Izimpawu, Ukuxilongwa Nokufunda Ukuphila I-Fish-Free
Inhlanzi yokungezwani komzimba iyinto engafinyeleleki impilo yonke, kanti abantu abangaba ngu-40% abanezinhlanzi ezithinta izinhlanzi baqala ukuphendula kwabo njengabantu abadala. Izinhlobo ezivame kakhulu zezinhlanzi ezifakwe okwenziwe okwenziwe okwenziwe okwehliswayo yi-salmon, i-tuna, ne-halibut, nakuba ezinye izinhlanzi ezifana ne-Pollock, i-cod, i-snapper ne-eel nazo zivamile.
Abantu abangaphezu kwesigamu abaphikisana nenhlanzi eyodwa ehlongozwe kuyoba yisifo sofuya kwesinye, ngakho labo abanezinhlanzi zokudoba izinhlanzi ngokuvamile bayelulekwa ukuba bagweme zonke izinhlanzi.
Kodwa-ke, kungenzeka ukuba uhlolwe ngenhlanzi ethile yokungezwani.
Imithi yokudoba inhlanzi iyafana nemithi ye-shellfish ngoba iningi kunezifo eziningi zokudla okuzoqala ngesikhathi somuntu omdala futhi kuncane kakhulu kunezinye izifo ezithathelwanayo ukuze zivelele. Ngenkathi izinhlanzi zilula kunezinye izilonda eziningi ukugwema, inhlanzi yokulwa nenhlanzi ngokuvamile ivame kakhulu.
Izimpawu
Inhlanzi yokulwa nezinhlanzi ihlobene nenengozi eyengeziwe yokwehla kwesifuba esinzima kweziguli ezikhulile. Inhlanzi nayo ixhunyaniswe nesifo sofuba somlomo (lapho umlomo ushaya khona noma ushukela ngemva kokudla i-allergen, ngokuvamile izithelo noma imifino) kubantu abanokuxhumana nabasebenzi ngezinhlanzi.
Ingozi enkulu kunazo zonke ezivela emanzini okudoba izinhlanzi yi- anaphylaxis , isisindo esibucayi lapho umzimba ukhulula khona i-histamine enkulu, okwenza izicubu zomzimba wonke zivule. Lokhu kungabangela ukuphila okusongela ukuphefumula, inhliziyo, nezimpawu zamathumbu. Noma ubani onenhlanhla yokudoba kufanele athathe imithi enqunywe udokotela wayo ngaso sonke isikhathi.
Ukuxilongwa
Inhlanzi yokungezwani komzimba ngokuvamile ihlolwe yi-allergen ngemuva komlando wezokwelapha, ukuhlolwa ngokomzimba kanye nokuhlolwa kokuvivinya umzimba. Udokotela wakho uzokukhuluma ngezimpawu zakho futhi enze ukuhlolwa ukuze anqume ukuthi uthola yini ukuhlunga inhlanzi, noma uma ungase uphendule kwenye into.
Enye imithwalo yemingcele engase ibonakale njengezinhlanzi zokudoba izinhlanzi ingukungabi nomzimba ku-parasite yezinhlanzi okuthiwa i- Anisakis simplex . Lezi zinambuzane zibhekwa njenge-allergen enkulu futhi, njengezinhlanzi zokudoba izinhlanzi, zingabangela ukusabela okukhulu kwe-allergen kuhlanganise nokuphazamiseka kwe-anaphylactic.
Uma unomdlavuza omkhulu emva kokudla izinhlanzi kodwa ukuhlolwa kungalungile noma kungavumelani, cabangela ukucela i-allergen ukuthi ikuvivinye ngenxa yokungabi nethonya kulokhu kuphazamiseka. I-Anisakis izibungu zingabulawa ngokuqhwala noma ukupheka, kodwa zingasusa imithi emva kokubulawa, ngakho-ke abantu abane- Anisakis imilayezo kufanele bagweme izinhlanzi kanye ne-shellfish ngokuphelele.
Ukwelapha
Ukwelashwa kwezinhlanzi zokudoba izinhlanzi kungukuqedwa kwezinhlanzi ezivela ekudleni. Njengoba lokhu kungezwani ukuvame ukuhlala impilo yakho yonke (okusho ukuthi awuyikukhuphuka), cishe kuzodingeka uhlale kude nenhlanzi unomphela.
Kune-cross-reactivity ephezulu yokwelashwa phakathi kwezinhlobo ezahlukene zezinhlanzi, okusho ukuthi abantu abanesifo sofuba kunhlobo olulodwa lwezinhlanzi cishe (noma ukuthuthukisa) izidakamizwa kwezinye izinhlobo zezinhlanzi eziboshiwe. Lokhu kungenxa yeprotheni ebizwa ngokuthi i-parvalbumin ekhona ezinhlanzi eziningi. Ngenxa yalesi sizathu, abantu abaningi abanesifo sokungenwa yilutho kunhlanzi eyodwa bayelulekwa ukuba bagweme zonke izinhlanzi (kubandakanya i-eel neshaka).
Noma kunjalo, ezinye izinhlanzi, ikakhulukazi i-tuna kanye nama-mackerel, zibhekwa njengezincane kakhulu kunezinye. Uma ungathanda ukufaka ezinye izinhlanzi ekudleni kwakho, cela umuthi wakho wezilwane mayelana nokuhlela ukuhlolwa okungeziwe kokuhlolwa kwe-allergen ukuhlola ukuthi yiziphi izinhlanzi ezingase ziphephile kuwe.
Indlela Yokugwema Izinhlanzi
Njengenye yezifo ezivame kakhulu e-United States, inhlanzi ihlanganiswa ngaphansi kwe-Food Allergy Labeling noMthetho Wokuvikelwa Komthengi (FALCPA). Lokhu kudinga ukuthi abakhiqizi babhale ukuthi kukhona izinhlanzi ngolimi olucacile kumalebula okudla, noma ohlwini lwezithako noma ngokulandela igama elithi "liqukethe" ngemuva kohlu lwesithako.
Inhlanzi akuyona isithako esifihliwe ikakhulukazi futhi ngokuvamile ibonakala njengezinhlobo zayo (isb., "Iqukethe: i-saumoni") kuluhlu lwezithako.
Abantu abanezinambuzane zezinhlanzi kufanele bazi ukuthi bafunde kanjani ilebula lezithako futhi bafunde amagama ezinhlobonhlobo zezinhlanzi ezihlukahlukene zokuphepha.
Kunezinhlobo eziningi zezinhlanzi eziphethwe, ngakho-ke uhlu oluphelele lwezinhlanzi okumele lugweme alinakwenzeka kule ngxenye. Nokho, ezinye zezinhlobo zezinhlanzi ezivame kakhulu zihlanganisa:
- Ama-Anchovies
- Bass
- Inhlanzi eyikati
- I-Cod
- I-Flounder
- I-Grouper
- Haddock
- Hake
- I-halibut
- i-herring
- Mahi Mahi
- I-Perch
- Pike
- I-Pollock
- Uhlobo lwenhlanzi
- Scrod
- I-swordfish
- Isoli
- Snapper
- I-Tilapia
- Ithrawuthi
- I-Tuna
Ukudla Okuvame Ukuqukethe Inhlanzi
Kuzodingeka futhi ulungise ukudla okucacile okuqukethe izinhlanzi njengesithako (njalo ufunde amalebula wesithako ukuze uqiniseke). Lokhu kudla kungabandakanya:
- Isaladi isaladi yokugqoka
- I-Worcestershire sauce
- I-Ceviche (inhlanzi noma i-shellfish "iphekwe" emanzini ase-citrus acidic)
- I-Caviar
- I-Gelatin (uma kwenziwa esikhumbeni nasetheni lenhlanzi)
- I-Cioppino (i-fish stew)
- Nam pla (Thai fish sauce)
- I-Bouillabaisse (i-fish stew)
- I-Fumet (inhlanzi yesitoko)
- I-Surimi (inhlanzi yokulingisa noma yokufakelwa noma i-shellfish)
- I-Pissaladière (i-tart evulekile ebukeka njenge-pizza; eyenziwe nge-anchovies)
- Izithako ze-Omega-3 (uma ungathanda ukuthatha lezi, bheka izinhlobo zama-vegan ezenziwe ngama-flaxseed noma amanye ama-plant aqoshiwe)
- I-Caponata (isitshalo seqanda sijabule)
Ungase ungaqapheli ukuthi le islasses, uhlobo lwe-gelatin olwenziwe kusuka ezinkanyeni zomoya ezinhlanzi ezithile, ikakhulukazi i-collagen futhi ingase isetshenziswe ngokuthengisa ukuze icacise ubhiya noma iwayini. Labo abanezinhlanzi zokudoba izinhlanzi kanye nobungozi be-anaphylaxis kufanele bagweme iwayini nezinyosi ezicacisiwe nge-isinglass. Kuzodingeka uxhumane nabakhiqizi ukuze uthole ukuthi imikhiqizo ngayinye iphephile, ngoba iziphuzo ezidakayo azidingeki ukuthi zihlenge izithako emalebula abo.
Ukudla nge-Fish Toergy
Ungalungisa ukukhetha kwakho kokudlela ukuze unciphise ingozi yakho. Izindawo zokudlela ezidliwayo, ama-sushi, nezindawo zokudlela ezihlukahlukene ezifana nezindawo zaseThailand ziyizingozi eziphezulu zokungcoliswa okwenziwe ngenxa yokudoba kwezinhlanzi nezinto ezingekho izinhlanzi. Omunye umthombo wokungcola okungahle ube khona uyamafutha okudoba; uma izinhlanzi zifakwe emafutheni, abantu abanezinhlanzi zokudoba kufanele bagweme ukudla noma yikuphi okunye okuthosiwe emafutheni afanayo.
Kunezimo eziqoshiwe zokuphendula kwe-inhalation ngenxa yamaprotheni ezinhlanzi ezinama-aeroosolized (ama-protein asezinhlanzi akhishwa emoyeni ekuphekeni kwe-steam), ngakho-ke abantu abanezinhlanzi zokudoba kufanele bagweme izindawo zokudlela zokudla zokudla ezihamba nge-hibachi uma izinhlanzi zikhona kwimenyu.
Izwi kusuka
Inhlanzi i-allergen elula ukugwema kunezinye eziningi "izikhukhula ezinkulu" ezingu-8. Lincane kakhulu ekudleni kwe-Western kunekolweni, soy, noma ubisi, okulukhuni kakhulu ukugwema.
Lokhu akusho ukuthi ukuhlala nenhlanzi yokungezwani komzimba kulula. Izinselele ezinkulu zigwema izimo ezinobungozi obukhulu zokuxhumana nezinhlanzi nokulawula ingozi ye- asthma enzima (lapho kufanele khona) ne-anaphylaxis. Ukufunda amalebula ezinhlanzi kulula ngokulula ezitolo zokudla. Ukuxhumana ezindaweni zokudlela , noma kunjalo, kubalulekile; izindawo zokudlela eziphezulu, ikakhulukazi, zingasebenzisa izinhlanzi ezincane ezinambithelweni zokunambitheka ezingahle zingabonakali khona kwezinhlanzi kwimenyu.
Ukulawula ingozi ye-asthma ne-anaphylaxis kokubili kuxhomeke ekukhulumisaneni nodokotela wakho nokugcina imithi enikeziwe eseduze: i-inhaler yokuhlengwa, uma kwenzeka i-asthma, ne-epinephrine engenayo uma kwenzeka i-anaphylaxis.
Uma unenkinga ngokugcina izinhlanzi ekudleni kwakho, cabanga ukuthi ucele udokotela wakho ukuba akubhekise ku-dietitian owazi kahle ukulawula ukudla kokudla. I-dietitian ingakusiza ukuba ubuyekeze ukudla kwakho futhi ufunde lapho izinhlanzi zingafihla khona ekudleni kokudlela.
> Imithombo:
> Joneja JV. Umhlahlandlela Wezokwelapha Wezokwelapha Ukudla Kokugula Nokungabeki.
> Isibhedlela S. Ukudla Kokudla: Umhlahlandlela Ophelele Wokudla Uma Ukuphila Kwakho Kuxhomeke Kuwo.
> Moneo, Ignacio, et al. "Ukuqwashisa kwi- Anisakis simplex ye -Fish Parasite. I-Parasitology Research June 17, 2007 (Epub).
> Van Do, T., et al. Ukunciphisa ukungezwani kwe-Fish Parvalbumins: Izifundo eziseSiphambano-Reactivity ezivela ku-9 Izinhlanzi Ezivame Ukudla. I-Journal ye-Acuteergy ne-Clinical Immunology Dec. 2005 116 (6): 1314-20.