Pika

ʻO Pica kahi hiʻohiʻona o ka ʻai ʻana i nā mea ʻai ʻole, e like me ka lepo a pepa paha.

ʻIke ʻia ʻo Pica i nā keiki ʻōpio ma mua o nā mākua. Aia i ka hapakolu o nā keiki mai 1 a 6 mau makahiki i loaʻa i kēia ʻano hana ʻai. ʻAʻole maopopo i ka nui o nā keiki me ka pica e hoʻopau pono i ka lepo (geophagy).

Hiki i ka Pica ke hana i ka wā hāpai. I kekahi mau hihia, ʻo ka nele o kekahi mau mea momona, e like me ka hao a me ka zinc, hiki ke hoʻāla i nā kuko ʻokoʻa. Hiki paha i ka Pica i nā mākua ke makemake i kahi ʻano i ko lākou waha.

ʻAi paha nā keiki a me nā mākua me ka pica:

• Nā holoholona holoholona
• Pālolo
• Lepo
• Na kinipopo
• Ice
• Pena
• Keoneoneo

Pono kēia ʻano o ka ʻai ʻana no hoʻokahi mahina ma ka liʻiliʻi e kūpono i ke kuhi o ka pica.

Kaukaʻi ʻia i ka mea e ʻai ʻia a me ka nui, loaʻa nā ʻōuli o nā pilikia ʻē aʻe, e like me:

• ʻO ka ʻeha o ka ʻōpū, nausea, a me ka ʻōhū ʻana i kumu ʻia e ka paʻa ʻana i ka ʻōpū a i ʻole ka ʻōpū
• Ka luhi, nā pilikia hana, nā pilikia o ke kula a me nā hopena ʻē aʻe o ka lāʻau make kēpau a i ʻole ka meaʻai maikaʻi ʻole

ʻAʻohe hōʻike hoʻokahi no ka pica. Ma muli o ka hiki ʻana o ka pica i ka poʻe i loaʻa ʻole ka meaʻai maikaʻi ʻole, hiki i ka mea mālama ola ke hoʻāʻo i nā kiʻekiʻe o ke koko o ka hao a me ka zinc.

Hiki ke hana ʻia nā hōʻike koko e hoʻāʻo no ka anemia. Pono e nānā mau ʻia nā pae kēpau i nā keiki i ʻai paha i ka pena a i ʻole nā ​​mea i uhi ʻia i ka lepo pena kēpau i ka pale no ka ʻino kēpau.

Hiki paha i ka mea hoʻolako ke hoʻāʻo no ka maʻi inā ʻai ke kanaka i ka lepo haumia a i ʻole nā ​​ʻōpala holoholona.

Pono e hoʻoponopono mua i ka mālama ʻana i nā meaola e nalo a i ʻole nā ​​pilikia olakino ʻē aʻe, e like me ka lāʻau make kēpau.

Pili ka mālama ʻana i ka pica i nā lawena, ke kaiapuni, a me ka ʻike ʻohana. Hoʻohui kekahi ʻano o ka mālama ʻana i ka lawena pica me nā hopena maikaʻi ʻole a i ʻole ka hoʻopaʻi (hoʻomāinoino aversion therapy). A laila uku ʻia ke kanaka no ka ʻai ʻana i nā meaʻai maʻamau.

Hiki paha i nā lāʻau lapaʻau ke kōkua i ka hōʻemiʻana i keʻano o ka maʻamau ināʻaʻoleʻo pica kahi maʻi o ka hoʻolālā e like me ke kīnā o ka naʻauao.

Loli ka kūleʻa hoʻomaʻamaʻa. I nā manawa he nui, mau ka maʻi i mau mau mahina a laila nalo wale iā ia iho. I kekahi mau hihia, hiki ke hoʻomau i loko o nā makahiki ʻōpio a i ʻole ke kūlana makua, keu hoʻi ke kū ʻia me nā maʻi ulu.

Komo pū nā pilikia:

• ʻO Bezoar (kahi nui o nā mea undigestible i paʻa i loko o ke kino, pinepine i ka ʻōpū)
• Maʻi kīnā

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i kahi keiki (a makua paha) e ʻai ana i nā mea ʻole ka meaʻai.

ʻAʻohe pale kūikawā. Hiki ke kōkua i ka loaʻa ʻana o ka meaʻai kūpono.

ʻO Geophagy; ʻĀpau kēpau - pica

Camaschella C. Microcytic a me nā anemias hepochromic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 150.

ʻO Katzman DK, Norris ML. Nā maʻi hānai a me ka ʻai ʻana. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 9.

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. ʻO Rumination a me pica. 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 36.