Dysbacteriosis in newborns and infants
Children's Doctor Conversations / / August 12, 2017
second conversation.On the problems of dysbiosis
In a previous conversation we discussed the treatment of acute respiratory diseases in children methods of non-drug therapy.One of the arguments in favor of such treatment has been mention of dysbacteriosis as a possible complication in drug disease.Yes, such a thing - drug disease - known for a long time, its manifestations are numerous, and one of them - dysbiosis .
& gt;When there is a goiter?
should be noted that dysbiosis occurs not only as a result of excessive, often unnecessary medical treatment .This condition may occur in cases where the human body is weakened.For example, dysbiosis often for burns, after serious surgeries with increasing radiation (often dysbiosis suffer-radiologist), for any environmental violations, such as air pollution by industrial waste, etc.
& gt;What contributes to the development of dysbiosis?
Development dysbiosis in children contribute to birth defects, feeding, various diseases associated with decreased immunity, worms, acute infectious diseases (typhoid, dysentery) and chronic gastrointestinal disease, such as colitis (inflammation of the mucouscolon), enteritis (intestinal inflammation) and others.
problems dysbiosis become relevant in recent years as a result of environmental violations, the gradual deterioration of the health of our children , unjustified massive antibiotic treatment of any disease of adults and children.
& gt;The role of the microflora in the body
In order to understand what dysbiosis , we must first talk about what a normal microflora, and what is its role in the body.
normal bacterial flora is essential for human life.It is composed of beneficial bacteria that have amazing properties.
First, they stimulate the human immune system.Recalling some of its properties of pathogenic microbes, they always provide the production of immunity against them.It's like a natural constant inoculation.
Second, they participate in the digestion of food digestion of complex carbohydrates, protein, fat absorption, iron and vitamins.These beneficial bacteria are well cleaved fiber.
Third, this flora stops the growth of harmful bacteria (eg, dysentery sticks and Vibrio cholera) and allocates special substances that destroy them.
& gt;What is a goiter?
What is dysbiosis ?This disruption of normal flora in the body and replacing it with a so-called opportunistic flora (fungi, staphylococci, Proteus, Streptococcus, Pseudomonas aeruginosa, and others.)
If the normal bacterial medium in the intestine breaks down, it falls immunity and children often get sick, the disease inthey always long stretch.
& gt;The consequences of dysbiosis
Without this flora person can not digest iron, vitamins such as D, K, the entire group of vitamins B, calcium.Therefore, even with the full feeding a small child can not get from food all the complex substances necessary for its development.Besides his intestine irritated foods incompletely digested food, and this causes swelling and internal inflammation (colitis).He suffers when dysbacteriosis not only the large intestine.Most harmful flora extends upward and reaches the small intestine where inflammation occurs also.In such cases already fully impaired digestion and absorption of food.
& gt;Dysbacteriosis and infection
In young children or very weak harmful bacteria colonize also the urinary tract, causing their infection.And sometimes they can penetrate through the intestine into the bloodstream and cause inflammation foci in many organs (purulent otitis, bloody diarrhea, skin blisters).In particular, these lesions are characteristic of staphylococcal infections.In this case we say that the child's sepsis.Staphylococcus aureus is especially dangerous in the first year of life.The same common lesions produce fungi.Fungal bodies called candidiasis.Candidiasis often occurs in immunocompromised children, constantly ill with any disease and receiving massive antibiotic therapy.
& gt;Prevention of dysbiosis must begin before birth
Treatment of dysbiosis difficult and long.It is better to start with prevention of this condition even before the birth of the baby.
Observations showed that mothers before birth increases in the gut of very beneficial bifida bacteria.Sense prophylaxis is to prevent the sterilization of beneficial flora in the intestine in a pregnant.
during pregnancy should be possible to renounce the use of medicines, especially antibiotics.It is important to proper nutrition.It should be a lot of vitamins.During pregnancy are recommended juices, fruits, berries (especially useful in the forest that people have not poisoned the nitrogen-containing fertilizers).At this time it is better to give up such food, which is hard to digest (fatty meats, cakes, meats) or cooked with added nitrates (sausage, hot dogs), or for a certain allergen (fish, chocolate, cocoa).By the beginning of the pregnancy should try to treat all chronic foci of infection in the teeth, in the nasopharynx, in the urogenital and digestive systems.During pregnancy, a woman should walk a lot, do not get tired.Birth injuries often occur in nervous, bad physical development of women suffering from various diseases.
Unfortunately, often we have understood very primitive equality of the sexes.Indeed, the woman should be equal with men before the law, but it is its special role continuer of the human race can not be with a man equal to the load.However, the woman we sometimes brings not only equal, but also a greater load than men.Hence the frequent failures in labor, sick children are weakened.Most modern women are not able to provide the child with edinstrenno possible for him food - breast milk.In the 50s, when I started my medical practice as a GP, rarely met the mother, not breastfeeding.Today breastfeeding in 70-80% of urban women ends in 2-3 months after the baby's birth, and sometimes even in the neonatal period.
& gt;Dysbiosis in newborns
A in newborns in our time dysbiosis occurs before any medical treatment.
In the first, the second day of the newborn gut is sterile, and then begins its colonization of the intestinal flora.When you check harmful flora dysbiosis occurs .Child discharged from the hospital with a large loss in weight.House parents notice that he had very frequent stools, sometimes after each feeding.When feeding the baby at first eagerly grabs the nipple, and then suddenly begins to suddenly shout, bend, refuse the breast, although the mother knows that he's hungry.And some children have the opposite picture: constipation, the child can recover only with the help of an enema.Constipation - the result of the fact that breast milk is digested poorly.
dysbiosis in newborns is associated with disturbances in the microbial flora of mothers in the hospital staff and other people with whom contact newborn child.It would seem that the birth at home allows to protect the child from foreign infections.However, I see a family where both children suffer from dysbiosis from the first days of life, while older born in the hospital, and the youngest - at home.
& gt;The role of early initiation of breastfeeding
Already at 6-7 day from birth, as shown by the work of doctors and V.G.Dorofeychuk G.A.Lekomtsevoy from the Gorky Institute of Pediatrics, many of today's children have a shortage of beneficial bacteria (bifida)- they replace harmful flora.Seen an interesting fact: the later newborn attached to the breast, the more chances he has to get dysbiosis .Therefore, we recommend early attachment of the newborn to the breast, which also stimulates the flow of milk from his mother, that is, for dysbiosis natural preventionwarns hypogalactia (lack of milk).
& gt;The symptoms of dysbiosis
dwell on symptoms of dysbiosis .For the older children there is a liquid undigested stools with mucus and greens, and often streaked with blood (or, conversely, constipation).Toddlers arise regurgitation, vomiting, abdominal distension.Your doctor may find an enlarged liver.Children cry a lot from pains in the stomach, irritated and moody.They often suffer from long, almost no added weight.Appetite is usually reduced, there are signs of anemia and rickets.
The most severe is the so-called common dysbiosis , when microbes are spread from the intestine through the body, causing inflammation in multiple organs.For example, a fungal infection (candidiasis) can cause both thrush, sore throat, loss of the gastrointestinal tract and lung inflammation.
Dysbacteriosis sometimes flows and seamlessly, without the described bright symptoms.But all the same there is a common disease, loss of appetite, underweight from peers.This flow is called latent (hidden).
& gt; Treatment of dysbiosis antibiotics - a common mistake
typical error in the treatment of dysbiosis is that we, the doctors, trying to kill harmful flora by antibiotics.But, unfortunately, this is impossible.Antibiotics sterilize useful flora and only during mute opportunistic.So we just increase dysbiosis .
& gt;Breastfeeding must be maintained!
Once again I want to emphasize how important it is to maintain breastfeeding during dysbiosis in babies.In my practice, I have often heard the opinion that the long-term diarrhea is best to remove breast milk by replacing it with mixtures.Even worse is the situation when the mother in breast milk will find aureus and also find the baby.Then the doctor suggests to immediately stop breastfeeding.No, it will only worsen the condition of the baby, as all the prepared mixture on cow's milk, which is very different from the infant and the child's body is digested much worse.All this will only complicate for dysbiosis , enhance inflammatory responses and can cause more allergic condition and (diathesis).Loose stools may disappear, but will be constipation, which also painful for the baby.It must be remembered - in mother's milk and have antibodies against harmful microbes!If the mother's milk has staph, be sure there will be anti-staphylococcal antibodies that child needs.
A output is the following: it is necessary to treat the mother without depriving the baby with breast milk.When staph infection very well may help drug hlorofillipt - chlorophyll extract from eucalyptus leaves.This drug is perfectly destroys conditionally pathogenic flora.Take it inside in the form of an alcoholic solution of 25 drops three times a day.
maternal mother Proper nutrition is of paramount importance.It is necessary that the mother herself has received a large amount of vitamins.Be sure to give her a chance to rest.And finally, only on doctor's advice, you can use a variety of biological products and phages ( "eaters" of microbes).Well simultaneously treat both mother and baby.
treatment the child should start with the appointment of the right diet.
For infants necessary during that whatever the cost to maintain breastfeeding.If you can not completely then at least partially.
When mixed feeding, continue to give their children those mixtures to which they are accustomed.Be careful in the appointment of the new products, especially juices and vegetables.Features of infant feeding in the present situation will be awarded in the following interview.
& gt;Universal diet no
All prescribing physician should consider the characteristics of the patient.
So I can not offer a single diet for all the suffering dysbiosis .In some children the primary lesion may be in the intestine, while others - in the gallbladder.Some have a normal, others - reduced, and the third - increased acidity in the stomach.And the complications can be very different.All this complicates the assignment of diet beneficial to all.But some of the tips you can offer.
& gt;It is useful to separate powered by Shelton
Due to the fact that the dysbiosis always disturbed digestion, I want to recommend you to build the feeding of children, so that the food still to digest and does not cause allergies and does not exacerbate the inflammatory process in the intestine.This effect is achieved, if you build a diet according to the method of Dr. Shelton.His recommendations are based on the work of physiologists, especially Pavlov and his students studied the processes of digestion.Of course, we do not have many products that are prescribed to their patients Dr. Shelton, and the quality of our products can not be compared with the US.But in our conditions, we can use a separate power supply itself, the principle of mono-diet, the underlying approach of Dr. Shelton.This means that in one feeding should be given one meal, do not mix products, some of which consist mainly of protein, while others - from carbohydrates.This does not mean that children should be strictly limited in the diet.No, only to improve digestion of food must try not to mix different products.
& gt;An example of diet during dysbacteriosis
Here is an example of such diet for a child older than three years.After sleeping (at this time children drink with pleasure) on an empty stomach you give your child some water.The water should be given to children in such numbers as they require it.After 15-30 minutes, or later give your child diluted juice from the fruit of the season.In the summer - berry juices (blueberry, black and red currant, cherry, etc.), autumn and winter - apples and pears, spring - citrus.For better digestion of food juices children diluted with water in a ratio of 1: 1 or one part water to two parts juice.(Undiluted juice inhibit the activity of the pancreas and increase diluted Oppression digestive ability of the pancreas and is always accompanied by inhibition of the enzymatic activity of gastric juice is diluted, drunk on an empty stomach, stimulates the activity of the stomach and pancreas...) After 15-20 minutes, let your child porridge - the bestwhole grains.For lunch we can again offer the child any juice, but you can give tomato salad with sunflower oil (crude cabbage and cucumbers can exacerbate bowel dysfunction).Next - cereal or vegetable vegetarian soup;You can put in it boiled meat, meatballs.Sometimes - fish soup with boiled fish.Do not give the meat and potatoes, a combination of unfavorable for digestion.Children eat bad side dishes to meat, they are more likely to eat meat separately.After 2-3 hours, you can offer your child fruit compote (jelly contraindicated!), Or baked apples or tea with biscuits, drying, low-fat cookies.Dinner should consist of most of the protein.You can give the cottage cheese with yogurt, but only if the cottage you own cooking.If you have a cottage, bought in the market or in the shop, in order to avoid poisoning make cheese cakes, cottage cheese casserole.These dishes go well with yogurt.Sometimes at dinner we can give some kind of potato dish.Children willingly eat fried potatoes with sauerkraut, pickles.You can offer 1-2 eggs, but do not let them have any other options.
& gt;How to feed during an exacerbation?
During an exacerbation by the intestine should be replaced with raw apples baked in the proposed diet, vegetable soups - mucous cereal soups, not to give sauerkraut, cucumbers and fried potatoes and replace them with any porridge.