Fa no sɛ wo ne wo nnamfo kɔɔ po mu nnuan adidibea bi na wodii nnuan a ɛyɛ dɛ te sɛ shrimp, clams, ne crabs. Nanso bere bi akyi no, wo nipadua nyinaa fi ase yɛ kɔkɔɔ na ɛyɛ wo yaw, w’anofafa hohoro... na ebia ɛbɛyɛ den ama wo mpo sɛ wobɛhome. Eyi ne nea yɛn mu pii suro, na ebetumi ayɛ ‘Shellfish Allergy’ a nnipa pii hu no mfiase. Bere a eyi betumi ayɛ ade ketewaa bi ama ebinom de, nanso ebetumi ayɛ tebea a emu yɛ den a ebetumi de afoforo nkwa mpo ato asiane mu. Enti ɛnnɛ, momma yɛnka eyi ho asɛm nkɔ akyiri na ɛnyɛ den.
Dɛn ne Shellfish Allergy?
Sɛ yɛbɛka no tiawa a, Shellfish Allergy yɛ akisikuru a aduan de ba, kyerɛ sɛ, aduan ho akisikuru. Sɛ nkurɔfo ka sɛ ‘Shellfish’ a, wɔdwene mpataa ho, nanso ɛnte saa. Nwansena yɛ mmoa a wɔte nsuo mu na wɔde akatasoɔ a ɛte sɛ akoradeɛ atwa wɔn nipadua ho ahyia. Wɔakyekyɛ wɔn mu akuw abien titiriw.
Sɛ yɛbɛte ase pɛpɛɛpɛ a, momma yɛnhwɛ eyi:
| Shellfish type | Nhwɛso ahorow |
|---|---|
| Nnua a wɔfrɛ no crustaceans | Shrimp, krak, ɔkɔre |
| Nwansena a wɔfrɛ wɔn Mollusks | Oysters, squid, octopus, akutu, akraman a wɔfrɛ wɔn scallops |
Mpɛn pii no, kuw a edi kan, kyerɛ sɛ, akraman na ɛde akisikuru ba kɛse. Nanso ahorow afoforo nso betumi ama obi anya akisikuru.
Akutu ahorow bɛn na ebetumi ama obi anya akisikuru?
Sɛ wususuw sɛ wowɔ akutu ho akisikuru, anaasɛ oduruyɛfo aka akyerɛ wo a, ɛsɛ sɛ wohwɛ yiye kɛse wɔ saa nnuan yi ho. Ɛsɛ sɛ wokwati sɛ wubedi wɔn koraa.
- Shrimp ne prawns a wɔfrɛ no prawns
- Kɔtɔ
- Lobster a wɔfrɛ no Lobster
- Squid / Nkwammoaa a wɔfrɛ no Calamari
- Oysters (Clams, Oysters, Nnua a wɔfrɛ no Mussels, Nnua a wɔfrɛ no Scallops) .
- Ɔkraman a wɔfrɛ no Octopus
- Nkraman
- Krak ne Krak
- Nwansena ahodoɔ te sɛ Abalone, Cockle, Conch
Ade a ɛho hia sen biara ne sɛ, sɛ wo ho nyɛ wo den wɔ ɔkwan biako ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kɔ ansa na woasɔ ahorow afoforo ahwɛ.
So Shellfish Allergy ne Shellfish Intolerance yɛ ade koro?
Yiw, ɛha na nnipa pii adwene tu fra. Eyinom yɛ tebea abien a ɛsono emu biara koraa. Ɛho hia paa ma w’ahobammɔ sɛ wubehu nsonsonoe no pɛpɛɛpɛ.
Fa no sɛ sɛ wudi akutu bi wie a, wo yafunu mu yɛ wo yaw kakra, wo yafunu yɛ wo yaw, anaasɛ wo ho yɛ wo yaw. Ɛda adi kɛse sɛ eyi yɛ Shellfish Intolerance . Eyi kyerɛ sɛ w’adidi nhyehyɛe no ntumi nwe aduan no yiye. Ɛwom sɛ eyi betumi ayɛ nea ɛnyɛ dɛ de, nanso ɛnyɛ nea ɛde nkwa to asiane mu.
Nanso, sɛ wunya akisikuru, w’anofafa hohoro, na ɛyɛ den sɛ wobɛhome bere a woadi akutu akyi a, ebia wobɛnya akutu ho adwenemhaw . Nea enti a ɛte saa ne sɛ wo nipadua mu tumi a ɛko tia nyarewa no reto ahyɛ aduan no so. Eyi yɛ tebea a emu yɛ den a ebetumi de nkwa ato asiane mu.
Wo duruyɛfo nkutoo na obetumi ahu nsonsonoe a ɛda abien no ntam pɛpɛɛpɛ. Enti sɛ wowɔ sɛnkyerɛnne ahorow a, nsusuw ho na kɔ oduruyɛfo nkyɛn.
Hena na onya saa akisikuru yi? Ɛtaa ba dɛn?
Saa akisikuru yi betumi aba obiara mu, wɔ mfe biara mu. Nea ɛyɛ nwonwa ne sɛ, wubetumi adi akutu mfe pii a ɔhaw biara nni ho na mpofirim ara wo ho ayɛ wo hyew da bi.
Eyi abu so wɔ mpanyimfo mu sen mmofra nkumaa. Sɛnea nhwehwɛmu ahorow kyerɛ no, nnipa a wɔn ho yɛ wɔn hyew wɔ akutu ho no mu 60% di kan nya sɛnkyerɛnne ahorow wɔ wɔn mpanyin afe so. Ebia ade biako nti a ɛte saa ne sɛ yenni akutu ahorow pii bere a yɛyɛ mmofra.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya akisikuru a ne ho nyɛ no dɛ?
Nsɛnkyerɛnne no betumi ayɛ soronko koraa wɔ onipa biara ho. Bere a obiako betumi anya akisikuru ketewaa bi pɛ no, obi foforo betumi anya akisikuru a emu yɛ den araa ma ɔhome tiaa na ɛho behia sɛ wɔde no kɔ ayaresabea. Mpɛn pii no, yare no ho sɛnkyerɛnne fi ase wɔ simma kakraa bi kosi nnɔnhwerew abien akyi bere a wɔadi akutu no.
Momma yɛnhwɛ saa sɛnkyerɛnne ahorow yi pefee.
| Nipadua fã | Nsɛnkyerɛnne a ebetumi aba |
|---|---|
| Wedeɛ | Nipadua no nyinaa a ɛyɛ wo yaw, akisikuru kɔkɔɔ (akisikuru), ne akisikuru a ɛyɛ kɛse. |
| Ano ne Menewa | Anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon, atenka a ɛte sɛ nea ɛyɛ mmerɛw anaasɛ ɛyɛ den wɔ menewa mu. |
| Ɔhome Nhyehyɛe | Ɔhome a ɛyɛ den, koko a ɛyɛ den, ɔfe, ahurututu. |
| Nnuan a Wɔde Di Dwuma Ho Nhyehyɛe | Yafunu mu yaw, akisikuru, ɔfe, akisikuru. |
| Nneɛma afoforo a ɛwom | Dizziness , ɔbrɛ, koma a ɛyɛ mmerɛw, adwenem naayɛ, honam ani bruu. |
| Tebea a ɛyɛ hu sen biara: Anaphylaxis | |
| Eyi ne ade a emu yɛ den sen biara na ebetumi de nkwa ato asiane mu wɔ akisikuru mu. Wɔ eyi mu no, sɛnkyerɛnne ahorow a efi nhyehyɛe ahorow a yɛaka ho asɛm wɔ atifi hɔ no betumi aba bere koro mu. Sɛ nhwɛso no, ebetumi ayɛ den sɛ wobɛhome bere a wɔreto ahyɛ nipadua no so no. Eyi yɛ tebea a egye ayaresa ntɛm ara. | |
Dɛn nti na yenya saa akutu ho akisikuru yi?
Nea enti a ɛte saa ne ntease a ɛnteɛ a ɛba yɛn nipadua no ahobammɔ nhyehyɛe, kyerɛ sɛ, nipadua no mu tumi a ɛko tia nyarewa no mu.
Mpɛn pii no, yɛn nipadua mu tumi a ɛko tia nyarewa no adwuma ne sɛ ɛbɛbɔ yɛn ho ban afi nyarewa ho denam mmoawa te sɛ mmoawa ne mmoawa a wɔhyɛn nipadua no mu a wɔko tia so.
Nanso sɛ obi a ɔwɔ akutu ho adwenemhaw no di protein bi a ɛwɔ akutu mu a, nipadua no mu tumi a ɛko tia nyarewa no di mfomso hu sɛ ɔyɛ ‘ɔtamfo a ne ho yɛ hu’. Afei, ɛma nnuru ahorow (e.g. histamine) kɔ nipadua no mu de tow hyɛ saa ‘ɔtamfo’ no so. Ɛyɛ saa nnuru no dwumadi na ɛde sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no nyinaa ba, te sɛ ɛyaw, ahohoro, ne ahome a ɛyɛ den.
Ɔkwan bɛn so na oduruyɛfo hu saa akisikuru yi?
Sɛ wunya yare no ho sɛnkyerɛnne biara bere a woadi akutu akyi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn. Obebisa wo nsɛm kakraa bi.
- Dɛn na wudii? Wodii dodow ahe?
- Bere a wodii aduan akyi bere tenten ahe na yare no ho sɛnkyerɛnne no fii ase?
- Dɛn ne sɛnkyerɛnne ahorow no?
- Bere tenten ahe na wɔakɔ hɔ?
Bere a oduruyɛfo no de saa nsɛm yi adi dwuma no, obetumi akamfo nhwehwɛmu pii akyerɛ de akyerɛ sɛ ne ho yɛ no hyew.
1. Skin Prick Test: Eyi hwehwɛ sɛ wode nsu bi a allergen (protein a efi akutu mu) wom a ɛtɔ gu wo nsa honam ani na wode prick ketewaa bi abɔ mu kakra. Sɛ beae no yɛ kɔkɔɔ, ɛho ahonhon, na ɛyɛ wo yaw wɔ simma 15-20 ntam a, ɛkyerɛ sɛ ebia wo ho nyɛ wo den wɔ saa ade no ho.
2. Mogya mu Nhwehwɛmu: Eyi hwɛ sɛ ebia nnuru a ɛko tia akutu wɔ wo mogya mu anaa.
3. Oral Food Challenge: Eyi nkutoo ne ɔkwan a wobɛfa so anya awerɛhyem 100% sɛ wowɔ allergy anaasɛ wonni bi. Nanso wɔyɛ eyi wɔ ayaresabea nkutoo, wɔ nnuruyɛfo hwɛ a emu yɛ den ase. Ɛha yi, wɔma wo akutu kakraa bi sɛ di nkakrankakra, na wɔka kyerɛ wo sɛ hwɛ sɛnea yare no ho sɛnkyerɛnne biara nni ho. Mma nsɔ eyi nhwɛ wɔ fie nkutoo da.
Sɛ wowɔ allergy a, dɛn na woyɛ?
Eyi yɛ ɔfã a ɛho hia paa. Wo mmuae no begyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den so.
Wɔ sɛnkyerɛnne nketenkete ho
Sɛ ɛyɛ biribi ketewaa bi, te sɛ ɛyaw anaasɛ akisikuru ketewaa bi a, wo duruyɛfo betumi akyerɛw wo aduru a ekum histamine (e.g. Piriton). Nanso, nnuru yi ntumi nni yare no ho sɛnkyerɛnne a emu yɛ den so.
Sɛ ɛba sɛ yare no ho sɛnkyerɛnne a emu yɛ den (Anaphylaxis) .
Sɛ sɛnkyerɛnne ahorow a emu yɛ den te sɛ ahome a ɛyɛ den, menewa a ɛyɛ den, anaasɛ adwenem naayɛ a, ayaresa biako pɛ a egye nkwa ne epinephrine a wɔde bɛhyɛ obi mu .
- Sɛ oduruyɛfo bi si so dua sɛ wowɔ akutu ho akisikuru a emu yɛ den a, wɔbɛkyerɛw ama wo sɛ wɔmfa epinephrine bɛhyɛ wo mu. Eyi taa ba wɔ auto-injector a ɛnyɛ den sɛ wɔde bedi dwuma (e.g., EpiPen®).
- Oduruyɛfo no bɛkyerɛ wo sɛnea wode eyi bedi dwuma pɛpɛɛpɛ.
Nea ɛho hia yiye: Sɛ wo ho yɛ wo hyew kɛse na wɔde epinephrine ahyɛ wo mu a, ade a edi hɔ ne sɛ wobɛfrɛ ambulance anaa wobɛkɔ ayaresabea dwumadibea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so (ETU). Ntwɛn nkosi sɛ wobɛma wo aduru no akyi na woaka sɛ, "Okay, afei deɛ wɔadi ɔhaw no ho dwuma." Efisɛ bere a aduru a wɔde twitwiw nipadua no nkɛntɛnso no ano brɛ ase no, sɛnkyerɛnne ahorow no betumi asɛe bio. Enti, ɛho hia sɛ wɔde no kɔ ayaresabea na wɔde no kɔ oduruyɛfo hwɛ ase.
Ɔkwan bɛn so na wobɛkwati akutu ho akisikuru?
Aduru biara nni hɔ a wɔde sa saa akisikuru yi. Enti, ɔkwan a eye sen biara ne ɔkwan biako pɛ a wobɛfa so akwati ne sɛ wobɛkwati akutu ne nnuan a ɛwɔ mu koraa.
Nneɛma bi a ɛbɛboa wo wɔ saa asɛm no mu ni:
- Kenkan nnuan a wɔakyerɛw so yiye: Ansa na wobɛtɔ aduan anaa sauce biara afi sotɔɔ mu no, kenkan nneɛma a wɔde yɛ aduan no yiye. Ɛtɔ da bi a nneɛma a wunsusuw ho mpo betumi ayɛ nneɛma te sɛ "po mu nnuan a wɔde yɛ aduan dɛ."
- Hwɛ yiye kɛse wɔ adidibea ahorow: Sɛ wokɔ po mu nnuan adidibea a, sɛ wokra mpataa nkutoo mpo a, hokwan wɔ hɔ sɛ wɔde ngo koro no ara anaa nnwinnade koro no ara a wɔnoa shrimp ne krak no bɛnoa w’aduan. Wɔfrɛ eyi sɛ cross-contamination. Enti hwɛ hu sɛ wobɛbɔ wɔn amanneɛ wɔ wo akisikuru ho ansa na woakra.
- Kwati sɛ wobɛnoa akutu ne sɛnea wode bedi dwuma: Nnipa binom betumi ayɛ wɔn ayayade wɔ wusiw a efi akutu a wɔnoa mu ba no hua a wɔbɛte ara kwa mpo ho. Nnipa binom nso betumi ayɛ wɔn ade denam wɔn nsa a wɔde bɛka wɔn kɛkɛ so.
- Hwɛ yiye wɔ akutu a ahintaw ho: Ebia akutu wɔ nneɛma te sɛ mpataa a wɔde ahyɛ mu, ɛpo mu nnuan a wɔde yɛ aduan dɛ, ne surimi (nam a wɔde ayɛ a wɔayɛ sɛ krak nam) mu.
Ná ebinom taa bisa nsɛm
Sɛ wo ho nyɛ wo hyew wɔ akutu ho a, wuntumi nni mpataa?
Eyinom yɛ akisikuru ahorow abien a ɛsono emu biara. Shellfish yɛ mmoa a wɔwɔ akutu. Mpataa yɛ mmoa a wɔwɔ abon. Enti ebia obi a ne ho nyɛ no dɛ wɔ akutu ho no betumi adi mpataa a ɔhaw biara nni ho. Saa ara na obi a ne ho nyɛ no den wɔ mpataa ho no betumi adi akutu.
So Shellfish Allergy ne Iodine Allergy wɔ abusuabɔ?
Dabi, eyi yɛ adwene a ɛnteɛ kɛse wɔ nnipa pii mu. Ɛwom sɛ iodine wɔ akutu mu de, nanso nea ɛde akutu ho akisikuru ba ne protein bi a ɛwɔ mu. Iodine yɛ ade a ɛwɔ nipadua no mu. Enti, ntease pɔtee biara nni hɔ a enti obi a ne ho yɛ no hyew wɔ akutu ho no ho yɛ no hyew wɔ nneɛma a ɛne ne ho bɔ abira a iodine wom a wɔde ma bere a wɔreyɛ aduruyɛ mu nhwehwɛmu no ho.
So saa akisikuru yi bɛkɔ yiye da bi?
Mpɛn pii no, akutu ho akisikuru yɛ tebea a ɛba obi nkwa nna nyinaa mu na bere kɔ so no, ɛntaa nkɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Mfa akutu a ɛma obi ho yɛ no yaw no nyɛ hwee. Ɛyɛ tebea a emu yɛ den a ɛtɔ mmere bi a ebetumi de nkwa ato asiane mu.
- Sɛ wunya yare no ho sɛnkyerɛnne biara a ɛyɛ soronko bere a woadi akutu akyi a, mmu w’ani ngu so na akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn ma wohu sɛnea wo yare no yiye.
- Ɔkwan biako pɛ a wobɛfa so abɔ wo ho ban afi saa akisikuru yi ho ne sɛ wobɛkwati akutu ne nnuan a ɛwɔ mu koraa. Kenkan nsɛm a wɔakyerɛw wɔ nnuan a wotɔ wɔ sotɔɔ mu no so, na hwɛ yiye wɔ adidibea ahorow.
- Sɛ wo duruyɛfo ka kyerɛ wo sɛ wo ho yɛ wo hyew kɛse a, fa epinephrine auto-injector a ɔkyerɛw ma wo no ka wo ho bere nyinaa. Hu bere pɔtee a wode bedi dwuma ne sɛnea wode bedi dwuma.
- Sɛ wode epinephrine injection no di dwuma a, ɛnde kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
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