The 3-year-old girl became a "minion" and almost died, expert: this dish some people can't eat

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Department of Pediatrics, Second People's Hospital of Changde City

Treated a superficial look

Like the "Minions"

3-year-old girl

The girl's skin is yellowish

Discharge of brown urine

Poor spirits

Parents panicked

After blood testing, the girl's hemoglobin was only 65g (normal value of more than 120), and the total bilirubin exceeded the standard significantly. Asked about the medical history, his grandmother said that her granddaughter had eaten cold and fresh fava beans 2 days ago. After improving the relevant examinations, the doctor finally diagnosed "fava bean disease", and actively gave symptomatic treatments such as blood transfusion to correct anemia, hormone resistance to hemolysis, alkalized urine fluid to maintain water and electrolyte balance, and the girl's condition was stabilized.

According to experts from the Second Municipal Hospital, "fava bean disease" is a hereditary hemolytic disease, most of which occurs within 1 to 2 days after eating fresh fava beans, and the shortest is only 2 hours. Although the incidence of "fava bean disease" is low in Changde, the fatality rate is high, and the untimely treatment of patients may be fatal due to the urgent onset, rapid progression and serious damage of multiple organs.

Patients should pay attention to the future, do not eat fava beans and fava bean products, cautious medication do not take medicine at will, the use of drugs need to be prescribed by a doctor, usually wardrobe, toilet to avoid the use of pills, stink pills, mothballs, etc., do not use gentian purple (purple potion), when visiting the doctor should take the initiative to inform the medical staff that there has been a history of illness.

"Fava bean disease" is a common name for G6PD deficiency. Fava beans contain a variety of substances that exhibit the function of oxidants, and normal people's red blood cells have a G6PD enzyme that can protect red blood cells from these substances. When patients with fava bean disease lack G6PD enzyme, when patients are exposed to fava beans or fava bean products, red blood cells will be destroyed and ruptured in a short period of time, resulting in acute coagulation dysfunction, causing dizziness, diarrhea, jaundice, anemia and other symptoms, and may even cause kidney failure, life-threatening. The severity of symptoms was less related to the amount of fava beans eaten, but rather to the extent to which it lacked the G6PD enzyme.

Fava bean disease is a genetic disease that a child inherits as long as one parent carries a dominant or recessive gene. Patients are more common in children under 10 years of age, with more boys than girls.

There are many causes of the disease, and the mother breastfeeds after eating fava beans and related products, which is likely to induce symptoms of fava bean disease in the child. In addition to fava beans and related products, some drugs can also cause fava bean disease, sometimes only exposed to the smell of related ingredients, or may cause newborns to develop fava bean disease. In addition, in the season of spring and warm flowers, it is also the season of broad bean flowering, and patients with fava bean disease should minimize outdoor activities.

Under normal circumstances, the child is no different from the ordinary child and does not affect normal growth and development. Moreover, fava bean disease has a certain self-limiting nature, and patients with mild disease can gradually improve after no longer contacting fava beans or related products for a period of time. Fava bean disease can only be prevented, not cured. If you want to confirm whether your child has fava bean disease, you can go to the hospital and use the corresponding blood tests to determine it.

There are several drugs that are not friendly to children with fava bean disease:

1. Chinese herbal medicine. In addition to the various fava beans and fava bean products that must be isolated, some Chinese herbal medicines can not be taken by children, such as pearl powder, honeysuckle, Sichuan lotus, beef yolk, plum blossom, bear bile, baby protection dan and so on.

2. Fever reducer, etc. Pain tablets, aspirin, acetaminophen, analmidine, quinidine, anthazoline, pediatric antipyretic plugs, levodopa, amphoradium, etc. should be used with caution, if there is fever, try to choose ibuprofen.

3. Anti-inflammatory analgesics, etc. Anti-inflammatory pain, mefenacic acid, phenylbutazone and other caution.

4. Other banned drugs. For example, rismide, methyldopa, rifampicin, quinine, chloramphenicol, clamourea, high-dose vitamin C and vitamin K, etc.

5. Products containing bovine yolk ingredients, etc. Mint, moth, stink pills, holly oil, pigments, peace cream, etc. are prohibited, and boneset wine and other ingredients containing bovine yolk are also prohibited.

Source: Shang Yi Net, Xiaoxiang Morning News

Editor-in-Charge: Left Orange

Review: Wang Longlong

Review: Wang Cenyu

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