Teebereza omwana wo alina allergy ku ntangawuuzi. Kale buli lw’omutwala ku kabaga oba okumusuula ku ssomero, obeera n’okutya okw’entiisa mu birowoozo byo. "Oo, watya singa omuntu akuwa akatundu ka keeki akalimu entangawuuzi? Kiki ekigenda okubaawo singa akatundu akatono kagenda mu kamwa k'omwana wo mu butanwa?" Okutya kuno, okunyigirizibwa kuno, osanga kukumanyidde nnyo. Abo bokka abakifunye abamanyi engeri gye kizibu okubeera n’alergy y’emmere ng’eyo. Naye, owulidde ku bujjanjabi obupya obuyinza okukuyamba okusiibula okutya kuno? Ekyo kyetugenda okwogerako leero.
Mu ngeri ennyangu, Oral Immunotherapy (OIT) kye ki?
Wadde ng’erinnya lino liyinza okuwulikika ng’ekizibu, endowooza yaayo nnyangu. Oral Immunotherapy (OIT) ddagala erijjanjaba alergy y’emmere. Kizingiramu okukuwa obutundutundu obutono ennyo obw’emmere gy’olina alergy (mu by’obujjanjabi eyitibwa allergen) ng’olabirirwa nnyo omusawo akola allergy.
Kilowoozeeko bw’otyo. Oweebwa emmere gy’olina allergy, ng’eddagala, wansi w’eriiso ly’omusawo eritunula. Okusooka, otandika n’akatono ennyo nga tosobola na kulaba. Olwo ekiseera bwe kigenda kiyitawo, n’obwegendereza bungi n’oyongera ku muwendo.
Ekigendererwa ekikulu ekya kino kwe "kulwaza" abaserikale b'omubiri gwo mpolampola ku mmere gy'olina alergy. Mu budde obwabulijjo, omubiri gwo gukyamusa puloteyina eri mu mmere nti "omulabe ow'akabi" ne gutandika okugulwanyisa. Ekyo kye kireeta alergy. Naye mu bujjanjabi bwa OIT, tuyingiza "omulabe" mu mubiri gwo mpolampola, kale ekiseera bwe kigenda kiyitawo abaserikale b'omubiri bo ne bakitegeera nti, "Oh... si wa bulabe nnyo." Kino tukiyita ``desensitization.'' Kwe kugamba, omubiri gufuuka nga tegumanyi nnyo mmere eyo.
Ekisinga obukulu nti oluvannyuma lw’obujjanjabi buno, singa mu butanwa omira akatono ku mmere erimu alergy, ojja kusobola okuziyiza okuddamu okw’amaanyi.
Nteekateeka ki ezirina okukolebwa nga tonnatandika bujjanjabi bwa OIT?
Kino si kintu ky’osobola okugenda n’otandika. Kyetaaga okukolebwa mu ngeri etegekeddwa ennyo, ng’omaze okwogera n’omusawo wo. Ebiseera ebisinga, ebintu bino ojja kuba olina okubimaliriza nga kino tekinnatuuka.
| Eky’okukola | Lwaki bwe kityo bwe kiri? |
|---|---|
| Okukebera alergy Okukebera olususu n’okukebera omusaayi. | Okukakasa oba ddala olina allergy eri emmere eyo, n’okulaba oba obujjanjabi bukola, okufuna baseline nga tonnafuna bujjanjabi n’oluvannyuma lw’okujjanjabwa. Okusingira ddala, omutindo gw’ekirungo ekiziyiza obuwuka obuyitibwa IgE gupimibwa. |
| Okuddukanya obulungi asima n’enkwaso | Singa embeera endala ez’allergy nga zino tezifugibwa bulungi, akabi k’okuddamu okw’akabi mu kiseera ky’obujjanjabi bwa OIT kali waggulu . |
| Okugula ebintu ebyetaagisa Ebyuma ebipima n’emmere eyogerwako (nga ekijiiko, ekikuta). | Kikulu nnyo okumira bino buli lunaku mu ddoozi entuufu omusawo gy’akulagidde. Waliwo butto ow’enjawulo ku alergy y’entangawuuzi, nga Palforzia®. |
| Okufuna empiso ya Epinephrine Auto-Injector Okugeza: EpiPen®, Auvi-Q® | Kino kye kintu ekisinga obukulu era ekikakatako . Lino lye ddagala erigema eriyinza okutaasa obulamu bwo singa oba olina allergy ey’amaanyi ey’amangu (anaphylaxis). Tosobola kutandika bujjanjabi bwa OIT nga tolina kino . Omusawo wo ajja kukuwa eddagala eriwandiikiddwa ku kino. |
Enkola eno ey’obujjanjabi ebaawo etya?
Enkola eno yonna esobola okwawulwamu emitendera ebiri emikulu: "omutendera gw'okulinnyisa" ne "omutendera gw'okuddaabiriza."
1. Omutendera gw’okulongoosa eddagala
Kino kye kiseera ekisinga okukola ennyo mu bujjanjabi.
- Olunaku 1: Ojja kusooka kugenda mu ofiisi y’omusawo oba mu ddwaaliro. Eyo, ng’olabirirwa omusawo, ojja kuweebwa akatono ennyo ku mmere ereeta alergy. Omusawo ajja kunnyonnyola buli kimu ku bungi bw’okulya n’engeri y’okubupima. Era bajja kuba beetegefu okukujjanjaba bw’oba olina ky’okola.
- Awaka: Olwo, ddoozi eyo esooka omusawo gye yalagira, olina okugitwala awaka buli lunaku. Kirungi okugitwala mu kiseera kye kimu nga bwe kisoboka.
- Buli luvannyuma lwa wiiki bbiri: Ojja kusabibwa okuddayo okulaba omusawo buli luvannyuma lwa wiiki bbiri. Eyo, nate wansi w’okulabirirwa kw’abasawo, ddoozi yo ejja kwongerwako katono. Olwo ojja kudda eka n’omira ddoozi empya buli lunaku.
Mu ngeri eno, ddoozi eyongezebwa mpolampola buli luvannyuma lwa wiiki bbiri okutuusa omusawo lw’atuuka ku ddoozi gye yali agenderera.
2. Omutendera gw’okuddaabiriza
Bw'omala okutuuka ku ddoozi eyo egenderere, "omutendera gw'okuddaabiriza" gutandika.
- Ekigenda mu maaso wano kwe kusigala ng'omira ddoozi esinga obunene gye wasemba okumira obulungi buli lunaku .
- Dozi eno ey’okulabirira erina okumira okumala waakiri emyezi mukaaga.
- Oluvannyuma lw’emyezi mukaaga, omusawo ajja kuddamu okukebera omusaayi okulaba oba obutoffaali obuziyiza emmere eyo mu mubiri gwo bukendedde.
- Oluusi, osobola n'okukola "Food Challenge Test." Kino kitegeeza nti mu mbeera y’eddwaliro, ng’olabirirwa abasawo, oweebwa akatono ku mmere ereeta alergy okulaba oba olina ekikukwatako.
- Okusinziira ku bivudde mu kukebera kuno, omusawo wo ajja kusalawo oba olina okugenda mu maaso n’okumira ddoozi ey’okulabirira buli lunaku, oba okugimira ennaku ntono mu wiiki kijja kumala.
Jjukira nti ne mu mutendera gw’okuddaabiriza, kyetaagisa bulijjo okutambula n’empiso yo eya epinephrine auto-injector naawe , kubanga okusobola okuddamu okw’amangu tekuggyibwawo ddala.
Mateeka ki agalina okugobererwa mu kiseera ky’obujjanjabi?
Obuwanguzi bw’obujjanjabi buno, n’obukuumi bwo, waliwo ebintu ebitonotono by’olina okugoberera. Okugoberera bino ddala kiyinza okukendeeza ku bulabe bungi obuteetaagisa.
| Etteeka eririna okugoberera | Lwaki bwe kityo bwe kiri? |
|---|---|
| Eddagala liteeke okumpi. Bulijjo sigala naawe eddagala lyo erya alergy n’eddagala lya EpiPen eritaggwaako. | Kubanga singa wabaawo embeera ey’amangu, kyetaagisa okukolawo mu bwangu. |
| Tomira ku lubuto lwereere. Funa ku mmere nga tonnamira ddoozi. | Okumira ddoozi eno ng’oli lubuto njereere kyongera ku bulabe bw’ebizibu oba ebizibu ebivaamu. |
| Kitwale mu budde. Ddira ddoozi ya leero mu ssaawa bbiri okuva ku ddoozi y’eggulo (essaawa bbiri nga bukyali oba oluvannyuma). | Kuuma eddagala nga linywevu mu mubiri n’okukendeeza ku bulabe bw’okukwatibwa. |
| Weewale dduyiro n’okunaaba mu mazzi agookya. Weewale okukola emirimu egy’amaanyi n’okunaaba mu bbugumu okumala essaawa bbiri nga tonnamira ddoozi n’oluvannyuma lw’okumira. | Ebintu bino bisobola okwongera okutambula kw’omusaayi mu mubiri n’okwongera ku bulabe bw’okulwala alergy. |
| Tomira ddagala lya ibuprofen. Tomira ddagala lya ibuprofen (nga Advil®, Motrin®) eriweweeza ku bulumi essaawa 3-4 nga tonnamira ddoozi yo n’oluvannyuma lw’okumira. | Eddagala lino liyinza okwongera ku bulabe bw’okulwala alergy. |
| Tomira ddoozi bw’oba mulwadde. Weewale okumira ddoozi eno bw’oba olina obulwadde ng’omusujja, okusesema oba okusesema. | Bw’oba mulwadde, omubiri gwo guba mu bulabe bw’okukwatibwa. Ate era oyinza okutabula obubonero bw’obulwadde n’obubonero bw’okulumwa alergy. Kakasa nti oyogera n’omusawo wo nga tonnabuuka ddoozi. |
Singa ofuna ekintu eky’amangu okola ki?
Kino kye kitundu ekisinga obukulu buli muntu ky’alina okumanya. Omusawo wo ajja kukuwa ebiragiro ebitegeerekeka obulungi ku bubonero bw’olina okwegendereza, ddi lw’olina okukozesa EpiPen, ne ddi lw’olina okugenda mu kitongole ky’eddwaaliro eky’amangu (ETU).
Bw'ofuna obubonero bumu oba obusingawo ku bubonero buno obw'obulabe , tolwawo .
- Okuzimba mu maaso, emimwa, olulimi oba emimiro
- Okukaluubirirwa okussa
- Okuwulira ng’onyiga mu kifuba
- Okulabika kw’ebizimba ebinene bingi (hives) mu mubiri gwonna
- Okusesema
- Okuzimba mu ngalo, ebigere oba emimwa
- Obunafu bw’omubiri, okuziyira, okuzirika
- Okuwulira okuzikirira okumpi (okuwulira okutya okunene, nga "ekintu ekigenda okuntuukako").
Bw’ofuna obubonero buno bwonna, kozesa EpiPen yo mu bwangu era genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) amangu ddala nga bwe kisoboka.
Tewali bulabe bwonna eri mu bujjanjabi buno?
Okufaananako n’obujjanjabi bwonna, OIT erina akabi akamu.
- Obulabe obukulu bwe alergy ey'amaanyi eyitibwa ``anaphylaxis'' gye twayogeddeko emabegako. Y'ensonga lwaki obujjanjabi buno bulijjo bulina okukolebwa nga bulabirirwa abasawo era tebulina kugezesebwa waka wekka .
- Okugatta ku ekyo, ebintu ebitonotono ng’obuzimba obutonotono ku lususu n’okutabuka mu lubuto okutonotono biyinza okubaawo.
- Obulabe obulala obutatera kulabika naye nga bwa maanyi bwe mbeera eyitibwa Eosinophilic Esophagitis . Kino kizimba mu nnywanto. Bw’ofuna obubonero ng’okusesema oba okuwulira ng’emmere ekusibye mu mumiro, olina okutegeeza omusawo mu bwangu. Abaana abato bayinza okugaana okulya. Embeera eno etera okuggwaawo ng’obujjanjabi bwa OIT buyimiriziddwa.
Migaso ki n’obuwanguzi bw’obujjanjabi bwa OIT?
Omugaso omukulu ogw’obujjanjabi buno kwe kuba nti buggya puleesa nnyingi ku bulamu bwo. Ekintu kyokka ekinene mu kubeera nga totya kabenje ka maanyi singa mu butanwa olya ekitundu ky’emmere erimu alergy. Abantu abamu naddala abaana abatandika okujjanjabwa nga bakyali bato , batuuka n’okumanyiira okulya emmere eyo mu ngeri eya bulijjo awatali kutya kwonna oluvannyuma lw’okumaliriza OIT.
Mu nsonga y’obuwanguzi, okunoonyereza kulaga nti obujjanjabi buno bukola nnyo mu baana abali wansi w’emyaka 4. Okugeza, mu kunoonyereza okwakolebwa ku OIT ku allergy y’entangawuuzi, abaana abasoba mu 70% abali wakati w’emyaka 1 ne 4 basobodde okulya obutoffaali obwenkanankana n’obukuta bw’entangawuuzi awatali buzibu bwonna.
Omusawo wo y’asinga okusalawo oba kino kikugwanidde oba omwana wo. Buno bujjanjabi obwetaagisa okwewaayo ennyo era butwala obudde. N’olwekyo, kikulu okukubaganya ebirowoozo n’omusawo wo ku bibuuzo byo byonna n’okutya kwo n’okusalawo mu ngeri ey’amagezi.
Obubaka Obutwala Awaka
- Oral Immunotherapy (OIT) si kugezesa kwekolera. Buno bujjanjabi obulina okukolebwa nga bulabirirwa mu bujjuvu omukugu .
- Ekigendererwa ekikulu mu kino kwe kukuuma ebizibu eby’obulabe ebiyinza okubaawo singa emmere erimu alergy emira mu butamanya.
- Kino kyetaagisa okwewaayo okungi n’obudde okuva mu maka. Luno lugendo lwa bbanga ddene .
- Mu bujjanjabi bwonna,Kikulu nnyo bulijjo okutambula ne EpiPen n’okumanya engeri y’okugikozesaamu.
- Bw’oba ggwe oba omwana wo olina alergy y’emmere, yogerako n’omusawo wo okumanya ebisingawo ku bujjanjabi bwa OIT.
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