Hōʻike loiloi cystic fibrosis neonatal

ʻO ka neonatal cystic fibrosis kānana kahi hōʻike koko e hōʻike i nā keiki hānau hou no ka cystic fibrosis (CF).

Lawe ʻia kahi laʻana o ke koko mai ka lalo o ka wāwae o ka pēpē a i ʻole kahi aa i ka lima. Hōʻiliʻili ʻia kahi kulu liʻiliʻi o ke koko ma luna o kahi ʻāpana kānana a ʻae ʻia e maloʻo. Hoʻouna ʻia ka laʻana koko maloʻo i kahi lab no ka loiloi.

Nānā ʻia ka hāpana koko no ka hoʻonui ʻia o nā kiʻekiʻe o ka trypsinogen immunoreactive (IRT). ʻO kēia kahi protein i hana ʻia e ka pancreas e pili ana iā CF.

ʻO ka manaʻo pōkole o ke ʻano ʻoluʻolu ʻole paha e uē ai kāu pēpē.

ʻO Cystic fibrosis kahi maʻi i hoʻoili ʻia i waena o nā ʻohana. Kumu ke CF i ka momona a paʻa o ka pepelu e kūkulu i loko o nā akemāmā a me nā wahi digestive. Hiki iā ia ke alakaʻi i nā pilikia hanu a me ka digestive.

ʻO nā keiki me ka CF i ʻike mua ʻia i ke ola a hoʻomaka i ka mālama ʻana i ka wā ʻōpio ke ʻoi aku ka maikaʻi o ka meaʻai, ka ulu ʻana, a me ka hana o ka māmā. Kōkua kēia hōʻike loiloi i nā kauka e hoʻomaopopo i nā keiki me CF ma mua o ka loaʻa ʻana o nā ʻōuli.

Hoʻopili kekahi mau mokuʻāina i kēia hoʻāʻo i nā hōʻike hōʻike loiloi hānau hānau hou i hana ʻia ma mua o ka haʻalele ʻana o ka pēpē i ka haukapila.

Inā noho ʻoe i kahi mokuʻāina ʻaʻole e hana i ka kānana CF maʻamau, e wehewehe ana kāu kauka olakino inā pono ka hoʻāʻo.

ʻO nā hoʻokolohua ʻē aʻe e nānā i nā loli kūlohelohe i ʻike ʻia e hoʻokumu i CF hiki paha ke hoʻohana ʻia e nānā no CF.

Inā maikaʻi ʻole ka hopena hōʻike, ʻaʻohe paha ke keiki i ka CF. Inā maikaʻi ʻole ka hopena o ka hōʻike akā he ʻōuli ko ka pēpē o CF, e hana hou ʻia paha ka hoʻāʻo ʻana.

Kuhi kahi hopena maikaʻi (maikaʻi) e loaʻa i kāu keiki CF. Akā he mea nui e hoʻomanaʻo i kahi hōʻike loiloi maikaʻi ʻaʻole e hōʻike iā CF. Inā maikaʻi ka hōʻike a kāu keiki, e hana ʻia nā hōʻike hou aku e hōʻoia i ka hiki o CF.

• ʻO ka ho'āʻo sweat chloride ka hōʻoia diagnostical maʻamau no CF. ʻO kahi pae paʻakai kiʻekiʻe i ka hou o ke kanaka kahi hōʻailona o ka maʻi.
• Hiki ke hana ʻia ka hoʻāʻo genetic.

ʻAʻole nā ​​keiki āpau me kahi hopena maikaʻi i loaʻa iā CF.

Nā pilikia e pili pū ana me ka hoʻāʻo e:

• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
• Ka hopohopo no nā hopena maikaʻi ʻole
• Ka hōʻoiaʻiʻo ʻole i nā hopena maikaʻi ʻole wahaheʻe

ʻO ka loiloi ʻana o Cystic fibrosis - neonatal; Trypsinogen Immunoreactive; Hōʻike IRT; CF - kānana

• Laʻana koko kamaliʻi

ʻO Egan ME, Schechter MS, Voynow JA. ʻO Cystic fibrosis. 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 432.

Lo SF. ʻO nā hoʻokolohua Laboratory i nā pēpē a me nā keiki. 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 747.