Nā Allergies & Asthma: Nā Kumu a me nā Diagnosis
Anter
He aha nā kumu āpau?
ʻO nā mea i kumu i ka maʻi maʻi i loko o ka poʻe i ʻike ʻia he allergens. "Antigens," a i ʻole nā ʻāpana protein e like me ka pollen, ʻai a i ʻole dander e komo i loko o kā mākou kino ma o nā ʻano like ʻole. Inā kumu ka antigen i kahi hopena maʻi ʻaʻano, manaʻo ʻia kēlā ʻāpana he "allergen." Hiki i kēia mau mea:
Inhaled
ʻO nā pollens mea kanu i hāpai ʻia e ka makani ke kumu o ka nui o nā maʻi āpau o ka ihu, nā maka a me nā akemāmā. ʻO kēia mau mea kanu (me kekahi mau mauʻu, nā kumulāʻau a me nā mauʻu) he mau pollutants kūlohelohe i hana ʻia i nā manawa like ʻole o ka makahiki i ka wā e hoʻokuʻu ai kā lākou mau pua liʻiliʻi, inconspicuous i mau piliona o nā ʻāpana pollen.
ʻAʻole like me nā mea kanu i hoʻomaʻemaʻe ʻia e ka makani, nā pua hihiu conspicuous a i ʻole nā pua i ulu ʻia i ka hapa nui o nā māla noho e pollining e nā pi, nā nalo, a me nā mea kolo ʻē aʻe a no laila ʻaʻole hiki i ka nui ke hana i ka rhinitis āpau.
ʻO kekahi mea hewa ʻē aʻe: ka lepo o ka hale e hiki ke hoʻopili i nā ʻāpana mite lepo, nā spores puna, nā pōpoki a me nā ʻīlio ʻīlio.
ʻAi ʻia
ʻO nā lawehala pinepine me ka ʻōpae, ka peanuts a me nā nati ʻē aʻe.
Hoʻokomo ʻia
E like me nā lāʻau i hāʻawi ʻia e ka nila kuʻi e like me ka penicillin a i ʻole nā lāʻau inikoni ʻē aʻe; lāʻau make mai nā ʻūpala a me nā nahu.
Hoʻopomo ʻia
ʻO nā mea kanu e like me ka lāʻau ivy, sumac a me ka ʻoka a me ka latex kahi laʻana.
Nā Genetics
E like me ka ʻōhule, ke kiʻekiʻena a me ke kala o ka maka, ka hiki ke lilo i maʻi kūpili kahi ʻano hoʻoilina. Akā ʻaʻole ia e hoʻonā iā ʻoe i nā maʻi āpau. Pono e loaʻa kekahi mau mea:
- Nā genes kikoʻī i loaʻa mai nā mākua.
- Hōʻike i hoʻokahi a ʻoi paha o nā mea āpau i loaʻa iā ʻoe kahi pane i hoʻonohonoho ʻia me nā genetically.
- Kēkelē a me ka lōʻihi o ka hōʻike.
ʻO kahi pēpē i hānau ʻia me ka ʻaʻa e lilo i maʻi āpau i ka waiū o ka bipi, no ka laʻana, e hōʻike paha i nā hōʻailona maʻi he mau mahina ma hope o ka hānau ʻana. ʻO ka hiki i ka genetic e lilo i maʻi āpau i ka dander cat hiki ke lawe i ʻekolu a ʻehā mau makahiki o ka hōʻike ʻana o ka pōpoki ma mua o ka hōʻike ʻana o ke kanaka i nā ʻōuli.
Ma ka ʻaoʻao ʻē aʻe, ʻo ka maʻi ʻino ivy (contact dermatitis) kahi laʻana o kahi maʻi āpau kahi e hoʻoili ʻole ai ka moʻomeheu. ʻO nā mea ʻē aʻe ma mua o nā mea kanu, e like me nā kala, nā metala, a me nā kemika i nā deodorants a me nā mea hoʻonaninani, hiki ke hana i kahi dermatitis like.
ʻIkepili
Inā haki ʻoe i loko o nā hives ke ʻū mai ka nalo meli iā ʻoe, a i ʻole ke sneeze ʻana i kēlā me kēia manawa hānai holoholona ʻoe i kahi pōpoki, ʻike ʻoe i kekahi o kāu mau allergens. Akā inā ʻaʻole maopopo leʻa ke kumu, e hoʻāʻo e hoʻopaʻa i kahi moʻohelu o ka wā, ma hea, a ma lalo o nā aha e kū ai kāu mau hopena. Inā ʻaʻole maopopo ke kumu, e hoʻopaʻa manawa me kāu kauka. Hoʻomaopopo nā kauka i nā maʻi āpau i nā ʻanuʻu he 3:
1. Mōʻaukala pilikino a pilikino. E nīnau kāu kauka iā ʻoe i nā nīnau e ʻike piha ai i kāu mau ʻōuli a me nā kumu kūpono. Lawe i kāu mau memo e kōkua i ka jogging i kou hoʻomanaʻo. E mākaukau e pane i nā nīnau e pili ana i ka mōʻaukala ʻohana, nā ʻano lāʻau āu e lawe ai, a me kou nohona ma ka home, ke kula, a me ka hana.
2. Ninaninau kino. Inā kānalua kāu kauka he allergy, e nānā nui ʻo ia i kāu mau pepeiao, maka, ihu, ʻāʻī, umauma, a me ka ʻili i ka wā o ka hoʻokolokolo kino. Hiki i kēia hoʻokolohua ke hoʻopili i kahi hoʻokolohua hana pulmonary e ʻike ai pehea kou hanu ʻana i ka ea mai kou mau māmā. Pono paha ʻoe i kahi X-ray o kou mau māmā a i ʻole nā lawehala.
3. Nā hoʻāʻo e hoʻoholo ai i kāu alergen. E hana paha kāu kauka i kahi hoʻāʻo ʻili, hoʻāʻo patch a hoʻāʻo koko paha.
- Hōʻike ʻili. ʻO kēia ka mea pololei a me ka liʻiliʻi o ke ala pipiʻi e hōʻoia ai i nā mea alergen i manaʻo ʻia. ʻElua ʻano o nā hoʻāʻo ʻana o ka ʻalena alergen. I ka hoʻāʻo ʻana o ka Prick / Scratch, kau ʻia kahi kulu liʻiliʻi o ka mea hiki ke hana i ka ʻili ma luna o ka ʻili, a ukali ʻia e ka kui liʻiliʻi ʻana a i ʻole ka wili ʻana me ka nila i loko o ke kulu. I ka intra-dermal (ma lalo o ka ʻili) e hoʻāʻo ai, ua hoʻokomo ʻia kahi nui liʻiliʻi o ka maʻi āpau i loko o ka papa waho o ka ʻili.
Inā maʻi ʻoe i ka lāʻau, e hoʻomāhuahua ʻoe i ka ʻulaʻula, ka pehu ʻana, a me ka aniani ma ka pūnaewele hōʻike ma loko o 20 mau minuke. ʻIke paha ʻoe i kahi "wheal" a i hāpai ʻia paha, a puni kahi e like me ka hive. ʻO ka maʻamau, ʻo ka nui o ka wheal, ʻoi aku ka makaʻala iā ʻoe i ka maʻi āpau.
- Hōʻaʻo patch. He hōʻailona maikaʻi kēia e hoʻoholo ai inā pili ʻoe i ka dermatitis. Kau kau kauka i kahi liʻiliʻi o ka mea hiki ke hana i ka maʻi āpau ma kou ʻili, uhi iā ia me kahi kaula, a nānā i kāu hopena ma hope o 48 mau hola. Inā hoʻomohala ʻoe i kahi kūkū, maʻi ʻoe i ka lāʻau.
- Nā hoʻāʻo koko. ʻO nā hoʻāʻo koko Allergen (i kapa ʻia hoʻi nā hoʻāʻo radioallergosorbent [RAST], nā hoʻāʻo ʻana o ka immunosorbent e pili ana i ka ʻenemika [ELISA], nā hoʻāʻo ʻana o ka maʻi fluorescent [FAST], nā hoʻokolohua radioallergosorbent he nui [MAST], a i ʻole nā hōʻike radioimmunosorbent [RIST]) i kekahi manawa hoʻohana ʻia ka ʻili o ka poʻe. ke kūlana a i ʻole ke lawe nei i nā lāʻau e hoʻopilikia ai i ka ʻili ʻili. Lawe kāu kauka i kahi laʻana koko a hoʻouna iā ia i kahi keʻena hoʻokolohua. Hoʻohui ka lab i ka mea hoʻowahāwahā i kāu hāpana koko, a laila ana i ka nui o nā mea ʻino i hana ʻia e kou koko e hoʻouka i nā mea āpau.