ʻO Kwashiorkor

ʻO Kwashiorkor kahi ʻano o ka malnutrisi e loaʻa inā ʻaʻole lawa ka protein i ka papaʻai.

ʻO Kwashiorkor ka mea maʻamau i nā wahi i loaʻa:

• Pololi
• Lako ʻai palena palena ʻole
• Nā pae haʻahaʻa o ke aʻo ʻana (ke maopopo ʻole ka poʻe pehea e ʻai ai i kahi papaʻai kūpono)

ʻOi aku ka maʻi o kēia maʻi ma nā ʻāina ʻilihuna loa. Hiki ia i ka wā o:

• Ka maloʻo a i ʻole nā ​​pōʻino kūlohelohe ʻē aʻe, a i ʻole
• Haunaele politika.

ʻO kēia mau hanana e alakaʻi pinepine ai i ka nele i ka meaʻai, e hopena ai i ka palekino.

ʻAʻohe o Kwashiorkor i nā keiki ma ʻAmelika Hui Pū ʻIa. He mau hihia kaʻawale wale nō. Eia nō naʻe, manaʻo kahi aupuni i ka hapalua o ka poʻe ʻelemākule e noho nei i nā hale hānai i ʻAmelika Hui Pū ʻIa ʻaʻole lawa ka protein i kā lākou papaʻai.

Ke hiki mai ka kwashiorkor ma United States, he hōʻailona pinepine ia o ka hoʻomāinoino keiki a me ka mālama nui ʻole.

ʻO nā hōʻailona me:

• Hoʻololi i ka pigment ʻili
• Hoʻoemi i ka nui o nā mākala
• Pohā
• ʻAʻole e loaʻa ke kaupaona a ulu
• Ka luhi
• Hoʻololi ka lauoho (hoʻololi i ke kala a i ʻole ʻano)
• Hoʻonui a me nā maʻi ʻoi aku ka nui ma muli o ka ʻōnaehana paleʻeha
• Huhū
• ʻŌpū nui e ʻōkuʻu (protrudes)
• Lethargy a i ʻole apathy
• Lilo o ka nui o nā mākala
• Rash (dermatitis)
• Pākuʻi (pae hope)
• Pehu (edema)

Hōʻike ka hōʻike kino i kahi ake nui (hepatomegaly) a me ka pehu nui.

E komo pū paha nā hoʻāʻo:

• Ke kinoea koko arterial
• BUNU
• Helu piha koko (CBC)
• ʻĀina Creatinine
• Serum creatinine
• Pāhare potassium
• Huina protein pae
• Urinalysis

ʻO ka poʻe i hoʻomaka i ka mālama mua hiki ke hoʻōla piha. ʻO ka pahuhopu e kiʻi i nā calorie a me nā protein i kā lākou papaʻai. ʻAʻole hiki i nā keiki me ka maʻi ke hōʻea i ko lākou kiʻekiʻe kiʻekiʻe a ulu.

Hāʻawi mua ʻia nā Calories i ke ʻano o nā haʻalako, nā kō, a me nā momona. Hoʻomaka ʻia nā protein ma hope o ka loaʻa ʻana o ka ikehu i nā kumuwaiwai ʻē aʻe. E hāʻawi ʻia i nā mea hoʻohui ka wikamina a me ka mineral.

Pono e hoʻomaka mālie i ka meaʻai mai ka nele o ke kanaka i ka meaʻai no ka manawa lōʻihi. Hiki koke i ka ʻai ʻana i nā meaʻai calorie kiʻekiʻe ke kumu i nā pilikia.

E hoʻomohala nā keiki hānai he nui i ka hoʻomanawanui ʻole i ka waiū kō (lactose intolerance). Pono lākou e hāʻawi ʻia i nā mea hoʻohui me ka lactase enzyme i hiki iā lākou ke hoʻomanawanui i nā huahana waiū.

Pono ka poʻe e haʻalulu nei i ka mālama koke ʻana e hoʻihoʻi i ke kahe o ke koko a mālama i ke kahe o ke koko.

ʻO ke kiʻi ʻana i ka lāʻau ma mua e alakaʻi i nā hopena maikaʻi. ʻO ka mālama ʻana i ka kwashiorkor i kāna pae hope loa e hoʻomaikaʻi ai i ke olakino olakino o ke keiki. Eia nō naʻe, e waiho ʻia ke keiki me nā pilikia kūlohelohe o ke kino a me ka noʻonoʻo. Inā ʻaʻole hāʻawi ʻia a hōʻalo paha i ka lāʻau, hoʻoweliweli ke ola i kēia ʻano.

Komo pū nā pilikia:

• Koma
• Ka maʻi kīnā paʻa a me ke kino paʻa
• Pāhaʻi

Kāhea i kāu mea mālama ola inā loaʻa nā hōʻailona o kāu keiki i ka kwashiorkor.

I mea e pale aku ai i ka kwashiorkor, e nānā pono i kāu papaʻai i nā mea momona momona, ka momona (ma ka liʻiliʻi he 10% o ka nui o nā calorie), a me ka protein (12% o ka nui o nā calories).

Palekana ʻai ʻole protein; Palenaʻai-ʻo ka calorieʻai pono ʻole; Kaʻai pono malignant

• Nā hōʻailona Kwashiorkor

Ashworth A. Nutrite, palekana meaʻai, a me ke olakino. 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 57.

Manary MJ, Trehan I. Palenaʻai-ʻoihana kino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 203.