Can children eat broad beans to cause bean diseases? Understand the silkworm disease

A few days ago, a 6-year-old patient was admitted to the ward because of "urine blood". When he came, he was pale, listless and short of breath. The hemoglobin in the emergency department is only "45g/dl" (normally, it is more than 120g/dl, which is equivalent to 2/3 of his blood transfusion).

After a series of rescues such as emergency blood transfusion, the child is finally out of danger, and it seems that the child is getting better every day.

After examination, the child was diagnosed as "bean disease". When she told her family the result, the child's grandmother looked shocked:

It's unheard of that eating broad beans will make you sick!

After careful inquiry, it turned out that the mother of the child was married from Guangxi. Because of the custom, she usually pays great attention not to give her children broad beans. This time, when the mother went out for a long trip, the child was taken out for a meal by relatives at home, during which he ate broad beans and then got caught.

Do you have a problem, too? Isn't broad bean a common food on the table? Why does this child urinate a lot? Can his children eat broad beans?

Today, I'll tell you something about silkworm bean disease.

In medicine, silkworm bean disease has a difficult name-glucose -6- phosphate dehydrogenase (G-6-PD) deficiency.

This serious scientific name solves the cause of this disease from the name, because of the lack of glucose -6- phosphate dehydrogenase (G-6-PD), which is very popular with medical staff and can be understood at a glance.

However, most people don't understand it, and eleven out of ten forget it after listening for a second.

Imagine what happens when a child is hospitalized because of silkworm disease:

Doctor: Dad, the cause of your child has been found out. This is glucose -6- phosphate dehydrogenase (G-6-PD) deficiency.

Dad: Oh, oh, thank you, doctor.

When I turned around, I met * * Mom: What disease did the doctor say our child got?

* * Dad: Hmm ~

So I went to see the doctor again.

I met my neighbors, relatives and friends when I took it home. When I asked about my child's illness, my parents were so entangled that others thought that his child had something ulterior.

If it is called silkworm bean disease, it is vivid, easy to understand and easy to remember, which is very convenient for communication between doctors and patients.

As for why it is called bean disease, it is because most children have the history of eating broad beans or foods containing broad beans for the first time.

Silkworm bean disease is a genetic disease, which is a high incidence case in China, especially in Yunnan, Hunan, Guangdong, Guangxi, Fujian, Sichuan, Guizhou and other regions.

When children who lack glucose -6- phosphate dehydrogenase (G-6-PD) eat broad bean or broad bean products, red blood cells in the body cannot resist oxidative damage and are damaged, thus causing intravascular hemolysis.

Generally speaking, red blood cells in the body are destroyed. As soon as the red blood cells are destroyed, hemoglobin will fall off, and then a series of anemia symptoms will appear, such as dizziness, fatigue, loss of appetite, difficulty breathing, pallor, and even hemorrhagic shock in severe cases.

Because red blood cells are destroyed, the skin and sclera turn yellow (jaundice).

Because the damaged red blood cells will be excreted from the stool, the normal yellowish urine will be dyed soy sauce.

Experienced doctors can easily diagnose a child with soy sauce-colored urine, anemia and jaundice, and then have a history of eating broad beans. If the diagnosis is confirmed, it is only necessary to detect the glucose -6- phosphate dehydrogenase (G-6-PD) in the child's blood.

If the child has bean disease, he will urinate blood. This shocking scene will generally prompt his family to seek medical treatment in time.

Besides, the disease is easy to diagnose. Once you are in doubt, stop eating broad beans, those who need blood transfusion will be transfused, and the alkalized urine will be alkalized. It is also convenient to treat and the prognosis is usually good.

But the whole treatment process is only symptomatic treatment, because silkworm bean disease is a genetic disease and cannot be cured.

In other words, even if it is cured this time, you will still get sick next time you eat broad beans.

Therefore, for the silkworm bean disease, the most important thing is to focus on prevention:

1 Do not eat broad beans and their products (such as vermicelli and bean paste).

2 Do not use drugs that may cause hemolysis, such as:

Generally speaking, hospitals that diagnose silkworm bean disease for the first time will prepare a small card for their families, which records in detail which drugs can't be used.

Parents should also remember that every time they see a doctor, they must tell the doctor that their child has a history of silkworm.