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#1
10.12.2006, 02:54
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Êîëèêè è ïëîõîé ñîí
Çäðàâñòâóéòå! Ó ìåíÿ åñòü äâà âîïðîñà, êîòîðûå î÷åíü ìåíÿ áåñïîêîÿò, ïîäñêàæèòå, ïîæàëóéñòà.
1) Äî÷åðè 1 ìåñÿö, ïîñòîÿííûå êîëèêè. Êðè÷èò ñðàçó ïîñëå êîðìëåíèÿ, íå ðåæå äâóõ ðàç â ñóòêè íà÷èíàåò êðè÷àòü åùå âî âðåìÿ åäû, áðîñàåò ãðóäü, ïëà÷åò, ïîòîì îïÿòü ñîñåò. Ïîäæèìàåò íîæêè, êîð÷èòñÿ, â æèâîòå áóðëèò, ìíîãî ïóêàåò. Ãàçîîòâîäêà íå ïîìîãàåò, òàêîå âïå÷àòëåíèå, ÷òî èäåò ïîñòîÿííîå ãàçîîáðàçîâàíèå. Î÷åíü ðåäêî çàñûïàåò ñðàçó ïîñëå êîðìëåíèÿ, âñåãäà ïðèõîäèòñÿ óêà÷èâàòü íå ìåíüøå ÷àñà. Ïîëíîñòüþ íà ÃÂ, ó ìåíÿ î÷åíü æåñòêàÿ äèåòà. Ñòóë æåëòûé, æèäêèé, âðîäå áû ñî ñëèçüþ (íå óâåðåíà), ÷àñòûé. Ñäàâàëè è êîïðîãðàììó, è íà äèñáàêòåðèîç, âñå â ïîðÿäêå, òîëüêî ïîíèæåíû ëàêòîáàêòåðèè. Ýñïóìèçàí, ïëàíòåêñ è áåáèíîñ íå ïîìîãàþò, âðîäå áû ïîìîãàåò áåéáè êàëì (äî íåãî áûëî åùå õóæå).Ìàññàæ æèâîòèêà äåëàåì. Ïîäñêàæèòå, ýòî âàðèàíò íîðìû èëè íàäî îáðàòèòüñÿ ê ãàñòðîýíòåðîëîãó? Êàê ìîæíî ïîìî÷ü ðåáåíêó? 2) Î÷åíü ìàëî ñïèò, â îñíîâíîì èç-çà êîëèê, íî áûâàåò, ÷òî íè÷åãî íå áîëèò, ïðîñòî ëåæèò è ñìîòðèò ïî ñòîðîíàì. Äíåì äðåìëåò íà ðóêàõ, ÷àñòî ïðîñûïàåòñÿ.  öåëîì ïîëó÷àåòñÿ íå áîëüøå 13,5 ÷àñîâ ñíà, áûâàåò ìåíüøå. Ýòî î÷åíü âðåäíî? ×òî òóò ìîæíî ñäåëàòü? 
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#2
10.12.2006, 05:02
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1)Âàðèàíò íîðìû. Æåñòêàÿ äèåòà íå íóæíà. Ê òðåì ìåñÿöàì "êîëèêè" îáû÷íî ïðîõîäÿò. Ãàçîîòâîäêó ëó÷øå âûáðîñèòü â ìóñîðíîå âåäðî.
2)Íå âðåäíî. Äåëàòü íè÷åãî íå íàäî. 
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#4
10.12.2006, 11:59
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ß åì ðîâíî 9 ïðîäóêòîâ, è êàïóñòà â íèõ òî÷íî íå âõîäèò...
Áåñïîêîèò òî, ÷òî äî÷êà ïëîõî íàáèðàåò âåñ, ðîäèëèñü 3600, 53 ñì, âûïèñûâàëèñü 3300, â ìåñÿö âåñèò âñåãî 3800 ïðè ðîñòå 56 ñì.  ïîëèêëèíèêå ñêàçàëè - î÷åíü ìàëî!
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#5
10.12.2006, 12:36
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Öèòàòà:
Åñòü Âàì ìîæíî âñå, ÷òî õîòèòå ( íå íàäî òîëüêî çëîóïîòðåáëÿòü òåìè ïðîäóêòàìè, êîòîðûå óñëîâíî ìîæíî îïðåäåëèòü, êàê "äåëèêàòåñû", íå íàäî çëîóïîòðåáëÿòü î÷åíü æèðíîé, î÷åíü îñòðîé, î÷åíü æàðåííîé ïèùåé, íå çëîóïîòðåáëÿòü ïèùåé ñ áîëüøèì êîëè÷åñòâîì ïðÿíîñòå... îáùåì, íå íàäî çëîóïîòðåáëÿòü. )Öèòàòà:
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#7
13.12.2006, 21:28
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Öèòàòà:
 íàäåæäå, ÷òî Âû ÷èòàåòå íà àíãëèéñêîì medications Simethicone (Mylicon), a safe, over-the-counter drug for decreasing intraluminal gas, has been promoted as an agent to decrease colicky episodes. A randomized, placebo-controlled, multicenter trial concluded that treatment with this agent produces results similar to those of placebo.21 The perceived improvement may be a placebo effect, and gas may be a marker of colic and air swallowing rather than a cause of the disorder. Two other RCTs found no benefit for treatment with simethicone.21 Systematic reviews of studies using anticholinergic drugs in the treatment of colic found them to be more effective than placebo.19 The most commonly used agent, dicyclomine (Bentyl), has been associated with apnea and is no longer indicated for use in infants younger than six months. Cimetropium, which is not available in the United States but is widely used in Italy to treat infantile colic, showed a decrease in duration of crying crises in the treated group compared with placebo. The major side effect was sleepiness; there were no reports of life-threatening events.22 other treatments Herbal teas containing mixtures of chamomile, vervain, licorice, fennel, and lemon balm, used up to three times a day (150 mL per dose) have been shown to decrease crying in colicky infants.23,24 Given the multiplicity of herbal products, the lack of standardization of strength and dosage, and potential interference with normal feeding, parents should be cautioned about their use. Interventions aimed at decreasing crying in colicky infants have produced varied results. Colicky infants who were placed in car-ride simulators showed no significant improvement in symptoms. Other techniques include early response to crying, gentle soothing motions, avoidance of overstimulation, use of a pacifier, prophylactic holding and carrying, use of an infant carrier, and maintenance of day-night orientation. Counseling parents about these specific management techniques was not shown to provide benefits above routine advice, support, and reassurance.25 Crib vibrators have not been shown to decrease crying. Infant massage shows no significant improvement in symptoms and cannot be recommended.26 Chiropractic treatment has shown no benefit over placebo.27 A study to assess the benefits of increased carrying of colicky infants during noncrying times failed to show any benefit.28 An earlier study of noncolicky breastfed infants showed an overall decrease in crying time with supplemental carrying, but the effect was not noted in infants with established colic.29 Other methods to reduce infant crying, such as placing a colicky infant near a clothes dryer or vacuum cleaner (for the "white noise"), specific "colic holds" that put pressure on the infant's abdomen, and taking the infant for a ride in a car or stroller have been proposed. A product called "Gripe Water," which may include any of a variety of herbs and herbal oils, such as cardamom, chamomile, cinnamon, clove, dill, fennel, ginger, lemon balm, licorice, peppermint, and yarrow, is available online and in health food stores. This product is touted to provide relief from flatulence and indigestion but is not entirely without risk. Parents who choose to use this product should avoid versions made with sugar or alcohol and look for products that were manufactured in the United States. Noninvasive remedies recommended by family and friends may be beneficial but have not been scientifically evaluated. Internet-savvy parents will run across many opportunities to buy items that have not been proved to be effective in the treatment of colic. Some Web sites advertise products that are "guaranteed" to soothe colic symptoms. It is important that physicians advise parents about these products, because there may be risks associated with their use. Parents should be encouraged to look for Web sites linked to medical references and those maintained by the American Academy of Family Physicians and the American Academy of Pediatrics.  ïðèíöèïå, òàì íàïèñàíî òî æå ñàìîå, ÷òî ÿ ñêàçàëà, òîëüêî áîëåå ïîäðîáíî, è ñ ïðèìåðàìè ïî êàæäîìó êîíêðåòíîìó "ïðåïàðàòó". Ñîððè. Âîò ññûëêà [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#8
14.12.2006, 21:42
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Öèòàòà:
A randomized double-blind placebo-controlled trial of a standardized extract of Matricariae recutita, Foeniculum vulgare and Melissa officinalis (ColiMil) in the treatment of breastfed colicky infants. Savino F, Cresi F, Castagno E, Silvestro L, Oggero R. Dipartimento di Scienze Pediatriche e dell'Adolescenza-Universita di Torino, Ospedale Infantile Regina Margherita, Azienda Ospedaliera OIRM S. ANNA, Piazza Polonia, 94, 10126 Torino, Italy. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] OBJECTIVE: The aim of this randomized, double-blind, placebo-controlled trial was to investigate the effectiveness and side effects of a phytotherapeutic agent with Matricariae recutita, Foeniculum vulgare and Melissa officinalis in the treatment of infantile colic. METHODS: 93 breastfed colicky infants were enrolled, the diagnosis was made according to Wessel's criteria. After a 3 day observation period, the infants were randomly divided into two groups, one treated with phytotherapeutic agent (PA) and the other with placebo twice a day for 1 week. Crying time and side effects were recorded. RESULTS: 88 infants completed the trial: 41 in the PA group and 47 in the control. The daily average crying time for the PA was 201.2 min/day (SD 18.3) at the baseline and 76.9 min/day (SD 23.5) at the end of the study; for the placebo it was 198.7 min/day (SD 16.9) and 169.9 min/day (SD 23.1) (p < 0.005). Crying time reduction was observed in 85.4% subjects for the PA and in 48.9% subjects for the placebo (p < 0.005). No side effects were reported. CONCLUSION: The present study shows that colic in breastfed infant improves within 1 week of treatment with an extract based on Matricariae recutita, Foeniculum vulgare and Melissa officinalis. À âîò êîëëåãè èç Ïèòåðà: Altern Ther Health Med. 2003 Jul-Aug;9(4):58-61. The effect of fennel (Foeniculum Vulgare) seed oil emulsion in infantile colic: a randomized, placebo-controlled study. Alexandrovich I, Rakovitskaya O, Kolmo E, Sidorova T, Shushunov S. Department of Pediatrics, St. Petersburg Medical Academy of Postdoctoral Education, St. Petersburg, Kirochnaya, Russia. CONTEXT: Despite its benign, natural course, colic is a significant problem in infants and imparts a psychological, emotional, and physical burden to parents. Dicyclomine hydrochloride is the only pharmacological treatment for infantile colic that has been consistently effective. Unfortunately, 5% of infants treated with dicyclomine hydrochloride develop serious side effects, including death. Fennel seed oil has been shown to reduce intestinal spasms and increase motility of the small intestine. However, there have not been any clinical studies of its effectiveness. OBJECTIVES: To determine the effectiveness of fennel seed oil emulsion in infantile colic. DESIGN: Randomized placebo-controlled trial. SETTINGS: Two large multi-specialty clinics. SUBJECTS: 125 infants, 2 to 12 weeks of age, who met definition of colic. INTERVENTION: Fennel seed oil emulsion compared with placebo. OUTCOME MEASURE: Relief of colic symptoms, which was defined as decrease of cumulative crying to less than 9 hours per week. RESULTS: The use of fennel oil emulsion eliminated colic, according to the Wessel criteria, in 65% (40/62) of infants in the treatment group, which was significantly better than 23.7% (14/59) of infants in the control group (P < 0.01). There was a significant improvement of colic in the treatment group compared with the control group [Absolute Risk Reduction (ARR) = 41% (95% CI 25 to 57), Number Needed to Treat (NNT) = 2 (95% CI 2 to 4)]. Side effects were not reported for infants in either group during the trial. CONCLUSION: Our study suggests that fennel seed oil emulsion is superior to placebo in decreasing intensity of infantile colic.
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#9
14.12.2006, 21:48
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Óâàæàåìàÿ Òóñÿ, âû íå îáðàòèëè âíèìàíèÿ, â êàêèõ æóðíàëàõ íàïå÷àòàíû ýòè ñòàòüè?  ýòè æóðíàëû , ê ñîæàëåíèþ, âñå ïîäðÿä ïðèíèìàþò, áåç êðèòèêè. Íå äóìàþ, ÷òî ðåêîìåíäàöèè ïàöèåíòàì ìîæíî îñíîâûâàòü íà ïóáëèêàöèÿõ â ýòèõ èçäàíèÿõ.
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#10
14.12.2006, 21:54
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Íåìåäèêàìåíòîçíûé ñïîñîá, âåðíåå, ñðàçó íåñêîëüêî:
1. ïîëîæèòü ðåáåíêà ãîëûì æèâîòèêîì ê ñåáå èëè ê ïàïàøå íà æèâîò - ãåíèàëüíîå ñðåäñòâî 2. ïîëîæèòü íà ñïèíêó, íà æèâîòèê ðåáåíêó òåïëóþ ïåëåíêó, è ìàññàæèê ïî ÷àñîâîé ñòðåëêå, ïåðèîäè÷åñêè ïîäâîäÿ íîæêè ðåáåíêà ê ãðóäêå. 3. åñëè ýòî âñå íå î÷åíü ïîìîãëî - òî òîãäà - òåïëàÿ âàííà. Ïðîáëåìà ôèçèîëîãè÷åñêàÿ, êàê ïðàâèëüíî íàïèñàíî, óñóãóáëÿåòñÿ âîò ÷åì: 1. Ðåáåíêà íàäî ïîñëå êîðìëåíèÿ äåðæàòü ñòîëáèêîì, òî åñòü ïîíîñèòü âåðòèêàëüíî, ãîëîâêîé íà ïëå÷î ìàìå èëè ïàïå, ÷òîáû âûøåë âîçäóõ. 2. Íàäî äàâàòü îäíó ãðóäü â îäíî êîðìëåíèå, è äî ÷óâñòâà ïîëíîãî îïóñòîøåíèÿ, èíà÷å ðåáåíîê ëåãêî íàñàñûâàåòñÿ "ïåðåäíåãî" ìîëîêà, êîòîðîå áîãàòî óãëåâîäàìè, è ñîîòâåòñòâåííî, ãàçîîáðàçîâàíèå áóäåò áîëüøå. Ïðîâåðåíî íà ñåáå. Çà ïåðâûé ãîä - 1 (îäíà) áåññîííàÿ íî÷ü - ñàìà âèíîâàòà - íàåëàñü, êàê äóðåíü ìûëà, êðóòîé ðèñîâîé êàøè.
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#11
15.12.2006, 22:58
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Öèòàòà:
Íå ïîíÿòíî èñïîëüçîâàíèå "óñóãóáëÿåòñÿ" â äàííîì êîíòåêñòå. Ò.å. íåëüçÿ äåðæàòü ñòîëáèêîì ïîñëå êîðìëåíèÿ? ß âàñ ïðàâèëüíî ïîíÿë? Ïðîáëåìà àêòóàëüíàÿ, è ÿ áóäó ïðîñòî â âîñòîðãå åñëè êòî-íèáóäü èç âðà÷åé îïóáëèêóåò â ×àÂî êàê ñ íåé áîðîòüñÿ. Â÷åðà âñþ íî÷ü íå ñïàëè. È åùå òàêîé âîïðîñ ñ êàêîãî âîçðàñòà ìîæíî âûêëàäûâàòü íà æèâîòèê?
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#12
15.12.2006, 23:12
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ß íå ñîâñåì ïðàâèëüíî íàïèñàëà, óñóãóáëÿåòñÿ, åñëè íå íîñèòü ñòîëáèêîì. Óñóãóáëÿåòñÿ, åñëè êîðìèòü íå äî êîíöà èç îäíîé ãðóäè.
Âûêëàäûâàòü íà æèâîò? Ñ ðîæäåíèÿ, åñòåñòâåííî. Íàñ÷åò "âñþ íî÷ü íå ñïàëè" - íåêîòîðûå äåòè íå ñïÿò â ñâîåé êðîâàòêå. Íåêîòîðûå íå ìîãóò ñïàòü ðÿäîì ñ ìàìîé. Ðàäè ñîáñòâåííîãî ñïîêîéñòâèÿ ïðèäåòñÿ ñäåëàòü òàê, êàê õî÷åò ðåáåíîê - îí ïîêà íå ïîääàåòñÿ íèêàêèì óáåæäåíèÿì.
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#13
15.12.2006, 23:59
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Íà ýòîò ðàç ÿ íàâåðíîå íå ïðàâèëüíî íàïèñàë. Íå ñïàëè â ñìûñëå äîöÿ êðè÷àëà è ñòó÷àëà íîæêàìè.
Äî ýòîãî òîæå èíîãäà òàêîå áûëî, íî 10-15 ìèíóò íå áîëüøå, à â÷åðà ÷àñîâ ñ 9-òè è äî 3-õ íî÷è. Ñ íåáîëüøèè ïåðåðûâàìè. Ó æåíû ñïðàøèâàë âðîäå íè÷åãî íåîáû÷íîãî íå åëà. Ìû ïðîáîâàëè ëîæèòü íà æèâîòèê è ìíå è æåíå, ïðàâäà íå íà ãîëûé, ìîæåò ïîýòîìó íå ïîäåéñòâîâàëî. Íàñêîëüêî ñèëüíûì äîëæíî áûòü äàâëåíèå ïðè ìàññàæèêå? ß ïðîñòî ïîãëàæèâàþ ïî ÷àñîâîé ñòðåëêå. Æèâîòèê î÷åíü òâåðäûé. Áîþñü ñäåëàòü ÷òî-íèáóäü íå òàê. Ãðóäü äàåò âñåãäà îäíó çà êîðìëåíèÿ. Íî ìîëîêà ó íåå ìíîãî è äîöÿ êàê ïðàâèëî äî êîíöà åãî íå âûïèâàåò. Èíîãäà, âñå ðåæå è ðåæå, ïðèõîäèòñÿ ñöåæèâàòü, ò.ê. ãðóäü ïîñëå êîðìëåíèÿ îñòàåòñÿ òâåðäîé. Âîçìîæíî êîëèêè êàê ðàç èç-çà "ïåðåäíåãî" ìîëîêà, êîòîðîå áîãàòî óãëåâîäàìè. 
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#14
16.12.2006, 01:19
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Íå áîéòåñü, äåòè - ñóùåñòâà íó î÷åíü æèâó÷èå.
Ãëàäüòå, íó êàê êîøêó, òî åñòü íåñèëüíî, íà ñàìîì äåëå. Ñöåæèâàòüñÿ íå íàäî, òàê êàê ìîæíî çàïóñòèòü ãèïåðëàêòàöèþ, ÷óòîê ïîäöåäèòü ìîæíî òîëüêî â ñëó÷àå, åñëè ãðóäü î÷åíü íàïðÿæåíà è îò ýòîãî äèñêîìôîðò. Äîëæíà ñêàçàòü, ÷òî èíîãäà, óâû, êîëèêè áóäóò, êàê áû ìû íå èçâîðà÷èâàëèñü, íî ýòî - äåëî æèòåéñêîå, íàäî ïðîñòî ïåðåæèòü...
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#15
16.12.2006, 04:19
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Öèòàòà:
Ïðîøó ïðîùåíèÿ çà îòêëîíåíèå îò òåìû. P.S. È åùå íåáîëüøîå óòî÷íåíèå. Ýñïóìèçàíû, ÷àè ñ ôåíõåëåì íå äàâàòü?
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Ëèíåéíûé âèä
