• Use of hydrogen respiratory dough for determination of tranzitornaya laktase deficiency for children of the first half-year of life
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Use of hydrogen respiratory dough for determination of tranzitornaya laktase deficiency for children of the first half-year of life

PERINATOLOGIYA I PEDIATRIYA.2013.4(56):81–84

 

Use of hydrogen respiratory dough for determination of tranzitornaya laktase deficiency for children of the first half-year of life

 

Marushko Yu. V., Iovitsa T. V.

А.А. Bogomolets National Medical University, Kyiv, Ukraine

 

 

Aim: to improve the diagnostics of tranzitornaya lactase deficiency for the children of infancy by means of hydrogen respiratory dough with loading a food lactose.

 

 

Patients and methods. There were 189 children under an inspection in age of 1–5 months at that enterodynias and suspicion were marked on tranzitornaya lactase deficiency. All children were on the pectoral rearing. To all children with a diagnostic aim a hydrogen respiratory test was conducted with loading food lactose.

 

 

Results. It is educed by us, that enterodynia, flatulence and common anxiety marked for all children, posseting rarer — at 61.4% inspected, liquid chair for 83.1% children, presence of mucus in an excrement for 74.6% patients, the sour smell of excrement for 56.6% children and constipations was observed only at 16.4% inspected. During research of coprogram at most inspected (in 85.7% cases) the decline of рН excrement is fixed <5.5, that specifies on possible tranzitornaya lactase deficiency, and for 14.3% children it is educed to the рН excrement >5.5. At determination of indexes of hydrogen respiratory dough for the children of the first months of life with enterodynias and рН excrement less than 5.5 a positive respiratory test (tranzitornaya lactase deficiency) was marked in 88.9% cases. For children with enterodynias and рН excrement more than 5.5 tranzitornaya lactase deficiency is set only in 44.4% cases. At deter: mination of degrees of increase of level hydrogen during hydrogen respiratory dough it is marked for the children of infancy with enterodynias and рН excre: ment of less than 5.5, that very often in 58.3% cases the level of hydrogen was determined >30<60 ppm. Therefore in most cases enterodynias for the children of the first months of life are conditioned by tranzitornaya lactase deficiency.

 

 

Conclusions. A hydrogen respiratory test is simple in execution and not invasive, it is comfortable method for diagnostics of tranzitornaya lactase deficiency that in 82.5% is reason of development of enterodynias. A hydrogen respiratory test can be used both for primary diagnostics of tranzitornaya lactase deficiency and for determination of lactose:dependent bacterial height in bowels.

 

Key words: enterodynias, children of infancy, tranzitornaya lactase deficiency, hydrogen respiratory test.

 

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