Wake wajabulela ukudla okumnandi kwe-shrimp noma i-crab, kodwa wabe usuzwa ukulunywa, ukuqunjelwa, noma ubunzima bokuphefumula ngemuva nje kwalokho? Noma mhlawumbe uke wabona lokhu kwenzeka kumngane noma ilungu lomndeni? Imbangela eyinhloko ingaba ukungezwani komzimba ne-shellfish okungatholakali. Namuhla, ake sixoxe ngakho konke okudingeka ukwazi ngalesi simo, kuchazwe kalula nangokuqondile.
Kuyini Ngempela Ukungezwani Nezinhlayiya Zezinhlayiya Zezinhlayiya?
Kalula nje, ukungezwani komzimba negobolondo uhlobo lokungezwani kokudla. I-Shellfish ibhekisela ezilwaneni ezihlala emanzini ezivame ukuba negobolondo noma i-exoskeleton efana negobolondo. Lezi ngokuvamile zihlukaniswe ngezigaba ezimbili eziyinhloko:
1. Ama-Crustacean: Leli qembu lihlanganisa izinhlobo ezifana nama-shrimp, ama-prawn, izinkalankala, ama-lobster, kanye nama-crawfish.
2. Ama-mollusk: Leli qembu lakhiwa ama-clam, ama-scallop, ama-oyster, ama-mussels, i-octopus, i-squid, kanye neminenke.
Uma une-allergy ye-shellfish, kusho ukuthi isimiso sakho somzimba sokuzivikela sibona ngephutha amaprotheni athile kulezi zilwane zasolwandle njengabahlaseli abayingozi. Umzimba wakho ube usuqala impendulo yokuzivikela ukuze "ulwe" nalawa maprotheni, okubangela ukusabela kokungezwani komzimba.
Yimuphi uShellfish ongabangela ukusabela?
Uma une-allergy kuma-shellfish, kufanele uqaphele ukugwema ukudla noma yikuphi kwalokhu okulandelayo:
- I-Abalone
- Ama-clams (isb., i-cherrystone, i-littleneck, i-pismo, i-quahog)
- Ama-Cockles
- I-Conch
- Izinkalankala
- I-Crawfish/I-Crayfish
- Ama-lobster
- Ama-mollusk (isigaba esijwayelekile)
- Izimbaza
- Ingwane
- Ama-Oyster
- Ama-Scallops
- I-shrimp nama-prawn
- Iminenke yasolwandle (isb., ama-periwinkle)
- I-squid (evame ukubizwa ngokuthi i-calamari)
Inothi Elibalulekile: Ngisho noma ungadli i-shellfish ngqo, usengaba nokusabela kokungezwani komzimba okuvela ezithakweni ezifihliwe kumasoso, amasobho, noma ukudla okulungiselelwe kusetshenziswa izitsha ezifanayo noma izindawo zokupheka (ukuxhumana okuphambene). Ukuqapha kubalulekile.
Ingabe Zonke Izinhlobo Zezinhlanzi Ezinegobolondo Zibangela Ukusabela Okufanayo?
Lona umbuzo obaluleke kakhulu. Uma une-allergy kuhlobo olulodwa lwe-shellfish, kunethuba elikhulu lokuthi uzosabela nakwezinye. Ngokuvamile, ukungezwani komzimba nezilwane ezinama-crustacean (njenge-shrimp kanye ne-crabs) kuvame kakhulu futhi kuvame ukuba kubi kakhulu kunokungezwani komzimba ne-mollusk (njenge-clams kanye ne-mussels).
Kodwa-ke, umzimba womuntu wonke uhlukile. Ungase usabele kakhulu kuma-lobster kodwa awunazo izinkinga ngama-scallop. Ngakho-ke, uma uhlangabezana nanoma yiziphi izimpawu zokusabela kokungezwani komzimba ngemva kokudla noma yiliphi i-shellfish, kufanele uthintane nodokotela noma udokotela we-allergy ngaphambi kokuzama ezinye izinhlobo. Sicela ungazami ukuhlola ukubekezelela kwakho wedwa.
Ingabe Ukungezwani Nezinhlayiya Zezinhlayiya Kufana Nokungabekezeleli Izinhlayiya Zezinhlayiya?
Nakuba la magama evame ukudideka, amelela izimpendulo ezimbili zomzimba ezihluke kakhulu. Uma ukudla i-shellfish kubangela ukucasuka okuncane kwesisu noma isicanucanu, kungenzeka ukuthi ubhekene nokungabekezelelani kwe-shellfish, okusho ukuthi uhlelo lwakho lokugaya ukudla lumane lunenkinga yokulucubungula. Lokhu kuthinta kakhulu indlela yakho yokugaya ukudla.
Ngakolunye uhlangothi, ukungezwani komzimba ne-shellfish kuyingozi kakhulu . Kuthinta amasosha omzimba wakho futhi kungabangela izimpawu kuwo wonke umzimba wakho, ngezinye izikhathi kube yingozi empilweni. Udokotela we-allergy angenza izivivinyo eziqondile ukukusiza ukuhlukanisa phakathi kwalezi ezimbili.
Ubani Othuthukisa Ukungezwani Nezinhlayiya Zezinhlanzi, Futhi Zivame Kangakanani?
Eqinisweni, noma ubani angaba nokungezwani komzimba ne-shellfish. Okuphawulekayo ukuthi ungazithola unesifo sokungezwani komzimba ngokuzumayo ngisho noma usudle i-shellfish iminyaka eminingi ngaphandle kwezinkinga zangaphambilini.
Nakuba kungavela kunoma yimuphi ubudala, kuvame kakhulu kubantu abadala kunasezinganeni.Ngokwezibalo, cishe abantu abangu-60% abanokungezwani ne-shellfish babhekana nezimpawu zabo zokuqala lapho sebekhulile. Lokhu kungenzeka ukuthi abantu abadala banamathuba amaningi okudla i-shellfish, kanti izingane zivame ukuyigwema. Ngenxa yalokho, izimpawu zivela kamuva ekuphileni.
Ingxenye enkulu yabantu emhlabeni wonke—kufika ku-2% kwamanye amazwe—iphila nalokhu kungezwani komzimba.
Yiziphi Izimpawu Zokungezwani Ne-Shellfish?
Lolu ulwazi olubaluleke kakhulu okufanele lukhunjulwe. Izimpawu zingahluka kusukela ekungakhululeki okuncane kuya ezimweni eziphuthumayo ezisongela ukuphila, futhi zingahluka kakhulu kumuntu nomuntu.
Nazi izimpawu ezivamile okufanele uziqaphele:
- Ukuluma nokuphakamisa amaqhubu abomvu noma ama-hives (i-urticaria)
- Ukuwohloka kwezimo zesikhumba ezikhona njenge-eczema
- Ukuvuvukala noma ukuqaqamba kwezindebe, ulimi, noma umphimbo
- Ukuqina kwesifuba, ukuphefumula kanzima, ukukhwehlela, noma ubunzima bokuphefumula
- Ubuhlungu besisu , isicanucanu , ukungagayi kahle ukudla , ukuhlanza, noma isifo sohudo
- Isiyezi, ikhanda elikhanyayo, ukushaya kwenhliziyo okubuthakathaka, noma ukuquleka
- Isikhumba esikhanyayo noma esiluhlaza okwesibhakabhaka
- I-Anaphylaxis: Lesi yisimo esiphuthumayo sezokwelapha . Kuyisenzo esibi kakhulu, esihambisana nomzimba esingaphazamisa ukuphefumula futhi sehlise umfutho wegazi, okungaholela ekufeni uma singelashwa ngokushesha.
Lezi zimpawu zivame ukubonakala zingakapheli imizuzu embalwa kuya emahoreni ambalwa ngemva kokudla i-shellfish.
Yini Ebangela Ukungezwani Ne-Shellfish?
Empeleni, lokhu kwenzeka ngenxa yokungabalwa kahle yisimiso sakho somzimba sokuzivikela. Ngokuvamile, isimiso sakho somzimba sokuzivikela sikuvikela ezifweni eziyingozi ezifana namagciwane namagciwane. Nokho, ekungezwani kokudla, ngephutha sibonisa iphrotheni yokudla engenangozi njenge "invader" eyingozi futhi ikhiqize ama-antibodies okulwa nayo.
Inkinga Enkulu Kakhulu: Ukushaqeka Kwe-Anaphylactic
Njengoba kushiwo, ingozi eyingozi kakhulu yokungezwani komzimba negobolondo ukushaqeka kwe-anaphylactic . Lokhu kusabela okunamandla, okusheshayo kwe-allergy kungaba yinto engalindelekile. Ungase ube nokulunywa okuncane kuphela ngesikhathi sokusabela kwakho kokuqala, kodwa ukuchayeka okulandelayo kungabangela impendulo enzima ye-anaphylactic.
Yingakho kufanele ubike noma yiziphi izimpawu zokungezwani komzimba—kungakhathaliseki ukuthi zibonakala zincane kangakanani—kuchwepheshe bezempilo. Ukuhlonza ukungezwani kokudla kusenesikhathi kuyindlela ephephile yokuvimbela inkinga esongela ukuphila esikhathini esizayo.
Itholakala Kanjani I-Allergy ye-Shellfish?
Ukuhlonza ukungezwani komzimba ne-shellfish ngezinye izikhathi kungaba yinselele ngoba izimpawu zingahlukahluka futhi zihluke phakathi kwabantu. Ukusabela kungenzeka ngisho nangaphandle kokudla i-shellfish ngqo—ngokwesibonelo, ngokuphefumula umusi ngesikhathi sokupheka noma ukudla ukudla okuye kwahlangana ne-shellfish.
Udokotela wakho noma udokotela wezifo zokungezwani komzimba cishe uzokubuza imibuzo eningiliziwe, njengokuthi:
- Yikuphi ukudla okukhethekile okudlile, futhi ngamanani amangaki?
- Izimpawu zavela ngokushesha kangakanani?
- Yiziphi izimpawu eziqondile owazibona?
- Zahlala isikhathi esingakanani lezo zimpawu?
Ukuqinisekisa ukuxilongwa, udokotela wakho angase ancome ukuhlolwa okulandelayo kwemitholampilo:
- Ukuhlolwa kokugwazwa kwesikhumba: Ithonsi elincane le-shellfish extract lifakwa esikhumbeni sakho, bese ligwazwa kancane. Uma kuvela iqhubu elibomvu eliphakanyisiwe nelilumayo (wheal) phakathi kwemizuzu eyi-15 kuya kwengama-20, lokhu kubonisa ukuthi kungenzeka ukuthi kukhona ukungezwani komzimba.
- Ukuhlolwa kwegazi:Lokhu kulinganisa impendulo yesimiso sakho somzimba ngokuhlola izinga lama-antibodies e-IgE aqondene ne-allergen egazini lakho.
Ukuhlolwa kukodwa akuhlali kuqinisekile; umlando wakho wezokwelapha ubalulekile. Kwezinye izimo, udokotela angase enze inselele yokudla ngomlomo . Ngaphansi kokubhekwa okuqinile kwezokwelapha endaweni yezokwelapha, unikezwa inani elincane, elikhulayo le-allergen okusolwayo ukuze kubonakale ukuthi kwenzeka yini ukusabela. Lena indinganiso yegolide yokuxilongwa kodwa akumelwe neze izanywe ekhaya.
Indlela Yokuphatha Ukungezwani Ne-Shellfish
Okwamanje, ayikho ikhambi elihlala njalo lokungezwani komzimba ne-shellfish. Akukwazi ukukhuliswa noma ukuguqulwa ngemithi. Ngakho-ke, indlela ephephe kakhulu yokuvikela impilo yakho ukugwema ngokuphelele zonke i-shellfish.
Lokhu kusho ukuhlola hhayi nje kuphela i-shellfish ephelele, kodwa noma yikuphi ukudla okucutshunguliwe okungase kube nezinto ezisuselwe ku-shellfish. Amazwe amaningi anemithetho eqinile yokulebula i-allergen edinga abakhiqizi ukuthi baveze ngokucacile izinto ezinkulu ezibangela i-allergen njenge-shellfish kumalebula ephakethe. Funda njalo uhlu lwezithako ngokucophelela ngaphambi kokuthenga noma ukudla ukudla okupakishiwe.
Okufanele Ukwenze Uma Une-Allergic Reaction
Ukwazi ukuthi ungasabela kanjani esimweni esiphuthumayo kungasindisa impilo yakho. Uma une-allergy enkulu (i-anaphylaxis), ukwelashwa kokuqala nokuphumelela kakhulu yi -epinephrine (i-adrenaline).
Uma kutholakala ukuthi une-allergy ye-shellfish, udokotela wakho uzokunikeza i -epinephrine auto-injector (njenge-EpiPen®). Bazokuqeqesha ukuthi ungayisebenzisa kanjani nokuthi nini ukuze ulungele isimo esiphuthumayo.
Uma uzwa ukusabela okubi kakhulu bese unikeza i-epinephrine auto-injector yakho, isinyathelo esilandelayo ukushayela ucingo ngokushesha ku-911 noma izinsizakalo zezokwelapha eziphuthumayo zasendaweni yakho. Qiniseka ukuthi utshela abathumeli bezimo eziphuthumayo ukuthi kwenzekeni nokuthi usebenzise i-auto-injector yakho. Kusazodingeka ukuthi uhlolwe egumbini lezimo eziphuthumayo, njengoba kungase kwenzeke ukusabela kwesibili.
Kufanele Usebenzise Nini I-Epinephrine Auto-Injector Yakho?
Sebenzisa i-auto-injector yakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo:
- Ubunzima bokuphefumula, ukukhwehlela okuphindaphindiwe, ukushaya kwenhliziyo okubuthakathaka, amaqhubu asakazekile, noma ukuqina komphimbo.
- Inhlanganisela yezimpawu ezivela ezinhlotsheni ezahlukene zomzimba (njengokuqunjelwa kanye nokuvuvukala kobuso okuhambisana nokuhlanza noma uhudo).
Ochwepheshe be-allergy bagcizelela ukuthi: uma ungaqiniseki ukuthi ukusabela kwakho kudinga i-epinephrine, kuphephile kakhulu ukuyinika. Izinzuzo zomzimba zokusebenzisa i-epinephrine esimweni esiphuthumayo okusolwayo zidlula kakhulu noma yiziphi izingozi zokuyinika ngokungadingekile.
Ingabe Kukhona Eminye Imithi Yokwelapha Ukungezwani Ne-Shellfish?
Uma unezimpawu ezincane, ezitholakala endaweni ethile (njengokulunywa okuncane noma ama-hives ambalwa), udokotela wakho angase ancome i- antihistamine engathengiswa ngaphandle kwemithi kadokotela (njenge-Benadryl®). Kodwa-ke, sicela ukhumbule: ama-antihistamine awakwazi ukuvimba noma ukwelapha ukusabela kwe-anaphylactic okusongela impilo - i-epinephrine kuphela engenza lokho.
Ukuvimbela Kanjani Ukusabela Kokungezwani Nezimbaza Ezivela Ku-Shellfish?
Isu eliphumelela kakhulu lokuvimbela ukusabela lilula: gwema ngokuphelele i-shellfish ekudleni kwakho.
Ngaphezu kwalokho, khumbula lezi zindlela zokuphepha ezibalulekile:
- Qaphela ezindaweni lapho i-shellfish iphekwa noma icutshungulwa khona: Nakuba kungavamile, ukuphefumula umusi noma umhwamuko wokupheka ovela e-shellfish ebilayo noma ethosiwe kungabangela ukusabela kokungezwani komzimba. Ukuthinta nje i-shellfish kungabangela nokusabela kwesikhumba endaweni ethile kwabanye abantu abazwelayo.
- Qaphela kakhulu ezindaweni zokudlela zasolwandle: Ngisho noma u-oda isidlo esingeyona i-shellfish, kunengozi enkulu yokuxhumana uma ikhishi lisebenzisa ama-fryer, ama-grill, noma izitsha ezifanayo ze-shellfish. Njalo yazisa iseva yakho ngokungezwani komzimba kwakho okukhulu ngaphambi koku-oda.
Yikuphi Ukudla Okungalindelekile Okungase Kuqukathe I-Shellfish?
I-Shellfish ingacasha ezindaweni ezingalindelekile. Qiniseka ukuthi uhlola kabili izithako uma udla:
- Izitshulu zokudla kwasolwandle kanye nesobho njenge-bouillabaisse noma i-cioppino.
- Uyinki we-Cuttlefish.
- Isitokwe senhlanzi noma amasoso enhlanzi.
- Izinhlanzi zokulingisa (njenge-surimi, ezingasebenzisa izingcezu ze-shellfish ukuze zinonge).
- Izinongo noma izinongo zokudla kwasolwandle.
- I-Surimi (inyama yenkalankala yokulingisa).
Ingabe Abantu Bake Bakhule Bangabi Nokungezwani Ne-Shellfish?
Ngokungafani nezinye izinto ezibangelwa ukungezwani komzimba ebuntwaneni, ukungezwani komzimba negobolondo kuvame ukuba yinto yokuphila konke. Akuvamile ukuthi kuphele, ngakho-ke ukuphathwa okuqhubekayo kubalulekile.
Indlela Yokuphila Ngokuphepha Nokungezwani Ne-Shellfish
Nakuba ukungezwani komzimba ne-shellfish kudinga ukulungiswa kwendlela yokuphila, usengaphila impilo egcwele, ejabulisayo, nematasa. Khumbula le mikhuba ebalulekile yokuphepha:
- Yazi kahle ukuthi udlani. Funda amalebula ezithako njalo uma uthenga umkhiqizo. Ngisho noma uke wadla umkhiqizo othize ngokuphephile ngaphambili, abakhiqizi bangashintsha izindlela zabo zokupheka ngaphandle kwesixwayiso.
- Uma ingane yakho inalokhu kungezwani komzimba, yifundise ukuthi ingalokothi yabelane ngokudla nezingane efunda nazo noma yamukele ukudla okulula okuvela kubangani.
- Qaphela kakhulu lapho udla ngaphandle. Khuluma nompheki noma umphathi, bese uchaza ngokucacile ubukhulu bokungezwani komzimba kwakho.
- Cabanga ukugqoka isongo sezokwelapha noma ukuphatha ikhadi lokungezwani komzimba esikhwameni sakho ukuze wazise abanye uma kunesimo esiphuthumayo.
- Uma unikezwe umuthi, phatha njalo i-epinephrine auto-injector yakho nawe. Kungcono ukuphatha iphakethe lamaphakethe amabili, njengoba ezinye izimo ezinzima zidinga umthamo wesibili ngaphambi kokuba kufike usizo lwezokwelapha.
Kufanele Ubone Udokotela Nini?
Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokudla i-shellfish—noma ngabe zincane kakhulu —hlela i-aphoyintimenti nodokotela noma udokotela wezifo zokungezwani komzimba. Khumbula ukuthi ukusabela kokuqala okuncane akuqinisekisi ukuthi ukuvezwa kwakho okulandelayo kuzoba kuncane. Ukuhlolwa okufanele kuyindlela ephephile yokwenza.
Yiya ngqo egumbini lezimo eziphuthumayo eliseduze noma ushayele ucingo ukuze uthole usizo oluphuthumayo uma uhlangabezana nezimpawu ze-anaphylaxis (njengobunzima bokuphefumula noma ukugwinya) noma uma izimpawu zakho zingathuthuki ngemva kokunikeza i-epinephrine.
Ingabe Kukhona Ukuxhumana Phakathi Kokungezwani Ne-Shellfish kanye Nokungezwani Ne-Iodine?
Kuyinganekwane evamile ukuthi ukungezwani ne-shellfish kubangelwa yi-iodine, okwenza abantu bakholelwe ukuthi nabo bane-allergy ku-iodine. Kodwa-ke, lokhu akuhlobene nhlobo. Ukungezwani ne-shellfish kubangelwa amaprotheni asesilwaneni, hhayi i-iodine. Uma une-allergy ye-shellfish, akudingeki ugweme usawoti one-iodine, futhi akusho ukuthi uzosabela ku-radiocontrast media esekelwe ku-iodine esetshenziswa kuma-imaging scan. Njalo xoxa nganoma yiziphi izinkinga nodokotela wakho noma udokotela we-radiologist kusengaphambili.
Izwi lokugcina elivela eNirogi Lanka...
Ukuphila nokungezwani komzimba ne-shellfish kungazwakala kuyinselele, ikakhulukazi uma uthanda ukudla kwasolwandle. Kodwa-ke, ukuqapha okunolwazi kuyindlela yakho engcono kakhulu yokuzivikela. Ngokugwema i-shellfish ngokuzikhandla nangokulungiselela izimo eziphuthumayo, ungazivikela ezinkingeni ezinkulu ezingasongela ukuphila.
Uma usola ukuthi uke waba nokusabela kokungezwani komzimba ne-shellfish, xhumana nodokotela wakho noma nodokotela we-allergy ngokushesha. Bangakusiza ukuqinisekisa ukuxilongwa kwakho, bakhe uhlelo lokuphatha oluqondene nawe, futhi bakubonise ngqo ukuthi ungasebenzisa kanjani i-epinephrine esindisa impilo. Impilo yakho nokuphepha kusezandleni zakho, futhi silapha ukukusekela kuzo zonke izinyathelo zendlela!
ukungezwani komzimba negobolondo, ukungezwani komzimba nokudla kwasolwandle, i-anaphylaxis, i-epinephrine, ukungezwani kokudla, izimpawu zokungezwani komzimba, igobolondo
