ʻO Marasmus: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona a me nā ʻōuli o ka marasmus
• He aha ka ʻokoʻa ma waena o marasmus a me Kwashiorkor?
• Pehea e hana ai i ka lāʻau

ʻO Marasmus kekahi o nā ʻano like ʻole me ka malnutrine protein-ikehu i hōʻike ʻia e ka pohō nui a me nā mākala a me ka lilo ʻana o ka momona ākea, kahi e hoʻohuli maikaʻi ʻole ai i ka ulu ʻana.

Kuhi ʻia kēia ʻano malnutrisi e ka hemahema mua o nā haʻalako a me ka momona, ka mea e hoʻoikaika i ke kino e hoʻopau i nā protein e hana i ka ikehu, e alakaʻi ai i ke kaupaona a me ka nalo ʻana o nā mākala, no laila e hōʻike ana i ka malnutrike nui. E ʻike he aha nā mea weliweli o ka hana maikaʻi ʻole.

ʻO ka malnutrite protein-ikehu ka mea maʻamau i nā keiki ma waena o 6 a me 24 mau makahiki o ka makahiki e noho ana i nā ʻāina kūkulu ʻole kahi e loaʻa ʻole ka ʻai. Ma waho aʻe o ka socioeconomic factor, marasmus hiki ke hoʻohuli ʻia e ka weaning mua, ka lawa ʻole o ka ʻai a me nā kūlana olakino maikaʻi ʻole.

Nā hōʻailona a me nā ʻōuli o ka marasmus

Hōʻike nā keiki me ka marasmus i nā hōʻailona a me nā ʻōuli ʻano o kēia ʻano malnutrisi, e like me:

• Ka loaʻa ʻole o ka momona subcutaneous;
• ʻO ka nalowale o nā mākala maʻamau, e ʻae ana i ka ʻike ʻana o nā iwi, no ka laʻana;
• Pihā ololi e pili ana i ka umauma;
• Hoʻololi ulu;
• Kaupaona ma lalo pono o ka paipai no ka makahiki;
• Nāwaliwali;
• Māluhiluhi;
• Puʻupuʻu;
• Pololi mau;
• Pāpā a me ka luaʻi;
• Hoʻonui i ka nui o ka cortisol, kahi e hana ai ke keiki i kahi ʻano maikaʻi ʻole.

Hana ʻia ke kuhi o ka marasmus ma o ka loiloi ʻana i nā hōʻailona olakino a me nā ʻōuli, a me nā hoʻokolohua a me nā mea ʻē aʻe e ʻae ai i ka hōʻoia ʻana, e like me BMI, ana i ke anapuni o ke poʻo a me ka lima a me ka hōʻoia o nā pale o ka ʻili, hiki ke noi ʻia.

He aha ka ʻokoʻa ma waena o marasmus a me Kwashiorkor?

E like me marasmus, ʻo kwashiorkor kahi ʻano o ka malnutrine protein-ikehu, akā ʻike ʻia ia e ka nele loa o ka protein i alakaʻi ʻia i nā ʻōuli e like me ka edema, ka ʻili maloʻo, ka nalowale ʻana o ka lauoho, ka ulu ʻana o ka ulu, ka ʻōpū o ka ʻōpū a me ka hepatomegaly, ʻo ia hoʻi, ke ake nui.

Pehea e hana ai i ka lāʻau

Wahi a ka World Health Organisation (WHO), ʻo ka mālama ʻana i ka hana maikaʻi ʻole, e like me ka marasmus, hana ʻia i nā pae me ka pahuhopu e hoʻonui mālie i ka nui o nā calorie i lawe ʻia e pale i nā hoʻololi o ka ʻōpū, e laʻa me:

1. Hoʻokūpaʻa, kahi e hoʻolauna mālie ai ka meaʻai me ka pahuhopu o ka hoʻohuli i nā loli metabolik;
2. Hoʻoulu, kahi i kū paʻa ai ke keiki a, no laila, hoʻoikaika ʻia ka hānai ʻana i mea e loaʻa ai ke kaumaha a me ka hoʻoulu ulu ʻana;
3. Nānā hou, kahi e nānā pinepine ʻia ai ke keiki i mea e pale ai i ka hoʻi hou ʻana a hōʻoia i ka hoʻomau ʻana o ka lāʻau.

Eia hou, he mea nui e alakaʻi i ka makua a i ʻole kahu o ke keiki e pili ana i ka hana ʻia ʻana o ka lāʻau a pehea e hānai ʻia ai ke keiki, me ka hōʻike ʻana i nā hōʻailona o ka hoʻi hou ʻana, no ka laʻana. E aʻo hou aʻe e pili ana i ka palekino a me ka hana ʻana o ka lapaʻau.