Msokoto wa watoto wachanga : Tofauti kati ya masahihisho
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{{Infobox disease
| Name = Baby colic
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'''Msokoto wa watoto wachanga'''
Hali ya kawaida inaonekana baada ya kwanza ya wiki tatu baada ya kuzaliwa na karibu kutoweka, mara nyingi kabla ya mtoto kufika umri wa miezi minne. <ref> Boyd, D & Bee, H (2006). ''Maendeleo livslängd minskar'' 4th ed. London: Pearson</ref> Ni zaidi ya kawaida katika [[chupa-kulishwa]] watoto, lakini pia hutokea katika [[kifua-kulishwa]] watoto wachanga. The kilio mara nyingi hutokea wakati wa kipindi maalum wa siku, mara nyingi katika mapema jioni.▼
▲Hali ya kawaida inaonekana
Hakuna makubaliano ya jumla juu ya ufafanuzi wa koliki.
==Sababu==
Kuna ushahidi kwamba sababu ni kuhusiana na tofauti katika [[gut mafua
Baadhi ya [[daktari|madaktari]] wanadai kuwa ni macho ya mtoto nyeti temperament, mazingira, na [[mfumo wa neva]] machanga wake kwamba inafanya kwake kilio kwa urahisi na bila udhibiti. Wengine wanaamini kwamba anzisha katika matatizo katika [[mfumo digestive]] mtoto, hasa kwa sababu ya buildup ya gesi ambayo hawezi kuwa huru. Mpya masomo katika Colic Clinic saa [[Brown University]] kuonyesha kuwa karibu nusu ya watoto kwa kuwa colic kali [[gastroesophageal reflux.]] Baadhi ya kesi inaweza kuwa matokeo ya [[kutovumilia lactose]] au lactose overload (Mwisho wakati akiongozana na kijani stools). <ref name="autogenerated1"> [http://www.health-e-learning.com/articles/Lactose.pdf Colic na kutovumilia lactose]</ref>▼
▲Kuna ushahidi kwamba sababu ni kuhusiana na tofauti katika [[gut mafua.]] Uchunguzi mbalimbali umeonyesha kuwa watoto wana msokoto wa watoto wachanga kutokana na ukosefu wa [[Lactobacillus acidophilus.|''Lactobacillus acidophilus.'' ]] <ref>{{cite journal |author=Savino F, Bailo E, Oggero R, ''et al.'' |title=Bacterial counts of intestinal Lactobacillus species in infants with colic |journal=Pediatr Allergy Immunol |volume=16 |issue=1 |pages=72–5 |year=2005 |month=Februari |pmid=15693915 |doi=10.1111/j.1399-3038.2005.00207.x |url=http://www3.interscience.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0905-6157&date=2005&volume=16&issue=1&spage=72}}</ref> <ref>{{cite journal |author=Savino F, Cresi F, Pautasso S, ''et al.'' |title=Intestinal microflora in breastfed colicky and non-colicky infants |journal=Acta Paediatr. |volume=93 |issue=6 |pages=825–9 |year=2004 |month=Juni |pmid=15244234 |url=http://www3.interscience.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0803-5253&date=2004&volume=93&issue=6&spage=825 |doi=10.1080/08035250410027625}}</ref> <ref>{{cite journal |author=Saavedra JM, Abi-Hanna A, Moore N, Yolken RH |title=Long-term consumption of infant formulas containing live probiotic bacteria: tolerance and safety |journal=Am. J. Clin. Nutr. |volume=79 |issue=2 |pages=261–7 |date=1 Februari 2004|pmid=14749232 |url=http://www.ajcn.org/cgi/pmidlookup?view=long&pmid=14749232 }}</ref> Baadhi ya tafiti hizo zinaonyesha ya förvaltningen ya [[probiotic,]] kama ''Lactobacillus acidophilus'' au ''[[Lactobacillus reuteri,]]'' kuboresha hali hiyo. <ref>{{cite journal |author=Savino F, Pelle E, Palumeri E, Oggero R, Miniero R |title=''Lactobacillus reuteri'' (American Type Culture Collection Strain 55730) versus simethicone in the treatment of infantile colic: a prospective randomized study |journal=Pediatrics |volume=119 |issue=1 |pages=e124–30 |year=2007 |month=Januari |pmid=17200238 |doi=10.1542/peds.2006-1222 |url=http://pediatrics.aappublications.org/cgi/content/full/119/1/e124}}</ref> Probiotics wamekuwa umeonyesha kuboresha masharti mengine yanayohusiana na colic, kama [[lactose kutovumilia,]] <ref>{{cite journal |author=Kim HS, Gilliland SE |title=''Lactobacillus acidophilus'' as a dietary adjunct for milk to aid lactose digestion in humans |journal=J. Dairy Sci. |volume=66 |issue=5 |pages=959–66 |date=1 Mei 1983|pmid=6409948 |url=http://jds.fass.org/cgi/pmidlookup?view=long&pmid=6409948 }}</ref> [[necrotizing enterocolitis]] <ref name="autogenerated2">{{cite journal |title=Probiotics for infants: two studies, two successes |journal=Archives of Disease in Childhood |volume=90 |issue=5 |pages=544–5 |year=2005 |url=http://adc.bmj.com/cgi/content/full/90/5/544}}</ref> na gastric [[inflammation.]] <ref>{{cite journal |author=Lesbros-Pantoflickova D, Corthésy-Theulaz I, Blum AL |title=''Helicobacter pylori'' and probiotics |journal=J. Nutr. |volume=137 |issue=3 Suppl 2 |pages=812S–8S |date=1 Machi 2007|pmid=17311980 |url=http://jn.nutrition.org/cgi/pmidlookup?view=long&pmid=17311980 }}</ref> Mbali na kwamba wamekuwa probiotics umeonyesha kwa ujumla kuboresha afya ya watoto ambao kuchukua yao. <ref name="autogenerated2"></ref> Ni thamani akibainisha, probiotics kawaida kutokea katika breastmilk na zaidi ya breastfed mtoto na kulishwa formula mtoto kuwa tofauti sana gut floras. <ref> [http://www.drjaygordon.com/development/bf/supplement.asp Marsha Walker, RN, IBCLC, ''chupa moja tu si kuumiza'' ]</ref>
▲Baadhi ya madaktari wanadai kuwa ni macho ya mtoto nyeti temperament, mazingira, na [[mfumo wa neva]] machanga wake kwamba inafanya kwake kilio kwa urahisi na bila udhibiti. Wengine wanaamini kwamba anzisha katika matatizo katika [[mfumo digestive]] mtoto, hasa kwa sababu ya buildup ya gesi ambayo hawezi kuwa huru. Mpya masomo katika Colic Clinic saa [[Brown University]] kuonyesha kuwa karibu nusu ya watoto kwa kuwa colic kali [[gastroesophageal reflux.]] Baadhi ya kesi inaweza kuwa matokeo ya [[kutovumilia lactose]] au lactose overload (Mwisho wakati akiongozana na kijani stools). <ref name="autogenerated1"> [http://www.health-e-learning.com/articles/Lactose.pdf Colic na kutovumilia lactose]</ref>
Huwafufua utafiti wa hivi karibuni idadi ya hypotheses pamoja [[melatonin]] mwanzo wa uzalishaji na [[pineal gland]] (ambayo haina kuanza hadi wiki ya umri wa 12, kuhusu muda colic inaonekana kutoweka), <ref>{{cite journal |author=Sivan Y, Laudon M, Tauman R, Zisapel N |title=Melatonin production in healthy infants: evidence for seasonal variations |journal=Pediatr. Res. |volume=49 |issue=1 |pages=63–8 |year=2001 |month=Januari |pmid=11134493 |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0031-3998&volume=49&issue=1&spage=63 |doi=10.1203/00006450-200101000-00015}}</ref> [[circadian rhythms,]] <ref>{{cite journal |author=Weissbluth M, Weissbluth L |title=Colic, sleep inertia, melatonin and circannual rhythms |journal=Med. Hypotheses |volume=38 |issue=3 |pages=224–8 |year=1992 |month=Julai |pmid=1513278 |url=http://linkinghub.elsevier.com/retrieve/pii/0306-9877(92)90099-X |doi=10.1016/0306-9877(92)90099-X}}</ref> na [[uvutaji]] na [[stress]] wa mama katika [[trimester]] tatu. <ref>{{cite journal |author=St James-Roberts I, Conroy S |title=Do pregnancy and childbirth adversities predict infant crying and colic? Findings and recommendations |journal=Neurosci Biobehav Rev |volume=29 |issue=2 |pages=313–20 |year=2005 |month=Aprili |pmid=15811501 |doi=10.1016/j.neubiorev.2005.01.001 |url=http://linkinghub.elsevier.com/retrieve/pii/S0149-7634(05)00004-7}}</ref>
==Tiba==
Kihistoria, na hadi hivi karibuni, colic mara nyingi kutibiwa na
Watoto wengi ni soothed kwa upole bouncing au rocking, ambayo inaongoza kwa parasympathetic kujibu, endorphin uzalishaji, na hivyo kutuliza.
<ref> "The wasiwasi Brain: The Neurobiological Msingi ya wasiwasi na Jinsi ya ufanisi wakazifanyia" Steven M. Prinz na Margaret Wehrenberg, Norton & Co (2007)</ref> Mengine madaktari kuagiza [[simethicone,]] ambayo chipsi trapped gesi; baadhi ya wazazi ripoti kuwa huu ni ufanisi, lakini kwa wengine wengi si na utafiti unaonyesha kwamba siyo muhimu.
<ref> [http://www.med.umich.edu/pediatrics/ebm/cats/colic.htm Chuo Kikuu cha Michigan kliniki majaribio kwa simethicone kutumika kwa colic]
</ref> Baadhi ya tafiti wamegundua matibabu na kama [[probiotic]]
Kuna makubaliano ya jumla kwamba hatua soothing, kama [[Pacifier]] s, kusikiliza [[kelele]] na [[nyeupe]] rocking, ni mara nyingi ufanisi katika kutuliza mtoto wakati kilio vipindi. Baadhi ya wazazi kuchukua mtoto anarudi kuikopesha adili (ambayo inaweza kupunguza maumivu na kilio) ili kumwezesha mzazi nyingine ili catch up on kulala. Watoto na kutovumilia au lactose kilio reflux vigumu na tena wakati wa kushoto na uongo juu ya migongo yao, lakini si wazazi wanashauriwa kuweka watoto kulala Fronts yao kufikiriwa kama ni hatari kwa sababu [[watoto wachanga Kifo Mwilini ghafla,]] au SIDS.
Wanasayansi kuonya kwamba uchunguzi zaidi ni muhimu kabla ya tiba maalumu yoyote lazima ilipendekeza. <ref name="NPR"></ref>
==Athari kwenye familia==
Colic unaweza mahali enorma Strain juu ya wazazi na familia nyingine. Hisia kwamba wao si kutoa kitu mtoto wao anataka au mahitaji mno inaweza kutumika [[stress]], [[unyogovu
Matatizo katika wazazi mara nyingi ni vizuri förvärras dessutom kwa maana lakini wapotofu watu ambao wanaamini kwamba lazima wazazi kufanya kitu kibaya. Tabia hii ni ya kawaida kabisa miongoni mwa watu ambao reared colic-free watoto wenyewe. Hata wale ambao walikuwa na watoto ambao wanaugua kutokana colic, na ambao hupatikana ya "tiba" (angalia hapo juu), inaweza kusita alipendekeza amini mbinu zao wenyewe haifanyi kazi kwa mtu mwingine. Katika baadhi ya maeneo, [[kusaidia kundi]] s wamekuwa lililoundwa kwa wazazi wa watoto colic. {{Citation needed|date=Julai 2009}}
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▲[[Category:Pediatrics]]
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