Dietary adjustment method of malnutrition infants and young children.
(1) At one time, due to the similarity of digestive physiological functions to normal children, the treatment should be maintained at the beginning of the treatment, not rush to add, so as not to cause indigestion. Generally, the heating card and protein food are increased according to the situation of the children.
(2) The digestive ability of the secondary malnutrition is weak, and the digestive ability gradually recovers. In the process of better appetite, protein foods are gradually increased. Pay attention to the amount of salt to prevent edema.
(3) The digestiveness of three degrees of malnutrition is very weak and accompanied by other complications. The primary disease should be diagnosed first, and the disease is better. With a small amount, a small amount of meals to maintain the acid -base balance, and then gradually adjust the diet to supplement the protein to gradually consolidate the intake of nutrients.
(4) Methods for adjusting nutritional foods:
First of all, we should follow the principles of gradual progress, gradually supplement, be anxious, not dry, patient and cautious, and adhere to the following six steps. Each step has the amount of thermal energy and three main nutrients, weight ratios, and food suitable for food.
At one time, children with malnutrition can start from the third step: per kilogram of weight per kilogram of weight 120 kcal, 3 grams of protein, 1.8 grams of fat, and 23 grams of carbohydrates. The weight ratio of the three nutrients is 1: 0.6: 7.6.
Foods that can be used: semi -dehydrated milk, evaporation milk, formula milk, soy milk, rice soup, dilute rice porridge, soup powder, fish mud soup, etc. After the situation is stable, transfer to the fourth step, take 140 kcal per kilogram of weight per day, 3.5 grams of protein, and 25 grams of fat 2.8 grams of carbohydrates.
The weight ratio of the three nutrients is 1: 0.8: 7.2. The foods that can be used, milk, dairy products, soy milk, fish puree, porridge, cake, cake, etc. Meeting needs to be transferred to the sixth step, the daily weight of 140 to 120 kcal per kilogram of weight, 3.5 grams of protein, 3.5 grams of fat, and carbohydrates 14, the weight ratio is 1: 1: 4. Food can be the same as the fourth step, but it needs to be increased. Entering the sixth step can consolidate to a normal diet, and the child has returned to normal.
Children in the second degree should start from the second step: 61 kcal in thermal energy, 2.0 grams of protein, 1.0 grams of fat, 11 grams of carbohydrates, and its weight ratio is 1: 0.5: 5.5. Milk powder, soy milk, fish soup, rice soup, dilute batter, etc. About 5 to 7 days gradually went to the third step.
This slowly increases the fourth and fifth steps: the thermal energy is 174 kcal per kilogram per kilogram, 4.5 grams of protein, 7 grams of fat, 24 grams of carbohydrates, and its weight ratio is 1: 1.5: 5.2. Began to restore health and enter the sixth step to consolidate treatment.
Three -degree children should add food progress slowly. From the first step, it requires 35 kcal per kilogram of weight, 1.3 grams of protein, 0.4 grams of fat, 6.5 grams of carbohydrates, and its weight ratio 1: 0.3: 5. Foods should be used: skimmed milk, evaporating milk, formula milk, rice soup, rare rice noodles, etc. If indigestion occurs, it can return. Press step -by -step, gradually enrich until the sixth.
In short, the supply and increase of nutrients should be increased from less to more, from simple to complex. Specific measures should depend on the appetite and digestion of children, and it is not advisable to uniformly stipulate. Foods should be divided into each of the above steps. Mainly: protein foods: skimmed milk, evaporation milk, formula milk, soy milk, egg yolk powder, fish powder, meat puree, liver puree, etc.
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Fat: In addition to the fat in the above foods, it can be appropriately added with vegetable oil, artificial butter, cream, etc., but it can only be added in small amounts. Carbohydrates: rice soup, Xiaomi soup, batter, pouring powder, sink powder, porridge, rotten rice, cakes, biscuits, etc.
Vitamin, inorganic salt: It can be supplemented with fresh fruit juice and vegetable juice. If diarrhea is diarrhea, it can be supplemented from the vitamin preparation agent. In short, the feeding of children with three degrees of malnutrition must be patient. Children with severe digestive disorders should not be used arbitrarily.
(Intern editor: Lu Ruiqiong)