Nu i nih angin naupang tê ṭhenkhatin buhfai ang chi ei tûr an allergy an neih chuan an natna lan chhuahtîr nghâl mai mai tih i hria a ni. Things like hives, difficulty breathing , etc. Mahse he allergy hmuh tur awm lo tak, tunlaia kan sawi FPIES (Food Protein-Induced Enterocolitis Syndrome) hi a danglam deuh hlek a ni. Heta thil thleng chu nautein chaw a ei atanga darkar tlemte hnuah chauh natna lanchhuahna a lo lang tan thin. Chuvangin nu leh pa tam tak chuan hei hi virus fever pangngai mai emaw, ei tur expired ei avanga pum natna mai mai emaw niin an ngai.
FPIES hi eng nge ni tak tak?
A awlsam zawngin sawi ila, FPIES hi ei tur protein avanga intestine inflammation na tak a ni. Allergy tlanglawn tak, hives, itching, emaw swelling ang chi symptoms tlangpui a thlen lo. Chu ai chuan i naute chuan a luak chhuak chhunzawm zel thei a, a luak chhuak thei bawk.
Hetiang dinhmun hi naute chu formula emaw solid foods emaw pek a nih atanga tan a ni tlangpui. A tam zawkah chuan he natna hi nu hnute tuiah a awm lo. Mahse, a tlem hle a, nausen hnute pe laiah a awm thei. Thu lawmawm tak chu naupang tam zawk chuan kum 3 emaw kum 4 emaw an tlin chuan he allergy hi an outgrow thin .
Hei hi eng symptoms nge ni?
I naute chu chaw thar i pe niin han mitthla teh. Darkar hnih emaw darkar thum emaw hnuah i naute chu a luak chhuak chhunzawm zel a, thunun theih lohvin a chhuak tan ta a ni. Tichuan, naute chuan bawlhhlawh a nei tan ta a ni. Hei hi FPIES chhinchhiahna ber a ni.
Naupang thenkhat chuan heng symptoms te hi hun kal zelah a pung zauh zauh thei. Tin, an mamawh ei tur dik tak an hmuh loh avangin an taksa rihna leh thanlenna tha lo tak tak an tawng thei bawk.
A nasat chuan luak chhuak leh riltam lutuk hian tui tlakchhamna a thlen thei a, shock pawh a thlen thei bawk. Hei hi dinhmun hlauhawm tak a ni.
| Natna khirh tak (shock)-a hmuh theih symptoms - damdawi inah kal nghal rawh! | |
|---|---|
| Mihring ziarang | Hrilhfiahna |
| Rilru tibuai | Naupang chu a rilru a buai a, an chhehvêla thil thlengte pawh hre lo angin a lang thei. |
| Vun lum, clammy tak a ni | Taksa chu khawih chuan a vawt danglam hle a, thawk hah ang maiin a hnim bawk. |
| Tuihal lutuk | Naupangin tui a in reng a ngai a ni. |
| Vun dum emaw, sen hring emaw | Vun chu a rawng a danglam thei a, a dum thei a, hmui vel chu a sen thei bawk. |
| Thâwk a inthlak danglam | Thâwk hi a rang emaw, a thuk lo emaw pawh a ni thei. |
| Lethargy/muthilh theih lohna | Naupang chu a danglamin a muhil a, harh a harsa a, a inkhelh lo bawk. |
| Pulse chak lo tak | Pulse a chak lo hle a, hriat theih loh tluk a ni. |
Heng symptoms zinga pakhat tal i hriat chuan i fa chu damdawi in hnai ber Emergency Treatment Unit (ETU)-ah tlai lovin hruai la.
Engvangin nge hetiang hi a lo awm?
Hei hi a chhan chu i fate immune system-a cell thenkhat chuan ei tur thenkhata protein awmte chu an chhang dik lo vang a ni. Hetianga chhanna hian naupang chaw ei dan (gastrointestinal tract), chu chu intestines-ah nasa takin a tichhe thin. Mahse he reaction symptoms hi darkar 2 leh 8 inkar vel a ni. Chuvang chuan allergy dang nen a danglam hle.
Chhungkaw chanchin atanga a lan dan chuan FPIES vei naupang 40% atanga 80% inkar hian chhungkaw history ah allergy dang, hay fever emaw eczema emaw an nei a ni. Mak tak maiin FPIES vei naupang 20% chauh hian chhungkaw history-ah ei leh in allergy dang an nei a ni.
Eng ei tur nge FPIES thlentu ber?
Hetiang dinhmun hi a lo awm fo thin:
- Bawnghnute leh bawnghnute atanga siam (e.g. yogurt, cheese) .
- Soy leh soy bawnghnute
- Wheat leh buh chi dang (e.g. oats, barley) .
Heng bakah hian naupang thenkhat chuan allergy thlentu anga kan ngaih loh ei tur atang pawhin FPIES an nei thei bawk .
- Buh
- Vawk sa emaw, turkey emaw sa
- Sangha
- Be
- Oats a ni
- Chana
- Buhfai
- Mai
- Sweet potato a ni
He list hian hlauthawng suh. Naupang zawng zawng hian heng zawng zawng hi allergy an nei vek dawn lo. Naupang pakhat tana allergy nei chu naupang dang tan pawh a ni lo mai thei.
Engtin nge diagnosis hi siam a nih?
I fain FPIES a nei nia i hriat chuan a tha ber chu naupang enkawltu hnenah a chungchang sawipui hi a ni. Naupang allergist emaw, naupang gastroenterologist emaw hnenah a refer thei che a ni.
Doctor chuan i fa natna lan chhuah dan leh chhungkaw zingah tu pawhin allergy nei an awm leh awm loh a zawt hmasa ang che. Tichuan, ril\am leh ril\am (viral infection ang chi) thlentu pangngai dang a awm loh leh awm loh enfiah turin test an kalpui ang.
A chang chuan thisen test leh vun patch test (Atopy Patch Test - APT) te hian a pui thei a ni. APT tih hian chaw nia rinhlelh chu thir plate te tak te chu naupang vunah darkar 48 vel dah a ni. Mahse, heng test te hian FPIES hi 100% in a nemnghet thei lo.
Hetiang a nih leh nih loh finfiah theihna awmchhun chu Oral Food Challenge (OFC) test hmanga enfiah a ni. Hei hian ei tur rinhlelh chu naupang hnena pek a huam a, zawi zawiin, doctor enkawlna hnuaiah, damdawi in emaw, clinic emaw-ah pek a ni. Hei hi in lama tih khap tlat a ni.
Engtin nge enkawl a nih?
A enkawl dan pawh a awlsam hle. Naupangin allergy a neih ei tur emaw, ei tur emaw chu an ei leh in atanga paih vek a huam a ni.
- I naute hian formula a in a nih chuan bawnghnute emaw soy emaw tel lo (hypoallergenic formulas) special formula i hmang tur a ni. Hemi chungchangah hian i doctor chuan thurawn a pe ang che.
- Store atanga ei tur i lei apianga label kha uluk takin chhiar la, allergens a awm em tih enfiah rawh.
- I fain FPIES a neih thu ziakin i doctor hnen atangin ziak la. Emergency a thlen hunah medical staff te hnena i fa dinhmun sawifiahna kawngah a \angkai hle ang.
Hetiang dinhmun i hriat hian hlauhna leh lungkhamna tlem a neih hi thil pangngai a ni. Mahse enkawl dik a nih chuan i fa chu a hlim thei a, a hrisel thei bawk.
Take-Home Thuchah a ni
- FPIES hi allergic reaction awm lo tak a ni a, chaw ei atanga darkar engemaw zat hnuah riltam leh riltam a awm thin.
- Hetah hian allergy pangngai ang bawkin vun rawng leh hnim hring ang chi symptoms hmuh tur a awm lo.
- Naupang chu a rilru a hah lutuk a, a vunah a sen hring a awm a, a rilru a buai a nih chuan damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni.
- Diagnosis leh management atan i doctor thurawn la ngei ang che.
- Naupang tam zawk chu kum 3-4 an tlin meuh chuan he natna atang hian an dam leh thin a, chuvangin hlauthawng suh la, dawhthei takin awm rawh.











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