Lactase insufficiency nyob rau hauv cov me nyuam

Yuav ua li cas yog lactase deficiency? Qhov no mob rau lub rooj sib hais ib tug ntau ntawm cov tub ntxhais leej niam, tab sis muaj ntau yam ntawm lawv yog cov tsis heev nws yog dab tsi. Lactose tsis ua hauj lwm (LF) nruab nrab yog lub cev tsis muaj peev xwm zom cov lactose - lactose, uas yog ib tug ntawm cov loj Cheebtsam ntawm cov mis nyuj, vim hais tias ntawm cov tsis muaj los yog yuav txo tau ntawm kev ua si ntawm ib tug enzyme ua nyob rau hauv cov hnyuv. Qhov no enzyme hu ua lactose thiab yog ua los ntawm tshwj xeeb hlwb nyob rau hauv lub me me hnyuv, los yog es, nyob rau hauv nws cov mucosa - enterocytes. Unsplit lactose nyob rau hauv loj qhov ntau rau hauv cov hnyuv ua fermentation thiab yeej txhawb txoj kev loj hlob ntawm pathogenic cov kab mob.

Lactose tsis muaj peev xwm yuav ua tau thawj (ie congenital) thiab theem nrab (los ntawm tej plob tsis so tswj kab mob, raws li tau zoo raws li ib tug tshwm sim ntawm cov khoom noj tsis haum). Secondary lactase tsis muaj peev xwm tshwm sim ntau thiab nws tsis yog hais txog nrog cov yuav txo tau ntawm lactase enzyme ua si (raws li nyob rau hauv cov ntaub ntawv ntawm cov thawj FN) thiab nrog kev puas tsuaj enterocytes ua active enzyme. Primary lactase tsis muaj peev xwm "nyob rau hauv sawv" feem ntau tsim thiab manifests nws tus kheej tsis nyob rau hauv thawj hnub ntawm lub neej (thaum lub qho yog cia li ib tug ob peb grams), thiab thaum tus me nyuam pib noj ntau mis nyuj, uas yog hais tias 3-4 lub lis piam, thiab tej zaum kuj rau yav tom ntej.

Cov nram qab no tej yam tshwm sim ntawm lactose tsis muaj peev xwm nyob rau hauv cov me nyuam:

- frothy kua quav uas muaj qaub tsw. Nyob rau hauv cov ntaub ntawv no, lub rooj zaum yuav ua tau heev heev thiab muaj nqees, thiab txawm tsis tshua muaj, thiab nyob rau hauv tej rooj plaub uas tus me nyuam tsis tau ua lawv cov "tej yam loj" tsis muaj kev pab;

- tsam plab thiab txuam nrog lub mob;

- quaj thiab nyob tsis tswm coj tus cwj pwm thaum lub sij hawm thiab tom qab pub;

- phem txheej los yog txawm poob phaus.

Feem ntau ib tug lactose tsis muaj peev xwm nyob rau hauv cov me nyuam mos pib xav tias thaum twg ib tug me nyuam yog lossi cai frothy kua quav, tu-sauv thiab mob plab. Feem ntau cov kws kho mob maj nrawm nroos mus ua ib tug mob thiab txhais tau cov yam khoom noj nyob rau hauv ib tug tshwj xeeb muab uas tsis muaj lactose (los yog tsawg-lactose sib tov), tej zaum txawm tswv yim nws niam kom tiav kev pub niam mis, xam rau lub fact tias tus me nyuam yog tsis muaj peev xwm zom cov niam cov kua mis. Txawm li cas los, qhov no mob yuav tsum tau raug xam tias tsuas yog tom qab ib tug meej kev xeem (uas muaj xws li ib tug tsom xam ntawm cov quav rau hauv lub carbohydrates, yog tias tsim nyog, ib tug ntshav kuaj rau allergens thiab ib tug xov tooj ntawm tshwj xeeb kev tshawb fawb, thiab, nyob rau hauv tas li ntawd, tsom xam rau ib tug dysbacteriosis, uas differentiated daim duab ntawm LF thiab latent plab hnyuv kab mob). Nyob rau hauv Feem ntau, cov me nyuam ntawm cov thawj lub hlis ntawm lub neej (tshwj xeeb tshaj yog cov uas tsis muaj birthweight thiab ntxov ntxov tots), uas yog powered los ntawm cov mis nyuj, tau ib tug ntau ntawm lactose, uas yog lawv lub cev tsuas tsis muaj lub sij hawm rau cov txheej txheem. Feem ntau nws yog txuam nrog rau cov kev ua txhaum ntawm ib lub rooj zaum, regurgitation thiab Colic, tab sis los ntawm 3-4 lub hlis ntawm hnub nyoog yam khoom noj teeb meem no los rov qab mus rau qub. Nyob rau hauv cov ntaub ntawv no peb hais txog nraum lactose tsis muaj peev xwm.

Kev kho mob ntawm lactose tsis muaj peev xwm taw ib tug cov menyuam yaus. Yog hais tias tus me nyuam yog noj niam mis, yog tsis muaj yuav tsum tau maj mus txhais nws rau hauv lub ntoos sib xyaw. Txuag pub niam mis yog tau - qhov no niam muaj ua ntej txhua pub rau qhia ib co mis nyuj thiab yaj yeeb tshuaj kho los ntawm ib tus kws kho mob lactase. Tom qab tus me nyuam haus tshuaj, nws yeej muab tau rau lub mis-feeding thiab mus ntxiv nyob rau hauv lub niaj zaus txoj kev. Yam khoom noj, raj mis-yuav tsum tau tshwj xeeb lactose-dawb los yog tsawg-lactose sib tov. Cov me nyuam loj thiab zom cereal yuav tsum tau npaj tsis mis nyuj, tab sis nyob rau hauv tib tshwj xeeb sib tov zoo li raws li lactic acid nyob rau hauv cov khoom noj khoom (uas feem ntau tsis ua teeb meem xws li cov mis nyuj nyob hauv cov ntshiab daim ntawv no). Yog hais tias vim yog vim li cas tus me nyuam mos noj mis nyuj cov khoom, koj yuav tsum muab nws ib tug pre-tshuaj lactase (tab sis nws yog zoo dua mus sim tshem tawm cov zaub mov ntawm cov khoom noj). Lub caij ntawm kev kho mob nyob rau hauv lub hom thiab kev siv ntawm cov kab mob thiab yog tswj los ntawm ib tug kws kho mob.

Ob txhais haujlwm uas yog COy nyob rau hauv cov me nyuam feem ntau tshwm sim tom qab kev txom nyem lom los yog ib tug hnyuv kab mob. Nyob rau hauv cov ntaub ntawv no, cov kev kho mob ntawm tus me nyuam yog yuav tsum tau, cia li ib tug me ntsis thaum lub sij hawm cov mis nyuj nyob rau hauv nws noj cov zaub mov yuav tsum tau hloov los ntawm lactic acid cov khoom. Yog hais tias lactase deficiency yog tshwm sim los ntawm ib tug tsis haum cov tshuaj tiv thaiv, nws yog tsim nyog los txhim kho cov kev noj haus ntawm tus me nyuam thiab / los sis tsev laus niam los mus txiav txim lub allergen thiab cais nws los ntawm cov zaub mov (ib ntus los yog mus tas li).