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Usuku Lokudalwa: 11 Agasti 2021
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Lo mbhalo uchaza iqembu lezimo ezahlukahlukene ezibangelwe ukudla izinhlanzi ezingcolile kanye nokudla kwasolwandle. Okuvame kakhulu kulokhu ubuthi be-ciguatera, ubuthi be-scombroid, kanye nobuthi obuhlukahlukene be-shellfish.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukwelapha noma ukuphatha ukuvezwa kobuthi uqobo. Uma wena noma umuntu onaye unokuchayeka, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) kusuka noma yikuphi e-United States.

Kubuthi be-ciguatera, isithako esinobuthi yi-ciguatoxin. Lokhu kungubuthi obenziwe ngamanani amancane ngezinambuzane ezithile ezilingana no-algae ezibizwa ngama-dinoflagellates. Izinhlanzi ezincane ezidla ulwelwe ziyangcoliseka. Uma izinhlanzi ezinkulu zidla izinhlanzi eziningi ezincane, ezingcolisiwe, ubuthi bungakhuphukela ezingeni eliyingozi, okungakugulisa uma udla inhlanzi. ICiguatoxin "izinzile ngokushisa." Lokho kusho ukuthi akunandaba ukuthi uyipheka kahle kanjani inhlanzi yakho, uma inhlanzi ingcolisiwe, uzoba nobuthi.


Kubuthi be-scombroid, isithako esinobuthi siyinhlanganisela ye-histamine nezinto ezifanayo. Ngemuva kokuthi inhlanzi ife, amabhaktheriya akha ubuthi obuningi uma inhlanzi ingafakwa esiqandisini noma iqhwa ngokushesha.

Kubuthi be-shellfish, izithako ezinobuthi ubuthi obenziwe yizinto ezinjenge-algae ezibizwa ngama-dinoflagellates, ezakha kwezinye izinhlobo zezinhlanzi zasolwandle. Kunezinhlobo eziningi ezahlukahlukene zobuthi be-shellfish. Izinhlobo ezaziwa kakhulu ubuthi obukhubazekile be-shellfish, i-neurotoxic shellfish poisoning, kanye ne-amnesic shellfish poisoning.

Ubuthi beCiguatera buvamise ukwenzeka ezinhlanzini ezinkulu ezivela emanzini afudumele asezindaweni ezishisayo. Izinhlobo ezidume kakhulu zalezi zinhlanzi ezisetshenziselwa ukudla zifaka ama-sea bass, grouper, ne-red snapper. E-United States, amanzi azungeze iFlorida neHawaii maningi amathuba okuba nezinhlanzi ezingcolisiwe. Emhlabeni wonke, ubuthi bezinhlanzi i-ciguatera uhlobo oluvame kakhulu lobuthi obuvela kuma-biotoxin asolwandle. Kuyinkinga enkulu yezempilo yomphakathi eCaribbean.

Ubungozi bukhulu kakhulu ezinyangeni zasehlobo, noma nganoma yisiphi isikhathi lapho inani elikhulu le-algae liqhakaza olwandle, njengasesikhathini "se-red tide." Igagasi elibomvu lenzeka lapho kunokwanda okusheshayo kwenani lama-dinoflagellate emanzini. Kodwa-ke, ngenxa yokuhamba kwanamuhla, noma ngubani emhlabeni jikelele angadla inhlanzi emanzini angcolile.


Ubuthi beScombroid buvame ukwenzeka kusuka kuzinhlanzi ezinkulu, ezimnyama zenyama njenge-tuna, i-mackerel, i-mahi mahi ne-albacore. Ngoba lobu shevu buba khona ngemuva kokuthi inhlanzi ibanjiwe yafa, akunandaba ukuthi inhlanzi ibanjwa kuphi. Isici esiyinhloko ukuthi inhlanzi ihlala isikhathi esingakanani ngaphambi kokuba ifakwe esiqandisini noma iqandiswe.

Njengobuthi be-ciguatera, ubuthi obuningi be-shellfish benzeka emanzini afudumele. Kodwa-ke, ubuthi benzekile kude nenyakatho njenge-Alaska futhi buvamile eNew England. Iningi lobuthi be-shellfish lwenzeka phakathi nezinyanga zasehlobo. Kungenzeka usizwile isisho esithi "Ungalokothi udle ukudla kwasolwandle ezinyangeni ezingenayo incwadi R." Lokhu kufaka phakathi uMeyi kuya ku-Agasti. Ubuthi be-Shellfish butholakala ekudleni kwasolwandle okunamagobolondo amabili, njengama-clams, ama-oysters, izimbaza, futhi kwesinye isikhathi ama-scallops.

Njalo hlola umnyango wezempilo wangakini noma i-fish and ejensi yezilwane zasendle uma unemibuzo mayelana nokuphepha kokudla noma yimuphi umkhiqizo wokudla.

Izinto ezinobungozi ezibangela i-ciguatera, i-scombroid, ne-shellfish poisonings zizinzile ekushiseni, ngakho-ke akukho ukupheka okungakanani okuzokuvimbela ukuthi ungafakwa ubuthi uma udla inhlanzi engcolile. Izimpawu zincike ohlotsheni oluthile lobuthi.


Izimpawu zobuthi beCiguatera zingavela emahoreni amabili kuya kwayishumi nambili ngemuva kokudla inhlanzi. Kubandakanya:

  • Amajaqamba esiswini
  • Uhudo (olunzima futhi olunamanzi)
  • Isicanucanu nokuhlanza

Ngokushesha ngemuva kokuvela kwalezi zimpawu, uzoqala ukuba nemizwa engajwayelekile, engahle ifake phakathi:

  • Umuzwa wokuthi amazinyo akho akhululekile futhi asezophuma
  • Ukushisa okushisayo nokubandayo okudidayo (ngokwesibonelo, uzozizwa sengathi i-ice cube iyakushisa, kanti umdlalo umisa isikhumba sakho)
  • Ukuphathwa yikhanda (mhlawumbe uphawu oluvame kakhulu)
  • Ukushaya kwenhliziyo okuphansi nomfutho wegazi ophansi (ezimweni ezinzima kakhulu)
  • Ukunambitheka kwensimbi emlonyeni

Lezi zimpawu zingase zibe zimbi kakhulu uma uphuza utshwala ngokudla kwakho.

Izimpawu zobuthi beScombroid zivame ukwenzeka ngokushesha ngemuva kokudla izinhlanzi. Zingafaka:

  • Izinkinga zokuphefumula, kufaka phakathi ukuqina kwesifuba nesifuba (ezimweni ezinzima)
  • Isikhumba esibomvu kakhulu ebusweni nasemzimbeni
  • Ukuqhuma
  • Isifuba nokunwaya
  • Isicanucanu nokuhlanza
  • Ipeppery noma ukunambitheka okumunyu

Ngezansi kunezinye izinhlobo ezaziwayo zobuthi bokudla kwasolwandle, kanye nezimpawu zazo.

Ubuthi be-shellfish okhubazekile: Cishe imizuzu engama-30 ngemuva kokudla ukudla kwasolwandle okungcolile, ungahle ube ndikindiki noma uthinte emlonyeni wakho. Lokhu kuzwa kungasakazeka kuze kufike ezingalweni nasemilenzeni yakho. Ungaba nesiyezi kakhulu, uphathwe yikhanda, futhi, kwezinye izimo, izingalo nemilenze yakho kungakhubazeka okwesikhashana. Abanye abantu bangaba nesicanucanu, ukuhlanza, kanye nohudo, yize lezi zimpawu zivame kakhulu.

Ubuthi be-Neurotoxic shellfish: Izimpawu zifana kakhulu nalezo ezinobuthi be-ciguatera. Ngemuva kokudla izimbaza noma izimbaza ezingcolile, ungahle ube nesicanucanu, ukuhlanza nokuhuda. Lezi zimpawu zizolandelwa kungekudala ngemuva kokuzwa okungajwayelekile okungabandakanya ukuphazamiseka noma ukuncinza emlonyeni wakho, ikhanda elibuhlungu, isiyezi, nokubuyela emuva kushisa nokubanda kwamazinga okushisa.

Ubuthi be-amnesic shellfish: Le ndlela eyinqaba futhi engajwayelekile yobuthi eqala ngokucanuzela kwenhliziyo, ukugabha nohudo. Lezi zimpawu zilandelwa ukulahleka kwenkumbulo yesikhashana, nezinye izimpawu zesistimu yezinzwa ezingavamile kakhulu.

Ubuthi beShellfish kungaba yisimo esiphuthumayo kwezokwelapha. Umuntu onezimpawu ezinzima noma ezingazelelwe kufanele ngokushesha ayiswe esikhungweni sezokwelapha esiphuthumayo ngokushesha. Ungadinga ukushayela inombolo ephuthumayo yasendaweni (njenge-911) noma ukulawula ubuthi ukuthola imininingwane efanelekile yokwelashwa.

Imininingwane elandelayo iyasiza ngosizo oluphuthumayo:

  • Iminyaka yomuntu, isisindo, nesimo
  • Uhlobo lwezinhlanzi ezidliwe
  • Isikhathi esidliwe ngaso
  • Inani ligwinyiwe

Kodwa-ke, UNGALIBALI ukubiza usizo uma lolu lwazi lungatholakali ngokushesha.

Isikhungo sakho sendawo esinoshevu singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke engakhokhelwa (1-800-222-1222) kusuka noma yikuphi e-United States. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukuvimbela ubuthi. Ungashayela amahora angama-24 ngosuku, izinsuku ezingu-7 ngesonto.

Uma une-ciguatera poisoning, ungathola:

  • Ukuhlolwa kwegazi nomchamo
  • I-EKG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
  • Uketshezi ngo-IV (ngomthambo)
  • Imithi yokuyeka ukuhlanza
  • Imithi yokusiza ukunciphisa izimpawu zesistimu yezinzwa (mannitol)

Uma une-scombroid poisoning, ungathola:

  • Ukusekelwa kwe-Airway, kufaka phakathi i-oxygen, ishubhu lokuphefumula ngomlomo (intubation), nomshini wokuphefumula (umshini wokuphefumula)
  • Ukuhlolwa kwegazi nomchamo
  • I-EKG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
  • Uketshezi ngo-IV (ngomthambo)
  • Imithi yokuyeka ukuhlanza
  • Imithi yokwelapha ukusabela okweqile komzimba (uma kudingeka), kufaka phakathi iBenadryl

Uma une-shellfish poisoning, ungathola:

  • Ukuhlolwa kwegazi nomchamo
  • I-EKG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
  • Uketshezi ngo-IV (ngomthambo)
  • Imithi yokuyeka ukuhlanza

Uma ubuthi be-shellfish budala ukukhubazeka, kungadingeka ukuthi uhlale esibhedlela kuze kube yilapho izimpawu zakho sezithuthuka.

Izinhlanzi kanye ne-shellfish poisonings zenzeka ngezikhathi ezithile e-United States. Ungazivikela ngokugwema izinhlanzi nokudla kwasolwandle okubanjwe nasezindaweni ezizungeze izindawo zomswakama obomvu owaziwayo, nangokugwema izimbaza, izimbaza, nama-oysters phakathi nezinyanga zasehlobo. Uma ufakwe ubuthi, umphumela wakho wesikhathi eside uvame ukuba muhle impela.

Izimpawu zobuthi beScombroid zivame ukuhlala emahoreni ambalwa ngemuva kokuqala ukwelashwa. Izimpawu zobuthi beCiguatera kanye nezimpawu zobuthi be-shellfish zingahlala ezinsukwini kuye emavikini, kuya ngobukhulu beshevu. Kukancane kakhulu ukuthi kube nemiphumela emibi noma ukufa kwenzeke.

Ayikho indlela yokuthi umuntu olungisa ukudla azi ukuthi ukudla kwakhe kungcolile. Ngakho-ke, kubaluleke kakhulu ukuthi umhlinzeki wakho wezokunakekelwa kwempilo atshele irestshurenti ukuthi ukudla kwabo kungcolile ukuze bakwazi ukukulahla ngaphambi kokuba abanye abantu bagule. Umhlinzeki wakho kufanele futhi axhumane noMnyango Wezempilo ukuze aqiniseke ukuthi abahlinzeki abahlinzeka ngezinhlanzi ezingcolile bayakhonjwa futhi babhujiswe.

Ubuthi bezinhlanzi; Ubuthi be-dinoflagellate; Ukungcola kwasolwandle; Ubuthi be-shellfish okhubazekile; Ubuthi beCiguatera

I-Jong EC. Inhlanzi ne-shellfish poisoning: ama-syndromes anobuthi. Ku: Sandford CA, Pottinger PS, Jong EC, ama-eds. Incwadi Yezokwelapha Nezokushisa. Umhlaka 5. IPhiladelphia, PA: Elsevier; I-2017: isahluko 34.

UZazarciuc N. Uhudo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 28.

UMorris JG. Ukugula komuntu okuhambisana nokuqhuma kwe-algal okuyingozi. Ku: Bennett JE, Dolin R.Blaser MJ, ama-eds. UMandell, uDouglas noBennett's Principles and Practice of Infectious Disease, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 286.

URavindran ADK, uViswanathan KN. Izifo ezibangelwa ukudla. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 540-550.

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