Food allergy tihdamna tur a ni em? Oral Immunotherapy (OIT) chungchang hi a awlsam zawngin i zir dawn teh ang!

I naute hian ei tur eng emaw zat allergy a nei em? Buhfai, bawnghnute, a nih loh leh artui tlemte pawh hian vun a siam ang a, thawk harsa a ti ang tih i hlau reng em? Party emaw event emaw i kal pawhin i naute hian eng nge a ei dawn tih i ngaihtuah thin. Vawiin hian he hlauhna leh lungkhamna chinfelna ni thei tur enkawlna bik kan sawi dawn a ni.

A awlsam zawngin, Oral Immunotherapy (OIT) hi eng nge ni?

Oral Immunotherapy, a tawi zawngin OIT tih hi ei leh in lama allergy enkawlna a ni. I taksain ei tur chhunga protein pakhat, allergy thlentu (`allergen` kan ti) chu hmelma anga a hriat sual angin han ngaihtuah teh. Chuvangin taksa chuan chu ``hmêlma`` laka humhim turin indona lian tak a tan ta a ni.`` Chu indona chu allergic reaction anga kan hmuh chu a ni.

OIT enkawlnaah hian i allergy nei ei tur tlemte chauh pek che a ni a, chu chu allergist enkawlna hnuaiah a ni. Tichuan, hun kal zelah, uluk tak leh ruahmanna fel tak neiin a zat chu a tipung zauh zauh a. Mi thinrim tak biak a, an rilru hahdam tir ang mai a ni. Hei hi a tum ber chu zawi zawiin i immune system chu ‘hmêlma’ (allergen) nena inhmeh tir a, a hlauhawm lo tih hriatthiam tir hi a ni. Hetiang kalphung hi `desensitization' kan ti a. A tum ber chu, chu chaw chu a tlem berah i ei palh pawhin, nunna atana hlauhawm tur khawpa na tak i neih lohna tur hmuna hruai che hi a ni.

He enkawlna hi ka tan hmain eng nge ka tih ang?

OIT enkawlna i tan hmain i doctor chuan thil engemaw ti turin a hrilh ang che.

• Vun leh thisen allergy test: Heng test te hi ei leh in allergy i nei tak tak em tih finfiah nan leh enkawlna hlawhtlinna tehna atan a ngai a ni. A bik takin thisen a antibody awm zat `(IgE)` an tih chu an teh thei a, enkawl hnuah engzat nge a tlahniam tih an hmu thei bawk.
• Asthma leh eczema control tha: Thâwk lam natna, Asthma emaw allergy dang emaw i neih chuan control ṭhat a pawimawh hle. Chutiang a nih loh chuan OIT enkawlnaah hian reaction na tak i neih theihna chance a sang zawk a ni.
• Chaw mamawh leh tehna hmanrua buatsaih: Enkawlna atana nitin i ei tur (e.g., peanut powder - `Palforzia®` ang chi) leh a dik taka tehna atana hmanraw mamawh i lei a ngai ang.
• Epinephrine auto-injector la rawh: Hei hi EpiPen® emaw Auvi-Q® emaw tia i hriat tawh chu a ni mai thei. Hei hi nunna chhanhim thei emergency injection a ni a, allergy na tak a awm chuan pek theih a ni. Hemi atan hian i doctor chuan prescription a pe ang che. A tel lo chuan OIT enkawlna i tan thei lo.

Engtin nge enkawlna chu a awm?

OIT enkawlna hi phase lian pahnih a awm a, chungte chu escalation phase leh maintenance phase te an ni. Hemi hun chhung hian engtik lai pawhin allergic reaction i neih chuan i doctor chuan hlawhtling taka i dose hnuhnung ber thlengin a refer leh thei che a, a nih loh leh duhthlan tur dang a sawiho thei bawk.

Phase khatna: Updosing Phase tih a ni

Hetiang dinhmunah hian thil thleng chu a ni:

1. Appointment hmasa ber chu doctor office-ah neih a ni. Chumi ni chuan i allergy nei ei tur tlemte chauh (i kut zungtang te tak te tip-a i vawn theih tur tlemte pawh a ni mai thei) pek i ni ang.

2. Chumi hnuah doctor chuan darkar engemaw zat a enkawl ang che, reaction a awm leh awm loh a en ang.

3. In i haw hnuah nitin hun khatah dose inang i ei tur a ni .

4. Kar hnih danah doctor i hmu leh tur a ni . Tichuan, Doctor enkawlna hnuaiah chuan a dose chu tlem a tipung leh ang. Hei hi thla eng emaw zat a la awm dawn a ni.

Phase Two: Taksa a lo hman tawhna level vawn reng (Maintenance Phase) .

Target dose engemaw zat i thlen chuan (hei hi i doctor-in a ruat a ni) maintenance phase chu a intan thin. He phase-ah hian nitin hlawhtling taka i dose hnuhnung ber chu thla ruk tal i ei ang . Thla ruk hnuah i doctor chuan thisen test a nei leh ang a, allergen laka antibody a tlahniam em tih a enfiah ang. Chumi hnuah chuan nitin ei ni lovin kar khatah ni engemaw zat ei turin an ti mai thei bawk.

Enkawl lai hian eng thilte nge zawm tur?

OIT enkawlna hlawhtling tur hian dan tlemte a awm a. Hengte zawm hian allergy neih theihna a ti tlem thei a ni.

Allergy i neih chuan engtin nge i tih ang?

Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che. Allergy na tak (anaphylaxis) hi emergency a ni. A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan i EpiPen® hmang nghal la, hospital emergency department (ETU) hnai ber pan rawh.

• Hmai, hmui, lei emaw, kawr emaw a hring
• Thâwk harsa emaw, rilru a tight emaw
• Taksa pum puiah hian hive lian tak tak tam tak a awm
• Luak chhuak
• Kut, ke emaw, hmui emawa natna
• Chak lohna, luak chhuak emaw, muhil emaw
• Thil lian tak a thleng dawn tih hlauhna

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Hlawkpuina

Hei hi a thatna ber chu "bite proof" a nih vang a ni. Chu chu, allergy nei ei tur tlemte chu ei sual pawh ni se, a chhanna nasa tak a thlen dawn lo tihna a ni. Hei hian nu leh pa leh naupang hlauhna leh lungkhamna nasa takin a tiziaawm a ni. Nunphung quality a sang hle. Naupang tê ṭhenkhat, OIT enkawlna an zawh hnuah, a hmaa allergy nei tawhte chu hlauhna awm lovin an ei thei ṭhin.

Risk a awm thei

A hlauhawm ber chu a hmaa kan sawi tawh ``anaphylaxis'' an tih allergic reaction na tak hi a ni.Chuvang chuan he enkawlna hi doctor enkawlna hnuaia tih a ngai a ni.

Tin, `(eosinophilic esophagitis)` tih natna vei theihna a awm bawk. Hei hi ril leh esophagus a lo hring chhuah hun a ni. I rilru a buai emaw, i rilruah ei tur a tlakbuak emaw i neih chuan doctor hnenah i hrilh nghal tur a ni. Naupang tê tê chuan ei a duh lo mai thei. Mahse thu lawmawm tak chu OIT enkawlna tihtawp a nih veleh he natna hi a bo tlangpui.

OIT hi enkawlna a ni a, inpekna leh hun tam tak a mamawh a ni. Tin, mi zawng zawng tan a inhmeh lo. Chuvangin, he enkawlna hi i fa emaw, nangmah emaw tan a tha em tih i rel hmain, i doctor nen hemi chungchang hi sawipui a, zawhna i neih zawng zawng zawh hmasak phawt a pawimawh hle.