How does child malnutrition arrange dietotherapy to recuperate? How to diet and recuperate the malnourished baby? Many children have different degrees of malnutrition because they are picky and partial eaters. How can they take care of their children's diet?
Because the digestive physiological function of once malnourished children is similar to that of normal children, the original feeding food should be maintained at the beginning of treatment, and the food should not be added in a hurry, so as to avoid causing dyspepsia. Generally, according to the situation of children, calorie and protein food should be added after a week.
The digestive ability of the second degree malnourished children is weak. When the digestive ability is gradually restored and the appetite is improved, the protein food is gradually increased rapidly. Pay attention to the amount of salt to prevent edema.
The digestive ability of the third degree malnourished children is very weak, accompanied by other complications. We should first diagnose the primary disease, and when the disease gets better, we should maintain the acid-base balance with a very small amount of food, and then gradually adjust the diet and supplement protein, so as to gradually consolidate the intake of nutrients.
Methods to adjust and supplement nutritious food:
First of all, we should follow the principle of step by step, gradual supplement, no hurry, patience and caution, and adhere to the following six steps. Each step has the amount of heat energy and three main nutrients, weight ratio, and suitable food.
Once malnourished children can start from the third step: daily intake of 120 kilocalories per kilogram of body weight, 3 grams of protein, 1.8 grams of fat, 23 grams of carbohydrate. The weight ratio of the three nutrients was 1:0.6:7.6. Food available: semi skimmed milk, evaporated milk, formula milk, soybean milk, rice soup, thin rice porridge, lotus root powder, fish mud soup, etc.
When the situation is stable, we will go to the fourth step. We will take 140 kcal of heat, 3.5 g of protein, 2.8 g of fat and 25 g of carbohydrates per kilogram of body weight every day. The weight ratio of the three nutrients is 1:0.8:7.2, and the available foods are milk, milk replacer, soybean milk, fish mud, porridge, cake, etc.
To meet the need, we can go to the sixth step, which is 140-120 kcal per kilogram of body weight per day, 3.5G protein, 3.5G fat, 14 carbohydrates, and 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 normal diet, children have returned to normal.
Second degree children should start from the second step: heat 61 kcal, protein 2.0 g, fat 1.0 g, carbohydrates 11 g, the weight ratio is 1:0.5:5.5, edible food: skimmed milk, evaporated milk, formula milk replacer, soybean milk, fish soup, rice soup, thin batter, etc. About 5-7 days, gradually to the third step.
Such a slow increase leads to the fourth and fifth step: 174 kcal / kg of heat per day, 4.5 g of protein, 7 g of fat, 24 g of carbohydrates, and the weight ratio of 1:1.5:5.2. Start to recover and enter the sixth step of consolidation treatment.
The progress of feeding in third degree children should be slower. Starting from the first step, each kilogram of body weight needs 35 kcal of heat, 1.3 g of protein, 0.4 g of fat, 6.5 g of carbohydrates, and the weight ratio is 1:0.3:5. Suitable food: skimmed milk, evaporated milk, formula milk, rice soup, lotus root powder, etc. If dyspepsia occurs, it can be regressed. Step by step, gradually enrich, until the sixth step.
In a word, the supply and increase of nutrients should be from less to more, from simple to complex, and avoid repetition due to greedy for more, quick and complete. The specific measures should be determined by the appetite and digestion of children, and it is not suitable to unify the rigid provisions.
Appropriate foods have been described in each of the above steps. Mainly: protein food: skimmed milk, evaporated milk, formula milk, soybean milk, egg yolk powder, fish meal, meat paste, liver paste, etc. Fat: in addition to the fat in the above foods, vegetable oil, margarine, cream, etc. can be added appropriately, but only a small amount can be added.
Carbohydrates: rice soup, millet soup, batter, lotus root powder, lotus root powder, porridge, rotten rice, cake, biscuit, etc. Vitamin, inorganic salt: can use fresh fruit juice, vegetable juice supplement. If the child has diarrhea, it can be supplemented from vitamin preparations. In short, the feeding of children with third degree malnutrition must be patient. Hunger therapy should not be used arbitrarily for children with severe digestive disorders.
After reading the above content, we should have some understanding of the problem of how to arrange dietotherapy for children with malnutrition. More topics about dietotherapy for children with malnutrition will continue to be introduced in the following articles. Welcome to check. Wish you a happy life!