About locks at children of
of Violation of a functional condition of a thick gut or a lock a happy widespread disease at children`s age. In medical literature in recent years it received the name “Syndrome of the Angry Intestines“. The lock occurs at children of the most different age, but is especially frequent at the younger school students and children visiting preschool institutions. In most cases this disease not always brings painful feelings to the child, therefore obviously insufficient attention is paid to this pathology. Parents late enough learn about this disease at the child if the child constraining, reserved.
Treatment of locks - long, intense and not always the grateful task, only purely medical approach to this problem does not solve the majority of problems. Children with chronic locks become sluggish, irritable, timid, their progress at school quickly decreases. Many children for fear of painful feelings at the act of a defekation become isolated, independently suppress natural desires, thereby aggravating the course of a disease, so-called “vicious circle“ is formed.
Thus, chronic functional locks gain the social importance from the children attending preschool institutions and school; therefore pediatricians practically always hope for the help and support in rehabilitation of children of parents. Only parental leaving and a benevolent situation help to receive resistant results.
Locks is called abnormal work of a thick gut, which is shown by rare defekation at the child (more rare than once in two days) or their total absence for a long time (that very often meets) complicated and the painful act of a defekation, small quantity of a chair (dry and strong character), absence of physiological feeling of full depletion of intestines.
the Thick gut of the person is the place of formation of kalovy masses, it has about P - a figurative form. Length of all thick gut at the child is more senior than 3 years averages 1 - 1,5 meter. Kalovy masses is formed of the undigested and undeveloped remains of food masses. It occurs by their partial dehydration and different types of the peristaltic movements of a gut forming and advancing kalovy masses to an exit. The considerable part of kalovy masses makes a huge number of microbic bodies. According to microbiologists, in 1 gram the calla of the healthy person is found from 30 to 40 billion microorganisms.are diverse
of the Reason of locks. We, pediatricians, consider that locks first of all are connected with irrational food or a so-called alimentary factor. Deficiency in a food allowance of coarse-fibered vegetable cellulose as one of the main stimulators of an intestinal vermicular movement is the reason of chronic locks (vegetables, fruit, rough grades of bread, gray grades of grain, etc.) and also the use in food of the high-calorific, refined food. As a result of similar food in a thick gut the small number of the dehydrated fecal masses is formed, their advance on intestines is broken. It was noticed that deficiency of water in kalovy masses is led to a considerable delay of advance by a calla on intestines. It is especially distinctly shown in the ziyena - a spring season when consumption in food both the fresh, and prepared vegetables and fruit is considerably reduced.
the Second important point of formation of functional locks the inactive way of life excluding full-fledged loads of muscles of a forward belly wall is considered, and the last play an important role in potentiation of intestinal movements. The contributing factors to emergence of chronic locks at children are also congenital anomalies of a thick gut such as dolikhosigma (lengthening of sigmovidny department of a thick gut) and dolikhokolon (lengthening of all gut). Intestinal parasites can lead to emergence of locks (an ascarid, vlasoglav, a bull or pork tapeworm). The elementary microorganisms (lyambliya) seldom cause a chair delay at children`s age.
In regulation of motive function of a thick gut an important role is played by a condition of nervous system of the child. Various stressful situations, mental, emotional and physical overworks, the adverse family and school relations between children and adults negatively influence the general condition of nervous system of the child that in turn leads to disorders of motive function of a thick gut. Elimination of stressful situations, normalization of a psychological situation in a family and at school, and in certain cases and the help of the neuropsychiatrist, exert beneficial effect on treatment of a disease.the Long delay of kalovy mass of the child leads
to absorption of products of rotting and fermentation from intestines in blood that makes negative impact on all organism of the child (toxic effect). Children complain of headaches, increased fatigue, they reduce appetite, the sleep is interrupted. Children become irritable, whining and sometimes “uncontrollable“. In the absence of a chair within several days it can have sharp belly-aches, vomiting, temperature increase of a body.
Very often dense kalovy masses, long accumulating in final department of a thick gut, in attempt of depletion drag out back pass. It can lead to formation of cracks. Cracks are always followed by an acute pain in back pass to time of depletion and after it. The child is afraid of this pain and tries to avoid attempts to empty intestines that the calla leads to a bigger consolidation.
In the started cases, at a long absence of a chair, as a result of the increasing intra intestinal pressure such unpleasant condition as a kalomazaniye, that is spontaneous dribble of kalovy masses through back pass can appear. Consequences of this state are clear. The child becomes object of jokes, and in some cases and more aggressive actions from peers. The mental condition of the patient is on the verge of crash, children refuse to go to kindergarten or school, sensation of fear exceeds all reasonable framework.
the Chronic lock at the child can appear and when at the child the habit to depletion of intestines at the same time is lost (usually in the morning). Here parents who turn attention to life of the child a little are often guilty, do not accustom since the early childhood to a defekation in certain time.by
Us it is noticed that some teachers in kindergarten or school on strange, sometimes to the indescribable reasons, do not allow small children to leave during occupations in a toilet. Such illiterate behavior of the teacher leads to the fact that children consciously suppress a desire on a defekation during occupations at school. This harmful reflex is rather easily fixed and causes a chronic lock.
to the Similar phenomenon are promoted a surrounding situation, unusual for the child, who for the first time began to attend kindergarten or school: a public toilet with presence of a large number of strangers of different age. Especially it adversely affects timid, constraining children, especially the boys who are brought up in the most strict Puritan principles.
We observed the child of 7 years with the most severe lock connected with the fact that the child, having begun to visit in school, constrained the act of a defekation from - for the fact that cabins in a school toilet were absent and children could observe one after another.
What should be undertaken to parents if the child had a chronic lock? Main not to self-medicate, and at once to address for consultation the expert - the gastroenterologist. Children surely should conduct necessary examination.the Organization of a balanced diet - a treatment basis
Parents in most cases consider by
food recommendations little significant, demanding purpose of the latest preparations capable to liquidate a lock within several days. It is necessary to tell at once: such preparations do not exist! As disorders of motive function of a thick gut are in most cases connected with violations of food in a family, the organization of a digestive diet - the main problem of treatment. Should change
a food allowance of the child so that in it there were more vegetables containing rough vegetable cellulose and pectins, i.e. the components stimulating motility of a gut. These are carrots, beet, color and Brussels sprout, pumpkin, vegetable marrows, bush pumpkins, plums, melon cultures. In cucumbers, tomatoes, apples of cellulose it is not enough.
Vegetables and fruit have to make not less than 50 - 60% of a daily diet and be used in any kind (fresh or after heat treatment). During a lunch sick children should offer vegetables in the form of salads, vinaigrettes, mashed potatoes, filling them for increase of tastes with vegetable oil, easy mayonnaise. It is better not to use fat grades of mayonnaise and sour cream as fats slow down work of intestines. Sour cream can be added in vegetable or krupyany soup.
pediatricians attach Special significance to systematic reception of wheat bran . This valuable natural means received at a crunching of grain and possessing a number of useful properties:
- bran is one of powerful stimulators of an intestinal vermicular movement;
- they contain a significant amount of the vitamins of group B making favorable impact on all bodies and systems of a human body, and especially central nervous system;
- bran promotes removal from an organism of toxins, allergens, their application is expedient in complex treatment of numerous allergic diseases;
- bran brings excess of cholesterol out of an organism and by that promotes the prevention of atherosclerosis.
in any kind. More often we recommend to use wheat bran thus.the Acquired product (usually is on sale on flour mills and in drugstores) spread out
a thin layer (1 - 1,5 cm) on the metal pallet and calcinate in an oven at a temperature of 100 - 150 With within 10 - 15 minutes. After cooling shift bran in hermetically corked to bank as the product is hygroscopic. Rub - five tablespoons of bran, i.e. that quantity which will be required per day, fill in 1/2 glass of abrupt boiled water and sustain 15 - 20 minutes. At the same time light-gray or light-brown weight is formed ropish.
On taste chop off absolutely tasteless product, and children in most cases resolutely refuse their reception in the natural form. For improvement of tastes a single dose of bran (usually since 1 chayn. l. 3 times a day, gradually leading up to 3 - 10 table. l. in days, depending on chair delay degree) add to 1/2 glass of fruit or vegetable juice, to a glass of fermented milk product, to porridge, soup, a garnish. Duration of reception of bran is not limited and can be estimated for years without any harm for an organism.
Daily in food it is better to use them in the morning on an empty stomach and for the night. Fermented milk products can be enriched bifidum - flora.First courses in a food allowance are obligatory for
, soups mainly vegetable or from gray grain (buckwheat). It is better to use meat the welded piece. Bread of gray and black grades, with bran, yesterday`s pastries. Fresh rolls and cakes are contraindicated.
in the presence of locks needs to exclude the products increasing gas generation in intestines: whole milk, sweet dishes, bean.
For normal work of all muscles and intestinal, in particular, needs to use the products containing potassium. These are baked potatoes, dried fruits, dried apricots, prunes, a fig, compote from them. Parents can arrive as follows: 10 - Or dried apricots (or all together) the night before to fill in 20 berries of prunes with boiled water, to divide a portion into 3 parts in the morning and to give to the child in school where he with pleasure will eat these berries. And evening of the house the child will drink the received infusion from berries.
as a dessert we recommend to give to children with a chronic lock mix of the dried fruits which are well washed out, steamed out by boiled water and well “dispersed“:
- prunes - 1 weight part,
- a fig - 1 weight part,
- dried apricots - 1 weight part,
- walnuts (core) - 1 weight part.
Products mix up in equal quantities, knife small from stainless steel, is added 1 - 1,5 weight part of honey, all mix mixes up, displayed in bank again and will be sterilized at 80 C 15 minutes. The dose usually makes 1 - 2 chayn. l. 3 times a day after meal. It is necessary to remember that such mix can cause allergic reactions in children with predisposition to similar reactions.
It is important that within a day the child used bigger amount of liquid: not less than 4 5 glasses a day in the form of tea, compotes, broth, juice, water etc., and also reception of cool drinks in the morning on an empty stomach (100 - 200 ml). Carbonated drinks are excluded.
the Day regimen
Despite a significant role of a diet, it can not give effect if at the child the habit to empty intestines in certain time is not developed, it is better in the morning (6 - 9 hours). Such habit should be developed and fixed. For this purpose right after rise in the morning the child on an empty stomach drinks 0,5 - 1 glass of cold water or vegetable juice.
If the desire on a chair is, then the patient as much as possible empties intestines. If there is no desire on a defekation, it is necessary to resort to physical exercises, a breakfast in the beginning and after a while to go to a toilet. The pose on cards, with the legs which are drawn in to a stomach is accepted. The act of a defekation is helped by self-massage of a stomach hands, rhythmical retraction of back pass, pressing between a tailbone and an anus.to the Child the corresponding conditions have to be created to
. If the small child, then is better to land him not on a toilet bowl, and on the pot (which is previously purely washed up and warmed slightly higher than the body temperature). Recovery of the act of a defekation - a long task, and it has to be solved the parents and adults contacting directly to the child, persistently without emotional splashes.Physical activity to
At chronic locks is necessary for
the daily dosed physical activity - walks on foot, morning exercises, outdoor games, skiing, skates, swimming. During occupations at school, at lessons by all means it is necessary to carry out sports pauses. The majority of exercises has to be directed to stimulation of muscles of a forward belly wall. We offer a complex of special exercises.
|1||Free airing of the room. Walking on the place||30 sec.|
|2||of Nominative (starting position): sitting on a chair, hands to shoulders. To raise hands up, to incline a trunk back - a breath. Hands to shoulders, slightly to incline a trunk forward - an exhalation||of 2 - 8 times|
|3||of Nominative: sitting on a chair. Cultivation of hands in the parties - a breath. To raise the right leg bent in a knee, to press to a stomach - an exhalation. Too with the left leg||of 2 - 8 times|
|4||of Nominative: sitting on a chair. Serial pulling up up and assignment towards a direct leg||of 2 - 8 times|
|5||of Nominative: standing. Deep breath||2 - 4 times|
|6||of Nominative: sitting on a chair, an emphasis hands behind, legs are bent. Cultivation of legs in the parties||of 4 - 8 times|
|7||of Nominative: standing, hands in the parties. Assignment of a leg forward, aside, back, serially right, left||of 2 - 8 times|
|8||of Nominative: standing, hands on a belt. Semi-squat with the hands which are taken away back||of 2 - 6 times|
For a bitx children physical exercises have to be carried out in the form of game. For example, we recommend such exercise. Scatter 20 - 30 pieces of small toys on a floor and ask the child to collect all toys, having bent down behind each of a standing position. It is necessary to repeat such “exercise“ during the day 2 - 3 times.
Krom of the described procedures, the doctor will prescribe to the child some medicines. It is necessary to accept them strictly in that volume which is recommended by the expert. Do not self-medicate and do not use a depletive. Only the correct and consecutive implementation of our recommendations will help to get rid to children of chronic diseases. And children will please you with cheerful laughter, excellent achievements in school, fine appetite and excellent health.