Hoʻololi ʻia ka waiu no nā keiki me nā mea ʻai a i ʻole ka lactose intolerance

ʻO nā polokina waiu pipi kekahi o nā mea ʻai maʻamau. He pilikia koʻikoʻi kēia no nā pēpē hānai ʻia no ka mea ua hana ʻia ka waiu mai ka waiū bipi a kao paha. He ʻokoʻa loa ka ʻokoʻa ʻana o ka lactose i nā pēpē mai kahi maʻi ʻai i ka waiū (i kapa ʻia ʻo protein diathesis) a koi ʻia kahi lāʻau ʻokoʻa. No nā keiki me nā ʻano kūlana ʻelua, aia nā pani waiu kūikawā i ʻike mau ʻia ʻo nā pani waiu "specialized".

 dr n. mahiʻai. Maria Kaspshak

Nānā! No ka hoʻonaʻauao wale nō kēia kikokikona a ʻaʻole ia he pani no ka ʻōlelo aʻoaʻo olakino! I kēlā me kēia hihia o ka malaise i loko o kahi keiki, pono e nīnau i ke kauka nāna e nānā i ka mea maʻi a ʻōlelo i ka mālama kūpono.

Ma mua o ka allergies - ka waiu hypoallergenic e pale ai i nā ʻeleʻele protein

Hiki ke hoʻoili ʻia ke ʻano o ka maʻi allergies, no laila, inā loaʻa nā allergies i loko o ka ʻohana o kahi keiki hānau hou, ʻoi aku ka nui o ka pilikia o ka pēpē. Inā ma ka liʻiliʻi o hoʻokahi o nā mākua a mau kaikaina paha o ke keiki i ka maʻi o ka waiū, a laila - inā ʻaʻole hiki i ka makuahine ke hānai i ka umauma - pono e noʻonoʻo i ka hāʻawi ʻana i ke keiki i ka waiū hypoallergenic, i hōʻailona ʻia me ka hōʻailona. HA. ʻO kēia waiū no nā keiki olakino ʻaʻole i loaʻa i ka maʻi allergies a hoʻohana ʻia e hōʻemi i ka ulu ʻana o ka maʻi allergies. ʻO ka protein i loko o ka waiū HA ua hoʻemi iki ʻia a no laila ua hoʻemi iki ʻia kona mau mea allergenic, akā ʻaʻole i hoʻopau loa ʻia. Inā loaʻa i kāu keiki ka maʻi maʻi protein waiu, e like me ka ʻōlelo a ke kauka, pono ʻoe e hoʻololi i nā papa hana kūikawā no nā pēpē me ka nele o ka protein.

He kūpono anei ka waiu kao no ka poʻe maʻi maʻi?

ʻAʻole. Aia i loko o ka waiu kao nā polokina i like loa me nā polokina waiu bipi a kokoke i nā manawa a pau e ma'i ai nā pēpē me ka ma'i ma'i waiu bipi i ka waiū kao. Pono e nīnau i kāu kauka inā hiki i nā keiki olakino ke koho i ke ʻano kao ma mua o ka waiū HA no ka hoʻohaʻahaʻa ʻana i ka pilikia o ka maʻi maʻi protein waiu bipi. Eia naʻe, ʻoiai i kēia hihia, ʻaʻole pono ʻoe e hoʻoholo i kēlā hoʻoholo ma kāu iho. ʻO nā pēpē me kahi maʻi allergy mua (protein defect), inā ʻaʻole lākou e inu i ka waiū makuahine, pono e loaʻa i nā hoʻomākaukau kūikawā i hoʻolālā ʻia no lākou.

Ka nele o ka protein i ka wā e hānai ai

No ke keiki me ka ma'i ma'i, 'oi aku ka maika'i inā hānai ka makuahine, no ka mea, 'a'ole hiki i ka waiu makuahine ke ho'oulu i ka 'alergi. Eia nō naʻe, ʻike kekahi mau makuahine ua loaʻa i kā lākou pēpē i hānai ʻia nā hōʻailona maʻi maʻi - ʻeha, colic, ʻeha ʻōpū a me nā mea hou aku. Hiki paha i kekahi mau mea o ka ʻai a ka makuahine ke komo i loko o kāna waiū a hoʻoulu i nā allergies i nā keiki. ʻOi aku ka maikaʻi o ka nānā ʻana i nā meaʻai a ka makuahine i ʻai ai, a ma hope iho ua hoʻomaka ka pēpē i ka maikaʻi ʻole, a kāpae i kēia mau meaʻai mai ka ʻai no ka manawa o ka hānai. ʻO nā makuahine o nā keiki i ʻike ʻia i ka maʻi ʻaʻai i nā protein waiu, nā hua manu, a i ʻole nā ​​​​nati, pono lākou e ʻalo i kēia mau meaʻai a hiki i ka wā e hemo ai lākou. Eia nō naʻe, inā ʻaʻohe allergies o ke keiki, a laila ʻaʻole pono ka pale ʻana i kēia mau huahana "i ka hihia". Pono ka makuahine hānai e ʻai i nā meaʻai ʻokoʻa e like me ka hiki a hoʻokomo i kahi meaʻai hoʻopau wale nō inā pono. I mea e loaʻa ai ka ʻōlelo aʻoaʻo hilinaʻi, pono ʻoe e kipa i ke kauka nāna e hana i ka hōʻoia pololei a wehewehe inā pili maoli nā maʻi o ke keiki i nā allergies a i ʻole ke kumu he mea ʻē aʻe.

Nā pani waiu no nā keiki me nā maʻi ʻaleʻa

Ke hoʻoholo ke kauka he maʻi maʻi kāu keiki i nā protein waiu, pono ʻoe e hāʻawi iā ia i nā formula i hoʻolālā kūikawā ʻia no nā maʻi allergies liʻiliʻi. I mea e hōʻemi nui ai i ka allergenicity o nā protein, ua kau ʻia lākou i ka hydrolysis lōʻihi, ʻo ia hoʻi, ʻokiʻoki ʻia kā lākou mau mole i loko o nā ʻāpana liʻiliʻi loa i like ʻole me nā protein mua i ke ʻano i ʻike ʻole ʻia e nā microorganism. kino e like me nā allergens. Ma ka 90% o nā keiki me nā maʻi allergies, ʻo ka lawe ʻana i kēia mau lāʻau lapaʻau ua lawa ia e hoʻomaha ai i nā hōʻailona a hoʻomaikaʻi i ke keiki. ʻO nā huahana protein hydrolyzed nui ka lactose-noa, akā e nānā i ka ʻike ma ka huahana kikoʻī a i ʻole e nīnau i ke kauka ma mua o ka hāʻawi ʻana iā lākou i nā keiki me ka lactose-contraindication. Aia nā hoʻololi like ʻole o ia mau lāʻau lapaʻau - no ka laʻana, loaʻa nā mea hoʻohui o nā probiotics a i ʻole nā ​​momona MCT.

ʻO ka meaʻai kumu ma muli o nā amino acids manuahi

I kekahi manawa, loaʻa i kahi pēpē kahi maʻi ʻai ikaika loa a hiki i nā protein hydrolyzed ke kumu i nā hōʻailona o ka maʻi i ka nui. I kekahi manawa he maʻi ʻoe i nā protein a i ʻole nā ​​​​meaʻai ʻē aʻe, ma muli paha o nā maʻi digestive a me ka absorption. A laila pono e hoʻolako ʻia ke kino liʻiliʻi me ka meaʻai ʻaʻole pono e ʻeli, akā hiki iā ʻoe ke hoʻohui koke i nā meaʻai i hoʻomākaukau ʻia. Ua kapa ʻia kēia mau lāʻau lapaʻau i nā huahana amino acid manuahi (AAF - Amino Acid Formula) a i ʻole "nā meaʻai elemental". ʻO ka inoa i loaʻa mai ka ʻoiaʻiʻo ʻo nā amino acids ke kumu kumu o nā protein. ʻO ka mea maʻamau, hoʻopau ʻia nā protein, ʻo ia hoʻi. ua wāwahi ʻia i loko o nā ʻakika amino manuahi, a ʻo kēia mau waikawa amino wale nō ke komo i loko o ke koko. ʻO ka hoʻomākaukau ʻana i nā meaʻai kumu mua e ʻae iā ʻoe e kāpae i ke kaʻina hana o ka digestion protein. Mahalo i kēia, ʻai ke kino o ke keiki i ka meaʻai maʻalahi a me ka ʻole allergenic. ʻAʻole i loaʻa ka lactose, ka syrup glucose wale nō, ka starch a i ʻole maltodextrin. Hiki ke lawelawe ʻia kēia mau huila koʻikoʻi ma lalo o ka mākaʻikaʻi olakino.

ʻO ka hoʻomākaukau ʻana i ka waiu ʻole e pili ana i ka protein soy

No nā kamaliʻi i maʻi ʻole i nā protein waiū, akā ʻaʻole maʻi i ka soy a i ʻole nā ​​​​protein ʻē aʻe, aia nā pani waiu ma muli o ka soy protein. Hiki ke kaha ʻia me ka hōʻailona SL (lat. sine lac, me ka waiu ole) a me ka lactose-noa. Inā lākou he kuhikuhi, aia kahi hoʻihoʻi, akā i ka loaʻa ʻole o ka hoʻihoʻi ʻana, ʻoi aku ka maikaʻi o kēlā ʻano hui ʻana ma mua o ka hydrolyzate a i ʻole ka meaʻai elemental.

Me ka lactose intolerance i loko o kahi keiki - galactosemia a me ka lactase deficiency

He meaʻai koʻikoʻi ka Lactose no ka ulu ʻana o kāu pēpē. ʻAʻole pono e pale ʻole ʻia, akā aia kekahi mau manawa pono e hoʻopau ʻia mai ka ʻai a ke keiki. Lactose (mai ka Latin lac - waiū) - kahi kaʻa i loaʻa i ka waiū - he disaccharide, ʻo nā molekole o ia mea he koena o ka glucose a me ka galactose (mai ka huaʻōlelo Helene gala - waiū). I mea e komo ai ke kino i keia mau kalapona, pono e hoopau ia ka mole lactose, i.e. māhele ʻia i ka glucose a me ka galactose - ʻo lākou wale nō e komo i loko o ke koko i loko o ka ʻōpū liʻiliʻi. Hoʻohana ʻia ka enzyme lactase no ka ʻeli ʻana i ka lactose, ka mea i loaʻa i nā mammals ʻōpio, me nā pēpē. I nā holoholona a me kekahi poʻe, e emi ana ka hana o kēia enzyme me ka makahiki, no ka mea, ma ke ʻano, ʻaʻole hiki i nā holoholona makua ke inu i ka waiū. Eia nō naʻe, he kakaikahi ka nele o ka lactose i nā kamaliʻi a he maʻi maʻi genetic. Ke hana ʻia kēia, hoʻomaʻamaʻa ʻia ka lactose ʻaʻole i hoʻoheheʻe ʻia i loko o ka ʻōpū, e alakaʻi ana i ke kinoea, ka maʻi maʻi, a me ka ʻeha nui. ʻAʻole pono e hānai ʻia kēlā keiki i ka umauma a i ʻole ka hānai ʻana i ka waiu.

ʻO ka lua, ʻaʻole kūʻē i ka hānai ʻana i kahi keiki - ʻo ia hoʻi ka waiū umauma - he maʻi genetic ʻē aʻe i kapa ʻia he galactosemia. Loaʻa paha kēia maʻi kakaʻikahi i hoʻokahi manawa i kēlā me kēia 40-60 hānau. Me ka galactosemia, hiki ke hoʻokahe ʻia ka lactose a hoʻopaʻa ʻia, akā ʻo ka galactose i hoʻokuʻu ʻia mai ia mea ʻaʻole i hoʻopili ʻia a hōʻiliʻili i loko o ke kino. Hiki i kēia ke alakaʻi i nā hōʻailona koʻikoʻi: hāʻule ʻole o ke akepaʻa, keʻakeʻa ʻana i ka ulu ʻana, ka lohi o ka noʻonoʻo, a me ka make. ʻO ka meaʻai maʻamau ʻole lactose wale nō ke ola no kahi pēpē. Hiki ke hāʻawi ʻia i kahi keiki me kēia maʻi i nā lāʻau lapaʻau kūikawā, ʻo ka mea hana e ʻōlelo nei ua manaʻo ʻia lākou no nā keiki e loaʻa ana i ka galactosemia. Pono ka poʻe me ka galactosemia e pale mau i ka lactose a me ka galactose i ko lākou ola ʻana.

Hōʻike Pūnaewele

1. Mea ai no na kamalii a me na kamalii. Nā rula o ka hana ma ka ʻai hui. Hoʻoponopono ʻia ka hana e Galina Weker lāua ʻo Marta Baransky, Warsaw, 2014, Institute of Mother and Child: http://www.imid.med.pl/images/do-pobrania/Zykieta_niemowlat_www.pdf (hiki i 9.10.2020/XNUMX/XNUMX ʻOkakopa XNUMX G .)
2. ʻO ka wehewehe ʻana o ka galactosemia ma ka Orphanet Rare Disease Database: https://www.orpha.net/data/patho/PL/Galaktozemiaklasyczna-PLplAbs11265.pdf (loaʻa 9.10.2020/XNUMX/XNUMX)

ʻO ka waiū makuahine ke ala maikaʻi loa e hānai ai i nā pēpē. Hoʻopili ka waiū i hoʻololi ʻia i ka ʻai o nā keiki, no nā kumu like ʻole, ʻaʻole hiki ke hānai ʻia.