Nā ʻAha ʻApena Shellfish
Anter
- He aha nā maʻi āpau shellfish?
- He aha nā meaʻai e pono ai iaʻu e hōʻalo inā loaʻa iaʻu kahi alohā pūpū?
- He aha nā hōʻailona o ka maʻi ʻaʻā shellfish?
- Pehea e mālama ai i nā maʻi pūpū?
- Hiki i iodine ke hoʻoulu i kahi alohā pūpū?
- Pehea e ʻike ʻia ai ka maʻi ʻaʻai pūpū?
- Pehea e pale aku ai i kahi alohā pūpū?
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
He aha nā maʻi āpau shellfish?
ʻOiai ʻo ka hapa nui o nā meaʻai āpau nui e hoʻomaka i ka wā kamaliʻi, kū hoʻokahi kahi allergy: shellfish. Hiki ke hoʻomohala i kahi kinikini i ka iʻa i kēlā me kēia manawa i ke ola o ke kanaka, akā mālama ʻia i ka wā makua. Hiki ke kumu ʻia i nā meaʻai āu i ʻai ai ma mua me nā pilikia ʻole.
Me nā iʻa, ʻo nā pūpū pūpū nā mea āpau loa o nā meaʻai āpau a nā mākua. Ua manaʻo ʻia aia ma mua o 6.5 miliona mau ʻelemakule ʻAmelika i loaʻa i nā maʻi āpau i hoʻokahi a i ʻole ʻelua, e like me ka Food Allergy Research & Education (FARE).
He aha nā meaʻai e pono ai iaʻu e hōʻalo inā loaʻa iaʻu kahi alohā pūpū?
Aia he ʻelua ʻano pūpū, crustacea a me mollusks. Eia kekahi mau laʻana o crustaceans e nānā inā inā he maʻi ʻaʻai ʻoe:
- ʻōpae
- pāpaʻi
- ʻalalā
- kekee
- ʻulaʻula
Mollusks komo pū:
- ʻōpae
- mussels
- ʻōlio
- heʻe
- ʻoki ʻoki
- heʻe
- nahenahe
- scallops
ʻO ka hapanui o ka poʻe i maʻi āpau i kekahi ʻano o nā pūkini pū kekahi i nā maʻi ʻē aʻe i kekahi ʻano. Aia kahi manawa hiki iā ʻoe ke ʻai i kekahi ʻano. Eia nō naʻe, paipai pinepine nā kauka i nā poʻe me nā ʻāhuhu shellfish e hōʻalo i nā ʻano āpau e palekana.
He ʻokoʻa ka maʻi ʻohā shellfish mai nā maʻi ʻē aʻe i nā ʻano ʻē aʻe. ʻO kahi laʻana, ʻaʻohe hiki ke kuhi ʻia nā hopena maʻi ʻaʻā i nā pūpū, i kekahi manawa aia ma hope lōʻihi o ka pau ʻana o ke kanaka i ka maʻi āpau a ʻaʻole hōʻike i nā ʻōuli ʻē aʻe. ʻO nā hopena āpau āpau i ka iʻa iʻoi aku ka paʻakikī i kēlā me kēia hōʻike.
He aha nā hōʻailona o ka maʻi ʻaʻā shellfish?
ʻO nā maʻi āpau ʻo Shellfish ka pinepine o ka ʻōnaehana pale pale i ka protein i loaʻa i nā ʻāpana shellfish i kapa ʻia tropomyosin. Hoʻokumu nā Antibodies i ka hoʻokuʻu ʻia ʻana o nā kemika e like me histamines e hoʻouka i ka tropomyosin. Lawe ka hoʻokuʻu histamine i kekahi mau hōʻailona e hiki ke ʻano mai ke akahai a hiki i ka hoʻoweliweli ola. Hōʻailona nā ʻōuli o nā pūpū pūpū i ka poʻe koʻikoʻi.
Hiki iā ia ke lawe i kahi manawa no nā ʻōuli e hōʻike ma hope o ka ʻai ʻana i nā iʻa, akā hoʻomōhala ka hapa nui i loko o nā minuke. Pākuʻi ʻia paha nā ʻōuli o ka allergy shellfish:
- ʻalalā i ka waha
- ʻeha o ka ʻōpū, nausea, diarrhea, a i ʻole ka luaʻi
- popo, pilikia hanu, a i ʻole wheezing
- nā hopena o ka ʻili me ka ʻili ʻana, ka hives, a i ʻole ka eczema
- pehu o ka maka, lehelehe, elelo, ka ʻāʻī, pepeiao, manamana lima, a lima paha
- ʻālohilohi, puʻupuʻu, a maʻule paha
ʻO kahi hopena maʻi ʻino a weliweli hoʻi i ke ola i ʻike ʻia ma ke ʻano he anaphylaxis i loko o nā hihia koʻikoʻi loa. Pono kahi hopena anaphylactic i ka lāʻau lapaʻau koke. ʻO nā ʻōuli o ka anaphylaxis me:
- kahi puʻu pehu (a i ʻole puʻupuʻu i ka puʻu) e paʻakikī ai ka hanu ʻana
- pulse wikiwiki
- ʻino loa a nalowale paha o ka ʻike
- kahi kulu koʻikoʻi i ke kaomi koko (haʻalulu)
Pehea e mālama ai i nā maʻi pūpū?
ʻAʻohe mea ola i kēia manawa no kahi allergy shellfish. ʻO ka lapaʻau maikaʻi loa ka hōʻalo ʻana i nā meaʻai e like me ka ʻōpae, ka ʻula, ka pāpaʻi, a me nā crustacean ʻē aʻe. ʻAʻole pili ka iʻa i hoʻopau ʻia me ka iʻa, akā he maʻa mau ke keʻa. Makemake paha ʻoe e hōʻalo loa i nā iʻa iʻa inā koʻikoʻi kāu maʻi ʻalā.
Paipai pū nā kauka he nui i ka poʻe me nā maʻi ʻāpō shellfish e halihali i ka epinephrine (EpiPen, Auvi-Q, a i ʻole Adrenaclick) no ka hoʻomalu ʻana iā ʻoe iho inā ʻaʻole ʻoe e ʻai i kekahi. ʻO ka Epinephrine (adrenalin) ka lapaʻau laina mua no ka anaphylaxis. No nā hopena māmā e like me ka pehu a me ka itchiness paha, e lawe ʻia i kahi antihistamine e like me Benadryl e koi ʻia e kāu kauka.
Kūʻai no nā huahana Benadryl.
ʻO nā make ʻana mai kahi hopena anaphylactic mai ka ʻai ʻana i nā iʻa iʻa laha ʻole, akā ʻoi aku ka maʻamau ma mua o nā meaʻai āpau o ka meaʻai. ʻAe ka hapanui o nā kauka e loaʻa i kahi mea i loaʻa i nā ʻāpana shellfish āpau a me ka hānō i kahi peni epinephrine ma ka lima inā pilikia. Inā hoʻokomo i ka iʻa nā iʻa i kahi hopena akahai e like me ka ʻehu a ʻili ʻili paha, lawe i kahi antihistamine e ʻike inā kōkua ia me nā ʻōuli e paipai ʻia. Eia naʻe, inā ʻaʻole hoʻomaikaʻi nā ʻōuli, e ʻimi koke i ka ʻōlelo aʻoaʻo a i ʻole ke hele i ka lumi pilikia.
Hiki i iodine ke hoʻoulu i kahi alohā pūpū?
ʻO ka iodine kahi mea i loaʻa i loko o ke kino a he mea nui ia i ka hana ʻana o nā hormone thyroid a me nā amino acid like ʻole. I ka pōkole, ʻaʻole hiki i nā kānaka ke ola me ka ʻole o ia. Ua huikau paha kekahi i nā makahiki i hala aku nei e pili ana i ka pilina ma waena o ka maʻi ʻaʻai shellfish a iodine. Manaʻo wahaheʻe ka hapa nui o ka poʻe iodine i kahi hopena maʻi i loko o ka poʻe me kahi allergy shellfish. Hoʻohana pinepine ʻia ka iodine i nā lāʻau lapaʻau a me nā ʻokoʻa ʻokoʻa i hoʻohana ʻia i nā kiʻi olakino.
ʻO ka manaʻo kuhi hewa e pili nui ʻia i ka hihia hoʻokolokolo ma Florida e pili ana i kahi kāne i make i ka hopena maʻi ʻino. Loaʻa i ke kāne kahi maʻi maʻi ʻalā i ʻike ʻia. Ua kū ka hopena maʻi i loko o kekahi mau minuke ma hope o ka loaʻa ʻana o ka iodine ʻokoʻa mai kahi cardiologist. Ua hāʻawi ʻia ka ʻohana o ua kāne nei i $ 4.7 miliona no ka hoʻopaʻapaʻa maikaʻi ʻana i ka ʻokoʻa iodine i hoʻohana ʻia i kāna mālama ʻana no ka maʻi coronary syndrome ka mea i make ai ke kāne.
ʻO kahi noiʻi i paʻi ʻia i ka Ka Nūpepa o ka Lapaʻau Kūlohelohe i hoʻoholo ai ʻaʻole ka iodine i mea pale. Wahi a nā kānaka noiʻi, "ʻO nā maʻi āpau i nā iʻa, ʻoi loa, mai hoʻonui i ka hopena o ka hopena i ka ʻokoʻa intravenous i nā mea āpau ʻē aʻe."
Pehea e ʻike ʻia ai ka maʻi ʻaʻai pūpū?
Hiki i kahi hoʻokolohua prick ʻili maʻalahi ke hoʻomaopopo i kahi allergy shellfish. Hoʻopili ka hōʻike i ke kuʻi ʻana i ka ʻili o ka forearm a me ka hoʻolauna ʻana i kahi liʻiliʻi o ka alena i loko. Inā kūleʻa ʻoe, e ʻike ʻia kahi wahi ʻulaʻula ʻūlū ʻuʻuku i loko o kekahi mau minuke ke hoʻokuʻu ʻia nā mastamine i ka histamine.
Aia kekahi hōʻike i ke koko e hiki ai ke ʻike pono i ka maʻi ʻaʻama shellfish. Kapa ʻia ka hoʻāʻo he hoʻāʻo antibody IgE kikoʻī allergen a i ʻole hoʻāʻo radioallergosorbent (RAST). Ana ia i ka pane a ka ʻōnaehana pale i ka pūpū.
ʻO ka hoʻāʻo alapiʻi wale nō ke ala maopopo e haʻi ai inā he hopena ma hope o ka ʻai ʻana i nā ʻāpī ʻoiaʻiʻo he allergy shellfish.
Pehea e pale aku ai i kahi alohā pūpū?
ʻO ke ala wale nō e pale aku ai i ka allergy shellfish e hōʻalo i nā shellfish āpau a me nā huahana āpau i loaʻa ka shellfish.
Eia kekahi ʻōlelo aʻoaʻo no ka hōʻalo ʻana i nā iʻa:
E nīnau i nā limahana pehea e hoʻomākaukau ai ka meaʻai i ka wā e ʻai ana i ka hale ʻaina. Hāʻawi pinepine nā hale ʻaina ʻAsia i nā kīʻaha i loaʻa ka ipu iʻa ma ke ʻano he mea ʻono. Hiki i kahi broth-based broth a i ʻole ʻono ke hoʻonāukiuki i kahi hopena maʻi. E hōʻoia e noi i ka aila, ipu hao, a i ʻole nā mea hana i hoʻohana ʻia e kuke ai i nā iʻa i hoʻohana ʻole ʻia e hoʻomākaukau i nā meaʻai ʻē aʻe.Noho kaawale mai nā papa mahu a i ʻole nā buffet.
Hōʻalo i ka ʻai ʻana i ka hale ʻaina kai a i ʻole ke kūʻai ʻana i kahi mākeke iʻa. Pēlā kekahi poʻe inā hāhā lākou i ka mahu a i ʻole ka mahu mai ke kuke ʻana i nā pūpū. Hiki ke pale i ke keʻa i nā hale e lawelawe i nā iʻa iʻa.
E heluhelu pono i nā lepili ʻai. Koi ʻia nā ʻoihana e hōʻike inā loaʻa i kā lākou huahana meaʻai i nā pūpū. Eia naʻe, ʻaʻole koi ʻia lākou e hōʻike inā loaʻa ka mollusks i ka huahana, e like me nā scallops a me nā ʻōlio. E akahele i nā meaʻai i loko o nā mea i pohihihi ʻole, e like me ka "waihona iʻa" a i ʻole "ʻono iʻa iʻa." Aia pū kekahi ʻo Shellfish i nā kīʻaha a me nā mea ʻē aʻe, e like me:
- surimi
- glukosamina
- ʻO Bouillabaisse
- Mīkini ʻo Worcestershire
- Kāpena salakeke
E hoʻomaopopo i ka poʻe. Ke lele ʻana, e launa mua i ka mokulele e ʻike inā e hoʻomākaukau ʻia kahi iʻa a iʻa pūpū paha a lawelawe i ka lele. E haʻi i kāu luna a i kāu kula a keiki paha a mālama lā paha e pili ana i nā maʻi āpau. Hoʻomanaʻo i kahi mea hoʻokipa a wahine hoʻokipa paha o kāu allergy ke pane ʻoe i kahi kono i kahi ʻahaʻaina.
Lawe mau ʻoe i kāu pene epinephrine a hōʻoia ʻaʻole i pau. Pono ʻoe a me kāu keiki e komo i ka kūpeʻe lima a i ʻole ka lei i loaʻa i ka ʻike pili āpau.