We yu tink bɔt sifud, yu mɔt kin bigin fɔ wata, nɔto so? Ɛspɛshali tin dɛn lɛk shrimps, krab , mɔsul, ɛn ɔysta kin rili te. Bɔt, yu no, sɔm pipul dɛn nɔ kin ivin tɔch dɛn fayn fayn it dɛn ya. Ivin if yu it smɔl, i kin mek yu gɛt ɔlkayn prɔblɛm ɛn prɔblɛm. Tide wi go tɔk bɔt wan kayn kɔndishɔn, dat na, `(Shellfish Allergy)`. Dis kin rili siriɔs fɔ sɔm pipul dɛn, so i rili impɔtant fɔ no bɔt dis.
Wetin na ``Shellfish Allergy''? Lɛ wi ɔndastand am simpul wan.
Fɔs, wan ``Shellfish Allergy'' ɛn wetin wi kin kɔl ``Seafood Allergy'' nɔto di sem tin. Naw, we wi se ``Sifud'', i inklud ɔl tu di fish (fɔ ɛgzampul, klam, mɔsul) ɛn si krichɔ dɛn we gɛt shɔɛl, dat na ``Shellfish'' (fɔ ɛgzampul, shrimps, krab).
Pan ɔl we dɛn ɔl tu de insay di "sifud" kategori, bayolojikal we, fish ɛn shɔɛl fish na tu kɔmplit difrɛn grup dɛn. So, if pɔsin gɛt "Shellfish Allergy" nɔmɔ, bɔku tɛm i nɔ go gɛt alɛji fɔ fish. Bɔt di prɔblɛm na if da pɔsin de sɛf gɛt sɛpretalɛji fɔ fish.
Naw lɛ wi si if dɛn kin sheb dɛn ``Shellfish'' ya to tu ɔda kategori.
1. Di fכs tכp dεn kכl am `(Crustaceans)`. Fɔ tɔk am simpul wan, dɛn na animal dɛn we gɛt shel, bɔku leg, ɛn dɛn tan lɛk insɛkt smɔl. Fɔ ɛgzampul:
- Shrimp/prawn dɛn we dɛn kɔl
- Krab dɛn
- Lɔbsta dɛn
2. di sεkכn tכp dεn kכl am ``Mollusks''. Bɔku tɛm, dɛn animal ya kin gɛt sɔft bɔdi ɛn bɔku tɛm dɛn kin gɛt wan ɔ tu shɔɛl fɔ protɛkt dɛn. Fɔ ɛgzampul:
Sɔm pipul kin gɛt alɛji fɔ ɔl tu di kayn `(Shellfish)`. Dis min se dɛn go gɛt prɔblɛm fɔ it ɔl tu di shrimps ɛn shelfish. Bɔt sɔm pipul dɛn kin gɛt alɛji to wan kayn tin nɔmɔ. Fɔ ɛgzampul, dɛn kin gɛt prɔblɛm fɔ it shrimps bɔt dɛn nɔ kin gɛt ɛni prɔblɛm fɔ it shel fish.
Bɔrku tɛm, di sayn dɛm fɔ ``Shellfish Allergy'' kin apin we pɔrsin it dis kayn it. Bɔt, yu no, sɔntɛnde, if yu ivin tɔch dɛn animal ya ɔ yu inhal di smok we de kɔmɔt we yu kuk, dat kin mek yu gɛt dis alɛji . So yu fɔ rili tek tɛm.
Mɛmba se dis `(Shellfish Allergy)` kin apin pan ɛni ej. Ivin pɔsin we dɔn ɛnjɔy fɔ it shrimps ɛn krab fɔ lɔng tɛm we nɔ gɛt ɛni prɔblɛm, kin gɛt dis alɛji wantɛm wantɛm. Sɔm alɛji fɔ it kin go as tɛm de go, bɔt pipul dɛn we gɛt dis `(Shellfish Allergy)` kin gɛt fɔ liv wit am fɔ di res ɔf dɛn layf. Na tin we kin mek pɔsin sɔri smɔl, bɔt if dɛn manej am fayn, prɔblɛm nɔ de.
Wetin na di sayn dɛm fɔ ``Shellfish Allergy''?
We pɔsin gɛt `(Shellfish Allergy)`, wetin kin apin na wi bɔdi in imyun sistɛm, we nɔmal fɔ fɛt sik, kin ɔva riak to sɔm prɔtin dɛn we de insay `(Shellfish). Imajin, we wi bɔdi in imyun sistɛm si dɛn prɔtin ya, i de tink se, "Wan ɛnimi dɔn kam!" Dɔn dɛn kin pul bɔku kemikal dɛn lɛk `( Histamine )`. Na bikɔs dɛn kemikal dɛn de kɔmɔt, na in mek di sayn dɛn de sho.
Lɛ wi si wetin na dɛn sayn dɛn de:
- I nɔ izi fɔ yu fɔ blo: I de wis, i nɔ izi fɔ blo, i de blo kwik kwik wan.
- Kɔf ɛn trot chenj: Kɔntinyu fɔ kɔf, fil se yu trot tayt, ɛn yu vɔys de ala lawd wan.
- Bɛlɛ at: Bɛlɛ kin at, nɔs, vɔmit, ɛn dayarɛa kin apin.
- Di tin dɛn we kin apin to di yay: Di yay kin it, i kin kray, di yay kin swel.
- Di sayn dɛm na di skin: ayv ɔlsay na di bɔdi, rɛd spat, swel (espɛshali na di lip, tɔŋ, ɛn fes).
- Lɔw blɔd prɛshɔn: Dis kin denja smɔl. Yu kin fil diziz ɔ ivin pas if yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm.
Di riakshɔn to dis ``Shellfish Allergy'' kin difrɛn frɔm wan pɔsin to ɔda pɔsin, ivin insay di sem pɔsin. Sɔntɛnde, i kin rili smɔl, ɛn na wan rash nɔmɔ kin de na di skin. Bɔt ɔda tɛm dɛn, i kin bi bad bad tin we kin afɛkt sɔm pat dɛn na di bɔdi.
di mכst imכtant: `(Shellfish Allergy)` kin mek wan alerjik riakshכn we rili siriכs, ivin we de mek yu layf de pan denja we dεn kכl `(Anaphylaxis). ivin if yu bin gεt כnli mild riakshכn di fכs tεm, i nכto impכtant fכ `(Anaphylaxis)` go apin di nεks tεm.
Dis kכndyushכn we dεn kכl ``Anaphylaxis'', kin stat wit di sem jεnarכl simptom dεm we wi bin dכn tכk bכt. Bɔt afta sɔm tɛm, i kin so at fɔ blo dat yu nɔ kin no natin. Dis kin afɛkt pas wan pat na di bɔdi. If dɛn nɔ trit am insay di rayt tɛm, i kin rili mek pɔsin in layf de pan denja. So i nɔ fayn fɔ tek dis layt.
Aw yu kin trit alɛji lɛk dis?
If yu gɛt alɛji fɔ shelfish (ɔ ɛni ɔda bad bad alɛji fɔ it), yu dɔktɔ go mɔs gi yu tu doz epinephrine fɔ kip wit yu ɔltɛm. Dis na mɛrɛsin fɔ yuz we i gɛt ɛnitin fɔ du wit am.
Epinephrine na mɛrɛsin we dɛn kin gi pɔsin. I kam insay wan smɔl, izi fɔ kɛr divays (wan ``ɔto-injɛkta''). I tan lɛk pen. Yu dɔktɔ go ɛksplen aw fɔ yuz am. Yu fɔ kip am wit yu ɔltɛm. I nɔ go wok na lɔka ɔ na di nɔs in rum na skul. Yu fɔ kɛr am go ɛnisay we yu go.
Sɔntɛnde, di wan dɛn we sabi bɔt alɛji kin se yu fɔ kip di antihistamines na yu an bak, bikɔs dɛn kin ɛp fɔ kɔntrol smɔl smɔl alɛji simptom dɛn. Bɔt mɛmba se if pɔsin gɛt siriɔs alɛji, dɛn fɔ jɔs yuz antihistamin afta dɛn dɔn inj yu epinephrine, nɔto fɔ tek ples fɔ epinephrine.
Yu dɔktɔ kin gi yu ``Alɛji Akshɔn Plan''. Dis go tɛl yu aw fɔ rɛdi fɔ, no, ɛn trit wan alɛji. Sheb dis plan wit ɛnibɔdi we nid fɔ no, lɛk yu famili, skul ɔfisa dɛm, ɛn kɔch dɛm. I fayn bak fɔ wɛr ``mɛdikal alert breslɛt'' we de rayt yu alɛji dɛm.
Ɛvri sɛkɔn kin kɔnt we pɔsin gɛt alɛji. If yu bigin fɔ gɛt siriɔs alɛji, lɛk fɔ swel na yu mɔt ɔ yu trot, ɔ yu nɔ go ebul fɔ blo, yu fɔ yuz epinephrine injɛkshɔn wantɛm wantɛm. Dɔn bak, if yu sik dɛn de apin na tu difrɛn pat dɛn na yu bɔdi di sem tɛm (fɔ ɛgzampul, ayv ɛn vɔmit), yuz epinephrine injɛkshɔn wantɛm wantɛm.
Dɔn , kɔl 1990 (Sri Lankan Ambulance Service) , wantɛm wantɛm , ɔ kɛr pɔsin go wit yu na di imejensi rum na ɔspitul kwik kwik wan. Yu fɔ de ɔnda dɔktɔ in sɔpɔtishɔn. Sɔmtɛm, ivin we i tan lɛk se di wɔs tin dɔn dɔn, sɛkɔn wef fɔ siriɔs simptom kin apin (a `biphasic reaction`).
Wetin bak wi nid fɔ no bɔt dis?
If yu gɛt `(Shellfish Allergy)`, yu nɔ fɔ it dis kayn sifud fɔ ɛni rizin. Nɔto dat nɔmɔ, yu fɔ avɔyd bak fɔ it ɛni ɔda it we go gɛt dɛn. Fɔ di wan dɛn we de sɛnsitiv to di smel we `(Shellfish)` de kuk, i bɛtɛ fɔ de fa frɔm rɛstɔrant ɛn di sem kayn ples dɛn we dɛn de kuk as yu ebul.
Fɔ rid di tin dɛn we dɛn rayt bɔt it rili impɔtant!
Ɔltɛm rid di it lɛbl dɛn fayn fayn wan fɔ si if di it gɛt `(Shellfish)`. Di wan dɛn we de mek it we de sɛl na kɔntri dɛn lɛk Amɛrika fɔ rayt klia wan na di lɛbl if dɛn prɔdak gɛt `(Crustacean shellfish)` (dat na, dɛn kayn shrimps, krab, ɛn ɔda tin dɛn de). Di lɛbl go ɔl tu list "shellfish" na di ingridiɛnt list, ɔ i go rayt "Contains shellfish" afta di list.
Bɔt, na wi kɔntri, dis tin kin difrɛn smɔl. Pan ɔl we sɔm tin dɛn we dɛn kin import gɛt gud lɛbl dɛn, di lokal prɔdak dɛn nɔ kin gɛt da kayn klia infɔmeshɔn de ɔltɛm. So, pɔsin fɔ rili tek tɛm.
Sɔm it dɛn kin luk fayn na di ingridiɛnt list, bɔt we dɛn mek dɛn, dɛn kin kam in kɔntakt wit `(Shellfish)`. Dɛn kɔl dis `(Krɔs-kɔntaminɛshɔn)` . Fɔ ɛgzampul, luk fɔ advays frayz dɛn na di lɛbl lɛk ``May contain shellfish,'' ``Processed in a facility that also processes shellfish,'' ɔ ``Manufactured on equipment we dɛn kin yuz bak fɔ shelfish.'' Nɔto ɔl kɔmni dɛn kin lebul dis `(Cross-contamination)`. So if yu gɛt dawt, i go fayn fɔ kɔl ɔ imel di kɔmni fɔ no fɔ tru.
Dɔn bak, di lɔ nɔ se di wan dɛn we de mek di tin dɛn we dɛn de mek fɔ lɛbl di tin dɛn we gɛt `(Mollusk shellfish)` (i.e., klam, mɔsul, ɛn ɔysta) bikɔs dɛn nɔ kin tek dɛn as big tin we kin mek dɛn gɛt alɛrjen fɔ it (ɔnda U.S. lɔ). We lɛbl dɛn se `(Shellfish)`, bɔku tɛm dɛn kin min `(Crustacean shellfish)`. So, i impɔtant fɔ aks di kɔmni if risk de fɔ `(Cross-contamination)` wit `(Mollusks)`.
Tek tɛm bad bad wan we yu de it na do ɛn na rɛstɔrant dɛn!
Krɔs-kɔntaminɛshɔn na tin we kin apin na rɛstɔrant dɛn, mɔ di wan dɛn we de gi sifud. Insay kichin, bɔku tɛm, di wan dɛn we de wok kin yuz di sem tin dɛn, di tin dɛn we dɛn kin yuz fɔ mek tin dɛn (lɛk naif, bɔd fɔ kɔt, ɛn pan), ɔ ɔyl fɔ mek shɔl fish ɛn ɔda it dɛn, we kin transfa di shel fish pat dɛn to ɔda it dɛn.
Imajin se yu go na rɛstɔrant ɛn ɔda rays we dɛn dɔn frɛsh. Bɔt if dɛn frɛy am wit di sem ɔyl, dɛn kin frɛy am, nɔto so? Na dat wi kin kɔl ``krɔs-kɔntaminɛshɔn.'' Dis kin apin mɔ na sifud rɛstɔrant, so sɔm pipul dɛn tink se i sef fɔ avɔyd dɛn kayn ples ya ɔltogɛda. We yu de it na rɛstɔrant, i go fayn fɔ mek yu nɔ it tin dɛn we dɛn dɔn frɛsh. Dis na bikɔs bɔku ples dɛn kin frɛy chukchuk, Frɛnch fri, ɛn ``shɛlfish'' insay di sem ɔyl.
We yu de it na do, mek shɔ se yu gɛt tu epinephrine shot dɛn we nɔ dɔn dɔn wit yu. Dɔn bak, mek shɔ se yu tɛl di pɔsin we de pripia ɔ di pɔsin we de gi yu it bɔt yu alɛji fɔ shel fish. Sɔntɛnde, i go fayn fɔ mek yu kam wit tin fɔ it we sef frɔm os we yu no se sef fɔ yu. If i tan lɛk se di chɛf, di manija, ɔ di pɔsin we gɛt di os nɔ gladi fɔ wetin yu aks fɔ it we sef, i go mɔs bi se i go fayn fɔ mek yu nɔ it na da rɛstɔrant de.
Na skul ɛn na wokples
Tɔk to di wokman dɛm bɔt di risk fɔ krɔs-kɔntaminɛshɔn na skul kafeteria it. Bɔku tɛm, i go fayn fɔ mek yu pak yu yon lanch. Da we de, yu go ebul fɔ kɔntrol wetin de insay.
If yu want fɔ lan mɔ bɔt aw fɔ manej dɛn alɛji ya fɔ it, infɔmeshɔn de na di wɛbsayt dɛn fɔ intanashɔnal ɔganayzeshɔn dɛn lɛk di ``Food Allergy Research and Education Network (FARE)``. Dɔn bak, i go fayn fɔ aks yu dɔktɔ ɔ pɔsin we de mɛn yu alɛji fɔ no mɔ.
Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
Okay, so, wi kin mɛmba yu bɔt sɔm pan di tin dɛn we wi dɔn tɔk bɔt we yu tink se impɔtant?
- ``Shellfish Allergy'' na wan sik wae kin sik, so nɔr tek am layt.
- If yu gɛt dis alɛji, nɔ it ɛni shɔɛl, lɛk shrimps, krab, mɔsul, ɔ klam. Tek tɛm bad bad wan bɔt ɔda it dɛn we go gɛt dɛn.
- Ɔltɛm yu fɔ kɛr tu injɛkshɔn dɛn we gɛt `(Epinephrine)` wit yu. No gud gud wan aw fɔ yuz am.
- If yu gɛt siriɔs alɛji (lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu trot/mɔt de swel, yu nɔ de no natin) , yuz epinephrine wantɛm wantɛm ɛn go na ɔspitul.
- Rid di tin dɛn we dɛn rayt bɔt it fayn fayn wan. Yu fɔ no bɔt krɔs-kɔntaminɛshɔn, mɔ we yu de it na do.
- Tɛl yu fambul, padi dɛm, ɛn yu kɔleja dɛm na skul/wok bɔt yu alɛji.
- Nɔ wɔri. If yu manej am fayn, yu kin liv nɔmal layf wit dis `(Shellfish Allergy)`. Di men tin na fɔ no ɛn tek tɛm.
A op se yu go si se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn, mek shɔ se yu tɔk to yu dɔktɔ.
Shelfish Alɛji, Anafylaksis, Ɛpinefrin, Krɔs-kɔntaminɛshɔn
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