Почему ребенок срыгивает? Опасно ли это? Какие принять меры и можно ли обойтись без врача?
«Дети срыгивают, потому что они дети»
(«Ваш малыш от рождения до двух лет», У.Сирс, М.Сирс)
Да, опасно, если:
1. Если новорожденный срыгивает «фонтаном»
2. Если новорожденный не набирает вес
3. Если новорожденный срыгивает помногу после каждого кормления, не смотря на вертикальное положение
В своей книге Уильям и Марта Сирз, касаясь темы срыгивание новорожденных, пишут так: дети срыгивают, потому что они дети. Попробуйте пролить одну столовую ложку жидкости на платье и вы увидите большое пятно. Когда дети срыгивают, это нормально. Тем не менее, есть такие ситуации, когда ребенок срыгивает, и родителям имеет смысл насторожиться. Поскольку причиной таких ситуаций может быть пилороспазм — спазм стенки желудка исходящего отдела желудка.
Пилороспазм как первая причина срыгивания
Причинами спазма зачастую является стресс, переедание, холод и другое. Срыгиванию по причине пилороспазма может также способствовать слишком быстрое потребление еды. Например, когда новорожденный только что поплакал или чем-то взволнован. Он торопится есть и вместе с едой заглатывает большое количество воздуха, который давит на стенки желудка, как бы расприрая его. Затем происходит спазм и воздух вместе с едой выталкивается наружу. За этим может последовать икота. От коты иногда помогает кормление (грудью или жидкой смесью). Подробнее про пилороспазм.
Пилоростеноз как вторая причина срыгивания
Второй и самой, наверное, серьезной ситуацией, когда стоит насторожиться при срыгивании — это ситуация, когда причиной срыгивания новорожденного является пилоростеноз — утолщение стенки желудка исходящего отдела желудка. В этой ситуации следует произвести контрольное взвешивание: сколько грудного молока потребляет новорожденный за одно кормление. Взвешиваем до и после кормления. Лучше всего без одежды и памперса. Весы должны быть в граммах. Новорожденный в возрасте 1 месяц должен потреблять 90-120 мл грудного молока или смеси за одно кормление. Не смотря на то, что ребенок может часами висеть на груди и много спать. Это не показатель достаточного потребления пищи, как ошибочно считают многие. Это могут быть т.н. «малоешки», которые много спят, — но может быть и ослабленность детского организма. Ему не хватает еды, он сосет пустую грудь. Не является также показателем большая грудь. Может быть затруднено получение молока из сосков, может быть жидкое молоко.
Другие причины срыгивания новорожденных и что делать
Во время кормления ребенок неизбежно заглатывает воздух. Воздух распирает желудок изнутри и давит на пищевод. Заглатывание воздуха и срыгивание неизбежны и нормальны для новорожденных. Бороться с этим не нужно, паника здесь неуместна. Но можно постараться минимизировать причины заглатывания воздуха, а значит, обеспечить более комфортное для малыша и полноценное потребление пищи. Ведь воздух занимает объём. И, чем больше воздуха в желудке, тем меньше там питательной еды.
1. Ребенок взволнован во время кормления.
2. Ребенок неправильно захватил сосок.
3. Слишком большое отверстие в соске от бутылочки со смесью.
4. Слишком жидкая смесь или грудное молоко, вследствие чего новрожденный пьёт слишком быстро.
5. Новрожденный не вытолкнул воздух из желудка сразу после еды, поскольку находился в горизонтальном положении.
И… Напутствие!
— В любом случае, какой бы ни была ситуация, — действуйте конструктивно. Конструктивно — означает: принимайте меры, не сидите сложа руки. Паника и слёзы делу не помогут. Делу помогут действия и быстро принятое решение.
— Cходите к разным специалистам, чтобы получить более объективное мнение, буквально пытайте педиатров.
— Доверяйте технике, а не бабушкиным методам диагностики. Только УЗИ брюшной полости выявит или исключит заболевание, с ней связанное.
— Удобнее всего подготовить список вопросов и описание симптомов заранее, как то: как часто происходит срыгивание, в каком объёме малыш срыгивает, какокго цвета содержимое срыгиваемой массы, как ведёт себя малыш до и после срыгивания. Не стесняйтесь задавать вопросы! В этом деле нет никаких «неудобно». Возможно, именно этот приём врача здесь и сейчас — это Ваш единственный шанс найти и устранить причину. Доктора много работают и устают (они тоже люди, да), поэтому могут что-то упустить из виду.
— Будьте оптимистом и сильным человеком! Малышу нужна Ваша помощь. И Вы в силах помочь ему. В конце концов, это не так трудно. Не жалейте себя. Бессонные ночи и усталость скоро пройдут, малыш вырастет. Рано или поздно Вы ещё успеете пожить для себя. Трудности, связанные с новорожденным, носят временный характер. Впоследствии данный период будет вспоминаться как самый яркий и очаровательный эпизод в Вашей жизни. Умиление — вот что мы чувствуем, находя в шкафу крохотные распашонки или пинеточки, когда малыш уже вырос из них.
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