Ziwombankhanga

Zamkati

• Kodi chifuwa cha nkhono ndi chiyani?
• Ndi zakudya ziti zomwe ndiyenera kupewa ndikakhala ndi nsombazi?
• Kodi zizindikiro za chifuwa cha nkhono ndi ziti?
• Kodi matenda afishfish amachiritsidwa bwanji?
• Kodi ayodini angayambitse matendawa?
• Kodi matenda a shellfish amapezeka?
• Kodi matenda a nkhono zam'madzi angapewe bwanji?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi chifuwa cha nkhono ndi chiyani?

Ngakhale zovuta zazikuluzikulu pazakudya zimayamba adakali ana, zovuta zina zimasiyana: nkhono. Zovuta za nkhono zitha kukhala nthawi iliyonse m'moyo wamunthu, koma zimakonda kupezeka pakukula. Zingayambitsidwe ndi zakudya zomwe mudadyapo kale popanda zovuta.

Pamodzi ndi nsomba, chifuwa cha nkhono zam'madzi ndizomwe zimafala kwambiri poyambira. Akuyerekeza kuti anthu opitilira 6.5 miliyoni aku America ali ndi ziwopsezo ku chimodzi kapena zonsezi, malinga ndi Food Allergy Research & Education (FARE).

Ndi zakudya ziti zomwe ndiyenera kupewa ndikakhala ndi nsombazi?

Pali mitundu iwiri ya nkhono, nkhono ndi nkhono. Nazi zitsanzo zochepa za ziphuphu kuyang'anitsitsa ngati simukugwirizana:

• shirimpi
• nkhanu
• prawn
• nsomba zazinkhanira
• lobusitara

Mollusks onaninso:

• ngale
• mamazelo
• oyster
• sikwidi
• nsomba zam'madzi
• okutapasi
• Nkhono
• scallops

Anthu ambiri omwe sagwirizana ndi mtundu umodzi wa nkhono amathandizanso mtundu wina. Pali mwayi woti mutha kudya mitundu ina. Komabe, madokotala nthawi zambiri amalimbikitsa kuti anthu omwe ali ndi chifuwa cha nkhono apewe mitundu yonse kuti akhale otetezeka.

Matenda afishfish ndi osiyana ndi ziwengo zina m'njira zina. Mwachitsanzo, zomwe zimachitika chifukwa cha nkhono zam'madzi sizimadziwika, nthawi zina zimachitika munthu atadya kale ndipo sanasonyezenso zina. Thupi lawo siligwirizana ndi nkhono zam'madzi nthawi zambiri limakhala loopsa kwambiri nthawi iliyonse.

Kodi zizindikiro za chifuwa cha nkhono ndi ziti?

Matenda a Shellfish nthawi zambiri amateteza chitetezo cha mthupi ku protein yomwe imapezeka m'matumba a nkhono zotchedwa tropomyosin. Ma antibodies amayambitsa kutulutsidwa kwa mankhwala monga histamines kuti amenyane ndi tropomyosin. Kutulutsidwa kwa histamine kumabweretsa zizindikilo zingapo zomwe zimatha kukhala zochepa mpaka zoopsa. Zizindikiro za chifuwa cha nkhono zimakonda kudalira kwambiri.

Zitha kutenga nthawi kuti zizindikilo ziwoneke mutadya nkhono, koma zambiri zimayamba patangopita mphindi zochepa. Zizindikiro za chifuwa cha nkhono zingaphatikizepo:

• kumva kulira pakamwa
• kupweteka m'mimba, nseru, kutsegula m'mimba, kapena kusanza
• kuchulukana, kupuma movutikira, kapena kupuma
• zotupa pakhungu kuphatikiza kuyabwa, ming'oma, kapena chikanga
• kutupa kwa nkhope, milomo, lilime, mmero, makutu, zala, kapena manja
• mutu wopepuka, chizungulire, kapena kukomoka

Kuopsa koopsa, komwe kumawopsa monga "anaphylaxis" kumatha kuchitika pamavuto akulu kwambiri. Kuchita anaphylactic kumafuna chithandizo chamankhwala mwachangu. Zizindikiro za anaphylaxis ndi izi:

• pakhosi lotupa (kapena chotupa pakhosi) chomwe chimapangitsa kupuma kukhala kovuta
• kuthamanga kwambiri
• chizungulire kwambiri kapena kutaya chidziwitso
• kutsika kwakukulu kwa kuthamanga kwa magazi (mantha)

Kodi matenda afishfish amachiritsidwa bwanji?

Pakadali pano palibe mankhwala ochizira matenda a nkhono. Chithandizo chabwino kwambiri ndikupewa zakudya monga nkhanu, nkhanu, nkhanu, ndi zina zotere. Nsomba zomwe zatsirizika sizogwirizana ndi nkhono zam'madzi, koma kuipitsa pamtanda ndikofala. Mungafune kupewa kudya nsomba zonse ngati nkhono zanu ndizovuta.

Madokotala ambiri amalimbikitsanso kuti anthu omwe ali ndi chifuwa chachikulu cha nkhono azinyamula epinephrine (EpiPen, Auvi-Q, kapena Adrenaclick) kuti adzilamulire ngati mungamwe mwangozi. Epinephrine (adrenalin) ndiye mankhwala oyamba a anaphylaxis. Pazotheka pang'ono monga kuthamanga kapena kuyabwa, kutenga antihistamine monga Benadryl kungalimbikitsidwe ndi dokotala wanu.

Gulani zinthu za Benadryl.

Imfa yochokera ku anaphylactic chifukwa chodya nkhono sizodziwika, koma ndizofala kuposa zakudya zina. Madokotala ambiri amavomereza kuti munthu yemwe ali ndi matenda a nkhono ndi chifuwa ayenera kukhala ndi cholembera cha epinephrine pakagwa vuto ladzidzidzi. Ngati kumeza nkhono zam'madzi kumayambitsa kuchepa pang'ono ngati khungu kapena khungu loyabwa, kutenga antihistamine kuti muwone ngati ikuthandizira pazizindikirozi akulimbikitsidwa. Komabe, ngati zizindikirazo zikuyenda bwino, pitani kuchipatala kapena pitani kuchipatala.

Kodi ayodini angayambitse matendawa?

Iodini ndi chinthu chomwe chimapezeka mthupi lonse ndipo ndichofunikira pakupanga mahomoni a chithokomiro ndi ma amino acid osiyanasiyana. Mwachidule, anthu sangathe kukhala opanda iwo. Pakhala pali chisokonezo mzaka zaposachedwa pankhani yokhudza ubale womwe ulipo pakati pa nkhono ndi ayodini. Anthu ambiri amakhulupirira zabodza kuti ayodini amatha kuyambitsa vuto kwa anthu omwe ali ndi zipolopolo. Iodini imagwiritsidwa ntchito nthawi zambiri m'mankhwala komanso mosiyanasiyana poyerekeza ndi kuyerekezera kwachipatala.

Lingaliro lolakwika limakhudzana kwambiri ndi mlandu waku khothi ku Florida wonena za munthu yemwe adamwalira ndi vuto lalikulu. Mwamunayo anali ndi vuto lodana ndi nkhono. Zomwe zidachitikazi zidachitika patangopita mphindi zochepa atalandira ayodini wosiyana ndi katswiri wamatenda. Banja la mwamunayo lidapatsidwa ndalama zokwana madola 4.7 miliyoni kuti akwaniritse bwino kuti ayodini wosiyanasiyana yemwe adagwiritsidwa ntchito pochiza matenda oopsa am'thupi adamupangitsa kuti afe.

Kafukufuku wofalitsidwa mu Journal of Emergency Medicine adatsimikiza kuti ayodini siwowonjezera. Malinga ndi ofufuzawo, "Matenda a chifuwa cha nkhono, samachulukitsa chiopsezo chothana ndi mitsempha yolimbana ndi matenda ena aliwonse."

Kodi matenda a shellfish amapezeka?

Kuyezetsa khungu kosavuta kumatha kuzindikira kuti nkhono zimafota. Chiyesocho chimaphatikizira kuboola khungu la mkono ndikubweretsa zochepa zamatenda m'menemo. Ngati simukugwirizana ndi zina, malo ofiira ang'onoang'ono adzawoneka patangopita mphindi zochepa pomwe ma mast cell amatulutsa histamine.

Palinso kuyesa magazi komwe kumapezeka kuti mupeze zovuta za nkhono. Chiyesocho chimatchedwa kuyesa kwa anti-anti-IgE antibody kapena kuyesa kwa radioallergosorbent (RAST). Imayeza momwe chitetezo cha mthupi chimayankhira ndi nkhono.

Kuyezetsa magazi ndi njira yokhayo yotsimikizika yodziwira ngati zomwe mungachite mukadya nkhono ndi nkhono.

Kodi matenda a nkhono zam'madzi angapewe bwanji?

Njira yokhayo yopewera matenda a nkhono ndi kupewa nkhono zonse ndi zinthu zonse zomwe zimakhala ndi nkhono.

Nawa malangizo othandizira kupewa nkhono:

Funsani ogwira nawo ntchito momwe chakudya chimaphikidwira mukamadya ku lesitilanti. Malo odyera aku Asia nthawi zambiri amapereka mbale zomwe zimakhala ndi msuzi wa nsomba ngati malo onunkhira. Msuzi kapena msuzi wokhala ndi nkhono zimatha kuyambitsa vuto. Onetsetsani kuti mufunse kuti mafuta, poto, kapena ziwiya zomwe zimagwiritsidwa ntchito kuphika nkhono sizigwiritsidwanso ntchito pokonza zakudya zina.Khalani kutali ndi matebulo otentha kapena ma buffets.

Pewani kudya kumalo odyera nsomba kapena kugula kumsika wa nsomba. Anthu ena amachita ngakhale atapuma nthunzi kapena nthunzi kuchokera kuphika nkhono. Kuwonongeka kwa pamtanda ndikothekanso m'malo omwe amagulitsa nsomba.

Werengani malembedwe azakudya mosamala. Makampani akuyenera kufotokozera ngati chakudya chawo chimakhala ndi nkhono. Komabe, safunikira kuti awulule ngati mankhwalawa ali ndi mollusks, monga scallops ndi oyster. Samalani ndi zakudya zomwe zilibe zinthu zosamveka bwino, monga "nsomba" kapena "kununkhira kwa nsomba." Shellfish amathanso kupezeka muzakudya zambiri ndi zinthu zina, monga:

• kusamalitsa
• glucosamine
• Bouillabaisse
• Msuzi wa Worcestershire
• Masaladi a Kaisara

Adziwitseni anthu. Mukamauluka, kambiranani ndi ndegeyo pasadakhale kuti mudziwe ngati nsomba kapena nkhono zilizonse zidzakonzedwa ndikutumizidwa paulendo. Uzani abwana anu kapena sukulu ya mwana wanu kapena kusamalira ana za ziwengo zilizonse. Kumbutsani wolandila alendo kapena wochereza zovuta zanu mukayankha kuyitanidwa kuphwando.

Muyenera nthawi zonse kunyamula cholembera chanu cha epinephrine ndikuwonetsetsa kuti sichinathe. Inu kapena mwana wanu muyenera kuvala chibangili chachipatala kapena mkanda wokhala ndi zomwe mukudziwa.