Dr. Liliya Georgieva: Qhov tsis muaj enzyme ib ntus yog ua rau tus menyuam mob plab

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Dr. Liliya Georgieva: Qhov tsis muaj enzyme ib ntus yog ua rau tus menyuam mob plab
Dr. Liliya Georgieva: Qhov tsis muaj enzyme ib ntus yog ua rau tus menyuam mob plab
Anonim

Neonatologist Dr. Liliya Georgieva ua haujlwm hauv Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Neonatology ntawm Obstetrics thiab Gynecology Complex ntawm Kanev Medical Center. Nov yog qhov nws tau qhia rau cov niam txiv hauv tsev kawm online rau cov niam txiv cev xeeb tub thiab yav tom ntej "BABY" txog teeb meem plab hnyuv hauv cov me nyuam mos.

Dr. Georgieva, dab tsi yog qhov mob plab me me thaum cev xeeb tub?

- Cov kab mob digestive, xws li regurgitation, colic, cem quav, reflux, yog ib qho teeb meem tshwm sim hauv cov me nyuam mos thawj lub hlis tom qab yug me nyuam. Lawv tshwm sim hauv txhua tus menyuam thib ob. Digestive disorders tshwm sim vim immaturity ntawm digestive, paj hlwb thiab lub cev tsis muaj zog. Qhov teeb meem kuj tseem yog los ntawm kev tsis haum rau lactose - cov protein ntawm nyuj cov mis nyuj, los yog los ntawm cov xwm txheej ntawm kev tu thiab kev saib xyuas niam txiv tsis txaus. Qhov xwm zoo yog tias tag nrho cov xwm txheej no tau hloov pauv thiab tsis muaj kev koom tes nrog cov organic.

Leej niam txoj kev noj haus puas muaj lub luag haujlwm rau tus menyuam lub plab zom mov?

- Niam txoj kev noj haus tseem ceeb txawm tias thaum cev xeeb tub. Qhov ua rau tus menyuam muaj teeb meem digestive tej zaum yuav yog leej niam txoj kev noj zaub mov tsis zoo thiab kev noj haus uas muaj cawv lossis caffeine. Nws kuj tseem ceeb yog tias yug los ntawm C-section thiab tsis yog ntuj.

Lub luag haujlwm ntawm lub plab zom mov yog nqus cov as-ham, rov nqus dej hauv cov hnyuv loj, thiab txav thiab tshem tawm cov quav los ntawm txoj hnyuv. Tag nrho cov txheej txheem ntawm neurons thiab paj hlwb xaus yog lub luag haujlwm rau qhov no.

Qhov kev sib txuam neural hauv plab no hu ua lub plab hlwb. Tom qab yug me nyuam, plab hnyuv microbiota yog tsim, uas muaj lub luag haujlwm tseem ceeb hauv kev tswj lub plab zom mov, lub paj hlwb thiab lub cev tsis muaj zog. Thaum tus me nyuam dhau los ntawm leej niam tus kwj dej yug me nyuam thiab pib mus saib xyuas, tus me nyuam mos cov hnyuv yav tas los ua rau muaj cov kab mob uas muaj txiaj ntsig.

Cov kab mob plab ntawm cov me nyuam yug los yog txawv rau cov me nyuam mos C-section. Lawv kuj txawv rau cov me nyuam pub niam mis thiab cov me nyuam noj mov. Hauv cov menyuam yug los ntawm C-section thiab leej twg tsis pub niam mis, lub plab hnyuv microbiota tsis tiav.

Dab tsi microbiota ua tau kom muaj kev zom zaub mov zoo hauv tus menyuam?

- Ntawm no peb yuav tsum piav qhia tias ua ntej thiab probiotics yog dab tsi. Prebiotics yog indigestible dietary fibers (oligosaccharides) uas txhawb kev loj hlob thiab kev ua ntawm cov kab mob zoo hauv plab. Qhov no yog cov khoom noj rau probiotics, uas yog cov kab mob nyob nrog cov txiaj ntsig zoo ntawm kev zom zaub mov thiab kev tiv thaiv kab mob.

Pov thawj los tiv thaiv kab mob plab hnyuv thiab cem quav thaum tseem muab kev tiv thaiv kab mob phem. Thaum probiotics zom prebiotics, postbiotics raug tsim. Cov no yog cov khoom pov tseg ntawm cov metabolism, uas muaj cov nyhuv zoo ib yam rau cov prebiotics. Lub peristalsis ntawm txoj hnyuv, qhov kev siv ntawm contraction ntawm plab hnyuv cov leeg, lub perist altic tsis yog nyob ntawm cov prebiotics, probiotics thiab postbiotics.

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Thaum twg tus menyuam lub plab microbiota puas lawm?

- Kev tsim cov microbiome zoo tuaj yeem ua rau puas tsuaj los ntawm kev ua xua, lactose intolerance, haus luam yeeb hauv tsev neeg, hauv cov menyuam mos ntxov ntxov, los ntawm kev siv tshuaj (cov tshuaj tua kab mob, thiab lwm yam) Nws tuaj yeem tshwm sim thaum hloov cov mis nyuj sib txawv rau lub sijhawm luv luv. lub sij hawm, nyob rau lub sij hawm pub mis tsis tsim nyog, thaum noj hmo. Yog vim li cas tej zaum kuj yog nyob rau hauv ib lub sij hawm loj heev thiab nyob rau hauv cov loj tag nrho cov mis nyuj nyob rau hauv 24 teev.

Cov niam txiv yuav tsum ua li cas nrog kev rov qab los?

- Hauv regurgitation, muaj cov khoom noj rov qab los ntawm lub plab mus rau txoj hlab pas thiab tawm ntawm qhov ncauj. Peb tham txog reflux thaum qhov no tshwm sim ob lossis peb zaug hauv ib hnub, rau peb lossis ntau lub lis piam. Qee lub sij hawm cov tsos mob ntawm reflux yog nrog los ntawm hnoos, chim siab thiab nyob tsis tswm ntawm tus me nyuam. Reflux tuaj yeem ua rau lub cev, tab sis nws kuj tuaj yeem ua rau pathological - esophageal reflux kab mob.

Nrog cov kab mob reflux, tus menyuam tsis hnyav, hnoos ntev, tsis ua pa, tig xiav, hawb pob. Tus mob no hnyav heev thiab yog vim nqus tau cov zaub mov thaum nquag regurgitation. Qhov no tuaj yeem ua rau mob ntawm txoj hlab pas, nqos nyuaj, ntuav ntshav, thiab ntshav ntshav. Tag nrho cov no yuav tsum tau kho. Kev ntsuas kev noj haus ib leeg yuav tsis ua.

Thaum tus menyuam hnyav hnyav, regurgitation tsis muaj teeb meem. Koj tsuas yog yuav tsum tsis txhob noj ntau dhau thiab tsis quav ntsej noj nrog me me ntawm cov zaub mov. Kev noj zaub mov thiab so yog tsim nyog. Thaum tus me nyuam pub niam mis, kev pub niam mis yog ua raws li qhov xav tau. Tab sis tseem yuav tsum muaj ib ntus tsawg kawg yog ob teev ntawm kev noj mov.

Tus me nyuam yuav tsum tsis txhob noj thaum nws zoo siab thiab chim siab, thaum nws quaj tsis txaus. Tom qab ntawd, ntxiv rau mis nyuj, nws kuj nqos cua. Tib yam tshwm sim nrog teats nrog qhib dav. Rau cov menyuam yaus uas tau pub mis nyuj, cov mis nyuj yuav tsum tsis txhob npaj ntau dhau.

Zaub mov yuav tsum nquag, tab sis nyob rau hauv me me thiab overeating yuav tsum tau zam. Thaum pub mis rau tus menyuam, lub teat yuav tsum tau ntim nrog mis nyuj kom tsis txhob muaj cua nkag mus rau hauv txoj hlab pas. Tsis tas li ntawd, tus menyuam yuav tsum nyob ntawm kaum ntawm 30-40 degrees, ntawm lub hauv ncoo, thaum pub mis. Yog li, los ntawm kev tsim txiaj ntawm lub ntiajteb txawj nqus, qhov reflux txo qis. Tom qab tus me nyuam tau noj 30 mus rau 60 ml ntawm cov mis nyuj, nws yuav tsum tau pab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau 30 mus rau 60 ml, tus menyuam yuav tsum noj 30-60 ml ntawm cov mis nyuj. Anti-reflux mis nyuj nrog postbiotics thiab tib neeg oligosaccharides kuj pab.

Dab tsi ua rau colic?

- Colic yog qhov tshwm sim ntawm kev tsim roj ntau ntxiv, ua rau tus menyuam flatulence, thaum tus niam laus noj qee yam zaub mov. Thaum thawj lub hlis tom qab yug me nyuam, cov me nyuam raug kev txom nyem los ntawm lub cev tsis muaj zog ntawm lactase enzyme. Qhov no ua rau lawv muaj roj thiab nqus tsis tiav ntawm lactose hauv cov mis nyuj, uas ua rau lawv mob plab thiab quaj.

Colic yog ntau dua nyob rau hauv cov me nyuam yug ntxov ntxov vim tsis paub tab ntawm lub plab zom mov.

Kev noj zaub mov tsis raug cai thiab kev pub noj ntau dhau kuj ua lub luag haujlwm hauv kev tsim cov colic, nrog rau cov plab hnyuv dysbiosis thaum muaj cov kab mob methane ntau dua hauv lawv. Cov tshuaj hlau kuj tseem tuaj yeem ua rau cov me nyuam mos colic vim lawv hloov lub plab microbiota.

Thaum twg cov menyuam mos cem quav thiab yuav ua li cas nrog nws?

- Nrog cem quav, tus me nyuam muaj teeb meem defecation, nrog rau kev siv dag zog pom thiab muaj kev cuam tshuam ntawm qhov quav. Cov quav qhuav hauv qhov sib xws. Kev cem quav tshwm sim thaum muaj ob lossis tsawg dua qhov tso quav hauv ib lub lis piam, khaws cia ntawm qhov loj ntawm cov quav hauv qhov quav, thiab tus mob no kav ntev li ob lossis ntau lub lis piam. Tab sis yog tias tus me nyuam defecation txhua ob lossis peb hnub, tsis muaj teeb meem thiab mob, nws tsis yog cem quav.

Raws li lub plab zom mov loj tuaj, cov tsos mob ntawm cem quav ploj mus. Hauv 2-3 lub hlis qhov teeb meem ploj mus. Yog tias muaj cov khoom noj tsis raug, lawv yuav tsum raug tshem tawm. Kev noj zaub mov yuav tsum nquag thiab me me, tsis txhob noj ntau dhau.

Nws tseem yuav tsum xaiv cov mis nyuj uas tsim nyog, lub raj mis thiab cov mis. Tab sis cov kua mis ib txwm tseem yog tus qauv kub rau kev pub menyuam mos. Cov menyuam mos uas pub mis niam tsis tshua muaj kev zom zaub mov. Gymnastics, maj mam zaws ntawm lub plab clockwise, da dej sov kuj pab.

Khoom noj yuav tsum yog 50% cov nplej - porridge, spaghetti, biscuits, oats, millet. Cov roj uas tsim nyog yuav tsum tau ntxiv raws li lawv pab hauv kev nqus cov roj-soluble vitamins thiab hauv cov quav. Kev noj cov zaub mov uas hlawv yuav tsum txwv - mov, txiv tsawb, thiab lwm yam. Cov txiv hmab txiv ntoo thiab zaub muaj fiber ntau, nrog rau cov txiv hmab txiv ntoo uas nplua nuj nyob hauv cov ntsev ntsev, muaj txiaj ntsig zoo.

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