Pellagra

He maʻi ʻo Pellagra ke loaʻa ʻole kahi kanaka niacin (kekahi o nā huaʻai B paʻakikī) a i ʻole tryptophan (kahi amino acid).

Hoʻokumu ʻia ʻo Pellagra e ka niacin liʻiliʻi a tryptophan paha i ka papaʻai. Hiki iā ia ke hana inā ʻaʻole hiki i ke kino ke komo i kēia mau meaola.

E ulu paha ʻo Pellagra ma muli o:

• Nā maʻi Gastrointestinal
• ʻOki kaumaha (bariatric) ʻoki kino
• ʻAnorexia
• Hoʻohana nui loa i ka waiʻona
• Carcinoid Syndrome (hui o nā ʻōuli e pili ana i nā tumors o ka ʻōpū liʻiliʻi, kolona, ​​appendix, a me nā paipu bronchial i nā akemāmā)
• ʻO kekahi mau lāʻau, e like me isoniazid, 5-fluorouracil, 6-merc laptopurine

ʻO ka maʻi ka mea maʻamau i nā ʻāpana o ka honua (kekahi mau ʻāpana o ʻApelika) kahi e loaʻa ai i ka poʻe ka nui o nā kānana i hoʻomaʻamaʻa ʻole ʻia i kā lākou papaʻai. He kumu maikaʻi ʻole ka kānana i ka tryptophan, a ʻo ka niacin i ke kulina ke hoʻopaʻa paʻa ʻia i nā ʻāpana ʻē aʻe o ka palaoa. Hoʻokuʻu ʻia ʻo Niacin mai ke kulina inā i hoʻopulu ʻia i ka limewater i ka pō hoʻokahi. Hoʻohana ʻia kēia ala e kuke ai i nā tortillas ma ʻAmelika Hui Pū ʻIa kahi wahi laha ʻole ka pellagra.

Nā ʻōuli o ka pellagra:

• Hewa a huikau paha ka noʻonoʻo
• Pohā
• Nawaliwali
• Loaʻa ka ʻai ʻole
• ʻEha ma ka ʻōpū
• Ka membrane mucous i hoʻā ʻia
• ʻO nā maʻi ʻili scaly, ʻoi aku ma nā wahi i hōʻike ʻia i ka lā o ka ʻili

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. E nīnau ʻia ʻoe e pili ana i nā meaʻai āu e ʻai ai.

Hiki i nā hoʻāʻo ke hana ʻia me nā hoʻokolohua mimi e nānā inā lawa ka niacin o kou kino. E hana pū ʻia nā hoʻāʻo koko.

ʻO ka pahuhopu o ka mālama ʻana e hoʻonui i ka pae niacin o kou kino. E kuhikuhi ʻia ʻoe i nā mea hoʻohui niacin. Pono paha ʻoe e lawe i nā mea hoʻohui ʻē aʻe. E hāhai pono i nā ʻōkuhi a kāu mea hāʻawi i ka nui a me ka pinepine e lawe ai i nā mea hoʻohui.

E mālama ʻia nā ʻōuli ma muli o ka pellagra, e like me ka ʻeha o ka ʻili.

Inā loaʻa iā ʻoe nā kūlana e hoʻokumu i ka pellagra, e mālama pū ʻia kēia.

Hana maikaʻi ka poʻe ma hope o ka lawe ʻana i ka niacin.

Inā haʻalele ʻole ʻia, hiki i ka pellagra ke hopena i ka hōʻino ʻana o ke aʻalolo, keu hoʻi i ka lolo. Hoʻopili ʻia ka ʻeha o ka ʻili.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona o ka pellagra.

Hiki ke pale ʻia ʻo Pellagra e ka ukali ʻana i ka papaʻai kaulike maikaʻi.

E mālama i nā pilikia olakino e hiki ai i ka pellagra.

Deficiamina B3; Hemahema - niacin; Ka nele o ka waikawa Nicotinic

• Deficit ʻo Vitamin B3

Elia M, Lanham-New SA. Meaʻai kūpono. I: Kumar P, Clark M, eds. ʻO Kauka Lapaʻau ʻo Kumar lāua ʻo Clarke. 9th ed. Piladelapia, PA: Elsevier; 2017: chap 10.

Meisenberg G, Simmons WH. Nā Micronutrients. I: Meisenberg G, Simmons WH, huaʻōlelo. Nā Kumumanaʻo o Biochemistry Lapaʻau. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 31.

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.