Cabanga ukuthi uye endaweni yokudlela yokudla kwasolwandle nabangani bakho wadla ukudla okumnandi njenge-shrimp, ama-clam, kanye nezinkalankala. Kodwa ngemva kwesikhashana, umzimba wakho wonke uqala ukuba bomvu futhi ulume, izindebe zakho ziyavuvukala... futhi ungase ukuthole kunzima nokuphefumula. Yilokhu abaningi bethu abakwesabayo, futhi kungaba ukuqala 'kwe-Shellfish Allergy' okubonwa abantu abaningi. Nakuba lokhu kungaba yinto encane kwabanye, kungaba yisimo esibi esingaba yingozi ngisho nakwabanye. Ngakho-ke namuhla, ake sixoxe ngalokhu ngokuningiliziwe nangokulula.
Kuyini Ukungezwani Nezinhlayiya Zezinhlayiya Zezinhlayiya?
Kalula nje, i-Shellfish Allergy iwukungezwani komzimba okubangelwa ukudla, okungukuthi, ukungezwani kokudla. Uma abantu bethi 'i-Shellfish', bacabanga ngezinhlanzi, kodwa akunjalo. I-Shellfish yizilwane ezihlala emanzini futhi ezinesembozo esifana negobolondo emizimbeni yazo. Zihlukaniswe kakhulu ngamaqembu amabili.
Ukuze siqonde kahle, ake sibheke lokhu:
| Uhlobo lwe-Shellfish | Izibonelo |
|---|---|
| Ama-Crustacean | I-shrimp, inkalankala, i-lobster |
| Ama-mollusk | Ama-oyster, i-squid, i-octopus, ama-mussels, ama-scallop |
Ngokuvamile, iqembu lokuqala, okungukuthi, ama-crustacean, libangela ukungezwani komzimba okuningi. Kodwa ezinye izinhlobo nazo zingabangela ukungezwani komzimba.
Yiziphi izinhlobo ze-shellfish ezingabangela ukungezwani komzimba?
Uma usola ukuthi une-allergy ye-shellfish, noma utshelwe udokotela, kufanele uqaphele kakhulu ngalokhu kudla. Kufanele ukugweme ukukudla ngokuphelele.
- I-shrimp nama-prawn
- Udoti
- Isikhuphashe
- I-Squid / i-Calamari
- Ama-Oyster (Ama-Clam, Ama-Oyster, Ama-Mussel, Ama-Scallops)
- Ingwane
- Iminenke
- I-Crawfish kanye ne-Crayfish
- Izinhlobo ezahlukene ze-shellfish njenge-Abalone, i-Cockle, ne-Conch
Into ebaluleke kakhulu ukuthi uma une-allergy yohlobo oluthile, kufanele nakanjani uthintane nodokotela wakho ngaphambi kokuzama ezinye izinhlobo.
Ingabe ukungezwani komzimba ne-Shellfish kuyinto efanayo?
Yebo, yilapho abantu abaningi bedideka khona. Lezi yizimo ezimbili ezihluke ngokuphelele. Kubaluleke kakhulu ekuphepheni kwakho ukwazi umehluko ngqo.
Cabanga nje ukuthi ngemva kokudla i-shellfish, uthola ukucasuka okuncane esiswini, ubuhlungu besisu, noma i-flatulence. Lokhu kungenzeka kakhulu ukuthi yi- Shellfish Intolerance . Lokhu kusho ukuthi uhlelo lwakho lokugaya ukudla alukwazi ukugaya ukudla kahle. Nakuba lokhu kungaba yinto engakhululekile, akusongeli impilo.
Kodwa-ke, uma uzwa amaqhubu, ukuvuvukala kwezindebe zakho, kanye nobunzima bokuphefumula ngemva kokudla i-shellfish, ungase ube nokungezwani komzimba ne-shellfish . Lokhu kungenxa yokuthi amasosha omzimba wakho ahlasela ukudla. Lesi yisimo esibi esingasongela impilo.
Udokotela wakho kuphela ongahlonza ngokunembile umehluko phakathi kwalokhu okubili. Ngakho-ke uma unezimpawu, ungaqageli bese ubona udokotela.
Ubani othola lokhu kungezwani komzimba? Kuvamile kangakanani?
Lokhu kungezwani komzimba kungavela kunoma ubani, kunoma yimuphi ubudala. Into emangazayo ukuthi, ungadla i-shellfish iminyaka eminingi ngaphandle kwezinkinga bese ngokuzumayo uba nokwaliwa yi-allergy ngolunye usuku.
Lokhu kuvame kakhulu kubantu abadala kunasezinganeni ezincane. Ngokusho kocwaningo, abantu abangu-60% abanokungezwani ne-shellfish baqala ukuba nezimpawu lapho sebekhulile. Esinye isizathu salokhu kungaba ukuthi asidli izinhlobo eziningi ze-shellfish lapho sisebancane.
Ziyini izimpawu zokungezwani komzimba ne-shellfish?
Izimpawu zingahluka kakhulu kumuntu nomuntu. Nakuba umuntu oyedwa engase abe nokulunywa okuncane, omunye angase abe nobuhlungu obukhulu ngokwanele ukubangela ukuphelelwa umoya futhi kudingeke ukuba alaliswe esibhedlela. Izimpawu zivame ukuqala zingakapheli imizuzu kuya emahoreni amabili ngemva kokudla i-shellfish.
Ake sibheke lezi zimpawu ngokucacile.
| Ingxenye yomzimba | Izimpawu ezingaba khona |
|---|---|
| Isikhumba | Ukuluma umzimba wonke, ukuqubuka okubomvu (amaqhubu), kanye nokuba kubi kakhulu kwe-eczema. |
| Umlomo Nomphimbo | Ukuvuvukala kwezindebe, ulimi, noma umphimbo, umuzwa wokukhafula noma ukuqina emphinjeni. |
| Uhlelo Lokuphefumula | Ubunzima bokuphefumula, ukuqina kwesifuba, ukukhwehlela, ukuphefumula kanzima. |
| Uhlelo Lokugaya Ukudla | Ubuhlungu besisu, isicanucanu, ukuhlanza, uhudo. |
| Ezinye izici | Isiyezi , ukudinwa, ukushaya kwenhliziyo okubuthakathaka, ukulahlekelwa ukwazi, isikhumba esiluhlaza okwesibhakabhaka. |
| Isimo esiyingozi kakhulu: i-Anaphylaxis | |
| Lesi yisigaba esibi kakhulu nesingase sibe yingozi empilweni se-allergy. Kulesi simo, izimpawu ezivela ezinhlotsheni ezahlukene okukhulunywe ngazo ngenhla zingavela ngesikhathi esisodwa. Isibonelo, kungaba nzima ukuphefumula ngenkathi umzimba uhlaselwa. Lesi yisimo esidinga ukwelashwa okuphuthumayo. | |
Kungani sithola lokhu kungezwani ne-shellfish?
Isizathu salokhu ukungaqondi kahle okwenzeka ohlelweni lokuzivikela lomzimba wethu, okungukuthi, ohlelweni lokuzivikela komzimba.
Ngokuvamile, umsebenzi wesimiso sethu somzimba ukusivikela ezifweni ngokulwa namagciwane anjengamagciwane namagciwane angena emzimbeni.
Kodwa uma umuntu onesifo sokungezwani komzimba ne-shellfish edla iphrotheni etholakala ku-shellfish, isimiso somzimba sokuzivikela siyibona ngephutha 'njengesitha esiyingozi'. Bese, sikhipha amakhemikhali ahlukahlukene (isib. i-histamine) emzimbeni ukuze ahlasele leso 'sitha'. Yisenzo salawo makhemikhali esibangela zonke izimpawu esikhulume ngazo ngaphambili, njengokulunywa, ukuvuvukala, kanye nobunzima bokuphefumula.
Udokotela uluthola kanjani lolu hlobo lokungezwani komzimba?
Uma uba nezimpawu ngemuva kokudla i-shellfish, into yokuqala okufanele uyenze ukubona udokotela. Uzokubuza imibuzo embalwa.
- Udleni? Udle malini?
- Izimpawu zaqala isikhathi esingakanani ngemva kokudla?
- Ziyini izimpawu?
- Sekuyisikhathi esingakanani belapho?
Ngalolu lwazi, udokotela angase ancome ukuhlolwa okuningana ukuqinisekisa ukuthi kukhona ukungezwani komzimba.
1. Ukuhlolwa Kokuhlatshwa Kwesikhumba: Lokhu kuhilela ukubeka ithonsi loketshezi oluqukethe i-allergen (iphrotheni evela ku-shellfish) esikhumbeni sesandla sakho bese usihlatshwa kancane nge-pruck encane. Uma indawo iba bomvu, ivuvuke, futhi ilume phakathi nemizuzu eyi-15-20, kusho ukuthi ungase ube ne-allergy kuleyo nto.
2. Ukuhlolwa Kwegazi: Lokhu kuhlola igazi lakho ukuthi alinawo yini ama-antibodies ngokumelene ne-shellfish.
3. Inselele Yokudla Okudlayo: Lena yindlela kuphela yokuqiniseka nge-100% ukuthi unesifo sokungezwani komzimba noma cha. Kodwa lokhu kwenziwa esibhedlela kuphela, ngaphansi kokuqashwa okuqinile kodokotela. Lapha, unikezwa inani elincane le-shellfish ukuthi ulidle kancane kancane, futhi ucelwa ukuthi uqaphele noma yiziphi izimpawu. Ungalokothi uzame lokhu ekhaya wedwa.
Wenzani uma une-allergy?
Lena yingxenye ebaluleke kakhulu. Impendulo yakho izoncika ebunzimeni bezimpawu zakho.
Ngezimpawu ezincane
Uma kuyinto encane, njengokulunywa noma ukuqubuka okuncane, udokotela wakho angase akunike i-antihistamine (isib. i-Piriton). Kodwa-ke, le mithi ayikwazi ukulawula izimpawu ezinzima.
Ngezimpawu ezinzima (i-Anaphylaxis)
Uma kuvela izimpawu ezinzima, njengobunzima bokuphefumula, umphimbo oqinile, noma ukulahlekelwa ukwazi, okuwukuphela kokwelashwa okusindisa impilo ukujova i- epinephrine .
- Uma udokotela eqinisekisa ukuthi unesifo sokungezwani komzimba esibi kakhulu ne-shellfish, uzokunikeza umjovo we-epinephrine. Lokhu kuvame ukuza ngesimo se-auto-injector okulula ukuyisebenzisa (isb., i-EpiPen®).
- Udokotela uzokutshela ngqo ukuthi ungayisebenzisa kanjani le nto.
Kubaluleke kakhulu: Uma une-allergy enkulu futhi uthole umjovo we-epinephrine, isinyathelo esilandelayo ukushayela i-ambulensi noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU). Ungalindi kuze kube ngemva komjovo ukuze uthi, "Kulungile, inkinga isixazululiwe manje." Ngoba izimpawu zingase zibe zimbi futhi uma umphumela womjovo usuphelile. Ngakho-ke, kubalulekile ukuba ulaliswe esibhedlela futhi ube ngaphansi kokuqashwa ngudokotela.
Ungakugwema kanjani ukungezwani ne-shellfish?
Akukho ukwelashwa kwalokhu kungezwani komzimba. Ngakho-ke, indlela engcono kakhulu newukuphela kwayo yokukugwema ukugwema ngokuphelele izinhlanzi ezinazo kanye nokudla okunazo.
Nazi ezinye izinto ezingakusiza ngalokho:
- Funda amalebula okudla ngokucophelela: Ngaphambi kokuthenga noma yikuphi ukudla noma isoso esitolo, funda uhlu lwezithako ngokucophelela. Ngezinye izikhathi izinto ongazicabangi ngisho nokucabanga ngazo zingase zibe nezinto ezifana "nokunambitheka kokudla kwasolwandle."
- Qaphela kakhulu ezindaweni zokudlela: Uma uya endaweni yokudlela yokudla kwasolwandle, noma ngabe u-oda izinhlanzi kuphela, kungenzeka ukuthi bazopheka ukudla kwakho ngamafutha afanayo noma kumishini efanayo abathosa ngayo i-shrimp ne-crab. Lokhu kubizwa ngokuthi ukungcoliswa kwe-cross-contamination. Ngakho-ke qiniseka ukuthi uyabazisa nge-allergies yakho ngaphambi koku-oda.
- Gwema ukupheka nokuphatha i-shellfish: Abanye abantu bangaba ne-allergy ngisho noma bezwa iphunga lomusi ovela ekuphekeni i-shellfish. Abanye abantu bangaba nokusabela ngokuzithinta nje.
- Qaphela izinhlanzi ezifihliwe: Izinhlanzi ezibizwa ngokuthi ama-shellfish zingatholakala ezintweni ezifana ne-fish stock, ukunambitheka kwasolwandle, kanye ne-surimi (inyama yokwenziwa eyenzelwe ukubukeka njengenyama yenkalankala).
Eminye imibuzo evame ukubuzwa
Awukwazi yini ukudla inhlanzi uma une-allergy kuma-shellfish?
Lezi yizinhlobo ezimbili ezahlukene zokungezwani komzimba. Izinhlanzi ezibizwa ngokuthi amagobolondo ziyizilwane ezinamagobolondo. Izinhlanzi ziyizilwane ezinamagobolondo. Ngakho-ke umuntu ongezwani komzimba nezinhlanzi angase akwazi ukudla izinhlanzi ngaphandle kwezinkinga. Ngokufanayo, umuntu ongezwani komzimba nezinhlanzi angase akwazi ukudla izinhlanzi ezibizwa ngokuthi amagobolondo.
Ingabe Ukungezwani Ne-Shellfish Kuhlobene Nokungezwani Ne-Iodine?
Cha. Lokhu kuyiphutha elikhulu kubantu abaningi. Nakuba i-shellfish iqukethe i-iodine, imbangela yokungezwani ne-shellfish iprotheni ekuyo. I-iodine iyisakhi. Ngakho-ke, asikho isizathu esithile sokuthi umuntu one-allergy ne-shellfish abe ne-allergy ezintweni eziqukethe i-iodine ezinikezwa ngesikhathi sokuhlolwa kwezokwelapha.
Ingabe lokhu kungezwani komzimba kuyoke kube ngcono?
Ukungezwani komzimba nezinhlanzi ezibizwa ngamagobolondo kuvame ukuba yisimo sokuphila konke futhi akuvamile ukuphela ngokuhamba kwesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Ungakuthathi kalula ukungezwani komzimba ne-shellfish. Kuyisimo esibi esingasongela impilo ngezinye izikhathi.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokudla i-shellfish, ungakuzibi futhi nakanjani ubone udokotela ukuze uthole ukuxilongwa okufanele.
- Ukuphela kwendlela yokuzivikela kulokhu kungezwani komzimba ukugwema ngokuphelele izinhlanzi ezinazo kanye nokudla okunazo. Funda amalebula ekudleni okuthenga esitolo, futhi uqaphele ezindaweni zokudlela.
- Uma udokotela wakho ekutshela ukuthi une-allergy enkulu, hlala uphethe i-epinephrine auto-injector ayinikezayo. Yazi kahle ukuthi kufanele uyisebenzise nini nokuthi uyisebenzisa kanjani.
- Uma usebenzisa umjovo we-epinephrine, yiya ngokushesha egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU).
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