38 research outputs found
On the Advisability of Dairy Products Use in the Nutrition of Infants
The article presents data on the effectiveness of dairy products. The mechanisms of their positive effect on the digestive function and health of infants are conbsidered
Approaches to the Treatment of Early Stage of Gallstone Disease in Children
Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½Π°Ρ ΠΎΡΠ΅Π½ΠΊΠ° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΡΡΠΎΠ΄Π΅ΠΎΠΊΡΠΈΡ
ΠΎΠ»ΠΈΠ΅Π²ΠΎΠΉ ΠΊΠΈΡΠ»ΠΎΡΡ (Π£ΠΊΡΠ»ΠΈΠ² ΡΡΡΠΏΠ΅Π½Π·ΠΈΡ) Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΡΠ°Π½Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠΈ ΠΆΠ΅Π»ΡΠ½ΠΎΠΊΠ°ΠΌΠ΅Π½Π½ΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ (ΠΠΠ) Ρ Π΄Π΅ΡΠ΅ΠΉ.
ΠΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ 30 Π΄Π΅ΡΠ΅ΠΉ Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ ΠΎΡ 4 Π΄ΠΎ 18 Π»Π΅Ρ Ρ ΡΠ°Π½Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠ΅ΠΉ ΠΆΠ΅Π»ΡΠ½ΠΎΠΊΠ°ΠΌΠ΅Π½Π½ΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ. ΠΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ β 2 ΠΌΠ΅ΡΡΡΠ°.
ΠΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡ: ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-Π°Π½Π°ΠΌΠ½Π΅ΡΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅, ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ (Π£ΠΠ) Π±ΠΈΠ»ΠΈΠ°ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΠΊΡΠ° Ρ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΉ Π½Π°Π³ΡΡΠ·ΠΊΠΎΠΉ, ΡΡΠ΅Ρ
ΠΌΠΎΠΌΠ΅Π½ΡΠ½ΠΎΠ΅ Π΄ΡΠΎΠ΄Π΅Π½Π°Π»ΡΠ½ΠΎΠ΅ Π·ΠΎΠ½Π΄ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅, ΠΌΠΈΠΊΡΠΎΡΠΊΠΎΠΏΠΈΡ ΠΆΠ΅Π»ΡΠΈ Π² ΠΏΡΡΠΌΠΎΠΌ ΠΈ ΠΏΠΎΠ»ΡΡΠΈΠ·ΠΎΠ²Π°Π½Π½ΠΎΠΌ ΡΠ²Π΅ΡΠ΅, ΡΡΠΎΠ²Π΅Π½Ρ Π² ΠΊΡΠΎΠ²ΠΈ Π°ΡΠΏΠ°ΡΡΠ°ΡΠ°ΠΌΠΈΠ½ΠΎΡΡΠ°Π½ΡΡΠ΅ΡΠ°Π·Ρ, Π°Π»Π°Π½ΠΈΠ½Π°ΠΌΠΈΠ½ΠΎΡΡΠ°Π½ΡΡΠ΅ΡΠ°Π·Ρ (ΠΠ»ΠΠ’), ΡΠ΅Π»ΠΎΡΠ½ΠΎΠΉ ΡΠΎΡΡΠ°ΡΠ°Π·Ρ (Π©Π€), ΠΎΠ±ΡΠ΅Π³ΠΎ Π±ΠΈΠ»ΠΈΡΡΠ±ΠΈΠ½Π°, ΠΎΠ±ΡΠ΅Π³ΠΎ Ρ
ΠΎΠ»Π΅ΡΡΠ΅ΡΠΈΠ½Π°, Π»ΠΈΠΏΠΎΠΏΡΠΎΡΠ΅ΠΈΠ½ΠΎΠ²ΡΠΉ ΠΏΡΠΎΡΠΈΠ»Ρ.
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. Π Π³ΡΡΠΏΠΏΠ΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ Π±ΡΠ»ΠΈ Π΄Π΅Π²ΠΎΡΠΊΠΈ (66,4 %). ΠΠ΅ΡΠΈ ΡΡΠ°ΡΡΠ΅ 12 Π»Π΅Ρ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ 53,7 %. ΠΠ΅ Π²ΡΡΠ²Π»Π΅Π½ΠΎ ΡΠ°Π·Π»ΠΈΡΠΈΠΉ Π² ΡΠ°ΡΡΠΎΡΠ΅ ΠΠΠ ΠΏΡΠΈ ΠΈΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ
ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π°Ρ
Π±ΠΈΠ»ΠΈΠ°ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΠΊΡΠ° ΠΈ ΠΏΡΠΈ ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠΈ Ρ Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ ΠΆΠ΅Π»ΡΠ΅Π²ΡΠ²ΠΎΠ΄ΡΡΠΈΡ
ΠΏΡΡΠ΅ΠΉ. ΠΡΠ½ΠΎΠ²Π½ΡΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΈΠΌΠΏΡΠΎΠΌΡ ΡΠ°Π½Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠΈ ΠΠΠ Ρ Π΄Π΅ΡΠ΅ΠΉ: Π±ΠΎΠ»ΠΈ Π² ΠΆΠΈΠ²ΠΎΡΠ΅ (23 %), Π±ΠΎΠ»ΠΈ Π² ΡΠΏΠΈΠ³Π°ΡΡΡΠΈΠΈ (21 %), Π½ΠΎΡΡΠΈΠ΅ Π±ΠΎΠ»ΠΈ Π² ΠΏΡΠ°Π²ΠΎΠΌ ΠΏΠΎΠ΄ΡΠ΅Π±Π΅ΡΡΠ΅ (19 %). ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΉ ΠΏΡΠΈΠ·Π½Π°ΠΊ ΠΏΡΠΈ Π£ΠΠ β ΡΡ
ΠΎΠ²Π·Π²Π΅ΡΡ Π² ΠΏΡΠΎΡΠ²Π΅ΡΠ΅ ΠΆΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΏΡΠ·ΡΡΡ (58 %). ΠΠΈΠ»ΠΈΠ°ΡΠ½ΡΠΉ ΡΠ»Π°Π΄ΠΆ (ΠΠ‘) Ρ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π·Π°ΠΌΠ°Π·ΠΊΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΠΉ ΠΆΠ΅Π»ΡΠΈ Π²ΡΡΠ²Π»Π΅Π½ Π² 31 % ΡΠ»ΡΡΠ°Π΅Π², Π° ΠΌΠΈΠΊΡΠΎΠ»ΠΈΡΠΈΠ°Π·Π° β Ρ 11 % Π±ΠΎΠ»ΡΠ½ΡΡ
. Π©Π€ ΠΏΠΎΠ²ΡΡΠ΅Π½Π° Ρ 28 % Π΄Π΅ΡΠ΅ΠΉ, ΠΠ»ΠΠ’ β Ρ 12Β %, ΠΎΠ±ΡΠΈΠΉ Π±ΠΈΠ»ΠΈΡΡΠ±ΠΈΠ½ β Ρ 8 %. ΠΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠΉ Π²Π°ΡΠΈΠ°Π½Ρ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ Π»ΠΈΠΏΠΈΠ΄Π½ΠΎΠ³ΠΎ ΠΏΡΠΎΡΠΈΠ»Ρ β ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΡΠΎΠ²Π½Ρ Π»ΠΈΠΏΠΎΠΏΡΠΎΡΠ΅ΠΈΠ΄ΠΎΠ² Π²ΡΡΠΎΠΊΠΎΠΉ ΠΏΠ»ΠΎΡΠ½ΠΎΡΡΠΈ (42,6 %) ΠΈ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ ΡΡΠΎΠ²Π½Ρ Π»ΠΈΠΏΠΎΠΏΡΠΎΡΠ΅ΠΈΠ΄ΠΎΠ² Π½ΠΈΠ·ΠΊΠΎΠΉ ΠΏΠ»ΠΎΡΠ½ΠΎΡΡΠΈ (30 %).
ΠΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ ΠΏΠΎΠ»ΡΡΠ°Π»ΠΈ ΡΡΡΠΎΠ΄Π΅ΠΎΠΊΡΠΈΡ
ΠΎΠ»ΠΈΠ΅Π²ΡΡ ΠΊΠΈΡΠ»ΠΎΡΡ (Π£ΠΊΡΠ»ΠΈΠ² ΡΡΡΠΏΠ΅Π½Π·ΠΈΡ; 250 ΠΌΠ³/5 ΠΌΠ») ΠΏΠΎ 10 ΠΌΠ³/ΠΊΠ³/ΡΡΡ. ΠΠ°Π±Π»ΡΠ΄Π΅Π½ΠΈΠ΅ Π² Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΎ ΡΠ΅Π³ΡΠ΅ΡΡΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ ΡΡ
ΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ². Π’Π΅Π½Π΄Π΅Π½ΡΠΈΡ ΠΊ Π½ΠΎΡΠΌΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΆΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΏΡΠ·ΡΡΡ ΠΈ ΡΡΠΈΠ½ΠΊΡΠ΅ΡΠ° ΠΠ΄Π΄ΠΈ ΠΎΡΠΌΠ΅ΡΠ΅Π½Π° Ρ 41 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΠΎΠ»ΠΈΡΠ΅ΡΡΠ²ΠΎ ΡΠ»ΡΡΠ°Π΅Π² ΠΠ‘ β ΡΡ
ΠΎΠ²Π·Π²Π΅ΡΠΈ ΡΠΌΠ΅Π½ΡΡΠΈΠ»ΠΎΡΡ Π½Π° 37 %, ΠΠ‘ β Π·Π°ΠΌΠ°Π·ΠΊΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΠΉ ΠΆΠ΅Π»ΡΠΈ β Π½Π° 17 %, ΠΠ‘ β ΠΌΠΈΠΊΡΠΎΠ»ΠΈΡΠΈΠ°Π·Π°Β β Π½Π° 2 %.
ΠΡΠ²ΠΎΠ΄Ρ. ΠΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΠΠ Π½Π° ΡΠ°Π½Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΏΠΎΠ²ΡΡΠΈΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ Π² ΡΠ΅Π»ΠΎΠΌ. ΠΡΠΌΠ΅ΡΠ΅Π½Π° Π²ΡΡΠΎΠΊΠ°Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΈ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΡ ΡΡΡΠΎΠ΄Π΅ΠΎΠΊΡΠΈΡ
ΠΎΠ»ΠΈΠ΅Π²ΠΎΠΉ ΠΊΠΈΡΠ»ΠΎΡΡ (Π£ΠΊΡΠ»ΠΈΠ² ΡΡΡΠΏΠ΅Π½Π·ΠΈΡ) Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΡΠ°Π½Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠΈ ΠΠΠ Ρ Π΄Π΅ΡΠ΅ΠΉ
Lactose intolerance in allergic enterocolitis in infants
Background. Food allergy in the infancy is manifested clinically in damage to the skin and gastrointestinal tract. Allergic inflammation of the intestinal mucosa is accompanied by damage to the structure of enterocytes, which can lead to a significant reduction in the lactase enzyme on their apical surface. Materials and methods. Sixty-two children aged 2 months to 1 year with allergic enterocolitis were examined. To diagnose lactase deficiency, a hydrogen breath test with food lactose load was performed using portable monitor for determining hydrogen (H2) concentration in the exhaled air β Gastro+ Gastrolyzer manufactured by Bedfont Scientific Ltd. (UK). Results. Comprehensive assessment of the results of a hydrogen breath test with food lactose load revealed the presence of lactase deficiency and lactose-dependent small intestinal bacterial overgrowth in children with allergic enterocolitis: in protein-induced enterocolitis syndrome β in 70.3 and 14.8Β % of cases, respectively, in protein-induced enteropathy β in 100.0 and 41.6Β %, in protein-induced proctocolitis β in 36.0 and 32.0Β % of infants, respectively. Conclusions. According to the results of a hydrogen breath test with food lactose load, 40 (62.5Β %) infants with allergic enterocolitis have been diagnosed with lactose intolerance and 17 (26.6Β %) β with lactose-dependent small intestinal bacterial overgrowth that are secondary and need correction in the acute period of treatment for the underlying disease
Ways to Optimize Therapy of Prolonged Conjugation Jaundice in Infants
The article is devoted to the optimization of the treatment of prolonged conjugation jaundice. Inclusion of ursodeoxycholic acid in the treatment of neonatal prolonged conjugation jaundice in a dose of 15β20 mg/kg of body mass per day increases the terms of regression of clinical and paraclinical signs of jaundice as much as 2 times and leads to cytolysis normalization. The preparation has a sufficient level of safety, there were not revealed side effects whilst its application