Pica

Pica ndi chizolowezi chodya zopanda chakudya, monga dothi kapena pepala.

Pica imawoneka kwambiri mwa ana aang'ono kuposa achikulire. Mpaka gawo limodzi mwa atatu mwa ana azaka zapakati pa 1 mpaka 6 amakhala ndi machitidwewa akudya. Sizikudziwika bwinobwino kuti ndi ana angati omwe ali ndi pica amadya dala (geophagy) mwadala.

Pica amathanso kuchitika nthawi yapakati. Nthawi zina, kusowa kwa michere, monga chitsulo ndi zinc, kumatha kuyambitsa zilakolako zachilendo. Pica amathanso kupezeka kwa achikulire omwe amalakalaka mawonekedwe ena mkamwa mwawo.

Ana ndi akulu omwe ali ndi pica amatha kudya:

• Ndowe za nyama
• Dongo
• Dothi
• Mipira ya tsitsi
• Ice
• Utoto
• Mchenga

Zakudya zamtunduwu zimayenera kukhala kwa mwezi umodzi kuti zigwirizane ndi matenda a pica.

Kutengera zomwe zikudyedwa komanso kuchuluka kwake, zizindikilo zamavuto ena zimatha kupezeka, monga:

• Kupweteka kwa m'mimba, nseru, ndi kutupana komwe kumachitika chifukwa chotseka m'mimba kapena m'matumbo
• Kutopa, mavuto amakhalidwe, mavuto akusukulu ndi zina zomwe zapezeka ndi poizoni wamtovu kapena kusadya bwino

Palibe mayeso amodzi a pica. Chifukwa pica imatha kupezeka mwa anthu omwe alibe chakudya chokwanira, wothandizira zaumoyo amatha kuyesa magazi ndi ayironi.

Kuyezetsa magazi kumathandizanso kuyesa kuchepa kwa magazi m'thupi. Miyezo ya lead iyenera kuyang'aniridwa nthawi zonse mwa ana omwe mwina adya utoto kapena zinthu zokutidwa ndi fumbi la penti kuti ziwonetsere poizoni wa mtovu.

Woperekayo angayesenso kachilombo ngati munthuyo akudya nthaka yonyansa kapena zinyalala za nyama.

Chithandizo choyamba chiyenera kuthana ndi michere iliyonse yosowa kapena zovuta zina zamankhwala, monga poyizoni wazitsulo.

Kuchiza pica kumakhudza machitidwe, chilengedwe, komanso maphunziro apabanja. Njira imodzi yothandizira imagwirizanitsa machitidwe a pica ndi zotsatirapo zoyipa kapena chilango (mankhwala ochepetsa mphamvu). Kenako munthu amalandira mphotho yakudya zakudya zabwinobwino.

Mankhwala atha kuthandiza kuchepetsa chizolowezi chodya ngati pica ndi gawo limodzi lamavuto otukuka monga kulephera nzeru.

Kuchiza bwino kumasiyana. Nthawi zambiri, vutoli limatenga miyezi ingapo kenako limasowa palokha. Nthawi zina, zimatha kupitilira mpaka zaka zaunyamata kapena munthu wamkulu, makamaka zikachitika ndi zovuta zakukula.

Zovuta zimaphatikizapo:

• Bezoar (unyinji wa zinthu zosagayika zomwe zagwidwa m'thupi, nthawi zambiri m'mimba)
• Matenda

Itanani omwe akukuthandizani mukawona kuti mwana (kapena wamkulu) akudya zinthu zopanda chakudya.

Palibe kupewa kulikonse. Kupeza zakudya zokwanira kungathandize.

Geophagy; Poizoni wazotsogolera - pica

Camaschella C. Microcytic ndi hepochromic anemias. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 150.

Katzman DK, Norris ML. Kudyetsa ndi mavuto azakudya. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 9.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Kuphulika ndi pica. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 36.