Dysbacteriosis in children
Condition of microflora of an infant intestine depends on the nature of its feeding.When breastfeeding in the microflora present mainly bifidobacteria some species (Bifidobacterium: Bifidum, Infantis, Breve), artificial vskarmlenii - another kind of bifidobacteria (Bifidobacterium longum), increasing the number of lactic acid bacteria, as well as increasing the number of Bacteroides and veyonell that increase flatulence and can because unstable chair.
Starting from 3 years of age there are changes in the intestinal microbial composition (instead of Bifidobacterium infantis appears Bifidobacterium ado-lescentis).Therefore, in the treatment of dysbiosis selection of drugs is carried out taking into account the nature of the feeding and the child's age.
was easier to orient in a variety of clinical manifestations of dysbiosis, their combined into 3 groups according to their respective degrees and changes in the normal intestinal microflora.
This stage is characterized by decrease in the number of bifidob
The children develop symptoms of bowel dysfunction:
This stage is characterized by the appearance of one type of opportunistic pathogens or entire association of conditionally pathogenic bacteria in low concentrations
Children can show symptoms of a variety of diseases.
symptoms of gastritis:
symptoms of enteritis:
symptoms of enterocolitis:
symptoms of colitis:
for all forms of manifestations of dysbiosis characterized by:
Severe microflora: the high concentration of opportunisticas one species of microorganisms or in associations.
During this period in children symptoms of transient bacteremia appear:
Very often parents are asking whether it is necessary to treat goiter, if the child's nothing bothering you?Indeed, if the child has no signs of disorders of the gastrointestinal tract function (constipation, diarrhea, neperevarivaniya components of food, pain, regurgitation or vomiting), if it has no allergic reactions, a good appetite, he was cheerful and happy, then, of course, the treatment cannot be required.After all, a violation of intestinal microflora may be temporary.Teething, the introduction of new products, a single respiratory disease can lead to a short-term reduction in the amount of normal microflora.But it is quite another matter if the child is frequently ill, capricious, he reduced appetite, and muscle tone is weak;in this case (even if he does not have constipation or diarrhea) it requires the prevention or correction of dysbiosis.Why?Because if the remedial measures do not start on time, then after a few years of a child may receive a chronic disease of the gastrointestinal tract, the immune system will be weakened.
In the last decade, pediatricians say increasing the number of children, especially the first year of life, with bacteria overgrowth.In addition, some children experience a delay in the development of the autonomic nervous system of the intestine, delayed work enzyme systems and imperfection of the immune system of the mucous membrane of the gastrointestinal tract.Treatment of these children is a considerable problem and, of course, differs from the adult treatment.
condition a child's health, especially breast, is highly dependent on the state of health of the mother.But, unfortunately, in recent years have become more common hormonal disorders in the mother's body, which affect the status of the child, causing his disorder of the gastrointestinal tract.These disorders are manifested as regurgitation, intestinal colic, constipation or conversely diarrhea.
composition of the intestinal microflora of the child depends on the passive immunity - those living white blood cells, antibodies and other substances that are transmitted from mother to child through the blood in the last months of pregnancy and after birth - through breast milk that strengthens its immunity.Of great importance is the activity and non-specific defense mechanisms of the child, the level of work which depends on genetic factors.Even more important is the state of the mother's microflora, because it meets with her baby in the first few minutes of his life.And if the mother has intestinal dysbiosis, the child probably will receive his inheritance.
So the first thing parents need to do to improve the condition of the child - take care of the health of the mother.To do this, it must fully eat, take vitamins, sleep enough.soothing teas and quiet, relaxing music are recommended to improve her emotional state.In addition, mothers need to keep to a diet (of course, if she is breastfeeding): it is necessary to limit the use of cabbage, tomatoes, peas, mushrooms, grapes, all smoked and spicy products.A strong concern of the child in the mother's diet of milk is temporarily reduced (note: is reduced, but not completely eliminated!).If your child has frequent stool, it should eliminate from your diet cucumbers, plums, beets, pumpkin.If a baby has constipation, then it is necessary to limit the intake of rice and bread.
If the baby flatulence, it can be assigned Espumizan, Sub-simplex or Disflatil - means reducing flatulence.It is also good to put a baby to me: dry heat relaxes spastic bowel, and the child calms down.
Ideally, if the expectant mother before the birth of a child will make every effort to normalize its microflora.During pregnancy, you can take medications such as Normoflorin Lee B Narine-forte, Bifiform Santa Rus-B Hilak forte, Probalans, especially if taking them will be combined with the use of soft sorbents - Fervital Extras Zosterin Ultra 30%.Admission sorbents desirable to continue in the first months after birth.
children on artificial feeding is recommended thick mixture, warning vomiting and regurgitation.These include Frisovom, Nutrilon-antireflyuks and Omneo.They can either feed the baby, or add them at the end of each feeding.In addiction to the child's constipation better suited Omneo, Semper Frisovom or bifidus, and at more frequent stools - Nutrilon-antireflyuks or Low-mix.You can feed the baby, and mixtures of soy protein, but not always.Well-proven and mixtures containing live bifidobacteria and lactobacilli, such as sour milk Laktofidus and NAS.
However, even such mixtures do not supersede the use of live concentrated preparations containing bifidobacteria and lactobacilli.Acceptance of these drugs are very effective, provided that they take a long time (at least a month), and alternate with the reception of prebiotics such as Hilak forte, or lactulose preparations (syrups or Laktusan Duphalac).In some cases it is necessary to appoint and enzymes (Creon, Mezim forte), but the dosage should be adjusted individually.
Almost every child is useful to take chelators, primarily Zosterin Ultra 30%, which is suitable even for newborns.In acute conditions used Smecta.Enterosorbent This improves the properties of mucus of the gastrointestinal tract and protects enterocytes (cells lining the intestinal wall), but it can not take more than five days, otherwise it may occur disturbances in metabolism.Children from 3 years of age and older are recommended Fervital that not only cleanses the intestines, but also stimulates the growth of own microflora.
In some cases, especially in the excessive growth of pathogenic staphylococcus, staphylococcal bacteriophage is used, which is harmless to human viruses infecting only staphylococci.Less often (after laboratory tests) can be assigned to other bacteriophages -. Klebsielezny, koliproteyny etc.
Children under 3 months of age are assigned mainly preparations containing bifidobacteria and lactobacilli.Older children can be assigned to complex preparations, such as Linex, Nutridofilus, Floraldofilus (Floradofilus) and others. In the treatment of children over 1 year of effective long-term (up to 3 months) receiving Santa Rus-B drug.At the final stage of the restoration of the microflora can be used Laminolakt.
If a child has any pathology of the central nervous system, be sure to also cure appointed a neurologist as otherwise useful microflora is constantly "slide", "away" from the gut wall is a little "collaborating" with her.
A particular problem is the treatment of children with cerebral palsy (cerebral palsy).In this case, in order to achieve a good effect on the treatment of the underlying disease must be very long, for at least 3 months in the spring and autumn, cupping manifestations of dysbiosis.Only in this case will be the effect of the primary therapy.
children after 1 year is recommended to eat foods that stimulate the development of normal microflora: dairy, including Actimel, Imunele, Bifilakt;products made from corn, buckwheat, unpreserved juices, cabbage, carrots, zucchini.
If the microflora found hemolyzing E. coli and staphylococci, the useful reception of dairy products containing bifidobacteria and lactobacilli.If there is the presence of fungi of the genus Candida and Proteus, you need to take dairy products that do not contain probiotics, such as yogurt, fermented baked milk, Evita, as they inhibit the growth of this particular pathogens.
children from 1 year of age and older can be offered ready-made milk products: Bifidok, Bifilife other, containing, as a rule, Lactobacillus acidophilus and Bifidobacteria.But bifidobacteria in them very much, so they can not replace drugs Bifidumbacterin and Lactobacterin, but they always successfully complement.A large number of beneficial microflora found in sour-milk Bifilakt.
If the condition of the gastrointestinal tract of the child makes the physician anxiety, he may appoint Baktisubtil, which is composed of bacterial spores, uncharacteristic for the human intestine, but to help digest food and displacing not associated with the microflora of the intestinal mucosa.But in this case need constant professional supervision, as prolonged uncontrolled taking this drug bacterial spores can spread beyond the bowel, which is fraught with serious complications.
Of all the varieties of probiotics is to highlight liquid biocomplexes Normoflorin A, B and D. It contains bifidobacteria and lactobacilli in a biologically active state and, not least, their metabolic products: vitamins, minerals, amino acids, natural antibioticcomplexes, enzymes and peptides that enhance the formation of local immunity.Normoflorin lactitol contain prebiotic that stimulates the growth and proliferation of beneficial microflora in the intestine.
Normoflorin fully comply with all safety requirements, since it does not contain cow's protein and lactose supposedly eye that allows you to assign their children with allergies and lactase deficiency since birth.
Normoflorin presented in three forms: A- based on lactic acid bacteria, B - bifidobacteria and D - the combination of lactose + bifidoflora (strains but they are different, it is not a direct replacement for R + D, and another drug).Assign them as combined (morning and dinner - A night - B, or D) or separately (for constipation first 2 weeks - L then 2 weeks - B or D).Furthermore, Normoflorin Lmozhno use as dermal applications, for gargling, nasal instillation, and B - in the form of micro-enemas, which is especially important for small patients.
Besides the above means for the normalization of microflora used vitamins, minerals and adaptogens.
Among vitamins can recommend Biovital, Multitabs, Sana-Sol, as well as children's Vitrum, Centrum, Jungle, peak and others. Very effective, but, unfortunately, because of the high prices do not each available comprehensive multivitamin preparations of firms "Neways"" Sunrider® "," Vision "," Inrich "" Artlife ".They contain usually chelates, i.e. vitamins, protein-bound, and therefore easy to penetrate directly into the cells.
In order to strengthen the immune system and create favorable conditions for "engraftment" beneficial microflora used by such well-known adaptogens as ginseng, Chinese magnolia vine, Aralia, Rhodiola rosea, and extracts from them, for example Neovitin.When violations of metabolism and reduce appetite may be assigned to preparations containing trace elements such as Beres drops plus.
At the end of the section you want to tell readers about the prospects, in principle, a very short-sighted.
already developed methods of introducing the donor (parent) of bifidobacteria and lactobacilli child 2 hours after birth (to prevent settling in his gut pathogenic microflora).It is very promising as a prevention and treatment of so-called functional food, when prepared food products are added biological products that are based on their own human microflora, including children.
Once again I want to remind you that since the goiter has many causes, and the selection of funds is carried out strictly individually for its correction, taking into account many factors.So, there is no effect of treatment, based only on the results of fecal bacteria overgrowth.It is necessary to take into account the reasons that led to the disruption of microflora activity, clinical manifestations, processing time, the presence of other diseases.Nevertheless, I can give some general guidelines.
Firstly, the obligatory reception enterosorbents, which not only removes toxins and allergens, but also enhance the protective properties of the intestinal mucosa (especially Zosterin Ultra 30%).
Secondly, it is necessary to eliminate the causes that led to dysbacteriosis.
Thirdly, any remedial measures should be carried out for a long time, with repeated courses of support.Otherwise bowel condition deteriorated again.
Fourth, do not forget to tell your doctor about (!) Problems with the gastrointestinal tract (many inherited diseases).
Fifth, probiotics must be selected individually and periodically (every 2-4 weeks), replace them with others.
And finally, the last one.You can not make a mistake in the interpretation of the changes taking place in the child's condition.If your child feel better, and then again there were signs indicating the troubles of the gastrointestinal tract, should think, not whether we accept for dysbiosis, for example, acute infectious enterocolitis.Treatment in this case both.
There is a good way to monitor the effectiveness of treatment disbakterioznyh disorders in the gut of a small child.It is not only crop of a feces on a dysbacteriosis (alas, it's a very long process), but also the dynamics of weight gain in a child, as well as its psychomotor development.If a child develops according to age, active and happy - then you are on the right track!
As we have said, goiter can cause a variety of reasons - from malnutrition to child development anomalies.Therefore, the treatment of this disease should be individualized and complex.
This complex!Many years of practice shows that the cure dysbiosis (whatever its cause) one, even the most modern and high-quality, preparation is impossible.Yes using one drug over a prolonged period, it is possible to observe an improvement in the state of health of the child.Moreover, it will confirm the improvement and analysis.But practice shows that the child starts to hurt again in a few months, become lethargic, not eating, he observed frustration of a chair.That is, everything is back to square one ...
dysbiosis Treatment of children - is a set of activities: the medication, proper diet, adherence of the day and nutrition, prevention of dysbiosis in others (parents, nurses).Furthermore, the treatment should be gradual.I distinguish two phases of treatment itself and the third - the final, which reinforces the effect obtained after the first two.
The first stage is to suppress pathogenic microbes and normalization of microflora.Suppose the child dyspepsia symptoms: diarrhea, vomiting, dehydration, intestinal complaints in the area of pain.What should I do first?Why?