Beriberi

He maʻi ʻo Beriberi kahi lawa ʻole ke kino i ka thiamine (vitamin B1).

Aia he ʻano nui ʻelua o beriberi:

• Beriberi pulu: Hoʻopilikia i ka ʻōnaehana cardiovascular.
• ʻO ka beriberi maloʻo a me Wernicke-Korsakoff maʻi: Hoʻopilikia i ka ʻōnaehana hopohopo.

ʻAʻohe o Beriberi ma ʻAmelika Hui Pū ʻIa. ʻO kēia no ka mea ʻo ka hapa nui o nā meaʻai i kēia manawa huaʻi momona. Inā ʻai ʻoe i ka papaʻai olakino, olakino, pono ʻoe e lawa i ka thiamine. I kēia lā, hana ʻia ka beriberi i ka hapa nui i ka poʻe hōʻino i ka ʻalekohola. ʻO ka inu nui ʻana hiki ke alakaʻi ʻia i ka meaʻai maikaʻi ʻole. Hoʻonui ka waiʻona i ka paʻakikī e komo i ke kino a mālama i ka lāʻau B1.

I nā hihia maʻamau, hiki i ka beriberi ke genetic. Ua hala kēia ʻano i loko o nā ʻohana. ʻO ka poʻe me kēia ʻano lilo ka hiki ke komo i ka thiamine mai nā meaʻai. Hiki ke hana lohi i ka hala o ka manawa. Kū nā ʻōuli ke makua ke kanaka. Eia naʻe, ʻike pinepine ʻia kēia kuhi. ʻO kēia no ka mea ʻaʻole e noʻonoʻo ka poʻe lawelawe olakino i ka beriberi i nā mea ʻona ʻole.

Hiki iā Beriberi ke hana i nā pēpē ke:

• Breastfed a nele ke kino o ka makuahine i ka thiamine
• Hānai i nā hana maʻamau i lawa ʻole ka thiamine

ʻO kekahi mau lāʻau lapaʻau e hiki ai ke hāpai i kāu makaʻu o beriberi:

• Ke kiʻi nei i ka dialysis
• Lawe i nā kau kiʻekiʻe o nā diuretics (nā wai wai)

Nā ʻōuli o beriberi maloʻo:

• Ke hele wāwae paʻakikī
• Ka nalowale o ka manaʻo (sensation) i nā lima a me nā wāwae
• ʻO ka nalowale o ka hana maʻa a i ʻole ka lōlō o nā wāwae o lalo
• Pilikia ka noʻonoʻo / pilikia haʻi ʻōlelo
• ʻEha
• ʻO ka neʻe ʻana o nā maka ʻano ʻē (nystagmus)
• ʻŪlili
• ʻO ka luaʻi

Nā ʻōuli o beriberi pulu me:

• Ke ala nei i ka pō pōkole o ka hanu
• Hoʻonui i ka helu o ka puʻuwai
• Ka hanu ʻana me ka hana
• ʻO ka pehu ʻana o nā wāwae lalo

Hiki i kahi hoʻokolohua kino ke hōʻike i nā hōʻailona o ka puʻuwai puʻuwai congestive, me:

• Ka hanu paʻakikī ʻana, me nā ʻāʻī o ka ʻāʻī e kū i waho
• Puʻuwai hoʻonui ʻia
• Loli i loko o nā ake māmā
• Kuʻi puʻuwai wikiwiki
• ʻO ka pehu ʻana ma nā wāwae ʻelua o lalo

E huikau paha kekahi kanaka me ka beriberi pae hope loa a i ʻole he nalo hoʻomanaʻo a me nā kuhi hewa. ʻAʻole hiki i ke kanaka ke ʻike i nā haʻalulu.

Hōʻike kahi hōʻike neurological i nā hōʻailona o:

• Nā hoʻololi i ka hele wāwae
• Nā pilikia hoʻohui
• Hoʻoemi i nā reflexes
• Kaʻu ʻana o ka maka

E hana ʻia paha kēia mau hoʻāʻo:

• Nā ho'āʻo koko e ana i ka nui o ka thiamine i ke koko
• Hōʻike i ka mimi e ʻike inā e hele ana ka thiamine i ka mimi

ʻO ka pahuhopu o ka mālama ʻana e hoʻololi i ka thiamine e nele ana kou kino. Hana ʻia kēia me nā mea hoʻohui thiamine. Hāʻawi ʻia nā kīʻaha Thiamine ma o kahi kī ʻana (injection) a i ʻole lawe ʻia e ka waha.

Hōʻike paha kāu mea hāʻawi i nā ʻano wikamina ʻē aʻe.

Hiki ke hana hou i nā hoʻokolohua koko ma hope o ka hoʻomaka ʻana o ka lāʻau. E hōʻike kēia mau hoʻokolohua i kou maikaʻi i ka pane ʻana i ka lāʻau.

ʻAʻole mālama ʻia, beriberi hiki ke make. Me ka mālama ʻana, hoʻomaikaʻi wikiwiki nā ʻōuli.

Hoʻohuli pinepine ʻia ka hōʻino naʻau. Kuhi ʻia kahi ola hou i kēia mau hihia. Eia nō naʻe, inā i kū mai kahi ʻole o ka puʻuwai koʻikoʻi, maikaʻi ʻole ka nānā.

Hiki ke hoʻi i ka hōʻino ʻōnaehana hopohopo, inā i hopu mua ʻia. Inā ʻaʻole i hopu ʻia i ka wanaʻao, mau paha kekahi mau ʻōuli (e like me ka nalo ʻana o ka hoʻomanaʻo), ʻoiai me ka lāʻau.

Inā loaʻa i kahi kanaka me Wernicke encephalopathy ka pani thiamine, pilikia ka ʻōlelo, ka neʻe ʻana o ka maka maʻamau, a me nā pilikia hele wāwae. Eia nō naʻe, hoʻomohala ʻo Korsakoff Syndrome (a i ʻole Korsakoff psychosis) i ka wā e hele aku ai nā ʻōuli ʻo Wernicke.

Komo pū nā pilikia:

• Koma
• Hoka puʻuwai Congestive
• Make
• Psychosis

ʻAno loa ʻo Beriberi ma ʻAmelika Hui Pū ʻIa. Eia nō naʻe, kāhea i kāu mea hāʻawi inā:

• Manaʻo ʻoe he lawa ʻole ka papaʻai a kou ʻohana a kaulike ʻole paha
• Loaʻa iā ʻoe a ʻo kāu mau keiki paha nā ʻōuli o beriberi

ʻO ka ʻai ʻana i kahi papaʻai kūpono i waiwai i nā wikamina e pale ai i ka beriberi. Pono nā mākua hānai e hōʻoia i kā lākou papaʻai i nā wikamina āpau. Inā ʻaʻole hānai ʻia kāu pēpē, e hōʻoia i ka thiamine o ka pēpē pēpē.

Inā inu nui ʻoe, hoʻāʻo e ʻoki a haʻalele paha. Eia kekahi, e lawe i nā wikamina B e hōʻoia i ka ʻoluʻolu o kou kino a mālama i ka thiamine.

Thiamine hemahema; Ka nele o ka wikamina B1

ʻO Koppel BS. Nā maʻi neurologic pili i kaʻai a me ka waiʻona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 388.

Sachdev HPS, Shah D. Vitamin B paʻakikī paʻakikī a me ka ʻoi aku. I: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 62.

No laila YT. Nā maʻi kūpono ʻole o ka ʻōnaehana. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 85.