Udaipur : Udaipur If a child is repeatedly suffering from pneumonia and also has problems like vomiting, diarrhoea, sinus infection, diabetes, then there is a need to be cautious. This rare genetic disease could be cystic fibrosis. The surprising thing is that there was no facility for its investigation anywhere in the state. Now for the first time, its testing facility has been started in the Children’s Hospital of MB Hospital, Udaipur. Twenty children with possible symptoms of cystic fibrosis have been examined at the hospital since the facility opened in August. Of these, 2 were found suffering from this disease. His treatment is continuing.
According to international statistics, this disease is found in one out of two and a half thousand children. In this disease, the child repeatedly suffers from pneumonia, which cannot be cured by simple antibiotics. Apart from this, there are also problems like not increasing height and weight. The necessary kits and machines for this test were brought to the Children’s Hospital of RNT Medical College in August at a cost of about Rs 20 lakh. Pediatricians said that currently the test has been done only in those children in whom symptoms related to the disease were seen. . In the next phase, every suspected patient will be examined. This effort will help in providing timely treatment to children suffering from cystic fibrosis disease. Earlier such patients were sent to Delhi, Bengaluru or other cities for examination.
Control if detected on time, otherwise there is a risk of infertility.
If this disease is detected timely, the correct diagnosis can be given to the patient. In the treatment, inhaled antibiotics, nebulization, chest physiotherapy, pancreas enzyme capsules are given. Symptoms of the disease include frequent pneumonia and asthma in children, prolonged diarrhea, diabetes, intestinal obstruction, sinus infection, lack of weight gain. If this disease is not detected, these diseases do not leave you throughout life, and there is also a risk of infertility increasing. The person also falls ill again and again.
Case 1: Recurrent pneumonia, admitted five times in a year, turned out to be the same disease
A 6-year-old child was repeatedly coming to the children’s hospital complaining of pneumonia. Recruitment took place five times in a year. Was having cough, cold and difficulty in breathing every 30-40 days. The weight was not increasing. Sweat chloride analyzer test was done a month ago. After this, genetic study was also done. He was found positive. Now his treatment is continuing.
Case 2: Height and weight gain stopped, chloride analyzer test was done and it came out positive.
The family was bringing the 14 year old child to the hospital. His height and weight were not increasing. He was admitted three times within a span of a few months. After this his sweat chloride analyzer test was done. He was found positive in this. His treatment has been started. Doctors say that if the disease is detected timely, it can be protected from other diseases.
Due to lack of awareness it is not known
According to doctors, there is not much awareness yet about genetic disease like cystic fibrosis. Because its symptoms are similar to other diseases, it is difficult to detect the disease early. Suspicious children are currently being examined in the children’s hospital. In the last 4 months, out of 20 children tested, 2 children have been found positive. Pediatrician, senior professor and head of the department, Dr. Lakhan Poswal said that there is a strong need for screening of this disease in the state, so that patients can be treated on time.
Disease is detected through sweat
Sweat chloride analysis test is done to detect this disease. Under this, sweat is collected in filter paper by placing electrodes on the body of children. If the amount of chloride in sweat is more than 60 milliequivalents per liter, then there is a possibility of cystic fibrosis disease. If sweat chloride is found to be high, CFTR gene analysis is done. The market cost of both these tests is Rs 25 to 30 thousand. It is being done free of cost in the children’s hospital.
