Ingabe nawe uzizwa ugula ngemva kokudla i-shrimp, i-crab, noma i-shellfish? Ake sifunde ngalokhu (Ukungezwani Ne-Shellfish)?

Uma ucabanga ngokudla kwasolwandle, umlomo wakho uqala ukumanzi, akunjalo? Ikakhulukazi izinto ezifana ne-shrimp, i-crab , ama-mussels, nama-oyster zimnandi kakhulu. Kodwa, uyazi, abanye abantu abakuthinti ngisho nokudla okumnandi. Ngisho nokudla okuncane kungabangela zonke izinhlobo zezinkinga nobunzima. Namuhla sizokhuluma ngesimo esisodwa esinjalo, okungukuthi, `(I-Shellfish Allergy)`. Lokhu kungaba kubi kakhulu kwabanye abantu, ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Kuyini "i-Shellfish Allergy"? Ake sikuqonde kalula.

Okokuqala, "i-Shellfish Allergy" kanye nalokho esivame ukukubiza ngokuthi "i-Seafood Allergy" akuzona izinto ezifanayo. Manje, uma sithi "i-Seafood", ihlanganisa kokubili izinhlanzi (isibonelo, ama-clams, ama-mussels) kanye nezidalwa zasolwandle ezinamagobolondo, lokho kusho "i-Shellfish" (isibonelo, ama-shrimp, izinkalankala).

Nakuba zombili ziwela esigabeni "sokudla kwasolwandle", ngokwebhayoloji, izinhlanzi kanye ne-shellfish kumaqembu amabili ahlukene ngokuphelele. Ngakho-ke, uma umuntu ene-"Shellfish Allergy" kuphela, ngokuvamile ngeke abe nokusabela kokungezwani nezinhlanzi. Kodwa-ke, inkinga iwukuthi lowo muntu naye une-allergy ehlukile nezinhlanzi.

Manje ake sibone ukuthi lezi "Shellfish" zingahlukaniswa yini zibe yizigaba ezimbili ezengeziwe.

1. Uhlobo lokuqala lubizwa ngokuthi `(amaCrustacean)`. Kalula nje, ziyizilwane ezinegobolondo, imilenze eminingi, futhi zibukeka njengezinambuzane kancane. Isibonelo:

• I-Shrimp/ama-prawn
• Izinkalankala
• Ama-lobster

2. Uhlobo lwesibili lubizwa ngokuthi "ama-Mollusk". Lezi zilwane ngokuvamile zinomzimba othambile futhi zivame ukuba negobolondo elilodwa noma amabili okuzivikela. Isibonelo:

• Ama-clams
• Izimbaza
• Ama-oyster , ama-scallop
• I-Squid
• Ingwane

Abanye abantu bangaba nomzimba womzimba kuzo zombili izinhlobo ze-`(Shellfish)`. Lokhu kusho ukuthi bazoba nenkinga yokudla kokubili i-shrimp kanye ne-shellfish. Kodwa-ke, abanye abantu bangaba nomzimba womzimba womzimba wohlobo olulodwa kuphela. Isibonelo, bangase babe nenkinga yokudla i-shrimp kodwa bangabi nankinga yokudla i-shellfish.

Esikhathini esiningi, izimpawu ze-"Shellfish Allergy" zivela uma umuntu edla lolu hlobo lokudla. Kodwa, bewazi, ngezinye izikhathi ngisho nokuthinta lezi zilwane noma ukuphefumula intuthu evela ekuphekeni kungabangela lokhu kungezwani komzimba . Ngakho-ke kufanele uqaphele kakhulu.

Khumbula ukuthi lokhu `(Ukungezwani Nezinhlayiya Zezinhlayiya)` kungenzeka kunoma yimuphi ubudala. Ngisho nomuntu obejabulela ukudla izinhlayiya nezinkalankala isikhathi eside ngaphandle kwezinkinga angazithola enesifo sokungezwani nokudla ngokuzumayo. Okunye ukungezwani nokudla kuyaphela ngokuhamba kwesikhathi, kodwa abantu abanalesi `(Ukungezwani Nezinhlayiya Zezinhlayiya)` bavame ukuhlala naso impilo yabo yonke. Kuyinto edabukisayo kancane, kodwa uma kuphathwa kahle, akukho nkinga.

Ziyini izimpawu ze-"Shellfish Allergy"?

Uma umuntu ene-`(Shellfish Allergy)`, okwenzekayo ukuthi isimiso somzimba wethu sokuzivikela, esivame ukulwa nezifo, sisabela ngokweqile kumaprotheni athile ku-`(Shellfish). Cabanga nje, lapho isimiso somzimba wethu sokuzivikela sibona la maprotheni, sicabanga ukuthi, "Isitha sesifikile!" Bese sikhipha amakhemikhali amaningi afana ne-`( Histamine )`. Kungenxa yokukhululwa kwalawo makhemikhali ukuthi izimpawu zivele.

Ake sibone ukuthi ziyini lezo zimpawu:

• Ubunzima bokuphefumula: Ukuphefumula kanzima, ukuphefumula kanzima, ukuphefumula ngokushesha.
• Ukushintsha kokukhwehlela nomphimbo: Ukukhwehlela okuqhubekayo, umuzwa wokuqina emphinjeni, kanye nokuhosha kwezwi.
• Ukuphazamiseka kwesisu: Kungase kube nobuhlungu besisu, isicanucanu, ukuhlanza, kanye nesifo sohudo.
• Imiphumela emehlweni: Amehlo alumayo, ukudabuka, ukuvuvukala kwamehlo.
• Izimpawu zesikhumba: ukuqubuka (amaqhubu) emzimbeni wonke, amabala abomvu, ukuvuvukala (ikakhulukazi izindebe, ulimi, nobuso).
• Umfutho wegazi ophansi: Lokhu kuyingozi kancane. Ungase uzizwe unesiyezi noma uphelelwe amandla uma umfutho wegazi wakho wehla ngokuzumayo.

Ukusabela kule "Shellfish Allergy" kungahlukahluka kumuntu nomuntu, ngisho nangaphakathi kumuntu ofanayo. Ngezinye izikhathi kungaba mnene kakhulu, kube nokuqubuka esikhumbeni kuphela. Kodwa ngezinye izikhathi, kungaba ukusabela okunzima okuthinta izingxenye eziningana zomzimba.

Okubaluleke kakhulu: `(I-Shellfish Allergy)` ingabangela ukusabela okubi kakhulu, okusongela ngisho nokuphila okubizwa ngokuthi `(Anaphylaxis). Ngisho noma ube nokusabela okuncane kuphela okokuqala, akunakwenzeka ukuthi `(Anaphylaxis)` kuzokwenzeka ngesikhathi esilandelayo.

Lesi simo, esibizwa ngokuthi "i-Anaphylaxis", singase siqale ngezimpawu ezifanayo nalezo okukhulunywe ngazo ekuqaleni. Kodwa ngemva kwesikhathi esithile, kungaba nzima kakhulu ukuphefumula kangangokuthi ungalahlekelwa ingqondo. Lokhu kungathinta izingxenye zomzimba ezingaphezu kweyodwa. Uma kungelashwa ngesikhathi, kungaba yingozi empilweni. Ngakho-ke akuwona umqondo omuhle ukuthatha lokhu kalula.

Uphatha kanjani i-allergy efana nale?

Uma une-allergy ye-shellfish (noma olunye uhlobo lokungezwani nokudla okukhulu), udokotela wakho cishe uzokunikeza imithamo emibili ye-epinephrine ukuze uhlale unayo ngaso sonke isikhathi. Lona umuthi ongawusebenzisa ezimweni eziphuthumayo.

I-Epinephrine umuthi onikezwa ngodokotela. Iza ngedivayisi encane, okulula ukuyiphatha ("i-auto-injector"). Ifana nepeni. Udokotela wakho uzochaza ukuthi isetshenziswa kanjani. Kufanele uyigcine nawe njalo. Ngeke isebenze elokhini noma ekamelweni lomhlengikazi esikoleni. Kufanele uyiphathe nomaphi lapho uya khona.

Ngezinye izikhathi ochwepheshe bokungezwani komzimba batusa ukuthi kugcinwe ama-antihistamine eduze, njengoba angasiza ekulawuleni izimpawu ezincane zokungezwani komzimba. Kodwa khumbula, uma kwenzeka ukungezwani komzimba okukhulu, ama-antihistamine kufanele asetshenziswe kuphela ngemva komjovo we-epinephrine, hhayi njengokufaka esikhundleni se-epinephrine.

Udokotela wakho angakunikeza "Uhlelo Lokusebenza Lokungezwani Nomzimba". Lokhu kuzokutshela ukuthi ungalungiselela kanjani, uqaphele, futhi welaphe kanjani ukusabela kokungezwani nomzimba. Yabelana ngalolu hlelo nanoma ubani okudingeka aqaphele, njengomndeni wakho, izikhulu zesikole, kanye nabaqeqeshi. Kungumqondo omuhle futhi ukugqoka "isongo sesaziso sezokwelapha" esibala ukungezwani nomzimba kwakho.

Umzuzwana ngamunye ubalwa ngesikhathi sokusabela kokungezwani komzimba. Uma uqala ukuba nezimpawu ezinkulu zokungezwani komzimba, njengokuvuvukala komlomo noma umphimbo wakho, noma ubunzima bokuphefumula, sebenzisa umjovo we-epinephrine ngokushesha. Futhi, uma izimpawu zakho zenzeka ezingxenyeni ezimbili ezahlukene zomzimba wakho ngesikhathi esisodwa (isibonelo, ukuqunjelwa kanye nokuhlanza), sebenzisa umjovo we-epinephrine ngokushesha.

Bese ushayela ngokushesha ku-1990 (Sri Lankan Ambulance Service) , noma uthathe othile uye naye egumbini lezimo eziphuthumayo esibhedlela ngokushesha okukhulu. Kumelwe ube ngaphansi kokuqashwa kwezokwelapha. Ngezinye izikhathi, ngisho nalapho okubi kakhulu kubonakala sengathi sekuphelile, kungase kube negagasi lesibili lezimpawu ezinzima ('ukusabela kwe-biphasic').

Yini enye okudingeka siyazi ngalokhu?

Uma une-`(Shellfish Allergy)`, akufanele udle lolu hlobo lokudla kwasolwandle nganoma yisiphi isizathu. Hhayi lokho kuphela, kufanele futhi ugweme ukudla noma yikuphi okunye ukudla okungase kube nakho. Kulabo abazwela iphunga lokupheka kwe-`(Shellfish)`, kungcono ukuhlala kude nezindawo zokudlela nezindawo ezifanayo lapho kuphekwa khona ngangokunokwenzeka.

Ukufunda amalebula okudla kubaluleke kakhulu!

Funda njalo amalebula okudla ngokucophelela ukuze ubone ukuthi ukudla kuqukethe yini i-`(Shellfish)`. Abakhiqizi bokudla abathengisa emazweni afana ne-United States kumele basho ngokucacile kulebula ukuthi imikhiqizo yabo iqukethe yini i-`(Crustacean shellfish)` (okungukuthi, lezo zinhlobo ze-shrimp, crab, njll.). Ilebula lizofaka phakathi i-"shellfish" ohlwini lwezithako, noma lizofaka phakathi i-"Contains shellfish" ngemuva kohlu.

Kodwa-ke, ezweni lakithi, lesi simo singase sihluke kancane. Nakuba eminye imikhiqizo engenisiwe inamalebula amahle, imikhiqizo yendawo ingase ingabi nolwazi olucacile njalo. Ngakho-ke, umuntu kumelwe aqaphele kakhulu.

Okunye ukudla kungase kubukeke kukuhle ohlwini lwezithako, kodwa uma kwenziwa, kungase kuhlangane ne-`(Shellfish)`. Lokhu kubizwa ngokuthi `(Cross-contamination)` . Isibonelo, funa imisho yeseluleko kulebula efana nethi ``Kungase kuqukethe i-shellfish,'' ``Kucutshungulwa endaweni ephinde icubungule i-shellfish,'' noma ``Kwenziwe emishinini esetshenziselwa ne-shellfish.'' Akuzona zonke izinkampani ezikubiza ngokuthi `(Cross-contamination)`. Ngakho-ke uma ungabaza, kungcono ukushayela ucingo noma uthumele i-imeyili enkampanini ukuze uthole ukuthi uqinisekile.

Futhi, abakhiqizi abaphoqelekile ngokomthetho ukuthi babhale amalebula ezithako eziqukethe `(i-Mollusk shellfish)` (okungukuthi, ama-clam, ama-mussels, nama-oyster) ngoba awabhekwa njenge-allergen enkulu yokudla (ngaphansi komthetho wase-US). Uma amalebula ethi `(i-Shellfish)`, avame ukusho `(i-Crustacean shellfish)`. Ngakho-ke, kubalulekile ukubuza inkampani ukuthi ngabe kukhona yini ingozi `(yokungcoliswa okuphambene)` ne `(i-Mollusks)`.

Qaphela kakhulu lapho udla ngaphandle nasezindaweni zokudlela!

Ukungcoliswa kwezinhlanzi kuyinto evamile ezindaweni zokudlela, ikakhulukazi lezo eziphakela ukudla kwasolwandle. Emakhishini, izisebenzi zivame ukusebenzisa izindawo ezifanayo, izinto zokuwasha (njengemimese, amabhodi okusika, namapani), noma amafutha ukulungisa izinhlanzi nokunye ukudla, okungadlulisela izinhlayiya zezinhlanzi kokunye ukudla.

Cabanga uya endaweni yokudlela bese u-oda irayisi elithosiwe. Kodwa uma belithosiwe kumafutha afanayo, lingathosiwe, akunjalo? Yilokho esikubiza ngokuthi "ukungcola okuphambeneyo." Lokhu kuvame kakhulu ezindaweni zokudlela zasolwandle, ngakho abanye abantu bacabanga ukuthi kuphephile ukugwema izindawo ezinjalo ngokuphelele. Uma udla ngaphandle ezindaweni zokudlela, kungaba ngumqondo omuhle ukugwema ukudla okuthosiwe. Lokhu kungenxa yokuthi izindawo eziningi zithosa inkukhu, ama-French fries, kanye ne-"shellfish" kumafutha afanayo.

Uma udla ngaphandle, qiniseka ukuthi unemijovo emibili ye-epinephrine engaphelelwa yisikhathi. Futhi, qiniseka ukuthi utshela umlungiseleli wakho wokudla noma iseva mayelana nokungezwani komzimba ne-shellfish yakho. Ngezinye izikhathi, kungumqondo omuhle ukuletha ukudla okuphephile ekhaya owaziyo ukuthi kuphephile kuwe. Uma umpheki, umphathi, noma umnikazi ebonakala engakhululekile ngesicelo sakho sokudla okuphephile, mhlawumbe kungcono ukugwema ukudla kuleyo ndawo yokudlela.

Esikoleni nasemsebenzini

Khuluma nabasebenzi ngengozi yokungcoliswa kokudla okuxubile esikoleni. Ezimweni eziningi, kungcono ukupakisha isidlo sakho sasemini. Ngaleyo ndlela, ungakwazi ukulawula okukuyo.

Uma ufuna ukufunda kabanzi mayelana nendlela yokuphatha lokhu kungezwani kokudla, kukhona ulwazi kumawebhusayithi ezinhlangano zomhlaba wonke njenge-"Food Allergy Research and Education Network (FARE)". Futhi, kungcono ukubuza udokotela wakho noma udokotela wezifo zokungezwani komzimba ukuze uthole ulwazi olwengeziwe.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, singakukhumbuza ezinye zezinto esixoxe ngazo ocabanga ukuthi zibalulekile?

• "Ukungezwani komzimba ne-Shellfish" kuyisimo esingaba sibi kakhulu, ngakho ungasithathi kalula.
• Uma unale nkinga yokungezwani komzimba, gwema ukudla noma yiziphi izimbaza, njenge-shrimp, crab, mussels, noma ama-clams. Qaphela kakhulu ngokunye ukudla okungase kube nakho.
• Hlala uphethe imijovo emibili ye-`(Epinephrine)`. Yazi kahle ukuthi isetshenziswa kanjani.
• Uma uhlangabezana nezimpawu ezinkulu zokungezwani komzimba (njengobunzima bokuphefumula, ukuvuvukala komphimbo/umlomo, ukulahlekelwa ukwazi) , sebenzisa i-epinephrine ngokushesha bese uya esibhedlela.
• Funda amalebula okudla ngokucophelela. Qaphela ukungcoliswa kokudla okuxubile, ikakhulukazi uma udla ngaphandle.
• Tshela umndeni wakho, abangani, kanye nozakwenu esikoleni/emsebenzini mayelana nokungezwani komzimba kwakho.
• Ungakhathazeki. Uma uphathwa kahle, ungaphila impilo ejwayelekile ngale `(i-Shellfish Allergy)`. Isihluthulelo ukuqaphela nokuqapha.

Ngithemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo, qiniseka ukuthi ukhuluma nodokotela wakho.

Ukungezwani komzimba nezinhlanzi ze-Shellfish, i-Anaphylaxis, i-Epinephrine, ukungcoliswa kwe-cross-contamination