کولیک نوزاد به حالتی گفته می شود که نوزاد بدون وجود بیماری ( پس از آزمایش های مختلف توسط پزشک ) به صورت بی وقفه گریه می کند. تقریباً ۲۰٪ نوزادان شیرخوار به دلیل نابالغ بودندستگاه گوارش٬ دچار کولیک می شوند. کولیک نوزاد٬ اصطلاحی است برای گریه های بی دلیل و بدون انقطاع در کودک به طوری که شیرخوار دچار کولیک٬ چندساعت در روز بی وقفه گریه می کند. کولیک از نظر آماری بین کودک اول و سایر کودکان و نیز بین دختر و پسر شیوع یکسان دارد و اغلب مابین عصر و نیمه شب رخ می دهد هرچند ممکن است هر زمان دیگری ایجاد شود اما بیشتر عصرها و شبها تشدید می شود. کولیک نوزاد عارضه ای طبیعی است و تنها به علت ایجاد اضطراب و نگرانی در والدین ممکن است روند درمانی جدی را دربر گیرد. در ایجاد کولیک معمولا تفاوتی میان شیر مادر و شیر خشک وجود ندارد و هردو می توانند عامل تحریک و هیجان سیستم گوارشی نوزاد و شروع کولیک باشند. [۱][۲][۳][۴]
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منابع [ویرایش]
1. ↑ Barr RG. Changing our understanding of infant colic. Arch Pediatr Adolesc Med. 2002; 156 ( 12 ) :1172 - 74. [PubMed]
2. ↑ Saavedra, MA; Saavedra MA, da Costa JS, Garcias G, Horta BL, Tomasi E, Mendonça R. ( Mar - Apr 2003 ) . "Infantile colic incidence and associated risk factors: a cohort study". J Pediatr ( Rio J ) . :101 - 2. 79 ( 2 ) : 115–22. PMID 14502331.
3. ↑ Wessel MA, et al. Paroxismal fussing in infancy, sometimes called "colic. " Pediatrics. 1954; 14:421 - 435
4. ↑ Barr RG, Rotman A, et al, The Crying of Infants With Colic: A Controlled Empirical Description. Pediatrics 1992; 90:14 - 21 [Abstract/Free Full Text]
رده ها:
• پزشکی کودکان
• بیماری ها و اختلالات
• نشانه ها و علائم دستگاه گوارش و شکم
قس انگلیسی
Colic ( also known as infantile colic ) is a condition in which an otherwise healthy baby cries or displays symptoms of distress ( cramping, moaning, etc. ) frequently and for extended periods, without any discernible reason. The condition typically appears within the first month of life and often disappears rather suddenly, before the baby is three to four months old, but can last up to one year. [1] One study concludes that babies who are not breastfed are almost twice as likely to have colic. [2] Epidemiology suggests that chocolate, brassica, onions, and cow's milk are among the foods that a lactating mother may need to avoid. [3]
The crying often increases during a specific period of the day, particularly the early evening. Symptoms may worsen soon after feeding, especially in babies that do not belch easily. [citation needed]
The strict medical definition of colic is a condition of a healthy baby in which it shows periods of intense, unexplained fussing/crying lasting more than 3 hours a day, more than 3 days a week for more than 3 weeks. [4] However, many doctors consider that definition, first described by Morris Wessel, to be overly narrow and would consider babies with sudden, severe, unexplained crying lasting less than 3 hours/day as having "colic" ( so - called "non - Wessel's" colic ) . [5] In reality, this extreme version of colic is more likely to be the final stage of a condition that has worsened for a few weeks. [citation needed]
Persistent infant crying is much more than a parenting nuisance. Crying and the exhaustion associated with it can trigger serious problems, such as relationship stress, [6] breastfeeding failure, [7][7] shaken baby syndrome ( also known as abusive head trauma—the leading cause of child abuse fatalities ) , [8][9][10][11] postpartum depression ( affecting 10–15% of new mothers and many new dads ) , [12][13][14][15][16][17][18][19] excess visits to the doctor/emergency room ( 1 in 6 children are brought to the doctor/emergency rooms for evaluation of persistent crying ) , [20] unnecessary treatment for acid reflux[21][22][23][23][24][25][26] and maternal smoking. [27] Crying and exhaustion may also contribute toSudden Infant Death Syndrome ( SIDS ) and suffocation ( from agitated babies flipping onto their stomachs, concerned parents placing fussy babies on the stomach to sleep, tired parents falling asleep with their baby in unsafe places, like couches or beds with bulky covers ) , [28][29][30] infant obesity, [31] maternal obesity[32] and even automobile accidents. [33]
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[edit]Causes
For many of years, the number one belief of worried parents, grandparents and doctors has been that colicky crying was a sign of abdominal pain ( e. g. intestinal spasm, overfeeding, trapped gas ) . [34] In fact, even the word "colic" is derived from the ancient Greek word for intestine ( sharing the same root as the word "colon" ) . Today, it is fairly well established that there are a variety of causes of colic symptoms, the most common of which include: stomach gas ( possibly due to poor burping or milk flow issues ) , intestinal gas ( pocketed in the intestinal tract ) , neurological overload ( the overwhelmed and overstimulated baby that becomes exhausted ) and even a muscular type of colic ( perhaps due to muscle spasm and birth trauma ) . A gastrointestinal ( GI ) theory of colic seems logical because fussy babies often: grunt/pass g . . .
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منابع [ویرایش]
2. ↑ Saavedra, MA; Saavedra MA, da Costa JS, Garcias G, Horta BL, Tomasi E, Mendonça R. ( Mar - Apr 2003 ) . "Infantile colic incidence and associated risk factors: a cohort study". J Pediatr ( Rio J ) . :101 - 2. 79 ( 2 ) : 115–22. PMID 14502331.
رده ها:
• پزشکی کودکان
• بیماری ها و اختلالات
• نشانه ها و علائم دستگاه گوارش و شکم
قس انگلیسی