Methylmalonic acidemia
Methylmalonic acidemia o se faʻaletonu e le mafai ai e le tino ona talepe nisi o polotini ma gaʻo. O le iʻuga o le faʻaputuputuina o se vailaʻau e taʻua o le methylmalonic acid i le toto. O lenei tulaga e pasi mai i aiga.
O se tasi o le tele o tuutuuga valaʻauina o le "fanau mai sese o metabolism."
O le faʻamaʻi e masani ona iloa i le tausaga muamua o le olaga. O se faʻalavelave faʻafitauli o le autosomal recessive. O lona uiga o le le atoatoa genes tatau ona pasi luga o le tamaititi mai matua uma.
O se pepe faatoa fananau mai ma lenei tulaga seasea mafai ona maliu ae le i mauaina. Methylmalonic acidemia aafia tutusa tama ma teineiti tutusa.
Pepe ono foliga masani i le taimi e fananau mai ai, ae atiaʻe faʻailoga a oʻo loa ina amata ona 'aʻai tele polotini, ma mafua ai ona leaga le faʻamaʻi. O le faʻamaʻi mafai mafua faʻanunuʻu ma stroke.
Faʻailoga aofia ai:
- Faʻamaʻi ole faiʻai e atili leaga (alualu i luma encephalopathy)
- Faʻamaligiina
- Tolo atinae
- Le mafai ona manuia
- Faʻanoanoa
- Faoa faamalosi
- Talosaga
O suʻega mo le methylmalonic acidemia e masani ona faia ose vaega o le suʻega ole suʻesuʻe fou. Ua fautuaina e le Matagaluega o le Soifua Maloloina ma le aufaigaluega a le Iunaite Setete le siakiina o lenei tulaga i le taimi na fanau ai aua e aoga tele le vave maua ma togafitiga.
O suʻega e mafai ona faia e suʻesuʻe ai lenei tulaga e aofia ai:
- Amonia tofotofoga
- Kasa kasa
- Faitau atoa le toto
- CT scan poʻo le MRI o le faiʻai
- Tulaga eletise
- Suʻega ole gafa
- Tofotofoga Methylmalonic acid toto
- Plasma amino acid faʻataʻitaʻiga
Togafitiga aofia ai cobalamin ma carnitine faʻaopoopoga ma le maualalo-porotini taumafa. O le taumafataga a le tamaititi e tatau ona matua faʻatonutonu.
Afai e le fesoasoani fesoasoani, e mafai foi e le tausi soifua maloloina ona fautuaina se taumafataga e aloese ai mai mea e taua o le isoleucine, threonine, methionine, ma valine.
O le aveina ole fatu poʻo fatugaʻo (poʻo mea uma e lua) ua faʻaalia e fesoasoani ai i nisi tagata mamaʻi. O nei fesuiaʻiga maua ai le tino ma sela fou e fesoasoani malepe methylmalonic acid masani.
Pepe ono le mafai ona sao mai latou muamua vaega o faʻailoga mai lenei faʻamaʻi. O i latou e sao e masani ona i ai ni faʻafitauli ma le atinaʻeina o le neula, e ui lava o le masani ai e mafai ona tupu se mafaufau.
Faʻafitauli e ono aofia ai:
- Koma
- Oti
- Le manuia fatugaʻo
- Pancreatitis
- Cardiomyopathy
- Faʻamaʻi pipisi
- Hypoglycemia
Saili loa se fesoasoani faʻafomaʻi pe a fai o le faʻamalosi o lou alo mo le taimi muamua.
Vaʻai se tautua peʻa iai i lau tama faʻailoga o le:
- Le manuia-ia manuia
- Tolo atinae
O le maualalo o porotini taumafa mafai ona fesoasoani faʻaititia le numera o osofaʻiga. O tagata e maua i lenei maʻi e tatau ona alofia i latou o loʻo maʻi i faʻamaʻi pipisi, pei o malulu ma le fulū.
O fesoasoani faʻavae e ono aoga mo ulugaliʻi ma se aiga tala faʻasolopito o lenei faʻamaʻi o loʻo manaʻo e fai se latou pepe.
O isi taimi, faʻateleina le siakiina o pepe fou e faia i le taimi e fanau ai, e aofia ai le siakiina o le methylmalonic acidemia. E mafai ona e fesili i lau tautua pe na fai le suʻega a lau tama.
Gallagher RC, Enns GM, Cowan TM, Mendelsohn B, Packman S. Aminoacidemias ma organic acidemias. I le: Swaiman KF, Ashwal S, Ferriero DM, et al, eds. Swaiman's Pediatric Neurology. 6th ed. Elsevier; 2017: chap 37.
Kliegman RM, St.Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Faʻaletonu i le metabolism o amino acids. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 103
Madan-Khetarpal S, Arnold G. Genetic faʻafitauli ma tulaga faʻamaʻi. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ma Davis 'Atlas o Pediatric Physical Diagnosis. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 1