Кишечные колики у детей первых месяцев жизни: комплексное решение проблемы
Кишечные колики у детей первых месяцев жизни: комплексное решение проблемы
Титова О.Н., Таран Н.Н. Кишечные колики у детей первых месяцев жизни: комплексное решение проблемы. Педиатрия (Прил. к журн. Consilium Medicum). 2018; 1: 90–93. DOI: 10.26442/2413-8460_2018.1.90-93
DOI: 10.26442/2413-8460_2018.1.90-93
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DOI: 10.26442/2413-8460_2018.1.90-93
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Аннотация
Кишечные колики у детей на первом году жизни представляют собой распространенную проблему и становятся причиной повышенной тревожности родителей и многочисленных визитов к врачу-педиатру. Они могут быть, как самостоятельным состоянием и возникать у практически здорового ребенка, так и относиться к числу симптомов заболеваний желудочно-кишечного тракта различной этиологии. При лечении колик эффективным является комплексный подход к проблеме, который включает в себя: своевременное установление причины данного состояния, грамотную организацию питания ребенка и кормящей матери и рациональное использование медикаментозной терапии, в частности, препаратов, уменьшающих газообразование.
Ключевые слова: младенческие колики, кишечные колики у детей, метеоризм, белок коровьего молока, грудное вскармливание, желудочно-кишечный тракт, функциональные нарушения, пробиотики, симетикон.
Key words: infant colic, intestinal colic in children, flatulence, cow's milk protein, breastfeeding, gastrointestinal tract, functional disorders, probiotics, simethicone.
Ключевые слова: младенческие колики, кишечные колики у детей, метеоризм, белок коровьего молока, грудное вскармливание, желудочно-кишечный тракт, функциональные нарушения, пробиотики, симетикон.
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Key words: infant colic, intestinal colic in children, flatulence, cow's milk protein, breastfeeding, gastrointestinal tract, functional disorders, probiotics, simethicone.
Список литературы
1. Kheir AEM. Infantile colic, facts and fiction. Ital J Pediatrics 2012; 38: 34. DOI: 10.1186/1824-7288-38-34
2. Lebron D, Vasconcellos E. The Episodic Syndromes That Maybe Associated with Migraines. Semin Pediatr Neurol 2016; 23: 6–10. DOI: 10.1016/j.spen.2016.01.003
3. Пиманов С.И., Силивончик Н.Н. Римские IV рекомендации по диагностике и лечению функциональных гастроэнтерологических расстройств. М., 2016;
с. 128–30. / Pimanov S.I., Silivonchik N.N. Rimskie IV rekomendatsii po diagnostike i lecheniiu funktsional'nykh gastroenterologicheskikh rasstroistv. M., 2016; s. 128–30. [in Russian]
4. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
5. Функциональные нарушения желудочно-кишечного тракта у детей грудного возраста и их диетологическая коррекция. В кн.: Национальная программа оптимизации вскармливания детей первого года жизни в Российской Федерации. М.: Союз педиатров России, 2010; с. 39–42. / Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei grudnogo vozrasta i ikh dietologicheskaia korrektsiia. V kn.: Natsional'naia programma optimizatsii vskarmlivaniia detei pervogo goda zhizni v Rossiiskoi Federatsii. M.: Soiuz pediatrov Rossii, 2010; s. 39–42. [in Russian]
6. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29 (1): 184–94.
7. Herrera OR et al. Calprotectin: Clinical Applications in Pediatrics. J Pediatrics Pharmacol Ther 2016; 21 (4): 308–21.
8. Vandenplas Y, Ludvig T, Szajewska H. Implications and management of gastrointestinal disorders. Essential Knowledge Briefings 2015; p. 49–67.
9. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microfl ora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
10. Gelfand AA. Infant colic – a baby’s migraine? Cephalalgia 2015; 35 (14): 1243–5.
11. Shamir R, St James-Roberts I, Di Lorenzo C et al. Infant crying colic and gastrointestinal discomfort in early childhood: a review of the evidence and most plausible mechanisms. J Pediatr Gastroenterol Nutr 2013; 57 (Suppl. 1): S1–S45.
12. Privorotsky VF, Luppov NE. Infantile colic: the problem and the ways of solution. Pediatrics 2012; 91 (4): 98–05.
13. Хавкин А.И., Бельмер С.В., Захарова И.Н. и др. Функциональные расстройства пищеварения у детей раннего возраста: рабочий протокол диагностики и лечения. Эксперим. и клин. гастроэнтерология. 2014; 101 (1): 80-94. / Khavkin A.I., Bel'mer S.V., Zakharova I.N. i dr. Funktsional'nye rasstroistva pishchevareniia u detei rannego vozrasta: rabochii protokol diagnostiki i lecheniia. Eksperim. i klin. gastroenterologiia. 2014; 101 (1): 80-94. [in Russian]
14. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
15. Savino F, Bailo E, Oggero R et al. Bacterial counts of intestinal Lactobacillus species in infants with colic. Pediatr Allergy Immunol 2005; 16: 72–5.
16. Szajewska H et al. Lactobacillus reuteri DSM 17938 for the management of infantile colic in breastfed infants: a randomized, double-blind, placebo-controlled trial. J Pediatr 2013; 162: 257–62.
17. Savino F et al. Lactobacillus reuteri DSM 17938 in infantile colic: a randomized, double-blind, placebo-controlled trial. Pediatrics 2010; 126: e526–e533.
18. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
19. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Effi cacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
20. Vandenplas Y, Rudolph CD, di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendationsт of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49 (4): 498–547.
21. Таран Н.Н. Диетотерапия как основной метод коррекции функциональных нарушений пищеварения у детей первого года жизни. Вопр. диетологии. 2016; 6 (3): 66–71. / Taran N.N. Dietoterapiia kak osnovnoi metod korrektsii funktsional'nykh narushenii pishchevareniia u detei pervogo goda zhizni. Vopr. dietologii. 2016; 6 (3): 66–71. [in Russian]
22. Беляева И.А., Яцык Г.В., Евдокимова А.Н. Препараты симетикона в комплексной терапии кишечных колик. Практика педиатра. 2011: 20–2. / Beliaeva I.A., Iatsyk G.V., Evdokimova A.N. Preparaty simetikona v kompleksnoi terapii kishechnykh kolik. Praktika pediatra. 2011: 20–2. [in Russian]
2. Lebron D, Vasconcellos E. The Episodic Syndromes That Maybe Associated with Migraines. Semin Pediatr Neurol 2016; 23: 6–10. DOI: 10.1016/j.spen.2016.01.003
3. Pimanov S.I., Silivonchik N.N. Rimskie IV rekomendatsii po diagnostike i lecheniiu funktsional'nykh gastroenterologicheskikh rasstroistv. M., 2016; s. 128–30. [in Russian]
4. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
5. Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei grudnogo vozrasta i ikh dietologicheskaia korrektsiia. V kn.: Natsional'naia programma optimizatsii vskarmlivaniia detei pervogo goda zhizni v Rossiiskoi Federatsii. M.: Soiuz pediatrov Rossii, 2010; s. 39–42. [in Russian]
6. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29 (1): 184–94.
7. Herrera OR et al. Calprotectin: Clinical Applications in Pediatrics. J Pediatrics Pharmacol Ther 2016; 21 (4): 308–21.
8. Vandenplas Y, Ludvig T, Szajewska H. Implications and management of gastrointestinal disorders. Essential Knowledge Briefings 2015; p. 49–67.
9. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microfl ora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
10. Gelfand AA. Infant colic – a baby’s migraine? Cephalalgia 2015; 35 (14): 1243–5.
11. Shamir R, St James-Roberts I, Di Lorenzo C et al. Infant crying colic and gastrointestinal discomfort in early childhood: a review of the evidence and most plausible mechanisms. J Pediatr Gastroenterol Nutr 2013; 57 (Suppl. 1): S1–S45.
12. Privorotsky VF, Luppov NE. Infantile colic: the problem and the ways of solution. Pediatrics 2012; 91 (4): 98–05.
13. Khavkin A.I., Bel'mer S.V., Zakharova I.N. i dr. Funktsional'nye rasstroistva pishchevareniia u detei rannego vozrasta: rabochii protokol diagnostiki i lecheniia. Eksperim. i klin. gastroenterologiia. 2014; 101 (1): 80-94. [in Russian]
14. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
15. Savino F, Bailo E, Oggero R et al. Bacterial counts of intestinal Lactobacillus species in infants with colic. Pediatr Allergy Immunol 2005; 16: 72–5.
16. Szajewska H et al. Lactobacillus reuteri DSM 17938 for the management of infantile colic in breastfed infants: a randomized, double-blind, placebo-controlled trial. J Pediatr 2013; 162: 257–62.
17. Savino F et al. Lactobacillus reuteri DSM 17938 in infantile colic: a randomized, double-blind, placebo-controlled trial. Pediatrics 2010; 126: e526–e533.
18. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
19. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Effi cacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
20. Vandenplas Y, Rudolph CD, di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendationsт of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49 (4): 498–547.
21. Taran N.N. Dietoterapiia kak osnovnoi metod korrektsii funktsional'nykh narushenii pishchevareniia u detei pervogo goda zhizni. Vopr. dietologii. 2016; 6 (3): 66–71. [in Russian]
22. Beliaeva I.A., Iatsyk G.V., Evdokimova A.N. Preparaty simetikona v kompleksnoi terapii kishechnykh kolik. Praktika pediatra. 2011: 20–2. [in Russian]
2. Lebron D, Vasconcellos E. The Episodic Syndromes That Maybe Associated with Migraines. Semin Pediatr Neurol 2016; 23: 6–10. DOI: 10.1016/j.spen.2016.01.003
3. Пиманов С.И., Силивончик Н.Н. Римские IV рекомендации по диагностике и лечению функциональных гастроэнтерологических расстройств. М., 2016;
с. 128–30. / Pimanov S.I., Silivonchik N.N. Rimskie IV rekomendatsii po diagnostike i lecheniiu funktsional'nykh gastroenterologicheskikh rasstroistv. M., 2016; s. 128–30. [in Russian]
4. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
5. Функциональные нарушения желудочно-кишечного тракта у детей грудного возраста и их диетологическая коррекция. В кн.: Национальная программа оптимизации вскармливания детей первого года жизни в Российской Федерации. М.: Союз педиатров России, 2010; с. 39–42. / Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei grudnogo vozrasta i ikh dietologicheskaia korrektsiia. V kn.: Natsional'naia programma optimizatsii vskarmlivaniia detei pervogo goda zhizni v Rossiiskoi Federatsii. M.: Soiuz pediatrov Rossii, 2010; s. 39–42. [in Russian]
6. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29 (1): 184–94.
7. Herrera OR et al. Calprotectin: Clinical Applications in Pediatrics. J Pediatrics Pharmacol Ther 2016; 21 (4): 308–21.
8. Vandenplas Y, Ludvig T, Szajewska H. Implications and management of gastrointestinal disorders. Essential Knowledge Briefings 2015; p. 49–67.
9. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microfl ora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
10. Gelfand AA. Infant colic – a baby’s migraine? Cephalalgia 2015; 35 (14): 1243–5.
11. Shamir R, St James-Roberts I, Di Lorenzo C et al. Infant crying colic and gastrointestinal discomfort in early childhood: a review of the evidence and most plausible mechanisms. J Pediatr Gastroenterol Nutr 2013; 57 (Suppl. 1): S1–S45.
12. Privorotsky VF, Luppov NE. Infantile colic: the problem and the ways of solution. Pediatrics 2012; 91 (4): 98–05.
13. Хавкин А.И., Бельмер С.В., Захарова И.Н. и др. Функциональные расстройства пищеварения у детей раннего возраста: рабочий протокол диагностики и лечения. Эксперим. и клин. гастроэнтерология. 2014; 101 (1): 80-94. / Khavkin A.I., Bel'mer S.V., Zakharova I.N. i dr. Funktsional'nye rasstroistva pishchevareniia u detei rannego vozrasta: rabochii protokol diagnostiki i lecheniia. Eksperim. i klin. gastroenterologiia. 2014; 101 (1): 80-94. [in Russian]
14. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
15. Savino F, Bailo E, Oggero R et al. Bacterial counts of intestinal Lactobacillus species in infants with colic. Pediatr Allergy Immunol 2005; 16: 72–5.
16. Szajewska H et al. Lactobacillus reuteri DSM 17938 for the management of infantile colic in breastfed infants: a randomized, double-blind, placebo-controlled trial. J Pediatr 2013; 162: 257–62.
17. Savino F et al. Lactobacillus reuteri DSM 17938 in infantile colic: a randomized, double-blind, placebo-controlled trial. Pediatrics 2010; 126: e526–e533.
18. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
19. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Effi cacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
20. Vandenplas Y, Rudolph CD, di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendationsт of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49 (4): 498–547.
21. Таран Н.Н. Диетотерапия как основной метод коррекции функциональных нарушений пищеварения у детей первого года жизни. Вопр. диетологии. 2016; 6 (3): 66–71. / Taran N.N. Dietoterapiia kak osnovnoi metod korrektsii funktsional'nykh narushenii pishchevareniia u detei pervogo goda zhizni. Vopr. dietologii. 2016; 6 (3): 66–71. [in Russian]
22. Беляева И.А., Яцык Г.В., Евдокимова А.Н. Препараты симетикона в комплексной терапии кишечных колик. Практика педиатра. 2011: 20–2. / Beliaeva I.A., Iatsyk G.V., Evdokimova A.N. Preparaty simetikona v kompleksnoi terapii kishechnykh kolik. Praktika pediatra. 2011: 20–2. [in Russian]
________________________________________________
2. Lebron D, Vasconcellos E. The Episodic Syndromes That Maybe Associated with Migraines. Semin Pediatr Neurol 2016; 23: 6–10. DOI: 10.1016/j.spen.2016.01.003
3. Pimanov S.I., Silivonchik N.N. Rimskie IV rekomendatsii po diagnostike i lecheniiu funktsional'nykh gastroenterologicheskikh rasstroistv. M., 2016; s. 128–30. [in Russian]
4. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
5. Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei grudnogo vozrasta i ikh dietologicheskaia korrektsiia. V kn.: Natsional'naia programma optimizatsii vskarmlivaniia detei pervogo goda zhizni v Rossiiskoi Federatsii. M.: Soiuz pediatrov Rossii, 2010; s. 39–42. [in Russian]
6. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29 (1): 184–94.
7. Herrera OR et al. Calprotectin: Clinical Applications in Pediatrics. J Pediatrics Pharmacol Ther 2016; 21 (4): 308–21.
8. Vandenplas Y, Ludvig T, Szajewska H. Implications and management of gastrointestinal disorders. Essential Knowledge Briefings 2015; p. 49–67.
9. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microfl ora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
10. Gelfand AA. Infant colic – a baby’s migraine? Cephalalgia 2015; 35 (14): 1243–5.
11. Shamir R, St James-Roberts I, Di Lorenzo C et al. Infant crying colic and gastrointestinal discomfort in early childhood: a review of the evidence and most plausible mechanisms. J Pediatr Gastroenterol Nutr 2013; 57 (Suppl. 1): S1–S45.
12. Privorotsky VF, Luppov NE. Infantile colic: the problem and the ways of solution. Pediatrics 2012; 91 (4): 98–05.
13. Khavkin A.I., Bel'mer S.V., Zakharova I.N. i dr. Funktsional'nye rasstroistva pishchevareniia u detei rannego vozrasta: rabochii protokol diagnostiki i lecheniia. Eksperim. i klin. gastroenterologiia. 2014; 101 (1): 80-94. [in Russian]
14. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
15. Savino F, Bailo E, Oggero R et al. Bacterial counts of intestinal Lactobacillus species in infants with colic. Pediatr Allergy Immunol 2005; 16: 72–5.
16. Szajewska H et al. Lactobacillus reuteri DSM 17938 for the management of infantile colic in breastfed infants: a randomized, double-blind, placebo-controlled trial. J Pediatr 2013; 162: 257–62.
17. Savino F et al. Lactobacillus reuteri DSM 17938 in infantile colic: a randomized, double-blind, placebo-controlled trial. Pediatrics 2010; 126: e526–e533.
18. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
19. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Effi cacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
20. Vandenplas Y, Rudolph CD, di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendationsт of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49 (4): 498–547.
21. Taran N.N. Dietoterapiia kak osnovnoi metod korrektsii funktsional'nykh narushenii pishchevareniia u detei pervogo goda zhizni. Vopr. dietologii. 2016; 6 (3): 66–71. [in Russian]
22. Beliaeva I.A., Iatsyk G.V., Evdokimova A.N. Preparaty simetikona v kompleksnoi terapii kishechnykh kolik. Praktika pediatra. 2011: 20–2. [in Russian]
Авторы
О.Н.Титова1, Н.Н.Таран*1,2
1 ФГБУН «Федеральный исследовательский центр питания и биотехнологии». 109240, Россия, Москва, Устьинский проезд, д. 2/14;
2 ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*pknt@mail.ru
1 Federal Research Center for Nutrition and Biotechnology. 109240, Russian Federation, Moscow, Ust'inskii proezd, d. 2/14;
2 N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.
117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*pknt@mail.ru
1 ФГБУН «Федеральный исследовательский центр питания и биотехнологии». 109240, Россия, Москва, Устьинский проезд, д. 2/14;
2 ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*pknt@mail.ru
________________________________________________
1 Federal Research Center for Nutrition and Biotechnology. 109240, Russian Federation, Moscow, Ust'inskii proezd, d. 2/14;
2 N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.
117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*pknt@mail.ru
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