Ke maʻi nei hoʻi ʻoe ma hope o ka ʻai ʻana i ka ʻōpae, ka pāpaʻi, a i ʻole ka pūpū paʻa? E aʻo kākou e pili ana i kēia (Shellfish Allergy)?

Ke noʻonoʻo ʻoe i nā meaʻai kai, hoʻomaka kou waha e wai, ʻeā? ʻOi loa aku nā mea e like me ka ʻōpae, ka pāpaʻi , nā mussels, a me nā oysters he ʻono loa. Akā, ʻike ʻoe, ʻaʻole hoʻopā kekahi poʻe i kēia mau meaʻai ʻono. ʻOiai ka ʻai ʻana i kahi liʻiliʻi hiki ke hana i nā ʻano pilikia a me nā pilikia āpau. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi, ʻo ia hoʻi, `(Shellfish Allergy)`. Hiki i kēia ke lilo i mea koʻikoʻi loa no kekahi poʻe, no laila he mea nui loa ka makaʻala i kēia.

He aha ka "Aleʻaleʻa Shellfish"? E hoʻomaopopo maʻalahi kākou.

ʻO ka mea mua, ʻo ka "Shellfish Allergy" a me ka mea a mākou e kapa mau ai he "Seafood Allergy" ʻaʻole like loa ia. I kēia manawa, ke ʻōlelo mākou he "Seafood", ua komo pū ia me nā iʻa (no ka laʻana, nā ʻōpae, nā mussels) a me nā mea ola kai me nā pūpū, ʻo ia hoʻi ʻo "Shellfish" (no ka laʻana, ka ʻōpae, nā pāpaʻi).

ʻOiai ʻelua mau mea i hāʻule i loko o ka māhele "meaʻai kai", ma ke ʻano biologically, ʻelua mau hui ʻokoʻa loa ka iʻa a me ka pūpū. No laila, inā loaʻa i kekahi kahi "Shellfish Allergy," ʻaʻole lākou e loaʻa i kahi hopena allergic i ka iʻa. Eia naʻe, ʻo ka pilikia inā loaʻa i kēlā kanaka kahiallergy ʻokoʻa i ka iʻa.

I kēia manawa, e nānā kākou inā hiki ke hoʻokaʻawale ʻia kēia mau "Shellfish" i ʻelua mau māhele hou aʻe.

1. ʻO ke ʻano mua ua kapa ʻia ʻo `(Crustaceans)`. I ka ʻōlelo maʻalahi, he mau holoholona lākou me ka pūpū, he nui nā wāwae, a ua like iki me nā pepeke. Eia kekahi laʻana:

• ʻŌpae/ʻōpae
• Nā pāpaʻi
• Nā ʻōpae

2. ʻO ka lua o ke ʻano ua kapa ʻia ʻo "Mollusks". He palupalu ke kino o kēia mau holoholona a he hoʻokahi a ʻelua paha pūpū no ka pale ʻana. Eia kekahi laʻana:

• ʻŌpae
• Nā ʻūpā
• ʻOysters , scallops
• Heʻe
• Heʻe

Hiki i kekahi poʻe ke maʻi ʻaleka i nā ʻano ʻelua o ka `(Shellfish)`. ʻO ia hoʻi, e pilikia lākou i ka ʻai ʻana i ka ʻōpae a me ka pūpū. Eia nō naʻe, hiki i kekahi poʻe ke maʻi ʻaleka i hoʻokahi wale nō ʻano. No ka laʻana, pilikia paha lākou i ka ʻai ʻana i ka ʻōpae akā ʻaʻohe pilikia i ka ʻai ʻana i ka pūpū.

ʻO ka hapa nui o ka manawa, ʻike ʻia nā hōʻailona o ka "Aleʻaleʻa Shellfish" ke ʻai kekahi i kēia ʻano meaʻai. Akā, ua ʻike anei ʻoe, i kekahi manawa ʻo ka hoʻopā ʻana i kēia mau holoholona a i ʻole ka hanu ʻana i ka uahi mai ka kuke ʻana hiki ke hana i kēia hopena alerika . No laila pono ʻoe e makaʻala loa.

E hoʻomanaʻo he hiki ke loaʻa kēia ʻano allergy i kēlā me kēia makahiki. ʻOiai kekahi mea i hauʻoli i ka ʻai ʻana i ka ʻōpae a me nā pāpaʻi no ka manawa lōʻihi me ka ʻole o nā pilikia, hiki ke loaʻa koke kēia allergy. Nalo kekahi mau allergy meaʻai i ka hala ʻana o ka manawa, akā ʻo ka poʻe me kēia ʻano allergy e noho pū me ia no ke koena o ko lākou ola. He mea kaumaha iki ia, akā inā mālama pono ʻia, ʻaʻohe pilikia.

He aha nā hōʻailona o ka "Allergy Shellfish"?

Ke loaʻa i kekahi kahi `(Shellfish Allergy)`, ʻo ka mea e hana ʻia, ʻo ka ʻōnaehana pale o ko mākou kino, ka mea maʻamau e hakakā nei i nā maʻi, pane nui i kekahi mau protein i loko o `(Shellfish). E noʻonoʻo, i ka wā e ʻike ai ka ʻōnaehana pale o ko mākou kino i kēia mau protein, manaʻo ia, "Ua hōʻea mai kahi ʻenemi!" A laila hoʻokuʻu lākou i nā kemika he nui e like me `( Histamine )`. Ma muli o ka hoʻokuʻu ʻia ʻana o kēlā mau kemika e ʻike ʻia ai nā hōʻailona.

E nānā kākou i kēlā mau hōʻailona:

• Nā pilikia hanu: Wheezing, paʻakikī ka hanu ʻana, hanu wikiwiki.
• Nā loli o ke kuni a me ka ʻāʻī: Ke kuni mau ʻana, ka manaʻo o ka paʻa ʻana o ka ʻāʻī, a me ka leo palahalaha.
• ʻŌpū ʻeha: Hiki ke ʻeha ka ʻōpū, ka nausea, ka luaʻi ʻana, a me ka maʻi pākī.
• Nā hopena ma nā maka: Nā maka ʻāʻī, ka haehae ʻana, ka pehu ʻana o nā maka.
• Nā hōʻailona ʻili: nā hives ma ke kino holoʻokoʻa, nā kiko ʻulaʻula, ka pehu (ʻoi aku hoʻi o nā lehelehe, ke alelo, a me ka maka).
• Ke koko haʻahaʻa: He mea weliweli iki kēia. Hiki iā ʻoe ke manaʻo i ka poniuniu a i ʻole ka nalowale ʻana o kou manaʻo inā hāʻule koke kou koko.

Hiki ke ʻokoʻa nā hopena i kēia "Aleʻaleʻa Shellfish" mai kēlā kanaka a kēia kanaka, ʻoiai i loko o ke kanaka hoʻokahi. I kekahi manawa hiki ke palupalu loa, me ka ʻulaʻula wale nō ma ka ʻili. Akā i nā manawa ʻē aʻe, hiki ke lilo i hopena koʻikoʻi e hoʻopilikia i kekahi mau ʻāpana o ke kino.

ʻO ka mea nui loa: ʻO ka `(Shellfish Allergy)` hiki ke hana i kahi hopena alerika koʻikoʻi loa, a hiki ke hoʻoweliweli i ke ola i kapa ʻia ʻo `(Anaphylaxis). ʻOiai inā he hopena iki wale nō kāu i ka manawa mua, ʻaʻole hiki ʻole ke `(Anaphylaxis)` i ka manawa aʻe.

ʻO kēia kūlana, i kapa ʻia ʻo "Anaphylaxis", e hoʻomaka paha me nā hōʻailona like me nā mea i ʻōlelo ʻia ma mua. Akā ma hope o kekahi manawa, hiki ke lilo i mea paʻakikī ke hanu a hiki iā ʻoe ke nalowale ka ʻike. Hiki i kēia ke hoʻopilikia i nā ʻāpana he nui o ke kino. Inā ʻaʻole i mālama ʻia i ka manawa kūpono, hiki ke hoʻoweliweli i ke ola. No laila, ʻaʻole ia he manaʻo maikaʻi e lawe māmā i kēia.

Pehea ʻoe e mālama ai i kahi maʻi allergy e like me kēia?

Inā loaʻa iā ʻoe kahi maʻi pāpaʻi (a i ʻole kekahi maʻi ʻai koʻikoʻi ʻē aʻe), e kuhikuhi paha kāu kauka i ʻelua mau mahele o ka epinephrine e mālama mau me ʻoe. He lāʻau lapaʻau kēia e hoʻohana ai i kahi pilikia.

He lāʻau lapaʻau i kauoha ʻia ka Epinephrine. Loaʻa ia i loko o kahi mea liʻiliʻi a maʻalahi hoʻi e lawe (he "auto-injector"). Ua like ia me ka peni. E wehewehe kāu kauka pehea e hoʻohana ai. Pono ʻoe e mālama mau me ʻoe. ʻAʻole ia e hana i loko o kahi locker a i ʻole i loko o ka lumi kahu ma ke kula. Pono ʻoe e lawe pū me ʻoe i nā wahi āu e hele ai.

I kekahi manawa, ʻōlelo nā loea allergy e mālama i nā antihistamines ma ka lima, no ka mea hiki iā lākou ke kōkua i ka kaohi ʻana i nā hōʻailona allergy liʻiliʻi. Akā e hoʻomanaʻo, i ka hihia o kahi allergy koʻikoʻi, pono e hoʻohana ʻia nā antihistamines ma hope o ka inikini epinephrine, ʻaʻole ma ke ʻano he pani no ka epinephrine.

Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi "Palapala Hana no ka Maʻi ʻAlerika". E haʻi kēia iā ʻoe pehea e hoʻomākaukau ai, ʻike, a mālama i kahi hopena maʻi ʻaleka. E kaʻana like i kēia hoʻolālā me kekahi mea e pono e makaʻala, e like me kou ʻohana, nā luna kula, a me nā kumu aʻo. He manaʻo maikaʻi nō hoʻi e komo i kahi "kupee makaʻala lapaʻau" e papa inoa ana i kāu mau maʻi ʻaleka.

He mea nui kēlā me kēia kekona i ka wā o kahi hopena allergies. Inā hoʻomaka ʻoe e loaʻa i nā hōʻailona allergies koʻikoʻi, e like me ka pehu ʻana o kou waha a i ʻole ka puʻu, a i ʻole ka paʻakikī o ka hanu ʻana, e hoʻohana koke i ka injection epinephrine. Eia kekahi, inā loaʻa kāu mau hōʻailona ma nā ʻāpana ʻelua like ʻole o kou kino i ka manawa like (no ka laʻana, ka hives a me ka luaʻi ʻana), e hoʻohana koke i ka injection epinephrine.

A laila e kelepona koke i ka 1990 (Sri Lankan Ambulance Service) , a i ʻole e lawe pū me ʻoe i ka lumi pilikia o ka haukapila i ka hikiwawe loa. Pono ʻoe e noho ma lalo o ka nānā ʻana o ke kauka. I kekahi manawa, ʻoiai ke ʻano ua pau ka ʻino loa, hiki ke loaʻa kahi nalu ʻelua o nā hōʻailona koʻikoʻi (kahi `biphasic reaction`).

He aha hou aʻe kā mākou e pono ai e ʻike e pili ana i kēia?

Inā loaʻa iā ʻoe kahi `(Shellfish Allergy)`, ʻaʻole pono ʻoe e ʻai i kēia ʻano meaʻai kai no kekahi kumu. ʻAʻole wale kēlā, pono ʻoe e pale i ka ʻai ʻana i nā meaʻai ʻē aʻe e loaʻa ana iā lākou. No ka poʻe i maʻalahi i ke ʻala o ka kuke ʻana `(Shellfish)`, ʻoi aku ka maikaʻi o ka noho mamao loa mai nā hale ʻaina a me nā wahi like kahi e kuke ʻia ai lākou.

He mea nui loa ka heluhelu ʻana i nā lepili meaʻai!

E heluhelu pono i nā lepili meaʻai e ʻike ai inā loaʻa i ka meaʻai ka `(Shellfish)`. Pono nā mea hana meaʻai e kūʻai aku ana ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa e haʻi maopopo ma ka lepili inā loaʻa i kā lākou huahana ka `(Crustacean shellfish)` (ʻo ia hoʻi, kēlā ʻano ʻōpae, pāpaʻi, a pēlā aku). E papa inoa ka lepili i ka "shellfish" ma ka papa inoa mea hoʻohui, a i ʻole e ʻōlelo ʻia "Loaʻa nā shellfish" ma hope o ka papa inoa.

Eia nō naʻe, ma ko kākou ʻāina, ʻokoʻa iki paha kēia kūlana. ʻOiai he mau lepili maikaʻi ko kekahi mau huahana i lawe ʻia mai, ʻaʻole paha i loaʻa mau i nā huahana kūloko ia ʻike maopopo. No laila, pono e makaʻala loa kekahi.

Hiki i kekahi mau meaʻai ke nānā aku i ka maikaʻi ma ka papa inoa o nā mea hoʻohui, akā i ka wā e hana ʻia ai, hiki iā lākou ke hoʻopili me ka `(Shellfish)`. Ua kapa ʻia kēia ʻo `(Cross-contamination)` . No ka laʻana, e nānā i nā ʻōlelo aʻoaʻo ma ka lepili e like me ``Hiki ke loaʻa ka shellfish,'' ``Hana ʻia i loko o kahi hale hana e hana pū ana i ka shellfish,'' a i ʻole ``Hana ʻia ma nā lako i hoʻohana ʻia no ka shellfish.'' ʻAʻole nā ​​​​hui āpau e lepili i kēia `(Cross-contamination)`. No laila, inā kānalua ʻoe, ʻoi aku ka maikaʻi o ke kelepona a leka uila paha i ka hui e ʻike pono.

Eia kekahi, ʻaʻole koi ʻia nā mea hana e ke kānāwai e lepili i nā mea hoʻohui i loaʻa ka `(Mollusk shellfish)` (ʻo ia hoʻi, nā clams, mussels, a me nā oysters) no ka mea ʻaʻole lākou i manaʻo ʻia he mea hoʻonāukiuki nui i ka meaʻai (ma lalo o ke kānāwai o ʻAmelika Hui Pū ʻIa). Ke ʻōlelo nā lepili `(Shellfish)`, ʻo ia hoʻi `(Crustacean shellfish)`. No laila, he mea nui e nīnau i ka ʻoihana inā aia kahi pilikia o `(Cross-contamination)` me `(Mollusks)`.

E akahele loa i ka wā e ʻai ai i waho a i loko o nā hale ʻaina!

He mea maʻamau ka haumia kea ma nā hale ʻaina, ʻoiai nā mea e lawelawe ana i nā meaʻai kai. Ma nā lumi kuke, hoʻohana pinepine nā limahana i nā ʻili like, nā mea hana (e like me nā pahi, nā papa ʻokiʻoki, a me nā pā), a i ʻole nā ​​​​ʻaila e hoʻomākaukau ai i nā iʻa a me nā meaʻai ʻē aʻe, hiki ke hoʻoili i nā ʻāpana iʻa i nā meaʻai ʻē aʻe.

E noʻonoʻo ʻoe e hele ana ʻoe i kahi hale ʻaina a kauoha i ka laiki palai. Akā inā e palai lākou i loko o ka ʻaila like, hiki ke palai ʻia, ʻeā? ʻO ia ka mea a mākou e kapa nei he "cross-contamination." He mea maʻamau kēia ma nā hale ʻaina kai, no laila manaʻo kekahi poʻe ʻoi aku ka palekana o ka pale ʻana i ia mau wahi. I ka ʻai ʻana ma waho ma nā hale ʻaina, he manaʻo maikaʻi paha e pale aku i nā meaʻai palai. ʻO kēia no ka mea he nui nā wahi e palai ai i ka moa, nā ʻuala palai, a me nā "shellfish" i loko o ka ʻaila like.

I ka wā e ʻai ai i waho, e hōʻoia i loaʻa iā ʻoe ʻelua mau pana epinephrine i pau ʻole me ʻoe. Eia kekahi, e hōʻoia e haʻi i kāu mea hoʻomākaukau meaʻai a mea lawelawe paha e pili ana i kou maʻi allergy shellfish. I kekahi manawa, he manaʻo maikaʻi ke lawe mai i kahi meaʻai palekana mai ka home āu i ʻike ai he palekana ia nou. Inā ʻaʻole ʻoluʻolu ke kuke, ka luna hoʻokele, a i ʻole ka mea nona ka meaʻai i kāu noi no kahi meaʻai palekana, ʻoi aku ka maikaʻi o ka pale ʻana i ka ʻai ʻana ma ia hale ʻaina.

Ma ke kula a ma ka hana

E kamaʻilio me nā limahana e pili ana i ka pilikia o ka haumia keʻa i loko o ka meaʻai o ka hale ʻaina kula. I nā manawa he nui, ʻoi aku ka maikaʻi o ka hoʻopaʻa ʻana i kāu ʻaina awakea ponoʻī. Ma kēlā ala, hiki iā ʻoe ke kaohi i nā mea i loko.

Inā makemake ʻoe e aʻo hou e pili ana i ke ʻano o ka mālama ʻana i kēia mau maʻi ʻaleka meaʻai, aia ka ʻike ma nā pūnaewele o nā hui honua e like me ka "Food Allergy Research and Education Network (FARE)". Eia kekahi, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka a i ʻole kahi allergist no ka ʻike hou aku.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila, hiki iā mākou ke hoʻomanaʻo iā ʻoe i kekahi o nā mea a mākou i kamaʻilio ai āu i manaʻo ai he mea nui?

• He maʻi koʻikoʻi paha ka "Allergy Shellfish", no laila mai hoʻomāmā.
• Inā loaʻa iā ʻoe kēia maʻi ʻaleka, e pale i ka ʻai ʻana i nā iʻa paʻa, e like me ka ʻōpae, ka pāpaʻi, nā ʻūpā, a i ʻole nā ​​ʻūpā. E makaʻala loa i nā meaʻai ʻē aʻe e loaʻa paha iā lākou.
• E lawe mau i ʻelua mau inikini o `(Epinephrine)` me ʻoe. E ʻike pono pehea e hoʻohana ai.
• Inā loaʻa iā ʻoe nā hōʻailona maʻi ʻaleka koʻikoʻi (e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka puʻu/waha, ka nalowale o ka ʻike) , e hoʻohana koke i ka epinephrine a hele i ka haukapila.
• E heluhelu pono i nā lepili meaʻai. E makaʻala i ka haumia keʻa, ʻoiai i ka wā e ʻai ai i waho.
• E haʻi aku i kou ʻohana, nā hoaaloha, a me nā hoa hana kula/hana e pili ana i kou maʻi ʻaleka.
• Mai hopohopo. Inā mālama pono ʻia, hiki iā ʻoe ke ola i kahi ola maʻamau me kēia `(Shellfish Allergy)`. ʻO ke kī ka ʻike a me ke akahele.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, e kamaʻilio me kāu kauka.

ʻAleʻaleʻa Shellfish, Anaphylaxis, Epinephrine, Cross-contamination