Madara da aka gyara kuma na musamman ga yara masu rashin lafiyar abinci ko rashin haqurin lactose

Sunadaran madarar shanu suna cikin mafi yawan abubuwan da ke haifar da rashin lafiyar abinci. Wannan babbar matsala ce ga jariran da ake shayar da kayan abinci domin ana yin su ne daga madarar saniya ko akuya. Rashin haƙuri ga lactose a cikin jarirai ya bambanta da rashin lafiyar abinci ga madara (wanda ake kira protein diathesis) kuma yana buƙatar magani na daban. Ga yaran da ke da nau'ikan yanayi guda biyu, akwai ƙwararrun masu maye gurbin madarar da aka fi sani da "masu maye gurbin" madara.

 Dr n. gona. Maria Kaspshak

Hankali! Wannan rubutun don dalilai na ilimi ne kawai kuma ba madadin shawarar likita ba! A kowane hali na rashin lafiya a cikin yaro, wajibi ne a tuntuɓi likita wanda zai bincika marasa lafiya kuma ya ba da shawarar maganin da ya dace.

Kafin allergies - madarar hypoallergenic don hana lalacewar furotin

Za a iya gadon halayen rashin lafiyar jiki, don haka idan akwai rashin lafiya a cikin dangin jariri, haɗarin da jaririn zai iya yi yana da mahimmanci. Idan aƙalla ɗaya daga cikin iyaye ko 'yan'uwan yaron yana rashin lafiyar sunadaran madara, to - idan mahaifiyar ba za ta iya shayar da nono ba - yana da daraja la'akari da ba da yaron abin da ake kira madara hypoallergenic, alama tare da alamar. HA. Wannan madarar na ga yara masu lafiya waɗanda har yanzu ba su sami rashin lafiyar jiki ba kuma ana amfani da su don rage yiwuwar kamuwa da allergies. Sunadaran da ke cikin madarar HA yana ɗan ƙara ruwa kuma saboda haka an rage abubuwan da ke haifar da rashin lafiyar sa da ɗan rage, amma ba a kawar da su gaba ɗaya ba. Idan yaron yana da rashin lafiyar furotin madara, bisa ga likita, za ku buƙaci canza zuwa nau'i na musamman ga jarirai tare da ƙarancin furotin.

Shin madarar akuya ta dace da masu fama da rashin lafiya?

A'a. Maganin nonon akuya na dauke da sunadaran da suka yi kama da sunadaran madarar saniya wanda kusan ko da yaushe jariran da ke fama da rashin lafiyar madarar shanu su ma za su kasance masu rashin lafiyar madarar akuya. Yana da kyau a tambayi likitan ku idan yara masu lafiya za su iya zaɓar tsarin akuya maimakon madara HA don rage haɗarin rashin lafiyar furotin madarar saniya. Duk da haka, ko da a wannan yanayin, bai kamata ku yanke irin wannan shawarar da kanku ba. Yaran da ke da rashin lafiyar da aka riga aka gano (lalacewar sunadaran), idan ba su sha madarar uwa ba, ya kamata su sami shirye-shirye na musamman da aka tsara musamman don su.

Karancin furotin yayin shayarwa

Ga yaron da ke fama da rashin lafiya, yana da kyau idan mahaifiyar tana shayarwa, kamar yadda madarar mahaifiyar ba ta haifar da allergies. Duk da haka, wasu iyaye mata suna gano cewa jariran da aka shayar da su suna samun alamun rashin lafiyar jiki - rashes, colic, ciwon ciki da sauransu. Yana iya faruwa cewa wasu sassa na abincin uwa suna shiga cikin madararta kuma suna haifar da rashin lafiyan yara. Zai fi dacewa don bincika abincin da mahaifiyar ta ci, bayan haka jaririn ya fara jin rashin lafiya, kuma ya ware waɗannan abinci daga abincin don lokacin shayarwa. Ya kamata iyaye mata masu fama da rashin lafiyar furotin madara, kwai, ko goro su guji waɗannan abincin har sai an yaye su. Duk da haka, idan yaron ba shi da allergies, to, guje wa waɗannan samfurori "kawai idan" ba lallai ba ne. Ya kamata uwa mai shayarwa ta ci abinci iri-iri kamar yadda zai yiwu kuma ta gabatar da abincin kawarwa kawai idan ya cancanta. Don samun shawarwari masu dacewa, ya kamata ku ziyarci likita wanda zai yi daidai ganewar asali kuma ya bayyana ko ciwon yaron yana da alaƙa da rashin lafiyar jiki ko kuma dalilin shine wani abu dabam.

Madadin madara ga yara masu rashin lafiya

Lokacin da likita ya ƙayyade cewa yaronka yana rashin lafiyar sunadaran madara, ya kamata ka ba shi samfurori da aka tsara musamman don ƙananan allergies. Domin rage yawan rashin lafiyar sunadaran, ana sanya su tsawaita hydrolysis, wato, ana yanka kwayoyin halittarsu zuwa ƴan ƙanƙanta waɗanda ba su bambanta da ainihin sunadaran siffa ta yadda ƙwayoyin cuta ba su gane su. kwayoyin halitta kamar allergens. A cikin kashi 90 cikin XNUMX na yara masu fama da rashin lafiya, shan waɗannan magunguna sun isa don kawar da bayyanar cututtuka da kuma sa yaron ya ji daɗi. Abubuwan sunadaran da aka sanya su da ruwa sosai gabaɗaya ba su da lactose, amma bincika bayanin takamaiman samfurin ko tuntuɓi likita kafin a ba su ga yara masu hana lactose. Akwai gyare-gyare iri-iri na irin waɗannan magunguna - alal misali, mai ɗauke da kari na probiotics ko kitse na MCT.

Abincin sinadarai bisa tushen amino acid kyauta

Wani lokaci yakan faru cewa jariri yana da irin wannan rashin lafiyar abinci mai karfi wanda har ma da sunadarai na hydrolyzed suna haifar da alamun cutar da yawa. Wani lokaci kana rashin lafiyar sunadaran sunadaran ko wasu abubuwan gina jiki, wanda zai iya zama saboda rashin narkewar abinci da sha. Sa'an nan kuma ƙaramar kwayoyin halitta tana buƙatar samar da abinci wanda kusan ba za ta narke ba, amma za ku iya haɗa kayan abinci da aka shirya. Ana kiran waɗannan magungunan amino acid kyauta (AAF - Amino Acid Formula) samfurori ko "abincin abinci". Sunan ya fito ne daga gaskiyar cewa amino acid sune tushen ginin sunadaran. A al'ada, sunadaran suna narkewa, watau. an wargaje su zuwa amino acid kyauta, kuma waɗannan amino acid ne kawai ke shiga cikin jini. Shirye-shiryen abinci na farko yana ba ku damar ƙetare tsarin narkewar furotin. Godiya ga wannan, jikin yaron yana cin abinci mai narkewa da sauƙi. Irin waɗannan shirye-shiryen yawanci kuma ba sa ƙunshi lactose, kawai glucose syrup, mai yiwuwa sitaci ko maltodextrin. Waɗannan gaurayawan na musamman na musamman za a iya gudanar da su ƙarƙashin kulawar likita.

Shirye-shiryen da ba su da kiwo dangane da furotin soya

Ga yara masu rashin lafiyar sunadaran madara, amma ba rashin lafiyar waken soya ko wasu sunadaran ba, akwai abubuwan maye gurbin madara bisa furotin soya. Ana iya yi musu alama da alamar SL (lat. sine lac, ba tare da madara) kuma yawanci kuma ba tare da lactose ba. Idan sun kasance takardar sayan magani, akwai maimaitawa, amma idan babu maidowa, irin wannan cakuda ya fi rahusa fiye da hydrolyzate ko abinci na asali.

Tare da rashin haƙuri na lactose a cikin yaro - galactosemia da rashi lactase

Lactose abu ne mai matukar muhimmanci ga ci gaban jaririnku. Bai kamata a guje wa ba dole ba, amma akwai lokutan da dole ne a kawar da shi daga abincin yaro. Lactose (daga Latin lac - madara) - carbohydrate ba a cikin madara - disaccharide, kwayoyin halitta wanda ya ƙunshi ragowar glucose da galactose (daga kalmar Helenanci gala - madara). Domin jiki ya sha wadannan carbohydrates, dole ne a narkar da kwayoyin lactose, watau. Rarraba zuwa glucose da galactose - kawai suna shiga cikin jini a cikin ƙananan hanji. Ana amfani da lactase enzyme don narkar da lactose, wanda ke samuwa a cikin matasa masu shayarwa, ciki har da jarirai. A cikin dabbobi da wasu mutane, aikin wannan enzyme yana raguwa da shekaru, saboda a cikin yanayi, dabbobi masu girma ba su da damar sha madara. Duk da haka, ƙarancin lactose a cikin jarirai yana da wuyar gaske kuma cuta ce ta kwayoyin halitta. Lokacin da wannan ya faru, lactose da ba a narkar da shi ba yana yin fermented a cikin hanji, yana haifar da gas, gudawa, da rashin jin daɗi. Irin wannan yaro bai kamata a sha nono ko a shayar da shi ba.

Na biyu, cikakkar sabani ga shayar da yaro - ko da nono - wata cuta ce ta kwayoyin halitta da ake kira galactosemia. Wannan yanayin da ba kasafai yake faruwa ba yana iya faruwa sau ɗaya a cikin kowace haihuwa 40-60. Tare da galactosemia, lactose na iya narkar da shi kuma a sha, amma galactose da aka fitar daga gare ta ba ya canzawa kuma yana taruwa a cikin jiki. Wannan na iya haifar da mummunar bayyanar cututtuka: gazawar hanta, rashin girma, rashin hankali, har ma da mutuwa. Ceto daya tilo ga jariri shine abinci gaba daya mara lactose. Yaron da ke da wannan cuta za a iya ba shi kawai magunguna na musamman, wanda masana'anta suka yi iƙirarin cewa an yi su ne ga yara masu fama da galactosemia. Mutanen da ke da galactosemia yakamata su guji lactose da galactose a duk rayuwarsu.

Bibliography

1. Abinci ga jarirai da yara ƙanana. Dokokin hali a cikin abinci na gama gari. Aikin da Galina Weker da Marta Baransky suka shirya, Warsaw, 2014, Cibiyar Uwar da Yara: http://www.imid.med.pl/images/do-pobrania/Zykieta_niemowlat_www.pdf (an shiga 9.10.2020/XNUMX/XNUMX Oktoba XNUMX G) .)
2. Bayanin galactosemia a cikin Database Rare Disease Database: https://www.orpha.net/data/patho/PL/Galaktozemiaklasyczna-PLplAbs11265.pdf (an shiga 9.10.2020/XNUMX/XNUMX)

Nonon uwa shine hanya mafi kyau don ciyar da jarirai. Nonon da aka gyaggyara yana haɓaka abincin yara waɗanda, saboda dalilai daban-daban, ba za a iya shayar da su ba.