I naute hian food allergy a nei em? Doctor ten an hriatchhuahna atana an hman test (Food Allergy Testing) chungchang hi han sawi ila!

Nang emaw, i fa naupang emaw hian chaw ei hnuah thil mak emaw, nuam lo emaw i nei em? Chaw chi khat i ei hnuah i riltam, vun sen, thawk harsa i tawk tawh em? Hengte hi ei leh in allergy chhinchhiahna a ni thei . Chuvangin, doctor-te’n ei leh in allergy an hriat theih dan leh eng test nge an tih tih hi han sawi ila, a dik em? Heng thilte hi hlauh emaw, a tul lo taka lungkham emaw a ngai lo. Mahse he thu hriat hi i tan a tangkai hle ang.

Engtin nge doctor-te hian ei leh in lama allergy an neih leh neih loh an test thin?

A tlangpuiin doctor, a bik takin allergy lama tui tak doctor – "allergist" kan ti bawk – hian ei tur allergy a awm leh awm loh enfiah nan testing method lian pahnih a hmang thin. Hengte hi vun test leh thisen test te a ni . Thil engemaw takah chuan doctor chuan heng test pahnih hi tih a rel thei a ni. Hei hi thil engemaw zat ngaihtuah a ni a, chu chu damlo dinhmun leh a natna lan chhuah dan te hi a ni.

Skin prick test tih hi eng nge ni? Engtin nge tih a nih?

Hei hi i ngaihtuah angin a lian lo va, a buaithlak lo bawk. Test awlsam tak a ni. I naute tê chu bawnghnute a in laiin thil pakhatah allergy a nei tih i ringhlel ang. Tichuan allergist emaw trained nurse emaw chuan hetiang hian he test hi a ti ang:

1. A hmasa berin i emaw i naute kut hmawr emaw, hnungzang thenkhat emaw vun chu uluk takin silfai ang che.

. Hei hi hrehawmna lian tak a ni lo, tickle te tak te, rulhut seh ang maiin a lang. Hlauh tur a awm lo.

3. Hetiang hian i vunah tui hi hnawih la, minute 15 vel nghak rawh.

4. Tunah chuan a pawimawh ber. "Allergen" liquid an hnawih na hmun chu a sen a, a hring deuh a, blister ang chi bump te tak te (hei hi doctor-te chuan "wheal" an ti bawk) a lo lang a nih chuan, chu chuan ei tur sawi tur chu allergy a awm thei tih hriattirna engemaw zat a pe a ni.

5. Tichuan, doctor emaw nurse emaw chuan ruler hmangin wheal lian leh te leh a chhehvel sen chu dik takin a teh ang a, a record ang.

Tunah chuan han ngaihtuah teh, ei tur pakhat chauh ni lovin, ei tur chi hrang hrangah allergy i nei tih i rinhlelh a nih chuan, emaw, eng ei tur nge heng allergy symptoms te hi a thlen tih chiang taka hriat a harsat chuan, doctor chuan i vun chu a rualin "allergens" hrang hrang engemaw zat dahin a test thei ang.

Skin test zawhah test na hmun chu rei lo te chhung i scratch thei bawk. Hei hi thil pangngai a ni. Mahse, a natna chu minute 30 chhungin a reh tlangpui. I naute hian a na lutuk a nih chuan doctor chuan antihistamine emaw, topical steroid cream emaw a pe thei che a, chu chu a natna hmunah hnawih turin a pe thei che a ni. Hei hian itching a tihziaawm thuai ang.

Thisen test hian eng chiah nge a zawn?

Thil engemaw takah chuan a chunga kan sawi tak vun test bakah hian emaw, vun test tih theih loh chhan engemaw a awm chuan (entir nan, vun natna khirh tak nei emaw, damdawi thenkhat ei emaw) doctor chuan thisen test pawh a rawt thei bawk.

Hei hian nangmah emaw i naute emaw thisen sample tlemte tak tak lak a, laboratory-a special test neihna tura thawn a huam a ni. A pawimawh ber chu thisenah hian "IgE antibodies" a awm em tih enfiah a ni a, chu chu kan immune system-in ei tur bik laka a siam a ni.

A awlsam zawngin, heng IgE antibodies te hi protein chi khat bik an ni a, kan taksa defense system, immune system chuan ei tur thenkhat chu "tha lo" emaw "hmêlma" emaw anga a hriat sual a, do let a tum hian a siam thin. Chuvangin, mi thisenah hian ei tur pakhata heng IgE antibodies te hi a awm tih hmuhchhuah a nih chuan chu chaw chu allergy a neih theihna a awm tihna a ni. Clue mai a ni a, vun test result ang bawkin.

Doctor-te hian engtin nge test result an hrilhfiah? Hei hi a pawimawh hle mai!

Hetah hian i ngaihtuah reng tur thil pakhat a awm. Skin test emaw thisen test emaw avanga ei tur pakhat " positive" reaction a awm vang mai mai chuan mi pakhatin chu ei tur chu a allergy a nei tih 100% in a chiang tihna a ni lo. Allergy awm theihna a awm tih a tilang chauh a ni.

Hetiang hian han ngaihtuah teh. Mi thenkhat chu pianpui vun sensitive tak nei an ni. An vun chu thil engemaw, test substance ni lo thilin a ti na deuh a nih pawhin, a sen thei a, a hring deuh thei a, a hring thei bawk. Allergy a nih a ngai lo. Tin, mi thenkhat chuan an thisenah ei tur pakhatah IgE antibodies an nei thei a, mahse chu ei tur an ei chuan allergy symptoms an nei lo mai thei bawk. Hei hi "sensitization" kan ti a, chu chu "allergy" nen a danglam a ni.

Chuvangin, doctor chuan heng test result chauh atang hian mi pakhatin food allergy a neih leh neih loh chungchangah thutlukna hnuhnung ber a siam ngai lovang. Thil dang tam tak a zawt ngei ang che, chungte chu:

• Nangmah emaw i naute emaw hian eng symptom bik nge i neih? (e.g., itching? rash? thawk harsa? pum na?)
• Chaw ei hnuah eng chen nge heng symptoms te hi a lo lang thin? (Minute? Darkar?)
• Engtiang chiahin nge a symptoms te hi a nasat? (Tlemte chauh a ni em? A nih loh leh a na lutuk a, i taksa pum a hring vek a, thawk i la thei lo em ni?)
• I chhungkuaa midang (nu, pa, unau) hian hetiang food allergy emaw allergy dang (e.g. asthma, dust allergy) emaw an nei em?

Doctor chuan ei tur allergy chungchangah hian damlo damdawi lam chanchin kimchang, a natna lan chhuah dan leh test result a enfiah hnuah chauh thutlukna dik tak a siam thei a ni.

Oral Food Challenge tih hi eng nge ni? A hlauhawm em?

Tunah chuan a chunga kan sawi tak vun test leh thisen test pahnih result hi a chiang vak lo tih han ngaihtuah teh. A nih loh leh, i naute hian a naupan lai khan ei tur allergy a nei a, tunah chuan a upa deuh tawh a, chu allergy chu a bo tawh em tih chiang taka hriat i duh a, chu chu , "outgrown" tihna a ni a, doctor chuan test bik dang a rawn rawt thei bawk. Hei hi "oral food challenge" kan tih chu a ni .

Hetah hian thil thleng chu a awm:

1. Allergen (potential food allergen) nia rinhlelh chaw chu a tlem hle a, teaspoon sawma ṭhena hmun khat vel pawh a ni mai thei, hun kal zelah zawi zawiin a pung chho zel a ni.

2. Heng zawng zawng hi doctor-in direct leh close supervision hnuaiah tih a ni. Doctor emaw trained medical staff emaw chuan allergy symptoms a awm leh awm loh uluk takin an lo thlir reng ang. Pulse rate, thawk dan, vun inthlak danglam ang chi thilte chu enfiah reng a ni.

3. He test hi in lamah tih tum ngai suh. Hei hi doctor office (clinic) emaw damdawi inah chauh tih tur a ni a, chutah chuan emergency enkawl nana hmanraw tul zawng zawng a awm a ni. Hei hi a chhan chu allergy na tak, "anaphylaxis" an tih chu a lo awm nghal thei a ni.Nunna atana hlauhawm (severe allergic reaction) a lo awm chuan emergency damdawi leh trained doctor leh medical staff (specialist leh medical staff) te chu enkawl vat turin an awm a ngai a ni.

Hei hi a pawimawh hle: Engtik lai pawhin, eng vang pawhin, damdawi lam enkawlna tel lovin in lamah "Oral Food Challenge" tih tum suh, a tha em? A chhan chu food allergy hi a chang chuan rin loh takin a hlauhawm thei a ni. Nunna atana hlauhawm pawh a ni thei.

A tam zawkah chuan he "oral food challenge" test hi a hmaa food allergy awm tawh chu tunah chuan a thianghlim tawh em tih finfiah nan an ti thin a, chu chu tunah chuan chu ei tur chu ei kawngah harsatna a awm tawh lo tihna a ni. Entîr nân, naute a naupan lai aṭanga rulhut allergy nei tawh chuan kum engemaw zât chhûngin chu allergy chu a pianphungah a lo puitling thei a ni. Chuvangin he test hi chutiang chiah chu hriatchhuah nan a tangkai hle.

Test-in allergy a neih tih finfiah a nih chuan eng nge thleng leh ang?

Okay, tunah chuan a chunga kan sawi tak test te hian i naute emaw nangmah emaw hian food allergy i nei tih a finfiah tawh ang u. Chutih lai chuan hlauthawng suh, khawvel tawp a ni lo. I doctor chuan he dinhmun thar hi him tak leh pangngai taka nun dan tur management plan chiang tak siam turin a pui ngei ang che.

Thil tih tur lian ber berte chu:

1. Allergenic ei tur khauh taka pumpelh:

• Doctor chuan eng ei tur nge i tan emaw i naute tan emaw a tha lo tih chiang takin a pe ang che a, eng ei tur nge thil thup awm thei tih pawh hriatthiamna tha tak a pe bawk ang che.
• Store atanga i ei tur package emaw bottle emaw i lei apianga food label chhiar thin kha uluk takin i chhiar thin tur a ni. A chhan chu a châng chuan kan ngaihtuah loh ei tûr, entîr nân, sauce, soup, leh biscuit-ah te hian chutiang allergenic ei tûr (e.g., bawnghnute, artui, soy, buhfai , buhfai) te chu a awm thei a ni.
• I naute chu sikul kal tur a nih chuan hemi chungchang hi class zirtirtu, cafeteria staff, etc. hriattir a pawimawh hle. Tin, chhungte inah emaw, ṭhiante inah emaw, party-ah emaw kan kal dawnin, he thu hi mi dangte hriattir lawk hian a ṭul lova harsatna tam tak a pumpelh thei bawk.

2. Emergency damdawi hmanraw hman tur:

• Food allergy thenkhat chu a na hle thei. Chumi awmzia chu, a hmaa kan sawi tawh ang khan, "anaphylaxis" an tih, nunna atana hlauhawm tak, natna khirh tak a awm thei a, chu chuan thawk harsatna a thlen nghal thei a, thisen sang a tlahniam nghal thei a, hriatna a hloh thei bawk.
• Chutiang emergency a lo awm chuan hmang nghal rawh. Doctor chuan damdawi bik a rawn pe ang che. "Adrenaline" (Epinephrine) tih a ni.Hei hi pen ang chi hman awlsam tak (epinephrine auto-injector)-ah a lo thleng tlangpui. I doctor emaw nurse emaw chuan a hman dan tur a zirtir ang che.
• He "Adrenaline" (Epinephrine) damdawi hi i hnenah emaw, i naute bulah emaw, engtik lai pawhin i dah reng tur a ni. I school bag-ah i keng tel tur a ni a, inkhel tura i chhuah dawnin, zin chhuah hunah, i kalna apiangah i keng tel tur a ni. Nunna chhanhimna hmanrua ang mai a ni.
• Tin, nang leh i chhungte leh i naute enkawltu turte, i naute zirtirtute ang chite hian emergency-a he damdawi hi hman dan tur dik tak hriat a pawimawh hle bawk. Doctor chuan uluk takin a hrilhfiah ang che a, a tul chuan training a pe ang che.

Heng zawng zawng atanga take-home message pawimawh ber chu:

Food allergy neia rinhlelhna tlemte pawh i neih chuan i duh duhin ei tur siam chhuah emaw, ei thar tan emaw chauh tum suh. Doctor thiam tak hmuh ngei ngei tur a ni a, thurawn dik tak la la, a tul chuan test dik tak pawh ti ngei ang che.

• Skin prick test leh IgE antibodies zawnga thisen test te hi ei leh in allergy hriat theihna atana hmanraw lian ber a ni.
• "Positive" test result chauh hian mi pakhatin allergy a nei tih a tichiang lo. Doctor chuan thutlukna hnuhnung ber siam nân thil tam tak, a natna lan chhuah dân te, damlo damdawi lam chanchin te, leh chhûngkaw allergy te pawh a ngaihtuah ang.
• A châng chuan, a bîk takin a result a chiang lo a nih chuan, allergy a bo tawh em tih hriat nân oral food challenge tih theih a ni. Mahse, hei hi doctor enkawlna hnuaiah leh damdawi in hmunah chauh tih tur a ni.
• Doctor-in allergy i neih thu a nemnghet chuan hlauthawng suh la, hlau suh la, doctor thupek dik takin zawm rawh. A pawimawh ber chu allergy thlentu ei tur te hi pumpelh vek a, emergency hmanna atan "adrenaline" (epinephrine) auto-injector bulah dah reng a ni.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor emaw allergist emaw zawt hreh suh. Kaihhruaina dik tak pe turin an awm a ni. Hrisel takin awm rawh!

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