I naute hian buhfai allergy a nei tih han ngaihtuah teh. Chuvangin party-a i hruai emaw, sikula i thlah apiangin i rilruah hlauhna rapthlak tak i nei thin. "Aw, miin cake chi khat, a chhunga buhfai dahna a pe che a nih chuan engtin nge ni ang? I naute kâah hian a hnah te tak te a lut palh a nih chuan engtin nge ni ang?" He hlauhna, he nawrna hi i hriat chian em em a ni mai thei. Chutiang ei leh in lama allergy neia nun chu a harsat zia chu a tawng tawhte chauhvin an hria. Mahse, he hlauhna hi thlahthlam theihna tur enkawlna thar i hre tawh em? Chu chu vawiinah kan sawi dawn a ni.
A awlsam zawngin, Oral Immunotherapy (OIT) hi eng nge ni?
A hming hi a buaithlak hlein a lang thei a, mahse a concept erawh a awlsam hle. Oral Immunotherapy (OIT) hi ei leh in lama allergy nei tan a ni. Chu chu i allergy nei ei tur (damdawi lama allergen an tih) tlemte chauh allergist enkawlna hnuaiah pek che a ni.
Hetiang hian han ngaihtuah teh. Damdawi ang maia i allergy nei ei tur chu doctor mit fimkhur tak hnuaiah pek i ni. Pakhatnaah chuan i hmuh theih loh tlemte chauh atang hian i tan a. Tichuan, hun kal zelah fimkhur takin i tipung ta a ni.
Hei hian a tum ber chu i allergy nei ei tur i immune system chu zawi zawiin "disease" tir hi a ni. A tlangpuiin i taksa chuan ei tur chhunga protein pakhat chu "hmêlma hlauhawm" tiin a ngai sual a, a do tan ta a ni. Chu chu allergy siamtu chu a ni. Mahse OIT enkawlnaah chuan "hmêlma" chu i taksaah kan luhtir zauh zauh a, chuvang chuan hun kal zelah i immune system chuan, "Aw... chutiang khawpa hlauhawm a ni lo," tih a hrechhuak ta a ni. Hei hi ``desensitization'' kan ti a, chu chu taksa chu chu chaw chu a sensitive lo ta tihna a ni.
A pawimawh ber chu he enkawlna hnuah hian allergy nei ei tur tlemte i ei palh a nih chuan na tak i veng thei dawn a ni.
OIT enkawlna tan hmain eng inbuatsaihna nge neih tur?
Hei hi i kal a, i tan mai mai theih thil a ni lo. Duhthusamin ruahmanna fel tak neia tih a ngai a, i doctor nen in inbiakna hnuah. A tlangpuiin, hei hma hian heng thilte hi i tihfel a ngai dawn a ni.
| Eng nge tih tur | Engvangin nge chu chu? |
|---|---|
| Allergy test neih a ni Vun test leh thisen test te. | Chu ei tur chu i allergy tak tak em tih finfiah nan , leh enkawlna chu a hlawk em tih hriat nan, enkawl hma leh enkawl hnua baseline neih theih nan. A bik takin antibody IgE an tih level hi an teh thin. |
| Asthma leh eczema enkawl that | Hetiang allergy dang ang chi hi uluk taka control a nih loh chuan OIT enkawlnaah hian hlauhawm tak a awm theihna a sang hle . |
| Thil tul tak tak lei Measuring devices leh ei tur sawi tur (spoon, paste ang chi). | Hengte hi nitin doctor- in a dose dik taka ei a pawimawh hle. Peanut allergy nei tan powder bik a awm a, chu chu Palforzia® te hi a ni. |
| Epinephrine Auto-Injector neih theihna tur Ex: EpiPen®, Auvi-Q® tih te hi a ni | Hei hi thil pawimawh ber leh tih ngei ngei tur a ni . Hei hi allergic reaction na tak (anaphylaxis) i neih thut chuan i nunna chhanhim thei tur vaccine a ni. Hei hi tel lo chuan OIT treatment i tan thei lo . Hemi atan hian i doctor chuan prescription a pe ang che. |
Engtin nge he enkawlna kalphung hi a lo awm?
Hetiang kalphung zawng zawng hi phase lian pahnih ah then theih a ni a, chungte chu "escalation phase" leh "maintenance phase" te an ni.
1. Updosing Phase tih a ni
Hei hi enkawlna active ber hun a ni.
- Ni 1: Doctor office emaw clinic emaw pan hmasak a ngai ang. Chutah chuan doctor enkawlna hnuaiah allergenic food tlemte chauh pek i ni ang. Doctor chuan engzat nge ei tur tih leh a teh dan tur zawng zawng a hrilhfiah vek ang. Tin, reaction i neih chuan enkawl turin an inpeih reng bawk ang.
- In lamah: Tichuan, chu doctor-in a pek hmasak ber chu, nitin in lamah i la tur a ni. A ruala lak a tha ber.
- Kar hnih danah: Kar hnih danah doctor hmu turin lo kal leh turin an ti ang che. Chutah chuan, doctor enkawlna hnuaiah pawh, i dose chu tlem a tipung ang. Tichuan in lamah i haw ang a, nitin dose thar chu i ei ang.
Chutiang chuan doctor-in target dose a thlen hma loh chuan kar hnih danah dose hi tihpun zauh zauh a ni.
2. Enkawlna Phase
Chu target dose i thlen chuan "maintenance phase" chu a intan ta a ni.
- Heta thil thleng hi nitin hlawhtling taka i ei hnuhnung ber dose sang ber i ei chhunzawm zel a ni .
- He maintenance dose hi thla ruk tal ei tur a ni.
- Thla ruk hnuah chuan i doctor chuan thisen test dang a nei leh ang a, chu ei tur laka i taksaa antibodies level chu a tlahniam em tih a enfiah ang.
- A châng chuan, "Food Challenge Test" pawh i ti thei bawk. Hei hian hospital setting-ah chuan medical supervision hnuaiah allergenic food tlemte pek che a, reaction i neih leh neih loh en turin an pe che tihna a ni.
- Heng test result a\ang hian i doctor chuan nitin maintenance dose hi i ei chhunzawm zel tur nge, kar khatah ni engemaw zat ei chhunzawm zel tur nge tih a rel ang.
Hriat reng tur chu, maintenance phase lai pawhin, i epinephrine auto-injector i keng reng tur a ni , a chhan chu a rang lama thil thleng thei chu a bo vek lo.
Enkawl lai hian eng dan nge zawm tur?
He enkawlna hlawhtlinna tur leh nangmah himna tur hian thil tlemte i zawm tur a awm. Chûngte dik taka zawm chuan a ṭûl lo hlauhawm tam tak a tihziaawm thei a ni.
| Rule zawm tur a ni | Engvangin nge chu chu? |
|---|---|
| Damdawi hnaiah dah thin ang che. I allergy damdawi leh non-expired EpiPen chu i bulah dah reng ang che. | A chhan chu emergency a lo thlen chuan hmalak vat a ngai a ni. |
| Pum ruak chunga ei loh tur. Dose i ei hmain ei tur tlem tal ei hmasa phawt ang che. | Pum ruak chunga dose ei hian side effect emaw reaction emaw a thlen theihna a tipung a ni. |
| A hun takah la rawh. Nizan dose atanga darkar hnih chhungin (darkar hnih hma emaw a hnu emaw) ei tur a ni. | Taksaah damdawi level stable vawng reng la, reaction awm theihna a ti tlem bawk. |
| Exercise leh tui lum a inbual loh tur. Dose ei hma leh ei zawhah darkar hnih chhung taksa tihchakna nasa tak leh tui lum taka inbual loh tur. | Heng thilte hian taksaa thisen kalna a tipung thei a, allergic reaction neih theihna a tipung bawk. |
| Ibuprofen hi ei loh tur a ni. Ibuprofen (Advil®, Motrin® ang chi) natna tidamtu damdawi i ei hma leh ei hnu darkar 3-4 chhungin ei suh. | Heng damdawi te hian allergic reaction a tipung thei a ni. |
| I damloh chuan dose hi ei suh. Natna i neih chuan khawsik, khuh, emaw, luak chhuak emaw i neih chuan ei loh tur. | I damloh chuan i taksa hian reaction a nei awlsam zawk. Tin, natna lan chhuah dan leh allergic reaction chhinchhiahna te chu i ti buai thei bawk. Dose i skip hmain doctor nen inbiakna neih hmasak phawt ang che. |
Sudden reaction i neih chuan engtin nge i tih?
Hei hi mi zawng zawngin kan hriat tur pawimawh ber a ni. I doctor chuan eng symptom nge i fimkhur tur tih te, EpiPen hman hun tur te, damdawi ina Emergency Department (ETU) pan hun tur te chiang takin a pe ang che.
A hnuaia chhinchhiahna hlauhawm pakhat emaw a aia tam emaw i neih chuan tihkhawtlai suh .
- Hmai, hmui, lei emaw, kawr emaw a hring chhuak
- Thâwk harsa
- A rilruah a tight tih hriatna
- Taksa pum puiah hian blisters (hives) lian tak tak tam tak lo lang
- Luak chhuak
- Kut, ke emaw, hmui emawa natna
- Taksa chak lohna, luak chhuak, muhil
- Feeling of impending doom (hlauhna nasa tak, "eng emaw ka chungah a thleng dawn" tih ang chi).
Heng symptoms te hi i neih chuan i EpiPen hmang nghal la, a rang thei ang bera damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
He enkawlnaah hian hlauhawmna a awm lo em ni?
Damdawi dang ang bawkin OIT hian hlauhawmna engemaw zat a nei a ni.
- A hlauhawm ber chu a hmaa kan sawi tawh ``anaphylaxis'' an tih allergic reaction na tak hi a ni. Chuvangin he enkawlna hi damdawi lam enkawlna hnuaiah tih fo tur a ni a, in lamah chauh tih tum ngai lo tur a ni .
- Tin, vunah hliam tenau te leh pum na te te ang chi reaction tenau te pawh a awm thei bawk.
- Risk dang hmuh tur awm lo mahse na tak chu Eosinophilic Esophagitis tih hi a ni. Hei hi chaw kawng (esophagus) inflammation a ni. I rilru a buai emaw, i rilruah ei tur a tlakbuak emaw ang chi symptom i neih chuan doctor hnenah i hrilh nghal tur a ni. Naupang tê tête chuan ei an duh lo mai thei. He natna hi OIT enkawlna tihtawp a nih veleh a reh tlangpui.
OIT enkawlna hian eng hlawkna leh hlawhtlinna nge a neih?
He enkawlna hlawkna ber chu i nunna atanga pressure tam tak a lak bo vang a ni. Allergy nei ei tur chi khat i ei palh a nih chuan accident lian tham hlau lo taka nun dan ropui ber awmchhun chu. Mi thenkhat, a bik takin naupang kum naupang tak atanga enkawl tan te pawhin OIT an zawh hnuah hlauhna awm lovin chu chaw chu a pangngaiin an ei thin.
Hlawhtlinna lam hawi chuan zirchianna atanga a lan dan chuan he enkawlna hian naupang kum 4 hnuai lam tan a hlawk hle a, entirnan, peanut allergy atana OIT zirchiannaah chuan naupang kum 1 leh 4 inkar zinga 70% aia tam chuan peanut kernel khat tlukpui protein chu harsatna awm lovin an ei thei a ni.
Hei hi nangmah emaw i fa emaw tan a tha em tih ngaihtuah tur chuan i doctor hi a tha ber a ni. Hei hi enkawlna a ni a, inpekna nasa tak a ngai a, hun a duh rei hle bawk. Chuvangin i zawhna leh hlauh zawng zawngte chu doctor nen sawiho a, thutlukna dik tak siam a pawimawh.
Take-Home Thuchah a ni
- Oral Immunotherapy (OIT) hi thil tih theih a ni lo. Specialist enkawlna kimchang hnuaia tih tur chauh enkawlna a ni .
- Hei hian a tum ber chu allergy nei ei tur chu tum loh taka ei a nih chuan thil hlauhawm lo thleng thei laka invenna a ni .
- Hei hian chhungkua atanga inpekna leh hun tam tak a mamawh a ni. Hun rei tak chhunga zinkawng a ni .
- Enkawlna hun chhung zawng hian, .EpiPen keng reng tur leh hman dan hriat a pawimawh hle.
- Nang emaw i fa emaw hian ei leh in allergy i neih chuan OIT enkawlna chungchang hrechiang duh tan i doctor nen inbia ang che .
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