- Approaches to therapy of transient lactase insufficiency of children in pectoral age
Approaches to therapy of transient lactase insufficiency of children in pectoral age
SOVREMENNAYA PEDIATRIYA.2016.2(74):26-30; doi 10.15574/SP.2016.74.26
Approaches to therapy of transient lactase insufficiency of children in pectoral age
Marushko Yu. V., Iovitsa T. V.
National Medical University A.A. Bogomolets, Kiev, Ukraine
Purpose. Optimization of therapy of transient lactase insufficiency in children of pectoral age taking into account the degrees of severity of symptoms of lactase insufficiency.
Materials and methods. There were 100 children by age of 1–5 months of life with transient lactase insufficiency under the supervision on the base of children's clinical hospital N5, Kyiv. All the infants were on the breast feeding. To all the infants was conducted the hydrogen respiratory test with loading of food lactose. The efficiency of treatment of patients with transient lactase insufficiency with the appointment of enzyme of lactase was investigated on the basis of the clinic and by means of comparative analysis of results of hydrogen respiratory test with loading of food lactose in the dynamics of treatment.
Results. We have discovered that the children of the first half-year of life have different degrees of severity of transient lactase insufficiency as a result of hydrogen respiratory tests. It was found that the starting dose of enzyme of lactase must depend on the degree of severity of transient lactase insufficiency (700 Alu-1500 ALU), taking into account the indexes of hydrogen respiratory test. The differentiated approach allows considerably improve the clinical picture of displays of lactase insufficiency from the early days of appointing.
Conclusions. Children with transient lactase insufficiency have an increase of indexes of hydrogen respiratory test with loading of food lactose from 20 ppm. The recommendations related to starting therapy by the enzyme of lactase are developed for the children of pectoral age taking into account the indexes of hydrogen respiratory test.
Key words. Children of pectoral age, transient lactase insufficiency, hydrogen respiratory test, enzyme of lactase.
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