Shrimp, crab emaw, shellfish emaw i ei hnuah pawh natna i nei em? He (Shellfish Allergy) chungchang hi i zir dawn em ni?

Tuipui thil i ngaihtuah hian i hmui a tui tan thin a ni lawm ni? A bik takin shrimp, crab , mussels, leh oysters ang chi thil te hi a tui hle. Mahse, i hria em, mi thenkhat chuan heng eitur tui tak takte hi an khawih pawh an khawih lo. Tlemte ei pawhin harsatna leh harsatna chi hrang hrang a thlen thei. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a, chu chu `(Shellfish Allergy)` tih hi a ni. Hei hi mi thenkhat tan chuan thil pawi tak a ni thei a, chuvangin hei hi hriat chian a pawimawh hle.

``Shellfish Allergy'' tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A hmasa berah chuan ``Shellfish Allergy'' leh ``Seafood Allergy'' kan tih tlangpui hi thil inang chiah a ni lo. Tunah chuan ``Seafood'' kan tih hian sangha (entir nan, clams, mussels) leh tuifinriat thil nung chi hrang hrang, chu chu ``Shellfish'' (entir nan, shrimp, crabs) te a huam vek a ni.

An pahnih hian "seafood" category-ah tel ve mah se, biologically speaking chuan sangha leh shellfish hi group hrang hrang pahnih an ni. Chuvangin, mi pakhatin "Shellfish Allergy" chauh a neih chuan sangha lakah allergy a nei lo tlangpui. Mahse, buaina chu chu mi pawhin sanghaallergy hran a neih chuan a ni.

Tunah chuan heng ``Shellfish'' te hi chi hnih dangah then theih a ni em tih kan en ang.

1. A chi khatna chu `(Crustaceans)` tih a ni. A awlsam zawngin, rannung, hruihrual nei, ke tam tak nei, rulhut ang deuh deuh an ni. Entir nan:

• Shrimp/prawn te pawh a awm
• Crabs te hi an ni
• Lobster te chu an awm

2. A chi hnihna chu ``Mollusks'' tih a ni. Heng rannungte hi taksa nêm tak an ni tlangpui a, venhimna atan hruihrual pakhat emaw pahnih emaw an nei fo bawk. Entir nan:

• Clams a ni
• Mussels te pawh a awm
• Oysters , rulhut (scallops) te
• Squid
• Octopus a ni

Mi thenkhat chuan `(Shellfish)` chi hnih hi allergy an nei thei. Chumi awmzia chu shrimp leh shellfish te ei pawhin harsatna an tawk dawn tihna a ni. Mahse, mi thenkhat chuan chi khat chauh allergy an nei thei. Entirnan, shrimp ei kawngah harsatna an nei thei a, mahse shellfish ei lamah erawh harsatna an nei lo.

A tam zawkah chuan ``Shellfish Allergy'' chhinchhiahna hi mi pakhatin hetiang ei tur a ei hian a lang thin. Mahse, i hria em, a châng chuan heng rannungte hi khawih emaw, chaw siam aṭanga meikhu chhuak emaw pawh hip hian he allergic reaction hi a thlen thei a ni . Chuvangin fimkhur hle a ngai a ni.

He `(Shellfish Allergy)` hi kum eng pawhah a awm thei tih hre reng ang che. Hun rei tak chhung harsatna nei lova shrimp leh crab ei nuam ti tawh pawhin he allergy hi a nei nghal thei a ni. Food allergy thenkhat chu hun kal zelah a bo thin a, mahse he `(Shellfish Allergy)` vei te hian an dam chhung zawngin an nunpui a ngai tlangpui. A lungchhiatthlak deuh a, mahse uluk taka enkawl a nih chuan harsatna a awm lo.

``Shellfish Allergy'' natna lan chhuah dan chu engte nge ni?

Miin `(Shellfish Allergy)` a neih chuan thil thleng chu kan taksa immune system, a tlangpuiin natna dotu hian `(Shellfish)-a protein thenkhat a overreact thin. Ngaihtuah teh, kan taksa invenna (immune system) hian heng protein te hi a hmuh hian, "Hmelma a lo thleng ta!" Tichuan `( Histamine )` ang chi chemical tam tak an chhuah chhuak leh thin. Chu chemicals te chhuah avang chuan a symptoms a lo lang thin.

Chu symptoms te chu eng nge ni tih i en ang u:

• Thâwk harsa: Thâwk hah, thawk harsa, thawk rang.
• Khuh leh kawr inthlak danglam: Khuh chhunzawm zel, kawchhung a tight tih hriatna, leh aw ri ringawt.
• Pum natna: Pum na, luak, luak, leh luak chhuak a awm thei.
• Mit a nghawng dan: Mit a na, mittui tlak, mit a hring.
• Vun natna lan chhuah dan: taksa pum puiah vun (hives) a awm a, a sen, a hring (a bik takin hmui, lei leh hmaiah).
• Thisen sang hniam: Hei hi a hlauhawm deuh. I thisen sang a tlahniam thut chuan i lu a buai thei a, i rilru a buai thei bawk.

He ``Shellfish Allergy'' avanga thil thleng hi mi hrang hrangah a inang lo thei a, mi pakhat chhungah pawh a inang lo thei. A châng chuan a na lo thei hle a, vunah hian vun a hring chauh a awm thei. Mahse hun dangah chuan taksa peng engemaw zat nghawng thei thil na tak a ni thei.

A pawimawh ber: `(Shellfish Allergy)` hian allergic reaction na tak, nunna atana hlauhawm tak pawh `(Anaphylaxis) a thlen thei a ni. A vawi khatnaah khan mild reaction chauh nei mah la, a dawt lehah `(Anaphylaxis)` a lo awm leh mai thei lo.

He natna, ``Anaphylaxis'' tia koh hi a hmaa kan sawi tawh ang chiah hian a lan chhuah dan tlangpui atang hian a intan thei a ni. Mahse, reilote hnuah chuan thawk a harsat em em a, hriatna i hloh phah thei a ni. Hei hian taksa peng khat aia tam a nghawng thei a ni. A hun taka enkawl loh chuan a takah chuan nunna atana hlauhawm tak a ni thei. Chuvangin hei hi ngaihthah a tha lo.

Hetiang allergy hi engtin nge i enkawl ang?

Shellfish allergy (or ei leh in allergy na tak dang) i neih chuan i doctor chuan engtik lai pawha i bula awm reng turin epinephrine dose hnih a pe mai thei. Hei hi emergency-a hman tur damdawi a ni.

Epinephrine hi prescription damdawi a ni. Device te tak te, phurh awlsam tak (``auto-injector'') ah a awm a. Pen ang mai a ni. I doctor chuan a hman dan tur a hrilhfiah ang che. I hnenah i vawng reng tur a ni. Locker-ah emaw, sikula nurse room-ah emaw a thawk dawn lo. I kalna apiangah i keng tel tur a ni.

A châng chuan allergy specialist-te chuan antihistamines pawh kutah dah reng turin an rawt a, allergy symptom tenau te control-na atan a pui thei a ni. Mahse hre reng ang che, allergy na tak a nih chuan antihistamines hi epinephrine injection hnuah chauh hman tur a ni a, epinephrine aiah hman tur a ni lo.

I doctor chuan ``Allergy Action Plan'' a pe thei che a ni. Hei hian allergic reaction atana inbuatsaih dan tur, hriat dan tur leh enkawl dan tur a hrilh ang che. He ruahmanna hi hriat tur nei apiang, i chhungte, school hotute, leh coach-te hnenah share ve rawh. Tin, i allergy te ziakna ``medical alert bracelet'' bun a tha bawk.

Allergic reaction neih lai hian second tin hi a chhiar tel vek a ni. Allergy symptom na tak tak i neih tan chuan i hmui emaw, i rilru emaw a hring emaw, thawk harsa emaw i neih tan chuan epinephrine injection hmang nghal rawh. Tin, i symptoms te hi i taksa hmun hrang hrang pahnih ah a ruala a awm chuan (entir nan, hives leh vomiting) epinephrine injection hmang nghal rawh.

Tichuan 1990 (Sri Lankan Ambulance Service) -ah call nghal la , a nih loh leh a rang thei ang bera damdawi in emergency room-ah mi pakhat hruai rawh. Damdawi lam enkawlna hnuaiah i awm tur a ni. A châng chuan a chhe ber chu a tawp tawh ang tih pawhin, natna lan chhuahna na tak pahnihna (`biphasic reaction`) a lo lang thei bawk.

Hemi chungchangah hian eng nge kan hriat belh ngai?

`(Shellfish Allergy)` i neih chuan he tuifinriat chi hi eng vang pawhin ei loh tur a ni. Chu mai ni lovin, an awmna tur ei tur dang ei loh tur a ni. `(Shellfish)` chawhmeh rim hrethiam tan chuan restaurant leh a ang chi hmun atanga hla thei ang bera awm a tha ber.

Food label chhiar hi a pawimawh hle!

Food label te hi uluk takin chhiar fo la, ei tur ah hian `(Shellfish)` a awm em tih i en thin ang. United States ang ram-a ei tur siamtute chuan an thil siamah `(Crustacean shellfish)` (chu chu chutiang chi shrimp, crab, etc.) a awm leh awm loh chu label-ah chiang takin an ziak tur a ni. Label-ah chuan ingredients list-ah "shellfish" tih a awm ang a, a nih loh leh list hnuaiah "Contains shellfish" tih a inziak ang.

Amaherawhchu, kan ramah chuan he dinhmun hi a danglam deuh mai thei. Ram pawn atanga thil lakluh thenkhatah chuan label tha tak nei mahse, tualchhung thil siamah chuan chutiang thu chiang tak chu a awm ngai lo mai thei. Chuvangin mi pakhat chu fimkhur hle a ngai a ni.

Chaw thenkhat chu ingredient list-ah chuan a tha hle mai thei a, mahse an siam hunah chuan `(Shellfish)` nen an inzawm thei a ni. Hei hi `(Cross-contamination)` an ti a. Entirnan, label-ah hian thurawn thumal ``May contain shellfish,'' ``Processed in a facility that also processes shellfish,'' emaw ``Manufactured on equipment also used for shellfish'' tih ang chi advisory phrase zawng rawh.Company zawng zawng hian hei hi `(Cross-contamination)` tiin an label vek lo. Chuvangin rinhlelhna i neih chuan company hnenah call emaw email emaw hmanga hriat chian a tha ber.

Tin, thil siamtute chuan `(Mollusk shellfish)` (i.e., clams, mussels, leh oysters) awmna thilte chu ei tur allergen lian ber anga ngaih a nih loh avangin (U.S. dan hnuaiah) chu danin a phut lo. Label-a `(Shellfish)` tih hian `(Crustacean shellfish)` tihna a ni fo. Chuvangin `(Mollusks)` hmanga `(Cross-contamination)` hlauhawmna a awm leh awm loh zawhfiah a pawimawh.

Pawn leh restaurant-a chaw ei hunah fimkhur hle ang che!

Cross-contamination hi restaurant-ah a awm fo thin a, a bik takin tuifinriat thil chi hrang hrang ei thinte chu a awm fo thin. Kitchen-ah chuan hnathawkte chuan thing leh mau leh ei tur dang siam nan a chunglam, bungrua (knife, cutting board, leh pan ang chi) emaw, oil emaw an hmang fo thin a, chu chuan shellfish chi hrang hrang chu ei tur dangah a transfer thei a ni.

Restaurant-ah kal la, fried rice order la, han mitthla teh. Mahse, oil khata an hmin chuan a hmin thei a ni lawm ni? Chu chu ``cross-contamination'' kan tih chu a ni.Hei hi seafood restaurant-ah chuan a tam hle a, chuvangin mi thenkhat chuan chutiang hmun chu pumpelh vek chu a him ber niin an ngai. Restaurant-a pawn lama chaw kan ei hian chaw hmin (fried foods) ei loh hi a tha thei hle. Hei hi hmun tam takah chuan vawk, French fries, leh ``shellfish'' te chu oil khatah an fry thin vang a ni.

Pawn lama chaw i ei dawnin epinephrine shot expired pahnih i neih ngei ngei tur a ni. Tin, i ei tur buatsaihtu emaw, i server emaw hnenah i shellfish allergy chungchang hi hrilh ngei ang che. A châng chuan, in aṭanga ei tur him, i tana him nia i hriat chu rawn keng tel a ṭha. Chef, manager emaw, neitu emaw chuan ei tur him i dilnaah a lungawi lo ang tih a hriat chuan, chu restaurant-a chaw ei loh chu a ṭha ber mai thei.

Sikul leh hnathawhna hmunah te

School cafeteria ei tur a cross-contamination awm theihna tur staff te nen sawiho rawh. Thil tam takah chuan chawhmeh ei tur chu mahni in pack mai a tha ber. Chutiang chuan a chhunga thil awm chu i thunun thei ang.

Heng ei leh in allergy te hi enkawl dan tur i hriat belh duh chuan international organization hrang hrang ``Food Allergy Research and Education Network (FARE)`` te website-ah hian thu hriat tur a awm a. Tin, doctor emaw allergist emaw hnenah zawhfiah a tha ber bawk.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Okay, chuti a nih chuan, kan sawi tawh thenkhat, pawimawh nia i hriatte kha kan hriat nawn tir thei ang em?

• ``Shellfish Allergy'' hi natna khirh tak a ni thei a, chuvangin ngaihthah suh.
• Hetiang allergy hi i neih chuan shellfish engmah ei loh tur, shrimp, crab, mussels, clams te hi ei loh tur a ni. Chaw dang a awm thei tur lakah fimkhur hle ang che.
• `(Epinephrine)` injection pahnih keng fo ang che. A hman dan tur chiang takin hria ang che.
• Allergic symptoms na tak (thâwk harsa, rilru/ka hring, hriatna hloh) i neih chuan epinephrine hmang nghal la, damdawi inah kal rawh.
• Food label te ngun takin chhiar la. Cross-contamination hi fimkhur hle ang che, a bik takin pawn lama chaw ei lai hian.
• I chhungte, i thiante, leh sikul/hnathawhpui te hnenah i allergy chungchang hrilh rawh.
• Lungngai suh. Uluk taka enkawl a nih chuan he `(Shellfish Allergy)` hmang hian nun pangngai i hmang thei ang. A pawimawh ber chu hriatthiamna leh fimkhur hi a ni.

He thu hi i tanpui theih ka beisei. Zawhna dang i neih chuan i doctor nen inbia ngei ang che.

Shellfish Allergy, Anaphylaxis, Epinephrine, Cross-contamination te a awm thei bawk