Ƒumelãwo naa nu me tsina, alo? Vevietɔ esiwo wolɔ̃a ɖuɖu abe shrimp, crabs , squid, kple shellfish ene. Ke hã, ènya be le ame aɖewo gome la, nuɖuɖu vivi siawo ate ŋu ahe nuwɔna sesẽwo vɛa? Agbɔsɔsɔ sue aɖe gɔ̃ hã ate ŋu ahe nuxaxa gã aɖe vɛ. Egbea, míele nu ƒom tso Shellfish Allergy ŋu. Esi wònye be nɔnɔme sia ate ŋu ade ame ƒe agbe afɔku me ta la, ele vevie be míanɔ nyanya nam. Nirogi Lanka le afisia be yeafia mɔ wò.
Nuka tututue nye Ƒumelãwo ƒe Nulɔdɔ? Mina míagbãe.
Gbã la, ele vevie be míana eme nakɔ be Ƒumelãwo ƒe Nulɔdɔ mesɔ kple Ƒumelãwo ƒe Nulɔdɔ si bɔ o. Le nuɖaɖa ƒe xexeame la, "ƒumelãwo" xɔa finfish (abe tuna alo swordfish) kple shellfish (abe shrimp alo crabs) siaa.
Togbɔ be wo ame evea siaa dzea “ƒumelãwo” ƒe atsyɔ̃ɖoɖo te hã la, le nugbagbeŋutinunya gome la, tɔmelãwo kple lãgbalẽgolowo to vovo kura. Ne lãgbalẽŋudɔwɔnu aɖe le ŋuwò la, zi geɖe la, àte ŋu aɖu tɔmelã si woyɔna be finfish nya aɖeke manɔmee—negbe ɖe, le nyateƒe me la, tɔmelãwo hã ƒenulɔdɔ le ŋuwò le vovo hafi.
Zi geɖe la, womaa ƒumelãwo ɖe hatsotso vevi eve me:
1. Ƒumelã siwo woyɔna be crustaceans: Zi geɖe la, gowo nɔa esiawo ŋu, afɔ geɖe nɔa wo si, eye zi geɖe la, wobua wo be woɖi nudzodzoewo. Kpɔɖeŋu aɖewoe nye:
- Shrimp/Amegãxiwo
- Kpakpaluʋuiwo
- Lobsterwo ƒe lãwo
2. Mollusks: Zi geɖe la, ŋutilã fafɛ nɔa nugbagbe siawo ŋu eye zi geɖe la, go ɖeka alo eve nɔa wo ta si kpɔa wo ta. Kpɔɖeŋu aɖewoe nye:
- Clams-wo
- Mussels ƒe lãwo
- Oyster kple lãgbalẽgolowo
- Bosrã
- Akpɔkplɔ si woyɔna be Octopus
Ame aɖewo ƒe ŋutilã melɔ̃a hatsotso evea siaa o, si fia be shrimp kple squid siaa ate ŋu ahe nuwɔna aɖe vɛ. Gake ɖewohĩ ƒomevi ɖeka koŋ koe ame bubuwo ƒe ŋutilã melɔ̃na o. Le kpɔɖeŋu me, àte ŋu awɔ nu ɖe shrimp ŋu gake ànɔ lãmesẽ me bliboe ne èɖu squid vɔ.
Zi geɖe la, dzesiawo dzena le nuɖuɖua nono vɔ megbe. Gake ènya be ne èka asi lã siawo ŋu ko alo nègbɔ dzoxɔxɔ si dona tso wo ɖa me gɔ̃ hã la, ate ŋu ana wò nulɔdɔa nadze ame dzia ? Ele be nàɖɔ ŋu ɖo ŋutɔ.
Nenɔ susu me na wò be Shellfish Allergy ate ŋu adze ame dzi le ƒe ɖesiaɖe me. Ðewohĩ èse vivi na shrimp alo crab ƒe geɖe eye nya aɖeke menɔ ŋuwò o eye kasia nulɔdɔ sia va dze dziwò. Togbɔ be nuɖuɖu ƒe nulɔdɔ aɖewo ate ŋu nu ayi le ɣeyiɣi aɖe megbe hã la, zi geɖe la, lãgbalẽgolo ƒe nulɔdɔ nyea dɔléle si nɔa ame ŋu le eƒe agbemeŋkekewo katã me. Togbɔ be ema aɖi nu sesẽ hã la, woate ŋu akpɔ egbɔ bliboe ne wowɔ afɔɖeɖe nyuiwo.
Nukae nye Shellfish Allergy ƒe dzesiwo?
Ne ƒumelãwo ƒe nulɔdɔ le ŋuwò la, wò dɔlélenutsiŋutete dea dzesi protein aɖewo siwo le ƒumelãwo me vodadatɔe be wonye amedzidzela siwo gblẽa nu le ame ŋu. Wò ŋutilã wɔa nu ɖe eŋu to atikewo, abe histamine , ene dodo ɖe go me, si hea dzesi vovovowo vɛ :
- Yagbɔgbɔ ƒe nyawo: Gbɔgbɔtsixetsixe, gbɔgbɔ sesẽ, alo gbɔgbɔ kabakaba, si me dɔ sesẽ le.
- Kɔdzi kple ŋɔti ƒe tɔtrɔ: Kɔdzidede atraɖii, ŋɔti ƒe ʋuʋu ƒe seselelãme, alo gbe si le ɖiɖim.
- Dɔgbo ƒe fuɖename: Ƒodo ƒe vevesese, ʋuʋudedi, ʋuʋudedi, alo aɖuɖɔtoe.
- Ŋku ƒe dzikudodo: Ŋku siwo le vuvu, tsi, alo vuvu.
- Ŋutilã ƒe dɔwɔwɔ: Aɖuɖɔtoe, teƒe dzĩwo, alo vuvu (vevietɔ le nuyiwo, aɖe, alo mo).
- Ʋu ƒe sisi ƒe ɖiɖi: Esia nye afɔku, si ate ŋu ana ame natɔtɔ alo ana ame natsi dzodzodzoe.
Dzesiawo toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ eye tso nudzɔdzɔ ɖeka me yi bubu me gɔ̃ hã. Ɣeaɖewoɣi la, àte ŋu akpɔ ŋutigbalẽ ƒe ʋuʋudedi si nu mesẽ o, gake ɣebubuɣiwo la, àte ŋu adze ŋgɔ nuwɔna sesẽ aɖe si le ɖoɖo nu.
Nuxlɔ̃ame Vevietɔ: Tɔmelã ƒe nulɔdɔ ate ŋu ahe anaphylaxis, si nye nuwɔna sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me vɛ. Ne dzesi siwo mesẽ o koe nèkpɔ va yi hã la, àgakpɔtɔ le afɔku me be nàxɔ anaphylaxis le etsɔme.
Anaphylaxis ate ŋu adze egɔme tso dzesi siwo míeyɔ ɖe etame dzi gake ate ŋu adzi ɖe edzi kabakaba ava zu gbɔgbɔtsixetsixe alo ame ƒe susu ƒe dɔwɔwɔ. Enye atikewɔwɔ kpata si hiã be woade nu eme enumake.
Aleke wodaa nulɔdɔ siae?
Ne ƒumelãwo ƒe nulɔdɔ (alo nuɖuɖu ƒe nulɔdɔ sesẽ aɖe) le ŋuwò la, anɔ eme be wò ɖɔkta aŋlɔ atike si nye epinephrine auto-injector na wò. Ele be nàlé atike eve ɖe asi ɣesiaɣi le nɔnɔme kpatawo me.
Epinephrine nye atike si woŋlɔ na ame to mɔ̃ bɔbɔe aɖe si le abe nuŋlɔti ene dzi tsɔna vɛ. Wò ɖɔkta afia alesi nàzãe wò. Ele be nàtsɔe ayi afisiafi —mègagblẽe ɖe nudzraɖoƒe alo aƒeme o. Ele be wòanɔ afisi woate ŋu aɖo ɣesiaɣi.
Nulɔdɔŋutinunyala aɖewo ate ŋu aɖo aɖaŋu be woatsɔ atike siwo wua ʋumenugbagbeviɣidɔ ɖe asi be woatsɔ akpɔ dzesi siwo mesẽ o gbɔ. Gake ɖo ŋku edzi be: le nuwɔna sesẽ aɖe me la, ele be nàzã epinephrine-tikea gbã. Menye atike siwo wua histamine nye epinephrine teƒenɔla o.
Bia wò ɖɔkta be wòakpe ɖe ŋuwò nàwɔ "Allergy Action Plan." Nuŋlɔɖi sia gblɔ alesi woadzra ɖo ɖe nulɔdɔ aɖe ŋu, ade dzesii, ahadae. Gblɔ ɖoɖo sia na wò ƒomea, nufialawo, hehenalawo, alo ame bubu ɖesiaɖe si wòle be wòanya. Wokafui vevie be woado asigɛ si naa atikewɔlawo ƒe nuxlɔ̃ame hã.
Sɛkɛnd ɖesiaɖe xɔa asi le nulɔdɔ aɖe me. Ne èkpɔ dzesi sesẽwo abe ŋɔti me vuvu alo gbɔgbɔtsixe tsia ƒowò la, zã wò epinephrine-tike enumake. Ne ède dzesi dzesiwo le ŋutilã ƒe ɖoɖo vovovo eve me (le kpɔɖeŋu me, aɖuɖɔtoe siwo wotsɔ ƒo ƒu kple ʋuʋudedi) la, na epinephrine la kaba eye nàƒo ka na 911 alo dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ le mia gbɔ.
Ne èwɔ afɔɖeɖe vɔ la, ƒo ka na 911 alo dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ le mia gbɔ enumake , alo na ame aɖe nakplɔ wò ayi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata. Ele be nànɔ atikewɔla bibiwo ƒe dzikpɔkpɔ te, ne wò lãme sẽ gɔ̃ hã. Ɣeaɖewoɣi la, dzesiwo ƒe ƒutsotsoe evelia si me afɔku le—si woyɔna be biphasic reaction —ate ŋu adzɔ ne edze abe dzesi gbãtɔawo nu fa ene gɔ̃ hã.
Nu bubu kawoe wòle be nànya?
Ne ƒumelãwo ƒe nulɔdɔ le ŋuwò la , ele be nàƒo asa na ƒumelã ƒomevi ɖesiaɖe keŋkeŋ . Le nuɖuɖua ŋutɔ ɖeɖeɖa megbe la, ele be nànɔ ŋudzɔ ɖe atike ɖesiaɖe si me nu ɣaɣlawo ate ŋu anɔ ŋu. Le amesiwo sea veve ɖe ƒumelãwo nu vevie gome la, ƒumelã siwo woɖa ƒe ʋeʋẽ gɔ̃ hã ate ŋu ahe nuwɔna aɖe vɛ, eyata anyo wu be woaƒo asa na nuɖuɖudzraƒe alo nuɖaƒe siwo me wole ƒumelãwo ɖam le.
Nuɖuɖu ƒe ŋkɔwo xexlẽ le vevie ŋutɔ!
Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie ɣesiaɣi be nàkpɔe ɖa be ƒumelãwo le wo me hã. Le dukɔ geɖe me la, wobia tso adzɔnuwo wɔlawo si be woade dzesi nusiwo bɔ abe ƒumelã siwo woyɔna be crustacean shellfish (le kpɔɖeŋu me, shrimp, crab, lobster) ene nyuie. Di "shellfish" le nusiwo wotsɔ wɔe ƒe xexlẽdzesi me alo "Contains shellfish" nya si me kɔ le xexlẽdzesiawo ƒe nuwuwu.
Nenɔ susu me na wò be ɖoɖowo ate ŋu ato vovo le nuto ɖesiaɖe me. Togbɔ be zi geɖe la, woŋlɔa nusiwo wotsɔ tso duta vɛ ƒe ŋkɔwo tsitotsito hã la, ɖewohĩ menye ɣesiaɣie woana nyatakaka siwo me kɔ alea ɣesiaɣi o. Eyata ele be nànɔ ŋudzɔ vevie.
Ne edze abe nusiwo wotsɔ wɔe ƒe xexlẽdzesi aɖe le dedie ene hã la, kadodo kple wo nɔewo ate ŋu adzɔ le ewɔwɔ me. Kpɔ nuxlɔ̃amenyagbɔgblɔ siwo woŋlɔ ɖe ŋkɔwo dzi abe: "Ate ŋu anye be ƒumelãwo anɔ eme," "Wotrɔ asi le eŋu le dɔwɔƒe si wɔa lãgbalẽ hã ŋudɔ," alo "Wowɔe ɖe dɔwɔnu siwo wozãna na ƒumelãwo hã dzi." Menye dɔwɔƒe ɖesiaɖee wobia tso esi be wòade dzesii be dɔlékuiwo le wo ŋu o. Ne ɖikeke aɖe le mewò la, afɔɖeɖe si le dedie wue nye be nàƒo ka na adzɔnuwɔƒea tẽ to telefon alo e-mail dzi be wòana eme nakɔ.
Tsɔ kpe ɖe eŋu la, menye ɣesiaɣie se bia tso atikewɔlawo si be woade dzesi mollusk shellfish (abe clams, mussels, alo oysters ene) be wonye nusiwo koŋ nana woƒe ŋutilã melɔ̃a nu o. Ne woŋlɔ ɖe ŋkɔ aɖe dzi be "shellfish" la, zi geɖe la, efia ƒumelã siwo woyɔna be crustaceans koŋ. Ne nane koŋ ŋu nètsi dzi ɖo la, ke kpɔe ɖa kple dɔwɔƒea nenye be afɔku aɖe li be woaƒo ɖi lãklewo hã.
Kpɔ nyuie geɖe wu le nuɖuɖudzraƒewo kple ne èle nu ɖum le gota!
Ðiƒoƒo le wo nɔewo dome nye afɔku gã aɖe le nuɖuɖudzraƒewo, vevietɔ le ƒumelãdzraƒewo. Dzodoƒedɔwɔlawo ate ŋu azã anyigba, nuzazãwo (hɛwo, lãtsonuwo, agbawo), alo ami ɖeka ma ke na lãgbalẽgolowo kple nuɖuɖu bubuwo siaa, si ana nusuekpɔmɔ̃wo nate ŋu atrɔ.
Le kpɔɖeŋu me, ne èbia bli si wofli la, ɖewohĩ wozã amia tsɔ ɖa shrimp va yi. Esia nye nya si wonya nyuie si ku ɖe dɔlékuiwutikewo ƒe ɖiƒoƒo ŋu . Esi wònye be esia bɔ ɖe teƒe siwo ƒumelãwo bɔ ɖo ta la, ame geɖe tiae be yewoaƒo asa na teƒe siawo keŋkeŋ. Ne èle nu ɖum le gota la, zi geɖe la, nunya anɔ eme be nàdzo le nuɖuɖu siwo wofli dzi kura, elabena nuɖuɖudzraƒe geɖe tsɔa koklolã, French fries, kple shellfish ɖana le ami ɖeka me.
Hafi nàdzo le aƒeme la, kpɔ egbɔ be epinephrine auto-injectors eve siwo ƒe ɣeyiɣi mede o le asiwò. Gblɔ wò lãgbalẽgolo ƒe nulɔdɔa na wò nuɖuɖudzrala alo nuɖadɔwɔlawo eme nakɔ ɣesiaɣi. Ɣeaɖewoɣi la, wò ŋutɔ wò nuɖuɖu si me afɔku mele o tsɔtsɔ vɛ nyea mɔnu nyuitɔ kekeake. Ne edze abe nuɖala, dɔdzikpɔla, alo aƒetɔa le hehem ɖe megbe alo meka ɖe nuɖuɖu si le dedie ƒe biabiaa dzi o ene la, anyo wu be màgaɖu nu le dɔwɔƒe ma o.
Le suku kple dɔwɔƒe
Dzro afɔku si le dɔlékuiwutikewo xɔxɔ le sukua ƒe nuɖuɖudzraƒea me kple dɔwɔlawo. Zi geɖe la, wò ŋutɔ wò ŋdɔnuɖuɖu babla nyea tiatia si le dedie wu, elabena enaa nèkpɔa ŋusẽ ɖe nusi nèɖuna dzi bliboe.
Ne èdi mɔfiame tsitotsito le nuɖuɖu ƒe nulɔdɔwo gbɔ kpɔkpɔ ŋu la, kpɔ dukɔwo dome dɔwɔƒe xɔŋkɔwo abe Nuɖuɖu Ŋuti Nulɔdɔ Ŋuti Numekuku Kple Hehenahabɔbɔ (FARE) ene . Vevietɔ wu la, dzro nu me tsitotsito kple wò ɖɔkta alo nulɔdɔŋutinunyala aɖe be nàwɔ dedienɔnɔ ŋuti ɖoɖo si sɔ na wò.
Gbedasi si woatsɔ ayi aƒemee
Ne míagblɔe kpuie la, nya vevi siwo dzi wòle be míaɖo ŋkui lae nye esi:
- Tɔmelãwo ƒe nulɔdɔ nye atikewɔwɔ me dɔléle sesẽ aɖe; mègabu eŋu nu tsɛe gbeɖe o.
- Ne nulɔdɔ sia le ŋuwò la, ƒo asa na ƒumelãwo katã (shrimp, crab, lobster, squid, kple bubuawo) eye nànɔ ŋudzɔ le nusiwo woɣla ŋu.
- Tsɔ epinephrine auto-injectors eve ɖe asi ɣesiaɣi eye nàkpɔ egbɔ be yenya alesi tututu nàzã woe.
- Ne èkpɔ nulɔdɔ ƒe dzesi sesẽwo (abe gbɔgbɔ sesẽ, ŋɔti/nu ƒe vuvu, alo wò susu ƒe dɔwɔwɔ ene) la, zã wò epinephrine enumake eye nàdi atikewɔla kpata.
- Xlẽ nuɖuɖuwo katã ƒe ŋkɔwo nyuie eye nànɔ susu me na wo le cross-contamination , vevietɔ ne èle nu ɖum le gota.
- Na wò ƒometɔwo, xɔlɔ̃wo, suku, alo dɔwɔƒe nanya nu tso wò nulɔdɔa ŋu.
- Mèganɔ agbe le vɔvɔ̃ me o. Ne èkpɔ egbɔ nyuie eye nènya nu tso eŋu nyuie la, àte ŋu anɔ agbe si sɔ, si me lãmesẽ le. Wò ŋudzɔnɔnɔe nye wò ametakpɔnu nyuitɔ kekeake.
Mele mɔ kpɔm be nyatakaka sia ado ŋusẽ wò be nànɔ dedie. Ne nyabiase bubu aɖewo gale asiwò la, taflatse yi wò lãmesẽdɔwɔla gbɔ.
Tɔmelãwo ƒe Nulɔdɔ, Ƒumelãwo ƒe Nulɔdɔ, Shrimp ƒe Nulɔdɔ, Krab ƒe Nulɔdɔ, Squid ƒe Nulɔdɔ, Anaphylaxis, Epinephrine, Cross-contamination
