Reka tumenye byinshi ku byerekeye allergie y'ibiryo. Menya ibi bintu kugira ngo udahangayika!

Uyu munsi tugiye kuvuga ku kintu cy'ingenzi ku bantu benshi, ndetse rimwe na rimwe giteye ubwoba gato. Ibyo ni allergie y'ibiribwa, cyangwa nk'uko tubivuga mu Cyongereza, "Allergie y'ibiribwa". Ese wigeze ugira isesemi itunguranye, kugorwa no guhumeka, cyangwa kubabara mu nda nyuma yo kurya ibiryo? Wenda byakubayeho. Reka turebe ibyo mu by'ukuri, impamvu bibaho, n'uko twakwitonda.

Indwara zo kutagira allergie mu biribwa ni iki?

Muri make, allergie y'ibiryo ni igihe umubiri wawe wibeshye ko ibiryo bitangiza umubiri ari "ibibi" maze ukabyitwaramo. Tekereza nk'uburyo bw'umubiri wawe bwo kwirinda, bubona ibiryo bisanzwe maze bukavuga buti "Oya, uyu ni umwanzi!" Rero, bakora icyo bibwira ko "birinda" wowe, maze ukagaragaza ibimenyetso. Ibi bishobora kuba birimo ibibyimba, kubyimba, kubabara mu nda, kuruka, impiswi, no kugorwa no guhumeka .

Hari igihe iki kibazo gishobora kuba kibi cyane. Tucyita `(Anaphylaxis)`. Ibi bibaho iyo inzira z'ubuhumekero zibyimbye kandi ntushobore guhumeka, cyangwa umuvuduko w'amaraso yawe ukagabanuka cyane. Niba ubyimbye mu maso, mu kanwa, mu minwa cyangwa mu muhogo mu buryo butunguranye, ukumva bigoye guhumeka cyangwa kumira, cyangwa ukumva unaniwe, ugomba guhamagara 911 cyangwa ukajya mu bitaro bikuru biri hafi yawe ako kanya. Ibi si urwenya, sibyo?

Ese hari ubwoko butandukanye bw'allergie ku biribwa?

Yego, hari ubwoko bwinshi bw'ingenzi. Iyo tuvuze "allergie z'ibiribwa," tuba dushaka kuvuga allergie zitera ingaruka zihuse kandi rimwe na rimwe zikomeye ku bintu nk'ubunyobwa, imbuto z'ibiti, na cashew. Muganga wawe ashobora kwita izi "allergie nyayo" cyangwa "allergie ziterwa na IgE." Iyi "IgE" ni ubwoko bwa antibody mu mubiri wacu. Izi ni zo zikora "kwibeshya" nk'uko byavuzwe mbere.

Hariho kandi ubwoko bwitwa `(Oral allergy syndrome)`. Ubu kandi ni ubwo mu bwoko bwa `(IgE-mediated)`. Ariko, muri iki gihe, hari gusa ingaruka z'aho umuntu atuye ku minwa no mu kanwa. Ibi ni gake cyane bijya kuri `(Anaphylaxis)`.

Byongeye kandi, hari ubwoko bw'ingaruka z'ibiribwa byitwa `(Non-IgE-mediated)`. Ni ukuvuga, izidafitanye isano n'uturemangingo twa `IgE`. Ingero zimwe na zimwe ni izi:

• `(Indwara y'inyongo iterwa na poroteyine y'ibiribwa - FPIES): Ibi ahanini bikubiyemo kuruka no gucibwamo.
• Eosinophilic esophagitis: Uku ni ukubyimba k'umuyoboro w'amaraso .
• Gastritis yo mu nda itera umuvuduko mwinshi: Kubyimba igifu bibaho.
• `(Proteyine iterwa na poroteyine y'ibiribwa)`: Iki ni ikintu gikunze kubaho ku bana bato, kandi ibimenyetso birimo amaraso make anyura mu mwanda.

Ni ibihe bintu bikunze kugaragara ku barwayi ba ALLERIC mu biribwa?

Hari ibiryo byinshi bitera allergie nyinshi ku isi, ndetse no mu gihugu cyacu. Ibi ni byo by'ingenzi:

• Ubunyobwa
• Imbuto z'ibiti nk'amakashe, amande, walnuts(urugero: amande, walnuts, pistachios, hazelnuts, pecans, cashews, imbuto zo muri Brezili)
• Amata ( cyane cyane amata y'inka)
• Amagi
• Ifi
• Ifi y'inkangu ( nk'isambaza, inkeri, squid)
• Soya
• Ingano
• Sesame

Ibi biribwa bigizwe na 90% by'allergie zose zikomoka ku biribwa. Ariko, ni ngombwa kwibuka ko ushobora kugira allergie ku biribwa ibyo ari byo byose, nubwo bitari kuri uru rutonde . Hari abantu bafite allergie ku mbuto n'imboga.

Ni ibihe bimenyetso bishobora kubaho iyo umuntu afite ubwivumbure mu biribwa?

Ibimenyetso by'uburwayi bw'ibiryo bishobora gutandukana bitewe n'umuntu ku giti cye. Kuri bamwe, bishobora kuba byoroshye cyane, mu gihe ku bandi, bishobora kuba bikomeye cyane. Dore bimwe mu bimenyetso bikunze kugaragara:

• Uduheri cyangwa uduheri ku ruhu: Ibi bihita bihinduka umutuku, bikarya, kandi bikabyimba, nk'aho umubu uruma. Ibi birarya cyane.
• Uruhu rurashya: Gushyuha umubiri wose bishobora kuba nta ngaruka mbi.
• Kubyimba mu maso, iminwa, umunwa, cyangwa ururimi: Iki ni ikimenyetso giteye ubwoba gato.
• Kurya mu kanwa no mu muhogo: Kurya mu muhogo iyo urya.
• Ijwi rituje: Impinduka mu ijwi zitunguranye.
• Kugorwa no kumira: Numva hari ikintu cyafashe mu muhogo.
• Guhumeka: Ijwi ry'umuriri rituruka mu gituza.
• Guhumeka nabi cyangwa guhumeka nabi: Ibi nabyo ni ikibazo cyihutirwa.
• Inkorora: Ushobora kuba ufite inkorora idashira.
• Ububabare bwo mu nda: Igifu kirababara kandi kikumva gisa n'aho kirimo guhindurwa.
• Kuruka
• Impiswi
• Kubabara umutwe cyangwa gucika intege: Ibi bishobora guterwa n'umuvuduko muke w'amaraso.
• Izuru riva
• Kwitsamura

Ikintu cy'ingenzi: Reka tuvuge ko wagize ikibazo cyoroshye ku biryo runaka mbere. Ariko ubutaha uramutse uriye ibyo biryo bimwe , ushobora kugira ikibazo gikomeye cyane. Rero, niba ugize ibimenyetso bikomeye (cyane cyane kugorwa no guhumeka, kubyimba mu maso), jya kwa muganga vuba.

Bifata igihe kingana iki kugira ngo ibimenyetso by'ubwivumbure bw'ibiryo bitangire?

Ubusanzwe, ibimenyetso bitangira kugaragara mu masaha abiri nyuma yo kurya ibiryo ufite ubwivumbure. Hari igihe bishobora gutangira mu minota mike. Ni gake cyane, ibimenyetso bigaragara nyuma y'amasaha menshi.

Kuki habaho izi allergie z'ibiryo?

Ni inkuru igoye gato, ariko mu magambo make, ni uku. Iyo ufite ubwivumbure ku biribwa, ubudahangarwa bw'umubiri bwawe, sisitemu iturinda indwara, yibeshya ko poroteyine iri mu biribwa ari "iyangiza." Irayigiraho ingaruka nk'aho ari virusi cyangwa bagiteri.

Rero, iyo uriye ibiryo ufite ubwivumbure, ubu buryo bw'umubiri butangira gukora uburyo butandukanye bwo gukuraho ikintu "cyangiza" (allergen) mu mubiri wawe. Ni bwo ibimenyetso byose byavuzwe haruguru bigaragara. Hari igihe iki kibazo gishobora kuba gikomeye ku buryo gishobora gushyira ubuzima mu kaga.

Ni nde ufite amahirwe menshi yo kugira allergie ku biribwa?

Hari abantu bashobora kugira ubwivumbure bw'ibiribwa bitewe n'impamvu zikurikira:

• Niba ufite izindi allergie: Urugero, niba ufite allergie ku mukungugu cyangwa ivumbi, ushobora no kuba ufite allergie ku biribwa.
• Niba urwaye eczema cyangwa asima: Hari abantu barwara eczema, asima, na allergie icyarimwe. Iyi ndwara yitwa kandi "Atopy".
• Niba hari umuntu wo mu muryango wawe (mama, so, abavandimwe bawe) ufite allergie, asima, cyangwa eczema: Hashobora kuba hari imiterere y’uturemangingo.

Ni izihe ngorane zishobora guterwa n'allergie y'ibiryo?

Ingorane ikomeye cyane iterwa n'allergie y'ibiryo ni indwara yavuzwe haruguru yitwa '(Anaphylaxis)'. Ibi bishobora gutera kubyimba mu mikorere y'umubiri myinshi, kuruka mu buryo butagira ingaruka, guhumeka bigoranye cyane, ndetse no kugabanuka gukomeye k'umuvuduko w'amaraso (anaphylactic shock). 'Severe (Anaphylaxis)' ishobora no gutera urupfu. Kubwibyo, ugomba kwitonda cyane kuri ibi.

Ni gute abaganga basuzuma indwara y'ibiryo (allergies)?

Niba ubona ko ufite ubwivumbure mu biribwa, ugomba kujya kwa muganga. Azakubaza ibimenyetso byawe, kandi nibiba ngombwa, agategeka ko upimwa indwara y'ubwivumbure . Ni byiza kugira amakuru akurikira igihe ugiye kwa muganga:

• Ni ibihe biribwa bitera ibimenyetso by'indwara yawe (niba ubizi).
• Niba ibiryo byaribwaga ari bibisi cyangwa byatetse.
• Ni ibiryo bingana iki wariye ubwo ibimenyetso byagaragaraga?
• Ni ibihe bimenyetso uri kubona, kandi ni ibihe bikomeye?
• Bifata igihe kingana iki kugira ngo ibimenyetso bigaragare nyuma yo kurya?
• Ese hari izindi mpamvu zashoboraga kugira ingaruka ku bimenyetso byawe? (urugero, ese icyo gihe wari ufite indwara ya virusi? Ese wahuye n'indi ndwara ya ubwivumbure - nk'umukungugu?)
• Ese hari uburyo bwo kuvura wagerageje mu rugo, kandi bwagufashije gukira?
• Ese ibimenyetso bihora bigaragara iyo uriye ibi biribwa, cyangwa rimwe na rimwe gusa?
• Ibi bimenyetso bimaze igihe kingana iki bigaragaye?
• Ese hari izindi allergie zizwi (ku biribwa, impongo, umukungugu, inyamaswa, nibindi)?
• Urwaye eczema cyangwa asima?
• Hari umuntu mu muryango ufite allergie, asima, cyangwa eczema?

Ibi bisobanuro bizafasha cyane muganga gusobanukirwa ikibazo neza.

Ni ibihe bipimo by'ubwivumbure bw'ibiryo?

Iyo umuganga asanze ari ngombwa, ashobora gukora ibizamini bikurikira:

• Ikizamini cy'uruhu rw'allergie: Ibi bikubiyemo gusiga ingano nto cyane y'ikintu utekereza ko ufite ubwivumbure ku ruhu rwawe (ubusanzwe ku kuboko cyangwa mu mugongo), gutobora uruhu n'urushinge ruto cyane, hanyuma ugategereza iminota 15-20 kugira ngo urebe niba hari ingaruka (gutukura, kubyimba).
• Gupima amaraso y’allergie: Ibi bikubiyemo gufata icyitegererezo cy’amaraso yawe no kuyasuzuma niba hari abasirikari b’umubiri ba IgE barinda ibiryo utekereza ko ufite allergie.
• Ikizamini cy’ikibazo cy’ibiribwa: Ibi bikorwa witonze cyane, uyobowe na muganga, kandi mu bitaro gusa. Muri ibi, uhabwa buhoro buhoro ingano y’ibiryo ukeka ko ufite ubwivumbure. Ibi bikorwa kugira ngo harebwe niba ufite ikibazo. Kubera ko ibi bishobora guteza akaga gato, gukurikiranwa n’abaganga ni ngombwa.

Ni gute ubwivumbure bw'ibiryo buvurwa?

Mu by’ukuri, uburyo bwiza bwo guhangana n’allergie y’ibiryo ni ukwirinda allergie yawe. Ibyo bivuze kutarya ibyo biryo. Ariko, ubu hari uburyo butandukanye bwo kuvura bushobora kugabanya ibyago byo kugira allergie. Ubu buryo burimo inshinge, imiti yo kunywa, n’imiti ikoreshwa mu ndimi zitandukanye.

Nanone, ni ingenzi cyane gufata imiti yihutirwa, cyane cyane `(Epinephrine)` auto-injection (urugero `(EpiPen®)`, `(Auvi-Q®)`, hafi yawe mu gihe wariye ibiryo ufite ubwivumbure ku bushake.

Inshinge za Omalizumab

Muganga wawe ashobora kuguha urushinge rwitwa Omalizumab (izina rya Xolair®) rimwe cyangwa kabiri mu kwezi. Cyangwa ushobora kwitoza kurutera. Ibi bishobora kugabanya ibyago byo kwangirika mu gihe uhuye n'ibiryo ufite ubwivumbure utabizi.

Ubuvuzi bw'umubiri mu kanwa (OIT)

Ubuvuzi bw'umubiri buterwa n'umunwa (OIT) ni gahunda igufasha wowe cyangwa umwana wawe gukomeza kwihanganira ibiryo ufite ubwivumbure buhoro buhoro. Uyobowe na muganga, uhabwa buhoro buhoro ibiryo ufite ubwivumbure mu gihe cy'amezi runaka. Intego ni ukuba "udakubitwa" kugira ngo n'ibiryo bike ufite ubwivumbure bitazagutera ingaruka zikomeye. Hari abantu bashobora kurya ibiryo byahoze bifite ubwivumbure nta kibazo nyuma yo kuvurwa na OIT.

Ubuvuzi bw'umubiri bukoresha ururimi rumwe (SLIT)

Ubuvuzi bwo mu mutwe bukoresha uburyo bwa Sublingual Immunotherapy (SLIT) busa na OIT. Bukubiyemo guha umubiri wawe urugero ruto rw'ibintu bitera allergie buri munsi kugira ngo wongere ubushobozi bwo kwihanganira ibyo bintu. Ariko aho kubirya, ushyira amazi cyangwa ikinini kirimo ibyo bintu bitera allergie munsi y'ururimi rwawe hanyuma ukareka bigashonga.Ubu buvuzi bwa `(SLIT)` bugomba gukorwa buyobowe na muganga kugira ngo habeho umutekano.

Imiti yihutirwa

Niba ufite ubwivumbure nyuma yo kurya ibiryo ufite ubwivumbure, muganga wawe ashobora kukugira inama yo kuguha imiti ikurikira:

• Inshinge ziterwa na epinephrine (urugero: EpiPen® cyangwa Auvi-Q®) : Muganga wawe azakugira inama yo kuyikoresha mu gihe ubonye ibimenyetso bikomeye by'ubwivumbure (anaphylaxis). Ni ngombwa kuyigumana.
• Corticosteroids : Ubwo bwoko bwa steroid bukora mu kugabanya ububyimbirwe.
• Antihistamines : Izi zishobora gufasha guhagarika cyangwa kugabanya ingaruka z'ubwivumbure. Ariko, ntabwo zitangwa kugira ngo zikumire ingaruka z'ubwivumbure bw'ibiribwa.

Bite se niba mfite allergie ku biribwa?

Niba wowe cyangwa umwana wawe mufite ubwivumbure bw'ibiryo, mukwiye kugira akamenyero ko gusoma ibyanditse ku biribwa no kwirinda ibiryo bishobora kuba birimo ubwivumbure . Mushobora kuvugana n'umuganga w'indwara z'ubwivumbure kugira ngo muganire ku buryo bwo kuvura n'icyo mwakora mu gihe mugize ikibazo. Ashobora kandi kubagira inama yo gupima ubwivumbure bw'ibiryo rimwe na rimwe kugira ngo barebe niba ubwivumbure bw'umwana wanyu bwagabanutse cyangwa niba ubuvuzi bwaratangiye kumera neza.

Indwara zo kugira ubwivumbure ntizishoboka. Rero, nubwo waba ufite ubwivumbure buke rimwe, ubutaha bishobora kuba bikomeye. Nanone, nta kizamini gishobora kukwereka neza ubwivumbure uzagira ku biryo utabiriye. Rero, ntukinubire kubera ko hari ikintu gito cyabayeho mbere, kandi buri gihe ujye witonda.

Ese allergie y'ibiryo irashira?

Rimwe na rimwe yego. Abana benshi bato bakura barengeje imyaka 6 bafite allergie y'amata n'amagi. Ariko, allergie ku binyabutabire, imbuto z'ibiti, isambaza n'amafi ni gake cyane (munsi ya 20%).

Ese allergie y'ibiribwa ishobora kwirindwa?

Nubwo nta buryo bwizewe bwo kwirinda aleriji y'ibiryo, ushobora kugerageza ibi bintu kugira ngo ugabanye ibyago by'umwana wawe byo kurwara aleriji:

• Niba wonsa (keretse niba ufite ubwivumbure kuri ibyo biribwa) , shyiramo ubunyobwa n'ibindi bintu bikunze gutera ubwivumbure mu ndyo yawe isanzwe.
• Baza muganga w'umwana wawe igihe n'uburyo bwo kumutangiza ibiryo bishya. Ashobora kukugira inama yo kumutangiza ibiryo bishobora gutera allergie hakiri kare, cyangwa uyobowe na muganga, bitewe n'izindi ndwara z'umwana wawe.
• Iyo umwana wawe amaze kumuzanira ibiryo ashobora kuba afite ubwivumbure, komeza kumugaburira ibiryo bitandukanye adafite ubwivumbure (harimo imbuto, amata n'amagi). Ibi bishobora kugabanya ibyago byo kurwara ubwivumbure nyuma.

Ni gute nakwitaho cyangwa nkakwitaho umwana wanjye?

Kugira ngo wirinde wowe ubwawe cyangwa umwana wawe kurya ibiryo ufite ubwivumbure utabizi, kora ibi bikurikira:

• Reba ku kirango cy'ibikubiye mu biribwa byateguwe mbere. Ibi bishobora kugorana gato muri Sri Lanka, ariko gerageza uko ushoboye kose. Mu bihugu by'amahanga, niba ibiryo birimo kimwe mu bintu 9 bikunze gutera ubwivumbure, bigomba kwandikwa ku kirango. Nanone menya amagambo nka "ashobora kuba arimo" cyangwa "akozwe ku bikoresho bisangiwe".
• Buri gihe reba ku kirango igihe uguze ibiryo mu iduka, igihe ubizanye mu rugo, na mbere yuko ubirya.
• Tangira kuganira n'umwana wawe akiri muto ku bijyanye no kwitondera ibyo arya no kudasangira ibiryo n'abandi utazi ko ari byiza.
• Mu gihe ugiye gufungura hanze, witondere cyane muri resitora. Baza niba ibiryo birimo ikintu cyose kigutera ubwivumbure. Ariko wibuke ko bashobora kutaguha garanti 100%.
• Bwira abantu bose bari hafi y'umwana wawe ibyerekeye ubwivumbure bwe n'ibiribwa bidafite ingaruka mbi ku buzima bwe.
• Vugana n'ishuri ry'umwana wawe cyangwa aho arererera abana ku bijyanye n'ubwivumbure bwe, hanyuma umenye gahunda afite zo kwirinda ko yajya mu biryo afite ubwivumbure atabizi.
• Tegura neza mu rugendo n'ibindi bihe uri kure y'urugo. Jyana ibiryo bizima, cyangwa shaka ahantu hatekanye ho kuriramo mbere y'igihe.
• Niba ufite ikibazo ku byo ushobora kurya n'ibyo udashobora kurya, baza muganga wawe.

Itegure mu gihe ugize ikibazo cy'ubwivumbure:

• Buri gihe ujye witwaza inshinge za epinephrine. Baza muganga wawe uko wayikoresha neza.
• Menya neza ko ishuri cyangwa irerero ry'umwana wawe rifite gahunda y'ubuvuzi bwihutirwa bwo kuvura indwara z'ibiryo n'indwara zo mu mutwe (Food Allergy & Anaphylaxis Emergency Care Plan) itangwa na muganga w'umwana wawe. Ibi bisobanura icyo wakora mu gihe umwana wawe agize ikibazo cy'ubwivumbure.
• Ha umwana wawe ikaramu ya epinephrine hamwe n'indi miti yose ashobora gukenera ku ishuri cyangwa mu kigo cyita ku bana.

Ni ryari ngomba kujya kwa muganga?

Niba ubona ko wowe cyangwa umwana wawe mushobora kuba mufite allergie y'ibiribwa, jya kwa muganga ako kanya. Ashobora kukwohereza kwa muganga w'inzobere akaguha ubuyobozi bw'icyo wakora nyuma yaho.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Hatabayeho ubuvuzi, ingaruka z'ubwivumbure zishobora gushyira ubuzima mu kaga.Niba ubonye kimwe muri ibi bimenyetso, jya mu cyumba cy’ubutabazi bw’ibanze ako kanya cyangwa uhamagare 1990:

• Kubyimba mu maso, iminwa, ururimi, cyangwa umuhogo
• Guhumeka bigoranye
• Gufungana mu gituza
• Udukoko (udukoko)
• Kubura ibinya mu biganza, mu birenge, cyangwa mu minwa
• Intege nke, isereri, cyangwa gucika intege
• Ubwoba budasanzwe, kumva ko hari ibyago byinshi bigiye kuza

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Bishobora kuba byiza kubaza muganga wawe ibibazo nk'ibi:

• Ese hari uburyo bwo kuvura njye/umwana wanjye?
• Ni iki nakora iyo njye/umwana wanjye agize ubwivumbure cyangwa ariye ikintu mfite ubwivumbure ku buryo butunguranye?
• Ni ubuhe buryo bumwe na bumwe bwo kwirinda ko umuntu yahura n'ibintu bishobora gutuma umuntu arwara indwara y'ubwivumbure atabizi?
• Uyu muti nkoresha nte?
• Ni ryari nkeneye `(Epinephrine)`?
• Ese ufite gahunda yo gukora ku bijyanye n'ubwivumbure?

Ni mu rugero rungana iki indwara zo mu biribwa zikunze kugaragara?

Ubushakashatsi bwerekana ko hagati ya 6% na 11% by'abantu bakuru bafite ubwivumbure ku biribwa. Nanone, abana bagera kuri 8% barwaye ubwivumbure ku biribwa.

Bishobora kuba ari umwana wawe, cyangwa bikaba ari ikintu umaze gusanganwa. Ariko, ubwivumbure bw'ibiryo bushobora guhindura ubuzima. Gukenera kwirinda ibiryo bimwe na bimwe, kwibaza icyo wowe cyangwa umwana wawe mushobora kurya, no gutinya kutazongera kurya muri resitora byose bishobora kuba byinshi. Ariko, kuri benshi, ubwo bwoba buhoraho ntibuhoraho.

Hari amahitamo menshi kurusha mbere hose ku bantu bagomba kwitonda cyane iyo barya hanze. Hari porogaramu n'amatsinda yo kuri interineti ashobora kugufasha kubona ibiryo bizima byo kubika mu bubiko bwawe. Abantu benshi babona resitora n'ibiryo bizera kandi bakunda kubirya. Kubana n'allergie biroroha iyo bibaye igice cy'ubuzima bwawe bwa buri munsi.

Hanyuma, ubutumwa bwo kujyana mu rugo:

Kurwara indwara y'ibiryo ni ikintu cyo gutinya, ariko iyo ubibwiwe neza kandi ugafata ingamba zikenewe, ushobora kubaho ubuzima busanzwe.

• Menya neza ibyo kurya ufite ubwivumbure. Shaka inama kwa muganga.
• Buri gihe soma ibyapa by'ibiribwa. Niba ushidikanya, irinde ibiryo.
• Buri gihe ujye witwaza epinephrine auto-injection (niba ufite ibyago bikomeye byo kugira allergie) kandi uzi neza uko uyikoresha.
• Menyesha umuryango wawe, inshuti zawe, n'abo mukorana ku ishuri/ku kazi ibyerekeye aleriji yawe.
• Ntutinye kubaza ibibazo. Shaka inama kwa muganga wawe cyangwa inzobere mu mirire.

Wibuke ko utari wenyine. Hari abantu benshi babana n'allergie z'ibiryo. Shaka ubufasha n'ubufasha ukeneye. Witondere!

` Allergie ku biribwa, allergie ku biribwa, ibimenyetso by'allergie, anaphylaxis, epinephrine, epipen, kuvura allergie, allergie ku bana