ʻaila Ma Ka ʻaina Kai

ʻO ka maʻi ʻiliʻili kai he pane kūpono ʻole ia o ka ʻōnaehana pale o ke kino i nā protein i loko o kekahi mau holoholona kai. ʻO nā holoholona kai i loko o ka māhele ʻiliʻili kai, ʻo ia nā crustaceans a me nā mollusks. ʻO nā laʻana, he ʻūlū, pāpaʻi, lomia, heʻe, ʻōpae, scallops a me nā snail.

He maʻi ʻiliʻili kai maʻamau ka ʻiliʻili kai. Hoʻopili kekahi poʻe me ka maʻi ʻiliʻili kai i nā ʻiliʻili kai a pau, ʻoiai kekahi poʻe e hoʻopili wale i kekahi mau ʻano. Hoʻololi nā pane mai nā hōʻailona māmā - e like me nā hives a i ʻole ka ihu ʻāʻī - i nā mea koʻikoʻi a hiki i ka make.

Inā manaʻo ʻoe he maʻi ʻiliʻili kai kāu, e kamaʻilio me kāu mea mālama ola. Hiki i nā hoʻokolohua ke kōkua i ka hōʻoia ʻana i ka maʻi ʻiliʻili kai i hiki iā ʻoe ke lawe i nā hana e pale aku ai i nā pane i ka wā e hiki mai ana.

ʻO ka maʻi ʻiliʻili mai nā mea kai, maʻamau ka hoʻomaka ʻana i loko o nā minuke a i ka hola ma hope o ka ʻai ʻana a i ʻole ka hoʻopili ʻana me nā mea kai. Hiki iā lākou ke komo pū me: ʻO ka ʻiliʻili ʻO ka ʻili kuni, huhū ʻO ka nasal stuffiness (congestion) ʻO ka pehu ʻana o nā lehelehe, maka, alelo a me ka ʻāʻī, a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino ʻO ka wheezing a i ʻole ka pilikia o ka hanu ʻO ka ʻōhū a me ka ʻānai ʻana a i ʻole ka manaʻo paʻa i ka ʻāʻī ʻO ka ʻeha o ka ʻōpū (abdominal), ka luaʻi, ka nausea a i ʻole ka luaʻi ʻO ka dizziness, lightheadedness a i ʻole ka fainting Hiki i nā allergies ke hoʻokumu i kahi hopena maʻi nui, hiki ke hoʻoweliweli i ke ola i kapa ʻia ʻo anaphylaxis. Hiki ke hana i loko o nā kekona a i nā minuke ma hope o ka hōʻike ʻana i kahi mea āu e maʻi ai - a ʻoi aku ka ʻino. He pilikia olakino ka hopena anaphylactic i nā mea kai. Pono ka anaphylaxis i ka mālama koke me kahi inikini epinephrine (adrenaline) a me ka huakaʻi hahai ma hope i ka lumi hoʻomaha. Inā ʻaʻole i mālama ʻia ka anaphylaxis koke, hiki ke make. Hoʻokumu ka anaphylaxis i ka ʻōnaehana pale kino e hoʻokuʻu i kahi wai o nā kemika e hiki ke hoʻokumu iā ʻoe e komo i ka shock. ʻO nā hōʻailona a me nā hōʻailona o ka anaphylaxis e komo pū me: ʻO ka ʻāʻī a i ʻole ka alelo pehu a i ʻole ka paʻa i ka ʻāʻī (airway constriction) e paʻakikī ai iā ʻoe ke hanu ʻO ka ʻōhū, ka ʻānai ʻana a i ʻole ka wheezing me ka pilikia o ka hanu ʻO ka shock, me ka hāʻule nui i kou koko a me ka wikiwiki a i ʻole ka nāwaliwali o ka pulse ʻO ka ʻili maʻi nui, ʻiliʻili, kuni a i ʻole ka pehu ʻO ka nausea, ka luaʻi a i ʻole ka luaʻi ʻO ka dizziness, lightheadedness a i ʻole ka fainting E ʻimi i ka mālama pilikia inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā ​​hōʻailona o ka anaphylaxis. E ʻike i kahi mea mālama ola a i ʻole ka mea kūikawā allergy inā loaʻa iā ʻoe nā hōʻailona maʻi meaʻai ma hope koke o ka ʻai ʻana.

If you have a severe allergic reaction (anaphylaxis), get immediate medical help. This is a serious emergency.

If you think you're having an allergic reaction to food, see a doctor or allergist right away. This is especially important if you feel unwell soon after eating something.

ʻO ka maʻi ʻiliʻili āpau ka hopena o ka pane nui ʻana o ke ʻōnaehana pale kino. Hoʻomaopopo ke ʻōnaehana pale kino i kahi mea ʻino ʻole he mea ʻino ia. ʻO kēia mea i kapa ʻia he allergen. I ka maʻi ʻiliʻili ʻaina kai, kuhi hewa ke ʻōnaehana pale kino i kahi protein kikoʻī i loko o ka ʻaina kai he mea ʻino ia. ʻO ke ʻōnaehana pale kino ke ʻano o ka pale ʻana o kou kino iā ʻoe iho, no laila hana ia i nā antibody immunoglobulin E (IgE) e pale aku ai i kēia allergen. I ka manawa aʻe e pili ai ʻoe i ka protein ʻaina kai, e hōʻailona kēia mau antibody i ke ʻōnaehana pale kino e hoʻokuʻu i nā kemika e like me ka histamine i loko o kou koko. ʻO kēia ka mea e hoʻoulu ai i kahi pane e alakaʻi ai i nā hōʻailona o ka maʻi ʻiliʻili.

Aia kekahi mau ʻano o ka ʻaina kai, aia i loko o kēlā me kēia nā protein like ʻole:\n\n- ʻO nā mea crustaceans e komo pū ana nā pāpaʻi, ka lomia, ka crayfish, ka ʻūlū a me ka prawn\n- ʻO nā mea mollusks e komo pū ana nā heʻe, nā heʻe ʻeleʻele, nā mussels, nā snails, nā clams, nā oysters, nā abalone a me nā scallops\n\nʻO ka maʻi ʻiliʻili i nā mea crustaceans ka ʻano maʻamau loa. ʻO kekahi poʻe wale nō ka maʻi ʻiliʻili i hoʻokahi ʻano o ka ʻaina kai akā hiki iā lākou ke ʻai i nā mea ʻē aʻe. Pono nā poʻe ʻē aʻe me ka maʻi ʻiliʻili ʻaina kai e pale aku i nā ʻaina kai āpau.\n\nʻO ka maʻi ʻiliʻili i ka iʻa — e like me ka salmon, tuna a i ʻole catfish — he maʻi ʻiliʻili ʻaina kai ʻokoʻa ia mai ka maʻi ʻiliʻili i ka ʻaina kai. Hiki i kekahi poʻe i maʻi ʻiliʻili i ka ʻaina kai ke ʻai mau i ka iʻa, a i ʻole hiki iā lākou ke maʻi ʻiliʻili i nā mea ʻelua. Hiki i kāu mea lawelawe ola ke kōkua iā ʻoe e hoʻoholo i ka mea palekana e ʻai.

Ke kiʻekiʻe nei kou pilikia o ka loaʻa ʻana o ka maʻi ʻalaki i nā ʻano ʻano ʻano ʻalaki inā he mea maʻamau nā maʻi ʻalaki ma kou ʻohana.

ʻOiai hiki i nā kānaka o kēlā me kēia makahiki ke loaʻa i ka maʻi ʻalaki i nā ʻano ʻano ʻano ʻalaki, ʻoi aku ka nui o ia mea i nā mākua. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi ʻalaki i nā ʻano ʻano ʻano ʻalaki ka maʻi ʻai maʻamau loa i nā mākua. I waena o nā mākua, ʻoi aku ka nui o ka maʻi ʻalaki i nā ʻano ʻano ʻano ʻalaki i nā wāhine. I waena o nā keiki, ʻoi aku ka nui o ka maʻi ʻalaki i nā ʻano ʻano ʻano ʻalaki i nā keikikāne.

I nā hihia koʻikoʻi, hiki i ka maʻi ʻalaki i nā ʻano ʻano kai e alakaʻi i ka anaphylaxis, kahi pane ʻalaki weliweli e hiki ke hoʻoweliweli i ke ola.

Ke loaʻa iā ʻoe ka maʻi ʻalaki i nā ʻano ʻano kai, hiki iā ʻoe ke pilikia nui i ka anaphylaxis inā loaʻa iā ʻoe:

• Asthma
• Nā pane ʻalaki i nā mea liʻiliʻi loa o nā ʻano ʻano kai (pilikia nui)
• Mōʻaukala o ka anaphylaxis i hoʻoulu ʻia e ka meaʻai
• Mōʻaukala ʻohana ikaika o ka maʻi ʻalaki

Hoʻoponopono ʻia ka anaphylaxis me ka inikini pilikia o ka epinephrine (adrenaline). Inā pilikia ʻoe i ka loaʻa ʻana o ka pane ʻalaki koʻikoʻi i nā ʻano ʻano kai, pono mau ʻoe e lawe i ka epinephrine inikini (Auvi-Q, EpiPen, a me nā mea ʻē aʻe).

Inā loaʻa iā ʻoe ka maʻi ʻaliki i nā ʻano ʻano waiwai, ʻo ke ala wale nō e pale aku ai i ka maʻi ʻaliki, ʻo ia ka pale ʻana i nā ʻano waiwai a pau a me nā huahana i loaʻa nā ʻano waiwai. Hiki i nā ʻano liʻiliʻi o nā ʻano waiwai ke hoʻoulu i kahi pane koʻikoʻi i kekahi poʻe.

• E makaʻala i ka wā e ʻaina ai ma waho. I ka wā e ʻaina ai ma nā hale ʻaina, e nānā mau e hōʻoia i ka pā, ka aila a i ʻole nā ​​mea hana i hoʻohana ʻia no nā ʻano waiwai ʻaʻole hoʻi i hoʻohana ʻia e hoʻomākaukau i nā meaʻai ʻē aʻe, e hana ana i ka hoʻohaumia ʻana. He pono paha ke pale aku i ka ʻaina ʻana ma nā hale ʻaina kai, kahi kiʻekiʻe ka pilikia o ka hoʻohaumia ʻana.
• E mālama i kou mamao. Pono paha ʻoe e pale loa i nā wahi i hoʻomākaukau ʻia a i ʻole i hana ʻia ai nā ʻano waiwai. Kekahi poʻe e pane ma hope o ka pā ʻana i nā ʻano waiwai a i ʻole ka hanu ʻana i ka mahu mai ka kuke ʻana i nā ʻano waiwai. ʻAʻole maʻamau ka waiwai i mea huna. Pono nā hui e hōʻailona i kēlā me kēia huahana i loaʻa nā crustacean shellfish a i ʻole nā ​​meaʻai ʻē aʻe i pinepine e hoʻoulu i nā maʻi ʻaliki. Eia naʻe, ʻaʻole pili kēia mau rula i nā mollusks. Inā loaʻa iā ʻoe ka maʻi ʻaliki i nā ʻano waiwai, e kamaʻilio me kāu mea mālama ola e pili ana i ka lawe ʻana i ka epinephrine pilikia a pehea e hoʻohana ai. E noʻonoʻo e kau i kahi kūpeʻe a i ʻole ka lei hoʻomaopopo lapaʻau e hōʻike i nā poʻe ʻē aʻe he maʻi ʻai ʻoe. Hoʻokahi mea ʻaʻole pono ʻoe e hopohopo e pili ana inā e maʻi ʻaliki nō hoʻi ʻoe i ka iodine a i ʻole ka mea hoʻohālikelike radiocontrast i hoʻohana ʻia i kekahi mau hoʻokolohua kiʻi. ʻOiai loaʻa i nā ʻano waiwai nā mea liʻiliʻi o ka iodine, ʻaʻole pili ka maʻi ʻaliki i nā ʻano waiwai i nā pane a kekahi poʻe i ka mea hoʻohālikelike radiocontrast a i ʻole ka iodine.

Hehiʻu liʻiliʻi me ka ʻulaʻula a puni (kūmole) ka mea maʻamau o ka hoʻāʻo ʻili ʻili maikaʻi no ka maʻi ʻili.

No ka ʻike inā loaʻa iā ʻoe ka maʻi ʻili mai nā mea kai, e nīnau aku kāu mea mālama ola e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino e ʻimi ai a kāpae paha i nā pilikia olakino ʻē aʻe.

ʻO ka mōʻaukala o nā hopena maʻi ʻili ma hope koke o ka hōʻike ʻia ʻana i nā mea kai hiki ke hōʻailona o ka maʻi ʻili mai nā mea kai. Akā hiki nō hoʻi i nā hōʻailona ke hana ʻia e kekahi mea ʻē aʻe, e like me ka ʻai ʻino.

ʻO ka hoʻāʻo maʻi ʻili wale nō ke ala maopopo e haʻi ai i ka mea e hana nei i kāu mau hōʻailona, no laila hiki i kāu mea hoʻolako ke ʻōlelo aku i hoʻokahi a ʻelua paha o kēia mau hoʻokolohua:

• Hoʻāʻo ʻili ʻili. Hoʻopili ʻia nā mea liʻiliʻi o nā protein i loaʻa i nā mea kai i ka ʻili ma kou lima a i ʻole ka ʻaoʻao luna. A laila e nānā ʻia ʻoe no kahi hopena maʻi ʻili. Inā loaʻa iā ʻoe ka maʻi ʻili, e ulu ana kahi puʻu kiʻekiʻe (hive) ma ka wahi hoʻokolohua ma kou ʻili. ʻO ka mea maʻamau, lawe kēia ma kahi o 15 a 20 mau minuke. ʻO nā poʻe loea maʻi ʻili ka mea maikaʻi loa e hana i nā hoʻokolohua ʻili maʻi ʻili.
• Hoʻokolohua koko. Hoʻouna ʻia kahi laʻana koko i kahi hale hana e ana i ka pane o kou ʻōnaehana pale i kahi mea hoʻonāukiuki kikoʻī. Ke ana nei kēia hoʻokolohua i ka pane o kou ʻōnaehana pale i nā protein mea kai ma ka ana ʻana i ka nui o nā antibodies e hoʻoulu ai i ka maʻi ʻili i loko o kou kahe koko, i ʻike ʻia ʻo nā antibodies immunoglobulin E (IgE).

Hiki ke hana ʻia nā pilikia meaʻai i mālama ʻia e nā kauka inā ʻaʻole maopopo ka ʻike ma hope o ka hoʻokolohua maʻi ʻili.