Peanut Allergy: Nausen laia naupang hnena pek hian a tidam thei tak tak em?

I fate hian chaw nghet tak tak a ei tan hian, buhfai leh artui ang chi thil pek hi i hlau deuh em? "Aw, allergy an nei dawn em ni, an damlo dawn em ni, thawk harsatna an nei dawn em ni?" I ngaihtuah a ni mai thei, a dik em? He hlauhna hi nu leh pa tam takin an neih a ni. Dik tak chuan peanut allergy hi thil hlauhawm tak a ni thei. Chuvangin, hun rei tak chhung chu naupang tête hnena buhfai pek hi kan tikhawtlai tur a ni tih kan ngaihtuah vek a ni. Mahse, tunah chuan medical science-ah hian he ngaihdan hi a danglam vek tawh a ni. Vawiin hian sawi ila.

Ngaihtuahna hlui leh tuna kan ngaihtuah dan thar

Kum sawm tam tak chhung chu allergist leh naupang enkawltu doctor-te chuan thil pahnih an ring tawh a. Pakhat chu naute chu nausen an nih hnuah, allergy vei theihna a hniam zawk tih ringin, peanut hi dah luh tur a ni. A pahnihna chu naupangin allergy a neih chuan a dam chhung zawngin buhfai ei loh vek tur a ni.

Mahse tunah chuan heng ngaihdan te hi a danglam ta hle mai. Tûn laiah chuan peanuts hi a takah chuan nut a ni lo va, legume a ni tih kan hria . Thurawn thar ber chu naute hian solid foods an ei tan veleh peanuts an rawn luh tir nghal a, chu chu thla 4-6 vel a ni a, allergy a veng thei a ni.

I naute hnena chaw solid hmasa ber i pek angin ngaihtuah suh. Peanut butter tlem tal chu oatmeal thenkhatah i pawlh thei bawk.

Naupang leh puitling, buhfai allergy nei tawhte pawhin desensitization hmangin allergen lakah zawi zawiin an desensitized thei tih hmuhchhuah a ni bawk. A awlsam zawngin, doctor enkawlna hnuaia buhfai ei zauh zauh chuan buhfai ei palh avanga natna khirh tak (anaphylaxis) lo awm thei chu a veng thei a ni.

Peanut pek hma hian eng nge a rah chhuah?

He inthlak danglamna lian tak hi clinical trial lian tak LEAP (Learning Early About Pea Nut Allergy ) , kum 2015-a tihchhuah result vang a ni.

He zirchianna hian naupang hlauhawm tak tak (eczema emaw ei tur dang allergy nei tawhte) chu an naupan lai atanga buhfai eitir hian buhfai allergy vei theihna a ti tlem tih a tarlang.81% in a tlahniam a ni. Hemi atan hian naupang thla 4-11 inkar 600 chuang hman an ni. Pawl khat chu kum 5 an tlin thlengin buhfai pek an ni a, pawl dang chu engmah pek an ni lo.

A result chu mak a ti hle. Peanut ei lo group-a naupang 17% chuan kum 5 an tlin meuh chuan peanut allergy an nei tawh a, mahse, peanut ei group-a naupang 3% chauhvin he natna hi an nei a ni. Hei hian inhriattir hmasak a pawimawhzia a tilang chiang hle.

Avoidance leh desensitization inthlauhna

LEAP trial hian allergy venna lam a ngaihtuah ber a ni. Mahse, allergy nei tawhte chu engtin nge ni ang? Chu chu Oral Immunotherapy (OIT) hi a ni.

OIT hi peanut allergy nei tawh mi pakhat immune system retraining mai a ni. Hei hian peanut protein dose tlemte tak tak atanga tan a, damdawi lam enkawlna hnuaiah, thla emaw kum tam tak emaw chhunga dose tihpun zauh zauh a huam a ni. Hei hian taksain buhfai a tihchhiat lutuk chu a titawp thei a , chu chu tuar thiam a zir thei bawk .

Tunah hian Sri Lanka rama damdawi in thenkhatah he method hi hman tan a ni. OIT bakah hian hmanraw dang pawh zirchianna kalpui mek a ni a, chu chu vun kaltlangin peanut protein peanut patch leh sublingual drops te hi a ni.

Engvangin nge peanut allergy hi a hluar em em?

Nu leh pa tam takin zawhna an neih chu, "Kan hun lai khan heng thilte hi kan nei lo a, chuti a nih chuan engvangin nge tunah hian kan tam em?" Doctor-te chuan hei hi chhan eng emaw zat an ring.

• Hygiene Hypothesis: Tunlai kan thianghlim em avangin kan taksa hriselna (immune system) hian natna hrik an naupan laiin a do theihna hun remchang a nei tlem hle. Chuvangin, buhfai ang chi thil hlauhawm lo tak nena "indona" tan mai mai a ni mai thei.
• Vitamin D tlakchhamna: Tunah chuan naupangte chuan pawnah hun an hmang tlem tawh a, ni chhuahna hmuna inkhelh an nei tlem tawh hle. Computer leh phone hmangin in chhungah hun an hmang tam zawk a ni. Hei hi vitamin D tlakchhamna thlentu nia ngaih a ni.
• Chaw siam dan: Chaw tam tak siam chhuah a nih chuan ei tur dang nena cross-contamination leh pesticide hman te pawh a awm thei bawk.

Hei chauh hi a chhan a ni lo va, heng zawng zawng inzawmkhawm a ni thei.

Nun tak takah thil tawn: OIT enkawlna a hlawhtlin dan

Naupang peanut allergy na tak nei nu leh pa nih chu a lungkhamzia an hria. Chaw ei apiang uluk taka ngaihtuah a ngai a ni. Store-a i thil lei zawng zawnga label kha i chhiar vek tur a ni. Epinephrine auto-injector (emergency medicine injection) chu engtik lai pawhin i bulah i dah reng tur a ni.

Jemma hi hmeichhe naupang kum 12 mi a ni a, buhfai leh nut dang engemaw zat allergy na tak a nei a, a allergy na tak a nei bawk. OIT hmanga enkawl a ni. A nu chuan a thil tawn chu hetiang hian a sawi a:

"A hmasa berin doctor clinic-ah Gemma chu peanut powder milligram khat an pe a. Darkar engemaw zat kan enfiah a. Reaction a awm loh chuan a lo haw leh a. Chumi hnuah chuan Gemma chu in lamah zan tin powder zat inang ka pe a. Diamond weighing scale pawh ka lei a, chu chu dik taka teh turin ka lei a. Chu dose chu thla tam tak chhung chu doctor-in min tih thlengin kan pe chhunzawm zel a ni.

"Dose tihpun apiangin damdawi inah an ti thin. Tichuan darkar tam tak a nghak a, a haw hmain a lo nghak thin. A chang chuan Gemma hi a pum a na a, a rilru a na bawk. Chumi atan chuan damdawi an pe thin. Zawi zawiin a taksa chuan a hmang thiam ta a ni.

"He treatment hi kum 2 chuang zet kan lo ti tawh a. Gemma hian ruihhlo a hmang tawh lo a, zan tin regular peanut pahnih a ei thin. Side effect engmah a nei lo."

He enkawlna hian a tum ber chu maintenance dose thleng tur a ni . Chu chu himna vawng reng tura nitin ei ngai zat tihna a ni. Hei hi buhfai awmna thil i ei palh a nih chuan natna khirh tak a thlen loh nan a ni.

Thudik leh statistics pawimawh hriat tur

Heng thute hi kan hriat reng a pawimawh hle.