The disease

Chapter 4.: Processing

 

 

pinocchio.jpg (6724 octets) How is such a disease looked after?


The processing consists of a very strict diet , making it possible to maintain phenylalanine rates in blood below the toxic threshold.
Phenylalanine being constituent proteins, it is thus advisable to limit the animal and vegetable protein contribution of the patients.

It will be to them thus interdict to consume: meats, dairy produces, fish, eggs, and cereals , which contain too many proteins.

Remain authorized:

  • the fruits and the vegetables , which contain also proteins and thus of phenylalanine, but in variable quantities, and will have thus to be weighed and entered.
  • the carbohydrates (sugar and starch), oils and the margarines without proteins , can be consumed freely.


Tables make it possible to know how much phenylalanine is in X grams of product. All the food is thus weighed, and the menus are made up in order not to bring a toxic amount of phenylalanine during the day.

This strongly limiting the quantity of food for the children, one has recourse to special dietetic products , low in proteins, making it possible to balance the modes.
In order to ensure a normal growth, it is advisable their to bring the other essential amino acids , 22, which in the event of severe mode would miss or in too small quantities to ensure a normal development of the children.
A mixture of amino acids deprived of phenylalanine is used for stage with this problem. It is it should be noted that the majority of the current mixtures are of an extremely unpleasant taste involving many difficulties for the parents who must make it take to their children imperatively.


pinocchio.jpg (6724 octets)
For how long is necessary it to make this mode?


Currently, the specialists encourage the continuation of the mode during all the life .
The epidemiologic studies showed that a strict control of the mode was associated with better performances, but especially that the interruption of the mode, at some age that it is had noxious effects on the intellectual performances of the patients.

Currently the target blood phenylalanine rates are variable according to the age of the patients.

Blood rate of phenylalanine recommended
Age of the patient Phenylalanine rate
in �mole/l
0 - 6 years 120 - 360
7 - 14 years 240 - 480
Teenager - Adult < 700
Pregnant woman 60 - 250

The control blood of the phenylalanine rates must be frequent so as to adapt the mode according to the possible changes, but the recommendations can vary nevertheless according to patient and processing centers' to another.

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