From: Subject: =?Windows-1252?Q?.:_La_Prensa_Gr=E1fica_:.?= Date: Mon, 12 Jul 2004 12:40:50 -0300 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0000_01C4680D.76C51EB0"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2739.300 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C4680D.76C51EB0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.laprensagrafica.com/vivir/vivir1.asp .: La Prensa Gr=E1fica :.
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12 de julio = de=20 2004   3D""=20
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3D""=20 Cuidados = especiales, incluso al comer=20
Roc=EDo Rivas
mailto:vivir@laprensa.com

<= SPAN=20 class=3Dllamado>Para lograr un poco de independencia, los = ni=F1os que=20 sufren del s=EDndrome de Prader Willi necesitan terapias, = disciplina y=20 el apoyo de sus padres. =

Imprimi= r=20 esta nota Enviar=20 esta nota Opinar=20 sobre este = tema

3D""=20   Mi hija est=E1 = bajo una eterna=20 dieta. Todo lo que come es bajo en grasa, sin az=FAcar = o=20 integral.=94

Estela de=20 Casamalhuapa

 

3D""=20   Las terapias los = estimulan y=20 tranquilizan su conducta. Adem=E1s, el deporte los = relaja.=94=20

Lesvia de=20 Claros

 

3D""=20   Se les debe = controlar la=20 comida, pues ellos no saben cu=E1l es el l=EDmite.=94 =

Ana de=20 M=E9ndez

 

Padres = unidos

Los padres de Lourdes, F=E1tima y Mario, desean = crear una=20 asociaci=F3n para compartir con otros sus experiencias = y=20 enriquecer juntos la manera en c=F3mo tratar a sus = hijos.=20 Adem=E1s, quieren unirse para solicitar ayuda y = mejorar la salud=20 de sus hijos: =93Queremos solicitarle al hospital = Bloom que=20 extienda el tiempo de atenci=F3n para los ni=F1os = Prader-Willi. En=20 su edad psicol=F3gica ellos siempre ser=E1n ni=F1os y = necesitan la=20 misma ayuda=94, dijo Ana de M=E9ndez.

Adem=E1s, estos padres de familia solicitan la = ayuda de alg=FAn=20 laboratorio para poder adquirir el medicamento de la = hormona=20 del crecimiento humano que ayuda a controlar la = obesidad en=20 los ni=F1os Prader-Willi. =93Solicitamos al Gobierno = que ayude a=20 crear una unidad de psicopedagog=EDa que orienten a = los padres=20 sobre c=F3mo tratar a los ni=F1os Prader-Willi=94, = comenta Lesvia de=20 Claros.=20

Comer = m=E1s

Una de las caracter=EDsticas de los ni=F1os con = s=EDndrome de=20 Prader-Willi (SPW) es su necesidad de comer = constantemente.=20 Ellos, incluso pueden pelear por la comida y comerse, = a=20 escondidas, los refrigerios de los dem=E1s.

Este deseo incontrolable, se debe a que las = personas con=20 SPW tienen afectado un lugar del cerebro llamado = hipot=E1lamo,=20 que determina el hambre y la saciedad. Por ello, = jam=E1s se=20 sienten satisfechos, presentando, como consecuencia, = una=20 continua urgencia por comer.=20

El problema de degustar tanta comida en todo = momento es que=20 estas personas pueden sufrir de una obesidad extrema y = con=20 ella, enfermedades como hipertensi=F3n, dificultades=20 respiratorias, diabetes, resistencia a la insulina, = problemas=20 card=EDacos que incluso podr=EDan causarles la muerte. =

Fue hasta 1999 = que los=20 m=E9dicos encontraron una explicaci=F3n a los s=EDntomas y = caracter=EDsticas=20 que presentaba Lourdes Casamalhuapa. Ella, a sus cinco = a=F1os,=20 presentaba baja estatura, trastornos del aprendizaje, = problemas de=20 comportamiento, bajo tono muscular y una necesidad = involuntaria de=20 comer constantemente.

Ella, al=20 igual que F=E1tima Claros y Mario M=E9ndez, estaba = padeciendo el=20 s=EDndrome de Prader-Willi.


S=EDndrome desconocido =

Aunque no se conocen a ciencia cierta los = factores que=20 desencadenan este s=EDndrome, el endocrin=F3logo Billi = Fuentes explica=20 que en el 75 por ciento de los casos los ni=F1os con = Prader-Willi=20 presentan una p=E9rdida de material gen=E9tico en el = cromosoma n=FAmero=20 15. Pero este hecho no significa que el s=EDndrome sea = transmitido de=20 generaci=F3n a generaci=F3n.

Con=20 frecuencia s=F3lo una persona lo padece en la familia, y = s=F3lo en el 2=20 por ciento de los casos existe una alteraci=F3n gen=E9tica = heredada.=20

Aunque los casos de = este s=EDndrome=20 son muy escasos, aproximadamente una de cada 15 mil personas = lo=20 sufren; en nuestro pa=EDs s=ED existen casos registrados. = Lourdes,=20 F=E1tima y Mario son muestra de ello. =


Qu=E9 debe hacer usted =

Para los padres de estos tres ni=F1os = ayudarles a sus=20 hijos no ha sido f=E1cil. Todos se han enfrentado a = situaciones muy=20 diferentes, en especial con la comida.

=93Me alarm=F3 que tienden a ser gorditos y = a sufrir de=20 muchas enfermedades por eso. Mi hija pasa en una eterna = dieta=94,=20 coment=F3 Estela de Casamalhuapa, madre de Lourdes.=20

Esta necesidad por = comer es tan=20 intensa en estos ni=F1os que incluso pueden pelear por los = alimentos.=20 =93Con ellos hay que tener mucho cuidado con la conducta. Mi = hija es=20 capaz de jalarnos el pelo cuando quiere comer=94, record=F3 = Lesvia de=20 Claros, mam=E1 de F=E1tima.

Seg=FAn el=20 endocrin=F3logo Billi Fuentes, para ayudarles a estos = peque=F1os en su=20 desarrollo, es fundamental un plan nutricional que controle = su peso=20 y evite as=ED que padezcan en un futuro de diabetes, = hipertensi=F3n o=20 males card=EDacos. Adem=E1s de la nutrici=F3n, las terapias = de lenguaje y=20 ocupacionales, una buena educaci=F3n especial les puede = ayudar a=20 desarrollarse a pesar de sus limitaciones f=EDsicas y = psicol=F3gicas.=20

Mario M=E9ndez, por su = parte, se ha=20 integrado a un colegio especial y aunque a sus 12 a=F1os = todav=EDa no ha=20 aprendido a leer o escribir, =E9l ya se logra comunicar.=20

Seg=FAn Lesvia de = Claros, gracias a=20 la constancia en la educaci=F3n y las terapias estos = peque=F1os, a pesar=20 de sus condiciones especiales, pueden lograr desarrollar un = cierto=20 grado de independencia.

NI=F1os diferentes

Para conocer m=E1s sobre el s=EDndrome de Prader-Willi = (SPW), el=20 doctor Billi Fuentes describe sus principales = caracter=EDsticas:=20

Quienes padecen del SPW son personas hipot=F3nicas; es = decir=20 fl=E1cidos, sin mucho tono muscular.=20

Esta condici=F3n, que es m=E1s intensa durante los = primeros a=F1os de=20 vida, dificulta la alimentaci=F3n de quien la padece. = Incluso existen=20 casos de beb=E9s que deben ser alimentados por sonda debido = a que no=20 tienen la fuerza necesaria para succionar el seno materno.=20

Luego de esta etapa, los ni=F1os con SPW sufren de una = marcada=20 obesidad, talla baja, manos y pies peque=F1os y presentan = retraso=20 psicomotor.=20

Adem=E1s sufren de hipogonadismo, es decir, no aparece=20 completamente su desarrollo sexual.=20

Sufren tambi=E9n de p=E9rdida de sensibilidad. De all=ED = que los padres=20 y el pediatra del ni=F1o deben estar muy alertas. Por = ejemplo, si el=20 ni=F1o sufre de apendicitis no sentir=E1 los dolores tan = intensos, como=20 consecuencia ser=E1 m=E1s dif=EDcil saber lo que le sucede y = las=20 consecuencias pueden ser muy graves.



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