Ðe nèsena le ɖokuiwò me hã be yedze dɔ le shrimp, crab, alo shellfish ɖuɖu vɔ megbea? Mina míasrɔ̃ nu tso (Shellfish Allergy) sia ŋu?

Ne èbu ƒumelãwo ŋu la, wò nu dzea tsi ƒoƒo gɔme, alo? Vevietɔ nuwo abe shrimp, crab , mussels, kple oysters ene vivina ŋutɔ. Gake, ènya, ame aɖewo meka asi nuɖuɖu vivi siawo gɔ̃ hã ŋu o. Nuɖuɖu vi aɖe gɔ̃ hã ate ŋu ahe kuxi kple kuxi ƒomevi ɖesiaɖe vɛ. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu, si nye `(Shellfish Allergy)`. Esia ate ŋu anye nu sesẽ ŋutɔ na ame aɖewo, eyata ele vevie ŋutɔ be woanya esia.

Nukae nye ``Shellfish Allergy''? Mina míase egɔme bɔbɔe.

Gbã la, ``Shellfish Allergy'' kple nusi míeyɔna zi geɖe be ``Seafood Allergy'' menye nu ɖeka tututu o. Fifia, ne míegblɔ be ``Seafood'' la, elɔ tɔmelãwo (le kpɔɖeŋu me, clams, mussels) kple ƒumelã siwo si gowo le siaa ɖe eme, si nye ``Shellfish'' (le kpɔɖeŋu me, shrimp, crabs).

Togbɔ be wo ame evea siaa dze le "ƒumelãwo" ƒe hatsotso me hã la, le nugbagbeŋutinunya gome la, tɔmelãwo kple lãgbalẽgolowo nye hatsotso eve siwo to vovo kura. Eyata ne "Shellfish Allergy" koe le ame aɖe ŋu la, zi geɖe la, tɔmelãwo ƒe nulɔdɔ manɔ eŋu o. Gake kuxiae nye ne tɔmelã ƒenulɔdɔ tɔxɛ aɖe le ame ma hã ŋu.

Azɔ mina míakpɔe ɖa be woateŋu ama ``Shellfish'' siawo ɖe hatsotso eve bubuwo me hã.

1. Woyɔa ƒomevi gbãtɔ be `(Crustaceans)`. Kpuie ko la, wonye lã siwo ƒe aŋɔ le, afɔ geɖe, eye woɖi nudzodzoewo vie. Le kpɔɖeŋu me:

• Shrimp/prawns ƒe lãwo
• Kpakpaluʋuiwo
• Lobsterwo ƒe lãwo

2. Woyɔa ƒomevi evelia be ``Mollusks''. Zi geɖe la, lã siawo ƒe ŋutilã fa eye zi geɖe la, woƒe go ɖeka alo eve nɔa wo ŋu hena takpɔkpɔ. Le kpɔɖeŋu me:

• Clams-wo
• Mussels ƒe lãwo
• Oysters , lãgbalẽgolowo
• Bosrã
• Octopus si woyɔna be Octopus

Ame aɖewo ateŋu anye nulɔdɔ na `(Shellfish)` ƒomevi eveawo siaa. Esia fia be asesẽ na wo le shrimp kple shellfish siaa ɖuɖu me. Gake ƒomevi ɖeka koe ame aɖewo ƒe ŋutilã melɔ̃na o. Le kpɔɖeŋu me, ate ŋu asesẽ na wo le shrimp ɖuɖu me gake womakpɔ kuxi aɖeke le ƒumelã ɖuɖu me o.

Zi geɖe la, ``Shellfish Allergy'' ƒe dzesiwo dzena ne ame aɖe ɖu nuɖuɖu sia ƒomevi. Gake ènyaa, ɣeaɖewoɣi la, asikaka lã siawo ŋu alo dzudzɔ si dona tso nuɖaɖa me gbɔgbɔ gɔ̃ hã ate ŋu ahe nulɔdɔ sia vɛ . Eyata ele be nàɖɔ ŋu ɖo ŋutɔ.

Ðo ŋku edzi be `(Shellfish Allergy)` sia ateŋu adzɔ le ƒe ɖesiaɖe me. Amesi kpɔ dzidzɔ ɖe shrimp kple crabs ɖuɖu ŋu ɣeyiɣi didi aɖe kuxi aɖeke manɔmee gɔ̃ hã ate ŋu axɔ nulɔdɔ sia zi ɖeka. Nuɖuɖu ƒe nulɔdɔ aɖewo nu yina le ɣeyiɣi aɖe megbe, gake zi geɖe la, ele be amesiwo ŋu `(Shellfish Allergy)` sia le nanɔ agbe kplii le woƒe agbemeŋkekewo katã me. Enye nublanuinya vie, gake ne wokpɔ edzi nyuie la, kuxi aɖeke mele eme o.

Nukae nye ``Shellfish Allergy'' ƒe dzesiwo?

Ne `(Shellfish Allergy)` le ame aɖe ŋu la, nusi dzɔna enye be míaƒe ŋutilã ƒe dɔlélenutsiŋutete, si wɔa avu kple dɔléle zi geɖe la, wɔa nu wògbɔa eme ɖe protein aɖewo siwo le `(Shellfish) me ŋu. Bu eŋu kpɔ, ne míaƒe ŋutilã ƒe dɔlélenutsiŋutete kpɔ protein siawo la, esusuna be, "Futɔ aɖe va ɖo!" Emegbe woɖea atike gbogbo aɖewo abe `( Histamine )` ene ɖe go. Atike mawo ƒe dodo tae dzesiawo dzena.

Na míakpɔ nusiwo nye dzesi mawo ɖa:

• Yagbɔgbɔ sesẽ: Gbɔgbɔtsixetsixe, gbɔgbɔ sesẽ, gbɔgbɔ kabakaba.
• Kɔdzi kple ŋɔti ƒe tɔtrɔ: Kɔdziyiyi atraɖii, ŋɔti me ʋuʋu, kple gbe ƒe ɖiɖi.
• Dɔgbo ƒe veve: Dɔgbo ƒe veve, ʋuʋudedi, ʋuʋudedi, kple aɖuɖɔtoe ate ŋu adzɔ.
• Ŋusẽkpɔɖeamedzi ɖe ŋkuwo dzi: Ŋkuwo ƒe ʋuʋu, aɖatsi, ŋkuwo ƒe vuvu.
• Ŋutilã ƒe dzesiwo: aɖuɖɔtoewo le ŋutilã bliboa me, teƒe dzĩwo, vuvu (vevietɔ nuyiwo, aɖe, kple mo).
• Ʋusɔgbɔdɔ: Esia nye afɔku vie. Ʋu ƒe sisi ƒe ɖiɖi kpata ate ŋu ana wò ta natsi alo atsi dzodzodzoe gɔ̃ hã.

Alesi amewo wɔa nui ɖe ``Shellfish Allergy'' sia ŋu ateŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, le ame ɖeka me gɔ̃ hã. Ɣeaɖewoɣi la, ate ŋu anɔ bɔbɔe ŋutɔ, eye ʋuʋudedi koe nɔa ŋutigbalẽa ŋu. Gake ɣebubuɣiwo la, ate ŋu anye nuwɔna sesẽ aɖe si gblẽa nu le ŋutilã ƒe akpa vovovowo ŋu.

Vevietɔ wu la: `(Shellfish Allergy)` ateŋu ahe nulɔdɔ sesẽ ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã si woyɔna be `(Anaphylaxis) vɛ. Ne èwɔ nu fafɛ zi gbãtɔ hã la, manya wɔ be `(Anaphylaxis)` nadzɔ ɣebubuɣi o.

Nɔnɔme sia, si woyɔna be ``Anaphylaxis'', ateŋu adze egɔme kple dzesi siwo bɔ abe esiwo míeyɔ va yi ene. Gake le ɣeyiɣi aɖe megbe la, gbɔgbɔ ate ŋu asesẽ ale gbegbe be wò susu ate ŋu abu. Esia ate ŋu agblẽ nu le ŋutilã ƒe akpa siwo wu ɖeka ŋu. Ne womedae le ɣeyiɣi nyuitɔ dzi o la, le nyateƒe me la, ate ŋu ade ame ƒe agbe afɔku me. Eyata menyo be míabu esia nu tsɛe o.

Aleke nèwɔa nulɔdɔ abe esia ene?

Ne ƒumelãwo ƒe nulɔdɔ (alo nuɖuɖu ƒe nulɔdɔ sesẽ bubu aɖe) le ŋuwò la, ɖewohĩ wò ɖɔkta aŋlɔ epinephrine ƒe agbɔsɔsɔ eve na wò be wòanɔ gbɔwò ɣesiaɣi. Esia nye atike si woazã le nɔnɔme kpata aɖe me.

Epinephrine nye atike si woŋlɔ na amewo. Eva le mɔ̃ sue aɖe si woate ŋu atsɔ bɔbɔe (``auto-injector'') me. Ele abe nuŋlɔti ene. Wò ɖɔkta aɖe alesi nàzãe me na wò. Ele be nàlée ɖe asi ɣesiaɣi. Mawɔ dɔ le nudzraɖoƒe alo dɔnɔdzikpɔla ƒe xɔ me le suku o. Ele be nàtsɔe ɖe asi le afisiafi si nàyi.

Ɣeaɖewoɣi la, nulɔdɔwo ŋuti nunyala bibiwo kafui be woana atike siwo wua ʋumenugbagbeviɣidɔ hã nanɔ asiwò, elabena woate ŋu akpe ɖe ŋuwò nàɖu nulɔdɔ ƒe dzesi suesuesuewo dzi. Gake ɖo ŋku edzi be le nulɔdɔ sesẽ aɖe gome la, le epinephrine dodo vɔ megbe koe wòle be woazã antihistamines, ke menye abe epinephrine teƒe ene o.

Wò ɖɔkta ateŋu ana ``Allergy Action Plan'' wò. Esia ana nànya alesi nàdzra ɖo ɖe nulɔdɔ aɖe ŋu, ade dzesii, ahadae. Gblɔ ɖoɖo sia na amesiame si wòle be wòanya, abe wò ƒomea, sukudzikpɔlawo, kple hehenalawo ene. Enyo hã be nàdo ``atikewɔwɔ ƒe nuxlɔ̃ame asigɛ'' si me woŋlɔ wò nulɔdɔwo ɖo.

Sɛkɛnd ɖesiaɖe xɔa asi le nulɔdɔ aɖe me. Ne nulɔdɔ ƒe dzesi sesẽwo dze egɔme, abe wò nu alo ŋɔti ƒe vuvu, alo gbɔgbɔ sesẽ ene la, zã epinephrine-tike enumake. Azɔ hã, ne wò dzesiawo dze le wò ŋutilã ƒe akpa vovovo eve le ɣeyiɣi ɖeka me (le kpɔɖeŋu me, aɖuɖɔtoe kple ʋuʋudedi) la, zã epinephrine-tike enumake.

Emegbe ƒo ka na 1990 (Sri Lanka Ambulance Service) enumake , alo nàkplɔ ame aɖe ɖe asi ayi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le kaba ale si nàte ŋui. Ele be nànɔ atikewɔlawo ƒe dzikpɔkpɔ te. Ɣeaɖewoɣi la, ne edze abe vɔ̃ɖitɔ kekeake wu enu ene gɔ̃ hã la, dzesi sesẽwo ƒe ƒutsotsoe evelia ate ŋu ado mo ɖa (`a `biphasic reaction`).

Nukae wògahiã be míanya tso esia ŋu?

Ne `(Shellfish Allergy)` le ŋuwò la, mele be nàɖu ƒumelã sia ƒomevi le susu aɖeke ta o. Menye ema ɖeɖeko o, ele be nàƒo asa na nuɖuɖu bubu ɖesiaɖe si me wo ate ŋu anɔ hã. Le amesiwo sea nu gɔme na `(Shellfish)` ƒe nuɖaɖa ƒe ʋeʋẽ la, anyo wu be woanɔ adzɔge tso nuɖuɖudzraƒewo kple teƒe mawo tɔgbe siwo woɖaa wo le gbɔ alesi woate ŋui.

Nuɖuɖu ƒe ŋkɔwo xexlẽ le vevie ŋutɔ!

Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie ɣesiaɣi be nàkpɔe ɖa be `(Shellfish)` le nuɖuɖua me hã. Ele be nuɖuɖuwɔla siwo dzraa nu le dukɔwo abe United States ene me nagblɔe eme nakɔ le woƒe nuɖuɖuwo ƒe ŋkɔ dzi nenye be `(Crustacean shellfish)` (si nye shrimp, crab, kple bubuawo) ƒomevi mawo le woƒe nuɖuɖuwo me. Nuŋlɔɖia aŋlɔ "shellfish" ɖe nusiwo wotsɔ wɔe ƒe xexlẽdzesi me, alo aŋlɔ "Contains shellfish" le xexlẽdzesiawo megbe.

Ke hã, le míaƒe dukɔa me la, nɔnɔme sia ate ŋu ato vovo vie. Togbɔ be ŋkɔ nyuiwo le nusiwo wotsɔ tso duta vɛ dometɔ aɖewo ŋu hã la, ɖewohĩ nyatakaka siwo me kɔ alea manɔ nutoa me nutovɛwo ŋu ɣesiaɣi o. Eyata ele be ame naɖɔ ŋu ɖo ŋutɔ.

Nuɖuɖu aɖewo ateŋu adze nyuie le nusiwo wotsɔ wɔe ƒe xexlẽdzesiwo me, gake ne wowɔ wo la, woateŋu ado ka kple `(Shellfish)`. Woyɔa esia be `(Cross-contamination)` . Le kpɔɖeŋu me, di aɖaŋuɖoɖonyawo le ŋkɔa dzi abe ``May contain shellfish,'' ``Wowɔ dɔ le dɔwɔƒe si hã wɔa dɔ le shellfish ŋu,'' alo ``Manufactured on equipment also used for shellfish.'' Menye dɔwɔƒewo katãe dea dzesi esia be `(Cross-contamination)`. Eyata ne ɖikeke le ŋuwò la, anyo wu be nàƒo ka alo aŋlɔ lɛta na dɔwɔƒea be nànyae kple kakaɖedzi.

Azɔ hã, se mebia tso adzɔnuwo wɔlawo si be woade dzesi nusiwo me `(Mollusk shellfish)` (i.e., clams, mussels, kple oysters) le o elabena womebua wo be wonye nuɖuɖu ƒe nulɔdɔ vevitɔ o (le U.S. se nu). Ne ŋkɔwo gblɔ be `(Shellfish)` la, zi geɖe la, wofiaa `(Crustacean shellfish)`. Eyata ele vevie be woabia dɔwɔƒea nenye be afɔku aɖe li be `(Cross-contamination)` kple `(Mollusks)`.

Kpɔ nyuie ŋutɔ ne èle nu ɖum le gota kple nuɖuɖudzraƒewo!

Atikewo ƒe ɖiƒoƒo nye nusi bɔ ɖe nuɖuɖudzraƒewo, vevietɔ esiwo me woɖaa ƒumelãwo le. Le nuɖaƒewo la, zi geɖe la, dɔwɔlawo zãa anyigba, nuzazãwo (abe hɛ, lãtsonu, kple agba ene), alo ami ɖeka tsɔ ɖaa lãgbalẽ kple nuɖuɖu bubuwo, si ate ŋu atsɔ ƒumelãwo ƒe akpa suesuesuewo ayi nuɖuɖu bubuwo me.

Tsɔe be èyi nuɖuɖudzraƒe aɖe eye nèbia bli si wofli. Gake ne woɖae le ami ɖeka me la, woate ŋu atɔe, alo? Emae nye nusi míeyɔna be ``cross-contamination.'' Esia bɔ vevietɔ le ƒumelãdzraƒewo, eyata ame aɖewo susu be ele dedie wu be woaƒo asa na teƒe mawo tɔgbe kura. Ne èle nu ɖum le gota le nuɖuɖudzraƒewo la, ate ŋu anyo be nàƒo asa na nuɖuɖu siwo wofli. Esia le alea elabena teƒe geɖewo ɖaa koklolã, French fries, kple ``shellfish'' le ami ɖeka me.

Ne èle nu ɖum le gota la, kpɔ egbɔ be epinephrine-tike eve siwo ƒe ɣeyiɣi mede o la le asiwò. Azɔ hã, kpɔ egbɔ be yegblɔ wò nuɖuɖudzrala alo nuɖuɖudzrala tso wò ƒumelãwo ƒe nulɔdɔ ŋu. Ɣeaɖewoɣi la, anyo be nàtsɔ nuɖuɖu si le dedie si nènya be ele dedie na wò la vɛ tso aƒeme. Ne edze abe nuɖala, dɔdzikpɔla, alo aƒetɔ ƒe dzi medzɔ ɖe wò nuɖuɖu si le dedie ƒe biabiaa ŋu o ene la, ɖewohĩ anyo wu be nàƒo asa na nuɖuɖu le nuɖuɖudzraƒe ma.

Le suku kple dɔwɔƒe

Ƒo nu kple dɔwɔlawo tso afɔku si le dɔlékuiwutikewo zazã le suku ƒe nuɖuɖudzraƒewo ƒe nuɖuɖuwo me ŋu. Le go geɖe me la, anyo wu be nàbla wò ŋutɔ wò ŋdɔnuɖuɖu ɖe agba me. To mɔ sia dzi la, àte ŋu akpɔ ŋusẽ ɖe nusi le eme dzi.

Ne èdi be yeanya nu geɖe tso alesi woakpɔ nuɖuɖu ƒe nulɔdɔ siawo gbɔe ŋu la, nyatakakawo le dukɔwo dome habɔbɔwo abe ``Food Allergy Research and Education Network (FARE)`` ƒe nyatakakadzraɖoƒewo. Azɔ hã, anyo wu be nàbia wò ɖɔkta alo nulɔdɔŋutinunyala aɖe be wòana nyatakaka bubuwo.

Nu vevitɔ kekeake siwo wòle be wòanɔ susu me na wò (Take-Home Message) .

Enyo, eyata ɖe míate ŋu aɖo ŋku nu siwo ŋu míeƒo nu tsoe siwo nèsusu be wole vevie la dometɔ aɖewo dzi na wòa?

• ``Shellfish Allergy'' nye nɔnɔme si ateŋu anye dɔléle sesẽ, eyata mègabui nu tsɛe o.
• Ne nulɔdɔ sia le ŋuwò la, ƒo asa na ƒumelã ɖesiaɖe ɖuɖu, abe shrimp, crab, mussels, alo clams ene. Kpɔ nyuie ŋutɔ le nuɖuɖu bubu siwo ate ŋu anɔ wo me ŋu.
• Tsɔ `(Epinephrine)` ƒe atike eve ɖe asi ɣesiaɣi. Nya alesi tututu nàzãe.
• Ne èkpɔ nulɔdɔ ƒe dzesi sesẽwo (abe gbɔgbɔ sesẽ, ŋɔti/nu ƒe vuvu, susu ƒe dɔwɔwɔ) , zã epinephrine enumake eye nàyi kɔdzi.
• Xlẽ nuɖuɖu ƒe ŋkɔwo nyuie. Kpɔ nyuie le atitsoga ƒe ɖiƒoƒo ŋu, vevietɔ ne èle nu ɖum le gota.
• Gblɔ wò nulɔdɔa ŋu nya na wò ƒometɔwo, xɔlɔ̃wo, kple suku/dɔwɔhatiwo.
• Mega tsi dzi o. Ne wokpɔ edzi nyuie la, àte ŋu anɔ agbe si sɔ kple `(Shellfish Allergy)` sia. Nu vevitɔe nye be woanya nu tso eŋu ahaɖɔ ŋu ɖo.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne nya bubu aɖewo gale asiwò la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta.

Ƒumelãwo ƒe Nulɔdɔ, Anaphylaxis, Epinephrine, Atitsoga ƒe ɖiƒoƒo