Mukaka wakagadziridzwa uye wakagadzirirwa vana vane allergies yechikafu kana kusawirirana kwelactose

Mapuroteni emukaka wemhou ari pakati pezvinonyanya kudyiwa zvekudya. Iri idambudziko hombe kuvana vanenge vapihwa mukaka weupfu nekuti mukaka wemombe kana wembudzi unogadzirwa nemukaka wemombe. Kusagadzikana kweLactose muvacheche kwakasiyana zvachose nekudya kwekudya kumukaka (inonzi protein diathesis) uye inoda kurapwa kwakasiyana. Kune vana vane marudzi ese emamiriro ezvinhu, kune zvakakosha zvinotsiva mukaka zvinowanzozivikanwa se "specialized" zvinotsiva mukaka.

 dr n. farm. Maria Kaspshak

Attention! Ichi chinyorwa ndechezvinangwa zvekudzidzisa chete uye hachisi chinotsiva mazano ekurapa! Muchiitiko chimwe nechimwe chemalaise mumwana, zvakakosha kubvunza chiremba uyo achaongorora murwere uye anokurudzira kurapwa kwakakodzera.

Pamberi pemishonga - mukaka we hypoallergenic kudzivirira mapuroteni mavara

Tsika yekusawirirana nemuviri inogona kugarwa nhaka, saka kana mumhuri yemwana achangozvarwa mune allergies, njodzi yekuti mwana achavewo allergic yakakosha. Kana mumwe wevabereki kana vanin'ina vemwana aine allergic kumaprotein emukaka, saka - kana amai vasingakwanisi kuyamwisa - zvakakosha kufunga nezvekupa mwana anonzi hypoallergenic mukaka, wakanyorwa nechiratidzo. HA. Mukaka uyu ndewevana vane hutano vasati vava neallergies uye unoshandiswa kuderedza mukana wekuita allergies. Iprotein iri muHA mukaka ine hydrolyzed zvishoma uye naizvozvo allergenic maitiro ayo akaderedzwa, asi haana kubviswa zvachose. Kana mwana wako ane mukaka weprotein allergies, maererano nachiremba, iwe uchada kushandura kune chaiwo maforomu kune vacheche vane kushaya mapuroteni.

Mukaka wembudzi wakakodzera here kune vane allergy?

Aihwa. Mishonga yemukaka wembudzi ine mapuroteni akafanana nemaprotein emukaka wemhou zvekuti nguva dzese vana vanosawirirana nemukaka wemhou vanozotadzawo kumukaka wembudzi. Zvakakosha kubvunza chiremba wako kana vana vane hutano vachigona kusarudza mukaka wembudzi panzvimbo yemukaka HA kuderedza njodzi yeprotein yemukaka wemombe. Zvisinei, kunyange munyaya iyi, haufaniri kuita sarudzo yakadaro iwe pachako. Vacheche vane chirwere chekare chakaonekwa (protein defect), kana vasinganwi mukaka waamai, vanofanira kugamuchira gadziriro dzakagadzirirwa dzakagadzirirwa ivo.

Kushaikwa kweprotein panguva yekuyamwisa

Kumwana ane allergies, zviri nani kana amai vachiyamwisa, sezvo mukaka waamai usingakonzere allergies. Zvisinei, vamwe vanaamai vanoona kuti vana vavo vanoyamwisa vanova nezviratidzo zveallergy - rashes, colic, kurwadziwa mudumbu nezvimwe. Zvinogona kuitika kuti zvimwe zvikamu zvechikafu chaamai zvinopinda mumukaka wavo zvokonzera allergies muvana. Zvakanakisisa kutarisa kuti ndezvipi zvokudya zvakadyiwa naamai, mushure mokunge mwana atanga kunzwa asina kunaka, uye kusabvisa zvokudya izvi kubva pakudya kwenguva yekuyamwisa. Vanamai vevana vane allergies inozivikanwa kumapuroteni emukaka, mazai, kana nzungu vanofanira kudzivisa kudya uku kusvikira varumurwa. Nekudaro, kana mwana asina allergies, saka kudzivirira zvigadzirwa izvi "chero kana" hazvidiwi. Amai vanoyamwisa vanofanira kudya zvakasiyana-siyana sezvinobvira uye kuunza kudya kwekubvisa chete kana zvichidiwa. Kuti uwane mazano anovimbika, unofanirwa kushanyira chiremba uyo achaita chirwere chakarurama uye atsanangure kana zvirwere zvemwana zvakanyatsoenderana nemishonga kana chikonzero chakasiyana.

Mukaka unotsiva vana vane allergies

Kana chiremba aona kuti mwana wako haawirirani nemapuroteni emukaka, unofanira kumupa mafomula akagadzirirwa diki diki. Kuti vaderedze zvakanyanya allergenicity yeprotein, ivo vanoiswa pasi pekuwedzera hydrolysis, kureva, mune mamwe mazwi, mamorekuru avo anochekwa kuita zvidimbu zvidiki izvo zvakasiyana nemapuroteni ekutanga muchimiro zvekuti haazivikanwe nehutachiona. muviri se allergens. Kune 90% yevana vane allergies, kutora mishonga iyi inokwana kubvisa zviratidzo uye kuvandudza hutano hwemwana. Zvigadzirwa zveprotein zvine hydrolyzed zvine lactose-isina, asi tarisa ruzivo nezvechigadzirwa chaicho kana kubvunza chiremba usati wapa vana vane lactose-contraindication. Kune akasiyana magadzirirwo emishonga yakadaro - semuenzaniso, ine zvinowedzera zveprobiotics kana MCT mafuta.

Elemental kudya kwakavakirwa pamahara amino acids

Dzimwe nguva zvinoitika kuti mucheche ane chikafu chakasimba chakadaro zvokuti kunyange mapuroteni e-hydrolyzed anokonzera zviratidzo zvechirwere kusvika pamwero mukuru. Dzimwe nguva unorwara nemapuroteni akasiyana-siyana kana zvimwe zvinovaka muviri, izvo zvingave zvichikonzerwa nekusagadzikana kwekugaya uye kunyura. Ipapo chipenyu chidiki chinoda kupihwa chikafu icho chinenge chisingafanire kugaya, asi iwe unogona kubva watora chikafu chakagadzirwa. Mishonga iyi inonzi yemahara amino acid (AAF - Amino Acid Formula) zvigadzirwa kana "elemental diets". Iro zita rinobva pakuti amino acids ndiwo akakosha ekuvaka mapuroteni. Kazhinji, mapuroteni anogayiwa, i.e. zvakaputsika kuita amino acids emahara, uye aya amino acids chete anopinzwa muropa. Elementary dietary preparations inokubvumira kuti upfuure nzira yeprotein digestion. Kuvonga neizvi, muviri wemwana unodya nyore nyore kudya uye kwete-allergenic zvokudya. Kugadzirira kwakadaro kazhinji hakunawo lactose, sirasi yeglucose chete, zvichida starch kana maltodextrin. Iyi misanganiswa ine hunyanzvi inogona kungopihwa pasi pekutariswa nachiremba.

Dairy-isina gadziriro inobva pane soy protein

Kune vana vane allergic kumaprotein emukaka, asi kwete allergic kune soy kana mamwe mapuroteni, kune zvinotsiva mukaka zvinoenderana neprotein yesoya. Vanogona kunge vakamakwa nechiratidzo SL (lat. sine lac, isina mukaka) uye kazhinji zvakare isina lactose. Kana iri mishonga, kune kudzoserwa, asi kana pasina kudzoserwa, musanganiswa wakadaro wakachipa zvakanyanya pane hydrolyzate kana yekutanga kudya.

Nekusagadzikana kwelactose mumwana - galactosemia uye kushomeka kwelactase

Lactose chikafu chakakosha pakukura kwemwana wako. Haifaniri kudziviswa zvisina kufanira, asi pane dzimwe nguva iyo inofanira kubviswa kubva pakudya kwemwana. Lactose (kubva muchiLatin lac - mukaka) - carbohydrate iripo mumukaka - disaccharide, mamorekuru ayo anoumbwa nemasara eglucose uye galactose (kubva pashoko rechiGiriki gala - mukaka). Kuti muviri utore ma carbohydrates aya, molecule ye lactose inofanira kugayiwa, i.e. kupatsanurwa kuita glucose uye galactose - ivo chete vanopinzwa muropa mudumbu diki. Iyo enzyme lactase inoshandiswa kugaya lactose, inowanikwa mumhuka duku dzinoyamwisa, kusanganisira vacheche. Mumhuka uye vamwe vanhu, basa re enzyme iyi rinoderera nezera, nokuti mumasikirwo, mhuka dzakura hadzina mukana wekunwa mukaka. Zvisinei, kushaikwa kwelactose muvacheche hakuwanzoitiki uye chirwere chemajini. Kana izvi zvikaitika, lactose isingagadzirwe inoviriswa mumatumbo, zvichiita kuti gasi, manyoka, uye kusagadzikana kwakanyanya. Mwana akadaro haafanire kuyamwiswa mazamu kana kuti kuyamwiswa.

Chechipiri, kupesana zvachose pakuyamwisa mwana - kunyange mukaka waamai - chimwe chirwere chemajini chinonzi galactosemia. Ichi chiitiko chisingawanzoitiki chinogona kuitika kamwe chete muvana vanozvarwa makumi mana kusvika makumi matanhatu. Ne galactosemia, lactose inogona kugayiwa uye kubatwa, asi galactose inoburitswa kubva mairi haina metabolized uye inounganidza mumuviri. Izvi zvinogona kutungamirira kuzviratidzo zvakakomba: kusashanda zvakanaka kwechiropa, kuderera kwekukura, kukanganisa pfungwa, uye kunyange rufu. Ruponeso chete rwemucheche kazhinji chikafu chisina lactose. Mwana ane chirwere ichi anogona kungopiwa zvinodhaka zvinodhaka, mugadziri wacho anotaura kuti akagadzirirwa vana vanotambura negalactosemia. Vanhu vane galactosemia vanofanira kugara vachidzivisa lactose uye galactose muupenyu hwavo hwose.

Mabhuku

1. Nutrition yevacheche nevana vadiki. Mitemo yekuzvibata mukudya pamwe chete. Basa rakagadziriswa naGalina Weker naMarta Baransky, Warsaw, 2014, Institute of Amai nemwana: http://www.imid.med.pl/images/do-pobrania/Zykieta_niemowlat_www.pdf (Yakasvika 9.10.2020/XNUMX/XNUMX Gumiguru XNUMX G .)
2. Tsanangudzo yegalactosemia muOrphanet Rare Disease Database: https://www.orpha.net/data/patho/PL/Galaktozemiaklasyczna-PLplAbs11265.pdf (yakasvika 9.10.2020/XNUMX/XNUMX)

Mukaka waamai ndiyo nzira yakanaka yekudyisa vana. Mukaka wakagadziridzwa unowedzera kudya kwevana avo, nokuda kwezvikonzero zvakasiyana-siyana, havagoni kuyamwisa.