Ese nawe wumva urwaye nyuma yo kurya isambaza, inkeri, cyangwa isambaza? Reka twige kuri iyi '(Allergie y'ifi y'amacupa)'?

Iyo utekereje ku byo mu mazi, mu kanwa kawe gatangira kunuka, si byo? Cyane cyane nk'isambaza, inkeri , imineke, na oysters biraryoshye cyane. Ariko, urabizi, hari abantu batabikora kuri ibi biribwa biryoshye. Ndetse no kurya bike bishobora guteza ibibazo n'ingorane zitandukanye. Uyu munsi tugiye kuvuga kuri imwe muri izo ndwara, ni ukuvuga `(Allergie y'ifi y'amafi)`. Ibi bishobora kuba bibi cyane kuri bamwe, bityo ni ngombwa cyane kubimenya.

"Allergie y'ifi y'inka" ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mbere na mbere, "Allergy y'ifi y'inkoko" n'icyo dukunze kwita "Allergy y'ifi yo mu mazi" ntabwo ari kimwe neza. Noneho, iyo tuvuze "Ibiryo byo mu mazi", biba birimo amafi (urugero, clams, mussels) n'ibiremwa byo mu mazi bifite ibikonoshwa, ibyo ni "Ifi y'inkoko" (urugero, shrimp, crabs).

Nubwo byombi biri mu cyiciro cy’ "ibiribwa byo mu mazi", mu buryo bw’ibinyabuzima, amafi n’ibinyamisogwe ni amatsinda abiri atandukanye rwose. Kubwibyo, iyo umuntu afite "Allergie y’ibinyamisogwe" gusa, ubusanzwe nta mpungenge agira ku mafi. Ariko, ikibazo ni uko uwo muntu na we afiteimpungenge itandukanye ku mafi.

Noneho reka turebe niba izi "Shellfish" zishobora kugabanywamo ibindi byiciro bibiri.

1. Ubwoko bwa mbere bwitwa `(Crustaceans)`. Mu magambo make, ni inyamaswa zifite igikonoshwa, amaguru menshi, kandi zisa n'udukoko gato. Urugero:

• Isambaza/isambaza
• Inkara
• Lobsters

2. Ubwoko bwa kabiri bwitwa "Mollusks". Izi nyamaswa akenshi ziba zifite umubiri woroshye kandi akenshi zigira igikonoshwa kimwe cyangwa bibiri byo kuzirinda. Urugero:

• Ibimera by'inka
• Inyundo
• Oysters , scallops
• Igisimba
• Octopus

Hari abantu bashobora kugira ubwivumbure ku bwoko bwombi bwa `(Ibinyamisogwe)`. Ibi bivuze ko bazagira ikibazo cyo kurya ibinyamisogwe n'ibinyamisogwe. Ariko, hari abantu bashobora kugira ubwivumbure ku bwoko bumwe gusa. Urugero, bashobora kugira ikibazo cyo kurya ibinyamisogwe ariko ntibagire ikibazo cyo kurya ibinyamisogwe.

Akenshi, ibimenyetso bya "Allergie y'ifi y'inka" bigaragara iyo umuntu ariye ubwoko bw'ibiryo. Ariko, wari uzi ko rimwe na rimwe no gukora kuri izi nyamaswa cyangwa guhumeka imyuka yo guteka bishobora gutera iyi allergie . Rero ugomba kwitonda cyane.

Wibuke ko iyi '(Allergy y'ifi y'amacupa)' ishobora kubaho mu myaka iyo ari yo yose. Ndetse n'umuntu umaze igihe kinini akunda kurya isambaza n'inkavu nta kibazo ashobora kurwara iyi allergie mu buryo butunguranye. Allergie zimwe na zimwe zo mu biribwa zirashira uko igihe kigenda gihita, ariko abantu bafite iyi '(Allergy y'ifi y'amacupa)' akenshi baba bagomba kuyibana ubuzima bwabo bwose. Ni ikintu kibabaje gato, ariko iyo bifashwe neza, nta kibazo kibaho.

Ni ibihe bimenyetso by'indwara ya "Allergie y'ifi y'inka"?

Iyo umuntu afite `(Allergie y'ifi y'inkoko)`, ikiba gihari ni uko ubudahangarwa bw'umubiri wacu, busanzwe burwanya indwara, bugira ingaruka zikabije kuri poroteyine zimwe na zimwe muri `(ifi y'inkoko). Tekereza, iyo ubudahangarwa bw'umubiri wacu bubonye izi poroteyine, bugatekereza buti: "Umwanzi yaraje!" Hanyuma bugasohora imiti myinshi nka `( Histamine )`. Ni ukubera kurekura iyo miti niho ibimenyetso bigaragara.

Reka turebe ibyo bimenyetso:

• Kugorwa no guhumeka: Guhumeka nabi, guhumeka nabi, guhumeka vuba.
• Inkorora n'impinduka mu muhogo: Gukorora bidashira, kumva umuhogo ufunganye, n'ijwi rituje.
• Kubabara mu nda: Kubabara mu nda, isesemi, kuruka no gucibwamo bishobora kubaho.
• Ingaruka ku maso: Amaso arasha, arashwanyagurika, abyimba amaso.
• Ibimenyetso by'uruhu: uduheri (uduheri) umubiri wose, ibibara bitukura, kubyimba (cyane cyane iminwa, ururimi, no mu maso).
• Umuvuduko w'amaraso uri hasi: Ibi ni akaga gato. Ushobora kumva uzunguze cyangwa ukanapfa iyo umuvuduko w'amaraso wawe ugabanutse mu buryo butunguranye.

Uburyo iyi "Shellfish Allergy" ifatwa bushobora gutandukana bitewe n'umuntu, ndetse no mu muntu umwe. Hari igihe ishobora kuba yoroshye cyane, hakabaho uduheri ku ruhu gusa. Ariko mu bindi bihe, ishobora kuba ingaruka zikomeye zigira ingaruka ku bice byinshi by'umubiri.

Icy'ingenzi kurushaho: `(Allergie y'ifi y'amafi)` ishobora gutera `allergie ikomeye cyane, ndetse ishobora no gushyira ubuzima mu kaga yitwa `(Anaphylaxis). Nubwo wagize `allergie ntoya ku nshuro ya mbere, ntabwo bishoboka ko `(Anaphylaxis)` izabaho ubutaha.

Iyi ndwara, yitwa "Anaphylaxis", ishobora gutangirana n'ibimenyetso rusange nk'ibyo twavuze mbere. Ariko nyuma y'igihe runaka, guhumeka bishobora kugorana cyane ku buryo ushobora guta ubwenge. Ibi bishobora kugira ingaruka ku bice byinshi by'umubiri. Iyo bitavuwe ku gihe, bishobora gushyira ubuzima mu kaga. Rero si byiza kubifata nk'ibisanzwe.

Ni gute wakira indwara nk'iyi?

Niba ufite ubwivumbure bw'ibinyamisogwe (cyangwa ubundi bwivumbure bukabije bw'ibiryo), muganga wawe ashobora kukwandikira doze ebyiri za epinephrine kugira ngo agumane nawe igihe cyose. Uyu ni umuti wo gukoresha mu gihe cy'impanuka.

Epinephrine ni umuti utangwa na muganga. Uza mu gikoresho gito kandi cyoroshye gutwara ("auto-injection"). Ni nk'ikaramu. Muganga wawe azagusobanurira uko ukoreshwa. Ugomba guhora uwubika. Ntabwo uzakorera mu kabati cyangwa mu cyumba cy'umuforomo ku ishuri. Ugomba kuwujyana aho ugiye hose.

Hari igihe abahanga mu by’ubwivumbure basaba ko imiti igabanya ubukana bw’ibinure ikomeza gukoreshwa, kuko ishobora gufasha mu kurwanya ibimenyetso bito by’ubwivumbure. Ariko ibuka ko mu gihe cy’ubwivumbure bukomeye, imiti igabanya ubukana bw’ibinure igomba gukoreshwa gusa nyuma yo guterwa inshinge za epinephrine, ntabwo ari iyo gusimbura epinephrine.

Muganga wawe ashobora kuguha "Gahunda yo Gutegura Allergy". Iyi gahunda izakubwira uburyo bwo kwitegura, kumenya no kuvura allergy. Sangiza iyi gahunda umuntu wese ukeneye kumenya, urugero nk'umuryango wawe, abayobozi b'ishuri, n'abatoza. Ni byiza kandi kwambara "umukandara w'ubutabazi bw'abaganga" ugaragaza allergy yawe.

Buri segonda ribarwa mu gihe ufite ubwivumbure. Niba utangiye kugira ibimenyetso bikomeye by'ubwivumbure, nko kubyimba umunwa cyangwa mu muhogo, cyangwa guhumeka bigoranye, koresha inshinge za epinephrine ako kanya. Nanone, niba ibimenyetso byawe bigaragaye mu bice bibiri bitandukanye by'umubiri wawe icyarimwe (urugero, kubyimba no kuruka), koresha inshinge za epinephrine ako kanya.

Hanyuma hamagara ako kanya 1990 (Sri Lankan Ambulance Service) , cyangwa ujyane n'undi muntu mu cyumba cy'ubutabazi bwihuse mu bitaro. Ugomba kuba uri munsi y'ubuyobozi bwa muganga. Hari igihe, nubwo ibintu bibi cyane bisa nkaho byarangiye, ibimenyetso bya kabiri bikomeye bishobora kubaho ('reaction biphasic').

Ni iki kindi dukeneye kumenya kuri ibi?

Niba ufite `(Allergie y'ifi y'inka)`, ntugomba kurya ubwoko bw'ibiryo byo mu nyanja kubera impamvu iyo ari yo yose. Si ibyo gusa, ugomba no kwirinda kurya ibindi biribwa bishobora kuba birimo. Ku bantu bumva impumuro yo guteka `(ifi y'inka)`, ni byiza kuguma kure y'amaresitora n'ahandi hantu nk'aho hatekwa uko bishoboka kose.

Gusoma ibyapa by'ibiribwa ni ingenzi cyane!

Soma witonze ibyapa by'ibiribwa kugira ngo urebe niba ibiryo birimo `(Ibinyamisogwe)`. Inganda zicuruza ibiribwa mu bihugu nka Leta Zunze Ubumwe za Amerika zigomba kugaragaza neza ku cyapa niba ibicuruzwa byazo birimo `(Ibinyamisogwe bya Crustacean)` (ni ukuvuga ubwoko bw'ibinyamisogwe, ibikara, nibindi). Iki cyapa kizagaragaza "Ibinyamisogwe" ku rutonde rw'ibikoreshwa, cyangwa kizavuga "Birimo Ibinyamisogwe" nyuma y'urutonde.

Ariko, mu gihugu cyacu, ibi bishobora kuba bitandukanye gato. Nubwo hari ibicuruzwa bitumizwa mu mahanga bifite ibyapa byiza, ibicuruzwa byo mu gace runaka ntibishobora kuba bifite amakuru asobanutse neza. Kubwibyo, umuntu agomba kwitonda cyane.

Ibiryo bimwe na bimwe bishobora kugaragara neza ku rutonde rw'ibikenewe, ariko iyo bikozwe, bishobora guhura na `(Ibinyamisogwe)`. Ibi byitwa `(Kwanduzanya)` . Urugero, shakisha interuro z'inama ku kirango nka ``Bishobora kuba birimo ibinyamisogwe,'' `Bitunganyirizwa mu kigo gitunganya ibinyamisogwe,'' cyangwa ``Byakorewe ku bikoresho bikoreshwa mu gutunganya ibinyamisogwe.'' Si ibigo byose byita ibi `(Kwanduzanyanyanyanya)`. Niba rero ufite gushidikanya, ni byiza guhamagara cyangwa kohereza ubutumwa kuri kompanyi kugira ngo umenye neza.

Nanone, abakora ibiryo ntibasabwa n'amategeko gushyira ibirango ku bintu birimo `(Ibinyamisogwe bya Mollusk)` (ni ukuvuga ibinyamisogwe, ibinyamisogwe, n'ibinyamisogwe) kuko bidafatwa nk'ibintu bikomeye bituma ibiryo bitera ubwivumbure (nk'uko amategeko ya Leta Zunze Ubumwe za Amerika abiteganya). Iyo ibirango bivuga `(Ibinyamisogwe)`, akenshi biba bivuze `(Ibinyamisogwe bya Crustacean)`. Kubwibyo, ni ngombwa kubaza ikigo niba hari ibyago byo kwanduzwa `(Ibinyamisogwe)` na `(Ibinyamisogwe)`.

Witondere cyane iyo urimo kurya hanze no muri resitora!

Kwanduzanya ni ibintu bikunze kugaragara muri resitora, cyane cyane izitanga amafi yo mu mazi. Mu gikoni, abakozi bakunze gukoresha ubuso bumwe, ibikoresho bimwe (nk'ibyuma, ibibaho byo gukata, n'amasafuriya), cyangwa amavuta mu gutegura isambaza n'ibindi biribwa, bishobora kohereza utuntu tw'isambaza mu bindi biribwa.

Tekereza ugiye muri resitora ugatumiza umuceri ukaranze. Ariko niba bawukaranze mu mavuta amwe, ushobora gukaranga, sibyo? Ibyo ni byo twita "kwanduzanya." Ibi bikunze kugaragara cyane muri resitora zo mu mazi, bityo bamwe mu bantu batekereza ko ari byiza kwirinda ahantu nk'aho burundu. Mu gihe urira muri resitora, byaba byiza kwirinda ibiryo bikaranze. Ibi biterwa nuko ahantu henshi ukaranze inkoko, ifiriti, n'ifi zishaje mu mavuta amwe.

Mu gihe ugiye kurya hanze, menya neza ko ufite inshinge ebyiri za epinephrine zitarashira. Nanone, menya neza ko ubwira umutetsi wawe cyangwa umukozi wawe ibijyanye n'ubwivumbure bw'ibinyampeke byawe. Hari igihe byaba byiza kuzana ibiryo bizima mu rugo uzi neza ko bikubereye. Niba umutetsi, umuyobozi, cyangwa nyir'ibiryo asa n'aho atanyuzwe n'ubusabe bwawe bwo kugura ibiryo bizima, byaba byiza wirinze kurya muri iyo resitora.

Ku ishuri no ku kazi

Vugana n'abakozi ku byago byo kwanduzwa n'ibiryo byo muri resitora y'ishuri. Kenshi na kenshi, ni byiza kwikorera ifunguro rya saa sita. Muri ubwo buryo, ushobora kugenzura ibirimo.

Niba ushaka kumenya byinshi ku bijyanye no guhangana n’izi allergie z’ibiribwa, hari amakuru ku mbuga za interineti z’imiryango mpuzamahanga nka ``Food Allergy Research and Education Network (FARE)``. Nanone, ni byiza kubaza muganga wawe cyangwa inzobere mu by’allergie kugira ngo akubwire amakuru arambuye.

Ibintu by'ingenzi ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

None se, twakwibutsa bimwe mu bintu twavuzeho ubona ko ari ingenzi?

• "Allergie y'ifi y'amafi" ni indwara ishobora kuba ikomeye, bityo ntuyifate nk'ikintu cyoroshye.
• Niba ufite iyi allergie, irinde kurya inkeri iyo ari yo yose, nka shrimp, crab, mussels, cyangwa clams. Witondere cyane ibindi biribwa bishobora kuba birimo.
• Buri gihe ujye witwaza inshinge ebyiri za `(Epinephrine)`. Uzi neza uburyo bwo kuyikoresha.
• Niba ugize ibimenyetso bikomeye by’ubwivumbure (nk’ingorane zo guhumeka, kubyimba umuhogo/umunwa, guta ubwenge) , koresha umuti wa epinephrine ako kanya hanyuma ujye kwa muganga.
• Soma witonze ibyapa by'ibiribwa. Witondere kwanduzanya kw'ibiribwa, cyane cyane iyo ugiye kurya hanze.
• Bwira umuryango wawe, inshuti, n'abo mukorana ku ishuri/ku kazi ibyerekeye aleriji yawe.
• Ntugahangayike. Iyo ufashwe neza, ushobora kubaho ubuzima busanzwe ufite iyi `(Allergie y'ifi y'amafi)`. Ikintu cy'ingenzi ni ukwitonda no kwitonda.

Ndizera ko aya makuru azagufasha. Niba ufite ibindi bibazo, menya neza ko wavugana na muganga wawe.

Kurwara indwara y'ibishishwa by'ifi, Anaphylaxis, Epinephrine, kwanduzwa n'ibishishwa