SU1673063A1 - Method for determination diet for infantile hypotrophy - Google Patents

Abstract

The invention relates to the field of medicine, in particular to children's dietetics, and can be used to treat sick children with low-sorption syndrome. In order to increase the reliability of the method in children with low-sorption syndrome, blood tests and after trial feeding are carried out for two to three days, the content of bile acids in the blood serum is determined and a diet is selected for diet therapy, at which the level of bile acids increases to 21 5 - 138.2 μmol / L.

Description

The invention relates to the field of medicine, in particular to children's dietetics, and can be used to treat sick children with malabsorption syndrome.

The aim of the invention is to reduce the timing of the selection of diet.

PRI me R 1. Sick Baiba P., 3 months., Entered the Republican clinical hospital 1/16/87 about the dysfunction of the gastrointestinal tract.

Salmonellosis was diagnosed, in connection with which I received antibacterial and symptomatic therapy.

In spite of the course of treatment, the condition of the child remained moderately desirable. Stool 4-6 times a day, undigested, with mucus.

Coprogram: PH - 5.5; neutral fat +, fatty acids - c.

Trypsin activity is reduced - 1:20 x-ray film test.

Body weight in Snake. 3.100, body length 54 cm, thickness of the fat fold in the area of the triceps muscle 3 mm, i.e. below 5 centered.

The diagnosis of secondary malabsorption syndrome after suffering salmonellosis. Hypotrophy III.

Bile acids in the blood serum before the start of diet therapy are not detected.

Assigned donor milk 120,0x7 in combination with symptomatic therapy. After 2 days, the level of bile acids in the serum of 14.6 µmol / l, which indicates the inadequacy of nutrition to the child’s body, in the next 2 weeks the increase in body weight was not observed, the state of the child remained unchanged.

Assigned to a low-lactic mixture. After 2 days, the content of bile acids in the blood is 138.2 μmol / l, which indicates the correctness of the chosen diet therapy tactics. After A day after the LCD analysis, the child began to gain weight. In the next 8 days the average daily weight gain is 30.0 g / day. The condition of the child has improved, the stool has normalized.

Conclusion: Based on the data obtained, the level of bile acids in serum

Yo

About 4J

SO O O W

blood 14.6 µmol / l indicates the wrong selection of diet, and 138.2 µmol / l

Choosing the right diet for this child.

PRI mme R 2. Sick Renata K. 1 year

1 month entered the RCCH 07.09.87 with a diagnosis of celiac. Hypotrophy II degree. Hypotesture. Tight condition, body weight 8.000, height 69 cm.

The child in the ly, the emotional tone is reduced. Expressed muscle hypotonia. It does not go without support. The skin is pale. The subcutaneous fat layer is reduced - the thickness of the skin-fat fold in the area of the triceps muscle is 6 mm, below 15 centiles. The stomach is big, swollen. The liver is 2 cm below the costal arch. The occurrence of rickets in the subacute stage, stool 2-3 times a day, copious, offensive.

Coptogram: pH 6.0, neutral fat. intracellular starch. The radiograph of the gastrointestinal tract corresponds to the picture of celiac disease. Bile acids in the serum were not detected.

Assigned gluten diet, enzymes, vitamins, calcium supplements. During the first week of dietary therapy, anorexia remained, the stool was abundant and smelly. However, the content of bile acids in the blood after 3 days from the start of diet therapy is 21.5 μmol / l, which indicated adequate diet therapy.

6 days after the analysis of the FA, an increase in body weight began and in the coming week was 50.0 g / day. My appetite improved, my stools returned to normal.

Conclusion: the level of bile acids in the serum of 21.5 μmol / l indicates the correctness of the choice of diet therapy.

Claims (1)

DETAILED DESCRIPTION A method for determining a diet for children with hypotrophy by examining blood before and after a test meal, characterized in that, in order to increase the reliability of the method in children with malosorption syndrome, test feed is carried out for two to three days. serum bile acids and a diet is selected for diet therapy, in which the level of bile acids rises to (21.5-138.2) μmol / L.