Chepfu - hove uye hove

Ichi chinyorwa chinotsanangura boka remamiriro akasiyana anokonzerwa nekudya hove dzakasviba uye hove dzegungwa. Dzinonyanya kuzivikanwa idzi ciguatera chepfu, scombroid chepfu, uye dzakasiyana shellfish huturu.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata chaiyo pozi kuratidzwa. Kana iwe kana mumwe munhu wauinaye aine mukana wekufona, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yemunharaunda yako ine chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Poison Rubatsiro nhare (1-800-222-1222) kubva chero kupi muUnited States.

Mune muchetura we ciguatera, chinhu chine chepfu ciguatoxin. Ichi chepfu inogadzirwa muzvishoma nezvimwe algae uye zvipenga zvakaita kunge algae anonzi dinoflagellates. Hove diki dzinodya algae dzinosvibiswa. Kana hove hombe dzikadya hove diki diki, dzakasvibiswa, huturu hunogona kuwedzera kusvika padanho rine njodzi, izvo zvinogona kukurwarisa kana ukadya hove. Ciguatoxin "inopisa-yakasimba." Izvi zvinoreva kuti hazvina basa kuti unonyatso kubika sei hove dzako, kana iyo hove yakasvibiswa, unozova muchetura.

Mune scombroid chepfu, chinhu chine chepfu isanganiswa ye histamine nezvimwe zvinhu zvakafanana. Mushure mekufa kwehove, mabhakitiriya anogadzira huwandu hwakawanda hwehupfu kana hove isiri pakarepo mufriji kana kuita chando.

Mune shellfish chepfu, izvo zvine chepfu zvigadzirwa zvine chepfu inogadzirwa neye algae-senge zvipenyu zvinonzi dinoflagellates, iyo inovaka mune mamwe marudzi ehove dzegungwa. Kune akawanda marudzi akasiyana e shellfish chepfu. Mhando dzinonyanya kuzivikanwa ndeyekufa mitezo hove, uye neurotoxic shellfish chepfu, uye amnesic shellfish chepfu.

Ciguatera chepfu inowanzoitika muhove hombe kubva kunodziya mvura inopisa. Mhando dzakakurumbira dzeidzi hove dzinoshandiswa pakudya dzinosanganisira mabass egungwa, grouper, uye tsvuku snapper. MuUnited States, mvura dzakatenderedza Florida neHawaii dzinonyanya kuve nehove dzakashatisa. Pasi rese, ciguatera hove inouraya chepfu ndiyo yakajairika mhando yehupfu kubva kumahombekombe egungwa. Iri idambudziko rakakura rehutano hwevanhu muCaribbean.

Njodzi yakanyanya kwazvo mumwedzi yezhizha, kana chero nguva nhamba hombe yegwenga iri kutumbuka mugungwa, senge panguva ye "red tide." Tide tsvuku inoitika kana paine kuwedzera nekukurumidza muhuwandu hwemadinoflagellates ari mumvura. Nekudaro, nekuda kwekufambisa kwemazuva ano, chero munhu pasi rese anogona kudya hove kubva mumvura yakasviba.

Scombroid chepfu inowanzoitika kubva kuhove huru, yakasviba nyama senge tuna, mackerel, mahi mahi, uye albacore. Nekuti huturu uhwu hunobuda mushure mekunge hove yabatwa ikafa, hazvina basa kuti hove iyi inobatwa kupi. Chinhu chikuru ndechekuti hove inogara kwenguva yakareba sei isati yaiswa mufiriji kana kugwamba.

Kufanana necubau muchetura, akawanda emahombekombe ehupfu anowanikwa mumvura inodziya. Nekudaro, huturu hwakaitika kure kuchamhembe seAlaska uye zvakajairika muNew England. Mazhinji shellfish chepfu anoitika mukati memwedzi yezhizha. Iwe unogona kunge wakanzwa chirevo "Usambofa wakadya hove mumwedzi isina kana tsamba R." Izvi zvinosanganisira May kusvika Nyamavhuvhu. Shellfish chepfu inoitika muzvikafu zvegungwa nemahombekombe maviri, akadai seye clams, oysters, mussels, uye dzimwe nguva scallops.

Gara uchitarisa nedhipatimendi rako rezvehutano kana hove nesangano remhuka dzesango kana uine chero mibvunzo nezve kuchengetedzeka kwekudya chero chigadzirwa chigadzirwa.

Izvo zvinhu zvinokuvadza zvinokonzeresa ciguatera, scombroid, uye shellfish chepfu inogadzikana kupisa, saka hapana huwandu hwokubika hunokutadzisa kubva kune chepfu kana ukadya hove dzakasviba. Zviratidzo zvinoenderana nerumwe rudzi rwehuturu.

Ciguatera chepfu zviratidzo zvinogona kuitika maawa maviri kusvika gumi nemaviri mushure mekudya hove. Zvinosanganisira:

• Dumbu rinorwadza
• Dhairrhea (yakaoma uye inonwisa mvura)
• Kusvotwa uye kurutsa

Nguva pfupi mushure mekunge zviratidzo izvi zvave kukura, iwe unozotanga kuve nekunzwa kusanzwisisika, uko kunogona kusanganisira:

• Kunzwa kuti mazino ako akasununguka uye ave kuda kudonha
• Kuvhiringidza tembiricha inopisa uye inotonhorera (semuenzaniso, iwe unonzwa kunge ice cube iri kukutsva iwe, nepo mutambo uri kutonhora ganda rako)
• Kutemwa nemusoro (pamwe chiratidzo chinowanzozivikanwa)
• Kuderera kwemoyo uye kuderera kweropa (mune dzakanyanya kesi
• Metallic kuravira mumuromo

Zviratidzo izvi zvinogona kuwedzera kana ukanwa doro nekudya kwako.

Zviratidzo zveScombroid zvine chepfu zvinowanzoitika nekukurumidza mushure mekudya hove. Zvinogona kusanganisira:

• Matambudziko ekufema, anosanganisira kupupurika uye kuomarara pachipfuva (mumatambudziko)
• Ganda rakatsvuka zvakanyanya kumeso nemuviri
• Kumhanya
• Mikoko uye kuvaviwa
• Kusvotwa uye kurutsa
• Peppery kana kuravira kunorwadza

Pazasi pane mamwe anozivikanwa mhando dzegungwa chepfu, uye zviratidzo zvavo.

Akaoma mitezo shellfish poisoning: Inenge maminetsi makumi matatu mushure mekudya zvakashatiswa zvegungwa, unogona kunge uine chiveve kana kugwinha mumuromo mako. Kunzwa uku kunogona kupararira pasi kusvika pamaoko ako nemakumbo. Iwe unogona kuita dzungu, kuva nemusoro, uye, mune dzimwe nguva, maoko ako nemakumbo zvinogona kuoma kwenguva pfupi. Vamwe vanhu vanogona zvakare kuva neshungu, kurutsa, uye kuita manyoka, kunyange hazvo zviratidzo izvi zvisingawanzo kuitika.

Neurotoxic shellfish chepfu: Zviratidzo zvakafanana chaizvo nechunuza chepfu. Mushure mekudya yakasviba clams kana mussels, iwe ungangodaro unowana kusvotwa, kurutsa, uye manyoka. Zviratidzo izvi zvichateverwa munguva pfupi inotevera nekunzwa kusinganzwisisike kunogona kusanganisira kudzikama kana kugwinha mumuromo mako, kutemwa nemusoro, dzungu, uye kupisa uye kutonhora kutonhora kudzoka

Amnesic shellfish chepfu: Iyi inzira isinganzwisisike uye isingawanzo yehupfu iyo inotanga nekusvotwa, kurutsa, uye manyoka. Zviratidzo izvi zvinoteverwa neyepfupi-yekurangarira ndangariro, uye zvimwe zvisingawanzoitika zviratidzo zvehurongwa hwetsinga.

Shellfish chepfu inogona kunge iri yekukurumidzira kurapwa. Munhu ane chakakomba kana kamwe kamwe zviratidzo anofanirwa kubva atoendeswa kuchipatara chekurapwa nekukurumidza. Ungangoda kufonera iyo yemuno emergency emergency (se911) kana chepfu kudzora ruzivo rwakakodzera rwekurapa.

Mashoko anotevera anobatsira rubatsiro rwekukurumidzira:

• Zera remunhu, huremu, uye mamiriro
• Rudzi rwehove dzinodyiwa
• Nguva yakadyiwa
• Mari yakamedzwa

Zvisinei, Usanonoka kukumbira rubatsiro kana ruzivo urwu rusina kuwanikwa ipapo.

Nzvimbo yako yemunharaunda ine chepfu inogona kusvikwa yakananga nekufonera iyo yenyika yemahara-isina Poison Rubatsiro nhare (1-800-222-1222) kubva chero kupi muUnited States. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana kudzivirira chepfu. Unogona kufona maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Kana iwe uine ciguatera chepfu, unogona kugamuchira:

• Ropa uye weti kuongororwa
• EKG (electrocardiogram, kana moyo wekutsvagisa)
• Mvura ne IV (kuburikidza nemutsinga)
• Mishonga yekumira kurutsa
• Mishonga yekubatsira kudzora manjenje zviratidzo (mannitol)

Kana iwe uine scombroid chepfu, unogona kugamuchira:

• Airway rutsigiro, kusanganisira okisijeni, kufema chubhu kuburikidza nemuromo (intubation), uye mweya wekufema (ventilator)
• Ropa uye weti kuongororwa
• EKG (electrocardiogram, kana moyo wekutsvagisa)
• Mvura ne IV (kuburikidza nemutsinga)
• Mishonga yekumira kurutsa
• Mishonga yekurapa zvakanyanya kukanganiswa (kana zvichidikanwa), kusanganisira Benadryl

Kana iwe uine shellfish chepfu, unogona kugamuchira:

• Ropa uye weti kuongororwa
• EKG (electrocardiogram, kana moyo wekutsvagisa)
• Mvura ne IV (kuburikidza nemutsinga)
• Mishonga yekumira kurutsa

Kana shellfish chepfu ichikonzera kuoma mitezo, ungatofanira kugara muchipatara kusvikira zviratidzo zvako zvave nani.

Hove uye shellfish chepfu zvinoitika pane dzimwe nguva muUnited States. Unogona kuzvidzivirira nekudzivirira hove uye hove dzegungwa dzinobatwa mukati nekukomberedza nzvimbo dzemafungu matsvuku anozivikanwa, uye nekudzivirira mbama, mussels, uye maoyster mukati memwedzi yezhizha. Kana iwe uine chepfu, yako yakareba-mhedzisiro mhedzisiro inowanzo kuve yakanaka chaizvo.

Zviratidzo zveScombroid zvine chepfu zvinongogara kwemaawa mashoma mushure mekutanga kurapwa. Ciguatera chepfu uye shellfish chepfu zviratidzo zvinogona kugara kubva mazuva kusvika mavhiki, zvinoenderana nekuomarara kweiyo chepfu. Izvo chete zvisingawanzo kuve nemhedzisiro yakakomba kana kufa kwakaitika.

Iko hakuna nzira yekuti munhu anogadzira chikafu azive kuti chikafu chavo chakasviba. Naizvozvo, zvakakosha kuti mupi wako wezvehutano auze kuresitorendi chikafu chavo chakasvibiswa kuitira kuti vazokwanisa kuchirasa vamwe vanhu vasati varwara. Anokupa anofanira kutaurirana neDhipatimendi Rezvehutano kuti ave nechokwadi chekuti vanotengesa hove dzakasvibiswa vanozivikanwa uye vaparadzwa.

Hove yehupfu; Dinoflagellate chepfu; Kushatiswa kwegungwa; Akaoma mitezo shellfish poisoning; Ciguatera chepfu

Jong EC. Hove uye shellfish chepfu: chepfu syndromes. Mune: Sandford CA, Pottinger PS, Jong EC, eds. Iyo Yekufamba uye yeTropical Medicine Chinyorwa. 5 ed. Philadelphia, PA: Elsevier; 2017: chits. 34.

Lazarciuc N. Dhairrhea. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 28.

Morris JG. Kurwara kwevanhu kunoenderana neanokuvadza algal blooms. Mune: Bennett JE, Dolin R. Blaser MJ, eds. Mandell, Douglas uye Bennett's Nheyo uye Maitiro eInfectious Disease, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 286.

Ravindran ADK, Viswanathan KN. Zvirwere zvekudya. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2019. Philadelphia, PA: Elsevier; 2019: 540-550.