7 research outputs found
Somatic Growth in Children with Intrauterine Growth Restriction
Intrauterini zastoj rasta (IUGR) usporenje je rasta ploda kao posljedica prilagodbe organizma na nepovoljne uvjete u maternici. Cilj je ovog istraživanja procijeniti somatski rast predÅ”kolske djece roÄene nakon IUGR-a u RodiliÅ”tu Požega. Metode: Izmjerene su tjelesna masa, visina i opseg glave 50-ero djece u dobi od 5,5 do 7 godina koja su roÄena nakon IUGR-a te 50-ero djece kontrolne skupine koja su roÄena s urednom poroÄajnom masom, a odgovaraju prvoj skupini djece po kronoloÅ”koj i gestacijskoj dobi te po spolu. Rezultati: Usporedba dviju istraživanih skupina prema podacima o tjelesnoj masi, visini i opsegu glave ukazala je na postojanje statistiÄki znaÄajnih razlika u sve tri varijable (TM P 0,002; TV P 0,001; OG P<0,001). Petero je djece s masom ispod 5. centile za dob i spol, a troje djece ima opseg glave ispod 2. centile (mikrocefalija). ZakljuÄak: Tjelesna masa, visina i opseg glave u djece s IUGR-om znatno su manji nego u kontrolnoj skupini djece. Djeca roÄena nakon IUGR-a po roÄenju zapoÄinju sa zamahom rasta koji veÄina ove djece dostigne u prvih Å”est mjeseci života. Kod odreÄenog broja djece taj proces izostaje, pa su ta djeca i kasnije niskog rasta.Intrauterine growth restriction (IUGR) means slowing down in fetal growth and development because of poor intrauterine conditions. The aim of the study was to examine growth in preschool children born with IUGR in Maternity Department of General Hospital Požega. Methods: Body weight, height and head circumference were measured in 50 children born with IUGR and in control group of children. Children in the control group had normal birth weight and were matched with IUGR children for chronological age, gestational age and sex. Results: Comparison of two groups according to weight, height and head circumference have shown statistical significance for all three variables ( BW P 0,002; BH P 0,001, HC P<0,001). Five of the children examined had the weight bellow 5th centile and three of them had microcephaly. Conclusion: IUGR children had significantly lower body weight, height and head circumference then children in control group. After birth, IUGR children often show catch up growth which continues for the first 6 months of life. In certain number of children that proccess failed so they remained short through adulthood
Cow\u27s milk induced protocolitis in full term dizygotic twin neonates
Alergijski se proktokolitis rijetko pojavljuje u neonatalnom razdoblju. Prikazujemo sluÄaj alergijskog proktokolitisa na kravlje mlijeko u novoroÄenih dizigotnih blizanaca u neonatalnom razdoblju. Prikazuju se dizigotni blizanci roÄeni u punom terminu s rektalnim krvarenjem i teÅ”kom anemijom. Istraživanje je otkrilo alergiju na protein kravljega mlijeka s pozitivnom reakcijom na uzroÄni antigen. Treba uzeti u obzir alergijski kolitis kod diferencijalne dijagnoze bilo kojeg novoroÄenog djeteta s rektalnim krvarenjem nakon iskljuÄenja infekcija i poremeÄaja koji su uobiÄajeni u ovoj dobnoj skupini.Allergic proctocolitis in the neonatal period has rarely been reported in twins. We report on a case of an allergic proctocolitis to cowās milk in dizygotic twin neonates during the early neonatal period. Full-term dizygotic twins presented with rectal bleeding and severe anemia. Investigation supported diagnosis of cowās milk protein allergy and they responded positively to the elimination of offending antigen. Allergic colitis should be considered in the differential diagnosis of any newborn with rectal bleeding after the exclusion of infectious and anatomic disorders common in this age group
Cow\u27s milk induced protocolitis in full term dizygotic twin neonates
Alergijski se proktokolitis rijetko pojavljuje u neonatalnom razdoblju. Prikazujemo sluÄaj alergijskog proktokolitisa na kravlje mlijeko u novoroÄenih dizigotnih blizanaca u neonatalnom razdoblju. Prikazuju se dizigotni blizanci roÄeni u punom terminu s rektalnim krvarenjem i teÅ”kom anemijom. Istraživanje je otkrilo alergiju na protein kravljega mlijeka s pozitivnom reakcijom na uzroÄni antigen. Treba uzeti u obzir alergijski kolitis kod diferencijalne dijagnoze bilo kojeg novoroÄenog djeteta s rektalnim krvarenjem nakon iskljuÄenja infekcija i poremeÄaja koji su uobiÄajeni u ovoj dobnoj skupini.Allergic proctocolitis in the neonatal period has rarely been reported in twins. We report on a case of an allergic proctocolitis to cowās milk in dizygotic twin neonates during the early neonatal period. Full-term dizygotic twins presented with rectal bleeding and severe anemia. Investigation supported diagnosis of cowās milk protein allergy and they responded positively to the elimination of offending antigen. Allergic colitis should be considered in the differential diagnosis of any newborn with rectal bleeding after the exclusion of infectious and anatomic disorders common in this age group
Avulzijski prijelom tuberositas tibiae u adolescenta
Tibial tuberosity fractures are rare in childhood, most frequently due to excessive quadriceps muscle contraction. On performing long jump, a 15-year-old boy sustained tibial tuberosity avulsion fracture type II according to Watson-Jones. The patient was treated operatively with fragment repositioning and screw fixation. Ten months after the injury and rehabilitation, he resumed his sports activities with full range knee motion.Prijelomi apofize tuberositas tibiae u djeÄjoj dobi su rijetki. NajÄeÅ”Äe su posljedica snažne kontrakcije miÅ”iÄa kvadricepsa. DjeÄak u dobi od 15 godina zadobio je tijekom skoka udalj avulzijski prijelom tuberositas tibiae tip II. prema Watson-Jonesu. LijeÄen je operativno te je uÄinjena repozicija i fiksacija ulomaka vijcima. Deset mjeseci nakon ozljede i provedene rehabilitacije vratio se sportskim aktivnostima uz pun opseg pokreta koljena
NASOGASTRIC TUBE FEEDING IN PRETERM INFANTS
Dojenje, omoguÄeno refleksom sisanja koji se javlja do 32. tjedna gestacije, osigurava sve potrebne hranjive sastojke i zaÅ”titu djeteta u novoroÄenaÄkoj dobi. Sisanje je proces uvlaÄenja tekuÄine u usnu Å”upljinu snagom usisavanja proizvedenom pokretanjem obraza, usana i jezika, a gutanje je funkcija premjeÅ”tanja hrane i piÄa kroz usnu Å”upljinu, ždrijelo i jednjak u želudac odreÄenim ritmom i brzinom. U sluÄajevima odsutnosti refleksa sisanja kod prijevremeno roÄene djece nužno je osigurati prehranu enteralnim putem, najÄeÅ”Äe pomoÄu nazogastriÄne sonde. Iako je hranjenje sondom nemoguÄe izbjeÄi, potrebno je primijeniti sve terapijske moguÄnosti radi skraÄivanja vremena prisutnosti sonde i prevencije negativnih posljedica ovakvoga naÄina prehrane. Programi taktilnih stimulacija peri-intraoralnih struktura i nehranidbenog sisanja pokazali su dobre uÄinke u usvajanju oralnoga hranjenja prijevremeno roÄenih, kraÄem razdoblju hranjenja sondom i kraÄim boravkom u bolnici.Breastfeeding, which is enabled by the sucking reflex appearing at about 32 gestational weeks, provides all the relevant nutritive substances and protects the child during the neonatal period. Breastfeeding is the process of drinking fluid into the mouth by sucking power produced by moving the jowl, lips and tongue. Swallowing is the function of dislocating food and fluid through the mouth to the oesophagus and the stomach with a certain rhythm and speed. When the sucking reflex is absent in prematures, it is important to provide enteral nutrition, mostly by a nasogastric tube. Although it is impossible to avoid nasogastric tube feeding, it is necessary to apply all therapeutic possibilities to shorten the duration of tube use and to prevent the negative effects of this feeding procedure. Programs of tactile stimulation of the perioral structures and non-feeding sucking have a good effect on learning oral feeding, shorter tube feeding time and shorter hospitalization
Platelet Aggregation Disorder Following DTP-Polio-HIBERIX Immunization
NajÄeÅ”Äe opisane nuspojave unutar 24 sata od cijepljenja su lokalne reakcije i febrilitet. Vrlo rijetko su opisane sustavne reakcije: febrilne konvulzije, hipotono-hiporesponzivni poremeÄaji, gastrointestinalni poremeÄaji, razdražljivost, slabost i neutjeÅ”ni plaÄ. Zabilježene su i akutne alergijske reakcije ātakoÄer vrlo rijetke: dispneja, cijanoza, angioneurotski edem, hipotenzija i rijetko anafilaktiÄka reakcija. Opisana je i reakcija lokalnog edema s cijanozom, crvenilom, purpurom i jakim plaÄem. DjeÄak L.G. u dobi od 5 mjeseci prvi je put primljen na Odjel pedijatrije OpÄe županijske bolnice Požega radi purpure koju je majka primjetila dan nakon cijepljenja DTP-polio + HIB cjepivom. Nakon obrade dokazana je kod djeteta latentna infekcija koja je tretirana antibiotikom. U velikom koagulogramu uoÄena je potpuna odsutnost agregacije trombocita i postavljena je sumnja na nuspojavu cjepiva. DjeÄak je primio svježu smrznutu plazmu i kortikosteroid, nakon Äega se postepeno oporavlja (petehije se povlaÄe, a agregacija trombocita se uspostavlja). Tijekom iduÄe dvije godine nije cijepljen. Dogovoreno je s roditeljima da se dijete primi na odjel i provjeri reakcija na DTP-polio + HIB cjepivo. Po primitku agregacija trombocita bila je uredna. Zatim je djeÄak cijepljen Pediacel cjepivom i opserviran. Nakon 24 sata agregacija trombocita bila je poremeÄena, ali bez kliniÄkih simptoma. Unutar iduÄa 24 sata dolazi do spontanog oporavka s uspostavom uredne agregacije trombocita i bez terapije.Most commonly described adverse reactions occurring 24 hours after immunization are local reactions and fever. Systemic reactions have been described very rarely such as seizures, hypotonic-hyporesponsive disorders, gastrointestinal disorders, agitation, nausea, and prolonged crying and screaming. Acute allergic reactions have also been reported but very rarely: dyspnea, cyanosis, angioneurotic edema, hypotension, and very rarely: anaphylactic shock. A reaction of local edema and cyanosis, redness, purpura and extreme crying have also been reported. A5-month-old child was admitted to Pediatric Ward of Požega County Hospital for the first time. The boy\u27s mother noticed a purpura rash the day after DTP-polio + Hib immunization. He had a latent infection which was treated with antibiotics, and a complete aggregation disorder of the platelets. A possible adverse reaction to immunization was suspected and the child was treated with fresh frozen plasma and corticosteroids. The patient gradually recovered (purpura disappeared, and platelet function recovered gradually). During the following two years the patient was not immunized. An agreement had been made with the child\u27s parents that the boy would be admitted to hospital were he was to be vaccinated. On admission the platelet function (aggregation) was adequate. Then the child was vaccinated (Pediacel vaccine), and observed. Platelet function changed: a disorder in aggregation was obvious 24 hours after the administration of DTP-polio HIB vaccine, this time without clinical symptoms. During the next 24 hours a spontaneous gradual recovery of the platelet function was evident