go to dɔktɔ we de mɛn alɛji . I kin du difrɛn tɛst dɛn fɔ kɔnfirm dis.

Di dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk:

• Ɛnibɔdi na yu famili gɛt alɛji wit wit ɔ ɔda alɛji?
• Yu dɔn ɛva gɛt alɛji to ɔda it dɛn bifo?
• Wetin na yu sayn dɛm?
• Yu kin yuz ɛni mɛrɛsin we yu nɔ kin bay fɔ dɛn sik ya?
• Ustɛm dɛn sayn ya bigin fɔ sho?
• Yu kin kip wan jɔnal fɔ it?

Afta dat, di dɔktɔ kin du tɛst dɛn lɛk dɛn wan ya:

1. Skin prik tɛst

Wetin kin apin na we dɛn kin put smɔl wit prɔtin na yu skin.

Bɔku tɛm, yu kin klin di skin na yu an ɔ bak, put wan drop pan likwid wit protin na di skin, ɛn skrap di skin jisnɔ wit smɔl nidul. Dis nɔr kin at pasmak, i kin fil lɛk smɔl tikl. No blɔd nɔ de kɔmɔt.

If yu gɛt alɛji wit wit, insay lɛk 15 minit di say go rɛd ɛn swel smɔl, lɛk we mɔskito bit. Di dɔktɔ go mɛzhɔ di sayz we di swɛlin gɛt.

2. Blɔd tɛst (Blɔd IgE tɛst) .

Dis involv fɔ tek blɔd sɛmpul frɔm yu ɛn sɛn am to lab. di lab de mכsu di amoun fכ ``IgE'' antibodi dεm we de agens di wit protin dεm na yu bכdi.

I kin tek lɛk wan wik so fɔ mek di rizɔlt kam.

3. Gred ɔral chalenj

If di tu tɛst dɛn we wi dɔn tɔk bɔt nɔ ebul fɔ tɔk klia wan, di dɔktɔ kin du dis tɛst.

Dis kin apin ɔnda dɔktɔ in sɔpɔtishɔn .Dɛn go gi yu smɔl smɔl it we gɛt wit, ɛn dɛn go bigin wit smɔl tin. Smɔl smɔl, yu fɔ ad di amount ɛn si aw yu bɔdi de biev.

Bɔt dɛn kin du dis tɛst nɔmɔ if yu nɔ gɛt bɛtɛ alɛji. Dis kin tek lɛk 4 awa so.

Yu tink se dɛn kin mɛn wit alɛji kpatakpata?

Fɔ tɔk tru, bɔku tɛm i nɔ kin bi . Bɔt gud nyus de. Na lɛk 66% pan di pikin dɛn kin gro pas dis sik as dɛn de ol .

Di bɛst we fɔ kɔntrol dis na fɔ avɔyd fɔ it tin dɛn we gɛt wit . Insay kɔntri dɛn lɛk Amɛrika, wan lɔ de we se if it gɛt wit, dɛn fɔ rayt am na di lɛbl. Insay wi kɔntri, bɔku tɛm dis kin bi.

Bɔt ɔda tin dɛn de we wi fɔ tink bɔt:

• Tin dɛn we nɔto it: Sɔntɛnde, tin dɛn we pikin dɛn kin ple lɛk Play-Doh®, sɔm mek-ap prɔdak dɛn, ɛn ivin tin dɛn fɔ was lɛk sop ɛn tut paste kin gɛt wit. Dɛn tin ya we nɔto it nɔ kin rayt se ‘i gɛt wit’ na dɛn lɛbl. So if yu gɛt dawt, i go fayn fɔ chɛk di wan we mek am in wɛbsayt ɔ kɔl dɛn kɔstɔma savis.
• Yuz di sem tin dɛn: Insay sɔm faktri dɛn, dɛn kin mek it dɛn bak we nɔ gɛt wit na di sem mashin we de mek it dɛn we dɛn mek wit wit. If dat apin, smɔl wit kin go insay di ɔda it dɛn. So chɛk di lɛbl fɔ sɔntin lɛk "Made on equipment shared with wheat."

If yu gɛt alɛji wit wit, us it dɛn yu fɔ avɔyd?

Bɔku it ɛn drink dɛn de we gɛt wit ɔ wit prɔtin. Na sɔm ɛgzampul dɛn ya:

• Bekeri prodak dɛm lɛk bred, bɔn, kek, kuki, mafin
• Sɔm brɛkfas siriɔs dɛn
• Kuskɔs we dɛn kɔl
• Sɔm kayn sosish (Hɔt dɔg) .
• Sɔm malt drink dɛn
• Tayp dɛn fɔ pasta ɛn nuts
• Pizza dough na wan
• Seitan (wan tin we dɛn kin yuz fɔ mek mit we dɛn kin yuz wit gluten)
• Wit bia we dɛn mek
• Ɔl kayn wit flawa (Ɔl-pɔpɔs, ɛnrich, pastry, stɛl grɔn, ston grɔn ɛn ɔda tin dɛn)

Mɛmba se dis list nɔ kɔmplit. Chek di lɛbl ɔltɛm bifo yu it ɛni it we yu nɔ shɔ bɔt.

Wetin na di mɛrɛsin dɛm fɔ wit alɛji?

If yu gɛt smɔl ɔ smɔl alɛji, yu dɔktɔ kin gi yu antihistamin ɔ kɔtikosterɔyd fɔ ɛp fɔ kɔntrol yu sik dɛn.

Bɔt if yu gɛt siriɔs wit alɛji , we min se yu kin gɛt wan sik we dɛn kɔl ``anaphylaxis,'' yu dɔktɔ kin gi yu wan epinephrine injɛkshɔn., fכ egzampl, `(EpiPen®)`, dεn se dεn kin kip am nia de כltεm. dis kin kכntro di simptom dεm fכ `(Anaphylaxis) kwik kwik wan.` Dis injεktכ de lεk di sayz fכ wan big mak pen. If yu aksidɛntli it sɔntin we gɛt wit, dɛn kin injekt dis na di bak pat na yu shɔl. I fayn fɔ kip tu dɛn kayn injɛkshɔn dɛn de nia yu ɔltɛm.

Ɛni bad tin de we kin apin we pɔsin injɛkshɔn wit adrenaline?

Dɛn tin ya kin apin we yu gɛt adrenaline injɛkshɔn:

• Wɔri
• Diziz we pɔsin kin gɛt
• Dray mɔt
• Ed de at
• I de swet mɔ ɛn mɔ
• Vɔmit
• Racing hat rit

Bɔt we yu tek dis we yu gɛt alɛji, bɔku tɛm yu go bigin fɔ fil fri kwik.

Aw kwik a go fil fayn afta a dɔn tek di mɛrɛsin?

• Antihistamin dεm kin bigin wok insay lεk 30 minit, εn dεn kin woke mכst insay di fכs awa dεm.
• Kɔtikosterɔyd kin bigin fɔ wok insay lɛk wan awa so.
• Wan adrenaline injɛkshɔn kin bigin fɔ wok wantɛm wantɛm afta dɛn injekt am.

Yu tink se dɛn go ebul fɔ mek pɔsin nɔ gɛt alɛji wit wit?

Di bɛst we fɔ mek yu nɔ gɛt alɛji na fɔ avɔyd fɔ it ɛn yuz tin dɛn we gɛt wit kpatakpata .

Ɔltɛm rid di tin dɛn we dɛn rayt na di it paket dɛn fayn fayn wan . If yu de dawt bɔt sɔntin, i go fayn fɔ mek yu nɔ yuz am te yu dɔn kɔnfɔm am wit di wan we mek am.

Aw fɔ liv wit alɛji wit wit?

Fɔ liv wit alɛji wit wit kin tranga. Di sayn dɛm kin kam ɛn go, sɔmtɛm dɛn kin tranga. Ɛn yu nɔ go ebul fɔ no aw yu bɔdi go biev.

Bɔt, if yu tek tɛm, yu go ebul fɔ liv nɔmal layf ɛn gladi at . Yu dɔktɔ kin tɛl yu bɔt tin dɛn we go ɛp yu, sɔpɔt grup dɛn, ɛn pipul dɛn we sabi bɔt it. Dɛn kin ɛp yu fɔ ajɔst di we aw yu de it ɛvride.

Pikin dɛn kin gɛt alɛji wit wit pas big pipul dɛn. Bɔt, lɛk 80% pan di pikin dɛn kin gro pas dis sik we dɛn ol 16. Dat na gud nyus, nɔto so?

Ustɛm a fɔ go to dɔktɔ?

If yu kin gɛt wit alɛji ɔltɛm, ɔ if yu notis se dɛn sik ya kin apin afta yu it sɔntin we gɛt wit, go to dɔktɔ .

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu bigin fɔ gɛt simptom dɛm fɔ `(Anaphylaxis)` (di bad bad simptom dɛm we wi bin dɔn tɔk bɔt fɔs), go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm ɔ kɔl 911.

Wetin a fɔ aks di dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw yu go no ɛksaktɔli if a gɛt wit alɛji?
• A gɛt alɛji we nɔ kin at fɔ ɔndastand, we nɔ kin gɛt bɛtɛ alɛji, ɔ we kin rili bad?
• Us kayn mɛrɛsin yu kin advays?
• Wetin na di ful list fɔ di bad tin dɛn we dɛn mɛrɛsin dɛn de kin du?
• Sɔpɔt grup dɛn de fɔ pipul dɛn we gɛt alɛji wit wit ɔ fɔ mama ɛn papa dɛn we gɛt pikin dɛn we gɛt dis kayn alɛji?
• Yu kin rɛkɔmɛnd pɔsin we sabi bɔt it?

Yu tink se wit alɛji ɛn gluten alɛji na di sem tin?

Nɔ, dɛn tu tin ya nɔto di sem. infakt, nכtin de we dεn kכl ``Gluten allergy'' pan mεdikal tεm dεm.

Bɔrku pipul kin kɔl wan sik wae dɛn kɔl celiac disease "gluten allergy." Siliak sik na wan sik we yu imyun sistɛm de pwɛl yu yon smɔl intestin we yu it gluten (wan prɔtin we de insay grens lɛk wit, bali, ɛn rays).

Wetin na di difrɛns bitwin wit alɛji ɛn gluten intolɛreshɔn?

Wetin kin apin wit wit alɛji na dat yu imyun sistɛm kin ɔva riak we yu it wit.

Gluten intolerance na prɔblɛm wit di dijestiv . I kin apin we yu bɔdi nɔ ebul fɔ dayjɛst gluten fayn fayn wan. Dis kin mek yu gɛt sɔm sayn dɛm lɛk taya, nɔs, ɛn blo. I nɔto alɛji.

Wetin na di difrɛns bitwin wit alɛji ɛn Siliak sik?

Bɔku tɛm, dɛn tu pipul ya kin kɔnfyus wit dɛnsɛf. Bɔt dɛn tu tin ya difrɛn.

insay wit alerji , di imyun sistεm de ansa to wit tru ``IgE'' כ ``Non-IgE'' path dεm.

Insay di sik we dɛn kɔl celiac , di imyun sistɛm kin rili riak to gluten . Gluten de insay wit ɛn ɔda tin dɛn we dɛn kin it. Insay dis kɔndishɔn, di imyun sistɛm kin atak di layn na yu smɔl intestinal . dis kin mek di fayn fayn tin dεm we lεk fayv (villi) dεm na di sכmכl intestin inflameshn εn damej. Dɛn villi ya de ɛp fɔ tek di tin dɛn we de insay di it. We dɛn tin ya dɔn pwɛl, ilɛksɛf yu it bɔku tin, yu bɔdi nɔ kin gɛt bɛtɛ tin fɔ it, ɛn as tɛm de go, tin dɛn lɛk we yu nɔ de it fayn kin kam.

So, yu get di aidia? Wit alɛji, celiac sik, ɛn gluten intolerance na tri difrɛn tin dɛn. So i go fayn fɔ mek yu go to dɔktɔ fɔ no di rayt tin we yu gɛt.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti abaut wit alerji, no bi so?

• Wit alɛji na di riakshɔn we yu nɔ want we yu imyun sistɛm de du to wit.
• Di tin dɛn we de insay disDi sayn dɛm kin kɔmɔt frɔm we yu gɛt rɔsh na yu skin, yu bɛlɛ kin at, ɛn yu nɔ kin ebul fɔ blo fayn to yu anafilaksis we kin mek yu layf de pan denja.
• Go to dɔktɔ we de mɛn alɛji fɔ no di kɔrɛkt tin bɔt di sik . Dɛn kin kɔnfyus dis tru skin tɛst ɛn blɔd tɛst.
• Di men we aw dɛn de du dis na fɔ avɔyd tin dɛn we gɛt wit . Rid di tin dɛn we dɛn rayt bɔt it fayn fayn wan. Nɔto fɔ tek tɛm wit it nɔmɔ, bɔt yu fɔ tek tɛm wit ɔda tin dɛn bak.
• Fɔ di wan dɛn we gɛt siriɔs alɛji , if dɛn kip wan adrenaline injɛkshɔn nia dɛn, dat kin sev dɛn layf.
• Bɔku pikin dɛn kin gro kɔmɔt pan dis sik we dɛn de ol , ɛn dis kin mek dɛn fil fayn bak.
• If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ fred fɔ aks yu dɔktɔ . Dɛn de de fɔ ɛp yu.

Nɔ panik if yu kam fɔ no se yu gɛt wit alɛji. Yɛs, i kin tranga smɔl, mɔ we i kam pan fɔ pik it dɛn. Bɔt, wit awareness ɛn kia, yu kin liv saksesful wan wit dis kɔndishɔn.

` Wit Alɛji, Alɛji Simptom, Anafylaksis, IgE, Fɔd Alɛji, Gluten