The source | Urban On-site Comprehensive Fa zhou Rong Media, Guangxi Zhuang Autonomous Region People's Hospital
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Recently, the Pediatric Department of the Second People's Hospital of Changde City, Hunan Province, admitted a 3-year-old girl who looked like a "minion". The girl's skin was yellow, her tea-colored urine was drained, her spirit was very poor, and her parents panicked.
When a girl is admitted to hospital.
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 the girl with "fava bean disease", and actively gave blood transfusion to correct anemia, hormone resistance hemolysis, alkalized urine fluid to maintain water and electrolyte balance and other symptomatic treatment, and the girl's condition was stabilized.
The girl is treated.
According to doctors, "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, the fatality rate is high, and the untimely treatment of patients may be fatal due to the urgency of the disease, rapid progression, and serious damage to multiple organs.
Doctors remind that patients should not eat fava beans and fava bean products in the future, cautious medication does not take medicine at will, the use of drugs need to be prescribed by a doctor, usually wardrobes, toilets to avoid the use of pills, stink pills, mothballs, etc., do not use gentian purple (purple potion), should take the initiative to inform medical staff when visiting the doctor has a history of illness.
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What is "fava bean disease"
The scientific name of "fava bean disease" is "glucose 6-phosphate glucose dehydrogenase (G6PD) deficiency". The lack of the enzyme G6PD can lead to a decrease in the production of substances that maintain the stability of the erythrocyte membrane, so that the red blood cells cannot resist oxidative damage, which eventually leads to the destruction of red blood cells and hemolysis.
Glucose 6-phosphate glucose dehydrogenase (G6PD) deficiency is an X chromosome-linked genetic disorder, the onset of which is often induced by accidental consumption of fava beans, commonly known as "fava bean disease".
Why do you get "fava bean disease"
"Fava bean disease" and ordinary allergy properties are not the same, belongs to genetic defects, inherited by parents to children, these people in the blood of the red blood cell membrane, born with a lack of an enzyme called glucose-6-phosphate dehydrogenase (G6PD), and some of the oxidative substances contained in fava beans, for children who lack this enzyme, it is easy to cause acute hemolytic jaundice and hemolytic anemia, fava beans have become a fatal "poison".
About 400 million people worldwide are affected by "fava bean disease", more men than women. It is high in The southern regions of Guangdong, Guangxi, Hainan, Yunnan, Sichuan and Guizhou are high.
Prevention of "fava bean disease"
Parents should pay special attention to the child's reaction when giving the baby fava beans for the first time, if there is general malaise, fatigue and fatigue after eating the fava beans, and the symptoms of dark urine color, we must take the child to the hospital in time.
Also note:
1. When fava beans are pollinated and matured, parents should avoid taking their children to the fava bean field.
2. Purchase mothballs can not choose naphthalene-containing products.
3. When taking the child to the doctor, bring his G6PD biochemical enzyme activity test and G6PD gene test results, and must clearly tell the doctor that the child is a "fava bean disease" patient, please ask the doctor to use the drug rationally.
4. The baby has a medical history, usually drink more water, more contact with sunlight, and pay attention to daily care.
Foods not to eat:
"Fava bean disease" can not eat minced pearls, honeysuckle, Sichuan lotus, beef yolk, plum blossoms, bear bile, baby protection Dan, remember to prohibit fava beans or processed fava beans, avoid going to the fava bean field during the flowering, fruiting or harvest season of fava beans. As for other fruits and vegetables, there is generally no prohibition.
Items that should not be touched:
1. Less contact with prohibited products
Prohibited daily necessities: moth, stink pills, holly oil, pigments, peppermint paste, bruise wine (including beef yolk), white flower oil, golden oil, etc.
2. Be careful with insecticide sprays
Some insecticide sprays can dissolve blood, so take extra care when using them.
3. Do not use oxidizing drugs
It is not advisable to take oxidizing drugs, such as primaquinoline, sulfonamides, furans, vitamin K3, K4, phenacetin, aminopyrine, sulfone and other drugs.