Mukaganizira za nsomba zam'madzi, pakamwa panu pamayamba kudontha madzi, eti? Makamaka zinthu monga nkhanu, nkhanu , mussels, ndi oyster ndi zokoma kwambiri. Koma, mukudziwa, anthu ena sakhudza ngakhale zakudya zokomazi. Ngakhale kudya pang'ono kungayambitse mavuto ndi zovuta zosiyanasiyana. Lero tikambirana za vuto limodzi lotere, lomwe ndi `(Nsomba Yokhala ndi Chipolopolo)`. Izi zitha kukhala zoopsa kwambiri kwa anthu ena, kotero ndikofunikira kwambiri kudziwa izi.
Kodi "Nsomba Yotchedwa Shellfish Allergy" ndi chiyani? Tiyeni timvetse mosavuta.
Choyamba, "Nsomba Yodwala Matenda a Nsomba Yotchedwa Shellfish" ndi zomwe nthawi zambiri timazitcha "Nsomba Yotchedwa Shellfish Allergy" si chinthu chimodzi. Tsopano, tikanena kuti "Nsomba Yotchedwa Shellfish", timaphatikizapo nsomba (monga clams, mussels) ndi zolengedwa za m'nyanja zokhala ndi zipolopolo, ndiko kuti "Nsomba Yotchedwa Shellfish" (monga shrimp, nkhanu).
Ngakhale kuti zonsezi zili m'gulu la "zakudya zam'madzi", ponena za zamoyo, nsomba ndi nkhono ndi magulu awiri osiyana kwambiri. Chifukwa chake, ngati wina ali ndi "Nsomba Zosauka" zokha, nthawi zambiri sangakhale ndi vuto la ziwengo ku nsomba. Komabe, vuto ndilakuti ngati munthuyo ali ndi vuto linala ziwengo ku nsomba.
Tsopano tiyeni tiwone ngati "Nsomba za Nkhono" izi zitha kugawidwa m'magulu ena awiri.
1. Mtundu woyamba umatchedwa `(Crustaceans)`. Mwachidule, ndi nyama zokhala ndi chipolopolo, miyendo yambiri, ndipo zimaoneka ngati tizilombo pang'ono. Mwachitsanzo:
- Nsomba za nkhanu/prawns
- Nkhanu
- Nkhono
2. Mtundu wachiwiri umatchedwa ``Mollusks''. Nyama zimenezi nthawi zambiri zimakhala ndi thupi lofewa ndipo nthawi zambiri zimakhala ndi chipolopolo chimodzi kapena ziwiri zodzitetezera. Mwachitsanzo:
Anthu ena akhoza kukhala ndi ziwengo ku mitundu yonse iwiri ya `(Nsomba Zam'madzi)`. Izi zikutanthauza kuti adzakhala ndi vuto kudya nkhanu ndi nkhono zonse ziwiri. Komabe, anthu ena akhoza kukhala ndi ziwengo ku mtundu umodzi wokha. Mwachitsanzo, akhoza kukhala ndi vuto kudya nkhanu koma alibe vuto lililonse kudya nkhanu.
Nthawi zambiri, zizindikiro za "Shellfish Allergy" zimawonekera munthu akadya chakudya chamtunduwu. Koma, kodi mukudziwa, nthawi zina ngakhale kukhudza nyama izi kapena kupuma utsi wochokera kuphika kungayambitse vutoli . Chifukwa chake muyenera kusamala kwambiri.
Kumbukirani kuti `(Nsomba Yotchedwa Shellfish Allergy)` iyi ikhoza kuchitika pa msinkhu uliwonse. Ngakhale munthu amene wakhala akusangalala kudya nkhanu ndi nkhanu kwa nthawi yayitali popanda vuto lililonse akhoza kudwala matendawa mwadzidzidzi. Matenda ena a chifuwa cha chakudya amatha pakapita nthawi, koma anthu omwe ali ndi `(Nsomba Yotchedwa Shellfish Allergy)` nthawi zambiri amakhala ndi vutoli moyo wawo wonse. Ndi chinthu chomvetsa chisoni pang'ono, koma ngati atachitidwa bwino, palibe vuto.
Kodi zizindikiro za "Allergy ya Nsomba Zofiira" ndi ziti?
Munthu akakhala ndi `(Nsomba Yotchedwa Shellfish Allergy)`, chomwe chimachitika ndi chakuti chitetezo cha mthupi lathu, chomwe nthawi zambiri chimalimbana ndi matenda, chimayankha mopitirira muyeso ku mapuloteni ena mu `(Nsomba Yotchedwa Shellfish). Tangoganizirani, chitetezo cha mthupi lathu chikawona mapuloteni awa, chimaganiza kuti, "Mdani wafika!" Kenako amamasula mankhwala ambiri monga `( Histamine )`. Ndi chifukwa cha kutulutsidwa kwa mankhwala amenewo komwe kumabweretsa zizindikiro.
Tiyeni tiwone zizindikiro zimenezo:
- Kupuma movutikira: Kupuma movutikira, kupuma movutikira, kupuma mofulumira.
- Kusintha kwa chifuwa ndi pakhosi: Kutsokomola kosalekeza, kumva kutsekeka pakhosi, ndi mawu omveka bwino.
- Kusokonezeka kwa m'mimba: Kupweteka m'mimba, nseru, kusanza, ndi kutsegula m'mimba kungachitike.
- Zotsatira zake pa maso: Maso akuyabwa, kung'ambika, kutupa kwa maso.
- Zizindikiro za pakhungu: ziphuphu (mabala) thupi lonse, mawanga ofiira, kutupa (makamaka milomo, lilime, ndi nkhope).
- Kuthamanga kwa magazi kotsika: Izi ndi zoopsa pang'ono. Mungamve chizungulire kapena kukomoka ngati kuthamanga kwa magazi kwanu kwatsika mwadzidzidzi.
Zomwe zimachitika chifukwa cha "Shellfish Allergy" imeneyi zimatha kusiyana pakati pa munthu ndi munthu, ngakhale mkati mwa munthu yemweyo. Nthawi zina zimakhala zochepa kwambiri, zokhala ndi ziphuphu pakhungu. Koma nthawi zina, zimatha kukhala zotsatira zoopsa zomwe zimakhudza ziwalo zingapo za thupi.
Chofunika kwambiri: `(Nsomba Yofiira)` ingayambitse vuto lalikulu kwambiri, lomwe lingayambitse matenda otchedwa `(Anaphylaxis). Ngakhale mutachitapo kanthu pang'ono koyamba, sizingatheke kuti `(Anaphylaxis)` idzachitikenso nthawi ina.
Matendawa, otchedwa ``Anaphylaxis'', angayambe ndi zizindikiro zomwezo monga zomwe tatchula kale. Koma pakapita nthawi, kupuma kumakhala kovuta kwambiri moti mungataye chikumbumtima. Izi zingakhudze ziwalo zambiri za thupi. Ngati simulandira chithandizo pasadakhale, zitha kukhala zoopsa pa moyo. Chifukwa chake si bwino kutenga izi mopepuka.
Kodi mumatani ndi vuto la ziwengo ngati limeneli?
Ngati muli ndi vuto la nkhono (kapena vuto lina lililonse la chakudya), dokotala wanu mwina angakupatseni mankhwala a epinephrine awiri kuti mukhale nawo nthawi zonse. Uwu ndi mankhwala oti mugwiritse ntchito pakagwa ngozi.
Epinephrine ndi mankhwala operekedwa ndi dokotala. Amabwera mu chipangizo chaching'ono, chosavuta kunyamula (chotchedwa "auto-injector"). Chili ngati cholembera. Dokotala wanu adzakufotokozerani momwe mungagwiritsire ntchito. Muyenera kukhala nacho nthawi zonse. Sichigwira ntchito m'bokosi kapena m'chipinda cha anamwino kusukulu. Muyenera kuchitenga kulikonse komwe mukupita.
Nthawi zina akatswiri a ziwengo amalimbikitsa kukhala ndi mankhwala oletsa ziwengo, chifukwa angathandize kuchepetsa zizindikiro zazing'ono za ziwengo. Koma kumbukirani, ngati pali ziwengo zazikulu, mankhwala oletsa ziwengo ayenera kugwiritsidwa ntchito pokhapokha mutalandira jakisoni wa epinephrine, osati m'malo mwa epinephrine.
Dokotala wanu angakupatseni "Ndondomeko Yochitira Zinthu Zokhudzana ndi Ziwengo". Izi zikuuzani momwe mungakonzekere, kuzindikira, ndikuchiza zomwe zimayambitsa ziwengo. Gawani ndondomekoyi ndi aliyense amene ayenera kudziwa, monga banja lanu, akuluakulu a sukulu, ndi aphunzitsi. Ndibwinonso kuvala "chibangili cha chenjezo chachipatala" chomwe chikuwonetsa ziwengo zanu.
Sekondi iliyonse imawerengedwa mukakumana ndi vuto la ziwengo. Ngati mwayamba kukhala ndi zizindikiro zoopsa za ziwengo, monga kutupa pakamwa kapena pakhosi panu, kapena kuvutika kupuma, gwiritsani ntchito jakisoni wa epinephrine nthawi yomweyo. Komanso, ngati zizindikiro zanu zikupezeka m'magawo awiri osiyana a thupi lanu nthawi imodzi (monga ziphuphu ndi kusanza), gwiritsani ntchito jakisoni wa epinephrine nthawi yomweyo.
Kenako imbani nthawi yomweyo 1990 (Sri Lankan Ambulance Service) , kapena tengani munthu wina kupita nanu ku chipinda chadzidzidzi cha chipatala mwamsanga. Muyenera kuyang'aniridwa ndi dokotala. Nthawi zina, ngakhale pamene vuto lalikulu likuwoneka kuti latha, zizindikiro zina zoopsa zimatha kuchitika ('biphasic reaction').
Kodi ndi chiyani china chomwe tiyenera kudziwa pankhaniyi?
Ngati muli ndi `(Nsomba Yotchedwa Shellfish Allergy)`, simuyenera kudya nsomba zamtundu uwu pazifukwa zilizonse. Sikuti zokhazo, muyeneranso kupewa kudya chakudya china chilichonse chomwe chingakhale ndi nsombazi. Kwa iwo omwe ali ndi fungo la `(Nsomba Yotchedwa Shellfish)`, ndi bwino kukhala kutali ndi malo odyera ndi malo ena ofanana komwe amaphikira momwe angathere.
Kuwerenga zilembo za chakudya n'kofunika kwambiri!
Nthawi zonse werengani mosamala zilembo za chakudya kuti muwone ngati chakudyacho chili ndi `(Nsomba Zachipolopolo)`. Opanga chakudya omwe amagulitsa m'maiko ngati United States ayenera kulemba momveka bwino pa chizindikirocho ngati zinthu zawo zili ndi `(Nsomba Zachipolopolo za Crustacean)` (kutanthauza, mitundu ya nkhanu, nkhanu, ndi zina zotero). Chizindikirocho chidzalemba "nsomba zachipolopolo" pamndandanda wa zosakaniza, kapena chidzalemba "Muli nkhono" pambuyo pa mndandandawo.
Komabe, m'dziko lathu lino, izi zitha kukhala zosiyana pang'ono. Ngakhale kuti zinthu zina zochokera kunja zimakhala ndi zilembo zabwino, zinthu zakomweko sizingakhale ndi chidziwitso chomveka bwino nthawi zonse. Chifukwa chake, munthu ayenera kusamala kwambiri.
Zakudya zina zingawoneke bwino pamndandanda wa zosakaniza, koma zikapangidwa, zitha kukhudzana ndi `(Nsomba ya Nkhono)`. Izi zimatchedwa `(Kuipitsidwa kwa mtanda)` . Mwachitsanzo, yang'anani mawu olangiza pa chizindikiro monga ``Zingakhale ndi nkhono,'' ``Zokonzedwa m'malo omwe amakonzanso nkhono,'' kapena ``Zopangidwa pazida zomwe zimagwiritsidwanso ntchito popanga nkhono.'' Si makampani onse omwe amalemba izi `(Kuipitsidwa kwa mtanda)`. Chifukwa chake ngati mukukayikira, ndibwino kuyimbira foni kapena kutumiza imelo ku kampaniyo kuti mudziwe zoona.
Komanso, opanga saloledwa ndi lamulo kulemba zilembo za zosakaniza zomwe zili ndi `(Mollusk shellfish)` (monga, clams, mussels, ndi oysters) chifukwa sizimaonedwa kuti ndi zinthu zazikulu zomwe zimayambitsa allergen ya chakudya (malinga ndi lamulo la US). Makalata akamati `(Shellfish)`, nthawi zambiri amatanthauza `(Crustacean shellfish)`. Chifukwa chake, ndikofunikira kufunsa kampaniyo ngati pali chiopsezo cha `(Kuipitsidwa ndi `(Mollusks)`.
Samalani kwambiri mukamadya kunja komanso m'malesitilanti!
Kuipitsidwa kwa zinthu zosiyanasiyana kumachitika kawirikawiri m'malesitilanti, makamaka omwe amapereka chakudya cham'madzi. M'makhitchini, ogwira ntchito nthawi zambiri amagwiritsa ntchito malo omwewo, ziwiya (monga mipeni, matabwa odulira, ndi miphika), kapena mafuta pokonza nkhono ndi zakudya zina, zomwe zimatha kusamutsa tinthu ta nkhono kupita ku zakudya zina.
Tangoganizani mupita ku lesitilanti ndikuyitanitsa mpunga wokazinga. Koma ngati akaukazinga mu mafuta omwewo, ukhoza kukazinga, eti? Ndicho chimene timachitcha "kuipitsidwa kwa m'madzi." Izi zimachitika makamaka m'malesitilanti am'nyanja, kotero anthu ena amaganiza kuti ndibwino kupewa malo otere. Mukadya kunja m'malesitilanti, kungakhale bwino kupewa zakudya zokazinga. Izi zili choncho chifukwa malo ambiri amakazinga nkhuku, ma fries, ndi "nsomba zosweka" mu mafuta omwewo.
Mukadya kunja, onetsetsani kuti mwalandira jakisoni wa epinephrine kawiri komwe sikunathe. Komanso, onetsetsani kuti mwauza wokonza chakudya kapena wopereka wanu za vuto lanu la chipolopolo cha nkhono. Nthawi zina, ndi bwino kubweretsa chakudya chotetezeka kuchokera kunyumba chomwe mukudziwa kuti ndi chotetezeka kwa inu. Ngati wophika, manejala, kapena mwiniwake akuwoneka kuti sakusangalala ndi pempho lanu la chakudya chotetezeka, mwina ndibwino kupewa kudya ku lesitilanti imeneyo.
Kusukulu ndi kuntchito
Lankhulani ndi ogwira ntchito za chiopsezo cha kuipitsidwa kwa chakudya m'chipinda chodyera kusukulu. Nthawi zambiri, ndi bwino kunyamula chakudya chanu chamasana. Mwanjira imeneyi, mutha kuwongolera zomwe zili mmenemo.
Ngati mukufuna kudziwa zambiri za momwe mungathanirane ndi ziwengo za chakudya, pali zambiri patsamba lawebusayiti la mabungwe apadziko lonse lapansi monga ``Food Allergy Research and Education Network (FARE)``. Komanso, ndi bwino kufunsa dokotala wanu kapena katswiri wa ziwengo kuti mudziwe zambiri.
Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, kodi tingakukumbutseni zina mwa zinthu zomwe takambirana zomwe mukuganiza kuti ndizofunikira?
- "Allergy ya Nsomba Yofiira" ndi vuto lalikulu, choncho musatenge mopepuka.
- Ngati muli ndi vuto la ziwengo, pewani kudya nkhono zilizonse monga nkhanu, nkhanu, mussels, kapena nkhanu. Samalani kwambiri ndi zakudya zina zomwe zingakhale ndi ziwengozo.
- Nthawi zonse tengani jakisoni awiri a `(Epinephrine)`. Dziwani bwino momwe mungagwiritsire ntchito.
- Ngati mukukumana ndi zizindikiro zoopsa za ziwengo (monga kupuma movutikira, kutupa pakhosi/pakamwa, kutaya chikumbumtima) , gwiritsani ntchito epinephrine nthawi yomweyo ndikupita kuchipatala.
- Werengani mosamala zilembo za zakudya. Samalani ndi kuipitsidwa kwa zakudya zina, makamaka mukamadya kunja.
- Uzani achibale anu, anzanu, ndi anzanu akusukulu/antchito za ziwengo zomwe muli nazo.
- Musadandaule. Ngati mutayang'aniridwa bwino, mutha kukhala ndi moyo wabwinobwino ndi `(Nsomba Yotchedwa Shellfish Allergy)`. Chofunika kwambiri ndi kuzindikira ndi kusamala.
Ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena, onetsetsani kuti mwalankhula ndi dokotala wanu.
Kudwala kwa Nsomba Zotchedwa Shellfish, Anaphylaxis, Epinephrine, Kuipitsidwa ndi Mitsempha











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