Yini i-anisakiasis, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Umjikelezo webhayoloji we-Anisakiasis
• Ungayivimbela kanjani i-anischiasis

I-Anisakiasis yisifo esithathwa yigciwane lohlobo lwegciwane Anisakis sp., etholakala ikakhulukazi ekudleni kwasolwandle, njengama-crustaceans, squid nezinhlanzi ezingcolisiwe. Ngalesi sizathu, lolu hlobo lokutheleleka luvame kakhulu kumasiko lapho kunomkhuba wokudla ukudla okuluhlaza, njenge-sushi, isibonelo.

Lapho udla ukudla okungcoliswe yilesi sifo, izibungu zingafinyelela esiswini nasemathunjini, okuholela ezinkomba ezinjengobuhlungu obukhulu besisu, umkhuhlane, isicanucanu kanye ne-malaise ejwayelekile engabonakala emahoreni ambalwa ngemuva kokudla i-sushi, ngokwesibonelo.Ngakho-ke, uma kwenzeka izimpawu zokutheleleka zivela ngemuva kokudla okunye ukudla okuluhlaza, kungakuhle uthintane nodokotela ojwayelekile ukuthola ukuthi ngabe sikhona yini lesi silokazane bese uqala ukwelashwa okufanele.

Bona isifinyezo esisheshayo salolu hlobo lokutheleleka nezinye izifo ezibangelwa amagciwane:

Izimpawu eziyinhloko

Izimpawu zokutheleleka ngo Anisakis sp. ingavela emahoreni ambalwa ngemuva kokudla ukudla okuthelelekile, okuyinhloko:

• Ubuhlungu obukhulu besisu;
• Isicanucanu nokuhlanza;
• Ukuvuvukala kwesisu;
• Uhudo;
• Ubukhona begazi esitokisini;
• Imfiva engaphansi kuka-39ºC, njalo.

Ngaphezu kwalokho, abanye abantu bangaphinde babe nezimpawu ezijwayelekile zokuphendula okweqile, njengokulunywa nokubomvu kwesikhumba, ukuvuvukala kobuso noma ukuphefumula kanzima.

Ungakuqinisekisa kanjani ukuxilongwa

Udokotela angasola i-anisakiasis ngemuva kokuhlola izimpawu nomlando womuntu ngamunye, ikakhulukazi uma lowo muntu edle inhlanzi eluhlaza noma i-sushi. Kodwa-ke, ukuphela kwendlela yokuqinisekisa ukuxilongwa ukwenza i-endoscopy ukubona ubukhona besibungu ngaphakathi esiswini noma engxenyeni yokuqala yamathumbu.

Ngesikhathi se-endoscopy, uma kutholakala izibungu, udokotela angazisusa esebenzisa into ekhethekile efinyelela esiswini ngepayipi elisetshenziswa ngesikhathi se-endoscopy.

Yelashwa kanjani

Ezimweni eziningi, ukutheleleka kwesibungu Anisakis sp. iphathwa ngesikhathi se-endoscopy. Ngalokhu, udokotela, ngemuva kokukhomba lesi sinambuzane, ufaka ithuluzi elikhethekile ngethubhu ye-endoscope ukuze afinyelele esiswini futhi asuse izibungu.

Kodwa-ke, uma lokhu kungenzeki noma lapho isibungu sesivele sesisabalalele emathunjini, kungadingeka ukuthatha umuthi wezikelemu, obizwa nge-Albendazole, izinsuku ezi-3 kuye kwezi-5, ukubulala lesi silokazane nokusiqeda endle. Ezimweni eziningi, umzimba uphetha nokususa izibungu ngokwemvelo, ngakho-ke abantu abaningi kungenzeka bangazi nokuthi bathelelekile.

Ezimweni ezinzima kakhulu, lapho i-anisakiasis iqhubeka nokuba yimbi ngemuva kwalezi zindlela zokwelapha ezimbili, kungakuhle ukuthi uhlinzwe ukuze ususe isibungu ngasinye ngazinye.

Umjikelezo webhayoloji we-Anisakiasis

I-Anisakiasis ibangelwa yisibungu Anisakis sp. futhi umjikelezo wayo wokuphila uqala lapho ezinye izilwane ezincelisayo zasemanzini, njengemikhomo enegciwane noma amabhubesi olwandle, zikhulula olwandle, zikhulule amaqanda agcina ekhule futhi akhe izibungu ezintsha. Lezi zibungu bese zidliwa ama-crustaceans, agcina edliwe yiskwidi nenhlanzi, nawo atheleleke.

Lapho lezi zinhlanzi zibanjwa, izibungu ziyaqhubeka nokukhula enyameni yazo, ngakho-ke, uma isiphithiphithi sidliwa siluhlaza, izibungu ziyohlala ngaphakathi esiswini nasemathunjini omuntu ofake inyama yenhlanzi enaleli gciwane.

Ungayivimbela kanjani i-anischiasis

Indlela engcono yokugwema ukutheleleka ngalolu hlobo lwesibungu ukupheka inhlanzi neskwidi emazingeni okushisa angaphezu kuka-65º C. Kodwa-ke, lapho kunesidingo sokudla izinhlanzi ezingavuthiwe, njengakwi-sushi, kunconywa ukuthatha izindlela ezithile zokuqapha.

Ukugcina inhlanzi ngaphambi kokuyidla kufanele iqandiswe, kulandelwe imihlahlandlela elandelayo:

• Friza futhi ugcine ku - 20º C: kuze kufike kuma-dais angu-7;
• Friza futhi ugcine ku - 35 º C: ngaphansi kwamahora ayi-15;
• Friza ku - 35º C bese ugcine ku - 20ºC: kufika emahoreni angama-25.

Uhlobo lwezinhlanzi oluthinteka kakhulu kulesi sibungu imvamisa yi-salmon, squid, cod, herring, mackerel, halibut nama-anchovies.

Ngaphezu kwalokho, isibungu ngokuvamile siba ngaphezu kuka-1 cm, ngakho-ke, siyabonakala enyameni yenhlanzi. Ngakho-ke, uma udla endaweni yokudlela ye-sushi, ngokwesibonelo, kufanele unake izingcezu ngaphambi kokudla.