Iimpawu, ukuxilongwa kunye nokuFunda ukuPhila i-Fish-Free
Iintlanzi zentlanzi zihlala zithinteka, kunye nabangama-40% abantu abaneentlanzi ezithintekayo xa beqala ukuphendula njengabantu abadala. Iintlobo eziqhelekileyo zeentlanzi ezigqityiweyo ezibangela ukuba i-salmon, i-tuna, kunye ne-halibut, nangona ezinye iintlanzi ezifana ne-Pollock, i-cod, i-snapper kunye ne-eel nazo ziqhelekile.
Ingaphezulu kwesigamu sabantu abaxhamlayo kwintlanzi enye ehlawulwayo iya kuba yinto evukisayo kwenye, ngoko ke abo banentlanzi bahlala becetyiswa ukuba baphephe zonke iintlanzi.
Nangona kunjalo, kunokwenzeka ukuvavanya intlanzi ethile.
Iintlanzi zentlanzi zifana ne-shellfish allergies kuba zininzi ngaphezu kokutya okuninzi kokutya ukuqala ngexesha lomntu omdala kwaye kuncinci kunokuba nezinye izifo zonyango zize ziphele. Ngelixa iintlanzi zilula kunezinye izinto ezilindelekileyo ukukhusela, intlanzi yeentlanzi isoloko ilukhuni.
Iimpawu
I-fishergy ye-fishergy idibene nomngcipheko ophezulu we-asthma enkulu kwizigulane zabantu abadala. Intlanzi iye yadibaniswa nomlomo wesifo sokuguqula umzimba (apho umlomo uphawula okanye utywala emva kokutya i-allergen, ngokuqhelekileyo isiqhamo okanye imifuno) kubantu abanxulumene neentlanzi.
Umngcipheko omkhulu kwiintlanzi zentlanzi yi- anaphylaxis , indlela enamandla yokuphendula ngayo umzimba apho umzimba ukhulula khona inani elikhulu le-histamine, okubangela izicubu kumzimba wonke. Oku kunokubangela ukuphefumula ubomi, ukuphefumula, kunye neempawu zesisu. Nabani na onentsholongwane yeentlanzi kufuneka athathe unyango olumiselwe ngugqirha wabo ngamaxesha onke.
Ukuxilongwa
I-fishergy ye-fishergy isoloko ifunyanwe yi-allergenist emva kwembali yonyango, ukuhlolwa ngokomzimba kunye nokuhlolwa kokutya kwezilwanyana. Ugqirha wakho uya kuthetha nawe malunga neempawu zakho kwaye enze uvavanyo ukuze aqinisekise ukuba unobungozi owenzela intlanzi, okanye ukuba usabela njani kwenye into.
Olunye uhlobo oluthile olunokuthi lugqithise njengentlanzi yokungena kwintlanzi yinto yokungabikho komzimba kwintlanzi yeentlanzi ebizwa ngokuthi iAnisakis simplex . Le ntlupheko ibhekwa njenge-allergen enkulu kwaye, njengeentlanzi zentlanzi, ingabangela ukunyamezeka kwe-allergen kubandakanya ukunyanyiswa kwe-anaphylactic.
Ukuba unesifo esibi kakhulu emva kokutya intlanzi kodwa ukuvavanya akubi okanye kungabonakali, cinga ukucela ukuba zonke izilwanyana zihlolwe ukuba zihlolwe ngolu hlobo. I-Anisakis izibungu zingabulawa ngokuqhwaba okanye ukupheka, kodwa zisenokubangela ukuxhamla emva kokubulawa, ngoko abantu abane- Anisakis isifo kufuneka baphephe iintlanzi kunye ne-shellfish ngokupheleleyo.
Unyango
Ulwaphulo lweentlanzi zentlanzi kukupheliswa kweentlanzi ekudleni. Ekubeni le nto ihamba phambili ihlala iphela (ithetha ukuba awuyikuphuma), mhlawumbi kufuneka uhlale kude nenhlanzi ngonaphakade.
Kukho ukuphakama kwe-cross-reactactivity phakathi kweentlobo ezahlukeneyo zeentlanzi, oku kuthetha ukuba abantu abaneentlobo zentlobo enye yeentlanzi banokuthi bafumane (okanye ukuphuhlisa) ukunyuka kwezilwanyana kwezinye iintlobo zentlanzi ehlawulweyo. Oku kungenxa yeprotheni ebizwa ngokuba yi-parvalbumin ekhoyo kwiintlanzi ezininzi. Ngenxa yoko, uninzi lwabantu abanomdla weentlanzi enye bayacetyiswa ukuba baphephe zonke iintlanzi (kuquka i-eel kunye ne-shark).
Sekunjalo, ezinye iintlanzi, ngakumbi i-tuna kunye ne-mackerel, zibhekwa njengezona zinyuka kunezinye. Ukuba ungathanda ukufaka intlanzi ekudleni kwakho, cela i-allergen yakho malunga nokuhlelwa kovavanyo olongezelelweyo lwe-allergen ukuvavanya ukuba yintoni intlanzi ekhuselekileyo kuyo.
Indlela Yokuphepha Iintlanzi
Njengenye yezilwanyana eziqhelekileyo e-United States, intlanzi ihlanganiswe phantsi kwe-Food Allergy Labeling kunye noMthetho woKhuseleko kwabaThengi (FALCPA). Oku kufuna ukuba abenzi beleta bokuba khona kweentlanzi kwiilwimi ezicacileyo kwiibhile zokutya, nokuba ziluhlu lwezithako okanye zilandele igama elithi "liqulethe" emva kohlu lwesithako.
Intlanzi akuyona isithako esifihliweyo ngokuqhelekileyo kwaye ngokuqhelekileyo ibonakala njengezifo zayo (umzekelo, "Iqulethe: i-salmon") kwintlu yokwenza.
Abantu abaneentlanzi zentlanzi kufuneka baqonde indlela yokufunda iileyitha zesebe kwaye bafunde amagama ezininzi iintlobo zeentlanzi ngokukhuselekileyo.
Kukho iintlobo ezininzi zeentlanzi ezigqityiweyo, ngoko ke uluhlu olupheleleyo lweentlanzi ukukhusela akunakwenzeka kweli nqaku. Nangona kunjalo, ezinye zeentlobo eziqhelekileyo zentlanzi ziquka:
- Anchovies
- Bass
- Intlanzi yekati
- Cod
- Iintlazi ezisibaca
- Iqela
- Haddock
- Hake
- Ihalibut
- ukufukama
- Mahi Mahi
- Perch
- Pike
- Pollock
- Islamoni
- Scrod
- Intlanzi yeswedi
- Wedwa
- Snapper
- Tilapia
- Umqala
- Tuna
Ukutya okuqhelekileyo equkethe intlanzi
Uya kufuneka kwakhona ukucima ukutya okuqulethe intlanzi njengesithako (soloko ufunda amalebula ezithako ngokuqinisekileyo). Ezi zokutya ziquka:
- Isardadi yokugqoka
- I-Worcestershire sauce
- Ceviche (intlanzi okanye i-shellfish "iphekwe" kwi-marinade ye-citrus e-acidic)
- Caviar
- I-Gelatin (xa yenziwe kwilusu kunye nethambo leentlanzi)
- I-Cioppino (i-fish stew)
- Nam pla (i-fish fish sauce)
- Bouillabaisse (i-fish stew)
- Fumet (ivenkile yeentlanzi)
- I-Surimi (intlanzi okanye i-fishfish)
- I-Pissaladière (i-tart evulekile ebonakala njenge-pizza; eyenziwe nge-anchovies)
- I-Omega-3 izongezo (ukuba ungathanda ukuthatha oku, jonga iintlobo ze-vegan ezenziwe kwi-flaxse okanye ezinye iifowuni ezithatyathwe yizityalo)
- I-Caponata (isitshalo seqanda sesitshalo)
Awukwazi ukuqonda ukuba lolu hlobo lwimibala, uhlobo lwe-gelatin olwenziwe kwintlanzi ethile yeentlanzi, ininzi i-collagen kwaye isenokusetyenziswa ngokuthengisa ukucacisa ubhiya okanye iwayini. Abo baneentlanzi kunye neengozi ze-anaphylaxis kufuneka baphephe iwayini kunye neebhiya zicaciswe nge-glassing glass. Uya kufuneka uqhagamshelane nabakhiqizi ukuba bafumane ukuba iimveliso ngamnye zikhuselekile, kuba iziyobisi ezidakayo akudingeki ukuba uluhlu lwezithako kwiibhile zabo.
Ukutya kunye neentlanzi zokutya
Unokuzikhethela ukhetho lwakho lokudlela ukuze unciphise umngcipheko. Indawo yokudlela yase-Seafood, i-sushi kunye neendawo zokutyela ezinjengeenkcubeko zaseThailand zibeka ingozi ephezulu ekungcoliseni ukungcola ngenxa yokusondela kweentlanzi kunye nezinto ezingenanto zentlanzi. Enye imvelaphi yokungcoliswa komnqophiso owenziwe ngokuphambana nomhlaba; Ukuba iintlanzi zifakwe kwioli, abantu abaneentlanzi kufuneka baphephe ukutya nayiphi na enye eyosiweyo eyoyile.
Kukho iziganeko ezibhaliweyo zokuphendulwa kwe-inhalation ngenxa yeeprotheni zeentlanzi ezisetyenziselwa i-fish (iiprotheni zentlanzi zikhutshwa emoyeni xa zipheka ukupheka), ngoko abantu abaneentlanzi zentlanzi kufuneka baphephe i-hibachi-style style yokutya iindawo zokutya xa intlanzi ikhona kwimenyu.
ILizwi
Intlanzi i-allergen elula ukuphepha kunezinye ezininzi "ezinkulu ezisibhozo". Akungaphantsi kokutya kweNtshona kunokuba ukolweni, i-soy, okanye ubisi, obunzima ukukhusela.
Oko akuthethi ukuba ukuhlala kunye neentlanzi zentlanzi kulula. Iingxaki ezinkulu zikhusela iimeko ezinobungozi bokudibanisa nentlanzi kunye nokulawula umngcipheko we- asthma (xa kusebenza) kunye ne-anaphylaxis. Iibhile zokufunda zeentlanzi zilula ngokulula kwiindawo zokutya. Ukunxibelelana kwiivenkile , nangona kunjalo, kubalulekile; iindawo zokutyela eziphezulu, ngokukodwa, zingasebenzisa inani elincinci lentlanzi kwiinambatho zokunambitha ezingabonakali ukuba kukho intlanzi kwimenyu.
Ukulawula i-asthma kunye ne-anaphylaxis mngcipheko kubini kuxhomekeke ekunxibelelaneni nodokotela wakho kwaye ugcine naluphi na unyango oluchanekileyo olusondeleyo: uncedo lwe-inhaler, kwimeko ye-asthma, kunye ne-epinephrine engenayo kwimeko ye-anaphylaxis.
Ukuba unenkxalabo malunga nokugcina intlanzi ngaphandle kokutya kwakho, cinga ukucela ugqirha wakho ukuba akuthumele kwi-dietitian onobuchule ekulawuleni ukutya kokutya. I-dietitian ingakunceda uhlaziye ukutya kwakho kwaye ufunde apho iintlanzi zifihla kwindawo yokutya.
> Imithombo:
> Joneja JV. Umkhokeli wezeMpilo kwiNkcazo yokutya kunye nokunyanzela.
> IsiSerbia S. Ukutya okuLungileyo: Isikhokelo esipheleleyo sokutya xa Ubomi bakho buxhomekeke kuyo.
> Moneo, Ignacio, et al. "Ukuqinisekiswa kwi-Fish Parasite i- Anisakis simplex : IiNtsholongwane kunye neeLebhu zeeLebhu." Uphando lweParasitology NgoJuni 17, 2007 (Epub).
> Van Do, T., et al. I-allergies kwi-Fish Parvalbumins: I-Studies kwi-Cross-Reactivity evela kwi-9 eSebenza ngokuTywayo. I-Journal ye-Allergerism kunye ne-Clinic Immunology Ngomhla ka-2005 116 (6): 1314-20.