如何主辦過敏友善的佳節聚會

2022 年 6 月   Linda Armstrong  |  ✓  醫療審查:Gary Falcetano, PA-C, AE-C;Fabio Iachetti, MD;Rebecca Rosenberger, MMSc, PA-C

Gary Falctano 是一名持照醫師助理,在緊急和災難醫學、基層醫療照護、過敏和免疫學有 25 年以上的豐富經驗,在 Thermo Fisher Scientific 擔任過敏免疫診斷美國臨床事務經理。Fabio Iachetti 是一名持照醫師,在過敏、CV、疼痛、GI、風濕病學、泌尿學、糖尿病學等多種疾病領域擁有 15 年以上的豐富經驗。在 Thermo Fisher Scientific 擔任全球醫療事務過敏免疫診斷資深醫療經理。Rebecca Rosenberger 除了在過敏和免疫學作為一名執業醫師助理擁有 20 年以上的經驗外,也在 Thermo Fisher Scientific 擔任免疫診斷臨床事務 & 教育副主任。

佳節假期應該是「一年之中…最…美好的時光。」但是,如果您主辦聚會,佳節期間可能忙碌無比,尤其是在直系親屬或賓客被診斷或疑似患有食物過敏的情況下。為滿足所有人的需求,包括對食物過敏的人以及重視豐富佳節傳統的賓客,可能讓您一瞬間喪失興致。

但先別生氣。深呼吸。泡杯印度奶茶。或是唸一兩次「ommmm」,冥想一下。我們可以提供您主辦過敏友善佳節聚會所需的資訊和策略。這些資訊能協助您和您的籌備夥伴安全地度過節日,並完整保留佳節氣氛。 

食物過敏事實和圖表可能有助於減輕焦慮。

大多數人都害怕未知的事物。如果這是您第一次站在食物過敏長期抗爭的前線,您可能會有這種令人喘不過氣的感覺。但僅僅幾項事實和圖表就能協助您打下瞭解食物過敏的基礎,並可能減輕您的憂慮。

面對食物過敏時,您並不孤單。

大約百分之 2 至 5 的成人,也就是全球 2 億 2,000 萬至 5 億 2,000 萬人可能有食物過敏1,2 這表示一年 365 天,每天都有許多家庭成功管理過敏。(您和您的家人也可以!)

食物過敏反應因人而異。

雖然在某些情況下可能出現危及生命的反應,但食物過敏症狀可介於輕微到嚴重之間。症狀可能包括:3

  • 蕁麻疹
  • 舌頭腫脹
  • 喉嚨發緊、嘶啞/吞嚥困難
  • 呼吸急促/喘鳴
  • 咳嗽不止
  • 脈搏微弱
  • 休克或循環衰竭
  • 膚色蒼白或發藍
  • 暈眩/眩暈
  • 急性過敏 (可能危及生命,急性過敏可能會影響呼吸、心率,並導致血壓突然大幅下降。)

常見的食物過敏嫌疑犯有…

超過 170 種食物可能引發過敏反應4 對某些人來說,即使是微量也可能很危險。例如,烹飪貝類及甲殼類時產生的蒸氣,或單純碰觸特定的食物,都可能在致敏性高的人身上引起反應。5 話雖如此,美國約百分之 90 的食物過敏反應通常是由以下八類食物引起的。3 (在美國以外的某些國家中,還有兩種常見的誘發因子是罪魁禍首。3) 如果您的家人或佳節賓客會 (或似乎會) 對這些過敏原產生致敏反應,您可透過下列連結取得豐富的資訊 (包括潛在「隱性」來源的深入資訊)。

(*木本堅果包含例如腰果、胡桃、開心果、核桃、夏威夷豆、榛果、巴西堅果和杏仁)

有些種子 (例如芥末和芝麻) 也是常見的過敏誘發因子,且在某些國家是主要的過敏原。3

佳節期間管理食物過敏的 10 大策略

由於沒有治療食物過敏的方法,且避免反應的唯一方法是完全避免過敏原,因此對您的佳節聚會而言,預防措施至關重要。6 以下是一些專家推薦的策略,以及一些合乎邏輯的建議,可協助您、您的家人和您的賓客安全且開心地享受佳節。

Before you can accommodate individual food allergies, it helps to identify them. If someone in your immediate family has a suspected food allergy, consult with your healthcare provider to determine if allergy testing is warranted. 

When inviting people to your holiday gatherings, inquire about potential food allergies and what adaptations would be helpful. Try to include options void of the most allergenic foods and a few allergy friendly snacks.

Educate yourself about food allergies in general and about any specific allergens unique to your guests, and then pass on critical information to those in attendance. For example, you might explain that trace amounts of allergens can cause a reaction, identify potential hidden sources of a specific allergen, provide instructions for dealing with food-related emergencies, and warn about cross-contact via utensils, surfaces, and more.5,7,8 

If you’ve identified specific food allergies among your guests, consider a menu that includes some options void of these allergens and take the necessary precautions to prevent cross-contact. (See below.) But if specific allergens haven’t been identified, you can eliminate the most common culprits from at least a few of your offerings and/or ask guests not to bring anything containing these items. Foods most associated with reactions in children are milk, eggs, and peanuts. In adults, the offenders are fruits and vegetables (via a condition called Oral Allergy Syndrome), peanuts/tree nuts, and fish/shellfish.3   

To prevent potentially allergenic foods from contacting (and perhaps contaminating) “safe” foods, ensure such items are never in close proximity to each other. After preparing potentially allergenic food, wash related cutting boards, surfaces, utensils, and cooking pans/grills with soap and water. Consider using separate dishes and utensils for safe foods versus those that may cause a reaction.8   

When preparing food for your event, read food labels carefully to check for all forms of allergens, and label each dish with a list of its ingredients so guests can easily identify those that may cause symptoms.7 If you’re serving packaged food, keep the labels so food-allergic guests can inspect the items themselves. 

Keep in mind, alcoholic beverages may contain allergenic food items. For example, some types of beer can include wheat or pine nuts, and dairy items might be found in cream liqueurs and cocktails such as piña coladas.

If you’ve planned an allergen-conscious menu but your guests still want to bring something to contribute, ask them to provide plates, cups, napkins, or decor instead of food.7

Establish a plan of action for severe reactions and post it in a central locale for the gathering. 

To create the ultimate allergy-friendly holiday gathering, remove food from the event altogether. Rather, focus the festivities on an experience such as sledding, bowling, holiday movies, etc.7

用於瞭解過敏的工具

 

追蹤過敏症狀並為就診醫療服務提供者做好準備。

瞭解特定過敏原,包括常見症狀、管理和緩解。 

您是醫療服務提供者嗎?取得有關數百種完整過敏原和分子過敏原的完整資訊。

  1. Iweala OI, Choudhary SK, Commins SP. Food Allergy. Curr Gastroenterol Rep. 2018 Apr 5;20(5):17. doi: 10.1007/s11894-018-0624-y. PMID: 29623490; PMCID: PMC5940350. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940350/pdf/nihms962490.pdf.
  2. Pawankar, R., Canonica, G. W., Holgate, S. T., Lockey, R. F., & World Allergy Organization. (2011). World Allergy Organization (WAO) white book on allergy. United Kingdom: WAO.
  3. American College of Allergy, Asthma & Immunology [Internet]. Arlington Heights, IL: American College of Allergy, Asthma & Immunology; 2021. Available from: https://acaai.org/allergies/allergic-conditions/food/.
  4. Food Allergy Research & Education – Facts and Stats [Internet]. McLean, VA: Food Allergy Research & Education; 2020. Available from: www.foodallergy.org/resources/facts-and-statistics.
  5. Food Allergy Research & Education – Common Questions [Internet]. McLean, VA: Food Allergy Research & Education; 2020. Available from:  https://www.foodallergy.org/resources/common-questions.
  6. Centers for Disease Control and Prevention [Internet]. Atlanta, GA: National Center for Environmental Health; 2020 Aug 11. Available from: https://www.cdc.gov/healthyschools/foodallergies/index.htm.
  7. Food Allergy Research & Education – Cross Contact [Internet]. McLean, VA: Food Allergy Research & Education; 2020. Available from: https://www.foodallergy.org/resources/avoiding-cross-contact.
  8. Asthma and Allergy Foundation of America [Internet]. Arlington, VA: Asthma and Allergy Foundation of America; 2017 Dec 13. Available from: https://community.aafa.org/blog/avoid-food-allergy-reactions-during-the-holidays.