Hoʻokumu ʻia ka anemia e ka hao haʻahaʻa - nā pēpē a me nā kamaliʻi liʻiliʻi

He pilikia ʻo Anemia kahi i lawa ʻole ai ke kino i nā hunaola ʻulaʻula olakino. Lawe ke koko ʻulaʻula i ka oxygen i nā aʻa o ke kino.

Kōkua ka hao i nā ʻulaʻula o ke koko, no laila ʻo ka nele o ka hao i ke kino e alakaʻi ai i ka anemia. ʻO ka inoa olakino o kēia pilikia ka anemia hemahema o ka hao.

ʻO ka Anemia i hoʻokumu ʻia e kahi pae hao haʻahaʻa ka ʻano maʻamau o ka anemia. Loaʻa ka hao i ke kino ma o kekahi mau meaʻai. Hoʻohana hou ia i ka hao mai nā hunaola ʻulaʻula kahiko.

ʻO kahi papaʻai i lawa ʻole ka hao ka kumu maʻamau. I nā wā o ka ulu wikiwiki ʻana, ʻoi aku ka nui o ka hao e pono ai.

Hānau ʻia nā pēpē me ka hao i waiho ʻia i loko o ko lākou mau kino. Ma muli o ka ulu wikiwiki ʻana, pono i nā pēpē a me nā kamaliʻi ke omo i ka nui o ka hao i kēlā me kēia lā. ʻO ka anemia hemahema o ka hao e pili pinepine i nā pēpē 9 a 24 mau mahina.

Pono nā pēpē i hānai ʻia i ka hao ma muli o ka hao o ka hao i ka waiū umauma. Hoʻomumu pū me ka hao i hoʻohui ʻia (hao paʻa) hāʻawi pū kekahi i ka hao.

ʻO nā kamaliʻi ma mua o 12 mau mahina e inu i ka waiū o ka bipi ma mua o ka waiū o ka waiū a i ʻole ka lāʻau i hana ʻia me ka hao e loaʻa ka anemia ʻO ka waiū o ka bipi e alakaʻi i ka anemia no ka mea:

• Heʻuʻuku kona hao
• Kumu i ka liʻiliʻi o ke kahe o ke koko mai nā ʻōpū
• Hoʻoikaika ia i ke kino e omo i ka hao

ʻO nā keiki i ʻoi aku ma mua o 12 mau mahina e inu i ka waiū o ka bipi he loaʻa pū kekahi me ka anemia ke ʻai ʻole lākou i nā meaʻai olakino ʻē aʻe i loaʻa ka hao.

ʻAʻohe ʻōuli o ke anemia akahai. Ke emi nei ka pae hao a me ke koko, hiki i kāu pēpē a kamaliʻi paha:

• Hana huhū
• Lilo i ka hanu
• Makemake i nā meaʻai maʻamau (i kapa ʻia ʻo pica)
• ʻAi liʻiliʻi ka ʻai
• Manaʻo luhi a nāwaliwali paha i nā manawa āpau
• Loaʻa ke alelo ʻeha
• Loaʻa i nā poʻo poʻo a me ka puʻupuʻu paha

Me ka anemia ʻoi loa, loaʻa paha i kāu keiki:

• ʻO nā maka keʻokeʻo a ʻōniʻoniʻo paha
• Nā kui kuʻi
• Waihoʻoluʻu pale

E hana ka mea mālama ola i kahi hoʻokolohua kino. Pono nā pēpē āpau e hōʻoia i ke koko e nānā no ka anemia. ʻO nā hoʻokolohua koko e ana i ka pae hao i ke kino e:

• Hematocrit
• Serum ferritin
• ʻO ka hao serum
• Ka nui o ka paʻa paʻa hao (TIBC)

ʻO ke ana i kapa ʻia he saturation iron (iron serum / TIBC) hiki ke hōʻike pinepine inā lawa ka hao o ke keiki i ke kino.

No ka mea ʻānai wale nā ​​keiki i kahi hao liʻiliʻi a lākou e ʻai ai, pono ka hapa nui o nā keiki he 8 a 10 mg o ka hao i kēlā me kēia lā.

HAIPAU ME KA HANA

I ka makahiki mua o ke ola:

• Mai hāʻawi i ka waiū o kāu pēpē pēpē a hiki i ka makahiki 1 makahiki. He paʻakikī nā pēpē ma lalo o ka makahiki 1 i ka hoʻoulu ʻana i ka waiū o ka bipi. E hoʻohana i ka waiū umauma a i ʻole ka haʻina paʻa me ka hao.
• Ma hope o 6 mau mahina, e hoʻomaka ana kāu pēpē e pono i ka hao i kā lākou papaʻai. E hoʻomaka i nā meaʻai paʻa me ka palaʻai pēpē hao hao paʻa ʻia me ka waiū o ka waiū a i ʻole ke kumuhana.
• Hiki ke hoʻomaka ʻia hoʻi nā ʻio, nā huaʻai, a me nā lauʻai maʻemaʻe hao.

Ma hope o ka makahiki 1, hiki iā ʻoe ke hāʻawi i kāu pēpē i ka waiū holoʻokoʻa ma kahi o ka waiū umauma a i ʻole haʻilula.

ʻO ka ʻai ʻana i nā meaʻai olakino ke ala nui loa e pale a mālama ai i ka hemahema hao. ʻO nā kumu hao maikaʻi:

• ʻApelika
• ʻO ka moa, ka pelehū, ka iʻa, a me nā ʻiʻo ʻē aʻe
• ʻO nā pīni maloʻo, nā lihi, a me nā soybeans
• Huamoa
• Akepaʻa
• Molakeke
• Oatmeal
• Mīkini pīnī
• Wai prune
• ʻO Raisins a me nā prun
• Spinach, kale a me nā greens ʻē aʻe

NA MEA KUPONO KINI

Inā pale ʻole ka papaʻai olakino i kāu pae hao haʻahaʻa a me ka anemia o kāu keiki, e paipai paha ka mea hāʻawi i nā mea hoʻohui hao no kāu keiki. Lawe ʻia kēia mau mea e ka waha.

Mai hāʻawi i kāu keiki i nā mea hoʻohui hao a i ʻole nā ​​huaora me ka hao me ka nānā ʻole ʻana me ka mea hāʻawi i kāu keiki. Kauoha ka mea hāʻawi i ke ʻano pono o ke kōkua no kāu keiki. Inā lawe nui kāu keiki i ka hao, hiki ke kumu i ka lāʻau make.

Me ka lāʻau, maikaʻi paha ka hopena. I ka hapanui o nā hihia, hoʻi ka helu o ke koko i ka maʻamau i 2 mau mahina. He mea nui ia e ʻike ka mea hāʻawi i ke kumu o ka hemahema o ka hao o kāu keiki.

Hiki i kahi pae hao haʻahaʻa ke hōʻemi i ka ʻike, hoʻemi i ka makaʻala a me nā pilikia aʻo i nā keiki.

Hiki i kahi pae hao haʻahaʻa ke hoʻopili i ke kino i ke kēpau.

ʻO ka ʻai ʻana i nā meaʻai olakino ke ala nui loa e pale a mālama ai i ka hemahema hao.

Anemia - hemahema hao - pēpē a me nā kamaliʻi

ʻO Baker RD, ʻo Baker SS. ʻO ka meaʻai a ke keiki pēpē a me ke keiki liʻiliʻi. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 85.

Brandow AM. Pallor a me ka anemia. I loko o: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. ʻO Diagnosis Hōʻike Hōʻikeʻike Pediatric Nelson. Piladelapia, PA: Elsevier; 2018: chap 37.

ʻO Rothman JA. ʻO ka anemia hemahema hao. 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 482.