Kodi kagayidwe kachakudya ka mwana wanu kakugwira ntchito bwino? (Tiyeni tiphunzire za Zolakwika Zobadwa Nazo za Kagayidwe kachakudya)

Kodi mwana wanu sakulemera monga momwe amayembekezera? Kapena nthawi zonse amakhala wotopa komanso wogona? Nthawi zina, kumbuyo kwa zinthuzi, pakhoza kukhala vuto lachipatala lomwe sitimva zambiri za ilo, koma lingakhale lofunika kwambiri. Lero tikulankhula za vuto lotere. Umenewo ndi zolakwika zobadwa nazo za kagayidwe kachakudya, kapena m'mawu azachipatala, vuto lotchedwa Inborn Errors of Metabolism (IEM) . Musachite mantha, ngakhale dzinalo litakhala lovuta pang'ono, tiyeni tikambirane mwachidule.

Kodi 'njira ya kagayidwe kachakudya' iyi ndi chiyani?

Mwachidule, thupi lathu lili ngati injini ya galimoto. Chakudya chomwe timadya ndi kumwa ndi mafuta omwe amapatsa mphamvu injini iyi. Kagayidwe kachakudya ndi njira yonse yotengera mafuta awa ndikuwasandutsa mphamvu, kupanga zinthu zomwe thupi limafunikira kuti likule, ndikuchotsa zinyalala. Izi zikagwira ntchito bwino, thupi lathu limakhala lathanzi.

Choncho, cholakwika cha kagayidwe kachakudya (IEM) ndi cholakwika chaching'ono, chobadwa nacho kwinakwake mu injini iyi, njira iyi ya kagayidwe kachakudya. Izi zimapangitsa kuti thupi lisathe kusintha bwino zakudya zina kukhala mphamvu, kapena kuti lisathe kuchotsa poizoni woopsa m'thupi, womwe umasonkhana m'thupi.

Kodi mitundu ikuluikulu ya khalidwe la IEM ndi iti?

Pali mitundu yambirimbiri ya matenda otere. Iliyonse ndi yosiyana. Koma tiyeni tidziwe mitundu yochepa yodziwika bwino. Nthawi zambiri mitundu imeneyi imatchedwa dzina la enzyme yomwe sigwira ntchito mokwanira.

N’chifukwa chiyani izi zimachitika? Kodi izi zimachitika kwa ndani?

Ichi ndiye chinthu chofunikira kwambiri. Matendawa amayamba chifukwa cha kusintha kwa majini . Izi zikutanthauza kuti, si chifukwa cha vuto lililonse la mayi kapena bambo. Amayamba chifukwa cha kusintha kochepa komwe kumachitika panthawi yogawa maselo pamene mwana watenga pakati.

Majini omwe ali m'thupi lathu amatilangiza kupanga mapuloteni otchedwa ma enzyme omwe ndi ofunikira pa kagayidwe kachakudya. Ganizirani ma enzyme amenewa ngati ogwira ntchito m'thupi lathu. Pankhani ya IEM, chomwe chimachitika ndichakuti chifukwa cha vuto la majini, ogwira ntchitowa salandira malangizo oti agwire ntchito bwino.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro zimatha kusiyana kwambiri malinga ndi munthu aliyense komanso kutengera mtundu wa matenda. Nthawi zina zizindikiro zimatha kukhala zosaonekera kwambiri, pomwe nthawi zina zimakhala zoopsa kwambiri. Nazi zina mwa zizindikiro zodziwika bwino.

• Kulephera kukula: Kulephera kunenepa kapena kutalika.
• Chilakolako:Kusafuna kudya kapena kumwa mkaka kwa mwana.
• Kutopa nthawi zonse ndi kugona tulo: Mwana nthawi zambiri amakhala wotopa komanso wosachita zinthu zambiri.
• Kuchepetsa thupi.
• Kukhala ndi chizungulire (kukomoka).
• Fungo losazolowereka lochokera m'mkodzo, thukuta, kapena mpweya: Mwachitsanzo, matenda ena akhoza kukhala ndi fungo labwino, pomwe ena angakhale ndi fungo losiyana kwambiri.
• Kupweteka m'mimba ndi kusanza.

Si mwana aliyense amene ali ndi zizindikiro zimenezi amene ali ndi IEM, koma ngati chimodzi mwa zizindikirozi chikupitirira, ndikofunikira kuonana ndi dokotala nthawi yomweyo.

Kodi mungazindikire bwanji vutoli?

Mwamwayi, masiku ano, matenda ambiriwa amatha kupezeka atangobadwa kumene. M'mayiko ena, matendawa amapezeka poyesa makanda. Ku Sri Lanka, mayesowa amachitidwanso pa matenda ena.

Mayeso akuluakulu omwe amagwiritsidwa ntchito pozindikira matendawa ndi awa:

• Kuyezetsa magazi ndi mkodzo (Kuyezetsa kagayidwe kachakudya): Izi zimatha kuzindikira zinthu zachilendo zomwe zasonkhana m'thupi.
• Kuyezetsa majini: Chitsanzo cha magazi kapena malovu chingathandize kudziwa bwino jini yomwe ili ndi vuto.
• Amniocentesis: Pa nthawi ya mimba, chitsanzo chaching'ono cha madzi amniotic ozungulira mwana chikhoza kutengedwa kuti chione ngati mwanayo ali ndi vutoli.
• Kuyezetsa maso: Kuyezetsa maso kungachitikenso, chifukwa matenda ena a IEM angakhudzenso maso.

Kodi imachiritsidwa bwanji?

Njira zochiritsira zimasiyana malinga ndi mtundu wa matenda, koma cholinga chachikulu ndikuletsa thupi kuyamwa zinthu zomwe silingathe kuzisamalira ndikuchotsa poizoni womwe wasonkhana m'thupi.

1. Kusintha zakudya zanu: Iyi ndiyo njira yaikulu yochiritsira. Muyenera kuchotsa kwathunthu zakudya zomwe thupi silingathe kuzikonza (monga mapuloteni ena, mafuta) muzakudya zanu. Izi zimafuna upangiri wa katswiri wa zakudya komanso dokotala.

2. Kumwa mankhwala: Mankhwala olowa m'malo mwa ma enzyme kapena mankhwala othandiza kuchotsa poizoni angaperekedwe kuti alowe m'malo mwa ma enzyme osowa m'thupi.

3. Kuchotsa poizoni m'magazi: Nthawi zina zoopsa, poizoni amene wasonkhanitsidwa m'magazi angafunike kuchotsedwa pogwiritsa ntchito makina.

4. Kuika chiwalo: Pa milandu yoopsa kwambiri, kuyika chiwindi kungakhale kofunikira, mwachitsanzo.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati ndinu mayi woyembekezera, lankhulani ndi dokotala wanu za mayeso omwe angachitike kwa mwana wanu.

Ngati mwana wanu ali ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, makamaka ngati pali vuto lililonse la kukula, onetsetsani kuti mwaonana ndi dokotala wa ana.

Chofunika kwambiri: Ngati mwana wanu ali ndi khunyu kapena ali ndi vuto la kutopa kwambiri, pitani naye ku Chipatala cha Emergency Treatment Unit (ETU) chapafupi nthawi yomweyo.

Kukhala ndi mavuto amenewa kungakhale kovuta, makamaka pankhani ya zakudya. Koma ndi uphungu ndi chithandizo choyenera chamankhwala, ana awa akhoza kukhala ndi moyo wabwinobwino komanso wachimwemwe.