Ua ʻai anei ʻoe i kahi mea ʻono e like me ka ʻōpae a i ʻole ka pāpaʻi a laila ua ʻike ʻoe i ka maneʻo, ka hives, a i ʻole ka paʻakikī o ka hanu ʻana? A i ʻole ua ʻike ʻoe i kahi hoaaloha a ʻohana paha e hana like ana? ʻO ke kumu o kēia paha he allergy i nā pūpū i ʻike ʻole ʻia e ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
He aha maoli ka maʻi pāpaʻi?
I ka ʻōlelo maʻalahi, ʻo ka maʻi ʻaleka iʻa he maʻi ʻaleka meaʻai. ʻO nā iʻa he mau holoholona e noho ana i ka wai a he uhi e like me ka pūpū a puni ko lākou kino. Ua māhele ʻia kēia mau iʻa i ʻelua mau pūʻulu nui: 1.
Crustaceans: Aia i loko o kēia hui nā ʻōpae, nā ʻōpae, nā pāpaʻi, a me nā ʻōpae. 2.
Mollusks: Aia i loko o kēia hui nā ʻōpae, nā scallops, nā oysters, a me nā mussels. No laila, inā he maʻi ʻaleka kou i kēia ʻano iʻa, ʻo ia hoʻi ke pane nei ka ʻōnaehana pale o kou kino i kekahi mau protein i loko o kēia mau meaʻai. Manaʻo ia ua hōʻea mai kahi ʻenemi.
He mea ʻino anei ka ʻai ʻana i kēia ʻano iʻa?
ʻAe, inā he maʻi allergy ʻoe i ka iʻa, pono ʻoe e pale i ka ʻai ʻana i kēia mau mea:
- ʻAbalone
- ʻŌpae - (e.g. Cherrystone, Littleneck, Pismo, Quahog)
- ʻŌpū
- Pūpū
- Pāpaʻi
- ʻŌpae a me ka ʻōpae
- ʻŌpae
- Nā Mollusks - (He inoa maʻamau kēia)
- Nā ʻūpā
- Heʻe
- Nā ʻOysters
- ʻŌpae
- ʻŌpae a me nā pāpaʻi
- Nā nahe kai (Nā nahe - nā ʻano kai)
- Heʻe - kapa ʻia hoʻi e kekahi he calamari
He mea nui: I kekahi manawa, ʻoiai inā ʻaʻole ʻoe e ʻai pololei i kēia mau iʻa paʻi, hiki nō iā ʻoe ke loaʻa i kahi hopena maʻi inā ʻoe e ʻai i nā mea ʻono, nā sopa, a i ʻole nā meaʻai ʻē aʻe i loaʻa iā lākou, a inā ʻoe e hoʻomākaukau i kahi mea ʻē aʻe ma kahi like a i ʻole ma nā ipu like i kuke ʻia ai. No laila pono ʻoe e makaʻala loa.
Ke hoʻokumu nei nā ʻano iʻa āpau i ke ʻano like o ka maʻi allergy?
Eia kekahi nīnau koʻikoʻi. I ka hapanui o nā hihia, inā he maʻi ʻoe i kekahi ʻano o ka iʻa paʻi, ʻoi aku ka nui o kou maʻi ʻana i nā ʻano ʻē aʻe. ʻOi aku ka nui o nā crustaceans a mākou i ʻōlelo ai ma mua, e like me ka ʻōpae a me ka pāpaʻi, e hoʻoulu i nā maʻi ʻaleka ma mua o nā mollusks. Eia naʻe, ʻaʻole like kēia no nā mea āpau. No ka laʻana, pilikia paha kekahi poʻe i ka ʻai ʻana i ka ʻōpae nui, akā maikaʻi paha lākou i ka ʻai ʻana i nā scallops.
No laila, inā loaʻa iā ʻoe kekahi mau hōʻailona maʻi ma hope o ka ʻai ʻana i hoʻokahi ʻano iʻa paʻa, pono ʻoe e ʻike i ke kauka a loaʻa ka ʻōlelo aʻoaʻo ma mua o ka ʻai ʻana i nā ʻano iʻa paʻa ʻē aʻe. A i ʻole, mai hoʻāʻo, ʻae? He mea like anei ka maʻi ʻaleka iʻa a me ka intolerance iʻa?
ʻAe, he mea huikau iki kēia. Akā, aia kahi ʻokoʻa nui ma waena o nā mea ʻelua. Inā loaʻa iā ʻoe ka ʻōpū huhū a i ʻole ka nausea ma hope o ka ʻai ʻana i ka iʻa paʻi, he mea hiki ke hoʻomanawanui ʻole i ka iʻa paʻi, ʻo ia hoʻi ke pilikia nei kou kino i ka ʻeli ʻana iā ia. ʻO kēia ka ʻōpū huhū nui. Eia nō naʻe, ʻoi aku ka koʻikoʻi o ka maʻi ʻaleka iʻa paʻi. Hiki iā ia ke hoʻopilikia i kou kino holoʻokoʻa, a i kekahi manawa hiki ke hoʻoweliweli i ke ola. Hiki i kahi allergist ke kōkua iā ʻoe e ʻike pono i ka mea āu i loaʻa ai. ʻO wai ka poʻe i loaʻa i nā maʻi ʻaleka iʻa? Pehea ka maʻamau?
ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i kahi maʻi ʻaleka iʻa. ʻOiai inā ua ʻai ʻoe i ka iʻa me ka ʻole o nā pilikia ma mua, hiki iā ʻoe ke loaʻa koke i kahi maʻi ʻaleka. ʻAʻole anei he mea kupanaha? ʻOiai hiki ke hana i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā pākeke ma mua o nā keiki. Wahi a nā helu helu mai ʻAmelika Hui Pū ʻIa, ma kahi o 60% o ka poʻe me nā maʻi ʻaleka iʻa e loaʻa mua nā hōʻailona i ka wā makua. Hiki paha kēia no ka mea ʻaʻole ʻai nui nā keiki i ka iʻa i ko lākou wā ʻōpiopio. Hoʻomaka ka nui o ka poʻe e ʻono iā lākou i ka wā makua. ʻO ia ke kumu e ʻike ʻia ai nā hōʻailona ma hope. ʻO kahi hapa nui o ka heluna kanaka o ka honua (ma kekahi mau ʻāina, ma kahi o 2%) e loaʻa ana i kēia maʻi ʻaleka. He aha nā hōʻailona o ka maʻi allergy iʻa?
He mea kēia e pono ai kākou a pau e makaʻala. Hiki i nā hōʻailona o ka maʻi pāpaʻi ke ʻano like ʻole mai ka mea ʻoluʻolu a i ka mea hoʻoweliweli i ke ola. ʻOkoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. Eia kekahi mau hōʻailona maʻamau :- ʻŌhūhū , ʻūlū
- Inā loaʻa iā ʻoe nā maʻi ʻili e like me ka eczema, hiki ke hoʻonui ʻia ka maʻi.
- ʻO ka mae a i ʻole ka pehu ʻana o nā lehelehe, ke alelo, a i ʻole ka puʻu
- ʻO ka ʻūpā o ka umauma, ka hanu ʻana, ke kuni, ka paʻakikī o ka hanu ʻana
- ʻEha ʻōpū , nausea , ʻai ʻole , luaʻi, diarrhea
- Pōʻino, pulse lohi, maule
- ʻIli keʻokeʻo a polū paha
- Anaphylaxis: ʻO kēia ke kūlana weliweli loa.Hoʻopilikia kēia i nā ʻōnaehana kino he nui i ka manawa hoʻokahi a hiki ke alakaʻi i ka make inā ʻaʻole mālama koke ʻia.
ʻIke pinepine ʻia kēia mau hōʻailona i loko o nā minuke a i nā hola o ka ʻai ʻana i nā iʻa. He aha ke kumu o ka maʻi pāpaʻi?
I ka ʻōlelo maʻalahi, hana ʻia kēia no ka mea ua hana ko mākou ʻōnaehana pale i kahi hoʻoholo maikaʻi ʻole. ʻO ka maʻamau, pale ka ʻōnaehana pale iā mākou mai nā germs e hoʻoulu ai i ka maʻi. Akā i ke ʻano o kahi maʻi allergy meaʻai, kuhi hewa ke kino i kahi mea (pinepine he protein) i loko o kahi meaʻai ʻino ʻole he "ʻenemi" a hoʻomaka e hakakā iā ia. ʻO ka pilikia weliweli loa o ka maʻi pākī: Anaphylactic Shock
E like me kā mākou i ʻōlelo ai ma mua, ʻo ka mea weliweli loa e pili ana i kēia, ʻo ia ke ʻano i kapa ʻia ʻo ka anaphylactic shock . He hopena allergies koʻikoʻi loa kēia. ʻO ka mea pōʻino, he paʻakikī ke wānana pololei i ka manawa a pehea e hiki mai ai kēia mau hopena allergies. Malia paha i ka manawa mua āu e ʻai ai i ka iʻa paʻi, e ʻā iki ʻoe. Akā i ka lua o ka manawa āu e ʻai ai, hiki iā ʻoe ke loaʻa i kahi hopena anaphylactic koʻikoʻi. ʻO ia ke kumu inā loaʻa iā ʻoe kekahi mau hōʻailona maʻi ma hope o ka ʻai ʻana i kekahi meaʻai, ʻoiai inā he mea liʻiliʻi ia, pono ʻoe e haʻi aku i ke kauka. ʻOi aku ka palekana o ka ʻike ʻana i kahi maʻi maʻi ma mua o ka lilo ʻana i pilikia nui.
Pehea ʻoe e ʻike ai i kahi maʻi allergy iʻa?
Hiki ke paʻakikī ka ʻike ʻana i kahi maʻi ʻaleka iʻa i kekahi manawa no ka mea ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. Hiki i ke kanaka hoʻokahi ke ʻike i nā hōʻailona like ʻole ma hope o ka ʻai ʻana i ka iʻa i kēlā me kēia lā. I kekahi manawa, ʻaʻole paha ʻoe e ʻai i ka iʻa, akā hiki iā ʻoe ke maʻi i ka iʻa inā ʻike ʻia ʻoe i ka uahi mai ka kuke ʻana iā lākou a i ʻole inā ʻoe e ʻai i nā meaʻai ʻē aʻe i loaʻa ka iʻa. E nīnau kāu kauka a mea maʻi ʻaleka paha iā ʻoe i nā nīnau e like me:- He aha kāu i ʻai ai? ʻEhia ka nui āu i ʻai ai?
- I ka manawa hea i ʻike ʻia ai nā hōʻailona?
- He aha nā hōʻailona?
- ʻEhia ka lōʻihi o ka loaʻa ʻana o kēlā mau hōʻailona?
A laila, me kēia ʻike, hiki iā ʻoe ke hana i nā hoʻokolohua e like me kēia e hōʻoia i ka maʻi allergy:- Hoʻāʻo ʻili kuʻi: ʻO kēia ke kau ʻana i kahi kulu liʻiliʻi o ka mea āu e manaʻo ai he maʻi ʻoe ma kou ʻili a hou mālie me kahi nila liʻiliʻi. Inā ʻulaʻula ka wahi a maneʻo i loko o 15-20 mau minuke, ʻo ia hoʻi he maʻi ʻoe.
- Hoʻāʻo koko: Hiki i kēia ke nānā i nā antibodies e pili ana i nā maʻi ʻaleka meaʻai i loko o ke koko. Eia naʻe, ʻaʻole hiki i kēia wale nō ke haʻi inā he maʻi ʻaleka kou.
ʻAʻole hiki i kēia mau hoʻokolohua wale nō ke hāʻawi i kahi hōʻailona paʻa. ʻO kāu mau hōʻailona, ka ʻike āu e hāʻawi ai, a me kēia mau mea a pau e kōkua i kāu kauka e hana i kahi hōʻailona. I kekahi manawa, hiki ke hana ʻia kahi hoʻokūkū meaʻai waha . Pili kēia i ka hāʻawi ʻana iā ʻoe i nā ʻāpana liʻiliʻi o ka meaʻai āu e manaʻo ai he maʻi ʻoe, ma lalo o ka nānā pono ʻana a ke kauka. Akā pono e hana pono ʻia kēia. Pehea e mālama ai i ka maʻi allergy iʻa?
ʻO ka mea pōʻino, ʻaʻole hiki iā ʻoe ke "hoʻopau" i kahi maʻi allergy shellfish. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau a hana paha i kekahi mea e ho'ōla loa ai. No laila, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana e noho olakino ai, ʻo ia ke pale loa i ka shellfish. Pono ʻoe e makaʻala ʻaʻole e ʻai i ka shellfish, akā e pale pū i nā meaʻai ʻē aʻe i loaʻa paha ka shellfish. Ma nā ʻāina he nui, koi ʻia nā mea hana meaʻai e ke kānāwai e papa inoa maopopo i nā allergens maʻamau e like me ka shellfish ma ka lepili o ka pūʻolo. He mau kānāwai like ko Sri Lanka. No laila, ke kūʻai ʻoe i kahi mea mai ka hale kūʻai, e nānā pono i ka ʻāpana "mea hoʻohui". He aha kaʻu e hana ai inā loaʻa iaʻu kahi hopena alerika?
ʻO kēia ka mea e pono ai ʻoe e ʻike i kahi pilikia. Inā loaʻa iā ʻoe kahi hopena aleri koʻikoʻi, i kapa ʻia ʻo anaphylaxis, ʻo ka lāʻau lapaʻau nui he lāʻau lapaʻau i kapa ʻia ʻo epinephrine . Inā hōʻoia ke kauka he allergy shellfish kou, e kuhikuhi ʻo ia i kahi epinephrine auto-injector , kahi injection ponoʻī (e like me ka EpiPen®). E aʻo pū ke kauka iā ʻoe pehea e hoʻohana ai. Inā loaʻa iā ʻoe kahi hopena koʻikoʻi a loaʻa iā ʻoe ka injection, ʻo ka mea aʻe e hana ai, ʻo ke kāhea ʻana i kahi ambulance i ka hikiwawe loa. E haʻi iā lākou i ka mea i hana ʻia a ua hoʻohana ʻoe i ka injection epinephrine. Hiki paha iā lākou ke hāʻawi iā ʻoe i kahi mahele ʻē aʻe o ka epinephrine ma hope o ka hiki ʻana mai o ka ambulance. I ka manawa hea e pono ai ʻoe e hoʻohana i kahi inikini epinephrine?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻohana koke i ka injection:- Paʻakikī ka hanu ʻana, ka ʻū ʻana, ka nāwaliwali o ka naʻau, ka ʻeha o ke kino, a me ka ʻeha o ka puʻu.
- Inā loaʻa nā hōʻailona ma nā ʻāpana like ʻole o ke kino (e.g., nausea, luaʻi, a me ka maʻi pākīkī me ka pehu ʻana).
Wahi a nā kauka allergists inā ʻaʻole ʻoe maopopo inā pono ʻoe i ka injection a i ʻole, ʻoi aku ka maikaʻi o ka loaʻa ʻana. No ka mea, ʻoi aku ka nui o nā pono o ka loaʻa ʻana ma mua o nā pilikia o ka loaʻa ʻana me ka pono ʻole.
He aha nā lāʻau lapaʻau ʻē aʻe e kōkua ai i ka maʻi allergy shellfish?
Inā loaʻa iā ʻoe nā hōʻailona liʻiliʻi (e.g., kahi maneʻo iki, kahi ʻala mimi iki), hiki i ke kauka ke ʻōlelo aku e hoʻohana i kahi antihistamine (e.g., Pyridoxine, Benadryl®). Eia naʻe, e hoʻomanaʻo, ʻo ka epinephrine wale nō ke hiki ke mālama i kahi maʻi koʻikoʻi e like me ka anaphylaxis. Pehea ʻoe e pale ai i kahi hopena alerika i nā iʻa paʻi?
ʻO ke ala wale nō a ʻoi aku ka maikaʻi e hana ai i kēia, ʻo ia ke pale loa i ka paʻi ʻana i nā iʻa. Eia kekahi, e noʻonoʻo i kēia mau mea:- E akahele i ka wā e lawelawe ai i nā pūpū: I kekahi manawa, hiki i nā pūpū ke hoʻopili ʻia i nā ʻāpana lewa mai ka kuke ʻana. He mea maʻamau ʻole kēia, akā hiki ke hana. Hiki i kekahi poʻe ke loaʻa i nā maʻi allergies mai ka lawelawe ʻana i nā pūpū.
- E makaʻala loa ma nā hale ʻaina kai: ʻOiai inā ʻoe e kauoha i kahi kīʻaha ʻaʻohe iʻa, ʻo nā mea hana like a me ka ʻaila i hoʻohana ʻia no ka hoʻomākaukau ʻana i ke kīʻaha ua hoʻohana ʻia paha e hoʻomākaukau i ka iʻa (cross-contamination). No laila e nīnau i nā nīnau e pili ana i ke ʻano o ka hoʻomākaukau ʻana i ka meaʻai.
He aha nā meaʻai ʻē aʻe e loaʻa ai ka iʻa paʻi?
Hiki i kēia mau meaʻai ke loaʻa i nā iʻa paʻi i kekahi manawa, no laila e noʻonoʻo ma mua o ka ʻai ʻana iā lākou:- ʻO nā sopa kai e like me ka bouillabaisse a me ka cioppino.
- ʻĪnika ʻūhini.
- Wai iʻa.
- Iʻa hoʻohālike (i kekahi manawa i hana ʻia mai nā pūpū).
- Mea ʻono kai.
- ʻO Surimi.
E nalowale anei ka maʻi ʻaleka iʻa?
He nui ka poʻe i loaʻa i ka maʻi pāpaʻi no ke ola holoʻokoʻa. Kākaʻikahi ka nalowale ʻana i ka hala ʻana o ka manawa. Pehea e hiki ai iaʻu ke ola olakino me ka maʻi pāpaʻi?
Hiki iā ʻoe ke ola i kahi ola hauʻoli, olakino, a hana ikaika hoʻi inā he maʻi ʻoe i ka iʻa paʻi. Eia nō naʻe, aia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo no kou palekana:- E makaʻala i kāu mea e ʻai nei. E heluhelu pono i nā lepili meaʻai - ʻoiai inā ua ʻai mua ʻoe i kahi mea a ua maikaʻi, e nānā hou. Hoʻololi pinepine nā mea hana i kā lākou mau meaʻai.
- Inā loaʻa kēia maʻi alerī i kāu keiki, e aʻo iā lākou ʻaʻole e ʻai i ka meaʻai mai nā hoaaloha.
- E akahele loa i ka wā e ʻai ai ma waho. E nīnau e pili ana i nā mea hoʻohui i loko o ka meaʻai a pehea e hoʻomākaukau ʻia ai.
- Inā hiki, e kau i ke kūpeʻe lima makaʻala lapaʻau a mālama paha i kahi kāleka kokoke.
- Inā ua hāʻawi kāu kauka iā ʻoe i kahi inikini epinephrine, e mālama mau me ʻoe. Inā hiki, e mālama i ʻelua mau lāʻau. Pono paha ʻoe e lawe i kekahi inā ʻaʻole lawa hoʻokahi lāʻau.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi mau hōʻailona maʻi ma hope o ka ʻai ʻana i ka iʻa paʻi, ʻoiai inā he liʻiliʻi lākou, pono ʻoe e ʻike i ke kauka. E hoʻomanaʻo, ʻoiai inā he akahai ka hopena mua, hiki i ka hopena aʻe ke koʻikoʻi. No laila he mea naʻauao ke hoʻāʻo ʻia no ka maʻi maʻi iʻa paʻi. Pono ʻoe e hele i ka lumi pilikia (ETU) inā loaʻa iā ʻoe nā hōʻailona o ka anaphylaxis (paʻakikī ka hanu ʻana/moni ʻana) a i ʻole inā ʻaʻole e emi nā hōʻailona ma hope o ka hoʻokomo ʻana i ka epinephrine. Aia kekahi pilina ma waena o nā maʻi ʻaʻai iʻa a me ka iodine?
Hoʻohuihui kekahi poʻe i ka maʻi ʻaleka iʻa me ka maʻi ʻaleka iodine. ʻO kēia no ka mea aia ka iodine i loko o ka iʻa. Eia nō naʻe, ʻoiai he maʻi ʻaleka iʻa kou, ʻaʻole ia he manaʻo he maʻi ʻaleka ʻoe i ka iodine. ʻOiai inā he maʻi ʻaleka iʻa kou, ʻaʻohe pono e hopohopo e pili ana i ka mea radiocontrast i loaʻa ka iodine i hoʻohana ʻia no kekahi mau hoʻokolohua lapaʻau. Eia nō naʻe, he manaʻo maikaʻi ke kamaʻilio me kāu kauka e pili ana i kēia. ʻO ka mea hope loa, pono ʻoe e ʻōlelo ...
He mea hoʻonāukiuki maoli ka maʻi ʻaleka iʻa. Hiki ke lilo i mea nui, ʻoiai inā he mea aloha ʻoe i nā meaʻai kai. Akā, ʻo ka mea nui loa, ʻo ia ke akahele. Ma ka pale ʻana i nā meaʻai iʻa, hiki iā ʻoe ke pale aku i ka nui o ka ʻoluʻolu ʻole (a i kekahi manawa he mea hoʻoweliweli i ke ola) hiki i kēia maʻi ʻaleka ke hana. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē ma hope o ka ʻai ʻana i nā meaʻai iʻa, e ʻike koke i ke kauka a i ʻole he allergist e ʻike pono i ke ʻano o ia mea. A laila e wehewehe lākou i nā mea āpau e pono ai ʻoe e ʻike e pili ana i ke ʻano o ka mālama ʻana iā ʻoe iho a pehea e hoʻohana ai i ka inikini epinephrine i kahi pilikia. Aia kou olakino ma kou mau lima! ʻAleka iʻa iʻa, maʻi ʻaleka iʻa, anaphylaxis, epinephrine, maʻi ʻaleka meaʻai, nā hōʻailona allergy, nā meaʻai iʻa
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