Ikan Tombur or also known as ihan tinombur or no tinombur, is grilled fish poured with super spicy sauce made with andaliman, Batak peppercorn. The signature dish from North Sumatra has 2 kind of served, grilled and fried, which then poured with sauteed sauce. Although it may appear similiar to ikan bakar, but this fish have more complex flavour. The spices ( andaliman, shallots, candlenuts, ginger and lime) are ground and churn out a really savory nutty flavour.
The most suitable fish for fried or grilled na tihombur is either common carp or three spotted tilapia. Nile tilapia or gourami can also be used, but will bring out different character. Now lets make your own Tombur Fish!
Main Ingredients :
- 1 Mujair ( Three spotted tilapia/ Oreochromis mossambicus) / gurame (Gourami) / Nila Merah ( Red nilotica or red - hybrid Nille tilapia) / Ikan mas ( common carp)
- 200 gr fried peanuts
- 50 gr candlenuts (toasted)
Spices :
- 2 tbsp andaliman ( Batak peppercorn, family of Szechuan pepper)
- 100 gr red chillies
- 50 gr birds eye chillies
- 100 gr torch ginger flower
- 1/2 thumb sized piece galangal
- 5 shallots
- 5 garlic cloves
- Lime Juice
- Salt
- Sugar
How To Make :
- Rub fish with salt and lime juice, grill on charcoal.
- Toast the spices, then coarsely grind them using mortar and pestle.
- Pound the candlenuts and fried peanuts until they create a smooth texture.
- Mix the spice paste with the nuts, adding a little water. Add lime juice, salt and sugar to taste. The result should be a good balance of spiciness, acidity and sweetness.
- Pour the sauce on top of fish.
- Serve immediately.
What is mesothelioma? This question will be asked by the people who are not familiar with the term. Obviously, not everyone is familiar with this one disease. So, what is the meaning behind mesothelioma? Well, this refers to a particular type of cancer that is relatively rare. The cancer cells in this disease will attack the lines of cells or simply refer as mesothelioma that protects the body internal organs. The cancer cells may start to occur and grow through cavity in chest, abdomen or even from heart cavity. From the cavity in those internal organs, it may spread and affect the other parts of body. Now that it is clear, mesothelioma is a type of cancer but what is mesothelioma cancer? Is it just about membrane? The disease indeed comes from the cavity of membrane. The cavity of chest membrane or pleura is known to be the most common. This is called as pleural mesothelioma. The less common form is called as peritoneal mesothelioma. This one comes from the abdomen cavity. Another form of mesothelioma comes from heart cavity and known as pericardial mesothelioma. No matter from where the cancer comes, an immediate treatment is needed
What Causes Mesothelioma?
Now, after finding the answer of what is mesothelioma, the next question will come naturally. What causes this condition? The main cause of this condition is exposure to asbestos. Asbestos is known as mineral with very microscopic fiber. The jobs that will always in contact with asbestos will have high risk. Of course, the workers of asbestos mines become the most vulnerable. About 70% to 80% cases of mesothelioma are linked to the exposure of asbestos while working. Aside of working environment, buildings with asbestos will slowly cause cavity that might end up with cancer. In developing into cancer, it might take around 30 to 40 years but some people take 70 years before cancer shows up. What is mesothelioma? And what are the things that will cause this condition? Aside of asbestos, the cancer of mesothelium is also reported to be caused by several other things.- Genetics believed to also cause mesothelioma but the rates varied amongst population.
- Radiation in high doses to the chest or the abdomen or the radiation that comes after thorium dioxide (Thorotrast) injections.
- Zeolites are minerals and chemically related to mineral asbestos. One of the related minerals is known as erionite and commonly found in the soil of some places in Turkey. The exposure of erinite is thought to increase the risk of mesothelioma.
What are Symptoms of Mesothelioma?
Now that the question of what is mesothelioma has been answered and the causes are also known, the time to learn about its symptoms has come. What are mesothelioma symptoms? The initial symptoms are as the followings:- Short breaths
- Pain in the chest
- Coughing
- Increasing short breaths
- Loss appetite
- Night sweats
- Weight loss
Treatment for Mesothelioma
What is mesothelioma? Knowing the answer of that question, the next thing that will be necessary is to find out the proper treatment for this disease. There are three options of treatment that will need to be done. In any cases of mesothelioma, two or even three of these treatments might be combined. These treatments will include:- Surgery to take out cancer.
- Therapy of radiation using the high dose X-rays or the other high energy rays to get cancer cells killed.
- Chemotherapy that will use drugs to fight the cells of cancer.
Mesothelioma Life Expectancy
After asking the question what is mesothelioma and know about this condition, many people will ask about the life expectancy of the patients. Mesothelioma is a malignant cancer. Approximately, it will cause death to the patients as fast as four months or as long as one year. This is not a very pleasant thing to be heard. But this fact is something that cannot be denied. The only thing that may bring relief is the fact that this type of cancer is rarely found. Considering the malignancy and the danger that will be brought, trying to avoid the disease from happening is natural. It will be better to stay away from asbestos and the other things that might trigger mesothelioma. In order to get better maintenance in health, the regular health checkup is needed. Treating mesothelioma as soon as possible is highly recommended. That is the reason why everyone needs to visit a doctor when they feel initial symptoms. Taking action is better rather than just asking about what is mesothelioma.
Recipe : Famous Ikan Tombur ( North Sumatra Tombur Fish)
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