Ityhefu - intlanzi kunye neentlanzi

Eli nqaku lichaza iqela leemeko ezahlukeneyo ezibangelwa kukutya iintlanzi ezingcolileyo kunye nokutya kwaselwandle. Ezona zixhaphakileyo kwezi yityhefu yecubau, ityhefu yescombroid, kunye neetyhefu zeentlanzi ezahlukahlukeneyo.

Eli nqaku lelolwazi kuphela. SUKUYISETYENZISE ukunyanga okanye ukulawula ukubonakaliswa kwetyhefu uqobo. Ukuba wena okanye umntu onaye une-exposure, fowunela inombolo yakho yongxamiseko yendawo (enje nge-911), okanye iziko lakho lendawo yetyhefu linokufikelelwa ngokuthe ngqo ngokutsalela umnxeba kwinombolo yasimahla yoNcedo lweTyhefu (1-800-222-1222) naphi na eUnited States.

Kwityhefu ye-ciguatera, isithako esinetyhefu yi-ciguatoxin. Le yityhefu eyenziwe ngamanani amancinci zizinto ezithile ezinje ngobulembu ezibizwa ngokuba ziidinoflagellates. Iintlanzi ezincinci ezitya ubulembu zisulelekile. Ukuba iintlanzi ezinkulu zitya iintlanzi ezincinci, ezingcolileyo, ityhefu ingakhula iye kwinqanaba eliyingozi, elinokukwenza ugule xa uyitya le ntlanzi. ICiguatoxin "bubushushu obuzinzileyo." Oko kuthetha ukuba akunamsebenzi ukuba uyipheka kakuhle kangakanani intlanzi yakho, ukuba intlanzi ingcolile, uya kuba netyhefu.

Kwityhefu ye-scombroid, isithako esinetyhefu yindibaniselwano ye-histamine kunye nezinto ezifanayo. Emva kokuba iintlanzi ziswelekile, iintsholongwane zenza izixa ezikhulu zetyhefu ukuba iintlanzi azifakwanga efrijini okanye ngumkhenkce kwangoko.

Kwityhefu ye-shellfish, izithako ezinobuthi ziityhefu ezenziwe ngezinto ezifana ne-algae ezibizwa ngokuba ziidinoflagellates, ezakha kwezinye iintlobo zokutya kwaselwandle. Zininzi iintlobo ezahlukeneyo zetyhefu yeentlanzi. Ezona ntlobo zaziwayo yityhefu ye-shellfish ekhubazekileyo, i-neurotoxic shellfish ityhefu, kunye ne-amnesic shellfish yetyhefu.

Ityhefu yeCiguatera yenzeka ngesiqhelo kwiintlanzi ezinkulu ezivela kumanzi ashushu ashushu. Ezona ntlobo zithandwayo kwezi ntlanzi zisetyenziselwa ukutya zibandakanya ii-bass zolwandle, iqela kunye ne-red snapper. E-United States, amanzi ajikeleze iFlorida neHawaii kunokwenzeka ukuba aneentlanzi ezingcolileyo. Kwilizwe liphela, icuba i-ciguatera yityhefu yohlobo oluqhelekileyo lobuthi obuvela kwi-biotoxins yaselwandle. Ingxaki enkulu yezempilo kwiCaribbean.

Umngcipheko mkhulu kwiinyanga zasehlotyeni, okanye nangaliphi na ixesha inani elikhulu le-algae liyadubula elwandle, njengakwixesha "lomjelo obomvu." Umjelo obomvu wenzeka xa kukho ukwanda ngokukhawuleza kwenani leedinoflagellates emanzini. Nangona kunjalo, ngenxa yothutho lwale mihla, nabani na kwihlabathi liphela angatya intlanzi emanzini angcolileyo.

I-Scombroid yetyhefu ihlala ivela kwintlanzi enkulu, emnyama njenge-tuna, mackerel, mahi mahi, kunye ne-albacore. Kuba le tyhefu ikhula emva kokubanjwa kwentlanzi kwaye ife, ayinamsebenzi ukuba ibanjiswa phi. Into ephambili kukuba iintlanzi zihlala ixesha elingakanani ngaphambi kokuba zifrijiwe okanye zifriziwe.

Njengotyhefu be-ciguatera, uninzi lwee-shellfish zetyhefu zenzeka emanzini ashushu. Nangona kunjalo, iityhefu zenzekile kude emantla njengeAlaska kwaye ziqhelekile eNew England. Uninzi lweetyhefu lweeshellfish lwenzeka kwiinyanga zasehlotyeni. Usenokuba ulivile ilizwi elithi "Ungaze utye ukutya kwaselwandle kwiinyanga ezingenalo unobumba R." Oku kubandakanya ngoMeyi ukuya ku-Agasti. Ityhefu ye-Shellfish yenzeka kwiivenkile zaselwandle ezinamaqokobhe amabini, njenge-clams, i-oysters, iimbaza, kwaye ngamanye amaxesha i-scallops.

Soloko ujonga kwisebe lezempilo lendawo yakho okanye intlanzi kunye nearhente yezilwanyana zasendle ukuba unayo nayiphi na imibuzo malunga nokhuseleko lokutya nayiphi na imveliso yokutya.

Izinto ezinobungozi ezibangela i-ciguatera, i-scombroid, kunye ne-shellfish poisoning zizinzileyo, ngoko akukho ukupheka okuya kukuthintela ukuba ungabi netyhefu xa utya intlanzi engcolileyo. Iimpawu zixhomekeke kuhlobo oluthile lwetyhefu.

Iimpawu zetyhefu yeCiguatera zinokwenzeka kwiiyure ezi-2 ukuya kwezi-12 emva kokutya iintlanzi. Ziquka:

• Iintlanzi zesisu
• Urhudo (olunzima nolunamanzi)
• Isicaphucaphu nokugabha

Kungekudala emva kokuba ezi mpawu zikhulile, uya kuqala ukuba neemvakalelo ezingaqhelekanga, ezinokubandakanya:

• Imvakalelo yokuba amazinyo akho akhululekile kwaye sele eza kuwa
• Ukudideka amaqondo obushushu ashushu nabandayo (umzekelo, uya kuziva ngathi ityhubhu yomkhenkce iyakutshisa, ngelixa umdlalo ubandisa ulusu lwakho)
• Intloko (mhlawumbi uphawu oluqhelekileyo)
• Izinga lentliziyo eliphantsi kunye noxinzelelo lwegazi (kwiimeko ezinzima kakhulu)
• I-Metallic incasa emlonyeni

Ezi mpawu zinokuba zibi ngakumbi xa usela utywala kunye nokutya kwakho.

Iimpawu zetyhefu yeScombroid zihlala zenzeka kwangoko emva kokutya iintlanzi. Banokubandakanya:

• Iingxaki zokuphefumla, kubandakanya ukuvutha kunye nokuqina kwesifuba (kwiimeko ezinzima)
• Ulusu olubomvu kakhulu ebusweni nasemzimbeni
• Ukuhluza
• Imihlathi kunye nokurhawuzelela
• Isicaphucaphu nokugabha
• Ipeppery okanye incasa ekrakra

Apha ngezantsi kukho ezinye iintlobo ezaziwayo zetyhefu yokutya kwaselwandle, kunye neempawu zazo.

Ityhefu ye-paralytic shellfish: Malunga nemizuzu engama-30 emva kokutya ukutya kwaselwandle okungcolileyo, unokuba ndindisholo okanye ukugungqa emlonyeni. Olu luvo lunokusasazeka phantsi kwiingalo nasemilenzeni yakho. Unokuba nesiyezi, ube nentloko ebuhlungu, kwaye, kwezinye iimeko, iingalo nemilenze yakho inokukhubazeka okwexeshana. Abanye abantu banokuba nesicaphucaphu, ukugabha kunye norhudo, nangona ezi zimpawu zixhaphake kakhulu.

Ityhefu ye-Neurotoxic shellfish: Iimpawu ziyafana kakhulu nezo zetyhefu yecubau. Emva kokutya ii-clams okanye i-mussels ezingcolileyo, uya kuba nesicaphucaphu, ukugabha kunye norhudo. Ezi mpawu ziya kulandelwa kungekudala emva kweemvakalelo ezingaqhelekanga ezinokubandakanya ukuba ndindisholo okanye ukubetha emlonyeni wakho, intloko ebuhlungu, isiyezi, kunye nokubuyela umva kushushu nokubanda kubushushu.

Ityhefu yeAmnesic shellfish: Olu luhlobo olungaqhelekanga nolunqabileyo lobutyhefu oluqala ngesicaphucaphu, ukugabha kunye norhudo. Ezi mpawu zilandelwa kukulahleka kwememori kwexesha elifutshane, kunye nezinye iimpawu zenkqubo ye-neva engaqhelekanga.

Ityhefu yeShellfish inokuba yimeko engxamisekileyo kwezonyango. Umntu oneempawu ezinzulu okanye ngesiquphe kufuneka asiwe kwangoko kwiziko lonyango ngokukhawuleza. Kuya kufuneka ubize inombolo yongxamiseko yendawo (enje nge-911) okanye ulawulo lwetyhefu ngolwazi olufanelekileyo lonyango.

Olu lwazi lulandelayo luluncedo kuncedo olungxamisekileyo:

• Ubudala bomntu, ubunzima, kunye nemeko
• Uhlobo lweentlanzi ezityiweyo
• Ixesha lalityiwe
• Isixa siginyiwe

Nangona kunjalo, SUKULIBAZA ukucela uncedo ukuba olu lwazi alufumaneki ngokukhawuleza.

Iziko lakho lendawo yetyhefu linokufikelelwa ngokuthe ngqo ngokutsalela umnxeba wasimahla kwiNombolo yoNcedo (1-800-222-1222) naphi na eUnited States. Baza kukunika eminye imiyalelo.

Le yinkonzo yasimahla neyimfihlo. Onke amaziko olawulo lwetyhefu aseMelika asebenzisa le nombolo yesizwe. Kuya kufuneka ubize ukuba unemibuzo malunga netyhefu okanye ukuthintela ityhefu. Ungabiza iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngeveki.

Ukuba unetyhefu yecubau unokufumana:

• Uvavanyo lwegazi kunye nomchamo
• EKG (i-electrocardiogram, okanye ukulandelwa kwentliziyo)
• IiFluids nge-IV (ngokusebenzisa umthambo)
• Amayeza ayeke ukugabha
• Amayeza okunceda ukunciphisa iimpawu zenkqubo ye-nervous (mannitol)

Ukuba une-scombroid yetyhefu, unokufumana:

• Inkxaso yomoya, kubandakanya ioksijini, ityhubhu yokuphefumla ngomlomo (intubation), kunye nomatshini wokuphefumla (i-ventilator)
• Uvavanyo lwegazi kunye nomchamo
• EKG (i-electrocardiogram, okanye ukulandelwa kwentliziyo)
• IiFluids nge-IV (ngokusebenzisa umthambo)
• Amayeza ayeke ukugabha
• Amayeza okunyanga kakhulu uxabane (xa kukho imfuneko), kubandakanya iBenadryl

Ukuba unetyhefu ye-shellfish, unokufumana:

• Uvavanyo lwegazi kunye nomchamo
• EKG (i-electrocardiogram, okanye ukulandelwa kwentliziyo)
• IiFluids nge-IV (ngokusebenzisa umthambo)
• Amayeza ayeke ukugabha

Ukuba ityhefu ye-shellfish ibangela ukukhubazeka, kuya kufuneka uhlale esibhedlele de kube ngcono iimpawu zakho.

Iintlanzi kunye neentlanzi zetyhefu zenzeka ngamanye amaxesha e-United States. Unokuzikhusela ngokuphepha iintlanzi kunye nokutya kwaselwandle okubanjiswe ngaphakathi nakwiindawo ezikufutshane nomjelo obomvu owaziwayo, nangokuphepha ukubetha, iimbaza kunye neembatyisi kwiinyanga zehlobo. Ukuba utyhefu, iziphumo zakho zexesha elide zihlala zilungile.

Iimpawu zetyhefu yeScombroid zihlala ziphela kwiiyure ezimbalwa emva kokuba unyango luqale. Ityhefu yeCiguatera kunye neempawu zetyhefu ye-shellfish inokuhlala ukusuka kwiintsuku ukuya kwiiveki, kuxhomekeke kubukrakra betyhefu. Kunqabile kuphela ukuba neziphumo ezibi okanye ukufa kwenzeke.

Akukho ndlela yokuba umntu olungisa ukutya azi ukuba ukutya kwabo kungcolile. Ke ngoko, kubaluleke kakhulu ukuba umboneleli wakho wezempilo axelele irestyu ukuba ukutya kwabo kungcolile ukuze bakwazi ukukulahla phambi kokuba abanye abantu bagule. Umboneleli wakho kufuneka aqhagamshelane neSebe lezeMpilo ukuqinisekisa ukuba ababoneleli ngeentlanzi ezingcolileyo bayachongwa kwaye bayatshatyalaliswa.

Ityhefu yentlanzi; Ityhefu yeDinoflagellate; Ungcoliseko lokutya kwaselwandle; Ityhefu ye-shellfish ekhubazekileyo; Ityhefu yeCiguatera

Jong EC. Intlanzi kunye neentlanzi zetyhefu: ii-syndromes ezinetyhefu. Ku: Sandford CA, Pottinger PS, Jong EC, ii-eds. Incwadana yemigaqo yokuHamba kunye neTropiki. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 34.

UZazarciuc N. Urhudo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 28.

UMorris JG. Ukugula kwabantu okunxulunyaniswa neentyatyambo ezinobungozi. Ku: Bennett JE, Dolin R.Blaser MJ, ii-eds. UMandell, uDouglas kunye noBennett's Principles and Practice of Infectious Disease, uHlaziyo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 286.

URavindran ADK, uViswanathan KN. Izifo ezibangelwa kukutya. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 540-550.