I thawkrim bawk em? Heng 'Allergy Shots / Immunotherapy' te hi i zir dawn teh ang?

I taksaah leivut ang chi thil a lo luh hian i thawk chhuak chhunzawm zel bawk em? A nih loh leh ei tur thenkhat i ei hian red bumps leh itches i nei em? Heng thilte hian a chang chuan thawk harsa a ti em? Chutiang harsatna thlentu chu ‘Allergy’ emaw Sinhala tawnga allergy kan tih ang chi hi a ni fo thin. Chuvangin, nang pawh chutiang allergy vei i nih chuan vawiin hian a solution tha tak, hun rei tak chhunga hman theih tur kan sawi dawn a ni. Chu chu ‘Allergy Shots’ emaw ‘Immunotherapy’ emaw an tih enkawlna chu a ni.

He ‘allergy’ hi eng nge ni? A awlsam zawngin hrethiam ila, kan hrethiam ang em?

A awlsam zawngin sawi ila, allergy chu kan taksa hriselna (immune system) hian kan tana hlauhawm lo tak tak (heng allergens kan ti a) thil a tihbuai lutuk hi a ni. Kan taksa invenna hian mi sual lo chu hmêlma lian takah a ngai sual a, a bei ang mai a ni.

Ngaihtuah teh, in leivut, pollen, rannung dander thenkhat, emaw ei tur thenkhat (bawnghnute, buhfai, artui ang chi) hi mi tam zawk tan chuan harsatna a ni tak tak lo. Mahse hengte hi allergy nei taksaah an luh chuan immune system a buai a, histamine ang chi chemicals a chhuah chhuak thin. Chu histamine chu thawk hah, vun sen, mit na, hnar luang, leh a chang chuan thawk harsa (asthma symptoms) thlentu a ni.

Chuti a nih chuan heng ‘allergy shot’ emaw ‘immunotherapy’ emaw te hi eng nge ni?

Allergy shot hi i allergy thlentu allergen atanga siam special injection a ni. Hei hian i allergy thlentu thil ang chiah kha zawi zawiin i taksaah i inject a, a tlem hle.

A dik tak chuan hei hi i taksa immune system chu chu ‘allergen’ chu a hman thiam tir a ni. Monk-te'n, "He mi hi chutiang khawpa hlauhawm chu a ni lo, lungngai suh mai rawh," tih an zirtir che ang mai a ni.

Hun kal zelah dose tlemte atanga tan a, zawi zawiin dose tihpun hian i taksa chu allergen lakah a sensitive lo hle. Hei hian i immune system hian a hma angin a react lo tihna a ni. Chumi awmzia chu i taksa hian allergy symptoms thlentu chemical, histamine ang chi a siam tlem zawk tihna a ni. Tin, protective antibodies a siam tan bawk a, chu chuan allergic reaction a control thin.

Heng ‘Allergy Shots’ atan hian tu nge inhmeh ber?

He enkawlna hi mi zawng zawng tan a tha lo. Doctor-te chuan hetiang hian an rawt tlangpui:

• Allergy na tak nei tan chuan . Chu chu damdawi pangngai ei pawha thunun harsa, an nun nghawng nasa tak nei allergy nei tan a ni.
• Allergy avanga asthma ti na zualte tanHei hian mi thenkhat tan chuan asthma control-na kawngah nasa takin a pui a ni.
• Allergy atana kan hman thin damdawi, pill leh inhaler te atanga hahdamna tawk lo tan emaw, chu damdawi atanga side effect nei te tan emaw.
• For those looking for a long-term solution , hei hian allergy a tihziaawm thei a, a chang chuan a ti bo vek thei bawk.
• Hei hi naupang tê tê , a bîk takin allergy ṭhenkhat venna atân leh allergic rhinitis nei naupangte asthma vei theihna tihziaawmna atân a ṭangkai thei a ni.

Mahse, he enkawlna hi i tan hmain eng nge i allergy tih chiang taka i hriat a ngai a ni. Hei hian specialist-in a enfiah che a ngai ang a, skin prick test emaw thisen test emaw pawh a ti thei ang.

Engtin nge he enkawlna kalphung hi a lo awm?

Hei hi hun rei tak chhung, ruahmanna fel tak siama enkawlna a ni. Stage lian pahnih a awm a.

1. Build-up Phase - Zawi zawiin a dose tihpun hun chhung

Hemi chhung hian kar khatah vawi khat emaw vawi hnih emaw allergy shot i lak a ngai dawn a ni. A vawi khatnaah hian allergen dose hi a tipung tlem hle. Hei hi maintenance dose sang ber i thlen thlengin a chhunzawm zel a ni. Hei hian thla 3 atanga thla 6 vel a daih tlangpui.

2. Maintenance Phase - Enkawlna enkawl hun chhung

Chu maximum dose i thlen chuan shot frequency a tlahniam ta a ni. Kar hnih danah pawh a ni mai thei, chutah thla khatah vawi khat. He maintenance phase hi a rei ber a ni. A tlangpuiin, he enkawlna hi kum 3 atanga kum 5 vel i ei a ngai thin . Hun rei tak angin a lang thei a, mahse a result erawh a tha hle.

Heng ‘Allergy Shots’ te hian eng hlawkna nge a neih?

A nihna takah chuan he enkawlna hian hlawkna tha engemaw zat a nei a ni.

• Hun rei tak chhunga damna: Mi tam tak tan chuan allergy symptoms hi enkawlna a tawp hnuah kum tam tak chhung a lo kir leh tawh lo. Ṭhenkhat phei chu an dam leh vek mai thei.
• Damdawi hman tihtlem: Allergy atana i ei fo thin allergy pill leh spray hman hi nasa takin i tihtlem thei a, a nih loh leh i titawp thei bawk.
• Nunphung tihchangtlun: Hriselna lama thawk hah fo, thawk hah, thawk harsa tih ang chi symptoms i neih tawh loh chuan nitin hnathawh tur leh hrisel taka awm chu i awlsam zawkin i hria ang.
• Allergy thar leh Asthma ven dan: Hetiang enkawlna hi pek a nih chuan, a bik takin naupangte tan chuan nakin lawkah allergy thar an neih theihna tur leh allergy avanga Asthma an neih theihna tur a ti tlem thei a ni.

Hei hian side effect emaw risk emaw a nei em?

Damdawi dang ang bawkin, side effect tenau tak tak a awm thei bawk. Mahse, ngaihtuah tur a awm lo, hengte hi a tlangpuiin thil pawi tak a nih loh avangin.

• Injection na hmuna thil thlengte:
• Injection na hmun chu a sen a, a hring deuh a, a hring thei bawk. Hei hi thil pangngai a ni a, darkar tlemte emaw ni khat emaw ni hnih emaw chhungin a reh tlangpui. A châng chuan hnah te tak te ang maiin a lang thei.

• Systemic Reaction hrang hrang: 1.1.
• Hengte hi a tam lo hle a, mahse a thleng thei. Chung zingah chuan thawk hah, hive, hnar luang, leh asthma symptoms (thâwk hah, rilru tightness) te pawh a tel thei.
• A tlem hle a, allergy na tak, a rang thei ang bera anaphylaxis an tih hi a awm thei. Hei hian thawk harsa thut a thlen thei a, thisen sang a tlahniam nghal thei a, luak a ti na thei bawk. Hei hi nunna atana hlauhawm tak a ni thei.

Chuvangin allergy shot lak hnuah minute 20-30 chhung damdawi ina awm a tha. Hei hi a chhan chu reaction na tak a awm chuan chu hun chhung chuan a thleng tlangpui a ni. Hei hian medical staff te chu rang takin a tul angin enkawlna a pe thei a ni. Chuvangin, he thurawn hi zawm ngei ngei tur a ni.

But remember, severe reactions are very rare , a bik takin doctor-te chuan he enkawlna hi uluk tak leh a tih dan tur angin an tih avangin.

Engtikah nge ka rilru a hahdam tan ang?

Hei hi mi tin a inang lo thei.

• Mi thenkhat chuan chu initial phase (Build-up Phase) chhung chuan an symptoms te chu a tlahniam zauh zauh tih an hre tan thei a ni.
• Mahse mi tam zawk chuan Maintenance Phase an luh hnuah chauh hahdamna nasa tak an nei tan a, chu chu thla 6 atanga thla 12 vel enkawlna a ni thei.

Enkawlna chu i dawhtheih a ngai a ni. Results hmuh tur chuan hun rei tak a ngai a ni.

Thil pawimawh dang tlemte hriat reng tur

• Inpekna: Hei hi hun rei lote chhunga thil tih tur a ni lo. Kum engemaw zat chhung enkawlna a nih avangin i lam atanga inpekna nasa tak a mamawh a ni. Ni ruat saah shot lak loh hi thil tha a ni lo.
• Doctor nena inbiak reng: Thil danglam tak i hriat chuan, emaw, shot i lak hnua a tlangpui aia nasa zawka natna i neih chuan doctor hnenah engkim hrilh rawh.
• Shot i dawn hma leh i dawn hnuah darkar hnih atanga darkar thum chhung exercise hahthlak tak tak tih loh tur .
• Khawsik emaw flu emaw ang chi natna i neih chuan shot i lak hmain doctor hnenah hriattir hmasa phawt ang che. Chumi ni thleng chuan shot chu i postpone thei mai thei.

A tawp berah chuan hei hi i hre reng ang u (Take-Home Message) .

Chuvangin, ‘Allergy Shots’ (‘Immunotherapy’ tia hriat bawk) hi scientifically proven treatment a ni a, allergy vei nasa tak takte tan chuan hahdamna a thlen thei a ni. Hei hi hun engemaw chen, dawhtheihna leh inpekna a mamawh a ni. Mahse, hun rei tak chhunga a rah chhuah chu a phu hle.

Hetiang allergy lama harsatna nasa tak i neih chuan hrehawm tuar mai mai suh la, allergist/immunologist nen inbiakna nei mai rawh . Chumi hnuah chuan doctor chuan i dinhmun dik takin a zirchiang thei ang a, he ‘Allergy Shots’ enkawlna hi i tan a tha em tih leh eng ang result nge i beisei theih tih a sawifiah thei ang. Mi zawng zawng tan hriselna tha!

` Allergy, allergy shot, immunotherapy, thawk hah, asthma, allergens, immunity