Zizindikiro, Kuzindikira ndi Kuphunzira Kukhala ndi Moyo Wansomba
Nsomba zakumwa za nsomba zimakhala zowopsa kwa moyo wonse, ndipo pafupifupi 40% mwa anthu omwe ali ndi nsomba zakumwa za nsomba zomwe zimawoneka ngati wamkulu. Mitundu yambiri ya nsomba zowonjezera zomwe zimayambitsa matendawa ndi salimoni, tuna, ndi halibut, ngakhale nsomba zina monga Pollock, cod, snapper ndi eel ndizofala.
Oposa theka la anthu omwe amatsutsana ndi nsomba imodzi yokonzedweratu adzakhala opweteka kwa ena, kotero anthu omwe ali ndi nsomba zakumwa amatha kulangizidwa kuti asapewe nsomba zonse.
Komabe, n'zotheka kuyesa nsomba zinazake.
Zoweta za nsomba zimakhala zofanana ndi zifuwa za nkhono chifukwa zimakhala zovuta kwambiri kusiyana ndi zakudya zambiri zowonjezera zakudya zomwe zimayambira pamene munthu akukula komanso zochepa kusiyana ndi zowawa zina. Ngakhale nsomba ndi zosavuta kuposa zina zambiri zomwe zimatha kupeŵa, nsomba zofiira nthawi zambiri zimakhala zovuta kwambiri.
Zizindikiro
Nsomba zolimbitsa nsomba zimagwirizanitsa ndi chiopsezo chowonjezeka cha mphumu yambiri mu odwala akuluakulu. Nsomba zakhala zikugwirizanitsidwa ndi matenda opatsirana pakamwa pakamwa (pakamwa pakamwa kapena pamphuno mutadya kudya, nthawi zambiri zipatso kapena ndiwo zamasamba) mwa anthu ogwira ntchito ndi nsomba.
Chiopsezo chachikulu chochokera ku nsomba za nsomba ndi anaphylaxis , njira yowonongeka yomwe thupi limatulutsira zambirimbiri za histamine, zomwe zimachititsa kuti thupi lonse lizizira. Izi zingayambitse matenda, kupuma, ndi m'mimba. Aliyense amene ali ndi nsomba zothandizira ayenera kutenga mankhwala omwe adokotala amamupatsa nthawi zonse.
Kudziwa
Nthenda za nsomba zimapezeka ndi munthu wotsutsa zovuta pambuyo pa mbiri yachipatala, kuyezetsa thupi ndi kuyeretsa kwa zakudya. Dokotala wanu adzakuuzani za zizindikiro zanu ndikuyesera kuti muwone ngati muli ndi vuto la nsomba, kapena ngati mungachitepo kanthu kena.
Matenda ena omwe amawoneka ngati nsomba zowonjezera ndi nsomba zowononga nsomba zotchedwa Anisakis simplex . Mankhwalawa amaonedwa kuti ndi ofunika kwambiri ndipo, monga chifuwa cha nsomba, amachititsa kuti thupi likhale loipa kwambiri kuphatikizapo anaphylactic.
Ngati muli ndi vuto lalikulu mukatha kudya nsomba koma kuyezetsa kuli kosavuta kapena kosayenerera, ganizirani kufunsa munthu wotsutsa kuti akuyeseni kuti akuyese matendawa. Mphutsi ya Anisakis ikhoza kuphedwa ndi kuzizira kapena kuphika, koma imatha kuyambitsa chifuwa pambuyo poti aphedwe, kotero anthu omwe ali ndi matenda a Anisakis ayenera kupewa nsomba ndi nsomba zonse.
Chithandizo
Mankhwala ophera nsomba ndi kuchotsa nsomba za zakudya. Popeza kuti zovutazo zimakhala zamoyo nthawi zonse (kutanthauza kuti simukuziika kunja), mwinamwake muyenera kukhala kutali ndi nsomba kosatha.
Pali mitundu yambiri ya nsomba, yomwe imatanthauza kuti anthu omwe ali ndi chifuwa cha mtundu umodzi wa nsomba amakhala ndi (kapena kukula) kwa mitundu ina ya nsomba zolonjezedwa. Izi zimachokera ku mapuloteni otchedwa parvalbumin omwe ali m'madzi ambiri. Pachifukwa ichi, anthu ambiri omwe ali ndi nsomba imodzi akulangizidwa kupewa nsomba zonse (kuphatikizapo eel ndi shark).
Komabe, nsomba zina, makamaka tuna ndi mackerel, zimaonedwa kuti sizing'onozing'ono kuposa zina. Ngati mukufuna kuphatikiza nsomba zomwe mukudya, funsani munthu wotsutsa zokhudzana ndi kukonza zowonjezereka kuti muone ngati nsomba zingakhale zotetezeka kwa inu.
Mmene Mungapewere Nsomba
Monga chimodzi mwa zizindikiro zofala kwambiri ku United States, nsomba imaphimbidwa pansi pa Chakudya Chakudya Chakudya Chakudya ndi Chitetezo cha Ogulitsa (FALCPA). Izi zimafuna kuti opanga amveke kuti pali nsomba zomwe zimapezeka bwino m'zilembo zamagulu, kaya mndandanda wa zosakaniza kapena kutsatira mawu akuti "muli" pambuyo pa mndandanda wazowonjezera.
Nsomba sizomwe zimakhala zobisika kwambiri ndipo zimakhala ngati zamoyo zake (mwachitsanzo, "Ili ndi: salimoni") m'zinthu zopangira.
Anthu omwe ali ndi chifuwa cha nsomba ayenera kudziwa momwe angawerenge zolembazo ndikulemba mayina a mitundu yosiyanasiyana ya nsomba kuti atetezeke kwambiri.
Pali mitundu yambiri ya nsomba zokhala ndi nsomba, choncho mndandanda wa nsomba zomwe mungapewe sizingatheke pamutu uno. Komabe, mitundu yambiri ya nsomba ikuphatikizapo:
- Anchovies
- Bass
- Nsomba zopanda mamba
- Cod
- Fulonda
- Grouper
- Haddock
- Hake
- Nsomba yam'nyanja yamchere
- Hering'i
- Mahi Mahi
- Perch
- Pike
- Pollock
- Salimoni
- Scrod
- Nsomba zamipeni
- Chidendene
- Snapper
- Tilapia
- Nsomba ya trauti
- Tuna
Zakudya Zowirikiza Zokhudzana ndi Nsomba
Muyeneranso kuchotsa zakudya zomwe zili ndi nsomba monga chogwiritsira ntchito (nthawizonse muziwerenga malemba osakayikira). Zakudya izi zingakhalepo:
- Kaisara saladi kuvala
- Msuzi wa Worcestershire
- Ceviche (nsomba kapena shellfish "yophika" mu marinade a acidic citrus)
- Caviar
- Gelatin (popangidwa kuchokera khungu ndi fupa la nsomba)
- Cioppino (mphodza ya nsomba)
- Nam pla (Thai fish sauce)
- Bouillabaisse (nsomba ya nsomba)
- Fumet (nsomba)
- Surimi (nsomba zokopa kapena zopangira nsomba)
- Pissaladière (tart lotsegula yomwe ikuwoneka ngati pizza, yopangidwa ndi anchovies)
- Omega-3 zowonjezera (ngati mungafune kutenga izi, yang'anani mitundu ya nkhumba zopangidwa kuchokera ku mafuta kapena mafuta ena ochokera ku zomera)
- Caponata (biringanya chosangalatsa)
Mwinamwake simukuzindikira kuti ndilolitali, mtundu wa gelatin wopangidwa kuchokera ku zophimba mpweya wa nsomba zina, makamaka ndi collagen ndipo ikhoza kugwiritsidwa ntchito pa malonda kuti amve bwino mowa kapena vinyo. Anthu omwe ali ndi nsomba zowonongeka komanso zoopsa za anaphylaxis ayenera kupewa vinyo ndi mowa zomwe zimafotokozedwa ndi magetsi. Muyenera kulankhulana ndi opanga mankhwala kuti mudziwe ngati mankhwalawa ali otetezeka, chifukwa chakumwa choledzeretsa sichiyenera kulembetsa zosakaniza pa malemba awo.
Kudya ndi Nsomba Zosakaniza
Mukhoza kupanga malo ogulitsira zakudya kuti muchepetse chiopsezo chanu. Malo odyera nsomba, nsomba za sushi, ndi madera amitundu monga Thai maziko ndizoopsa kwambiri kuti zisawonongeke chifukwa cha nsomba ndi zinthu zosakhala nsomba. Chinthu chinanso chomwe chingawonongeke mwachisawawa ndichokhetsa mafuta; Ngati nsomba yophika mafuta, anthu omwe ali ndi chifuwa cha nsomba ayenera kupewa kudya zakudya zina zokazinga mu mafuta omwewo.
Pali zochitika zina zomwe zimachitika chifukwa cha mapuloteni a nsomba (antchito a nsomba omwe amatulutsidwa mumlengalenga pophika nthunzi), choncho anthu omwe ali ndi chifuwa cha nsomba ayenera kupewa malo odyera a hibachi omwe amagwiritsa ntchito popanga nsomba ngati ali ndi nsomba.
Mawu ochokera
Nsomba ndi zosavuta kuti zisawonongeke kusiyana ndi zina zambiri "zikuluzikulu zisanu ndi zitatu" zotsegula. Zili zochepa kwambiri ku zakudya za kumadzulo kuposa tirigu, soya, kapena mkaka, zomwe zimakhala zovuta kupeŵa.
Izi sizikutanthauza kuti kukhala ndi nsomba zosavuta n'kosavuta. Vuto lalikulu ndikuteteza mikhalidwe yomwe imakhala yovuta kwambiri kuti muyanjane ndi nsomba komanso kuti mukhale ndi chiopsezo chachikulu cha mphumu (komwe kulipo) ndi anaphylaxis. Malemba a nsomba ndi osavuta m'masitolo. Kulankhulana m'malesitilanti , komabe, ndikofunikira; malo odyera apamwamba, makamaka, angagwiritse ntchito nsomba zing'onozing'ono kuti azidya mbale zomwe sizingasonyeze kukhalapo kwa nsomba pa menyu.
Kusamalira matenda a asthma ndi anaphylaxis kumadalira kulankhulana ndi dokotala komanso kusunga mankhwala omwe akuyenera kuwayandikira: kupulumutsidwa kwa inhaler, matenda a mphumu, ndi epinephrine yoyambitsa jekeseni ya anaphylaxis.
Ngati muli ndi nkhawa zokhudzana ndi kusunga nsomba kuchokera ku zakudya zanu, ganizirani dokotala wanu kuti akulozereni kwa munthu wodzinso yemwe ali ndi luso loyang'anira zakudya zowonjezera zakudya. Munthu wodya zakudya akhoza kukuthandizani kuti musinthe zakudya zanu komanso kuti mudziwe kumene nsomba zingabise zakudya zodyera.
> Zotsatira:
> Joneja JV. Buku Lophunzitsira Zaumoyo ku Zakudya Zakudya Zopanda Nkhawa ndi Kusamvana.
> Sherere S. Food Allergies: Complete Guide for Kudya Pamene Moyo Wanu Zimadalira Iwo.
> Moneo, Ignacio, et al. "Kusamalitsa kwa Nsomba Zapamadzi Anisakis simplex : Zochitika M'zipatala ndi M'zipatala." Parasitology Research June 17, 2007 (Epub).
> Van Do, T., et al. Kusuta kwa Nsomba za Parvalbumins: Zofufuza pa Mtanda Wokonzeka Kuchokera ku Nsomba 9 Zowonongeka Kawirikawiri. Journal of Allergy ndi Clinical Immunology Dec. 2005 116 (6): 1314-20.