Запори у дітей – особливості лікування захворювання

Запори у дітей – особливості лікування захворювання

Особливості лікування дитячих запорів

Навряд чи хтось буде заперечувати той факт, що одне і те ж захворювання у дітей і дорослих може мати різні причини, відрізнятися перебігом і підходами до терапії. Ось і запори у дітей вимагають дещо інший тактики в порівнянні з дорослими.

При такій проблемі, як запори у дітей лікування повинно бути не тільки ефективним, але й безпечним. Адже дитячий організм набагато чутливіші до зовнішніх впливів, тому і поводитися з ним потрібно дуже дбайливо.

Що необхідно враховувати при лікуванні закрепів у дітей?

Вік дитини. Від цього залежить, що він їсть, а значить, і дієта при запорах у дітей різного віку буде відрізнятися. Крім того, цей фактор впливає і на лікарські призначення, оскільки деякі проносні засоби мають вікові обмеження. Органічні або функціональні дитячі запори. Затримка стільця на тлі анатомічних дефектів кишечника (доліхосігма, хвороба Гіршпрунга, пухлини) однозначно вимагає лікарського втручання. Такі порушення усуваються виключно хірургічним шляхом, тому одним батькам тут не справіться. А ось функціональні запори, що виникають при здоровому кишечнику, можна лікувати самостійно. Стан кишкового тонусу. що легко визначити за формою калу. Спастичний запор у дітей вимагає зовсім інших заходів, ніж атонічний, і щоб лікування було ефективним, цими відмінностями не варто нехтувати. Причини запорів у дітей. які не завжди збігаються з такими у дорослих.

Що найчастіше викликає дитячі запори?

Деякі причини запору у дітей мають свої особливості:

    Чим молодша дитина, тим легше його стілець порушується від неправильного харчування. Винуватицею, що провокує запори у малюків до року, що знаходяться на грудному вигодовуванні, нерідко буває мати. У «искусственников» того ж віку – невідповідна суміш або дефіцит води. А запор у дітей 2 років і старше виникає через «дорослої» причини – дефіциту харчових волокон. Психологічний запор у дітей – явище не менш часте, ніж у дорослих. Він може бути і у немовлят, і у дошкільнят, і у дітей молодшого шкільного віку, оскільки дитяча психіка болісно реагує навіть на незначні з позиції дорослого речі. Наприклад, запори у маленьких дітей до року легко можуть виникнути через насильницького відлучення від грудей. Захворювання у дітей 3 років нерідко збігаються з початком відвідування дитячого садка, а у дітей 6 років – зі вступом до школи. Так що зміна звичної для дитини обстановки може стати тим самим подразником, який «зіб’є» правильну роботу кишечника.

В ідеалі, перш ніж лікувати дитячий запор, потрібно розібратися, НІЖ він викликаний, і спробувати усунути причину. Часто цього виявляється достатньо, щоб кишечник знову запрацював як годинник.

Як лікувати захворювання?

Якщо лікар виключив органічну причину запору у вашої дитини, і ви визначили стан тонусу його кишечника, можна приступати безпосередньо до процесу лікування.

Оскільки неправильне харчування при запорах у дітей часто є провідною причиною затримки стільця, починати потрібно саме з нього:

Якщо дитина знаходиться виключно на грудному вигодовуванні. швидше за все, саме ви, а точніше, похибки вашого харчування винні в сформованій ситуації. Тоді з материнського меню при запорах у дітей потрібно виключити закріплюють продукти: білий хліб, рис, манну кашу, молоко, кава, какао і чорний чай. Це у випадку атонического запора. Еслі в кишечнику дитини спазм, і цей стан супроводжується здуттям живота, матері необхідно прибрати такі продукти, що викликають запор у дітей, як соковиті фрукти, наприклад, сливи, апельсини, персики, абрикоси, яблука, а також бобові, ягоди, квас і газовані напої. Якщо вигодовування штучне. то хронічний запор у дітей в цьому випадку викликаний невідповідною сумішшю або недостатнім вживанням води. Прімерное кількість води, яку потрібно вашому малюку, береться з розрахунку 40 мл / кг маси тіла. Якщо ж він випиває потрібний обсяг, то причина затримки стільця може бути в смесі. К щастя, сьогодні на ринку величезний вибір замінників грудного молока, так що дитяча суміш при запорах може бути обрана без особливих труднощів. При цьому перевагу слід віддавати тим, які містять харчові волокна. Вони посилюють перистальтику кишечника і відновлюють регулярність стула. Хорошо зарекомендувало себе таке дитяче харчування при запорах, як Омнео і Фрісовом. Виражений послаблюючий ефект дають і суміші на основі біфідо – і лактобактерій. Це Малютка ацидофільна, Биолакт, Біфілін, Нан кисломолочний, Лактофідус. Їм слід віддати перевагу, якщо запор виникає на тлі кишкового дисбіозу. Якщо виникають запори у малюків після року. коли дитина їсть практично все, потрібно проаналізувати його меню і прибрати з нього закріплюють і газообразующие компоненти. Акцент зробити на овочеві супи і пюре, а також кисломолочні продукти.

Проносні засоби при запорах у дітей

Не завжди дієта призводить до потрібного результату, і стілець дитини не відновлюється, незважаючи на всі старання матері. Тоді лікування хронічного запору у дітей доводиться проводити з використанням лікарських препаратів.

У дітей медикаментозна терапія має деякі особливості в порівнянні з дорослими:

Будь подразнюючу ліки від запору для дітей протипоказано. Хоча виробники препаратів на основі сени і бісакодилу допускають їх застосування з 6 років, є інші, більш м’які і абсолютно нешкідливі препарати від запору у дітей. Так що, немає ніякої необхідності ризикувати. Це ж справедливо і щодо сольових проносних – магнезії і карловарской солі. Епізодичні запори Комаровський – відомий в мережі дитячий лікар – рекомендує усувати гліцериновими свічками. Вони абсолютно нешкідливі навіть для новонароджених. Складніше йде справа, коли є хронічні дитячі запори – лікування в цьому випадку буде більш тривалим, а застосовувані препарати повинні бути м’якими і не викликати прівиканія. Ідеальное засіб від запору для дітей – Дюфалак та інші сиропи на основі лактулози. оскільки вони можуть використовуватися тривало і практично не мають протипоказань. Ці препарати для лікування закрепів у дітей мають ще один плюс – їх можна застосовувати з перших днів життя дитини.

Що стосується масел для лікування закрепів, то вони не доходять до товстого кишечника, расщепляясь в тонкому. Тому втрачати час і сподіватися на те, що, наприклад, вазелінове масло при запорах у дітей дасть виражений послаблюючий ефект, не варто.

Багато батьків побоюються використовувати лікарські препарати, а воліють застосовувати природні засоби. Чи можна, і як боротися з запорами у дітей за допомогою народних засобів?

Лікування закрепів народними засобами у дітей

Чим молодша дитина, тим обережніше треба бути з вибором методів лікування, навіть природних і натуральних. Народні засоби від запору у дітей краще підбирати відповідно до тонусом кишечника.

Так, при спастичному запорі. сопровождающемся коліками і здуттям, добре підійде ромашка. При атонії деревій, кульбаба і кропива м’яко «запустять» кишечник в роботу. Такий же ефект нададуть ягоди – брусниця і агрус.

Поряд з травами ефективний і масаж при запорах у дітей, особливо грудних. При атонії кишечника погладжування і легке пощипування животика за годинниковою стрілкою, почергове згинання та розгинання ніжок в колінних і тазостегнових суглобах з приведенням їх до живота надають стимулюючу дію.

При спастичних запорах масаж виконується також за годинниковою стрілкою, але він повинен бути максимально щадним, а хи ніжними і поверхневими. Процедуру масажу можна закінчити накладанням на животик теплою пелюшки, додатково знімає кишкові спазми.

Намагаючись вирішити проблему запору у дитини, батьки повинні пам’ятати, що підхід завжди повинен бути комплексним. Жодне лікарський засіб від запору у дітей не в силах усунути проблему, якщо залишається її причина.

А ось якщо вдається прибрати причину, що викликає запор, лікування у дітей зазвичай закінчується повним відновленням стільця.

Пам’ятайте і про те, що профілактика запорів у дітей повинна проводитися з перших днів життя дитини. Правильне годування у відповідності з віком, включення в раціон корисних для кишечника продуктів, стілець «на першу вимогу», а також любов і увагу матері – ось нехитрі правила. дотримуючись яких, ви будете підтримувати ритмічну роботу кишечника у свого малюка.

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