Ke luaʻi nei kāu pēpē ma hope o ka ʻai ʻana? He FPIES paha ia! (Food Protein-Induced Enterocolitis Syndrome)

Ma ke ʻano he makuahine, ʻike ʻoe i ka wā e maʻi ai kekahi mau keiki liʻiliʻi i kahi meaʻai e like me ka pīnati, hōʻike koke lākou i nā hōʻailona. Nā mea e like me ka hives, ka paʻakikī o ka hanu ʻana , a pēlā aku. Akā, ʻokoʻa iki kēia maʻi allergy kakaikahi a mākou e kamaʻilio nei i kēia lā i kapa ʻia ʻo FPIES (Food Protein-Induced Enterocolitis Syndrome). ʻO ka mea e hana ʻia ma ʻaneʻi, hoʻomaka wale nā ​​​​hōʻailona e ʻike ʻia i kekahi mau hola ma hope o ka ʻai ʻana o ka pēpē i ka meaʻai. Manaʻo ka nui o nā mākua he maʻi viral maʻamau kēia a i ʻole he ʻōpū huhū wale nō mai ka ʻai ʻana i ka meaʻai i pau ka manawa.

He aha maoli ka FPIES?

I ka ʻōlelo maʻalahi, ʻo FPIES kahi mumū koʻikoʻi o nā ʻōpū i hoʻokumu ʻia e nā protein meaʻai. ʻAʻole ia e hoʻoulu i nā hōʻailona maʻamau o kahi maʻi allergy maʻamau, e like me ka hives, ka maneʻo, a i ʻole ka pehu ʻana. Akā, hiki i kāu pēpē ke loaʻa i ka luaʻi mau a me ka maʻi diarrhea.

Hoʻomaka pinepine kēia ʻano ke hoʻolauna ʻia kahi pēpē i ka waiū umauma a i ʻole nā ​​meaʻai paʻa. ʻO ka hapa nui o ka manawa, ʻaʻole hiki mai kēia ʻano me ka waiū umauma. Eia naʻe, he mea kakaikahi loa, hiki ke loaʻa i nā pēpē i hānai ʻia me ka waiū umauma. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o nā keiki e pau kēia maʻi allergy i ka wā he 3 a 4 paha ko lākou mau makahiki .

He aha nā hōʻailona o kēia?

E noʻonoʻo ua hāʻawi ʻoe i kāu pēpē i kahi meaʻai hou. Ma hope o ʻelua a ʻekolu paha hola, hoʻomaka kāu pēpē e luaʻi mau a me ka hiki ʻole ke kāohi. A laila, hoʻomaka ka pēpē e loaʻa nā ʻōpala palupalu. ʻO kēia ka hōʻailona nui o FPIES.

Hiki i kekahi mau keiki ke ʻike i kēia mau hōʻailona e piʻi mālie ana i ka hala ʻana o ka manawa. Hiki nō hoʻi iā lākou ke ʻike i ka piʻi ʻole o ke kaumaha a me ka ulu ʻana no ka mea ʻaʻole lākou e loaʻa ana i ka meaʻai kūpono e pono ai lākou.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e lawe koke aku i kāu keiki i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.

No ke aha lā kēia e hana nei?

ʻO kēia no ka mea, pane hewa kekahi mau pūnaewele i loko o ka ʻōnaehana pale o kāu keiki i nā protein i loko o kekahi mau meaʻai. Hoʻoulu kēia pane i kahi hopena koʻikoʻi i loko o ka ʻōnaehana hoʻoheheʻe o ke keiki (gastrointestinal tract), ʻo ia hoʻi, nā ʻōpū. Akā, ʻo nā hōʻailona o kēia hopena e lawe ma waena o 2 a me 8 mau hola e ʻike ʻia. ʻO ia ke kumu he ʻokoʻa ia mai nā maʻi allergies ʻē aʻe.

Ua hōʻike ʻia ma ka moʻolelo ʻohana ma waena o 40% a me 80% o nā keiki me FPIES he moʻolelo ʻohana o nā maʻi ʻaleka ʻē aʻe, e like me ka maʻi hay fever a i ʻole eczema. ʻO ka mea kupanaha, he 20% wale nō o nā keiki me FPIES he moʻolelo ʻohana o nā maʻi ʻaleka meaʻai ʻē aʻe.

He aha nā meaʻai e hoʻoulu pinepine ai i nā FPIES?

Hoʻokumu pinepine ʻia kēia kūlana e:

• Waiū bipi a me nā huahana waiū (e.g. yogurt, tīhi)
• Waiū soya a me ka waiū soya
• ʻO ka palaoa a me nā mea kanu ʻē aʻe (e.g. oats, bale)

Ma waho aʻe o kēia, hiki i kekahi mau keiki ke loaʻa i nā FPIES mai nā meaʻai a mākou e manaʻo ʻole ai he kumu ia o nā maʻi allergies .

• Bale
• ʻIʻo moa a pelehū paha
• Iʻa
• Nā pī
• ʻOati
• Pī
• Laiki
• Paukena
• ʻUala

Mai hopohopo i kēia papa inoa. ʻAʻole nā ​​keiki a pau e maʻi āpau i kēia mau mea a pau. ʻO ka mea maʻi i kekahi keiki, ʻaʻole paha i kekahi.

Pehea e hana ʻia ai ka hōʻailona?

Inā manaʻo ʻoe he FPIES kāu keiki, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me ke kauka pediatric e pili ana i ia mea. Hiki iā ia ke kuhikuhi iā ʻoe i kahi kauka allergist pediatric a i ʻole kahi gastroenterologist pediatric.

E nīnau mua ke kauka iā ʻoe e pili ana i nā hōʻailona o kāu keiki a inā he maʻi allergies kekahi o ka ʻohana. A laila, e hana lākou i nā hoʻokolohua e hōʻoia ʻaʻohe kumu maʻamau ʻē aʻe o ka luaʻi a me ka maʻi diarrhea (e like me ka maʻi viral).

I kekahi manawa, hiki i nā hoʻāʻo koko a me kahi hoʻāʻo ʻili (Atopy Patch Test - APT) ke kōkua. ʻO kahi APT e pili ana i ke kau ʻana i kahi pā hao liʻiliʻi o ka meaʻai i manaʻo ʻia ma ka ʻili o ke keiki no kahi o 48 mau hola. Eia nō naʻe, ʻaʻole hiki i kēia mau hoʻāʻo ke hōʻoia i ka FPIES 100% o ka manawa.

Pehea e mālama ʻia ai?

He maʻalahi loa ka lāʻau lapaʻau. Pili ia i ka hoʻopau loa ʻana i ka meaʻai a i ʻole nā ​​​​meaʻai a ke keiki e maʻi ai mai kā lākou papaʻai.

• Inā inu kāu pēpē i ka waiū waiū, pono ʻoe e hoʻohana i nā waiū kūikawā ʻaʻohe waiū bipi a i ʻole ka soy (nā waiū waiū hypoallergenic). Na kāu kauka e aʻo iā ʻoe ma kēia.
• E heluhelu pono i ka lepili ma kēlā me kēia pūʻolo meaʻai āu e kūʻai ai mai ka hale kūʻai a nānā inā loaʻa kekahi mau mea hoʻonāukiuki.
• E mālama i kahi leka i kākau ʻia mai kāu kauka e ʻōlelo ana he FPIES kāu keiki me ʻoe. He mea kōkua nui ia i ka wehewehe ʻana i ke kūlana o kāu keiki i nā limahana lapaʻau i ka wā o kahi pilikia.

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke aʻo ʻoe e pili ana i kēia maʻi. Akā inā mālama pono ʻia, hiki i kāu keiki ke hauʻoli a olakino.