Hōʻike ʻia kahi haʻawina hou i kahi ala hou e hoʻoponopono ai i ka maʻi ʻai i nā ʻiole ma o ka hoʻopunipuni ʻana i ka ʻōnaehana pale i ka pale ʻana i ka hāʻawi ʻana i ka pane ʻana i ka maʻi maʻi.
ʻO ka maʻi ʻaleka ka wā e pane ai ko mākou ʻōnaehana pale i kahi mea ʻē - i kapa ʻia he allergen - ma ka mālama ʻana iā ia he mea hoʻouka kaua a hana i nā kemika e pale aku i ke kino mai ia mea. ʻO ka pane ʻana o ke kino ma aneʻi ua kapa ʻia he hopena maʻi ʻaleka. Hiki i ka allergen ke lilo i meaʻai, kahi mea a mākou e hanu ai, e hoʻokomo i loko o ko mākou kino a i ʻole e hoʻopili wale aku ma o ka hoʻopā ʻana. ʻO ka maʻi ʻaleka ka hopena e hana ʻia a hiki ke ʻū, ka ʻūhā, nā maka ʻeha, ka ihu wai a me ka ʻāʻī ʻūlū. I ka hihia koʻikoʻi loa, hiki i ka maʻi ʻaleka ke hana i nā ʻulaʻula, nā hives, ke koko haʻahaʻa, ka pilikia hanu, nā hōʻeha hānō a me ka make. Ke hoʻopilikia nei kēlā mau maʻi maʻi ʻaleka i ke ola o nā kānaka he piliona a ʻoi aku ma ka honua holoʻokoʻa a manaʻo ʻia ka nui o ka maʻi ʻaleka e hiki i ʻehā piliona ma ka makahiki 2050. Hoʻopilikia ka maʻi ʻaleka ʻaʻole wale i nā kānaka akā he hopena nui koʻikoʻi hoʻi ma muli o ka mālama ola kino a me ka nalowale o ka huahana. A hiki i kēia lā ʻaʻohe lāʻau lapaʻau no nā maʻi ʻaleka a hiki ke mālama ʻia ma o ka pale ʻana a me ka mālama ʻana i nā hōʻailona. Ma ke ao holoʻokoʻa, he maʻi maʻamau ia akā ua nānā ʻole ʻia. ʻO nā ʻano maʻi ʻaleka like ʻole e like me ka maʻi ʻaleka meaʻai , sinusitis (ka hopena maʻi i loko o nā sinuses), nā lāʻau lapaʻau, nā pepeke, nā maʻi ʻaleka maʻamau e hoʻokumu i nā kumukūʻai pololei a me nā kumukūʻai ʻole i loko o kahi hoʻokele waiwai ʻoiai e hoʻopilikia nui ana i ke ola o ka poʻe maʻi. ʻOiai ʻaʻohe lāʻau lapaʻau pololei i loaʻa, ʻoi aku ka nui o ka hopena o nā maʻi ʻaleka a pono e hoʻomaopopo piha i nā ʻano hana maʻi, ka pale ʻana a me ka mālama ʻana i ka mea maʻi e hana me nā maʻi ʻaleka.
ʻO ka maʻi ʻaleka meaʻai kahi maʻi lapaʻau kahi e hoʻoulu ai ka ʻike ʻana i kahi meaʻai kikoʻī i kahi pane pale kino ʻino (a i ʻole ka hopena maʻi) i loko o ke kino no ka mea hoʻouka ka ʻōnaehana pale i nā protein (ka allergen i kēia mau ʻano maʻi) i loko o ka meaʻai i maʻamau ʻole a ʻaʻole ia he ʻenemi. Hiki i nā hōʻailona o kahi hopena maʻi i ka meaʻai ke ʻano mai ka ʻoluʻolu (waha ʻāʻī, kekahi mau hives) a hiki i ka koʻikoʻi (ʻūlū ʻana o ka puʻu, paʻakikī ka hanu). Eia kekahi, ʻo ka anaphylaxis kahi hopena maʻi koʻikoʻi e hana koke ʻia a hiki ke make. He 170 mau meaʻai, ʻo ka hapa nui o lākou he mea ʻino ʻole, ua hōʻike ʻia a hiki i kēia lā e hoʻoulu ai i nā hopena maʻi me nā allergens meaʻai nui he waiū, hua manu, pīnati, palaoa, soy a me ka shellfish. ʻO ka maʻi ʻaleka meaʻai kekahi o nā ʻano maʻi ʻino loa e pono ai ka manawa nui e hoʻokele a me ka makaʻala mau i nā maʻi ʻoi aku ka nui o nā keiki i ʻike ʻia he maʻamau loa nā maʻi ʻaleka meaʻai. ʻO ke ala wale nō e hoʻokele ai i kahi maʻi allergy meaʻai, ʻo ia ka makaʻala mua a pale i ka ʻai ʻana i ka meaʻai e hoʻoulu ai i nā pilikia a ʻo ka lua, ma ke aʻo ʻana e ʻike a mālama i nā hōʻailona o nā maʻi allergy. He mea kaumaha kēia no ka mea maʻi allergy meaʻai a me kāna mea mālama e hoʻopilikia ana i ko lākou ola. ʻO ka hapa nui o nā hōʻailona e pili ana i ka meaʻai e kū mai ana i loko o ʻelua hola o ka ʻai ʻana; hoʻomaka pinepine lākou i loko o nā minuke a no laila pono e mālama pono ʻia. Ke alakaʻi nei kēia i nā loli he nui e like me ka hoʻomākaukau ʻana i ka ʻai, ka hana kaiāulu, nā pilikia hopohopo a pēlā aku. Eia kekahi, hiki i nā hōʻailona i hoʻokumu ʻia e ka maʻi allergy meaʻai ke ʻano mai ka maʻalahi a hiki i ka hoʻoweliweli i ke ola a ʻo ka mea pōʻino, ʻaʻole hiki ke wānana ʻia ke koʻikoʻi o kēlā me kēia hopena. Ke hana nei ka nui o ka noiʻi e hoʻoponopono i ke kūlana allergy meaʻai a pale aku paha iā lākou; akā naʻe, ʻo ka hapa nui o nā lāʻau lapaʻau allergy meaʻai e aʻo ʻia nei i nā hoʻokolohua lapaʻau a ʻaʻohe mea i hōʻoia ʻia no ka hoʻohana maʻamau.
Ua hōʻike ʻia kahi noiʻi hou i kahi ala hou e mālama ai i nā maʻi ʻaleka meaʻai ma ke "aʻo wale ʻana i kā mākou ʻōnaehana pale i kahi hana hou". Ma kēia noiʻi i paʻi ʻia ma ka Journal of Allergy and Clinical Immunology , ua hoʻohana nā kānaka noiʻi i nā ʻiole i hānau ʻia e loaʻa kahi maʻi ʻaleka meaʻai mai ka pīnati, a "hoʻoponopono hou" i ka ʻōnaehana pale o nā ʻiole i ʻole e hōʻike ke kino i kahi hopena hoʻoweliweli ola i ka ʻike ʻana i ka pīnati. ʻO nā pīnati kekahi o nā mea maʻi ʻaleka meaʻai maʻamau a inā e ʻai ʻia, hiki iā lākou ke hoʻoulu i kahi pane pale ola. ʻOiai he mea maʻamau nā pīnati, pono nā kānaka e makaʻala loa i kā lākou koho meaʻai o kēlā me kēia lā. ʻO nā mea kākau mai ke Kula Lapaʻau ʻo Duke-NUS ma Singapore, ʻōlelo lākou he ala kū hoʻokahi kā lākou noiʻi e mālama ai i ka maʻi ʻaleka meaʻai pīnati. Ma mua o kēia noiʻi, ua hana ʻia nā ʻano hana ʻē aʻe e like me ka desensitization - ʻo ia hoʻi ka mālama pono ʻana a i ʻole ka hoʻēmi mālie ʻana i ka poʻe maʻi ʻaleka i ka pīnati - i kapa ʻia he mea hoʻopau manawa a he mea weliweli hoʻi. He mea kānalua hoʻi ko lākou pono lōʻihi a ʻaʻole i ʻae ʻia kēlā mau lāʻau lapaʻau no ka mālama ʻana.
ʻO ka hopena allergic i loko o ke kino ke kumu o ka nele o nā leka koʻikoʻi ma waena o nā cell (i kapa ʻia ʻo cytokines). Ua kālele nā mea kākau i ka pane pale cytokine ʻano Th2. Ma kēia ʻano, ua maopopo i ka wā e loaʻa ai ka pane pale i manaʻo ʻole ʻia (a kūpono paha), hana pū nā cell Th2 me nā cell Th1 ʻē aʻe. Ma ka ʻaoʻao ʻē aʻe, i ka wā i loaʻa ai kahi pane pale i manaʻo ʻole ʻia ʻo ia hoʻi kahi hopena allergic, ua nui ka hana ʻana o ka cell Th2 ʻoiai ua nalowale loa nā cell Th1. No laila, ua maopopo he mea maʻalahi ke kūlike ʻole i ka wā o ka hopena allergic i ka pīnati. Ma muli o kēia nānā ʻana, ua ʻike nā kānaka noiʻi i kahi ala maʻalahi e hoʻihoʻi i ke kaulike ma ka hāʻawi ʻana i nā cell Th1 ma mua o ka launa ʻana o ke kanaka me ka allergen. ʻO ka manaʻo ʻaʻole ia e hana i ka nele, no laila e pale aku ai i ka hopena allergic. I loko o nā ʻiole allergic peanut, ua hāʻawi nā kānaka noiʻi i nā nanoparticles (nāna i lawe i nā cell Th1) i loko o ka ʻili i nā lymph nodes (ʻo ia kahi e hana ʻia ai nā cell immune). Ua hele kēia mau nanoparticles i loko o ke kino, hāʻawi i kā lākou ukana - nā cell ʻano Th1- ma ke kumu o ka pane pale a hoʻopau i ka hana i makemake ʻia i hāʻawi ʻia iā lākou. ʻAʻole i hōʻike nā holoholona i loaʻa i kēia "therapy" manual i ka pane allergic koke i ka wā i hōʻike ʻia ai lākou i nā pīni. ʻO ka mea hoihoi, ua ʻike ʻia kēia hoʻomanawanui hou he lōʻihi, kūpono a hoʻokahi wale nō dosage i lawa no kekahi hōʻike ʻana i ka allergen ma hope. No laila, ua ʻōlelo ʻia kēia hiʻohiʻona he "hoʻonaʻauao hou" (ʻoi aku ka maikaʻi o ka huaʻōlelo no ka "hoʻopunipuni") o ka ʻōnaehana pale, e haʻi ana iā ia ʻaʻole kūpono ka pane allergies a ʻaʻole pono e hana ʻia.
Hana ʻia kēia mau haʻawina ma luna o nā ʻiole, akā naʻe pono e hoʻopau ʻia nā haʻawina kanaka kūpono ma mua o ka hiki ke hoʻohana ʻia. Hele mai ia me nā pilikia he nui, no ka laʻana, ʻaʻole hiki i nā mea kākau ke hoʻohana i kēia ala no ka lāʻau hānō no ka mea he nui ka nui o nā cell i koi ʻia no ka māmā a ua lilo ia i mea ʻole. Hiki ke hoʻohana ʻia kēia ala e like me nā mea ʻai ʻē aʻe e like me ka waiū a i ʻole ka hua manu no ka laʻana a me nā allergens ʻē aʻe e like me nā mea hoʻoulu kaiapuni e like me ka lepo a me ka pollen. Hāpai kēia haʻawina i ka manaʻolana no ka pale ʻana i ka hopena maʻi i ka pīkī a me nā mea allergens ʻē aʻe ma ke komo ʻana i kahi ala maʻamau i ukali ʻia e ka ʻōnaehana pale o ke kino. He pōmaikaʻi paha kēia no ka hoʻoponopono ʻana i nā meaʻai allergies i ʻike ʻia e hoʻopilikia nei i nā pākeke a me nā keiki me ka ʻole o ka pale ʻana a i ʻole kahi hoʻolālā lapaʻau i ʻike ʻia.
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Puna (s)
St. John AL et al 2018. Ke hoʻoponopono hou ʻana i ka pale ʻana i ka meaʻai allergen. Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2018.01.020
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