Chiremba Komarovsky anopa zano: chirwere muvana pane kurapa?

Mumwe nomumwe amai vari mukugadzirisa mwana vanotarisana nechiitiko chisingafadzi zvakadaro sehuda, zvisinei - chisina kudzivirirwa mvura inogadzika, umo kusarudzwa kwemaitiro asina kukwanisa kuva nechishuvo chezvipfeko kunowanikwa kanopfuura ma5-6 pazuva. Nhamba yezviito zvekuzvidzivirira zvinoenderana nezera remwana uye zvikonzero zvinokonzera kuitika mumuviri.

Hazvikuvadzi here kuvana?

Chii chinonzi chiremba wevana vakakurumbira Komarovsky anofunga nezveizvi? Dhairrhea muvana, mumaonero ake, pakuona kwekutanga kungaratidzika sechinhu chisina matambudziko, sekutaura, kusanzwisisana kwenguva pfupi. Zvisinei, vabereki havafanire kukanganisa pamusoro peizvi, nokuti chinokuvadza chekuzvidya mwoyo kwemuviri wemwana kunogona kuva matambudziko ehutano. Nokudaro, amai nemwana vanofanirwa kubvunzurudza chiremba kuti vaone zvikonzero zvinokonzera chirwere mumwana.

Komarovsky ndiye chiremba chinonyanya kuzivikanwa navanachiremba

Evgeny Olegovich Komarovsky ndiye chiremba wepamusoro-soro, munyori wehuwandu hwemasayenzi nemabhuku, achitungamirira purogiramu yake pane terevhizheni, iyo yakagamuchira chikamu chikuru chekutendwa kwemamiriyoni evabereki. Zvinopfuura chikamu chechina chezana remakore zvakave nekubatanidzwa nehutano hwehutano. Kubva muna 1983, apedza kudzidza kubva kuKharkov Medical Institute, akashanda muchipatara chezvirwere zvinotapukira. Muna 2000, akatamira kune imwe nzvimbo yekliniki yekliniki semutungamiri wepamusoro wevana vezvechipatara. Kubva muna 2006, varwere vakagamuchirwa kumakiriniki avo ega.

Vabereki vakawanda vane vateereri vanozivikanwa nechiremba wevana vanozivikanwa pamutambo wekuterevhizheni "The School of Doctor Komarovsky", iyo yakatangira gore ra2010 paUkraine muterevhizheni we "Inter". Uyewo Evgeny Olegovich anowanzotora chikamu mumapurogiramu eTV anozvipira kune nyaya dzezvechiremba, uye anokonzera kuvimba kwakakwana munhau dzine chokuita nehutano hwevana.

Dhairrhea nekuyamwisa

Maererano naDkt. Komarovsky, chirwere muvana chinogona kukonzerwa nemukaka wemukaka, mune izvo zvinoshungurudza nhengo dzekudya dzomwana achangoberekwa dzakapinda mukudya kwamai. Chero chirwere chemucheche chinenge chichikura hachikwanisi kurarama nacho uye chinoratidza matambudziko akabuda nehurwere. Ko amai vanofanira kuitei? Ziva chinhu chisina kunaka uye chirega kuishandisa kwechinguva, pamwe nekubatana nezvokudya umo mukaka wemuviri uchangobatsira mwana chete.

Zvichida chinokonzera chirwere chiri mumisanganiswa yevana?

Ndezvipi zvimwe Dr. Dr. Komarovsky anotsanangura zvikonzero zvekuparara kwehupenyu hwevana? Dharare muvana inogona kukonzerwa nokusawirirana kwezvokudya zvinouya nemukaka wemukaka uye panguva yekudya zvakakwana. Iyo inocherechedza kuti vacheche, vachidya mukaka waamai, vanotambura nematambudziko emudumbu kashoma kudarika vana vari kukura pakudya kwekugadzira. Mushure mezvose, kazhinji zvinokuvadza zvechigadziko chemvura zviri kudya mishonga, iyo iyo amai vanoedza kuita zvakasiyana-siyana kudya kwevana. Kana mwana ane chirwere, ndinofanira kuitei? Komarovsky anopa zano, panguva yekutanga zviratidzo zvekuratidzwa kwayo, kusiya mishonga yakakonzera kusuruvara kwepachivi uye kudzokera kune kudya kunogadziriswa.

Zvinokonzera kupera simba

Kunyanya kuderedza, kuvhiringidzika kwemuviri mumuviri, zvirwere zvinotapukira, kurwara kwezvikamu zvemuviri zvemuviri wepamuviri kunewo zvinokurudzira kusadzora kudzora kubuda mumutsipa, anodaro Dr. Komarovsky. Dhairrhea muvana, kunyange yakawanda, inogona kukonzera kupera simba, zvichiita kuti chirwere chemahyamu, kuora kurasikirwa, kuderedzwa kemukiriniki nemimwe migumisiro yakaipa.

Ndeipi apo chirwere cheshuga hachina ngozi?

Komarovsky anoona chirwere mumwana kuti ave akajairika kana kazhinji mashesi emvura achibatanidzwa nekushandura mune zvekudya, maitiro emumuviri mumuviri (semuenzaniso, kuisa pfungwa), uye zvakaitika kune mwana. Muvana vaduku zvikuru gorosi yemvura inogona kuonekwa zuva rose kanenge ka20, iyo inoonekwa seyakagamuchirwa. Pashure pokusvika makore matatu, chigaro chacho chinowanzozivikanwa nemushyimo, mashizha kana mashizha, uye chikwata chemafuro kazhinji kacho kusvika katatu pazuva.

Kana mvura yakasara yemwana isati yakamira nezera remakore matatu uye inoribaya nechisimba chakafanana, zvinokosha kuti tibvunze nokukurumidza chiremba wevana uyo achaedza kuziva zvikonzero zvechirwere zvakanyatsonaka sezvinobvira kuitira kuti kujekesa kwakarurama.

Vanachiremba vachabva vaine chido mune nguva yehutachiona hwehutachiona, huwandu hwechigaro uye kubhururuka, kubatana kwechigaro, kuora kwekureruka, misodzi panguva ye defecation, ropa nerukisi muzvigaro, uyewo pamwe nezviratidzo: kurutsa, kupisa, fivha, kurwadziwa mumimba. Uyewo ruzivo rwakakosha ndeyekushanyira kwevana kumapoka evana, zvirwere pakati pemhuri dzemhuri panguva yekuongorora, zvitubu zvemvura yekunwa, nezvimwewo.

Dhara rinokuvadza muvana vakwegura

Dharare muvana vakwegura inogona kukonzerwa ne:

• Kutsika-tsika kana zvigadzirwa zvakarambidzwa;
• Zvirwere zvinotapukira uye zvirwere zvakanyanya;
• Kushaiwa kwekudya kwemanzi emuviri;
• Zvinopisa simba;
• Helminthic invasions;
• Poisoning;
• Zvirwere zvisingaperi zvekugadzira muviri;
• Acute leukemia;
• Kushandiswa kwemishonga inorwisa mabhakitiriya inokonzera chirwere chemuviri uye dysbacteriosis;
• Kushungurudzika;
• Simba rinokonzera kushushikana.

Ko amai vanofanira kuitei kana kune chirwere mumwana asina kutonhora kwechinguva? Komarovsky pachiitiko ichi unotaura kuti, zvichida, pane kuputsa kwekuita kwekudya, uye izvi zvinogona kuwirirana nezvose zvepanyama uye zvepfungwa. Kuchinja muhutano uye ruvara rwemitsipa, kuwana kwavo mvura, kuvapo kwezvisina kuchena nehuni hwehuni hunogona kuonekwa mushure mekuwedzera kwemenyu yemwana.

Vabereki vanowanetseka pamusoro pemubvunzo uyu: "Kana chirwere chiri mumwana, kupfuura kuporesa here?" Komarovsky anokurudzira kupa mwana anorwara mishonga inopedzisira yaita kuti chirwere chekudzivirira ("Loperamide", chibvumirwe kushandiswa kubva pamakore matanhatu) uye inotsigira microflora ("Linex"). Usati watora mishonga, ramba uchibvunza chiremba. Mune mamiriro akajeka, nyanzvi yezvechiremba inokurudzira doro rinodhaka panzvimbo yehara.

Dharare uye kutonhora mumwana

Komarowski anotsanangurira varwere vake kuti dzimwe nguva, maererano nemamiriro ekurara, zvinogona kuva nefivha iyo vabereki vecheche kazhinji vanobatana nekuputika kwemeno ekutanga emwana. Mushure mezvose, kuvana vaduku, kukura kwemazino matsva ndiko kushungurudzika kwokuti muviri wemwana unopindirana nevanowanzogadzira mvura. Kana vabereki vaine chokwadi chokuti mukati mekudzivirira chiropa chinobatanidzwa nechikonzero ichi, vanogona kupa mwana mwana mushonga unoderedza utumbo hwomukati. Mukupfuura, kushandiswa kwekugadzirisa zvinhu zvinokurudzirwa: chinwiwa chakagadzirwa nemafuta akaomeswa kana murazi muto. Chinhu chikuru ndechokuti mari iyi yakakodzera yezera remwana.

Ngozi yehutachiona hwehutachiona

Uyewo, zviratidzo zvisina kunaka zvinogona kuratidza kuvapo mumuviri wehutachiona hwemrotavirus, wakawanikwa munguva pfupi yapfuura - muna 1973. MuchiLatini, izwi rokuti rota rinoreva "gumbo", sezvo hutachiona pasi pe microscope hwakafanana negumbo riri kure.

Rotavirus utachiona hunopararira kuburikidza nemishonga yezvokudya, uyewo nekukurukurirana uye nemhuri. Pasinei nehupenyu hwehupenyu uye chiyero chekuteerera kwehutsanana, vanenge vana vose vanobatwa ne rotavirus. Nhamba yepamusoro yehutachiwana hwehutachiwana hwakadaro ndeyevana vezera remakore kubva pamakore maviri kusvika kumatanhatu. Ne rotavirus, kurutsa, chirwere mumwana pasina fever chinogona kuitika . Komarovsky anorayira kuti ashanyire chiremba aripo, kupa zvidzidzo zvinomirirwa naye, zvichienderana nei iyo causative agent wechirwere ichichaonekwa. Kutungamirirwa nechinyatsozivikanwa, chiremba wevana achakwanisa kupa mishonga inoshanda. Sezvo mutemo, antimicrobials inorayirwa (Enterofuril). Vabereki havakurudzi kupa mwana wavo chero mishonga. Kuwanda kwezvavanogona kubatsira mwana wako, ndeyokunwa mvura yakawandisa yekudzikisa kupera simba, masvents (marara anoshandiswa, Enterosgel, Polysorb). Kuti kuenzanisa chirwere chemwana, zvinokurudzirwa kushandisa kutonhora-kuderedza mashizha (Paracetamol), uye kupa zvokudya zvinodya zvinosarudzwa nechiremba anoenda maererano nezera remwana uye nguva yeurwere hwake.

Kana chirwere chinosangana nekurutsira

Utachiona hwepfungwa dzakaperekedzwa nekurutsira uye kurwadziwa kwepamuviri (zvakagadzirirwa ne palpation mu epigastric zone) zvinoratidza kuti zvinogona kutyisa kana kuvapo mumatumbo emakemikari anokuvadza anokonzera kukura kwezvirwere zvinokuvadza. Kuratidzwa kwekurutsira uye chirwere chemuviri inzira yekutanga yemuviri kuzvidzivirira uye kubvisa pathogenic microbes inoparadza microflora. Chikonzero chaicho chekufunganya chivara chisina kusiri chemashanga: bhuru rinoratidza bhakitiriya hutachiona, ruvara-rwekubuda ropa mukati. Inofanira kunge iri kunetseka kana paine kuonekwa muzvigaro zvekubuda ropa kana zvakawanda zvemukoko. Kuoma pasina chirwere mumwana kunowedzerawo ngozi. Komarovsky anotaura kuti morbid hali pachayo haizoperi, saka mwana anofanira kunge achikurumidza kupinda muchipatara. Usabvumira kuzvidzivirira kupi zvako: kuongororwa kwechiremba uye kushandiswa kwemishonga yakanyorwa.

Vabereki panguva dzakadaro vanoda kumwisa mwana wavo nemvura yakawanda (munogona kupa "Regidron") uye musaita zvakawanda kudya, nokuti nokuda kwehupenyu husina simba, kudya mumutambo wekugara kuchava mutoro unorema. Mushure memaawa 8-12, mushure mokunge mazadza rehydration therapy, inoshandiswa pakuzadzikisa mvura yakasvibirira mumuviri, unogona zvishoma nezvishoma kuisa muzvigadzirwa zvekudya zvinoratidzwa nekuchera nyore: rizi, bhanana, crackers, chingwa chakaomeswa.

Ndeipi nguva yekupatara inokosha?

Kana kuratidzwa kwekurutsira kuchicherechedza pamusana pezvimwe zviratidzo zvinotambudza, unofanira kufungisisa nezvekuchengetwa kwevana, nokuti kubata chirwere chekudya kunongorongedzwa chete navanachiremba vane ruzivo. Ndizvo zvakaitwa naChris Komarovsky kuti aite mamiriro ezvinhu asina chokwadi. Kusvetuka, chirwere mumhara kumwana chinokonzera kurasikirwa kwehuwandu hwemvura, iyo inosanganisira kupera muviri mukati memazuva maviri. Zvakaoma chaizvo kugadzirisa kurasikirwa kwayo, nokuti mwana panguva ino anoramba mvura uye zvokudya nekuda kwehutano husina kunaka. Dambudziko rinonyanya kuratidzwa kwezviratidzo zvakadaro kune vana pasi pezera remakore 1. Vanachiremba vanotanga kuchenesa dumbu nekuishamba, mushure mokunge chirwere chechirwere chinoshandiswa chinoshandiswa, chinangwa chekudzikisa chirwere chemwana anorwara. Mune nzira yekurapa kwakadaro, vanachiremba vanofanira kukwanisa kuziva chikonzero chechirwere uye kupa mishonga yakakodzera.

Vabereki vanofanira kuitei? Iva nechokwadi chekuonana nechiremba wezvechiremba kuchirapa chinotarisirwa kudzorera ropa re electrolyte uye kuunzazve mvura yakachengetedzwa.