Ukungezwani komzimba kweShellfish

-Delile

• Kuyini ukungezwani kwe-shellfish?
• Yikuphi ukudla okufanele ngikugweme uma ngine-allerfishfish yokungezwani komzimba?
• Ziyini izimpawu zokungezwani komzimba ne-shellfish?
• Zelashwa kanjani i-allergies ye-shellfish?
• Ngabe iodine ingadala ukungezwani komzimba ne-shellfish?
• Ixilongwa kanjani i-shellfish allergy?
• Kungavinjelwa kanjani ukungezwani komzimba ne-shellfish?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Kuyini ukungezwani kwe-shellfish?

Yize iningi lokungezwani komzimba nokudla kuqala ebuntwaneni, eyodwa yokungezwani komzimba ikakhulukazi ihlukile: i-shellfish. Ukungezwani komzimba nezimbaza kungakhula noma kunini phakathi nempilo yomuntu, kepha kuvame ukwethula ebudaleni. Kungabangelwa ukudla oke wakudla ngaphambilini ngaphandle kwezinkinga.

Kanye nezinhlanzi, ukungezwani kwe-shellfish yizifo ezivame kakhulu ukuvuthwa kokudla kwabantu abadala. Kulinganiselwa ukuthi abantu abadala baseMelika abangaphezu kwezigidi ezingama-6.5 banezifo eziluthayo kokukodwa noma kokubili, ngokusho kweFood Allergy Research & Education (FARE).

Yikuphi ukudla okufanele ngikugweme uma ngine-allerfishfish yokungezwani komzimba?

Kunezinhlobo ezimbili zama-shellfish, ama-crustaceans nama-mollusks. Nazi izibonelo ezimbalwa ze- ama-crustaceans ukuqaphela uma une-allergen:

• imfanzi
• udoti
• imdumba
• isikhuphashe
• isikhuphashe

AmaMollusks faka:

• izimbaza
• izimbaza
• oysters
• ingwane
• i-cuttlefish
• ingwane
• iminenke
• ama-scallops

Iningi labantu elingavumelani nohlobo olulodwa lwe-shellfish nalo linezifo kolunye uhlobo. Kukhona ithuba lokuthi ukwazi ukudla izinhlobo ezithile. Kodwa-ke, odokotela bavame ukuncoma ukuthi abantu abane-allergies ye-shellfish bagweme zonke izinhlobo ukuze baphephe.

Ukungezwani komzimba ne-shellfish kuhlukile kwezinye izinto ezibangela ukungezwani komzimba nezinye izindlela, futhi. Isibonelo, ukusabela okweqile ku-shellfish akulindelekile, kwesinye isikhathi kwenzeka ngemuva kwesikhathi eside umuntu esedle i-allergen futhi engakhombisanga ezinye izimpawu. Ukusabela okweqile ku-shellfish nakho kuvame ukuba nzima kakhulu ngokuchayeka ngakunye.

Ziyini izimpawu zokungezwani komzimba ne-shellfish?

Ukungezwani neshellfish imvamisa kuyindlela yokuphendula kwamasosha omzimba kuphrotheni etholakala kwimisipha ye-shellfish ebizwa tropomyosin. Ama-antibodies aqala ukukhishwa kwamakhemikhali afana nama-histamines ukuhlasela i-tropomyosin. Ukukhishwa kwe-histamine kuholela ezinhlotsheni eziningi zezimpawu ezingahle ziqale kusuka kumnene ziye ekusongeleni impilo. Izimpawu zokungezwani komzimba ne-shellfish zivame ukuncika kakhulu.

Kungathatha isikhashana ukuthi izimpawu zivele ngemuva kokudla i-shellfish, kepha iningi likhula kungakapheli imizuzu. Izimpawu zokungezwani komzimba ne-shellfish zingafaka:

• ukudikiza emlonyeni
• ubuhlungu besisu, isicanucanu, uhudo, noma ukuhlanza
• isiminyaminya, inkinga yokuphefumula, noma ukushaya ngamandla
• ukusabela kwesikhumba kubandakanya ukulunywa, isifuba, noma i-eczema
• ukuvuvukala kobuso, izindebe, ulimi, umphimbo, izindlebe, iminwe, noma izandla
• ikhanda elikhanyayo, isiyezi, noma ukuquleka

Ukusabela okweqile, okusongela impilo okwaziwa njenge-anaphylaxis kungenzeka ezimweni ezimbi kakhulu. Ukusabela kwe-anaphylactic kudinga ukwelashwa ngokushesha. Izimpawu ze-anaphylaxis zifaka:

• umphimbo ovuvukile (noma isigaxa emphinjeni) okwenza ukuphefumula kube nzima
• ishayela ngokushesha
• isiyezi ngokweqile noma ukulahlekelwa ukwazi
• ukwehla okukhulu kwengcindezi yegazi (ukushaqeka)

Zelashwa kanjani i-allergies ye-shellfish?

Okwamanje alikho ikhambi lokwaliwa yi-shellfish. Ukwelashwa okungcono kakhulu ukugwema ukudla okufana nezimfanzi, ama-lobster, inkalankala, namanye ama-crustaceans. Izinhlanzi ezifakiwe azihlobene ne-shellfish, kepha ukungcoliswa okuphambene kuvamile. Ungase ufune ukugwema ukudla kwasolwandle ngokuphelele uma i-shellfish yakho yokungezwani komzimba inzima.

Odokotela abaningi bancoma nokuthi abantu abanezinkinga zokungezwani komzimba ne-shellfish baphathe i-epinephrine (i-EpiPen, i-Auvi-Q, noma i-Adrenaclick) yokuzibusa uma kwenzeka ufaka noma iyiphi ngephutha. I-Epinephrine (adrenalin) iyindlela yokwelashwa komugqa wokuqala we-anaphylaxis. Ngokuphendula okuncane njengokuqhuma noma ukuluma, ukuthatha i-antihistamine efana neBenadryl kunganconywa udokotela wakho.

Thenga imikhiqizo yeBenadryl.

Ukufa okuvela ekuphenduleni kwe-anaphylactic kusuka ekudleni i-shellfish akuvamile, kodwa kuvame kakhulu kunezinye izifo zomzimba. Odokotela abaningi bayavuma ukuthi umuntu onenkinga yokungezwani komzimba ne-shellfish kanye ne-asthma kufanele abe nepeni le-epinephrine uma kwenzeka kuba nesimo esiphuthumayo. Uma ukufaka i-shellfish kubangela ukusabela okuncane okufana nokuqubuka noma isikhumba esilumayo, ukuthatha i-antihistamine ukubona ukuthi kuyasiza yini ngezimpawu kuyanconywa. Kodwa-ke, uma izimpawu zingathuthuki, funa iseluleko sezokwelapha ngokushesha noma uye egumbini labezimo eziphuthumayo.

Ngabe iodine ingadala ukungezwani komzimba ne-shellfish?

Iodine yinto etholakala emzimbeni wonke futhi ibalulekile ekukhiqizeni amahomoni wegilo kanye nama-amino acid ahlukahlukene. Ngamafuphi, abantu abakwazi ukusinda ngaphandle kwayo. Kube nokudideka eminyakeni yamuva maqondana nobudlelwano obuphakathi kokungezwani komzimba ne-shellfish ne-iodine. Abantu abaningi bakholelwa ngamanga ukuthi iodine ingadala ukusabela okweqile kubantu abane-shellfish yokungezwani komzimba. Iodine ivame ukusetshenziswa emithini nakuma-ejenti ahlukile asetshenziswa ekucabangeni kwezokwelapha.

Umbono oyiphutha uhlobene kakhulu necala lasenkantolo laseFlorida mayelana nendoda eyabulawa ukusabela okweqile komzimba. Le ndoda yayine-shellfish eyaziwayo yokungezwani komzimba. Ukusabela okweqile kwenzeka ngemuva kwemizuzu embalwa ethole i-iodine yokuqhathanisa kudokotela wenhliziyo. Umndeni wale ndoda wanikezwa isizumbulu semali engu- $ 4.7 million ngokubanga ngempumelelo ukuthi i-iodine ehlukanisayo esetshenziswe ekwelashweni kwakhe i-acute coronary syndrome ibangele ukufa kwendoda.

Ucwaningo olushicilelwe ku-Journal of Emergency Medicine luphethe ngokuthi i-iodine akuyona i-allergen. Ngokwabaphenyi, “Ukungezwani komzimba ne-shellfish, ikakhulukazi, akukhuphuli amathuba okusabela ekuqhathanisweni ngemithambo kunalokho okunye ukwaliwa.”

Ixilongwa kanjani i-shellfish allergy?

Ukuhlolwa okulula kwesikhumba kungakhomba ukungezwani komzimba ne-shellfish. Isivivinyo sihilela ukubhoboza isikhumba sesingalo nokwethula inani elincane le-allergen kuso. Uma ungenwe yisiguli, kuzobonakala indawo encane ebomvu ebabayo kungakapheli mizuzu embalwa njengoba amaseli omzimba ekhipha i-histamine.

Kukhona nokuhlolwa kwegazi okutholakala ukuxilonga ukungezwani komzimba ne-shellfish. Ukuhlolwa kubizwa ngokuthi ukuhlolwa kwe-IgE antibody okuqondene ne-allergen noma i-radioallergosorbent (RAST). Ilinganisa ukuphendula kwamasosha omzimba ku-shellfish.

Ukuhlolwa kokungezwani komzimba yiyona kuphela indlela eqinisekile yokuthola ukuthi ukusabela ngemuva kokudla i-shellfish kuyisifo sokwaliwa yi-shellfish ngempela yini.

Kungavinjelwa kanjani ukungezwani komzimba ne-shellfish?

Ukuphela kwendlela yokuvimbela ukungezwani komzimba ne-shellfish ukuvikela yonke i-shellfish nayo yonke imikhiqizo equkethe izimbaza.

Nawa amanye amathiphu wokugwema i-shellfish:

Buza abasebenzi ukuthi kulungiswa kanjani ukudla lapho udla endaweni yokudlela. Izindawo zokudlela zase-Asia zivame ukukhonza izitsha eziqukethe isoso lenhlanzi njengesisekelo se-flavoring. Umhluzi noma isosi esuselwa ku-shellfish kungadala ukusabela okweqile. Qiniseka ukuthi ubuza ukuthi uwoyela, ipani, noma izitsha ezisetshenziselwa ukupheka izimbaza azisetshenziswanga ukulungiselela okunye ukudla. Hlala kude namatafula omphunga noma ama-buffet.

Gwema ukudla endaweni yokudlela yasolwandle noma ukuthenga emakethe yezinhlanzi. Abanye abantu bayasabela noma behogela umusi noma umhwamuko ekuphekeni kwe-shellfish. Ukungcoliswa kwesiphambano kungenzeka nasezikhungweni ezinikezela ngokudla kwasolwandle.

Funda amalebula okudla ngokucophelela. Izinkampani kudingeka ukuthi ziveze ukuthi umkhiqizo wazo wokudla une-shellfish yini. Kodwa-ke, akudingeki ukuthi badalule ukuthi ngabe umkhiqizo uqukethe ama-mollusks, njengama-scallops nama-oysters. Qaphela ukudla okuqukethe izithako ezingacacile, njenge- “stock stock” noma “ukunambitheka kokudla kwasolwandle.” I-Shellfish nayo ingahle ibe khona kwezinye izitsha nezinto eziningi, njenge:

• i-surimi
• i-glucosamine
• Bouillabaisse
• Isoso laseWorcestershire
• Amasaladi kaKesari

Yazisa abantu. Lapho uhamba ngendiza, thintana nenkampani yezindiza kusengaphambili ukuthola ukuthi ngabe kukhona yini izinhlanzi noma izitsha ze-shellfish ezizolungiswa ziphakelwe endizeni. Tshela umqashi wakho noma isikole sengane yakho noma ukunakekelwa kwezinsuku nganoma yikuphi ukungezwani komzimba. Khumbuza umphathi noma umphathi wehhovisi lakho lokungezwani komzimba lapho uphendula isimemo sedili lasemini.

Kufanele uhlale uphatha ipeni lakho le-epinephrine futhi uqiniseke ukuthi alikapheli. Wena noma ingane yakho kufanele nigqoke isongo lezokwelapha noma umgexo oqukethe imininingwane yakho yokungezwani komzimba.