Ibiryo byo mu mazi biraryoshye cyane, si byo se? Cyane cyane ibikunzwe nka shrimp, crabs , squid, na shellfish. Ariko se, wari uzi ko kuri bamwe, ibi biryo bishobora gutera ingaruka zikomeye? Ndetse n'ibito bishobora gutera akababaro gakomeye. Uyu munsi, turimo kuganira ku ndwara ya Shellfish. Kubera ko iyi ndwara ishobora gushyira ubuzima mu kaga, ni ngombwa gukomeza kumenya amakuru. Nirogi Lanka irahari kugira ngo ikuyobore.
Mu by'ukuri, indwara yo kurwara ifi y'ibisheke ni iki? Reka tubisobanure.
Ubwa mbere, ni ngombwa gusobanura neza ko Allergy y'ifi y'inka (Shellfish) atari kimwe na Allergy rusange y'ifi zo mu mazi. Mu rwego rwo guteka, "ibiryo byo mu mazi" bikubiyemo amafi y'inka (nk'ifi ya tuna cyangwa ifi y'inka) n'amafi y'inka (nk'ifi y'inka cyangwa inkeri).
Nubwo byombi biri munsi y’umutaka w’“ibiryo byo mu mazi”, mu buryo bw’ibinyabuzima, amafi n’ibinyamisogwe biratandukanye rwose. Niba ufite ubwivumbure bw’ibinyamisogwe, ubusanzwe ushobora kurya amafi nta kibazo—keretse niba ufiteubwivumbure butandukanye n’amafi.
Ifi zo mu bwoko bwa Shellfish muri rusange zigabanyijemo ibyiciro bibiri by'ingenzi:
1. Inyama zo mu bwoko bwa crustacean: Izi nyama zo mu bwoko bwa crustacean zikunze kugira ibikonoshwa, amaguru menshi, kandi akenshi zifatwa nk'izimeze nk'udukoko. Ingero zirimo:
- Isambaza/Ibirungo
- Inkara
- Lobsters
2. Mollusks: Utu tunyabuzima akenshi tuba dufite umubiri woroshye kandi akenshi tuba dufite igikonoshwa kimwe cyangwa bibiri birinda. Ingero zirimo:
Hari abantu bagira ubwivumbure kuri izo ngeri zombi, bivuze ko isambaza na squid byombi bishobora gutera ubwivumbure. Ariko, abandi bashobora kuba bafite ubwivumbure ku bwoko bumwe gusa. Urugero, ushobora kugira ubwivumbure ariko ugakomeza kubaho neza nyuma yo kurya squid.
Ibimenyetso bikunze kugaragara nyuma yo kurya. Ariko se, wari uzi ko gukora kuri izi nyamaswa cyangwa no guhumeka umwuka uvuye mu kuziteka bishobora gutera ubwivumbure ? Ugomba kwitonda cyane.
Ibuka ko indwara ya Shellfish ishobora kurwara umuntu wese ufite imyaka iyo ari yo yose. Ushobora kuba warariye shrimp cyangwa crab imyaka myinshi nta kibazo ufite, hanyuma ukagira iyi allergie mu buryo butunguranye. Nubwo zimwe mu ndwara zishobora gukemuka uko igihe kigenda, allergie y’ibishyimbo akenshi iba ari indwara y’ubuzima bwose. Nubwo ibyo bisa n’aho bigoye, irakorwa neza iyo ubyitondeye neza.
Ni ibihe bimenyetso by'indwara ya Allergie y'ifi y'inka?
Iyo ufite allergie y’ifi y’ifi y’ifi y’ifi, ubudahangarwa bw’umubiri bwawe bushobora kwibeshya ko poroteyine zimwe na zimwe zo mu ifi y’ifi y’ifi y’ifi y’ifi nk’izitera ingaruka mbi. Umubiri wawe ubyitabira usohora imiti nka histamine , ibi bigatera ibimenyetso bitandukanye:
- Ibibazo byo guhumeka: Guhumeka nabi, guhumeka nabi, cyangwa guhumeka vuba cyane.
- Inkorora n'impinduka mu muhogo: Gukorora bidashira, kumva umuhogo ufunganye, cyangwa ijwi rituje.
- Guhangayika mu gifu: Kubabara mu nda, isesemi, kuruka, cyangwa impiswi.
- Uburibwe bw'amaso: Amaso asharira, afite amazi, cyangwa yabyimbye.
- Uko uruhu rukora: Kurwara uduheri, ibibara bitukura, cyangwa kubyimba (cyane cyane ku minwa, ku rurimi, cyangwa mu maso).
- Kugabanuka k'umuvuduko w'amaraso: Ibi ni bibi, bishobora gutera isereri cyangwa gucika intege.
Ibimenyetso biratandukanye cyane bitewe n'umuntu ndetse no mu gihe kimwe. Hari igihe ushobora kugira uduheri tworoheje ku ruhu, mu gihe ikindi gihe ushobora guhura n'ingaruka zikomeye ku mubiri.
Umuburo w'ingenzi: Allergie y'ibishyimbo bishobora gutera anaphylaxis, ingaruka zikomeye kandi zishobora gushyira ubuzima mu kaga. Nubwo waba warigeze kugira ibimenyetso byoroheje mu bihe byashize, uracyari mu kaga ko kurwara anaphylaxis mu gihe kizaza.
Anaphylaxis ishobora gutangirira ku bimenyetso bisanzwe byavuzwe haruguru ariko ishobora kwiyongera cyane ikagera aho inanirwa guhumeka cyangwa igatakaza ubwenge. Ni ikibazo cyihutirwa cy’ubuvuzi gisaba ubufasha bwihuse.
Iyi allergie ivurwa ite?
Niba ufite ubwivumbure bw'ibinyamisogwe (cyangwa ubwivumbure bukabije bw'ibiryo), muganga wawe ashobora kukwandikira umuti wo gutera inshinge za epinephrine. Ugomba kugumana doze ebyiri igihe cyose mu bihe byihutirwa.
Epinephrine ni umuti utangwa na muganga ukoresheje igikoresho cyoroshye, gisa n'ikaramu. Muganga wawe azakwigisha uburyo bwo kuwukoresha. Ugomba kuwutwara ahantu hose —ntuwusige mu kabati cyangwa mu rugo. Ugomba kuba uri hafi yawe igihe cyose.
Bamwe mu baganga b'indwara ziterwa n'ubwivumbure bashobora kukugira inama yo gutwara imiti igabanya ubukana bw'indwara zo mu mutwe (antihistamines) kugira ngo bagabanye ibimenyetso byoroheje. Ariko, ibuka: mu gihe habayeho ikibazo gikomeye, ugomba kubanza gukoresha inshinge za epinephrine. Antihistamines ntizisimbura epinephrine.
Saba muganga wawe kugufasha gukora "Gahunda y'ibikorwa byo kurwanya ubwivumbure." Iyi nyandiko igaragaza uburyo bwo kwitegura, kumenya no kuvura ingaruka zo kugira ubwivumbure. Sangiza iyi gahunda umuryango wawe, abarimu, abatoza, cyangwa undi muntu wese ukeneye kubimenya. Kwambara umukandara wo kwiyerekana kwa muganga nabyo birasabwa cyane.
Buri segonda ribarwa mu gihe ufite ubwivumbure. Niba ugize ibimenyetso bikomeye nko kubyimba mu muhogo cyangwa kugorwa no guhumeka, koresha inshinge za epinephrine ako kanya. Niba ubonye ibimenyetso mu miterere ibiri y'umubiri (urugero: imisonga ivanze no kuruka), tanga epinephrine vuba kandi uhamagare 911 cyangwa serivisi zihutirwa zo mu gace utuyemo.
Nyuma yo gufata ingamba, hamagara 911 cyangwa serivisi z’ubutabazi bw’ibanze zo mu gace utuyemo , cyangwa se uhamagare umuntu aguhamagare mu ishami ry’ubutabazi bw’ibanze riri hafi yawe. Ugomba gukomeza gukurikiranwa n’abaganga b’inzobere, nubwo waba wumva umeze neza. Hari igihe ibimenyetso bya kabiri by’uburwayi bishobora kubaho ndetse na nyuma y’uko ibimenyetso bya mbere bisa nkaho byagabanutse.
Ni iki kindi ukeneye kumenya?
Niba ufite allergie y'ibinyampeke , ugomba kwirinda ubwoko bwose bw'ibinyampeke burundu . Uretse kwirinda ibiryo ubwabyo, ugomba kuba maso ku bicuruzwa byose bishobora kuba birimo ibintu byihishe. Ku bantu bakunze cyane ibinyampeke, ndetse n'impumuro yo guteka ibiryo byo mu mazi ishobora gutera ikibazo, bityo ni byiza kwirinda resitora cyangwa ibikoni aho ibinyampeke bitegurwa.
Gusoma ibyapa by'ibiribwa ni ingenzi cyane!
Buri gihe soma witonze ibyapa by'ibiribwa kugira ngo urebe niba nta binyabutabire bifite. Mu bihugu byinshi, abakora ibiryo basabwa gushyira ibimenyetso ku bintu bikunze gutera ubwivumbure nk'ibinyabutabire by'amafi (urugero: isambaza, inkeri, umukara). Shaka "ibinyabutabire" ku rutonde rw'ibikenewe cyangwa ushyireho amagambo asobanutse neza agira ati "Birimo ibinyabutabire" ku iherezo ry'urutonde.
Ibuka ko amategeko ashobora gutandukana bitewe n'uturere. Nubwo ibicuruzwa bitumizwa mu mahanga akenshi biba bifite ibyapa birambuye, ibicuruzwa byo mu gace runaka bishobora kutajya bitanga amakuru asobanutse neza. Kubwibyo, ugomba kwitonda cyane.
Nubwo urutonde rw'ibintu bigaragara ko ari byiza, guhura kw'ibikomoka ku bimera bishobora kubaho mu gihe cyo kubitunganya. Witondere amagambo y'umuburo ku birango nka: "Bishobora kuba birimo ibimera by'ibishyimbo," "Bitunganyirizwa mu kigo gitunganya ibimera by'ibishyimbo," cyangwa "Byakorewe ku bikoresho bikoreshwa no mu bimera by'ibishyimbo." Si buri sosiyete isabwa gushyira ikimenyetso ku byandujwe n'ibimera by'ibishyimbo .Niba ufite gushidikanya, inzira nziza ni ukuvugisha uwakoze iyi porogaramu kuri telefoni cyangwa kuri imeri kugira ngo agusobanurire neza.
Byongeye kandi, abakora si ko buri gihe basabwa n'amategeko kwita ibinyamisogwe bya mollusk (nk'ibinyamisogwe, ibinyamisogwe, cyangwa oysters) nk'ibintu by'ingenzi bishobora gutera ubwivumbure. Iyo ikirango kivuga "ibinyamisogwe", akenshi kiba kivuga ku nyamaswa zo mu bwoko bwa crustacean. Niba ufite ikibazo cyihariye, banza umenyeshe ikigo niba hari ibyago byo kwanduzwa na mollusk.
Witondere cyane muri resitora no mu gihe urimo kurya hanze!
Kwanduzanya ni ikibazo gikomeye muri resitora, cyane cyane mu bigo bicuruza amafi. Abakozi bo mu gikoni bashobora gukoresha ubuso bumwe, ibikoresho (imihoro, ibibaho byo gukata, amasafuriya), cyangwa amavuta yo gukaranga haba ku mashanyarazi no ku bindi biribwa, bigatuma uduce duto cyane dushobora kwimuka.
Urugero, niba watumije umuceri ukaranze, amavuta ashobora kuba yarakoreshejwe mu gukaranga isambaza mbere. Iki ni urugero rusanzwe rw'ubwandu bw'ibiyobyabwenge . Kubera ko ibi bikunze kugaragara ahantu hakunze kuba amafi menshi, abantu benshi bahitamo kwirinda ibi bice burundu. Iyo ugiye gufungura hanze, akenshi ni byiza kureka ibiryo bikaranze burundu, kuko resitora nyinshi ziteka inkoko, ifiriti, n'isambaza mu mavuta amwe.
Mbere yo kuva mu rugo, menya neza ko ufite inshinge ebyiri za epinephrine auto-injection zitarashira. Buri gihe menyesha umukozi wawe cyangwa abakozi bo mu gikoni ibijyanye n'ubwivumbure bw'inyama z'inka zawe neza. Hari igihe kuzana ibiryo byawe bwite bifite umutekano ari yo ngamba nziza. Niba umutetsi, umuyobozi, cyangwa nyir'inzu asa n'ufite impungenge cyangwa utazi neza icyifuzo cyawe cyo kurya ibiryo bifite umutekano, ni byiza kutarya muri iyo sosiyete.
Ku ishuri no ku kazi
Ganira n'abakozi ku ngaruka zo kwanduzwa mu ifunguro ry'ishuri. Gupakira ifunguro ryawe rya saa sita akenshi ni bwo buryo bwiza bwo kwirinda, kuko buguha uburenganzira bwo kugenzura ibyo urya.
Kugira ngo ubone ubuyobozi burambuye ku bijyanye no guhangana n'allergie ku biribwa, gana ibigo mpuzamahanga byemewe nka Food Allergy Research and Education Network (FARE) . Ikirenze byose, girana ikiganiro kirambuye na muganga wawe cyangwa inzobere mu bijyanye n'allergie kugira ngo ushyireho gahunda yihariye y'umutekano.
Ubutumwa bwo kujyana mu rugo
Muri make, dore ingingo z'ingenzi cyane zo kwibuka:
- Allergie y'ibishyimbo by'ifi ni indwara ikomeye; ntukigere uyipfobya.
- Niba ufite iyi allergie, irinde isambaza zose (isambaza, inkeri, umukara, umukara, nibindi) kandi komeza kuba maso ku bintu byihishe.
- Buri gihe ujye witwaza inshinge ebyiri za epinephrine kandi umenye neza uko uzikoresha.
- Niba ugize ibimenyetso bikomeye by’ubwivumbure (nk’ubuhumekero bugoye, kubyimba umuhogo/umunwa, cyangwa guta ubwenge), koresha umuti wa epinephrine wihuta kandi ushake ubuvuzi bwihutirwa.
- Soma witonze ibyapa byose by'ibiribwa kandi wirinde kwanduzwa n'ibindi , cyane cyane iyo ugiye kurya hanze.
- Menyesha umuryango wawe, inshuti, ishuri, cyangwa aho ukorera ibijyanye n'ubwivumbure bwawe.
- Ntukabeho mu bwoba. Iyo uyobowe neza kandi ubizi neza, ushobora kubaho ubuzima busanzwe kandi bufite ubuzima bwiza. Kuba maso ni bwo burinzi bwawe bwiza.
Ndizera ko aya makuru aguha imbaraga zo kuguma mu mutekano. Niba ufite ibindi bibazo, nyamuneka hamagara umuganga wawe.
Kurwara indwara y'ibishyimbo, Kurwara indwara zo mu mazi, Kurwara indwara y'ibishyimbo, Kurwara indwara y'ibishyimbo, Kurwara indwara y'ibishishwa, Kurwara indwara y'ibishishwa, Kurwara indwara ya Anaphylaxis, Epinephrine, Kwanduzanya kw'ibishishwa
