Shellfish allergy ndiyo inowanzofodya zvokudya kune vanhu vakuru muUnited States. Vanenge vaviri kubva muzana vevanhu vekuAmerica vane hove yefishfish, uye 0,1 muzana yevana vane hove yefishfish. Kusiyana nehuwandu hwezvokudya zvezvokudya, shellfish kurwisa zvinowanzoita kuti munhu ave mukuru pane achiri muduku. Kutaura zvazviri, vanenge 60% yevanhu vane shellfish zveruzhinji vanoona maitiro avo ekutanga pavanenge vakura.
Shellfish miviri inowanzova yakaoma, zvokudya zveupenyu hwose.
Shellfish, Yakatsanangurwa
Shellfish inogoverwa muviri maviri: mollusks uye crustaceans. Makomluski anosanganisira clams, oyster, mussels, uye scallops. Crustaceans vanosanganisira shrimp, lobster, uye crayfish. Shellfish inogona kugara mumvura itsva kana mumunyu - kana kunyange pamunda.
Shrimp, crab, uye lobster zvinokonzera mishonga yakawanda ye shellfish.
Shellfish Allergy Symptoms
Allergic zviratidzo zvefishfish zvinokonzera mhuka zvinowanzoonekwa mumaminitsi uye kusvika maawa maviri ekudya shellfish. Zviratidzo zvinogona kusanganisira:
- Zviratidzo zveganda zvakadai semisango kana eczema .
- Allergic conjunctivitis inoratidzirwa nechinokisa, tsvuku, maziso.
- Kugadziriswa kwepamuviri kunosanganisira kuora mwoyo, kurwadziwa kwepamuviri, kurutsa, kana chirwere , kana kusanganiswa kwezviratidzo izvi.
- Zviratidzo zvekumhanya kwemhepo zvinosanganisira maguruza, kukanganisa kana kumhanya nemhepo uye / kana kusanganiswa kwezviratidzo izvi.
- Angioedema kusanganisira kuzvimba kwemiromo, rurimi, kana chiso.
Shellfish miviri inogona kukonzera kugadzikana kwakanyanya kunonzi vanaphylaxis . Anaphylaxis chirwere chakakomba chekurapa uye chinoda kutarisirwa kuchipatara. Vanhu vazhinji vane hove dzinokonzerwa nefishfish dzinotakura nzvimbo ye epinephrine, yakadai seEpi-Pen, kana chiitiko chinotyisa chichiitika.
Shellfish allergy ndiyo inowanzokonzera muviri-induced anaphylaxis, uko kushandiswa kwezvokudya zvekudya zvakadai sefishfish, pamwe nekurovedza muviri, kunogona kukonzera vanaphylactic reaction.
Cross-Reactivity
Vanhu vanokonzera kune rumwe rudzi rwekristacean, dzakadai semashizha, kazhinji inorwara kune dzimwe dzose dzakagadziriswa. Zvisinei, kana uri weergergic kune crustaceans, iwe unogona kunge usiri weergic to mollusks. Kuongororwa kwezvenyeredzi ndiyo nzira yakachengeteka yekuziva kuti maruva epi, kana aripo, iwe uchakwanisa kudya. Tsvaga nachiremba wako usati wadya chero mhando itsva ye shellfish.
Iyo protein inonzi allergenic mu shellfish inonzi tropomyosin . Tropomyosin inowanikwawo mumasango, guruva, maruva, uye zvimwe zvipembenene. Vanhu vane zvikwata zve shellfish vanogonawo kuwana zviratidzo kune zvinhu izvi uye zvipembenene.
Kuziva
Shellfish allergy inowanzoongororwa nachiremba (allergist) mushure mekurapa kwezvokurapa, kuongororwa kwemuviri, uye kuedza kwekuedza kuongororwa kunoitwa kunoitwa.
Kurapa
Mushonga we shellfish kurwisa ndeye kuparadzwa kwefishfish uye zvokudya zvakagadzirwa ne shellfish kubva pakudya.
Kana wakamboonekwa kuti une chirwere chakanyanya kuitika, chiremba wako achapa epinephrine auto-injector (inowanzonzi Epi-Pen) yaunoda kutakura newe nguva dzose.
Nzira Yokudzivirira Shellfish
Sezvimwe zvezvokudya zvinowanzovhiringidza muUnited States, crustacean shellfish yakafukidzwa pasi peKudya Allergy Labeling uye Consumer Protection Act (FALCPA).
Sezvo zvakadaro, vashandi vanofanirwa kutaura kuti iko kweki crustacean shellfish mumutauro wakajeka pamavara ezvokudya, kana mune urongwa hwezvishandiso kana kutevera shoko rokuti "rine" mushure mekunyorwa kwemashoko. Iva nechokwadi chokuti unoziva kuverenga zvinongororwa.
FALCPA haina kusanganisira kunyorwa kwe mollusk shellfish. Izvi zvinoreva kuti vanogadzira havakwanisi kutarisa kuvapo kwejekesti, oyster, mussels, scallops kana mamwe makungu muzvinyorwa zvavo zvinyorwa. Vaya vane mollusk shellfish zvinokonzera mishonga inofanirwa kuve yakanyatsochenjerera nezvokudya zvekudya uye kusvibisa parutivi rwekunyevera.
Kudzivisa shellfish zvingaita sezviri nyore, asi zvokudya zvinokonzerwa nezvokudya zvinogona kukwira munzvimbo dzinoshamisa.
Iwe unoda kudzidza kuverenga mavara kuti udzivise shellfish, uye dzidza kubvunza mibvunzo kana iwe uchidya mumaresitorendi.
Zvokudya Zvokudzivirira neShellfish Allergy
Mamwe emhando dzakawanda zvikuru dzeki crustacean shellfish dzinosanganisira:
- Crab
- Crawfish (Crayfish kana Crawdads)
- Langoustines (lobster)
- Lobster
- Prawns
- Urchin yegungwa
- Shrimp
Vanhu avo vanokonzerwa ne mollusks vanofanira kudzivisa zvose mollusks:
- Abalone
- Clam (Quahog)
- Cockle
- Limpet
- Mussels
- Octopus
- Oysters
- Scallops
- Nokona (Escargot - zvose zvegungwa nemigodhi dzinofanira kudziviswa)
- Squid (Calamari)
- Surimi (imitation shellfish)
- Whelk
Shellfish Allergy uye Iodine
Pane zvinetso zvisinganzwisisiki zvemuchinjikwa-reactivity pakati pekfishfish kurwisa uye iodine kana radiocontrast kurwisa; mamwe mapepa ekare ezvechiremba achiri kunyora izvi zvisina kururama sekupikisa. Kana iwe uri weergergic kune shellfish, haufaniri kudzivisa iodine kana radhiocontrast. Zvinokwanisika kuva neropairgiki kune iodine kana radhiocontrast nyaya, asi iyo miviri isingabatanidzi noutano hwefishfish.
Shellfish Poisoning
Zviratidzo zvehovefish inouraya (inonziwo mutezo weploriki shellfish inouraya uye mhepo yakatsvuka) inowanzoitika mukati memaminitsi makumi matatu ekudya nyama yakasvibiswa, uye inogona kuvhiringidzika neanoratidzika. Shellfish poisoning inokonzerwa nekanyanyisa yakanyanya kunzi saxitoxin inosunungurwa nemararamiro-akafanana nemararamiro anogara mumashonga ehurumende, sezvinonzi clams uye oysters. Rudzi urwu rwehuputi hunobata chete marlusks, uye kwete hove kana lobster. Zviratidzo zvehokfish inouraya zvinogona kusanganisira kupisa kana kupisa mumuromo kana pamagumo, kushungurudza, kusuruvara, uye kurora. Shellfish poisoning inogona kunge yakaoma uye inouraya. Kana ukawana chero chezviratidzo izvi mushure mekudya shirifish, tsvagai rubatsiro rwekuchirapa.
> Sources
> Joneja JV. Vanehutano Vehutungamiri Vatungamiri kune Zvokudya Kurwisana nekusagadzikana.
> Sherere S. Food Allergies: A Complete Guide yekudya Kana Upenyu Hwenyu Huchivimba Nayo
> Zvokudya Allergy Research & Education: https://www.foodallergy.org/allergens/shellfish-allergy