Ðe nèɖu nu vivi aɖe abe shrimp alo crab ene eye emegbe nèse veve, atɔ, alo gbɔgbɔ sesẽ na wò kpɔa? Alo ɖe nèkpɔ xɔ̃wò alo ƒometɔ aɖe wòwɔ nenema kea? Nusi gbɔ esia tso ate ŋu anye lãgbalẽgolo ƒe nulɔdɔ si ŋu ɖewohĩ mènya nu tsoe gɔ̃ hã o. Egbea, míaƒo nu tso esia ŋu tsitotsito, abe ɖe nèle nu ƒom na xɔ̃wò aɖe ene.
Nuka tututue nye ƒumelãwo ƒe nulɔdɔ?
Kpuie ko la, lãgbalẽgolo ƒe nulɔdɔ nye nuɖuɖu ƒe nulɔdɔ. Tɔmelã siwo woyɔna be shellfish nye lã siwo nɔa tsi me eye wotsɔa nu tsyɔa woƒe ŋutilã abe aŋɔ ene. Woma ƒumelã siawo ɖe hatsotso vevi eve me: 1. Ƒumelã
siwo woyɔna be Crustaceans: Ƒuƒoƒo sia me tɔwoe nye shrimp, crayfish, crabs, kple lobsters. 2.
Mollusks: Ƒuƒoƒo sia me tɔwoe nye clams, scallops, oysters, kple mussels. Eyata ne lãkle siawo ƒomevi ƒe nulɔdɔ le ŋuwò la, efia be wò ŋutilã ƒe dɔlélenutsiŋutete le nu wɔm ɖe protein aɖewo siwo le nuɖuɖu siawo me ŋu. Esusu be futɔ aɖe va ɖo.
Ðe wògblẽ be woaɖu ƒumelã siawo ƒomevia?
Ẽ, ne ƒumelãwo ƒe nulɔdɔ le ŋuwò la, ele be nàƒo asa na nu siawo ɖuɖu:
- Abalone ƒe ŋkɔ
- Kpememe - (e.g. Cherrystone, Littleneck, Pismo, Quahog) .
- Cockle ƒe nyawo
- Conch
- Agalã
- Tɔmelã siwo woyɔna be crawfish kple crayfish
- Lobster ƒe lã
- Mollusks - (Esia nye ŋkɔ si bɔ) .
- Mussels ƒe lãwo
- Octopus si woyɔna be Octopus
- Oysters ƒe lãwo
- Scallops ƒe lãgbalẽ
- Shrimp kple lãgbalẽgolowo
- Ƒumelãwo (Snails - ƒumelã ƒomeviwo) .
- Squid - ame aɖewo hã yɔnɛ be calamari
Vevietɔ: Ɣeaɖewoɣi la, ne mèɖu tɔmelã siawo tẽ o hã la, nulɔdɔ ate ŋu anɔ ŋuwò kokoko ne èɖua nuɖuɖuvivinu, mɔli, alo nuɖuɖu bubu siwo me woɖaa wo le, alo ne èɖa nu bubu aɖe le teƒe ɖeka alo le nugoe siwo me woɖa wo le la ke me. Eyata ele be nàɖɔ ŋu ɖo ŋutɔ.
Ðe ƒumelã ƒomevi ɖesiaɖe hea nulɔdɔ ƒomevi ɖeka vɛa?
Nyabiase vevi bubu aɖee nye esi. Zi geɖe la, ne ƒumelã ƒomevi aɖe ƒe nulɔdɔ le ŋuwò la, ke anɔ eme be tɔmelã ƒomevi bubuwo hã ƒe nulɔdɔ anɔ ŋuwò. Vevietɔ, ƒumelã siwo ŋu míeƒo nu tsoe va yi, abe shrimp kple crab ene, ate ŋu ahe nulɔdɔ vɛ wu molluskwo. Ke hã, esia mesɔ na amesiame o. Le kpɔɖeŋu me, ate ŋu asesẽ na ame aɖewo be woaɖu lãgbalẽgolo gã aɖe, gake ate ŋu anyo na wo ne woɖu lãgbalẽgolo.
Eyata ne nulɔdɔ ƒe dzesi aɖe dze ŋuwò le lãgbalẽ ƒomevi ɖeka ɖuɖu vɔ megbe la, ele be nàkpɔ ɖɔkta godoo eye nàxɔ aɖaŋuɖoɖo hafi aɖu lãgbalẽ ƒomevi bubuwo. Ne menye nenema o la, mègate ekpɔ o, enyoa? Ðe ƒumelãwo ƒe nulɔdɔ kple ƒumelãwo ƒe mɔmaɖemaɖeɖenuŋu nye nu ɖeka?
Ẽ, esia tɔtɔa ame vie. Gake vovototo gã aɖe le wo ame evea dome. Ne dɔgbo le fu ɖem na wò alo ʋu le ƒowò le ƒumelãwo ɖuɖu vɔ megbe la, anɔ eme be lãgbalẽgolowo ƒe mɔmaɖemaɖeɖenuŋue wònye, si fia be wò ŋutilã le kuxi me tom le eɖuɖu me. Dɔgbo ƒe dɔmawɔmawɔ nyuie koŋue nye esia. Gake lãgbalẽgolo ƒe nulɔdɔ sesẽ wu . Ate ŋu agblẽ nu le wò ŋutilã bliboa ŋu, eye ɣeaɖewoɣi ate ŋu ade wò agbe afɔku me. Nulɔdɔŋutinunyala ate ŋu akpe ɖe ŋuwò nànya esi tututu le ŋuwò. Amekae xɔa ƒumelãwo ƒe nulɔdɔ? Aleke gbegbe wòbɔe?
Le nyateƒe me la, ame sia ame ate ŋu axɔ ƒumelãwo ƒe nulɔdɔ. Ne èɖu ƒumelãwo kpɔ kuxi aɖeke manɔmee kpɔ gɔ̃ hã la, kasia nulɔdɔ ate ŋu adze dziwò. Ðe mewɔ nuku oa? Togbɔ be ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ame tsitsiwo me wu ɖeviwo. Le akɔntabubu siwo tso United States nu la, amesiwo ŋu ƒumelãwo ƒe nulɔdɔ le la dometɔ siwo ade 60% dzea dzesiwo gbã ne wotsi. Esia ate ŋu atso esi ɖeviwo meɖua ƒumelãwo fũ ne wonye ɖeviwo o. Ðeko ame geɖe tea wo vivina ne wotsi. Esia tae dzesiawo ate ŋu adze emegbe. Xexeametɔwo ƒe akpa gã aɖe (le dukɔ aɖewo me la, anɔ abe 2%) kpea fu le nulɔdɔ sia ta. Nukawoe ɖea lãgbalẽgolo ƒe nulɔdɔ ƒe dzesiwo fiana?
Esia nye nusi ŋu wòle be mí katã míanɔ ŋudzɔ ɖo. Dzesi siwo dzena le lãgbalẽgolo ƒe nulɔdɔ ŋu ate ŋu atso esiwo mesẽ o dzi va ɖo esiwo ate ŋu ade ame ƒe agbe afɔku me dzi. Dzesiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Dzesi siwo bɔ dometɔ aɖewoe nye esi:- Itching , aɖuɖɔtoewo
- Ne ŋutigbalẽ ƒe dɔlélewo abe eczema ene le ŋuwò la, ate ŋu agblẽ ɖe edzi.
- Nuyi , aɖe, alo ŋɔti ƒe ʋuʋu alo vuvu
- Akɔta ƒe tete, ʋuʋudedi, kɔdzi, gbɔgbɔ sesẽ
- Dɔgbo ƒe vevesese , ʋuʋudedi , nuɖuɖumadzroame , ʋuʋudedi, aɖuɖɔtoe
- Taɖuame, ʋu ƒe sisi blewu, alɔ̃madɔmadɔ
- Ŋutilã si le blɔ alo blɔ
- Anaphylaxis: Esiae nye nɔnɔme si me afɔku le wu.Esia gblẽa nu le ŋutilã ƒe dɔwɔwɔ geɖe ŋu zi ɖeka eye ate ŋu ahe ku gɔ̃ hã vɛ ne womewɔ atike nɛ kaba o.
Zi geɖe la, dzesi siawo dzena le aɖabaƒoƒo va ɖo gaƒoƒo ʋɛ aɖewo megbe tso esime woɖu ƒumelãwo. Nukae hea lãgbalẽgolo ƒe nulɔdɔ vɛ?
Kpuie ko la, esia dzɔna elabena míaƒe dɔlélenutsiŋutete wɔa nyametsotso gbegblẽ. Zi geɖe la, dɔlélenutsiŋutete kpɔa mía ta tso dɔlékui siwo hea dɔléle vɛ la si me. Gake le nuɖuɖu ƒe nulɔdɔ gome la, ŋutilãa dea dzesi nane (zi geɖe la, protein) si le nuɖuɖu si me afɔku mele o me vodadatɔe be enye "futɔ" eye wòdzea avuwɔwɔ gɔme. Kuxi si me afɔku le wu le ƒumelãwo ƒe nulɔdɔ me: Anaphylactic Shock
Abe alesi míegblɔe va yi ene la, nusi me afɔku le wu le esia ŋue nye nɔnɔme aɖe si woyɔna be anaphylactic shock . Esia nye nulɔdɔ sesẽ ŋutɔ. Nublanuitɔe la, esesẽna be woagblɔ ɣeyiɣi si tututu nulɔdɔ siawo adzɔ kple alesi woawɔe ɖi. Ðewohĩ zi gbãtɔ si nàɖu ƒumelãwo la, ɖeko nànɔ ʋuʋum vie. Gake zi evelia si nèɖui la, àte ŋu axɔ anaphylactic ƒe dɔléle sesẽ aɖe. Esia tae ne nulɔdɔ ƒe dzesi aɖewo le ŋuwò le nuɖuɖu ɖesiaɖe ɖuɖu vɔ megbe, nenye be enye nu sue aɖe gɔ̃ hã la, ele be nàgblɔe na ɖɔkta godoo. Anyo wu be nàde dzesi nulɔdɔ aɖe hafi wòava zu kuxi gã aɖe.
Aleke nàwɔ anya be ƒumelãwo ƒe nulɔdɔ le ŋuwò?
De dzesi amesi ŋu ƒumelãwo ƒe nulɔdɔ le ate ŋu asesẽ ɣeaɖewoɣi elabena dzesiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame ɖeka ma ke gɔ̃ hã ate ŋu akpɔ dzesi vovovowo le ƒumelã ɖuɖu vɔ megbe. Ɣeaɖewoɣi la, ɖewohĩ màɖu ƒumelãwo o, gake ate ŋu anye be tɔmelãwo ƒe nulɔdɔ anɔ ŋuwò ne èdo go dzudzɔ si dona tso wo ɖaɖa me alo ne èɖua nuɖuɖu bubu siwo me ƒumelãwo le. Wò ɖɔkta alo nulɔdɔŋutinunyala abia nyawo abe:- Nukae nèɖu? Agbɔsɔsɔme nenie nèɖu?
- Ɣekaɣie dzesiawo dze?
- Nukawoe nye dzesiawo?
- Ɣeyiɣi didi kae dzesi mawo le ame ŋu?
Emegbe ne èzã nyatakaka siawo la, àte ŋu awɔ dodokpɔwo abe esiawo ene atsɔ aɖo kpe nulɔdɔa dzi:- Ŋutilã ƒe ƒoƒo dodokpɔ: Esia bia be nàtsɔ nusi nèsusu be ɖewohĩ yeƒe ŋutilã melɔ̃na o la ƒe tsi sue aɖe ade wò ŋutigbalẽ dzi eye nàtsɔ aŋe sue aɖe aƒoe blewu. Ne teƒea biã eye wòvuvu le miniti 15-20 me la, efia be nulɔdɔ aɖe le ŋuwò.
- Ʋudodokpɔ: Esia ate ŋu akpɔe ɖa be dɔlékuiwutike siwo do ƒome kple nuɖuɖu ƒe nulɔdɔ le ʋua me hã. Gake esia ɖeɖe mate ŋu anya ne nulɔdɔ aɖe le ŋuwò o.
Dodokpɔ siawo ɖeɖe mate ŋu ana woanya dɔlélea si ŋu kakaɖedzi le o. Wò dzesiwo, nyatakaka siwo nèna, kple esiawo katã akpe ɖe wò ɖɔkta ŋu wòakpɔ dɔlélea. Ɣeaɖewoɣi la, woate ŋu awɔ nuɖuɖu si woano ƒe kuxi hã. Esia bia be woana nuɖuɖu siwo nèsusu be nulɔdɔ le ye ŋu la ƒe agbɔsɔsɔ sue aɖe wò, le ɖɔkta ƒe dzikpɔkpɔ te. Gake ele be woawɔ esia nyuie ŋutɔ. Aleke woawɔ akpɔ ƒumelãwo ƒe nulɔdɔ gbɔe?
Nublanuitɔe la, màte ŋu "aɖe" ƒumelãwo ƒe nulɔdɔ ɖa o. Eyae nye be màte ŋu ano atike alo awɔ naneke atsɔ adae keŋkeŋ o. Eyata nu nyuitɔ si nàte ŋu awɔ be nànɔ lãmesẽ me enye be nàƒo asa na ƒumelãwo kura. Ele be nàkpɔ nyuie hã be màgaɖu lãgbalẽ o, ke boŋ nàƒo asa na nuɖuɖu bubu siwo me lãgbalẽ ate ŋu anɔ hã. Le dukɔ geɖe me la, se bia tso nuɖuɖuwɔlawo si be woaŋlɔ nusiwo nana nuɖuɖu ŋu dɔlélea bɔ abe ƒumelãwo ene ɖe nuɖuɖua ƒe ŋkɔ dzi eme nakɔ. Se mawo tɔgbe le Sri Lanka hã. Eyata ne èƒle nane le fiasea me la, lé ŋku ɖe akpa si nye "nu siwo wotsɔ wɔe" ŋu nyuie. Nukae wòle be mawɔ ne nulɔdɔ aɖe le ŋunye?
Esiae nye nusi wòle be nànya le nɔnɔme kpata aɖe me. Ne nulɔdɔ sesẽ aɖe le ŋuwò, si woyɔna be anaphylaxis la, atikewɔwɔ vevitɔe nye atike si woyɔna be epinephrine . Ne ɖɔkta ɖo kpe edzi be ƒumelãwo ƒe nulɔdɔ le ŋuwò la, aŋlɔ atike si nye epinephrine auto-injector , si nye atike si wodona na ɖokuiwò (abe EpiPen® ene). Ðɔktaa afia alesi nàzãe hã wò. Ne dɔlélea nu sẽ ŋutɔ eye wodo atike na wò la, nusi kplɔe ɖoe nye be nàyɔ dɔnɔdzikpɔʋu kaba ale si nàte ŋui. Gblɔ nusi dzɔ kple be èzã epinephrine-tikea na wo. Woate ŋu ana epinephrine ƒe agbɔsɔsɔ bubu wò ne dɔnɔdzikpɔʋua va ɖo. Ɣekaɣie wòle be nàzã epinephrine-tike?
Ne ède dzesi dzesi siawo dometɔ aɖe la, zã atike si wodo na wò enumake :- Yagbɔgbɔ sesẽ, kɔdzidɔ, ʋu ƒe sisi ƒe gbɔdzɔgbɔdzɔ, ŋutilã ƒe vevesese, kple ŋɔti me veve.
- Ne dzesiawo dze le ŋutilã ƒe akpa vovovowo (e.g., ʋuʋudedi, ʋuʋudedi, kple aɖuɖɔtoe si me ʋuʋudedi le).
Nulɔdɔŋutinunyalawo gblɔ be ne mèka ɖe edzi nenye be èhiã atike la loo alo mèhiãe o la, anyo wu be nàdoe. Elabena viɖe siwo dona tso eƒe xɔxɔ me sɔ gbɔ sã wu afɔku siwo dona tso eme ne exɔe madzemadzee.
Atike bubu kawoe kpena ɖe ame ŋu le ƒumelãwo ƒe nulɔdɔ ŋu?
Ne dzesi suesuesuewo le ŋuwò (e.g., ʋuʋudedi vi aɖe, aɖuɖɔ ƒe ʋeʋẽ vi aɖe) la, ɖɔkta ate ŋu aɖo aɖaŋu be nàzã atike si wua histamine (e.g., Pyridoxine, Benadryl®). Gake ɖo ŋku edzi be epinephrine koe ate ŋu ada dɔléle sesẽ aɖe abe anaphylaxis ene. Aleke nàwɔ axe mɔ ɖe nulɔdɔwo nu le ƒumelãwo ŋu?
Mɔ ɖeka kolia kple nyuitɔ si dzi nàto awɔ esiae nye be nàƒo asa na ƒumelãwo kura. Tsɔ kpe ɖe eŋu la, bu nu siawo ŋu kpɔ:- Kpɔ nyuie ne èle asi lém ɖe ƒumelãwo ŋu: Ɣeaɖewoɣi la, ƒumelãwo ate ŋu akpɔ nu suesuesue siwo le ya me tso nuɖaɖa me. Esia mebɔ o, gake ate ŋu adzɔ. Ame aɖewo hã ate ŋu axɔ nulɔdɔ le lãklewo ŋudɔwɔwɔ me.
- Kpɔ nyuie ŋutɔ le ƒumelãdzraƒewo: Ne èbia nuɖuɖu si me lãgbalẽgolo mele o gɔ̃ hã la, ɖewohĩ nuzazã kple ami siwo wozã tsɔ dzra nuɖuɖuae la ke tsɔ ɖa lãgbalẽae (cross-contamination). Eyata bia nya tso ale si woɖaa nuɖuɖuae ŋu.
Nuɖuɖu bubu kawoe ate ŋu anye esiwo me ƒumelãwo le?
Ƒumelãwo hã ate ŋu anɔ nuɖuɖu siawo me ɣeaɖewoɣi, eyata bu eŋu kpɔ hafi nàɖu wo hã:- Ƒumelãwo ƒe mɔliwo abe bouillabaisse kple cioppino ene.
- Cuttlefish ƒe nuŋlɔtsi.
- Tɔmelãwo ƒe ƒuƒoƒo.
- Tɔmelã siwo wosrɔ̃ (siwo wotsɔa lãgbalẽ wɔe ɣeaɖewoɣi).
- Ƒumelãwo ƒe vividodoɖeameŋu.
- Surimi ƒe ŋkɔ.
Ðe ƒumelãwo ƒe nulɔdɔ nu ayia?
Ame geɖe ƒe nulɔdɔ le ƒumelãwo ŋu le woƒe agbemeŋkekewo katã me. Ƒã hafi wòdzona le ɣeyiɣi aɖe megbe. Aleke mawɔ anɔ agbe le lãmesẽ me kple ƒumelãwo ƒe nulɔdɔ?
Àte ŋu anɔ agbe si me dzidzɔ le, si me lãmesẽ le, eye wòanɔ dɔ dzi nenye be ƒumelãwo ƒe dɔléle aɖe le ŋuwò gɔ̃ hã. Gake nu ʋɛ aɖewo li siwo wòle be wòanɔ susu me na wò le wò dedienɔnɔ ta:- Lé ŋku ɖe nu si ɖum nèle ŋu. Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie – ne èɖu nane kpɔ eye wònyo hã la, galé ŋku ɖe eŋu ake. Ɣeaɖewoɣi la, adzɔnuwo wɔlawo trɔa woƒe nuɖaɖawo.
- Ne nulɔdɔ sia le viwòa ŋu la, fiae be woagaɖu nuɖuɖu tso xɔlɔ̃wo gbɔ o.
- Kpɔ nyuie ŋutɔ ne èle nu ɖum le gota. Bia nu siwo wotsɔ wɔa nuɖuɖua kple ale si woɖanɛ hã.
- Ne anya wɔ la, do asigɛ si naa atikewɔlawo ƒe nuxlɔ̃ame alo na agbalẽvi aɖe nanɔ teƒe si te ɖe ŋuwò.
- Ne wò ɖɔkta do epinephrine na wò la, ke tsɔe na wò ɣesiaɣi. Ne anya wɔ la, dzra atikeawo ƒe agbɔsɔsɔme eve ɖo. Ðewohĩ ahiã be nàno bubu ne agbɔsɔsɔme ɖeka mesɔ gbɔ o.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne èkpɔ nulɔdɔ ƒe dzesi aɖewo le ƒumelã ɖuɖu vɔ megbe, ne wole sue gɔ̃ hã la, ele be nàyi ɖɔkta gbɔ godoo. Ðo ŋku edzi be ne nuwɔna gbãtɔa mesẽ o hã la, esi kplɔe ɖo ate ŋu asẽ. Eyata nunya le eme be woadoe kpɔ be ƒumelãwo ƒe nulɔdɔ le ŋuwò hã. Ele be nàyi xɔ si me wowɔa dɔ kpata le (ETU) ne anaphylaxis (gbɔgbɔ/nu mimi sesẽ) ƒe dzesiwo dze le ŋuwò alo ne dzesiawo meɖiɖi le epinephrine dodo vɔ megbe o. Ðe kadodo aɖe le ƒumelã siwo woyɔna be shellfish kple iodine ƒe nulɔdɔwo domea?
Ame aɖewo tɔtɔa ƒumelãwo ƒe nulɔdɔ kple iodine ƒe nulɔdɔ. Esia le alea elabena iodine le ƒumelãwo me. Gake esi ƒumelãwo ƒe nulɔdɔ le ŋuwò ta la, mefia be iodine hã ƒe nulɔdɔ le ŋuwò o. Ne ƒumelãwo ƒe nulɔdɔ le ŋuwò gɔ̃ hã la, mehiã be nàtsi dzi ɖe radiocontrast-nu si me iodine le si wozãna hena atikewɔwɔ me dodokpɔ aɖewo ŋu o. Ke hã, anyo be nàƒo nu tso nya sia ŋu na wò ɖɔkta. Mlɔeba la, ele be nàgblɔ be...
Tɔmelãwo ƒe nulɔdɔ nye nusi doa dziku ŋutɔŋutɔ. Ate ŋu anye nya gã aɖe, vevietɔ ne ƒumelãwo lɔ̃lae nènye. Gake, nu vevitɔ kekeakee nye be nàɖɔ ŋu ɖo. Ne èƒo asa na ƒumelãwo keŋkeŋ la, àte ŋu axe mɔ ɖe vevesese geɖe (eye ɣeaɖewoɣi siwo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã) si nulɔdɔ sia ate ŋu ahe vɛ la nu. Ne dzesi aɖewo siwo mebɔ o le ŋuwò le ƒumelã ɖuɖu vɔ megbe la, yi ɖɔkta alo nulɔdɔŋutinunyala gbɔ enumake be nànya nusi tututu wònye. Emegbe woaɖe nusianu si wòle be nànya tso alesi nàlé be na ɖokuiwò kple alesi nàzã epinephrine-tike le nɔnɔme kpata aɖe me ŋu me. Wò lãmesẽ le asiwò! Tɔmelãwo ƒe nulɔdɔ, ƒumelãwo ƒe nulɔdɔ, anaphylaxis, epinephrine, nuɖuɖu ƒe nulɔdɔ, nulɔdɔ ƒe dzesiwo, ƒumelãwo
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