Pana pā ʻaʻai
ʻO ka pana kīkēkē kahi lāʻau i injected i loko o kou kino e mālama i nā hōʻailona maʻi āpau.
Loaʻa i kahi pana allergy kahi liʻiliʻi o kahi alergen. ʻO kēia kahi mea e kumu i kahi hopena maʻi. ʻO nā laʻana o nā alergen me:
- ʻUme mākala
- Pepeiao lepo
- ʻAlalā holoholona
- Pollen
- ʻEnemi hoʻomake insect
Hāʻawi kahi mea mālama ola iā ʻoe i nā pana no 3 a 5 mau makahiki. Hiki i kēia moʻo o nā kiʻi allergy ke kōkua i ka hōʻemi ʻana i kāu mau hōʻailona maʻi āpau.
Hana pū me kāu mea lawelawe e ʻike i nā alergen e hoʻomaka nei i kāu mau ʻōuli. Hana pinepine ʻia kēia ma o ka hoʻāʻo ʻana i ka ʻili āpau a i ʻole nā hoʻāʻo ʻana o ke koko. ʻO nā alergens wale nō āu e maʻi ai i loko o kāu mau kīʻalo āpau.
ʻO nā kī kī alapi kahi ʻāpana wale nō o kahi hoʻolālā mālama maʻi āpau. Hiki paha iā ʻoe ke lawe i nā lāʻau a pau i ka loaʻa ʻana o nā kī alohō. Koi paha kāu mea hāʻawi iā ʻoe e hōʻemi i kou ʻike i nā mea aleremia.
Hana ʻia nā ʻōuli o ke alapiʻi ke hoʻāʻo kāu ʻōnaehana pale maʻi e hoʻouka i kahi aleren i loko o kou kino. Ke hiki kēia, hana kou kino i mucus. Hiki i kēia ke kumu i nā hōʻailona pōpilikia i ka ihu, nā maka, a me nā akemāmā.
Kāhea ʻia ka mālama ʻana me nā pana o nā maʻi āpau i ka immunotherapy. Ke hoʻokomo ʻia kahi wahi alergen liʻiliʻi i loko o kou kino, hana kāu ʻōnaehana pale kino i kahi mea i kapa ʻia he antibody e ālai ana i ka maʻi maʻi mai ka hana ʻana i nā ʻōuli.
Ma hope o kekahi mau mahina o ke kī ʻana, e hoʻomaha ʻia kekahi a i ʻole nā hōʻailona āpau. Hiki ke kōkua i kekahi mau makahiki. No kekahi poʻe, hiki i nā kī pū kīwī ke pale i nā maʻi āpau hou a hoʻemi i nā ʻōuli hānō.
Hiki iā ʻoe ke pōmaikaʻi i nā pana kīwī inā loaʻa iā ʻoe:
- Asthma e hoʻonui i ka maʻi āpau
- ʻO ka rhinitis Allergic, ka maʻi conjunctivitis āpau
- ʻIke nahu o nā insect
- ʻO Eczema, kahi ʻano ʻili e hiki ai i kahi ʻāpana mite lepo ke hana ʻino
Kūpono nā pana allergy no nā mea āpau e like me:
- Weed, ragweed, lāʻau pollen
- Mauʻu
- Mould a fungus
- ʻAlalā holoholona
- Pepeiao lepo
- ʻIngs mai nā mea kolo
- ʻOkaʻio
Hiki i nā mākua (me nā poʻe ʻelemākule) a me nā keiki he 5 mau makahiki a keu ke loaʻa nā pana pāʻina āpau.
ʻAʻole paha e koi aku kāu mea hāʻawi i nā pana allergy iā ʻoe inā ʻoe:
- Loaʻa i ka hānō nui.
- Loaʻa i kahi maʻi puʻuwai.
- E lawe i kekahi mau lāʻau, e like me nā mea kāohi ACE a i ʻole beta-blockers.
- Hāpai lākou. ʻAʻole pono nā wahine hāpai e hoʻomaka i nā pana allergy. Akā, hiki paha iā lākou ke hoʻomau i ke kī ʻana i ka maʻi ʻaʻai i hoʻomaka ʻia ma mua o ko lākou hāpai ʻana.
ʻAʻole mālama ʻia nā maʻi pāʻina o ka meaʻai me nā pana allergy.
E kiʻi ʻoe i kāu mau kiʻi kāwili ma ke keʻena o kāu mea hāʻawi. Hāʻawi pinepine ʻia lākou i ka lima luna. ʻO ka papa kuhikuhi maʻamau ʻo:
- No nā mahina 3 a 6 mau mua, loaʻa iā ʻoe nā kī ma kahi o 1 a 3 mau manawa i ka pule.
- No 3 a 5 mau makahiki e hiki mai ana, loaʻa pinepine iā ʻoe nā pana, ma kēlā me kēia 4 a 6 mau pule.
E hoʻomanaʻo he nui nā kipa e pono ai e loaʻa nā hopena piha o kēia lapaʻau. E loiloi kāu mea hāʻawi i kāu mau hōʻailona i kēia manawa a laila e kōkua i ka hoʻoholo ʻana ke hiki iā ʻoe ke hōʻoki i ka loaʻa ʻana o nā pū.
Hiki i kahi kīʻaha allergy ke hana i kahi hopena ma ka ʻili, e like me ka ʻulaʻula, ka pehu ʻana, a me ka aniani. Loaʻa i kekahi poʻe i ka ihu ihu a i ʻole ka ihu ihu.
ʻOiai he kakaikahi wale nō, hiki i kahi kī kīpē ke hoʻoiho i kahi hopena maʻi weliweli loa i kapa ʻia ʻo anaphylaxis. Ma muli o kēia, pono paha ʻoe e noho ma ke keʻena o kāu mea lawelawe no 30 mau minuke ma hope o kāu kī ʻana e nānā no kēia hopena.
Pono paha ʻoe e lawe i kahi antihistamine a i ʻole lāʻau ʻē aʻe ma mua o ke kī ʻana o kāu allergy i nā wā i koho ʻia. Pale aku paha kēia i nā hopena i ke kī ʻana ma ka pūnaewele injection, akā ʻaʻole ia e pale i ka anaphylaxis.
Hiki ke mālama ʻia nā hopena i nā pana allergy i ke keʻena o kāu mea hoʻolako.
Kāhea i kāu mea hāʻawi inā:
- Ke hoʻomau nei ʻoe i nā ʻōuli ma hope o kekahi mau mahina o nā kī kī ʻalo
- He mau nīnau a hopohopo paha kāu e pili ana i nā pana allergy a i ʻole kāu mau ʻōuli
- Loaʻa iā ʻoe ka pilikia e mālama i nā wā i koho ʻia no kāu mau kiʻi kīʻina alergi
Nā hoʻowali maʻi ʻaʻai; Allergen immunotherapy
ʻO DBK Gula. ʻAha maʻi ʻaʻai. I: Burks AW, Holgate ST, O'Hehis RE, et al, eds. Middleton's Allergy: Nā Manaʻo a me ka Hanahau. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 76.
Nūhou HS. Hoʻomoʻi immunotherapy no inhalant allergens. I: Burks AW, Holgate ST, O'Hehis RE, et al, eds. Middleton's Allergy: Nā Manaʻo a me ka Hoʻomaʻamaʻa. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 85.
Seidman MD, Gurgel RK, Lin SY, et al; ʻOihana Hoʻolālā Otolaryngology Alakaʻi. AAO-HNSF. ʻO ke kuhikuhina hana lapaʻau: rhinitis Allergic. Otolaryngol poʻo poʻo ʻoki. 2015; 152 (1 Hōʻawi): S1-S43. PMID: 25644617 www.ncbi.nlm.nih.gov/pubmed/25644617.
- ʻAhaʻi ʻaʻano