Ngaba nawe uziva ugula emva kokutya i-shrimp, i-crab, okanye i-shellfish? Masifunde ngale (i-Shellfish Allergy)?

Xa ucinga ngeentlanzi zaselwandle, umlomo wakho uqala ukumanzi, akunjalo? Ingakumbi izinto ezifana ne-shrimp, i-crab , i-mussels, kunye ne-oysters zimnandi kakhulu. Kodwa, uyazi, abanye abantu abazichukumisi nokuchukumisa oku kutya kumnandi. Ukutya kancinci kunokubangela zonke iintlobo zeengxaki kunye nobunzima. Namhlanje siza kuthetha ngenye yeemeko ezinjalo, oko kukuthi, `(I-Shellfish Allergy)`. Oku kunokuba yingozi kakhulu kwabanye abantu, ngoko ke kubaluleke kakhulu ukuqaphela oku.

Yintoni i-"Shellfish Allergy"? Masiyiqonde ngokulula.

Okokuqala, "i-Shellfish Allergy" kunye nento esidla ngokuyibiza ngokuba yi-"Seafood Allergy" azifani ncam. Ngoku, xa sisithi "i-Seafood", iquka zombini iintlanzi (umzekelo, ii-clams, ii-mussels) kunye nezidalwa zaselwandle ezineegobolondo, oko kukuthi "i-Shellfish" (umzekelo, ii-shrimp, ii-crabs).

Nangona zombini ziwela kudidi "lokutya kwaselwandle", ngokwebhayoloji, intlanzi kunye ne-shellfish ngamaqela amabini ahlukeneyo ngokupheleleyo. Ke ngoko, ukuba umntu une-"Shellfish Allergy" kuphela, ngesiqhelo akayi kuba ne-allergy kwiintlanzi. Nangona kunjalo, ingxaki kukuba loo mntu naye une-allergy eyahlukileyo kwiintlanzi.

Ngoku makhe sibone ukuba ezi "Shellfish" zingahlulwahlulwa zibe ziindidi ezimbini.

1. Uhlobo lokuqala lubizwa ngokuba yi-`(Crustaceans)`. Ngamafutshane, zizilwanyana ezineqokobhe, imilenze emininzi, kwaye zifana nezinambuzane. Umzekelo:

• Iishrimp/iiprawn
• Iinkala
• Iikreyibhi

2. Uhlobo lwesibini lubizwa ngokuba yi-"Mollusks". Ezi zilwanyana zihlala zithambile kwaye zihlala zineqokobhe elinye okanye amabini okuzikhusela. Umzekelo:

• Iimbaza
• Iimbaza
• Iioyster , iiscallops
• Isikwati
• I-okthophasi

Abanye abantu banokuba ne-aleji kwiintlobo zombini ze-`(Shellfish)`. Oku kuthetha ukuba baya kuba nengxaki yokutya zombini ii-shrimp kunye nee-shellfish. Nangona kunjalo, abanye abantu banokuba ne-aleji kuhlobo olunye kuphela. Umzekelo, banokuba nengxaki yokutya ii-shrimp kodwa bangabi nangxaki yokutya ii-shellfish.

Amaxesha amaninzi, iimpawu ze-"Shellfish Allergy" zivela xa umntu esitya olu hlobo lokutya. Kodwa, ubusazi, ngamanye amaxesha nokubamba ezi zilwanyana okanye ukuphefumla umsi ophekiweyo kunokubangela olu hlobo lwe-allergy . Ngoko ke kufuneka ulumke kakhulu.

Khumbula ukuba le `(Shellfish Allergy)` inokwenzeka nakweyiphi na iminyaka. Kwanomntu obesoloko enandipha ukutya iishrimp kunye neenkala ixesha elide ngaphandle kweengxaki unokufumana le allergy ngequbuliso. Ezinye ii-allergy zokutya ziyaphela ngokuhamba kwexesha, kodwa abantu abane-`(Shellfish Allergy)` badla ngokuhlala nayo ubomi babo bonke. Yinto ebuhlungu kancinci, kodwa ukuba ilawulwa ngokufanelekileyo, akukho ngxaki.

Zithini iimpawu ze-"Shellfish Allergy"?

Xa umntu ene-`(Shellfish Allergy)`, okwenzekayo kukuba inkqubo yomzimba wethu yokuzikhusela, edla ngokulwa nezifo, isabela ngokugqithisileyo kwiiproteni ezithile kwi-`(Shellfish). Khawuthelekelele, xa inkqubo yomzimba wethu yokuzikhusela ibona ezi proteni, icinga ukuba, "Utshaba lufikile!" Emva koko zikhupha iikhemikhali ezininzi ezifana ne-`( Histamine )`. Kungenxa yokukhululwa kwezo khemikhali ukuba iimpawu zibonakale.

Makhe sibone ukuba zeziphi ezo mpawu:

• Ubunzima bokuphefumla: Ukuphefumla nzima, ukuphefumla nzima, ukuphefumla ngokukhawuleza.
• Ukutshintsha kokukhwehlela nomphimbo: Ukukhwehlela okuqhubekayo, ukuziva uxinene emqaleni, kunye nokutshotshozela kwelizwi.
• Ukuphazamiseka kwesisu: Kunokubakho iintlungu zesisu, isicaphucaphu, ukuhlanza, kunye norhudo.
• Iziphumo emehlweni: Amehlo arhawuzelelwayo, ukukrazula, ukudumba kwamehlo.
• Iimpawu zolusu: ukurhawuzelela (ii-hives) emzimbeni wonke, amabala abomvu, ukudumba (ingakumbi imilebe, ulwimi, nobuso).
• Uxinzelelo lwegazi oluphantsi: Oku kuyingozi kancinci. Ungaziva unesizungu okanye uphelelwe ngamandla ukuba uxinzelelo lwakho lwegazi luyehla ngequbuliso.

Iimpendulo kule "Shellfish Allergy" zinokwahluka ukusuka kumntu ukuya komnye, kwanangaphakathi komntu omnye. Ngamanye amaxesha inokuba buthathaka kakhulu, ibe nokurhawuzelela kuphela eluswini. Kodwa ngamanye amaxesha, inokuba yimpendulo enzima echaphazela iindawo ezininzi zomzimba.

Okubaluleke kakhulu: `(I-Shellfish Allergy)` inokubangela i-allergy enzima kakhulu, nesongela ubomi ebizwa ngokuba yi-`(Anaphylaxis). Nokuba ube ne-reaction encinci kuphela okokuqala, akunakwenzeka ukuba i-`(Anaphylaxis)` yenzeke kwixesha elizayo.

Le meko, ebizwa ngokuba yi-"Anaphylaxis", ingaqala ngeempawu ezifanayo nezo zikhankanyiweyo ngaphambili. Kodwa emva kwexesha elithile, kunokuba nzima ukuphefumla kangangokuba ungalahlekelwa zingqondo. Oku kunokuchaphazela amalungu angaphezu kwelinye omzimba. Ukuba akunyangelwanga ngexesha, kunokuba yingozi ebomini. Ngoko ke ayisiyongcinga ilungileyo ukuyithatha lula le nto.

Uyiphatha njani i-allergy efana nale?

Ukuba une-allergy ye-shellfish (okanye naluphi na olunye uhlobo lwe-allergy yokutya olunzima), ugqirha wakho mhlawumbi uya kukunika iidosi ezimbini ze-epinephrine ukuze uhlale unazo ngamaxesha onke. Eli liyeza onokulisebenzisa xa kukho imeko engxamisekileyo.

I-Epinephrine liyeza elinikwa ngugqirha. Liza ngesixhobo esincinci, esilula ukusiphatha ("i-auto-injector"). Lifana nepeni. Ugqirha wakho uza kukuchazela indlela yokulisebenzisa. Ufanele uligcine nawe rhoqo. Aliyi kusebenza kwilokhari okanye kwigumbi lomongikazi esikolweni. Ufanele uliphathe naphi na apho uya khona.

Ngamanye amaxesha iingcali ze-allergy zicebisa ukuba kubekho ii-antihistamines esandleni, kuba zinokunceda ukulawula iimpawu ezincinci ze-allergy. Kodwa khumbula, kwimeko ye-allergy enzima, ii-antihistamines kufuneka zisetyenziswe kuphela emva kokufakwa inaliti ye-epinephrine, kungekhona endaweni ye-epinephrine.

Ugqirha wakho angakunika "Isicwangciso Sokwenza Izinto Ezibangela Ukunganyamezelani". Esi siza kukuxelela indlela yokulungiselela, ukuqaphela, kunye nokunyanga impendulo yokunganyamezelani. Yabelana ngesi sicwangciso nabani na ofuna ukwazi, njengosapho lwakho, amagosa esikolo, kunye nabaqeqeshi. Kukwangumbono olungileyo ukunxiba "isongo sesilumkiso sezonyango" esichaza izinto ezibangela ukunganyamezelani kwakho.

Imizuzwana nganye ibalwa ngexesha lokusabela kwe-allergy. Ukuba uqala ukuba neempawu ezibi kakhulu ze-allergy, ezinje ngokudumba komlomo okanye umphimbo wakho, okanye ubunzima bokuphefumla, sebenzisa inaliti ye-epinephrine ngoko nangoko. Kwakhona, ukuba iimpawu zakho zenzeka kwiindawo ezimbini ezahlukeneyo zomzimba wakho ngaxeshanye (umzekelo, ukurhawuzelela kunye nokuhlanza), sebenzisa inaliti ye-epinephrine ngoko nangoko.

Emva koko fowunela u-1990 ngoko nangoko (iNkonzo yeeAmbulensi yaseSri Lanka) , okanye uthathe umntu uye naye kwigumbi likaxakeka lesibhedlele ngokukhawuleza. Kufuneka ube phantsi kweliso likagqirha. Ngamanye amaxesha, nokuba izinto ezimbi zibonakala ngathi ziphelile, kunokubakho elinye igagasi leempawu ezinzima (i-'biphasic reaction').

Yintoni enye ekufuneka siyazi ngale nto?

Ukuba une-`(Shellfish Allergy)`, akufanele utye olu hlobo lolwandle nangasiphi na isizathu. Akupheleli apho, kufuneka uphephe nokutya okunye ukutya okunokuba nako. Kwabo banemvakalelo yokuvumba kwe-`(Shellfish)` yokupheka, kungcono ukuhlala kude neendawo zokutyela kunye neendawo ezifanayo apho ziphekwa khona kangangoko.

Ukufunda iilebheli zokutya kubaluleke kakhulu!

Soloko ufunda iilebheli zokutya ngononophelo ukuze ubone ukuba ukutya kuqulethe `(iShellfish)`. Abavelisi bokutya abathengisa kumazwe afana ne-United States kufuneka babhale ngokucacileyo kwilebheli ukuba iimveliso zabo ziqulethe `(iCrustacean shellfish)` (oko kukuthi, ezo ntlobo zeshrimp, unonkala, njl.njl.). Ilebheli iya kubhala "iShellfish" kuluhlu lwezithako, okanye iya kubhala "Iqulethe iShellfish" emva koluhlu.

Nangona kunjalo, kwilizwe lethu, le meko isenokuba yahlukile kancinci. Nangona ezinye iimveliso ezingeniswa kwamanye amazwe zineelebheli ezilungileyo, iimveliso zasekuhlaleni zisenokungabi nalo lonke ulwazi olucacileyo. Ngoko ke, umntu kufuneka alumke kakhulu.

Ezinye ukutya zingabonakala zilungile kuluhlu lwezithako, kodwa xa zenziwe, zinokudibana ne-`(Iintlanzi zeShellfish)`. Oku kubizwa ngokuba yi -`(Ukungcola okunqamlezileyo)` . Umzekelo, khangela amabinzana acebisayo kwileyibhile afana nelithi `Ingaqulatha iintlanzi zeShellfish,'' `Icutshungulwa kwindawo ekwacutshungulwa iintlanzi zeShellfish,'' okanye `Yenziwe kwizixhobo ezisetyenziselwa iintlanzi zeShellfish.'' Ayizizo zonke iinkampani ezibhala oku `(Ukungcola okunqamlezileyo)`. Ngoko ke ukuba unamathandabuzo, kungcono ukufowunela okanye uthumele i-imeyile kwinkampani ukuze ufumane ngokuqinisekileyo.

Kwakhona, abavelisi abanyanzelekanga ngokomthetho ukuba babhale iilebhile kwizithako eziqulethe `(i-Mollusk shellfish)` (oko kukuthi, ii-clams, ii-mussels, kunye nee-oysters) kuba azithathwa njenge-allergen enkulu yokutya (phantsi komthetho wase-US). Xa iilebhile zisithi `(i-Shellfish)`, zihlala zithetha `(i-Crustacean shellfish)`. Ke ngoko, kubalulekile ukubuza inkampani ukuba kukho umngcipheko `(wokungcoliswa okunqamlezileyo)` kunye `(ii-Mollusks)`.

Lumka kakhulu xa usitya ngaphandle nakwiindawo zokutyela!

Ungcoliseko oluxutyiweyo luqhelekile kwiindawo zokutyela, ingakumbi ezo ziphakela ukutya kwaselwandle. Ekhitshini, abasebenzi badla ngokusebenzisa umphezulu ofanayo, izixhobo (ezifana neemela, iibhodi zokusika, kunye neepani), okanye iioyile ukulungiselela i-shellfish kunye nokunye ukutya, okunokudlulisela amasuntswana e-shellfish kwenye ukutya.

Khawuthelekelele usiya kwindawo yokutyela uze u-ode irayisi eqhotsiweyo. Kodwa ukuba bayiqhotsa kwioyile efanayo, isenokuqhotswa, akunjalo? Yiloo nto siyibiza ngokuba yi-"cross-contamination." Oku kuqheleke kakhulu kwiindawo zokutyela zaselwandle, ngoko abanye abantu bacinga ukuba kukhuselekile ukuziphepha ngokupheleleyo ezo ndawo. Xa usitya ngaphandle kwiindawo zokutyela, kunokuba ngumbono olungileyo ukuphepha ukutya okuqhotsiweyo. Oku kungenxa yokuba iindawo ezininzi ziqhotsa inkukhu, ii-French fries, kunye ne-"shellfish" kwioyile enye.

Xa usiya ngaphandle, qiniseka ukuba unemijovo emibini ye-epinephrine engapheliyo. Kwakhona, qiniseka ukuba uxelela umlungiseleli wakho wokutya okanye umncedisi wakho malunga nokunganyamezelani kweentlanzi zakho. Ngamanye amaxesha, licebo elihle ukuzisa ukutya okukhuselekileyo ekhaya owaziyo ukuba kukhuselekile kuwe. Ukuba umpheki, umphathi, okanye umnini ubonakala engakhululekanga ngesicelo sakho sokutya okukhuselekileyo, mhlawumbi kungcono ukuphepha ukutya kuloo ndawo yokutyela.

Esikolweni nasemsebenzini

Thetha nabasebenzi malunga nomngcipheko wokungcola kokutya okufumaneka kwivenkile yesikolo. Kwiimeko ezininzi, kungcono ukupakisha isidlo sakho sasemini. Ngale ndlela, unokulawula okukuyo.

Ukuba ufuna ukufunda okungakumbi malunga nendlela yokulawula ezi allergies zokutya, kukho ulwazi kwiwebhusayithi zemibutho yamazwe ngamazwe efana ne-"Food Allergy Research and Education Network (FARE)". Kwakhona, kungcono ubuze ugqirha wakho okanye ingcali ye-allergies ngolwazi oluthe kratya.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, singakukhumbuza ngezinye zezinto esithethe ngazo ocinga ukuba zibalulekile?

• I-"Shellfish Allergy" yimeko enokuba yingozi kakhulu, ngoko ke musa ukuyithatha lula.
• Ukuba unesifo sokunganyamezelani neso sifo, kuphephe ukutya nayiphi na intlanzi enjenge-shrimp, i-crab, i-mussels, okanye ii-clams. Lumka kakhulu ngokutya okunye okunokuba nazo.
• Soloko uphatha iinaliti ezimbini ze-`(Epinephrine)` nawe. Yazi kakuhle indlela yokuyisebenzisa.
• Ukuba ufumana iimpawu ezibuhlungu ze-allergy (ezifana nobunzima bokuphefumla, ukudumba komphimbo/umlomo, ukulahlekelwa zingqondo) , sebenzisa i-epinephrine ngoko nangoko uze uye esibhedlele.
• Funda iilebheli zokutya ngononophelo. Qaphela ungcoliseko oluvela kwezinye izinto, ingakumbi xa usitya ngaphandle.
• Xelela usapho lwakho, abahlobo, kunye nabantu osebenza nabo esikolweni/emsebenzini nge-allergy yakho.
• Ungakhathazeki. Ukuba ilawulwa kakuhle, ungaphila ubomi obuqhelekileyo ngale `(Shellfish Allergy)`. Isitshixo kukwazi nokulumka.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba unemibuzo engaphezulu, qiniseka ukuba uthetha nogqirha wakho.

Ukunganyamezelani kweentlanzi zeShellfish, iAnaphylaxis, iEpinephrine, ukungcoliswa okunqamlezileyo