Era owulira ng’olwadde oluvannyuma lw’okulya enseenene, enseenene oba ebisusunku? Ka tuyige ku kino (Shellfish Allergy)?

Bw’olowooza ku by’ennyanja, akamwa katandika okufukirira, nedda? Naddala ebintu nga shrimp, crab , mussels, ne oysters biwooma nnyo. Naye, omanyi, abantu abamu tebakwata na mmere zino ewooma. N’okulya katono kiyinza okuleeta ebizibu n’obuzibu obwa buli ngeri. Leero tugenda kwogera ku mbeera emu ng’ezo, kwe kugamba, `(Shellfish Allergy)`. Kino kiyinza okuba eky’amaanyi ennyo eri abantu abamu, n’olwekyo kikulu nnyo okukimanya ku kino.

``Allergy y'ebisusunku'' kye ki? Ka tukitegeere mu ngeri ennyangu.

Okusookera ddala, ``Shellfish Allergy'' ne kye tutera okuyita ``Seafood Allergy'' si kintu kimu ddala. Kati, bwe tugamba nti ``Seafood'', kizingiramu ebyennyanja byombi (okugeza, clams, mussels) n'ebitonde by'omu nnyanja ebirina ebisusunku, kwe kugamba ``Shellfish'' (okugeza, shrimp, crabs).

Wadde nga byombi bigwa mu kiti kya "eby'ennyanja", mu biramu, ebyennyanja n'ebisusunku bibinja bibiri eby'enjawulo ddala. N'olwekyo, singa omuntu aba ne "Shellfish Allergy" yokka, ebiseera ebisinga tajja kuba na allergy ku byennyanja. Kyokka ekizibu kiri nti omuntu oyo naye alinaalergy ey’enjawulo ku byennyanja.

Kati ka tulabe oba bino ``Shellfish'' bisobola okwawulwamu ebika ebirala bibiri.

1. Ekika ekisooka kiyitibwa `(Crustaceans)`. Mu ngeri ennyangu, bisolo ebirina ekisusunku, amagulu mangi, era bifaanana katono ebiwuka. Okugeza nga:

• Enseenene/enseenene
• Enseenene
• Enseenene eziyitibwa Lobsters

2. Ekika ekyokubiri kiyitibwa ``Mollusks''. Ebisolo bino bitera okuba eby’omubiri omugonvu era nga bitera okuba n’ekisusunku kimu oba bibiri okusobola okukuuma. Okugeza nga:

• Ensigo eziyitibwa Clams
• Enseenene
• Oysters , ebiwuka ebiyitibwa scallops
• Ekisolo ekyo mumaz
• Enseenene eziyitibwa Octopus

Abantu abamu bayinza okuba nga balina alergy ku bika byombi ebya `(Shellfish)`. Kino kitegeeza nti bajja kufuna obuzibu okulya enseenene n’ebisusunku byombi. Kyokka abantu abamu bayinza okuba n’allergy ku kika kimu kyokka. Okugeza bayinza okufuna obuzibu mu kulya enseenene naye nga tebalina buzibu bwonna kulya bisusunku.

Ebiseera ebisinga, obubonero bwa ``Shellfish Allergy'' bulabika ng'omuntu alya emmere ey'ekika kino. Naye, obadde okimanyi, oluusi n’okukwata ku bisolo bino oba okussa omukka oguva mu kufumba kiyinza okuleeta alergy eno . Kale olina okwegendereza ennyo.

Jjukira nti kino `(Shellfish Allergy)` kiyinza okubaawo ku myaka gyonna. N’omuntu abadde anyumirwa okulya enseenene n’enseenene okumala ebbanga nga talina buzibu bwonna asobola okufuna alergy eno mu bwangu. Alergy z’emmere ezimu zigenda okumala ekiseera, naye abantu abalina allergy eno eya `(Shellfish Allergy)` batera okuba nga balina okubeera nayo obulamu bwabwe bwonna. Kintu kya nnaku katono naye singa kiddukanyizibwa bulungi, tewali buzibu.

Bubonero ki obw'obulwadde bwa ``Shellfish Allergy''?

Omuntu bw’aba n’obulwadde bwa `(Shellfish Allergy)`, ekibaawo nti abaserikale b’omubiri gwaffe, abatera okulwanyisa endwadde, basukkiridde okukola ku puloteyina ezimu mu `(Shellfish). Teebereza, abaserikale b'omubiri gwaffe bwe balaba obutoffaali buno, balowooza nti, "Omulabe atuuse!" Olwo ne zifulumya eddagala lingi nga `( Histamine )`. Olw’okufuluma kw’eddagala eryo obubonero bwe bulabika.

Ka tulabe obubonero obwo bwe buli:

• Obuzibu mu kussa: Okuwunya, okukaluubirirwa okussa, okussa amangu.
• Okusesema n’okukyuka kw’emimiro: Okusesema obutasalako, okuwulira ng’omumiro gunywezeddwa, n’eddoboozi okuwuuma.
• Okutabuka mu lubuto: Okulumwa olubuto, okuziyira, okusesema n’ekiddukano.
• Ebikosa amaaso: Amaaso okusiiwa, okukutuka, okuzimba amaaso.
• Obubonero bw’olususu: okusiiyibwa (hives) mu mubiri gwonna, amabala amamyufu, okuzimba (naddala ku mimwa, olulimi, ne mu maaso).
• Puleesa ekka: Kino kya bulabe katono. Oyinza okuwulira ng’oziyira oba n’okuzirika singa puleesa yo ekka mu bwangu.

Enneeyisa ku ``Shellfish Allergy'' eno eyinza okwawukana okusinziira ku muntu, ne mu muntu omu. Oluusi kiyinza okuba ekitono ennyo, nga kirimu ebizimba byokka ku lususu. Naye ebiseera ebirala, kiyinza okuba eky’amaanyi ekikwata ebitundu by’omubiri ebiwerako.

Ekisinga obukulu: `(Shellfish Allergy)` esobola okuleeta alergy ey’amaanyi ennyo, n’okutta omuntu eyitibwa `(Anaphylaxis). Ne bw’oba ​​nga walina okuddamu okutono yokka omulundi ogwasooka, tekisoboka nti `(Anaphylaxis)` ejja kubaawo omulundi oguddako.

Embeera eno eyitibwa ``Anaphylaxis'', eyinza okutandika n'obubonero obw'awamu bwe bumu n'obwo obwogeddwako emabegako. Naye oluvannyuma lw’akaseera, kiyinza okukaluba ennyo okussa ne kiba nti oyinza okubulwa amagezi. Kino kiyinza okukosa ebitundu by’omubiri ebisukka mu kimu. Singa tebujjanjabwa mu budde, mu butuufu kiyinza okutta omuntu. Kale si kirungi kino okukitwala ng’ekitono.

Allergy nga eno ogijjanjaba otya?

Bw’oba ​​olina alergy y’ebisusunku (oba alergy endala yonna ey’amaanyi ku mmere), osanga omusawo ajja kukuwa dose bbiri ez’eddagala lya epinephrine okukuuma naawe ekiseera kyonna. Lino ddagala lya kukozesa mu mbeera ey’amangu.

Epinephrine ddagala eriweebwa abasawo. Kijja mu kyuma ekitono, eky'angu okutwala (``auto-injector''). Kiba ng’ekkalaamu. Omusawo ajja kukunnyonnyola engeri y’okugikozesaamu. Bulijjo olina okugikuuma naawe. Tekijja kukola mu loogi oba mu kisenge kya nnansi ku ssomero. Olina okugitwala buli gy’ogenda.

Oluusi abakugu mu by’allergy bagamba nti n’eddagala eriweweeza ku alergy likuume ku mukono, kubanga liyinza okuyamba okufuga obubonero obutonotono obwa alergy. Naye jjukira nti mu mbeera y’omuntu alina alergy ey’amaanyi, eddagala eriweweeza ku histamine lirina okukozesebwa oluvannyuma lw’okukuba empiso ya epinephrine yokka, so si ng’edda mu kifo kya epinephrine.

Omusawo wo asobola okukuwa ``Allergy Action Plan''. Kino kijja kukubuulira engeri y’okwetegekera, okutegeera n’okujjanjaba omuntu alina alergy. Enteekateeka eno gabana n’omuntu yenna eyeetaaga okumanya, gamba ng’ab’omu maka go, abakungu b’amasomero, n’abatendesi. Era kirungi okwambala ``medical alert bracelet'' ewandiika alergy zo.

Buli sikonda ebalwa mu kiseera ky’okulwala alergy. Bw’otandika okufuna obubonero obw’amaanyi obwa alergy, gamba ng’okuzimba akamwa oba emimiro, oba okukaluubirirwa okussa, kozesa empiso ya epinephrine mu bwangu. Ekirala, singa obubonero bwo bubaawo mu bitundu by’omubiri bibiri eby’enjawulo mu kiseera kye kimu (okugeza, ebizimba n’okusiiyibwa), kozesa empiso ya epinephrine mu bwangu.

Oluvannyuma kuba ku ssimu ya 1990 (Sri Lankan Ambulance Service) , oba twala omuntu mu kisenge ky’abalwadde ab’amangu mu ddwaaliro amangu ddala nga bwe kisoboka. Olina okuba ng’olabirirwa abasawo. Oluusi, ne bwe kiba nti ekisinga obubi kirabika nga kiwedde, ebbidde eryokubiri ery’obubonero obw’amaanyi liyinza okubaawo (a `biphasic reaction`).

Kiki ekirala kye twetaaga okumanya ku nsonga eno?

Bwoba olina `(Shellfish Allergy)`, tolina kulya bya nnyanja bya kika kino olw'ensonga yonna. Temukoma awo, era olina okwewala okulya emmere endala yonna eyinza okubaamu. Ku abo abawunya akawoowo k`okufumba kwa `(Shellfish)`, kirungi okubeera wala nnyo okuva mu bifo eby'okulya n'ebifo ebifaananako bwe bityo gye bifumbiddwa nga bwe kisoboka.

Okusoma ebiwandiiko ebiwandiikiddwa ku mmere kikulu nnyo!

Bulijjo soma bulungi ebiwandiiko ebikwata ku mmere olabe oba emmere erimu `(Shellfish)`. Abakola emmere abatunda mu nsi nga Amerika balina okuwandiika obulungi ku lupapula oba ebintu byabwe birimu `(Crustacean shellfish)` (kwe kugamba, ebika ebyo ebya shrimp, crab, n'ebirala). Label ejja kuwandiika "ebisusunku" mu lukalala lw'ebirungo, oba ejja kuwandiika "Erimu ebisusunku" oluvannyuma lw'olukalala.

Kyokka mu nsi yaffe embeera eno eyinza okuba ey’enjawulo katono. Wadde ng’ebintu ebimu ebiyingizibwa mu ggwanga birina ebiwandiiko ebirungi, ebintu eby’omu kitundu biyinza obutaba na mawulire mategeerekeka bwe bityo. N’olwekyo, omuntu alina okwegendereza ennyo.

Emmere ezimu ziyinza okulabika obulungi ku lukalala lw’ebirungo, naye bwe zikolebwa, ziyinza okukwatagana ne `(Shellfish)`. Kino kiyitibwa `(Cross-contamination)` . Okugeza, noonya ebigambo ebiwabula ku lupapula nga ``May contain shellfish,'' ``Processed in a facility that also processing shellfish,'' oba ``Manufactured on equipment also used for shellfish.'' Si kkampuni zonna nti kino ziwandiika nti `(Cross-contamination)`. Kale bw’oba ​​obuusabuusa, kirungi okukubira kkampuni essimu oba okugiwandiika ku email okumanya ekituufu.

Era, abakola ebintu tebalina kuteekebwako kabonero mu mateeka ku birungo ebirimu `(Mollusk shellfish)` (i.e., clams, mussels, ne oysters) kubanga tebitwalibwa nga allergen y’emmere enkulu (mu mateeka ga U.S.). Ebiwandiiko bwe bigamba nti `(Shellfish)`, bitera okutegeeza `(Crustacean shellfish)`. Nolwekyo, kikulu okubuuza kampuni oba waliwo akabi ka `(Cross-contamination)` ne `(Mollusks)`.

Weegendereze nnyo ng’olya ebweru ne mu bifo eby’okulya!

Obuwuuka obuyitibwa cross-contamination butera kubeerawo mu bifo eby’okulya naddala ebyo ebigabula eby’ennyanja. Mu ffumbiro, abakozi batera okukozesa ebintu bye bimu, ebikozesebwa (nga ebiso, ebipande ebisala, n’ebibbo), oba amafuta okuteekateeka ebisusunku n’emmere endala, ebiyinza okukyusa obutundutundu bw’ebisusunku okudda mu mmere endala.

Kuba akafaananyi ng’ogenda mu dduuka n’olagira omuceere ogusiike. Naye singa bagisiika mu mafuta ge gamu, eyinza okusiigibwa, nedda? Ekyo kye tuyita ``cross-contamination.'' Kino kitera nnyo naddala mu bifo eby'okulya eby'ennyanja, kale abantu abamu balowooza nti kisinga bulabe okwewala ddala ebifo ng'ebyo. Bw’oba ​​olya ebweru mu bifo eby’okulya, kiyinza okuba ekirungi okwewala emmere enkasiike. Kino kiri bwe kityo kubanga ebifo bingi basiika enkoko, French fries, ne ``shellfish'' mu mafuta ge gamu.

Bw’oba ​​olya ebweru, kakasa nti olina essasi lya epinephrine abiri eritannaggwaako. Ekirala, kakasa nti otegeeza oyo ateekateeka emmere oba omuweereza wo ku alergy yo ey’ebisusunku. Oluusi, kiba kirungi okuleeta emmere etali ya bulabe okuva awaka gy’omanyi nti tekulina bulabe gy’oli. Singa omufumbi, maneja oba nnannyini dduuka alabika nga si musanyufu olw’okusaba kwo eky’emmere etali ya bulabe, oboolyawo kiba kirungi okwewala okulya mu dduuka eryo.

Ku ssomero ne ku mulimu

Yogerako n‟abakozi ku bulabe bw‟okusaasaana mu mmere y‟amasomero mu kafeero. Emirundi mingi kirungi n’opakira ekyemisana kyo. Mu ngeri eyo, osobola okufuga ebirimu.

Bw’oba ​​oyagala okumanya ebisingawo ku ngeri y’okuddukanyaamu alergy zino ez’emmere, waliwo amawulire ku mikutu gy’empuliziganya egy’ebibiina by’ensi yonna nga ``Food Allergy Research and Education Network (FARE)``. Ekirala, kirungi okubuuza omusawo wo oba omusawo akola alergy okumanya ebisingawo.

Ebintu ebikulu by'olina okukuuma mu birowoozo (Take-Home Message)

Okay, kale, tusobola okukujjukiza ebimu ku bintu bye twogeddeko by’olowooza nti bikulu?

• ``Shellfish Allergy'' mbeera eyinza okuba ey'amaanyi, kale togitwala nga kitono.
• Bw’oba ​​olina alergy eno, weewale okulya ebisusunku byonna, gamba nga shrimp, crab, mussels oba clams. Weegendereze nnyo emmere endala eyinza okubaamu.
• Bulijjo tambula n'empiso bbiri eza `(Epinephrine)`. Manya bulungi engeri y’okugikozesaamu.
• Bw’ofuna obubonero obw’amaanyi obw’okulumwa alergy (nga okukaluubirirwa okussa, okuzimba emimiro/akamwa, okuzirika) , kozesa eddagala lya epinephrine mu bwangu ogende mu ddwaaliro.
• Soma bulungi ebiwandiiko ebikwata ku mmere. Weegendereze obuwuka obuyitibwa cross-contamination naddala ng’olya ebweru.
• Buulira ab’omu maka go, mikwano gyo, ne banno ku ssomero/ku mulimu ku alergy yo.
• Tofaayo. Singa oddukanyizibwa bulungi, osobola okubeera n'obulamu obwa bulijjo n'ekintu kino `(Shellfish Allergy)`. Ekikulu kwe kumanya n’okwegendereza.

Nsuubira nti amawulire gano osanga nga gayamba. Bw’oba ​​olina ekibuuzo ekirala kyonna, kakasa nti oyogera n’omusawo wo.

Allergy y’ebisusunku, Anaphylaxis, Epinephrine, Obulwadde bw’okusalasala