Ke luaʻi nei kāu pēpē i ka wā e hānai ai ʻoe iā ia i ka waiū? He Galactosemia paha ia?

He lā hauʻoli loa ia i ka hoʻi ʻana mai o kahi pēpē hānau hou i ka home. ʻO ka hauʻoli nui loa no ka makuahine, ʻo ia ka hānai ʻana i kāna pēpē. No ka mea, ua ʻike mākou ʻo ka waiū umauma ka meaʻai maikaʻi loa no ka pēpē. Hāʻawi ia i nā meaolaola a pau e pono ai ka pēpē, a me nā mea he nui e like me nā antibodies e pale aku iā ia mai nā maʻi. Akā e noʻonoʻo, ma hope o kou hānai ʻana i kāu pēpē, i loko o kekahi mau lā, ʻaʻole hiki i ka pēpē ke inu i ka waiū, e luaʻi mau ana, e melemele ana, a make. Ke ʻike nei i kahi mea e like me kēia, makaʻu loa kekahi makuahine a makuakāne paha. I kekahi manawa ʻo ke kumu o kēia he maʻi laha ʻole i lohe ʻole ʻia e ka poʻe he nui. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi ʻano maʻi, ʻo Galactosemia.

I ka ʻōlelo maʻalahi, he aha ka Galactosemia?

I ka ʻōlelo maʻalahi, he maʻi laha ʻole ʻo Galactosemia, he maʻi hānau ʻia e pili ana i nā kaʻina hana metabolic o ko mākou kino. ʻAʻole hiki i nā pēpē me kēia maʻi ke hoʻololi i ka galactose, kahi ʻano kō i loaʻa i ka waiū a lākou e inu ai, i ikehu, ʻo ia hoʻi, ʻaʻole hiki iā lākou ke hoʻoheheʻe iā ia.

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia galactose. ʻO ka waiū a mākou e inu ai, ʻo ia hoʻi, ka waiū umauma a me ka waiū pauka, aia kahi ʻano kō i kapa ʻia ʻo lactose. ʻO kēia molekala i kapa ʻia ʻo lactose ua hana ʻia me ʻelua mau kō maʻalahi ʻē aʻe i kapa ʻia ʻo glucose a me galactose. Hoʻopau nā enzymes i loko o ke kino o kahi pēpē olakino i kēia lactose a hoʻololi i ka ʻāpana galactose i ikehu.

Eia nō naʻe, i loko o kahi pēpē me Galactosemia, ʻaʻole hana pono ka enzyme e hoʻololi i ka galactose i ikehu, a i ʻole ʻaʻole ia i hana ʻia . Ua like ia me kahi mīkini i loko o kahi hale hana e haki ana. A laila, hōʻiliʻili ka galactose i ʻeli ʻole ʻia i loko o ke koko o ka pēpē. ʻO ka galactose e hōʻiliʻili ana ma kēia ʻano he mea ʻawahia loa ia i kahi pēpē hānau hou. Inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻoweliweli i ke ola o ka pēpē.

He aha ke kumu o kēia maʻi?

He maʻi hoʻoilina ka Galactosemia. ʻO ia hoʻi, ua hoʻoili ʻia i ka pēpē ma o nā genes. I mea e loaʻa ai i kahi pēpē kēia maʻi, pono i ka pēpē ke loaʻa i ka gene kīnā mai ka makuahine a me ka makuakāne.

Inā hoʻokahi wale nō makua e lawe ana i ka gene kīnā, ua kapa ʻia lākou he mea lawe. ʻAʻole hōʻike pinepine nā mea lawe i nā hōʻailona. Eia nō naʻe, ke hui pū nā mea lawe ʻelua, aia kahi manawa e loaʻa ai i kā lāua keiki ka maʻi.

ʻEkolu mau ʻano nui o ka galactosemia.

Loaʻa i kāu pēpē kēia mau hōʻailona pū kekahi?

ʻIke ʻia he olakino maikaʻi loa ka pēpē me ka Classic Galactosemia (ʻAno I) i ka wā hānau. Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona i kekahi mau lā ma hope o ka hoʻomaka ʻana o ka pēpē e inu i ka waiū umauma a i ʻole ka waiū waiū i loaʻa ka lactose.

Nā hōʻailona i ʻike ʻia i nā pae mua

• Ke kānalua nei e inu i ka waiū me ka noi ʻole ʻana aku.
• Ka luaʻi mau ʻana ma hope o ka inu ʻana i ka waiū a i ʻole ma hope koke iho.
• Melemele o ka ʻili a me nā keʻokeʻo o nā maka (Jaundice) .
• Ka maʻi kahe .
• ʻO ka holomua ʻole a me ka ulu maikaʻi ʻole o ka pēpē.
• Ua hiamoe mau ka pēpē a make ke ola.

Nā hopena lōʻihi inā ʻaʻole mālama ʻia

Inā ʻaʻole i ʻike ʻia a mālama ʻia kēia maʻi i ka wā mua, e hoʻomaka ka galactose e hōʻiliʻili ana i loko o ke koko e hōʻino i nā ʻano kino like ʻole i loko o ke kino o ka pēpē.

• Nā maʻi cataract .
• Ka loaʻa pinepine ʻana o nā maʻi ʻino.
• Ka hōʻino ʻana o ke akepaʻa a me ka hoʻonui ʻana o ke akepaʻa.
• Ka hōʻino ʻana o nā puʻupaʻa .
• Ka hōʻino ʻana i ka ulu ʻana o ka lolo , e hopena ana i nā pilikia ulu e like me ke kīnā o ke aʻo ʻana.
• Loaʻa paha i kekahi mau keiki nā pilikia me nā mākau neʻe e like me ka hele wāwae a me ka hoʻohana ʻana i ko lākou mau lima.
• I ke ʻano o kahi keiki wahine, hiki ke hana ʻia ka hāʻule ʻana o ka ovarian ma hope o ka wā ʻōpio. ʻO ka hopena, nalowale pinepine lākou i ka hiki ke hānau keiki.

Pehea e ʻike ʻia ai kēia a mālama ʻia?

ʻO ka mea pōmaikaʻi, aia nā hoʻokolohua e hiki ke ʻike i kēia maʻi. Ma kekahi mau ʻāina, hoʻāʻo ʻia kēlā me kēia pēpē hānau hou no kekahi mau maʻi laha ʻole ma ka haukapila. Hana ʻia kēia me ka hoʻohana ʻana i kahi hāpana koko liʻiliʻi i lawe ʻia mai ke kuʻekuʻe wāwae o ka pēpē (hoʻāʻo kuʻekuʻe wāwae).

Inā loaʻa i kāu pēpē nā hōʻailona i ʻōlelo ʻia ma luna nei, e kānalua kāu kauka iā ia a kauoha i nā hoʻāʻo koko a me ka mimi kūikawā e hōʻoia iā ia.

He aha ka lāʻau lapaʻau inā ua hōʻoia ʻia ka maʻi?

ʻO ke ʻano nui o ka lāʻau no ka galactosemia, ʻo ia ka hoʻopau loa ʻana i ka lactose a me ka galactose mai ka meaʻai a ke pēpē.

• ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hāʻawi i kāu pēpē i ka waiū umauma . A ʻaʻole hiki iā ʻoe ke hāʻawi i ka waiū waiū maʻamau .
• Akā, pono e hāʻawi ʻia nā ʻano meaʻai kūikawā i hana ʻia me ka soy i ʻōlelo ʻia e ke kauka.
• Ke nui iki aʻe ke pēpē, ʻaʻole hiki ke hoʻohui ʻia nā mea e like me ka waiū a me nā huahana waiū (yogurt, tīhi, pata) i ka papaʻai.
• ʻOiai paha he mau huaʻai, mea kanu, a me nā mea ʻono kekahi mau ʻāpana liʻiliʻi o ka galactose, pono ʻoe e kamaʻilio me kāu kauka a me ka meaʻai meaʻai e ʻike pono ai i nā meaʻai palekana.
• Ma muli o ka hoʻopau loa ʻia ʻana o ka waiū mai ka meaʻai, ua ʻōlelo ke kauka e hāʻawi i ka pēpē i ka calcium e pono ai, ka wikamina D, a me ka wikamina K ma ke ʻano o nā mea hoʻohui meaʻai.

ʻO Duarte Galactosemia (DG) a me nā ʻano ʻē aʻe

ʻO Duarte Galactosemia (DG) kahi maʻi ʻoluʻolu a emi iki ka koʻikoʻi ma mua o ka Classic Galactosemia. Loaʻa i nā pēpē me kēia maʻi kekahi pilikia i ka ʻeli ʻana i ka galactose, akā ʻaʻole pono paha i kahi papaʻai paʻa. Hiki i kekahi mau pēpē ke hoʻomau i ka hānai waiū. Eia nō naʻe, pono e hana ʻia kēia hoʻoholo e kāu kauka wale nō.

ʻOi aku ka liʻiliʻi o nā pilikia o nā pēpē me nā ʻano II a me III ma mua o nā pēpē me ke ʻano maʻamau. Eia nō naʻe, aia nō ka pilikia o ka hoʻomohala ʻana i nā mea e like me ke cataracts, nā pilikia o nā puʻupaʻa a me ke akepaʻa.