How to treat favism

If a child has favism, he or she must be treated in time. How to treat it? Here are some methods:

What are the symptoms of favism?

Lin Shiguang, director of the First Department of Fuzhou Children's Hospital, said that patients usually experience acute intravascular hemolysis within 1-2 days after eating broad beans. Once the disease occurs, it is severe and manifests as general discomfort, pale face, anorexia, nausea, jaundice, dark urine (hemoglobinuria), etc. In severe cases, it may lead to coma, shock, systemic failure, and even life-threatening. Some parents usually think that the yellow skin of the children is caused by hepatitis, which leads to misdiagnosis.

Steps/Methods

Blood transfusion: This disease is acute hemolysis, and the anemia is severe. Blood transfusion or transfusion of concentrated red blood cells is the most effective treatment measure. In severe cases, blood transfusion can be repeated. However, the blood source should be screened for glucose-6-phosphate dehydrogenase quickly to avoid blood supply from glucose-6-phosphate dehydrogenase deficient patients, which may cause the patient to suffer from a second hemolysis.

Adrenal cortex hormone: mainly has immunosuppressive effect, so it should be used early, in large amounts, and for a short period of time.

Correcting acidosis: There is often varying degrees of acidosis during the hemolytic phase of favism. In severe cases, simple blood transfusion is ineffective and should be actively corrected. This is a key measure to rescue critically ill patients.

Fluid replacement: Drink more water or infuse fluids to improve microcirculation, maintain effective blood circulation, and promote kidney acid excretion and hemoglobinuria excretion, but acute renal failure should be prevented. When acute renal failure occurs, attention should be paid to maintaining water and electrolyte balance.

Symptomatic treatment: If favism is complicated by infection, hemolysis may be aggravated, and high fever, hypoxia and increased heart rate may lead to heart failure. Therefore, complications should be actively treated and the use of drugs that are harmful to the kidneys should be avoided.

Precautions

1. Prohibited foods

Pearl powder, honeysuckle, Sichuan lotus, bezoar, wintersweet flower, bear bile, pearl powder, baby-saving pills. Remember not to eat raw and processed broad beans or broad bean products, and avoid going to broad bean fields during the flowering, fruiting or harvesting seasons.

2. Prohibited daily necessities

Camphor, stink pills, wintergreen oil, pigments, Mentholatum peppermint cream, Bi cream, Ping An cream, traumatic injury wine with bezoar, blue mercury water, gentian violet (gentian violet), Zhuang Sheng's Cooling Bath (with honeysuckle), white flower oil, Tiger Balm or safflower oil (all contain salicylic acid), some insecticide sprays can definitely dissolve blood!