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Atopic dermatitis
First of all ... what is it - atopic dermatitis, or what was called earlier
diathesis ... Red cheeks, spots on the skin, sores behind the ears, unexplained
rash in children before the year ... All of this falls under the concept of
Atopic dermatitis and many parents begin to think that is a disease. However,
this is not so. Atopic dermatitis - a skin condition description, description of
a symptom, to the appearance of which can cause all sorts of reasons, different
disease or condition of an organism. Consequently, we must think not about how
to remove the rash, but about what the cause of this rash is caused and what to
do with this very reason. By removing the cause, parents will be able to get rid
of the rash in a child.
Consider the most frequent causes.
The first reason is "I'm here is bad and uncomfortable." Treatment is needed.
The essence of the appearance of the skin of the child changes (pimples, spots)
in the first month of life. The reason is simple - the skin of the child adapts
to the environment. Earlier on the skin did not pressed, not rubbed around was
sterile and very humid ... And now: it blows, it bakes, then a third, that tight,
but still no clean - everywhere different microbes, and dust ... and no very
gentle diaper and general cleaning of the situation will not change and can not
be compared to comfort with the previous seat of the baby.
What to do? Using cosmetics - baby milk, cream with vitamins A and E, to bathe
the child with the use of funds for bathing babies.
What to do? Avoid swimming only in the water, soap, bathing in herbs. Avoid
using oils. Oil can be applied only in the winter and only for protection from
the cold to walk, spread open parts of the body - usually the only person.
The second reason. Dysbacteriosis. Reason Dysbacteriosis similar to that just
considered. Namely, the dirt. Dirty in this world, compared with the mother's
belly. And all the bacteria tend to get into the mouth, intestines of the child
and convenient to settle there. The immune system of adults with such aggression,
as usual, and successfully fought without any treatment. But the baby's body has
not yet mature, not perfect in their defensive response. So sometimes a
situation arises when his tummy is diluted too much unfriendly microbes. If it
is, except for the detected change in the analysis of dysbiosis is accompanied
by restlessness, rashes, poor appetite, poor weight gain in a month (less than
600 grams), the frequent, more than 10 times a day, a chair, no stool within
days or painful chair, accompanied by tears, it makes sense to treat dysbiosis.
But as you can see, almost all the symptoms, take at least "concern" is very
subjective, that does not require the parent, and medical evaluation. However,
as treatment, should appoint a physician.
Emergence dysbacteriosis can reduce the banal hygienic procedures, such as hand
washing, sterilizing the nipple, etc. But it is well placed to modern parents,
and they are sufficiently satisfied. It does not make the child a sterile
environment, and it is not necessary. It is important that the microbial load
does not increase sharply, but gradually, during the year. For then the child
will creep, go, inspect the rug and boots in the hallway and zapihnet his hands
in his mouth ... And it's better that he had before that was already somewhat
familiar with the bacteria.
One of the reasons dysbacteriosis, but that is completely and entirely can be
resolved - is the microbial contamination of breast milk. A micro-cracks in the
areola, in the mammary gland fall, or rather can, in some cases fall, bacteria,
usually - Staphylococcus aureus. However, his number, thanks to the immunity of
the mother remains small and does not lead to purulent mastitis, but part of
staphylococcus excreted in milk and frankly, when feeding, falls into the
stomach of the child. If you suspect such a situation, the doctor recommends to
give a mother breast milk for sterility. In most modern laboratories that make
the crop, followed by determination of the sensitivity of the detected microbe
to antibiotics and bacteriophages. Based on what germ is found and what drugs it
is sensitive, the doctor prescribes treatment that can be both internal - when
pills, as well as local, which is more preferable, and is obrabatyvanii breast
fluid, or bacteriophage with antibiotic ointment.
The reason for the third. Inadequate introduction of food. Word of the food here
is used deliberately, because everything that gets the child's stomach, his body
is considering how the food you want to digest and assimilate. Therefore, under
the concept of food reach not only lures, but also numerous teas or medicines in
syrup, infant formula, vaccines "in droplets, and, in fact, any solid foods.
The word "adequately" is not used too casually. There are children who are
beginning to introduce solid foods in a month, the old-fashioned, and with them
nothing happens. There are children who at birth are at an artificial feeding
and live without any case of atopic dermatitis. But our task is "to cross the
road in the wrong place at the stoplight, and to learn and implement security
policies introduction of complementary foods (food) in the diet of the child, so
then do not treat it from dermatitis, which was a consequence of traditions,
haste, the desire to feed and t . e. The body of each child is unique and to
predict when he will be able to digest anything other than breast milk is very
difficult. To date, type lures are recommended not earlier than 6 months.
Previously only breast milk and / or a mixture. But a mixture of complementary
foods should be introduced, and according to certain rules that the child did
not arise dermatitis. Timing, intensity, volume of the introduction of
complementary foods and defines the notion of "adequacy" and "inadequate".
Here it should be said, and a violation of a mother diets lactating women. Mom's
food, processing in the body, gets into breast milk and some foods, even in a
processed form, some children, cause the appearance of atopic dermatitis.
Typically, this exotic fruit, sweets, etc. Should be attributed to sweets and
sweet rolls, and cookies.
The general recipe for moms - eat what you ate during pregnancy, eat what your
ancestors ate (for example, peasants in the countryside - potatoes, carrots,
cereal, yogurt, etc.), but watch for the child's condition. If you're on holiday
eating something new or during the week of the diet consisted of something
special, and "suddenly" a child sprinkled changed chair ... we must cancel this
product, view a week or two for the child and if the symptoms are not gone - go
a doctor for treatment.
Concerns about moms red food - apples, for example, or carrots - should be
attributed more to the myths, rather than to the true reasons. On the green
apple, eaten by mother, the child can also sprinkle. Predicting a child and what
can sprinkle virtually impossible. And when you try to do it carefully, it is
easy to come to a diet consisting only of water ...
Why are we so much space devoted to this third reason? Because this gives rise
to the cause of atopic dermatitis in children up to 85% of the year.
It is easy to conclude that because there are two important reasons described
above, leading to atopic dermatitis, the allergy to talk about - why have not
mentioned, and which subsequently appeared not to be. Ie percentage of food
allergies in children before the year is negligible. And it's very important
that the mother is aware of and even in conversation with the pope did not
mention the word, for the correct introduction of complementary foods - is the
introduction and expansion of the diet, an allergy is - this is an exception, an
exception, and once again the exception.
How to enter the food "adequately".
First. Avoid feeding mixture in the hospital. In some advanced maternity clinics,
children do not finish feeding mixture, awaiting the arrival of milk, and allow
them to actively suck the colostrum, if necessary dopaivaya water. This is done
in 3-4 days. It is safe. During this time my mother actively stimulated the
child manages to reach the milk.
Make it simple and doing so you avoid the first food stress, which can trigger
the development of atopic dermatitis, which emerge later - a month, or three,
but the underlying cause of which was inadequate, giving a massive mixture.
Second. Up to 5-6 months to feed a child for the possibility of exclusively
breastfed. If you must enter the mix, try to do this in advance, at the first
sign of reducing the number of milk. Enter slowly and gradually. Today, 5 ml,
tomorrow 10, the day after tomorrow 20. Possible after each feeding, but
invariably after breast milk, and not before.
Do not change from one brand to another mixture. In most cases, it only
aggravates the complaint and does not make the slightest use.
Third. By 6 months of life, enter the mixture in an amount at least 100ml per
day, breaking her reception, for example, 5 feedings. This will dobetes full
ration for the child and not damage the lactation.
Replace one feeding a mixture of wholly undesirable. First of all this, again,
the food stress - stress on the child, the mother's milk is not prepared to
accept a mixture of food, and secondly, and even the principal - the replacement
of one or more feedings mixture will inevitably lead to a decrease in lactation,
and thus to reduce the period breastfeeding.
Fourth. With six months start to enter lures. Best use for this is not home-made
lures, and commercially available jars of special baby food.
First, enter the juice, then puree, then oatmeal. Then you can enter the cottage
cheese, meat.
Introducing lures must be after the breast or a mixture LATE FEEDING - for
dessert. Start at the drop of juice from the puree on the tip of a teaspoon, a
quarter teaspoon of oatmeal, etc.
In one week, you can enter only one new product. The next week, continuing to
increase the volume of the first product, you can introduce a second product.
If suddenly, the child's condition with the introduction of the product
adversely changed, cancel the input is a product, give your child a rest week
and enter another product. By revoked same product you can return later - after
1-2 months.
This algorithm is the introduction of supplementary feeding and general baby
food will help avoid the development of atopic dermatitis.
Pediatrician Sokolov AL
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