Your baby is not lack of calcium? Ask yourself these questions2017-01-11 11:55:57 34 ℃
"Would you like to have the baby calcium" is a topic of debate, although Ma before kangaroo also give you a lot of science, but there are a lot of parents to ask: baby crying at night is not a calcium deficiency? Bald baby is not a calcium deficiency? Whether to give baby calcium......
Then, the clinical doctor is how to determine whether the baby calcium deficiency? Today, "healthy growth" was invited to the kangaroo Ma Wei Zhuang Beijing Children's Hospital doctors care center, introduce the method to determine whether the baby calcium deficiency.
(Wei Zhuang, a doctor at Beijing Children's Hospital health center, child nutrition and feeding guidance, children's growth and development and evaluation of children with language disorder in children, nutritional diseases, growth retardation in children, disease diagnosis and treatment of the disease.)
The doctor said Wei Zhuang, clinical diagnosis of whether the baby is not a calcium deficiency, through the aspects of conclusion, and it is usually through daily diet + + + interrogation symptoms physical examination examination to comprehensive judgment.
1, the daily diet
When a parent questioned whether the baby home calcium, should first think of the baby in the diet adequate calcium intake, daily intake of calcium can meet the demand. Why should we emphasize diet? Because calcium can not be synthesized in the human body, need to get from the food.
How much calcium do we need to take care of the baby every day? China Nutrition Association in 2013, "Chinese residents dietary reference intakes," shows that children of different ages, the daily intake of calcium is not the same:
So how can the baby eat to achieve this standard?
0~6 months baby: About 200mg calcium per day.
The calcium content in human milk is about 34 mg\/100ml, if the amount of breast milk is adequate, every day in more than 600ml, basically does not require additional calcium. Some mothers said that I did not measure, do not know how much milk a day in the end to drink milk. If you can have the milk feeding array (hear swallowing sound baby Dakoutaikou); baby every day can change 6-8 wet diapers; baby weight per week increased 100~200g; skin health, skin and muscle elastic baby...... If everything is normal, it means that the baby to eat very good.
The calcium content of different formula milk is different, about 45~60mg\/100ml. Although the calcium content seemed to be higher than breast milk, but milk of calcium than breast milk calcium absorption, so drink formula milk for the baby, every day is about more than 600 of the amount of milk, in order to meet the needs of daily calcium.
6 months ~1 years old baby: About 250mg calcium per day
The amount of milk every day enough (formula or breast milk 600~800ml\/ days), add some calcium rich foods, calcium demand baby daily is enough.
Some parents in the future to add baby foods, think the baby eat food supplement can feed to milk, baby then reduced a lot. But if the baby's daily milk yield of less than 600ml, which contained no or only a small amount of calcium to eat foods in it, the baby is very prone to calcium deficiency. For example, the baby to eat rice, noodles and other major components of starch, calcium content is very small.
Which food is rich in calcium? Look at the table below.
As can be seen from the chart, calcium rich foods are mainly dairy products, dried fruits and seafood. However, in addition to dairy products, dried fruits and seafood intake in most babies in the diet is not much, so, want to let the baby baby milk or calcium, can not reduce. In addition, green leafy vegetables such as cabbage, rape, celery, Gai Lan, not only contains a lot of potassium, magnesium, can help maintain acid-base balance, reduce the loss of calcium, itself also contains a lot of calcium, so remember to give your baby to eat vegetables oh
1 years of age or older: the same is true of the daily diet, to ensure that more intake of calcium rich foods. 100ml milk contains about 100mg of calcium, 1~3 year old baby needs 600mg of calcium per day. It is recommended that a cup of milk every morning and evening (200ml\/ cup), probably about 400mg calcium supplement, and then eat some calcium rich foods, you can meet the basic needs of calcium. If the baby can not drink milk, you can give your baby to drink yogurt, but remember, if yogurt, rather than milk drinks Oh ~!
Do not need extra calcium, but to supplement vitamin D!
The amount of calcium intake to meet the baby every day, do not need the additional calcium supplement, but there is a kind of nutrients that are essential, that is vitamin D! Promote calcium absorption of vitamin D is a good helper, if less vitamin D, even if the baby's daily calcium intake is sufficient, the baby will calcium.
The human body can be their own synthesis of vitamin D, because there is a component of the human skin called 7- dehydrogenation cholesterol, which can be converted into vitamin D under the action of ultraviolet radiation. But there is little chance that the baby will be exposed to the sun, and the sun will be almost zero. Even in the outdoors, affected by haze, light time, clothing and other factors, the body can be a very limited amount of vitamin D synthesis.
Moreover, the natural foods containing vitamin D is very small, in addition to some deep-sea fish, animal liver and other animal foods, and almost no vitamin D in vegetable foods.
Therefore, it is recommended that children should be extra vitamin D, in order to promote the absorption of calcium from birth to two years, every day to supplement 400IU.
Some people say that some formula milk contains vitamin D, and then additional supplements will not be excessive, leading to poisoning? In fact, the amount of milk powder can almost be ignored. First of all, in the process of milk powder transport, repeated opening cover, brewing, vitamin D will have different degrees of loss; secondly, the recommended intake of 400IU, just to meet the physical needs of the lowest intake, far from poisoning the amount of 20000~50000IU phase difference; and during the baby's oral, you can't guarantee capsules of vitamin D intake, the baby was all absorbed. Therefore, parents do not have to worry about.
2, the symptoms of interrogation
The baby calcium deficiency, there will be some corresponding symptoms.
Serum calcium concentration decreased, the plant nerve function disorder, cause sweating, the baby will be through the friction head to relieve discomfort, thereby inducing a bald. In addition, the baby may also appear not easy to fall asleep and it is difficult to enter the deep sleep, sleep after love crying, easy to wake, sweating and other manifestations of sleep.
But parents need to pay attention to is that the baby has a bald, sweating is not necessarily a calcium deficiency, some physiological and pathological factors, such as the cover is too thick, long time lying and nervous system disease will also let the baby have these features.
If you evaluate your baby's daily dietary intake of calcium and vitamin D supplementation and daily performance, highly suspected baby calcium deficiency, they suggest that you take the baby to the hospital, checked by a doctor, whether the child calcium deficiency diagnosis.
3, physical examination
The doctor will check on the baby's physical, if a long time, the baby will be the bone changes, clinically known as rickets, the baby will show O leg, X leg, chicken breast, chest, head funnel, fontanel closure will delay.
Fontanelle refers to the baby head top and posterior occipital area coverage and no diamond skull triangle, respectively. The front and rear fontanel fontanel.
Bregmatic, general in 1 ~ 1 years old half closed; after the skull, general born small or have been closed in the late 2 ~ 4 months closed.
We usually say the fontanelle refers to the anterior fontanelle, baby after 18 months, the former fontanelle has not been closed, called fontanelle closed late, parents must be vigilant. If the baby is the fontanelle closed late, to consider whether the baby had calcium deficiency, but also to observe the baby fontanel tension is not increased, the head is too large, in order to eliminate the abnormal thyroid function and hydrocephalus and other anomalies.
In addition, fontanelle closed late is not necessarily that baby is not healthy. If the baby's fontanel at birth is much larger than the average child, at the age of 1 half is not completely closed, but this is a physiological phenomenon.
4, auxiliary examination
Through the above inquiry and examination, if suspected of calcium deficiency in children, doctors will do tests of bone metabolism and vitamin D detection and laboratory examination, and the bone density examinations, to further diagnose.
If the child has appeared signs of rickets, the doctor will give the child a pat hand wrist radiographs of X, to see if there were changes to the skeleton, to determine whether the rickets in active stage.
Once diagnosed with rickets, should actively cooperate with the doctor for treatment, treatment of rickets of vitamin D minimum recommended dose of 2000 IU\/ days, at least 3 months of treatment, and the amount of calcium supplement the corresponding age required.
Wei Zhuang doctor said:
Treat baby whether calcium, should not go to extremes, is not others, casually calcium supplements to children; diet and calcium also can not ignore the baby, but refused to give the child calcium. Don't wait until the baby's bones have been changed to remedy, then it is late.
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